Health

“I decided to leave pediatrics, today it’s not worth it, not for me”

After many years practicing pediatrics, I decided leave the office and all my patients. It was a difficult and well-considered decision, the family heritage of office doctors went up two generations. The affection for my patients and their families, together with the positive feedback that the consultation in my specialty brings, They were difficult emotions to abandon.

But working 7 days a week for more than 10 years seemed like a prudent time to make a change of direction. Why would someone work 7 days a week? If you are a professional, you studied between 10 and 20 years to have your specialty, your subspecialty, you did residency (for those who are not familiar with it, it is almost a colimba).

I remember, back in the 90s, with the advent of prepaid medicine, one day my father told me:


I remember, back in the 90s, with the advent of prepaid medicine, one day my father told me: “This is the end, they intend to pay the doctor with a piece of paper instead of money,” says Dr. Gonzalo Mesones.

In our country it is due to a compelling financial need and this goes to the detriment of continuous academic updating, which is an obligation in our midst.

How to ingratiate endless guards with hours of study and/or presentations at congresses with their consequent previous investigations? I remember, back in the 90s, with the advent of prepaid medicine, one day my father told me: “This is the end, they intend to pay the doctor with a piece of paper instead of money.”

“Being a doctor in this country has become a bad word, a ridiculous idea and only pursued by idealistic people with little advice.”

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The desire for profit of the political and leadership authorities undid to the marrow something for which we Argentines had always been proud. Doctors with international prestige, awarded numerous times from Sweden.

In a profession where feelings as Argentine as pride converge, the continuous attempt to improve in the profession and that solidarity that so emboldened us as a society, has been reduced to ashes. Want to be a doctor in this country She turned in a bad word, in a ridiculous idea and only pursued by idealistic people with little advice.

Separate paragraph deserved the pandemic. Where a lot of emotions of various kinds converged and made us all rethink the true value of health. From this side of the trenches I remind you that it only increased the feeling of doing a lot for emotionally dissociated societies.

Some patients become clients since the treatment is like any other service to the consumer. There is no respect, there is no patience, there is no education.”

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The same as the leadership, when the potatoes burn they melt into applause, and when it’s time to roll up their sleeves and work for a solution They all wash their hands like PilateThey look to the side and continue with their lives.

The doctors who came out alive from the Covid-19 era, we are very clear that no one provided us with the economic means to survive (I want to emphasize moonlighting and the informality of 80% of it). And while we were forced to continue attending on guard duty and without the necessary means of protection in most establishments, there was a decree against vacations and minimal and insulting pseudo-bonuses.

Going back to my personal experience, being the pediatrician of a family is worth a lot and returns just as much. Today, this differs from the past. Except for a few cases, patients become clients since the treatment is like any other service to the consumer. There is no respect, there is no patience, there is no education. It even seems that no one has been trained in values.

Then, one begins to wonder if what one gives and what one spends hours of family time for, in my case, is really valued. It is not valued by institutions (read hospitals, sanatoriums and prepaid) and it is not valued, for the most part, by patients.

And here it is worth asking, why does one do it? What was the goal? Should the vocation of service be at the expense of personal or family life? At some time yes, it was worth it, there was respect, it had the retribution of the entire society. One broke his back but it was valid, even your children could forgive you the time away from home.

Today it’s not worth it. Not for me. Not for many others who have the same line of thought, but have not yet been able to step aside. If these dark times taught us anything, it was to value health, both biological, social, psychic and spiritual. I choose to listen and act accordingly. I don’t think I’m alone.

Gonzalo Mesons / DOCTOR. PEDIATRICIAN. CHILD AND JUVENILE PSYCHIATRIST. INVESTIGATOR. MN: 146.020 / drgonzalomesones@gmail.com

EDITOR’S COMMENT

By Cesar Dossi

With humiliated vocation and trampled health

The doctor’s letter is harsh, it causes indignation and anger at the same time. He resigns from pediatrics at 41 years old, due to the scant economic recognition of his years of studies, and due to the lack of empathy of some of his patients. “Because of the lack of respect”highlights.

Between his words, the accumulated emotional discomfort and mental exhaustion, he reveals the dishonor of health institutionsand sees the pride for the vocation offended.

Covid-19 not only hit those who got sick, but also the doctors who were overwhelmed by the new strains of the virus and, like many, physically the energy made them hit rock bottom.

The doctors gave everythingeven many without having been able to recover from the tremendous shock caused by the effects of quarantine and without the proper instruments. They kept going.

Dr. Mesones, a second generation of doctors, had to face an ethical dilemma in the face of so much pressure: put an end to his passion for pediatrics.

October 27 Clarion published the note “Hospitals collapsed due to residents’ strike: “This is a mess”. They are staff doctors who ensure that they cannot cope with patients and a “domino effect” is generated.

The young people’s claim is for salary improvements. He added to the article that “the reason is that these doctors in training are the engine of hospital services and bear much of the attention and consultations”.

Although the Medicine career produces excellent professionals in the country, it does so within a context of underfundingbecause in many health centers there is a lack of technological updating and better infrastructure.

Another case similar to that of the reader is that of the resident of Hospital Fernández. Julio Díaz is 30 years old, works 15 hours a day and earns $120,000: “I reconsider continuing to be a doctor”. Gone are the times of the legendary family doctors, those who accompanied the patient and the family throughout life.

Perhaps some have to make a mea culpa and learn to appreciate this profession. Others, those who owe this recognition for saving so many lives in a pandemic and also owe financial compensation, because they manipulated and trampled on health and its doctorsare responsible for that boycott that makes the suffering of the country thunder, which already breathes with mechanical assistance.

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