{"id":3509,"date":"2021-04-13T12:15:33","date_gmt":"2021-04-13T12:15:33","guid":{"rendered":"http:\/\/desteptati.ro\/?p=3509"},"modified":"2022-01-12T20:34:09","modified_gmt":"2022-01-12T18:34:09","slug":"baronii-din-sanatate","status":"publish","type":"post","link":"https:\/\/desteptati-va.ro\/index.php\/2021\/04\/13\/baronii-din-sanatate\/","title":{"rendered":"Baronii din s\u0103n\u0103tate"},"content":{"rendered":"
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\n \t<\/i> Read Time:<\/span>17 Minute, 37 Second <\/div>\n\n <\/div>
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Dr. Daiana Voiculescu: \u201eBaronii din S\u0103n\u0103tate au mo\u0219tenit sistemul de la p\u0103rin\u021bii \u0219i socrii lor, personaje bine pozi\u021bionate \u00een lumea lui Ceau\u0219escu\u201d<\/strong><\/em><\/h2>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n
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Medicul Daiana Voiculescu a p\u0103r\u0103sit Rom\u00e2nia \u00een urm\u0103 cu 24 de ani. A refuzat s\u0103 dea \u0219pag\u0103 7.000 de dolari pentru a ocupa un post \u00een Bucure\u0219ti. \u00cen acea perioad\u0103, la parterul\u00a0Spitalului Municipal<\/em>, acolo unde \u00ee\u0219i f\u0103cea t\u00e2n\u0103ra reziden\u021biatul, \u00ee\u0219i instala biroul firma Hexi Pharma.<\/h4>\r\n

De care aveam s\u0103 afl\u0103m mai t\u00e2rziu c\u0103 dilua dezinfectan\u021bii pe care-i vindea spitalelor din Rom\u00e2nia. \u00cen anii \u201990,\u00a0\u201eSistemul<\/em>\u201d, cum spunem mereu conspirativ f\u0103r\u0103 s\u0103 \u0219tim exact la ce ne referim, \u00ee\u0219i instala primele avanposturi.<\/h4>\r\n

Voiculescu a refuzat compromisul, a luat medita\u021bii la englez\u0103 cu o profesoar\u0103 \u00eentr-un apartament din Dristor \u0219i s-a preg\u0103tit pentru examenele legate de certificarea ECFMG, necesar\u0103 pentru medicii str\u0103ini care doreau s\u0103 lucreze \u00een spitalele din SUA. A fost acceptat\u0103 \u00een 1996 la Vanderbilt University din Nashville, \u00eentr-un program performant de anestezie.<\/h4>\r\n
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\u00cen prezent e profesoar\u0103 la\u00a0New York University Grossman School of Medicine<\/em>\u00a0\u0219i e directoarea\u00a0Departamentului de Terapia Durerii<\/em>\u00a0la Spitalul Bellevue.<\/h4>\r\n

C\u00e2nd New York-ul a intrat sub asediul Covid-19, \u0219i-a delegat atribu\u021biile de conducere \u0219i a ales s\u0103 lucreze \u00een prima linie. Ea \u0219i colegii ei \u0219i-au \u00eentocmit testamentele \u0219i au fost martori unii pentru al\u021bii.<\/h4>\r\n

Spune c\u0103 \u00een ultimele luni a \u00een\u021beles \u00eenc\u0103 o dat\u0103 de ce crizele medicale \u0219i nu numai se dep\u0103\u0219esc mai u\u0219or c\u00e2nd sunt gestionate de lideri adev\u0103ra\u021bi, care respect\u0103 protocoale, conduc echipe, \u0219tiu c\u0103 succesul lor depinde de for\u021ba acestora \u0219i nu se las\u0103 condu\u0219i de orgolii.<\/h4>\r\n

\u0218i-a amintit de\u00a0medicii-dumnezei<\/em>\u00a0de acas\u0103, de \u00eent\u00e2mpl\u0103rile care au determinat-o s\u0103 plece, de \u021bes\u0103tura de corup\u021bie, incompeten\u021b\u0103 \u0219i complicitate care \u021bine captiv sistemul sanitar din Rom\u00e2nia.<\/h4>\r\n

Ne-am propus un interviu despre felul \u00een care gestioneaz\u0103 americanii b\u0103t\u0103lia cu SARS-CoV-2. Dup\u0103 un schimb de e-mailuri, a ie\u0219it ceva mai mult: m\u0103rturia unui medic care a ales s\u0103 nu tr\u0103iasc\u0103 \u00een minciun\u0103.<\/h4>\r\n
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Daiana Voiculescu. Foto: arhiva personal\u0103<\/figcaption><\/figure>\r\n

\u201e\u00cen condi\u021bii de criz\u0103 liderii fac diferen\u021ba\u201d<\/h2>\r\n

Virusul a venit peste noi ca un tsunami. Eram relaxa\u021bi \u0219i, tipic american, \u00eencrez\u0103tori c\u0103 r\u0103zboaiele \u0219i catastrofele altora nu ajung aici. Virusul s-a infiltrat insidios.<\/h4>\r\n
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Primul caz a fost confirmat \u00een New York la 1 martie, dar un studiu \u00een curs de finalizare, al colegilor de la Mount Sinai, estimeaz\u0103 c\u0103 infect\u0103ri cu noul coronavirus ar fi ap\u0103rut \u00eenc\u0103 de la \u00eenceputul lui februarie.<\/h4>\r\n

