#Medical Interpreters

[laikabu]

[metausa23]

Introduction

Clear communication in healthcare is paramount. Misunderstandings can lead to misdiagnoses, incorrect treatments, and even life-threatening situations. That’s where Professional Medical Interpreting come in. These professionals bridge the communication gap between healthcare providers and patients who speak different languages, ensuring that everyone is on the same page.

What is Medical Interpreting?

Medical interpreting involves translating spoken or signed language in healthcare settings. It ensures that patients who do not speak the same language as their healthcare providers can still receive accurate information about their medical conditions, treatments, and procedures. Medical interpreting can be done in various forms, including in-person, over-the-phone, and video remote interpreting.

The Importance of Professional Medical Interpreters

Professional medical interpreters play a crucial role in healthcare. We ensure that communication is accurate and clear, significantly reducing the risk of medical errors. Unlike untrained individuals, professional interpreters have the skills and knowledge to accurately convey medical terminology and nuances, which is essential for patient safety and care.

Benefits to Patients

Improved Patient Outcomes

When patients understand their medical conditions and treatments, we are more likely to follow medical advice, leading to better health outcomes. Professional interpreters ensure that patients fully grasp the information provided, which can lead to more effective treatment plans.

Increased Patient Satisfaction

Patients who can communicate effectively with their healthcare providers are generally more satisfied with their care. They feel heard, respected, and understood, which fosters a positive patient-provider relationship.

Better Understanding of Medical Conditions and Treatments

Understanding one’s health condition is crucial for effective self-management. Professional interpreters help patients comprehend complex medical information, enabling them to make informed decisions about their health.

Benefits to Healthcare Providers

Enhanced Communication with Patients

Effective communication is a cornerstone of quality healthcare. Professional interpreters facilitate clear and accurate exchanges between providers and patients, ensuring that all parties are fully informed.

Increased Efficiency in Medical Appointments

With professional interpreters, medical appointments can proceed more smoothly and quickly. Providers spend less time clarifying misunderstandings and more time focusing on patient care.

Legal and Ethical Compliance

Using professional interpreters helps healthcare providers comply with legal and ethical standards. It ensures that patients’ rights to receive information in their preferred language are upheld, reducing the risk of legal issues.

Benefits to Healthcare Facilities

Reduced Liability

Accurate communication reduces the likelihood of medical errors, which can lead to legal claims. By using professional interpreters, healthcare facilities can minimize their liability and protect themselves from potential lawsuits.

Enhanced Reputation

Healthcare facilities that provide language services often enjoy a better reputation. Patients are more likely to recommend these facilities to others, leading to increased patient volume and trust in the community.

Cost Savings

While hiring professional interpreters may seem costly upfront, it can save money in the long run by reducing medical errors, avoiding legal fees, and improving patient outcomes.

The Role of Cultural Competence in Medical Interpreting

Cultural competence is an integral part of medical interpreting. Understanding cultural nuances helps interpreters build trust and rapport with patients, making communication more effective. This cultural awareness ensures that patients feel respected and understood, further enhancing the quality of care.

The Training and Certification of Medical Interpreters

Professional medical interpreters undergo rigorous training and certification. Various programs set high standards for medical interpreting, ensuring that interpreters are well-versed in medical terminology, ethical standards, and cultural competence. Continuous professional development is also crucial, as it helps interpreters stay updated with the latest best practices in the field.

Challenges in Medical Interpreting

Medical interpreting is not without its challenges. Interpreters must overcome language barriers and deal with complex medical terminology. Additionally, Metaphrasis often face emotional and psychological pressures when interpreting sensitive medical information. Despite these challenges, professional interpreters are trained to handle such situations with skill and professionalism.

Future of Medical Interpreting

The future of medical interpreting looks promising, with technological advancements leading the way. Innovations such as real-time translation apps and telehealth services are making it easier to provide interpreting services. Furthermore, the growing demand for multilingual services indicates that medical interpreting will continue to be a vital part of healthcare.

Conclusion

Metaphrasis offers numerous benefits to patients, healthcare providers, and facilities. By ensuring clear and accurate communication, interpreters play a crucial role in enhancing patient outcomes, improving satisfaction, and maintaining legal and ethical standards. As the demand for these services continues to grow, the importance of professional medical interpreting in healthcare cannot be overstated.

