An interdisciplinary team from the Observatory of the Fundamental Right to Health of the Personería de Medellín visited the facilities where the Pre-Hospital Care (APH) program is coordinated, operated by the ESE Metrosalud.
This, after complaints received in which they alert irregularities in the operation of the program.
Mayelis De La Rosa Madrid, leader of the Health Observatory, indicated that the status of the ambulances and the contractual status of the assigned personnel were verified.
“Random reviews were carried out on five of the ambulances in charge of attending emergencies in Medellín, which were located at the Campo Valdés and Libertadores fire stations. On that visit some ambulances that do not meet the minimum technical conditions for their proper functioning were evidencedFor example, some were without a sphygmomanometer for the adult population or pediatric patients, the aspirator was not working, the use of oxygen was disabled due to damage to the flowmeter, the air conditioning was not working, etc.”, the official said.
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Some were without a blood pressure monitor for the adult population or pediatric patients, the aspirator was not working and the use of oxygen was disabled due to damage to the flowmeter.
This situation, he added, forced vehicles that were provisionally out of service since 2021 to be put into operation for failing to comply with the regulations.
De la Rosa added that in the contractual review between the ESE Metrosalud and the Tranvital SAS company, some alleged irregularities were evidenced, such as: officials working without signed contracts and whose hiring is carried out month by month, going from a contract for the provision of services to a union .
This company is also in charge preventive and corrective maintenance of these vehiclesyes
“The Personería de Medellín will initiate a preliminary investigation in order to review the contracting of the operator TRANVITAL SAS and its compliance with the contractual obligations,” the official reported.
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The Mobile Wildlife Unit of the Valle de Aburrá Metropolitan Area (AMVA) released an unfortunate case of animal abuse in Medellin recorded on February 28.
In the Loreto neighborhood, east of the city, a female opossum, which had three babies in her pouch, was attacked with a machete.
After its rescue, the animal was treated by a team of veterinary doctors at the Passage Station, located in the Botanical Garden, who reported that the opossum “not only presented innumerable blows, but also serious injuries to its head and shoulder, which would have caused a fracture at the level of the mandible, maxilla and skull, causing visual loss and heavy bleeding.
Due to the severity of the injuries and blood loss, veterinarians determined that The best and healthiest thing for the animal was to carry out therapeutic euthanasia.
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Not only did he present innumerable blows, but also serious injuries to his head and shoulder, which would have caused him a fracture at the level of the jaw, maxilla and skull.
The pups of the attacked opossum, reported the AMVA, are in custody at the Center for Attention and Assessment of Wild Fauna (CAV) and their prognosis is reserved.
Estefanía Parra Ochoa, Veterinary Doctor of the CAV, indicated that due to the force and depth of the wounds to the mother opossum, it is presumed that the attack was with a machete.
“The wounds pierced not only the skin, but also the muscle and bone.. The injuries were very serious and she was not going to be able to recover to return to her habitat, which is why, unfortunately, therapeutic euthanasia was chosen,” the veterinarian reported.
For his part, Juan David Palacio, director of the AMVA, rejected this case of animal abuse and indicated that, from the entity, “everything will be made available to facilitate the continuity of the investigation to the competent authorities, in order to find the whereabouts of those suspected of being responsible for this attack”.
He also reported that the GELMA group of the Attorney General’s Office is already aware of the case, in order to advance the investigation.
(Also read: One dead and three injured during heavy downpour in Cocorná, Antioquia)
Attacks on opossums, indicated the veterinary doctor, represent about 24% of the species that enter the Center for Care and Assessment of Wildlife.
Figures from the entity indicate that, Between 2020 and 2022 to date, around 4,719 have been admitted, in most cases due to situations of abuse. marsupials to this place.
“We call on the metropolitan community to care for and respect opossums, since these individuals fulfill important biological and ecological functions in this urban ecosystem, when it comes to controlling pests and dispersing seeds,” explained the expert.
