My friend @GitaPensaMD just published this brilliant piece in @TIME about the unspoken fear that is driving many docs, nurses, & other #healthcare providers out of clinical care. It’s not what you think. Take a read.
In tandem, I learned that UCSF nurses are protesting exactly the same conditions that Gita describes: overcrowding, insufficient staffing, a place in which it is IMPOSSIBLE to provide high quality care. sfstandard.com/public-health/…
And last night I had a conversation with a non-medical friend who is experiencing the misery of emergency department overcrowding, first-hand.
➡️Patients & providers, together, must call for better.
*insurance reform, so hospitals don’t have to prioritize lucrative surgeries over care of “low-$” kids, primary care, & ER patients
* adequate staffing, to keep pts safe (& allow providers to give good care)
* real penalties for families/pts who bite, kick, punch, threaten healthcare providers
* reform of the med-mal system
* incentives for use of #telehealth & #digitalhealth when and where appropriate
* adequate preventive care/#publichealth to keep people safe to begin with
None of us - NONE OF US - are immune to our American epidemic of #gunviolence. Worse, the effects of the daily trauma on our children - on ALL of us - are nearly unimaginable.
We need hope.
Which means: we need change. What got us here, will not get us to a better space.
YES individuals are the problem
YES hatred is the problem
YES poverty & racism are the problem
But YES guns in the hands of people who want to hurt themselves or others is, most of all, the problem.
One very important way: recognizing risk & acting on it.
This can be done BEFORE or AFTER someone has a gun. It can be done by family members, friends, healthcare providers, or (last ditch option) law enforcement. acpjournals.org/doi/full/10.73…
Another very important way: reducing the risk before it gets to an emergency stage.
This is about structural change. Teaching conflict resolution. Reducing substance use. And more. theatlantic.com/health/archive…
This morning, on the wake of the #michiganstateshooting, I had to tell my daughter that there was a social media threat against our school system yesterday. (The threat was deemed not credible, but there will still be an increased police presence today at school.)
Research can help us fix our nation’s firearm injury epidemic - and maybe not in the ways you think. My new piece for @washingtonpost outlines 5 key questions we need answered:
1. What are the actual numbers (of injuries, defensive gun use, stolen guns, averted shootings, etc)?
Believe it or not, we don’t know. (This is why CDC websites mostly discuss death rates - that’s what we actually have semi-reliable data on.)
2. Who is at risk?
We can’t reliably identify what makes someone higher risk for gun suicide, homicide, mass shootings…. (Kudos to folks who are trying… but we need better data and prediction tools, both in the moment and over time.)