so. busy the forecast is that by wednesday, by and reading again and the words, she's not over at all. that's so we'll leave it so now there's money is a dw comp time to meet a logical thanks for being with us. the name is and the whole bag said loud. thank you so much for joining in. welcome to don't hold bad. a lot of people do that. it's all about saying it aloud. most would it be nosy bay like good everyone to king. check out the award winning called com. so hold back a, b, b, c looked a bismark a for a is b,

c. the gp has been working in a medical practice and head of a for a year. since he arrived significantly more patients with the mines in the background have been coming in the wood has gotten out the adobe well treated. apparently, that's not the case every what over the course of the general population has a migrant background. almost 24000000 people. the it is everyone present the same in the gym and health care system, the hello, how are your? yeah. so in amman was case the don't was able to intervene after clinic to and to my way to,

to get over it. come every insight. yeah. to the 2nd yeah. your kidney. yeah. you go doctor a 40 diagnosed emmanuel was to degree renal congestion. the condition can quickly become dangerous. you sent him to hospital for emergency surgery. so when he arrived, he was turned away at the reception desk. even though he had all the necessary paperwork, he had to make an appointment with the vonage department. he was told he had no choice, but to leave i may see him outside the clinic and hell know where it happened. i was sure. oh no, no. i was to for about 2 or 3 minutes. i don't have any possibility to go

either. so what i have to do to saw your emergency paper wise phone or lender, images. people who immediately drove up to the table with a talk to a full retail smith, and he called the hospital to talk to the receptionist. he said it was a misunderstanding, and the model should go back to me. so if it worked fine cannot be just for like i said, blood, sometimes there's a lot of discrimination with some don't have to forget. and then for course, what's the do you run blockage can result in kidney damage if he hadn't gone back to dr. for a emanuel's renal congestion could have been fatal. right to the hospital

with questions about the case. the answer. as a general rule, no one will be turned away. someone with a medical emergency, obviously it isn't expected to have an appointment and won't be asked to return after like 2 days or something. but the reality is all from different says dr. a for a. yeah. come off, wanna suspend that sounds much man. i'm violent as i want to admit to patient 2000 and have a phone background kind of i really worry about them being turned away basically. and if i'm okay deceptive, you have of once it has been mentioned, it's a kind of with someone with an african background when i shut up the referral phones and i make a mental note to follow up. so i don't want to call one and ask if everything works out, i'm just going to this thought off of me on. and so as club i just looked at all for me is it's not the only example of racism in the gym and

health care system. will be coming across others. of course, most of us have had some bad experiences with doctors, myself included. however, it happened significantly more often to people with a minor trait back, correct. this is now backed up by the 1st comprehensive study on racism in the gym and health care system, commissioned by the federal ministry for family affairs and carried out but the send us the integration and migration research. the research team led by a social scientist, she had sent a new evaluated move in 21000 questionnaire and conducted additional interviews. the dubai davia to try and verify in god, cynthia, wherever we turned our focus, we saw problems costs. in some cases, these were delay right now, for example, in terms of guessing help. we also saw in the qualities in terms of appointments

yourself. to mean, how can we as a society, should be alarmed about human rights issues in an area such as health and health care. but we're lives are at stake, then it's a matter of life and death. the gluten tide, because i'm tired of certain groups are negatively affected, and even then we as a society, need to be concerned and garbage them to cook. and these are the coffins, intense items, stuff. that's because i just saw from my the policy among the people affected in too many of those who identify as black ation or most little vitamins should phone define cover that's causing tax fees and see a government unless it's another gazette shop. i think the health care system is no different from other social institutions that are only adapting to new demographic and social realities. very slowly, high advertising, the biggest out of the media in the areas we examined is we see that there are still structures in place and disadvantage in certain groups that these banassi

bodies can we want to know how this impacts people's everyday. lots like journalists, so we ask the public via instagram, within a day, people submission detailed accounts of negative experience. it's very common, the very fact that black people are spoken to in english. so mostly women are addressed in a certain tone of voice. it happens all the time. when i arrived, the emergency doctor took one look at me, turned around and refused to touch me. a doctor who was taking the hippocratic oath would have let me die. and it was because of the color of my skin. in the ambulance, the blue lights are switched off because our boys make a fuss about nothing. my partner doesn't speak german and don't just offices. he is often ignored by the stuff that ours over is.

