​​​​​​Dina Greenberg

Cultural Competency

PennPulse​, May 2003

Kasturi Salve is a young Indian woman who immigrated to Philadelphia three years ago. She and her family—her husband and mother-in-law—have only recently settled in University City. Mrs. Salve

is nervous and shy when she meets for the first time with her doctor at a HUP clinic. She wears a traditional silk sari in lively shades of tangerine and pink. Throughout the interview, Mrs. Salve avoids eye contact with the doctor and replies only briefly to questions.

When pressed to expand upon her answers, she looks down at her hands clasped firmly in her lap. She says that she sometimes feels a shortness of breath. The doctor notes that the patient is tired and restless, but otherwise exhibits no detectable symptoms of illness.