Tonka
Well-known member
http://www.proceso.com.mx/noticias_articulo.php?articulo=74303
Spanish to English translation
Testimonials influenza
ROGELIO CARDENAS Estandia
With a foreword by Jos? Saramago, this week began circulating the book We speak: voices of influenza, Rogelio Cardenas Estandia. The journalist reports that the testimony and reports in this volume, edited by himself, "confirm improvisation, lack of information, weaknesses and vices of the health system, along with the novelty of the A/H1N1 virus, rocked the country during the emergency days of April and May. Patients misdiagnosed, lack of medicines and beds, as well as trained personnel, which resulted in deaths, according to testimony, could have been avoided. These revelations, some of which are reproduced here with permission of the author, assumed a new importance in the current outbreak of influenza in the country.
Brokedown Palace
Llorente family can not understand what they did with their little son Thomas
Do not worry, your son is fine. Again and again the doctors at the General Hospital of Mexico City assured them to Thomas and Nancy Martinez Llorente his little two year old was out of danger. But every time they lied.
Not only broken dreams and illusions that the couple had built for his son, Thomas, like his father, but that uncovered what for many is more than evident: the serious flaws in the public health system in Mexico and as laziness and lack of staff training, even in places that are supposedly the most advanced and prepared the country.
(...)
Nancy Thomas Tempra gave you, and thus diminished the fever for about four hours, but later it was again. Again gave Tempra and since it had no effect, put a suppository Febrax, whereby the stabilized small that day, although he looked very listless, stopped eating and slept a lot. In the end, he again had fever. "I was not looking good," recalls Nancy, "I was not only passing off a cold." So she told her husband to take him to a doctor.
Like many families in this country, Nancy and her husband do not have any insurance, either public or private. Are unprotected, vulnerable to any emergency. They had no choice but to take his son, the next day, Wednesday 1 April, to a particular doctor. He said it was just a throat infection.
(...)
Holidays at the General Hospital
Although little Tomas that Monday was stabilized on the morning of Tuesday, she was told Nancy that it was urgent to remove to hospitals with intensive care since the child was serious. Nebulization was vital to submit a procedure which involves administering drugs in the form of vaporization by the airways. It was also necessary to give her oxygen, among other measures, and in the clinic of Dr. Franco did not possess the means for all.
It was a difficult day. Never as now the parents of Thomas were weighed both the lack of health insurance. So I opted to bring it to an institution that is a cornerstone of public health system.
On Tuesday, April 7, at about 11:45 pm, arrived at General Hospital. He received a doctor named Estrada, who was in the pediatric ward, and they confirmed what was said at the clinic: the child was very serious because of severe pneumonia. Of im-mediately took him to intensive care.
It was three, four days, and the child was stable thanks to the care and antibiotics provided. But unfortunately for the boy and his family, and as a cruel irony, those days coincided precisely with Easter. "There was no medical basis," says Nancy, "but one of Dr. Martinez, who was the doctor on call during holidays and weekends.
On Thursday, the doctor said:
"Today we will take the child to floor, specialties, because it is already very good. I think that in 15 days it can carry.
Then came the first anomaly, because not transferred to floor, but until Friday. The justification given was that the hospital had no beds available. That weekend, the boy fell.
(...)
On Saturday morning, a nurse turned to her:
- Why the child has the nebulization tube? Why lace tie-ne of oxygen?
"That was an indication of Dr. Martinez," replied Nancy, because she has difficulty breathing.
"I think it is too computer-related the nurse.
(..)
On 12 April, which was Easter Sunday, the boy began to get worse. He began having more difficulty breathing. On Monday they changed it to an isolated room and told Nancy that, given that the child had turned to fall, there was no choice but to intervene, because apparently the tube was not draining the lung.
The operation took place on Tuesday 14 April, and changed the probe. When finished, Nancy's mother came to ask the surgeon how he had surgery.
"Look, lady, your grandson is very serious," she replied without the slightest consideration for the bereaved child's grandmother. He entered very serious. I think it's too late, and I had a tube of dirt, which brought it to power.
(...)
