Medical Interpreter at Duke University Health System
Translation and Localization | Raleigh-Durham, North Carolina Area, US
I am a premed transfer student from Durham Tech, transferring to UNC-Chapel Hill in 2015, majoring in Health Policy and Management at the Gillings School of Public Health, with a minor in Medical Anthropology.
My passion lies in issues related to healthcare access of minorities, including language access issues and cultural competency in the provision of health care. I have 16 years of experience in translation and interpretation (Spanish-English) and 9 years of experience in medical Spanish interpretation. I am particularly interested in the development of the medical interpretation field, language access issues, integrated tracking, identification and documentation of these needs within EMR (Electronic Medical Records), and training of providers and health care staff in safety and cultural issues related to LEP (Limited English Proficiency) patients.
2006 - Present
Medical Interpreter - Translator / Language Service Solutions
Language interpretation for Spanish/English, mainly in the medical field (doctor's appointments, surgical procedures, physical therapy, rehabilitation) Transcription services involving both English and Spanish. Translation of documents from English to Spanish or Spanish to English. Facilitator for focus groups for research purposes or community outreach (in both English and Spanish). Extensive experience with the latino community in the Triangle Area.
Past and current clients include: Worker's Compensation insurance companies Department of Social Services University of North Carolina Chapel Hill University of California San Francisco Durham Center Access Centro Hispano Durham Chatham County Durham County Chamber of Commerce, Raleigh etc.
Medical Interpreter / Duke University Health System
Spanish Medical Interpretation at Durham Regional Hospital Durham, NC
Photographer / Lumina Creative
Weddings, Commitment Ceremonies, Engagement, Quinceañeras, Events, Portraits, etc.
Office Assistant / Adsun
Property Developer & Manager / Independent
English & Math Tutor / Independent
Translator & Proofreader / Anxa.com
Public Relations Assistant & Translator / TraduccionExpress.com
4th & 5th Grade Math Teacher / Gimnasio La Montaña
Translator/Interpreter/English Teacher to Employees / Defence Systems Colombia, S.A.
International Communicator and Child Sponsorship Plan Coordinator / Fundación Educativa Amor
University of North Carolina at Chapel Hill
Health Policy and Management (BSc)
Global Public Health
Durham Technical Community College
Associates in Science University Transfer
Activities: Phi Theta Kappa, C-STEP (Carolina Student Transfer Excellence Program)
For one weekend in mid-August, comrades in health from around the world gathered in Seattle to discuss the work of Doctors for Global Health, liberation medicine, and social justice as it relates to health in the US and abroad. The theme was “Deconstructing the Status Quo: Building Global Health Justice” and topics ranged from the impact of the historical trauma and the boarding school injustice on breastfeeding for native communities in the state of Washington to the importance of alternative economies in community health promotion in Mexico, as well as tools and strategies for building social movements and creating social change.
A brief period of postnatal visual deprivation, when early in life,
drives a rewiring of the brain areas involved in visual processing, even
if the visual restoration is completed well before the baby reaches one
year of age, researchers at the University of Trento, McMaster
University, and the University of Montreal revealed in Current
Scientists have long known that the functional neural architecture
for perception and cognition strongly depends upon plasticity: in other
words, our brain has the capacity to change and adapt as a result of
experience. As a number of neuroimaging studies show, the early onset of
permanent blindness alters the response of the neurons of the visual
cortex and causes a cortical compensatory re-organization in the
occipital lobe. This lobe, where visual functions are typically located,
becomes active during the processing of auditory stimuli. The
recruitment of visual areas for auditory tasks is sometimes thought to
underlie the better performance in processing inputs from other senses
observed in congenitally blind people.
What was not clear yet was whether a short and transient period of
postnatal visual deprivation is sufficient to trigger crossmodal
reorganization that persists after years of visual experience. In order
to answer that question, the researchers characterized the brain
responses to auditory stimuli in 11 adults who had been treated for
congenital cataracts in both eyes. These adults had been deprived of all
patterned vision from birth until the cataracts were removed surgically
and the eyes fitted with appropriate contact lenses that restored
nearly normal visual input. The age at treatment varied from 9 days to
just under 8 months of age. The control group consisted of 11 visually
“The cataract-recovery participants had been blind for less than 8
months, but their blindness occurred at birth, during the most sensitive
period for brain development. They showed enhanced auditory-driven
activity in focal visual regions”, explained study leader Olivier
Collignon, who undertook the work at University of Trento and the
University of Montreal. “Thus, a short and transient period of visual
deprivation early in life leads to enduring large-scale crossmodal
reorganization of the brain circuitry typically dedicated to vision.
This compellingly highlights the role early postnatal experience plays
in shaping the functional architecture of the brain”.
Crossmodal plasticity in the case of blindness is a vital brain
mechanism for compensating for visual deprivation, but the mechanism can
have also negative effects on visual restoration, because it might
interfere, to a certain extend, with the optimal resettlement of the
regained sensory inputs. “Crossmodal plasticity may therefore be
considered as a two-edged sword”, Collignon added. The existence of
auditory responses in the occipital cortex of cataract-recovery
patients, as observed in the study, therefore poses crucial questions
regarding how these non-visual inputs coexist or even interfere with
visual functions. Olivier Collignon and his collaborators are now
investigating further how this crossmodal reorganization might
contribute to the impaired visual abilities observed in
cataract-reversal patients. Resolving this crucial question may impact
on how visual training programs are developed for visual restoration.
