Relationships of Waverly Jong and Jing-mei Woo in The Joy Luck Club Ess

The Relationships of Waverly Jong and Jing-mei Woo in The Joy Luck Club  Ã‚        Ã‚   Amy Tan in her novel The Joy Luck Club presents us with daughters who are striving to place themselves beyond the control of strong mothers and become individuals. Adrienne Rich in her book Of Woman Born calls this splitting from the mother, "matraphobia" (Rich, 235), and later notes: "The mother stands for the victim in ourselves, the unfree woman, the martyr. Our personalities seem dangerously to blur and overlap with our mothers; and, in a desperate attempt to know where mother ends and daughter begins we perform radical surgery." (Rich, 236) Tan shows us two characters in her novel who consciously split from their mother when they feel unable to claim their true selves. These two characters are Waverly Jong and Jing-mei Woo.    Waverly's break from her mother comes when she perceives her mother's pride in her ability to play chess being something that increases her mother's own self worth. Waverly tells us: "I knew it was a mistake to say anything more, but I heard my voice speaking. 'Wh...

How likely is this to be a heart problem, asthma, or panic attack?

Denise’s case is very likely to be a heart attack or what is medically known as the acute myocardial infarction (MI). Asthma was eliminated in the diagnosis because there was no prior indication that Denise had been exposed to allergens, sensitizer, irritants or any form of air pollution.   Asthma is associated with chronic inflammation of the lower respiratory tract and requires a triggering factor like one of those mentioned above (Fauci, et al., 2008).  Cardiac ischemia was also considered but was eliminated because of the absence of its hallmark symptom of angina pectoris.   An asymptomatic cardiac ischemia was also not considered because Denise presents some symptoms like breathlessness or dyspnea, anxiety, irregular beating of the heart and cold sweating.   These symptoms, however, are present in painless acute myocardial infarction.It had also been indicated in several studies that cigarette smoking also increases the risk of MI (Fauci, et al., 2008).   Althou gh Denise had not been smoking, she is in close association with someone who had been a chronic cigarette smoker, her husband.   It could be inferred that Denise had suffered from second hand smoking and is, therefore, at risk of having a heart disease, too.2. Why do you say this? What are the symptoms that are consistent with your preliminary diagnosis? Is there anything unusual?Myocardial infarction usually presents with pain as the chief complaint of the patient. The pain felt was usually described as heavy, squeezing, and crushing.   In rare cases, the pain is also described as stabbing or burning.   It is very similar to the pain experience in cases of angina pectoris or chest pain.   However, pain of MI usually occurs at rest, more severe, and lasts longer.  In our case, however, no pain was felt.   Nevertheless, this is not to be used as a basis in eliminating the possibility of MI.   The clinical presentation of Denise’s case is termed as the painless my ocardial infarction. The proportion of painless MI is greater in elderly patients and is and usually presents with breathlessness, appearance of an arrhythmia, and a sensation of profound weakness (Bayer, Chadha, Farag, & Pathy, 1986).An arrhythmia is the medical term referring to irregular beating of the heart.   Denise’s case is a type of arrhythmia called tachycardia or the abnormal increase in heart rate, i.e. heart is beating very fast (Guyton, 2006).   MI, in general, is also accompanied by sweating, anxiety, and a sense of impending doom (Fauci, et al., 2008).   All these clinical presentations had been experienced by Denise.The oxygen-poor blood from the (1) right atrium empties to the (2) right ventricle, which then pumps blood to the (3) pulmonary artery.   