Greyscale: Recent Episodes
Ben Davis
Greyscale takes a look at the not-so-clear areas of medicine by sharing physicians' own difficult encounters. These stories will showcase what can often be forgotten - the humanity behind the physician.
Produced by Ben Davis - Program Director at Swedish First Hill Family Medicine Residency.
Heavyweight, Episode #37 - "John": https://open.spotify.com/episode/6QYP10F2Hwevc7XLdKGqT2?si=5537f5cf778c4fb9
We kick off Season 4 with Dr. Kimberly Dao who shares some of what made them resilient through a tumultuous 2020.
Eve Ewing’s “Affirmation”
Audre Lorde’s “A Woman Speaks”
Alice Walker’s “The Nature of This Flower is to Bloom”
Podcasts
NATAL: A docuseries about having a baby while Black in the United States
Birth Stories in Color
Bias
MFM survey of providers in which 29% somewhat or strongly agree that bias affects how they care for patients
Limited impact of implicit bias training
Doulas
Emerald Doula group arranges feedback to providers with problematic behaviors
Rebecca Polston
Demetra Sereki
Impact on adverse pregnancy outcomes and breast or chestfeeding
Historical and ethnographic scholarship
Dr. Deirdre Cooper Owens’ Medical Bondage: Race, Gender, and the Origins of American Gynecology
Dr. Khiara Bridges’ Reproducing Race: An Ethnography of Pregnancy as a Site of Racialization
Dr. Dorothy Roberts’ Killing the Black Body: Race, Reproduction, and the Meaning of Liberty
Dr. John Hoberman’s Black & Blue
Race-based medicine
World Health Organization’s recommendations on pelvimetry
Obstetrics & Gynecology article on pelvis MRIs and possible link to outcome disparities
VBAC calculator criticism
Statistical sources:
CDC 2019 Vital Signs report
Severe Maternal Morbidity
Race, ethnicity, and nativity differentials in pregnancy-related mortality in the United States
Washington State 2019 maternal death review
Exploration of causality
Failure to rescue, including in postpartum hemorrhage
Impact of delivery outside the hospital
Personally-mediated racism
Exposure to low socioeconomic status while in utero
Impact of perceived discrimination
Review of social determinants of health impact on prenatal care utilization and maternal outcomes
Camara Jones’ articles on social determinants of equity, on not exploring the 'why' of disparities
General impact of structural racism on health disparities
Median wealth differentials
Health impacts of mass incarceration
Considering birth setting: systematic review 2018, systematic review 2019, UK guidelines by diagnosis for delivery location
Systemic interventions
Centering voices of color
SPEAK UP campaign from Institute for Perinatal Quality Improvement
AIM Patient Safety Bundles from the Council on Patient Safety in Women’s Health Care, including bundle targeting disparities
Maternal Early Warning System from the Council on Patient Safety in Women’s Health Care
Society for Maternal Fetal Medicine’s Call to Action, education subcommittee's report, and AJOG's 5 year report card
Evidence for safety bundles, including CMQCC’s VTE toolkit
California’s broad care collaborative to create change at scale
Importance and examples of maternal mortality review panel that recommend system interventions
Importance of simulation training
Use of quality improvement metrics and approaches
Strengthening the postpartum transition of care, creating a new postpartum paradigm
Role for family medicine physicians
Need for paid maternity leave
Working together to get patients to the appropriate level of care
Addressing anemia to reduce disparities
Policy statements
ACOG’s Committee Opinion on disparities
Letter from the AAFP
Momnibus overview
Chris Drumm, Family Physician from Pennsylvania, joins us remotely to discuss an experience of a dying patient and her husband.
Doc and the Deacon podcast: https://podcasts.apple.com/us/podcast/doc-and-the-deacon/id1386908429
Faculty and residents share their stories at a recent Narrative Medicine workshop about a time they experienced a loss of control.
"Laughter is the closest distance between two people". In our first two-guest episode, Laura Blinkhorn and Joe Breuner discuss navigating encounters with a beloved yet disruptive patient who battles mental illness.
