UNINDEXED

Abstract

Unindexed is a loose confederation of parcels about urban society. The only firm correlation is all posts are by Sam Cholke, a journalist on the South Side of Chicago.

Aggregated Trauma

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I’ve compiled all my trauma care reporting onto a single site, Range of Injury.

The site includes my three large stories on trauma care for Chicago’s South Side residents. This was a project I initially started without funding. The Chicago Media Workshop generously stepped in to help me complete the project, with assistance from the Chicago Community Trustthe Knight Foundation, the MacArthur Foundation, the Driehaus Foundation, and the Woods Fund. This project could not have been completed without the generous help of these groups and others.

I will continue update the site as I get new information and data, so check back.

Research Denial

Here is a story from the Hyde Park Herald from earlier this summer about some of the less obvious problems surrounding medical research.

U. of C. Eating Disorder Clinic for Youth Seeking Patients

8.31.2011

Daniel Le Grange has a problem: He has more free health care to offer than patients.

img-le_grange_danielLe Grange is director of the Eating Disorders Clinic at the University of Chicago Medical Center and has funding from the National Institutes of Health to treat 248 anorexic and bulimic teens free of charge. The problem is finding the patients, which shouldn’t be hard since the disorder affects more than one in 16 Americans teens age 13 to 18.

The British- and South African-trained psychologist has tried a bevy of options to promote his services. He took out newspaper ads. He put fliers on

windshields. Maybe you saw him in a polo shirt and khakis or one of his two assistants passing out promotional fans at the Air and Water Show.

Le Grange seems like an agreeable person to receive treatment from. He is a leader in the field of the psychological

treatment of eating disorder. He wears dark-rimmed glasses and speaks with a calm and dignified South African accent. But for every seven people he can convince to call the clinic, only two will show up for their appointment.

Once, he gets patients in the door, most stay for the duration of the treatment. Better than 90 percent of anorexic teens will see out the full six months of treatment. More than 80 percent of bulimic teens ride it out.

Le Grange attributes his difficulties partially to common misperceptions of the disorders.

“These are not self-afflicted fads - there are serious consequences,” Le Grange said in his cool dim office at the medical center on Aug. 24.

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The “Big Hole” in Trauma Care

photo Bill Eppridge, 1970

photo Bill Eppridge, Time, 1970

We all did stories on trauma care over this last week. Don Terry at the Chicago News Coop beat me to the punch on this, but I feel failed to adequately answer the question of “Why is there no trauma care on the South Side?”

My story delves deeper into the specific shortcomings of the trauma care network and the incremental steps that were originally planned, but never implemented. I did get some recognition from the state that this is a problem and there are “committees” looking into it and making suggestions. It’s pretty clear that the suggestions [pdf] are aimed at addressing the problems downstate.

One of the things I chose to leave out of my story is the highly problematic state data for the trauma patients treated. It’s difficult to control for when air-lifts became widely used in the city, the general advancement of emergency care procedures, and changing social issues. At the outset, the trauma network was problematic, partially because some ambulance drivers in the 1970s often refused to go into black neighborhoods after 1 a.m., leaving gunshot victims to wait until the morning at places like St. Bernard Hospital, which has never been equipped to treat trauma patients. At some point, I also need to explore my suspicion that this past disregard could be lingering, causing some trauma victims to never seek medical attention. To say the least, the numbers are problematic.

This is an issue I hope to continue pursuing. The first of my stories, which hits newsstands today in the Lakefront Outlook and Hyde Park Herald, follows.

South Siders twice as far from trauma care

10.6.2010

At 12:08 a.m. Aug. 15, Damien Turner was shot in the back. Ten minutes later he was hurtling up South Lake Shore Drive in the back of an ambulance to Northwestern Memorial Hospital, where he died 10 miles from where he was shot at the corner of East 61st Street and South Cottage Grove Avenue — less than four blocks from the University of Chicago’s hospital.

“I’m not going to bury my head and let his memory die away,” said his mother, Shelia Rush, at a rally Sept. 28 in front of the university’s hospital, vowing to work toward opening a trauma center on the South Side that could have treated her 18-year-old son.

Rush, surrounded by dozens of supporters from the community organization her son founded, Fearless Leadership by the Youth, called on the university to reopen its long-shuttered trauma center.

Since 1989 when the university and Michael Reese Hospital closed their trauma centers, residents of the South Side, including Hyde Park, live in the only neighborhoods in Chicago to be 10 miles or more from a hospital that can treat victims of gunshot wounds, stabbings or car accidents — such as the motorist who crashed a car that then burst into flames on South Lake Shore Drive at East 51st Street on Sept. 25.

All residents of the North and West sides of the city live less than five miles from a trauma center.

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Which is My Hosptial

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I’ve been following the shifting incentives for the health care system in Chicago. The main thrust is that the hospital system is becoming slowly segregated, to put it in the bluntest terms.

My angle tends to focus on the University of Chicago Medical Center because I’m based in Hyde Park. My recent interview with the main actors follows.

Urban Health Initiative marking slow progress

8.4.2010

The University of Chicago’s Urban Health Initiative is making incremental progress in convincing patients to find a primary care physician and not use the emergency room as a first option for health care.

The Urban Health Initiative started in 2005 as a program to set up appointments at local clinics for patients who seek treatment in emergency room for minor health concerns. Appointments are now being kept by more than a third of patients referred by the medical center, a modest rise over previous years.

“We’re trying to change social norms and that’s hard,” said Dr. Eric Whitaker, the lead on the initiative and associate dean of community-based research.

Whitaker said the no-show rates for appointments are approaching the levels at the university’s primary care and specialty clinics.

Patients referred to clinics by the university after being treated in the emergency room are still missing appointments about twice as often as those who go straight to one of partner community clinics.

Less than a third of patients are missing appointments at the Chicago Family Health Center, 9119 S. Exchange Ave., according to Warren Brodine, CEO of the clinic.

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