[bhashabharatia]

Little-known benefits of medical interpretation services at a glance

The medical sector has come a long way over the decades. However, the global medical sector still fell short in terms of efficiency when the recent pandemic hit the world’s population.

However, everything was not doom and gloom during the 2019 to early 2021 global lockdown days. A lot of innovations were made by the global medical sector and one of them was the enhancement of remote medical consultations.

Remote medical consultations were carried out by doctors around the world during the worst phases of the COVID–19 pandemic days in a bid to keep immune individuals safe from the infected. At the same time, remote medical consultation services also helped to keep the pandemic from taking more lives.

These days, remote medical consultations better known as telehealth services have become the norm. And if your organization is also planning to offer telehealth services along with its current range of medical services then you would need to seek help from agencies offering medical interpretation services.

Why?

Well, only a fraction of the world’s population has English proficiency. Hence, to make sure people do not die due to misdiagnosis or delayed medical assistance especially when the medical assistance is offered remotely, medical and healthcare interpretation services have become the norm worldwide.

Why has medical interpretation become a significant part of the healthcare sector?

Well, for starters, certified medical translators help to bridge the linguistic gaps between patients and healthcare professionals.

Secondly, professional medical interpretation services can also shorten the time between consultations and the beginning phase of prescribed treatments.

Then there is the benefit of quickly addressing the grievances of patients and their loved ones. Medical institutions that rely on medical translation services tend to rank high in patient satisfaction parameters. Hence, using medical document translation services is a no-brainer.

Medical institutions that previously struggled to maintain the quality of medical services rendered across digital and physical touchpoints can these days, with the help of certified medical interpretation experts take the quality of medical services rendered to new heights.

Furthermore, when there are fewer misdiagnoses, there will be fewer patient fatalities. And when there are fewer patient fatalities, there will be fewer legal proceedings against the medical institution in question. In simple words, using medical interpretation services can help a medical institution hone its reputation as well as keep its overhead costs manageable.

Just like businesses tend to thrive when they make sure their patrons are satisfied, medical institutions would also witness an increase in popularity and revenue when their patients and their families leave the grounds with smiles on their faces. Interpretation services specifically designed for the medical sector tend to help a lot in this matter, especially to medical institutions that recently opened up their doors to patients.

Even the most qualified medical professionals fall short when it comes to delivering high quality healthcare services when cultural and linguistic differences come in their way. To make sure that the star medical professionals in your healthcare institution never leave their jobs or are subjected to lawsuits, make sure that your medical institution is backed by certified medical interpreters associated with the most reputed language service provider.

Repeat business is one of the highly sought-after goals in the corporate world. This is also applicable to medical institutions. It should be kept in mind that medical institutions are at the end of the day, a source of revenue for the people that own the same. Hence, the people that own a medical institution must take all the steps that are practically possible to make sure their clinic or hospital remains at the top position. And one of the most effective ways to achieve the above-mentioned objective is to use medical interpretation services since happy and satisfied patients would naturally choose to come back whenever they need medical assistance. Isn’t it!?

Medical interpretation is going places

Remote medical consultations are slowly taking a mainstream position in the global medical sector. And without the expertise of certified medical interpreters associated with reputed language service providers, medical institutions cannot offer reliable and quality-assured remote medical consultation services. In case your organization is planning to add remote medical consultations into its range of medical services, it is high time to get in touch with a reputed medical interpretation agency for the best results. It is as simple as that!

[languagexs]

Why LanguageXS Is Your Best Translation Agency?

🌐 Why LanguageXS is your best choice! From certified professionals to 24/7 services, we ensure that your business is never lost in translation.

There are a good amount of reasons for which a business can face failure and a major chunk of those traces back to some kind of miscommunication. The risk of miscommunication can even increase exponentially when you are doing business with a person of different languages. This is exactly the reason why we, at LanguageXS, make sure that your business is never lost in translation and you can focus…

[harpy-scout]

*shakes this post like a bag of catnip* pspsps, come get your text posts you little freaks

[beesyjimwax]

Is this anything

[drmellking]

GUYS GUYS I JUST PASSED A SCREENING TEST AND NOW IM GONNA HAVE A FACETIME INTERVIEW FOR MY DREAM JOB PLS PLS PRAY FOR ME IF I DONT GET THIS I MIGHT ACTIALLY SERIOUSLY KILL MYSELF

