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.

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 ...

Abortion During the COVID-19 Pandemic

The 1973 Roe v. Wade United States (US) Supreme Court case resulted in the historic decision that the US Constitution protects a person’s liberty to choose to have an abortion in private consultation with one’s clinician. Since that time patients and medical providers have had to continue to fight for access to abortion throughout this country. In the years since Roe v. Wade, over 1,000 abortion ...

Contraception During the COVID-19 Pandemic

We know that many barriers to accessing safe, equitable, and effective contraception exist at individual, institutional, and societal levels. These include things such as lack of insurance, inability to get a timely appointment, difficulty taking time off from work or childcare, and required (but not evidence-based) pelvic exams or other pre-requisites. Unfortunately, the COVID-19 pandemic is heightening many of these existing ...

Reflections on COVID-19, the Climate Crisis, Environmental Justice and Health Equity

We are living in an unprecedented time in which an unimaginable global pandemic has upended our way of life. Our current public health crisis is the kind of dramatic disruption that worries many climate advocates as our planet continues to warm. Climate change has and will continue to increase the frequency of natural disasters, the spread of infectious diseases and displacement for people around the world. The United Nations has made clear in their Intergovernmental Panel on Climate Change 2018

Pediatric Health Amidst the COVID-19 Pandemic

While knowledge of COVID-19 transmission and its clinical manifestations is rapidly expanding, many questions remain unanswered regarding the effects of this pandemic on children. Research suggests that most children develop mild illness with COVID, and the development of severe disease is generally limited to infants and patients with pre-existing medical conditions (e.g. cardiovascular disease, chronic lung disease, immunosuppression). ...

Protecting Those Who Protect Us

Health care workers, including residents, have stepped into the breach of the COVID-19 pandemic, and they have done so at great personal cost. We know that ICU physicians, emergency room physicians, nurses, and nursing home health aides have died in unprecedented numbers. At least one surgical resident is known to have died from COVID-19, and it is likely there are others as well. We also know that caring for patients with COVID-19 creates fear and anxiety among health care workers, leading to both burnout and disability, and a demand for hazard pay. And we know that approximately

Experiencing Rural Family Medicine During the COVID-19 Pandemic

I arrived in Valdez, Alaska in mid-February as a visiting third year medical student and was quickly immersed in full-scope Family Medicine. I was learning in a myriad of settings: seeing patients in clinic for routine primary care, evaluating a trauma in the emergency room, assisting with vaginal and cesarean deliveries, and rounding on inpatients in the 11-bed critical access hospital. Six Family Medicine physicians provide comprehensive care here in a town of 4,000 residents, more than 300 road miles from the next hospital, in a census area where the population density is 0.3 persons ...