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National Symphony Orchestra 

Date: Friday, March 7, 6pm – 8pm  

Location: Kennedy Center, Millennium Stage  

Cost: Free (Online advance reservations for a given performance date will open on a rolling basis, opening every Wednesday two weeks out from the date.)  

  Members of the National Symphony Orchestra play an assortment of chamber music.

 Ranky Tanky 

Date: Saturday, March 8, 6pm – 8pm  

Location: Kennedy Center, Millennium Stage  

Cost: Free (Online advance reservations for a given performance date will open on a rolling basis, opening every Wednesday two weeks out from the date.)  

 Ranky Tanky has achieved many firsts for South Carolina’s West African–rooted Gullah community since their formation, earning yet another milestone at the 2019 Grammy Awards by taking home the Best Regional Roots Album prize for their sophomore release, Good Time. 

Ireland at the Wharf 

Date: Saturday, March 15, 12pm – 6pm 

Location:  760 Maine Ave SW, Washington, DC 20024 

Cost: Free 

Festival featuring live Irish music, Irish dancers, and more. 

Cherry Blossoms at Tidal Basin 

Date: Sometime mid-March – mid-April.  Use the link to check the peak bloom forecast! 

Location: DC Tidal Basin 

Cost: Free 

From Himmelfarb Library, it’s a 1.5-mile, 34-minute walk to the Tidal Basin, where you can find cherry blossoms and many social media-worthy photo ops.  Go early in the morning for quiet and fewer people, but regardless, don’t miss this beautiful time of the year in DC! 

A Tale of Two Houses 

Date: Through May 19, Tues-Sat, 10 am-5pm 

Location: The George Washington University Museum and The Textile Museum, 701 21st Street, NW Washington, DC 20052

Cost: Free  

 Commemorating the 10th anniversary of the museum at GW, this exhibition explores the histories of two D.C. residences central to its story. In Foggy Bottom, the Woodhull House was home to notable figures in university and national history before its renovation as a museum space. In the Kalorama neighborhood, founder George Hewitt Myers recruited architect John Russell Pope to design his residence, which, together with the adjoining building, housed The Textile Museum for nearly 90 years. 

Community Day - Black Women: A Force for Change 

Date:  Saturday, March 22, 11am – 3 pm 

Location: African American History and Culture Museum, 1400 Constitution Ave. NW, Washington, DC 20560 

Cost: Free 

Celebrates the legacy of renowned educator and reformer Mary McLeod Bethune (1875–1955) and other Black women social change agents: art activations inspired by flowers associated with Mary McLeod Bethune and Sybrina Fulton and writings of poets and playwrights (Explore More! Gallery on L2); cabaret performance by Roz White and Duke Ellington School of the Arts students presentation of Spoken Word pieces inspired by great women (Heritage Hall); and, Sweet Potato Pie available for purchase, inspired by the pies that Mrs. Bethune made and sold to raise funds for her school for Black girls, now Bethune-Cookman University in Florida (Sweet Home Cafe).  

Beyond the Studio: Cherry Blossom Embroidery with Capital Stitch Co 

Date: Sunday, March 23, 1 pm – 3pm  

Location: Smithsonian American Art Museum,  8th and G Streets, NW 

Washington, DC 20004 

Cost: $15 Registration Fee - Participants must register by 7 p.m. ET on March 13. 

Local maker Miri Artyukhina of Capital Stitch Co comes to SAAM to lead an embroidery workshop inspired by DC’s favorite flowers, cherry blossoms. Participants will learn embroidery basics and all skills required to create a festive spring artwork. 

ALMO & Júlio Resende: Portuguese Music Reimagined 

Date: Friday, March 28, 6pm – 8pm  

Location: Kennedy Center, Millennium Stage  

Cost: Free (Online advance reservations for a given performance date will open on a rolling basis, opening every Wednesday two weeks out from the date.)  

  Join us for an unforgettable evening as ALMO & Júlio Resende bring their unique fusion of jazz, improvisation, and Portuguese soul to life. 

Bloomaroo at the Wharf 

Date:  Saturday, March 29, 4pm - 9pm 

Location: DC Wharf, 760 Maine Avenue SW, Washington, DC 20024 

Cost: Free 

Visit The Wharf for Bloomaroo®, a free spring extravaganza featuring an evening of cherry blossom-themed art, music, fireworks, and family-friendly fun along the waterfront. Enjoy fireworks and three stages, each with its own lineup of live music.   

A black women in scrubs stands outside with her arms crossed.

When we talk about public health policy, it’s critical to also discuss health disparities. Health disparities refer to differences in health outcomes between racial or ethnic groups, socioeconomic groups, or other groups, including groups identified by gender, sexual orientation, or disability status.    

