The untold stories of medical interpreters: 

As a provider of medical interpretation, Monterey Language Services launched an initiative series to explore emotional and professional challenges that medical interpreters face. Please see our previous introduction to the series here.

How Was Everything Started and Created?

We reached out to quite a lot of CCHI certified medical interpreters who we admire. Even though not surprisingly the dedicated interpreters graciously shared their most heartfelt stories, we were amazed by how insightful and emotional depth issues were brought to us. We are genuinely moved by the stories.

In each video below, we picked some of the most awesome quotes (see description below) that blew us away. We believe this series is something sincere and original that comes straight from the deep down of the dedicated medical interpreters.

These videos are worth sharing. They are designed to raise awareness and appreciation of the essential elements that medical interpreters face every day. Please feel welcome to share them with your circles of networks.

The Series Will Be On-going

We feel that medical interpretation involves so many elements and there is always a heavy emotional toll that stays with us. To vent and to share is something meaningful and powerful to make us a better medical interpreter.

If you have stories to tell, please continue to share them with us and we will write original scripts and create videos to share with everyone!

Why We Created This Series

The idea behind this project was to honor the dedication, emotional strength, and cultural intelligence of medical interpreters. This series is not a textbook style of what a medical interpreter is all about. We wanted to share the professional and emotional stories that most people don’t often hear about.

Imagine standing in a room, listening to a doctor deliver life-altering news – a cancer diagnosis, a difficult prognosis, or the devastating reality of a loved one’s passing. This is the reality for medical interpreters. We are constantly exposed to human suffering, fear, and grief.

The video series dives deep into these less-talked-about challenges. You’ll hear directly from interpreters as we share our most poignant, sometimes frustrating, and even heartwarming experiences. You’ll gain a new appreciation for the incredible skill, empathy, and resilience required to do this vital work as medical interpreters!

The Video Series Includes:

1. Medical Interpreters Are Unsung Heroes
   Interpreters are the fragile bridge between fear and clarity; science and the human heart.
   https://youtu.be/F96UhMM4dxo
2. Vicarious Trauma
   An interpreter needs to explain to their family in their own language that their loved one’s neck CT scan showed a tumor, and the airway’s become compressed, making the need for a tracheostomy immediately necessary.
   https://youtu.be/mtEv8NEShZU
3. Emotional Roles
   A medical appointment isn’t just about tests or results; it’s about emotions.
   https://youtu.be/uwEd-QuWeLU
4. Cultural Bridges
   In the Middle East, never tell a patient bad news directly. They will call you cruel, ruthless, and culturally insensitive!
   https://youtu.be/9vBcyzMpjic
5. Body Language
   It’s not just about translating the words; it’s about reading the room!
   https://youtu.be/CoDmBd9HtRs
6. Palliative Care
   It’s like someone dimmed the harsh fluorescent lights and made space for us to breathe.
   https://youtu.be/IrC6b0WFzEU
7. Mastering Patience
   Everyone has a story and understanding is the key!
   https://youtu.be/GNaUkZc4EKY
8. Subconscious Vicarious Trauma
   Let’s talk about something that most interpreters don’t get trained for!
   https://youtu.be/ItqtznXgNRo
9. Not Knowing
   Peace doesn’t always come from knowing. Sometimes, it comes from letting go.
   https://youtu.be/-1gIPcH1GsQ
10. Interpreting Grief
    The most powerful thing to do is to feel. When you honor your emotions, you are more equipped to serve others.
    Link: https://youtu.be/BoEcPFVeEnY
11. On Interpreting Life and Death
    In knowing death, I honor life as a medical interpreter.
    Link: https://youtu.be/Tgw6bgKtqEg
12. Small Kindness
    If we fully accept that life is short, what can we do differently?
    Link: https://youtu.be/XPBTiwBPOqU

To celebrate interpreters’ success stories, Monterey Language Services has put together a video showcasing the friendliness, professional, expertise, and different roles of our interpreters in shaping the harmonious community of our nation.  You can view the video here: https://www.youtube.com/watch?v=mYxpYyoC7z0

Interpreters can spend years honing their skills to become subject matter experts in their fields, such as healthcare, education, or the legal sphere. Some have even worked in these fields as doctors, nurses, teachers, paralegals, and more before becoming language experts.

Interpreters believe in the fidelity and fairness of their work. Interpreters ensure that information is relayed accurately between the parties involved, making sure that nothing is omitted or erroneously said and everyone is on the same page. This is incredibly important in medical and legal settings.

Interpreters describe their work as rewarding and fulfilling. Many times, the act of interpreting contains an emphasis on helping those limited or non-English speakers or hearing disabled persons who are in need, such as to help with healthcare or education. This gives many interpreters great satisfaction in giving back to the community and keeps them looking forward to their work.

