The patient appears to be suffering from mental illness caused by being gaslit and repressed by his government.
They told him he didn't have a culture, that women could have dicks and that he was racist for asking for a white doctor.
It's going to take years to reverse this damage, he was in canada for most of his life.
Many such cases.
I got one here who has been waiting 2 years for a new hip. The doctors there told her she should be thankful she even got an appointment.
I think they are using misdiagnoses to ration treatment up there.