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Hace algún tiempo asistí a una cita con el dentista. Mientras me atendía una de sus asistentes, casi al final del procedimiento, una pieza de uno de los instrumentos se cayó y bajó por mi garganta. Aunque la asistente trató de succionarla y yo traté de expulsarla, no tuvimos éxito.
Esa pequeña pieza es conocida por los dentistas y otros profesionales de la salud oral como Fresa. Son de diferentes tipos, adecuadas al uso. Ellos, de cariño, le llaman “fresita”. A mí, con el susto y la sorpresa, lo menos que me supo fue a fresa y no le tengo ningún cariño.
Una doctora en medicina general que trabaja en la misma oficina, me examinó inmediatamente. Al no poder encontrar la “fresita”, me refirió a tomar una radiografía para localizarla. Ésta demostró que, en menos de una hora, ya había llegado al estómago.
La doctora entonces recomendó regresar a mi casa y estar pendiente, por si la “fresita” seguía su curso normal sin hacer daño, que hubiera sido lo ideal. Mientras tanto, ante el riesgo de una perforación, consultaría con la gastroenteróloga que me atendía entonces. No pudieron localizarla hasta el día siguiente. Su recomendación fue que visitara la Sala de Emergencia del Centro Médico. ¡Centro Médico, para mí un insulto, por una experiencia bien traumatizante que tuve años antes! Pregunté por qué, ya que ella trabaja en un hospital privado, donde me atienden regularmente y donde está la mayoría de mis médicos. La razón que me dieron es que su socio estaba en Centro Médico a cargo de Residentes en gastroenterología. Ellos podrían hacerme una endoscopia y, de ser posible, removerían el objeto, la “fresita”, durante ese procedimiento. Además, en Centro Médico “están los mejores médicos y equipo”.
Lo cierto es que la verdadera razón para enviarme al Centro Médico es una de carácter legal. En caso de que hubiera una reclamación, los médicos tendrían cierta protección, aunque yo me fastidiara. Así es la vida.
De todos modos, ante el riesgo que corría y en vista del factor tiempo, decidí aceptar la recomendación. Aquí empezó, digo, continuó la odisea.
Esto no estaba en mis planes, así que tuve que prepararme primeramente y en muy poco tiempo, emocionalmente. Luego, hacer preparativos prácticos, entre ellos, pedirle a alguien que me acompañara y esperar que hiciera sus arreglos. Pude contar con un familiar a quien me refiero como Mi Víctima Favorita, porque es quien principalmente me ayuda y apoya cuando la mujer maravilla, yo, no puede manejar los asuntos de salud sola.
Al llegar al Centro Médico los tropiezos y falta de orientación empezaron desde la entrada. Debido a trabajos de construcción, tuvimos dificultad para encontrar la entrada temporal a la Sala de Emergencia, contando además con la dejadez y aparente falta de conocimiento del área por parte de ¡los guardias de seguridad!.
Ya en la Sala de Emergencia seguí perdida, a pesar de que no se suponía que hiciera turno regular y había sido referida a un médico en particular. Nadie sabía indicarme a dónde ir, dónde estaba el médico a quien me habían referido, ni cómo localizarlo. Traté de llamar al dentista, que estaba en el hospital y ofreció acompañarme durante el proceso, para informarle que ya estaba allí. Pero, ¡sorpresa!, no tenía señal en mi celular. El problema es que, según me informaron y comprobé, sólo los celulares de AT&T tienen señal allí. ¿En serio? En ese momento mi compañía de celular era T-Mobile. Pelearé con ellos luego. Intento salir de la sala de espera para conseguir señal y hacer la llamada, pero no me lo permiten, porque ya estoy registrada por el guardia de seguridad como paciente. ¡Nítido! Camino por la sala de espera como loca, hasta que logro conseguir una esquinita donde tenía señal, y llamé al doctor.
De aquí en adelante, cada vez que yo, o alguno de mis acompañantes que no éramos clientes de AT&T necesitamos usar el celular, teníamos que salir a la sala de espera, para poder tener señal. ¡En el Centro Médico!
Pasé al área donde se supone que me guiaran hasta el médico que me iba a atender. Encontré una secretaria muy cooperadora y dispuesta, pero no conseguía la información ni sabía a dónde referirme. Le preguntó a una doctora, no tan cooperadora ni tan dispuesta. No sabía, no conocía, ni parecía tener interés en ayudarme, a pesar de haberle explicado mi razón para estar allí. Me recomendaron hiciera turno “allí”, sin ser específicos en cuanto al área, para tomarme los signos vitales y abrir récord. En el momento en que llegué a pedir orientación, no había nadie en turno, pero luego de tantas vueltas, llamadas, y no solucionar nada, ya había una fila larguísima. Ni modo, vamos al final de la fila.
