RAFAEL: I have...fatiga...you know?
How you say in English...fatiga?
NURSE: Okay, how long have you been fatigued?
RAFAEL: I have fatiga -- very much.
It happen in the morning.
NURSE: Ok.
I'd like to call an interpreter to help us understand each other.
RAFAEL: No, I understand English. No problem.
NURSE: Mr. Hernandez, I'm sure you do,
...but its our policy to use interpreters just to make sure we're not missing anything.
Now, what language do you speak best -
Spanish, Portuguese, or some other language?
RAFAEL: Es-spanish.
NURSE: OK, so tell me again about your symptoms?
INTERPRETER: `Bueno, podra otra vez describir cules son sus sintomas?
RAFAEL: I have fatiga. Very much. It happen in the morning.
NURSE: OK, so you have been tired since this morning.
Do you have any other symptoms? Any fevers or chills?
INTERPRETER: I'm sorry. Can I stop you for a minute?
I need to clarify something.
He's saying fatiga...
...and you're taking that to mean that he's tired,
...but he may mean hes feeling short of breath.
Do you mind if I check-back with Mr. Hernandez just to clarify?
NURSE: Yes, please do.
INTERPRETER: Cuando usted dice "fatiga", quiere decir que est cansado o que le falta el aire?
RAFAEL: Me falta el aire.
INTERPRETER: Okay, o sea que siente como que le falta el aire.
RAFAEL: S.
INTERPRETER: Hes actually having shortness of breath, not tiredness.
The word fatiga can mean either one.
NURSE: Thank you, that is very helpful.
Mr. Hernandez, shortness of breath...
...can be a sign of some serious conditions.
Im going to need to ask you a few more questions...
...and to do some examinations of your lungs and your heart.
INTERPRETER: Hi, I'm Luz Vega. I am the interpreter for Mr. Hernandez.
DOCTOR: Dr. Desai. Nice to meet you.
DOCTOR: OK, let's brief.
This is a 55 year-old man here for shortness of breath...
...who just started having some mild chest pressure.
Weve already told him that his EKG shows that he is having a myocardial infarction,
...and weve gotten consent for a balloon angioplasty.
Now we need to get some pre-op information from him.
INTERPRETER: Okay, thanks -- is there anything else I should know?
DOCTOR: Nothing comes to mind,
...but stop us any time and let me know if anything is unclear...
...or there's anything I should know about him that Im not getting.
DOCTOR: Hi Mr. Hernandez. Im Dr. Desai.
And, you know the interpreter, Ms. Vega, and nurse Lansky.
INTERPRETER: Hola, Señor Hernandez. Soy la doctora Desai.
Usted ya conoce a la interpreter, la seora Vega, y a la enfermera Lansky.
La doctora Desai quiere asegurarse de que usted entienda...
...todo lo que le explicamos, as que, sintase en libertad de interrumpirnos...
...si hay algo que no entiende, est bien?
RAFAEL: S.
DOCTOR: Mr. Hernndez,
...as you know, you are going to have a procedure called balloon angioplasty to open the artery in your heart.
INTERPRETER: Señor Hernandez, como sabe, a usted se le va a realizar un procedimiento, llamado angioplasta de globo...
...para abrir la arteria en su corazn.
DOCTOR: First of all, we need to make sure that you don't have any allergies to IV contrast.
Do you have any allergy to IV contrast dye?
INTERPRETER: Lo primero que tenemos que hacer es asegurarnos de que usted no tenga alergia al...
...al...
...al tinte de contraste que le introducen va intravenosa. Tiene usted alergia al tinte de contraste?
RAFAEL: Nono creo.
INTERPRETER: I'm... I'm sorry...I'm concerned.
He may not understand what you mean when you say contrast or dye.
DOCTOR: He just said hes not allergic.
INTERPRETER: Im sorry, Im a bit uncomfortable;
I dont think he understood.
It think you may be safer if you say it in plain language.
DOCTOR: Of course. Of course.
For this procedure, we inject a liquid into the blood so that we can see the heart better.
The same liquid is used for CAT scans, x? rays, and some other tests.
INTERPRETER: Para este procedimiento, necesitamos inyectarle un lquido a su sangre -- tal que...
...podamos ver mejor su corazn. Ese lquido es el mismo que se usa cuando le...
...hacen una CAT scan, rayos equis y unas otras pruebas.
EVA: A l le hicieron algo parecido en nuestro pas,
...hace mucho tiempo ya,
...cuando le hicieron una prueba de radiologa.
Casi se muere.
INTERPRETER: He had something like that back home a long time ago...
...when they gave him an x-ray.
He almost died.
DOCTOR: It sounds like he may have a serious contrast allergy.
Well need to pre-medicate him with prednisone and Benadryl...
...and keep a close eye on him during the procedure.
DOCTOR: Mr. Hernandez, what questions do you have about any of this?
INTERPRETER: Señor Hernandez, que preguntas tiene de lo que le hemos explicado?
RAFAEL: No, no tengo preguntas.
INTERPRETER; No I dont have any questions, thank you.
Dr. Desai, anything else youd like to ask...
...or mention to Mr. Hernandez?
DOCTOR: No, thats it.
Ms. Vega, thank you very much for your help today.
NURSE: Yes. And great catch on the dye allergy.
NURSE: Good news Mrs. Hernandez.
The procedure went very well.
Your husband had a serious heart attack,
...but we got him the angioplasty quickly,
...so there is a good chance we saved most of his heart muscle.
INTERPRETER: Buena noticia, Seora Hernandez
El procedimiento sali muy bien.
Su esposo tuvo un ataque al corazon muy serio,
...pero le hizimos la angioplastia a tiempo,
...o sea que hay alta probabilidad de que se salve bastante del tejido muscular del corazon.