"I think this is all a bad dream, because one and a half ago was still good. On 17 March, two weeks before he fell ill, he had just celebrated his birthday. The boy was Supercontenta with their toys, their cake, we took videos. Sometimes I think this will end, I'm going to wake up and that the child will be fine. "
"We miss him a lot," Nancy concluded. "We are a young couple, so that in future we would like to have another child, although we are aware that if another baby comes will have a completely different personality. Thomas will never, never be replaced. I always feel at home with us. "
Right to health: pure speech
Armida Luz's husband had no chance. Negligence and corruption snatched life.
For weeks, Daniela has been awakened several times at midnight looking for Julian, her dad. Engrossed in fantasy, sits on the edge of the bed and begins to talk. Sometimes she smiles and even plays with him.
Julian began to feel ill on April 11, precisely on Holy Saturday. He had high fever, chest pain and headache. Light, his wife, consulted by telephone to his family doctor, Ismael Ovalle, a private hospital, who showed her some medicines to Julian apparently improved. On Sunday, light nuisance also began with fever, cough and flu. Concerned, on Monday led with Julian Ovalle doctor, was diagnosed with a small infection that disappeared in a couple of days. However, the doctor noticed that Julian was retaining fluid and quoted him on Thursday of that week to practice some analysis. But on Wednesday his condition worsened suddenly and Luz had to take him to the Hospital Emergency Gustavo Baz, belonging to the state government of Mexico.
Although fever was 40 degrees, do not want to receive, then argued that "in an adult's temperature from 39 to 40 degrees is not considered a fever." They cite as an excuse that I had to assess the medical and dependent if they admit it or not. Meanwhile, Julian waiting lying on the ground. After several hours back home, because nobody in the Emergency deigned to review it. Julian spent the night with high fever.
(...)
At 10 pm, Light took a pass to view. Dormi-do was. The monitor that was next to you could see the heart rate: 99, 70, 90 and sometimes 111 beats. "I was worried and I told a doctor that walked down the aisle, but he said that was normal, he was well, that was even better.
(...)
Light went home at one o'clock in the morning for a swim. While waiting for water to heat up, huddled around with her daughter. Suddenly the phone rang. She was the aunt of her husband, warning him that Julian had become very serious. Light could not believe it. Only hours before had assured him that he was stable. Minutes later, his mother phoned him. It was 3:05 am: Julian had died.
Influenza: revealed the best and the worst of the system
Knowing the experience of Roger Chavez, one can not stop asking why, amid the health contingency, one of the most prestigious institutions of the country, showing symptoms of influenza, they paid no more attention or was hospitalized. So absurd, his life was at risk of not receiving specialized medical care in time. How many stories like his will have been raised?
The director of the National Epidemiological Surveillance and Disease Control (Cevanece), Pablo Kuri, notes that there is evidence that those treated within 48 hours have a better prognosis than those who come after. The more time that passes without a patient is treated, the greater the likelihood that his life is endangered. That, of course, knew the INER, but did not act properly in the case of Roger. It is also clear that the doctor who failed to diagnose the disease in Roger had no training or information. However, that may result from an obsolete system and deficient.
Many have pointed out the urgency of renewing the public health system, including himself Kuri: "We must make an analysis of the health system. We must unify, we have a fragmented system, but there are multiple providers of health institutions. The portability of services should be an aspiration that is, that whether you are insured in one or another institution, where you go and give you service that is of quality. "
According to the National Commission on Human Rights (NCHR), through General Recommendation No. 15 issued in April 2009 and supported by the analysis of 11 thousand 854 complaints about the right to health, the most serious problems in clinics and hospitals the country are the lack of doctors, specialists, nurses, training, hospital infrastructure, medicines and equipment.
A system failures must be added bureaucracy. "[That] the medical staff leave during a contingency request seems a nonsense, since in theory the bureaucrats are working to serve the people," says Emilio Alvarez Icaza Longoria. "Edged ahead of their rights."