Din p\u0103cate, administra\u021bia federal\u0103 s-a b\u00e2lb\u00e2it \u00een mod nepermis, \u0219i ne-am trezit c\u0103 aveam c\u00e2teva zile s\u0103 preg\u0103tim un r\u0103spuns despre care nu \u0219tiam dec\u00e2t c\u0103 va fi nemaiv\u0103zut.<\/h4>\r\n

Mi s-a confirmat \u00eenc\u0103 o dat\u0103 c\u0103, \u00een condi\u021bii de criz\u0103, liderii fac diferen\u021ba. Toate spitalele din New York \u0219i-au reorganizat circuitele \u0219i spa\u021biile pentru a crea c\u00e2t mai multe locuri de terapie intensiv\u0103. Un num\u0103r foarte mare de ventilatoare, injectomate, monitoare \u0219i alte echipamente au fost scoase din depozite. Personalul a fost educat rapid.<\/h4>\r\n

\u00cen primele zile a fost greu. \u00cencercam s\u0103 \u00een\u021belegem boala \u0219i simptomele ei. Nu aveam teste suficiente. Pacien\u021bi grav bolnavi veneau \u00een num\u0103r foarte mare. Am \u00eenceput s\u0103 primim transferuri de la spitale mai mici. Atmosfera era \u00eencordat\u0103, iar aerul p\u0103rea c\u0103 se solidific\u0103 \u00een jurul nostru.<\/h4>\r\n

Am delegat asistentei mele multe dintre atribu\u021biile\u00a0Serviciului de Terapia Durerii<\/em>\u00a0pe care-l conduc la\u00a0Spitalul Bellevue<\/em>\u00a0\u0219i m-am oferit s\u0103 lucrez \u00een unitatea de terapie intensiv\u0103. A doua zi m-au urmat \u0219i ceilal\u021bi colegi din sec\u021bie.<\/h4>\r\n

Ne-am f\u0103cut testamentele \u0219i le-am semnat la spital, fiindu-ne martori unii altora. \u0218i atunci, \u00een timp ce \u00eemi \u00eemp\u0103tuream documentul, s-a int\u00e2mplat ceva.<\/h4>\r\n

Disconfortul \u0219i greutatea din aer au disp\u0103rut. Eram preg\u0103tit\u0103. Eu cred c\u0103, dup\u0103 moarte, urmeaz\u0103 doar trecutul. \u00cen\u021belesesem c\u00e2t\u0103 putere \u00ee\u021bi d\u0103 g\u00e2ndul c\u0103 la\u0219i totul \u00een ordine.<\/h4>\r\n

Am reu\u0219it s\u0103 nu m\u0103 \u00eemboln\u0103vesc, de\u0219i am lucrat zilnic cu 15-20 de pacien\u021bi. S-au \u00eemboln\u0103vit \u00eens\u0103 oameni dragi mie. Iar doctorul Barry Webber, cel mai cumsecade chirurg de pe p\u0103m\u00e2nt, a murit.<\/h4>\r\n

Au murit mul\u021bi oameni la New York. Personalul medical \u0219i cel administrativ au func\u021bionat sub o presiune uria\u0219\u0103. Au fost zile de solidaritate puternic\u0103. To\u021bi am tras \u00een aceea\u0219i direc\u021bie. Probleme cu care nu ne confruntaser\u0103m niciodat\u0103 au fost rezolvate cu ingeniozitate.<\/h4>\r\n

Pericolul \u00eenc\u0103 nu a trecut. Suntem con\u0219tien\u021bi c\u0103 m\u00e2ine s-ar putea s\u0103 o lu\u0103m de la cap\u0103t. Dar acum \u0219tim ce avem de f\u0103cut. \u0218i, cel mai important, avem \u00eencredere unii \u00een al\u021bii.<\/h4>\r\n

\u201eM-am trezit brusc \u00eentr-o lume lipsit\u0103 de etic\u0103 \u0219i de bun sim\u021b\u201d<\/h2>\r\n

Am plecat din \u021bar\u0103 la \u0219apte ani dup\u0103 Revolu\u021bie. Cum \u00eemi imaginam viitorul \u00een 1989, c\u00e2nd eram student\u0103 la Medicin\u0103? \u00cen linii mari a\u0219a cum este prezentul: imperfect, dar perfectibil. \u00cens\u0103 atunci m-am trezit brusc \u00eentr-o lume lipsit\u0103 de etic\u0103 \u0219i de bun sim\u021b, \u00een care performan\u021ba conta prea pu\u021bin.<\/h4>\r\n

\u201eDumnezeii\u201d<\/em>\u00a0de ast\u0103zi din sistemul medical rom\u00e2nesc \u00eencepuser\u0103 \u00eenc\u0103 de atunci s\u0103 scrie regulile ce le vor consolida controlul \u0219i nemurirea.<\/h4>\r\n

Am f\u0103cut cuno\u0219tin\u021b\u0103 cu dezam\u0103girea profesional\u0103 destul de repede. Mi-am terminat facultatea cu lucrarea de diplom\u0103 \u2013\u00a0\u201eEfectele Terapeutice ale Ciprofloxacinei \u00een Infec\u021biile Urinare\u201d<\/em>. Am muncit mult la ea, a\u0219a cum m-am priceput eu, pentru c\u0103 \u00eendrum\u0103torul meu m\u0103 abandonase \u00eenc\u0103 de la \u00eenceput. M-a ajutat \u00eens\u0103 enorm \u0219i necondi\u021bionat \u0219efa laboratorului de la\u00a0Spitalul \u201eCarol Davila\u201d<\/em>.<\/h4>\r\n

