Journal of Clinical Pathways May 15, 2019
Several decades ago, as a health care professional in training, I personally and powerfully experienced the impact social determinants wield upon health. My mother was receiving chemotherapy for lung cancer and contending with severe nausea and vomiting as a result. At the time, remedies for nausea were so ineffectual that she would reflexively feel nauseous when she saw her chemotherapy nurse in the local supermarket! My fiercely tenacious mother was ready to give up and lamented, “If I could just lie in bed at home and not move, I wouldn’t get so sick on the chemo.” Access to in-home infusions was rare in our community, but fortunately, a social worker gave me the name of an oncologist with a grant...
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