It is noteworthy that within the system there are many people who are aware of the flaws and propose structural changes. One is the deputy general director of Epidemiology, Lopez-Gatell, Hugo Ramirez, who, in a meeting on influenza held in Cancun in early July 2009, acknowledged that although the flu progress was made towards an integrated system of epidemiological information The surveillance system in Mexico is still pending: "[The] specific actions to strengthen it, from my point of view, include: 1) the technological equipment, structure and layout of a competent computer network, 2) training human resources with analytical insight, abilities and knowledge management tools capable of analyzing the information to translate into public policy recommendations on health and 3) have a total quality system that allows reliance on information and not just store it without knowing if this is relevant or not for making decisions. "
The report influenza and public health spending, prepared in May 2009, Briseida Lavielle, Found researcher, Center for Analysis and Research, notes that another aspect of the fragility of the national health system is the inability of the systems response state health centers that do not have surveillance state and, furthermore, lack of procedures, equipment and infrastructure in primary care. A health system under these conditions leaves her open to the public ".
This concurs with the investigator Gustavo Leal Fernandez of the Autonomous Metropolitan University (UAM), who says that the flu crisis exposed the failure of decentralization famous health services, where only the IMSS showed responsiveness, despite conditions that Guardian: "The epidemic showed no communication or Federation control to state systems, which explains the delay to notify" when there was no hiding-to the Health Department with suspected cases of influenza diagnosis type A ".
However, one of the strong points in these adverse circumstances was that the authorities took certain decisions properly. In this regard, the point of view of researchers from ITESM is as follows: "The detailed analysis and multiple perspectives that shaped public policy of the current Mexican government related to the influenza epidemic show that their decisions were sound because to the rising threat of a new virus, whose mortality was unknown so far, but with the potential to be highly transmissible and lethal, coupled with the lack of diagnostic tests and drug shortages, the sensible thing was to protect the population avoid contagion.
"However, although the decisions may have been successful, [...] some people did not run to such good effect. As I tell the story of this book, the greatest disaster situation not experienced the population or society as a whole, but the patient, the individual patient. It was the infected person and his family who suffered most because of influenza, a disease dealing with the load on the back of a health system that operates poorly.
"Those who suffered from infection before the health system was aware of the epidemic, and to communicate publicly that there was an emergency situation, often treated as someone with a bad flu and were subject to the deficiencies regular operational delivery of medical services in this country. Even upon detection of the epidemic and providing institutions provided medical services, deficiencies in the operating system did not allow services to adapt to provide adequate care. "
Spanish to English translation
Testimonials influenza
ROGELIO CARDENAS Estandia
With a foreword by Jos? Saramago, this week began circulating the book We speak: voices of influenza, Rogelio Cardenas Estandia. The journalist reports that the testimony and reports in this volume, edited by himself, "confirm improvisation, lack of information, weaknesses and vices of the health system, along with the novelty of the A/H1N1 virus, rocked the country during the emergency days of April and May. Patients misdiagnosed, lack of medicines and beds, as well as trained personnel, which resulted in deaths, according to testimony, could have been avoided. These revelations, some of which are reproduced here with permission of the author, assumed a new importance in the current outbreak of influenza in the country.
Brokedown Palace
Llorente family can not understand what they did with their little son Thomas
Do not worry, your son is fine. Again and again the doctors at the General Hospital of Mexico City assured them to Thomas and Nancy Martinez Llorente his little two year old was out of danger. But every time they lied.
Not only broken dreams and illusions that the couple had built for his son, Thomas, like his father, but that uncovered what for many is more than evident: the serious flaws in the public health system in Mexico and as laziness and lack of staff training, even in places that are supposedly the most advanced and prepared the country.
(...)
Nancy Thomas Tempra gave you, and thus diminished the fever for about four hours, but later it was again. Again gave Tempra and since it had no effect, put a suppository Febrax, whereby the stabilized small that day, although he looked very listless, stopped eating and slept a lot. In the end, he again had fever. "I was not looking good," recalls Nancy, "I was not only passing off a cold." So she told her husband to take him to a doctor.
Like many families in this country, Nancy and her husband do not have any insurance, either public or private. Are unprotected, vulnerable to any emergency. They had no choice but to take his son, the next day, Wednesday 1 April, to a particular doctor. He said it was just a throat infection.
(...)
Holidays at the General Hospital
Although little Tomas that Monday was stabilized on the morning of Tuesday, she was told Nancy that it was urgent to remove to hospitals with intensive care since the child was serious. Nebulization was vital to submit a procedure which involves administering drugs in the form of vaporization by the airways. It was also necessary to give her oxygen, among other measures, and in the clinic of Dr. Franco did not possess the means for all.
