spanish 102
“speak spanish?”
“no, i’m sorry. i know some words, but not enough.”
“WHY? you LEARN!” another nurse who speak spanish!”
just like that, and i was dismissed with his had motions. i would have been totally stupid not to understand a dismissing action like that.
there would have been nothing wrong with this exchange, except for the fact that the patient expressed it in a very rude way. it is not possible to put his tone in writing, but you can let your imagination work and think of rudeness at its highest form, and that would have been how he said it.
before all the spanish speaking people hate me for speaking my mind about this, let me say upfront that i totally understand the frustrations of not being able to communicate and to understand somebody. especially if that somebody is a person who has needles and things being poked at you every hour or so. it is VERY frustrating. to say it can get on your nerves is definitely an understatement.
i usually have a lot of sympathy towards patients who cannot speak english because it is a big source of anxiety. to be in a hospital bed and not understand anything, is one thing, being unable to express what you need is another thing.
this rant is only about those specific people (patients and their families) who are very rude in expressing their frustrations. i know that there is a big number of spanish speaking people in america, but is it wrong for me to feel offended when i am told, openly or by actions, that i should be ashamed for not knowing how to speak spanish? do you really think i will come here not knowing how to speak spanish if i know for a fact that i am SUPPOSED to? i took a series of english exams before i finally get my visa to work here. THAT, to me is totally understandable. obviously, if the US embassy requires me to pass a series of spanish exams, i won’t be here.
i do not know how it is in other places, but in my OWN experience, it is mostly the spanish speaking patients and thier families who act like they are being descriminated if they are assigned a nurse who does not speak spanish. i say this based on the fact that our hospital gets patients from all over the world. i have never heard a romanian or a vietnamese, or a french, or a patient get upset just because i do not understand a single thing they say.
usually, it is a difficult situation, but we get through. the interpreters are only available from 8 am to 11 pm. at night, we can get hold of the interpreters only through phone, but imagine the technical difficulties. still we get by.
i am not generalizing all spanish speaking people about this, because a lot of them come in prepared. they come with their families who translate for them. i am just saying that in my experience, there is a handful of “spanish speaking only” patients who get upset, (yes, upset, not frustrated) and they always make sure we know.
as i said, their frustration i can understand. but UPSET? why? i want to understand the reason behind the hostility. i really do. i will appreciate any inputs about this, because even if i am not happy with the implications, i do want situations like these to have better outcomes.
you see, if i decided to work in mexico, or spain, or any spanish speaking country, and people get upset that i do not speak their language, i will totally understand where their anger is coming from. but working here, where english is supposed to be the primary language, do you really think i am being selfish if i just know english?
do you really think i am such an inconsiderate, thoughtless, heartless nurse, just because i don’t know how to speak spanish?
if you ask me, that assumption is unfair, but that’s just my side of the story. it could be because i do not really know both sides.
what is YOUR side of the story?


Hi,
I just found your blog recently and love it. As for dealing with people like that, I’d be tempted to say, “English…YOU learn.”
I know being confrontational doesn’t help matters, but I can’t stand rude people.
Comment by T. — September 11, 2007 @ 3:22 pm
I don’t have a direct response to your question, but it made me think of a similar thing that happened to me: It was evening towards the start of my shift. One of my patients put her light on. I was busy and it took me a little while to get there (10 minutes). As I was walking in I heard her say to her visitor, “If we was white, that nurse woulda been here by now.” I wanted to say, “Actually, I was taking care of my sicker, blacker patient down the hall.” But I didn’t, I didn’t think that would help.
One of the things I really like about my job is that I have nights when I don’t have a single white patient, or when all my patients are non-English speakers. Sure, it’s more challenging, but I’m interested in the nonverbal ways we communicate for nursing care.
Comment by birdy — September 11, 2007 @ 3:59 pm
I visited Japan whan my brother worked there as an English teacher. Even though every Japanese person has years of English in school, NO attempt was EVER made to communicate with me in English. I only knew a little Japanese, but my brother is fluent. Without him, I would have been sunk. They could not even understand french fry if you didn’t pronounce it foo renchu fu rai!
