Tuesday, February 23, 2016

The challenges this doctor faces when caring for the homeless

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“Fifty-three-year-old homeless woman with diabetic ketoacidosis and severe emphysema exacerbation.” And suffering from adomicilia, too, I added in my head.

Much like apraxia­ means the inability to perform purposeful movements (praxis), adomicilia jokingly means those who are not domiciled, a pretentious attempt at gallows humor in the medical profession.

I read through the patient’s electronic record imagining a withered woman, wrinkled from years of drinking and smoking, perhaps with signs of schizophrenia. Most of the long-term homeless I encounter are men. Approximately 25 percent of the homeless are estimated to have mental health problems and nearly 40 percent have substance abuse issues. I categorized Helen immediately.

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