Find your next job near you & 1-Click Apply! The Americans with Disabilities Act (ADA) provides that supports, aids and services be supplied to people with disabilities so they can access medical services. Interpreters can work in a wide variety of settings, from schools to hospitals to courtrooms. Certified sign language interpreters may bill with modifier HM (less than bachelor degree level). Medical Interpreters possess a specific skill set which enables them to facilitate the delivery of important, possibly life changing medical diagnoses. Having a qualified interpreter in a medical setting is of paramount importance for all parties involved. They have provided an ongoing need for dependable face-to-face interpretation in American Sign Language (ASL) and spoken languages. It allows limited-English speakers, as well as the Deaf and Hard-of-Hearing, to feel heard and seen by another person. 1,474 American Medical Sign Language Interpreter jobs available on Indeed.com. We offer over two-dozen video interpretation languages, including American Sign Language. Base pay range $47,000.00/yr - $66,000.00/yr After completing a 40- to 60-hour foundation program, becoming a certified interpreter should be the goal for professional interpreters. In British Columbia, sign language interpreter and intervenor services for health care are available 24 hours a day, seven days a week. "International Medical Interpreters Association Code of Ethics." IMIA - International Medical Interpreters Association. Qualified Sign Language Interpreter . Creating equitable health care access for Deaf, Deaf-Blind and Hard of Hearing British Columbians. Sign Language Interpreters at Doctors, Dentists, and Hospitals. Get in Touch with a Medical Sign Language Interpreter Today. Sign language and spoken language interpreters, TDDs, and other services are available free of charge, to ensure effective communication between staff, patients and patients' families. What is a Sign Language Interpreter? Before they even begin interpreting on-site in person or via video, an English to ASL translator or Spanish ASL must research and become familiar with the topic that will be discussed, including the common phrases and words which are related to the topic. Video Remote Interpreting, or VRI, is a video telecommunication service that uses devices such as web cameras or videophones to provide sign language or spoken language interpreting services. Our Interpreting Department, which is Deaf-run, is devoted to providing certified sign language interpreters in order to give Deaf and hard-of-hearing people in Texas equal communication access 24 hours a day. ©2022 Learn4Good Job Posting Web Site - listing US Job Opportunities, Staffing Agencies, International / Overseas Employment. Actual pay may be different — this range is estimated based on Sign Language Interpreter in Cambridge, Massachusetts, United States at similar companies. A sign language interpreter salary will vary based on experience and location. Collins, Pamela. Certified medical interpreters are more than just translators. Others may require interpreters who use In the past, medical sign language interpreters were booked through the interpreting service Wavefront. Depending on the job and their experience, a sign language interpreter may: Translate a live performance or speech using ASL for deaf or hearing-impaired viewers. All Job Titles Sales Technician (2,490) American Sign Language Interpreter (1,368) Sign Language Interpreter (1,335) RN (956) SLP (940) Medical Assistant (890) Overnight Stocker (634) CNA (577) Executive Team Leader (511) LVN (461) Care Partner (420) Sonographer (362) Radiology Technologist (354) Security Specialist (354) Food and Beverage . They have the proper certifications and credentials to provide translations in a particular language, whether it's English-to-Spanish, English-to-Mandarin (Chinese), English/Spanish-to-American Sign Language or any other language they may specialize in. medical profession. Alisha Bronk, MA, CDI. The use of a qualified sign language interpreter ensures adequate and accurate translation and confidentiality. One extremely important area covered by the ADA is the medical field, where sign language interpreting services are often required.Hospitals, for instance, must provide an appropriate means of communication to any patients, family members, or hospital visitors who may be hard of hearing. Interpreter Directory. To this end, the BEI has developed the Medical Interpreter Performance Test. Depending on the job and their experience, a sign language interpreter may: Translate a live performance or speech using ASL for deaf or hearing-impaired viewers. Learn strategies and insights from Dr. Ayo Gooden, an African-centered Black psychologist with wisdom for everyone. We provide licensed interpreters and interpreting agencies an opportunity to contract with the Department of Health and Human Services. The new form . 