{"id":2114,"date":"2013-06-04T10:52:52","date_gmt":"2013-06-04T08:52:52","guid":{"rendered":"http:\/\/www.easistent.ro\/?p=2114"},"modified":"2013-06-04T10:53:25","modified_gmt":"2013-06-04T08:53:25","slug":"interviu-cu-domnul-gen-de-brigada-r-prof-dr-dan-mischianu","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=2114","title":{"rendered":"Interviu cu domnul Gen. de brigad\u0103 (r) Prof.dr. Dan Mischianu"},"content":{"rendered":"

INTERVIUL LUNII<\/strong><\/p>\n

Buna ziua domnule\u00a0 Prof.dr. Dan\u00a0 Mischianu, a\u015f dori ca \u00een limita timpului dumneavoastr\u0103, care \u015ftiu c\u0103 este foarte \u00eenc\u0103rcat,\u00a0 s\u0103-mi r\u0103spunde\u0163i la c\u0103teva \u00eentreb\u0103ri<\/p>\n

<\/strong><\/p>\n

Giorgeta Grosu: <\/em><\/strong><\/p>\n

    \n
  1. 1. <\/em>Pute\u0163i \u201dradiografia\u201d \u00een c\u00e2teva cuvinte sistemul medical rom\u00e2nesc ?<\/em><\/li>\n<\/ol>\n

    Prof.dr. Dan\u00a0 Mischianu<\/strong><\/p>\n

    Este o prim\u0103 \u00eentrebare extrem de interesant\u0103 ! Ar fi fost poate\u00a0 nimerit\u0103 precizarea daca se dore\u015fte a m\u0103 referi la sistemul medical rom\u00e2nesc trecut, actual sau\u00a0 viitor. Pentru a nu face omisiuni, voi face scurte considera\u0163ii privind toate cele trei momente, neuit\u00e2nd faptul c\u0103, pe u\u015fa\u00a0 cabinetului meu am inscrip\u0163iona un dicton latin \u00a0\u201dRespice, adspice, prospice\u201d<\/em> (Analizeaz\u0103 trecutul, prive\u015fte prezentul, prospecteaz\u0103 viitorul).<\/p>\n

    Sistemul medical rom\u00e2nesc trecut, \u00a0construit la \u00eenceput datorit\u0103 muncii, inspira\u0163ie si talentului Generalului Profesor dr. Carol Davila \u00a0(1822-1884, mort s\u0103 nu uit\u0103m la 56 de ani a fost, mai cu seam\u0103 \u00eentre cele dou\u0103 r\u0103zboaie mondiale, un sistem medical de inspira\u0163ie \u015fi cu valen\u0163e pur europene.<\/p>\n

    Dup\u0103 cel de-la doilea r\u0103zboi mondial \u00a0sistemul medical de la noi a fost edificat av\u00e2nd la baz\u0103 un principiu \u00eenscris \u00een Constitu\u0163ia Republicii Socialiste Rom\u00e2nia \u201d S\u0103n\u0103tatea este gratuit\u0103 !\u201d \u00a0Cu bune, cu rele, f\u0103r\u0103\u00a0 o comunica cu realit\u0103\u0163ile externe, f\u0103r\u0103 acces facil la literatura de specialitate, dar cu prezen\u0163a a aproape 40 000 de mii de medici \u015fi a peste 150 000 de asisten\u0163i medicali \u00een sistem \u015fi \u00een aproape toate localit\u0103\u0163ile \u0163\u0103rii, cu lideri medicali importan\u0163i \u00a0(Prof. dr. Eugen Proca, Prof.dr. Dan Setlacec, Prof.dr. Ion Bruckner \u015fi mul\u0163i al\u0163ii), cu peste 450 de spitale or\u0103\u015fene\u015fti \u015fi municipale, sistemul sanitar \u00eendeplinea\u00a0 rigorile cerin\u0163elor acelor vremuri.<\/p>\n

    \u00cen perioada post decembrist\u0103 sistemul medical rom\u00e2nesc\u00a0 a intrat \u00eentr-o deriv\u0103 care, sper, s\u0103\u00a0 nu sf\u00e2r\u015feasc\u0103 \u00eentr-o agonie !<\/p>\n