The UCRI, efficiency and quality of care, also against the coronavirus
In fact, this good health data, always maintaining the utmost respect for the deceased and their families, and assessing the strengths and mutations of the microorganism, which is so devastating, has been achieved during the sixth wave of the COVID-19 pandemic.
“As of February 11, 570 patients had been admitted to La Princesa, of which 143 were treated at the UCRI. Twenty-six died, ”says Dr. Enrique Zamora García, head of the Intermediate Respiratory Care Unit of the Pneumology Service.
If the almost 5,000 patients who were admitted to this level 3 hospital center during the entire pandemic period, from March 2020, were counted, the sum of resulting deaths, both in the ICU and IRCU and on the hospital ward, would reach 14.5% of cases treated to date.
Admissions, discharges and deaths at the Hospital de La Princesa since the start of the COVID-19 pandemic
“The first wave caught us off guard, since no one expected the huge number of infections that we suffered. This collapse of the health system forced us to organize and coordinate as quickly as possible, but, once the first major impact was overcome, we managed to anticipate the virus day after day », he highlights.
According to a study published in the Journal of Respiratory Pathology of the NeumoMadrid Foundation at the end of 2021, severe pneumonia caused by SARS-CoV-2 infection led to more than 15% of the cases registered in fourteen hospitals being admitted to critical care. Madrilenians (85% of the referenced population).
25% of these people with severe respiratory failure required invasive or non-invasive ventilatory support, with a recognized mortality rate between 8% and 36% depending on the series.
On the occasion of the SEPAR 2022 year dedicated to the UCRI, and in an interview granted to EFEsalud, the specialized website of the EFE Agency, Dr. Zamora García underlines the keys to achieving a high level of success for the ucri in the face of the merciless coronavirus and other pathologies with lung involvement, such as COPD: «Training, clinical experience and scientific evidence«.
The respiratory reasons of the UCRI
The Intermediate Respiratory Care Units offer medical assistance to patients with pulmonary insufficiency caused by any disease that decreases oxygen levels in the blood or increases carbon dioxide levels dangerously.
“We are talking about respiratory patients whose prognosis is not so serious as to require invasive mechanical ventilation (IMV), and remain in the ICU, but who do need much more attention, monitoring and surveillance than any other patient hospitalized on the ward,” says the pulmonologist .
“Therefore, they are patients who require high-concentration oxygen with non-invasive mechanical ventilation (NIMV) and monitoring of vital signs, such as blood pressure, blood oxygen saturation level or heart rate,” he adds.
In the IRCU, patients with acute respiratory failure caused by a primary disease, such as a viral or bacterial pneumoniaamyotrophic lateral sclerosis (neuromuscular), rib cage pathologies, hypoventilation-obesity syndrome, COPD or a tuberculosis.
“Also, we care for post-thoracic surgical patients, with tracheotomy or with difficulty in weaning from Invasive Mechanical Ventilation (IMV), always a relief for the overload of critical patients in the ICU”, reports Dr. Zamora.
Invasive and Non-Invasive Ventilation
“With IMV, the airway is entered through sedation and endotracheal intubation, that is, inserting a tube through the nose or mouth in most cases. This tube is connected to a mechanical ventilator (respirator) », he describes.
If the patient requires a tracheotomy to be able to breathe, a hole will be made in the front outer area of the neck through which a tube will be inserted to where the trachea branches into the lungs.
“With NIMV, air is delivered through a mask that can cover the patient’s nose and mouth. The tubing of the automatic respirator sends a positive pressure to the patient without the need to intubate him, that is, without the need to insert a tube through his airways.
Dr. Enrique Zamora Garcia
In covid times, in addition, the ucris have kept the back of the ucis.
Pulmonology was forced to offer NIMV as a therapy in cases of pneumonia with severe hypoxemia, where the ICUs were overwhelmed to offer invasive support.
