August Timely Topics- back to school

August is a strange month. It’s the only month without a major holiday. Although it still feels like the height of summer, by the end of the month kids are back in school. I remember the struggle to get my sons into bed early when it’s still daylight at 9 PM.

August is a strange month. It’s the only month without a major holiday. Although it still feels like the height of summer, by the end of the month kids are back in school. I remember the struggle to get my sons into bed early when it’s still daylight at 9 PM.

Photo by Pixabay on Pexels.com

August Timely Topics

Most schools encourage and even require vaccination to protect all children from disease. This has become a controversial and contentious topic so we’re going to visit the medical reason vaccinations make sense.

Measles-not gone, not forgotten

Recommended Child and Adolescent Immunization Schedule
from the Centers for Disease Control and Prevention

The start of school in August reminds me of my college days- especially since I met my husband in college, the University of Oklahoma. I was studying pre-med; he was in graduate school, using his veterans’ educational benefit after discharge from the Army. Here are a couple of posts about his military service and our courtship.

Bullets to Blessings

Two Words and Two Left Feet

Of course, the main goal of school is education- lectures, textbooks, assignments, studying, projects, experiments, and tests. Reading is vital to all of these-books are the basic building blocks. That’s why Dolly Parton gives books away- read why here.

Overcoming the Dream Killers

Overcoming the dream killers-Watercress Words.com

Can medical knowledge make you a better patient?

And speaking of tests, here’s one for you. Find out how much you know about medicine by taking this quiz that I wrote especially for blog readers.

CAN MEDICAL KNOWLEDGE MAKE YOU A BETTER PATIENT?

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

                              Dr. Aletha 

These are affiliate links you may find helpful and which help fund this blog with a commission when a purchase is made using them.

myReader Rewards club- photo of woman on a bench reading a book

My Reader Rewards Club is a great way to earn free books and Bibles for yourself, friends, and family! Your journey to earning free faith-based products starts HERE.
(When you sign up through these links, I can earn free books too.)

As a member, you’ll have access to inspiring literature, Bibles, special promotional offers, and much more. Earning points is easy—you’ll receive 25 points just for signing up!

Get active

Summer is the perfect time to start or increase physical activity. I’ve been using a fitness app on my phone, Aaptiv. Consider trying it. I’d appreciate you using this affiliate link through which you can help fund this blog. Thanks and enjoy.

July Timely Topics- Celebrations and Souvenirs

For July topics we’ll look at summer safety and wellness. We often call winter the cold and flu season, so we could call summer the poison ivy, sunburn, and blister season. Unfortunately, it’s also the season for drownings and water sport accidents.

Where I live, we just saw the first day of summer come and go. It was the longest day of the year and so far one of our hottest. Summer activities are in full swing. Many of the patients I see now are either just coming back from a vacation or getting ready to leave. I envy them because I am staying home since my husband is recovering from a broken ankle that dashed our plans for a summer trip.

Join My Reader Rewards Club to earn free books and Bibles
Check out MY READER REWARDS CLUB– it’s free and you can earn free stuff

For July topics we’ll look at summer safety and wellness. We often call winter the cold and flu season, so we could call summer the poison ivy, sunburn, and blister season. Unfortunately, it’s also the season for drownings and water sport accidents.

Here in the United States we have our most important holiday of the year-Independence Day, or commonly called the 4th of July. On this day in 1776, the North American colonies of England declared political independence, and the rest, as they say, is history. Much has happened in the 243 years since, and the United Kingdom is now an ally; an American citizen, Meghan Markle, recently married into the British royal family. Friendship is worth pursuing between people and countries.

Statue of Liberty
Lady Liberty lifting her torch in New York harbor

Here are links to July’s Timely Topics, or just search for what interests you

Life, Liberty, and the Pursuit of Healthcare

Don’t drink the water-how to avoid water related illness

Safe and healthy cruising-keys to an enjoyable vacation

5 insect repellents to keep you safe this summer

Christmas in July

Happy Campers

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

                              Dr. Aletha 

My Reader Rewards Club is a great way to earn free books and Bibles for yourself, friends, and family! Your journey to earning free faith-based products starts HERE.
(When you sign up through these links, I can earn free books too.)

