[Music]
I’m an expert on people.
I’m a family doctor and community.
my job is basically to take care of the
people but I do not take care of the disease
I take care of the person who leads to illness and
that makes all the difference
I work at sus since I graduated and
I can tell you that
reality of the health system is very
more complex and challenging than what
Tell us a college
from the first day of work I
I realized how much I was not
ready
I thought that technical knowledge
purely scientific was above
all inclusive of people
I’ve spoken countless times trying to impose
to my patients
what I thought was certain that
was the best for them but I did it
without hearing them without considering them without
understand what were your expectations
before a diagnosis of a
treatment
of course that did not work was the sus
that I found as a doctor
many of you do not remember know
because they are very young even before
of health was the charity millions of
Brazilians and Brazilians had no
access to a health system or its
was born in the late 1980’s and made
a revolution has transformed health into
right has brought dignity to these
millions of people do not
no one else needed charity or
pity of anyone to be attended by a
doctor by a nurse for a
psychologist
This fascinated me and fascinates me until today.
sus is the largest public health system
of the world and it was in him that I found
as a doctor, especially when I
he knew family medicine and
community in medical residency
I learned that ethics empathy skill
communication are things that can be
that we can learn is
skeptical that we can improve our
our ability to communicate
but what I learned that so
important as it prescribes the best
medicine is being myself
I regret that my patient needs
balint an analyst a group that was born
at the end of the 19th century
he said that the doctor the person of the
doctor is the first medicine that
the patient administers our
personality our empathy ours
ability to mobilize in care
with the other
everything I learned in college
started to make sense in the
humanizing health this is to qualify the
our attitude towards the other is a
intention a moral and ethical improvement
that makes us see the other in his
totality
About five years ago I started to
writing texts relating to the meetings
that I had with my patients in the
basic unit of health that the work
they were not enough texts
unpretentious and I began to publish
this on social networks and the
these texts quickly came out of my
control
hundreds of thousands of people
began to read what I wrote and the
share many texts you will get
national visibility and even
International
I started to receive from many people
in Brazil and worldwide messages
who congratulated me for my work
I thought that was super interesting.
because I did not understand the end of what
so incredible was doing to deserve
Congratulations since that was only the
report of my daily life in a unit
health at the periphery of a
big city
I wondered all this time what
after all, there’s such a thing as a cousin
very dear, answer me to this
question saying the following look you
have a sense of how difficult it is to be
heard an appointment with a
health professional
Do you have a sense of how much people
they are thirsty for this care that you
relates to providing
It was very shocking for me and to listen
these things because we’re talking
of people who studied and qualified
to take care of people’s health to
to get in touch with the most
of many people and those people who
are completely disconnected from pain
the other exact
it is these people who have lost
ability to connect to the
suffering of the other with the suffering of
your
patient and when were we physicians
we have this ability was it the
overwork due to exhaustion
mental physical
will it be that the long journeys will be
which was a failure of our training I
I do not have this answer to answer
you, but I’m pretty sure that
we are increasingly moving away
it is central to our read as
care professionals
true I know that uses us reality
It’s not exactly how I dream the
lately has been getting more and more
away from my dreams but today I do not
I’m here to talk about what’s still
lack
I wanted to say about what has to do
with what we already have
if we have a door inside our
office gives to us closing the door
and guarantee the privacy of our
patient, then because we still
insists on treating the patient with
open door
we have the sun because there are still people
did not cover the body of the woman
naked to be examined
gives to us to call the name give to
call by the name the person wants is
call us guys
by giving autonomy or respect and respecting
the autonomy of the individual patient to give
people understand that the way
person is her and that she has a
ability to re-signify the
its history its existence there are a three
years
I was in my office and it was a
morning of a basic unit of
health in sus a crowded host
it was almost lunchtime and still
There were so many people left to be served.
until lunchtime and I called a
patient I did not know but she was going to
change the way I see my
I work my way to see the life she
transformed me as a doctor and as a
human
Her name is motto. I got to the
office door to call and
When I called Dona Helena
rose up a black woman
saddened and her face was so
discouraged that I made sure to me
that she had come to look for me because
She wanted to talk about that sadness and then
soon in my pride of mine
arrogance said good
I studied depression yesterday, all fresh
In my head, I’m sure, lady.
Helena, come with me, it’s going to be okay.
