All posts tagged united-states

Video Shows Utah Nurse Handcuffed After Refusing to Draw Patient’s Blood – New York Times

She took a few steps back and screamed, Somebody help me! as Officer Payne pushed her through two sets of doors out of the emergency room and outdoors, twisted her so she was partly facing a wall and placed her in handcuffs.

Excerpts from the video, which came to light at a news conference by Ms. Wubbels and her lawyer on Thursday, gained widespread attention.

The video led to apologies from the mayor of Salt Lake City, Jackie Biskupski, and the police chief, Mike Brown, on Friday and an outpouring of support for Ms. Wubbels, 41. Investigations by the Police Departments Internal Affairs unit and the citys Civilian Review Board are also underway, the mayor said in a statement.

These are officers of the peace, Ms. Wubbels said in an interview on Friday. There was nothing peaceful about this incident.

The episode unfolded on July 26 as the Salt Lake City police were helping another police department in an investigation of a driver who had crashed into another vehicle while fleeing the police. The fleeing driver was killed, according to a report filed by Officer Payne, and the other driver was flown to Utah Hospital.

Officer Payne wrote that he was seeking to draw blood from the patient to check if he had any chemical substances in his system at the time of the crash, though it was not clear why.

He wrote that he spoke with Ms. Wubbels, who was the nurse in charge in the burn unit, and tried to explain the exigent circumstances of the request.

The confrontation intensified as they headed to the emergency room from the burn unit upstairs.

Im just being told what to do by my entire hospital, she said, referring to her administrators.

Officer Payne responded, And Im being told what to do by my boss, and Im going to do what my boss says.

Officer Payne could not be reached on Friday. Chief Brown said in a statement on Friday that he was alarmed by the video.

I want to be clear, we take this very seriously, he said, adding, Within 24 hours of this incident, Salt Lake City Police Department took steps to ensure this will never happen again.

The chief said that Officer Payne had been suspended from the blood draw program, in which officers are trained as phlebotomists to take blood samples, and that a new policy had been put in place. The Salt Lake Tribune reported that Officer Payne remained on duty with the Police Department.

Ms. Wubbels, a nurse at the hospital since 2009, said she was adhering to hospital policies and the law. The United States Supreme Court has ruled that the police do not have the right to draw blood in drunken-driving investigations without a warrant.

It wasnt like she decided she was a constitutional scholar, her lawyer, Karra J. Porter, said in an interview on Friday.

No charges were filed against Ms. Wubbels, who was in handcuffs for about 20 minutes before being released. Ms. Wubbels said she wanted to use the episode to educate medical professionals and the police and to open a civic dialogue.

University of Utah Health, which runs the hospital, supports Ms. Wubbels and is proud of her decision to focus first and foremost on the care and well-being of her patient, Kathy Wilets, a spokeswoman, said in an email. She followed procedures and protocols in this matter and was acting in her patients best interest.

Ms. Biskupski said that efforts to get the police to increase the use of de-escalation techniques have been successful but that this incident is a troubling setback.

Robert J. Louden, a retired chief hostage negotiator with the New York Police Department and a professor emeritus of criminal justice and homeland security at Georgian Court University in New Jersey, watched the video and said in an interview on Friday that Ms. Wubbels was an absolute professional.

Officer Payne was 100 percent not correct, he said, adding, It seems to me hes in need of an attitude adjustment.

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Video Shows Utah Nurse Handcuffed After Refusing to Draw Patient’s Blood – New York Times

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Prejudice in the emergency room – Yale News

by Natasha Strydhorst August 22, 2017

Esther Choo, M.D. ’01, wrote a Twitter thread that has brought national attention to racism in medicine.

Every so oftena few times a yeara patient at Oregon Health and Science University (OHSU) hospital in Portland refuses treatment in the emergency department from Esther Choo, M.D. 01, M.P.H. Its not because they consider her 15 years medical practice too paltry, or her School of Medicine degree insufficientbut because she is not white.

