Ugh
Pediatrics; Mental health; Medicine; Social Work; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Family support
Ugh. I am ashamed to say that is the first word that comes to my mind when I see Jake’s name on my schedule for the day. He is 10 and he has been my patient since he was born. He has an 8-year-old sister Annie and a 5-year-old brother Jimmy. They usually all come in together with their mother even if only one of them has an appointment that day.
Sladjana Courson
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
2019
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_46" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_46</a>
How Can We Care for Everyone?
Medicine; Community; Social Work; Medicine & Public Health; Transgender; Health Psychology; Medical Sociology; Premedical Education; LGBT; Support system
When I first met Charlotte, she was a 15-year-old African American boy named John. I was a white physician working at a community health center in one of the poorest zip codes in Cleveland. John and her mother came in for a well-child exam to get vaccines and complete forms for school. As with all my teenage patients, I talked briefly with John alone to screen for high-risk health behaviors. John disclosed that she had unprotected sex with males, so I gave her condoms and encouraged safe sex. I also told her about confidential minor visits, where she had the option to see me without a parent to address her sexual health issues. After that, John usually came to see me without her mom.
Christina Antenucci
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_5" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_5</a>
Health>Education>Health
Education; Medicine; Insurance; Social Work; Health policy; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Race and ethnicity
I first met Carmendita as she was graduating from high school and needed her physical to go to college. Carmen, a bright, African American female, was so excited to be going to Muskingum University. The first person in her family to go to college, she had a full academic scholarship and planned to become a veterinarian. She had younger siblings and wanted to show them that with hard work, they could go on to higher education, too. As a first-generation college attender and oldest of four myself, I spoke with her about the challenges and future rewards. Carmen grew up in the inner city of a declining rust belt city and was interested in helping her family financially as well. She looked forward to being able to help younger siblings and her mother when she was able to become a vet.
Janice M Spalding
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-7
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_41" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_41</a>
Bakit? (Why?)
Primary care; Medicine; Discrimination; Social Work; Medicine & Public Health; Immigration; Health Psychology; Medical Sociology; Premedical Education; Race and ethnicity
Tan olive skin, wide smile, black hair, dark almond-shaped eyes, short and thin, mid 40s… a very typical person I used to see while I was in medical school. I see such patients less often now in private practice.
Mariquita Tolentino-Belen
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_53" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_53</a>
The Irritable Uterus
Pregnancy; Medicine; Social Work; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Patient communication; Undifferentiated symptoms
The patient was a 33-year-old, highly educated, white female. She was pregnant with monochorionic-diamniotic identical twins, or twins that shared the same placenta but were in separate amniotic sacs. She had been cleared from her reproductive endocrinologist at 13 weeks gestation after an ultrasound indicated the pregnancy was progressing typically. The patient was referred back to her primary obstetrician, along with her pregnancy records, for the remainder of her prenatal care. She had multiple appointments over the next few weeks during which the fetuses’ heartbeats were examined. The patient mentioned she was having some periodic, light contractions but otherwise all was normal.
Rebecca Fischbein
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_10" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_10</a>
The Annual Big Girl/Big Boy Exchange
Sexism; Medicine; Social Work; Paternalism; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Patient communication; Gender inequality
Several years ago, when I had a painful cyst on my ovary, my family doctor referred me to an OB/GYN. He is not the physician I would have chosen. I prefer female doctors, but I was anxious to get care quickly, and the physician seemed knowledgeable and willing to discuss options with me, so I stuck with him for future yearly exams. I did not want to seem sexist by insisting on a female physician.
Kristin Baughman
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_12" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_12</a>
I Hurt Everywhere
Chronic pain; Medicine; Social Work; Health literacy; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Patient communication
Dr. S: Diffuse pain, possible drug-seeking behavior. Ms. K: Doc, I hurt everywhere. I’ve had all kinds of tests and no one can figure out what’s wrong with me. I went to the ER again last week because my chest was hurting and I was afraid it was my heart. They said it wasn’t my heart and I need to see a PCP.
David Sperling
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-7
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_13" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_13</a>
Kidnapped
Culture; Medicine; Social Work; Language; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Informed consent
The translator and I arrived at a modest home in a neighborhood just outside of downtown. We were halfway through the interview process – at perhaps number 20 or 21 of the 45 we had planned to conduct. The neighborhood and home were much like the others – a bygone reminder of Akron’s booming rubber industry days and now representing a new era of the city’s history – the resettlement of hundreds of refugees from some of the world’s most troubled regions. We approached the home and saw several pairs of shoes lined neatly next to the door. We removed our own shoes and stepped inside.
Kingsbury Diana M
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_26" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_26</a>
Am I a Strong Person?
Diabetes; Medicine; Depression; Resilience; Social Work; Medicine & Public Health; Chronic disease; Health Psychology; Medical Sociology; Premedical Education
My family and friends (and even my doctor!) think I’m a strong person, but I don’t see it that way. I just do what I need to do to get through each day. Taking care of my family, friends, and sometimes even complete strangers is actually what keeps me going.
David Sperling
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_34" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_34</a>
Stalemate
Communication; Medicine; Poverty; Social Work; Addiction; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Lung disease
My next patient to be seen during office hours is the typical one whose name is instantly recognizable and causes a shiver much like what a sour candy ball does to your mouth. The interaction is pleasurable enough, but the end result is always disagreeable.
