KevinMD December 8, 2023
As a West Virginia primary care doctor, I frequently—read: daily—find myself in uncomfortable situations. A few recent events, however, are out of the ordinary, even by the standards to which I am accustomed. Though unique to Martinsburg, WV, I expect similar themes in myriad offices across American health care. If your job resembles mine, I wonder if you feel as lost as I am, though I’m not sure where we are, exactly.
During my workday, I interact with patients who are suffering the invisible effects of lifelong trauma. The monumental problems of Appalachia are poverty, isolation, lack of education, a scarcity of good jobs, and physical labor. The twentieth century, the one which devastated my state, bequeathed these foundational disorders...
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