Monterey Language Services has the pleasure working with so many talented, devoted, professional interpreters, providing excellent service for your needs, whether your event is large, small, private, or a personal matter.

Thank you so much to our interpreters for working with us for all these years, and for the years to come.

So what is 1557?

Section 1557 of the ACA “prohibits discrimination on the grounds of race, color, national origin, sex, age, or disability in certain health programs and activities.” The term “national origin” is understood to include providing language services for those with limited English proficiency (LEP).

Section 1557 was first put into place in 2010, and had a few issues with it. For example, the then-legal standard was for “competent” interpreters to assist LEP individuals; this could allow a loophole for family members or even non-adult family members, or bilingual/multilingual staff at the agency to provide interpretation. Without proper, certified medical interpreters, there may have been many miscommunications, to say the least.

Major Revisions

The Obama administration’s revisions took effect in 2016. Under this revision, some changes were that “competent” interpreters were changed to “qualified” interpreters; minors and family members were only allowed to interpret under special circumstances such as emergencies; and bilingual/multilingual staff were held back from interpreting unless they were able to sufficiently demonstrate proper interpretation abilities. Translation of written materials was also required.

Many things changed in 2020 due to the Trump administration, however. For example, the wording was changed to have a more general requirement of language services to LEP people, rather than each and every LEP person. Federally funded organizations had to undergo a test to determine how to provide language services; the Trump administration changed this again to be more based on the “likelihood” of servicing an LEP individual rather than each specific instance of servicing an LEP individual. Standards of remote video interpretation were also removed, focusing instead on telephonic interpretation only.

Finally, citing too many expenses (presumably for translation fees, extra paper space, and ink), there was also a change to not require that each state have the top fifteen languages represented in a tagline on a non-discrimination notice. Taglines are short statements written in non-English languages that notify the reader that they can access language services free of charge.

Proposed Revision

As mentioned previously, the US Department of Health and Human Services has released a proposed rule to reverse the changes implemented by the Trump administration and to strengthen language access in general compared to the rulings from the Obama administration. Some proposed changes include the following:

Previously removed definitions will be added back for the following terms: language assistance services, limited English proficient individual, qualified interpreter, qualified translator, and qualified bilingual/multilingual staff. Care will also be taken to provide each LEP individual with language access, as well as those who need assistance such as sign language; this will be aided by the requirement of taglines on a large number of documents.

Other changes include the restoration of standards for remote video interpreting, the requirement to take reasonable steps to provide meaningful access to each LEP individual, the requirement to inform individuals of their rights, and the requirement to have a specific employee be responsible to coordinate compliance with 1557. Another change would be applying Section 1557 to Medicare Part B, which notably has not had requirements for Section 1557 despite being federally funded through trust funds.

Our Conclusion

These proposed new rules seem to be taking a huge step toward fair access to language services. Especially exciting is the requirement returning to provide each LEP individual with language access, rather than a general estimate of people. We at Monterey Language Services believe that everyone deserves the right to access to information and services in the language of their choosing, and we’re all for the proposed rules and hope they come to pass sooner than later.

Although the latter was played off for laughs, by comparing these two portrayals, we can see the differences between the two interpreters and what separates a professional interpreter from others.

The Interpreter 2005, Political thriller
Starring Nicole Kidman, this movie is about a UN interpreter who overhears people planning an assassination from her interpretation booth after hours. The producers did extensive research on conference interpreting as a profession, and in this movie you can see her portraying the work of a conference interpreter simultaneously interpreting both in the booths and in a meeting between dignitaries. According to IMDB, the movie is the first to have been filmed at the actual UN headquarters.

We see her portraying a professional interpreter with a great sense of responsibility in communication shown in her paying careful attention to the smallest nuances of language. She interpreted accurately despite a personal difference in opinion while at the same time protecting confidentiality.

Lost in Translation 2003, Comedy-drama
Everyone who has seen this movie probably remembers the Suntory commercial scene, where Bill Murray’s character struggles to understand the instructions of a passionate, machine-gun talking director despite having Japanese interpreter present. This scene is possibly the most humorous rendition of an unprofessional interpreter.

We noticed a few qualities lacking in this interpreter that are holding her back from doing a professional job. First, she appeared to have a lack of language ability that left huge gaps in the message she was trying to convey, and showed a lack of sensitivity to the frustration in the client when he was unable to understand her interpretation. The client shows a great deal of discomfort and confusion, there is still a language barrier that needs to be broken down.

Interpreters in Real Life at Monterey Language Services
Monterey Language Services understands what a significance a professional interpreter can make in bridging language gaps. Every day, we successfully fulfill our mission to serve by sending professional interpreters to hospitals, clinics, community public hearing events, and high-tech customer conferences in Silicon Valley. Our customers are always happy to see the power of communication take place in everyday life!

