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Here’s Why Deaf People Hate the Medical Community

Here’s Why Deaf People Hate the Medical Community

Time after time I’ve read posts or watched vlogs of horror stories from Deaf and Hard of Hearing people dealing with doctor offices and hospital visits.

I’ve experienced many of these first-hand myself. It happens so often that I’m spurred to write this article to educate the medical community on what you need to know about your Deaf patients.

First, I’m primarily focusing on the “Deaf” community, those who are likely to have American Sign Language (ASL) as their first language, may not be fluent in English, and believe they are not “broken” and don’t need to be fixed by the medical community. This is the group that struggles against communication and accessibility barriers in hospitals, doctor’s offices, and in daily dealings with the public.

To ease this tension and foster a good doctor-patient relationship, you need to understand the following points:

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A Certified Interpreter is Vital

As I mentioned earlier, ASL is our first language and easiest for us to comprehend and communicate in. ASL is not a “translation” of English, it has its own grammar, syntax and rules. It uses the full range of hand movements, facial expressions, and body language to convey the message.

Because of the complexity of medical terminology, the gravity of the medical visit, the condition the patient may be in, and the need for clear communication – a Certified interpreter is required. There’s a huge difference between a certified interpreter who understands and can relay medical issues and someone who “knows how to sign”.

For example, a cardiologist hired an ASL student for a Deaf patient’s visit. The student struggled to come up with the right sign for certain words and the signing was not “smooth”, akin to someone pausing and saying “Ummm” a lot. The student signed to the Deaf patient “You have Heart Pain” to which the Deaf patient denied repeatedly. After several frustrated attempts back and forth it was understood that the doctor really said “You have Heartburn”. The Deaf patient gave up, wrote to the Doctor “I’m leaving! I’ll come back when you get a proper interpreter!”

Video Remote Interpreting (VRI) is not Accessible

Many hospital and large medical offices are relying on VRI, which is a laptop or monitor connected by Wi-Fi to an interpreter located off site. As cost effective this may be on administrative paper, it is not an accessible or effective means of communication for Deaf patients.

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As a matter of fact, we HATE it!

Forget the fact it takes forever to sign in, enter hospital name, department number, hospital floor, head nurse name, room number and patient name and account number, etcetera.

It uses the hospital’s Wi-Fi connection, which as many patients know, is very slow, frequently drops out, and requires frequent sign-ins. Then there’s the problem with viewing:

  • the screens are clumsy to position
  • it’s sometimes hard to see the screen from where we’re laying in the bed
  • the interpreter may not be able to see the Deaf patient or their Deaf family members
  • because of the Wi-Fi connection, there are frequent screen freezes so there are a lot of words missed
  • and lastly there are those who also have vision problems, or are deafblind, who prefer tactile sign language, rather than straining to see a flat screen.

This humorous clip demonstrates the frustrations of VRI.

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Stop Assuming We Are Mentally Deficient

Just because they are Deaf doesn’t mean they can’t grasp what you’re explaining to them. A missing sense doesn’t translate into missing brain functioning.

I have met countless of doctors, nurses and other professionals who upon learning that I’m Deaf and legally blind, automatically assume I’m incapable of daily self-care; then they’re surprised I actually have a Bachelor’s degree, married with children and independent and don’t need a “caretaker”.

We are fully capable of understanding you, and are able to participate in health decisions once the proper communication method is in place: which is an interpreter. Writing back and forth and lipreading is a lot less efficient than doctors realize.

Don’t Question Our Deafness

Many Deaf patients feel frustrated at doctors insisting on questioning them about the cause of their deafness when it’s irrelevant to the medical visit. Don’t ask why they do or don’t wear hearing aids or get cochlear implants.

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Like I said earlier, Deaf people feel that they’re not broken; they concentrate on what they can do with their rich culture just like anyone else, instead of concentrating on hearing, speaking, and assimilating into the “hearing” world.

