When I was little I loved it
bother my mom with the question
mom if you were on the roof of
a building and you have my brother in a
hand and me in another whom you would save
we have all done it we do it to see
whom do you prefer goes but my mom
he said to me and mija that he asks more foolish and
it will really be a silly question who
you want to answer here
imagine that every day what
they had to answer
really put on the feet of the
people and who would answer you
for while I’m going to tell you one
history
I was on duty as a surgeon in the
san juan de dios one day and I entered a
patient and patient is called joseph josé
is 20 years old and has been injured walking
back from the u when he entered
he was unconscious and could not
breathe
the hospital that day was like that
we had no serums and garlic had
to put a tube to help them
to breathe and connect that tube to a
aa ventilator machine a fan
which we did but there was
at that time then it is done
manually the student of
medicine like at 15 20 minutes
the parents of joseph came in and today they
I saw anguish and despair in their
faces
I connected with them and I ‘m going to talk to them
in my head and today if I do not know
carry dies
I know that many doctors say what
same I will talk to you and I went to say
look, they have health insurance
I do not have health insurance but, but
please two hours to bm what I do what
that is me I buy the medicines I sell
my car
I do whatever it is save me the good
so that he had a chance
I needed a fan and I told him
look, get a fan in the
hospital right now there is no then I looked
if you rent it to see what it does and in that
moment I started to think I started praying
pray for a fan for my patient
directed if I ‘m praying for a
fan for my patient will be that
I’m praying for others to die
to give the fan to mine
well I did not even want to think about that and
we followed the dad found a
fan and then the next step
It was to get her to bed intensive
intensive and there are presented the
cases to the intensivist and in the intensive
obviously there is a tail of others
doctors all want a bed in
intensive cases are presented to me
case is a patient of 20 years with
trauma skull then there was another
Mrs. mom of four with one
pneumonia
there was a man with a brain tumor
they had shot
all this the intensivist thinks it
he listens to him and he who has more chances
of life is the one who give him the bed
then I started praying again for
bed for joseph and if they gave it to me
thank god and I said good now said
you have a chance they have a chance to live
the father bought all the medicines
probes feeding gloves
the syringes everything Joseph used
he bought it
but one night José de Cela started
lower the pressure and there was or there is not a
medicine that was called his oppressor
which serves to raise the pressure and not
there was in the hospital
then we were there for you
watching him die literally watching
die the intensivist I turn to see
and he tells me sabrina more improvement
dads are two or three in the morning
and they answer you call them and they’re going to
dismiss because we can not do anything
and that happens every day then I
I said no
this time I would not say jose fight for
two weeks can not be it is not going to me
die
I started calling pharmacies
get the medication
I ran out and I ‘m going to buy it in the
I was praying for Joseph
Will hold when I return, because José
He endured and we put the medicine
son was lived when I felt happy and
indicated that I did something I felt like if
I had won the system for the first time
but then went down to the emergency
make another turn and I see four people
deceased in lists for the morgue in
phyllite to the morgue asked a
nurse and here that happened and it tells me and
she did not know doctor , the
vasopressors in the hospital and there
indicates that if they had started the
heart
the medication that I had had
saved a lot of how the
dr
at that moment I started to cry
and the nurse I became a doctor but
what is so sad or new
and she’s not used to that in her
salut system and it is true this is
every day the position of who
lives and who dies are taken by
doctors for lack of supplies
that is normal in situations of war and
in situations of those disasters
natural
it is not normal today every day
for our Guatemalans
I started thinking why we are like this
because we ran out of supplies
because we do not have money because I analyze
and I studied and I read that all the
decisions that we make in the
hospitals are not made based on
No data statistics are
hunches and they are empirical things
so
what is the solution we can do
what are the data
I’m going to give you an explanation of what
they make the data with a traffic light
imagine a gentleman who is
is in the corner of your house and the 100
t that there are many car accidents
then he will go to the municipality
he says look or his mayoralty and I made him says
that I believe I feel that there are many
accidents here will be that you
can put a traffic light do not look at the
high and then comes the ammonium
and look at it to be more likely
like 50 thousand quetzales is not justified
when the lord returns to that corner and
very proactive tells how many accidents
there have been the dates the hours the
damages and how much it cost the state the
injuries that these people had and
come back to the municipality and say look
notice that in this same corner here
there are seven accidents
these accidents cost the state
more or less 700 thousand quetzales then
do not think it’s justified that they put me
a stoplight of 50,000 if you have all the
reason and you put your traffic light what
did the gentleman is a methodology
got data created a statistic with
that statistic went to the municipality
and the municipality made a decision
informed, created prevention and savings and
this is going to serve a lot because after
the boss will come to say sickle as you
you spend at that semaphore now justifies
hair and he will return the same from the
municipality to return to that
corner and will count how many
accidents hugo ibarra and dances and look
boss before the traffic light we
we spent 700 thousand quetzales in
injured
now there was no accident in a
month
I ‘m going to create prevention and
horra 700 thousand quetzales to the state
those are data that save lives
imagine what we could
do to reduce violence to
reduce accidents and reduce
homicides and we knew in
where it is happening and the cause but
can not be done without data and without
statistics how difficult is how in
this country is how are we going to get
these dates
how are we going to do that man who is
in the corner that is pointing the
accidents and counting informing us
how can we do that and that’s where
my project enters in 2014
my mentor called me doctor john
Carlos and Diana from the University of
pittsburgh and he told me look I just got
give a scholarship to make a record of
emergencies in your country
the first electronic record you want
do it and today is and let’s do the idea
was that all hospital income
instead of being written by hand they were
electronic on an ipad
then all that data
they automatically climbed a cloud and
they made a first record
then we started in 2014 what
first thing we have to do was support
political support ministry support
support of the directors support of the
hospitals support and we get it
when I already had the permission they gave me the
software this current I had to
translate modify and basically
tropicalize then was the
Installation installation
we had a great challenge as they do not steal
the ipads in the in the general hospital
san juan de dios then of first
we made a cage that the one that sees the one
come there and at the beginning I said a lot
temptation better if we cover it for
doing like the one that is here next
and then I felt that maybe some
liquid or anything could happen
above ipads then better you
we put a cover and it really was
as well as venus right side to inside of
these boxes there is an ipad they are
there is peace the connections a regulator of
voltage
the printers a security system
for the ipad and the following internet
step was to train all of the
hospital that they would use it including
firefighters and nurses to be able to do
to be able to use this software and
is currently working from the
June 22, 2016 and we’ve been more
of a thousand patients in the registry
then I am by step number
one in obtaining data
but I believe a lot in that way in
what is he going to be able to
part of this is what will be able to
save our health system
I will fight and I fight Joseph and
as well as all my patients fight for
survive
I am going to fight for them in this way
I would go back and tell you that
disease, this is not my system of
health in my health system
I do not pick it lives saved lives
I want to create the health system that
me me proud and worthy to
all Guatemalans after the
”
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