A Quote by Alejandro Castro Espin
When we talked about going to help Liberia, Sierra Leone and Guinea Conakry how many doctors in Cuba raised their hands to go? 15 thousand. In their homes they said, "We are willing to go risk our lives to help other countries". That is true medicine; it is the true observance of the Hippocratic Oath that doctors swear to.
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How do we explain for example the Ebola epidemic in Liberia, Sierra Leone, and Guinea Conakry? Those very powers that swindled and occupied them, in the face of the serious situation of social emergency, have not even had the capacity to send doctors there. In some cases they have sent in militaries instead because that is what they are compelled to do. They have had to send military to do it because they do not even have any doctors with the willingness to risk their lives in order to help those people that are precisely paying for the consequences of years of colonization.
I was born and raised in Liberia in West Africa. My mother is Sierra Leonean, and my father's Liberian. I grew up at a time when there was a lot of civil unrest in both countries, so when something would happen in Liberia, we'd go to Sierra Leone, and when something would happen in Sierra Leone, we'd go back to Liberia. We moved to save our lives.
Guinea has managed to go 42 days consecutively without any new Ebola infections. And that comes after neighboring Sierra Leone and Liberia, the other two West African countries that were hardest hit by Ebola, have been through the same cycle of zero Ebola cases.
Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality are merely ‘lipstick’ cost control, more for show and public relations than for true change... Savings will require changing how doctors think about their patients: Doctors take the Hippocratic Oath too seriously, “as an imperative to do everything for the patient regardless of the cost or effects on others.
Sunday-the doctor's paradise! Doctors at country clubs, doctors at the seaside, doctors with mistresses, doctors with wives, doctors in church, doctors in yachts, doctors everywhere resolutely being people, not doctors.
People think you go to doctors for their knowledge. You don't go to doctors for their knowledge. You go to doctors for their judgment, their instinct, what to do, how to make the right call.
I was fortunate enough to get a scholarship to go to college in the United States. By the time I graduated, we had a full-blown civil war in both Liberia and Sierra Leone. I couldn't go home.
When I took the Hippocratic oath and was effectively 'sworn in' as a doctor, I took the same vow that doctors have taken for generations. Patient autonomy is core to this oath.
Doctors take the Hippocratic Oath too seriously, as an imperative to do everything for the patient regardless of the cost or effects on others
The Nigerians have been very instrumental in preserving stability in Sierra Leone. They have done this at considerable cost in dollars and Nigerian lives. The US should encourage Nigeria to stay in Sierra Leone.
Arnold Schwarzenegger said it best: "Your son is sick. Ninety-eight doctors give you one diagnosis, two doctors give you another. Who are you going to go with?" Well, why would it be the conservative position to go with the two? That's not conservative, that's crazy.
There was something that was killing the people in the interior, in the forest area, of the country, and nobody quite knew what it was. That lasted a good three months before it was officially declared that it was Ebola virus. So it started off in Guinea and spread quite slowly, but then spread over the border into Sierra Leone and Liberia.
The relationships we have with our doctors are often the most trusted relationships of our lives. Our doctors tell us hard truths that others will not. We often tell our doctors what we will not tell others. We trust our doctors to give us the good, the bad and the ugly about our health so that each of us can make an informed decision.
If I can help it, I don't go to modern doctors.
I suppose the doctor-patient relationship has that idea of transference. I think it's a special thing that doctors have. We all find doctors sexy. That's why there are so many TV shows about doctors.
Ebola has killed almost 12,000 people and at least 500 health workers. So it affected the entire population. And as you know, the World Health Organization was accused of not having declared an epidemic soon enough. And that's when we saw Ebola rampaging through Sierra Leone, Liberia and, to a lesser extent, Guinea.
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