Patients often describe neurological symptoms using everyday sensory language. In neurological encounters, interpreters must convey these descriptions accurately and completely so clinicians can evaluate nervous system function without loss or distortion of meaning.

General terms such as “dizziness” may refer to a range of sensations with different clinical implications. Accurately conveying the patient’s exact description allows the clinician to determine whether the symptom may be consistent with vertigo or another condition.

Neurology also includes conditions that resemble neurological disorders but have different underlying causes.

• PNES (Psychogenic Non-Epileptic Seizures): Events that resemble epileptic seizures but are not associated with abnormal electrical activity in the brain.

If qualifiers such as “psychogenic” or “non-epileptic” are omitted, clinical decision-making may be affected, potentially leading to treatment approaches that are not indicated and may expose the patient to unnecessary risk.

Interpreters must also accurately render commonly used neurological abbreviations and terminology, including:

• TIA (Transient Ischemic Attack): A temporary neurological event that resolves but indicates increased risk of stroke.
• CVA (Cerebrovascular Accident): The medical term for a stroke.
• LP (Lumbar Puncture): A procedure used to collect cerebrospinal fluid for diagnostic evaluation.
• MS (Multiple Sclerosis): A chronic disease affecting the central nervous system.

The nervous system regulates essential functions including movement, sensation, speech, and consciousness. In neurological encounters, incomplete or generalized interpretation can compromise patient understanding and clinical assessment.

When clinicians discuss conditions such as a subdural hematoma versus an epidural hematoma, the interpreter must ensure the information is conveyed fully and accurately, without additions, omissions, or substitutions. Precision is critical in neurological care.

Distinguishing between aphasia and dysarthria is particularly important in stroke-related encounters. Although both may be described as “difficulty speaking,” they reflect different neurological mechanisms.

• Aphasia: A disorder of language processing that may affect the ability to find, understand, or produce words, despite intact speech muscles.
• Dysarthria: A motor speech disorder in which weakness or incoordination of the muscles used for speech affects clarity and articulation, while language formulation may remain intact.

If a patient states, “I can’t say the words,” and this is rendered as “the patient’s speech is slurred,” critical information about the nature of the speech difficulty may be altered. This can influence how the clinician evaluates the symptom, potentially shifting attention from a language-processing impairment to a motor speech issue.

Accurately conveying how the patient describes their speech difficulty—without interpretation or substitution—is essential in stroke care.

Neurological evaluation focuses on the function of the nervous system rather than isolated organs. Clinicians assess how signals are generated, transmitted, and processed within the central nervous system (CNS) and peripheral nervous system (PNS).

When a neurologist questions a patient, the goal is to determine whether symptoms may involve central or peripheral nervous system pathways. The interpreter’s role is to accurately and completely render both the patient’s descriptions and the clinician’s questions to support this assessment.

Broad terms may be insufficient in neurological contexts. For example, the term “seizure” encompasses multiple event types with distinct clinical implications, treatment approaches, and potential outcomes.

• Generalized tonic-clonic seizure: A seizure involving both hemispheres of the brain, typically associated with loss of consciousness and bilateral motor activity.
• Focal onset seizure: A seizure that begins in a specific area of the brain and may occur with preserved or altered awareness.

Faithfully rendering the specific terminology used by clinicians and accurately conveying the patient’s description of events supports clinical evaluation. Generalizing, substituting, or simplifying terminology may obscure distinctions that are relevant to diagnosis and treatment planning.

Medical terminology comes on top. Medical interpretation requires a strong understanding of medical terminology in both the source and target languages. It is important to know the meaning of medical terms and jargon in order to accurately convey information. If an interpreter doesn’t understand a word, he or she should ask for a simpler explanation, so that the conversation between the doctor and the patient is flawless.

In addition, it’s best to always use clear and concise language when interpreting medical information. Using straightforward, easy to understand language will help ensure that the patient understands the information being provided. Do your best to avoid medical jargon or technical terms that the patient may not be familiar with. But if you do end up having to use it, be sure you understand what it means so you can explain it if necessary.

That being said, be sure to be in the know-how of how the medical field works. Whether it’s of internal medicine, neurology, radiology, pediatrics, cardiology, outpatient surgery, gastroenterology, urology, intensive care, orthopedics, physical therapy, community health, emergency, gynecology and more, an interpreter should be prepared and understand each specialty. This can help you as an interpreter to better understand the medical information being provided and to accurately convey it to the patient.

There are a lot of cultures out there that deal with medical visits differently. You may have  mastered the source and target languages in the medical field, but you also need to be culturally sensitive and can bridge the gap between the two cultures you are interpreting in. Something important beyond what is being said, the interpreter should serve as an advocate to bring that underlining meaning out to all parties involved. This can help the doctor and the patient understand each other better. Medical interpretation is unique in this sense. To communicate fully in order to provide and receive the best treatment.