Mi-am petrecut toat\u0103 vara pipet\u00e2nd urin\u0103 \u00een pl\u0103cile Petri \u0219i analiz\u00e2nd coloniile crescute. A ie\u0219it o lucrare de valoare medie, dar cu date \u0219i concluzii autentice.<\/h4>\r\n

Am prezentat-o, mi-am luat diploma \u0219i mi-am \u00eenceput via\u021ba de medic. Dup\u0103 un an \u0219i ceva, s-a \u00eent\u00e2mplat s\u0103 particip la un congres. Era primul congres na\u021bional de nefrologie. Lucr\u0103rile se \u021bineau la\u00a0Cercul Militar Na\u021bional<\/em>.<\/h4>\r\n

M-am a\u0219ezat \u00een sal\u0103 \u0219i, r\u0103sfoind programul \u0219tiin\u021bific, ochii mi-au \u00een\u021bepenit pe un titlu:\u00a0\u201eEfectele Terapeutice ale Ciprofloxacinei \u00een Infec\u021biile Urinare \u2013 autori: dr. C, dr. X, dr. Y, dr. Z, dr. W\u201d<\/em>. Rezumatul era copiat cuv\u00e2nt cu cuv\u00e2nt, num\u0103r cu num\u0103r din modesta mea lucrare de diplom\u0103. Lipsea doar numele meu.<\/h4>\r\n

Am pl\u00e2ns \u0219i am fumat toat\u0103 noaptea. Tremuram, aveam febr\u0103. Prima mea lucrare \u0219tiin\u021bific\u0103 tocmai fusese furat\u0103. Era 1992. F\u0103r\u0103 s\u0103 \u0219tiu, intrasem \u00een viitorul medicinei rom\u00e2ne\u0219ti.<\/h4>\r\n

\u201eDup\u0103 25 de ani, amantl\u00e2curile \u0219i h\u0103r\u021buirea sexual\u0103 \u00een lumea medical\u0103 din Rom\u00e2nia continu\u0103 s\u0103 fie subiecte tabu\u201d<\/h2>\r\n

M-am clasat pe locul 35 la examenul na\u021bional de reziden\u021biat. Pe atunci se numea secundariat. Nici prin g\u00e2nd nu-mi trecea c\u0103 va fi ultimul examen pe care \u00eel dau \u00een Rom\u00e2nia.<\/h4>\r\n

Am oscilat foarte mult \u00eentre a alege obstetric\u0103-ginecologie sau anestezie. \u00cen final am ales-o pe prima. Probabil \u0219i pentru c\u0103 percepeam o u\u0219oar\u0103 aur\u0103 de optimism \u00een jurul cazuisticii obstetricale. De\u0219i f\u0103cusem facultatea \u00een Bucure\u0219ti, eram un outsider al sistemului bucure\u0219tean.<\/h4>\r\n

C\u00e2nt\u0103ream op\u021biunile \u00een mod idealist (sau poate naiv), convins\u0103 fiind c\u0103 \u00een spatele gardului vopsit nu puteau fi leoparzi. A\u0219a c\u0103 am ales cu mult\u0103 m\u00e2ndrie \u0219i optimism obstetric\u0103-ginecologie la Spitalul Municipal (acum Spitalul Universitar). Examenul ne asigura post doar pe perioada reziden\u021biatului. Apoi urma o nebuloas\u0103.<\/h4>\r\n

De fapt, nebuloasa a \u00eenceput \u00eenc\u0103 din prima zi de lucru, c\u00e2nd, pe l\u00e2ng\u0103 cei c\u00e2\u021biva reziden\u021bi intra\u021bi prin concurs, au ap\u0103rut \u00eenc\u0103 at\u00e2\u021bia colegi, preparatori \u0219i cercet\u0103tori cu post permanent \u00een spital.<\/h4>\r\n

Ne-au spus doar c\u0103 d\u0103duser\u0103 \u0219i ei un examen cu directorul spitalului. Posturile astea de preparatori \u0219i cercet\u0103tori erau o noutate (cel pu\u021bin pentru mine).<\/h4>\r\n

\u00cencepuser\u0103 s\u0103 se scoat\u0103 la mai toate disciplinele. Erau \u00eenv\u0103luite \u00eentr-un mare mister. \u00cen general, se anun\u021bau \u00een ultimul moment, unei audien\u021be limitate.<\/h4>\r\n

Cei interesa\u021bi erau descuraja\u021bi, de cele mai multe ori direct, astfel \u00eenc\u00e2t la \u201econcurs\u201d se prezenta un singur candidat. Care era admis cu aplauze \u00een r\u00e2ndul celor cu post permanent \u0219i schelete \u00een dulap.<\/h4>\r\n

De la terminarea facult\u0103\u021bii, \u00een 1991, p\u00e2n\u0103 la plecarea \u00een Statele Unite, \u00een 1996, nu am \u0219tiut s\u0103 se fi organizat vreun concurs transparent, anun\u021bat public, cu concuren\u021b\u0103 serioas\u0103 \u0219i reguli corecte pentru ocuparea unui post permanent \u00een spitalele din Bucure\u0219ti.<\/h4>\r\n