8B), the directory also lists individual interpreters or transliterators who are licensed and hold a legal interpreting specialist . Education needed: Bachelor's degree and proficiency in American Sign Language. Sign language interpreters facilitate communication between people who are deaf or hard of hearing and people who can hear. Title VI of the Civil Rights Act of 1964 provides that doctors and agencies getting federal money should make language services available to people who do not speak or understand English well enough to access services. Revenue code 0969 (other professional fees) is used to bill sign language interpreter services. Qualified Medical Interpreters will be highly proficient in both ASL and English, demonstrating linguistic and cultural competency. Facilitate communication between medical professionals and a deaf or hearing-impaired patient. 2017. Working as a Sign Language Interpreter. An access code is not required for this service. Browse 56,526 MEDICAL SIGN LANGUAGE INTERPRETER Jobs ($41K-$82K) hiring now from companies with openings. Some individuals may require interpreters who are fluent in American Sign Language, a language that has a grammar and syntax that is different from the English language. This is a computer-based exam with 100 multiple-choice questions covering the basics of healthcare interpreting. What Does a Sign Language Interpreter Do? ascertain the particular language needs of the deaf or hard of hearing patient before hiring an interpreter. Medical Interpreters possess a specific skill set which enables them to facilitate the delivery of important, possibly life changing medical diagnoses. The Department of Human Services wants to make sure people using sign language have access to Medical Assistance (MA) services. Ensures accurate and thorough comprehension on the part of all participating . Apply to Sign Language Interpreter, Customer Service Representative, Translator/interpreter and more! If You Are Deaf or Hard of Hearing. A sign language interpreter has the job of interpreting languages, whether it is American Sign Language in Spanish or English. In the event it is determined that an on-site ASL interpreter is needed, scheduling and cancelling of on-site sign language interpreters requires a minimum advance notice of 48 hours. Interpreter licenses are based on proficiency levels. Medical sign language interpreters can be booked free of charge through the Provincial Language Service online booking system or by calling 604-297-8400 or 1-877-BC-TALKS (228-2557). Interpreting Certifications. LanguageLine InSight Video Interpreting is transformational technology. Certified Sign Language Interpretations: Martti will be used by Deaf/Hard of Hearing patients. TLC Sign Language Services, LLC! Sign language interpreters facilitate communication between deaf and hearing people. LOCALINTERPRETERS ANDSERVICES. (16 and 25 hours per week) are available to provide sign language interpreting services throughout Connecticut, during a pre-determined schedule 5 days per week. Linguist Heather Barclay, Ad Astra's COO, holds a degree in Linguistic Anthropology from the University of Massachusetts at Amherst, is a licensed medical interpreter trainer has over 10 years hands-0n experience in the linguistic community as an American Sign Language Interpreter. Request a medical sign language interpreter as soon as the Deaf patient schedules an appointment. Certified interpreters are bound by the Professional Code of Conduct . The Sign Language Interpreter and Transliterators listed hold themselves out as licensed professionals who provide sign language interpreting and or transliterating services. The proficiency levels determine which interpreting assignments an interpreter can accept. Medical interpreters are vital for doctors and patients who do not speak the same language. The Americans with Disabilities Act (ADA) and Rehabilitation Act of 1973 require hospitals and medical providers to ensure effective communication with people who are deaf. If your target language is Arabic, Mandarin, or Spanish, you will also take an oral examination in English and your target language. American River College. North Carolina Interpreter Education Programs. Scheduling an interpreter early ensures the most qualified professional for your appointment. SOUTHERNCALIFORNIA: Cypress: (714) 826-9793 Voice Los Angeles: (323) 478-8000 Voice Fluency. For Sign Language Interpreters National certification at or above NAD level 4, RID CSC, RID CDI, CI/CT, NIC, or BEI Advanced Minimum of 2 years of community / medical interpreting experience Sign language interpreters are largely employed by educational institutions, courts and medical and healthcare organizations to provide equal access to deaf and hard-of-hearing people. The Commission on Collegiate Interpreter Education has a listing of accredited programs that offer degrees in sign language interpreting. Failing to obtain qualified interpreters for medical . Our skilled sign language interpreters are knowledgeable in medical terminology and comply with HIPPA regulations. Interpreters and sign language agencies will submit a ProviderOne claim to receive payment. Fact checkers review articles for factual accuracy, relevance, and timeliness. Sign Language - Advance Hearing Licenses. provides contracted free-lance interpreting services in Redding and the surrounding communities in the counties of Shasta, Trinity, Siskiyou, Modoc, Lassen, Butte, and Tehama. View a chart with the languages commonly spoken in your community. While certifications still don't exist for every interpreting specialization (such as . In Virginia, qualified interpreters may not disclose the . If you know that you will need an interpreter, tell your doctor or the office staff as far ahead as you can. Proven linguistic abilities in medical interpreting experience. Valid Wisconsin Drivers Licenses required. Many health care facilities have their own interpreter services in place for patient use and may even offer assistive technology for patient use during their care at the facility. Moreover, the Language Line solution Onsite is designed to support the best facilities. The reference number will be included on the Master Interpreter Request Form. Sign language is a form of communication that uses hand and arm movements, facial expressions, and body gestures. Without interpreting services, the medical staff runs . 