As a member, you’ll have access to inspiring literature, Bibles, special promotional offers, and much more. Earning points is easy—you’ll receive 25 points just for signing up!

Get active

Summer is the perfect time to start or increase physical activity. I’ve been using a fitness app on my phone, Aaptiv. Consider trying it. I’d appreciate you using this affiliate link through which you can help fund this blog. Thanks and enjoy.

From Practice to Politics-Doctors who ran for President-the Activist

Dr. Jill Stein, an internist, was the Green Party candidate for president of the United States in 2016. What happened to her?

In 2016 I wrote about the 3 physicians who ran for President of the United States that year. None of them won but in observance of National Doctors’ Day this month I’m reviewing their stories with updates on what they are doing now.

Holding the office of President is our country’s highest honor but the job of president has become so thankless I wonder why anyone wants to do it. But I am grateful that people are willing to do it, as well as other government positions, both elected and appointed.

These profiles are for your “information and inspiration”, and do not imply endorsement or recommendation by me .

Jill Stein, M.D., internist

Dr. Jill Stein was the Green Party candidate for President.

About Dr. Stein

  1. Dr. Stein graduated from Harvard Medical School.
  2. Her hobbies include writing and performing music.
  3. She also ran for President in 2012, also on the Green Party ticket.
  4. She is a physician’s wife, mother, internal medicine physician/teacher and “environmental-health advocate.”
  5. She developed the “Healthy People, Healthy Planet” teaching program.
  6. She has been interviewed on the Today Show, 20/20 and Fox News network.
  7. In Massachusetts she ran for Governor, State Representative and Secretary of State.
  8. She co-founded the Massachusetts Coalition for Healthy Communities, a non-profit organization.
  9. Her personal interests include ecology, social justice, grassroots democracy, and non-violence.
  10. She has advocated for several environmental issues in her home state-
  • Mercury contamination of fish
  • The “Filthy Five” coal plants clean up
  • Mercury and dioxin contamination from burning trash

Since the election, Dr. Stein continues to speak out on national issues @DrJillStein. On her Facebook page, she is described as

medical doctor, mother on fire,

activist for people, planet, and peace over profit

Dr. Jill Stein is the recipient of several awards, including Clean Water Action’s “Not in Anyone’s Backyard” Award, the Children’s Health Hero Award, and the Toxic Action Center’s Citizen Award.

In a recent interview, Dr. Stein indicated she does not plan to run for president in 2020.

Other physician candidates

                              Dr. Aletha 

HEALING PEOPLE, NOT PATIENTS- a book review

A couple of months into medical school, Dr. Weinkle interviewed a distressed patient in acute alcohol withdrawal. He tried to develop empathy for the man as he unraveled his long history of alcohol abuse and explored his reasons for trying to quit. However,as he proceeded to examine the patient, his empathy evaporated when the man rolled up his sleeve for a blood pressure check- revealing a huge tattoo of a Nazi swastika.

Creating Authentic Relationships in Modern Healthcare.

In HEALING PEOPLE,NOT PATIENTS Dr. Weinkle describes ways he believes the current healthcare system in our country  fails to meet the needs of both patients and physicians. Reading it, I thought of a new television medical drama in which a determined, idealistic young doctor fights a bureaucratic system to care for  disenfranchised patients. Critics call the show unrealistic, but if they read Dr. Weinkle’s book, they may decide it’s not so far fetched.

The author,  Jonathan Weinkle, M.D. , FAAP

Dr. Weinkle practices primary care medicine at Squirrel Hill Health Center, a federally qualified health clinic in Pittsburgh Pennsylvania. He  serves as Clinical Assistant Professor of Pediatrics and Family Medicine at the University of Pittsburgh, where he also attended medical school. He lives with his wife and three sons.

Dr. Weinkle contacted me after reading  my review of a book by Dr. Danielle Ofri. He asked if I would consider reading and reviewing his book also.  I agreed, and he provided a complimentary PDF copy.

