Medical Humanities Commons^™

Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes

Dignity: A Journal of Analysis of Exploitation and Violence

Drs. Tro Kalayjian (Tapan, New York) and Brian Lenzkes (Santee, California) talk to Matt about his struggles with food, pornography, and alcohol addiction, and how changing his diet contributed to his recovery from his addictions. This report is excerpted from the audio podcast LowCarbMD, Episode 13 (https://itunes.apple.com/us/podcast/low-carb-md-podcast/ ), January 30, 2019). This podcast has filled us with immense hope for those struggling with addiction.

Gender Differences In First Authors, Peer Reviewers, And Grand Rounds Presenters In Medicine, Parisa Mortaji

Shared Knowledge Conference

Women are underrepresented in senior academic positions that depend on accomplishments like presentations and publications, and gender bias has shown to be a factor. We studied whether gender differences existed in multiple internal medicine venues: first authorship in a national trainee poster competition; first authorship in a national specialty-specific poster competition; peer reviewer-ship in three prestigious medical journals; and in presentations at UNM grand rounds. We found some progress in gender parity overall, but not yet enough. We first studied gender differences in authorship among residents in a 2015 national internal medicine resident poster competition; we found more authors were …

Euthanasia, Assisted-Suicide, And Palliative Sedation: A Brief Clarification And Reinforcement Of The Moral Logic, Peter A. Depergola Ii

Journal of Health Ethics

A persistent misunderstanding of the moral distinctions between the practices of euthanasia, assisted suicide, and palliative sedation suggests a critical need to revisit the relationship each shares with licit medical practice in the context of palliative care. To that end, this essay grounds its arguments in two, straightforward premises: (i) the licitness of medical practice is largely determined by the balance between (a) good ends, (b) proportionate means, (c) appropriate circumstances, and (d) benevolent intentions; and (ii) whereas palliative sedation employs criteria A-D (above), both euthanasia and assisted suicide fail to secure criteria A-C. Drawing from this syllogism, the aim …

Oh Bother!, Jack Williams Phd, Med

Akesis

I often ponder those wonderful days of innocence, and I long to return there as I remember those magical places and things. What imaginations and lightness we had in those times! And our worries, when and if they existed, were like wisps of the wind. We would fall down, cry perhaps a little, then return again and again to the wondrous realities of play. As I have become "a senior citizen" in our often stodgy culture, I have come to realize that we never really lose those wondrous gifts....We just have to remember and work to remind ourselves of those …

Refill, Humza Ahmed

Akesis

The experiences we carry with us play a role in how we see the world. At times, those experiences are accompanied by the negativity, self judgement, and regret that can weigh us down and prevent us from becoming the strongest versions of our selves.

Sometimes, the solution involves finding an environment in which we can pour out our poisons, forgive ourselves for being human, and refill ourselves with positivity and hope.

The defining moment comes when you stare at the puddle of poison before you, and reflect on what you see staring back at you, behind the ripples of self …

Re-Purpose, Jordan Morrison-Nozik

Akesis

I would often take breaks from studying by walking along the beach, collecting any good seashells I would find. I started using them as plant holders, and enjoyed the hermit crab-like appearance.

Refrigerate, Alay P. Nanavati

Akesis

I just wanted to share my experience of burnout since beginning medical school. Given how widespread and common burnout is in the medical field, I felt like there would be many people who could relate to my experience. If my experience could help or even comfort anyone by the fact that they are not alone in the feelings that arise from burnout, it would make this piece worth the effort of writing for me. If anything else, I hope any readers can enjoy reading about the experience of a brand new medical student.

Mother Nature, Breanna M. Glynn

Akesis

Mother Nature is our greatest teacher in the lesson of patience and new growth. She makes us wait for the sweet moments, but when they come how lucky we are to bear witness to her beauty. She renews life, and breaths fresh air into the dead leaves that winter has plastered onto the ground. She reminds us that with death, comes more vibrant and boisterous life. We just need to sit back, relax, and enjoy the show.

