class-acts:-jeremiah-‘jay’-truel

At 8 years of age, Jeremiah “Jay” Truel emulated his father’s footsteps as they walked near their residence in downtown Milwaukee. Scattered across the streets, individuals without shelter greeted the father and son with friendly waves and “hellos.” With a smile, his father reciprocated the gestures, and Truel followed suit. Frequently, his father inquired about their well-being. Truel did the same.

“Pleasure to meet you,” the young Truel remarked, waving farewell as he and his father resumed their stroll.

“It may appear trivial, but witnessing my dad interact without the apprehension or scorn that society often directs toward the unhoused has significantly shaped not just my perspective on medicine, but my core values,” Truel stated, who is on the verge of obtaining a medical degree from Washington University School of Medicine in St. Louis. “My dad dedicated his time to a nearby food bank, and I observed how he treated individuals living on the streets with dignity.”

These encounters motivated Truel to co-establish StreetMedSTL. The nonprofit organization consists of interdisciplinary physicians who visit encampments and shelters to deliver medical treatment, support, and preventative health strategies. Since its inception in 2022, StreetMedSTL has attended to over 1,000 patients.

In 2023, Truel launched Unhoused Health, with the goal of training nearly 100 medical students in trauma-informed care tailored to the distinct requirements of that community.

With both organizations, Truel mentioned he led in a manner similar to his father — through actions.

In July, Truel is set to commence his residency in dermatology at New York-Presbyterian Hospital, affiliated with Columbia University in New York City.

What draws you to dermatology?

I attended undergraduate studies at WashU, where many pre-med students were present. It seemed that from the very beginning, they were intent on becoming doctors. They possessed an intensity for medicine that I, unfortunately, lacked due to my limited exposure. I initially thought my lack of fervor meant I wasn’t suited for a career in medicine. However, I chose to shadow a dermatologist after my sophomore year at WashU. It seemed to align perfectly with my desire to assist vulnerable individuals — guiding them through challenging moments when they seek support but may be uncertain of whom to trust.

Why is dermatology vital for those experiencing homelessness?

When considering someone who is unhoused — it’s inherent in the term — they exist without a protective structure surrounding them. Their skin assumes heightened significance and symbolism. It acts as the barrier connecting them to the outside world. Yet, the skin also faces numerous environmental threats, like ultraviolet exposure or various weather conditions. We also encounter a significant number of unhoused patients who damage their skin barrier through substance injection. Consequently, dermatologists often manage numerous open wounds. From a preventative standpoint, these wounds can be addressed with antibiotics and wound care if detected early. Nevertheless, individuals without homes, particularly those with injection-related wounds, often feel marginalized by the healthcare system. This makes them hesitant to seek medical help. Unfortunately, such wounds can progress, resulting in tissue death. They can also spread infections to the underlying muscle and bone, leading to mutilation, limb loss, chronic pain, sepsis, and even demise. It is crucial to treat these wounds promptly, yet often they remain untreated because this demographic feels disregarded in hospitals or medical offices.

What characteristics define an effective leader, and how will you embody those as a physician?

An effective leader embodies qualities such as flexibility, perseverance, and resolve. Communication plays a vital role as well. However, the educational framework at WashU Medicine also focuses on well-being, which is equally crucial in leadership. As a physician, it is essential to recognize how physically and emotionally taxing this profession can be.

A commendable physician and leader acknowledges that every voice is significant. At times, patients are those we must prioritize listening to. I never wish to present myself as possessing all the solutions. Each individual has distinct perspectives and experiences that should be valued. Because neither the patient nor the physician traverses these journeys alone. We rely on one another.

The article Class Acts: Jeremiah ‘Jay’ Truel originally appeared on The Source.


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