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3 ) yes the physican should put a word in and at least talk to the parent
4)

the mom should be reported I think she was really trying to help her son but

you can not go and try something you have read or heard people have

done on your child do the right thing and take your child to the emergency

room for the proper care don’t take it upon yourself to do things that could

cause our child more harm     - angel uribe , alyssa villegas

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2. A physician should only step in when the kid doesnt want the treatment but still has to do it. Victor Altamirano Christian Franco

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4. No, the practitioner should not report the mother and respect their cultural practice. They should come to an agreement to help the child and her child's health. - jennifer ponce & ashley mendoza

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3. The physician should be concerned if this treatment is actually hurting someone badly, but their people uses this as their healing. 4. The physician shouldn't because many more people use this treatment and it isn't killing anyone. Joy Gutierrez & Lorianne Hernandez

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3. The physician should be concerned about alienating the mother and other people of her ethnicity from modern medicine because the physician should respect the cultural practices of others.  4. I don't believe that the physician should report the mother because he should again keep in mind and respect their cultural practices. To report the mother would be unnecessary and too far.  - Luella Abelita & Jocelle Toledo

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1) The coining treatment may be useless because based on the given information, it seems like it just put the child in pain, but we don't know because it could take a few days to heal. 2) The physician should step in when the child says they're in pain. Physician should know it isn't a a scientific process and is a spiritual practice. - Jocelle Toledo & Luella Abelita

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4.  No, the physician should not report the mother, because some culturals have their own ways in healing their children or others. As the physician you must respect one´s cultrual and how they take care of things back home, but if it seems more than just treatment then definitely report the mother. -Eliza A and Keizha A

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#3 The physician should be concerned because of the child's health
#4 What I would do is ask the partents family to step out and ask the kid if he agrees with the treatment. If not then report it if yes then not report it. Joel Montenegro/Chelsea Minaldo

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3. i think that the physician should be concerned because of the child health Hannah & Aaryn

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#1 they should do more research on this to make sure it helps the child or not. #2 the physician should step in when the child says theyre in pain . -jenifer ponce ashley mendoza

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4) the mom should be reported I think she was really trying to help her son but

you can not go and try something you have read or heard people have

done on your child do the right thing and take your child to the emergency

room for the proper care don’t take it upon yourself to do things that could

cause our child more harm. - alyssa , angel

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3.No, the physician should not be because he has to respect her culture and her right to do what she believes in
Victor Altamirano Christian Franco

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1.The coin part of "coining" is useless because all it does is bruise people and could give infections to the person. The oil part isnt useless because some of the oils could actually help the person that is sick. Victor Altamirano and Christian Franco

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4.)No,because it is a cultural practice .
Jackie Alvarado and Alexa De Luna

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4) The physician should report the mother because the procedure may be unsafe for the boy and bruises are a sign of harm. However, we are unsure if this cultural practice really works in healing and improving circulation.-Marlene and Jan Deri

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A physician should only step in when the child refuses to do it but his parents still force him too

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b

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4.No, he should not because that is her culture and what she believes is right
Victor Altamirano Christian Franco

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1) We should discount this treatment as useless because it's not bringing any positive results if the mother has to go to a practitioner.                                                                                                                                                                  4) No, we should not report the mother because it's obvious that she is not properly educated about medicine. by Meryl M, Erumu E, De'anna M

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1.) they should not discount this treatment as useless,  if the treatment actually helps and works then to keep on going with the procedure but also to check in with the doctor because what if something happens to the boy then they are not going to know what happens to him . you never know he can feel fine at first but then something can happen .                                                                                                                                                              2.) it depends on what they are doing and using . but when a physician should step in with cultural practice when the patient is having any type of abuse causing the patient to suffer or when he/ she is in pain , it can very unhealthy .    Joy Gutierrez/ Lorianne Hernandez

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2.The practitioner should step in because the ritual is hurting the child and by hurting the child his health will be decreasing instead of increasing. Alexa De Luna and Jackie Alvarado

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#3 The physician as a doctor should be concerned because it is haming the child

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1.THE TREATMENT IS USELESS. Cause it looks like it is causing more harm to the child.
2.The physician should have the lady try not to have to do that to the little boy because it hurts the kid when you put the stethoscope on his back. He started to complain that it hurts.  Madeline Hernandez & Katherine Dizon

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1)i say they should stop because its hurting the kid.But if they want to do it go ahead. But as soon the kid says hes being forced to do it there will be a problem                                                                                                                           2)a physician should step in to stop a cultural practice when the child is forced to do the cao gio thingy                    angel uribe/alyssa villegas

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3. I think that the physician should be concerned about alienating the mother and other people of her ethnicity from modern medicine because even though they should respect her culture, the physician should tell her that there are treatments that do work that would probably do more good than harm in some cases.
4. I do not think that the physician should report the mom because the mom probably thought that she was doing something helpful for her child and not anything bad because it was part of her culture. The mom did not mean to harm her child on purpose. -Katherine Dizon & Madeline Hernandez

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1.) We should not disregard this treatment as useless because it can give us insight on whether this treatment actually works. Also, if it does not work it can let us know how our body reacts to it.                                                    2.) A physician should step in to stop a cultural practice when the boy refuses to participate. As well as, if it causes permanent damage to his body. - Jan-Deri Pablo/ Marlene Deretich

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4.I think that the physician should not report the mother because if this is something that she did when she was a kid then it should be okay.Hannah & Aaryn

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#2 i think the physician should step in because it is unhealthy for the patient .

