Latinoamérica, la medicina que un día me cautivó

bolivia

Ya no visto de blanco. Mi piel alberga nuevas cicatrices y mi rostro olvidó aquel rasurado perfecto, pero recuerdo ese día como si fuera ayer.
La visita de la mañana iba a comenzar, quien haya conocido la medicina por Sudamérica puede dar fe de lo crueles que pueden llegar a ser con el médico interno y residente aquellas sesiones a pie de cama, delante del paciente, con preguntas y más preguntas hasta hacerte ver lo poco que sabes, una forma dictatorial de aprender que creo que todavía debe mejorar.
Da igual como haya sido tu turno de noche, no importa si tienes guardias un día si y otro no, porque a la mañana siguiente tienes que defender la historia clínica de tu paciente e intentar escapar sin muchos revolcones de la temible visita.
Personalmente no me puedo quejar, a pesar de ser “el médico español” durante mi paso por el internado en Bolivia, mi espíritu inconformista me ayudó a salir airoso de muchas batallas, algunas que con el paso del tiempo se han convertido en divertidas anécdotas que algún día contaré.
En esa época todavía creía que una persona sola podía cambiar el mundo y era feliz haciendo lo que hacía, no me importaba el MIR, no me importaba en que hospital haría la residencia, la habitación donde dormía, ni cuanto dinero podía ganar ejerciendo la medicina privada, solo disfrutaba de la medicina, del descubrimiento de enfermedades y de mis pacientes.
Las noches en vela merecían la pena, no solían despertarme por un caprichoso dolor de garganta de 4 días de evolución que no cedía con paracetamol, las urgencias se respetaban.
Esa mañana en concreto, tenía que presentar los nuevos ingresos en el Hospital de Montero (Santa Cruz-Bolivia), mi descanso nocturno brilló por su ausencia, pero al pasar por una habitación no pude resistir la tentación de visitar a uno de mis pacientes, aquel que el día anterior llegó apático, con ojos hundidos y mucosas secas, deshidratado por una simple diarrea que casi le cuesta la vida. No dudé en aprovechar la oportunidad para enseñarle a una madre con prisas, como tenía que rehidratar a su hijo, ya que ellos vivían alejados del puesto médico y a veces sus obligaciones les impedían desplazarse cuando surgía un problema de salud.
La rehidratación IV no siempre está disponible en algunos rincones de este trópico, por eso, para evitar deshidrataciones severas se usan las sales de rehidratación oral (OMS) o la preparación del suero oral casero, además de poner énfasis en el lavado de manos, medidas básicas que con un poco de paciencia pueden salvar vidas.
Todavía recuerdo la cara de la enfermera, y como su mirada de complicidad me alertaba de que me estaba retrasando. Me insistía que la inquisidora visita ya había comenzado, y que como llegara tarde la iban a tomar otra vez conmigo. A pesar de tener presente un “me la voy a cargar” en mi mente, a veces nos toca desobedecer y hacerle caso a nuestros instintos, porque ¿qué sería del mundo si todos siempre obedeciéramos?.
Por supuesto llegué tarde, no suelo ser puntual. Me excusé y acepté el revolcón con orgullo, pero nadie pudo borrarme la sonrisa de la cara, esa sonrisa que se te queda cuando estas orgulloso de tu trabajo, una sonrisa que en ocasiones echo en menos.
Y es que por aquellos años todavía tenía fe ciega en la medicina humanitaria, en las políticas de salud de los gobiernos y en una desinteresada cooperación sanitaria.
Ahora que mi barba comienza a teñirse de blanco y que mi experiencia en atención primaria y urgencias ya suma en mi curriculum, todavía le sigo dando vueltas a la mejor forma de cooperar con Latinoamérica, y en especial con Bolivia.
Habrá que sacar de nueva las botas del armario y cargar la mochila de nuevos proyectos.
Porque aunque mis obligaciones y un “si te vas, te la cargas” me dicen que ahora no es el mejor momento, ya me empieza a picar de nuevo el gusanillo de la cooperación sanitaria ¿y quién es capaz de decirle no a un sueño?