Cur\u00e2nd am mai aflat ceva: c\u0103 \u00een medicina rom\u00e2neasc\u0103 nimic nu era gratis. \u00centr-o zi, prin 1994, unul dintre locotenen\u021bii \u0219efului m-a luat deoparte \u0219i mi-a spus:\u00a0\u201eM-am interesat. Mai sunt locuri aici \u00een spital, dar trebuie s\u0103 dai 7.000 de dolari\u201d<\/strong><\/em>.<\/h4>\r\n

Nu am aflat niciodat\u0103 la cine ar fi ajuns banii. \u0218tiam \u00eens\u0103 c\u0103 posturile se scoteau la cererea directorului spitalului \u0219i a \u0219efului de clinic\u0103. Mie mi-au cerut bani, \u00eens\u0103 se \u201eacceptau\u201d \u0219i recomand\u0103ri personale sau politice, dar \u0219i ochi frumo\u0219i.<\/h4>\r\n

\u00cen general, cu acelea\u0219i monede se cump\u0103ra \u0219i educa\u021bia. Mul\u021bi \u00eendrum\u0103tori trebuia stimula\u021bi cumva. Altfel de ce s-ar fi deranjat s\u0103 ne \u00eenve\u021be s\u0103 oper\u0103m? Unii reziden\u021bi c\u0103rau cu ma\u0219inile lor c\u0103r\u0103mizi \u0219i ciment pentru \u0219efule\u021bul care-\u0219i construia vila.<\/h4>\r\n

Al\u021bii traduceau c\u0103r\u021bi de specialitate (din englez\u0103 mai ales) \u0219i scriau opera zeilor \u00een devenire. Al\u021bii erau pur \u0219i simplu rudele sau amantele \u0219efului de sec\u021bie. Ghinioni\u0219tii pl\u0103teau cash: 30 de dolari ca s\u0103 intre m\u00e2na \u00eent\u00e2i sau 10 dolari m\u00e2na a doua. La instrumentar era gratis. Acolo \u00eemi f\u0103ceam eu veacul.<\/h4>\r\n

Mediul de la Municipal era extrem de toxic. Pacientele f\u0103r\u0103 pile sau bani erau umilite \u0219i abuzate. Se fuma f\u0103r\u0103 m\u0103sur\u0103, iar alcoolul era nelipsit \u00een anumite g\u0103rzi (\u0219i nu numai). Subalternii operau \u00een locul \u0219efilor care doar luau \u201eplicul\u201d.<\/h4>\r\n

C\u00e2nd murea cineva, foaia de observa\u021bie era falsificat\u0103 imediat. O m\u00e2n\u0103 o spal\u0103 pe cealalt\u0103. \u0218p\u0103gile \u0219i serviciile circulau \u00een toate direc\u021biile, iar h\u0103r\u021buirea sexual\u0103 f\u0103cea parte din cultura clinicii.<\/h4>\r\n

Multe studente \u0219i tinere doctori\u021be s-au confruntat \u00een anii \u201990 cu m\u00e2r\u0219\u0103viile celor care ar fi trebuit s\u0103 le fie mentori \u0219i modele profesionale. Nu cred c\u0103 lucrurile s-au schimbat prea mult de atunci.<\/h4>\r\n

Dup\u0103 25 de ani, amantl\u00e2curile \u0219i h\u0103r\u021buirea sexual\u0103 \u00een lumea medical\u0103 din Rom\u00e2nia continu\u0103 s\u0103 fie subiecte tabu. Auzim c\u0103\u00a0\u201eiubita lui icsulescu a fost numit\u0103 manager de spital\u201d<\/em>, c\u0103\u00a0\u201eamanta lui pe\u0219te pr\u0103jit este \u0219ef\u0103 de sec\u021bie\u201d<\/em>, c\u0103\u00a0\u201easistenta principal\u0103 este dr\u0103gu\u021ba profului\u201d<\/em>\u00a0\u0219i a\u0219a mai departe.<\/h4>\r\n

Este doar v\u00e2rful icebergului. Dar nimeni nu \u0219tie, nimeni nu vorbe\u0219te. \u0218i, cel mai grav, nimeni nu reac\u021bioneaz\u0103.<\/h4>\r\n

Cineva m-a \u00eentrebat recent:\u00a0\u201eDe ce nu i-ai denun\u021bat?\u201d<\/em><\/h4>\r\n

Cui s\u0103-i fi denun\u021bat? \u00cen Bucure\u0219tiul anilor \u201990 \u00eenc\u0103 mai cre\u0219teau panselu\u021bele plantate de mineri. P\u0103rin\u021bii \u0219i prietenii abuzatorilor conduceau \u021bara. Din comunism, intrasem direct pe mo\u0219ia baronilor din s\u0103n\u0103tate.<\/h4>\r\n
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Revista Pressei<\/strong><\/h4>\r\nUn newsletter pentru cititori curio\u0219i \u0219i inteligen\u021bi.\r\n

Sunt curios<\/a><\/h4>\r\n<\/div>\r\n<\/div>\r\n

Baronii de ast\u0103zi tocmai mo\u0219teniser\u0103 sistemul de la ta\u021bii \u0219i socrii lor, personaje bine pozi\u021bionate \u00een lumea lui Ceau\u0219escu.<\/h4>\r\n

\u201eNoi nu puteam accepta regulile noilor zei, iar ei r\u00e2deau de valorile noastre\u201d<\/h2>\r\n