It was a difficult day. Never as now the parents of Thomas were weighed both the lack of health insurance. So I opted to bring it to an institution that is a cornerstone of public health system.
On Tuesday, April 7, at about 11:45 pm, arrived at General Hospital. He received a doctor named Estrada, who was in the pediatric ward, and they confirmed what was said at the clinic: the child was very serious because of severe pneumonia. Of im-mediately took him to intensive care.
It was three, four days, and the child was stable thanks to the care and antibiotics provided. But unfortunately for the boy and his family, and as a cruel irony, those days coincided precisely with Easter. "There was no medical basis," says Nancy, "but one of Dr. Martinez, who was the doctor on call during holidays and weekends.
On Thursday, the doctor said:
"Today we will take the child to floor, specialties, because it is already very good. I think that in 15 days it can carry.
Then came the first anomaly, because not transferred to floor, but until Friday. The justification given was that the hospital had no beds available. That weekend, the boy fell.
(...)
On Saturday morning, a nurse turned to her:
- Why the child has the nebulization tube? Why lace tie-ne of oxygen?
"That was an indication of Dr. Martinez," replied Nancy, because she has difficulty breathing.
"I think it is too computer-related the nurse.
(..)
On 12 April, which was Easter Sunday, the boy began to get worse. He began having more difficulty breathing. On Monday they changed it to an isolated room and told Nancy that, given that the child had turned to fall, there was no choice but to intervene, because apparently the tube was not draining the lung.
The operation took place on Tuesday 14 April, and changed the probe. When finished, Nancy's mother came to ask the surgeon how he had surgery.
"Look, lady, your grandson is very serious," she replied without the slightest consideration for the bereaved child's grandmother. He entered very serious. I think it's too late, and I had a tube of dirt, which brought it to power.
(...)
"I think this is all a bad dream, because one and a half ago was still good. On 17 March, two weeks before he fell ill, he had just celebrated his birthday. The boy was Supercontenta with their toys, their cake, we took videos. Sometimes I think this will end, I'm going to wake up and that the child will be fine. "
"We miss him a lot," Nancy concluded. "We are a young couple, so that in future we would like to have another child, although we are aware that if another baby comes will have a completely different personality. Thomas will never, never be replaced. I always feel at home with us. "
Right to health: pure speech
Armida Luz's husband had no chance. Negligence and corruption snatched life.
For weeks, Daniela has been awakened several times at midnight looking for Julian, her dad. Engrossed in fantasy, sits on the edge of the bed and begins to talk. Sometimes she smiles and even plays with him.
Julian began to feel ill on April 11, precisely on Holy Saturday. He had high fever, chest pain and headache. Light, his wife, consulted by telephone to his family doctor, Ismael Ovalle, a private hospital, who showed her some medicines to Julian apparently improved. On Sunday, light nuisance also began with fever, cough and flu. Concerned, on Monday led with Julian Ovalle doctor, was diagnosed with a small infection that disappeared in a couple of days. However, the doctor noticed that Julian was retaining fluid and quoted him on Thursday of that week to practice some analysis. But on Wednesday his condition worsened suddenly and Luz had to take him to the Hospital Emergency Gustavo Baz, belonging to the state government of Mexico.
Although fever was 40 degrees, do not want to receive, then argued that "in an adult's temperature from 39 to 40 degrees is not considered a fever." They cite as an excuse that I had to assess the medical and dependent if they admit it or not. Meanwhile, Julian waiting lying on the ground. After several hours back home, because nobody in the Emergency deigned to review it. Julian spent the night with high fever.
(...)
At 10 pm, Light took a pass to view. Dormi-do was. The monitor that was next to you could see the heart rate: 99, 70, 90 and sometimes 111 beats. "I was worried and I told a doctor that walked down the aisle, but he said that was normal, he was well, that was even better.
(...)
Light went home at one o'clock in the morning for a swim. While waiting for water to heat up, huddled around with her daughter. Suddenly the phone rang. She was the aunt of her husband, warning him that Julian had become very serious. Light could not believe it. Only hours before had assured him that he was stable. Minutes later, his mother phoned him. It was 3:05 am: Julian had died.
