October 2, 2008

Turner Syndrome

Posted by : elenamary
Filed under : Latinos, Ohio, personal, race

I was working at a women’s health clinic doing medical interpretation.  The doctor and I had just seen a patient, a young woman from Oaxaca, Mexico whose Spanish had an indigenous language accent, I would guess Zapoteco but I have had Mixteco speaking patients as well. When we left the room, the Anglo doctor who had lived in the Dominican Republic and spoke Spanish fluently (I would assume as a Mormon missionary) said, “When she gets referred to an ObGyn we need to make sure they test her for Turner Syndrome”.

I hadn’t ever heard of Turner Syndrome and so I asked the doctor what it was.  He explained it as a chromosomal disorder in females.  Inquisitively I asked how he could tell she had a chromosomal disorder as he’d only been in the room a few minutes.  He described Turner Syndrome as characterized by short, stocky women, with thick necks and a non-proportionate torso to body.  To which I replied “I don’t think it is Turner Syndrome.  I think we call that Mexican, particularly those of Oaxaca, where she is from.”

Cultural difference?

Part of the reason I feel a need to be a doctor is because my community needs people of their own practicing medicine. And this leads to Miles Curtiss and I doing a podcast on a pressure to excel as POC because we have had privilege and opportunity and if we don’t give to our own communities then who? Podcast should be posted on Monday.


One Comment so far ...

1. Claudio

I understand what you mean, but beyond the appearance, there are important aspects of the medical history that often point to Turner syndrome. I am not sure if those were discussed in the interview. Detailed discussion of the syndrome is probably beyond the scope of this post.

I have seen several cases of Turner syndrome in Latinas and the prevalance is about 1:2500. It is not that rare, and mild cases are likely missed.

The chromosome test is relatively simple and missing the diagnosis on the basis that some indigenous women may share some characteristics could be disasterous since Turner’s also carries a risk of cardiovascular defects.

Please continue to purse your dream to be a doc. There is a huge need out there for more Latinos/latinas in medicine.

Thanks,

Claudio Palma, MD

Comment on October 3, 2008 09:28 pm
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