Am plecat mul\u021bi \u00een acei ani. Aproape jum\u0103tate dintre colegii mei de promo\u021bie. Atunci c\u00e2\u0219tigurile nu ne interesau \u00een mod deosebit. Eram proasp\u0103t ie\u0219i\u021bi din comunism, cu a\u0219tept\u0103ri materiale destul de modeste. Eram \u00eenc\u0103rca\u021bi de speran\u021be, principii \u0219i idealuri.<\/h4>\r\n

Noi nu puteam accepta regulile noilor zei, iar ei r\u00e2deau de valorile noastre. Nu-mi concepeam via\u021ba d\u00e2nd \u0219p\u0103gi \u0219i \u00eencerc\u00e2nd s\u0103 m\u0103 ascund de pr\u0103d\u0103torii sexuali din UMF. Am plecat \u0219tiind c\u0103 nu aveam drum de \u00eentoarcere.<\/h4>\r\n

America nu m\u0103 pasionase niciodat\u0103. \u00cen visurile mele de evadare din comunism, m\u0103 v\u0103zusem mereu \u00eentr-o \u021bar\u0103 european\u0103. Dar atunci Europa nu ne voia. \u00cen acei ani, u\u0219ile profesionale erau \u00eenchise pentru rom\u00e2ni. \u00cens\u0103 America, proasp\u0103t \u00eenving\u0103toare a R\u0103zboiului Rece, \u00eenc\u0103 m\u00e2ndr\u0103 de multiculturalismul \u0219i deschiderea ei, avea nevoie de medici.<\/h4>\r\n

Examenele ECFMG erau foarte grele, dar corecte. M-am apucat de \u00eenv\u0103\u021bat. De\u0219i nu vorbeam engleza, reu\u0219eam s\u0103 buchisesc c\u0103r\u021bile pe care le cump\u0103ram la pre\u021buri uria\u0219e de la un stand ce func\u021biona la parterul spitalului.<\/h4>\r\n

Am \u00eenceput s\u0103 fac lec\u021bii de englez\u0103 cu o profesoar\u0103, o bijuterie de om. St\u0103tea \u00eentr-un apartament la Dristor. \u00cemi c\u0103ram caietele cu medita\u021bii prin metrouri \u0219i m\u0103 sim\u021beam student\u0103 din nou. M\u0103 preg\u0103team pentru examente adev\u0103rate.<\/h4>\r\n

Aerul de la Municipal p\u0103rea dintr-odat\u0103 mai respirabil. De fapt \u00eemi p\u0103sa din ce \u00een ce mai pu\u021bin de ei, de\u0219i, \u00eentr-un fel sau altul, fiecare zi petrecut\u0103 \u00een spital durea.<\/h4>\r\n

Am luat examenele cu scoruri foarte bune, care m-au ajutat s\u0103 fiu acceptat\u0103 la Vanderbilt University, \u00eentr-unul dintre cele mai performante programe de anestezie din lume.<\/h4>\r\n

Profesorul Charles Beattie, \u0219eful departamentului, era o somitate. Un vizionar care a intuit foarte devreme rolul tehnologiei informa\u021biei \u00een viitorul medicinei. Departamentul nostru a fost printre primele care \u0219i-au computerizat masiv activit\u0103\u021bile, \u00een special cele de documentare \u0219i colectare a datelor.<\/h4>\r\n

La \u00eenceputul anilor 2000, eram implica\u021bi \u00een proiecte cu NASA. Circulam prin blocul operator cu ni\u0219te computere portabile, precursoare ale iPad-urilor de ast\u0103zi, \u0219i ochelari VR \u00een care vedeam concomitent datele din patru s\u0103li de opera\u021bie.<\/h4>\r\n

\u00cens\u0103 primii ani au fost grei. Eram ca un animal speriat de trecutul de care fugea, \u0219i \u00een care nu voia s\u0103 se \u00eentoarc\u0103 nici mort. Intrasem \u00eentr-un program \u00een care a\u0219tept\u0103rile erau foarte mari \u0219i \u00een care, din prima zi, am avut un rol bine definit.<\/h4>\r\n

Mi s-a explicat ce trebuia s\u0103 fac \u0219i ce etape trebuia s\u0103 parcurg. Vorbeam engleza prost, dar doctorul Beattie mi-a spus r\u00e2z\u00e2nd c\u0103 nu venisem \u00eentr-un departament de literatur\u0103 englez\u0103. Munceam mult \u0219i continuam s\u0103 iau note foarte bune la examene.<\/h4>\r\n

Pe m\u0103sur\u0103 ce \u00eenv\u0103\u021bam \u0219i m\u0103 integram \u00een universul de aici, \u00eencepeam s\u0103 \u00een\u021beleg de ce anii de la Municipal fuseser\u0103 at\u00e2t de traumatizan\u021bi. Priveam din ce \u00een ce mai critic multe dintre practicile \u0219i comportamentele medicale v\u0103zute sau deprinse \u00een Rom\u00e2nia.<\/h4>\r\n
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Daiana Voiculescu. Foto: arhiva personal\u0103<\/figcaption><\/figure>\r\n

Am realizat c\u0103 efectul actului medical depinde \u00een mare m\u0103sur\u0103 de implicarea pacientului. Doctorul nu este un judec\u0103tor care, f\u0103r\u0103 a da explica\u021bii, impune o decizie.<\/h4>\r\n

