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.

Insights

Researching Organizational Structures of Primary Care

How does a clinician’s stress affect patient care? How can we alleviate the crisis of physician burnout? What was COVID-19’s impact on the field of primary care?
Personal Perspectives

Seeking Medical Care in Fear: Transgender Millennials Open up About Fears, Mistreatment

One of the most beautiful aspects of my practice as a mindfulness teacher and coach is that it takes me into a wide range of communities. The goal is to meet people where they are rather than expect them to find me. I learn as much (or more) from the populations I serve as they may learn from engaging in the programs I offer. Much of my mindfulness teaching involves individuals and groups who are from diverse backgrounds very different from my own. A recent experience was no exception, as I was invited to teach an eight-week
Reference

Considerations for Primary Care Providers in the Diagnosis of Long COVID

Data on long COVID is evolving, causing diagnosis and treatment to be complex. Primary care clinicians must consider not only the preexisting conditions of each patient, but their environment (work, home, financial security). There are special considerations when caring for vulnerable patient groups affected by long COVID, including patients with disabilities, substance use disorder, and those who are immunocompromised. Who is at risk for long COVID? Long COVID is significantly associated with age and in some reports, has been
Advocacy

Our Right to Basic Public Health Amenities

I was born and raised in Mebane—a small town in North Carolina that is now primarily white with a large percentage of Black, Indigenous, and Latinx individuals today. My childhood was spent between my father, Jesse’s, side of the family in the West End Community of Mebane and the Hawfields community of dairy farms where most of my mother, Mary’s, side of the family lived. My father worked on dairy farms after his left arm was cut off in a Mebane sawmill accident, while my mother worked in textile mills that caused carpal tunnel syndrome and mini-strokes. Outhouse ...
Advocacy

“Is the Lawyer in?”: Accessing Health Care in America

Jamal was a young, promising athlete whose coordination suddenly deteriorated, at only 12-years-old, with the onset of terrible headaches. Scans revealed a large brain mass, and he was referred to a regional academic medical center for what would be a complicated surgery. Moments before he was to be wheeled into the operating room, a nurse pulled Jamal’s mother, Lisa, aside to tell her apologetically that the procedure was cancelled. The medical center had learned that Jamal’s Tennessee Medicaid plan, TennCare, had been terminated, and he was uninsured. “I’m afraid you’ll need to take him ...
Advocacy

No Borders for Those Who Fight

"Não há fronteiras para os que exploram… não deve haver para os que lutam”—there are no borders for those who explore… there should not be for those who fight. This powerful statement was the rallying cry of representatives from dozens of waste picker organizations to the 2nd Latin American Congress. The gathering, held in 2005 in São Leopoldo, Brazil, unified a collection of marginalized peoples into a single voice calling for an end to ...
Stories

The Various Faces of Trauma

Trigger warning: Parts of this piece may be triggering. Please take the time and space to look after yourself and seek help. A few years ago, while I was packing for an upcoming move, I came across my old Pakistani passport. As I opened it, my 16-year-old self looked back at me, with the words “married” and “housewife.” I was a child bride. I am now in my 30s. I broke free from that child marriage a decade ago and built a wonderful new life of freedom for myself and my daughters. ...
Stories

A Poem: No Name

I called a third time. her voice sounds like a whisper hanging from a wire or a storyline lost in space. Worry not of death itself but her fragile husband and three kids Despite everything she is eager to talk and between the cough and fatigue Shared details, dates, places she speaks about her experience at the hospital and is ...
Advocacy

Beating Hunger: Addressing Food Insecurity During the COVID-19 Pandemic

Closed. Out of Business. We are temporarily closed due to COVID. These signs have become a common sight in the windows of grocery stores scattered throughout the United States. Throughout the pandemic, the number of communities that have become food deserts, as well as the number of households that have become food insecure, has increased substantially. While volunteering at a local food pantry during the pandemic, I talked to a regular named Carmen, and she described her ...
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