Comment by Bobby — September 11, 2007 @ 4:26 pm
It is extremely frustrating for care-givers and patients not to be able to communicate. Interestingly, NPR did a segment on non-English-speaking-Spanish people living in this country, which I heard while driving home from work tonight. I have no good answers. Ideally, yes, it is easy to say “Live in this country, learn the language!” But when I listen to these reports, I realize there are so many other things… one man worked two back-to-back shifts, from 9am-3am every day - with 6 hours off to sleep and shower, when was he to learn any language other than his own? But to get mad at you for not knowing their language? Yes, seems quite unreasonable to me. Where I live there are also a lot of Spanish-speaking people. Most places you call give the prompt “Press 1 for English, Press 2 for Spanish” I called the east coast of Florida the other day and was also given an option for Creole!
Comment by Lisa — September 11, 2007 @ 6:44 pm
May, The rude patients because you aren’t fluent in their language is getting to be a big problem. In my husband’s hospital it’s Spanish and Chinese. Try finding someone with those two AND English.
We know a newly graduated Medical Assistant who’s really a pretty swell little gal– and she’s been applying for jobs here in Southern California and getting eliminated from about 75% of them– why? Because she does not speak Spanish. It sucks because she has all the makings of an excellent MA.
Mary Lu
Comment by Mary Lu — September 12, 2007 @ 5:06 am
I think it’s horrible when I’m shopping at the mall and run into people speaking spanish and I smile or something and they start to talk about me. Usually, it’s not a very friendly remark. Spanish speakers should know that high school kids always learn the bad words first. It’s like a little blonde girl could never know spanish so that makes me a horrible person even though I can hold a good (not great) conversation in spanish.
Comment by Katie — September 12, 2007 @ 5:53 am
Both my mother and father are from different countries (Mom from Finland, Dad from Greece) neither one knew English when they came here but taught themselves the language. Not once did they expect someone else to learn their native language to communicate.
I think it is crazy for someone to come to the United States and expect us to learn their language because they can’t be bothered to learn ours. I can speak Greek pretty well, so when I am in Greece I try as much as possible to use it and to learn more. When I am in any other country I try to pick up a few sayings, and always learn, Please & Thank You, but if I was to move to said country I would make sure to learn the language.
Then to top it off this person was rude like it is your job to learn to speak his language to me is unacceptable. But that’s just one persons opinion.
Comment by Melina — September 12, 2007 @ 11:42 am
If this does not sound familiar, then take pity…
not so far from the truth sadly, but funny as I read this, nodded and said yes!
Had to share….
You may be a nurse if…..
You believe that every patient needs TLC… That is: Temazepam,Lorazepam and Chlorpromazine.
You would like to meet the inventor of the nurse buzzer system some night in a dark alley.
You believe not all patients are annoying, some are unconscious.
Your sense of humour gets more warped each year.
Your kids get their presents in TED stockings and hospital pillowcases. And their presents are wrapped with Micropore tape.
You know the phone number of every late night food delivery place by heart.
Almost everything can seem funny …. Eventually.
When asked by the doctor what colour that patient’s diarrhoea was, you show them your shoes.
If they missed your shoes, you use the well-known “Poo/Curry Colour Comparison Scale” ranging from chicken korma to spinach vindaloo.
You can identify different causes of diarrhea just by the smell of it.
Every time you walk you make a jingling noise because of all the keys, scissors and clamps in your pockets.
You use bladder lavage bags to drip water onto your plants when you’re on holiday.
Your family refuse to let you watch ER because you spend the whole time correcting everyone and pointing out upside-down X-rays.
You avoid answering the phone on your day off in case anyone from the hospital is trying to call and beg you to work.
You’ve been telling stories in a restaurant and made someone at another table throw up.
You notice that you are using even more 4 letter words than you did before you started nursing.
You’ve seriously considered catheterizing your children before a long car journey.
Every time someone asks you for a pen you can find at least 4 of them on you. Most of them have the names of laxatives on them.
You don’t get worried about blood; unless it’s your own.
You live by the motto “to be right is only half the battle; to convince the Doctor is more difficult”
You’ve basted your Christmas turkey with a 50ml bladder washout syringe.
You’ve told a confused patient that your name was that of one of your fellow nurses, and to shout if they need help. heck you just tell them all, confused or not!
Eating chips out of a clean (unused!) vomit bowl is perfectly normal. acceptable behavior
Your bladder can expand to the size of a petrol tanker’s tank.
When checking the level of a patient’s orientation you aren’t sure of the day yourself. Or if night shift, the month.
You find yourself checking out other customers’ veins in supermarket queues.
You can sleep soundly at the hospital cafeteria table on your dinner break, AND are not embarrassed when you wake up with your head
in the soup.
You avoid unwell looking people in the shopping center for fear that they will drop dead near you and you’ll have to do CPR on your day off, without a Laerdal mask.