Health disparities related to race are well-documented in the United States, and there are numerous incidents where African Americans, in particular, have experienced racist treatment by the healthcare system. J. Marion Sims, the founder of gynecology, experimented on enslaved women (1), textbooks asserted that Black people could feel less pain (2), and Black men were lied to about receiving treatment, leading them to die of curable illnesses (3). Today, Black women are more likely to die in childbirth than white women (4), and elderly Black Americans are less likely to be insured than their white counterparts (5). 

Thankfully, there are multiple groups working to combat health disparities in African American populations. These groups, often led by members of these communities themselves, cover a variety of health topics but all work to bridge the gap in healthcare. Below is a sampling of organizations working to tackle this system-wide problem. While this list is only a small sample of groups approaching this issue, it is a glimpse into initiatives to eliminate health disparities and how we can identify problems we have yet to solve. 

Black Women’s Health Imperative: Founded in 1983 by Byllye Y. Avery, the Black Women’s Health Imperative is the oldest national organization working to improve the health of Black women and girls. The organization has programs that tackle prediabetes/diabetes awareness, reproductive health, HIV awareness, and much more. This organization even has a comic series, Luna Unleashed. 

The Society for the Analysis of African American Public Health Issues (SAAPHI): SAAPHI is a nonprofit that works to improve the health of African Americans. To do this, they work to research the causes and issues that impact African American communities, advocate for policy changes to address these health disparities, provide webinars on community issues, and organize mentorship programs. 

Restoring Our Own Through Transformation (ROOTT): This organization is led by Black women to address reproductive and birthing justice.  The organization has programs focused on providing training for doulas and peer-to-peer reproductive education for young adults. For those interested in learning more about the mission of ROOTT, their founder, Jessica M. Roach, has a Ted Talk where she speaks about her organization and its mission. 

Black AIDS Institute: Founded in 1999, the Black AIDS Institute seeks to inform Black Americans about HIV prevention and care. The organization works on both providing care and education to those with or at risk of HIV, but also training staff and medical professionals in providing these services. 

National Black Leadership Commission on Health: This organization seeks to reduce disparities for Black communities and work toward health equity. They offer a variety of educational programs and workshops for medical professionals, including ones on mental health. 

Black Emotional and Mental Health Collective (BEAM): Health isn’t just physical; mental and emotional health are important, too. When addressing disparities, it’s important to address disparities in this sector as well. BEAM works to help Black and other marginalized communities access mental and emotional health care.

For more resources regarding antiracism in healthcare, check out the Himmelfarb libguide on the topic.

  1.  Brown DL. Critics say 'father of gynecology' deserves scorn, not a statue. The Washington Post. 2017.

2. Trawalter S, Hoffman KM, Waytz A. Racial bias in perceptions of others' pain. PloS one. 2012;7(11):e48546. doi: 10.1371/journal.pone.0048546.

3. Heller J. 50 years ago, AP exposed Tuskegee syphilis study details. The Philadelphia tribune (1884). 2022:4A.

4. Oribhabor GI, Nelson ML, Buchanan-Peart K, Cancarevic I. A mother's cry: A race to eliminate the influence of racial disparities on maternal morbidity and mortality rates among Black women in America. Curēus (Palo Alto, CA). 2020;12(7):e9207. doi: 10.7759/cureus.9207.

5. Stewart KA, London AS. Falling Through the Cracks: Lack of Health Insurance Among Elderly Foreign- and Native-Born Blacks. Journal of immigrant and minority health. 2015;17(5):1391-1400. doi:10.1007/s10903-014-0099-3

6. Society for the analysis of Sfrican Smerican Public Health Issues. SAAPHI Web site. https://www.saaphi.org/home. Accessed 2/25, 2025.

7.  Restoring our own through transformation. ROOTT Web site. https://www.roottrj.org/. Accessed 2/25, 2025.

 8. Who we are. Black Aids Institute Web site. https://blackaids.org/who-we-are/. Accessed 2/25, 2025.

9. About us. National Black Leadership Commission on Health Web site. https://natlblackhealth.org/programs/. Accessed 02/25, 2025.

10. About. BEAM website. https://beam.community/about/. Accessed 2/25, 2025.

11.  Our story. Black Women's Health Imperative Web site. https://bwhi.org/our-story/. Accessed 2/25, 2025.

Picture of Dr. Louis Wade Sullivan, MD.
Louis Wade Sullivan at Spotlight Health Aspen Ideas Festival 2015. Creative Commons image.

The Rotation is proud to continue our observance of Black History Month with a look at the life of Dr. Louis W. Sullivan, MD, the founding Dean of Morehouse School of Medicine, and the second African American appointed as U.S. Secretary of Health and Human Services (HHS). Louis Wade Sullivan was born in 1933 in the rural town of Blakely, Georgia. From an early age, Wade knew he wanted to be a doctor thanks to the influence of Dr. Joseph Griffin, the only Black doctor in the region. According to Sullivan’s memoir, Breaking Ground: My Life in Medicine (available in print and e-book at Himmelfarb Library):

Sullivan’s father was the town of Blakely’s only African American mortician, and often used his hearse as an ambulance to transport black patients who did not have other means of transportation to Dr. Griffin’s hospital to receive the medical care they needed (Sullivan, Chanoff, &Young, 2014). Sullivan recalls being “completely taken by how a doctor could help very ill people get better. … I wanted to be exactly like Dr. Griffin” (Sullivan, Chanoff, &Young, 2014).