Boompa, Breanna M. Glynn

Akesis

My Boompa was my mother's father, and my beloved grandfather. He passed away this April just after his 85th birthday. He, and the rest of the family, thought he would make it to at least 100. Boompa was one of the greatest people I will ever meet. Yea, sure, a lot of people say that, but I really mean it. He was the most kind, genuine, empathetic, hardworking man, always taking care of others first. This photo is a picture of the eucalyptus and pussy willows that were in the floral arrangement that laid over his coffin during his services. …

A Love Song, Jack Williams Phd, Med

Akesis

For us to truly succeed in our chosen work of helping and healing, we must succeed in listening deeply to ourselves and to others--listening to the voices of our hearts. Without this wholeness, we become shells of ourselves and cannot be fully present for others in their healing. I wrote this poem in celebration of my best friend and partner, Beth. During our 43 years together, our oneness has given me the courage and creativity needed to work in the service of others far beyond what I could have ever achieved alone. She has helped me to laugh and to …

Book Review: Surrogacy: A Human Rights Violation By Renate Klein, Sheela Saravanan

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Addressing Hydrocephaly In Viet Nam: A Plausible Prevention And Intervention Medical Support Program Proposal, Chelle Mcintyre-Brewer

UNO Student Research and Creative Activity Fair

Families affected by hydrocephalus in Viet Nam have few options for sustainable treatment for a myriad of reasons, primarily centering on barriers to care prevalent to minority, underserved, and economically disadvantaged populations. High morbidity and abandonment rates often result from these circumstances. An interdisciplinary examination of the factors contributing to causal concerns reveals unique cultural considerations, language and literacy barriers, ethnic and geographic differences, as well as economic and governmental issues greatly impacting patient outcome for this condition. The author contends that a program that addresses sociological concerns, along with the medical treatment of the patient, proffers the opportunity for …

Factors Associated With End-Of-Life Planning In Huntington Disease., Nancy R Downing, Siera Goodnight, Sena Chae, Joel S Perlmutter, Michael Mccormack, Elizabeth Hahn, Stacey K Barton, Noelle Carlozzi

Rowan-Virtua School of Osteopathic Medicine Departmental Research

OBJECTIVE: Knowledge of one's gene status for adult onset conditions provides opportunity to make advance end-of-life (EOL) plans. The purposes of these analyses were to (1) determine the prevalence of EOL plans, including advance directives (ADs) among persons across 3 stages of Huntington disease (HD) and (2) examine factors associated with having ADs in this sample.

METHODS: Data are from 503 participants in the HD Quality of Life study. Participants completed an online health-related quality-of-life survey that included questions regarding EOL planning and self-reported HD symptoms. Frequencies were calculated for EOL planning by the HD stage. Bivariate analysis and logistic …

Surgeon Volume, David L. Howard, Andrea Mcglynn, Joy A. Greer

Research Briefs

No abstract provided.

Challenges Of Refugee Health Care: Perspectives Of Medical Interpreters, Case Managers, And Pharmacists, Fabiana Kotovicz, Anne Getzin, Thy Vo

Journal of Patient-Centered Research and Reviews

Purpose: Our objective was to identify perceived challenges in the provision of health care for refugees from the perspective of medical interpreters, case managers, and pharmacists working with refugee patients in Milwaukee, Wisconsin.

Methods: Two 60-minute focus groups were performed exploring challenges in refugee health care using a literature-based semi-structured protocol. Focus groups were transcribed and de-identified prior to independent analysis by two of the investigators. Using a memoing-process qualitative approach, major concepts, cross-cutting themes, and subthemes were established and ultimately developed a narrative. The project protocol was approved as not human subject research by the local institutional review board. …

Community Health, Advocacy, And Managing Populations (Champ) Longitudinal Residency Education And Evaluation, Kjersti E. Knox, Will Lehmann, Joseph Vogelgesang, Deborah Simpson

Journal of Patient-Centered Research and Reviews

Purpose: Longitudinal education initiatives designed to prepare residents to address health disparities and social determinants of health (SDH) are needed. This report addresses this gap by describing a family medicine residency’s Community Health, Advocacy, and Managing Populations (CHAMP) curriculum and its evaluation by learners, faculty, and community partners. The CHAMP longitudinal curriculum is explicitly designed to prepare residents to address health disparities and SDH. We report early outcomes, including community partner feedback, of this innovative curriculum.

