ABC’s The Good Physician would possibly need to change its identify to The Woke Physician. After earlier episodes this season supported Black Lives Matter and abortion, Monday evening’s episode, “Irresponsible Salad Bar Practices,” supplied the double whammy of a pregnant trans man and systemic racism in drugs.
The episode started with trans man Rio Gutierrez (performed by trans actor Emmett Preciado) on the hospital to obtain remedy for a pituitary tumor. Rio tells the docs about being engaged to a person, whereas the docs bemoan the “messed-up software program” that appropriately information Rio’s gender as feminine.
Dr. Reznick: Your major care physician was proper. The mass is on the smaller aspect. We’ll verify with the brand new photographs, but it surely ought to be manageable with remedy. No surgical procedure wanted.
Rio: Properly, my fiancé might be so relieved. He is been fearful I will appear to be Frankenstein in all our images. Additionally that I’d die.
Dr. Allen: When’s the large day?
Dr. Allen: You have been coping with marriage ceremony planning on high of a pituitary tumor? You deserve a medal.
Dr. Reznick: Our medical report system, however — it has you listed as feminine.
Rio: Most likely due to the Pap smears.
Dr. Allen: Software program clearly wants a trans replace. Deep breath.
Dr. Reznick: I will repair it so every little thing is right going ahead. Please verify your gender and pronouns.
Rio: Male, he/him/his. Thanks for asking.
Dr. Reznick: We are the ones with the messed-up software program. Your scans from this morning had been simply uploaded. In lower than two weeks, the tumor’s doubled in measurement.
Seems Rio is pregnant and being pregnant hormones are inflicting the tumor to develop exponentially. After first saying, “I would prefer to terminate the being pregnant,” Rio then decides to maintain the kid and should have a dangerous mind surgical procedure to take away the tumor.
The surgical procedure is a hit and the couple celebrates, “We’re gonna be dads!” When Rio is requested, “Are you prepared?” Rio responds, “I’ve by no means been a pregnant man earlier than.” With the fiancé chiming in, “You may all the time be the perfect man that I’ve ever recognized.”
Throughout all this, Dr. Shaun Murphy (Freddie Highmore), the autistic savant who says what all logical persons are considering and had bother wrapping his mind round transgenderism earlier than, ponders Rio, a organic feminine engaged to a male, and asks the fiancé if he considers himself homosexual, moderately mentioning, “You’ve gotten vaginal intercourse along with your fiancé” earlier than being lower off by the opposite docs.
In one other scene, Dr. Murphy says, “He’s very complicated to me, too. Rio has labored so exhausting — he had a bilateral subcutaneous mastectomy and takes hormone substitute remedy, however now he’s selecting probably the most feminine act [giving birth].” To which the fiancé claims, “It is not feminine if Rio’s doing it.”
Preciado, the trans actor who performed Rio, liked that scene, saying:
“I perceive that I used to be born in a feminine physique, however my mind and my soul is masculine; It’s male… I liked the way it was written, as a result of it reveals that simply because this individual is deciding to hold a child, as a result of they will, as a result of their physique was constructed for that, why does that should be a female factor? Why can’t it even be a masculine factor or why does it should be both/or?”
That is good. A cis male (the fiancé) and a trans man (Preciado) attempting to redefine femininity and take away what’s particular about being a lady from us.
A second woke storyline concerned the racist remedy of a black affected person. The twist is that the “racist” physician identifies as a black lady.
Zara Norton (X Mayo) enters the ER delirious affected by what Dr. Claire Browne (Antonia Thomas) thinks is untreated power hypertension. Dr. Browne doesn’t consider Zara when she says she takes her remedy for hypertension and offers her ACE inhibitors, which find yourself being a foul name as a result of Zara was telling the reality about taking her meds and the ACE inhibitors despatched her into cardiogenic shock.
When explaining why she didn’t consider Zara, Dr. Browne says, “I made a medical prognosis primarily based on sample processing that we’re taught in med college, which includes contemplating, , race, training, occupation, BMI.” One other physician replies, “All the time gave the impression of profiling to me.”
At first, Zara is happy together with her docs: “My fortunate day. Three docs of coloration caring for me. Docs who will not discuss right down to me. Not precisely what I am used to. You guys know what I imply.” She is ready to spout off statistics like “docs are 22% much less probably to offer ache meds to Black sufferers than to white sufferers with the identical signs.” However then she figures out Dr. Browne’s mistake and calls for to be transferred to a unique hospital, “One the place she will not be ‘racially profiled into coronary heart failure.’” Hmm, possibly racism is not so black and white.
The president of the hospital, Dr. Aaron Glassman (Richard Schiff), goes in to fulfill with Zara.
Dr. Glassman: Dr. Glassman, president of the hospital.
Zara: Except you are right here to drive me to S.F. Regional, you may head proper again on out.
Dr. Glassman: I apologize on your expertise within the emergency room.
Zara: That is mighty white of you.
Dr. Glassman: I do not advocate that you just switch to S.F. Regional, or every other hospital, for that matter.
Zara: I am certain they acquired the identical fancy gear, similar shiny units of diplomas y’all acquired right here, and possibly a couple of much less racist docs.
Dr. Glassman: Properly, apparently, that does not appear to be the case. I pulled knowledge on comparable hospitals inside 100 miles, did numbers on surgical outcomes and affected person satisfaction aggregated by race. Apparently, we’re doing properly, comparatively.
Zara: Your argument is that your hospital could also be racially biased, but it surely’s much less racially biased than these different hospitals?
Dr. Glassman: Yeah. Just about. Keep at St. Bonaventure, the president of the hospital will monitor your care each step of the best way. For no matter it is price, I do not assume you are able to do higher than that… She’s gonna keep, on one situation. That you simply’re off the group.
Regardless of not with the ability to take part within the surgical procedure, Dr. Browne is ready to verbally assist save Zara throughout a complication by way of the statement deck. Afterwards, she speaks to Zara and confesses her personal racial insecurities:
Zara: Dr. Andrews advised me you was the one who found out how one can save me. Nonetheless do not change what went down earlier, although.
Dr. Browne: Once I acquired to med college, individuals took one have a look at me and so they thought they knew precisely who I used to be. Black woman on monetary help. She should not be that sensible. She should have gotten a whole lot of breaks. She’ll most likely want much more. And I labored — I labored so exhausting to show them incorrect, that I wasn’t who they thought I used to be, that I deserved to be there, that I — that I slot in. While you got here into the ER — loud and messy… I noticed… I noticed every little thing I’ve tried exhausting to not be. And I feel it made me indignant. And I am ashamed of that. And I am actually sorry.
Zara: I was that method. However I acquired bored with working that arduous to make white individuals comfy.
After, Dr. Browne tells one other physician: “I apologized to Zara. She identified I spent med college attempting to make white individuals comfy. I imply, she’s proper. It wasn’t simply med college.” The opposite physician replies, “Exhausting, is not it?”
This evokes Dr. Browne to verify Zara’s statistics and report back to the Chief of Surgical procedure, “I requested Lea to run some numbers on numerous metrics by race, and the outcomes aren’t nice, particularly relating to ache administration. We’re under-treating African-American and Latinx sufferers by a substantial margin.”
Cannot wait to see what leftist social justice challenge The Woke Physician cures subsequent.