In the back of an ambulance the other day, an anxious father-to-be rattled off his wife’s medical history in Cantonese as she went into labor. It took the two emergency medical technicians onboard, both fluent in Chinese, just seconds to act, and they pulled the ambulance over to the side of the Franklin D. Roosevelt Drive in Manhattan after learning that the couple’s first child had been born quickly.
不久前的一天,在一輛救護(hù)車?yán)铮晃唤辜钡臏?zhǔn)爸爸急促地用粵語(yǔ)說(shuō)著妻子的就醫(yī)史。她即將臨盆。車上的兩名急救醫(yī)務(wù)人員都能說(shuō)流利的中文。在得知這對(duì)夫婦的第一胎生產(chǎn)過(guò)程很快時(shí),他們只用了幾秒鐘時(shí)間便采取行動(dòng),將救護(hù)車停在了曼哈頓富蘭克林·D·羅斯福大道(Franklin D.Roosevelt Drive)的路邊。
In less than two minutes, they delivered a howling baby boy.
過(guò)了不到兩分鐘,一個(gè)嚎啕大哭的男嬰降生了。
“The fact that I can speak their language was a tremendous help,” said Jason Lau, 26, one of the medical technicians who helped deliver the baby.
“我會(huì)說(shuō)他們的語(yǔ)言這一點(diǎn)幫了大忙,”26歲的賈森·劉(Jason Lau)說(shuō)。他是幫助接生的醫(yī)務(wù)人員之一。
The dramatic birth was a first for a new service started by a private ambulance company in Brooklyn that provides Chinese language emergency medical care to New York City’s growing population of Chinese immigrants. The company’s three amubulances with Chinese-speaking health care workers have already responded to calls beyond Brooklyn — including Chinatown in Manhattan and Flushing, Queens.
這是布魯克林一家私人救護(hù)車公司推出的新服務(wù)第一次遇到這么驚心動(dòng)魄的生產(chǎn)。該公司為紐約市日漸增多的中國(guó)移民提供中文緊急醫(yī)療服務(wù),擁有三輛配備了會(huì)說(shuō)中文的醫(yī)護(hù)人員的救護(hù)車。這三輛車的服務(wù)范圍已經(jīng)擴(kuò)大到了布魯克林之外的地方,包括曼哈頓的唐人街和皇后區(qū)的法拉盛。
The service was started last month by Alonzo Rapisarda, 42, who lives in the Bay Ridge neighborhood of Brooklyn and traces his family’s roots to a great-grandfather who immigrated to the United States from Italy. During the three generations of Rapisardas who have run the family business, Midwood Ambulance, the south Brooklyn area has changed, from historically Jewish and Italian to largely Chinese.
這項(xiàng)服務(wù)是42歲的阿隆佐·拉皮薩爾達(dá)(Alonzo Rapisarda)在上月推出的。拉皮薩爾達(dá)生活在布魯克林的灣脊,其曾祖父是來(lái)自意大利的移民。名為先鋒救護(hù)車(Midwood Ambulance)的這個(gè)家族企業(yè),在拉皮薩爾達(dá)家傳承了三代人,在這期間,布魯克蘭南區(qū)變了,從歷史上以猶太人和意大利人為主變成了中國(guó)人的天下。
Bensonhurst, one of its main service areas, is now home to one of the city’s largest concentration of Chinese residents. From 2000 to 2013 the number of foreign-born Chinese in the borough increased by nearly 50 percent, to 128,000 from 86,000, according to the census.
本森赫斯特是該公司主要的服務(wù)地區(qū)之一。聚居在那里的華人規(guī)模在該市名列前茅。根據(jù)人口普查數(shù)據(jù),從2000年到2013年,該行政區(qū)的華裔增加了近50%,從8.6萬(wàn)增至12.8萬(wàn)。
Unlike city-run ambulances, which respond to 911 emergency calls, private ambulance companies have their own direct phone numbers and will, among other services, transport ill patients from their doctor’s offices to hospitals or take women in labor to hospitals.