Don’t Be Dismissive

Many Deaf parents, like myself, are frustrated by the dismissive attitude of doctors and nurses when they bring their children in for appointments or to the ER. The medical staff starts communicating with the child and don’t address the parent at all.

This may seem easier to deal with, but the child is still a child and do not understand the complexity of their medical needs. Children also don’t relay the full information back to their Deaf parents either which is also why you shouldn’t use them as interpreters as well.

Because of these frustrating experiences by Deaf patients, they tend to avoid seeking medical treatment, skip regular checkups and have an overall mistrust of the medical community.

So to better serve your Deaf patients and avoid costly lawsuits, it would be a good idea to simply use common sense, drop the stereotypical assumptions, and follow these simple tips.

Featured photo credit: Pixabay.com via pixabay.com

More by this author

Tracy Stine

ASL Tutor, Freelance writer & Blogger

Here’s Why Deaf People Hate the Medical Community

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Last Updated on October 22, 2020

8 Simple Ways to Be a Better Listener

8 Simple Ways to Be a Better Listener

How would you feel if you were sharing a personal story and noticed that the person to whom you were speaking wasn’t really listening? You probably wouldn’t be too thrilled.

Unfortunately, that is the case for many people. Most individuals are not good listeners. They are good pretenders. The thing is, true listening requires work—more work than people are willing to invest. Quality conversation is about “give and take.” Most people, however, want to just give—their words, that is. Being on the receiving end as the listener may seem boring, but it’s essential.

When you are attending to someone and paying attention to what they’re saying, it’s a sign of caring and respect. The hitch is that attending requires an act of will, which sometimes goes against what our minds naturally do—roaming around aimlessly and thinking about whatnot, instead of listening—the greatest act of thoughtfulness.

Without active listening, people often feel unheard and unacknowledged. That’s why it’s important for everyone to learn how to be a better listener.

What Makes People Poor Listeners?

Good listening skills can be learned, but first, let’s take a look at some of the things that you might be doing that makes you a poor listener.

1. You Want to Talk to Yourself

Well, who doesn’t? We all have something to say, right? But when you are looking at someone pretending to be listening while, all along, they’re mentally planning all the amazing things they’re going to say, it is a disservice to the speaker.

Yes, maybe what the other person is saying is not the most exciting thing in the world. Still, they deserve to be heard. You always have the ability to steer the conversation in another direction by asking questions.

It’s okay to want to talk. It’s normal, even. Keep in mind, however, that when your turn does come around, you’ll want someone to listen to you.

2. You Disagree With What Is Being Said

This is another thing that makes you an inadequate listener—hearing something with which you disagree with and immediately tuning out. Then, you lie in wait so you can tell the speaker how wrong they are. You’re eager to make your point and prove the speaker wrong. You think that once you speak your “truth,” others will know how mistaken the speaker is, thank you for setting them straight, and encourage you to elaborate on what you have to say. Dream on.

Disagreeing with your speaker, however frustrating that might be, is no reason to tune them out and ready yourself to spew your staggering rebuttal. By listening, you might actually glean an interesting nugget of information that you were previously unaware of.

3. You Are Doing Five Other Things While You’re “Listening”

It is impossible to listen to someone while you’re texting, reading, playing Sudoku, etc. But people do it all the time—I know I have.

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I’ve actually tried to balance my checkbook while pretending to listen to the person on the other line. It didn’t work. I had to keep asking, “what did you say?” I can only admit this now because I rarely do it anymore. With work, I’ve succeeded in becoming a better listener. It takes a great deal of concentration, but it’s certainly worth it.

If you’re truly going to listen, then you must: listen! M. Scott Peck, M.D., in his book The Road Less Travel, says, “you cannot truly listen to anyone and do anything else at the same time.” If you are too busy to actually listen, let the speaker know, and arrange for another time to talk. It’s simple as that!