adults as themselves say on that websites that they speak english. now we only came to the door together. it's definitely human, the aging for him not to be able to go to a doctor's office alone. while researching i came across the case of ramsey, she had a problem matic medical history but was fault off with painkillers. again and again, and not given appropriate diagnosis until the head of the study about to this box, which i'm not surprised limited, so it is inside, but we can also prove statistically many muslim women are not taken seriously home items. it sounds good onto that. the move in 2 thirds of the muslim women in the studies said the medical stuff, treat them unfairly, or worse than not, that's the face has consequences. 38.9 percent of most of them. women have change doctors because they didn't feel taken

seriously. among women who are most affected by racism, the secret is 28.8 percent. the condition of the fortune street ductwork has pushed them to build up. the research shows that there are certain prejudices regarding this with women in their passive. you have emotional, irrational. i've been on the, there's also the clichy that they're very dramatic about pain was a key. she often apply to people from turkey, especially women. when it is that they exaggerate their pain symptoms or their hyper sensitive hide. it took off even though she had some to patrick at subscribed . we visit ramsey in low ascent sneak. she seems to have been a victim of exactly this kind of thinking. her family documented her experience for the fellow. although she was seriously ill and spent weeks in hospital,

she was given an accurate diagnosis. as a result, she has lost in health issues which has taken its toll today, ramsey a can hardly walk into as quickly exhausted. she had to give up to a job as a cleanup. she doesn't speak much german, but understands everything. we say it all began with the sudden severe back pain in january 2021. she could hardly move and was fractured by pain. in the middle of the night, her daughter called an ambulance ramsey was hospitalized for 10 days. and diagnosed with new rich compression seemed trying to come from the bcu them as to what ran them sent to me. that was the 10 this set

to me, but the test. nothing wrong with you. the get top hit on the and then everyone was saying, the results show you don't have anything. she gets off on the don't make such a fuss or the top load with the shelves, meal. my name, what happened was my mother would call me at night during those 10 days and say we're not doing anything is i'm in so much pain that i wish i could die, leave our staff. she was a screaming and pain on the phone at night and i'm saying please, but tell me they're doing something nurse, i don't want to live. i can't take it anymore. house, they me name typical, doomed a treaty to me like that because i'm to, casually for it wouldn't have happened to a gym and a woman. so you begin to open the doctor's face to identify a life threatening heart valve information either have her heart valve, you the seduce me by threat dc. a severe back

pain can indicate serious open disease. that's why so the diagnostics was so important, the right to the hospital. the family filed a written complaint. the clinic is well aware of the case. a spokes person writes to me that there was no way of investigating how a nurse spoke to ramsey, and that some feedback pain is not association with heartfelt inclination. but there are now jim and hot central and munich disagrees back pain might well be a symptom of heart valve information. another indication that ramsey is complaints were not taken seriously. took place fits when her pain didn't subside. the family went back to her doctor to try and get

a referral for another hospital. doctor, my name, what's i'll see under 50 sick, but to petitioners my mother back to the doctor to admit her to another hospital. he says the doctor got angry and said, you're not going to hospital, there's nothing wrong with you hospitalized in this. then we were simply sent home in the house of the sick cell to kept all the paperwork. she contacted the practice 6 small times, becoming increasingly desperate. 5, this points grandmother had tools and fever. one kind of miss in the puts you into instance, you can't keep bobbing off a patient to the thing. they just have depression. they're met a puzzle in the summer. i can understand that even as a general practitioner, the 1st thing you do is look at test results from the hospital, them on it before that the something that if you see something is wrong that you can say, okay, i don't know. and the issue 5, which is i'm going to refer you to hospital, i'm was kind of that's not what happened to this hung image,

because instead according to the family ramsey, it was told over the phone, but the doctor's assistant. but she had depression and menopausal symptoms. it was only the point when she could no longer eat and drink that she finally got a hospital referral from the doctor. this time she was admitted to the clinic and her last 6 weeks of to ramsey is 1st complained of pain . she finally got her diagnosis, advanced hot valve inflammation, adult trip this call, special hard to kind of cause. she was indirectly involved with the case posted. it bounces on instagram a case of discrimination in the health care system that almost cost a patient to night. unfortunately, the hospital failed to carry out sufficient test,

