When a Jewish doctor in California and his team changed a suspected Covid-19 patient into a hospital gown, the swastika on his chest was unmistakable.
Emergency physician Dr Taylor Nichols' account of the moment went viral on Twitter earlier this week.
Dr Nichols, who works at Mercy San Juan Hospital near Sacramento, shared the story in a thread on the social media site, recounting how for the first time in his career, he initially “hesitated” when confronted with a patient.
The man, whose chest was covered in SS tattoos, looked older and appeared to have lost most of his teeth to methamphetamine use, he wrote, adding that he struggled to breathe and seemed sick and scared.