It's Not One Thing, It's All Things

  • Shari Barkin
    Address correspondence to Shari Barkin, MD, MSHS, Academic General Pediatrics, Vanderbilt University Medical Center 2200 Children's Way, 8158 Doctor's Office Tower, Nashville, TN 37232
    Academic General Pediatrics, Vanderbilt University Medical Center, Nashville, Tenn
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      It was 1993 on a dry, beautiful day in Hollywood, California. I was a second-year resident at Children's Hospital Los Angeles and was assigned to handle any traumas that came through the door of our Emergency Department. That day it was 2-year-old boy, a victim of a dry-by shooting where a bullet ricocheted into his brain. My job was to stabilize the bleeding. Was this preventable? Was there something doctors could contribute to addressing the problem of youth violence? Fast forward to 1999 on a rainy damp day in Winston-Salem, North Carolina. I was in the clinic and it was as if I had new eyes—why did so many of my Latino patients suddenly look more overweight and obese than the other children in my clinic. This is not just the introduction of this new thing called the internet. What factors contributed to this? What can we do to understand and intervene?
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