There has recently been an increasing appreciation for social determinants of health (SDOH). The term encompasses the circumstances in which people live, including factors such as income, race, food, housing, transportation and environmental conditions.
It was a Friday morning at 4:30 a.m. and I was rushing to the hospital for pre-rounds. I was on my neurology rotation, and my pockets were heavy and stuffed with tools. My preceptor had texted me the room numbers of the patients I was to visit that morning. I had three patients to see in the hour before rounds — the first two patients I had been following every day this week and a third patient was a new admit from overnight.
I came across a photo on social media of some classmates that appeared almost identical to another one I had seen months ago — beaming medical students crowded together against a brick wall of a campus apartment. Déjà vu. But there was one difference. Nearly all the students in this picture were white, whereas all the students in the older picture were non-white.
On May 2, POLITICO published the leaked SCOTUS majority opinion draft indicating the imminent intention of the court to overturn Roe v. Wade, Planned Parenthood v. Casey and 50 years of legal precedent that ensured access to necessary health care for anyone capable of becoming pregnant.
In this article, I hope to examine some causes of this discrepancy, compare and contrast the various prison systems across different countries, understand the shortcomings of America’s prison system in addressing these issues and shed light on how prison systems can provide better health care services.
I see You / Holding up the sign / standing in line / or in a crowd / loud and proud.
An anxious, 36-year-old Hispanic female lays on the exam table, her feet in stirrups. A sleeved arm juts out between her tented legs as she stares resolutely at the ceiling. I wonder if she is afraid of what the amorphous black and white structures shifting on the ultrasound monitor may reveal.
Many in our nation see COVID-driven requirements as anathema to their independence, but what if mandates are actually the best way to secure our personal liberties?
Upon arriving at the room, we learn that the nurse continued trying to speak to this patient in English despite the patient’s evident inability to speak the language. Following her half-hearted attempt at “patient education,” she proceeded to lift the patient’s gown and attempts to strap on the monitors. As a result, the woman is frightened by her nurse because she is unaware of what this foreign nurse is doing to her and her unborn child. One week out from detention. She is scared. Imagine.
On the first day of anatomy, we were reminded that this course was a once-in-a-lifetime experience and that we were privileged to be experiencing it. For those of us first-year medical students who might not pursue surgery nor experience physically interacting with and entering the human body again outside of surgical clerkships, the professors said this would be an intense time. We would peer into the spaces and structures that — on some level — make up every human being.
In this episode we interview Dr. Ijeoma Nnodim Opara. Dr. Opara received her medical degree from Wayne State University School of Medicine (WSUSOM) and completed a med-peds residency at the Detroit Medical Center where she served as chief medical resident. Currently, she is a double-board certified and an assistant professor of internal medicine and pediatrics.
In 2018, a patient filed a complaint against a medical student for wearing a “Black Lives Matter” pin on her white coat. When the student reached out to her school’s administration, she received this response: “It is best to not raise barriers in the way we present ourselves … Some of your political pins may offend some people, and it is probably best not to wear them on your white coat or while you are working in a professional role.”