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1. We should completely discount this treatment as useless because it is not helping the boy since there is  nothing to gain from "cao gio".
2.When a physician would step in to stop a cultural practice is when he sees the patient having any type of treatment that abuses the patient and it is obvious when to step in because you could see the bruises from the patient and either way it is very unhealthy for the patient.  Chelsea and Joel

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1. I don't think that we should completely discount this treatment as useless because there might actually be some benefits that we aren't aware of.
2. A physician should step in to stop a cultural practice when it's clear that the practice harms a person more than it benefits them. -Keizha & Eliza

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3. No, the physician should not be concerned about alienating other people of the same ethnicity as the mother, because what if only the mother practices ¨cao gio¨, you can´t judge a whole ethnicity based on one person.  Even if they all do practice the same thing you should not prevent them from using modern medicine. -Eliza Argentera and Keizha Azucena

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3) I think that the physician should be cautious about alienating the mother and others of her ethnicity from modern medicine because each race has different cultures. As a physician you have to respect a parent's culture and keep in mind what procedures can be helpful and some that are harmful. Jan Deri and Marlene

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2. I think a physician should step in when any type of treatment, cultural or not, is proven to be unhealthy for the patient. Erumu E. , Meryl M. , Deanna M.

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1.I think we should discount the treatment because the treatment is useless because it does not do anything to help the patient. Jackie alvarado and Alexa De Luna

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3.) The physician shouldn´t concerned that because they should respect other peoples culture. Jackie Alvarado and Alexa De Luna

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3. I think the physician should be careful about alienating the mother and other people other ethnicity from modern medicine because it is what they believe in and you have to respect that but also a professional should be handling things like that so if it gets to a certain point a professional should try to step in and help with the medicine. They could try to alter the medicine a little.  De´Ánna M. , Erumu E. , Meryl M.

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1. Yes we should completely discount this treatment due to the fact that this treatment causes pain to helpless adolescence who do not have a say in this decision. In addition the treatment is useless and clearly does not help if the child is still having flu-like symptoms. -Aaryn James & Hannah Brooks                                                                                                                  2. A physician should stop a cultural practice when the practice is causing nonstop, noneffective pain to the child, especially if this procedure/practice is being done multiple times and showing no positive results.               -Aaryn James & Hannah Brooks

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3) The physician should be concerned about alienating the mother and other people of her culture. Physicians should be understanding of everyones culture. They should be open-minded, and find out whether a cultural practice is beneficial or not.                                                                                                                                                       4) No, the physician should not report the mother. The physician shouldn't because its's a cultural practice and the mother had good intentions.    Brandon Tamba/ Isabel Castillo

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#3 The physician should be concerned about alienating the mother and people of her culture from modern medicine. They shouldn't alienate anyone as both sides should learn more about both ends, coming to a middle ground. Respect is key. #4 The physician should report the mother to make sure nothing else other than the treatment is what is harming the boy. It does not hurt to double check, you'll sleep better knowing as well. - Kirsten Magtanong and Roxanne Ionteras

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1. I personally think that as a physician there always something to learn. So, as a a physician you always want to be learning about new procedures whether they're done by a doctor or not. I think we should try to learn about the "coining" as much as we could. Even if its "useless" or didn't work its still teaching us more than we knew before.  2. A physician should step in to stop a cultural practice when it is doing more bad than good to the individual who is getting the treatment done. Roxanne Contreras & Kirsten Magtanong

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We should only disregard the coin part of the "coining" because it could infect the skin and give the bruises to the person. The oil can help but for sure not the coin

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1) The treatment should be completely discounted as useless because nothing in this situation was really solved and the mother only hurt the son using cao gio, however, seeing how this mother treated her son using a cultural practice is just one example of the many families using practices which can tell us whether or not these should be tolerated or not.                                                                                                                                                                      2) A physician should only step in to stop a cultural practice when the practice is very bad for a patient's health and if a patient is forced to do the practice against their will. Brandon Tamba & Isabel Castillo

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3. The practitioner should be concerned about the child's health because it's obviously hurting the child, but they should know how to properly talk to the mother about her sons health and how this treatment is affecting the child. - jennifer ponce & ashley mendoza

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You are a general practitioner and a mother comes into your office with her child who is complaining of flu-like symptoms. Upon entering the room, you ask the boy to remove his shirt and you notice a pattern of very distinct bruises on the boy's torso. You ask the mother where the bruises came from, and she tells you that they are from a procedure she performed on him known as "cao gio," which is also known as "coining." The procedure involves rubbing warm oils or gels on a person's skin with a coin or other flat metal object. The mother explains that cao gio is used to raise out bad blood, and improve circulation and healing. When you touch the boy's back with your stethoscope, he winces in pain from the bruises. You debate whether or not you should call Child Protective Services and report the mother.                                                                                                                                                              Questions:

* Should we completely discount this treatment as useless, or could there be something gained from it?

* When should a physician step in to stop a cultural practice? (If someone answers "when it harms the child" remind that person that there is some pain in many of our medical procedures, for example, having one's tonsils removed)

* Should the physician be concerned about alienating the mother and other people of her ethnicity from modern medicine?

* Do you think that the physician should report the mother?