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
Protecting Foster Care-Involved Youth with Asthma in the District of Columbia
In the 17th annual Child Fatality Review Report, the DC Child and Family Services Agency (CFSA) disclosed the death of a 9-year-old female involved in the foster care system from an asthma-related complication in 2021. While asthma is a serious pediatric condition, affecting roughly 6.5% of children aged 0-17, it is one that can be ...
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 ...
Primary Care
Health Equity
Health Policy
COVID-19
Public Health
Activism
Environment / Climate
BIPOC
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
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 ...
Personal Perspectives
Behind the Wall I Escape
Behind the wall of unemployment, I escape. I have a right to work. I have a Law Degree and a Life Coaching Certificate. How do I begin? How can I work professionally and who will employ me? Even though I see many barriers ahead, I say yes to every training opportunity that is offered to me. I speak up whenever I have the chance. I have completed intercultural dialogue training to become a facilitator in that area. I am also writing again with Fiction at the Friary. There is no barrier there. With speaking and writing, I ...
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 ...
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. ...