doctors

12May

By THEIRL1ADMIN01No Comments

HEALTH & WELLNESS, LGBTQ

Lack Of Training – Doctors Treating Trans Youth Grapple With Uncertainty

Last month, the Arkansas Senate passed legislation prohibiting medical providers from offering gender-affirming hormones or surgeries to trans youth. If you were to read the bill – titled the Save Adolescents From Experimentation Act – you might think the law was protecting children from physicians like Josef Mengele, the Nazi doctor who experimented on Jewish people. “It is of grave concern to the General Assembly,” the text reads, that trans youth are being allowed “to be subjects of irreversible and drastic” treatments “despite the lack of studies showing that the benefits of such extreme interventions outweigh the risks.” This language is at odds with the growing evidence that blocking people from accessing gender-affirming care creates increased risks for social isolation, suicide ...

What Doctors Are Facing, In Their Own Words – Rural Hospitals Are Under Siege From COVID-19

20Nov

By THEIRL1ADMIN01No Comments

COVID-19

What Doctors Are Facing, In Their Own Words – Rural Hospitals Are Under Siege From COVID-19

It’s difficult to put into words how hard COVID-19 is hitting rural America’s hospitals. North Dakota has so many cases, it’s allowing asymptomatic COVID-19-positive nurses to continue caring for patients to keep the hospitals staffed. Iowa and South Dakota have teetered on the edge of running out of hospital capacity. Yet in many communities, the initial cooperation and goodwill seen early in the pandemic have given way to COVID-19 fatigue and anger, making it hard to implement and enforce public health measures, like wearing face masks, that can reduce the disease’s spread. Rural health care systems entered the pandemic in already precarious financial positions. Over the years, shifting demographics, declining revenue and increasing operating expenses have made it harder for rural hosp...

Kids are bigger coronavirus spreaders than many doctors realized – here’s how schools can lower the risk

19Aug

By THEIRL1ADMIN01No Comments

COVID-19

Kids are bigger coronavirus spreaders than many doctors realized – here’s how schools can lower the risk

The first U.S. schools have reopened with in-person classes, and they are already setting off alarm bells about how quickly the coronavirus can spread. Georgia’s Cherokee County School District, north of Atlanta, had over 100 confirmed COVID-19 cases by the end of its second week of classes, and more than 1,600 students and staff had been sent home after being exposed to them. By the third week, three of the district’s high schools had temporarily reverted to all-online learning. Schools in Mississippi, Tennessee, Nebraska and other states also reported multiple cases, quarantines and temporary school closures. Deciding whether to open schools for in-person classes during a pandemic is a complex decision. Children often learn better in school, where they have direct contact with expert t...

Doctors can’t treat COVID-19 effectively without recognizing the social justice aspects of health

2Apr

By THEIRL1ADMIN01No Comments

COVID-19, SOCIAL JUSTICE

Doctors can’t treat COVID-19 effectively without recognizing the social justice aspects of health

Recent data shows that black, Latino, indigenous and immigrant communities are disproportionately affected by COVID-19, due in large part to the persistent legacy of structural racism – practices and policies that systematically benefit white people and harm people of color. From the Bronx and Queens, New York to the Mission District in San Francisco, to the Navajo Nation and black communities of New Orleans, Detroit and Oakland, the message is clear: COVID-19 highlights our societal failures at the intersections of public health, health care and social justice. If health inequities weren’t severe and oppressive enough, add on the layer of police brutality that takes black lives on a regular basis. No matter where we look, our system has continually devalued black bodies and lives. As an...

Doctors facing grim choice over ventilators told to put patients with disabilities at the back of the line

2Apr

By THEIRL1ADMIN01No Comments

COVID-19, HEALTH & WELLNESS, Journalism

Doctors facing grim choice over ventilators told to put patients with disabilities at the back of the line

As cases related to the novel coronavirus continue to strain hospitals, doctors face difficult choices about rationing scarce medical resources like ventilators – choices that will likely determine who lives and who dies. Several states’ policies tell providers to allocate scarce resources to those most likely to benefit. For example, Washington state recently adopted a policy that favors “the survival of young otherwise healthy patients more heavily than that of older, chronically debilitated patients.” Similar new guidelines have been issued in Massachusetts as well. In several other states, existing policies that were developed in anticipation of an emergency – including pandemics – recommend rationing that prioritizes giving ventilators to otherwise healthy people who are most likely...

Doctors are making life-and-death choices over coronavirus patients – it could have long-term consequences for them

4Apr

By THEIRL1ADMIN01No Comments

COVID-19, HEALTH & WELLNESS

Doctors are making life-and-death choices over coronavirus patients – it could have long-term consequences for them

As the coronavirus spreads and demand for medical gear far outstrips the supplies, doctors in the U.S. may have to choose who among their patients lives and who dies. Doctors in Italy have already been forced to make such moral choices. In a recent article in The New York Times, six doctors at five of the major city hospitals said they were worried they would soon have to make painful decisions regarding who should come off lifesaving ventilators. In addition to the moral anguish of this decision, they also outlined their concern about potential lawsuits or criminal charges if they went against the wishes of a patient or family. The nature of these decisions shares many parallels with those that we studied in soldiers. These decisions not only involve life-and-death consequences, but th...

Minority patients benefit from having minority doctors, but that’s a hard match to make

2Apr

By THEIRL1ADMIN01No Comments

HEALTH & WELLNESS, Journalism

Minority patients benefit from having minority doctors, but that’s a hard match to make

In today’s America, minority patients still have markedly worse health outcomes than white patients. The differences are greatest for black Americans: Compared to white patients, they are two to three times as likely to die of preventable heart disease and stroke. They also have higher rates of cancer, asthma, influenza, pneumonia, diabetes, HIV/AIDS and homicide. For many of them, structural racism and unequal treatment remain a contributing factor to disease and death. I am a physician who studies health disparities and ways to improve health care delivery. My work focuses on people of color, including those who are black and indigenous. Improving health care delivery for these groups of people is a complicated and multi-layered task, but solutions exist. One of them is to increase th...