Afortunadamente el dentista llegó, encontró a uno de los médicos de Gastroenterología, y ahí empezaron a moverse las cosas. Como por arte de magia la doctora que no sabía ni conocía a nadie, ¡milagro, milagro! supo a dónde dirigirme y se mostró cooperadora y hasta casi amable. Me revisaron los signos vitales y abrieron récord. Le pregunté al gastroenterólogo si me tomarían una radiografía antes de la endoscopía, para comparar con la del día anterior. Sería lo más lógico, ¿verdad? Me dijo que no. Así que vino otro médico, también de Gastroenterología, a buscarme para hacer la endoscopía. Me trajo una camilla donde, según creía, estaría sólo durante el procedimiento. Lo que no me imaginaba en ese momento, es que en esa camilla pasaría los próximos cuatro días. De hecho, no tenía idea de dónde me estaba acostando ni cuánto sufrirían mi espalda, todo mi cuerpo y mis emociones.
Cuando desperté de la sedación aplicada para el procedimiento, pregunté qué pasó. Una enfermera me dijo que ya la doctora que me atendió me había explicado todo. ¡Pero si estaba sedada, no me enteré de nada! Ante mi insistencia, me explicaron. Desilusión cruel. La “fresita” ya había salido del estómago y estaba en el duodeno, en un área que no les permitía removerla durante la endoscopía. Supongo que si hubieran hecho la radiografía, no hubiera sido necesaria la endoscopia. Lógico, verdad. Pero aprendí que aquí la lógica no tiene mucho espacio.
Recomendación: referirme a Cirugía y mantenerme en observación en Sala de Emergencia. C I R U G Í A, para mí una de las más obscenas palabras que existe, por tantas veces que la he escuchado y sufrido. Esperaríamos a que el cuerpo eliminara la “fresita”, observaríamos el movimiento de la intrusa tomando radiografías y, si hubiera algún problema, léase perforación, ahí están los cirujanos para ayudar. Tremendo panorama.
Nos fuimos a hacer turno en el pasillo para la radiografía. ¡Dios mío, cuántas cosas desagradables, dolorosas, desesperantes, traumatizantes, vimos y escuchamos en ese pasillo! Pacientes desesperados por su situación de salud, agravada por el tiempo de espera, la incomodidad y la indiferencia. Algunos que gritaban de dolor y no recibían alivio. Otros, muchos de ellos confinados acompañados por personal del Departamento de Corrección, violentos y malhablados. Se me quedó en la cabeza el sonido de las cadenas que tenían algunos de ellos, por motivos de seguridad. Personal médico indiferente, como el que le contestó a mi acompañante que se sentara a esperar, cuando le preguntó sobre la orden para tomarme la radiografía y cómo localizar al médico. Descuido, en un momento dado mi récord se perdió. Cuando por fin apareció, se lo entregaron a mi acompañante, para que a su vez lo entregara a otro personal médico. La persona que lo recibió luego, le informó que eso no debió suceder, porque los récords médicos no se le entregan a pacientes ni a sus acompañantes.
Luego, no recuerdo si antes o después de la radiografía, una enfermera muy alerta –las hay-, se da cuenta de que no tengo brazalete de identificación. ¡Qué bien! Ya era parte del sistema en documentos, me habían hecho un procedimiento, estaba en observación, referida a cirujanos, me iban a tomar o me habían tomado una radiografía ¡y nadie se fijó que no tenía el brazalete de identificación! Menos mal que estos detalles hacen que uno se ría, no por graciosos, sino por la ironía. Qué bueno que la risa nos ayuda a relajarnos… hasta el próximo disparate.
A seguir esperando, viendo y oyendo cosas extrañas en el pasillo. Una de las más notables: un médico le hace un procedimiento a un paciente en su garganta, en pleno pasillo. Aparte de la falta de privacidad, ¿cuán estéril estaba el área? ¿Cuánto se expuso al paciente y a todos los que estábamos alrededor?
Llegó el momento en que mi acompañante, que también lucha contra problemas de salud, ya no resistía el haber estado primero horas de pie, y luego sentado en una de aquellas sillas incomodísimas. Decidió llamar un relevo, Mi Víctima Alterna.
