Part 1 Respond to the following in a minimum of 175 words: •  Is it immoral or insensitive to set evidence-based medical practice over other cultural medical beliefs? • Fadiman compares the Hmong to a visual perception puzzle (p. 237). Do you agree or disagree with her metaphor? Explain your reasoning.   Provide sources to support your perspective on this issue. Part 2 Respond to climates response. 75 words minimum. R1 According to the John Hopkins website “Evidence-Based Medicine (EBM) aims for the ideal that healthcare professionals should make "conscientious, explicit, and judicious use of current best evidence" in their everyday practice.” This means that it is factual based care. Do not think it s immoral to provide care under this model versus cultural medical beliefs. As we have whiteness' with ,the spirit catches you and you fall down. Many of these beliefs have no scientific merit or value, and they are not always safe. It’s a hard thing to try to convince someone that their cultural beliefs are not safe, but it is our duty as medical professionals to assist everyone and help them maintain good outcomes. This is something that we need to make sure we are able to do in a caring manner, and as we have seen, sometimes it may not always happen the way we would like.  I do not believe that it is considered a perception puzzle. There is science backed evidence, and the cultural beliefs are just that beliefs … and it is what they see. Yes, it is the way they interpret and perceive this - but that does not mean that it is a puzzle to be solved but more of a kaleidoscope view of the science based truth .  R2 Is it immoral or insensitive to set evidence-based medical practice over other cultural medical beliefs? According to the National Institute of Health. (2021). “Evidence-based medicine (EBM) uses the scientific method to organize and apply current data to improve healthcare decisions. Thus, the best available science is combined with the healthcare professional's clinical experience and the patient's values to arrive at the best medical decision for the patient.” While Steven Tenny & Matthew Varacallo (2021) stated that “Culture is a combination of a body of knowledge, a body of belief, and a body of behavior which involves several elements that are often specific to ethnic, racial, religious, geographic, or social groups that includes personal identification, language, thoughts, communications, actions, customs, beliefs, values, and institutions.” Based on these definitions, I don’t think it is immoral or insensitive to set evidence-based medical practice over other cultural medical beliefs unless in a situation whereby it goes against the wishes of that patient which can be insensitive. Fadiman compares the Hmong to a visual perception puzzle (p. 237). Do you agree or disagree with her metaphor? Explain your reasoning.   Fadiman compares the Hmong to a visual perception puzzle because a puzzle is like words one can see but is.

1. Part 1
Respond to the following in a minimum of 175 words:
• Is it immoral or insensitive to set evidence-based
medical practice over other cultural medical beliefs?
• Fadiman compares the Hmong to a visual perception
puzzle (p. 237). Do you agree or disagree with her metaphor?
Explain your reasoning.
Provide sources to support your perspective on this issue.
Part 2
Respond to climates response. 75 words minimum.
R1
According to the John Hopkins website “Evidence-Based
Medicine (EBM) aims for the ideal that healthcare professionals
should make "conscientious, explicit, and judicious use of
current best evidence" in their everyday practice.” This means
that it is factual based care. Do not think it s immoral to provide
care under this model versus cultural medical beliefs. As we
have whiteness' with ,the spirit catches you and you fall down.
Many of these beliefs have no scientific merit or value, and they
are not always safe. It’s a hard thing to try to convince someone
that their cultural beliefs are not safe, but it is our duty as
medical professionals to assist everyone and help them maintain
good outcomes. This is something that we need to make sure we
are able to do in a caring manner, and as we have seen,
sometimes it may not always happen the way we would like.
I do not believe that it is considered a perception puzzle. There
is science backed evidence, and the cultural beliefs are just that
beliefs … and it is what they see. Yes, it is the way they
interpret and perceive this - but that does not mean that it is a

2. puzzle to be solved but more of a kaleidoscope view of the
science based truth .
R2
Is it immoral or insensitive to set evidence-based medical
practice over other cultural medical beliefs?
According to the National Institute of Health. (2021).
“Evidence-based medicine (EBM) uses the scientific method to
organize and apply current data to improve healthcare decisions.
Thus, the best available science is combined with the healthcare
professional's clinical experience and the patient's values to
arrive at the best medical decision for the patient.” While
Steven Tenny & Matthew Varacallo (2021) stated that “Culture
is a combination of a body of knowledge, a body of belief, and a
body of behavior which involves several elements that are often
specific to ethnic, racial, religious, geographic, or social groups
that includes personal identification, language, thoughts,
communications, actions, customs, beliefs, values, and
institutions.” Based on these definitions, I don’t think it
is immoral or insensitive to set evidence-based medical practice
over other cultural medical beliefs unless in a situation whereby
it goes against the wishes of that patient which can be
insensitive.
Fadiman compares the Hmong to a visual perception puzzle (p.
237). Do you agree or disagree with her metaphor? Explain your
reasoning.
Fadiman compares the Hmong to a visual perception puzzle
because a puzzle is like words one can see but is trying so hard
to put the words together. I will agree with her because the
Hmong family was very difficult to understand while talking to
them and will not also understand the people either. Visual
perception was the skill needed to “understand, evaluate and

3. interpret what was seen.”
Fadiman, A. (1997). The Spirt Catches You and You Fall Down.
A Hmong Child, Her American Doctors, and the Collision of
Two Cultures. Farrar, Straus, and Giroux.
National Institute of Health. (2021). Cultural
Respect. https://www.nih.gov/institutes-nih/nih-office-
director/office-communications-public-liaison/clear-
communication/cultural-respect
Tenny, S. Varacallo, M. (2021). Evidence-Based
Medicine. StatPearls: https://www.ncbi.nlm.nih.gov/books/NBK
470182/