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.

Advocacy

Menstrual Justice Is a Matter of Health Equity: How to Fight Period Poverty and Stigma

While assisting patients in the Emergency Department (ED) one morning, I met a patient I’ll refer to as Mary. When I walked in, she was hunched over the edge of the bed, gripping her abdomen in distress. As I approached her, asking how I could make her more comfortable, she sat up slightly. She sounded ashamed as she opened up to me about not having access to menstrual products and unexpectedly starting her period while waiting in ...
Advocacy

Whose Trauma? De-Colonizing Post-Traumatic Stress Disorder and Refugee Mental Health Frameworks

Post-traumatic stress disorder (PTSD) and trauma needs in the Arab region The unprecedented political violence that swept the Arab region in the last century, from the Nakba of the Palestinain people to the wars in Iraq, Sudan, Libya, Syria, and Yemen, have ...
Insights

Arab American Research Gaps and a Survey of its Solutions

A little thought exercise Think of the simplest pieces of health information that we know, rely upon, and understand in society. Smoking causes lung cancer, insulin resistance precedes type-2 diabetes, lead bears a detrimental impact on child health. Because of applied public health, surveillance programs, population health metrics, and increased data ...
Advocacy

Lessons in Health Equity Learned During the Pandemic

In the spring of 2020, as the pandemic bore down on our country, I was appointed to the COVID-19 Vaccine Advisory Group to help guide the executive branch on communication, distribution, and equity issues relating to the distribution of vaccines. My role as the President and CEO of the state’s ...
Advocacy

Healing Across the Divides: Peace Building Through Health, Part 2

Healing Across the Divides is based on the simple idea that all humans desire good health. And it was created because all Americans are engaged in the Middle East conflict, as Israel is the greatest ...
Reference

ACE Scores: The New Fifth Vital Sign?

Every day in the hospital, and during every visit to the clinic or emergency room, we pay scrupulous attention to your vital signs: heart rate, temperature, respiratory rate, and blood pressure. These numbers are the bedrock of understanding what is happening with a patient’s health. We should add another number to this group: the Adverse Childhood Event (ACE) score. The significance of Adverse Childhood Event (ACE) scores The ACE score was developed in California ...
Stories

Mindfulness and the Societally Marginalized Person

Mindfulness, in its simplest construct, is generally defined as deliberate present moment awareness, without judgment, coupled with curiosity about what arises. Yet, this seemingly reasonable and scientifically studied approach to living fully, being authentic, and “embracing what is” translates into a minefield when the starkness of such ...

Does Epidemiology Need a Rethink?

Epidemiology, the broad study of disease incidence and causality, has long formed the backbone of public health. Its rapid tabulations and population-level insights have made it an enduring discipline, which often shapes health policies across the globe. The ongoing COVID-19 pandemic has reasserted epidemiology’s relevance in disease control and prevention. As we have all ...

The Power of a Personalized Approach: Physicians’ Fight against Misinformation and Vaccine Hesitancy

“There was so much information out there, I didn’t know what to do. I just wish someone had convinced me to get the vaccine,” said a COVID-19 patient we cared for a few days after he had been transferred to the intensive care unit (ICU). Each day, we slowly turned up his oxygen. Each day, he could only manage a few words at a time as the virus, that has come to dominate all of our lives, ravaged his lungs. Every patient we have had in the ICU with COVID-19 in the last ...
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