To:  Governor Cuomo From:  Jaspreet Sra Date:  June 10, 2021 Re:  Federal Mandates to increase access to health care for all individuals Statement of Issue:  The health care system in the United States is fragmented and does not focus on prevention. Having access to health care service is a basic human right, yet it remains restricted to many individuals. There are several barriers to health care services such as shortage of physicians, inadequate health care insurance, sexual orientation, rural and underserved areas, citizenship status, language barriers, cultures, religion and disabilities. Overcoming these barriers will allow better access to health care …

Re-analyzing: Different actions to be taken during the COVID- 19 Pandemic Jaspreet Kaur Sra Professor Roger Deo Thought Paper Controlling the emergence of any infectious disease begins with a useful skill of acute vigilance (Schneider, 2017) This skill should be used to look for signs of outbreaks or rapidly increasing presence. Around  December 2020, China began to report and emphasize an unknown disease that had rapidly been spreading throughout the city of Wuhan. It was slowly qualifying as an epidemic.  “At this time, the European Centre for Disease Prevention and Control contended many dimensions- the need for social distancing, human-to-human …

Ethical argument essay Decisions are being made numerous times in a health care setting which are related to patients’ health and as health-care professionals we are guided by moral principles,  However, a conflict between moral principles  causes ethical dilemmas which  can be witnessed in several cases. A case published in 2017 explained a scenario  that encompassed an ethical dilemma when a patient refused medical assessment/ treatment. A  patient was given referrals for a urologist secondary to hematuria and flank pain. However, the patient refused to schedule an appointment because he did not want to be catheterized or have a prostate …

Addressing Cultural & Religious Diversity in MedicineGroup 5: Matt Lemieszewski, Irma Purisic, Jaspreet Sra, & Sierra Teegarden As the world we live in continues to diversify and the long-standing inequalities in the health status of people from culturally diverse upbringings become more evident, there has been a challenge issued to health care providers and their organizations as a whole to view cultural diversity as a priority in providing the highest level of patient care. The patients we treat come from an immense range of cultures and religions that each have different needs, health beliefs, and behaviors. Additionally, patients often have …

What differences do you note between the two H&Ps?The difference I noted between my first and third H&P is that my HPIs became more concise. Rather than writing everything the patient states, they now consist of impertinent information. My medical terminology broadened and the physical exam/  ROS became more extensive. The H&P is more organized and logical.  In what ways has your history-taking improved?  Are you eliciting all the important information?As the semester progressed and my clinical medicine knowledge increased my history taking skills improved. In the beginning I was unsure of which specific ROS questions to write in the …

Subjective:  Patient is a 70 y/o male with a PMHx of HTN. HLD, 40 pack year smoking history. Yesterday,  he had a sudden onset of pressure like substernal chest pain that radiated to the left arm and jaw. It was  associated with nausea, diaphoresis, shortness of breath.  Treated with Nitroglycerin SUBQ with temporary relief.  Labs were remarkable for elevated Troponin T and I. CK-MB within normal limits. EKG was remarkable for tachycardia and elevated ST segments in lead I, III and AvF indicating Acute Inferior wall MI. Treated with  Morphine drip IV, O2 via nasal cannula and Metoprolol. Transferred to …

Jaspreet Sra Case Study Alexi Burr Alexi Burr is a 34 y/o female who has a prior medical history of anorexia (during teens) and recently diagnosed with proctitis. She has two children and is being seen in my clinic in November of 2020.  Immunizations Since Alexi has already received her recommended childhood vaccinations, the following immunizations would be required.  The first one required would be the Influenza vaccine. It is recommended for individuals that are 6 months and older to receive one dose annually. November also falls in the flu season which makes this vaccine more important to be given.  …

These are notes I created for cardiology to organize the different cardiomyopathy’s and diseases of the pericardium.