“At the same time, there are patients who need to leave intensive care to receive treatment in intermediate care; a protocol based on clinical experience that has substantially improved its prognosis », she indicates.
There are more and more publications that support the usefulness and safety of non-invasive therapy as support for patients with severe pneumonia without ICU criteria or as a way to try to reduce the number of orotracheal intubations.
«In summary -he adds-, in the ICUs we provide all kinds of respiratory support and specialized hospital care, except for Invasive Mechanical Ventilation -intubation-. Nor do we take care of patients with involvement of any other organ that puts their lives in danger.
In this clinical sense, the ucris already existed, although not in all hospitals.
“Before the coronavirus pandemic, there were fewer ucris, but the ones that worked were not equipped with enough beds with their corresponding applied technologies,” he mentions.
“What the covid has come to highlight is the relevance of these units, which were perhaps not so well known to the vast majority of the population. The ucris free ICU beds and manage many patients with high quality and efficiency“, he emphasizes.
In the case of the Autonomous Community of Madrid, most hospital centers have expanded or implemented these resources during the pandemic, a clear opportunity that has improved and improves the respiratory situation of thousands of covid patients.
For the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR), the Intermediate Respiratory Care Units enhance the role of pulmonology, nursing and respiratory physiotherapy.
“The National Health System must promote the training of professionals, scientific research and the publication of knowledge around the ucris”, SEPAR emphasized in a press release.
In turn, Dr. Enrique Zamora García demands, with the calm that characterizes him, a significant increase in personnel contracts for these “essential” respiratory units: more well-trained doctors, nurses and auxiliaries.
“It is the open secret that conditions health quality of any hospital unit, such as the UCRI of La Princesa”, concludes one of the most experienced specialists of the Pneumology Service that directs the Dr. Julio Ancochea Bermudezprofessor of Medicine at the UAM and president of Asomega.
Thanks to an alliance between the Colombian Civil Air Patrol and the Association of Pharmaceutical Research and Development Laboratories (AFIDRO), more than 500 people received free health care in the municipality of Guapi, on the Pacific coast of Cauca.
In the midst of the difficulties that this municipality on the Pacific coast of Cauca is experiencing, 15 pilots and around 30 volunteer health professionals arrived to provide medical, surgical and humanitarian care to this area, where access is complicated, there is armed conflict and unfortunately the health post does not have good infrastructure and there are no specialists or surgeons either.
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During the day that took place in a school and lasted a week, 571 people were treated, performing 65 surgical procedures for the treatment of lipomas and hernias; 29 tubal ligations to further contribute to the reduction of unwanted pregnancies, especially in women between 15 and 19 years of age, taking into account that, on average, there are 53.78 births per 1,000 women in this age range. age in the country.
“Our commitment to the Colombian Pacific continues. We are convinced that we must continue making the necessary efforts to reach the most remote and vulnerable areas of the country with more and better health. On this occasion, we carry out medical consultations of optometry, pediatrics, dermatology , prenatal control and family planning implants. In addition, general surgeries for lipomas, hernias and tubal ligation. The basis and essence of development is health. For this reason, at AFIDRO we are determined to continue bringing health to the places that most care for it. need,” Yaneth Giha, CEO of Afidro.
15 pilots and more than 30 volunteer health professionals arrived by air to the Colombian Pacific, to carry out a health brigade led by the Colombian Civil Air Patrol and Afidro.
Photo:
Juan Pablo Rueda / TIME
15 pilots and more than 30 volunteer health professionals arrived by air to the Colombian Pacific, to carry out a health brigade led by the Colombian Civil Air Patrol and Afidro.
Photo:
Juan Pablo Rueda / TIME
15 pilots and more than 30 volunteer health professionals arrived by air to the Colombian Pacific, to carry out a health brigade led by the Colombian Civil Air Patrol and Afidro.
Photo:
Juan Pablo Rueda / TIME
79 goggles, 160,000 face masks, hundreds of medications and supplements were also donated, and the hospital was equipped with three oxygen concentrators and a diagnostic kit.