despite time levels of inflammation. instead, the patient was sent home with pain can let's, she saw several more doctors because she was still in severe pain despite taking pain killers. she was told she was exaggerating the problem as far and as do eventually this family hired a lawyer. then now demanding compensation from the doctor and the hospital, but how likely are they to win the case? and then move police from vancho scalar. and i'm guess i'm just kind of, we have the possible treatment error during the hospital stay in the future. they should have investigated earlier and more thoroughly. and um, you know, physical to him with the, with the house. that's the reason there's the doctor i think is when she heard there was a fever and shells. she should have reacted immediately on cummings. only about a 3rd of all medical malpractice cases, a successful in cold humphrey,

my racism really plays a role a nice little so it's doesn't offline. those are concerned, dr. drew, from my perspective, there are explicit races. cliches to play here with people with the migration background, supposedly exaggerate or even fix their pains. but the fact is that racism and discrimination is very difficult to prove it. give it some advice on that. it's been proven. the racism is an issue for people applying for apartment, sol, jobs, racism in the gym and health care system has not been properly investigated. even though it can be a matter of life. so is it just a question of individuals who consciously or unconsciously behaves in a racist way? what is the problem systemic doctor or for his practice? and how is that as a general practitioner,

he often use as a post oxy mesa. this measures the patient's blood oxygen saturation based on light rays that penetrate the skins groups, however, of 2 years of experience, he no longer trusts the device. does the device look the same for every patient? a nice looking like a like a night. not clearly not. it's often not accurate when measuring oxygen levels in people with dark skin tones. i don't always rely on at 100 percent expression for that is i want to put $0.10 a whole bunch. would you use the pulse oxy mesa for a black patient to short of breath? very simple. do you have it? i don't know if a patient a short of breath, i'd say, based on the symptoms, they need to hosp to check out. i don't want them. obviously, i don't know now isn't that both of us, do you have dark skin yourself? what is the device doesn't work. yeah. in that same place,

you're right. at the end of the day, it's not optimal for the most the can result in my life. but if you know that the problem exists, come, you can try to work around this because of what i'm going to do, what you can, but so there aren't any negative surprises. estimate the the us study from 2020 show the dangerously low oxygen levels are almost 3 times more likely to go undetected in black patients than in wind. a serious problem became especially acute during the global cubic 19 pandemic. the, the reason why the pulse oxy mesa doesn't always get reliable readings is because it was designed for white skin. suppose it know a prime example of structural racism in medicine. more on fixed liaison, the doctor is knuckle for. he is aware of the obstacles his patients

face and does his best to look around them. giving a patient the attention they need when is a language barrier, for example, is time consuming. it can take longer to the 8 minutes a dr. spends on average with the patient in germany according to the professional code of conduct, the physicians who patients must be treated equally due to them. put all day and evening to inspect the talk to mike, tell a patients to come back with an interpreter. would you, even though most talk to speak english about when this can affect diagnostics? basically. so yes, most the diagnosis and how the condition develops. it gets much worse as a result, given those enough of someone from in the waiting room we ask patients about to have experiences. and then when you were alone with the doctor,

they talked to you weirdly like you're a foreigner in their house and then they you take and see, do you say here? yes, i'm taken seriously. and that's why i feel more comfortable here. part of our lives time sheet of these kind of thing, matching english oh my cheese also see also the recent study clearly shows the effects of racism among black patients. 62.8 percent too late treated worse than others. i just think of those of you mentioned on it. that's christ. tom. what about i think that we humans all have the right to be treated well by other people. we will need to be aware that we don't benefit from treating other people was it doesn't make us better. i mean, different stuff around it doesn't make a strong distinguish because it doesn't make

a small to even edition is based off of it. it just homes on the people who isn't tend to get into every single i saw the line for us on the home interest and also do but not why does the health care system filed reflect out of the society? he's and medical equipment appears to be biased and people with acute health problems being sent home a system that's supposed to help everyone equally is actually pushing many at risk. it's a problem that needs to be addressed as it's routes. the gaps and the systems start with gaps in education. here in raw stall conclusive medical students want to change. this is john asked us not to use his last night. he fused the 5 right might target see. the problem he says starts with medical literature. start off because we have learned about dermatology and how disease