市政運(yùn)營(yíng)的救護(hù)車會(huì)在接到911急救電話后出車。和它們不同的是,私人救護(hù)車公司有自己的直線電話號(hào)碼,提供的服務(wù)包括將病患從醫(yī)生的辦公室轉(zhuǎn)移到醫(yī)院,或是送臨產(chǎn)孕婦就醫(yī)。
The city is home to a small network of private ambulance companies that cater to certain neighborhoods, including a few that serve non-English speakers, such as Chevra Hatzalah, whose workers speak Hebrew, and Assist Ambulance, which focuses on Russian-speaking patients. Ambulances operated by the city, as well as private companies, do have access to telephone-based translation services, but people facing medical issues often find it easier and more comforting to speak to emergency responders in their native language, according to doctors, and emergency medical provider.
該市的私人救護(hù)車公司構(gòu)成了一個(gè)小網(wǎng)絡(luò),它們專門面向某些社區(qū),其中一些公司服務(wù)于不會(huì)說(shuō)英語(yǔ)的人群,比如急救公司(Chevra Hatzalah)的工作人員會(huì)說(shuō)希伯來(lái)語(yǔ),愛(ài)施慈救護(hù)車公司(Assist Ambulance)的重點(diǎn)客戶是說(shuō)俄語(yǔ)的患者。市政機(jī)構(gòu)和私人公司運(yùn)營(yíng)的救護(hù)車的確都可以使用電話上的翻譯服務(wù),但據(jù)醫(yī)生和提供急救服務(wù)的人表示,遇到醫(yī)療問(wèn)題的人往往會(huì)覺(jué)得,用母語(yǔ)和急救人員溝通更容易、更放心。
Over the years, Mr. Rapisarda’s regular crews — 107 ambulances in all — found that they were frequently unable to speak with their patients.
此前的多年里,拉皮薩爾達(dá)的常規(guī)團(tuán)隊(duì)——包括總計(jì)107輛救護(hù)車——發(fā)現(xiàn),自己常常無(wú)法和患者交流。
“If you can’t communicate with your paramedic, you could leave out something, or the paramedic could misunderstand something,” Mr. Rapisarda said.
“如果無(wú)法與急救護(hù)理人員溝通,就可能會(huì)有遺漏,或是導(dǎo)致急救人員產(chǎn)生誤解,”拉皮薩爾達(dá)說(shuō)。
He said patients sometimes confused chest pain for indigestion, particularly older people. His workers, he feared, “might miss something if you’re not fully able to understand them, or them, you.”
他表示,患者有時(shí)候會(huì)誤以為胸痛是消化不良,尤其是上了年紀(jì)的人。他擔(dān)心手下的工作人員“如果不能完全聽(tīng)懂他們的話,或他們不能完全聽(tīng)懂工作人員的話,便可能會(huì)漏掉某些信息”。
Several years ago, he started hiring Chinese-speaking dispatchers, paramedics and emergency medical technicians. But it was only last year, after Mr. Rapisarda heard a story from a local doctor, that the idea of a dedicated fleet and a 24-hour Chinese dispatch was born. The doctor, Gary Chen, an internal medicine specialist in Bensonhurst, said an older couple who were sick waited through the weekend for a Monday appointment with their Chinese-speaking doctor rather than call an ambulance because they were afraid they would not be understood.
幾年前,他開(kāi)始招募會(huì)說(shuō)中文的調(diào)度員、護(hù)理員和急救醫(yī)務(wù)人員。但直到去年從當(dāng)?shù)匾幻t(yī)生那里聽(tīng)說(shuō)一個(gè)故事后,拉皮薩爾達(dá)才萌生了成立一支專門的隊(duì)伍,24小時(shí)派遣會(huì)說(shuō)中文的醫(yī)護(hù)人員的想法。他從本森赫斯特一位名叫加里·陳(Gary Chen)的內(nèi)科醫(yī)生那里聽(tīng)到的故事是,一對(duì)患病的老年夫婦寧可等上整整一個(gè)周末也不愿叫救護(hù)車,就為了到周一去看會(huì)說(shuō)中文的醫(yī)生,因?yàn)樗麄兒ε聦?duì)方聽(tīng)不懂他們說(shuō)的話。
Dr. Chen’s neighbors suggested that the community needed its own ambulances, and Mr. Rapisarda agreed. Now Mr. Rapisarda has three ambulances emblazoned with English and Chinese characters traveling around the city.
