Lilly Gu

[Lilly Gu @lgu208]

Excellent infographic! What are your thoughts on the use of in-person translator services, as opposed to the use of translators through the phone? I think in certain situations, such as breaking bad news, using in-person translators may be more appropriate.

[Susana Martinez @Susana_md14]

The Impact of Homelessness on Health and Healthcare. Click below to see our infographic! #HealthForAll

[Lilly Gu @lgu208]

It' shocking how socioeconomic barriers and poor social support play such a large role in the healthcare and outcomes of cancer patients. I agree that increasing cancer screening and catching cancer in earlier stages can make a huge difference in the prognosis of these patients!

[Lilly Gu @lgu208]

@DannyLuan6 @ZolinAri @sunidhisingh_ @njh_medicine You bring up some excellent strategies to overcome this problem. Which of the three strategies do you think should be prioritized?

[Danny Luan @DannyLuan6]

The intersection between chronic pain and opioid use disorder is a fascinating one. See our infographic below! @ZolinAri @sunidhisingh_ @njh_medicine

[Lilly Gu @lgu208]

The 4 C's to help overcome language barriers in healthcare and promote effective communication. See our infographic below! @ernielesq @MiaDo22874343 @DavidK111893 @MChitanvis

[Lilly Gu @lgu208]

@MiaDo22874343 @NEJM @ernielesq Great article! Sometimes as physicians, even when we recognize these problems, like unemployment, in our patients, we just refer them to social workers. You brought up an excellent point that as physicians, we need to do more and advocate for our patients!

[Danny Luan @DannyLuan6]

A recent study in JAMA Internal Medicine using difference-in-differences models finds a significant association between closure of automotive assembly plants and opioid overdose mortality rates, citing an 85% higher rate 5 years after a plant closure than expected.

[Lilly Gu @lgu208]

@DannyLuan6 @ernielesq Fascinating study! I wonder if the results are generalizable to the closure of other industries?

[Susana Martinez @Susana_md14]

1/
I came across the story of Mr. M (https://t.co/xbFQxBOmO8) who is a prime example of a pt experiencing structural violence and should be considered when labeling pts as noncompliant
@ernielesq #healthequity #socialdeterminantsofhealth #SDOH #socialjustice #healthdisparities

[Lilly Gu @lgu208]

@Susana_md14 Thanks for sharing! As future physicians, the first step would be to identify these problems and barriers our patients face. Reminds us how helpful it will be to consistently incorporate the structural vulnerability assessment tools in our patient interviews.

[Lilly Gu @lgu208]

Implication: Adequate health insurance could reduce persistent racial outcome disparities in breast cancer, but there are likely many other factors at play.

https://t.co/PMnK8Wio8Y

#healthequity #socialdeterminantsofhealth #SDOH #socialjustice #healthdisparities @ernielesq

[Lilly Gu @lgu208]

A retrospective study in JAMA Oncology finds that insurance status mediates almost half of the observed racial/ethnic disparities in higher stage breast cancer diagnosis.

[Lilly Gu @lgu208]

Compared with white women, racial/ethnic minority women
-were more likely to be diagnosed with more advanced breast cancer, resulting in worse prognosis
-had 2-4-fold higher odds of having no insurance or Medicaid coverage at time of diagnosis