An Indigenous woman who recorded an encounter between her elderly father and a Yellowknife Primary Care Centre technician says she faced discrimination and harassment when staff demanded she delete the video.
Yellowknifer has agreed to grant the woman anonymity, as she has expressed concern about having her or her fatherSA国际影视传媒檚 identity revealed. Yellowknifer will refer to her as Mary.
Mary says she went with her father, a hard of hearing man in his 80s who suffers from cancer and diabetes, to the clinic in mid-March, where he underwent tests on his heart.
The pair were ushered into a testing room after some confusion over whether or not they needed a form containing her fatherSA国际影视传媒檚 most up-to-date medical information, said Mary. They entered the testing room after being told a form wasnSA国际影视传媒檛 required, and a technician began asking her father questions, she said.
But Mary said her father couldnSA国际影视传媒檛 hear the questions, prompting her to tell the employee to raise his voice so that he could understand, which seemed to leave the technician SA国际影视传媒渁nnoyed.SA国际影视传媒
Mary said the technician then asked her father for his height and weight. But her father didnSA国际影视传媒檛 know the correct answers, she said, prompting her to ask the technician why he didnSA国际影视传媒檛 have access to that information, which she believed was on the form kept across the hall. Mary said she was concerned incorrect information could have a negative impact on the test.
Mary claims the technician then became noticeably irritated, asking her SA国际影视传媒渨hat do you need me to do?SA国际影视传媒 in a disrespectful tone.
SA国际影视传媒淚 thought, I donSA国际影视传媒檛 like this,SA国际影视传媒 recalled Mary. SA国际影视传媒淪o, I got up and I started recording the test.SA国际影视传媒
Mary said the technician knew she was recording with her phone and never objected over the course of the 15-minute test. Yellowknifer has reviewed the video, which mainly shows a testing monitor, from a distance, in a darkened room.
Mary said she began filming in the event "anything happens,SA国际影视传媒 so that sheSA国际影视传媒檇 have a record of the encounter.
When Mary and her father went to exit the testing room, she said she was met by the technician and another female employee, who told her recordings on the premises were prohibited. The woman, Mary alleges, demanded she delete the video, telling her that if she left the building without doing so sheSA国际影视传媒檇 be breaking the law, and that someone would be SA国际影视传媒渃ontacting her.SA国际影视传媒
SA国际影视传媒業 just felt so bulliedSA国际影视传媒
SA国际影视传媒淭he way she did it was incredibly threatening. She followed me everywhere,SA国际影视传媒 said Mary.
Mary said she asked the employee to see in writing the policy that prohibits recording, but says she was given a SA国际影视传媒渞equest to accessSA国际影视传媒 information form -- a way a patient can obtain medical information following a test. Mary said the form was absent of any recording restrictions.
She said she didnSA国际影视传媒檛 want to delete the video, but didnSA国际影视传媒檛 want to break the law by leaving, so she stayed for about an hour and a half.
Her father told her it felt like they were being held "hostage,SA国际影视传媒 Mary said.
The Northwest Territories Health and Social Services Authority (NTHSSA), which oversees the delivery of health and social services in the territory, does not have a SA国际影视传媒済eneral policy that applies to patients recording their clinical interactions with their health care provider,SA国际影视传媒 according to spokesperson David Maguire.
But there are recording restrictions for specific areas, stated Maguire in an email, including diagnostic imaging units. This is done to ensure a SA国际影视传媒渟tandardized waySA国际影视传媒 for patients to view their diagnostic images after testing, he stated. Maguire confirmed diagnostic imaging services are provided at the Yellowknife Primary Care Clinic.
Asked to confirm or deny the allegations, Maguire wrote the health authority couldnSA国际影视传媒檛 comment on specific cases or incidents due to privacy requirements.
Mary says sheSA国际影视传媒檚 unsure if the test was conducted in an imaging unit, but the monitor on the video appears to show a digital image of her fatherSA国际影视传媒檚 heart.
Mary said a risk management employee later arrived at the centre, where she apologized to both Mary and her father. Mary said the employee told her she did not have to delete the video.
If recording was against policy, Mary said she would have complied and deleted the video, but instead of being shown in writing, she says she was shown hostility and SA国际影视传媒渁buse.SA国际影视传媒
SA国际影视传媒淚 just felt so bullied,SA国际影视传媒 she said.
Mistrust from painful past experiences
For Mary, her decision to record the interaction was rooted in deep-seated mistrust borne from painful past encounters.
In 2015, Mary said doctors told her mother she would be out of the hospital and onto physiotherapy in two weeks. Her mother died in hospital the next day.
After her father was diagnosed with cancer, Mary said a doctor in Yellowknife told him he had five years left to live. A doctor in Edmonton, according to Mary, told him he had two years.
The SA国际影视传媒渉orrificSA国际影视传媒 experience at the clinic, she believes, is a symptom of a greater problem faced by many Indigenous people.
SA国际影视传媒淎s Indigenous people -- weSA国际影视传媒檙e so dismissed,SA国际影视传媒 said Mary, adding sheSA国际影视传媒檚 been treated SA国际影视传媒渧ery badlySA国际影视传媒 during other interactions with health care providers. She said she feels SA国际影视传媒渢argetedSA国际影视传媒 to be harassed, ignored and pushed aside.
Mary is calling for more Indigenous people to be hired in health care environments because during the ordeal, SA国际影视传媒渢here was no Indigenous presence at all.SA国际影视传媒
SA国际影视传媒淪trengthening staff capacity for cultural safety,SA国际影视传媒 is one of four objectives included in the Health DepartmentSA国际影视传媒檚 2018-2020 Cultural Safety Action Plan, which was recently tabled to address rising concerns about discrimination and a lack of cultural sensitivity and understanding in NWTSA国际影视传媒檚 health care system.
The death of Hugh Papik, whose stroke in 2016 was dismissed by Aklavik Health Centre staff as drunkenness, acted as a major catalyst in forming the action plan. After consultations, the department stated an SA国际影视传媒渦nderlying themeSA国际影视传媒 was the SA国际影视传媒渋mportance of cultural safety; an outcome where Indigenous peoples feel safe and respected, and free of racism and discrimination when accessing health and social services,SA国际影视传媒 according to its website.
Mary said she hopes cultural sensitivity training doesnSA国际影视传媒檛 just amount to a checkbox being ticked off.
On the health authoritySA国际影视传媒檚 end, Maguire stated, SA国际影视传媒淲e understand that some patients/clients may wish to record their appointment, in order to build a trusting and respectful relationship, we encourage clients to be forthright with their care provider that they are recording conversations.SA国际影视传媒
SA国际影视传媒淲e will be working on developing an applicable policy to bring further clarity to this issue,SA国际影视传媒 he added.