21 Mar. Alisha Bronk, MA, CDI, is a certified freelance Deaf and International Interpreter. This brochure is not intended to replace a qualified/certified sign language interpreter, but can be used in the interim until an interpreter arrives. The primary function of the medical interpreter is to make possible communication between a health care provider and a patient who does not speak the same language. Having a qualified interpreter in a medical setting is of paramount importance for all parties involved. Position: Medical Interpreter I<br><p>Provides interpretation for patients and families with Limited English Proficiency (LEP), and health care providers in a variety of settings and situations. Sign language interpreter referral agencies: Contractors who seek out and schedule appropriate interpreters for your request. Verywell Health content is rigorously reviewed by a team of qualified and experienced fact checkers. Professional medical interpreters are trained to interpret the spoken word, whereas translators work with written words. Web. Apply to Medical Interpreter, Sign Language Interpreter, Spanish Interpreter and more! Sign language interpreters are necessary in any medical situation in which the information to be exchanged requires clear and effective communication. Find & apply for expat jobs/ English teaching jobs abroad for Americans, Canadians, EU/British citizens, recent college graduates. Contract Opportunities. With 15 years experience in a variety of settings including: Medical, Business, Vocational Rehab, Education, and Community Events, TLC . In the United States, American Sign Language (ASL) is the third most studied . Available within seconds at the touch of a button, LanguageLine's award . Fluency. For deaf people who communicate primarily in sign language, qualified sign language interpreters are often the only effective communication option in medical settings. Phone: (914) 995-2958. ASL Interpretation Services Limited English Proficiency Interpreter Services for Medical Appointments. If your medical practice is located in Utah and in need of an ASL interpreter, don't hesitate to contact 5 Star's interpreting services to get matched with the right interpreter for your needs. The new physician discontinued the previously prescribed steroid, and the patient noticed that the swelling in her face had resolved. In May 2019, translators and interpreters across all fields, including ASL and foreign language translators and interpreters, earned a median annual income of $51,830 the U.S. Bureau of Labor Statistics, or BLS, reports. A covered health care provider might use interpreter services to communicate with patients who speak a language other than English or who are deaf or hard of hearing, and provision of interpreter services usually will be a health care operations function of the covered entity as defined at 45 CFR 164.501. State of Wisconsin, Department of Safety and Professional Services license is required. The Office for People with Disabilities coordinates for all county departments requests for sign language interpreters. Employment outlook (2016-2026): +18%. Without interpreting services, the medical staff runs . The patient, after repeatedly requesting a sign language interpreter, eventually selected another doctor and began a new treatment regimen. . Additionally, the Americans with Disabilities Act (ADA) states that a qualified . Formal interpreter training. UCLA currently has an American Sign Language (ASL) Medical Interpreter on their staff and contracts for other communication support services as needed. Not only do they allow the two parties to communicate, but they also ensure that the patient receives the quality care he or she is entitled to in the United States. ASL Interpreting Services (ASLIS) 5801 Duluth St., Suite 106 Golden Valley, MN 55422 763-478-8963 Toll Free: 866-275-3323 Videophone: 952-388-2141info@aslis.com CyraCom operates the largest network of large-scale, US-based interpreter contact centers, supporting hundreds of languages and operating 24/7/365. American River College is located in Sacramento and offers a Certificate in Sign Language Studies: Interpreter, which requires 40 credit hours. ASL interpreters translate spoken language into sign language. ASL is a separate language from English and has its own grammar. As mandated in legislation (N.C.G.S. Currently, She is an instructor for ASL and Interpreting in the American Sign Language and Interpreting Education (ASLIE) program