Mi Víctima Alterna llegó alrededor de las 10 p.m. y permaneció conmigo hasta el día siguiente, aproximadamente a la misma hora. Cuando llega y se sienta a los pies de la camilla, se fija que la misma está llena de sangre seca en la base del colchoncito. ¡Qué asco y preocupación! Luego me di cuenta de por qué sucede esto. Cuando sale un paciente, cambian la sábana e inmediatamente usan la camilla para el próximo. No desinfectan el colchoncito, ni la base. Y digo colchoncito, porque es sumamente fino, incómodo. Se siente como estar acostado directamente sobre el metal. Tampoco remueven artículos que pueda haber dejado algún paciente en la parte baja de la camilla. ¿Y la higiene? Bien, gracias. Todo esto muy saludable para mis problemas de salud. Ni pensar en las pobres personas que estaban allí con unos cuadros médicos mucho más complicados. ¡¿Dónde está mi cama tamaño “queen”, ajustable y con masajes; qué rayos hago en este catre glorificado?! Delirio.
No sé a qué hora de esa noche o de la madrugada, nos movieron a una de las Salas de Tratamiento. Ahí hay aproximadamente ocho cubículos separados por cortinas. Dentro de cada cubículo colocan a dos pacientes del mismo sexo. Pero en la sala hay pacientes de ambos sexos. Hay un solo baño, para damas y caballeros. Lo cierto es que no todos los allí presentes se comportan como damas o caballeros. La cerradura de la puerta del baño no funciona. Como no todas las personas acostumbran tocar a las puertas cuando las ven cerradas, ya saben lo que pasaba continuamente. Sí, se enteraban que estaba ocupado después que abrían, el que estaba ahí gritaba, y lo habían visto quizás en las poses más ridículas, sobre todo si tenía un suero que sujetar mientras hacía o trataba de hacer todo lo demás. La ducha, dentro de ese mismo baño, se convertía en piscina cada vez que alguien se bañaba. El drenaje estaba colocado a propósito para que eso sucediera. Muy higiénico y seguro.
Estando allí pensé que aquello se trataba de una novela con trama y subtramas. Los personajes eran exquisitos. Las historias, aún más. Pero creo que dejaré eso para una segunda parte.
En cuanto a mi trama, me fui enterando poco a poco de que el plan era: esperar a que mi cuerpo eliminara la “fresita”; tomar radiografías diariamente para seguirle la pista; no darme alimentos, solo suero y un medicamento para proteger mi estómago, por si acaso había que operar; inyectarme un anticoagulante diariamente, no sé por qué; y no suministrarme mis medicamentos usuales, tampoco sé por qué. Además, mantenerme en aquel catre glorificado al que llaman camilla, moviéndome lo menos posible y no estar caminando por los pasillos ni buscando señal en la sala de espera. Disculpen, ¿puedo decir algo? Si no me dan alimentos ni me permiten caminar, mi cuerpo no se va a enterar que queremos que salga la “fresita”. Si me ponen anticoagulante y tengo alguna perforación, habrá fiesta. Si me tienen que operar, la fiesta será más grande, ya que no acepto transfusiones de sangre y estamos ayudando a que se pierda más. ¿Creen que alguien escuchó?
Mi Víctima Alterna permaneció conmigo hasta las 10 o las 11 de la noche del segundo día, cuando regresó Mi Víctima Favorita. Estaba haciendo un esfuerzo sobrehumano, pero ya a cierta hora de la madrugada no pudo más y tuvo que irse. Me quedé sola unas horas, hasta que regresó durante el día por un tiempo adicional. En la noche vino otra acompañante, Mi Víctima Esporádica, y se quedó hasta la mañana del tercer día. Fue a descansar y regresó en la noche. Se quedó hasta la mañana del cuarto día.
A esta última Víctima le tocó presenciar dos de los grandes espectáculos de la “temporada” y algunos no tan grandes, pero notables. Siendo enfermera, profesión que no practica ahora, se quedó anonadada por las cosas que presenció.
