SafeTex Feb 17, 2022:

@Tony I don't know what you've been smoking, but it must be pretty good stuff🌿😉

Tony M Feb 17, 2022:

@ Daryo That's a bit of a non-argument, really and truly: nothing in the source text given states or even implies indirectly that the person or organisation does or does not practise 'Western' medicine; all it says is that their recommendation is that further specialist treatment should be pursued in an establishment offering Western medical treatment; it's like saying "your car has a difficult problem, and we suggest you get it mended in a garage specializing in Mercedes"

Daryo Feb 17, 2022:

Small fly in the ointment Thinking of it, there is no reason to assume that this hospital is treating patients by resorting to local tribal medicine, especially if bone graft is needed!

They are most likely doing the same kind of medicine as in any European country or other developed country, but with far less resources available.

So the recommendation "la prise en charge dans un *Centre spécialisée occidentale* reste nécessaire" would simply mean "this patient needs to go a far better equipped hospital" (implicitly: abroad, somewhere in "the West")

SafeTex Feb 14, 2022:

Specialist Western Medicine Care Centre Hello
This might be a compromise between the two answers as with this, it no longer matters where the centre is located geographically. As long as they practice and presumably therefore have western medicine, this would cover it wherever the centre is located.

Elizabeth Niklewska (asker) Feb 14, 2022:

Feminine Maybe it is an error by the author - the e word ending of Centre suggests feminine to them? That is why I will put the literal translation of Western + translator's note with a suggestion as to what this refers

ph-b (X) Feb 14, 2022:

In that case, I don't need to tell you that unless you find the reason for that feminine, no reliable translation can be suggested.

Elizabeth Niklewska (asker) Feb 14, 2022:

Evacutation There is no mention of Evacutation or similar

Tony M Feb 14, 2022:

@ Ph-B Good idea! And excellent analysis...
Would tend to corroborate my suggestion, therefore, that this is referring to 'Western' medicine etc., rather than any actual geographical meaning.

ph-b (X) Feb 14, 2022:

Feminine? Could the apparent typo actually mean that a feminine noun has been omitted (e.g. centre de médecine spécialisée occidentale)? I'm asking this because as you will see from the Internet, one of the many initiatives meant to support Africa, medically and otherwise, takes the form of a "twinning" between European and African hospitals/medical centres. Is it suggested or hinted for instance that the patient should be evacuated? Not unheard of in Africa. Another possiblility is the growing presence of China in Africa, which leads, among other things, to a competition between so-called Western and Chinese medicines - traditional African medicine remains out of the picture in that respect. In other words, an explanation of the typo and of the general drift of your text would be useful.

philgoddard Feb 14, 2022:

I don't think it necessarily means a hospital abroad - developing countries often have foreign-owned private hospitals for expats and the wealthy elite. But yes, western.

Z-Translations Translator Feb 14, 2022:

Western You are right; "Western specialized center".