[gophergal]

a meme specific to my interpretations

[steampunkhobo]

I’m sure I’m so late to this conversation but I’m so confused/curious about what intersex disorder Cardinal Benitez is supposed to have. Like- it’s implied if not outright stated that he presents externally as a “typical” male and doesn’t have ambiguous genitalia (that in combination with the idea that all that was requested by the papacy was a hysterectomy and not any kind of “sex reassignment” or genital alteration- which I highly doubt would have been accepted anyway- more likely anything more and he would have been defrocked, the church being how it is. Though also possible he has a microphallus or hypospadias which both could easily be overlooked at birth/in the seminary, as well as being common in cis men and therefore “acceptable”) and we know for certain that he has ovaries and a uterus- that much alone makes me think persistent Müllerian duct syndrome. But Benitez also says that his chromosomes would make some classify him as a woman, and individuals with PMDS have XY chromosomes. But it also can’t be de la Chapelle syndrome or Klinefelter syndrome, giving him a mostly “typical” male body (potentially smaller build, less hair, genital variations like a microphallus or Hypospadias) but XX or XXY chromosomes, because a uterus and ovaries aren’t present in those conditions. Ovarian tissue can be present, but not a fully developed set. (Amendment: there are, though rarer, cases of a developed uterus and ovaries in de la Chapelle syndrome. There’s very limited data about this specific variation, and things will vary from person to person, but it’s usually caused by congenital adrenal hyperplasia, which causes significant health issues. If Benítez has de la Chapelle syndrome, it would most likely be due to CAH, and he’d be quite unwell without treatment. Though again, it’s under-researched and reported, especially variations that don’t cause major health issues. Much rarer and more complex, but certainly possible that this is his situation- potentially from exposure to certain hormones in utero. It’s complicated. Thanks to everybody that helped me explore this subject/syndrome further!) Because the uterus and ovaries have been proven beyond a shadow of a doubt to exist, I’m assuming the mention of chromosomes was a mistake/misunderstanding and Benitez is supposed to have PMDS, but that condition is pretty damn rare- not that this writes it off, but it’s something to consider. Still, unless I’m overlooking something that seems to be the best fit?

It’s probably just details being muddled by the writers, but I think it’s interesting. And the ambiguity is kind of nice, because people can tailor their headcanons how they see fit. Lots of potential for representation in this one character. (No matter what body your Cardinal Benitez has I love him. Forehead kisses muah muah)

[nomeniko]

au where shidou gets into vague legal trouble n kotoko is his lawyer. or sumn

rough eng tl-

ktk: whats on your mind?

shd: …nothing really.

ktk: ehh, please dont lie, sir. for every problem you dont mention to me, the more issues youll have with this case.

[metausa23]

In our increasingly globalized world, interpreter services are essential for effective communication across language barriers. Whether for business, legal matters, healthcare, or personal interactions, a competent interpreter ensures clear, accurate exchanges. Here are the key elements to consider when working with interpreter services.

Selecting the Right Interpreter

Qualifications and Certifications: Ensure the interpreter has relevant certifications from recognized bodies such as the American Translators Association (ATA). These certifications guarantee they have undergone rigorous training and meet professional standards.

Experience and Expertise: An interpreter experienced in your specific field—be it legal, medical, or technical—will handle the nuances and jargon associated with that area more adeptly.

Language Proficiency: Beyond basic language skills, the interpreter should be proficient in specific dialects or regional variations of the languages they interpret. This ensures subtle language differences are accurately conveyed.

Assessing Cultural Competence

Importance of Cultural Awareness: Cultural competence is crucial. An interpreter must understand the cultural contexts of both the source and target languages to avoid misinterpretations and convey the intended message accurately.

