My sister (English) is a doctor in Scotland, near Dundee, where the accent and many dialect words make interpretation hard. The patients often state they're feeling 'peely-wally' (under the weather) and to have been 'awfu' no-weel' means to have actually vomited. One lady told my sis. that she was "aye heving tae lie on the flair being no-weel" Luckily, Babs has been 'up there' for years now and is totally bilingual. She often has to interpret for foreign new doctors though.