Janaka Lagoo Janaka Lagoo, M.D., MPH

A 5-year-old boy and his parents came into my clinic recently. The family had just immigrated to the U.S. The boy had been in and out of hospitals for much of his early years, and his mother was concerned that he was having trouble adjusting to his new home. "He's been through a lot and he’s a little scared of doctors," she said. So, I put away my stethoscope and let the computer stay in sleep mode. I was glad to be wearing a fleece and not a white coat. The little boy and I exchanged greetings and then we spent a few minutes looking out the window at the cars going by.

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Gabriela Plasencia, M.D., MAS Gabriela Plasencia, M.D., MAS

Perspective From the Other Side

My first  

On Valentine’s Day 2018, my husband and I went for our first primary care appointments since we were in college. We were both medical students, had recently turned 26 and were freshly kicked off our parents’ insurance plans, and obtained insurance through our medical school. As an aspiring family medicine physician, I was excited to have my health evaluated by someone other than another medical student and catch up on whatever was needed for health maintenance based on my age.

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Ashley Dougherty, MD Ashley Dougherty, M.D.

As I sat down to finish my notes for the day, I could not help but get distracted by the antics of Albus, my 90-pound German Shepherd. Alternating between quick, strategic licks and clumsily forcing his entire snout into the mostly empty peanut butter jar, he worked tirelessly to taste the final bits of creamy goodness from the bottom of the container. Eventually, he put his entire front paw in the container and then chewed on the jar until he was able to reach the very bottom, ensuring that he would not miss any of the tasty treat.

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Viviana Martinez-Bianchi Viviana Martinez-Bianchi, MD, FAAFP

May 19-23 found me busy in Geneva, Switzerland, as a member of the World Organization of Family Doctors (WONCA) delegation attending the World Health Assembly (WHA72). The Palais of the United Nations, was busy with people from over the world speaking the language of health and health care. NCDs and communicable diseases, infant, maternal and child health, mental health, access to vaccines, emergency preparedness, patient safety, palliative care, were once again being discussed in its many rooms, and resolutions voted on by the member states of the World Health Organization (WHO). Yet this year finds leaders of the world following the outcomes of the Declaration of Astana with a true awareness that what the world needs to improve health outcomes is for the majority of care to be delivered by primary health care (PHC), through the work of interdisciplinary teams, and that these teams need to be well trained, well organized, well supported and well-funded to succeed.  

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Susie Page Susie Page, MSW

The mind-body connection is well established. We all know “real life” problems of our patients make them vulnerable to chronic disease and stress. As licensed clinicians, social workers are authorized to diagnose pathology per DSM-5 guidelines. The reality is that family medicine social workers live in the V codes of DSM-5 and Z codes of ICD-10: “Person in Situation.” These codes represent social determinants of care that have wide ranging psychological impact: from trauma to everyday challenges, such as food insecurity and caregiver burden.

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