![]() The title is an analogy to the similarities of an electron scanning micrograph of the structure of the glomerulus to hundreds of interlaced fingers. A broader concern expressed is that race-based generalizations are made and accepted as true with little to no evidence basis. “This series of assumptions and shortcuts in medicine … (where) we use race as a diagnostic tool … restricts our thinking, making it lazy at best,” Dr. This implicit racism shows up in slow referrals for transplantation (her husband waited a year for referral), delayed response to a surgical complication (a surgeon may have responded more urgently if the patient was not black), and continued beliefs that there are real biological differences in our “made-up race categories.” During this journey, she recognized the implicit racism that continues to exist in the medical community, where assumptions are made on the basis of preconceived ideas regarding ability to pay for medications, keep follow-up appointments, and understand the complex regimens required for success after transplantation. Vanessa Grubbs describes her personal journey from a primary care physician never really interested in nephrology to meeting and falling in love with a man on dialysis, to volunteering as a kidney donor, and finally, to deciding to specialize in nephrology. In Hundreds of Interlaced Fingers: A Kidney Doctor’s Search for the Perfect Match, Dr. ![]() ![]() ![]() The effect of disparity on kidney transplant ![]()
0 Comments
Leave a Reply. |