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Esther C, MD MPH Profile picture
@choo_ek
Apr 28 • 5 tweets • 2 min read Twitter logo Read on Twitter
“Those with disabilities are used to molding their lives around the way the cities are built. Here in Laredo, we decided to see what would happen if we mold our city to better meet the needs of those with disabilities.” medpagetoday.com/opinion/second…
Laredo found that the overall quality of services for people with autism was rated only 2.24 out of 5 — and is doing something about it. #AutismAwareness
They developed a 5 year plan to improve comprehensive services and healthcare.

The plan is available here: colaredo-my.sharepoint.com/personal/eceja…
“If this all seems fairly straightforward, that's exactly right: the novelty is in the doing…Around the country, municipal governments generally fail to demonstrate commitment to a higher standard of living for persons living with disabilities or make specific efforts to do so.”
👏💕Many kudos Laredo! Cheering you on from afar.

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More from @choo_ek

Esther C, MD MPH Profile picture
Apr 28
There are a few letters going around in support of Oregon HB 2002, which includes protections of healthcare providers from extreme legislation criminalizing abortion and gender-affirming care. From what I've seen, the signers are overwhelmingly women.
I acknowledge that these letters originated from ob/gyn and nursing, fields that are mostly women. However, they have had ample time to disseminate across healthcare fields.
Abortion and gender-affirming care aren't just for women to care about. It's about the whole system of care we provide. It's about all of our patients -- it's about all of our loved ones.
Read 5 tweets
Esther C, MD MPH Profile picture
Apr 5
“In Oregon, inpatient pediatric psychiatric care options are incredibly limited: Only two hospitals provide the highest level of care and offer approximately 40 beds. These programs are often at capacity…” oregoncapitalchronicle.com/2023/04/05/ore…
“…resulting in youth boarding in the ED for days or weeks. If a youth has co-occurring mental health and substance use problems, the options dwindle even more. For youth and families, having to wait in an ED for days to weeks to access needed care is often crushing…”
“For providers on the front lines of the mental health epidemic, witnessing their patients failed by the system again and again leads to disillusionment and burnout.”
Read 4 tweets
Esther C, MD MPH Profile picture
Feb 7
Outpatient mental health care is in short supply everywhere, and nationwide, this spills over into a lot of crisis care in the emergency department. Our new study out in @Health_Affairs: healthaffairs.org/doi/10.1377/hl…
Study highlights in @EurekAlertAAAS: eurekalert.org/news-releases/…
This is one of those studies where people working in the ER and in mental health care in all settings will be like, "yeah, we could've told you that" :) But we were eager to see what the data looked like across the country.
Read 5 tweets
Esther C, MD MPH Profile picture
Feb 6
Amazing, detailed dive into excess deaths in the US and what might explain them, by @dwallacewells

nytimes.com/2023/02/02/opi…
It’s quite surprising to see a piece like this in a sea of “oh those Bad Numbers must be overcounting, good day.” I had a moment over the scientific curiosity and depth here.
So wonderful when the science is written by dedicated science writers. It’s like…
Read 5 tweets
Esther C, MD MPH Profile picture
Jan 28
Health systems are overtaxed. Waits to be seen are long. Health problems pile up. Some times they come to crisis. ERs crowded with complex and delayed care. Needs are high. Follow up with any specialists takes months.
So many people are too sick to be home or to carry on without solutions, yet too well for our few hospital beds. It’s beyond frustrating to come to an ER out of sheer desperation and walk away without answers or solutions.
Every attempt to fix one problem blooms into another problem elsewhere. ER patients wait too long in the hallways for beds. Floor scrambles to discharge patients to make room for ER patients. But then some patients are discharged too early, have problems at home, come back in.
Read 13 tweets
Esther C, MD MPH Profile picture
Jan 11
An automated external defibrillator (AED) like the one used on Damar Hamlin is incredibly easy to use.

As an ER doc I compulsively look for an AED whenever I enter a public space.

Here’s a free app with crowdsourced info on publicly accessible AEDs:

pulsepoint.org/pulsepoint-aed
When you open it, it auto searches in your area for AEDs. Sample map of AEDs in downtown Portland: Image
When you click on a specific location, it provides a photo and description of where the AED is, exactly, at that location (imagine one’s state of mind and urgency when you need one, so this is key) Photo within a restaurant o...
Read 6 tweets

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