Pitchwerks podcast - #115:Dr. Jonathan Weinkle
Dr. Weinkle’s podcast


Why our healthcare system is broken

One problem, he says,  is the EHR -electronic health record, which doesn’t allow him to express himself the way he would like. He prefers to


open a patient’s (paper) chart,(so it) tells me a story about the patient much like he might tell himself, almost as if I am reading a medical memoir

Although he calls this book  a “how to”- how to restore the sacredness of the doctor-patient relationship– it also  reads like the “medical memoir” he prefers for a patient. It’s his memoir, a telling of his journey from a  medical student entering the “adventure” of medicine to a graduate physician who believes


“Practicing medicine is a privilege, a gift- a sacred trust.

He illustrates several issues plaguing modern medicine using anecdotes about patients from his practice (with details changed to preserve privacy and confidentiality). Our current medical system sabotages   healing by

  • Fractured communication
  • Muddled priorities, where paper work takes precedence over patients
  • Procedures valued over counselling
  • Volume incentivized over value
  • Turning humans in pain into consumers, “as if they were buying televisions”

A turning point and lesson learned

A couple of months into medical school, Dr. Weinkle interviewed a distressed patient in acute alcohol withdrawal. He tried to develop empathy for the man as he unraveled  his long history of alcohol abuse and explored his reasons for trying to quit.

However,as he proceeded to examine the patient, his empathy evaporated when the man rolled up his sleeve for a blood pressure check- revealing a huge tattoo of a Nazi swastika.

Dr. Weinkle is Jewish.


“I am not a vindictive person, but all I could think was, “Well, it serves him right. This is poetic justice.”

He excused himself, never telling his preceptor how ill it (the tattoo)  made him feel, or the malicious thoughts it triggered in his mind.

In HEALING PEOPLE, NOT PATIENTS, Dr. Weinkle explains how he learned to change those kinds of encounters into ones with


Open, honest communication, mutual respect, and shared purpose, even when systemic problems push them into adversarial positions.

But it’s not easy.


even when everyone has the best of intentions,
building a covenantal relationship in the current healthcare system is about as easy as
building a house on the Carolina coast and not having it destroyed by a hurricane.

a male doctor talking to a middle aged woman
Photo by Dr. Weinkle’s son, used by permission

How to fix our healthcare system

One way he makes it happen is by working in a Federally Qualified Health Center, FQHC.

A FQHC is the closest thing we in the U.S. have to “socialized medicine.” Dr. Weinkle has worked in one for 10 years. As he describes it, in a FQHC

Anyone who is a stranger to the healthcare system, who has to clear high barriers in order to access care, should be welcomed in and have help knocking down those barriers.

Most doctors  concentrate on helping patients manage acute and chronic disease and try to address the major causes of disease and death -smoking, poor eating, lack of exercise, stress, sleep deprivation, substance use, and obesity. But doctors like Dr. Weinkle tackle other challenges , the “social determinants” of health. These include

  • Inadequate houses or homelessness
  • Lack of reliable transportatin
  • Unsafe neighborhoods
  • Food Deserts, where healthy food is unavailable
  • Language, ethnic, or cultural differences
  • Discrimination and/or exclusion
  • Unemployment, low wages, and/or poverty
  • Limited education and/or education opportunity

His patient panel consists of people who are

  • Refugees, who often speak little or no English
  • Members of ethnic minorities, including African Americans and Hispanics
  • LGBTQ persons
  • People who are mentally ill and/or developmentally challenged
  • People with stigmatizing illnesses, such as HIV/AIDS
  • People with substance abuse
  • People who have been incarcerated


Dr. Weinkle feels at home taking care of them because

“I come from a long line of people who have been strangers in a long line of places. We are supposed to understand how it feels to be shut out, demonized, misunderstood, or simply ignored.”

