Monday, July 6, 2009

Cooking Lessons At Home



Favaloro's letter that never showed.
Date: Thursday, June 25, 2009 12:04.
The judge released the note prudent GET THEM THIS DOCUMENT THAT HAS BEGUN TO TRANSCEND
AFTER A LONG TIME. Need to know the contents of the letter written by Rene Favaloro
shot final.
(From Dr. René Favaloro / July 1929-2000 -14.30 pm) If you read my letter of resignation to the Cleveland Clinic, it is clear
my return to Argentina (after having become a prominent part in the surgery cardiovascular)
was due to my eternal commitment to my country. Never I lost my roots. I returned to work in teaching, research and medical
. The first stage in the Guemes Sanatorium, showed that immediately organize
residence in cardiology and cardiovascular surgery, as well as graduate courses at all levels. We gave importance also
clinical research with the participation of most members of our group.
as an input demand care beds for the homeless. Thus, hundreds of patients were operated
no charge. Most of our patients came from social work. The hospital had a contract with the most important
at that time. The relationship with the hospital was very clear: the fees,
came from whence they came, they were of us, the hospital, the hospital (undoubtedly the biggest slice). We pay the fees
residences and secretaries and our tickets were distributed proportionately among physicians
. Never allowed to touch a single penny of that we do not share. Although the directors
claimed that there was no return, I knew that if they had. From time to time, at the request of its director, greeted
unionists turn, they appreciated our work. This was our only contact. In the middle of the decade
of 70, began organizing the Foundation. First with the help of the Sedra, we created the Department
basic research has given us much satisfaction, then the construction of the Institute of Cardiology and Cardiovascular Surgery
. After taking office, I wrote the 10 commandments to be held to the letter, based
ethical guideline has been with me always. The quality of our work, based on the technology incorporated
over the task of professionals we selected did not work were missing, but had to continually fight
rampant corruption in medicine (part of the massive corruption that has contaminated
our country at all levels without limits of any kind). We have consistently refused to break
ethical guidelines, therefore, never took a single dollar of return. Thus, social work major
not send or send their patients to the Institute. What would that tell of the countless interviews with unionists
turn! Manga corrupt living at the expense of workers and bribes
money primarily for the social works that corresponds to medical care. The same applies to the PAMI. This I can certify the medical
my country in order to survive they must accept part of the system implemented to
length and breadth of the country. Worth a single example: the PAMI is an old debt with us, (I think since
94 or 95) of 1,900,000 pesos, we would have taken within 48 hours if we had accepted the returns that
asked us (as is logical not to me directly.) If we had accepted the prevailing conditions by the corruption of
system (which has increased in recent years) should have 100 beds more ..
would not suffice to meet the demand. Whoever wants to deny that this is true to accept that governs Argentina,
fundamental principle of free choice of doctor, ending with off duty.
The same applies to private hospitals (including those of private health insurance plans) the doctor who sends patients to the famous
ana-ana, you know, wait, receive a hefty share of surgeon. Many years ago I heard that Favaloro
that operates no more! Where does this fib?. Very simple: the patients studied. Conclusion
, her cardiologist said that should be operated. The patient accepts and expresses its wish that I operate.
'But how, you do not know Favaloro not operate long?'. 'I am going to recommend a surgeon real value
not worry. " The surgeon 'of real value' in addition professional capacity will return to the principal cardiologist
50% of the fees! Several of these patients have come to my office notwithstanding the 'indications' of
cardiologist. 'Doctor, you still operating? " and once again I must explain that yes, I still do the same enthusiasm and responsibility
forever. Many of these cardiologists, are national and international prestige.
They attend the Congress of the American College or the American Heart and then yes, there I
provide all sorts of praise and hugs every time I expose a 'lecture' of meaning. This happened when Paul
D. White lecture in Dallas, dozens Argentinian cardiologists embraced me, some with tears in his eyes. But
here again inserted into the 'system' and money is what most interests them.
corruption has reached levels that I never witnessed. Prestigious institutions as the Instituto Cardiovascular Buenos Aires, with
fine medical professionals, send well-trained employees who visit
cardiologists in their offices. There, they explain in detail the mechanisms and rates of return that will not only
