Taking chest x-ray in deep inspiration is vital to ensure we are not missing any pathology. However, most often there is a communication breakdown between the x-ray operator and the patient especially foreign workers.
We suggest the following:
Before taking the x-ray, spend a minute rehearsing with the patient breathing in, hold your breath and breath normally.
If the patient can't understand English, use Bahasa or even better, his own language.
If the worker still can't understand you, use numbers. 1 is for breath in, 2 is hold your breath and 3 breath out normally.
Always demonstrate to him a few times.