CBN BRASIL

Tuesday, January 2, 2018

Body and soul pains

More and more health professionals realize the importance of looking not just for the disease but for the person. And it is in this welcome of the other that the pain softens and the heart heats up


In the song star show, the musician Marcelo Jeneci refers to people as 7 billion lighthouses, to shine and shine. How often, when we fear a serious illness in ourselves or in one of our relatives, what we most seek in a doctor is that he be a beacon, that he helps us in one direction, that shows us a way and that makes clear that it is together in battle? The doctor Silvia Brandalise is like this ... a beacon. Silvia founded the Boldrini Children's Center in Campinas, in the interior of São Paulo - the name is a tribute to the doctor Domingos Boldrini. The place is a philanthropic hospital and a reference in the treatment of cancer and childhood hematology. The idea of ​​creating such a place arose precisely to illuminate the paths of boys and girls with cancer. Silvia is one of those people who know how to truly look at each other. In the practice medicine, health or illness are not measured by examinations or remedies alone, but by a look, a caress, a time dedicated to listening. "For me there never was bed 10, bed 30. There was Andre, Maria, Juliana ... He made a point of knowing the names, the life history of the children, 
of families. It is impossible to see only one patient or one disease. We are speaking of people, of pains, of suffering, of life, of bonds of love, of hope, of possibilities for healing, "he says. Silvia is oncopediatra, she is 74 years old, and retired almost five years ago at Unicamp. But it follows a daily routine, from 7am to 7pm, at Boldrini. "I always have more years of life with God and I only think of stopping when there is no more disease," says the doctor, who at the beginning of her career just wanted to be a pediatrician because she tried to avoid what was bad for her heart. "It hurt me to see skinny children and caregivers with cancer and not be able to do anything." By the end of the 1970s, when he was a doctor, the possibility of curing the disease in Brazil did not exceed 5%. It was the proximity he had with two 5-year-old boys, both called André and carriers of leukemia, who changed everything. The first André could not heal, but the family asked that Silvia be the "beacon" for other children. The second André was well, now has a son and is a dentist. Ready! It was a no-return way for the doctor. This differentiated gaze began even in adolescence. At 15, Silvia was fascinated to read a report on the German doctor Albert Schweitzer, who moved to Gabon, Africa, to set up a hospital (which initially operated in a chicken coop) and to care for the poor population there. This admiration made her write a letter to Schweitzer saying how much she admired him. What the doctor never knew was that her example influenced her career choice and inspired her to found a referral hospital. Silvia proudly remembers receiving an answer, written by the nurse who worked with Schweitzer, saying that he was thrilled to read such touching words from a child. In 1952 he received the Nobel Peace Prize and with the prize money he built a colony for lepers.

The art of caring
In the movie Patch Adams, actor Robin Williams represents the American doctor Hunter Doherty, who was famous for a methodology in which love plays a fundamental role in the healing process. For Hunter, the treatment of a disease involves, for example, touching the sick and looking into the eyes. He believes that pills relieve pain, but only love alleviates suffering. More recently, a movement called slow medicine has emerged which also strongly resembles the methods used by Hunter Doherty. It is a closer and humane way of practicing medicine and in which the health professional approaches the patient, looks closely, hears real, reflects, and (why not?) Builds solid relationships with the person being treated , your family and even the surrounding community. And you have time to be there with the other. The Italian cardiologist Marco Bobbio, author of the book The Imagined Sick (Bamboo Editorial), is a great propagator of this type of medicine. José Luiz Dias Siqueira, a professor of the pain specialization course at Hospital Israelita Albert Einstein (SP) and chronic pain specialist José Luiz Dias Siqueira, believes that slow medicine is a major challenge for health professionals, including the public health system, good eyes this trend. "For a long time, medicine has been dividing into very specific parts and doctors have been specializing. I believe that seeing the little bit remains important, but it is fundamental to never lose the whole, "he says. He even points out that he has seen this trend in many expert professionals who are looking for his course. "I see that a lot of people, including SUS (Servicio Único e Saúde), is seeking to develop interesting projects in this area. We need this more humanized medicine, "he says. The psychiatrist Gabriela de Lima Freitas says that since the time she was in college, she was enchanted with traditional Chinese medicine, because it united the physical part with the mental part. "From experience in the practice, I see that looking at people in a holistic way makes a difference in the search for healing. In the office, the first meetings never last for only an hour, because I try to see far beyond the disease, as details that may have triggered the problem. We need to rescue, not only in medicine but in life, the time to stop and listen to people, "he says. In love with dancing, Gabriela also attended dance. "Having this vision of the movements helps me in the office. Just like in dance,