The blood then enters the pulmonary circulation through the (4) pulmonary arterioles and pulmonary capillaries where exchange of gases takes place.The oxygen-rich blood the goes back to the heart via the (5) pulmonary vein and empties to the (6) left atrium and then passes to the (7) left ventricle.   The left ventricle then pumps the oxygen-rich blood to the (8) aorta, the largest artery, and flows through the large (9) systemic arteries to reach the organs they supply.The blood then flows through (10) arterioles and (11) capillaries of the organs to deliver oxygen and nutrients.   Cellular waste products and carbon dioxide are exchanged for nutrients and oxygen at the level of the capillaries.The blood then passes through the (12) venules and then to the (13) larger veins.   Blood from the upper part of the body, e.g. head and upper extremities, drains into the (14) superior vena cava.  Ã‚   Blood from the lower part of the body, e.g. stomach, intestines, and lower extremities, drains into the (15) inferior vena cava.   Both the superior and inferior vena cava drains into the right atrium (Guyton, 2006).3. What are the characteristics of Denise’s lifestyle that mi ght lead to a heart problem?Denise’s genetic make-up predisposes her to hypercholesterolemia.   However, her diet aggravates her situation and causes her blood cholesterol level to be higher than normal.   It has been shown that hypercholesterolemia induces the formation of atherosclerosis (Prassad & Kalra, 1993).The disruption of atherosclerotic plaques attracts platelets and promotes the formation of thrombus or blood clot leading to obstruction of blood supply to the heart. Hence, patients with hypercholesterolemia are at very high risk of having myocardial infarction.  From the case, it could also be gathered that Denise is closely associated with a man who had been a chronic cigarette smoker and that she has been exposed to second hand smoking.   Smoking had been found in many studies to be associated with the increased risk of myocardial infarction.   Tobacco contains nicotine that promotes vascular constriction and aggravates the narrowing of vessels caused b y of atherosclerosis (Wilhelmsson, Vedin, Elmfeldt, Tibblin, & Wilhemsen, 1975; Rosenber, Plamer, & Shapiro, 1990).Denise had also been undergoing a lot of emotional and physical stress, which had been found to trigger acute MI (Gelernt & Hochman, 1993).   Also there are several facts that point to Denise’s predisposition to MI such as aging and being in early menopausal stage (Rosenberg, Hennekens, Rosner, Belanger, & Speizer, 1981).4. Has Denise suffered a heart attack?Indeed, Denise had suffered from heart attack or acute myocardial infarction (MI).   However, her case might, in the early part of the case, have only been a painless and mild MI.   The infarct located on her left ventricle.   This is due to the obstruction on her left anterior descending artery, the major blood supply of the left ventricle.The left ventricle is a high pressure chamber and, therefore, demands a very high blood supply.   Her case may have developed over the years such that angiogenes is, i.e. formation of new blood vessels, or the opening of collateral vessels had provided her with heart enough blood that the infracted portion is not very great (Fauci, et al., 2008).   She also presents the symptoms typical of older women presenting painless MI with dyspnea or what is commonly known as breathlessness, anxiety, tachycardia, and sweating.5. Define the following terms: cholesterol, hypercholesterolemia, cardiac ischemia, collateral vessels, angina pectoris, and plaque.Cholesterol is the best know steroid probably because of its association with atherosclerosis and other various heart disease.   Biochemically, it is also of great importance because it is the precursor of equally important steroids that include the adrenocortical hormones, sex hormones, vitamin D, and bile acids.   It occurs in animals but not in plants or bacteria.   Figure 4 shows the chemical structure of cholesterol (Murray, Granner, & Rodwell, 2006).

