Tag: health disparities

Jennifer Tsai Jennifer Tsai (14 Posts)

Writer-in-Training and in-Training Staff Member

Warren Alpert Medical School of Brown University


The white coat is a scary, scary thing, and I'm still trying to figure out if I should have one. If you like screaming about ethnic rage, dance, or the woes of medical education, we should probably do some of those fun activities that friends do.

I have few answers, many questions. Dialogue is huge. Feel free to email with questions and comments!




How Racism Makes Us Sick: Incarceration and Illness

Today, there are more people in jail for drug offenses then there were prisoners for all crimes in 1980. People of color comprise more than 60 percent of those incarcerated, yet represent only a third of the country’s population. While the issues leading to the disproportionate incarceration of people of color are many, I wish to focus on a single contributor which is the most important cause of America’s dramatic increase in incarceration — the structural racism readily apparent in our country’s approach to drug offense convictions.

Medical Tourism and the Definition of Helping

“Puedo tomar su presión? Puedo tomar su pulso?” I butchered in Spanish, over and over again. Sometimes I received a smile and laugh in return, sometimes a look of confusion, sometimes a placid unfolding of the patient’s arm. I pumped the cuff up repeatedly and listened intently over the screams of playing children and the chatting of a long line of patients.

WALL\THERAPY: An Intersection of Street Art and Public Health

Today, a person’s zip code is a better indication of their health than their genetic code is. We know that physical communities experience shared sickness, whether linked to trauma, viruses or unavailable nutrition, and there are established biomedical consequences to poverty and segregation. Acknowledging these links, however, only gets us so far; successful intervention demands thinking deeply about the relationship between patients and their communities. Rochester, NY is home to an innovative attempt to combating these issues. It is one that challenges traditional ideas of what factors define health and consequently, what metrics define therapy.

Remembering What it is Like Not to Know

A few weeks ago, I was describing my team’s discharge plan to the patient I had been following all week. We had found an anterior mediastinal mass on imaging, and the pulmonologist wanted to follow-up in a week after immunohistological staining came back. I told him we felt he was now stable, and that we would like him to follow up with the lung doctor as an outpatient within the week. He asked me if he should return to the ER to get his appointment.

When Black Lives Don’t Matter

One of my friends told me today that she shadowed in the emergency room on Friday night. She told me they had a patient who was pronounced dead on arrival after being shot 24 times. Unfortunately, this is a typical narrative for our emergency room on a Friday night. I wish I was surprised, I wish I didn’t already know the story, and I wish the news of another young life prematurely and senselessly erased from this earth even made the news.

A Trip to (and at) the Dentist’s: Funny Reality Clashes and their Not-So-Funny Implications for Patient Care

This is one of the more disturbing sequences in a show that is invariably unafraid to tackle uncomfortable topics head-on, such as terrorism and sexual misconduct. The fact that this also happens to be my favorite sequence in television might warrant a discussion with my therapist. But that’s neither here nor there. Notwithstanding the resounding innuendo of the unpeeled banana, Louis CK left nothing for the viewers’ imagination as he dreams of a scenario in which Al Qaeda finally understands the merits of liberal society.

My White Coat Costume

On the day of my white coat ceremony, I felt like a pretender. I squirmed in the rigid, wooden seat, staring at the gilded columns and towering proscenium of the hall, wondering when I’d be found out. I imagined them calling me to the stage, slipping on the coat, then seeing me in it and saying, “Well, that doesn’t look quite right.”

Combating Mental Health Stigma and Strengthening Border Communities

President Obama’s executive actions on immigration over the past few years have been met with reactions of both jubilation and opposition. At the border in the Rio Grande Valley, the new law’s effects are acutely felt within a community that prides itself on the blending of American and Mexican culture. The new rules will allow countless mixed status families to remain intact without fear of deportation.

A Case for Inclusive Language

“And do you have a husband at home?” “A wife, actually.” “Oh, excuse me. And how long have you been with your mate?” the physician answered. He was unflustered and looked expectantly at the female standardized patient sitting across from him. For the remainder of the interview, when it came up again briefly, the physician referred to the patient’s wife as her mate.

Ria Pal, MD Ria Pal, MD (11 Posts)

Former Editor-in-Chief (2017-2018) and Former Medical Student Editor (2016)

University of Rochester School of Medicine and Dentistry


Ria is a Class of 2018 medical student. She graduated from the University of Rochester with a BS in neuroscience. Her interests include human behavior, social justice work, art, public health, and mnemonics.