Since I finished residency many years ago,  I have had limited experience treating these types of patients, but enough that I understand the challenge, frustration, and sometimes satisfaction of doing so. Non medical professionals may be surprised by Dr. Weinkle’s descriptions of dealing with patients who are often unable or unwilling to cooperate with even basic healthcare steps.  

American medical care has transformed in the past 50 years but most of us wish it still worked like in the “good old days. As Dr. Weinkle describes it


most doctors were solo practitioners who did everything, and a patient, especially in a smaller town, could expect care that felt like home.
Continuity throughout their life… and accompanying them through
old age.
Presence wherever and whenever it was needed, in the middle of the night,

Unfortunately, medicine in the 21st century doesn’t look like that because


There are too many different kinds of care,… and too many demands on a doctor’s time to enable this kind of practice ..


Hospital privileges, insurance credentialing,

and the simple fact that doctors have belatedly learned that we can’t work 168-hour weeks and maintain our own health and family relationships

prevent us from being like our favorite docs of yesteryear.

Dr. Weinkle’s practice uses the concept of a “medical home”, often called the patient centered medical home, PCMH, which many medical offices are adopting, not just FQHC. But it is especially important with patient groups like the ones he and his colleagues care for.

(The concept of PCMH is explained here Defining the PCMH )

He takes it one step further, writing we need more than medical homes, we need medical communities, where doctors work closely with their local hospitals, ERs, pharmacies, and schools to address patients’ needs.

a male doctor examining a smiling baby girl
Dr. Weinkle’s baby girl patient seems to be enjoying her visit. Photo by the girl’s father, used here by permission. When posted on Facebook, this photo received 4000 likes in one week.

The solution- covenant health care

In HEALING PEOPLE, NOT PATIENTS Dr. Wrinkle argues for creating authentic relationships in modern healthcare by  

Promoting health behavior change without insulting or scaring patients, by learning what obstacles they face and helping to resolve them

Honesty about disease outcomes, especially at the end of life; avoiding futile care, and recognizing that sometimes death is not a complication but is the ultimate outcome of some illnesses

“Activated patients”  determined to get better,  to do something about their illnesses, becoming experts on their diagnoses

Doctors and patients valuing and respecting each other’s time and knowledge

Cutting waste- eliminating those things we do in healthcare that don’t add value to care, making it safer or more effective; bureaucratic policies, procedures, and rules that waste both time and money, like prior authorizations, “utilization review”, and 15 minute appointments

Medical education that includes teaching interpersonal skills, with learning objectives given as much importance and time as other medical skills,

Ultimately, Dr. Weinkle wants to see medical care return to being


meetings between two human beings, together forming a covenant to achieve healing

That concept is partially born out of Dr. Weinkle’s Jewish roots discussed in the Appendix- Being a Nice Jewish Doctor

“God forms a covenant—many covenants, actually, sealing the promises with symbols like rainbows (Genesis 9:13), circumcision (Genesis 17:10), and stone tablets engraved with the law (Exodus 24:12).

Image from Lightstock.com, stock photo site, affiliate link

The essence of the Jewish faith, the place where a Jew’s worth as a person is tested most thoroughly, is in the relationship with God—and the parallel relationship with other human beings made in God’s image. ”  


Why you should read HEALING PEOPLE

Health care professionals will find Dr. Weinkle’s concepts an attractive alternative to “burnout”, an encouragement to remember why we entered the profession in the first place, and a challenge to restore the personal touch that makes medicine truly an art.

Patients will find explanations about why medical care is at times fragmented, uncoordinated, and unproductive, will understand the challenge that their own physicians face in providing effective care, and understand how they can be part of the solution.


The book concludes with  an extensive list of Notes listing the references used in each chapter and an exhaustive list of References and Suggested Readings, a few of which I will include below.

Here is a link to Dr. Weinkle’s website where you can read excerpts from the book.

Healers Who Listen

An unexpected connection

You may recognize Dr. Weinkle’s practice location as one that was recently in the news.

a building with sign-Squirrel Hill Health Center

Squirrel Hill is considered a historic center for Jewish life in Pittsburgh. It is home to more than a quarter of Jewish households in the Pittsburgh-area, according to a Brandeis University study of the Greater Pittsburgh Jewish community.

