Sharing of giving and receiving health care

My Chiaroscuro Moment

From a young age, I aspired to enter the nursing profession. Beginning my career, in the late 1970s, I scarcely imagined how many facets of health care I’d come to know–from human-subject research to healthcare law and bioethics–or what opportunities my career would bring.

One opportunity came in the early 1980s: I went to Rome to work as a nurse at a university. During that remarkable year, I took advantage of my location to learn more about Baroque art.

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A Question of Trust

Years ago, when I first joined the family-medicine faculty of the Medical College of Wisconsin (MCW), I spearheaded a project to build stronger connections with the surrounding communities, primarily made up of people of color and low-income individuals. Deepening our ties with these communities would, we hoped, give us more understanding of our patients’ health needs, and might help them to feel more receptive to our efforts.

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No One Ever Asked

Today I greet Mr. Williams verbally, which is very different for us; usually we say hello with a hug.

“Mr. Williams,” I say, “I’m not going to hug you today, with this pandemic.”

“I get that, Doc,” he answers, adjusting his mask; I can’t tell if he’s smiling or not.

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More Voices

Every month readers tell their stories — in 40 to 400 words — on a different healthcare theme.

speakinguptheme
Speaking Up

July 2020

More Voices: Racism
Racism

June 2020

More Voices: COVID-19, Chapter 2
COVID-19, Chapter 2

May 2020

Bone Loss

Whisper me

into the chambers

of bone,

honeycomb of marrow,

talisman

bleached,

rib      of      grey      dove,

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Back Pain

Back Pain

A 77-year-old woman presents with back pain.
No trauma. No radiation. No red flags.
ROS* otherwise surprisingly negative.
Her exam is unremarkable, actually pretty darn good.
FROM, negative SLR, full distal strength, sensation and DTRs.*
After the usual cautions I reassure her,
prescribe activity, no meds and the tincture of time.
She is fine with that, appreciative and pleasant.
Then she says, “Should I talk to my sister?”
They are estranged, as usual about who got Mom’s whatever.
Her sister is 86, this

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A Short Explanation of Everything

A Short Explanation of Everything

Our patient says she’s burning up, burning up.
We sponge her off. This student is learning how blood boils,
how shaking chills and drenching sweats punctuate fever,
how water moves in and out of cells
along concentration gradients, how nerves talk,
how some circuits turn all the lights on and all the lights off,
how hearts beat one cell at a time while squeezing together
and in sequence, how the life of the mind
is beyond understanding in the same way that a kidney
will never understand the flow of

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encounters 20sept geneva

Encounters: “I have been so blessed…”

I had my first baby when I was thirteen, and my mother died when I was thirteen. I’ve been through a lot in my life, but when my faith is not consistent, that’s when I start getting all those crazy thoughts, like “Oh, my life, my life…”

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Felipe's Story

Felipe’s Story: “I’m going to the U.S. I’m going to see who detained the clouds and how they detained them.”

“There was a time [in Mexico] that it didn’t rain and there wasn’t a lot to eat in the country. There were no crops. People started to say that the Americans stopped the clouds so it wouldn’t rain, because they are very powerful. I said, I’m going to meet these Americans — I’m going to go to the U.S. I’m going to see who detained the clouds and how they detained them. I was about 15.”

“[Hubo] un tiempo que no llovía y no había mucho que comer en el campo. No hubo cosechas. Empezaron a

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Fatima's Story

Fatima’s Story: “I want them to be better than me. I’m here, stuck.”

“I tell [my children], you don’t have to do anything for me, just go to school and do what you have to do. On the weekend I take them to the mosque, because jeu can learn Arabic and all that. And I just want them to study. That’s all. That’s the main thing. If you want to be someone tomorrow, you have to work hard right now.

I want them to be better than me. I’m here, stuck. I cannot do the work that I want to do because I don’t have the degree for it,

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