It doesn't make any difference if, like me, you couldn't even speak English until you were in your 20s.
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Otherwise, make it clear from the outset that you would prefer to speak in English.
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Your physicians should be able to speak to you in plain English and answer your questions.
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She can also speak to you in a rather pleasant English accent.
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The CBO estimates are available in very readable English not the government mumbo jumbo techno-speak you might expect.
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In a few years, you might be able to speak Spanish, French and English--and all at the same time.
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"In Portugal there was sometimes a language barrier but even if you are coaching players who speak English, there is always the issue of how much they understand, " he told CNN.
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