“Municipalities like Guapi, where the Colombian Civil Air Patrol carries out its brigades, do not have sufficient hospital infrastructure or medical specialists. In addition, there is a shortage of biomedical equipment, medicines and medical supplies. It is for this reason that we especially thank Afidro for supporting us in offering free medical and surgical care,” said Pamela Estrada Ocampo, director general of the Colombian Civil Air Patrol.
(Also read: They advance offensive against crime in the commune 15 of Cali)
According to the Multidimensional Poverty Index (IPM) reported by the National Administrative Department of Statistics (DANE), 86.14% of the population of Guapi is in a state of extreme poverty and 68.61% of people do not have any type of affiliation to the health system.
This health brigade arrives at a delicate moment in the area. Recently, the community of the municipality denounced the arrival of several families to the mayor’s office after leaving their territory due to threats from an armed group.
Nearly 40 families left the Soledad hamlet of the Alto Napi Community Council and arrived in the urban area.
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The experts of the «Health and prevention» blog offer you tips to take care of dry lips in winter due to the double effect of the cold and the continued use of masks
Dry lips, cracks, an increase in dead skin and painful wounds at the corners of the mouth or sores are some of the conditions that are emerging among Spaniards this winter and mainly due to the much-needed use of the mask.
Added to this is the damage that the cold winter causes on our lips, one of the most sensitive skins on the body.
The cold, the sudden changes in interior and exterior temperature, the use of the mask for hours and hours cause dehydration, cracks and excess skin on our lips.
“This skin is very thin, sensitive and fragile and, as it does not have melanin or sebaceous glands, it has no protection against external aggressions and it is easier for it to dry out. For this reason, it is so characteristic that the lips become dehydrated and easily damaged, even causing cracks. Of course, the skin of the lips is capable of regenerating four times faster than in other areas of the body, although being so thin it is more easily damaged”, explains Dr. Ana Rita Rodrigues, Head of the Dermatology Service of the Hospital Quirónsalud Valle del Henares.
In fact, “the lips represent one of the most sensitive parts of the body, and as we have mentioned, they have very thin, sensitive and fragile skin,” emphasizes the specialist at Quirónsalud Valle del Henares Hospital.
They have 3 to 5 cell layers, while facial skin can reach 16 layers. Their delicate skin is one more victim of the effects of the mask, drying them out, irritating them and cracking them (cheilitis) frequently if they are not cared for, hydrated and nourished continuously.
Dr. Rodrigues explains that the famous cold sores or angular cheilitis consists of an inflammation that appears in the corners of the lips and manifests itself with redness and cracks that can be painful.
They are produced by the accumulation of saliva in that area, which favors the overgrowth of bacteria and/or fungi, which ultimately leads to the appearance of local irritation and erosion.
The fact of frequently moistening the lips with saliva to alleviate the sensation of dry lips or tightness together with the continuous use of the mask worsens and maintains this alteration. Saliva evaporates quickly, leaving enzymes on the lips that promote xerosis, irritation and the appearance of superficial cracks.
Our biggest ally right now: lip balm
To avoid this, the lips must be well nourished and hydrated. The specialist highlights that “lip balm is essential during the day, so we can apply it before leaving home and use it again several times throughout the day depending on our needs, especially if we are outdoors.”
Especially in winter and, apart from moisturizing the lips, it is advisable to protect them from ultraviolet light during the day, by using lipsticks with photoprotection, and if possible with antioxidant vitamin E; especially if you are going to practice any winter sport (skiing, snowshoeing, mountaineering, etc.).
We must not forget that the lips suffer a lot in winter, even more so if there is some basic alteration (atopic, actinic cheilitis…), and also after sun exposure.
At the same time, the use of moisturizing lip balm is essential at night.
