Thread by @DrMakokis

For the non-believers. A Cree man went to the local town, with a bandaged wrist for care of his wound. The MD did not even look at the wound and rx given for antibiotics. Came to see me, wound not healing. I unwrap the wound, and see his tendons beneath necrotic tissue. /1

I debride wound, call plastics in tertiary care Centre, arrange for transfer. Cree man arrives to the ER, they do labs and send him home. Plastics was expecting him. Comes back a few days later, worse, repeat cycle. Plastics angry at incident, but systemically nothing changed. /2

I had sent a letter with pt to give the ER. I always tell my Cree patients, “I do not have x-ray vision like some doctors, I actually need to examine you.” Many have not been physically examined by an MD in years. @ what point is it “the system’s” job to have “quality control?”/3

At what point can we put racism as a diagnosis for a presenting complaint or cause of death? And at what point will it be “treated” appropriately in the system in which it constantly metastasizes, spreads, or lies dormant as people ignore it? /end (for tonight).