4.6 • 4.4K Ratings
🗓️ 22 February 2022
⏱️ 43 minutes
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0:00.0 | COVID-19 deaths are beginning to decrease nationwide as the CDC debates easing COVID restrictions. |
0:12.0 | A thousand 430 New York City employees, less than 1% of the city's workforce, were fired after |
0:17.9 | failing to meet the vaccine mandate for public employees. A third person has been cured of HIV, |
0:23.4 | the record blood transplant, opening up a major advancement in treatment for the disease. |
0:27.2 | This is America Dissected. I'm your host, Dr. Abdul-Elsaid. |
0:36.6 | I want to get a little personal with you today, because in order to understand why this episode, |
0:40.8 | and the conversation we're having today is so important to me, I want you to understand why I |
0:44.7 | decided not to continue in my medical training after I graduated from medical school. It goes back |
0:49.7 | to a patient I helped care for when I was a medical student. I was doing a sub internship, |
0:53.5 | basically in a apprenticeship for medical students at a tiny hospital on the northern edge of Manhattan. |
0:58.3 | I just finished my residency application, and I was planning to train in internal medicine. |
1:02.2 | One morning, I was paid to come down to the emergency room to see a patient who'd fallen |
1:06.0 | in hit her head on the subway steps. It was January, a particularly cold one at that, |
1:10.4 | and the steps to the subway in New York City can be really icy. I mean, I've fallen a couple times. |
1:15.9 | The patient I met that day was unhoused. She was black and living with alcoholism. |
1:19.7 | Living without so much of the privilege I walk around with each day. I found my way to the emergency |
1:25.7 | doctor, a resident in his 30-year-of-training. I asked him an obvious first question. |
1:30.7 | What did the CT show? If you fall, hit your head, and find yourself in an emergency room, |
1:35.2 | the first thing you get at that emergency room is a head CT, to rule out a brain bleed that can kill |
1:39.6 | you. We didn't do one, he said. Why not, I asked. Well, she barely hit her head. I could see a |
1:45.7 | well forming on her head, and I hadn't even spoken to her yet. I pushed him on the scan, |
1:50.7 | and he told me the real reason. Well, she'd be a social admin, he said. For the non-doctor's, |
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