An Example

Imagine an elderly woman being brought to a hospital, accompanied by her grandson. The family has only recently moved to the USA from Oaxaca Mexico, but the elderly woman’s first language is Triqui Bajo, an indigenous Oaxacan language. While her grandson understands his grandmother’s speech and can communicate with her, his native language is Spanish.

If an Triqui Bajo interpreter were not provided, the woman would have to speak to her grandson in Triqui Bajo about the pain in her stomach, the grandson relaying her words to the best of his ability in Spanish to the interpreter or hospital staff. Like the children’s version of the “telephone game,” there’s a high chance that some, if not much, information will be lost. As the grandson was not well versed in Triqui Bajo, he may be missing critical vocabulary, such as anything from “fracture” to “pneumonia,” “hernia,” and beyond.

What this Means

This lack of a matching language pair can inhibit the service that a client receives. In severe cases in a medical setting, this can be a matter of life and death. This case study highlights the importance of translators and especially interpreters who are fluent in minority languages. It’s critical to find people with knowledge of these languages. If due to the last minute nature, an in-person interpreter is not available, remote interpretation methods should kick in.

Imagine that they were able to get an interpreter for Triqui Bajo and English; this would allow for a direct flow of communication between the elderly woman and the hospital staff. Response time for treatment would subsequently be quicker, and the woman might therefore feel more comfortable and confident that she is receiving adequate care. While the grandson might need his own English/Spanish interpreter to understand fully the treatment decisions, that could easily be delegated to another interpreter and not require a stretched out “telephone game” where meaning can be lost.

Monterey Language Services provides translation and interpretation services for all languages and is very strong in providing Triqui Bajo interpretation Services. Every day, we send Triqui Bajo interpreters to cover medical interpretation assignments or IEP (Individualized Education Program) assignments. There have been some high profile Triqui Bajo legal interpretation cases served by Monterey Language Services as well.

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.