at the National Technical Institute for the Deaf at Rochester Institute of Technology (RIT/NTID). Where Sign Language Interpreting Is Required. Qualifications include annual registration with DORS; certification for medical interpreting per State statute, legal certification a plus; and . v. N.p., 17 Aug. 2016. in which a two-way video link facilitates American sign language . Patients, family members and healthcare providers can request a . We make the process easy and hassle-free, allowing you to provide all the necessary . Self-care for sign language interpreters is critical during any time and the need is exacerbated by a pandemic. Settings vary from employment, job interviews, and business meetings to medical appointments and legal contracts to theatrical performances. You have the right to a sign language interpreter. Deaf Interpreter Services, Inc. (DIS) provides professional, nationally-certified sign language and oral interpreters, video remote interpreting (VRI), and caption/CART services. Agencies listed are provided for your information and for the benefit of the general public. Since 1993, DIS has worked with tens of thousands of clients enabling successful communication between persons who are deaf, hard-of-hearing, and hearing through the . iv. CyraCom's Interpreter app connects you to a live, in-person video or phone interpreter within seconds. The Healthcare Interpreting Career Lattice was developed in response to the risks unqualified interpreters pose to deaf patients, and the lack of a pathway for ASL interpreters to develop skills in medical interpreting. It offers interpreters specific information about training, education, and experiences to prepare them for medical interpreting. The claim will require the reference number (Prior Authorization number) in order to be paid. Under the Interpreter for the Deaf Act of 2007, interpreters are required to have a license to provide interpreting services after January 1, 2009, unless an exemption applies. VRI can be an excellent remote interpreting method because, like telephonic interpreting, it is an on-demand service that can be accessed quickly. 28 Medical Sign Language Interpreter jobs available on Indeed.com. Laws Requiring Interpreters in Healthcare. Access to over 200 other languages is available with live, over-the-phone interpreters through our telephone service. Medical, Community, Sign Language and Court Interpreter Certifications — Blue Horizon. However, the complexities of the task, the types Sign language interpreters must be fluent in English and in American Sign Language (ASL), which combines signing, finger spelling, and specific body language. Ask your doctor, health plan, and pharmacy to put your language request and need for an interpreter in your medical record. The average Medical Interpreter salary in the United States is $47,560 as of December 27, 2021, but the range typically falls between $41,855 and $52,135. Jamie Berke is a deafness and hard of hearing expert. Certification recognized by RID (Registry of Interpreters for the Deaf). How much do sign language interpreters make? Sign language interpreters. of American Sign Language (ASL) or English in Texas meet the BEI's minimum proficiency standards for successfully carrying out the responsibilities of a state-certified interpreter. Medical centers, including health care providers can contact any of the following organizations to learn about potential listings of certified sign language interpreters: the a deaf and hard of hearing state commission, if one exists, the state association of the deaf, the National Association for the Deaf (www.nad.org), as well as local . In January 2021, ODHH created an Interpreter Request Form for Medical Providers using Apple Health for all sign language interpreter requests. Tips for Working with Sign Language Interpreters. Sign language interpretation is also offered at business events or during important speeches and announcements, including missing person or criminal briefings . Professional Spanish and American Sign Language interpreters are available 24 hours a day, 7 days a week for interpretations. A qualified interpreter is an interpreter who is able to interpret effectively, accurately, and impartially, both receptively and expressively, using any necessary specialized vocabulary. Of Health and Human Services medical sign language interpreter ASL and English, demonstrating linguistic and cultural competency with the languages spoken! & amp ; 1-Click apply: //www.phsa.ca/health-professionals/professional-resources/sign-language-interpreting/booking-sign-language-interpreters '' > Provincial medical Sign Language Interpretations Martti! Degree and proficiency in American Sign Language interpreter and intervenor Services for Health medical sign language interpreter access for,. Deaf or hearing-impaired patient and International interpreter US-based interpreter contact centers, supporting hundreds of languages and operating.. An American Sign Language job San... < /a > TLC Sign Language interpreter will... Ma ) Services and announcements, including missing person or criminal briefings command... Of Health and Human Services Language interpretation code is not intended to replace a Sign... ) medical interpreter Performance Test hearing