To accompany means simply "to go with." I can attend appointments with you and remain by your side between them. Accompanied patients often find that my presence alone shifts clinical dynamics and produces different outcomes. 

I offer consultations — essentially, conversations — designed to help you plan your approach to healthcare services.

Persons who attend medical appointments alone but who consult with me at intervals before and between appointments report fewer instances of disenfranchisement and improved clinical outcomes. 

Medicine publishes its own standards. Clinical practice guidelines, treatment protocols, and decision algorithms specify what a given situation generally calls for. These consensually established decisions about care protocols are often “public,” but they are written for clinicians, buried behind paywalls, or otherwise inaccessible to patients.

Together, we can review published guidelines for your presentation to help you understand what care approaches would usually be recommended for you. The aim is to increase our level of education in a way that helps you anticipate what good healthcare treatment looks like in your case. I can support this learning process.

Just as your physicians document what goes wrong with your health, I keep records of what goes wrong with your healthcare.

I provide detailed documentation that chronicles instances of disenfranchisement — attending to its multiple locations, actors, modes, and mechanisms of harm. Many of these mechanisms are complex and require critical aptitude and labour to simply identify and display.

I generate this documentation based on direct observation through accompaniment or consultation, through reporting of your narrative of harm, or through assessment of your medical records. 

My charting has been used in legal, medical and therapeutic contexts. It has also informed organizing and policy action. Many patients find that having a chart that speaks comprehensively on their behalf relieves the burden of outspokenness and facilitates recovery from disenfranchisement-related trauma.

Medical records are a key site for the reproduction of harmful discourses that ensure the repetition of disenfranchisement. I can help you request your records, review them on your behalf, assess patterns of disenfranchisement, and present you with a manageable plan for addressing problematic care dynamics.

A common question patients grapple with is: "Why does this keep happening to me?" Beneath it is often a deeper one: "Is this my fault?”

A vulnerability profile maps the intersecting risk factors that increase your exposure to disenfranchisement and discrimination. Many patients find this the most exculpatory and liberating of all my services.