Dona Helena, good morning, can you settle down?
that I can help you and she
yes, doctor, I came because I am
with a sore shoulder
Then I pulled that one on the chair.
all my preparation had gone
although I closed the Gazetinha
depression that so often people
treats our patients
we stop for diseases in boxes
that they do not communicate
they interact, they do not talk to each other
I opened my little pussy in the shoulder and
I spoke without treating my shoulder pain
I studied so much at the residence.
Do not give a damn, helena.
pretend I did not do any
speculation about your case, let’s
over there
the bhp had shoulder pain I put
all my books and articles on top
the table and the dona helena began to say
For me, it speaks Dona Helena M account.
explains how does this shoulder pain her
said so doctor júlia is a pain that
I have been with me for about two years.
and every one of them told me I was going to
pulling a little more in the chair
I already did ice cold already I did physiotherapy
stretching and yoga culture left over
For me, right?
including in a consultation a few months
ago I was referred by the
orthopedist he indicated that my case
I was surgical until I operated on my shoulder.
Why not come before?
there was still something to do but
I did not come because of that shoulder.
It’s fucking hurting but now the pain.
It’s happening to this is the guy.
this woman has done all that medicine
had to offer her what it is that
I’ll do as I can to help this.
person
You know I did not have that answer and I decided
follow my intuition
I went back there at the beginning of the appointment when
I saw that girl coming in to the
sad office
I remember it was Dona Helena it ‘s just the shoulder.
there’s even more to it than
Do you want to talk to me at this time?
Dona Helena started to cry a lot.
copiously
people know that the consultations are not
they are often interrupted at
Sometimes we are the only doctor who is
in the unit sometimes someone comes in
urgency someone needs to talk to the
Hello, helena.
interrupted at that moment was when
I decided to see the back on the table. I locked it.
door and sat on the chair of the
companion
she had come alone I sat down
facing her was Dona Helena just want
talking and holding her hands
I listened to the following doctor July or
two years and two months that I
I lost my daughter she was burned
Lives for the husband has been very sad.
Because this sadness consumes me, I do not
I have to talk to about this.
I try to talk to my husband more
he asks me or not of the account I can not
more live with this suffering and all
When you talk to me all that time.
sadness of her departure time
Returns
I have to talk this over with my son.
but he can not handle this
Pain this has gotten very sick I take care
from my grandson she left
I look at him and I see her running.
through the house
Another July is a lot of sadness.
I missed her when she got home and
People open a cold beer.
she made a treat while
I was washing clothes, I do not know what else
I do not know how I’m going
live with it
I looked into her eye was owner
helena
pretend that I am your daughter who
Do you want to talk to me, Mom? She closed
eyes put his hands on my face and
began to caress me with my eyes closed
to tell my daughter how much I miss
that I was the daughter you are that good you
see my mother daughter again has so much
something to tell you
Mother wanted to kill this longing I have.
I missed you so much when I got home
on Friday we took our
beer
My daughter is so hard to take care of
your son so hard to take care of him without
you here around me of course not me
I will cry with her that I was
what I should do
It’s not in the books anymore. It was not me.
another doctor
I held hands and told her.
Mom, I ‘m fine, I ‘m staying too.
Calm down, I ‘m fine.
We’ll meet again, and I ‘ll meet again.
I need you to balance
seek this balance in order to follow
taking care of our family like you
always did but I also am
waiting for you here where I am I ‘m
Calm down, we’re holding each other.
long
We wipe our tears together.
I went back to my medical chair and went
take care of her shoulder she remembers being
had shoulder pain after a few
referrals prescribed remedies
She told me so, doctor whenever
another month since the departure of the
my daughter I usually go there the grave
where she was buried so I could
feel closer to her
and today I was in doubt if I came
here if I went there but what good
I came here because since she left
I’ve never felt so close to her.
Thank you so much for being such a bridge.
I needed this shoulder so bad.
humanize it
to humanize is simply to be a
human
serving another human being
humanize is not the destination is the way
where I came from other men and women
are being formed by
communication skills
technical and scientific skills to
be agents of change in this sus
that we believe and by which people
fight
I currently work in a
Cheers
in the middle of a very violent community
in a city near beautiful horizon
are 15 thousand people under our
care we are five health teams
when there in the residence was played by
this idea that the organization was
possible I became an agent
transforming the places where I
worked and other people were
touched by the idea of humanization
impact of this is that each team that is
transform the life of three
thousand people
There are three thousand people who will
be heard and seen in their
health demands or their
believe for us to build the
humanization is not the destination is the way
thank you very much
[Applause]
I’m an expert on people.