This is also the Pittsburgh  neighborhood where a gunman walked into the Tree of Life Synagogue and opened fire, killing 11 people on October 27, 2018.

I had only exchanged one email with Dr. Weinkle so it wasn’t until a few days later that I made the connection. I wrote to him and was relieved to learn he was safe.  He had attended a Bat Mitzvah there just the week before the attack. Some of the victims were friends and colleagues.

More of that story is at this link.

Squirrel Hill Mourns

Suggested resources

Here are a few of Dr. Weinkle’s recommendations; please note these are affiliate links which help me fund this blog.

sharing the HEART of Healing People, Not Patients

Thanks for joining me to meet Dr. Weinkle and review his book.

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

I would love for you to start following Watercress Words : use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn. Thanks so much.

                              Dr. Aletha 

Welcome new citizens to Life, Liberty and the Pursuit of Health Care

Recently I attended a Naturalization Ceremony, my first ever. Forty people from 15 different countries met all the requirements to become citizens of the United States.In honor of my new fellow citizens, I’m sharing a post I wrote about the American healthcare system-not perfect, but one we can “support and defend” with pride. 

Recently I attended a Naturalization Ceremony, my first ever. Forty people from 15 different countries met all the requirements to become citizens of the United States.

The ceremony was solemn but joyful with a local high school choir singing “Music to My Soul” as the whole audience clapped along. The Oath of Allegiance that I’m sharing with you here is sobering . Judge Michael said that we natural born citizens should take it to heart also.

Naturalization Ceremony
front page of the program
Oath of Allegiance
the oath of allegiance

In honor of my new fellow citizens, I’m sharing a post I wrote about the American healthcare system-not perfect, but one we can “support and defend” with pride.

Every year on July 4th we celebrate Independence Day- the day the original 13 American colonies established an independent country.

They subsequently established a government, military, educational system, highway system, public works, and a healthcare system.

We Americans may pride ourselves on not having “socialized” medicine or “national healthcare”, but we do have  a health care system that is a combination of public and private funding and administration. And even private healthcare must comply with a myriad of local, state, and federal laws and regulations.

I believe we have one of the best healthcare systems in the world  because of the people who work in healthcare- the people who devote years to education and training and who work tirelessly 365 days a year, 24 hours a day to make and keep us well.  Their commitment, compassion, dedication and competence benefits all of us and deserves our gratitude.

Statue of Liberty
Lady Liberty lifting her torch in New York harbor, from my vacation there 

According to recent statistics, the United States government accounts for-

40% of healthcare  spending

$1.3 trillion /year

Covering 100 million individuals

Through 4 federal agencies

Department of Health and Human Services 

Department of Defense

Veterans Administration

Department  of Homeland Security

(JAMA (Journal of the American Medical Association), June 21, 2016)

Healthcare for active duty military and veterans

During the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

a Veterans Administration clinic
American soldiers serving in Afghanistan

Healthcare for civilians

Under President Barack Obama, Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens. Newly elected President Donald Trump vowed to “repeal and replace” this law while some changes have been made, it is still in force.

Two other government healthcare programs- Medicare and Medicaid are over 50 years old.

Medicaid provides insurance coverage for adults and children who are unemployed or low income.

Medicare covers disabled children and adults  and persons 65 years and older.

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

(Cubanski J, Lyons B, Neuman T, et al. Medicaid and Medicare at 50. JAMA. 2015;314(4):328. doi:10.1001/jama.2015.8129)

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.
ELDERLY COUPLE -189282_1280
Senior adults age 65 and older use Medicare.

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an  easy to understand book.  

Government healthcare administration –The United States Department of Health and Human Services (HHS)

Several government agencies regulate, monitor,  promote and/or support both public and private healthcare (most but not all of these are under HHS.) 

Food and Drug Administration- FDA

Centers for Disease Control and Prevention- CDC

National Institutes of Health- NIH

Occupational Safety and Health administration-OSHA

Drug Enforcement Agency-DEA

medication capsules
The FDA regulates the development and sale of medications and medical devices and the DEA regulates dangerous and controlled drugs.

