Rishi Manchanda has a message for doctors: that the real roots of illness are often “upstream” from the exam room, in patients’ home and work lives. Photo: Ryan Lash/TED
Before Jackie Hodges arrived for orientation at Tufts University School of Medicine, she got a gift from her soon-to-be med school: a free download of the e-book The Upstream Doctors by Rishi Manchanda.
In this book, Manchanda — who has worked for a decade as a doctor in community clinics around South Central Los Angeles — offers a bold idea for healthcare practitioners.
He asks doctors and nurses not just to treat the symptoms of illness that bring a patient to their exam room, but to look upstream toward the factors in their home, workplace and community that might be the root cause: factors like stress, poor housing, polluted air, poverty.
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