Methods: Data were obtained through standardized rotation evaluations, thematic analysis of structured group and individual interviews, and aggregated competency milestone data. Kirkpatrick’s four-level model …

Effect Of A Brief Patient Communication Teaching On Both Attendee And Non-Attendee Family Medicine Residents., Dilip Nair, Adrienne Mays, Mohit Harsh

Marshall Journal of Medicine

Physician-patient communication skills are important for physicians to acquire. Teaching skills is thought to require attendance by learners but this is difficult in graduate medical education settings. We asked if an educational intervention on physician-patient communication was associated with a "spill-over" effect to non-attendees in the same family medicine residency program.

We surveyed residents regarding communicating instructions to patients before the intervention and one month later, regardless of their attendance. Residents’ assessment of their patients’ understanding increased significantly post-intervention only if non-attendees were included.

This pilot study suggests a beneficial “spill-over” effect to non-attendee residents that warrants further study.

Mirror, William Ciurylo

Akesis

No abstract provided.

Drowning & Undrowning, Jenna Wozer

Akesis

No abstract provided.

Crazy Carry Cash Only, Breanna M. Glynn

Akesis

Taken in the Back Bay of Boston on a sunny early spring morning. I wanted to remember the moment that this photo was taken. I remember I was so sick of winter (as I usually am), and it was a gorgeous sunny morning. I can still feel the sun on my back, making me almost (almost) warm enough to want to take off my fuzzy coat. The sun was shining on my partner and me as we walked hand and hand down the street. We stopped by an antique shop, as my partner is apt to do, and we happened …

Mistakes, Kristina Carlson

Akesis

And I see myself reflected in all my mistakes.

Untitled, Laura Morin

Akesis

No abstract provided.

Examine Yourself 5, Jordan Morrison-Nozik

Akesis

Reflection on the self, the career decision, the education process, and the appearance that comes with becoming a physician

Examine Yourself 4, Jordan Morrison-Nozik

Akesis

No abstract provided.

Examine Yourself 3, Jordan Morrison-Nozik

Akesis

No abstract provided.

Examine Yourself 2, Jordan Morrison-Nozik

Akesis

No abstract provided.

Examine Yourself 1, Jordan Morrison-Nozik

Akesis

No abstract provided.

Implementation Of A Low-Cost Unna Boot Alternative As Adjunctive Treatment For Kaposi Sarcoma, Alexander Robert Mills, Edith Tonui, Sonak Pastakia, Rakhi Karwa, Phelix Were

Engagement & Service-Learning Summit

There are 6 million people living with HIV; 70% reside in Sub-Saharan Africa (SSA). Furthermore, 1.1 million deaths occur due to opportunistic infections (OIs) that can be minimized with antiretroviral therapy. In Kenya, Kaposi Sarcoma (KS) is an especially debilitating OI that presents with dermatologic lesions; magnifying the stigma that patients with HIV face physically and psychosocially. Dermatology research is underway to determine the effectiveness of an unna boot (medicated, layered compression dressing) to speed the healing of these lesions with anecdotal success. Commercially available unna boot products are too expensive and not readily available in SSA. Clinicians from Purdue …

What Gives, Samantha Stephen

Akesis

It may never be enough and that's okay.

Balancing Sacrifice, Akesis Anonymous Author

Akesis

We have sacrificed a lot to get into medical school, pushing away quick satisfaction for the hope of a bigger reward in the future. Our faculty members keep telling us that medical school is a marathon, not a race. For this reason, we must be careful about how much we sacrifice to become physicians. Life is a balance, and finding that balance is the key to happiness as a medical professional.