4. You Appoint Yourself as Judge

While you’re “listening,” you decide that the speaker doesn’t know what they’re talking about. As the “expert,” you know more. So, what’s the point of even listening?

To you, the only sound you hear once you decide they’re wrong is, “Blah, blah, blah, blah, blah!” But before you bang that gavel, just know you may not have all the necessary information. To do that, you’d have to really listen, wouldn’t you? Also, make sure you don’t judge someone by their accent, the way they sound, or the structure of their sentences.

My dad is nearly 91. His English is sometimes a little broken and hard to understand. People wrongly assume that he doesn’t know what he’s talking about—they’re quite mistaken. My dad is a highly intelligent man who has English as his second language. He knows what he’s saying and understands the language perfectly.

Keep that in mind when listening to a foreigner, or someone who perhaps has a difficult time putting their thoughts into words.

Now, you know some of the things that make for an inferior listener. If none of the items above resonate with you, great! You’re a better listener than most.

How To Be a Better Listener

For conversation’s sake, though, let’s just say that maybe you need some work in the listening department, and after reading this article, you make the decision to improve. What, then, are some of the things you need to do to make that happen? How can you be a better listener?

1. Pay Attention

A good listener is attentive. They’re not looking at their watch, phone, or thinking about their dinner plans. They’re focused and paying attention to what the other person is saying. This is called active listening.

According to Skills You Need, “active listening involves listening with all senses. As well as giving full attention to the speaker, it is important that the ‘active listener’ is also ‘seen’ to be listening—otherwise, the speaker may conclude that what they are talking about is uninteresting to the listener.”[1]

As I mentioned, it’s normal for the mind to wander. We’re human, after all. But a good listener will rein those thoughts back in as soon as they notice their attention waning.

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I want to note here that you can also “listen” to bodily cues. You can assume that if someone keeps looking at their watch or over their shoulder, their focus isn’t on the conversation. The key is to just pay attention.

2. Use Positive Body Language

You can infer a lot from a person’s body language. Are they interested, bored, or anxious?

A good listener’s body language is open. They lean forward and express curiosity in what is being said. Their facial expression is either smiling, showing concern, conveying empathy, etc. They’re letting the speaker know that they’re being heard.

People say things for a reason—they want some type of feedback. For example, you tell your spouse, “I had a really rough day!” and your husband continues to check his newsfeed while nodding his head. Not a good response.

But what if your husband were to look up with questioning eyes, put his phone down, and say, “Oh, no. What happened?” How would feel, then? The answer is obvious.

According to Alan Gurney,[2]

“An active listener pays full attention to the speaker and ensures they understand the information being delivered. You can’t be distracted by an incoming call or a Facebook status update. You have to be present and in the moment.

Body language is an important tool to ensure you do this. The correct body language makes you a better active listener and therefore more ‘open’ and receptive to what the speaker is saying. At the same time, it indicates that you are listening to them.”

3. Avoid Interrupting the Speaker

I am certain you wouldn’t want to be in the middle of a sentence only to see the other person holding up a finger or their mouth open, ready to step into your unfinished verbiage. It’s rude and causes anxiety. You would, more than likely, feel a need to rush what you’re saying just to finish your sentence.

Interrupting is a sign of disrespect. It is essentially saying, “what I have to say is much more important than what you’re saying.” When you interrupt the speaker, they feel frustrated, hurried, and unimportant.

Interrupting a speaker to agree, disagree, argue, etc., causes the speaker to lose track of what they are saying. It’s extremely frustrating. Whatever you have to say can wait until the other person is done.

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Be polite and wait your turn!

4. Ask Questions

Asking questions is one of the best ways to show you’re interested. If someone is telling you about their ski trip to Mammoth, don’t respond with, “that’s nice.” That would show a lack of interest and disrespect. Instead, you can ask, “how long have you been skiing?” “Did you find it difficult to learn?” “What was your favorite part of the trip?” etc. The person will think highly of you and consider you a great conversationalist just by you asking a few questions.

