“Rural medicine is total involvement, because patients are neighbors”

Dr. Sáez in his consultation in Alcublas. | LEVANTE-EMV


Now, 38 years after that day and 42 years since he began to practice rural medicine (he previously passed through two towns, Estivella and Albalat dels Sorells), the Foundation of the Illustrious Official College of Physicians of Valencia (Icomv) has awarded him the VI Prize for the Best Professional Career of Rural Doctor. A recognition that, according to the doctor himself, he shares with his friend Jorge and his family. “I have not won it, we have won it together,” he says from the other end of the telephone line.

Sáez retired last October because “it was his turn”, he clarifies. “Would it have continued for more years?” Asks this newspaper. “Yes, of course it is, it is practicing in my town, with my people,” he says convinced. It is his town, the one that welcomed him upon his arrival from his hometown, Valencia. However, now it’s time to “rest and take away that enormous responsibility that rural doctors have.” Salvador refers to being the only ones. To be alone in consultation. If something characterizes the work of a doctor in a town it is “that you always do it alone”, “I used to team up with my nurse, but we always work alone in the towns and that entails a very great responsibility because you cannot consult with other professionals before the problems that arise ».

Know the patient well

Another of the peculiarities of being a rural doctor, details the protagonist of this story, is that the literality of the concept “family doctor” is fulfilled. «You know people, you get totally involved in their life because you not only know their medical situation, but where they work, their relationships with others and even with yourself, because they are neighbors, you live with the patient every day and that helps to treat them in consultation and know all the necessary information ». The patient is your friend, he is your neighbor, he is the one who runs the bar where you have your coffee or the one who attends you behind the counter of the bakery. “This contact with people is very important, the family doctor is real, he is closer, I would say more human.”

The award-winning doctor says that in the villages there is more time of specific dedication for each patient. The consultations are not overcrowded and there, yes, it is possible that of “rural medicine, integral medicine.” So much so, that being a doctor in a small town, and also living in it, means being one 24 hours a day, seven days a week. “I have lived with my family in Alcublas since I began to consult,” he says. In all these years it has been integrated into the entire associative fabric of the municipality. “I have been president of the marching band for 25 years.”

And remember, next, one of the anecdotes that shows that there are no schedules when it comes to taking care of yours. “We were at a band concert and a lady came shouting, ‘Doctor, doctor, you have to come, something serious has happened!'” At that moment, Salvador had to put down the rod trombone — his instrument — and ran to the office. Serie. “In a procession, in a parade, presenting a concert, anytime and anywhere, things happen when they happen,” he says. Not only does he treat his patients, but he lives with them, one of the most valuable characteristics of his profession, the doctor admits.

Now, once retired, Salvador will continue to practice through associations and NGOs. He will continue, from another area but without abandoning the gown that has accompanied him every day for a large part of his life, dedicated to serving others in a small town in the Serranos whose name Dr. Sáez does want to remember: Alcublas.

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Itchy skin on the human body may warn of liver disease

Yesterday, 07:30 | author: Daria Kuznetsova | Photo ru.depositphotos.com

Itchy skin can be an early symptom of fatty liver disease. Express writes about this with reference to British doctors.

In a healthy liver, the percentage of fat is minimal, but when its specific gravity is 5-10% of the total weight of the liver, problems begin, the publication points out. One of the problems is fatty hepatosis, which develops asymptomatically for a long time. The disease is dangerous because it can lead to cirrhosis and oncological diseases of the organ.

British scientists have conducted a study and found that an early symptom of fatty hepatosis is unusual itching. They attributed this to an increase in the amount of bile salt that accumulates under the skin. Itching appears in the late afternoon or at night on one or more areas of the body.

As scientists have found out, some patients itch the lower extremities or feet, others scratch their hands or the whole body. The vast majority of patients describe the symptom as “an unpleasant sensation that causes the need to scratch.” As a rule, itching with fatty hepatosis is not accompanied by skin irritations. However, excessively intense scratching can cause infection and cause a rash.

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the fourth chair of internal medicine at the UBA seeks to humanize the treatment of patients – GENTE Online

Roberto Iermoli He is a full professor of the fourth chair of internal medicine at the UBA at the Hospital de Clínicas. But it is not just another chair. It mixes music, culture, cuisine and other activities in an attempt to humanize the doctor-patient relationship. “A humanistic culture is shown to have a more humanistic attention.”

The doctor is proud to be part of what happens in the Hospital de Clínicas for 22 years. In his office on the 11th floor of the hospital where he remembers that “123 years ago Luis Agote developed the first blood transfusion for the whole world in 1914” Iermoli thought one day that the way of doing traditional medicine was not enough for face-to-face with patients.

As director of teaching and research, he conducted examinations for residents. One day they decided to add a survey of general culture in addition to technical science. The result the doctor describes as “alarming”. What diploma am I giving, I am responsible for this, he thought.

That “Weight” that began to feel was the first step to the fourth chair, which was imposed almost 22 years ago. “Medicine, from humanism, to science and art.” Undoubtedly, this innovative vision on the way of practicing the profession makes it one of the most sought-after chairs by residents.

Iermoli speaks of two “vision” when it comes to practicing medicine. The first is the biomedicineto. When you go to the doctor, for example, for a headache, they ask you the necessary questions and tests “Almost without looking at his face” and then retires.

Artists of the stature of Vicentico participated in activities of the Fourth Chair.

