The Politics of Healthcare from the Front Lines

Dr. Susan La Flesche Picotte: A Doctor Who Thrived Against Inequality

La Flesche’s motivation to pursue medicine came from a haunting experience she had as a child, watching an elderly woman die in agony awaiting the arrival of a local doctor. Despite being summoned four times, he never came. In her opinion, the doctor’s absence made one thing painfully clear: It was only an Indian. She wrote years later, “It has always been a desire of mine to study medicine ever since I was a small girl.”

Striking Nurses Should Be Supported

Martin Luther King, Jr. said, “Let us keep the issues where they are. The issue is injustice. The issue is the refusal of Memphis to be fair and honest in its dealings with its public servants, who happen to be sanitation workers. Now, we’ve got to keep attention on that.” Yes. Let’s keep our attention on the members of SEIU Healthcare 1199NW and especially the nurses who are fighting for our very lives.

2020-05-23T22:52:02+00:00January 24, 2020|Categories: Patient, Policy|Tags: , , , , , , |

The Privilege of Knowing Piper

Piper was the first and the only patient in nearly 20 years of practice for whom I have signed the birth certificate and the death certificate. 100 years ago, country doctors did that sort of thing frequently, but today, it is rare. It remains one of the hardest things I have ever done as a physician.

When Lawmakers Try to Play Doctor

An ectopic pregnancy cannot be relocated like a potted plant. Lawmakers got the hairbrained idea from a century-old case report published in the journal Surgery, Gynecology and Obstetrics, by C.J. Wallace. The author claimed to have successfully transplanted an ectopic pregnancy from a woman’s fallopian tube to her uterus in 1917.

2020-05-15T00:45:26+00:00January 1, 2020|Categories: Equality, Policy|Tags: , , , |

The Understated Impact of a Public Health Officer

I have had the honor and privilege of collaborating with three Kitsap Health Officers, including Dr. Willa Fisher, Dr. Scott Lindquist, and Dr. Susan Turner. After becoming a practicing physician, my reverence for the public health system has continually grown. I literally cannot do my job without the support of the dedicated employees working there.

2020-05-15T00:42:58+00:00December 31, 2019|Categories: Physician, Policy|Tags: , , , |

Consenting to Learn Publicly

Battling organized racism has never been about a single person or one moment in time—it is about exploring deeply ingrained beliefs each of us hold about those individuals who we see as different from ourselves. Outcome disparities due to race are not limited to the healthcare arena; they affect our education system, justice system, law enforcement, social media and everyday life.

A Second Opinion When Doctors Accuse Parents of Child Abuse

In this case, CPS called upon child abuse pediatrician Dr. Elizabeth Woods, a new director at the Child Abuse Intervention program at Mary Bridge Children’s Hospital in Tacoma. Although she told me on the phone she had “14 years of child abuse experience,” in actual fact, Dr. Woods resume tells a different story. She completed only a residency in general pediatrics in 2010 and has not completed a child abuse fellowship.

Is the Patient-Doctor Relationship Still Alive? Yes.

It seems perverse to deliver healthcare services at a place called the Minute Clinic. The kind of physician-patient relationship that can be cultivated in a minute is not one to write home about. While CVS and Walgreens see geriatric primary care as yet another untapped gold mine, for me, the relationship memorialized in Norman Rockwell’s “Physician” resonates as much today as it did 90 years ago. Seamless ecosystems are no match for a “willingness to place professional expertise at the feet of childhood magic.”

When the Excuses for Assault Blame the Victim

Society must endorse the idea that a woman must consent prior to being touched. And when there is a power differential, consent may not meet the necessary criteria to avoid allegations of sexual assault. In fact, it might be equally plausible that Mr. Lauer “lured” Nevils to his hotel room as it is that she showed up of her own volition. I ask this question because of my own experience of having been lured by a physician colleague to his home in the evening under false pretenses. It is a mistake I have never made again.

Tijuana’s Perilous “Waiting Room”

This past summer, I volunteered in Tijuana, Mexico at a clinic serving patients in the Migrant Protection Protocol program, or MPP. Also known as “Remain in Mexico,” MPP sends migrants who appear at official places of entry along the U.S. border seeking asylum, back to Mexico to await future immigration hearing dates.

2020-05-15T00:55:44+00:00October 30, 2019|Categories: Equality, Policy|Tags: , , , , , , |
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