Great Expectations By Charles Dickens - 2326 Words

Oftentimes authors and writers harness the influence of dynamic characters to illustrate dramatic changes in a character’s emotions over time. In Charles Dickens’ realistic fiction novel, Great Expectations, Phillip Pirrip, commonly known as Pip, is a prime example of authors exploiting the usage of dynamic characters to display and convey episodes of morals and themes. Great Expectations was a novel published in 1861 that walks through the life of Pip and his desires and yearnings to become a high-classed gentleman living in England’s finest urban settings. The introductory phases of the novel demonstrate that Pip is an orphan living in England’s lower class threshold with his sister, Mrs. Joe Gargery, and her blacksmith husband Mr. Joe Gargery. However, as time gradually progresses Pip is more and more exposed to wealth and luxury, first with his invitations to Miss Havisham’s Satis House and then a secret request for Pip to relocate to London due to his great fortune inheritances from an anonymous benefactor. As a result, Pip’s luxurious greed and his great expectations for social and financial advancement severely heighten. After living in London for a number of years, Pip begins to learn the unfortunate consequences of life with being confined with enormous debt, being slowly detached from his family, being involved in Magwitch’s political trials, and witnessing the death of numerous close relatives and companions. Through cautious scrutiny of Pip in CharlesShow MoreRelatedGreat Expectations By Charles Dickens1113 Words   |  5 Pagesadventures that the male characters go on. This seems to be relevant in a lot of movies and books like the story Great Expectations by Charles Dickens. In Great Expectations there are multiple female characters like Estella, Biddy, and Miss Havisham who all play a large part in the main character, Pip’s life. One of the first that we meet the character Estella in Charles Dickens’ Great Expectations is when Pip goes to Miss Havisham’s to play with her. The two kids play the game beggar my neighbor when EstellaRead MoreGreat Expectations By Charles Dickens1347 Words   |  6 Pagespoor status of the economy, social mobility does not seem to be occurring at high rates, with the poor getting poorer and rich getting richer. Despite this, social mobility is alive and well, and has been for centuries. In his novel, Great Expectations, Charles Dickens voices the concerns of many that lived in Victorian England during the 19th century by promoting such a desire to live life in a more prosperous social class. One of the most fundamental and reoccurring themes in the novel is that ofRead MoreGreat Expectations By Charles Dickens1426 Words   |  6 Pages Twelve-year-old Charles dickens gets ready for bed after a long day at the blacking house. These Victorian-aged memories will provide him with many ideas for his highly acclaimed novel Great Expectations. Set in 1830 England, Great Expectations is a coming-of-age story about a common innocent boy named Pip and his road to becoming a gentleman through the influence of others. Pip is influenced both positively and negatively by Estella, Herbert, and Magwitch. Estella left a huge impression on PipRead MoreGreat Expectations by Charles Dickens984 Words   |  4 PagesCharles Dickens utilizes his life for inspiration for the protagonist Pip in his novel Great Expectations. They both struggle with their social standing. Dickens loved plays and theatre and therefore incorporated them into Pip’s life. Dickens died happy in the middle class and Pip died happy in the middle class. The connection Dickens makes with his life to Pip’s life is undeniable. If readers understand Dickens and his upbringing then readers can understand how and why he created Pip’s upbringingRead MoreCharles Dickens Great Expectations943 Words   |  4 Pages This is true in many cases but none as much as in Great Expectations. In many ways the narrator/protagonist Pip is Charles Dickens in body and mind. While there are many differences between the story and Charles Dickens life there remains one constant. This constant is the way Pip as the narra tor feels, because these feelings are Dickens s own feelings about the life he lead. Since Great Expectations was written towards end of Charles Dickens life, he was wiser and able to make out the mistakesRead MoreGreat Expectations By Charles Dickens1375 Words   |  6 PagesGreat Expectations by Charles Dickens and The Talented Mr Ripley by Anthony Minghella present similar criticisms of society to a large extent. Both of these texts consider the criticisms of rich social contexts (wealth and status), societal morality (whether a society is good or not. Status [can lead to the wrong people being in a high position i.e. making bad decisions affecting the community/society] Appearance [society appears to be moral/good (if you’re from a higher status) {dickens criticisesRead MoreCharles Dickens Great Expectations1223 Words   |  5 PagesBeloved author Charles Dickens was born on February 7, 1812 in Portsmouth, England. 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A person who lived during the Victorian Era was Charles Dickens himself.He grew up during a time where differences in social class were to an extreme degree.Dickens went through