Influenza: revealed the best and the worst of the system
Knowing the experience of Roger Chavez, one can not stop asking why, amid the health contingency, one of the most prestigious institutions of the country, showing symptoms of influenza, they paid no more attention or was hospitalized. So absurd, his life was at risk of not receiving specialized medical care in time. How many stories like his will have been raised?
The director of the National Epidemiological Surveillance and Disease Control (Cevanece), Pablo Kuri, notes that there is evidence that those treated within 48 hours have a better prognosis than those who come after. The more time that passes without a patient is treated, the greater the likelihood that his life is endangered. That, of course, knew the INER, but did not act properly in the case of Roger. It is also clear that the doctor who failed to diagnose the disease in Roger had no training or information. However, that may result from an obsolete system and deficient.
Many have pointed out the urgency of renewing the public health system, including himself Kuri: "We must make an analysis of the health system. We must unify, we have a fragmented system, but there are multiple providers of health institutions. The portability of services should be an aspiration that is, that whether you are insured in one or another institution, where you go and give you service that is of quality. "
According to the National Commission on Human Rights (NCHR), through General Recommendation No. 15 issued in April 2009 and supported by the analysis of 11 thousand 854 complaints about the right to health, the most serious problems in clinics and hospitals the country are the lack of doctors, specialists, nurses, training, hospital infrastructure, medicines and equipment.
A system failures must be added bureaucracy. "[That] the medical staff leave during a contingency request seems a nonsense, since in theory the bureaucrats are working to serve the people," says Emilio Alvarez Icaza Longoria. "Edged ahead of their rights."
It is noteworthy that within the system there are many people who are aware of the flaws and propose structural changes. One is the deputy general director of Epidemiology, Lopez-Gatell, Hugo Ramirez, who, in a meeting on influenza held in Cancun in early July 2009, acknowledged that although the flu progress was made towards an integrated system of epidemiological information The surveillance system in Mexico is still pending: "[The] specific actions to strengthen it, from my point of view, include: 1) the technological equipment, structure and layout of a competent computer network, 2) training human resources with analytical insight, abilities and knowledge management tools capable of analyzing the information to translate into public policy recommendations on health and 3) have a total quality system that allows reliance on information and not just store it without knowing if this is relevant or not for making decisions. "
The report influenza and public health spending, prepared in May 2009, Briseida Lavielle, Found researcher, Center for Analysis and Research, notes that another aspect of the fragility of the national health system is the inability of the systems response state health centers that do not have surveillance state and, furthermore, lack of procedures, equipment and infrastructure in primary care. A health system under these conditions leaves her open to the public ".
This concurs with the investigator Gustavo Leal Fernandez of the Autonomous Metropolitan University (UAM), who says that the flu crisis exposed the failure of decentralization famous health services, where only the IMSS showed responsiveness, despite conditions that Guardian: "The epidemic showed no communication or Federation control to state systems, which explains the delay to notify" when there was no hiding-to the Health Department with suspected cases of influenza diagnosis type A ".
However, one of the strong points in these adverse circumstances was that the authorities took certain decisions properly. In this regard, the point of view of researchers from ITESM is as follows: "The detailed analysis and multiple perspectives that shaped public policy of the current Mexican government related to the influenza epidemic show that their decisions were sound because to the rising threat of a new virus, whose mortality was unknown so far, but with the potential to be highly transmissible and lethal, coupled with the lack of diagnostic tests and drug shortages, the sensible thing was to protect the population avoid contagion.
"However, although the decisions may have been successful, [...] some people did not run to such good effect. As I tell the story of this book, the greatest disaster situation not experienced the population or society as a whole, but the patient, the individual patient. It was the infected person and his family who suffered most because of influenza, a disease dealing with the load on the back of a health system that operates poorly.
"Those who suffered from infection before the health system was aware of the epidemic, and to communicate publicly that there was an emergency situation, often treated as someone with a bad flu and were subject to the deficiencies regular operational delivery of medical services in this country. Even upon detection of the epidemic and providing institutions provided medical services, deficiencies in the operating system did not allow services to adapt to provide adequate care. "