Faculty Disclosure I have no financial relationships to disclose - PowerPoint PPT Presentation

Faculty Disclosure I have no financial relationships to disclose relating to the subject matter of this presentation. The material provided in this presentation is strictly for informational and educational purposes only. It is not meant to replace or substitute for the recommendations or advice of a physician or other health care provider. This information should not be used to diagnose, treat, cure or prevent any disease or heath condition. 2

A FRI A MERI RICAN RICAN H EALT LTH : A N I NTE TIVE R ECIPE TEGRATI PE FOR C REAT E QUA O PPO ATING UAL PPORTUNITIES FOR H EALT LTH Thursda day, Febr bruary 28, 28, 20 2019 Lester E. Love, M.D.

Evocation Soul Food Nerd & Organizing Logophile Principle

R ECIPE /A GENDA “Two Warring Ideals . . .” Physical Health and Mental Health “How Does it Feel to be a Problem” “Herein Lie The Problem of Misdiagnosis Burried Many Things” Psychoanalytic Resistance 5

“H EREIN LIE BURIED MANY THINGS . . .” Psychoanalytic Resistance 6

R ESIS ISTANC NCE The Concept Misconceptions Categories of Resistance Illustrations

R ESISTANCE Waste of Time  Argh!!!  Really? Again? More? Valuable  M.D. vs All Others  Useful  Bull%$#@  Helpful  Beneficial  Worthwhile 8

BREAKING NEWS ALERT

“H OW DOES IT FEEL TO BE A PROBLEM ?” Misdiagnosis 10

“. . . this sense of always looking at one's self through the eyes of others, of measuring one's soul by the tape of a world that looks on in amused contempt and pity.” LIVE “How does it feel to be a problem?” • The VA Experience • Health and Health Care Disparities • Dynamics of Misdiagnosis BREAKING NEWS

T HE D YNAMICS OF M ISDIAGNOSIS Daily News 2 3 4 5 6 7 1 Traumatic Substance Racism Medical/ Training Violence Fear Life Use Surgical Experiences Disorders

“T WO WARRING IDEALS IN ONE DARK BODY .” Physical Health and Mental Health Integration 14

“O “O NE WO - NES ESS . . .” . . .” NE EVER FEELS HIS TWO M ENTAL H EALTH Physical Health

”T WO W ARRING I DEALS IN O NE D ARK B ODY .” The Endeavored Delusion & Solutions the Struggle Health Knowledge & Care Skills Acquisition Disparities

M ETABOLIC S YNDROME BY THE N UMBERS 55% Person with SMI Affects ≥ 130/85 Blood Pressure BP Fasting Blood FBG ≥ 100 Sugar Waist Obesity ≥ 35/40 Circumference High Density HDL ≤ 50/40 Lipoprotein ≥ 150 TG Triglycerides

18