patterns, luke, exclusively, in terms of white skin. and it is a contract, not all patients are going to be white ties on hold. this means we can overlook diseases, misdiagnosed, and in the worst case i let people die comes copy of this call. just as any disease where this is particularly noticeable was but what it was, it came about by the media. it's an issue with lane disease and also with anemia. some to some symptoms are detected using a visual diagnosis because these will look different on black skin off the how do they look on a different skin colors and it's something you have to learn and on hold problem. because most one can see and how this looks like a round top. you can, how do you incorporate this noisy, with a sudden i talk almost, i'm fond of that you have to look for the teaching materials. so the research online has the students have to make an extra effort for me. and if you don't have the time and energy, because if you don't learn it, remember the, the title that as an educational gap and how to unacceptable out on purpose and look at the end on top of ignorance can be dangerous.

take a rush that could indicate the dangerous disease, like shingles, measles, i didn't mention it, but then if we overlook people, we overlook their problems since your needs assessment and but health care is a basic right corner that we've made this our mission. i'm viewing at least in germany, most of you have the phonic, a sleeper sofa. only one medical school has adapted it's teaching in germany, most cost loads. the medicine considered too heavy over the this is documented. office guns not argument doesn't told us. finally, columbus federal association of medical students has taken a clear position like that. we want racism to be addressed and teachers, i get to that. and then they have a vision belongs to the student initiative critical medicine role. so they want to see the topic of racism in medicine addressed in

present day, which is historically in the not sierra the initiative is organized a workshop and discrimination in medicine. this is the 1st time that this topic counts towards the degree. everyone here says they've been counted incidents of every day racism in hospitals, but uh yeah, to some system just bought models. this is tim for him to have how kind of a mediterranean does he have figured out which was used in front of me in front of the logistics stuff. but someone said of a patient to didn't speak jim and look to the are and no because no the taking etc, etc. ratings. i hadn't no idea how to respond on tanf. i had 3 of us, but they didn't mean i couldn't see the patient is stuff been cut, what was i supposed to do with that kind of as well. so i sent that you have some

issues that this was a person by them who was in pain there because when you have to put some mediterranean disease, discriminatory and races to, it's still a band around that. but it was kind of hard to florida from on doctors often pre selected patients on the basis of foreign names. the idea is, i don't want to treat that patient because they probably don't speak german guns to withdraw. it sort of owns as of what names don't say anything about what language a patient speaks to attitudes and medicine are only gradually starting to change, mostly due to cross roots, pressure mean single. so i just want medicine as an old discipline, an elitist discipline. i think we were in the white discipline, i'm sorry about the wheels turned very slowly because the racism is sometimes very over and even we have to ask them why is change taking so long to sounds like

there is no excuse for racism in today's society. that's one reason it's so hard for many to admit that is exist. well, making this documentary, we often encountered close tools when we raised the issue of racism, including if this meet bias, congress, entirely depressed department doesn't want. it's a discussion about racism. once it says a, we talked to participant arenas, jury. hi, i'm your hand in the past. the z tells is racism and delivery rooms isn't warranty recognized as a problem. she hopes to change this scope. this was the school semester. i'm so sorry. i know everyone is that's cool. i think the would racism makes it home a try that will. but if we use the to the pressure to assume it would be easier to

talk about racism is something shipped to food topics. yeah. think of right wing extremists because of many of nazis and violence, stevens, but the most popular form really stuff about these midwives have witnessed races in between. if she wants to get to a place that can be highly stressful and strap have to cope with a lot of people under stress are more likely to react in a way that's racist. reacting in a sensitive way is not your a great, it's different. you're paid to look after 5 women at one time because my as if i'm us, your 1st reaction is always, oh, why was being racist? i'm i don't mean but then when you think deeper, you realize that you do have to sit and pass them that's installed. a new, a new start to wonder why stuff taken good or this week and then i'd say

there are colleagues who have been in the profession for a long time. who don't have that self awareness is all they can be very defensive. if you talk to them pointed out to them, they'll say, well, i didn't mean it like that. do you have any sort of mind? i think it's good if clinics also ricky and the training courses. again, it's a question of time and money and ultimately hospitals will to change the premises like hasn't been the same since the heart valve in fiction. she tells me today she has a mechanical hot files, inflammation and become so fat. antibiotics didn't work