    Ne afl\u0103m \u00eentr-o permanent\u0103 \u201dreorganizare\u201d\u00a0 \u015fi \u201drestructurare\u201d.\u00a0 Se \u00eencearca \u201deficientizarea costurilor\u201d \u015fi \u201dechilibrarea financiar\u0103 a sistemului\u201d. Ce este mai hazliu sau mai tragic este faptul c\u0103 unii colegi care au terminat o facultate de medicin\u0103, trec\u00e2nd prin aceasta, iertat\u0103-mi fie compara\u0163ia, precum \u201dg\u00e2sca prin ap\u0103\u201d sau neimplica\u0163i profesional, au devenit \u201ddeciden\u0163i\u201d )termen agreat de politicieni) tocmai \u00eentr-un sistem \u015fi \u00eentr-un moment at\u00e2t de sensibil.<\/p>\n

    Pentru a concluziona \u00eencerc o compara\u0163ie \u00eencerc o compara\u0163ie: sistemul medical acutal este ca un vas\u00a0 aflat \u00een furtun\u0103 pe o mare zbuciumat\u0103. Din p\u0103cate, nu se vede malul !<\/p>\n

    <\/em><\/strong><\/p>\n

    GG:<\/em><\/strong><\/p>\n

      \n
    1. 2. <\/em>Ce \u201ddiagnostic\u201d pune\u0163i rela\u0163iei\u00a0 profesionale existente \u00eentre medic \u015fi asistenul medical ?<\/em><\/li>\n<\/ol>\n

      Prof.dr. Dan\u00a0 Mischianu:<\/strong><\/p>\n

      Dac\u0103 am r\u0103spuns la prima \u00eentrebare cu un dicton latin, continui \u015fi la cea de-a doua la fel.<\/p>\n

      Referitor la \u201ddiagnostic\u201d \u00eemi subsumez g\u00e2ndirii mele medicale urm\u0103toarea zical\u0103: \u201dQui bene \u00a0diagnoscit, bene curat !\u201d (\u201dCine diagnosticheaz\u0103 bine, trateaz\u0103 bine!\u201d)<\/p>\n

      Rela\u0163ia profesional\u0103 dintre\u00a0 un medic \u015fi un asistent medical trebuie s\u0103 se bazeze\u00a0 pe respec, stim\u0103, pe \u00een\u0163elegere uman\u0103, pe perfect\u0103\u00a0 sincronizare \u00een munca de echip\u0103.<\/p>\n

      \u201dDiagnosticul meu\u201d privind \u00a0\u00eentrebarea dumneavoatr\u0103 este acela c\u0103 asistentul medical este un partener al medicului. Am \u00eent\u00e2lnit, de-a lungul carierei mele, destui medici \u201dauti\u015fti\u201d acompania\u0163i de asisten\u0163i medicali \u201dz\u0103b\u0103uci\u201d. \u00cen activitatea lor nimic nu se lega, cum se spune \u201dst\u00e2nga nu \u015ftia ce face dreapta !\u201d, iar cel aflat \u00een suferin\u0163\u0103, pacientul, nu era cu nimic vinovat pentru aceast\u0103 stare de lucruri.<\/p>\n

      <\/em><\/p>\n

      GG:<\/em><\/strong><\/p>\n

        \n
      1. 3. <\/em>Care este, \u00een opinia dumneavoastr\u0103,\u00a0 rolul asistentului medical \u00een echipa medical\u0103 multidisciplinar\u0103 ?<\/em><\/li>\n<\/ol>\n

        Prof.dr. Dan\u00a0 Mischianu:<\/strong><\/p>\n

        La aceast\u0103 \u00eentrebare r\u0103spunsul meu este al unui chirurg, adic\u0103 la obiect. Rolul asistentului medical \u00een echipa multidisciplinar\u0103 este esen\u0163ial.<\/p>\n