Cu c\u00e2t pacientul \u00een\u021belege \u0219i particip\u0103 mai mult \u00een \u00eengrijirea sa, cu at\u00e2t rezultatele sunt mai bune. Am \u00eenv\u0103\u021bat c\u0103 \u201emedicina e art\u0103\u201d numai \u00eentr-o foarte mic\u0103 m\u0103sur\u0103.<\/h4>\r\n

\u00cen rest, este \u0219tiin\u021b\u0103 \u0219i protocoale. Acum \u00eemi este imposibil s\u0103 \u00een\u021beleg dispre\u021bul colegilor rom\u00e2ni fa\u021b\u0103 de protocoale \u0219i algoritmi clinici sau pozi\u021bia unora dintre ei \u00een contextul pandemiei Covid-19.<\/h4>\r\n

Dar cred c\u0103 cel mai important lucru pe care l-am \u00eenv\u0103\u021bat a fost s\u0103-mi asum gre\u0219elile \u0219i corectarea lor. A fost un proces lung, \u00een care a trebuit s\u0103 m\u0103 eliberez de mentalitatea de doctor-dumnezeu cu care venisem din Rom\u00e2nia.<\/h4>\r\n

Americanii m-au tratat \u00eentotdeauna cu \u00eencredere. Aveam 36 de ani c\u00e2nd, la sf\u00e2r\u0219itul specializ\u0103rii, mi s-a \u00eencredin\u021bat conducerea unui serviciu de terapia durerii.<\/h4>\r\n

Ajunsesem \u00een State cu 5 ani \u00eenainte \u0219i nici m\u0103car green cardul nu-l aveam.<\/h4>\r\n

M-am trezit brusc cu responsabilit\u0103\u021bi mari, responsabilit\u0103\u021bi medicale, administrative, educa\u021bionale. A fost o perioad\u0103 profesional\u0103 \u00een care am crescut foarte mult.<\/h4>\r\n

Cea mai dificil\u0103 a fost rela\u021bionarea administrativ\u0103 cu oamenii. \u00cen aceste interac\u021biuni am pus mult\u0103 energie, am f\u0103cut \u0219i gre\u0219eli, mi-am cerut scuze, am luat-o de la cap\u0103t. Din fericire, \u00een fa\u021ba greut\u0103\u021bilor nu am stat singur\u0103. Am avut mereu sprijinul \u0219i sfatul superiorilor mei. Liderii puternici \u0219tiu c\u0103 succesul lor depinde de for\u021ba echipei \u0219i fac tot posibilul s\u0103-\u0219i ajute personalul.<\/h4>\r\n

Munca academic\u0103 mi-a adus satisfac\u021bii uria\u0219e. De-a lungul anilor am avut onoarea s\u0103 educ multe promo\u021bii de reziden\u021bi \u0219i speciali\u0219ti (fellows).<\/h4>\r\n

R\u0103sp\u00e2ndi\u021bi \u00een toat\u0103 America, ei fac acum performan\u021b\u0103 \u00een domeniul nostru. Prima specialist\u0103 c\u0103reia, \u00een urm\u0103 cu 20 de ani, i-am fost \u00eendrum\u0103toare, s-a \u00eentors la\u00a0Universidad de Antioquia<\/em>, \u00een Medell\u00edn, unde a pus bazele \u0219colii moderne columbiene de terapia durerii. Profesoara Adriana Cadavid este acum cunoscut\u0103 \u0219i respectat\u0103 \u00een \u00eentreaga Americ\u0103 de Sud. Am r\u0103mas prietene de suflet.<\/h4>\r\n

Profesorul Charles Beattie a murit \u00een 2008. Va fi mereu mentorul care mi-a influen\u021bat via\u021ba profesional\u0103 \u00een modul cel mai puternic pozitiv.<\/h4>\r\n

\u201eDezv\u0103luirile despre dezinfectan\u021bi au fost \u0219ocante. Ho\u021bie criminal\u0103, de neconceput \u00eentr-o societate civilizat\u0103\u201d<\/h2>\r\n

M-a\u021bi \u00eentrebat cum v\u0103d felul de a comunica al oamenilor puternici din sistem, acel\u00a0\u201eavem de toate\u201d<\/em>. Este un cocktail oribil de incompeten\u021b\u0103, ho\u021bie, nep\u0103sare \u0219i arogan\u021b\u0103.<\/h4>\r\n

\u0218i, cel mai important, lips\u0103 de r\u0103spundere. Deciden\u021bii din sistemul sanitar nu r\u0103spund \u00een fa\u021ba legii, nu r\u0103spund \u00een fa\u021ba pacien\u021bilor \u0219i nici m\u0103car a con\u0219tiin\u021bei lor. Dar r\u0103spund \u00een fa\u021ba \u0219efilor de partid cu sau f\u0103r\u0103 bacalaureat.<\/h4>\r\n

Dezv\u0103luirile despre dezinfectan\u021bi au fost \u0219ocante. Ho\u021bie criminal\u0103, de neconceput \u00eentr-o societate civilizat\u0103. Dureroase pentru mine au fost \u00eens\u0103 dezv\u0103luirile despre originile Hexi Pharma.<\/h4>\r\n

Firma asta a avut sediul \u00een Spitalul Municipal (cu binecuv\u00e2ntarea directorului Sorin Oprescu) exact \u00een perioada \u00een care eu lucram acolo. Ca cei mai mul\u021bi, habar nu aveam nici eu despre ma\u0219ina\u021biunile directorului.<\/h4>\r\n

