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I, an English speaker, was interacting with a Spanish patient at work. It was me first week, and it had been a long while since I had spoken Spanish but I had been nearly fluent for years. The patient had neck pain. I walked in and very confidently asked "Donde esta el dolor en su culo?" They looked shocked, turned red and said, "OH NO!" and I immediately realized I asked them "Where is the pain in your asshole?" confusing culo (asshole) with cuello (neck). I apologized profusely and they couldn't stop laughing about it during the whole appointment. Good times.