        Convingerea mea este c\u0103 po\u0163i opera oric\u00e2t de bine, dumnezeie\u015fte a\u015f zice, f\u0103r\u0103 o urm\u0103rire postoperatorie profesionist\u0103, continu\u0103, sincer\u0103 \u015fi avizat\u0103, soarta acelui pacient se poate\u00a0 schimba de la \u201do or\u0103 la alta\u201d.<\/p>\n

        Am s\u0103 fac o confiden\u0163\u0103 \u201dchirurgical\u0103\u201d. \u00a0\u00cen chirurga abdominal\u0103, dup\u0103 enterectomii, se zice c\u0103 respectivul chirurg\u00a0 operator poate dormi lini\u015ftit 4 \u2013 5 zile,\u00a0 abia de atunci pot ap\u0103rea complica\u0163ii postoperatorii. \u00a0\u00cen urologie complica\u0163iile hemoragice posoperatorii sunt frecvente\u00a0 \u015fi redutabile \u00een primele 24 de ore. \u00a0F\u0103r\u0103 un asistent medical profesionist, capabil de a sesiza pericolul \u015fi prezen\u0163a complica\u0163iei, \u015fi dispus de a \u201dtrage semnalul de alarm\u0103\u201d, \u00a0problema acelui pacient poate deveni extrem de complicat\u0103.<\/p>\n

        GG:<\/em><\/strong><\/p>\n

          \n
        1. 4. <\/em>A\u0163i avut la \u00eenceputul carierei dumneavoastr\u0103 un \u201dmentor\u201d asistent medical ? <\/em>Daca da, \u00eencerca\u0163i s\u0103-l evoca\u0163i.<\/em><\/li>\n<\/ol>\n

          Prof.dr. Dan\u00a0 Mischianu:<\/strong><\/p>\n

          Cu siguran\u0163\u0103 da ! \u015fi sper s\u0103 fie c\u00e2t mai mul\u0163i. Nu-i a\u015fa ? Numai \u00eempreun\u0103 vom reu\u015fi.<\/p>\n

          Am cunoscut astfel de oameni, colegi de breasl\u0103. Nu pot spune \u201dmentori\u201d dar exemple de urmat, da.<\/p>\n

          Erau doi colegi mai mari ca mine, studen\u0163i la Institutul Medico-Militar, unul a ajuns profesor de medicin\u0103 interna, cel\u0103lalt un vestit chirurg de chirurgie general\u0103, care, nereu\u015find de la prima \u00eencercare la medicin\u0103, au urmat, mai \u00eent\u00e2i \u0218coala de Asisten\u0163i Medicali ( \u00een anii 70 era situat\u0103 \u00een strada Pitar Mo\u015f). Cuno\u015fteau mult mai multe lucruri referitoar la profesie, \u015ftiau s\u0103 cateterizeze vene, s\u0103 introduc\u0103 sonde urinare, erau mai circumspec\u0163i \u00een rela\u0163ia \u015fi dialogul cu pacien\u0163ii, am \u00eenv\u0103\u0163at multe de la ei. \u015fi modul \u00een care \u015fi-au construit cariera profesional\u0103 (medicin\u0103 intern\u0103, chirurgie general\u0103) a constituit un exemplu pentru mine.<\/p>\n

          GG:<\/em><\/strong><\/p>\n

            \n
          1. 5. <\/em>Ce aprecia\u0163i cel mai mult la un asistent medical, executarea intocmai a indica\u0163iilor primite sau curajul de a-\u015fi spune p\u0103rerea \u015fi a argumenta punctul de vedere ?<\/em><\/li>\n<\/ol>\n

            Prof.dr. Dan\u00a0 Mischianu:<\/strong><\/p>\n

            Nu \u00a0apreciez nicio astfel de \u201dcalitate\u201d !<\/p>\n

            Asistentul medical nu trebuie s\u0103 fie un executant fidel \u015fi robotic al unor indica\u0163ii care pot fi uneori false \u015fi\u00a0 nici un curajos \u00eenc\u0103rcat de frustr\u0103ri sau veleit\u0103\u0163i. El trebuie, aceasta este percep\u0163ia mea, s\u0103 fie un partener, la fel de profesionist, al medicului capabil s\u0103 sesizeze \u015fi s\u0103 semnaleze evolu\u0163ia favorabil\u0103 sau mai pu\u0163in favorabil\u0103 a oric\u0103rui pacient.<\/p>\n