The Another vision, the one that promoted this initiative, is the psychosocial one: which somehow means a comprehensive look at the patient.

The psychosocial vision of the patient – explains Iermoli- It is everything that happens to us and that in the face of a simple headache of a patient covers issues ranging from work stress, how his family is made up, where he lives, what his income is, what activities he does”.

It is common to hear that a patient is treated by a professional who did not even look at his face and dispatched him in five minutes. But, When we observe that an empathic relationship was established during the consultation, the patient comes out with the feeling of saying ‘I feel better now’”, Reflects Iermoli.

For Iermoli, in short, it is only a matter of “going back to Bases.” “What we are looking for is to focus on the human. Attend how we would like to be treated ”.

The rhythm of the chair accompanies the dizzying life of the residents. But it is somehow a balm among so much technical-scientific knowledge that students acquire during the long medical career. Describes it as “A continuous but enriching work”.

The organization chart of the chair includes “special” units among which art and culture, polyphenols, clinical therapy, emotional restraint, sport, among others stand out.

Since 1918 with the university reform there is academic freedom. We offer the program with all the contents but we change the strategies. Why do I always have to do the same and why don’t I go further? Why not give those who are trained the possibility of a comprehensive training and that they become vectors of these changes? “. In this way Iermoli says, as a joke, over time “small branches” of this formation are being set up.

What’s more, anthropologists, visual artists, philosophers, journalists, artists and a long list of professions participate in cultural athenaeums that come to give that added value to medicine, creating a different environment for students.

“It is not a fashion”, Iermoli repeats throughout the talk. And it is that from complementary therapies, such as reflexology, music therapy, yoga, therapeutic painting and painting, they were observing how they improve the response to treatments, the quality of life of patients and their families and the doctors who treat them.

Care of pandemic patients and therapeutic activities

“It is important not to miss a minute of training.” During the pandemic, the fourth chair remained active and looked for a way to reinvent itself in a virtual way. With zoom classes and virtual athenaeums. In addition, it was made a lot of focus on emotional support, “A leg that we lacked for the sick, who live with great anguish the situation in which they are; many alone because they come from another province, older adults who do not receive visitors “

The meetings include recycling workshops, music therapy, mindfulness, reflexology, therapeutic painting, reading and they even teach how to learn to taste wines. “If one speaks of humane treatment, the patient has to receive it on a daily basis.”

In addition, with different professionals, they organize activities for patients ranging from music to cooking “everything personalized”.

It’s not just about playing background music. But it includes the presence of artists in the rooms. Singers recognized as Vicentico were part of this initiative. Like musicians from public conservatories, they have come forward to play the flute for patients and their families.

Although cultural activities were interrupted on March 20, 2020 with the emergence of the coronavirus pandemic and the provision of mandatory quarantine, they have managed to establish virtual meetings. Like breathing workshops for stress and anxiety management, so common in these times.

In our chair, the most important chefs of Buenos Aires, such as Narda Lepes, have come to cook for the patients, and they have served it on tablecloths designed by Jéssica Trosman for example ”. In general, patients who one day arrived in Iermoli and who returned for their warmth to transmit to others what the doctor did with them. Sort of a “favor chain”.

To close the note, Iermoli confesses that three things marked him in his life that led him to embark on his path: First, the Socratic thought that invites “before a question try to find the best answer”; second, the law of parsimony and how “things are simpler than they sometimes appear“; and finally, Confucius:“They told me about it and I understood it, I did it and I learned it ”.

“The core should not just be medical. But the look that the ancient Greeks had, who took into account the environment, health, the importance of music. Definitely, just go back to basics.

More information at gente.com.ar

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The first robot nurse to care for patients with Covid-19

Hong Kong /

The team that created the famous humanoid robot Sophia, is launching a new prototype, aimed at the health market, designed to interact with older adults and isolated covid-19 patients.

Dressed in a blue nurse’s uniform, Grace with Asian features and brown hair, takes a temperature with a thermal camera on her chest and measures her responsiveness using artificial intelligence to diagnose a patient; can speak English, Mandarin and Cantonese.

“I can visit people and make their day with social stimulation but I can also do talk therapy, take bio-readings and help health care providers,” Grace said while standing with her “sister” Sophia in the creator Hanson . Robotics workshop in Hong Kong.

Grace’s resemblance to a healthcare professional and her capacity for social interaction aim to ease the burden on the hospital’s front-line staff overwhelmed during the pandemic, founder David Hanson said.

“A human appearance facilitates natural confidence and engagement because we are programmed for face-to-face human interactions,” Hanson said, explaining how Grace can simulate the action of more than 48 major facial muscles and has a comforting demeanor designed to resemble a human. little to anime characters, often a fusion of Asian and Western styles.

Awakening Health intends to mass produce a beta version of Grace by August, said David Lake, CEO of the joint venture between Hanson Robotics and Singularity Studio, and there are plans to fully implement it next year in places like Hong Kong, mainland China. , Japan and Korea.

The cost of manufacturing the robots, it is similar to the price of luxury cars, however, the cost will drop once the company makes tens or hundreds of thousands of units, Hanson added.

Grace’s release was occurs when the global impact of the coronavirus has made the need for humanoid robots urgentsaid Kim Min-Sun, a professor of communication science at the University of Hawaii.

Trapped at home during the Covid-19 lockdowns, many people they have had their mental states affected by negative thoughts.

“If they can get help by deploying these social robots in intimate settings, it will certainly have a positive impact on society,” he concluded.

LG

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