Have you ever experienced true culture shock, and what were the circumstances?

Have you ever experienced true culture shock, and what were the circumstances?
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1 Answer

Answer :

When I moved from Southland to Seattle and again when I moved from Southland to Chicago. In the move to Seattle, there was just something wrong the entire time I was there the first time I went for an extended stay. It was like something flickering at the edge of my sight, but I just couldn’t figure it out. Then I got back to Richmond, hopped off the plane and knew what it was. Black people. There are not nearly enough of them in Seattle. In the move to Chicago, it might have been a bit of country (or at least southern) girl – city girl shock. I went from relatively small towns and cities with family nearby to being all alone in Chicago. And no one smiles here! Seriously, like you can walk down the street and no one smiles. At all. And there is no color. And the rainstorms are wrong. Not enough lightning. And it snows. ****, how it snows. And people are so rude! It’s ridiculous. And… and… and… yes. There was a good deal of shock in moving here. Edited to add: I say “Southland” because I moved around the south a bit, but found the cultures similar enough not to produce any shock. Also edited to add: In Chicago, there is this place that people go for hot dogs really late at night and they are so rude to the staff! And the staff is rude back! That’s just how it is. It’s their thing. What a bizarre concept.
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Which of the following statements about the role of the gut in shock and sepsis are true? A. Selective decontamination of the digestive tract with the use of oral antibiotics has been shown to reduce nosocomial pneumonias and to improve mortality rates. B. Enteral nutrition, as compared with parenteral nutrition, preserves the villus architecture of the gut. C. Gut dysfunction may be an effect of shock, but it may also contribute to the development of MODS by the mechanism of bacterial translocation. D. As compared with parenteral nutrition, enteral nutrition is associated with a reduction in septic morbidity.

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Which of the following statements about septic shock are true? A. A circulating myocardial depressant factor may account for the cardiac dysfunction sometimes seen with shock due to sepsis or SIRS. B. A cardiac index (CI) of 6 liters per minute per square meter of body surface, a pulmonary capillary wedge pressure of 15 mm. Hg, and a systemic vascular resistance index (SVRI) of 800 dynes-sec/(cm 5-m 2) is a hemodynamic profile consistent with septic shock. C. An increase in SvO 2 in septic patients may be explained by the finding of anatomic arteriovenous shunts. D. Results of human trials employing antimediator therapy, such as antiendotoxin antibodies, IL-1 receptor antagonist, and tumor necrosis factor (TNF) antibodies, have confirmed animal studies that demonstrate a significant im

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Which of the following statements about delivery-dependent oxygen consumption are true? A. Below the critical oxygen delivery (D(overdot)O 2crit), one would expect to see a decrease in the lactate-pyruvate ratio. B. D(overdot)O 2crit may be increased in patients with sepsis. C. A desirable goal in the treatment of shock is to achieve delivery-independent oxygen consumption. D. The oxygen extraction ratio remains constant as long as oxygen delivery remains above D(overdot)O 2crit.

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