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Wellness for Everybody—in Every Body
In recent years, several qualitative studies have given us field notes of patients describing their experiences having larger bodies and interacting... -
Glucagon-Like Peptide-1 Receptor Agonists: A Pharmacy Perspective on Insurance Coverage and Medication Access
Glucagon-like peptide-1 receptor agonists, more commonly referred to as GLP-1s, have undoubtedly garnered much fanfare the past five years. This... -
My Journey with GLP-1 Weight Loss Drugs: Managing PCOS, Celiac Disease, and Metabolic Health
In my thirties, my body began to “betray” me. After years of running marathons, working out, and eating well, I found myself struggling with...
Archive
Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.
What Americans Can Do to Address Systemic Racism and Achieve Health Equity
I can’t breathe! This has become an all too familiar cry for many African Americans who everyday struggle to breathe in a society suffocated by systemic racism and entrenched inequities. They struggle to live in a society that has intentionally erected barrier after barrier intended to weaken their bodies and hasten their deaths. What we have is the perfect storm for a disaster—a serious health crisis, an inequitable method of health delivery, millions of uninsured and under-insured people, an uneven and politically charged approach to dealing with the pandemic, police brutality, and other ...
Defeating COVID-19 Locally: The Community Health Worker Ground Game
The Problem While COVID-19 is a novel virus, its devastating impact on public health has shone a spotlight on longstanding failures of our healthcare and social services systems. Thus far in the United States, the virus has claimed over 100,000 lives, dramatically reduced
Getting Home Safe: A Letter for My Brothers and Sisters
Dear Brother & Sister X, The feeling of grief, fear and frustration felt by our fellow Black and Brown siblings in America after the death of George Floyd, Ahmaud Arbery and Breona Taylor is impossible to dismiss, especially when it has been met with the president’s public combativeness towards protesters and promotion of state violence. History has shown us time and time again that the outcome of putting all of our hopes into large scale structural change leaves communities of color waiting for government institutions to act on our behalf; and while we wait, we ...
Striving for Patient Centeredness Amidst the COVID-19 Pandemic
I heard the commotion from my “captain’s chair,” the seat for the lead clinician at our respiratory clinic. The medical assistants, gloved and masked, hurriedly pushed the wheelchair past my door and into the “emergency” exam room, and I glimpsed a tiny hunched figure in the chair, all dressed in black, with her face grayish brown. “Oxygen saturation 84, we’re calling EMS,” the medical assistant called out, as a nurse walked swiftly into the room to apply oxygen. A clinician jogged over to the personal protective equipment (PPE) room to don her full armor before heading to the patient’s ...
Coronavirus Pandemic Highlights the Need for Health Disparities Training as a Fundamental Part of Medical Education
If there is any silver lining to the COVID-19 pandemic, it’s that we now have the opportunity to address ongoing societal failures that have been thrown into stark relief by this crisis. Perhaps chief among them is our complacency toward deeply entrenched racial and socioeconomic health disparities, which have become even more deadly in the face of COVID-19. There is ample evidence in states across the country, including Michigan, Louisiana, and North Carolina, that disproportionately high rates of chronic diseases like hypertension, asthma, and diabetes among people of ...
The Role of Integrative Medicine Now: Tools in the Time of COVID
COVID-19 has affected people worldwide and sickened millions. It is no coincidence that people are looking for unconventional ways to stay or become healthy. As Family Medicine physicians who also practice integrative medicine, we are accustomed to being asked questions about wellness. Lately, the most common questions are: How can I deal with the stress of staying home/ possible illness/ concern for family and friends/ childcare? How do I improve my immune system and stay healthy? How can I get well faster if I do get COVID-19? ...
Comprehensive Sex Education as Violence Prevention
It’s #SexEdForAll month, yet most people still believe sex education is just about sex. But it’s so much more than that. As a young woman from rural Appalachia, I’m well aware that until people learn what sex education truly is, it won’t be widely accepted in our society. That’s why I created the Sexuality ...
Saving Lives Slowly
Today, I am saving lives slowly. This is less satisfying than the days I am in full personal protective equipment (PPE) for hours in our new urgent care respiratory isolation unit. The unit was converted over the course of a weekend in the early days of the COVID-19 pandemic from what used to be our billing department, now with new linoleum and exam beds where carpet and desks used to be. In the isolation unit, it is easy to feel I am doing something vital, instead of this strange new disconnect of seeing my patients on the 3x5 inch screen of my cellphone, struggling to connect both ...