1. Translating Health Enhanced English for Interpreters Fujian Normal University FNU Language Enhancement 2012-2013

2. Discussion and Homework What are the advantages and disadvantages of the custom of having retired parents living with grown children? For parents? For children? For society? (Use your own experiences and stories) What would be the advantages and disadvantages to a society of having a system of retirement homes, and relying heavily on this system to care for old people? **250-300 word summary** FNU Language Enhancement 2012-2013

3. Living with grown children Advantages Professional care Social network for elderly Regular routine Avoid conflict Preserving their self-esteem Disadvantages lack of family life Feelings of abandonment Financial burden

4. Living in a retirement home Advantages don’t need to hire help Convenient for us to see them Parents feel safe at own home Bring a lot of joy to have the family together Save money Disadvantages many people = more conflict Generation gap No space Limited freedom (time) for all No one home 24/7 - if they need round the clock care

5. “a”,“o” and “u” Pronunciation Long vowels fāke  “fei-ji” 飞机 nōte  “bo-cai” 菠菜 clūe  “lu” 路 Short vowels hăt  no equal pinyin hŏt  no equal pinyin bŭn  “men” 门 ratrotrut batboughtbut packetpocketpuck (g)nat ( 蝇 )knotnut capcopcup bagbog ( 沼泽 )bug

6. Tongue Twister Betty Botter bought a bit of bitter butter Which made her batter bitter But a bit of better butter Makes better batter So Betty Botter bought a bit of better butter Making her bitter batter better. FNU Language Enhancement 2012-2013

7. Phrasal Verbs 1. To get an illness from someone is to: a.To pick up b.To rule out c.To take it away My daughter picked up a bug from school and now we are sick. 2. To try and prevent getting ill is to: a.To wrap up b.To run over c.To fight off I’ve been fighting off this cold since the weekend, but I think that I’m feeling worse. FNU Language Enhancement 2012-2013

8. Phrasal Verbs 3. If a part of your body gets bigger and rounder because of injury or illness it: a.To come out b.To kick in c.To swell up His ankle swelled up after he fell during the game. 4. Another expression for vomiting is to: a.To throw up b.To bring up c.To pass out He brought up/threw up his dinner an hour after he got home. FNU Language Enhancement 2012-2013

9. Phrasal Verbs 5. To become unconscious is to: a. To fall down b. To black out c. To pass out He blacked out/passed out after the ball hit him in the head. 6. To recover from an illness is to: a. To get over it b. To take up c. To fall over She got over a bad case of the flu. FNU Language Enhancement 2012-2013

10. Quick Vocabulary Generation Name as many body parts and internal organs as you can in English in 3 minutes (You can use electronic dictionaries) FNU Language Enhancement 2012-2013

11. Body Parts, Internal Organs Lung Liver Spleen Heart Kidney Stomach Intestine Bladder Pancreas Artery Brain Uterus Prostate Bronchial airway Esophagus rectum Head Neck Shoulder Knee/toes/ankles/thigh Breast Leg Hand/arm/wrist/finger Eyes Elbow Skin Ears Back Abdomen Chest Muscle Hip/pelvis

12. Put Yourself in Their Shoes GoFluently.com Interpreters and Translators Inc. FNU Language Enhancement 2012-2013 Make a list of common English words that might be useful in this hospital setting.

13. Symptoms vs Disease Swelling, inflammation Dizziness Itchy (rash) Aches/pain/strain/sore- headache,stomach,back Cold/sneeze Hot/fever Cut/wound Vomiting/nausea Sweating Diarrhea/constipation Blurry vision Cold/cough/flu Arthritis Stroke Diabetes Asthma Heart attack Cancer AIDS/HIV Parkinson’s/Dementia High blood pressure Tuberculosis (TB) Pneumonia 症 状 What is happening at the moment 病症 Name of the illness causing the symptoms

14. Medical Interpreters Every healthcare organization in the USA must provide an interpreter to patients who speak limited English $25-50 US an hour salary, depending on state Requirements: fluent in a second language knowledge of medical terminology good memory recall understand ethics culturally sensitive accurate and precise in interpreting and translating medical information An interpreter CANNOT omit or filter information between a doctor and a patient FNU Language Enhancement 2012-2013

15. Navigating healthcare in the United States for Chinese American Seniors Asian Health Services, Oakland, California FNU Language Enhancement 2012-2013

16. Medical Dictionary References 医学用语 Medical Terms Dictionary (on iTunes) Ktdict C-E (on iTunes) Pleco Medical dictionary (Android and Apple users) Dr. Dict http://www.drdict.com/ 網上英漢漢英醫學辭典 (Hong Kong based) Medical dictionary On-Line for Chinese http://www.hk-doctor.com/html/dict.php FNU Language Enhancement 2012-2013

17. Why Medical Translators? Case Study: Ling Location: Asian Health Services, Oakland, California Purpose of visit: prenatal care, 4 months pregnant Background: rural farming village where traditional herbal medicine was practiced and prenatal care was non-existent. Medical Tasks 1 st visit: protocol of drawing multiple tubes of blood asking very personal questions about sexuality undress completely for a pelvic exam on the first visit 2 nd visit: positive result for a sexually transmitted disease need for chest X-ray for positive TB test 3 rd visit: domestic violence (strangling) due to birth of a girl FNU Language Enhancement 2012-2013

18. Discussion Identify the cultural barriers that prevent Ling from receiving effective healthcare in the U.S. –Preventative healthcare vs reactive healthcare –Embarrassed to talk about sexuality –Embarrassed about undressing –Afraid of being a public health risk or being shamed (lose face) Interpret to the American doctor, why Ling may be resistant to discuss or perform any of the tests. –Loss of face –Poor health care in Chinese villages, so not aware of test rationale –No access to prenatal care in the Chinese villages –Don’t publicly talk about domestic violence or sexuality in China FNU Language Enhancement 2012-2013

19. The prenatal checkup, Shanxi province Can you identify what a foreigner might find odd about this photograph?

20. Homework Read the article “A Year in Community Health Work” regarding the Taiyuan Community Health Center in Shanxi province. Considerations: Briefly summarize the barriers the team faced delivering health care to the community. How did they overcome the barriers? FNU Language Enhancement 2012-2013