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2 hours ago, Boatswain2PA said:

Question:  How do you know when you have reached the intellectual and emotional limits of an socialist idiot living in their mommy's basement?  
Answer:  They call you a racist..

^^^ This right here is how you can tell a racist is really just hoping for the protracted troll fight more than anything else. A forum on which to practice and hone propaganda, doing nothing but making them better at spinning more racist propaganda. PAF is a safe forum for airing those "deep thoughts" of the popular racist celebrities these guy quote given every opportunity. Check the post histories, folks.

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11 hours ago, Boatswain2PA said:

Oh look everyone...we have a social justice warrior who wants to become a PA!  Goody for you!!  Do you have your black face mask, pepper spray, and sticks??

It's funny how the "antifa" use the same tactics as the actual fascists of history.  Yet they are all socialists, the movement which led to the rise of the actual fascists.  History is funny....

PS - There is no "safe space" there cupcake.  That feeling of safety you get in your moms basement is an illusion provided to you by men who are willing to do violent things to keep the wolf at bay.

Dude...seriously?  I think your comments have become less constructive the longer you've followed this thread.  Literally, these are insults and seem to be geared more toward a generational shift in political thinking (probably from an unhealthy dose of fox news on your part) and less to do with healthcare.  I'm not disputing your seniority here buddy.  But seriously, you need to calm down.

To get back on topic...

On 8/9/2018 at 1:11 AM, BlackCatWhiteCat said:

Also if there is anyone who has already encountered a situation like this please feel free to answer. It would be great to know how you handled a situation like that

I mean...I've rendered care to racists, drug addicts, people actually attempting to do physical harm to me.  I've witnessed nurses and doctors alike break down and give up care temporarily or even become equally combative with patients.  I've treated alleged murderers (such is the life of a Corpsman).  I'm sure to some degree, every single person involved in direct patient care has faced, at some point early on in their career, this dark, sort of, unconscious decision that follows an encounter with a particularly morally repulsive patient.  Do I let this person suffer?  The answer is no.  No matter what.  There is never a correct rationale to rendering lesser care to someone you don't like or agree with.  HONESTLY, if you ever find yourself trying to rationalize something like this, you need to be in a different job.  Our job as providers is to treat indiscriminately and to the best of your ability.  You should endeavor to treat someone convicted serial rapist the same as anyone else imo.

idk maybe I'm wrong, but this is my philosphy on patient care (largely informed by my own faith and personal beliefs)

 

Edited by StevenBrule
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2 hours ago, Boatswain2PA said:

Many, many, MANY situations.  I've closed on an abdomen that ACTUALLY HAD the all the KKK/nazi tattoo's across it..you treat the patient to the best of your ability.  I've treated more meth-heads than I can remember....you treat the patient to the best of your ability.  I've treated a guy who shot a cop....you treat the patient to the best of your abiilty.  I've treated the drunk driver who killed the family member of the lady in the next room....you treat the patient to the best of your ability.
 

I think implicit bias doesn't rear it's head so much in emergencies or urgent care maybe even most specialties.  Its with primary care that it becomes a problem.  You label patients non-compliant, uneducated, "they don't care about themselves," pain-seekers.  This person is an addicit-- that person is "illegal" so they don't deserve to be treated here.  You are supposed to be providing care and managing a patient's complex disease processes but it's easier to just give up on them with a little racial bias perhaps?  Definitely a classist bias.....

I see it.  Every. Day.  

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16 minutes ago, thatgirlonabike said:

I think implicit bias doesn't rear it's head so much in emergencies or urgent care maybe even most specialties.  Its with primary care that it becomes a problem.  You label patients non-compliant, uneducated, "they don't care about themselves," pain-seekers.  This person is an addicit-- that person is "illegal" so they don't deserve to be treated here.  You are supposed to be providing care and managing a patient's complex disease processes but it's easier to just give up on them with a little racial bias perhaps?  Definitely a classist bias.....

I see it.  Every. Day.  

Good point.  You face repeat offenders and the drug seeker dilemma in emergent settings as well.  The problem seems to stem from letting your opinions influence patient care.  No provider should be rationalizing substandard/low-quality care but it happens.  Ill seek to be more vigilant about this

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