Interview: Dr. Luiz Roberto Londres ...

Interview: Dr. Luiz Roberto Londres. São Vicente da Gávea Clinic. 


Global Business - What is the thinking of Dr. Roberto Londres in connection with medicine?

Roberto Londres - Medicine is basically humanist, charity and social activity. Until recently it was seen simply as a commercial activity. If you don't give priority to anything other than the patient, this is the subversion of medical activity. How was it then? There was a relationship between doctor and patient that was extremely important, where the doctor talking to the patient reached 90% of correct diagnoses without having to ask for a bunch of tests. The test was to confirm whether or not it was a disease and not to do a diagnosis. Today between doctor and patient there are two legal entities, which is where he works and their healthcare plan is what makes the rules.

Global Business – He is a critic of the exaggerated use of technology in medical practices. How can technology and new devices negatively influence modern medicine?

Roberto Londres - There is a difference between use and abuse, use is very good but abuse is not. While medicine becomes prisoner of technology companies, therapy will continue to be a grim ritual. The devices that should be supporting, robbed the main stage. Doctors do not listen to patients and new doctoral candidates have increasingly technical and less humanitarian characteristics. A doctor must enter in the biological and psychological complexity of his patient. And that is not being done with hospital equipment, medical equipment; assigning equipment to clinical art is the same as assigning the art of Picasso to his brushes.

Global Business - What are the ethical dilemmas in the medical profession?

Roberto Londres - The question is: "Nowadays what is most important: the patient or his wallet? Medical ethics say the patient is above all, a needy patient seeks a hospital for care, to be treated fairly and not to be used as a personal account of a health plan. Currently little by little people became pigeonholed only to the condition of sickness. Their life situation, history, personality, psychological and social situation are no longer of interest, only the symptoms of the disease at the time of the consultation. The initial interview with the patient began to be limited to the data of the current disease does not take into account the specific characteristics of each patient, determining whether to administer the recommended treatment. What I can say is that in the past, doctors were more human and valued more the joy of life as a factor in maintaining health.

Global Business - What is the future of the field of medicine in Brazil?

Roberto Londres - It is important to be aware of the unhealthy state of health in our country; there is a terrible tension that permeates health care to the standards imposed by financial intermediaries, health operators in their various forms. With the gradual disappearance of public health, despite what the article 196 of the Federal Constitution says ("Health is a right of all and duty of the State"), private entities, many of them for profit, gradually take the place that belongs to the state and in a growing movement, using their call centers, where those who cannot afford health insurance should be treated as a priority.

Here in Rio de Janeiro the Rocinha community is establishing an effort of attendance to families, which is an example of what should be done. A few years ago, the presidents of Brazil arrived in Rio de Janeiro to consult in hospitals that were a reference of attendance as; Getulio Vargas Hospital, Souza Aguiar, Andaraí, Lagoa, Ipanema, all of these hospitals were excellent. There must also be a reform in medical schools; medical education today is very bad. One hundred years ago in the United States the Flexner report was published, that was responsible for the most important reform of the medical schools of all time, with profound implications for medical training and the medical world. According to the report's foreword "for 25 years, there has been an overproduction of poorly trained physicians without sufficient education. This overproduction of poorly trained people is mainly due to a large number of business schools and not of medicine. "When this report was published, more than a third of medical schools that were not training physicians properly closed their doors in the United States. This is the situation of medical schools in Brazil today.


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