After two years of pandemic, doctors explain new plans – 05/29/2022 – Equilíbrio e Saúde

With the hospitalization of Covid-19 in the state of São Paulo and the reduction in the number of patients compared to the pandemic peaks, doctors are making room on the agenda to put new plans into practice, to start and enjoy the canceled holidays again. family.

In 2020, the days of Dr. Maria Goretti Sales Maciel, 61, director of the Hospital do Servidor Público Estadual Palliative Care Service, were filled with hours of work, stress, tension, and emotional distress.

30 hours a week turned into more than ten hours a day. Breaks were rare. “The feeling I have today is that I have lived twice in ten years,” he said.

To alleviate bed shortages during the pandemic, patients in palliative care have been helped at home. He and the team were confused between home care, a Covid palliative care department at the hospital, and calling on families to report their patients’ health status.

“It was the one that consumed us the most. Every day, each group called ten different families. We took a lot of suffering. We had a lot of bad news to share,” he said.

The idea to change his life came in July 2020, when he spent ten days at the Sales House with Covid. He took a course on “living outside the system” and began studying permaculture, a system for building sustainable environments based on natural ecosystems.

In January 2021, Sales bought a farm in Extrema (MG) and, nine months later, started building a house there. During the break, he studied agroforestry. “On the weekends, I started camping in that area and started studying the forest, conserving the spring, planting food. That’s my goal. I plan to change my life from the top down,” he says.

Retirement from the age of 70 will be advanced. Working 30 hours a week has become a reality in the life of a doctor this year, but spread over three days.

“Our time may be shorter than we imagine. I saw people die unexpectedly, they were healthy, they got the virus and they left. We come into contact with human vulnerability, which has a lot to do with our lives. We could have. Life is more compatible with the future,” he says.

For Daniela de Oliveira, a psychologist and a member of the USP Hospital das Clínicas, a member of the USP’s Program of Habitual Change and Lifestyle Medicine, the pandemic put them all near death, and most of all the doctors suddenly faced the refinement.

“They all left very important things. Being too much in the service of others and being too little of oneself can cause burns,” he says, referring to the physical and mental fatigue that has been so much talked about in the pandemic. That’s why he recommends it now. new plans to put into practice and care for a healthy lifestyle, rest and stress management with meditation and psychotherapy.

“It’s life-saving. Doctors need to practice what they stand for so much,” Oliveira says.

Cycling against stress

Hematologist Maria do Carmo Favarin, 45, has had double shifts in recent years. During the pandemic, he spent about 12 hours a day in the activities of Grupo Sabin, where he was the director, Unimed’s private clinic and hospital, all in Ribeirão Preto (313 km from São Paulo).

“The pandemic has greatly increased the demand for laboratory diagnosis. And because the patients hospitalized with Covid had a lot of changes in their blood count, I also went to the hospital a lot as a doctor,” he said.

The mother of two girls, now 10 and 13 years old, Favarin also had to manage her daughters’ distance classes. “I had to take care of the kids at home and someone to look after them. The little ones didn’t use the computer,” says the doctor.

The exhaust valve at the time of exhaustion was cycling. The pedals, embedded in a stressful routine, brought new perspectives and other plans.

In April this year, Favarin met with a group of cyclists to ride a bike between Holland and Germany. They spent six days on the bike with breaks. The group hired a company to move suitcases from one city to another. From Cologne, Germany, Favarin returned to Amsterdam by train and flew to Brazil.

“It was energy recycling. My work pace continues to pick up, but the stress, tension and emotional burden caused by Covid-19 have decreased,” he says.

Learning and a new plan

At the time of the pandemic, 66-year-old neurosurgeon Wanderley Cerqueira de Lima decided to write two books on neuroscience, one for the general public and one for health professionals.

Along with medicine, he develops a passion for writing, ease of communication and an interest in spreading knowledge – through articles currently shared with professional colleagues or on social media posts.

“At Covid, we doctors knew almost nothing. I had to dive into virology, and I saw that I needed to talk to people who used more colloquial language,” says a doctor who works in a private office and ICU. Albert Einstein Hospital and D’Or Network.

During the pandemic, office demand fell by 40% and elective surgeries were suspended, but the frequency of work in ICUs increased.

“I didn’t suffer as much as the first line. My rounds were always in the back, but there was a higher incidence of brain injuries to be assessed,” the doctor reported.

The emotional charge was also stronger. “We treat the patient and the family. That moved me. I also reflected on the need to help.”

Resuming the old routine, the doctor intends to collect the notes he keeps in his notebooks to begin production of the works, which have not yet been published.

We treat the patient and family. He was confused with me. I had to reflect on what I needed to do at the same time

Meeting with grandson

Jamal Suleiman, 62 years old in the life of the infectious disease specialist at the Emílio Ribas Institute of Infectious Diseases, faced the challenge of dealing with a pandemic in February 2020 with the birth of his first granddaughter Sofia.

He and his wife Grace, who specializes in infectious diseases, saw the baby being born, but had to stop living with the girl for almost five months. Grandparents were watching from a distance, through the door of the building.

“I think it was a big challenge to have my eldest daughter’s first granddaughter, during a pregnancy and a very smooth birth. We had to leave because the knowledge was precarious at the time. We knew how Covid’s transmission was … but not the evolution of the disease. what it would be like, ”he recalled.

After five months, they were able to reunite with their grandparents and Sofia, but with a physical distance and a mask. It was not yet possible to pick him up.

“My daughter’s first mother’s day was virtual, different from what we used to tell people, but difficult. All the parties in 2020 were far away. I only saw my mother in 2021, but from a distance,” she says.

At the height of the pandemic, Suleiman left at 6 a.m. with a suit inside the car that he did not know would return home. In addition to overtime at the hospital, she took up a job as a press spokesperson, not to mention that she and Grace were left with household chores and grocery shopping.

At that moment, the couple had to reorganize their lives.

For the infectologist, the current epidemiological scenario allows him to live in a more comfortable situation with his grandson. “One of the things I like most is being with my grandson. Today I can pick him up, I’ve been with him over the weekend at my house, taking him to a plaza, to the park,” he says.

“The other day I caught myself thinking: I have a story to tell. In Covid, what’s the story? This girl is the one who represented recovery, the breath of life.”

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