The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.
my experience is that the Amish are very stoic, when they do come to the ER they almost always have real and severe disease and will often under sell their level of pain.
Totally agree with the above comment. Also interestingly, where I have worked in the past with a large Amish population - there was an extended family with congenital long QT syndrome. It was not unusual then to see an Amish person with an AICD! A demonstration of the point made in the piece about how some Amish communities are more open to medical devices and intervention. Another interesting thing we dealt with was that the Amish would not wear our hospital gowns with patterns on them. We keep a supply of plain blue gowns for them. Just a little thing - but something that made them more comfortable and showed that we respected their ways.
What you do matters.