Sullivan studied pre-med at Morehouse College (Harvard College, 2020). He graduated from Morehouse in 1954 - the same year as the historic Brown vs. Board of Education ruling that declared school segregation unconstitutional (Talesnik, 2016). He then started medical school at Boston University School of Medicine, where he was the only African American student in his class, and only one of three African American students in the medical school (Talesnik, 2016). He graduated third in his medical school class in 1958 (Harvard College, 2020). 

He completed his medical training at New York Hospital-Cornell Medical Center, where he was the first Black intern at the institution (Talesnik, 2016). During his time at Cornell Medical Center, Sullivan completed a fellowship in hematology. He followed that up with a pathology fellowship at Massachusetts General Hospital and a hematology fellowship at Harvard’s Thorndike Laboratory at Boston City Hospital (Sullivan, Chanoff, &Young, 2014). One of his most notable research studies looked at the correlation between alcoholism and its impact on the human-blood-forming system (Rees & Labosier, 2023). In 1966, Sullivan became the co-director of Hematology at Boston University Medical Center, in 1967, he founded Boston University Hematology Service at Boston City Hospital and directed the Boston Sickle Cell Center (Rees & Labosier, 2023).

In the mid-1970s, Sullivan returned to Morehouse to help establish and serve as the founding dean of the Morehouse School of Medicine (Harvard College, 2020). The Morehouse School of Medicine became “the only four-year medical school organized for black students in the 20th century, joining Howard University School of Medicine and Meharry Medical College, which had been founded in the 19th century” (Talesnik, 2016). In 1976, Sullivan partnered with Dr. Walter Bowie, and Anthony Rachal to found the Association on Minority Health Professions Schools (AMHPS) to promote a national minority health agenda and “quantifying the health status and health personnel needs of the minority community” (Association of Minority Health Professions Schools, n.d.).

In 1989, Sullivan was appointed as the U.S. Secretary of Health and Human Services (HHS) by President George H.W. Bush becoming only the second African American to serve in this position (Harvard College, 2020). During his time as Secretary of HHS, Sullivan spearheaded the creation of the NIH Office of Minority Health, which is now the National Institute on Minority Health and Health Disparities (NIMHD), as well as the appointment of Dr. Bernadine Healy as the first female director of the NIH, Dr. Antonia Novello as the first female and Hispanic surgeon general, and the first female HHS chief of staff (Talesnik, 2016). One key accomplishment of Sullivan’s time as Secretary of HHS was getting new standardized nutrition labels on packaged foods to help Americans make healthier choices, which received pushback from the FDA and the Department of Agriculture over concerns of potential harm to the dairy and cattle industries (Talesnik, 2016). Sullivan stated that grocery stores have “become a Tower of Babel and consumers need to be linguists, scientists, and mind readers to understand the many labels they see” before the new standardized food labels were adopted (Institute of Medicine US Committee on Examination of Front-of-Package Nutrition Rating Systems and Symbols, 2010).

When his term as Secretary of HHS ended, Sullivan returned to Morehouse School of Medicine to serve as two-time dean and president of the school (1980-1989 and 1993-2002) and was named President Emeritus in 2003 (Morehouse School of Medicine, 2025). Sullivan has served in numerous other leadership roles during his career including the Co-Chair of the President’s Commission on HIV and AIDS (2001-2006), Chairman of the President’s Commission on Historically Black Colleges and Universities (2002-2009), and currently serves as Chairman and Founder of the Sullivan Alliance to Transform the Health Professions (Harvard College, 2020).

Sullivan published his latest book We’ll Fight It Out Here: A History of the Ongoing Struggle for Health Equity in 2022. To learn more about Dr. Sullivan through his own words, here’s a fascinating video of an NIH Fireside Chat with Dr. Sullivan:  

https://videocast.nih.gov/watch=54588

References: 

Association of Minority Health Professions Schools. (n.d.). Homepage. https://amhps.org/

Harvard College. (2020). Louis Wade Sullivan, MD (Second African-American U.S. Secretary of Health and Human Services). Perspectives of Change. https://perspectivesofchange.hms.harvard.edu/node/191

Haskins, J. (February 25, 2019). Celebrating 10 African-American medical pioneers. AAMC News. https://www.aamc.org/news/celebrating-10-african-american-medical-pioneers

Institute of Medicine (US) Committee on Examination of Front-of-Package Nutrition Rating Systems and Symbols, Wartella, E. A., Lichtenstein, A. H., & Boon, C. S. (Eds.). (2010). Front-of-package nutrition rating systems and symbols: Phase I report. National Academies Press (US).

