Therefore, in meeting an Hispanic patient named Juan Gutierrez-Garcia, you would properly refer to him as Mr. Garcia. Gestures In America, we employ a gesture in which the forefinger and thumb touch and the other fingers are extended upward. In fact, in some cultures, it represents the female genitalia. If the gesture is done to a woman, it is taken to be a sexual proposal. If it is done to a man, it casts aspersions on his masculinity.
Most chiropractic offices operate on an appointment basis.
A patient calls in and is given a specific time to appear for treatment. Although our culture demands considerable clock watching, other societies treat time differently. The Arab views time as an endless process. The past is revered, while the future and the immediate past are of little concern. In consequence, don't be surprised if some of your Arab patients fail to honor their appointment time as faithfully as you would expect.