Here is a recent encounter that required the skills of a professional interpreter — a Cantonese medical interpretation at a children’s clinic in Capitola, CA.
– The Interpreter was a certified medical interpreter, CMI and CCHI precisely: Thanks to her professional mindset, the client was fully taken care of.
– Thorough communication between the doctor and patient was facilitated: The interpreter showed her dedication and ensured all messages were fully conveyed. The assignment was originally scheduled for two hours while the actual time spent interpreting was three hours.
–A willingness to serve: although the location was a bit far, the interpreter was willing to drive all the way to the hospital to make sure that someone was there to cover the assignment.

Monterey Language Services strives to provide the highest quality of translation and interpretation services. Please feel free to contact us for a quote.

Enjoy the video clips capturing some of the fun activities during the event. Two interpreters won the raffle prizes offered by Monterey Language Services. With the award-winning wine, they can enjoy it with their loved ones, and say to each other in Spanish “Te quiero!” and in Mandarin “我爱你！” (“I love you!”).

Language services can be as fun as the raffle! Monterey Language Services provides comprehensive, quality, professional and efficient translation & interpretation services in over 175 languages (we are also constantly adding new languages according to our customers’ needs), including:

• Medical Interpretation (in person/phone/video remote)
• Conference Interpretation (consecutive/simultaneous)
• Translation (hospital/business)
• Multimedia (subtitles/voiceover)
• Localization (website/software)
• Medical Interpreter Training & Evaluation

We guarantee that the quality is as good as the wine!  Increase your hospital’s service quality by partnering with us!

Each term above is a link to a mini-site on that subject–please click!

The training will move you forward toward
the following goals:

• Meet minimum requirement to take national certification exam!
• Be part of the 46% growth in interpreting jobs in the next decade
• Help the community fulfill the need in healthcare interpreting
• Improve the quality of services in the healthcare industry

Click calendar for details on our next session!

Click Here to Download Registration Form

Training Focus:

Act Now! Register by March 31st and get a $50 discount!

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(no need to pay right away)

A Real Life Example

The book “The Spirit Catches You and You Fall Down,” written by Anne Fadiman, describes the cultural and medical misunderstandings that occurred between a Hmong refugee family and the American healthcare system.  Lia suffered severe epilepsy, which causes frequent seizures. Hmong people believe that seizures happen because a spirit catches the person, whereas American doctors identified the imbalance of chemicals as the cause of seizures. Without any medical interpreters, the family could only rely on the help of relatives for informal interpretation. While American doctors prescribed appropriate medicine for Lia, the family never gave Lia the right dosage because they did not understand the doctors’ instructions. Moreover, the Hmong community felt skeptical of modern medicine. As the cultural misunderstanding and confusion continued, Lia’s condition worsened.

Lessons Learned

Imagine how differently Lia’s life would turn out if a qualified medical interpreter was in place. Language skills are the basic expertise a medical interpreter should possess, but a professional interpreter should also have a rich understanding of both cultures. In addition, the interpreter should be respectful and sensible towards cultural behaviors, which can easily lead to misunderstanding between the medical providers and the families. When such occasion rises, the interpreter should react quickly and notify each party (usually with: “interpreter explanation”) and then explain the behavior as a result of cultural practices. For instance, doctors may not able to understand why family member cannot make important decisions on the spot. The interpreter should explain to the doctors that in some cultures, family members need to get together in order to make important decisions.

In the complex environment of healthcare settings, medical interpreters should be not only the communicator of different parties but also the bridge of different cultures.

Monterey Language Services strives to provide the highest quality of translation and interpretation services. Please feel free to contact us for more information.

Professionalism—Medical Terminology and Quick Reactions

To be able to interpret in the medical field, a solid knowledge in the medical terminology is essential. Because palliative care is often utilizes multidisciplinary approaches, the medical interpreter needs to be equipped with both general and specific medical terms. In addition, to ensure the completeness of information, the interpreter needs to react quickly to the situation. For example, when family members engage in conversations among themselves instead of having a discussion with the medical provider, it is often recommended that the interpreter switches to simultaneous interpretation to convey as much information as possible.

Human Qualities—Composure and Compassion

In the medical interpretation, the interpreters often need to deliver serious messages such as the time the patient has left or an unfavorable prognosis. While the patient and family members may become distressed or emotional over the news, it is vital that the interpreter remain calm and composed in these situations. This can be a very difficult balance to achieve as medical interpreters should embrace compassion and empathy for the patients but at the same time need to maintain their professionalism. However, this aspect also injects humanity into this profession, making it extremely fulfilling.

Interpretation, therefore, is beyond simply converting one language into another. Because human beings are lively creatures who show emotions, human interpreters should take both professionalism and humanity into account to ensure optimal communication.

Monterey Language Services strives to provide the highest quality of translation and interpretation services. Please feel free to contact us for more information.