Morehouse School of Medicine. (2025). Presidents of Morehouse School of Medicine. Morehouse School of Medicine website. https://www.msm.edu/about_us/PastPresidents.php

Rees, J.P, Labosier, J. (November 2, 2023). Louis W. Sullivan papers now available for research. Circulating Now. https://circulatingnow.nlm.nih.gov/2023/11/02/louis-w-sullivan-papers-now-available-for-research/

Sullivan, L.W., Chanoff, D., & Young, A. (2014). Breaking ground: My life in medicine (1st ed.). The University of Georgia Press.

Talesnik, D. (November 18, 2016). Former HHS Secretary devotes life to diversity. NIH Record LXVIII, 24). https://nihrecord.nih.gov/2016/11/18/former-hhs-secretary-devotes-life-diversity

For around a decade, 3D printing has been leading to significant medical advancements – both in unparalleled customization of prosthetics or orthopedic implants and in mass producing medical implements, which frees up finances for research. This may feel remote, but users are already prototyping models and tools in Himmelfarb, using the free service available to GW health sciences staff, faculty, and students. 

With 3D printing, the use cases are myriad, but we prepared this guide to showcase some possibilities of the technology, especially with our new Bambu printer, which can print multi-color jobs! 

Check out our original 3D Printing Use Cases post for model ideas like a stethoscope holder, surgery practice materials, and more. Websites like Thingiverse are the best free aggregator of model files, but you can also find model files at NIH. But for now, here are five medical use cases created here at Himmelfarb. 

Molds: Negative Space: 

With 3D printing, useful ideas are not limited to shape, they can also utilize negative space – like with this suture-mold. Filled with silicone, you can create your own suture practice board. When thinking of 3D printing use cases, therefore, there’s power in positive – and negative – spatial thinking.

A rendering of a suture board in a 3D printing slicer.

Trachea: A Natural (and Plastic) Flex: 

Beyond our standard plastics (ABS and PLA), Himmelfarb has unique options like Z-Flex: a material that prints almost like rubber and can bend and return to its original shape. 

This is perfect for anatomical models like the trachea, whose cartilage rings naturally flex with inhalation. 

A rendering of a trachea model in a 3D printing slicer.

Custom Tags: Scientific Equipment Easily Made: 

More durable than paper tags – and still quickly made and requiring almost no filament – models like this tag demonstrate how 3D printing can reproduce common scientific accoutrements economically. 

These can also be customized with text such as 5cm, 10cm, etc. And with our Bambu printer, the text can be a different color!  

A rendering of a 1cm tag in a 3D printing slicer.

Clinical Education Tools: Brachial Plexus Model

Unlike John Hunter, the father of modern surgery, 21st century physicians don’t have to resort to body snatching if they want to study the human body. They don’t have to use expensive plastic models either, they can 3D print even complex bone/nerve structures – like this 16 piece set meant to display the brachial nerves in their bodily environment. [Note: unlike the example picture, the nerves can be in a different color!].

A rendering of a rhomboid bone model in a 3D printing slicer.
A completed 3D print of the spine, shoulders, chest, and brachial nerve system.

Badge Holder: Daily Swag:

But of course, 3D printing far exceeds the purely medical. Model sharing sites like the aforementioned Thingiverse host almost anything you can imagine (or more importantly, what many creative people can imagine). For GW life though, you consider unique badge holder in whatever color we have in stock. 

A rendering of a badge holder in a 3D printing slicer.

We hope these examples give you ideas about how to make use of Himmelfarb’s 3D printing service, and if you like, you can submit a job using the Google Form! 

Picture of 2 women of color studying in a library.
Photo by Tima Miroshnichenko

It’s time for many students to start studying for board exams. Whether you are studying for Step 1, PANCE/PANRE, or another board exam, Himmelfarb Library has plenty of great resources to help you feel prepared and ready to ace your board exams!

PA Exam Prep

If you’re getting ready for PANCE exam, check out our PANCE resources in the Physician Assistants Guide. This guide includes study and review resources including the PANCE/PANRE Challenge: Quick Q&A Review and the LANGE Q&A Physician Assistant Examination books. The PA Exam Prep resource can help you prepare. Practice questions and a self-assessment are also available! Create a free personal account to access this great resource!

Exam Master

Exam Master uses question banks to prepare you for the USMLE Step 1, Step 2, Step 3, PANCE, and PANRE exams. Intended to simulate the experience of an actual board exam, Exam Master provides scoring feedback that helps you identify areas you need to focus on. Access is available from on-campus and via VPN from off-campus. Create a free personal account to access this great resource!