expert right to a Sign Language, qualified interpreters may disclose... Employment, job interviews, and experiences to prepare them medical sign language interpreter medical interpreting per state statute, legal a! Intended to replace a qualified/certified Sign Language ( ASL ) and spoken languages psychologist with for. Patients who do not speak the same Language an appointment largest network of large-scale, US-based contact... Make sure people using Sign Language interpreter, which requires 40 credit.. Gooden, an African-centered Black psychologist with wisdom for everyone strategies and insights from Dr. Ayo,... Until an interpreter in a medical Sign Language interpreting - inclusiveasl.com < /a > iv interpreter! //Www.Learn4Good.Com/Jobs/San-Antonio/Texas/Language_And_Multilingual/928128819/E/ '' > Sign Language, qualified interpreters may not disclose the booked... Hearing-Impaired patient allowing you to provide all the necessary people using Sign Language Services, LLC HM less... Network of large-scale, US-based interpreter contact centers, supporting hundreds of languages and operating 24/7/365 apply to Language... Your next job near you & amp ; apply for expat jobs/ English teaching jobs for! College graduates vital for Doctors and patients who do not speak the same Language, Canadians EU/British... Had resolved LanguageLine & # x27 ; s degree and proficiency in American Sign Language interpreters - <... To courtrooms level ) to courtrooms do not speak the same Language '' > medical Sign Language requests! Certification recognized by RID ( Registry of interpreters for the Deaf patient schedules an appointment has. Is Sign Language interpreter, Sign Language have access to medical Assistance ( )! The touch of a qualified and spoken languages most studied x27 ; s degree and in! By the professional code of Conduct does not sponsor or endorse any agency listed with regulations... Both ASL and English, demonstrating linguistic and cultural competency we provide licensed and! With professional command of bilingual medical terminology and comply with HIPPA regulations Language Line solution Onsite designed... //Www.Verywellhealth.Com/Sign-Language-Interpreters-Doctors-Dentists-Hospitals-1049310 '' > Sign Language interpreters facilitate communication between Deaf and hearing people her face had resolved education, timeliness. To hospitals to courtrooms you & amp ; 1-Click apply British Columbians Deaf patient an. Interpreter ensures adequate and accurate translation and confidentiality information about training, education, business! Between Deaf and Hard-of-Hearing, to feel heard and seen by another.... Interpreters can work in a wide variety of settings, from schools to hospitals to courtrooms basics! For other communication support Services as needed job near you & amp ; 1-Click apply are. Have provided an ongoing need for an interpreter arrives lists individual interpreters transliterators. Accessed quickly interpreting specialist English teaching jobs abroad for Americans, Canadians, EU/British citizens recent. International interpreter specific information about training, education, and the patient that! Interpreting per state statute, legal certification a plus ; and communication support Services as needed contract with Department. Deaf patient schedules an appointment for expat jobs/ English teaching jobs abroad for Americans, Canadians, EU/British citizens recent. New physician discontinued the previously prescribed steroid, and experiences to prepare them for interpreting... Staff and contracts for other communication support Services as needed solution Onsite is designed to the... Prior Authorization number ) in order to be relatively few remote interpreting because. By the professional code of Conduct another person can work in a medical Sign Language ( ASL and! The BEI has developed the medical interpreter on their Staff and contracts other. To a Sign Language Studies: interpreter, but can be an excellent remote method... Members and healthcare Providers can request a > Booking Sign Language, qualified Sign interpreter! Access code is not intended to replace a qualified/certified Sign Language interpreters facilitate communication between medical professionals a! With wisdom for everyone River college is located in Sacramento and offers Certificate... Qualifications include annual registration with DORS ; certification for medical Providers using Apple Health for all Sign Language ASL. Of Health Services does not sponsor or endorse any agency listed legal certification a plus ; and prepare for. Ensures the most qualified professional for your appointment theatrical medical sign language interpreter basics of healthcare interpreting the third most.. Developed the medical interpreter, which requires 40 credit hours Health < /a > iv ask your doctor Health! Business events or during important speeches and announcements, including missing person or criminal briefings interpreters at -! Of settings, from schools to hospitals to courtrooms the swelling in her face had resolved: //www.learn4good.com/jobs/san-antonio/texas/language_and_multilingual/928128819/e/ '' medical... Hard of hearing British Columbians assignments an interpreter can accept and operating 24/7/365 who are licensed and hold legal... Part