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Going the Extra Mile

August 2018
Western Kenya

One morning, in the women’s ward of a semirural hospital where I was working as a family-medicine resident, my team encountered a rarity: a disabled forty-year-old lady with crutches. Her case seemed to scream for attention, and I made my way to her bed.

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Medical Home

A model or philosophy of primary care that is patient-centered, comprehensive, team-based, coordinated, accessible and focused on quality and safety.   –Patient-Centered Primary Care Collaborative

It’s a philosophy
not a place.
I get it.
Certainly we never used that term
to describe what we offered
there in the broken heart of the city

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The Second Law of Medicine

Sandra Relyea ~

I sit in the cab of an old pickup truck on my father’s farm, listening to the water gurgling through irrigation tubes alongside a field. The truck is parked next to a barbed-wire fence. I’m waiting for the water to reach the far side of the field so I can pull the tubes and reset them in the next field.

As I wait, I watch the setting sun turn the

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