<p><a class="tumblr_blog" href="http://wayfaringmd.tumblr.com/post/128438050888/do-people-really-go-see-gynaecologists-for-pap">wayfaringmd</a>:</p>
<blockquote><p>Your system is how it’s supposed to be, but in the U.S. a lot of folks think they need a specialist for everything. They think they need a cardiologist for their hypertension and an endocrinologist for their diabetes and a dermatologist for their perfectly normal moles. They end up fracturing their care and paying a lot more for things their family doc could manage.</p></blockquote><p></p>
Public dissection was a common practice in Europe. The Murder Act in 1751 declared that all murderers be dissected after death, and this was a particularly strong deterrent to murder. At the time, public dissection was seen as the ultimate indignity. One young murderer condemned to dissection commented to a constable manning the gallows that his victim was better off than he. The constable agreed.
Because it was seen by many as desecration, friends of the condemned would often race to the gallows after the hanging. They challenged the men sent to recover the bodies. This sometimes degenerated into bloody contests between the two sides.
The actual dissection was performed by three men. It was a ritualized, theatrical event. The highest-ranking doctor sat on a raised dais above the corpse and read from an anatomical text to explain the dissection to onlookers. Second in rank was the surgeon, who dissected the body. He was held in lower regard because he made contact with the dead body. Finally, another man pointed out specific organs with a wand.
The man pictured above is Sanju Bhagat aged 36 from India. He is fully pregnant with his own twin. Because Sanju lacked a placenta, the fetus inside him attached directly to his blood supply. Doctors delivered the twin which was severely malformed and did not survive. Fetus in fetu is an extremely rare disorder in which a twin somehow becomes connected (internally or partly externally) to its twin while still in the womb. In some cases the fetus in fetu will remain inside the host twin unknown until it begins to cause problems. In more common cases, the signs are visible from the outset and are often initially confused with cysts or cancers. In a recent case a 7 year old boy was discovered to be carrying his twin when his parents noticed that something was moving in his stomach. You can read more about that here.
Fildes’ celebrated 1887 work, The Doctor, depicts a Victorian GP on a home visit. He is watching over an impoverished labourer’s sick child; the bed is makeshift, two non-matching chairs pushed together; the cottage interior humble, befitting the labourer’s status. The central figure is the imposing male doctor, gazing intently at his patient, while in the background the father looks on helplessly his hand on the shoulders of his tearful wife. The doctor is observing the ‘crisis’ of the child’s illness, the critical stage in pre-antibiotic days when the patient is no longer overwhelmed by infection. The breaking light of dawn on the child’s face suggests the crisis is over and that recovery is possible. Fildes’ skilful use of light and perspective focuses the eye on the doctor, the patient, and the relationship between them. The child’s parents are peripheral, almost irrelevant, the father is watchful but disempowered by the presence of the expert, and the mother, in a stereotypically female role, is collapsed but accepting succour from the hand of the more powerful male. ‘The doctor broods, and in truth there was very little more he could do; he was almost as helpless as the parent only 6 feet and three or four social classes away’, writes Douglas.1
In 1949, the American Medical Association used versions of The Doctor with the caption, “Keep Politics Out of This Picture,” in a campaign against a proposal put forward by President Truman for nationalized health care.
Morning run (11am). I decided to just follow the C25k program and push myself to run faster during the running intervals. Also tried out the Intervals app for iPhone and I like the cues. Now I...read more
Morning run (11am). I decided to just follow the C25k program and push myself to run faster during the running intervals. Also tried out the Intervals app for iPhone and I like the cues. Now I#x27;ve got to look into signing up for a 5k race/run. I#x27;m feeling very confident that I won#x27;t run into sciatica problems because the weight training seems to be making me more flexible.
So, I decided not to post here until I felt that I had established a habit. I told myself three weeks ago that I#x27;d give myself 21 days to establish the habit of going to the gym three tim... read more
Had a run while waiting for a patient that I dropped off for an appointment. I wanted to run for longer but there wasn#x27;t time. It was much warmer than yesterday so I had a couple of laye...read more
Had a run while waiting for a patient that I dropped off for an appointment. I wanted to run for longer but there wasn#x27;t time. It was much warmer than yesterday so I had a couple of layers less.
A run while I waited for a patient I had dropped off for an appointment. I enjoyed this one because half of it is uphill and the other half is downhill. I#x27;ve also noticed my pace is imp...read more
A run while I waited for a patient I had dropped off for an appointment. I enjoyed this one because half of it is uphill and the other half is downhill. I#x27;ve also noticed my pace is improving very slightly.
It was cold, though.
Gear: tights, long pants, headband, sunglasses, hoodie, thin workout sweater, t-shirt, longsleeved workout under shirt, Nike Free Run +
I#x27;m gradually seeing my pace improving. I loved this run. I did it before going to work (night shift), right at dusk and the trail was very foggy and wet... but just beautiful. I listen...read more
I#x27;m gradually seeing my pace improving. I loved this run. I did it before going to work (night shift), right at dusk and the trail was very foggy and wet... but just beautiful. I listening to a song I had just discovered the day before: quot;Keep the streets Empty for Mequot; by Fever Ray. I just put it on repeat and it made the whole run magical. Absolutely loved this run!