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Considerations for the Role and Treatment of Emotional Eating
Obesity is a challenging and increasingly prevalent medical concern worldwide. The relationship between obesity and numerous other medical conditions... -
Update in weight management within primary care in the era of GLP-1
Note: this piece is an update to the 2024 article Integrating Weight Management in Primary Care, published in this journal, which outlined practical... -
An urgent call to bring an affordable, climate-friendly inhaler to the US
I have had the privilege of practicing primary care for over 20 years at a community health center in Chelsea, Mass. This vibrant city is the...
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
Compassionate Release for Prisoners: Ensuring Dignity and Care
He is bedbound, unable to walk, unable to care for himself, unable to advocate for himself, and so confused that he cannot finish a thought, let alone a sentence. He has lost 90 pounds in the past year. He soils the bed multiple times per day. His legs and feet are so swollen and edematous that socks and shoes do not fit on his feet. The expectation is that he yells from his bed/cell if he needs something, has a problem, or even worse, he falls with the hope someone hears him in the hallway. There is no emergency call button or ...
Advocacy
P is for Period and P is for Power: Attending to Menstrual Hygiene in Rural India
“Can I take a bath during my period?” comes a feeble voice from one corner of the classroom. I struggle to put the words together but am afraid to ask again lest the enquirer retreat. “I missed my exam because I was on my period that day, and the cloth I use often leaks and soils my clothes,” someone else says from another corner. Slowly the entire room fills with questions that I never imagined existed. I wonder if we have different centuries for different people. That night I could not sleep as I tried to fathom the gravity of this situation. Why is female health so ...
Primary Care
Community Health
Health Equity
Health Policy
COVID-19
Public Health
Activism
Value in Health Care
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 ...
Primary Care
Health Equity
Health Policy
Social Determinants of Health
COVID-19
Activism
Burnout / Resiliency / Moral Injury
LGBTQIA+
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 unjust borders. Physical borders erected around landfills that, for many, were their only source of income. Sociocultural borders ...
Advocacy
A Teaching Hospital Partnership with the Rosebud Sioux Tribe
Beautiful Rosebud, South Dakota, is the home of the Rosebud Sioux Tribe, or the Sicangu Oyate. In 2012, the Sicangu Oyate was one of the first communities to ask teaching hospitals to send physicians to work in the local Indian Health Service (IHS) facility, nearly 70 years after physicians from teaching hospitals started working with the Veterans Health Administration. The
Primary Care
Community Health
COVID-19
Public Health
Activism
Burnout / Resiliency / Moral Injury
Sexual and Reproductive Health
Behavioral Health / Mental Health
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 ...
Primary Care
Health Equity
Health Policy
Social Determinants of Health
COVID-19
Public Health
Activism
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 ...
Primary Care
Community Health
Health Equity
Health Policy
Public Health
Activism
Environment / Climate
BIPOC
Advocacy
Inspire: Helping Families with Asthma Catch Their Breath
“I did whatever I needed to for my child to get the proper services… you are the professionals, but I’m the mom.” She’s the mom. It’s these humbling moments that Mary, a panelist at the