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.

Reference

Integrating AI with Narrative-Based Medicine: Enhancing Patient-Centered Care in Primary Practice

Artificial Intelligence (AI) in health care refers to the use of advanced computational algorithms and technologies to analyze complex medical data and assist in clinical decision-making, diagnostics, treatment planning, and patient management. Using machine learning, natural language processing, and neural networks, AI can process large datasets, identify patterns, and make predictions based on data that are often beyond the capacity of human cognition, thereby
Stories

Last Call: Reflecting on 64 Years in Medicine

On April 16, 2024, I took night call for the last time, 64 years after I first took night call. For the last few months, I have been thinking about all of the changes I have seen relating to the nature and content of my time being on call. After my first year at Harvard College in 1959, my mother—the chief technologist in a hospital hematology lab—thought it would be useful for me to get training as a hematology technician during the summer so I could get a job when I returned to school in the fall. She arranged summer work for me in a hematology lab, and when I returned ...
Stories

“Good Insurance”

It all started innocuously enough in the week leading up to Christmas in 2019 with a runny nose, a cough, and some fussiness. All pretty standard for our one-year-old daughter, who spends time with other kids at daycare sharing germs more readily than toys. Over the next few days, however, the cough got worse and the fussiness increased. We were still thinking it was just a cold until the lethargy hit. She wasn’t eating or drinking well, she had spiked a fever that wouldn’t level out, and seeing our normally active child—a girl who wasn’t even still when she slept—lying down listlessly ...
Stories

Reflections on Differences in Health Care Between a Kingdom and a Democracy

A hospital is often seen as a sanctuary—a bubble of refuge for local and migrant populations alike. However, in order for a hospital to provide care, it needs to rely on a health care system that governs daily operational functions and establishes rules and regulations to care. As an Egyptian-American licensed physician assistant (PA) in the United States currently conducting a clinical trial and an educational research curriculum in Bahrain, I have had a chance to reflect on the major differences, successes, and downfalls of ...
Stories

The Salutary Impact of Listening to the Trauma Story

I entered the Brighton Marine Public Health Center in Massachusetts in December 1981, where hundreds of Indochinese refugees were being medically screened after the fall of Saigon. I’ll never forget my first patient—a middle-aged Cambodian woman with major hearing loss. During the exam, she told me that her hearing loss began after being beaten unconscious by the Khmer Rouge soldiers and left for dead on a pile of the bodies of her relatives. At the time, I knew nothing about the Khmer Rouge regime in Cambodia. I had no training on the impact of extreme violence on ...

Exploring Work That Scratches the Soul: Reflection on a Rural Health Independent Study

When my fellow Harvard Medical School classmates asked “what I was up to,” I called it my Rural Family Medicine Adventure Month. More formally, it was my extreme privilege and pleasure to learn Family Medicine across northern Maine and western Massachusetts as part of an independent study in rural primary care in June 2021. My travels brought me to the Jackman Community Health Center, the Northern Maine Medical Center, the Barre Family Health Center, the Behavioral Health Network Methadone Clinic, and the Community Health Center of Franklin County. I explored the ...

Restructuring the Power Dynamic: How a Patient’s Narrative Can Help Us Understand the Role of Trauma in the Clinical Encounter

In many ways, medical school trains its pupils to be detectives, capable of discerning and interpreting even the most subtle physical signs of the human body. Yet, when patients are so generous as to entrust us with their stories, as illustrated by their verbal or body language, we often lack the skills – those akin to literary analyst – to elucidate motifs and themes that could both explain and perhaps facilitate the patient’s relationship to their health and the healthcare system. The ...

How to Heal Brittle

Broken can often be healed. A fall, a thunderous crash, the screech of fragments flying in many directions. Find the pieces, line them back up again, stick them together somehow, and voila. Sometimes it doesn’t hold, sometimes it takes a long time for the adhesive to fully set, but at some point the pieces come back together. Not quite the same as before, but not so far off either. What is to be done, however, with brittleness? Shattering with a puff of a breeze, breaking in two, leaking salt water with no more force than a gaze. Moving further and ...

Primary Care Saved My Dad's Life

Author: Caroline Barnaby, MLA “Your dad was feeling dizzy today after a dip in the ocean. He thinks he might be experiencing vertigo from swimmer’s ear,” remarked my mum during our weekly phone conversation. “I’m going to schedule an appointment with his doctor, just in case.” It was the summer of 2018, and my dad had just retired after a 42-year career as an elementary school physical education teacher for ...
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