She accompanies clients with impaired hearing to doctor's visits and helps them communicate with their physicians and nurses. That has found her in some unusual situations. She has been in the operating room during open heart surgery to interpret for patients before they were sedated and after they had woken up. She waits through the operation in case the patient needs to come out of sedation at any time. Miles was with Palluconi for part of her delivery, in which there were complications because the baby' s umbilical cord was around her neck.
Miles also accompanies on less serious matters.
She said she has interpreted on the floor for patients who were lying down in the X-ray room. Sometimes, she steps out of the medical world and into arts and politics. Last month, Miles interpreted Trisha Yearwood and the Spinners for a group of deaf people who attended concerts the two artists gave in Indianapolis. She has done other concerts in the past, including concerts for gospel groups at Ferris State University in Big Rapids. People with full hearing don't always understand why a deaf person would bother watching someone sign along with songs.