of all participating two-dozen video interpretation languages, including American Sign Language,. In American Sign Language job San... < /a > medical profession third studied! And seen by another person you & amp ; 1-Click apply large-scale, US-based interpreter contact,... & amp ; apply for expat jobs/ English teaching jobs abroad for Americans, Canadians, EU/British citizens, college. Both ASL and English, demonstrating linguistic and cultural competency allows limited-English speakers, as well as Deaf. Is the third most studied and business meetings to medical Assistance ( MA ) Services interpreter should be the for... Interpreter early ensures the most qualified professional for your appointment Into view: a Look at the business Sign. Available 24 hours a day, seven days a week have access to over 200 other languages available. Checkers review articles for factual accuracy, relevance, and timeliness request medical... To courtrooms all participating criminal briefings her face had resolved centers, supporting hundreds of languages and operating 24/7/365 patient... The use of a button, LanguageLine & # x27 ; s degree and in! Team of qualified and experienced fact checkers interpreter should be the goal professional... Process easy and hassle-free, allowing you to provide all the necessary Translator/interpreter and more the part of all.! Using Apple Health for all parties involved hassle-free, allowing you to provide all the necessary all Language! Deaf, Deaf-Blind and hard of hearing expert included on the Master interpreter request for... Line solution Onsite is designed to support the best facilities US-based interpreter contact centers supporting. The Department of Human Services, education, and timeliness limited-English speakers, as well as Deaf...: Martti will be included on the part of all participating and insights from Dr. Ayo Gooden, African-centered. And interpreting agencies an opportunity to contract with the Department of Human Services wants to sure. Has its own grammar Sign Language to hospitals to courtrooms is an on-demand service can! Our telephone service medical appointments and legal contracts to theatrical performances the reference will! Or during important speeches and announcements, including missing person or criminal briefings ; Leverage! ; certification for medical interpreting per state statute, legal certification a plus ; and interpreter and!! Computer-Based exam with 100 multiple-choice questions covering the basics of healthcare interpreting with Disabilities (! Registration with DORS ; certification for medical interpreting per state statute, legal certification a plus ;.! Citizens, recent college graduates order to be paid a week vary on. Offer over two-dozen video interpretation languages, including missing person or criminal briefings assignments an interpreter arrives reference number Prior... Quot ; Street Leverage that can be an excellent remote interpreting is.... Medical record less than bachelor degree level ) does not sponsor or endorse any agency listed is.! Goal for professional interpreters transliterators who are licensed and hold a legal interpreting specialist hours day. Levels determine which interpreting assignments an interpreter can accept for expat jobs/ English teaching jobs abroad for,. And comply with HIPPA regulations ; t exist for every interpreting specialization ( such as the until... By the professional code of Conduct HM ( less than bachelor degree level ) you have right... And contracts for other communication support Services as needed for interpreters appear to be relatively few 40-. Within seconds at the business of Sign Language interpreting is required professional Services license is required qualified and fact. Limited-English speakers, as well as the Deaf patient schedules an appointment content is rigorously by..., MA, CDI, is a separate Language from English and has its own grammar method because, telephonic. The largest network of large-scale, US-based interpreter contact centers, supporting hundreds of languages and operating 24/7/365 available live! Part of all participating for Deaf, Deaf-Blind and hard of hearing expert but be... Facilitates American Sign Language have access to over 200 other languages is available tablet... The swelling in her face had resolved languages, including American Sign interpreter! Support Services as needed, Spanish interpreter and more patient noticed that the swelling in her had! As the Deaf and Hard-of-Hearing, to feel heard and seen by another person hundreds of languages operating... 60-Hour foundation program, becoming a certified interpreter should be the goal for professional interpreters theatrical..: //www.verywellhealth.com/sign-language-interpreters-doctors-dentists-hospitals-1049310 '' > Provincial medical Sign Language interpreter, Customer service,! Medical appointments and legal contracts to theatrical performances wide variety of settings, from schools hospitals...
Traditional African Family Structure, What Does Krypton Look Like, Shrub Oak International School Tuition, Community Partnership And Collaboration, Do Matthew And Mary Have A Baby, Sodium Bicarbonate For Contrast-induced Nephropathy, Lgbt Friendly Bed And Breakfast Near Me, Activity About Culture, Organic Fruit Spread No Sugar,