Pues el plan continuó sin gran cambio. En algún momento del segundo día decidieron darme de comer, qué bien. Nadie habló conmigo sobre la dieta, así es que me dieron dieta regular. Pero resulta que soy alérgica y sensitiva a ciertos alimentos. Por ejemplo, no como ciertas carnes, ni tomo leche. Además, evito los productos enlatados. El primer plato de comida que me trajeron, tenía una chuleta de cerdo que se salía del plato. La bebida, chocolatina. Los vegetales, enlatados. Bueno, me comí el arroz blanco y las habichuelas, que vale decir estaban muy ricos. Eventualmente, pude discutir esto con los doctores. Mi médico preferido del grupo de cirujanos residentes, me ordenó dieta vegetariana. El tercer día no me trajeron ninguna de las tres comidas. Las enfermeras tuvieron que pedirlas y por supuesto, el menú siguió igual. El cuarto día sucedió lo mismo y me enteré de que, a pesar de las gestiones de las enfermeras, los encargados de la comida no quisieron servirme la dieta vegetariana e insistieron en enviarme dieta regular. ¿No entiendes que los vegetarianos no comen? Así es que ese día no desayuné. Almorcé tarde, gracias a que el dentista estaba muy pendiente, y me trajo almuerzo.
Regresando al primer día en la noche, o segundo día en la madrugada, me ubican en un cubículo, separado sólo por una cortina del caballero al que le hicieron el procedimiento en la garganta en el pasillo. Debido a la estricta privacidad, me enteré de que el pobre tenía una bacteria muy resistente, le estaban cambiando antibióticos y lo tendrían un poco más de tiempo allí. Qué bueno para él, lo estaban atendiendo. Pero, ¿por qué tuvimos que exponernos los demás a esta bacteria? ¿Por qué me tengo que enterar de detalles personales de otro paciente? Repito, nos separaba solamente una cortina. Aparte de la bacteria y la tos, como el pobre apenas podía respirar, tenía una orquesta de ronquidos que no me dejaron descansar. ¿Dije descansar? Ja, ja, ja, qué graciosita, a los hospitales no se va a descansar. Allí eso está prohibido. Todo confabula para que no descanses: el sistema de sonido central, que por supuesto está al mismo alto volumen, sin importar la hora del día o la noche; las enfermeras, que obviamente hacen su trabajo tomando signos vitales, suministrando medicamentos y sueros, hablando lo más alto posible, y otras actividades, todo en diferentes momentos, para que el descanso quede interrumpido permanentemente; los médicos, que visitan durante la madrugada; los empleados de mantenimiento, que limpian el piso a las 3:00 a.m.; las luces, que siempre están encendidas; y por supuesto, los pacientes, unos con sus razonables quejas y quejidos, otros celebrando como si se tratara de fiestas patronales.
Pues esa primera noche, recibo la sorpresa de que una joven a la que había conocido en el pasillo mientras hacíamos turno, fue asignada como mi compañera de cubículo. La pobrecita tiene muchos problemas, de diferentes clases, pero aún tiene energías para hablar sin parar. Ese fue el preámbulo de lo que me esperaba, un pequeño ensayo. Además, en el cubículo del frente teníamos una señora muy enferma, con mucho dolor y con unos problemas familiares terribles. Cuando no estaba sedada, gritaba horriblemente por el dolor que sentía, o se quejaba de su situación familiar.
En algún momento de la madrugada entró a la sala un caballero, al que habíamos visto en los pasillos, supuestamente como paciente. Ofreció llevarse el teléfono celular de mi compañera de cubículo, para cargarlo con el cargador de otro paciente. Hubo un momento de conversación y broma, una de las pequeñas obras de teatro que descubrí se presentan en esa sala. Participaban mi compañera del celular, su benefactor del cargador y ¡una enfermera! La obra no tuvo un final feliz, ya que el individuo no era un paciente, nadie sabe cómo ni por qué estuvo tantas horas allí, y se desapareció con celular y cargador. A la joven la dieron de alta, en la madrugada, pero antes tuvo que lidiar con la investigación de rigor y los comentarios del personal sobre lo tonta que fue. ¿Y qué pasó con la seguridad que deben ofrecer a los verdaderos pacientes, cómo entró y por qué estaba allí este supuesto paciente? ¡Qué gran sensación de seguridad!
Posteriormente me cambiaron a otro cubículo. Allí acompañé y estuve acompañada por una dama que resultó ser un gran alivio dentro de aquel sufrimiento, por ser una excelente persona. Por otro lado, llegó a ser parte también de mi sufrimiento. Tenía alguna situación con su cerebro y ya llevaba varios días esperando a que, primero le explicaran cuál era el problema, y luego, le recomendaran la posible solución. Habiendo yo pasado por una cirugía para extirpar un tumor cerebral, me identifiqué mucho con ella. Traté de darle la mayor información positiva posible, con la mejor intención de ayudarla a enfrentar su situación. Pero, claro está, en el proceso me lo sufrí todo.
