In Maya medical encounters, the number of participants, the plurality of their voices, and the cooperative linguistic strategies that they employ to compose illness narratives challenge conventional analytical techniques and call into question some basic assumptions about doctor-patient interactions. Harvey’s innovative approach, combining the “ethnography of polyphony” and its complementary technique, the “polyphonic score,” reveals the complex interplay of speaking and silence during medical encounters, sociolinguistic patterns that help us avoid clinical complications connected to medical miscommunication.