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Amira Faroud was a three-year-old Middle Eastern patient, newly diagnosed with type 1 diabetes. Understanding the importance of involving the entire family in the patient’s care, Lisa tried to get the patient’s father, Mr. Faroud, to participate. She had seen other fathers being the “heads” of families and believed involving him was the best thing to do because Lisa the doctor in this case believes that all Middle-Eastern Culture people defer to male authority for ALL desicions. But in this case Mr. Faroud would not even consider her suggestions. 

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Amira Faroud was a three-year-old Middle Eastern patient, newly diagnosed with type 1 diabetes. Understanding the importance of involving the entire family in the patient’s care, Lisa tried to get the patient’s father, Mr. Faroud, to participate. She had seen other fathers being the “heads” of families and believed involving him was the best thing to do because Lisa the doctor in this case believes that all Middle-Eastern Culture people defer to male authority for ALL desicions. But in this case Mr. Faroud would not even consider her suggestions. 

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Dr Jones is part of a healthcare team helping a newly diagnosed Chinese diabetic patient to understand & manage his diet and insulin levels. He has just explained to the patient how to take his medication. Dr: “Have you understood how & when to take your insulin Mr Chang? Do you have any questions ?”Patient: “I understand Doctor, thank you for your time” (Patient leaves in a hurry)Some weeks later Mr Chang returns & is very unwell, his insulin levels are elevated & when interviewed by the Medical team it is clear that he had not clearly understood how & when to take his Insulin 

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Dr Jones is part of a healthcare team helping a newly diagnosed Chinese diabetic patient to understand & manage his diet and insulin levels. He has just explained to the patient how to take his medication. Dr: “Have you understood how & when to take your insulin Mr Chang? Do you have any questions ?”Patient: “I understand Doctor, thank you for your time” (Patient leaves in a hurry)Some weeks later Mr Chang returns & is very unwell, his insulin levels are elevated & when interviewed by the Medical team it is clear that he had not clearly understood how & when to take his Insulin 

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An American doctor enquires about the type of medication a Latin American patient (P) took against his hypertension symptoms: D: In order to help you with your current complaint as well as possible, we would like to know what kind of medication you take on a regular basis or that you have taken recently.P:  I do not take any medication on a regular basis but  The doctor I went to a week ago suggested I take something. But I didn’t do it. I do not think it is good for me.D: Can you tell me more about this, what do you feel you should do or take ? P: Yes, look, the doctor I went to wanted to give me something. But I do not think this medicine is good for me. I am not sure this is the right one. We say that when one feels like I do one should take something which contrasts the symptoms.D: “one should take something which contrasts the symptoms’? What do you mean exactly? Do you mean that in your country patients are given other remedies against the symptoms?you should do? P: Yes, exactly, , they give some teas and I believe they are very good.D: We will see what we can do. If you would you like to continue to drink these teas adding to another form of medication which we would suggest & I will explain to you now, I think you will benefit from both.P : Oh that would be great doctor! Thank you very much. 

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An American doctor enquires about the type of medication a Latin American patient (P) took against his hypertension symptoms: D: In order to help you with your current complaint as well as possible, we would like to know what kind of medication you take on a regular basis or that you have taken recently.P:  I do not take any medication on a regular basis but  The doctor I went to a week ago suggested I take something. But I didn’t do it. I do not think it is good for me.D: Can you tell me more about this, what do you feel you should do or take ? P: Yes, look, the doctor I went to wanted to give me something. But I do not think this medicine is good for me. I am not sure this is the right one. We say that when one feels like I do one should take something which contrasts the symptoms.D: “one should take something which contrasts the symptoms’? What do you mean exactly? Do you mean that in your country patients are given other remedies against the symptoms?you should do? P: Yes, exactly, , they give some teas and I believe they are very good.D: We will see what we can do. If you would you like to continue to drink these teas adding to another form of medication which we would suggest & I will explain to you now, I think you will benefit from both.P : Oh that would be great doctor! Thank you very much. 

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- Acting based on a stereotype
- No compassion: did not treat the patient as an individual or think about it from their perspective.

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Making immediate presumptions
Dont jump to conclusions
No compassion

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Apologise and admit your wrong
Admit your mistake and rewind

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How would you prefer me to go on with this?
Who is more responsible

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- Educate yourself more on the matter

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Restore the relationship with the patient.
Try to build trust

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micro: reflect on your actions
Meso:
Macro: work on stereotyping

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"The concept of face"
Mr Chang was too polite to ask the doctor to explain in more detail or take up his time

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He was feeling embaressed that he doesnt undertstand english

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Mr Chang did not want to embarrass himself or the doctor by asking them to explain (for example, the doctor not being clear enough).

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He didnt want to waste the Drs time , cus doctors tend to be busy

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Medical professionals job to understand 

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Medical professionals job to understand 

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Ask the patient if they understand

if they have any questions

If they want anything to be repaeted

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The doctor or whoever is with the patient could ask the doctor to repeat the instructions, to make sure that the patient understood fully.
If possible, a translator or someone the patient feels more comfortable with.

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Ask the patient if he would like a translator

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"We can go through it one more time if you want. Its totally fine with me "

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Reassure the patient that its okay for him to ask questions

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Write notes for him to make sure he understands
Tell him that it is okay and there is no need to feel embarrassed or shy, that this time is specifically for him and that you are here to help
Make sure that he knows he is not wasting your time or anything similar

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Can you repeat to me what you understood.

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The patient understands and takes his meds as told

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Have the patient open up more and feel comfortable
Make sure that he knows that other doctors are the same and here for him

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Dont put a language barrier.
Try to find other options
Dont assume the patient understands everything just because they say so

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Meso: institution should expose public / students to range of teaching materials and perspectives that acknowledges stereotype and emphasising positive stereotype

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C- because he says that may affect/ contrast his symptoms

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C- because he says that may affect/ contrast his symptoms

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The tea is helping with his symptoms, so he doesnt see why he should take meds for HTN

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The tea is helping with his symptoms, so he doesnt see why he should take meds for HTN

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If you integrate them, your more likely to get the patient to comply. Personalised treatment will help earn the patient's trust

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If you integrate them, your more likely to get the patient to comply. Personalised treatment will help earn the patient's trust

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If you understand different approaches to diseases and healing, you can provide alot more variety in terms of treatment, and they will find something they like/prefer and stick to the treatment plan

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If you understand different approaches to diseases and healing, you can provide alot more variety in terms of treatment, and they will find something they like/prefer and stick to the treatment plan

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Try to learn more options/approaches to treatment. this will help the patient in the long term as they will adhere to a specific treatment plan if they feel like it is personalised to their benefit.

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Treat people as individuals and see what they are most comfortable with, rather than doing things based on beliefs or stereotypes. Not everyone is the same, no matter what culture they come from.

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Ask the parents who you would like to assign to make desicions for the child