Friday reflection

[Adel Elmoghrabi]

This weeks friday reflection entails 1 of the environmental social determinants of health affecting our patient population as we are traversing a spell of difficult mid winter weather, and many of your patients have not shown up to their scheduled appointments. After clinic 1 day this week I was driving back home and saw an elderly gentleman walking on the street with his walker given that the pavement was all covered in sleet. This did bring the transportation issue that many of our patient’s face in order to seek medical care a whole new perspective particularly after recently completing a module on healthcare disparities. Once again this does shine light on many blessings that we have and take for granted including the ability to easily commute in the comfort of your own private/warm transportation.

[Carli Denholm]

One of the parts of our discussions this week was the point that we should be asking our patients about their safety at home and in their relationships more. This is something I learned to ask about in medical school but has fallen by the wayside recently in favor of other more medical questions. But, it is something that needs to be thought about more. This point was driven home even more by the human trafficking module through the Wayne County Medical Society. Many of the patients we treat are vulnerable because of their lack of support and resources. They can easily be taken advantage of by traffickers or other abusers who offer them things that they might not otherwise have access to. I certainly would not want to miss the opportunity to help a patient escape an abusive situation and I thought about this this week as I saw patients. And, I made a conscious effort to ask more patients about their home lives and relationships.

[ABDELRAHMAN M AHMED]

Mental health is an crucial factor to be considered when managing patients. Its interplay and effect on the overall health of patients should be emphasized. This includes conditions like depression , bipolar but also substance use.

[Mowyad Khalid]

Environemnet overlaps with mental health. As depression worsens by financial and home situation. Asking about home condition is important including safety, medications , and transportation.

[Pranav Shah]

Behavior is a vital component to a persons health that I have been overlooking. Although we have been trying to change our language from “compliant” to adherent, the impact that behavioral practices play on a patients health needs to be addressed. I think there are many different behavioral types that influence mental health. For example: apathetic, ignorant, denial, uneducated, paranoid, distrust to give a few. Over this past week I have been trying to assess which behavioral type is responsible for certain health negligence. Although for the most part I found that people believe and live a certain way and are rigid to change, but I guess figuring out a way to change behavior would clearly impact health in a more positive way than some of the “educational” strategies we are currently; or maybe education is the only way to change behavior. I’m actually not entirely sure.

[Ahmad Abu-Heija]

Shedding light on the spectrum of the psychosocial and behavioral determinants of health that our patients can potentially suffer from is definitely enlightening. We emphasize in our daily clinical practice on the adherence to medications and follow up appointments, without realizing that without an adequate social support system, our interventions can prove fruitless. I believe we, as physicians, should be able to listen more and talk less. We should listen to what our patients might be telling us through their “non-adherence” and carefully understand the reasons behind such behaviors. In listening, we can potentially circumvent some of these displayed behaviors and eventually better the health of those we aim to serve.

[Antonio Smith]

As I completed CCR tasks such as wheel chair forms etc. I thought about whether I understand enough about my patients functional status and how well they perform or function in society. I can put my patients on guideline directed therapies and have the most accurate diagnoses for each of my patients. However, if Im not doing my due diligence to address their functional status, I’m truly missing the mark. I hope that during my next block I address the functional status of each of my patients.

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