Evaluating Cultural Competence: Assess an interpreter’s experience with the cultures in question and their ability to handle cultural nuances. This competence is particularly vital in sensitive settings like healthcare or legal proceedings. Read more:-https://metaphrasislcs.com/keep-in-mind-when-working-with-interpreter-services/

[jackabbotsfakeleg]

Dark is the Way, Light is a Place I The Psychological Evaluation of Frank Langdon

Synopsis: As a board-certified clinical psychologist working at PTMC, you’ve been tasked with providing a Fitness for Duty Evaluation for Dr. Langdon. Pairing: Frank Langdon x Psychologist!Reader Word count: 3.1K Warnings: References to substance abuse, angry Frank Langdon, psychological jargon and interpretations, references to drug use, A/N: This essentially follows the general format of fitness for duty evaluations. The measures that are written about are actual measures that are utilized widely in the field of psychology, and as a result, you won't find a ton of detail here because it's important to maintain test security. These results are not based on actual responses to these tests (as this is fictional) and the results should not be utilized or interpreted as such. However, these interpretations are what you would typically find in a report. I am not providing psychological advice. The referenced research on residency programs is from several published studies, but I'm not claiming to be an expert on the laws/regulations of residencies. This is purely for entertainment purposes. I am open to fighting about any of the below information. :) Divider is @saradika-graphics Part 1 I Part 2

Session 3: The Psychological Evaluation of Frank Langdon

It was one mistake, a lapse in judgment, a minor issue. There's a fine line between making a mistake, and making a series of poor decisions that result in that mistake.  Even now, you wonder how much time Frank Langdon has spent trying to convince himself that this is just bad luck, Rather than perfect storm of the environment, a biological predisposition, and three undeniable truths:

He had been stealing medication for weeks,  Dealing the chronic pain for months, and enduring the stress of residency for years.

He shows up 15 minutes early for his scheduled appointment and spends the majority of that time pacing the hall outside of your office.

And rightfully so-- an appointment to discuss whether this one mistake has the ability to ruin a career he's devoted his entire life to. 

You’ll be the bearer of bad news, The one to dispel the illusion of who he believes himself to be, But not the hand that takes away his medical license.

You had informed him at the outset of this evaluation of the implications of the results and the expectation that he be forthcoming with information. But if there's one thing Frank Langdon was not capable of,  It was relinquishing control.

You gave him the same worn-out explanation you gave everyone else. “I’ll know if you’re lying, or being defensive, or trying to trick your way out of this, and you won’t like the results.” “I won’t” He shook his head. “It’s okay to be scared,” you reminded him.

"It was one mistake" He had pleaded. One mistake in a series of incredibly poor decisions: A refusal to review the policies of PTMC’s residency program, A refusal to speak about his struggles with his attending, A refusal to seek out any sort of assistance. A refusal to acknowledge that this had been a long time coming, and a refusal to acknowledge that the only reason you were both here now is because he got caught.

"Good morning, Frank, come on in." You open the door wide enough for him to slide past you into your office.

"How bad is it?" He doesn't initially sit, trying to read your body language

"Have a seat" you nod to the couch, "and try to take a deep breath."

He obliges and waits for the other shoe to drop.

"We are here as part of a fitness for duty evaluation, to review the report as well as my recommendations." You state, "I was contracted by the Pennsylvania Board of Medicine as well as PTMC to conduct this evaluation, which you completed several weeks ago. In that time, I have had a chance to review the internal investigation, your interview, as well as the assessment results and have completed a report which I will share with you today. Do you have any questions before we begin?"

"Can’t say I’m a huge fan of the formality" he shakes his head, “no questions.”

"This report will be entered into your personnel file and the board will review it. Given that this evaluation was ordered by the board, they have the final authority regarding the recommendations made. Do you understand?"

"Yes." He remarks as you hand him the report, his hands shaking as he takes it from you.

You allow him time to read the report in silence. This was going to hurt.

Name: Dr. Frank Langdon Position: Senior Resident-Emergency Medicine Date of Assessment: 9/15/25 Date of Report: 10/1/25

Referring Agency: Pennsylvania Board of Medicine; Pittsburgh Trauma Medical Center

Assessment Procedures: Clinical Interview, Review of internal investigation records submitted by PTMC, Minnesota Multiphasic Personality Inventory- Third Edition (MMPI-3) Rorschach Performance Assessment System (R-PAS)

REFERRAL INFORMATION

Dr. Langdon is a 32-year-old natal male completing his residency in emergency medicine at Pittsburgh Trauma Medical Center (PTMC). He was referred by the Medical Board of Pennsylvania and PTMC’s program director for a psychological evaluation related to fitness-for-duty, after an internal investigation related to suspected misuse of benzodiazepines. The reasons for the evaluation and the limits of confidentiality were explained to Dr. Langdon, as were his rights to refuse to participate. He was informed that all materials, conclusions, and treatment recommendations would be reviewed by the training director and medical board. Dr. Langdon signed the informed consent for psychological evaluation and verbally indicated willingness to participate in the evaluation.

