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The Covid-19 pandemic has revolutionized the uptake, coverage, and sustainability of telehealth use. It is celebrated and, to many clinicians, a necessary acceleration that will optimize efficiency and outcomes in medicine.

Despite the positives seen with the telehealth transition, we are also seeing new avenues for inequities in care access to exacerbate and opportunities to improve the integration of telehealth within the greater healthcare ecosystem. These are pronounced in the chronic disease population. (1)

Technology Acquisition

The barriers to telehealth are most evident in rural, old patients with chronic diseases who are racial or ethnic minorities, do not speak English, or are…

A narration of my relationship with ethnic food

Garlic naan with Palak Paneer

Quarantine has been a time of dropping old habits and picking up new ones, of honing lifelong talents and developing new passions. I have always enjoyed cooking as an outlet, but not South Asian cooking (my ethnicity). Free time to make a meal at home left me preferring a delicious gnocchi allo genovese or some chocolate banana bread. But for the first time in my life, I have found enjoyment in preparing traditional Indian recipes and cooking up a South Asian storm for my family. 13-year-old me is shocked, given how disinterested I have always been in doing this. …

How biological clocks are affected in Parkinson’s disease patients

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Disease Overview

Parkinson’s disease is a neurodegenerative disorder characterized by the death of neurons. The disease progresses with the death of dopaminergic neurons located in in the pars compacta of the substantia nigra (SNpc), located in the midbrain. The substantia nigra is located within the basal ganglia, which is responsible for the motor control pathway. Along the course of the disease, neurons die in the olfactory bulb, locus coeruleus, vagus nerve, and cortex. One of the hallmarks of Parkinson’s disease is Lewy Bodies, which are aggregates of misfolded α-synuclein protein. These misfolded protein…

Recommendations for a better functioning system

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Over time electronic health records (EHR) systems and their usage have increased. From adoption among US office-based physicians to acute care hospitals, EHR system adoption has skyrocketed. However, it important to mention that the options for health care systems have much room to grow. There are several recommendations to be adopted in the realms of technology, process, and culture.

The electronic health systems must have the computing power, algorithm, and machine learning strength to perform the logistical functions that might traditionally be done on paper. The existing work processes of each health system need to be personalized in the electronic…

Differences and similarities in how we understand joy

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Buddhist ideas of the social basis for happiness differ greatly from the Western perspective. Buddhism holds that happiness is not something measured as a qualitative comparison with others. Each and every individual’s desire to be happy is just as viable and true as the pursuit of anybody else’s (Ricard). In order to achieve true happiness, individuals must release themselves from the cycle of dukkha or suffering. In this context, it must be understood that the Buddhist idea of happiness it not related to the traditional “smiles and laughs notion”. It relates to the strengthening of the mind through constructive guidance.

The power in that relationship

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Role models are incredibly important for all of us irrespective of our field. The term was coined by a sociologist Robert Merton, who suggested that comparing oneself to groups of people who are in the positions that one wishes to have creates an unconscious drive and motivation for imitation. A self-fulfilling prophecy can result that enables the individual with the role model to come closer to their aspirations.

Role models can be people we encounter in our everyday lives, like your 80-year-old who has been a volunteer firefighter for 50 years and reads to kids at an after-school care facility…

Key considerations in deciding settings for care provision

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When it comes to options for home care versus institutional care, there are several points to consider. The first that comes to mind is the patient’s family structure and the level of health of the patient who need long term care. If the senior is fairly independent and healthy, then home services could be helpful. If the family is far away, they can be more reassured by updates of providers who go to the individual’s home.

For their comfort, the senior may not want to have to take care of their home…

How we are approaching mental health coverage in America

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Both historically and in the present day, behavioral health services are not covered and treated like other medical services are.

There has been a trend of non-parity, which means that there’s a double standard for mental health services and they are somehow separate from other care. Gradual recognition of the importance of mental health care that is accessible and affordable and effective has prompted mitigation of this disparity. But in order to truly establish parity, we need to recognize specific barriers to care that are more prevalent with behavioral health than other forms of health care.

These barriers include stigma…

Takeaways from Nonprofit Work Abroad

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Growing Up With An Eye Condition

Everyone with two eyes receives two different stories about the world. For most of us, a structure called the optic chiasm crosses the nerves and helps make sense of these perspectives. I have anisometropia, which means that my eyes don’t “team” or work well together. For me, one eye sees only things that are close well, while the other sees only things that are far.

Although my vision is fraught with challenges, I’ve always felt that I was luckier than many others. I donated birthday money to charities that treat vision problems and received letters with names of the recipients…

When we think about what could have been…

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In human life, we often encounter events, look back on experiences, or plan for the future. During all of these situations, we often find ourselves imagining an alternative reality, and comparing this against what has been, is, or probably will be. This exercise in counterfactuals and simulation drives us to react in very different ways than might be expected for the actual occurrence. Depending on the direction and magnitude of their resultant effect, these counterfactual experiences can be seen as both positive and negative. Primarily, the role of counterfactual abilities is to mold ourselves to be better equipped for change…

Trisha Kaundinya

Medical student excited about honest storytelling, health policy, and plant-powered food. Creator of

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