Sunday, January 6, 2013

Caught Being Good: SUS

Hi everyone!

So...the blog has been quiet because I haven't been able to type: I broke my wrist the day I was set to go to the US! I was exercising with my personal trainer and being my anxious, squirrely self, and I took a bad fall. Luckily, I was still able to go to the US and see everyone for Christmas, including my cousin's new baby, who was born on Christmas Eve:

There's me, my cast, and the baby, just 2 hours after he was born! Congrats, Ash! Don't mind the date on the pic.
 


After my trip, I came back to Brazil and got an X-ray to see how my bone was healing. Unfortunately, it wasn't healing correctly, so I had to get surgery to get a metal plate put in...

...which leads me to the Caught Being Good Award winner to end all winners:


PUBLIC HEALTHCARE!


That's right. Unlike the US, Brazil has universal healthcare. Because Brazil's illegal immigration issues are miniscule compared to those of the US, hospitals are open and free to whoever's in the country. Brazil's public healthcare system, SUS, gets a lot of flack, and is certainly lacking in many areas, but I personally got the best treatment conditions possible for a variety of factors:

*In the Oregon Trail version of life, I chose "Doctor" for my husband's occupation.








*We live 5 minutes away from one of the best public hospitals in the country, and my husfriend works there.

*Alexandre's rounds partner lives with 2 orthopedic surgeons. Alexandre has become very close to these 2 guys after spending many a Wednesday night sleeping on their couch, too tipsy to drive home from their Corinthians soccer game parties.

All of these factors combined resulted in my being treated like a politician's daughter at the hospital. The aforementioned surgeons, who were technically on vacation on the day of my accident, came in to work after getting Alexandre's phone call. They told the X-ray guys to be extra nice, and they rushed me in to set my wrist. I can say now that it was very nice of them, but if you've ever had a bone put back into place, you'll know it doesn't feel very nice in the moment. They called on the best cast wrapper in the hospital, an older British man who has written textbooks on fractures and articulation, to help with the bone setting and to wrap my cast. (The nice part of the man being British was that he sounded like my late grandfather and was therefore very comforting, and that he could explain things in English, which is also comforting during a time of stress. The bad part was that he understood the curse words I was shouting as they injected an anesthetic into my bone and set it.) Alexandre rushed around the whole morning doing all of my paperwork, and held my good hand during the scary parts. My personal trainer also drove me to the hospital to begin with, stayed with me for moral support, and helped me pack for the US, which was really sweet of her. She even let me eat a chocolate pastel after it was all over. :)

When I got back and it was clear that I needed surgery, the orthopedics department really came through again. They got my surgery booked right away and made sure the best doctors were involved. They allowed Alexandre to scrub in for the surgery to help with both his anxiety and with mine. I cannot fully explain the comfort in my husfriend being the last face that I saw before the general anesthesia kicked in and the first face that I saw when I woke up from it. (Though apparently I tried, and kept telling him "I love your face" as I was coming to, in front of all his colleagues, heh heh heh.)       

my x-ray of my new metal plate and 6 screws. Now there's just more of me to love!

And I have to say that even the hospital employees who didn't think I was some VIP patient still treated me really well and were all very good at their jobs. The hospital would be considered "poor" by some first-world standards because it needs a paint job and the rooms don't have TVs, but it was doing what mattered correctly. The place is well-organized and everything is streamlined and patient-friendly. They did expect me to be OK with being naked in front of a lot of people at various points in the pre-op process, but I think that reflects more of Brazilian body culture than any failure on the hospital's part.

The most important part, of course, was that neither I nor the doctors needed to think about money at any point. Again, it is hard to put this relief into words. With a serious break and surgery like this, we all have enough to worry about, you know?  I shudder at the thought of having done this in the US. Everyone gets sick. Everyone gets hurt. I do believe that healthcare is a citizen's right. Brazil's got a great thing going on, especially here in Springfieldee. It would do some good if some American politicians came down and saw it first-hand.

As for now, I have some painful physical therapy ahead of me, and it'll be a while before I have full use of my right hand and arm. But aside from the pain (which is lessening every day), all I feel is lucky. This could have happened to anyone, but I think it's been as smooth of a process for me as anyone could ask for.  