It can be applied as a routine and use a lip mask, leaving it to act to maximize hydration, nourishing and regenerating dry lips during sleep.
Specifically, to repair cracks it is recommended to use active ingredients such as panthenol, allantoin, rosehip oil, shea butter or other moisturizers.
Likewise, and for the hydration to take effect, “we must leave the lip area free of dead cells and impurities through an exfoliation that we will carry out by applying the product with gentle and circular movements for a couple of minutes,” recommends Dr. Rodrigues.
Subsequently, we must moisturize the area and turn this into a beauty routine to combat the effects of cold, changes in temperature, and the mask on our lips.
However, in severe cases of cheilitis or cold sores, medical treatment will be required, with anti-inflammatories and/or topical antibiotics.
Another piece of advice to follow “if you notice dry lips is to avoid moistening them with your tongue, since saliva can cause greater irritation and promote dehydration, as we have mentioned,” recommends Ana Rita Rodrigues.
You should also avoid biting your lips if there are skins, as this can impede the healing process. If you tend to moisten your lips, avoid flavored lip balms, which can tempt you to moisten them more.
Avoid dry environments and allergens or irritants
On the other hand, ensuring a humid environment in the workplace or at home, as well as adequate liquid hydration, drinking more water on those days, can be equally beneficial when it comes to avoiding or treating possible problems with our lips.
Thus, Dr. Rodrigues advises that during those days the application of lip cosmetic products with a greater amount of allergens, such as fragrances, be avoided, and minimize the use of makeup and lipstick.
The District Personery of Barranquilla initiated special surveillance of all the EPS after learning of the decision of guardianship of the Third Municipal Civil Court that favors children and older adults with cognitive and physical disabilities, whose care had been denied by the liquidated Coomeve EPS.
According to the aforementioned ruling, the Health Promoting Entities, EPS now involved in care are: MutualSer, Sanitas, Cajacopi, New EPS, Compensate, Sura, Total Health and Coosalud that they must, within 48 hours following the notification of this ruling, “restore and guarantee the continuity and provision of health services without interruption required by the plaintiffs, especially nursing, according to the health conditions of the guardians in the same way that it had been previously provided by Coomeva EPS SA”, underlines the court order.
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As will be remembered, the tutela action was filed by the Personero de Barranquilla Miguel Angel Alzate Salcedo; the Regional Ombudsman, Miguel Linero De Cambil Álvarez and the Atlantic Provincial and Regional Attorney, Margarita De la Hoz Jureacting as informal agents of those affected.
The provision of health services without interruption required by the plaintiffs, especially nursing, according to the health conditions of the guardians
In its ruling, the Judge warns of the need and urgency to attend to the requirement raised by the plaintiffs, before the liquidation of Coomeva EPS SA, that in the peremptory term of 48 hours following the notification, the provision of services is guaranteed. required prescribed by the treating physicians in theas EPS in mention.
(Read: Eye! Sena opened a new call for specialized training)
The plaintiffs are children, adolescents and elderly people with disabilities, affiliated with Coomeva EPS, with diagnoses of cerebral palsy, autism, behavioral disorder, Down syndrome, Lenos Gastaws, orphan refractory epilepsy disease, disability due to tumor cerebral and total exhaustion, among others.
It was established in what was stated in the guardianship that since December 28, 2021, Coomeva EPS arbitrarily suspended the 24-hour nursing service for children, adolescents and elderly people with disabilities.
Miguel Alzate Salcedo, representative of Barranquilla.
The medical nursing service was suspended because Coomeva EPS stopped paying the value of the same to the provider Hogar Salud IPS.
(Be sure to read: Barranquilla merchants announce march against extortion)
Following this decision, Coomeva EPS not only failed to comply with pending payments to Home Health IPS to continue with the nursing service, but, on the contrary, imposed another provider: Amadis IPS.