陳醫(yī)生的鄰居表示,社區(qū)需要有自己的救護(hù)車。拉皮薩爾達(dá)也同意這一點(diǎn)。如今,拉皮薩爾達(dá)有三輛印著英漢雙語(yǔ)標(biāo)識(shí)的救護(hù)車,在全市穿梭。
He said the response had been so positive that he was hiring more Chinese-speaking workers and had ordered three more ambulances, each of which costs $76,000. On a recent day in the company’s parking depot in the Gravesend section of Brooklyn, newly hired employees practiced carrying a dummy strapped to a chair up and down a steep staircase. He said this was an essential skill in the city.
他說(shuō)反響非常積極,因此他正在招聘更多會(huì)說(shuō)中文的工作人員,并且又訂購(gòu)了三輛救護(hù)車,每輛7.6萬(wàn)美元。前不久的一天,在該公司位于布魯克林格拉夫森德的停車場(chǎng),新招來(lái)的員工正在練習(xí)抬著一個(gè)被綁在椅子上的假人上下陡峭的樓梯。拉皮薩爾達(dá)說(shuō),在該市這是一項(xiàng)必備技能。
In New York and around the country, emergency responders have historically been white and male, said Scott Moore, a human resources and operations consultant with the American Ambulance Association, a national trade organization, and an emergency medical technician for 26 years. Beyond translating words, Mr. Moore said, a diverse emergency response fleet can add cultural competency to how their work is done.
全國(guó)性的行業(yè)組織美國(guó)救護(hù)車協(xié)會(huì)(American Ambulance Association)的人力資源與行動(dòng)顧問(wèn)、有26年急救經(jīng)驗(yàn)的斯科特·穆?tīng)?Scott Moore)說(shuō),在紐約和全美,急救人員歷來(lái)是白人和男性。他表示,除了翻譯外,組建多元的應(yīng)急響應(yīng)隊(duì)伍可以增加他們?cè)诠ぷ髦械奈幕芰Α?/p>
Last year, Mr. Moore’s organization issued its first handbook for intercultural communication. “Demographic trends across the United States indicate a growing need for better cross-cultural communication skills among health care professionals,” the guidebook begins.
去年,穆?tīng)査诘慕M織首次發(fā)布跨文化交流手冊(cè)。這本指導(dǎo)手冊(cè)開(kāi)篇寫(xiě)道,”全美的人口變化趨勢(shì)表明,越來(lái)越有必要提高醫(yī)護(hù)專業(yè)人員的跨文化交流技巧。”
The profession is “becoming more aware of the challenges” that a diverse patient population presents, Mr. Moore said, “and understanding that care is something more than maybe just taking medical care of them.”
這個(gè)職業(yè)“更加意識(shí)到”多元的患者群體帶來(lái)的挑戰(zhàn),“并認(rèn)識(shí)到護(hù)理不僅僅是對(duì)他們進(jìn)行醫(yī)療護(hù)理。”
The Midwood Ambulance service has teamed up with the United Chinese Association of Brooklyn, a community organization, which is helping spread the word about the service. Steve Chung, the association’s president, said the service was drawing rave reviews from the community and, in particular, accolades for Mr. Rapisarda. Mr. Chung noted the only-in-New-York factor that the new Chinese-language ambulance fleet was started by an Italian-American.
先鋒救護(hù)車公司推出的服務(wù)與社區(qū)組織布魯克林華人聯(lián)合會(huì)(United Chinese Association of Brooklyn)合作,后者正在幫助宣傳這項(xiàng)服務(wù)。其會(huì)長(zhǎng)鐘承楚(Steve Chung)稱,社區(qū)對(duì)這項(xiàng)服務(wù)好評(píng)如潮,尤其是對(duì)拉皮薩爾達(dá)的稱贊。鐘承楚指出了一個(gè)紐約獨(dú)有的因素,即新的中文救護(hù)車隊(duì)是由一名意大利裔美國(guó)人成立的。
But there is a history of collaboration — a long one — between the communities, he said.
但他說(shuō),兩個(gè)群體相互合作的歷史源遠(yuǎn)流長(zhǎng)。
“Think about it, in Marco Polo’s time, he visited China and we gave him good things: spaghetti and pizza,” Mr. Chung said with a laugh. “I think this is the best thing about human culture — we know each other and we’re sharing and who knows what good things pop-up.”
“想想,在馬可·波羅時(shí)代,他去中國(guó),我們給了他好東西:意面和披薩,”鐘承楚大笑著說(shuō)。“我覺(jué)得這是人類文化最好的一面,我們相互了解,共同分享,誰(shuí)知道會(huì)出現(xiàn)什么好東西呢。”