Barnes-Jewish Hospital | Washington University Physicians

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how health care works

Illustration - HOUSING AS HEALTH CARE

HOUSING AS HEALTH CARE

By DARCY LEWIS

Living unhoused increases the risk for developing mental illness and infectious and non-infectious disease. Hospital to Housing employs a long-range, multi-pronged approach designed to help people with complex, interrelated needs find housing and achieve better health. From its pilot phase in 2019 to its current expansion phase, the program has helped more than 70 people.

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MENOPAUSE: A DIVERSE EXPERIENCE

MENOPAUSE: A DIVERSE EXPERIENCE

Hot flashes. Night sweats. Irregular menstrual periods.

Black women approaching menopause may experience these symptoms—and others—for a decade before their menstrual cycles cease all together. White women, on average, experience menopausal symptoms for approximately 6½ years.

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FOR EARLY CANCER DETECTION: GET SCREENED NOW

FOR EARLY CANCER DETECTION: GET SCREENED NOW

Don Sabol, 63, of Kampsville, Illinois.,is—literally—a poster boy for cancer screening. After receiving a flier from Siteman Cancer Center about the importance of early detection, Don asked his doctor about screening for lung cancer and discovered he qualified because of his history as a smoker. He was shocked and scared when he was subsequently diagnosed with early-stage lung cancer, but early detection helped save his life.

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FIERCE ADVOCACY: DENTAL CARE FOR THE UNDERSERVED

FIERCE ADVOCACY: DENTAL CARE FOR THE UNDERSERVED

“Fierce advocacy recognizes that some people have less than others.” The High Acuity Adult Special Needs Dental Program at Barnes-Jewish Hospital has treated 20,000 patients and counting, making sure that no one slips through the cracks.

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MAKING MEDICINE BETTER

MAKING MEDICINE BETTER

By Andrea Mongler

A little boy is cured of cancer. A woman finds relief after months of pain. A man gets the new lung he needs to breathe easy and keep living. A baby goes home from the hospital—healthy after a frightening early birth and a stay in the newborn intensive care unit. With its cutting-edge technologies and lifesaving advances, the field of medicine is full of stories like these. This is apparent every day in health-care systems across the country and around the world.

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SIMPLIFYING POSTPARTUM CARE

SIMPLIFYING POSTPARTUM CARE

By Jen A. Miller

When a new mother with high blood pressure is sent home with her newborn, she leaves the hospital with instructions to return—or visit her doctor—for a blood pressure check within the first 72 hours after discharge from the hospital. And she must repeat that visit seven to 10 days later.

Some pregnant women have high blood pressure, or hypertension, at the time of conception; others may develop it during pregnancy as a symptom of preeclampsia or eclampsia. In any case, it’s vital for these women to continue to monitor blood pressure after labor and delivery. Left unchecked, high blood pressure can cause headache, fluid retention and nausea, as well as organ damage, stroke and worse. Worldwide, hypertension is the second leading cause of maternal mortality, according to the World Health Organization.

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PROTECTING OUR MOMS & NEWBORNS

PROTECTING OUR MOMS & NEWBORNS

BY JEN MILLER

The state of Missouri is ranked 44th in the United States for maternal mortality, according to America’s Health Rankings 2019. Missouri’s maternal mortality rate for black women is nearly three times higher than that for white women. And, according to the Missouri Foundation for Health, approximately 600 infants die every year in Missouri; 33% of those deaths occur in St. Louis and in the Bootheel, in the southeasternmost part of the state.

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A COORDINATED RESPONSE TO COVID-19

A COORDINATED RESPONSE TO COVID-19

BY KRISTINA SAUERWEIN, PAM MCGRATH

In January, members of the Emergency Operations Center (EOC) on the Washington University Medical Campus began paying attention to reports coming out of China regarding an outbreak of a novel coronavirus.

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EMERGING INFECTIOUS DISEASES: WHEN PLANNING AND PRECISION MATTER

EMERGING INFECTIOUS DISEASES: WHEN PLANNING AND PRECISION MATTER

BY ANDREA MONGLER

ILLUSTRATION BY ABIGAIL GOH

The patient in back lies in an isolation chamber. It’s just big enough for one person, and he’s completely enclosed inside it. An observer might conclude that he’s no ordinary patient, and this is no ordinary ambulance ride.

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LIFE OUTSIDE OF VIOLENCE

LIFE OUTSIDE OF VIOLENCE

BY HOLLY EDMISTON AND ANDREA MONGLER

A shot rings out. A young man is hit.
He is rushed to the hospital, where doctors save his life.
Eventually, the gunshot wound heals. But he doesn’t.

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GATHERING EVIDENCE

GATHERING EVIDENCE

BY ANDREA MONGLER
ILLUSTRATION FROM NLM/SCIENCE SOURCE/SCIENCE PHOTO LIBRARY

For thousands of years, bloodletting was a widely accepted and commonly used treatment for a variety of illnesses. The practice stemmed from the belief that disease was caused by an imbalance of the four bodily fluids, or “humors”: phlegm, black bile, yellow bile and blood. Doctors and their patients believed that restoring health required a rebalancing of those humors through the draining of “excess” blood from the body.

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