All hail universal healthcare!



I probably won't write in the blog until I can type with 2 hands again. Thank you for your patience!


 


11 comments:

  1. It is really weird how healthcare works here in the US. I moved here 5 months ago, needed it once and I am praying I won't need it ever again. Granted, I've always been spoiled in Brazil, always had private insurance... the last one I had before coming here I was allowed to see non-insurance doctors and have refunds of up to R$ 500. In the US, my husband and I pay more than 7 thousand dollars/year for insurance and we still have to pay for simple exams or part of it. And have the results get lost, call the doctor a month later, have him look for it and give you the results. We're not in some small town, we live in Chicago, and talking about a very good hospital. And what about not being able to see a specialist before going to a generalist - it bugs me so much. It just does not make sense to me in a country like this, where everything is so practical!

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    1. Wow $7,000.00 a year YIKES. Do you have a job? I would try to get a job that pays for it through a group discount because when you work for a company it shouldn't cost $700.00 a month. That sounds like your paying out of pocket for private insurance.

      I live in Massachusetts which is awesome. Best hospitals and standard of care in the world. We are right near the best teaching hospitals. Harvard, Boston University, Tufts, Boston Medical, Boston Childrens, Brigham and Women's. And we have universal insurance. YUP only state in the Union that does. I get top quality care for free! My baby was born on this insurance I had a private room, for five days, a free $300.00 breast pump from Medula given to me, free top notch formula and all the extras it was fantastic.

      I love it, and when I move to Brazil it will be a SHOCK. But I will buy private insurance in Brazil. And I am keeping my insurance in Massachusetts since its free and I'm a resident so that I can come home for care if their is ever something that I feel I want to come back to the United States for although I hope I'm happy with Brazil private system or maybe the public my husband says Parana is fine, but my standards are pretty high because of where I come from the level of care I am used to.

      Good Luck try to find some alternatives.

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  2. I do enjoy reading your posts Danielle (even though I was sorry to hear about your break of course). It's great to hear you talking so positively about the system of universal healthcare here in Brazil. Coming from the UK, I'm a strong believer in it and the alternative just seems mean-spirited to me. I guess US politics are considerably to the right of UK (and Brazil!).

    Good luck with the healing/recovery process. I know it can be a long, tough slog but you'll get there!

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  3. Glad you had a good experience! I just wish the public hospitals were better funded. Did you hear about the little girl here in Rio who waited 8 hrs after getting shot? So sad.

    Rachel
    Www.rachelsrantings.com

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  4. I am glad to hear it all went so well for you. I wish there was some way to combine the pros of both -- the Brazil system and the American system -- together. I loved that when my MIL had cancer she got the treatment she needed and was able to come through fine on the other side without being in debt, losing her house, etc. But then I hate that my best brazilian friend's mom died while waiting for that same care to treat her cancer. Paulo was shocked when one of my friends here in the states found out she had cancer one day and was in for surgery the next... now to find a way to combine the access with CONSISTENT availability for everyone. Hopefully this will work out for both countries soon.

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  5. I'm glad you got the care you needed. However this is not the reality for more than half of the patients that need SUS.

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  6. I guess I need to pay better attention to facebook or something - I totally missed the news that you'd broken your wrist!! How did that happen?!
    That's great that you had such excellent care - what a different that makes! I felt the same way when I went down to USC, where my dad works, to have my melanoma surgery. I got all kinds of special treatment but was also just really surprised by how great the hospital was in general.
    I just switched to Kaiser so we'll see how the whole HMO thing goes.

    Glad to hear you're on the road to recovery : )

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  7. Oh Danielle, I am so sorry. Glad you are getting better now. You were very lucky with SUS! I know some people who were too, and it was just by chance, because they knew no one the hospital. The good thing about this system is that it is there, for everybody. We never know when we are going to need it.

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  8. Oh man, so sorry to hear about this, but glad you were still able to go on your trip and had such great treatment at the hospital. Take care and feel better soon.

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  9. Being Surgical Nurses, my wife and I looked at your X-ray with more than a casual appreciation for the good job your surgeon did for you. We have put a lot of those plates in. For us it is a fun surgery, for you it was just a necessity. Hope you are healing well. Hope you are back blogging soon.

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