A review of records provided by the Pennsylvania Board of Medicine suggested that the following events took place:

In September 2025, Dr. Michael Robinavitch and Dr. Trinity Santos filed written complaints regarding Dr. Langdon’s behavior to PTMC’s program director, Dr. Stevenson. Dr. Santos’ written report identified several inconsistencies in the medication orders completed by Dr. Langdon, including evidence of benzodiazepine vials with tampered seals that were handled by Dr. Langdon, and an inconsistent amount of chlordiazepoxide capsules prescribed to a patient by Dr. Langdon. Dr. Robinavitch’s written report identified an incident in which Dr. Langdon was in personal possession of several capsules of chlordiazepoxide whose imprint codes matched that of a patient treated by Dr. Langdon. His report also referenced Dr. Langdon's admission to misusing these medications while on duty.  Dr. Robinavitch expressed concerns that Dr. Langdon “jeopardized the safety” of himself, fellow staff members, and patients.

Following these written complaints, PTMC requested an internal investigation and referred the case to Dr. Stevenson, who served as Investigating Officer on this case. Dr. Stevenson conducted interviews with Dr. Langdon, Dr. Robinavitch, Dr. Santos, and several supporting witnesses.

An Investigative Case Report completed by Dr. Stevenson, following a review of the evidence presented in this case, suggested that Dr. Langdon committed acts “contrary to the mission, goals, objectives and other pertinent directives and practices of PTMC.”

The Pennsylvania Board of Medicine ordered Dr. Langdon to undergo a Fitness-for-Duty Evaluation to assess this individual’s psychological wellbeing and to determine his capacity to comply with his duties and responsibilities as a medical resident and physician.  

BEHAVIORAL OBSERVATIONS

Dr. Langdon arrived for his appointment on time. He was alert, coherent, and fully oriented to person, place, time, and situation. He was neatly groomed and appropriately dressed and ambulated independently. There were no abnormal gestures, and he did not appear to be lethargic or hyperactive. Eye contact was good and social comportment was intact. He presented with euthymic mood and congruent affect. Speech was fluid with normal rate, rhythm, and tone. Expressed thought content was logical and goal directed. He did not appear to be attending to internal stimuli, nor did he evidence any symptoms of active mania. He adamantly denied any suicidal or homicidal ideation, plan, or intent, as well as perceptual disturbances. Judgment and insight were good.

When asked about the events leading to this evaluation, Dr. Langdon indicated that he was under the impression that this was a “formality” and denied any significant psychological symptomatology or mental health concerns.  Dr. Langdon reported that he had previously injured his back in the community and had been prescribed medications for pain. He indicated that after the cessation of this medication he began to struggle with withdrawal symptoms and was utilizing benzodiazepines to combat these symptoms. He acknowledged taking medication that was not prescribed to him. When asked about being in possession of medication that belonged to his patient, he acknowledged that he “messed up” and reported that he made an incredibly poor decision when under a significant amount of stress. Dr. Langdon adamantly denied substance use that is problematic or results in functional impairment. He denied experiencing blackouts, cravings, or neglect of responsibilities due to drug use. He had difficulty identifying that his substance use had placed himself or others in danger, but did acknowledge that his behavior was both illegal and unethical, and expressed concerns about losing his medical license. 

ASSESSMENT RESULTS:

Minnesota Multphasic Personality Inventory- Third Edition (MMPI-3): The MMPI-3 is a broad-based objective personality test designed to assess behavioral and emotional adjustment and to highlight underlying inhibited tendencies and conflicts of personality.

Interpretation of the validity scales on the MMPI-3 reveal that Dr. Langdon produced a valid protocol. However, it is important to note that elevations on some scales suggest that Dr. Langdon attempted to present himself as remarkably well adjusted. This suggests that he may have difficulty identifying personal shortcomings and may be unwilling to discuss his problems.