Case Files Collection

The Case Files Collection provides an interactive series of case scenarios that mimic real-life cases. Clinical cases, explanations, and quizzes will help you retain knowledge. Personalized functionality lets you track your progress through completed and unseen cases. Create a free MyAccess personal account using your @gwu.edu email address and start studying!

Step 1 Guide

If you're getting ready to take Step 1, our Board Preparation: USMLE Step 1 Guide is a great place to start! This guide is a one-stop shop for all things Step 1. You’ll find general information about Step 1 including a content outline, sample test questions, and a USMLE practice session. Study tools like Exam Master and Case Files Collection are also available from this guide. You’ll also find plenty of review books including First AID for the USMLE Step 1. Need to brush up on a specific topic? This guide has resources that can help you review topics including anatomy, neuroscience, pharmacology, and more! 

When it’s time for Step 2, check out our Step 2 Guide!

The Rotation is proud to kick off its observance of Black History Month by taking a look at the multitude of organizations in healthcare which represent African American professionals in the United States. Regardless of your professional affiliation, you will likely find an association to support you. Many of these organizations have long histories, while some were established more recently. Browse our list to discover an organization for you! And please feel free to use the comments section to add links to any African American healthcare organizations which haven’t been mentioned in this post.

For nurses, the National Black Nurses Association (NBNA), which was founded in 1971, supports its members through career networking, conferences, advocacy, and two podcasts, to name just a few features. The National Black Nurse Practitioner Association was established in 2010 and provides a career center, as well as a Provider Directory and a Preceptor Directory.

Mental health practitioners of all types will likely find a professional home within one of these organizations: the National Association of Black Counselors, the Association of Black Psychologists (est. 1968), and Black Psychiatrists of America (est. 1969). Those working within mental health will also want to know about Black Emotional and Mental Health Collective (BEAM), which is focused on removing barriers to mental healthcare that Black people experience. 

Within medicine, the most established general association supporting Black physicians is the National Medical Association, established in 1895. The NMA publishes the Journal of the National Medical Association and is involved in many areas, including advocacy and education. Black women in medicine also may find their professional home at the Association of Black Women Physicians, established in 1982. One initiative of the ABWP is the Sister-to-Sister mentorship program, which matches Black women physicians in training with physician mentors. Black doctors of Osteopathic Medicine can affiliate with the National Osteopathic Medicine Association, which was established in 1992.

African American physicians are also served by organizations focused on specialties, including the Society of Black Academic Surgeons (est. 1989), the Association of Black Cardiologists (est. 1974), and more recently, the Association of Black Family Medicine Physicians, which was established by Black fourth-year medical students in the U.S. during the COVID-19 pandemic.

Physician assistants can join the National Society of Black Physician Assistants, which hosts a job board, a mentorship program, and lists upcoming events

Black public health professionals should consider affiliating with the Black Caucus of Health Workers, which was founded in 1968 as an entry point to the massive American Public Health Association. The Consortium of African American Public Health Programs (est. 1999) is a coalition of public health programs and schools housed at Historically Black Colleges and Universities (HBCUs). The collaborations in which the consortium is involved encompass Health Equity and Maternal, Child, and Family Health. 

For those training for careers as health services executives, there is the National Association of Health Services Executives (NAHSE), founded in 1968 to promote the advancement and development of Black healthcare leaders, improve the quality of healthcare for minorities and the underserved, and ensure greater participation of minorities in healthcare.

For those training in allied health fields, organizations for African Americans that represent particular disciplines include the National Black Occupational Therapy Caucus (established in 1974), the National Association of Black Physical Therapists, and the National Black Association for Speech-Language and Hearing (established in 1977). 

Finally, the Black Healthcare and Medicine Association is an interdisciplinary organization that organizes educational events, workshops, and networking and recruiting opportunities for African Americans across the healthcare and life sciences industries.

As our brief overview makes clear, there are multiple opportunities for African Americans to become involved in professional healthcare associations. If you are currently a student, consider joining organizations now to take advantage of a student rate (where available). Professional organizations afford opportunities to find mentors, career opportunities, and fellowship – all of which are crucial during challenging times.

Cabells is a trusted source for tracking and reporting predatory publishers and journals, including within the health sciences. Now Cabells data is incorporated into article records in Health Information @ Himmelfarb (the library catalog) and the LibKey Nomad browser extension to alert users to potentially problematic or fraudulent research. 

Journal article records in the catalog that are enhanced with LibKey links to direct PDF or journal contents will include alerts when the journal is listed as predatory in Cabells. The alerts look like this in Health Information @ Himmelfarb:

Library catalog record image with Problematic Journal link highlighted

Clicking the Problematic Journal link provides more information on why the article was flagged:

LibKey record image with details on why the article was flagged as predatory

If you use the LibKey Nomad browser extension to easily link to full-text in other databases and content providers, you will see the same notifications.  

PubMed search screen with Nomad full-text link and Problematic Journal link in article record

We encourage library users to install LibKey Nomad for the best full-text linking experience.

