In the last week I have had patients that spoke no english and only spanish and a mother who is deaf and was so upset I couldn't get her to focus so she could read my lips. The longer I do this the more I think that we should be making our new medics take medical spanish and medical sign. Then atleast we would be able to communicate with our more challenging patients. Spanish is the second biggest language in this country. And sign just makes sense. In this area we have more than one school for the deaf. Language barriers can impede our patient care and cause us to miss something that may be important. To make us more well rounded and effective providers bridging this gap is very important. For us and our patients.