Important Federal Healthcare Laws

The Affordable Care Act- ACA

Health Insurance Portability and Accountability Act-HIPPA

Emergency Medical Treatment and Labor Act- EMTALA

Health Information Technology  for Economic and Clinical Health- HITECH

Americans with Disabilities Act-ADA

Family Medical Leave Act-FMLA

Liberty Bell -replica
replica of the Liberty Bell at Disney World, Florida, photographed when I visited with my grandchildren

The origin of United States healthcare

In the Declaration of Independence, the founders of the United States created a nation based on the “self-evident truths”  of  “Life ,Liberty, and the Pursuit of Happiness” and to promote “Safety and Happiness” . 

In the Constitution they vowed to “promote the general Welfare” .

I wonder if they envisioned their new government would spend so much time and money providing and regulating health care –

most of which was not available or even imagined at that time? 

Let’s celebrate!

woman holding a sprakler
Let’s celebrate ! This photo and featured image from stock photo site- Lightstock.com (affiliate)

Dr. Aletha 

a woman in a red, white, and blue shirt
Me, a few years ago, showing my patriotic spirit by posing in red, white, and blue

Discover women physicians, the future of medicine

In 2018, for the first time since Elizabeth Blackwell entered medical school in 1849,the first woman to do so, more women than men entered U.S. medical schools and approximately half of all medical students are now female. This trend will likely continue, as fewer men are applying to medical school and more women are.

Why celebrate women physicians?

In 1860 the United States had 200 women physicians.

By 1900, there were 7000.

Since 1975, the number of female physicians has increased from 35,626 to 333,294 in 2013. Women physicians comprise 35% of actively practicing physicians.

A minority no longer

In 2018, for the first time since Elizabeth Blackwell entered medical school in 1849,the first woman to do so, more women than men entered U.S. medical schools and approximately half of all medical students are now female. This trend will likely continue, as fewer men are applying to medical school and more women are.

class reunion
My medical school graduating class of 1978  at our 30th reunion; the original class was larger, 150 students, but the percentage of women was the same as in this photo. (I’m in the pink dress)

(This post contains commission earning affiliate links to help fund this blog)

Why are more women entering medicine?

In general women still lag men entering the STEM fields– science, technology, engineering, math. But I think the most important factor spurring  more women to enter medicine is the powerful example set by previous women physicians who have paved the way for us who entered medicine later.

DISCOVER WOMEN PHYSICIANS-WWW.WATERCRESSWORDS.COM, EXPLORING THE HEART OF HEALTH

Dr. Elizabeth Blackwell

The first woman graduate of a United States medical school was born in Bristol England in 1821. (thank you, UK readers). Elizabeth Blackwell came to this country as a child and originally had no interest in medicine. But when a dying friend told her, “I would have been spared suffering if a woman had been my doctor”, she found her calling.

She was denied admission to multiple medical schools. The Geneva Medical College of New York submitted her application to the student body for a vote, and, as a joke, they voted to admit her. Well, the joke was on them as she enrolled, completed medical school and graduated in 1849.

Read more detail about How Elizabeth Blackwell became the first woman doctor in the United States

With her sister, Emily Blackwell , who also  graduated from medical school, and a German physician, Marie Zakrzewska, they opened and ran the New York Infirmary for Women and Children in 1857.

Dr. Emily Blackwell managed the Infirmary for 40 years. Through a series of acquisitions and name changes over the next 100 years, the Infirmary evolved into a hospital that is a leader in New York City-the

New York-Presbyterian/ Lower Manhattan Hospital

is a not-for-profit, acute care, teaching hospital in Lower Manhattan south of Greenwich Village, near Wall Street, Stock Exchange, city government, 1 World Trade Center, and the 9/11 Memorial,

The Blackwell sisters’ infirmary now cares for 100,000 outpatient visits and 6,000 surgical procedures annually.