There are 3,000 guardianships against Coomeva
Given all these irregularities, the National Health Superintendency ordered on January 25, 2022 the liquidation of EPS Coomeva, after evidencing the impossibility of correcting the financial situation in which it finds itself and as protection for the life and health of its 1.2 million affiliates in 24 departments of the country .
According to information from theSuperintendency, the EPS has liabilities close to 1.7 trillion pesos, a level of indebtedness of 1.6 times the value of the asset, a gap of 204,230 million pesos in adequate equity and accumulated losses of more than one billion pesos. pesos.
In the last three years, EPS affiliates filed 30,000 guardianships and 193,100 complaints and claims for poor provision of health services.
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Dr. Carlo Vallejo is dedicated to cycling.
Photo:
Taken from social networks
Dr. Carlo Vallejo is dedicated to cycling.
Dr. Carlos Vallejo stayed 14 days at the Porto Azul Clinic in Barranquilla.
Find the validation of El Cazamentiras at the end of the news.
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BA
February 06, 2022, 04:22 PM
LH
Leonard Herrera February 06, 2022, 04:22 PM
Surgeon Carlo Vallejo Morawho was run over by a car when he was cycling along the Vía al Mar, left the Intensive Care Unit of the Portoazul Clinic in Barranquilla.
(Also: The neighborhoods that will be without power this Monday in Barranquilla)
Vallejo had been interned in ICU since January 22, due to the seriousness of the injuries. That day another cyclist and the motorcyclist who accompanied the athletes were also injured. Both were discharged.
(You may be interested: Char invites young people to continue participating in politics)
The news generated solidarity from various sectors, which took the opportunity to demand more protection for cyclists on the country’s roads.
the journalist Erika Fontalvo, Vallejo’s wife was the one who released the news through their social networks. ,
(Be sure to read: Barranquilla exceeds 2.5 million doses applied against covid-19)
“Now begins another stage, no less challenging, to restore his neurological, physical and emotional condition, which will require enormous efforts, in addition to processes sustained over time. The Spirit of the Lord is by your side. We trust and believe: faith assists us in this difficult moment in which our family appreciates your prayers and messages of encouragement, ”Fontalvo points out in his message.
BARRANQUILLA
BA
February 06, 2022, 04:22 PM
LH
Leonard Herrera February 06, 2022, 04:22 PM
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The pandemic, its hoaxes and its doubts, led Dr. David Callejo to disclose through social networks. Months later the disclosure of him has passed into book format with ‘The first thing, life: The day to day of a doctor who learned to give everything’, where he recounts several of his experiences in the hospital
Dr. David Callejo showing his book ‘Life comes first. The day to day of a doctor who learned to give everything». Photo courtesy of Efe/Héctor Vila
The prose of the influencer doctor of the Gregorio Marañón Hospital, a specialist in Anesthesiology, Resuscitation and Pain Therapy, invites you to empathize with the author in situations of medical work such as complications in the operating room, decision-making in seconds to save lives, the sanitary exhaustion and the happiness that the recoveries of the most serious patients give.
“I wanted to tell how many times we think that doctors can change the lives of patients and how a patient can change the lives of doctors or our way of thinking in some way,” says Callejo.
An example of his words was the moment when had to change his perspective by having to be a patient after being admitted to the Intensive Care Unit for suffering a pneumothorax while still a medical student.
“It generally occurs in patients who are tall and thin. I would like to say that they are also attractive, but in this case science is not on my side », jokes the doctor in his book.
«You look helpless, you don’t understand anything, and you see how the toilets move very quickly and without explaining things too much because we do very mechanical things. I think that those bad moments as a patient helped me a lot later in my profession».
Remember David Callejo
Doctor, when is the pandemic going to end?
Via your social networks (@davidcallejo10) activates his facet as a disseminator and doctor influencer. David opened his Instagram profile thanks to the support of his students from the MIR preparation academywho encouraged him to respond through videos to the immense amount of uncertainties of the different users.
