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A2A.Yes. A bit of context:Usually, the doctors who are guilty of yelling at nurses are those who were trained long ago (I would say prior to the 1980s) or were trained overseas. Prior to the 1980s (I’m estimating) and still today in much of the rest of the world, the approach to medicine is hierarchical. The physician is at the top of the totem pole, then the nurse(s), the assistants, and finally any techs or orderlies. In this model, the physician essentially functions as the boss.Today, in North America and increasingly in Europe, we use a team-based approach to medicine — where we view physicians, mid-levels, nurses, consultants, assistants, etc., as part of a team. While we all have different roles, we approach patient care largely as equals. I am not the nurses’ boss, therefore it would be highly inappropriate (unprofessional, really) for me to yell at them. As the physician is invariably the team leader, it is certainly my job to delegate responsibilities, resolve conflict, and point out any errors that I see. But it is never my job to yell or to chide in the open. At the very worst, if I see a serious problem with a nurse, I either take them aside and manage it calmly, or (preferably) I bring it to the attention of their actual superior (i.e., the charge/lead nurse) who can manage the issue appropriately.Many of the older doctors and those who were trained in countries where the hierarchical model is customary often have a hard time adapting to the team-based approach. They see themselves as superiors to nurses and others on the team. They often consider it perfectly appropriate to “yell” at or otherwise publicly chide a nurse. I find the hierarchical model to be outdated and often toxic, personally, and there is some research to back this up.Hope that helps to answer your question.Dr. Paul

Actually, some theocracies are remarkably encouraging and non-Puritanical about public breastfeeding. In Vatican City, Pope Francis has recently insisted that “…but the most beautiful choir of all is the choir of the infants who will make a noise. If they are hungry, mothers, feed them, without thinking twice. Because they are the most important people here” - this said within the Sistine Chapel itself, on one occasion personally encouraging an embarassed woman with infant to breastfeed in his presence. The consequences of this for Catholic churches around the world should be interesting. Similarly, in Iran the government has launched pro-breastfeeding campaigns, and according to every article/tourist’s report I can find women breastfeeding in public is “common and accepted”; according to author Clarissa de Waal [Everyday Iran], “Despite this segregation a nursing mother can uninhibitedly breastfeed her baby in public even if there is a male bus conductor passing through the women’s part of the bus, and even if the mother is sitting in full view of the male passengers on the other side of the bar. Breastfeeding is dissociated from the sexual…”Prejudice against breastfeeding is not really the norm around the world; according to Kathrine Dettwyler [quote], “In most cultures around the world, breasts hold no sexual connotations for either men or women. Sexual behaviour does not involve breasts, which are perceived as existing for the sole purpose of feeding children”.Sentiment against breastfeeding in public is quite strong in two countries that have a lot in common with the US; South Africa and Australia, where it is legal but strongly opposed by social mores. In the latter country, as many as 50% of respondents called b/f in public ‘obsene’. Though not quite rigorous, one S. African’s response from the above link is too hilarious not to include:“Hell NO!!!! Keep them milk factories to yourselves ladies. Privacy. First sicko who takes a good look and all hell is going to break loose, he being the pervert. You didn’t copulate in public to get preggies, which is the reason your glands are filled with mother’s milk, so don’t flaunt the result of your copulation (not the kid, the milk factories). Nee sies man! I have three kids and definitely wouldn’t appreciate my wife showing her mammary glands to the world at large.”I don’t think it takes a genius to conclude that the common denominator between this batch of stythophobic countries is the sexualization of the breast. In fact, according to studies carried out in territories of the former British empire, women in Ireland, New Zealand and Hong Kong also feel that society does not approve of their breastfeeding in public. According to the above link,“Embarrassment when breastfeeding in public has been cited by mothers as a key reason to discontinue or not initiate breastfeeding because women often feel that they have to choose between breastfeeding and going out”Interestingly, though the breast-taboo is supposed by many to be on the rise through dissemination by American media, this doesn’t seem to be the case in practice. Although Europe has been an avid consumer of American sexual images since the 1980s, in most of Europe b/f’ing in public is overwhelmingly not an issue.There was for example a recent case in Germany when the Christian Democrat party delegates requested a woman representative from the opposition to leave the Bundestag chamber after she started breastfeeding openly, but in broader German society it’s so acceptable that there aren’t even laws “protecting” it, as nobody thought to make them. [hence, it is fully in the discretion of enterprise owners to ask b/f women to leave: but although it has happened in a few isolated cases, breastfeeding is still seen as overwhelmingly uncontroversial by default]A similar case of religious delegates in parliament requesting publicly breastfeeding women delegates to leave the Knesset chamber happened in Israel, which is similarly protective of womens’ right to breastfeed in public, along with its neighbour Jordan.Britain has a much less substantial aversion to breastfeeding than her former colonies. Most people support the right of women to breast feed ‘discreetly’, but many still feel it is obscene. It is legal and permitted, but certainly far from social norms.An interesting case is presented in countries like Pakistan and Egypt, where the common pattern is that breastfeeding in public seems to be accepted, indeed the norm in many rural and ‘backwards’ regions - but it is frowned upon in more affluent, middle-to-high class society.Last but not least, France deserves mention as likely the most anti-breastfeeding country in Europe. Scoring lower than both the UK and US in polls on the acceptance of public breastfeeding, breastfeeding in general is very low and even discouraged (interesting article).

I would hazard to guess it is because the country was colonized for so long, it is hard to shake off colonial mentality.It makes the average Filipino the best immigrant and the worst citizen. The Filipino who will willingly follow the traditions of their adopted country will also be so willing to give up their own.I am unique in my experience because as an ethnic Chinese albiet fourth generation, we were taught to love this country as our own, it is the country that accepted us and made us who we are, at the same time, we still follow our Chinese traditions.During the early 1980’s when we would travel in Europe and people ask me, I would proudly say, The Philippines! I always believed it was our duty to showcase the country and be good ambassadors and representatives of the country.During that time, no one knew where the Philippines was, gradually, into the 1990’s , the country started to be known better in that part of the world. My duty to my country then and now is to show them that the country is NOT made up of househelpers and seamen, and that people actually DO want to stay and live there and there are different segments of society here too.During a wedding party I attended in Germany during thr early 2000’s, the mother of the groom and indeed the whole party from the groom’s side was so surprised that the Ph delegation arrived in gowns and wore jewelry. They did not believe that the country had anything aside from what they see and hear. ( domestics, nurses, hospital aides and seamen)I guess an average Pinoy who would encounter such things would be embarrassed. I wasnt though and i would explain to them that these OFWs are doing their best for their families from a country that unfortunately has too much corruption to give better lives to all citizens.