As an interpreter, you should always keep whatever occurs in the appointment confidential. Medical interpreters should always respect the confidentiality of the patient and not share any personal or medical information without the patient’s consent or unless required by law. A medical interpreter should always remain impartial and avoid giving personal opinions or advice to the patient regarding make their own decisions and conclusions.

Medical interpretation is a valuable service to the community. It’s a very rewarding experience for us at Monterey Language Services. We have a great sense of helping others by providing medical interpretation to LEP (Limited English Proficiency) patients. Our goal is to put their mind at ease that their words are being understood, and they are understanding the words being said to them as well. This is what we call the essence of medical interpretation.

We need someone who is living or willing to relocate to Antioch in California for in-person interpretation. Part time, full time, or contract employment are available for six months with possible extension.

If you are available and meet the below requirements, could you share with us your experience, rate, and how far you are from CA 94509, so we can follow up with you? You will find our contact information at the end of this post.

If you are looking to relocate, please also let us know. Please also feel welcome to refer colleagues by sharing this post.

Requirements:

1. Have completed 100 hours of CCHI approved interpreter training
2. Experienced with patients who typically have below sixth grade literacy and may also have limited vocabularies
3. Enjoy working with young children and pregnant women/mothers
4. Female interpreters preferred
5. Reliable and committed
6. Work well with others and in a team
7. Professional in conduct and appearance
8. Entry-level is welcome
9. Authorized to work in the US
10. Willing to undergo livescan background check
11. Willing to undergo some training to ensure that all guidelines will be followed
12. Willing to follow hospital immunization and safety procedures

If you are interested, please go to our website and answer the questions about your medical interpreting experience and rate, so we can follow up with you.

https://www.montereylanguages.com/send-a-resume.html

Thank you and we look forward to hearing from you soon!

We need someone who is living or willing to relocate to either Richmond or Antioch (2 locations) in California for in-person interpretation. Part time, full time, or contract employment are available for six months with possible extension.

If you are available and meet the below requirements, could you share with us your experience, rate, and how far you are from both CA 94804 and CA 94509, so we can follow up with you? You will find our contact information at the end of this post.

If you are looking to relocate, please also let us know. Please also feel welcome to refer colleagues by sharing this post.

Requirements:

1. Have completed 100 hours of CCHI approved interpreter training
2. Experienced with patients who typically have below sixth grade literacy and may also have limited vocabularies
3. Enjoy working with young children and pregnant women/mothers
4. Female interpreters preferred
5. Reliable and committed
6. Work well with others and in a team
7. Professional in conduct and appearance
8. Entry-level is welcome
9. Authorized to work in the US
10. Willing to undergo livescan background check
11. Willing to undergo some training to ensure that all guidelines will be followed
12. Willing to follow hospital immunization and safety procedures

If you are interested, please go to our website and answer the questions about your medical interpreting experience and rate, so we can follow up with you.

https://www.montereylanguages.com/send-a-resume.html

Thank you and we look forward to hearing from you soon!

Standardized Testing

ASL interpreters are often present in the classroom as educational interpreters. Similarly, interpretation is needed for providing instructions for standardized testing, such as the SATs in American schools. Sometimes the same educational interpreters can be called upon to interpret for standardized testing in their respective schools, but this might not be a certainty. The test may take place on a weekend and require a different interpreter to fill in, for example.

Standardized tests also don’t necessarily take place in a K-12 environment. For example, these tests might be taken to certify a job requirement or receive a passing grade to enter a special program.

American Sign Language and Foreign Sign Language

When we were asked to provide an interpreter for a patient who required Mexican Sign Language (LSM), we were able to send a Certified Deaf Interpreter (CDI) who was familiar with both ASL and LSM. CDIs themselves are Deaf or hard-of-hearing and are native in sign language and Deaf culture.

The CDI assigned to this task was exceptional at interpreting between ASL and LSM. However, due to the fact that the CDI could not vocalize the client’s needs to the hospital staff, a second interpreter — this one for ASL — was brought in to interpret between the CDI and the staff. Thus, the communication flow looked like this:

Patient > CDI > ASL Interpreter > Hospital Staff, and vice versa.

The interpretation was successful in large part thanks to the hospital interpreter manager who was able to inform us ahead of time that they would require LSM, which gave us the time to comb through our large network of interpreters and send a right fit. The ability to identify a proper language is a very important prerequisite for a successful and smooth interpretation encounter. The hospital was our county’s public hospital Natividad Medical Center. Their excellent caregiving to the patient and hospitality to our interpreters were highly commendable. We appreciate all the hard work involved on all sides and are honored to share such an excellent work between foreign sign language and American sign language interpretation.

The Classroom

Typically in the United States, many ASL interpreters are known to interpret into sign language for deaf or hard-of-hearing students in the classroom setting, whether it be K-12, colleges, or universities.

