A Patient Guides Her Provider: A Dialogue Over Cultural Awareness

The document describes a dialogue between Mrs. Wilson, an African American dialysis patient, and her nephrologist, Dr. Ullian, highlighting the importance of cultural awareness in medical practice. Mrs. Wilson raised concerns about skin darkening due to hemodialysis, which Dr. Ullian initially dismissed as medically trivial. However, Mrs. Wilson emphasized the psychological impact of these changes, prompting Dr. Ullian to reflect on his own biases and the need for greater cultural sensitivity. This exchange led to a deeper understanding and a collaborative writing project, strengthening their doctor-patient relationship and underscoring the importance of addressing both physical and emotional aspects of patient care.