\u0218tiam doar c\u0103 el aproba angaj\u0103rile medicilor sau c\u0103 \u00eencepuse o renovare masiv\u0103 a spitalului, despre care se zvonea c\u0103 ar fi o modalitate de a sifona mul\u021bi bani. Cine \u0219i-ar fi imaginat atunci c\u0103, \u00eentr-un birou de la parter, se n\u0103\u0219tea un monstru?<\/h4>\r\n

Anii au trecut \u0219i dezastrele din s\u0103n\u0103tate sunt din ce \u00een ce mai mari \u0219i mai frecvente. O reform\u0103 radical\u0103 a sistemului medical ar fi trebuit s\u0103 se petreac\u0103 dup\u0103 Colectiv.<\/h4>\r\n

Dar, de pe piedestalurile lor, somit\u0103\u021bile au spus \u201eNu!\u201d Au reu\u0219it s\u0103 men\u021bin\u0103 status-quo-ul ajuta\u021bi, e drept, de cea mai mare parte a medicilor rom\u00e2ni care fie s-au opus \u00een mod deschis reformei, fie \u0219i-au b\u0103gat capul \u00een nisip.<\/h4>\r\n

Acum a venit t\u0103v\u0103lugul coronavirusului \u0219i toat\u0103 lumea se mir\u0103 c\u0103 spitalele nu au nici m\u0103car s\u0103pun sau h\u00e2rtie igienic\u0103. \u0218i, incredibil, medicii amenin\u021b\u0103 cu demisia. Exact acum, \u00een timpul r\u0103zboiului. \u00cen context militar se nume\u0219te dezertare.<\/h4>\r\n

Am v\u0103zut zilele trecute, \u00eentr-o prezentare interna\u021bional\u0103, fotografii f\u0103cute recent \u00een timpul unei opera\u021bii la Spitalul Bagdasar. Incredibil!<\/h4>\r\n

\u00cen 2020, chirurgul rom\u00e2n opereaz\u0103 cu masca sub nas. Aici nu este vorba despre neajunsuri. Nu se mai poate blama mo\u0219tenirea comunismului. Aici este nesim\u021bire \u00een forma ei cea mai iresponsabil\u0103, dar \u0219i complicitate a celor din jur.<\/h4>\r\n

Uita\u021bi-v\u0103 la\u00a0imaginile video din sala de la Floreasca<\/a>: oameni \u00een\u021bepeni\u021bi \u00een pozi\u021bia de gur\u0103-casc\u0103 \u00een jurul pacientei arse, f\u0103r\u0103 m\u0103\u0219ti sau bonete, \u201esomitatea\u201d \u00een echipament de strad\u0103-sec\u021bie, cu ceasul la m\u00e2n\u0103 \u0219i degetele \u00een c\u00e2mpul operator.<\/h4>\r\n

Nicio urgen\u021b\u0103 chirurgical\u0103 nu justific\u0103 asemenea neglijen\u021b\u0103 \u0219i lips\u0103 de protcoale. Dar lor nu le pas\u0103. Ei sunt dumnezei sau pile de dumnezei.<\/h4>\r\n

M\u0103 g\u00e2ndesc deseori c\u0103 diversele macrosisteme rom\u00e2ne\u0219ti au fost ruinate din interiorul lor. Nu a venit niciun Bill Gates s\u0103 dicteze distrugerea educa\u021biei, a medicinei sau a justi\u021biei din Rom\u00e2nia. Corup\u021bia \u0219i incompeten\u021ba le-au m\u0103cinat din interior.<\/h4>\r\n

Mai exact, medicii sunt cei care au adus \u00een genunchi sistemul clinic \u0219i academic medical. Fie direct, fie indirect prin t\u0103cere \u0219i complicitate. Citeam zilele astea c\u0103, pe plan mondial, cel mai bine pozi\u021bionat\u0103 facultate de medicin\u0103 din Rom\u00e2nia este\u00a0Universitatea \u201eCarol Davila\u201d<\/em>.<\/h4>\r\n

\u00cen US News & World Report Ranking, facultatea mea este pe pozi\u021bia\u2026 1053! Imagina\u021bi-v\u0103 o coloan\u0103 de 1053 de oameni. Acolo este medicina rom\u00e2neasc\u0103. Medicina cu mii de cercet\u0103tori, preparatori \u0219i doctori \u00een \u0219tiin\u021be medicale.<\/h4>\r\n

\u0218ti\u021bi, unii dintre ei chiar ar fi vrut s\u0103 fac\u0103 performan\u021b\u0103 acas\u0103. Cunosc mul\u021bi medici excep\u021bionali \u00een Rom\u00e2nia. Colegi, prieteni. Unii \u00eemi povestesc despre compromisurile f\u0103cute, al\u021bii nu le vor recunoa\u0219te niciodat\u0103. To\u021bi prietenii, \u00eens\u0103, \u00eemi spun despre frustr\u0103rile \u0219i anxiet\u0103\u021bile zilnice.<\/h4>\r\n

Acum c\u00e2\u021biva ani, la o \u00eent\u00e2lnire cu colegii de facultate, l-am \u00eentrebat pe unul dintre ei, un medic foarte apreciat \u00een Bucure\u0219ti:\u00a0\u201eDe ce nu v\u0103 uni\u021bi vocile? De ce nu ie\u0219i\u021bi public s\u0103 spune\u021bi ce se \u00eent\u00e2mpl\u0103 \u00een sistemul medical? De ce nu \u00eencerca\u021bi s\u0103 schimba\u021bi?\u201d<\/strong><\/em>\u00a0S-a l\u0103sat pe sp\u0103tarul scaunului \u0219i, z\u00e2mbind, mi-a r\u0103spuns:\u00a0\u201ePentru c\u0103 to\u021bi suntem \u0219antajabili.\u201d<\/em>\u00a0Punct.<\/h4>\r\n