Classroom interpreters may also be called “educational interpreters”—these interpreters aren’t just advocates for the students they interpret for, but also role models and supporters. Educational interpreters are part of the educational teams that are responsible for students’/children’s learning goals and outcomes. While the interpreter must maintain confidentiality, of course, confidentiality is not limited to themselves and the classroom teacher. Instead, the interpreter must speak with the student’s educational team about the student’s behavior, answers, development, etc. during classroom and/or school hours.

To properly teach a deaf or hard-of-hearing student, the interpreter and other members of the educational team must decide beforehand on a) what specific type of sign language is necessary to use; b) whether the interpreter should modify vocabulary and/or register (this is especially important if the child has a developmental disability); and c) what each lesson’s outline and expected learning outcome will be.

A Workshop

We’ve recently received a request to provide ASL interpreters for an upcoming workshop designed to promote leadership and effectiveness in the workplace. Workshops can be on any topic–technology, business, medical, community CPR and fire training, etc.

Depending on the length of the workshop and number of attendees, a team of interpreters might be better than a singular interpreter, as interpreting can be tiring with constant hand movement and so require sufficient breaks. If there is a speaker addressing an audience, an interpreter will stand up on stage as well and sign to provide interpretation (usually simultaneous), and can switch out with another interpreter as needed. Providing a team of interpreters can also allow for one or two of them to work with someone who may require extra assistance.

ASL interpreters may be asked to “voice” during the workshop. Voicing is the process of using spoken English in tandem with signing. Deaf or hard-of-hearing people using an interpreter’s services can benefit greatly in their understanding of the interpretation by reading the interpreter’s lips. Those with some level of hearing can also pick up on the morphemes (simply put, small units of spoken sound) coming from the interpreter. Depending on the needs of the situation, the interpreter may be asked not to voice during their work, too.

A Hospital or Forensic Setting

Hospitals are a very common setting for any type of interpretation, and it’s no different for ASL interpretation. Oftentimes, an emergency or a high-priority appointment will pop up. In those cases, time is of the essence to find an interpreter, and it takes a quick, calm, and agile manager or coordinator to find who is available and experienced to interpret.

Recently, we were contacted for a same-day ASL interpretation request concerning medical forensics. We worked fast to send an interpreter who not only could make it in time to the appointment, but also fluent in medical terminology with a proven track record of interpreting for potentially upsetting circumstances.

In our next post we will be highlighting more ASL interpretation scenarios, so please stay tuned.

Requirements:

1. Have completed 100 hours of CCHI approved interpreter training
2. Experienced with in-person medical interpretation
3. Have reliable transportation to and from Richmond or Antioch
4. Enjoy working with young children and particularly mothers
5. Familiar with OBGYN or prenatal services
6. Female interpreters preferred; male interpreters welcomed as well
7. Entry-level is welcome
8. Culturally competent
9. Professional in conduct and appearance
10. Authorized to work in the US

What to Expect:

1. We need someone who is living or willing to relocate to the Richmond/Antioch areas in California for in-person interpretation
2. This will be a 2-year contract
3. Part Time (15 hrs or more per week)
4. Be available to stay on-site for blocks of time to be designated every week
5. Able to work on a team and work well with others
6. May need to shadow physicians and nurses and provide interpretation when necessary
7. Occasionally interpret remotely (via phone or video)
8. Willing to undergo a background check and health screening/immunization
9. Willing to undergo some training to ensure that all guidelines will be followed
10. Willing to follow hospital immunization and safety procedures

If you are interested in joining us, as a first step, please go on our website and in particular answer the questions about your medical interpreting experience, so we can follow up with you. Please also feel welcome to refer entry-level colleagues by sharing this email. Thank you and we look forward to hearing from you soon!

https://www.montereylanguages.com/send-a-resume.html

We would like to share a video that we found. The science of health is always developing and changing, and the video below is only one example out of many.

As a commitment to raise awareness of health and wellness, we encourage everyone to continue your own search for a healthy living style that suits you, and we wish everyone good health and happiness.

Here are some of the video’s key points:

From 1935-2005, people believed that the major source of nutrients should be meat, eggs, and other animal products, but this idea has changed. People have begun to realize that plant-based foods contain thousands of the most important nutrients, so fresh fruit, vegetables, berries, nuts, and seeds should actually be the main part of a healthy diet, not animal products.

Science now teaches us that the best way to live longer, function better, and protect ourselves from disease is to make low-calorie, nutrient-rich foods the basis of our daily diet, such as green vegetables, broccoli, kale, tomatoes, sprouts, lentils, sunflower seeds, almonds, fruits and many more!

Monterey Language Services is committed to bridging the world’s languages by providing quality, professional and efficient translation & interpretation services in over 175 languages. Please feel free to request a quote from us.