Apartheid en Cuba
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    An Experience at a Cuban Hospital

    An Experience at a Cuban Hospital
    May 21, 2014
    Regina Cano

    HAVANA TIMES — Three people had their hands on my body, ready to hold me
    down in place and prevent any movement (even though I hadn’t shown the
    slightest intention of moving).

    I assure you this rather oppressive picture was not a product of my
    imagination; it was my experience during an endoscopy I was subjected to
    in the Gastroenterology Department of a hospital in Havana, a
    complementary examination I underwent following a consultation.

    Folks, for someone who’s had intestinal parasites for years and has had
    tubes and hoses pushed down my esophagus more than once, and endoscopy
    shouldn’t be a new and traumatic experience…but it was.

    At one point, I asked them to stop so I could catch my breath, as they
    had instructed me to do. When I moved a hand up and down, they tightened
    their grip on me and shouted: “don’t move!”

    The first words spoken by someone, whom I later learned was an
    inexperienced medical student, were: “This is a painless and quick
    procedure.” Immediately after they administered the anesthesia (for my
    mouth) and put the mouthpiece in place, they began introducing the
    device without any pauses along the way or waiting for me to get used to
    the sensation or draw in air through my nose, as they had asked me to do
    beforehand.

    All the while, the young student carried out a number of erratic
    movements that caught the attention of the specialist and doctor. They
    would guide him, saying “a little further back”, or “a little further
    up”, exclaiming things like “look, there’s an ulcer!” and “it’s so big!”

    I confess I came out of the procedure nervous and scared, my eyes glazed
    over, feeling impotent, like an animal that had been abused and
    humiliated, somewhere where everything that takes place is outside one’s
    control, where there’s always an excuse for mistreatment.

    Four days later, at a consultation, I told my doctor (who had been at
    the exam) about the pain I felt when I touched my stomach and he,
    surprised at how traumatic the test had been for me, confessed he’d been
    assigned “two students 18 days ago and they had to go through those
    rounds,” because many specialists are working abroad on internationalist
    missions. Never once did he apologize or show any sign of humility in
    response to the violent incident.

    I suggested that every member of his team be subjected to this
    examination themselves, in order to become more aware of signs to be
    evaluated and have a better sense of how to conduct the entire procedure.

    I don’t believe the way the procedure is done – with a doctor and
    assistants – has anything to do with cynicism or ill intent. I believe
    medical doctors in Cuba have the same living conditions and show the
    same social behavior than the rest of the population, which leaves a lot
    to be desired in terms of ethics, humility and respect for others (which
    are essential to the medical professional). As such, these doctors are
    not aware of their bad habits. I don’t believe, however, that this
    justifies such irresponsible mistreatment.

    Perhaps this situation is less evident at clinics, research institutes
    or specialized hospitals, where there is a professional tradition that
    makes up for other shortcomings. It is a question of the way in which
    individuals behave, really.

    There is also a certain level of permissiveness in the population,
    because doctors are the most highly demanded professionals, the ones
    responsible for our health. The majority of patients in Cuba today do
    not expect to receive good or thorough attention without paying for it
    with some gift. I don’t believe this determines the quality of medical
    attention in all cases, though.

    All the while, physicians give us very little information during the
    treatment or instructions about how to deal with one’s condition or how
    to avoid its reappearance.

    Well, folks, being diagnosed with two duodenal ulcers can become
    something quite tragic in the life of any Cuban living on the island,
    for, as many people know, maintaining a diet of neutral food products,
    including milk (today at around US $ 7.50 the packet) is no easy thing,
    particularly if you don’t have an income on a par with today’s prices.

    Being treated like an animal about to lose its tail or part of its ears
    or beak, or about to have part of its fur shaved off so as to look more
    pretty, or having a doctor treat you with indifference, makes me feel a
    bit of pity for these beings that humans look down to…but that is
    another topic.

    Source: An Experience at a Cuban Hospital – Havana Times.org –
    http://www.havanatimes.org/?p=103801

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