As Lower Manhattan’s only emergency department, the hospital treats 32,000 patients annually and provides more than 5,000 ambulance transports.

and on September 11, 2001, the hospital treated about 1,500 victims of the terrorist attack on the World Trade Center

The Physicians Mom Group (PMG) declared Dr. Blackwell’s birthday February 3 as National Women Physicians Day. This day celebrates all the significant contributions that women physicians make daily, none of which would have been possible without Elizabeth Blackwell.

Dr. Blackwell embodied the ABC characteristics of extraordinary women physicians-

Attentive, Brave, Compassionate

doctors in surgery
Women physicians providing free medical care in a mission hospital

Dr.Rebecca Lee Crumpler

Prior to founding her hospital, Dr.Zakrzewska served as professor at the New England Female Medical College. That school produced another notable women physician, Dr. Rebecca Lee Crumpler.

Dr. Crumpler graduated in 1864, becoming the first African-American woman to earn the M.D. in the United States.  After practicing in Boston, she moved to Virginia where she and other black physicians cared for freed slaves, who otherwise would have had no access to medical care.

In 1883 Dr. Crumpler wrote a book of medical advice for women and children, titled A Book of Medical Discourses, one of the earliest medical publications by an African American.

Dr. Virginia Apgar

Another woman physician’s work has impacted the lives of countless babies and their families. If you have had a baby, or been born within the past 60 years, you benefited from the work of Virginia Apgar, M.D.

The Apgar scoring system for newborn babies

Dr. Apgar was not an obstetrician or a pediatrician, but an anesthesiologist. As she observed deliveries of infants she proposed a scale to rate how well a newborn was adapting to life outside the mother.

crying baby
courtesy Pixabay

She considered 5 physical findings of a newborn and assigned each a score- 0, 1, or 2, at 1 minute of age, and again at 5 minutes.

So a newborn had a potential score as low as 0 and as high as 10.

The higher the score, referred to as the Apgar score, the more likely the baby was healthy and would do well. The lower the score meant the baby was in trouble, and needed intensive medical attention.The five findings are-

  1. heart rate
  2. respiratory (breathing) rate,
  3. muscle tone,
  4. reflexes, and
  5. color-pink (warm) or blue(cold)

After testing the use of the rating scale over several years, doctors starting using it routinely; so for the past 50-60 years almost all babies have been “graded” with an Apgar score at birth. The Apgar score  is used widely throughout the world.

Dr. Apgar, who played violin and cello in her college orchestra, was appointed the first full professor of medicine at Columbia University and also was a director for the March of Dimes.

Dr. Laurel Salton Clark

Dr. Laurel Clark served her country as a flight surgeon with the U.S. Navy. She along with her husband Dr. Jonathon Clark joined NASA as astronauts.

Dr. Clark made her first space flight on Space Shuttle Columbia during STS-107 as a mission specialist. The extended-duration mission was dedicated to scientific research. The STS-107 crew successfully conducted more than 80 experiments.

Independence, a space shuttle replica, on display at NASA in Houston, TX
The space shuttle replica Independence on display at Space Center Houston; photo by Raymond Oglesby during our visit to the center a few years ago

On February 1, 2003  Clark and the STS-107 crew perished during re-entry as Columbia broke up over Texas en route to a landing in Florida. She amassed 15 days, 22 hours and 20 minutes in space.

During a memorial service at Johnson Space Center in Houston, Texas, on Feb. 4, 2003, President George W. Bush emphasized Clark’s love for her family and her work.

“Laurel Salton Clark was a physician and a flight surgeon who loved adventure, loved her work, loved her husband and her son,” he said.
A friend who heard Laurel speaking to Mission Control said there was a smile in her voice. Laurel conducted some of the experiments as Columbia orbited the Earth and described seeing new life emerged from a tiny cocoon. ‘Life,’ she said, ‘continues in a lot of places and life is a magical thing.'”

In this emotional interview, Dr. Jonathon Clark remembers his wife, who “sacrificed her life for space research.”

