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You are one of us doctor you’ll understand

The door opened a crack and I could just make out a face in the half light.

The doctor I spoke to was Irish, who are you?

I assured the patient that I was indeed the person they spoke with when they requested a home visit. Reluctantly, they let me in. It must have been evident from my reply that in contrast to my brown face I had an Irish accent. Roll forwards a few years and I was in a consulting room in England. The healthy middle eastern man spoke with me earnestly.

You are one of us. You will understand. It is our culture. My son is disabled. I am a father and I need to look after him as our family requires. The social security people say I must work. Please just sign me off for a few months to stop them harassing me.

A few years later I stood in the dinning room of a large conference centre in Sydney scanning the room looking for a friend. One of the delegates queuing for breakfast tapped me on the shoulder:

Excuse me sir, there aren’t enough spoons at the table.

I sorted the matter of the spoons as I hope a gentleman and not just a waiter would. The consultation consists of the stage (consulting room), the props ( the equipment), the script and the action and of course the actors (doctor and patient). We are occasionally reminded that the actor’s appearance has a significant impact on how they are perceived by the other in the ritual that is the consultation. If we come to this unprepared then we may be wrong footed even in the opening exchanges. My experience has taught me what it is like to have people make assumptions about you even before you open your mouth. I believe that has made me a better doctor and personally aware of the issues.

Picture by elysianfields

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