for surgery, a noninvasive diagnostic methods (Holter echo, chamber and so on., Etc.) Catheters, angioplasty
, etc. etc., are included. It is the only institution. Medical Foundation have shown me
sheets that leave them all very well explained. Where appropriate, the patient once operated, the same personnel trained
will visit again the cardiologist, explained in detail 'the economic operation "and deliver the envelope corresponding
!. The current situation is desperate Foundation, millions of dollars to collect
task performed, including high-risk patients can not refuse. It's easy to say 'no beds available. "
impedes our medical oath. These patients require a high cost rarely acknowledged by the works Social
. A debt that should be added everywhere, which corresponds to the construction and equipping of ICYCC,
suppliers, the DGI, banks, doctors with delays of several months .. All our projects
wobbly and increasingly everything is complicated. In the U.S., major medical institutions can perform their task
care, teaching and research for the donations they receive. The five medical schools receive more
transcendent over 100 million dollars each! Here, not dreaming. I made efforts in the IDB
helped in the initial stage and then advertised in several of its publications to our institute as one of its achievements
!. I sent four letters to Enrique Iglesias, asking for help (so much money thrown overboard in this
Latin America!) I am still awaiting a response. Handles billions of dollars, but for a
institution that has trained hundreds of physicians scattered throughout our country and throughout Latin America, there
response. How to measure the social value of our educational task? Undoubtedly, to be honest, this society has its price
corrupt. In the short or long you make it pay. Most of the time I get lonely. In
the letter of resignation to the C. Clinic, told the Dr. Effen he knew in advance that would have to fight and
reminded him that Don Quixote was English! Undoubtedly, the struggle has been very uneven. The Foundation project
falters and begins to crack. We had several meetings, my closest colleagues, some of them
comrades remembered from our National Association of La Plata, I advise you to save the Foundation
we must be incorporated to the 'system'. Yes to return itself to ana-ana. 'We will put people to organize. "
There are 'experts' who know how to do it. 'You have to step aside. Clarify that you know nothing, not
are aware. " 'You must understand if you want to save the Foundation' Who will believe that I am not aware!
At this point, the old finish with the ethical principles that I received from my parents, my teachers
I find it extremely difficult. I can not change, I'd rather disappear. Joaquín V. Gonzalez, wrote the lesson
of optimism that we gave to greet: 'I do not have beaten anybody. " I can not say the same. To me
has beaten me a corrupt society that controls everything. I'm tired of receiving honors and accolades
international level. A few days ago I was included in the select group of legends
millennium cardiovascular surgery. Last year I had to participate in various countries from Sweden to India listening to the same thing.
'the legend, the legend! " Perhaps the cardinal sin I have committed, here in my country was always express high
voice my feelings, my criticism, again, in this society of privilege, where a few have to
satiety, while the majority live in misery and despair. All this is forgiven, however
be punished. It comforts me to have served my patients without distinction of any kind. My colleagues
know my penchant for the poor, who comes from my distant years in Jacinto Arauz. I'm tired of fighting and fighting
, galloping against the wind as I said Don Ata. I can not change. It was not an easy decision but
thoughtful. There is talk of weakness or courage. The surgeon living with death, is his inseparable companion, talk
of weakness or courage .. The surgeon living with death, is his inseparable companion, I leave her hand.
just hope this does not become a comedy act. Journalism I ask you a little pity. I
quiet. Once in an academic ceremony in the U.S. came to me as a good man who is still a rural
doctor. Pardon me, but I think it is true. I hope I remember well. These days I
desperate letters sent to national, provincial, entrepreneurs, with no response. In the Foundation has begun to act a crisis committee
external advice. Yesterday began the first layoffs occur. Some, few have
been loyal and dedicated staff. On Monday, could not face. My family especially my dear
nephews, my colleagues, my friends, remember that I got at age 77. No loose, are required to keep fighting
at least up to the same age, which is something. Again I reiterate the obligation of
cream immediately without wasting time and throw my ashes in the mountains near Jacinto Arauz, back in La Pampa
. It is strictly prohibited perform religious or civil ceremonies. A hug to all

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