M\u0103 \u00eentreb de multe ori: de ce a ajuns Rom\u00e2nia aici? Disfunc\u021bionalitatea c\u0103rui sistem a antrenat haosul din restul societ\u0103\u021bii? A fost educa\u021bia sau justi\u021bia?<\/h4>\r\n

Sunt din ce \u00een ce mai convins\u0103 c\u0103 falimentul educa\u021biei, faliment \u00eenceput \u00een comunism \u0219i accelerat \u00een \u201989, a fost\u00a0primum movens<\/em>\u00a0pentru balamucul multilateral \u00een care se afl\u0103 rom\u00e2nii acum.<\/h4>\r\n

La nivelul uluitor atins de analfabetismul func\u021bional \u00een Rom\u00e2nia, g\u00e2ndirea critic\u0103 individual\u0103 sau de grup devine aproape imposibil\u0103.<\/h4>\r\n

Iar rezultatele acestui handicap variaz\u0103 de la ridicol la autodistrugere. Se ajunge la refuzarea eviden\u021bei \u0219i a datelor \u0219tiin\u021bifice, la conspira\u021bii verzi pe pere\u021bi sau \u2013 foarte grav \u2013 la ignorarea pericolului.<\/h4>\r\n

\u00cen contextul acesta, discu\u021biile \u0219i teoriile conspira\u021bioniste pe tema coronavirusului nu m\u0103 surprind. Dar m\u0103 \u00eengrijoreaz\u0103. \u00cen special c\u00e2nd sunt promovate strident de oameni \u201eeduca\u021bi\u201d, unii dintre ei chiar medici.<\/h4>\r\n

\u00cen lupta cu boala trebuie s\u0103 fim puternici \u0219i, \u00een acela\u0219i timp, umili. Arogan\u021ba se pl\u0103te\u0219te scump. A\u0219a cum pl\u0103tesc zilele astea Texasul, Florida \u0219i alte state americane care se clatin\u0103 sub avalan\u0219a de \u00eemboln\u0103viri Covid-19.<\/h4>\r\n

Aceste state au avut o fereastr\u0103 de patru luni \u00een care se puteau preg\u0103ti \u0219i chiar evita impactul masiv al coronavirusului. Au fost martorii luptei disperate a newyorkezilor. Dar au continuat s\u0103 cread\u0103 \u00een bazaconii diseminate de lideri obtuzi \u0219i s\u0103 ignore reguli elementare ale naturii. Totul \u00een numele libert\u0103\u021bii f\u0103r\u0103 limite.<\/h4>\r\n

Din p\u0103cate, ca \u00een blestemul chinez, tr\u0103im timpuri interesante. \u0218i nu cred c\u0103 ne vom plictisi prea cur\u00e2nd.<\/h4>\r\n

dr. Daiana Voiculescu, iulie 2020<\/strong><\/h4>\r\nS\u0103n\u0103tate<\/span><\/a>\r\n
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12\/07\/2020<\/div>\r\n<\/div>\r\n
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Valentin \u0218chiopu<\/strong><\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>
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Dr. Daiana Voiculescu: \u201eBaronii din S\u0103n\u0103tate au mo\u0219tenit sistemul de la p\u0103rin\u021bii \u0219i socrii lor, personaje bine pozi\u021bionate \u00een lumeaRead More<\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":3210,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[218,25],"tags":[232,233],"class_list":["post-3509","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general","category-politica-de-gasca","tag-dupa-89","tag-medicina"],"rise-blocks_total_comments":6,"rise-blocks_categories":[{"term_id":218,"name":"General","slug":"general","term_group":0,"term_taxonomy_id":218,"taxonomy":"category","description":"","parent":0,"count":56,"filter":"raw"}],"rise-blocks_excerpt":"Dr. Daiana Voiculescu: \u201eBaronii din S\u0103n\u0103tate au mo\u0219tenit sistemul de la p\u0103rin\u021bii \u0219i socrii lor, personaje bine pozi\u021bionate \u00een lumea lui Ceau\u0219escu\u201d Medicul Daiana Voiculescu a p\u0103r\u0103sit Rom\u00e2nia \u00een urm\u0103 cu 24 de ani. A refuzat s\u0103 dea \u0219pag\u0103 7.000 de dolari pentru a ocupa un post \u00een Bucure\u0219ti. \u00cen acea perioad\u0103, la parterul\u00a0Spitalului Municipal, acolo unde \u00ee\u0219i f\u0103cea t\u00e2n\u0103ra..","yoast_head":"\r\nBaronii din s\u0103n\u0103tate -<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/desteptati-va.ro\/index.php\/2021\/04\/13\/baronii-din-sanatate\/\" \/>\r\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Baronii din s\u0103n\u0103tate -\" \/>\r\n<meta property=\"og:description\" content=\"Dr. Daiana Voiculescu: \u201eBaronii din S\u0103n\u0103tate au mo\u0219tenit sistemul de la p\u0103rin\u021bii \u0219i socrii lor, personaje bine pozi\u021bionate \u00een lumeaRead More\" \/>\r\n<meta property=\"og:url\" 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