Its one of those things that youre never prepared for, said Choo, whose parents emigrated from Korea in the 1960s. Nobody, at any point, has said, Oh, by the way: youre a woman and youre a physician of color; you probably will have experiences like this. So Choo began that conversation with a Twitter thread the Sunday after the white supremacist rally on August 12 in Charlottesville, Va., that ended in violence and with the death of Heather Heyer when a car allegedly driven by a neo-Nazi plowed into a crowd of counter-protesters. In a matter of days, the thread had been retweeted more than 25,000 times (including by Chelsea Clinton and the physician-writer Atul Gawande, M.D.) and garnered more than 2,000 comments. The attention led to Choos appearance on CNN, where she discussed the issue of racism when it comes to patient care. Those patients who refused her capable care, Choo said, either chose to be treated by a white intern over the experienced doctor or walked, untreated, out of the emergency room.

Breathtaking, isnt it? Choo tweeted, To be so wedded to your theory of white superiority, that you will bet your life on it, even in the face of clear evidence to the contrary? That evidence could hardly be clearer: in addition to her 12 years of post-residency practice, Choo has her degree from the School of Medicine, her residency at Boston Medical Center, and work as an associate professor and attending physician at Brown University under her belt. Shes now an associate professor at OHSU, where, in addition to her clinical duties, she studies health disparities, substance abuse disorders, and gender bias. She also writes and serves on the advisory board for FeminEM, a resource for women working in emergency medicine.

Her familys story is a classic immigrant tale. Her parents came to the United States so her father could study engineering at Michigan State University. After receiving his doctorate, he went to work as an aerospace engineer for NASA in Cleveland, while her mother owned a home cleaning service. They became citizens and raised three childrenEsthers two brothers are a biology teacher and a management consultant. Before coming to the school of medicine, Choo graduated from Yale College with a degree in English language and literature.

It took me a long time to get to where I am now, where I dont internalize it at all, Choo said of her efforts to deal with racism at work. But when youre a younger physician and youre still developing your knowledge base, there are so many doubts that you have. So when you encounter someone who looks at you and finds something wrong thats so personal to youthat cannot be separated from youit just creeps into any available areas of insecurity. And somehow you walk away feeling less confident as a physician, because this person is questioning your legitimacy to be there.

It’s one of those things you’re never prepared for.

Choos experience is not unique. Many of the thousands of replies to her thread related similar experiences, an outpouring that raises concerns. An article last year in the New England Journal of Medicine discussed how physicians might deal with racist patients, and in December OHSU released what Choo called a prescient statement advising patients that hate speech and bigotry will not be toleratedand that requests for a specific physician based solely on race will not be honored.

How do we improve the multiculturalism and the diversity of our physician workforce? Choo said. Its really hard if youre presenting some subsets of the physician work force with a harder road to travel.

Nancy R. Angoff, M.P.H. 81 M.D. 90, HS 93, associate dean for student affairs, who recalled seeing the qualities of compassionate care and calm leadership in Choo as a medical student, noted that the issue is a pressing one. More and more, were looking at that as a form of mistreatment that our medical students face, that our trainees face, that we as an institution need to take seriously, she said. We need to foster an environment in which we respect each other.

Hospitals are not selective institutionswe treat everybody who walks in the door, Choo said. We are really thrown togetherpretty intimatelywith our patients, so were going to encounter a wide variety of opinions, and some of them will be extreme intolerance. Its one thing to view it from across the country or on TV, and its another thing to have it in your workplace and up in your face.

Some refuse to believe that Choos experience is genuine. To the doubters, Choo is gracious: Its a hard reality to acceptit shows the darker side of human nature, she said. Injecting a positive note into that darker reality, Choo revealed in her Twitter thread what gives her hope: A few get uncomfortable and apologize in the same breath they refuse to let me treat them, she wrote. You see, its a hell of a hard thing to maintain that level of hate face to face.

This article was submitted by John Dent Curtis on August 22, 2017.

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Prejudice in the emergency room – Yale News

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Prejudice in the emergency room – Medical Xpress

Esther Choo, M.D. ’01, wrote a Twitter thread that has brought national attention to racism in medicine.

Every so oftena few times a yeara patient at Oregon Health and Science University (OHSU) hospital in Portland refuses treatment in the emergency department from Esther Choo, M.D. ’01, M.P.H. It’s not because they consider her 15 years’ medical practice too paltry, or her School of Medicine degree insufficientbut because she is not white.

