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.
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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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