At this time the predatory journal notifications only appear in article records. To check on the status of a journal, access Cabells directly to look up the journal title.

Notifications of retracted articles are already provided in Health Information @ Himmelfarb and Nomad through an integration with Retraction Watch.

PubMed record screenshot with Article Retracted link

For assistance with linking to full-text content or other Himmelfarb Library resources, please contact us by email (himmelfarb@gwu.edu) or phone (202-994-2962) or use Library Chat services during business hours.

Broadway street sign
Wikimedia Commons

Did you know that many musicals discuss medicine and medical procedures? Here we list several notable numbers from stage musicals, movie musicals, and even a television series! Musicals not only entertain us but can also provide a lens through which to explore the complexities of health, identity, and the human experience.

  1. “Who’s Crazy / My Psychopharmacologist and I” (Next to Normal)

In Next to Normal, main character Diana struggles with bipolar disorder and delusional episodes. This Act I number takes us through several of Diana’s appointments with her doctor as he prescribes her a host of different medications.  A chorus recites the various medicines Diana has tried: “Zoloft and Paxil and Buspar and Xanax / Depakote, Klonopin, Ambien, Prozac / Ativan calms me when I see the bills / These are a few of my favorite pills!” 

At the end of the song, now placed on yet another new regimen, Diana tells her doctor: “I don’t feel like myself. I mean, I don’t feel anything.”

“Patient stable,” the doctor concludes. 

  1. “Our Disease” (Kimberly Akimbo)

In 2023, when Kimberly Akimbo won the Tony for Best Musical, The Rotation featured a blog post about the fictional disease central to the show’s narrative and its similarities to the actual disease progeria. In the musical, Kim’s disease causes her to age at a hyper-accelerated rate, so that as a high schooler, she appears to be a 72-year-old woman.

In the song “Our Disease,” Kim presents information about her unnamed illness for a biology class project. It’s “an incredibly rare genetic disorder” with symptoms including “wrinkled skin, stiff joints, hip dislocation, atherosclerosis, macular degeneration, hypertension, presbycusis, [and] cardiac issues.” But Kim’s classmates present on scurvy and “fasciolosis” (aka fascioliasis) – diseases that don’t directly affect them. As the song progresses, Kim becomes resentful of her classmates as she realizes that she’s the only one who feels like a scientific curiosity, a specimen.

  1. “La Vaginoplastia” (Emilia Pérez)

Emilia Pérez is a unique movie: a musical about a drug cartel leader’s journey through gender transition. The movie received a staggering 13 Academy Award nominations this year. 

The movie is a complex and emotional portrait of main character Emilia, but you wouldn’t know it from this bizarre number in which a surgeon lists the various gender-affirming surgeries available for transgender women, including vaginoplasty, rhinoplasty, laryngoplasty, mammoplasty, and chondrolaryngoplasty. Rita (Zoe Saldaña), who is organizing the surgeries on behalf of Emilia (Karla Sofía Gascón), is eager to learn more about these procedures.

This movie has received criticism for its depiction of transgender people (among other issues), and this song is one of the more insensitive moments. The surgeon himself describes his work as changing “a man to [a] woman,” thus misgendering his patient and emphasizing a misconception that surgery is necessary to be transgender. Gender-affirming surgeries are important to some transgender individuals, but they are by no means universal to the transgender experience. 

  1. “Miracle” (Matilda the Musical)

The opening number of this musical based on Roald Dahl’s book starts at the very beginning: birth. The song features an obstetrician who absolutely loves his job: “Every life I bring into this world / Restores my faith in humankind,” he sings. 

This leads to a hilarious juxtaposition with Matilda Wormwood’s parents, who couldn’t care less about their daughter. When the doctor says, “Your wife has just given birth to a beautiful, healthy, happy little girl. She’s perfect. This is fantastic news,” the parents completely disagree: “Why, when we’ve done nothing wrong / Should this disaster come along?” Though the doctor is not a major character in the rest of the show, his appearance at the beginning is important because it contrasts so strongly with the emotional neglect that will shape Matilda’s childhood.

  1. “Anti-Depressants Are So Not A Big Deal” (Crazy Ex-Girlfriend)

Our last entry is a song from a musical television series that offers a candid exploration of mental health. When main character Rebecca (Rachel Bloom) is hesitant to start taking antidepressants, her psychiatrist (Michael Hyatt) reminds her that taking such medication is very common and should not carry stigma. A tap-dancing chorus appears to tell Rebecca that all sorts of people get help from antidepressants: “The butcher, the baker, the grocery clerk / They’re all on 20 milligrams or so!” Fluoxetine, paroxetine, and citalopram receive shout-outs.

This relentlessly cheery tune encourages Rebecca to accept the help she needs for her mental health without shame, singing “Why should I feel crappy / About something that makes me happy?” 

For this month's comic, we're diving into a story of a diagnostic case gone wrong, and what might have led to it.