Carrie Rubenstein shares a story of an older patient at the end of her life and maintaining the balance of being both PCP and primary decision-maker.
Anna McDonald brings us a story about finding a way to contribute even when feeling out of your element.
Kevin Wang, faculty at Swedish First Hill Family Medicine Residency, discusses his journey through the medical education system as we get a glimpse of how LGBTQ healthcare and medical education has evolved and where it can continue to improve.
Swedish LGBTQ - Trans Healthcare Symposium: https://www.swedish.org/for-health-professionals/cme/conferences/trans-health
Cultural Awareness Training & LGB Education
· Fenway Institute: https://www.lgbthealtheducation.org/lgbt-education/learning-modules/
· Cardea Services: http://www.cardeaservices.org/training/providing-culturally-proficient-services-to-transgender-and-gender-nonconforming-people.html
· Gay & Lesbian Medical Association: http://www.glma.org/index.cfm?fuseaction=Page.viewPage&pageId=1025&grandparentID=534&parentID=940&nodeID=1
· His Health: https://www.hishealth.org/
· Fenway Institute: https://www.lgbthealtheducation.org/lgbt-education/webinars/
Trans Medical Care & Statistics
· National Transgender Discrimination Survey: https://transequality.org/issues/national-transgender-discrimination-survey
· University of California San Francisco Center of Excellence for Transgender Health Guidelines: http://transhealth.ucsf.edu/trans?page=guidelines-home
· Cedar River Clinics Trans Toolkit: http://www.cedarriverclinics.org/transtoolkit/
· Callen Lorde Trans Protocols: http://callen-lorde.org/transhealth/
· World Professional Association of Trans Health Standards of Care Version 7: http://www.wpath.org/site_page.cfm?pk_association_webpage_menu=1351&pk_association_webpage=3926
· Fenway Health Trans Guidelines: http://www.lgbthealtheducation.org/wp-content/uploads/COM-2245-The-Medical-Care-of-Transgender-Persons.pdf
Other
· HealthyPeople 2020: https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health
· LGBT Health Journal: http://www.liebertpub.com/lgbt
· Transgender Health Journal: http://www.liebertpub.com/overview/transgender-health/634/
Jorge Garcia shares 3 separate stories that each highlight the complexity of human life.
In this episode, we hear an all-to-familiar story of a physician running late in clinic. What happens when a patient conflict occurs in the middle of this busy clinic day that leads to potentially irreparable harm?
AFP Episode: https://itunes.apple.com/us/podcast/bonus-episode-6-october-13-2017-afp-american-family/id1064701549?i=1000393503552&mt=2
Joe Breuner joins us to discuss a delayed diagnosis in the distant past that continues weigh on his mind years later.
Alex Langley, third year Family Medicine resident physician, shares his story about struggling to break bad news.
The Break Podcast: https://itunes.apple.com/us/podcast/the-break/id1101789524?mt=2
Running Waters by Audionautix is licensed under a Creative Commons Attribution license (https://creativecommons.org/licenses/by/4.0/) Artist: http://audionautix.com/
Outro: Wayne Shorter - Speak No Evil
Carolyn Wakeman, Chief resident at Swedish First Hill Family Medicine Residency, guides us through her story of a tumultuous labor induction.
Kaeley Kaplan, second year Family Medicine resident at Swedish First Hill Family Medicine Residency, shares her story about a dying patient and a magic pill.
Eliza Hutchinson, second year Family Medicine resident physician, shares her story of going the extra mile to make a potentially significant change in her patient's life. But is it worth the personal cost that it comes at?
Elizabeth Hutchinson, fellow faculty at Swedish First Hill Family Medicine, joins me in this episode where we discuss patient autonomy and the gravity that continuity of care can sometimes provide.
In this episode, we welcome Camille Fleming, who shares a story about reconciling a "gut feeling" versus sticking with evidence based medicine.
In this, the pilot episode of Greyscale, we take a look at what happens when a patient and their physician's agenda collide and what we can take away from a bad outcome. Features Ben Davis and Camille Fleming, faculty at Swedish First Hill Family Medicine Residency