¿No me va a curar este catarro?

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La Medicina evoluciona sin descanso, sorprendentes trasplantes, cirugía robóticas, telemedicina, APP`s y fármacos de todo tipo, esto dificulta que nuestros pacientes logren concebir que después de tantos avances que se han conseguido, no haya nada que te cure un resfriado o catarro común.

Un gran número de pacientes acude a Urgencias del SUE Archena para que les curemos un catarro y a menudo durante la entrevista clínica suele surgir alguno de estos cuatro argumentos que intentan dirigir nuestra decisión terapeútica.

Primero comienzan la consulta con el clásico, “estoy muy mal necesito algo fuerte que me cure este resfriado”. Después de redactar la enfermedad actual, le realizamos la exploración física y como en la mayoría de los casos no presenta complicación alguna.

Antes de que nos sentemos nuevamente, el paciente usa su segunda carta, “yo es que no puedo faltar al trabajo”, sabemos como está el panorama en España, y esto a veces sacude nuestra sensibilidad.

Respiramos profundo y le explicamos el resultado de su exploración y el curso natural que tendrá la enfermedad, entonces usan la tercera carta, una pregunta con sabor a reproche “pero entonces, ¿no me va a pinchar?”.

Debemos comprender que el paciente cuando acude a nuestra consulta viene con un objetivo en mente, y tú aunque le explores aparatos que no sabe ni que existen y le expliques en detalle su diagnóstico y tratamiento, no lograrás que el usuario se vaya contento si no ha conseguido lo que buscaba, es más, seguro que si se realiza una encuesta de satisfacción no saldrías bien parado. Los pacientes de esta época son usuarios o clientes (ya hablaré sobre ello en algún post) y requieren un producto o servicio que si tú no se lo das, poco les va a importar el resto.

Que opciones tenemos, sólo dos: seguir dedicando tiempo a informar y educar al paciente o intentar satisfacer sus necesidades pautando un tratamiento que sabemos que no les aporta beneficios. Gracias a la profesionalidad de nuestro personal sanitario esto último no es lo que predomina.

Cuando comenzamos a escribir las recomendaciones terapeúticas, es el momento elegido por algunos pacientes para usar la cuarta y última carta, así nos recuerdan sutilmente un exitoso tratamiento prescrito por un colega “pues a mi un médico tal, me mandó un antibiótico que no recuerdo el nombre y al día siguiente estaba curada”.

Si logras resistir a esta última carta, y terminas de escribir tu tratamiento según las evidencias, ¡enhorabuena! has hecho una buena praxis. Seguramente alguno no salga muy contento de tu consulta, y tal vez, regrese mañana a Urgencias y consiga lo que busca, pero a veces quien hace lo correcto no busca ser el más popular del patio .

Estimados usuarios, un catarro al igual que su hermano mayor ‘La Gripe’, se cura en la mayoría de los casos con tiempo y cama, no hay más. Los antibióticos no actúan sobre los virus, no sólo no ayudan, sino que perjudican. Se puede prescribir un tratamiento farmacológico que mejore la sintomatología o pautar unas recomendaciones, pero no hay medicación mágica que nos ponga buenos en un día.

Compañeros, expliquemos a los pacientes las enfermedades, las alternativas terapeúticas y evidencias, aunque a veces se haga más larga la consulta, es nuestra obligación.

La Educación Sanitaria favorece el empoderamiento de los pacientes.

Espero que la próxima película de ciencia ficción, Will Smith se inyecte algo cuando esté resfriado y se cure en cuestión de segundos, zombis y extraterrestres están ya muy vistos.

 

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  224. Good day! Do you know if they make any plugins to assist with Search Engine Optimization? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good gains. If you know of any please share. Thank you!

  225. I really like your blog.. very nice colors & theme. Did you create this website yourself or did you hire someone to do it for you? Plz answer back as I’m looking to create my own blog and would like to find out where u got this from. thank you

  226. Do you have a spam problem on this website; I also am a blogger, and I was wondering your situation; we have developed some nice practices and we are looking to swap techniques with other folks, be sure to shoot me an e-mail if interested.

  227. I’m really enjoying the design and layout of your site. It’s a very easy on the eyes which makes it much more enjoyable for me to come here and visit more often. Did you hire out a designer to create your theme? Superb work!

  228. Hi! Would you mind if I share your blog with my facebook group? There’s a lot of folks that I think would really appreciate your content. Please let me know. Many thanks

  229. Wow that was odd. I just wrote an really long comment but after I clicked submit my comment didn’t show up. Grrrr… well I’m not writing all that over again. Anyhow, just wanted to say excellent blog!

  230. Whoa! This blog looks exactly like my old one! It’s on a completely different subject but it has pretty much the same layout and design. Great choice of colors!

  231. I know this if off topic but I’m looking into starting my own blog and was wondering what all is required to get set up? I’m assuming having a blog like yours would cost a pretty penny? I’m not very web smart so I’m not 100% sure. Any tips or advice would be greatly appreciated. Thanks

  232. Hey! I know this is kinda off topic however , I’d figured I’d ask. Would you be interested in trading links or maybe guest authoring a blog article or vice-versa? My site discusses a lot of the same topics as yours and I believe we could greatly benefit from each other. If you happen to be interested feel free to shoot me an e-mail. I look forward to hearing from you! Fantastic blog by the way!

  233. Have you ever thought about adding a little bit more than just your articles? I mean, what you say is valuable and all. Nevertheless imagine if you added some great graphics or video clips to give your posts more, “pop”! Your content is excellent but with pics and video clips, this site could certainly be one of the most beneficial in its niche. Great blog!

  234. Hi, i read your blog from time to time and i own a similar one and i was just wondering if you get a lot of spam feedback? If so how do you protect against it, any plugin or anything you can recommend? I get so much lately it’s driving me crazy so any support is very much appreciated.

  235. Hello! I know this is kinda 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 trouble finding one? Thanks a lot!

  236. Hey there just wanted to give you a quick heads up. The words in your article seem to be running off the screen in Safari. I’m not sure if this is a formatting issue or something to do with web browser compatibility but I thought I’d post to let you know. The style and design look great though! Hope you get the issue solved soon. Kudos

  237. Hi there! Do you know if they make any plugins to assist with SEO? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good success. If you know of any please share. Many thanks!

  238. Hey! Do you know if they make any plugins to protect against hackers? I’m kinda paranoid about losing everything I’ve worked hard on. Any suggestions?

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  242. Hi! Do you know if they make any plugins to help with Search Engine Optimization? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good results. If you know of any please share. Kudos!

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  244. Hey! Quick question that’s entirely off topic. Do you know how to make your site mobile friendly? My website looks weird when browsing from my iphone 4. I’m trying to find a theme or plugin that might be able to resolve this problem. If you have any suggestions, please share. Thank you!

  245. This design is wicked! You obviously know how to keep a reader amused. Between your wit and your videos, I was almost moved to start my own blog (well, almost…HaHa!) Fantastic job. I really enjoyed what you had to say, and more than that, how you presented it. Too cool!

  246. Hello just wanted to give you a quick heads up and let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different browsers and both show the same outcome.

  247. Currently it appears like BlogEngine is the preferred blogging platform available right now. (from what I’ve read) Is that what you are using on your blog?

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