Among these uncertainties, the most demanded has been the search for a response to the pandemic. “When will it end?” “Is there an end date?” These are some of the questions that he has received the most through his Instagram profile.
«At the beginning we said that there were going to be 15 days of confinement, then another 15 were added, plus another 15 and another 15. Then we said that by Christmas 2020 we would be better. Then at Christmas we said that everyone was at home, but that next year everything was going to be normal. Something that in 2021 has not been with the arrival of omicron. We said that with the vaccine everything was going to improve, and it has, but I understand that people think that we were going to improve much more ».
says the doctor.
Dr. Callejo finds it an “impossible to answer” question, since putting an end date to the pandemic in search of complete normality is “frustrating people.”
“They ask me when this is going to end and I think the problem is that sometimes we have risked answering it and this has generated frustration. Setting an end date is only going to create more anxiety, and anxiety breeds depression, and depression breeds despair. This is a breeding ground for hoaxes»
Callejo account.
The writer acknowledges that the situation has changed, that we are on the right track, and that “it is far from being March 2020”. He is optimistic and believes “that there is less and less left”.
Social networks against hoaxes
He also awarded the Best Medical Disseminator of 2020 Due to his facet as a doctor influencer and one of the 100 best influencers of 2021 according to Forbes magazine, he has an important role in social networks informing and denying hoaxes related to health and the current panorama.
“The good thing about hoaxes on social networks is that they run like wildfire but their denial also runs very fast,” he acknowledges.
The number of hoaxes to deny in networks during the pandemic has been enormous. Many of them have followed the covid line, doubting their vaccines, masks and even toilets, the most viral in recent weeks being that related to the effectiveness of the tests.
«We have had hoaxes of all kinds, but the boom in recent weeks has been to do an antigen test with an orange or water and it comes out positive. If you pour water on a car and it doesn’t start, don’t be surprised because you’re using it wrong, well, it’s the same, it has some instructions to make it work.
Take the doctor as an example.
However, Callejo highlights the usefulness of networks for information as “an important role in helping many people”, as long as they are used correctly.
Andrea’s message
In one of the last parts of the work, the influencer doctor reveals a very present problem in society that has become another current pandemic: mental health.
“There is still a lot of stigma in Spain and it is something that needs to be talked about because without mental health there is no health,” he recalls.
Regarding the subject, Callejo recounts the emotional message he received through the networks where a girl named Andrea thanked him for saving her father’s life, who suffered from undiagnosed depression as a result of a neuronal pathology that causes a simple caress on the face to be a painful stimulus (trigeminal neuralgia). Expanding treatment to mental health allowed this family to have a second chance.
“Thank you for helping save him, thank you for treating us so warmly and humanely at the most traumatic and one of the most difficult times of our lives. Thank you for keeping someone so special alive and making it possible for me to continue enjoying it.”
Andrea says so in her letter.
“We need the support of the institutions«
Many other stories that the doctor shares reflect the current situation of health and its health workers. From the applause at eight in the afternoon to thank you for your great work it has gone on to “offensive messages and graffiti of ‘killer toilets’ or accused of ‘accomplices in a pandemic’».
Exterior view of the Hospital General Universitario Gregorio Marañón in Madrid. EFE / Kiko Huesca
“You cannot consent to these attacks, which unfortunately are being abundant in health centers. We have been warning for a long time that we are overwhelmed and we cannot allow them to mistreat the hands that care for them », he expresses.
The anesthesiology specialist highlights the good health system in Spain and the exquisiteness of the health personnel, but also remember that the current situation for professionals is not the best.
«I always demand better working conditions. We have most of the personnel as interim, without a fixed position, who sign contracts for days or weeks, and this is a problem present in medicine and nursing. We need job stability and permanent staff. We need the support of the institutions»
Emphasizes the expert.
The moments that the doctor shares in the book are only part of his experiences in the hospital, which is why perhaps a second part can be read because “the hospital is an inexhaustible source of stories.” he points to him.