            <\/strong><\/p>\n

            GG:<\/em><\/strong><\/p>\n

              \n
            1. 6. <\/em>Ce sfaturi pute\u0163i s\u0103 da\u0163i unui asistent medical debutant ?<\/em><\/li>\n<\/ol>\n

              Prof.dr. Dan\u00a0 Mischianu:<\/strong><\/p>\n

              S\u0103 fie buni, \u00a0\u00een\u0163eleg\u0103tori cu suferin\u0163a uman\u0103, s\u0103 fie profesioni\u015fti<\/p>\n

              S\u0103 realizeze la timp dac\u0103 aceast\u0103 profesie li se potrive\u015fte \u015fi dac\u0103 nu, s\u0103 renun\u0163e la timp, s\u0103 fac\u0103 altceva.<\/p>\n

              Este o profesie f\u0103r\u0103 glorie, f\u0103r\u0103 recunoa\u015ftere public\u0103.<\/p>\n

              Este o profesie f\u0103r\u0103 de care, noi medicii, nu am reu\u015fi s\u0103 facem nimic…<\/p>\n

              Le mul\u0163umesc, cu sinceritate deplin\u0103, tuturor doamnelor \u015fi domnilor asisten\u0163i medicali cu, care am interac\u0163ionat\u00a0 de-a lungul carierei mele chirurgicale, al\u0103turi de care am avut \u00een grij\u0103 at\u00e2\u0163ia oameni afla\u0163i \u00een suferin\u0163\u0103 \u015fi de la care am \u00eenv\u0103\u0163at at\u00e2t de multe lucruri.<\/p>\n

              GG: <\/strong>v\u0103 mul\u0163umesc Domnule Prof.dr. Dan\u00a0 Mischianu pentru timpul acordat \u015fi mai ales pentru cuvintele frumoase pe care ni le-a\u0163i adresat.<\/p>\n

              M-a\u015f bucura nespus daca, to\u0163i medicii, \u201dcoechipierii \u201d no\u015ftrii, \u00a0s-ar purta ca \u015fi dumneavoastr\u0103 \u015fi ne-ar acorda acela\u015fi respect, \u00a0\u00een fond nu putem exista unii f\u0103r\u0103 ceilal\u0163i. Reu\u015fita unui act medical depinde, \u00een mare m\u0103sur\u0103, de \u00eengrijirea acordat\u0103 de noi, \u201dfurnicu\u0163ele sistemului\u201d a\u015fa cum plastic, ne denumea cineva……<\/p>\n

              Mul\u0163umesc \u00eenc\u0103 odata \u015fi v\u0103 doresc s\u0103n\u0103tate \u015fi multe realiz\u0103ri \u00een plan profesional. <\/strong><\/p>\n

              <\/em><\/strong><\/p>\n

              <\/em><\/strong><\/p>\n

              <\/em><\/strong><\/p>\n

              <\/em><\/strong><\/p>\n

              Interviu realizat cu domnul General de brigad\u0103 (r) Prof.dr. Dan\u00a0 Mischianu,\u00a0 Seful Cinicii de Urologie din Spitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

              INTERVIUL LUNII Buna ziua domnule\u00a0 Prof.dr. Dan\u00a0 Mischianu, a\u015f dori ca \u00een limita timpului dumneavoastr\u0103, care \u015ftiu c\u0103 este foarte \u00eenc\u0103rcat,\u00a0 s\u0103-mi r\u0103spunde\u0163i la c\u0103teva \u00eentreb\u0103ri Giorgeta Grosu: 1. Pute\u0163i \u201dradiografia\u201d \u00een c\u00e2teva cuvinte sistemul medical rom\u00e2nesc ? Prof.dr. Dan\u00a0 Mischianu Este o prim\u0103 \u00eentrebare extrem de interesant\u0103 ! Ar fi fost poate\u00a0 nimerit\u0103 precizarea […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/2114"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2114"}],"version-history":[{"count":0,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/2114\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2114"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2114"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}