Provider Profile Vol. 1 | Dr. Nickisha Berlus
Right at Home
Brooklyn native Dr. Nickisha Berlus began her career as a
provider with Care For the Homeless (CFH) on November 5th, 2018. Since
then, she’s been practicing at CFH’s Health Center at the Bushwick Family
Residence in Brooklyn, NY. There she serves families and children who are
mostly under-insured or uninsured.
As much as she loves serving her community, family medical
care wasn’t always Dr. Berlus’ first choice. “I initially went into medicine to
go into surgery,” Dr. Berlus reminisced, “but when I was at Robert Wood Johnson
in Camden, NJ, I did the Hot Clinic Health Outreach program.”
The program was designed for medical students to follow patients who were similarly under-insured or uninsured, to the various emergency rooms1 and specialty clinics they would frequent.
Dr. Berlus commented, “It was my patient at the Hot Clinic that deterred my original professional route. I was in my 4th year of school, she was in her mid-50s, and had been jumping from ER to ER with classic symptoms of multiple sclerosis."
However, because this woman had no insurance, she couldn't utilize the services of a primary care physician. Unlike ERs and specialty clinics, primary care doctors save medical records so that they can better treat chronic conditions. So unfortunately, because of her lack of options, this woman's MS consistently went un-diagnosed until she began treatment with Dr. Berlus.
“That’s how I knew I wanted to serve under-served patient
populations.”
As fate would have it, it would be during Dr. Berlus’
residency that she had her first exposure to CFH. “My residency was in the
Bronx at the Montefiore Medical Center. One of my attending physicians taught
us how to contract with Care For the Homeless.”
That attending was Dr. Andrea W. Littleton. A longtime
advocate for those experiencing homelessness, she is currently the medical
director at BronxWorks and the faculty advisor for the Homeless Outreach
Project at Einstein (HOPE). Additionally, she received her undergraduate degree
from Cornell University, attended medical school at Stony Brook University,
completed her residency at the Albert Einstein College of Medicine.
Dr. Berlus said of her mentor, “Dr. Littleton is extremely
inspiring. She still works at the Living Room [a CFH health center site], where
she does Suboxone2 and Hepatitis C treatment. I remember how impressed I
was with her day to interaction with patients and how she implemented continuity
of care3, even at a drop-in site. Patients had tremendous respect for her
and brought in their entire families to see her.”
“I saw potential for continuity of care with CFH,” Dr.
Berlus continued. “Whereas I wasn’t getting that as much with urgent care. I
missed primary care and seeing families.”
Young patients, fresh out of their eye exams |
Of course, when you’re unsure of where your next meal is
going to come from or if you’re going to be able to sleep inside at night,
going in for that checkup takes a backseat. Patients sometimes must travel long
distances to acquire food and other essentials. This results in high ‘no-show
rates’ at many of our health centers.
Dr. Berlus observed, “Health is not as much a priority when
you don’t have stable housing. So, calling patients or reaching them when
there’s abnormal results and they have to come in and discuss them is
definitely one of the most challenging aspects of our work with this patient
population.”
To remedy the ‘no-show’ issue, Dr. Berlus and her team make
the 1-mile journey down the road to St. John’s Bread and Life, a soup kitchen
that serves a significant amount of Bushwick patients. There they’re able to
remind their patients of their upcoming appointments and instill some necessary
urgency.
Kashawnda smiling after a successful flu shot |
Above all, Dr. Berlus is happy that she’s able to serve a
place she has long called home. “This is my community,” she commented, “I grew
up in Brooklyn. I’m serving a patient population that helped me become who I
am. So, the most rewarding aspect of my work is that I’m using my experiences
to the best of my abilities to serve them.”
Dr. Berlus’ work is exemplary, and indicative of the effort
and passion put in by all providers and the health center teams working with Care For the Homeless. Such
work would not be possible without the support of people like you.
So please, if you enjoyed reading this, share it and give us a follow on our Facebook, Instagram, and Twitter accounts so that you can stay up to date with everything going on at Care For the Homeless.
By Connor T. Moriarty
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