You caught the different approach to a patient in different culture perfectly. My first visit to a doctor here in Asia, after moving from Europe, was a shock. I was like a Cardassian examined by a Federation doctor. He asked me for permission to examine me, he explained clearly he would have to touch me directly and made sure several times I understood that.
In a Cardassian library
or in a Cardassian gallery
"Reagan, it appears, is really only an ardent unionist if the unions in question are in Poland" - Stephen King, Skeleton Crew