Changing the Face of Medicine

Women physicians are changing the face of medicine, not only in the way doctors look, but in the way physicians interact with patients and each other. Women doctors are leaders in humanitarian care, government service, social media, and innovative ways to provide care. Your next doctor may be one of these women.

Female doctor looking at an xray
image from Lightstock.com, affiliate link

The surprising new doctors caring for you

a female military doctor examining a child
photo credit Pixabay

Thanks to the American Medical Association for this post’s featured image.

Thank you for joining me to celebrate women physicians. If you haven’t met me already, please visit my bio page here-

Meet Dr. Aletha 

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

                              Dr. Aletha 

This affiliate link was founded by a woman M.D. , please check it out.
The M.D., Caroline J. Cederquist has spent her life’s work helping patients achieve healthy weight loss, through her years of clinical practice as a weight loss physician. Her understanding of what nutrition your body needs in order to achieve healthy weight loss, inspired her and her husband, The Foodie, to create bistroMD. Caroline wanted to provide her patients, and others struggling with weight, the ability to easily prepare healthy and delicious entrees at home.

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King, Obama, and Healthcare

Talking about Dr. Dr. King, President Obama, and healthcare change

 

Dr. Martin Luther King, Jr. Day 

The  United States observes the third Monday of January as a federal holiday in honor and memory of the birthday of the late Rev. Martin Luther King, Jr. (January 15, 1929)

The Reverend Dr. King led the Civil Rights Movement in the United States from the mid-1950s until his death by assassination in 1968.

First African-American President- Barack Obama

In 2008 Democratic candidate Barack Obama ran for President of the United States and won, becoming the 44th President  and the first African-American to win the office.

Former President Obama running with his dog
President Obama kept fit exercising with his dog- photo compliments Pixabay 

 

Candidate Obama  pledged to enact universal health care coverage for the country, a promise President Obama fulfilled with the support of a Democratic Congress. The Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act (ACA) or nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010.

 

 

First Universal Healthcare Coverage -“Obamacare”

The term “Obamacare” was first used by opponents, then embraced by supporters, and eventually used by President Obama himself. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system‘s most significant overhaul and expansion of coverage since  Medicare and Medicaid in 1965. (source Wikipedia) 

 

Is ObamaCare doomed?

Donald Trump’s presidential campaign platform included health care reform, a plan he labeled “repeal and replace” for Obamacare. Thus far, as of January 2018 , President Trump has not convinced Congress to abandon Obamacare, but it will change under the recently passed tax law which has abolished the individual mandate  requiring all persons to either buy health insurance or pay a penalty. Premiums are predicted to increase significantly, making it more difficult for people to afford coverage.

 

 African-American Health- Progress Made, More Needed

 

The death rate for African Americans dropped 25% from 1999-2015, but they are still more likely to die at a young age than white Americans.

African Americans in their 20s, 30s, and 40s are more likely to live with or die from conditions that typically occur at older ages in whites, including

  • heart disease,
  • stroke, and
  • diabetes.

African Americans ages 35-64 are 50 percent more likely to have high blood pressure as whites.

African Americans ages 18 to 49 years are 2 times as likely to die from heart disease as whites.

Social and economic conditions, such as poverty, contribute to the gap in health differences between African Americans and whites.

The leading causes of death for African Americans have decreased from 1999-2015.
CDC Vitalsigns

 

Public health agencies and community organizations should work with other community resources , including

  • education,
  • business,
  • transportation, and
  • housing,

to create social and economic conditions that promote health at early ages.

Consumers can prevent disease and early death by

 

Dr. Ben Carson- “Gifted Hands”

Ben Carson, M.D., renowned neurosurgeon, also ran for President in 2016 , leaving the campaign during the Republican primary.

Gifted Hands: The Ben Carson Story
Gifted Hands: The Ben Carson Story

 

President Trump appointed him to his Cabinet where he serves as the 17th Secretary of the U.S. Department of Housing and Urban Development.

 

 

 

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I invite you to  follow Watercress Words for more information and inspiration to help you explore the HEART of HEALTH.

Thanks for your time and interest.  Dr. Aletha