Rachelle’s winding journey to medical school is filled with twists and turns, with each fork in the road driving her in a novel direction. At age 20, she worked as a waitress, giving her the opportunity to travel and live in new places along the west coast and abroad. Each city brought a sense of excitement and adventure; each adventure brought her closer to finding her true calling.
His parents attended a parent-teacher conference with the hopes of encouraging his teachers to transfer him to the gifted track. After their inquiry, the principal explained, “It would be better for Chris to be in the remedial track, so he can see people who look like him.” This instance of racism would be the first of many for Chris, whose journey to medical school required him to rise above institutionalized racism and implicit biases.
Failure was never an option for me. // Every time I fail… / I am reminded that I have let my country down.
Moreover, homelessness and COVID-19 both disproportionately burden marginalized populations — in particular, Black communities and Native Americans. When COVID-19 began spreading through the community, it came as no surprise that it would disproportionately impact those living in congregate homeless shelters. Overcrowded shelters, the inability to physically distance, and poor access to handwashing and hygiene facilities are coalescing for an unsafe environment that could accelerate disease transmission.
There is a cost crisis in medicine: the health care industry accounts for about 18 percent of the GDP in the United States, and predictive models see this increasing in the coming years. This is a problem for the country as a whole as an estimated 41 percent of working Americans have some level of medical debt.
so one day / i can translate to my patients / what my family missed.
Anxiety defined me more when I denied its existence than it does now that I’ve faced it head-on. Maybe the anxiety helped me get to where I was, but it was a burden I didn’t have to bear — especially not alone. Even knowing how important mental health is as a future physician, it embarrassed me to admit that I might need a prescription to help me cope with my fears and anxieties.
Chief complaint: arm pain, / Waiting in room 4. / As I enter, he looks me up and down — / What is it he’s looking for?
I have learned that patients seek health care services at free clinics for a myriad of reasons and some are atypical. There were specific populations I expected to see: the uninsured, underinsured, undocumented, and those without access to transportation. Yet there were other populations I was more surprised to see, namely patients who had insurance but preferred their experiences at free clinics.
I am worried that these stories of heroism are harming the very people they celebrate. By creating an ideal “health care worker” as an endlessly altruistic individual, it stigmatizes the medical workers who refuse to take on these risks — even though there are many legitimate reasons not to.
So, what is planetary health? It refers to a burgeoning field focused on understanding the health impacts of human-caused disruptions of Earth’s natural systems, including climate change and environmental pollution. This also encompasses the immediate and downstream health threats from such disruptions, which have impacts on communities at the local level — Philadelphia is no exception.
Yes, unfortunately, I have become one of the 60,000 and rising daily cases in the nation. Yet, I am one of the lucky ones.