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The Toll of Homelessness on Health

As a GP, I witness the profound impact of life circumstances on health outcomes every day. However, few situations are as detrimental to well-being as experiencing homelessness.

People who are homeless often face a double jeopardy: the inherent stress and challenges of their situation coupled with significant barriers to accessing essential healthcare. In fact, most homeless people I see haven’t been to a GP in years, sometimes decades.

Experiencing homelessness exposes people to numerous health risks and difficulty securing basic needs like food and shelter. This leaves little room for prioritising healthcare and this neglect often leads to chronic health conditions, including malnutrition, mental health issues and infectious diseases. Additionally, these individuals frequently lack access to preventative care, leading to complications and increased healthcare costs down the line.

Furthermore, accessing healthcare presents unique hurdles for people experiencing homelessness. Cost remains a significant barrier, followed by a lack of stable housing, transportation and documentation. Stigma associated with homelessness can also further discourage individuals from seeking essential care.

The Mobile GP program, which we launched in December 2023, is an initiative that aims to bridge the healthcare gap for vulnerable residents, particularly those in Ozanam House, a facility supporting individuals aged 50 and above with chronic conditions.

The program has already achieved promising results. 26 residents are now enrolled and receiving essential healthcare. The program has facilitated numerous in-person consultations with medical professionals, with many tele-health appointments for convenient access, as well as physiotherapy sessions to improve residents’ physical wellbeing.

These figures paint a hopeful picture. The Mobile GP program demonstrates the positive impact of bringing healthcare directly to the homeless community, addressing accessibility concerns and offering personalised care.

While the program’s achievements are encouraging, it’s crucial to remember that homelessness remains a complex issue with widespread ramifications. Continued investment in affordable housing, mental health support and social services is vital to truly address the root causes of this problem.

Here are a few ways you can help:

  • Donate to organisations supporting the homeless: Your contributions can directly impact initiatives like the Mobile GP program, providing crucial healthcare services to those in need.
  • Volunteer your time: Many organisations rely on volunteers to assist with various tasks, such as distributing food, providing companionship or offering administrative support.
  • Advocate for systemic change: Raise awareness about the challenges faced by homeless individuals and support policies that promote affordable housing, access to healthcare, and social support programs.
  • Challenge societal stigma: Educate yourself and others about the realities of homelessness and combat negative stereotypes. Remember, everyone deserves dignity and respect, regardless of their housing status.

By working together, we can work towards a society where everyone has access to basic necessities, including healthcare, and the opportunity to live a healthy and fulfilling life.

Dr Floyd Gomes

Rediscovering the World of Sound

World Hearing Day, 3rd of March, is a reminder of the importance of taking care of our hearing. Millions of people worldwide experience hearing loss, impacting their daily lives. In this blog post, we meet Ray, a patient of Michelle Esparon, our in-house audiologist. Ray shares his personal journey with hearing loss and how getting hearing aids has made a positive difference for him.

Ray, before you started using hearing aids, what challenges did you face in your daily life due to hearing loss?

I was not actually fully aware I had a problem, my wife had sometimes said I wasn’t hearing things or the music was too loud. I saw my GP when I felt my left ear was blocked, and was referred to a specialist who found nothing. He suggested a hearing test. I’d never had one. Luckily for me, Michelle Esparon was at the practice and available.

What made you decide to seek help from an audiologist, and what were your initial expectations?

So I was just there, no expectations, mainly thinking I didn’t have any hearing loss.

Can you describe the process of getting fitted for hearing aids by Michelle? Was it smooth and informative?

Michelle explained the process, how she’d test me, a very clear outline of what she was about to do. It went very smoothly with Michelle explaining clearly all the steps. She discovered I did have hearing loss at the higher levels, and put in place the process for me to get aids. When they arrived Michelle took me through how to use them, how to connect via Bluetooth to my phone.

How have hearing aids impacted your daily life?

I noticed several things over the next few days. I could easily hear the higher tones while playing music for instance. However the big surprise was when I went down to collect our mail. I wondered what I was hearing, it was the rustling of leaves in a gentle wind, a wonderful sound.

What advice would you give to someone who is experiencing hearing loss but hesitant to seek help or consider hearing aids?

My advice to anyone reluctant to take the step and get assessed is simple, you will be doing yourself, your family, your friends, a very big favour. You will discover sounds that will enthrall you, you will not feel left out of conversations, you will manage the sound levels via your phone to enable you to cope with any situation. I wear mine from the moment I get up in the morning until I’m preparing for bed at night, have not missed a day over three years since getting the aids.

World Hearing Day is all about raising awareness and advocating for better hearing health. In your opinion, what are some important points people should understand about hearing loss and its impact?

If you have hearing loss, you are losing part of yourself, your being, possibly the ability to live and enjoy a full life. There is no shame whatsoever in wearing hearing aids, the ones I wear are relatively hard to see. Yes, there might be some discomfort at first when you try them, but that passes. The main, very minor issue, is my ears sometimes get a bit itchy, simple as that. Perseverance will pay off.

Can you share a funny anecdote about an experience you’ve had since using hearing aids?

I’ve found in noisy restaurants or cafes I can lower the volume to exclude the sound of banging cutlery and plates. Something I don’t do, I promise (fingers crossed), is turn the volume down so I can’t hear my wife talking to me. I don’t need to resort to that, I just tune myself out as usual, not the hearing aids.

Ray’s story is an inspiring example of how overcoming hearing loss can improve your quality of life. If you suspect you or someone you know might be experiencing hearing loss, don’t hesitate to schedule an appointment for a hearing evaluation. Early detection and intervention are key to managing hearing loss and living a full and connected life. Contact Atticus Audiology today to learn more about our comprehensive hearing services and take the first step towards better hearing.