fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

November 2016

giftos immigration

We Love USA

Jonathan Giftos

About the artist: 

“I work as a primary-care doctor at a clinic in the South Bronx. I believe it is part of my job, as a doctor, to advocate for my patients’ health both inside the exam room and out on the streets. I have enjoyed taking photographs since I was a little kid. After a long hiatus, I reconnected with street photography in the fall of 2014 through the Bronx Documentary Center. I particularly enjoy using photography to highlight the strength and beauty of a borough more often known by outsiders for its poverty and struggles. And I continue to see photography as both a creative outlet and as a tool for social change. I have been compiling my photos on a new website, jonathangiftos.com, where prints are available in exchange for a donation to the Bronx Documentary Center.”

About the artwork:

This photo was taken » Continue Reading.

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Snared by Skin

 

Of all the hues of prejudice that the disparities in skin tone might paint upon the psyche, the one that strikes as the most glaring is often the one that gets smudged and then smeared over; a recent glaze upon a remnant stain, as seemingly seamless their strokes may merge. 

Mr. B’s diabetes flouted conventional therapy with a flourish, or so it seemed until I crosschecked with his pharmacist. He had refilled not one of his medications since the day they were prescribed. In his defense was a reason, way more appalling than the familiar ones, or at least the ones I was accustomed to; often conjured with the intent to appeal.

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Deathbed Epiphany

As a family-practice resident, I’ve found that a premium is placed not only on my clinical acumen but also on how well I respond to my patients’ mental and emotional experience of illness.

Yet the work of learning to be a doctor is just that–work. And in overwhelming amounts. Time management becomes ever more vital: As I take the time needed to gently break bad news and to console a patient, I must also stay conscious of the next patient’s appointment, the next phone call to make, the next exam to study for, the next lecture to attend, the next research project to complete and the next practice guideline to learn.

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A Stroke of Faith

 
“SIGNED OUT AGAINST MEDICAL ADVICE,” declared the last line of the ER physician’s note, bold and foreboding.

I quickly skimmed through the rest of his chart. Mr. Lopes was an elderly Haitian man, a recent immigrant, who had visited the local emergency room for a bad headache, only to discover that his blood pressure was astronomical. Apparently, Mr. Lopes and his family considered him too sturdy a man to be retained at the hospital overnight, labeled as sick. So he fled.

And here he was, weeks later, to meet his new doctor. “BP: 190/100” read the nurse’s note in red.

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