I’m a family doctor and community.
my job is basically to take care of the
people but I do not take care of the disease
I take care of the person who leads to illness and
that makes all the difference
I work at sus since I graduated and
I can tell you that
reality of the health system is very
more complex and challenging than what
Tell us a college
from the first day of work I
I realized how much I was not
ready
I thought that technical knowledge
purely scientific was above
all inclusive of people
I’ve spoken countless times trying to impose
to my patients
what I thought was certain that
was the best for them but I did it
without hearing them without considering them without
understand what were your expectations
before a diagnosis of a
treatment
of course that did not work was the sus
that I found as a doctor
many of you do not remember know
because they are very young even before
of health was the charity millions of
Brazilians and Brazilians had no
access to a health system or its
was born in the late 1980’s and made
a revolution has transformed health into
right has brought dignity to these
millions of people do not
no one else needed charity or
pity of anyone to be attended by a
doctor by a nurse for a
psychologist
This fascinated me and fascinates me until today.
sus is the largest public health system
of the world and it was in him that I found
as a doctor, especially when I
he knew family medicine and
community in medical residency
I learned that ethics empathy skill
communication are things that can be
that we can learn is
skeptical that we can improve our
our ability to communicate
but what I learned that so
important as it prescribes the best
medicine is being myself
I regret that my patient needs
balint an analyst a group that was born
at the end of the 19th century
he said that the doctor the person of the
doctor is the first medicine that
the patient administers our
personality our empathy ours
ability to mobilize in care
with the other
everything I learned in college
started to make sense in the
humanizing health this is to qualify the
our attitude towards the other is a
intention a moral and ethical improvement
that makes us see the other in his
totality
About five years ago I started to
writing texts relating to the meetings
that I had with my patients in the
basic unit of health that the work
they were not enough texts
unpretentious and I began to publish
this on social networks and the
these texts quickly came out of my
control
hundreds of thousands of people
began to read what I wrote and the
share many texts you will get
national visibility and even
International
I started to receive from many people
in Brazil and worldwide messages
who congratulated me for my work
I thought that was super interesting.
because I did not understand the end of what
so incredible was doing to deserve
Congratulations since that was only the
report of my daily life in a unit
health at the periphery of a
big city
I wondered all this time what
after all, there’s such a thing as a cousin
very dear, answer me to this
question saying the following look you
have a sense of how difficult it is to be
heard an appointment with a
health professional
Do you have a sense of how much people
they are thirsty for this care that you
relates to providing
It was very shocking for me and to listen
these things because we’re talking
of people who studied and qualified
to take care of people’s health to
to get in touch with the most
of many people and those people who
are completely disconnected from pain
the other exact
it is these people who have lost
ability to connect to the
suffering of the other with the suffering of
your
patient and when were we physicians
we have this ability was it the
overwork due to exhaustion
mental physical
will it be that the long journeys will be
which was a failure of our training I
I do not have this answer to answer
you, but I’m pretty sure that
we are increasingly moving away
it is central to our read as
care professionals
true I know that uses us reality
It’s not exactly how I dream the
lately has been getting more and more
away from my dreams but today I do not
I’m here to talk about what’s still
lack
I wanted to say about what has to do
with what we already have
if we have a door inside our
office gives to us closing the door
and guarantee the privacy of our
patient, then because we still
insists on treating the patient with
open door
we have the sun because there are still people
did not cover the body of the woman
naked to be examined
gives to us to call the name give to
call by the name the person wants is
call us guys
by giving autonomy or respect and respecting
the autonomy of the individual patient to give
people understand that the way
person is her and that she has a
ability to re-signify the
its history its existence there are a three
years
I was in my office and it was a
morning of a basic unit of
health in sus a crowded host
it was almost lunchtime and still
There were so many people left to be served.
until lunchtime and I called a
patient I did not know but she was going to
change the way I see my
I work my way to see the life she
transformed me as a doctor and as a
human
Her name is motto. I got to the
office door to call and
When I called Dona Helena
rose up a black woman
saddened and her face was so
discouraged that I made sure to me
that she had come to look for me because
She wanted to talk about that sadness and then
soon in my pride of mine
arrogance said good
I studied depression yesterday, all fresh
In my head, I’m sure, lady.
Helena, come with me, it’s going to be okay.