after high risk operation and actually and her legs, the st. and she had to have emergency surgery since then her right leg has been up. she has to be careful not to strangers. that's one of the reasons why she had to give up work and leave the ship like a theme scientists. and we shall we have them get this on shaky the can. i feel empty inside the gym. useless. i have nothing to do like to know what the, what was my 2nd time now it's gone 1st place to do it them can today she's at a checkup appointment in the same hospital where she had heart surgery. yeah. cuz i like to be receiving is to be honest. i mean,

she doesn't have hope. she says she thinks things won't get better. just con sites less room visits on most of these art seems as if they had recognized her her problem earlier in her leg would be ok. this way, please enter that. you can put your things that animal to she wasn't so she didn't even see his ruptured leg. gotcha. rate. the doctor checks the blood circulating properly. this looks good. it's turned out well placed, equal partners to it. i'm so glad i can't believe there's positive news because i know you can see the pub circulation is fine, but when you press on the great, cuz the good news and thank you very much. the but the

trauma runs dates to the family, hopes the lawyer will make sure ramsey is compensated for who's suffering, it's kind of good service. you have to have couple for mine and all the money in the world won't bring back my mother's heart valves and to the for the, for us it's about these people being penalized them but they might not get what they want. the lawyer ma, so silly tells me the doctors are unlikely to apologize for medical malpractice out . of course, if they did their liability insurance might refuse to cover the costs besides the community. and this means that they usually refrain from comments and don't apologize psycho in the sense of admitting responsibility and see i understand with the source question the this is why patients often end

up taking the cases to quote the human dental vision of miss only the many clients wouldn't take legal action if doctors admitted responsibility. gonzagos vazo, it's about medical malpractice, all but it's also but this ignorance and this lack of sensitivity on the part of medical personnel, ramsey, for example, law school sites and heard that lack of trust is reflected in the gym and white study which shows the 12.8 percent of both of them. women avoid or delay seeing a doctor, fee of not being taken seriously to seek it is 6.3 percent for women who are not affected by racism is in the because on test supplies that we see, especially in the health sector of home the night when someone experiences discrimination and racism decided to keep their trust disappears up and we're

losing these people and they're turning away from the health care system to suppose to protect themselves from what i mentioned should some movie on mon did get an apology for what happened to her in december 2021, she went to a hospital in frankfort with severe stomach pain. a scene you talk to sold or have ms. i saw his eskimo mishaps of the mileage mass. and so actually he just didn't take me seriously. i told him how i was painted in my by my have the impression that he was taking it seriously and, and i so yeah. then to afford us to his insight, i kept insisting the pain wasn't no more hold on. he said to me, well, be glad you're here, haven't because we know amans. you'd be dead by now. if you were in africa, twins tech. i was upset by the idea that i should be great. so i'm allowed to be

was i've done for those 3 years lined up. can she grew up in germany that knows all too well what it's like to be perceived as different items and to buy slices. and by this new victory says ashley, i knew it was serious because i was in so much pain. and then he said that your jasmine is really good. that's high. i think it was like just haven't listening to anything like that. but it's also to assist in this, all i noticed was how i spoke gym and my knowledge and that's a problem that's as best as best to blame that from a local politician. mine was so shocked that you posted a video and instagram from the hospital test this high. it's high. you smith was also know my. i asked him is the pay numer schmidt and he said, you know, my pain is never normal. but you'll kind of have chit chat with it better than other people. sure. it's terrible to be at most of these people. so you've got most

of the political scene was a human being called, especially in the video, got hundreds of thousands of views and a barrel of hateful comments to upset the don't to shouldn't put you down the monkey you have like a prehistoric african with that face or are you walking upright yet or on all fours, like a primate mon also received hundreds of messages from other people who'd experienced racism in the health care system. then me a good amount of guy. so hoist if it happened to me today, the snow i do is to get some excess drawing attention to the problem is the only way we have against racism. i'm the balance i trust. the authors will emphasize on the impact on the her story took an unexpected turn. the

