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As such, simulation-based healthcare education with SPs related to patient use of onomatopoeia should be included in health professional training curricula. Kasai [7] analysed all the onomatopoeia on "Kodomo-no-Uta 200" (a collection of Japanese nursery rhymes) and found how the onomatopoeia could look in children's songs in play, especially in physical form. However, we challenge the view that onomatopoeia is intended for use by children only, arguing that the precise use of onomatopoeia for describing pain in countries such as Japan and Togo demands a different interpretation. Keywords: interpersonal communication; onomatopoeia; patient's concern; interpretation; Zwischenmenschliche Kommunikation; Onomatopoeia; Anliegen des Patienten/der Patientin; Interpretation EN interpersonal communication onomatopoeia patient's concern interpretation DE Zwischenmenschliche Kommunikation Onomatopoeia Anliegen des Patienten/der Patientin Interpretation 1 6 6 11/25/21 20211201 NES 211201 Introduction A patient may report to a physician: "I tripped and heard a horrid crunch in my ankle. [Extracted from the article]