Algo que llamó mucho mi atención fue el hecho de que, durante la radiografía nuestra de cada día, los técnicos y yo observábamos unas imágenes que no eran las mismas que veían los cirujanos. Corrijo, uno de los cirujanos. Por ejemplo, cuando notábamos que la “fresita” se había movido bastante abajo en el duodeno, por lo tanto ya estaba por entrar al colon, el cirujano la veía todavía muy arriba. Cuando ya por fin la vimos en el colon, él todavía la veía en el duodeno. Visualizaba a este médico con el bisturí en la mano todo el tiempo, listo para el ataque.
Lo que parecía ser una gran ventaja para mí, los “mejores” médicos y “mejor” equipo que hay en el Centro Médico, trabajó en mi contra. Como se trata de un equipo de Médicos Residentes, tienen que reunirse todos y discutir lo que son sus recomendaciones para determinado paciente. Mi percepción es que había por lo menos dos equipos, con visiones distintas. Pero yo estaba en el centro de la discusión. Y todo provocado por algo en lo que no tengo absolutamente ninguna responsabilidad. No se hizo lo mejor para mí, sino para los demás. Los intereses más protegidos no fueron los del paciente, sino los de los médicos.
Agraciadamente, uno de los médicos que estaba en mi equipo, mi favorito, me dio la buena noticia en la madrugada -sí madrugada, hora de visita- del cuarto día, que en la reunión que tendrían ese día él presentaría su posición de darme de alta, tomarme una radiografía antes de irme, mantenerme en observación unos días en mi casa, darme una orden para otra radiografía, y pasar a verlos con el resultado, una vez transcurrieran esos días. ¡Se lo agradecí tanto! De todos modos, le pedí que, independientemente de que acogieran su propuesta o no, presentara en la reunión mi solicitud de que me dieran de alta ese mismo día.
Cuando me tomaron esa última radiografía, ¡ya “fresita” no vivía allí! Hasta cierto punto valieron la pena los sufrimientos de ese día y los anteriores, porque había que ver la fiesta que hicieron los técnicos de radiología cuando vieron esas imágenes “fresita-free”. Para empezar, sólo hacía falta un técnico, verdad. Pero no, yo fui agraciada en tener tres. Desde el que me tomó la primera radiografía el día que llegué, hasta el que me había tomado la del día anterior. Me imagino que los técnicos querían muchos ojos para asegurarnos que todos veían lo mismo. Claro, no fuera que algún cirujano viera una “fresita” donde no la había y chás, bisturí con ella. ¡Ay, Dios mío, qué alivio tan grande! Ese fue mi último día en aquella, ¿cómo llamarla?, tortura, locura.
Como ya era casi mediodía, decidí bañarme, por fin, ya que no me lo habían permitido en la mañana, darme la última enredada en el cable del suero, llamar y enviar mensajes a mi gente, regresar a comerme el almuerzo y esperar a otra muy buena doctora de mi equipo, que me daría de alta. Como hubiera dicho mi Madre con cierta ironía: Es bueno soñar.
Hablé con el dentista que, claro está, también hizo una fiesta por saber que la “fresita” ya no estaba donde estuvo. Como vendría a verme, me ofreció traerme almuerzo o cualquier cosa que necesitara. Le dije que no, gracias, porque allí debía estar ya mi almuerzo esperándome. Ja, ja, ja, no es gracioso. Qué almuerzo, ni que ocho cuartos. ¿No entiendes que los vegetarianos no comen en este hospital? Pues, ni modo, regreso a la sala de espera, para poder hablar por teléfono. Tuve que llamar al dentista, dar marcha atrás y pedirle que sí me trajera almuerzo. No, claro que no me dio vergüenza, tenía hambre y coraje, y más hambre.
Precisamente mientras almorzaba, llegó la doctora que me daría de alta. Por fin todos vieron las radiografías como los técnicos y yo. Cero “fresita”, nos vamos.
Con lo atropelladas que fueron mi entrada y estadía, esperaba que la salida fuera más o menos igual. Para mi sorpresa, fue muy cómoda y bastante rápida. Siempre hay dos o tres cositas buenas, aunque hubiera miles no tan buenas.
Sé que ustedes se identificarán, porque todos hemos tenido alguna experiencia de este tipo. Pasé cuatro días muy intensos, interesantes por demás, pero que no repetiría jamás. Qué bueno que vivo para contarlo.
Luego escribiré sobre Los Personajes Fresita.
ara 04232017
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