Some calls end the moment you disconnect.

Then some calls follow you long after the screen goes dark.

Recently, I interpreted a conversation that I know will stay with me for a very long time. The patient was terminally ill and in tremendous pain. Through tears and exhaustion, she pleaded with her doctors to give the medication that would allow her to die sooner. She wasn’t asking for another treatment or another surgery. She wasn’t asking whether there was another option left to try.

She was simply asking for the suffering to end.

The physicians listened carefully. Their voices were calm, gentle, and filled with compassion. They acknowledged her pain and didn’t dismiss what she was feeling. Yet they also had to explain that they couldn’t grant her request. The law where she lived did not allow them to provide medication to end her life.

As the interpreter, my responsibility was straightforward. I had to faithfully interpret every word exactly as it was spoken. There was no room for emotion in my voice, no opportunity to soften anyone’s words, and certainly no place for my own opinions. My job was to ensure that both sides understood each other completely.

Even so, when the call ended, I found myself sitting quietly for a while before accepting the next one.

The conversation kept replaying in my mind, and I realized I wasn’t thinking about just one person. I was thinking about everyone in that room.

The patient was the first person who came to mind.

People often say that the will to live is one of the strongest instincts we have. We endure painful treatments, difficult recoveries, and countless setbacks because we hope tomorrow might be a little better than today. That is why hearing someone beg for death instead of another chance at life is so profoundly unsettling.

I don’t believe anyone reaches that point casually.

For someone to ask a physician to help them die, while fully aware that doing so also means leaving behind the people they love, the suffering must be unimaginable. I can’t pretend to know exactly what she was feeling. I don’t know how much of her pain was physical, how much was emotional, or how much came from knowing there was no cure left to hope for. What I do know is that her request wasn’t born from impatience. It came from a place of overwhelming suffering.

Then I found myself thinking about the doctors.

Medicine is built on preserving life, easing suffering, and caring for patients with compassion. Yet sometimes those responsibilities don’t fit together as neatly as we imagine. Here was a patient asking for the one thing the physicians could not legally provide. They didn’t sound frustrated or impatient. They sounded compassionate, but compassion alone couldn’t change the law.

I wondered what they were thinking after the call.

Do physicians become accustomed to hearing requests like this after years of practice, or does every conversation leave its own mark? Does experience make these moments easier, or does it simply teach them how to hide the emotions behind professionalism? Perhaps every doctor has their own answer. Perhaps no amount of experience ever truly prepares someone for hearing another human being ask to die.

My thoughts then turned to the family.

Watching someone you love suffer is heartbreaking. Watching that same person plead for death must be an entirely different kind of heartbreak.

I imagined the helplessness they might have felt. They probably wished they could take away the pain, yet there was nothing they could do. Maybe they silently agreed with her because they couldn’t bear seeing her suffer any longer. Maybe they desperately wanted her to keep fighting because they weren’t ready to say goodbye. Those two feelings can exist at the same time, and neither makes anyone wrong.

There was no victory waiting for anyone in that room. Every possible outcome carried sadness.

Finally, I thought about myself.

People often think interpreters simply convert one language into another, as though we are nothing more than dictionaries with a heartbeat. The reality is very different. We become silent witnesses to some of life’s most intimate moments. We hear parents celebrate the birth of a child. We hear patients receive life changing diagnoses. We hear families make impossible decisions. We hear people say goodbye.

Sometimes, we hear someone beg for death.

Our profession teaches us to remain impartial, and rightly so. Patients deserve interpreters who communicate accurately rather than emotionally. However, impartiality does not erase our humanity. We may not participate in the conversation, but we still hear every word. We still recognize the fear, the grief, the hope, the disappointment, and the pain carried in every sentence.

Some calls leave fingerprints on your heart.

The difficult part is that there is rarely time to process them. A few seconds later another call appears on the screen. It could be someone scheduling a follow up appointment, asking about medication, or confirming an insurance appointment. The world moves on immediately, even if part of you hasn’t.

People sometimes ask me whether being an interpreter becomes easier over time.

In some ways, it does. You become faster, more accurate, and more confident. You learn medical terminology, improve your listening skills, and become comfortable handling complex conversations.

But I hope one thing never becomes easier.

I hope I never become so accustomed to suffering that I stop seeing the human being behind the words.

If the day ever comes when a plea like this feels routine, I think I will have lost something far more important than professional objectivity. I will have lost the empathy that reminds me why this work matters.

This experience also reminded me that healthcare is never experienced by just one person. Every illness touches many lives. The patient carries the physical pain. The family carries the emotional burden. The doctors carry the responsibility of making difficult decisions within the limits of medicine and the law. The interpreter carries every word from one language to another, hoping nothing is lost along the way.

I don’t know whether medical aid in dying is right or wrong. That debate is far bigger than me, and it belongs to patients, families, physicians, lawmakers, ethicists, and society as a whole.

What I do know is this.

On that day, I wasn’t interpreting a debate.

I was interpreting suffering.

I heard it in one language, and then I spoke it in another.

When the call ended, I removed my headset and sat in silence for a moment. The next call eventually came, as it always does. I answered it with the same professionalism every interpreter strives to maintain.

But a part of me was still in that previous conversation, quietly wondering how everyone in that room was doing.

Perhaps that is one of the hidden realities of being a medical interpreter.

The conversations end.

Sometimes they never really leave us.