You throw a farewell buffet for a co-worker and use a bed sheet for a tablecloth and bedpans to hold the nachos.
You often stay awake for 24 hrs at a time when you work nights and realize that you don’t actually need alcohol or drugs to hallucinate, just lack of sleep…
You pull over in a lay by after working nights because you are too tired to drive all the way home, and wake up to someone knocking on your window thinking you’ve had a stroke because you’ve passed out in your car and are drooling.
Your finger has gone into places you never thought possible.
You’ve seen more penises than any prostitute.
Comment by KJ — September 12, 2007 @ 2:51 pm
Frustrated, yes; upset, no. I’m entirely with you on this, May.
Comment by The Curmudgeon — September 13, 2007 @ 2:39 pm
Living in a country, England, where printed directions on products come in about 13 different languages I know what you mean. Then you have to find the English one, oh right that makes me a very happy camper not!
I get so angry when people come to live in an English speaking country and do.not.learn.English!!!!
Not being in the medical field I don’t know how to solve your problem, but I feel for you May, I really do.
Comment by Vanda — September 15, 2007 @ 2:23 am
I know if I chose to go live in China, I would learn the language and dialect of where I lived. If I chose to live in any other non English speaking country, I would learn the language. The very last thing I would do is get fiesty with the locals when they don’t know my language. ABSURD!
Comment by nocturnalRN — September 19, 2007 @ 12:28 am
I rally enjoy reading your blog. I also work in a med/surg tele unit and have experienced much of what you have shared so well. I firmly agree that people who become frustrated because I don’t speak their native language in my native country are expecting too much. Luckily, in my hospital, we have transaltor phones that can be used 24/7 so that we cqan communicate in our language through someone else in the patients native language. I can’t tell you how much of a blessing that is.
Good luck with the move and god bless.
Comment by JVRN76 — September 27, 2007 @ 10:05 am
May, I enjoy reading your blogs. Not only you’re funny but a good writer as well. I work here in south Texas where the majority of population is Hispanic. I do speak a few words for quick communication. I do not have a problem with Hispanic patients. What I do not like is some assume, just because I look Hispanic, that I know Spanish and will start speaking to me in their language. However, when they see a white nurse or nurse’s aide they speak in English. Also, sometimes Filipino nurses will speak in Tagalog. Staff who talk amongst themselves in Spanish will make negative comments. Guess it is okay for them but not for us to speak in our own language.
Comment by rubydaynurse — October 11, 2007 @ 9:30 pm
Hi, i’m from mexico so.. i’m a “Spanish speaker” I’m also a nurse. I was reading your blog because I was looking for a job who request my language; which is funny because you feel frustrated for the same thing(that you don’t speak). well.. my point is, the patient was rude ok.. but if you were the patient, in another country, in the same circumstance, don’t you request for someone you understand?
I know that I am not good english writing, but I read and talk to perfection.
No trato de disculpar a la persona por su enojo, pero si llego a solicitar asistencia medica se podria encontrar en un estado de animo no bueno.. no lo tomes personal.
Comment by n* — October 12, 2007 @ 12:57 am
Hello
My name is liza. I from Mexico, I speak Spanish, my problem is the english, I live in this country only 1 years and half, I go to adult school, I am a nurse, now I live here, but I don’t found a jobs like cna, because I Don’t have a licence. I am looking a course of cna en spanish , because my enclish isn’t good, I have a problem but undertant english, because where I live the people That I know speak spanish , I can’t to speak english because don’t understant the people
Comment by LIZA — March 23, 2008 @ 4:54 pm
I’ve been a nurse for over 30 years in a lot of different area. I communicated a lot non-verbally but always tried to speak some spanish. But I recently found a trick that really helped to break the ice. I was going into a room of a Spanish speaker when I told the MD I was walking in with that the patient only spoke Spanish. He then proceeded to ask them how many years they had been in the United States and then I think without even waiting for an answer he lunched into very fluent spanish. I adopted his technique I think without the embarrassment. I have study spanish for a total of about 2 years in high school and then an 4 week intensive. I ask the question in spanish as to how many years they have lived here and then I share how many years I studied spanish. I tell them that my spanish isn’t very good but I will continue to speak it in my broken spglish. It breaks the ice and they try to speak english and I try to speak some spanish. And don’t forget if you live in the United States the original language was some type of Indian language and Spanish was the most common in the west before it was “won” by the US army.
Comment by katie — April 30, 2008 @ 10:41 pm