“It’s one of those things that you’re never prepared for,” said Choo, whose parents emigrated from Korea in the 1960s. “Nobody, at any point, has said, ‘Oh, by the way: you’re a woman and you’re a physician of color; you probably will have experiences like this.'” So Choo began that conversation with a Twitter thread the Sunday after the white supremacist rally on August 12 in Charlottesville, Va., that ended in violence and with the death of Heather Heyer when a car allegedly driven by a neo-Nazi plowed into a crowd of counter-protesters. In a matter of days, the thread had been retweeted more than 25,000 times (including by Chelsea Clinton and the physician-writer Atul Gawande, M.D.) and garnered more than 2,000 comments. The attention led to Choo’s appearance on CNN, where she discussed the issue of racism when it comes to patient care. Those patients who refused her capable care, Choo said, either chose to be treated by a white intern over the experienced doctor or walked, untreated, out of the emergency room.

“Breathtaking, isn’t it?” Choo tweeted, “To be so wedded to your theory of white superiority, that you will bet your life on it, even in the face of clear evidence to the contrary?” That evidence could hardly be clearer: in addition to her 12 years of post-residency practice, Choo has her degree from the School of Medicine, her residency at Boston Medical Center, and work as an associate professor and attending physician at Brown University under her belt. She’s now an associate professor at OHSU, where, in addition to her clinical duties, she studies health disparities, substance abuse disorders, and gender bias. She also writes and serves on the advisory board for FeminEM, a resource for women working in emergency medicine.

Her family’s story is a classic immigrant tale. Her parents came to the United States so her father could study engineering at Michigan State University. After receiving his doctorate, he went to work as an aerospace engineer for NASA in Cleveland, while her mother owned a home cleaning service. They became citizens and raised three childrenEsther’s two brothers are a biology teacher and a management consultant. Before coming to the school of medicine, Choo graduated from Yale College with a degree in English language and literature.

“It took me a long time to get to where I am now, where I don’t internalize it at all,” Choo said of her efforts to deal with racism at work. “But when you’re a younger physician and you’re still developing your knowledge base, there are so many doubts that you have. So when you encounter someone who looks at you and finds something wrong that’s so personal to youthat cannot be separated from youit just creeps into any available areas of insecurity. And somehow you walk away feeling less confident as a physician, because this person is questioning your legitimacy to be there.”

Choo’s experience is not unique. Many of the thousands of replies to her thread related similar experiences, an outpouring that raises concerns. An article last year in the New England Journal of Medicine discussed how physicians might deal with racist patients, and in December OHSU released what Choo called a prescient statement advising patients that hate speech and bigotry will not be toleratedand that requests for a specific physician based solely on race will not be honored.

“How do we improve the multiculturalism and the diversity of our physician workforce?” Choo said. “It’s really hard if you’re presenting some subsets of the physician work force with a harder road to travel.”

Nancy R. Angoff, M.P.H. ’81 M.D. ’90, HS ’93, associate dean for student affairs, who recalled seeing the qualities of compassionate care and calm leadership in Choo as a medical student, noted that the issue is a pressing one. “More and more, we’re looking at that as a form of mistreatment that our medical students face, that our trainees face, that we as an institution need to take seriously,” she said. “We need to foster an environment in which we respect each other.”

“Hospitals are not selective institutionswe treat everybody who walks in the door,” Choo said. “We are really thrown togetherpretty intimatelywith our patients, so we’re going to encounter a wide variety of opinions, and some of them will be extreme intolerance. It’s one thing to view it from across the country or on TV, and it’s another thing to have it in your workplace and up in your face.”

Some refuse to believe that Choo’s experience is genuine. To the doubters, Choo is gracious: “It’s a hard reality to acceptit shows the darker side of human nature,” she said. Injecting a positive note into that darker reality, Choo revealed in her Twitter thread what gives her hope: “A few get uncomfortable and apologize in the same breath they refuse to let me treat them,” she wrote. “You see, it’s a hell of a hard thing to maintain that level of hate face to face.”

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Prejudice in the emergency room – Medical Xpress

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