A new look is born
Raissa Gabaldi learned in practice the difference of the look of a more humane medicine. She and her son Adriel lived in Manaus (AM) until last year, when they moved temporarily to Campinas (SP) in search of a treatment for childhood leukemia at the Boldrini Children's Center, quoted earlier in the report. Because of this, Raissa left a career in the area of ​​gastronomy, the groom, the family at last. "I felt a lot of difference between the treatment that is performed at the Center and what he did in Manaus. This happened from the moment we were welcomed by the doctors and the whole team. You can see the love that the professionals have for each child, and the attention with the family is something that impresses, "he says. She says that the boy now sees the treatment differently. "Before, he felt obliged to do the procedures. Today, he does the exams, the consultations and the chemotherapy with tranquility. This is because everything is done in a playful way, for the child to suffer as little as possible. My desire is that everyone should have the opportunity to have the option of such a dignified and loving treatment. "Adriel's mother recalls that in Manaus, her son was down, he was barely walking, he had no disposition. "Now he plays. He returned to being what he was before he became ill, because he feels alive and full of hope, "he concludes. Because of the distance, mother and son live in Casa Ronald, which maintains families during treatment. "This experience of being in a space with other mothers who share pains and anguishes made me mature. Of course we have to face losses, but I have no doubt that together we are stronger. I've learned to relate to all kinds of people and I've seen that leukemia is not a seven-headed animal, especially if the patient is being cared for. "She still underscores the hope that holds her steady in the fight. "I feel that my son will be healed. We are partners in the healing process, not mere recipients. Before going through this I never imagined that there was this medicine that sees us as people, "he says.

About Being a Beacon
A more humanized medicine does not mean that there will only be endings of fairy tales. In the package of life also come pains and absences. The difference is that you know you are no longer walking in the dark, trying to grope to find the best choices to keep existing. Again, you have a doctor who is a light, a beacon, who sensitizes himself to his pain, welcomes and follows along. I remember when, in 2012, my mother was in the ICU and her life was gone every minute. It was the words of a young doctor who brought the light that I and my brothers needed in that moment of emotional darkness: "You have to let her go, we have time to get in and out of this life. Believe me, one day you will meet, because you are linked by love. " It was with these unexpected phrases that this doctor, who did not know us, He cherished my heart and my brothers. We already knew that her case was irreversible, but the way the news was told made all the difference to face the situation. Half an hour later she's really gone. In her book The Death Is a Day Worth Living (House of the Word) geriatrician Ana Claudia Quinta Arantes, specialized in palliative care, sums it up well. Ana deals with patients who are in their last days of life. It helps to bring relief to the pain of who goes and who stays. In her book, she beautifully writes: "I think every physician should be prepared never to abandon his patient, but in college we learn only to not give up his illness. The doctor who has been trained under the illusory concept of having power over death is doomed to feel flawed at various points in his career. Unhappiness is a constant presence in the life of the doctor who has only learned about diseases. Already, the one who seeks the knowledge about caring with the same commitment and dedication that leads to heal is a human being in permanent fulfillment ". 

No comments:

Post a Comment

Biden announces $9 billion in student loan relief President Biden on Wednesday announced another $9 billion in student debt relief. About 12...