Madrid health crisis, but we manage somehow ... Great geniuses 2 months ago I trauma guards as part of my training as a hospital resident integral English. The first day was already so this lamp (do not know when it would). I was there when the supervisor promised change for the next day, no later than Monday. There was also a resident there when the family came to the garage of the atendierámos surgery for burns from the lamp. And of course I have 2 months without seeing people sewing a shit. But nothing happens because: Can you make do, right? And if you say no, what a weirdo the new surgical resident ...
On balance
guard yesterday, in which we should meet about 50 patients in the Box, 50% came from injuries on Wednesday (do not know what happened on Wednesday). 10% for a second opinion, because they were wary of another hospital or colleague of days before ...
- Let's see what has been studied for you to say that?
- is that the other day made me a plate or ... Well, do you know the criteria for Ottawa? Since that does not comply nor meet or developments so require, is not indicated irradiated unnecessarily, and pay it all, but for me we will not be that cancer (or maybe, already known about the radiosensitivity of the thyroid). Discuss
only takes you to slow down other things to do, and warm your head at all, so sometimes you do radiation therapy, psychotherapy does not pay you.
Another 20% came by an injury report because they had been assaulted and clear, the police asked a hospital from injuries. Hell, hire a forensic So my job is seeing patients, not serve anyone's attorney, one thing is that I deemed appropriate to make a party and another having to type in the reason for visit "Application of injury "and the part: No target lesions: Forecast: Mild no complications."
- According to what the patient has received aggression yesterday. X cm hematoma in anatomical location X of yellowish brown color (let that yesterday I think). Neither seems appropriate to send tto me, nor do I think my salary go for this if the police want to pay a report to a coroner.
About 10% were true emergencies that require immediate attention.
For that we will have spent 10% to 90% unnecessary to give the information signs, with a salary of clerks who receive them, the warden of the trauma that accompanies the attention of 3 residents and a deputy to attend the emergency, the auxiliary or zealous the accompanying lightning, two projections at the very least do something when you try to evaluate it (the world of 3 dimensions), with the salary-ray technicians who are dedicated to it, that of bringing it back. The salary of the nurse gives treatment or makes a bandage, or simply put betadine to the wound (if any). The electricity, telephone and computer maintenance to make the discharge report. Which by the way, the printer also has broken a few months and permanently died yesterday, so we had to hand all reports, but hey: Do you apañáis not? Because of course the on-call when he called to the hospital chief is not to work on a Saturday.
average expenditure per patient ... I have no idea, but I do not lose the 50 €, which is why it does not seem unreasonable as the co-pay issue, which I am increasingly in favor.
Anyway, all this for 10 euros an hour, then say that doctors charge a lot, but hey, a person engaged in cleaning houses the same hours as I surely would win again, and possibly with less stress. Come on, just because you have a vocation, but of course the call does not work to pay the rent.
And we continue working conditions, cut up in juice OR, you're going to get you to surgery several few hours after other guard and you better have brought supplies from home, because the hospital has no money to pay your minimum contribution of glusosa, and if you want a bottle of water with coffee for breakfast, also paid because Nor does the menu. Have a glass of water is not denied to anyone, dammit! Another 10%
I was poyaqués I left, but that will tell in another post.
Finally, understand that when at 4 am I called to assess foot and go up to drunk I'm shitting in God, the nicest thing he could say was "shit a little further down, that everything goes up, down. "
And finally at 12, when I go into the room to get my stuff, I find from the bathroom window you can see spectacular views of the hospital, and clear, of course the hospital can appreciate a nice view to your bathroom :
And I could tell many more things like that while you wear a sterile operation must not leave the portfolio at the table of the gate, because at the end can be 70 € poorer, as I happened the other day. We'll end up paying to go to work, but hey, we manage somehow ...
And you explain how you can reduce debt health: investing in health education, people have common sense, and when it is not economical to pay a fine so that is all that seems to work well there.
PDTA: Any feeling exacerbated in this entry is the result of a week that I spent exactly 83 hours in the hospital, out of 144 total (bearing in mind that Monday was a holiday). Please forgive radical views are the result of hunger and lack of sleep. But I'm even the same ovaries of having to get away.
with the Federation of CC. RR. Provincial and Aragon and the House of Cultures is a celebration of color and information about food, folklore, culture and tourism. Home Extremadura Zaragoza, this year has set up a booth where information has not been lacking in the provinces 
of Cáceres and Badajoz, spanning regions, natural parks as well known as Monfragüe Cornalvo the Sierra de Gata and Jerte and routes (Mudejar Juderías, Mycology, castles, swamps, From the mills, winemaker Almendralejo, Hunting of Badajoz, we promoted Linex Monumental ...), and have fun with a contest on issues known and not so much of our region where we had to demonstrate knowledge of geography, cuisine, literature and history and in which the public has shown they are interested in our culture. In the pictures a few winners with gifts. 
with the Federation of CC. RR. Provincial and Aragon and the House of Cultures is a celebration of color and information about food, folklore, culture and tourism. Home Extremadura Zaragoza, this year has set up a booth where information has not been lacking in the provinces 
of Cáceres and Badajoz, spanning regions, natural parks as well known as Monfragüe Cornalvo the Sierra de Gata and Jerte and routes (Mudejar Juderías, Mycology, castles, swamps, From the mills, winemaker Almendralejo, Hunting of Badajoz, we promoted Linex Monumental ...), and have fun with a contest on issues known and not so much of our region where we had to demonstrate knowledge of geography, cuisine, literature and history and in which the public has shown they are interested in our culture. In the pictures a few winners with gifts. 
agraceder We would like the Ministries of Culture and Tourism, Ministry of Industry, Energy and Environment, Tourism Council of Cáceres and Badajoz, Embassies Technology, Marca Extremadura and Programs Leader and Proder DGs Natural Trade and its swift response and the material sent and of course, to the Directorate General for External Affairs for their invaluable assistance and cooperation. 
