The Journal of Bone and Joint Surgery (American). 2006;88:2543-2544.
doi:10.2106/JBJS.F.00925
© 2006 The Journal of Bone and Joint Surgery, Inc.
Coping with Racism in a Patient
James D. Capozzi, MD1 and
Rosamond Rhodes, PhD2
1 Department of Orthopaedics, Mount Sinai School of Medicine, 1065 Park Avenue,
New York, NY 10128. E-mail address:
capoz5@aol.com
2 Mount Sinai School of Medicine, One Gustave Levy Place, New York, NY
10029
| The first 150 words of the full text of this article appear below. |
B.F. is a sixty-seven-year-old woman who was transferred late one evening
from another hospital with an apparent infection at the site of a total knee
replacement. The orthopaedic resident on call attempted to evaluate the
patient. The resident's plan was to perform a history and physical
examination, aspirate the joint, and begin intravenous antibiotics. The
patient refused to allow the resident to evaluate or treat her. The patient
stated that she would not allow anyone of color, including physicians or
nurses, to treat her. The orthopaedic resident was of Indian descent, and the
patient was black.
This scenario raises the interesting ethical dilemma of coping with a
patient who displays racism. We have all dealt with difficult patients,
patients who sabotage their own
treatment1, and
patients who are belligerent, combative, or argumentative. We deal with their
poor behavior with tolerance and proceed, when possible, with treatment. In
contrast, a . . . [Full Text of this Article]

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