There were no significant elevations across any clinical scales, suggesting no significant endorsement of symptoms related to a serious and persistent mental illness. He responds in a way similar to those who want others to believe that he is happy and content with his current situation. Despite this, he reports feeling overwhelmed and experiences diffuse somatic complaints that are related to chronic pain and physical sensations of anxiety. He responds in a way similar to those who are outgoing, sociable, and have the need to be around others with strong emotional support. In addition, he reports some indecisiveness, conflictual interpersonal relationships, impulsivity, and above average levels of stress. He endorses inappropriate use of prescription medication. He likely experiences heightened excitation and energy and cynical beliefs. He describes himself as assertive and direct and reports an ability to successfully lead others.

Rorschach Performance Assessment System (R-PAS): The R-PAS is a performance-based measure used to obtain an understanding of his social, emotional, and behavioral functioning. Then R-PAS includes measures that assess test engagement as well as performance validity. Dr. Langdon’s approach to the R-PAS reflects an ability to meet situational demands that are asked of him, and he produced a valid protocol.

It is apparent that he is achievement-striving and demonstrates intellectual curiosity and flexibility. He demonstrates organized resources for complex processing, productivity and engagement in the world.  However, it is also apparent that he may utilize productivity to soothe insecurity and may lose ideational control or focus as the result of anxiety or self-defeating rumination.

Dr. Langdon appears to have adequate psychological resources to cope with the day-to-day events of life. However, the more situational stressors he experiences, the more likely he is to experience disruption in his concentration, emotional upset, and engagement in impulsive behavior, all of which increases the likelihood of instability and unpredictability in his behavior. He may function better in a structured environment where is able to anticipate situational stressors. It is likely that he may attempt to solve problems through intellectualization, believing that if he manages to avoid “making a mistake” he can expect the outcome to be a positive one.

Dr. Langdon appears to be susceptible to episodes of affective disturbance that are likely to involve features of depression and anxiety. He may not complain of feeling depressed but is likely disposed to affective malaise that may interfere with his ability to cope appropriately.  He appears to be showing emotional distress that is derived from feelings he experiences toward himself in relation to poorly made decisions.

It is apparent that Dr. Langdon may exhibit mild impairment of reality resting where he misperceives events and forms mistaken impressions of people. While he is likely able to form close relationships with others, he exhibits difficulty identifying comfortably with others, often comparing others unfavorably to himself, suggesting that he experiences egocentrism, or difficulty being able to perceive situations from another’s point of view.  He may be inflexible in his approach to his relationships with others and may come across as domineering or harsh, often blaming others for his own difficulties and failures

 CONCLUSIONS:

Dr. Langdon was referred for a fitness for duty evaluation after an internal investigation revealed theft and misuse of benzodiazepine medication while on duty.

Overall, Dr. Langdon demonstrates intact cognitive abilities. His performance on embedded tests of effort suggest that he responded accurately and consistently with tendency to exhibit positive impression management and defensiveness. This implies that while the results of his psychological assessment are valid, he appears to be minimizing psychiatric symptoms. It is likely that his approach to this evaluation is related to the potential for this evaluation to impact his career rather than adamant denial of symptoms.  It is likely that he is unable to reconcile his view of himself as a physician with his view of himself as someone who was accused of abusing controlled substances. As a result, he may be attempting to set himself apart from others by attempting to portray himself in a positive light.

Emotionally, Dr. Langdon presents as someone who reports is not experiencing significant psychological and emotional distress. However, his results suggest that he may be susceptible to periods of affective disturbance that impairs his daily functioning, including physical sensations of anxiety as well as depression. He appears to be showing emotional distress that is derived from feelings he experiences towards himself in relation to his poor decision making. He appears to have difficulty identifying comfortably with others and may be inflexible in his approach to his relationships with others, and may come across as domineering or harsh. 

Dr. Langdon is currently employed as a fifth year resident physician at PTMC. Historically, research has suggested that the high prevalence of burnout and mental illness among resident physicians. Residents are particularly vulnerable to suicide and depression due to a number of external stressors including sleep deprivation, feelings of being overwhelmed, fatigue, frequent role transitions, relocation with loss of support systems, and isolation of multifactorial origin. In addition, as physicians complete their residency, they are often tasked with more responsibilities over time, leading to an increase in situational demands. These factors have often led to increased medical errors, risks to patient safety, and decreased quality of care.

