So she was accompanied by her niece, who said she was here to translate.
I only speak English. And guess what? So does the niece!
Her idea of "translating" was like the old SNL "News for the Deaf" skit. Like this:
Dr. Grumpy: "Where is the pain?"
Ms. Niece: (pulling on patient's sleeve and shouting in her ear) "THE DOCTOR WANTS TO KNOW WHERE YOUR PAIN IS?!!!"
This went on for an hour. The patient spoke good English, and could hear perfectly well. By the end of the appointment I think we were both ready to strangle the niece.