‘from youarewithinthenorms.com‘
NORMAN J CLEMENT RPH., DDS, NORMAN L. CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., INC., SPIRIT OF REV. IN THE SPIRIT OF WALTER R. CLEMENT BS., MS, MBA. HARVEY JENKINS, MD, PH.D., IN THE SPIRIT OF C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., M.B.A., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., EVELYN J. CLEMENT, IN THE SPIRIT OF WALTER F. WRENN III., MD., JULIE KILLINGSWORTH, RENEE BLARE, RPH, DR. TERENCE SASAKI, MD LESLY POMPY MD., CHRISTOPHER RUSSO, MD., NANCY SEEFELDT, WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., NEIL ARNAND, MD., RICHARD KAUL, MD., IN THE SPIRIT OF LEROY BAYLOR, JAY K. JOSHI MD., MBA, AISHA GARDNER, ADRIENNE EDMUNDSON, ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NJOKU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS
complete disregard for the patient’s pain”
The provided text is an excerpt from a video transcript of the YouTube series “Convos with Angela.” In an interview with Dr. Dawn Mandeville, an experienced OBGYN, the discussion centers on a viral video highlighting the mistreatment of a Black patient in active labor by a nurse.
Dr. Mandeville emphasizes the nurse’s “complete disregard for the patient’s pain” and lack of urgency, explaining that the appropriate protocol is to immediately triage actively laboring patients to dedicated “hot rooms,” regardless of having complete demographic information.
Dr. Mandeville identifies systemic bias, both overt and implicit, as a primary driver of this crisis, manifesting as delayed care, dismissiveness of patient pain, and failures in communication.
The discussion underscores the critical need for patient advocacy, the implementation of standardized medical protocols to override individual biases, and direct, transparent communication from providers about the heightened risks Black patients face.
“When the opioid crisis began to escalate some 20 years ago, many African Americans had a layer of protection against it. But that protection didn’t come from the effectiveness of the American medical system. Instead, researchers believe, it came from racial stereotypes embedded within that system.” ..Andrew Kolodney, MD
THE DISCUSSION
COMPLETE DISREGARD AND LACK OF URGENCY
Dr. Mandeville emphasizes the nurse’s “complete disregard for the patient’s pain” and lack of urgency, explaining that the appropriate protocol is to immediately triage actively laboring patients to dedicated “hot rooms,” regardless of having complete demographic information.
The core findings indicate that Black women are at least three times more likely to die within the first year of childbirth than their white counterparts, a statistic that persists across all socioeconomic and educational levels.
This specific incident is used to illustrate the broader and often more subtle issue of systemic bias and racism in maternal healthcare, noting that Black women are tragically three times more likely to die within a year of delivery, irrespective of their socioeconomic status.
Finally, the doctor stresses the vital need for patients to be advocates for ourselves and bring a support person to challenge implicit biases that can lead to delayed or inadequate care.
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