J.M. Salas – Con Tinta de Médico – Diario de un Médico de Urgencias adicto a la noche

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  111. Hello there! This is kind of off topic but I need some help from an established blog. Is it very difficult to set up your own blog? I’m not very techincal but I can figure things out pretty fast. I’m thinking about setting up my own but I’m not sure where to start. Do you have any tips or suggestions? Thanks

  112. Greetings! I know this is kind of off topic but I was wondering if you knew where I could locate a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having trouble finding one? Thanks a lot!

  113. I was wondering if you ever thought of changing the layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or 2 pictures. Maybe you could space it out better?

  114. I love your blog.. very nice colors & theme. Did you create this website yourself or did you hire someone to do it for you? Plz reply as I’m looking to construct my own blog and would like to find out where u got this from. thanks a lot

  115. Does your website have a contact page? I’m having trouble locating it but, I’d like to shoot you an email. I’ve got some ideas for your blog you might be interested in hearing. Either way, great website and I look forward to seeing it improve over time.

  116. Howdy! This is my first visit to your blog! We are a team of volunteers and starting a new initiative in a community in the same niche. Your blog provided us useful information to work on. You have done a outstanding job!

  117. Today, I went to the beach front with my kids. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is entirely off topic but I had to tell someone!

  118. Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You clearly know what youre talking about, why throw away your intelligence on just posting videos to your site when you could be giving us something enlightening to read?

  119. Hi there great website! Does running a blog like this take a lot of work? I have very little knowledge of programming but I had been hoping to start my own blog soon. Anyway, should you have any ideas or tips for new blog owners please share. I know this is off subject nevertheless I simply had to ask. Thank you!

  120. Hey! Do you use Twitter? I’d like to follow you if that would be okay. I’m absolutely enjoying your blog and look forward to new updates.

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  125. Sweet blog! I found it while surfing around on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! Thanks

  126. Good day! This is my first comment here so I just wanted to give a quick shout out and say I truly enjoy reading your articles. Can you suggest any other blogs/websites/forums that cover the same topics? Appreciate it!

  127. Hello there! This is my 1st comment here so I just wanted to give a quick shout out and tell you I really enjoy reading through your articles. Can you recommend any other blogs/websites/forums that cover the same topics? Thanks a lot!

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  129. Today, I went to the beach with my children. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is completely off topic but I had to tell someone!

  130. I am curious to find out what blog system you happen to be working with? I’m experiencing some minor security issues with my latest site and I would like to find something more risk-free. Do you have any suggestions?

  131. Hmm is anyone else having problems with the images on this blog loading? I’m trying to find out if its a problem on my end or if it’s the blog. Any feed-back would be greatly appreciated.

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  133. My coder is trying to persuade me to move to .net from PHP. I have always disliked the idea because of the costs. But he’s tryiong none the less. I’ve been using WordPress on various websites for about a year and am worried about switching to another platform. I have heard fantastic things about blogengine.net. Is there a way I can transfer all my wordpress posts into it? Any help would be really appreciated!

  134. Hello! I’m at work browsing your blog from my new apple iphone! Just wanted to say I love reading your blog and look forward to all your posts! Keep up the fantastic work!

  135. I’m really enjoying the theme/design of your weblog. Do you ever run into any browser compatibility problems? A couple of my blog visitors have complained about my site not operating correctly in Explorer but looks great in Firefox. Do you have any ideas to help fix this issue?

  136. Heya! I know this is somewhat off-topic but I had to ask. Does managing a well-established blog like yours take a large amount of work? I’m completely new to running a blog but I do write in my diary daily. I’d like to start a blog so I can share my own experience and feelings online. Please let me know if you have any suggestions or tips for brand new aspiring bloggers. Thankyou!

  137. Today, I went to the beachfront with my kids. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is entirely off topic but I had to tell someone!

  138. ey company dice:

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  140. Hi are using WordPress for your blog platform? I’m new to the blog world but I’m trying to get started and set up my own. Do you need any coding expertise to make your own blog? Any help would be greatly appreciated!

  141. Hello! I know this is somewhat off topic but I was wondering if you knew where I could find a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having difficulty finding one? Thanks a lot!

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  146. Interesting blog! Is your theme custom made or did you download it from somewhere? A theme like yours with a few simple tweeks would really make my blog stand out. Please let me know where you got your theme. Thank you