Tuesday, 24 May 2016

48 hours to #2JHUCI

Hola a tod@s, mis queridos amigos.

Last details for the II National Conference on Humanizing Intensive Care, as the opening act in which will participate Pau Garro, current President of the Catalan Society of Intensive Care Medicine (SOCMIC), Laura Maldonado of the Patient´s University, a member from the Nursing College of Barcelona , Cristina Muñoz of the Humanization of Health Center and Pilar Delgado of the IC-HU Project.

This year you could follow the congress on streaming (modules 2 and 4) and live by Periscope (we will provide links by nets and blog), and we will count with the collaboration of Storyhealthing, who will be in charge of photographing, recording sessions and interviewing attendees and speakers to provide that emotional value we seek. We remind you that you can share your impressions and everything what you want via twitter using #2JHUCI or in our Facebook group.

In this moment there are 250 people registered to the Conference: those who have not yet formalized your registration, you could do on Thursday. We confirm that the Conference have received accreditation from the Catalan Council of Continuing Education for health professions for all professionals (assistants, nurses, doctors).

Also we remember, as last year, that thanks to registration fees, we can enjoy coffees during the breaks, dinner cocktail on Thursday and lunch on Friday. And for sure that there will be some surprise more...

With the desire to make a real meeting point where we can learn about each other and share, we just want to thank everyone: attendees, speakers, moderators, partners, sponsors, Scientific and Organizer Committee,

Happy Tuesday, see you in Barcelona!.

Saturday, 21 May 2016

With a capital letter, by Vicente Gómez

Early in the morning. An hospital office. Two doctors, exhausted, communicate the imminent death of a patient in the surgery room to his family. After a day of hard work, Physiology, or the whole of nature, has been over them, questioning the false expectations that, in not few occasions, overestimate the capabilities of their science.

Nothing to blame. Only in their stomach that old bitter feeling of defeat, and any uncomfortable question, useless, about what they would change the next time. It is difficult to calm, even with years of experience, that unforgiving judge of their Ego, which improves them, but that torture with the own and fictitious failure. Now it´s time of the bitter moment to recognize in public a feared and cruel reality.

Family, humbled, but contained, listen silently to their explanations. Technical language. "We tried anything... It was impossible... He did not respond". They seem to understand. A daughter, nurse, asks if they can see him in the surgery room before disconnecting.

- "It is not usual, nor convenient," responds categorical one of the doctors.

- "May I insist?. For me it is very important", replies the daughter.

The other doctor looks at her eyes. He perceives, as a lash, a deep but nor surly pain. A wrapped penalty of sweetnees and politeness, whom asks for something that is not in her hand to get. A dignified and strong pain, 
that only seeks a last handle to avoid tearing. A final grace which is more than a whim inconvenient. The farewell of whom, probably, was the lighthouse of her life. The first necessary step to resolve a long and hard grief.

Moved by this, the doctor understand, that they cannot deny, hiding behind the usual cold, without incurring the greatest of cruelties. After convincing his fellow, even dubious, they access her request. They accompany the daughter, with slow pace, surrounded by a light white and spectral, that hurts the eyes after reflected in the metal doors of the surgery room. Silence is oppressive. A parade to nowhere.

The daughter is close to the surgical table, and begins to whisper a few inaudible words for both doctors. They remain there, a prudent distance, to wonder if it is convenient. Perhaps they feel that, with their presence and respect in their eyes, they solemnity a depth ceremony that transcend and freeze them. They wonder what words she pronounces. How can be summarized a lifetime of memories, teachings, and tenderness in a few sentences?. Perhaps, as the doctor moved only told his mother in a similar situation, "Good trip, to wherever you go mom". There are no tears, nor shaken by sobs, just a slow but continuous whisper of her lips, while she caresses his hair, with her face close to him. A kiss and she leaves saying to the doctor thank you that lights up her face and relaxes the two professionals, who have more than a knot in their throats.

Her face seems relaxed, while the doctor recognizes a superhuman sense of worth, close to fainting. As the pale Virgin of Van der Weyden at the foot of the cross, whom the doctor moved admires. A fortitude, which seems to have been strengthened by those few seconds inside, but pain can explode with a little blow. A contention of who has been educated in love, but also in the face of adversity and in the discipline of acceptance.

An hour later, the moved doctor goes to the waiting room to fill out the paperwork. His eyes crosses with the daughter´s. In the next second, she embraces him warmly, in a spontaneous and sincere impulse that surprised and embarrasses him at the same time, while he hears in a whisper "Thank you, I will not ever, ever forget what you have done for me this evening to let me say goodbye to my father". 

On the strength of those arms that oppress him momentarily, he finally finds a sense of all the fatigue that invades him, after opposing many hours the inevitable. Because in this embrace, boils down the real reason that led him to become a doctor more than thirty years ago. If you can´t heal, comfort and accompany. He feels that by losing a life, his emotion, often neglected, has allowed him that other life can begin a grief without ballasts. He thinks, comforted in her arms, that he has created a lasting bond with someone admirable. He is who is grateful to her for giving him the opportunity to practise Medicine. With a capital letter.

Dr. Vicente Gómez Tello

Intensive Care Unit. 
Hospital Moncloa

Friday, 20 May 2016

Aulki Hutsak (Empty Chairs), by Iñaki Peña

“Aulki Hutsak” (Empty chairs) it is a film about grief and hope. 

On a universal issue, it´s a multilingual project, made from a local perspective. Collecting both personal experiences and professional notes, interspersing both experiences from the perspective of the "wounded healer". From the personal and professional experience of the author to encompass other personal and human experiences and deliver it structured as a audiovisual tool for informative purposes and what not, for healing. Among the participants, we count with well-known professionals as Izaskun Andonegi (Asociación Bidegin), Marije Goikoetxea (Universidad de Deusto), Julio Gómez (Hospital San Juan de Dios Santurtzi), Koldo Martínez (Complejo Hospitalario Navarra) or Imanol Querejeta (Hospital Universitario Donostia).

The film, in original version with subtitles in English, is divided into 4 chapters that go on graduation from the initial pain to the hope, talking about anger as one of the possible feelings, and considering those "perfect days" at Christmas or other marked dates as sometimes particularly difficult times. With an afterword in which we collect what was a big surprise for the whole team. It is accompanied by images taken at locations known and not so known in the Basque country and Navarre, with a good sample of contemporary music in Basque.

"AH" was premiered in December 2013, and since then we have carried out more than 60 public shows in different areas, from houses of culture with the general public to specialized palliative care sessions among professionals. The film was awarded in two categories at the 6th Edition of the Invisible Film International Festival of Bilbao in Autumn 2014. We participate also out of competition at the 12th International Festival of Cinema and Human rights in Donostia-San Sebastián and the Festival of 
Basque Cinema - Zinemaldia, Euskal Etxea of Barcelona.

It was showed in Euskal Telebista TV (one of the sponsors) and in Hamaika Telebista. It has been sponsored also by Fundación La Caixa, the county councils of Bizkaia and Gipuzkoa, the Basque Government and the Basque public University UPV/EHU. It is produced by the audiovisual cooperative “Arteman”.

It´s available for free on the net of public libraries of the Basque country and Navarra. You also have it in DVD format in the libraries 'Garoa" of Zarautz and Donostia-San Sebastian and also via on-line in this link.

Iñaki Peña Bandrés

Director and writer of "AH".
Internal Medicine Physician specialized in Palliative Care
Hospital del Alto Deba. Arrasate-Mondragón (Gipuzkoa).