When we observe the context of healthcare for black women, it is clear that white male and white female professionals still predominate in the field of medicine and that the majority of them come from economic elites, despite advances in public policies for social inclusion in Brazil since the early 2000s. In this research we have analyzed narratives told by female black patients in medical appointments with female white doctors, in order to generate intelligibility about the construction of these social events from an intersectional approach. The methodology of the research is qualitative and interpretive. In addition, we mobilize theories of interactional sociolinguistics and narrative analysis in dialogue through the studies of applied linguistics, critical whiteness, and structural Brazilian racism both in medical practice and in academic researches. The analyzes indicate that there are different ways of interacting during the social meetings that we have observed, some more empathetic than others, with listening dimensions that range from focusing on the medical appointment agenda itself—to the detriment of the complaints narrated by the patient—to openness in considering family issues as part of clinical investigation. From this, it is possible to observe how structural racism organizes interactions in the contemporary Brazilian context, even those in which we do not see the occurrence of explicit racist offenses. Through the analysis, it is also possible to perceive that structural racism can have negative impacts on interracial physician-patient interactions, such as the infantilization of black patients and the disregard for their complaints and circumstantial statements. In view of this, we have directed the research applications towards the recommendation of critical racial literacy for health professionals, in general, and medical practitioners, in particular.