doctor apologized. mont is convinced that this only happened because she's a politician. she also managed to get the hospital to organize anti racism workshops for it stops. this is the main, the all stab dicey might tell us because pointing out what happened is on an individual level of to between people and that when this is unacceptable and ignorant. but the problem is also structural. it's institutional, it's one, it's the university's is the hospital own snacks, like bodies, happy life humanized, like colonial assembling. and this was an mentally spice of scientific progress medicine. it seems in many ways to be stuck in the 19 sixty's. it's norms, no longer a flags out of the society way and do the district however on kids that make change

so difficult come from some of the contemporary health care systems in equities have deep brutes, as medical historians, pretty boston explains this and stuff this across both pieces yesterday and frequent zions can advance very quickly once there's new research on about it can take a long time for structural change to happen in god's fund as a sort of using those in germany's until the end of the 19 sixty's. only a few people have to say in hospitals, i had unlimited power in your st and they made all the decisions that's in the 1st months that changed in the late sixty's. but it takes generations to change structures, me. so i just talked one done even to get into that. and of course in a system in which people are earning very well in the future is going to be very hierarchical. indeed, as soon as the opinions tutton x s t n,

see if you hi. so so you have to look at the medical history museum and handbook felipe austin should slice on milky chapters in the history of gym and medicine, u. d. that's it. and that's for this shift to then be the teams, for example, the history of racial prejudice and one fever, an article, alms of german science, contributed to racist views of black people, the opportunity and kind of take renown. jim and physician and micro biologist rather call. he conducted drug trials in a form the british colony in east africa. many people here suffered from sleeping sickness call experimented on them using a remedy containing arsenic. his goals together dos for the german pharmaceutical industry. one, send it to the peter stuff concord, people that call to should robert cox experiments with sleeping sickness. patients led to blindness,

the trials to police and what he called concentration camps. patients were crammed together and treated until they no longer should symptoms of the disease kind of people try to escape and that's why they were held by force also by some massive forces. me to find that for one must even call test if he's remedy on more than a 1000 people a day. many died in the process to precise fetus unknown. here the fish that thoughts and these experiments play a very important role in the history of the german pharmaceutical industry has been full. it was a precursor to antibiotics. one's an active ingredient is still in use today. ahead to this nobel prize, winner robot call conducted research the treated black patients, a sub human immunization,

the the 1st of them from the on gives us some snaps. i'm afraid there is early evidence of this idea that black people are insensitive to pain talk. oh, it was a factor in the beat legitimacy of slavery high spots i mentioned to them. and the idea was widespread up the time the blind people bring insensitive to mainland incidence that it was used to justify physically harming them as a target this somebody is missing something we're already scientific arguments against that idea kind of said people sensitivities of them are all the same size of these ideas are assisted. he's a student is a flushed at on the high is on sign in and they remain damaging illustration by merely on mom's case. the problem of racism in the gym and health care system has come to the attention of the handbook,

shame that the physicians, president, pet drum and mom is it's starting to be discussed this all the tests here in his own type space. and in this case, i'm quite, i think that in the health care system is a home, we often have difficulty embracing change with the to a certain extent there. and there are society in society as a whole. does this have to be done to is find it easy to deal with painful questioning progress. this means that we need us, a veterans for the future gone on city to quit, certainly won't be easy to most, most one off to shower, to, for a living by the saudis of houston office on fall side. the organization now has an anti racism, counseling center cases of discrimination are reported from all as a germany in particular by doctors with problems that work to allow me favors a gentle approach. describe it as this show on ends it. there should be like this

feel free to of a tough of them. i think it's very difficult by default on the, for those affected most control. so for those who acts and racist ways to all knowing the or not, it's not always easy to be confronted with it. yeah, that's exactly what i think we need to be careful with all the criticism that we need to strike the right tone. so we done timely, and i my whole thing designs and otherwise of is nothing more trying to the lot of people will become increasing. the problem arises for how to fund will fund the parentheses. family, any changes or ready to light the damage cost is give us a simple it's still not clear with the show ever get the apology. she wants to get us started and some people should be listen to only no matter where they come from. no one should be putting to sign them, but you know, i wanted my house to faith didn't jim niece health care

system has been shaken for good. the . ready swim phone is entitled to do us struggling. sky rocketing seed cause disease. freshman merrick system. insect feed sources could help. they'd cheat nutritious and then the defense side and which to insects are shrimps. they actually become more or less. this tends to diseases. eco, india, d like in 30 minutes on the w. w. this is

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