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Your Heart is the Size of Your Fist: A Doctor Reflects on Ten Years at a Refugee Clinic

von Martina Scholtens

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"Your Heart is the Size of Your Fist draws readers into the complicated, poignant, and often-overlooked daily happenings of a busy urban medical clinic for refugees. An Iraqi journalist whose son has been murdered develops post-traumatic stress disorder and mourns his loss of vocation. A Congolese woman refuses antiretroviral treatment for her new HIV diagnosis, and instead places her trust in Jesus. Two conservative Muslim Iraqi women are inadvertently exposed to pornography when a doctor uses Google Images to supplement a medical discussion. By turns humorous, distressing, and moving, these stories offer insight into the people seeking a new life in Canada while navigating poverty, language barriers, and Canadian neighbours who aren't always friendly. This collection is filled with hope and humour, and is a deeply moving portrait of how one doctor attempts to provide quality care and advocacy for patients while remaining culturally sensitive, even as she wrestles with guilt, awareness of her own privilege, and vicarious trauma. In the spirit of Louise Aronson and Atul Gawande, Scholtens' writing explores the transformative moments in which a clinical doctor-patient relationship becomes a profound human-human connection."--… (mehr)
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A very readable memoir of sorts. Scholtens reflects on her life as a doctor while working in a refugee clinic in Vancouver. She revisits with one particular family throughout the book and mentions other patients as their visit reflects components of her practice. The book is more about Scholtens as a doctor and mother than about her patients. They are the foil for her reflections and introspection. I wish there had been more depth to her interactions with the patients than her personal/professional realizations, but perhaps that is a reflection of the clinician's life: they only see such small snippets of their patients that there can't be a depth to their story, because so much of it is missing. I'd recommend the book to women who are caught between a challenging profession and home life, who are seeking direction or "self-help" without wanting a self-help book. The book does give some perspective on what it must be like to be a newly arrived refugee, too. ( )
  LDVoorberg | Nov 22, 2020 |
This was very honest and I found it thought-provoking and very inspiring. ( )
  pgchuis | May 21, 2018 |
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"Your Heart is the Size of Your Fist draws readers into the complicated, poignant, and often-overlooked daily happenings of a busy urban medical clinic for refugees. An Iraqi journalist whose son has been murdered develops post-traumatic stress disorder and mourns his loss of vocation. A Congolese woman refuses antiretroviral treatment for her new HIV diagnosis, and instead places her trust in Jesus. Two conservative Muslim Iraqi women are inadvertently exposed to pornography when a doctor uses Google Images to supplement a medical discussion. By turns humorous, distressing, and moving, these stories offer insight into the people seeking a new life in Canada while navigating poverty, language barriers, and Canadian neighbours who aren't always friendly. This collection is filled with hope and humour, and is a deeply moving portrait of how one doctor attempts to provide quality care and advocacy for patients while remaining culturally sensitive, even as she wrestles with guilt, awareness of her own privilege, and vicarious trauma. In the spirit of Louise Aronson and Atul Gawande, Scholtens' writing explores the transformative moments in which a clinical doctor-patient relationship becomes a profound human-human connection."--

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