A resposta é simples. Porque são elas as mais rentáveis aos futuros médicos. Cirurgias cardíacas, neurocirúrgicas, transplantes e a famigerada cirurgia de redução de estomago, estão em alta. Por isso, falta especialistas em pediatria, clínica geral, cirurgião de abdômen, principalmente em cirurgias de média complexidade.
A cirurgia de redução de estomago virou uma mina de ganhar dinheiro e até tem especialistas para que a pessoa engorde e possa fazer a cirurgia bariátrica.
Por outro lado, já está mais que confirmado cientificamente que a metade dos obesos que fazem a cirurgia de redução de estômago engorda novamente depois de alguns meses ou anos. Vários fatores contribuem para isso. O principal é a falta de acompanhamento psicológico e nutricional. Se a pessoa tiver compulsão por comida, vai continuar se entupindo de alimentos calóricos mesmo depois da cirurgia, em que o estômago é grampeado e apenas 10% dele fica ativo. Com tão pouco espaço para armazenar comida, é difícil comer dois pedaços de pizza sem sentir desconforto. Mas o indivíduo compulsivo encontra outras formas de burlar a limitação anatômica. Pode bebericar goles de leite condensado.
Outra razão que faz alguém voltar a engordar é cirúrgico. Pelo método mais comum, o “novo” estômago é ligado diretamente ao intestino, onde o alimento passa a ser digerido. Com o tempo, essa junção pode alargar. O paciente sente que o alimento passa com facilidade e começa a comer mais. Há um terceiro fator. Freqüentemente, os médicos instalam um anel de silicone na junção entre o estômago e o intestino. Ele produz um estreitamento que dificulta ainda mais a passagem dos alimentos. Em alguns casos, porém, ocorre uma erosão nessa área. O anel entra no novo estômago ou na alça intestinal. Quando isso acontece, a pessoa começa a sentir ânsia de vômito e mal-estar. O jeito é retirar o anel. Aí o paciente volta a engordar.
O problema não está no estomago, mas sim na cabeça do obeso, por isso já existem especialistas para acompanhar pacientes que reduziram o estomago e universidades mais avançadas já incluíram em seus currículos a disciplina que trata desse acompanhamento, nos seus cursos de medicina. A UFMA tem essa cadeira? Garanto que não!!!
Houve o 14º Congresso Brasileiro de Obesidade e Síndrome Metabólico, sabem quantos profissionais maranhenses estiveram no congresso? Apenas três!!! Daí se tira o porquê do curso de medicina da UFMA não aparecer entre os 55 melhores do país.
Contudo, já existem meios com custos bem menores para redução de estomago. Por meio de uma simples endoscopia, o cirurgião leva um aparelho até o novo estômago. Por sucção, a máquina produz pregas no interior do órgão e as costura com dezenas de minúsculos grampos de plástico. O material é inofensivo. Caso alguns grampos se desprendam com o passar do tempo, eles são eliminados do organismo sem causar problemas. Uma das vantagens do novo método é a rapidez: 20 minutos. Mas a principal é o fato de não produzir cortes. A recuperação é bem mais rápida. No dia seguinte, o paciente pode voltar ao trabalho. Essa inovação busca realizar cirurgias pelos orifícios naturais. Essa é uma tendência mundial para diminuir os custos altíssimos de uma cirurgia convencional. Esse método sem cortes já acontece em cirurgias de apêndice ou vesícula biliar. A UFMA e seu hospital universitários já entraram nessa era moderna e de custos baixos?
É como disse Adib Jatene: “De 1996 para cá foram criadas 101 faculdades de Medicina. Isso é um escândalo!” Para ele, esse problema das escolas médicas há uma série de desinformações e de informações inadequadas. “Em primeiro lugar, não é verdade que temos muitos médicos no País. Precisamos de mais médicos. Por quê? Citamos a proporção de um médico por mil habitantes como sendo da Organização Mundial da Saúde, que no passado já usei, mas esse número nunca existiu. A Organização Mundial da Saúde nunca estabeleceu que o número de médicos deveria ser um para mil habitantes”, disse Jatene.
Diante disso, como ficará o país, principalmente o Maranhão, com a falta de especialistas não rentáveis? Ninguém quer mais ser um Clínico Geral, Pediatra, obstétrico, ginecologista e cirurgião geral!!! Estamos lascados!!!
Publicado em: Governo
hostiliocaio@hotmail.com
Blogueiro,
Uma pena que você não percebe o quanto está sendo ridiculo ao postar isso. O HU tem defeito, o maior deles é exatamente o contrário do que você reclama, ou seja, é uma grande unidade, que deveria estar a serviço da alta complexidade apenas, mas no entanto, mais da metade da sua receita é proveniente de atendimentos pequenos, da atençaõ básica, entrando em rota de colisão com a prefeitura, que é quem tem a obrigação de realizar este tipo de atendimento.
Uma dica: não busque ser TUDOLOGISTA, fale mais sobre o que você acha que sabe um pouco, que é politica.
RIDICULA ESSA SUA INFORMAÇÃO.
Curandeiro,
Ridiculo é você, que pensa que engana alguém com essa teu pensamento MEROSTOMATA. Curandeiro, HU faz apenas baixa e média complexidade em atendimentos ambulatoriais e não cirurgicas. É um hospital usado para fazer a tal redução de estomago… Você pensa que está lidando com idiota? Queres que eu diga quem usa as salas cirurgia do hospital, as enfermarias, medicamentos e cobra por fora o serviço cirurgico? Por outro lado, MEROSTOMATA, o Dutra não disputa nada com a prefeitura, caso fosse assim, o teu reitor, que desconhece tudo de universidade, já teria usado a autonomia universitária para fazer um convênio com a Prefeitura ou até com o estado, levando mais dinheiro para a Universidade. A UFMA está longe de um ensino sério, de realizar pesquisas que facilite a vida da comunidade e a extensão como melhoria da qualidade de vida e bem-estar do povo. MEROSTOMATA, TUAS PALAVRAS NÃO PASSAM DE IMBECILIDADES DE UM CUPINCHA QUE QUER MANTER AS MESMAS CONDIÇÕES USADAS HOJE PELOS QUE APROVEITAM DAS BENESSES QUE O MINISTÉRIO DA EDUCAÇÃO E DA SAÚDE DISPÕE A UM HOSPITAL MAL UTILIZADO.
Caio Hospitio,
Caso você entendesse bem de Saúde e tivesse mesmo preocupação com a matéria teria outra postura ao publicar artigos sobre a SES.
Não conheço da atividade fim, porém da atividade meio conheço muito, pois sou graduado em administrador público, com várias pós-graduações, além de ter trabalhado por 15 anos na rede Sarah. Por outro lado, conheço bem educação, pois sou graduado em Letras, com pós-graduação em Metodologia do Ensino Superior e mestre em educação. Portanto, o meu debate vai além das expectativas dos que pensam ser os “deuses”, quando não passam de desconhecedores de como se deve administrar, os ditames das leis que regulamentam o serviço público e, principalmente, os pilares da educação universitária.
[…] Leia mais: Por que o Hospital Dutra só faz cirurgias de Alta complexidade? | […]
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[…] Por que o Hospital Dutra só faz cirurgias de Alta complexidade? […]