Juan is a 44 year old male that lives with his wife, two children, and two other families in a large house in your neighborhood. You have rarely spoken to him, because of the language barrier, beyond social pleasantries. You are surprised one day when he and his older daughter knocks on your door. He speaks broken English but brought his teenage daughter to translate. He is complaining of pain and swelling in his wrist, which you can see, and decreased Range of Motion (ROM). He tells you that he fell at work. You immediately suspect a break and suggest going to urgent care for x-rays. He is very reluctant, keeps shaking his head no, and his daughter says “what else can he do?”
Based upon cultural identity as well as specific details of the case presented, evaluate the similarities and differences between what the patient in this scenario may expect of the health care system based upon possible experiences with traditional healers, and the standard operating procedures of the Western (allopathic) health care system. Your response should emphasize the interpersonal expectations (i.e. bedside manner).