cross-posted from: https://sh.itjust.works/post/53026045

Dr. Elyse Stevens had a reputation for taking on complex medical cases, including people who’d been battling addiction for decades. Some were chronic-pain patients on high doses of opioids; others were sex workers and people living on the street.

“Many of my patients are messy, the ones that don’t know if they want to stop using drugs or not,” said Stevens, a primary care and addiction medicine doctor.

While other doctors avoided these patients, Stevens — who was familiar with New Orleans from her time in medical school at Tulane University — sought them out. She regularly attended 6 a.m. breakfasts for homeless people, volunteered at a homeless shelter clinic on Saturdays, and, on Monday evenings, visited an abandoned Family Dollar store where advocates distributed supplies to people who use drugs.

Stevens’ approach to patient care has won her awards and nominations in medicine, community service, and humanism. Instead of seeing patients in binaries — addicted or sober, with a positive or negative drug test — she measures progress on a spectrum. Are they showering daily, cooking with their families, using less fentanyl than the day before?

This is a story of total ignorance and stigma destroying the practice of the most incredible and compassionate physician in New Orleans, who dedicated her life to caring for the city’s most vulnerable residents when no one else would.