The situation is critical, they warn. And if the necessary precautions are not taken, start modifying the complex panorama in which the professionals are engaged Health which are dedicated to the care, assistance and protection of childhood Mendoza, it could be even worse. IN Mendoza there is a shortage of pediatricians specializes in areas of high complexity. Where he runs minute by minute, nothing less than saving the lives of newborns; of girls and boys in need complex operations and emergency treatments to deal with high-risk and serious illnesses, the short-term challenge is latent. More professionals dedicated to the fields of neonatology, neurology, gastroenterology and intensive caresecure doors at the most important pediatric hospital in Mendoza and the Cuyo region.
The voice of those who are in the daily battle to contribute with their knowledge, time and efforts to improve the quality of life of thousands of boys and girls is heard. To the point of repeating nausea advertising, that from now on politics is a priority Health give priority to the incentive for new professionals to choose residencesto guarantee them, for example, that the years of dedication and effort invested in specialization will not go unnoticed in planning their future. That their work will be valued according to their role in society: saving the lives of children; noted from their previous knowledge and training, the difference -no less than between life and death.
The daily challenge of rotating a “warm bed”.
Mariana Arguini She has been a pediatrician for more than twenty years and is currently the head of the hospitalization department at Umberto Noti Hospital. He prefers to unravel the reality of what is happening in the hospital, which for decades has been characterized by excellent care and the range of specialties considered critical to Health the child refers. He explained that the hospitalization area, in turn, included in the hospital the key units in the province: neonatology, cardiovascular rehabilitation and intensive care.
She clarified that the area she commands needs care very high in these days. They come in every day twenty d thirty new patients who are hospitalized, while the turnover of beds is the highest recorded in the province. Arreguini details that are currently available 16 intensive care patients, 20 in neonatology, 5 on recovery and 6 in critical hospitalization. “The hospital is more than 90% of bed occupancy. We are always missing beds or there are patients waiting for one to be released. In intensive care, we work at a level known as warm bedbecause you must always have space available so that you can respond to emergencies. Even in some cases we have to refer “, the specialist emphasizes other effectors.
More and more are leaving
Arreguini clarifies this in Mendoza the only ones intensive care that the care of boys and girls is those who work in hospitals Teodoro Shestakov d Umberto Notti, in the public sector, while Alexander Fleming and on Spanish hospital They are the ones who provide this service in the private sphere. “Sometimes we have to make referrals for children who do not have social work,” said the specialist.
The truth is that for many years the great demand in the care of pediatric patients was not accompanied in Mendoza by profound changes that would guarantee a comfortable response capacity. What happened was the opposite. Instead of more specialized specialists, there are fewer and fewer who choose precise and critical specializations in order to continue their careers in medicine. Aregini clarifies that even specialists in neonatology and other specific areas have migrated to the private system – tired of the few incentives and the high level of uncertainty in the sector – and what is even more worrying: they had to go to other countries, such as Chile, Spain and even the Canary Islands.
As with intensive care, rehabilitation and neonatology, national standards state that there should be one doctor for every four patients. Today we are far from this reality, a situation that leaves little reason to celebrate in day of neonatology which was celebrated yesterday.
“Our neo is the only one in Mendoza who performs neonatal surgery and treats extremely complex pediatric pathologies. All this is done at Notti. Cancer patients are treated and many with complex pathologies,” explains the professional.
“All Terrain” neonatologists
Many times the challenge in the hospital every day is to “cover the holes” that are generated. The same neonatologists who have to deal with premature babies are the same ones who have to deal with transfers of newborns who have to be emergency boarding schools in the hospital. “There are fewer and fewer specialists who specialize, as they are also assigned to outpatient shifts; many have been agreed upon, with unstable modalities, and this is a factor that discourages many from devoting themselves to these specialties, ”said the pediatrician in charge of the internment service.
Aregini emphasizes that “human resources are running out”. He explains that the decline in the number of professionals in these fields has been going on for years.
“It simply came to our notice then six years to be a doctor, then you have to follow four more years the race to be a pediatrician d three more to become a pediatrician in intensive care “, explains the specialist. She also clarifies that these are specialties in which everyday life is complicated because you work with high levels of stress and tension.” The reality is that if there is no good stimulus, there is no way new professionals to choose them. If someone at the moment, for some reason, has to take leave, sick leave or maternity leave, then there is a void. In the field of pediatric gastroenterology, for example, there are only two specialists, “warns the professional, who has decided to put this complex situation on the table.
Exhausted human resources and unselected housing
In total, the hospital’s hospital hospital area currently has 24 service professionals neonatology. Only from this in general 15 they have a fee while the rest are in the benefit system; they work in the security service and also correspond to the transmission network.
“Human resources are depleted and it may take at least eight years for new professionals to be trained in this sensitive field,” Aregini warned.
Just to give some examples of the complexity of motivating new doctors to specialize, it must be said that at the moment inhabitant which works from 8 to 17 hours in the hospital, receives fees for 70 thousand pesos. “Many professionals have already been accepted, but they have families to support, and if the incentive is low, the truth is that critical specialties will be chosen less and less,” said the specialist.
He clarifies, as an example, that at the same time the cost of training is high: taking a course in advanced pediatric surgery can cost about 140 thousand pesos. Last year from the quota of 20 residences for critical areas were occupied only in half. “Before looking for a specialization, the opposite was true. There were always those who stayed away because the quotas were lower than the specialists concerned “, the specialist demonstrates and continues:” Pediatrics is a critical specialty, the specialists are not trained quickly. It is urgent to start training new professionals. ”