Brian Bachelder
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_36" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_36</a>
Fatalismo
Social support; Mental health; Stigma; Medicine; Social Work; Medicine & Public Health; Chronic disease; Health Psychology; Medical Sociology; Premedical Education; Race and ethnicity
Milagros is a 50-year-old Puerto Rican woman whose family I met while over the course of 3 months volunteering at a family medicine clinic in South Bronx. She was accompanied by her two teenage daughters, Amparo, 18, and Beatriz, 13, and her grandson Alberto. She had been widowed 8 years ago and had only got insurance because of Medicaid expansion. She suffered from uncontrolled diabetes, obesity, hypertension, and HIV.
Elain Occil
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_43" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_43</a>
I'm Going to Be OK
Communication; Diabetes; Medicine; Trust; Emergency; Social Work; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education
“It’s about time you got in here.” I was just a few minutes late getting started for Kathleen’s appointment, so it seemed apparent she was in a hurry. Kathleen sat in a chair next to our examination table. She was restless and her excess body weight poured around the arm rests. I politely explained that I had spent the last few moments reading over her records.
Emily Godlewski
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
2019
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_51" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_51</a>
The Hungry Child and the Corner Store
Socioeconomic status; Medicine; Poverty; Social Work; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Food insecurity; Food preferences
Urban corner stores in Northeast Ohio have a reputation for contributing to neighborhood demise. Sales of liquor, cigarettes, lottery tickets, and other high-calorie low-nutrition foods along with high check-cashing fees have given corner stores titles such as “predatory” or “destructive.”
Stacey Gardner-Buckshaw
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
2019
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_18" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_18</a>
New in Town
Social support; Mental health; Compliance; Grief; HIV; Medicine; Depression; Poverty; Social Work; Health literacy; Adherence; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education
This is a story of three patients seen by a newly licensed physician shortly after completing residency training. The physician was born, raised, and educated in the northeastern United States before moving to Texas where he was unprepared to handle the cultural differences and challenges he faced. In this report, the author describes encounters with three patients who have a different approach to their own health. The first patient was an HIV-positive mother who preferred to rely on God for her healing. The second patient was also an HIV-positive individual who had a different interpretation of how to take his medications. Finally, the third patient was a woman with obsessive compulsive disorder who could not afford the bus fare to see a psychiatrist. In all the three cases, the author was touched by the plight and response of each patient.
John Boltri
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_16" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_16</a>
The Empowerment Of Women - A Key To Hiv Prevention
adolescents; aids prevention; black; Environmental & Occupational Health; infection; intervention; Psychology; Public; risk reduction; Social Work; united-states
We discuss the process underlying the success of an HIV-prevention project for young, inner-city women. The intervention was based on the concepts of empowerment and culturally sensitive skill building. Four critical points relevant to the translation of HIV prevention knowledge into behavioral change among the sample are examined: (1) integrating the important issues of the participants' lives into the HIV prevention program, (2) utilizing a group format to encourage cohesiveness and support, (3) engaging group facilitators to promote mutuality and equality, and (4) promoting ongoing, authentic relationships among the participants and staff members. Points are illustrated with vignettes reconstructed from the group facilitators' experiences with the participants.
Levine O H; Britton P J; James T C; Jackson A P; Hobfoll S E; Lavin J P
Journal of Community Psychology
1993
1993-10
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1002/1520-6629(199310)21:4%3C320::aid-jcop2290210408%3E3.0.co;2-6" target="_blank" rel="noreferrer noopener">10.1002/1520-6629(199310)21:4%3C320::aid-jcop2290210408%3E3.0.co;2-6</a>
Divorce, Socioeconomic-status, And Childrens Cognitive-social Competence At School Entry
Psychiatry; Social Work
Guidubaldi J; Perry J D
American Journal of Orthopsychiatry
1984
1905-06
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1111/j.1939-0025.1984.tb01511.x" target="_blank" rel="noreferrer noopener">10.1111/j.1939-0025.1984.tb01511.x</a>
Munchausen by proxy: A case, chart series, and literature review of older victims
sepsis; Psychology; child abuse; child abuse; deceit; factitious disorder; factitious disorder by proxy; Falsification; Family Studies; Munchausen by proxy; Pediatric Condition; Social Work
The history of an older child victim of Munchausen by proxy (MBP) is described. He was referred for evaluation after repeated sinus surgeries for recurrent sinus infections believed to be related to a falsified history of an immunodeficiency. The perpetrator was the mother of this 14-year-old victim, consistent with the majority of such cases. This case prompted a review of cases of MBP in older children reported in our hospital as well as a literature search for other cases in older children. Methods: This study was a chart review of children over 6 years of age who had been evaluated by social services at the Children's Hospital at the Cleveland Clinic and reported as cases of Munchausen by proxy to Child Protective Services between January 2001 and June 2003. Also, an OVID, Psychline, and Pubmed literature review of published cases of Munchausen by proxy were identified, and cases occurring in the older child were selected for review. Results: Older children who are the victims of Munchausen by proxy may have an induced illness, but falsified reports of symptoms and medical history to coerce the child to undergo medical procedures may be more common. Collusion of the victim with the perpetrator may also become a factor as the child ages and adopts the deception. Given the complex relationship that exists between the parent and child, it is difficult to predict whether the victim either will assist the caregiver in maintaining the factitious illness or be able to recognize the falsification. Conclusions: Older children who are the victims of Munchausen by proxy may fear consequences of revealing the factitious illness. Physicians must consider the possibility of this diagnosis whenever there are discrepancies in a child's illness that makes a factitious illness a consideration. (c) 2005 Published by Elsevier Ltd.
Awadallah N; Vaughan A; Franco K; Munir F; Sharaby N; Goldfarb J
Child Abuse & Neglect
2005
2005-08
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1016/j.chiabu.2004.11.007" target="_blank" rel="noreferrer noopener">10.1016/j.chiabu.2004.11.007</a>