In the specific case of Dr. Langdon, he presents with a number of these risk factors, including fatigue, feeling overwhelmed, staff shortages at PTMC, parenting and marital stress, chronic pain, and exposure to secondary trauma. While he presents as someone with adequate psychological resources to cope with day-to-day events of life, these resources are likely to become depleted as external stressors increase.  While he may be able to cope and utilize logic and reasoning to solve problems initially, chronic burnout over time can lead to poor problem-solving and decision making, including engagement in substance abuse.

While it is clear that his environment plays a crucial role in his current psychological functioning, it is important to note that this behavior is both illegal and unethical, and not only puts the safety of himself, but of his patients at risk.  Ultimately, the decision to engage in this behavior was a volitional one, despite the abovenoted risks, and he expressed awareness that he engaged in incredibly poor problem-solving. It is Dr. Langdon's professional duty to identify these risk factors and understand his role in his own mental health as well as what measures are in place at PTMC to protect him. It does not appear that Dr. Langdon sought help or raised concerns with his direct supervisor or PTMC, and in the context of this evaluation appeared to assert that did not experience mental health concerns, nor did he consider his substance use to be problematic. It does appear that he was able to weigh the risks and benefits of using substances that were not prescribed to him, given that he stated that he was worried obtaining a prescription for this medication may impact his medical license.

For these reasons, it is this evaluator’s recommendation that Dr. Langdon be suspended for 90 days. Prior to reinstatement, a subsequent fitness for duty evaluation should be completed to determine if he remains “unfit for duty” following this leave of absence.  It is recommended that he undergo random drug screenings as well as outpatient therapy focused on substance abuse and developing appropriate coping skills to cope with distress related to residency.

Given that this evaluation is being completed for the Pennsylvania Board of Medicine, the board retains ultimate authority, and responsibility, for the licensure status of Dr. Langdon, and as a result, recommendations related to this are not offered as part of this evaluation. 

“Are you fucking kidding me?” He throws the report on the table in front of him, “90 days?”

“My hands are tied with the suspension, Frank” you reiterate, “you stole a patient’s prescription.”

“So that's it then?" He rubs a hand over his face "a report of all of my wrongdoings? I made a mistake, and it feels like I’m being railroaded."

"Frank,” You begin, "This mistake you keep referencing. It wasn't a mistake; it was a choice."

"I understand that but--" He’s ready to make an excuse

"Do you?" You cut him off, "what happens if I show up here drunk? Do you want me to be the person evaluating your family member? Did you want me to write this report drunk?"

"No" he admits, "But I wasn't impaired."

"Sure, maybe not that day. But you know what addiction looks like. This is a horrible situation. Residency is a horribly flawed system and the pressure that you're under, the stress you experience leads to a number of issues" You add, "But you have to be able to recognize that you need help. You could have talked to Robby, could have talked to any of us.”

“I was scared,” he counters, "What am I supposed to do for 90 days?"

"Turn inward. Follow the path that you took and trace it back to the place where you lost control. Go to treatment, internalize what you learn, apologize to your family, apologize to yourself.”

“And then what? Come back here as the drug addict? Or lose my license?” He shakes his head, “it’s over for me.”

“I understand why it feels that way,” you nod, leaning forward, “in therapy we remind each other that  there’s no way to protect yourself against that which is difficult, so we continue on. You’re going to get through this.”

He’ll remain angry for at least 10 of those 90 days. And then he’ll channel that anger into determination to make changes, to accept that this was not all just bad luck, to get better, and to remind himself that the only way out is through.

[sillyscientists]

I'm gonna be real tf2 fans will post their "take of the century" abt Medic and it'll just be another rant showcasing their fundamental misunderstanding of him as a character. No he doesn't actively torment/torture his team. No he's neither your grimdark edgy sexyman or misunderstood bean who doesn't really want to hurt people 🥺. He's just like. A fucked up guy who is filled with whimsy and would like idk, click his heels in joy after seeing an enemy team members guts splattered across the ground and go scoop it up in delight.

[pigeonrocks]

I love team fortress!!! wdym they made a second one.

[mono-cookie]

Finally…I can make Heal and Steel content

@medics-secret-shipfic-folder, your food has arrived

[devilcantspeell]

https://save.tf/ !!

If we hit 300k by the end of tmrw I WILL draw a proper drawing of ALL the mercs frollicking in a hillside

Reblogs > likes for reach! Spread the petition :)