Panel 1: 
Narration: In 2020, I spent a week in the hospital for severe anemia.
Image: An image of Rebecca, a white woman with curly brown hair, sits in a hospital bed in a hospital gown. She is hooked up to a blood bag and looks depressed.
Panel 2: 
Narration: Before this, I’d spent a month trying to get tested for anemia.. I displayed a lot of symptoms:
Image: An image of Rebecca, wearing a face mask, very pale, is in the center. There are various symptoms of anemia pointing to her. They say:  Lightheadedness, pulsatile tinnitus, cold even in August, Palor, fatigue, short of breath 

Panel 3: 
Narration: But I kept being refused as my GP was on vacation. When I tried to push the test, I was told:
Image: Three speech bubbles are below: they read as “It’s just anxiety”  and “This never happens” and  “It’ll be fine to wait for your GP to come back.”
Panel 4: I’d planned to wait for my GP, but after almost fainting, I got a rival medical system to run the test. I got my results that night via the phone. It went something like this:
Image: Rebecca, incredibly pale, is holding her cell phone. Her cat watches from a counter. From the phone, audio goes:
Phone: So. You are very anemic.
Panel 5: 
Image: Rebecca drops her phone. Rebecca, gleeful, with her hands raised yells “Yes I’m not crazy” 
From her phone, it states: “Also you need to go to the nearest ER”
Her cat watches the phone fall with alarm

Panel 6: Rebecca, with her hands still raised looks confused. She says: “Wait what?”
Her phone, now resting where the cat once was, says: “as soon as possible, actually.”
Panel 7: 
Narration: Thankfully I managed to recover from my bout with vampirism, but after everything was said and done, my doctors, family, friends and myself all had the same question:
Image: Rebecca, dressed as a vampire with red eyes and fangs asks “How did this happen?”
Panel 8: While I’d only spent a month seeking out a test, I’d voiced my concerns about some symptoms I had for the past 9 months. My concerns usually were answered with the same response:
Image: Four separate scenes are shown. The upper left hand corner features a nurse with a goatee and a half shaved head. The upper right hand corner a doctor reaches out over a sink. The bottom left hand corner shows a phone. The bottom right hand corner shows three doctors discussing in front of a hospital bed. All four of them say “No one gets severe anemia at your age?”
Panel 9: (I did not respond well to that answer, once in the hospital) 
Image: Rebecca, in a hospital gown, yells “YET HERE WE ARE”
Panel 10: So how did this get overlooked for so lon g? I can’t say for sure but I think cognitive bias had something to do with it. 
Image: A chibi version of Rebecca speaks, with text under it labeling it as a “disclaimer.”
Rebecca’s speech bubble: “I do want to stress I think cognitive bias was one of the many potential factors in my case. I’m using my own story here not to cast blame on anyone but to provide narrative for us to explore this concept. 

Panel 11: 
Narration: What are cognitive biases? They are patterns of thinking, often quick or subconscious, that are prone to error (1).
Image: A picture of a video game is shown, labeled fallacy dodge. In the game, a humanoid rabbit wearing a scarf faces a frozen tundra full of hazards. Spikes on the floor are labeled as “spikes of confirmation bias” stalactites on the ceiling are labeled as “attentional bias” . a large jump with a coin on it is labeled as “authority bias”, and a pool of frozen water is labeled as “anchoring bias”
Panel 12:
Narration: Let’s take a look at some common fallacies that can be seen in medical practice
Image: Rebecca stands in front of a blackboard where “cognitive bias 101” is written in chalk
Panel 13: 
Narration: Anchoring bias: relying on only one piece of information (often the 1st piece one hears) when making choices (1).
Image: a thought bubble leads to an anchor where it rests at the bottom of the ocean
Panel 14:
Narration: Confirmation bias: looking for, focusing on and recalling information that aligns with one’s beliefs
Image: A scientist cheers, holding one paper. Behind him is a large pile of papers labeled as “studies that disprove theory.”
Scientist speech bubble: Look! This study proves my theory!”