5. Just Listen

This may seem counterintuitive. When you’re conversing with someone, it’s usually back and forth. On occasion, all that is required of you is to listen, smile, or nod your head, and your speaker will feel like they’re really being heard and understood.

I once sat with a client for 45 minutes without saying a word. She came into my office in distress. I had her sit down, and then she started crying softly. I sat with her—that’s all I did. At the end of the session, she stood, told me she felt much better, and then left.

I have to admit that 45 minutes without saying a word was tough. But she didn’t need me to say anything. She needed a safe space in which she could emote without interruption, judgment, or me trying to “fix” something.

6. Remember and Follow Up

Part of being a great listener is remembering what the speaker has said to you, then following up with them.

For example, in a recent conversation you had with your co-worker Jacob, he told you that his wife had gotten a promotion and that they were contemplating moving to New York. The next time you run into Jacob, you may want to say, “Hey, Jacob! Whatever happened with your wife’s promotion?” At this point, Jacob will know you really heard what he said and that you’re interested to see how things turned out. What a gift!

According to new research, “people who ask questions, particularly follow-up questions, may become better managers, land better jobs, and even win second dates.”[3]

It’s so simple to show you care. Just remember a few facts and follow up on them. If you do this regularly, you will make more friends.

7. Keep Confidential Information Confidential

If you really want to be a better listener, listen with care. If what you’re hearing is confidential, keep it that way, no matter how tempting it might be to tell someone else, especially if you have friends in common. Being a good listener means being trustworthy and sensitive with shared information.

Whatever is told to you in confidence is not to be revealed. Assure your speaker that their information is safe with you. They will feel relieved that they have someone with whom they can share their burden without fear of it getting out.

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Keeping someone’s confidence helps to deepen your relationship. Also, “one of the most important elements of confidentiality is that it helps to build and develop trust. It potentially allows for the free flow of information between the client and worker and acknowledges that a client’s personal life and all the issues and problems that they have belong to them.”[4]

Be like a therapist: listen and withhold judgment.

NOTE: I must add here that while therapists keep everything in a session confidential, there are exceptions:

  1. If the client may be an immediate danger to himself or others.
  2. If the client is endangering a population that cannot protect itself, such as in the case of a child or elder abuse.

8. Maintain Eye Contact

When someone is talking, they are usually saying something they consider meaningful. They don’t want their listener reading a text, looking at their fingernails, or bending down to pet a pooch on the street. A speaker wants all eyes on them. It lets them know that what they’re saying has value.

Eye contact is very powerful. It can relay many things without anything being said. Currently, it’s more important than ever with the Covid-19 Pandemic. People can’t see your whole face, but they can definitely read your eyes.

By eye contact, I don’t mean a hard, creepy stare—just a gaze in the speaker’s direction will do. Make it a point the next time you’re in a conversation to maintain eye contact with your speaker. Avoid the temptation to look anywhere but at their face. I know it’s not easy, especially if you’re not interested in what they’re talking about. But as I said, you can redirect the conversation in a different direction or just let the person know you’ve got to get going.

Final Thoughts

Listening attentively will add to your connection with anyone in your life. Now, more than ever, when people are so disconnected due to smartphones and social media, listening skills are critical.

You can build better, more honest, and deeper relationships by simply being there, paying attention, and asking questions that make the speaker feel like what they have to say matters.

And isn’t that a great goal? To make people feel as if they matter? So, go out and start honing those listening skills. You’ve got two great ears. Now use them!

More Tips on How to Be a Better Listener

Featured photo credit: Joshua Rodriguez via unsplash.com

Reference

[1] Skills You Need: Active Listening
[2] Filtered: Body language for active listening
[3] Forbes: People Will Like You More If You Start Asking Follow-up Questions
[4] TAFE NSW Sydney eLearning Moodle: Confidentiality

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