[Image reads: ‘I diagnosed “abdominal pain” when the real problem was hunger; I confused social issues with medical problems in other patients, too. I mislabeled the hopelessness of long-term employment as depression and the poverty that causes patients to miss pills or appointment as noncompliance. In one older patient, I mistook the inability to read for dementia. My medical training had not prepared me for this ambush of social circumstance. Real-life obstacles had an enormous impact on my patients lives, but because I had neither the skills nor the resources for treating them, I ignored the social context of disease altogether. - Laura Gottlieb, MD, San Francisco Chronicle 8/23/101’. End description.]