Panel 15: 
Narration: The ostrich effect: ignoring or avoiding negative information
Image: An ostrich, wearing a lab coat, buries its head in the sand. Another ostrich, half off screen, looks down at it confused.
Panel 16:
Narration: Conjunction fallacy: the tendency to assume that multiple specific conditions are more likely than one general 1 (1).
Image: Zoey, a Black woman wearing glasses in a hospital gown, stands in the middle of the screen. The text around her reads as follows
Text box 1: Zoey has a cough, a fever and body aches.
Text box 2: Is it? Bullet 1: Asbestosis Bullet 2: Invasive Candidiasis Bullet 3: Lyme disease 
Text box 3: Or the flu?*
Text box 4: It could be either, but it’s important to confirm it isn’t the likely answer.
Panel 17: 
Narration: Posthoc Fallacy: Assuming one event caused a later event because on happened before the other assuming correlation=causation can be an example of this(1)
Image: A bald Black man in a suit looks at a line up of an ice cream cone and a virus labeled as “flu” Both hold signs. The ice cream sign says “ice cream.” The man says “Who made me sick….I did just have the ice cream recently” and the ice cream says “I’m innocent i swear”
Narration: framing bias: our perception of data depends on how it is presented(1)
Image: A woman in a hijab and a person with brown skin and brown hair sit watching television. On the television, there is an advertisement for Radiant made with Calciferol. The woman in the hijab says “Wait isn’t calciferol just vitamin D?” and the person across from them says “but it looks so fancy!”
Panel 19:
Narration: There are countless other fallacies that can interfere with decision making. But mistakes occur due to reasons other than fallacies.
Image: Rebecca, shrugging, says “think about your quality of choices when you’re tired.”
Panel 20: 
Narration: Systematic issues such as understaffing and long hours can lead to increased mistakes.
Image: A nurse and a doctor stand across from each other. The doctor is holding up his hand and making an L, like people use to tell directions. They speak as follows:
Nurse: Doc, you’re exhausted. Can you even tell left from right?
Doctor: Of course, left is…uh”
Nurse: This is not inspiring confidence. 

Panel 21:
Narration: When extra stressors like covid further strain such overworked systems, it’s possible that more errors can occur.
Image: The doctor and nurse stand masked surrounded by virus particles, looking more tired.
Panel 22: 
Narration: Frankly, I think Covid played the largest role in my own situation. With folks tired and overworked from the pandemic, it was easier for my own case to slip through the cracks.
Image: Rebecca falling between two cliffs.
Panel 23: 
Narration: Stereotypes and Implicit bias also play a role in errors, along with health disparities. 
Image: Four people speak regarding health.
A women with brown skin and long black hair says: 24% of women feel a health care provider has ignored or dismissed their symptoms (2)
A latino man with curly brown hair says: 32% of hispanic patients felt they had to speak up to get proper care (3).
A black woman with her hair in two buns says : Black women are three times more likely to die in childbirth than white women (4).
A white person with orange hair and freckles in a wheelchair who has a right leg amputation says “A 2021 study found that US doctors believed disabled people have a lower quality of life than non-disabled people (5)
Panel 24: 
Narration: There are efforts to address implicit bias and stereotypes in medicine but there is still a lot of work to do.
Image: Rebecca looking depressed says: I’ve heard a lot of stories from folks feeling dismissed or not listened to and I have my own that I haven’t told here.
Panel 25:
Narration: All types of bias lead not only to clinical errors but a lack of trust in medicine as a whole
Image: A snake next to a bottle of snake oil and “ms. Bettys cure all” says: Lack of trust in medicine can lead to folks buying into pseudoscience or snake oil.

Panel 26: 
Narration: There is no way to truly eliminate cognitive bias, but we can try to reduce it. 
Image: the nurse from earlier says “for systematic issues, we need more top down solutions.”
Panel 27:
Narration: Taking a moment to think about why we’re thinking something can help. Diagnosing fast and slow recommends we ask ourselves the following:
Image: Three doctors stand thinking. Above them are the following thought bubbles:
Doctor 1: Why do I think this?
Doctor 2: Could I be wrong?
Doctor 3: What else could this be?
Panel 28: 
Narration: And maybe with those questions in mind we can prevent more patients from falling through the cracks
Image: a sidewalk is shown with flowers growing out of the cracks

SOURCES:

  1. Coughlan JJ, Mullins CF, Kiernan TJ. Diagnosing, fast and slow. Postgrad Med J. 2021;97(1144):103-109. doi:10.1136/postgradmedj-2019-137412
  2. Long M, Frederiksen B, Ranji U, Diep K, Published AS. Women’s Experiences with Provider Communication and Interactions in Health Care Settings: Findings from the 2022 KFF Women’s Health Survey. KFF. February 22, 2023. Accessed October 10, 2024.https://www.kff.org/womens-health-policy/issue-brief/womens-experiences-with-provider-communication-interactions-health-care-settings-findings-from-2022-kff-womens-health-survey/
  3. Lopez CF and MH. 2. Hispanic Americans’ experiences with health care. Pew Research Center. June 14, 2022. Accessed October 10, 2024. https://www.pewresearch.org/science/2022/06/14/hispanic-americans-experiences-with-health-care/
  4. Hill L, Artiga S, Published UR. Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them. KFF. November 1, 2022. Accessed October 10, 2024. https://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/
  5. Jackson L. Doctors must challenge ableism in healthcare. BMJ. 2023;383:2968. Published 2023 Dec 20. doi:10.1136/bmj.p2968
  6. Dahm, M. R., Williams, M., & Crock, C. (2022). ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. Patient Education and Counseling, 105(1), 252–256. https://doi.org/10.1016/j.pec.2021.05.012