Dona Helena, good morning, can you settle down?
that I can help you and she
yes, doctor, I came because I am
with a sore shoulder
Then I pulled that one on the chair.
all my preparation had gone
although I closed the Gazetinha
depression that so often people
treats our patients
we stop for diseases in boxes
that they do not communicate
they interact, they do not talk to each other
I opened my little pussy in the shoulder and
I spoke without treating my shoulder pain
I studied so much at the residence.
Do not give a damn, helena.
pretend I did not do any
speculation about your case, let’s
over there
the bhp had shoulder pain I put
all my books and articles on top
the table and the dona helena began to say
For me, it speaks Dona Helena M account.
explains how does this shoulder pain her
said so doctor júlia is a pain that
I have been with me for about two years.
and every one of them told me I was going to
pulling a little more in the chair
I already did ice cold already I did physiotherapy
stretching and yoga culture left over
For me, right?
including in a consultation a few months
ago I was referred by the
orthopedist he indicated that my case
I was surgical until I operated on my shoulder.
Why not come before?
there was still something to do but
I did not come because of that shoulder.
It’s fucking hurting but now the pain.
It’s happening to this is the guy.
this woman has done all that medicine
had to offer her what it is that
I’ll do as I can to help this.
person
You know I did not have that answer and I decided
follow my intuition
I went back there at the beginning of the appointment when
I saw that girl coming in to the
sad office
I remember it was Dona Helena it ‘s just the shoulder.
there’s even more to it than
Do you want to talk to me at this time?
Dona Helena started to cry a lot.
copiously
people know that the consultations are not
they are often interrupted at
Sometimes we are the only doctor who is
in the unit sometimes someone comes in
urgency someone needs to talk to the
Hello, helena.
interrupted at that moment was when
I decided to see the back on the table. I locked it.
door and sat on the chair of the
companion
she had come alone I sat down
facing her was Dona Helena just want
talking and holding her hands
I listened to the following doctor July or
two years and two months that I
I lost my daughter she was burned
Lives for the husband has been very sad.
Because this sadness consumes me, I do not
I have to talk to about this.
I try to talk to my husband more
he asks me or not of the account I can not
more live with this suffering and all
When you talk to me all that time.
sadness of her departure time
Returns
I have to talk this over with my son.
but he can not handle this
Pain this has gotten very sick I take care
from my grandson she left
I look at him and I see her running.
through the house
Another July is a lot of sadness.
I missed her when she got home and
People open a cold beer.
she made a treat while
I was washing clothes, I do not know what else
I do not know how I’m going
live with it
I looked into her eye was owner
helena
pretend that I am your daughter who
Do you want to talk to me, Mom? She closed
eyes put his hands on my face and
began to caress me with my eyes closed
to tell my daughter how much I miss
that I was the daughter you are that good you
see my mother daughter again has so much
something to tell you
Mother wanted to kill this longing I have.
I missed you so much when I got home
on Friday we took our
beer
My daughter is so hard to take care of
your son so hard to take care of him without
you here around me of course not me
I will cry with her that I was
what I should do
It’s not in the books anymore. It was not me.
another doctor
I held hands and told her.
Mom, I ‘m fine, I ‘m staying too.
Calm down, I ‘m fine.
We’ll meet again, and I ‘ll meet again.
I need you to balance
seek this balance in order to follow
taking care of our family like you
always did but I also am
waiting for you here where I am I ‘m
Calm down, we’re holding each other.
long
We wipe our tears together.
I went back to my medical chair and went
take care of her shoulder she remembers being
had shoulder pain after a few
referrals prescribed remedies
She told me so, doctor whenever
another month since the departure of the
my daughter I usually go there the grave
where she was buried so I could
feel closer to her
and today I was in doubt if I came
here if I went there but what good
I came here because since she left
I’ve never felt so close to her.
Thank you so much for being such a bridge.
I needed this shoulder so bad.
humanize it
to humanize is simply to be a
human
serving another human being
humanize is not the destination is the way
where I came from other men and women
are being formed by
communication skills
technical and scientific skills to
be agents of change in this sus
that we believe and by which people
fight
I currently work in a
Cheers
in the middle of a very violent community
in a city near beautiful horizon
are 15 thousand people under our
care we are five health teams
when there in the residence was played by
this idea that the organization was
possible I became an agent
transforming the places where I
worked and other people were
touched by the idea of humanization
impact of this is that each team that is
transform the life of three
thousand people
There are three thousand people who will
be heard and seen in their
health demands or their
believe for us to build the
humanization is not the destination is the way
thank you very much
[Applause]
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