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1 | Ecuador: #Ruraleando, a Blog That Humanizes Medicine | Ekoatora: #Ruraleando, Bilaogy Iray Mametraka Ny Maha-olona Eo Amin'ny Lafiny Fitsaboana |
2 | [All links lead to Spanish language pages, except when otherwise noted] | [Mifandray amin'ireo pejy amin'ny teny Espanola avokoa ireo rohy rehetra, raha tsy misy ny filazana mifanohitra amin'izany] |
3 | In a corner of Ecuador in Patután, Cotopaxi [en], the people are connected to the world thanks to a blog: #ruraleando. | Mifandray amin'izao tontolo izao ny mponina any Patután, Cotopaxi [en] any amin'ny sisin'i Ekoatora amin'ny alalan'ny bilaogy iray: #ruraleando. |
4 | It's likely that the patients who visit this parish's Health Clinic have no idea that each day at the end of her shift, Denisse Calle (@niches13) publishes, without fear or self-censorship, the problems and progress of the health system, and tells of what she has lived since beginning her placement as a rural doctor. | Tsy tonga an-tsain'ireo marary izay mitsidika io Klinika Fitsaboana ao amin'ny Paroasy io angamba fa isanandro aorian'ny ora hiravàny dia mamoaka, tsy amin-tahotra na manao sivana ny tenany, ireo olana sy ezaka eo amin'ny rafitry ny fitsaboana, i Denisse Calle (@niches13), sady mitantara izay niainany nandritra ny nirotsahany ho mpitsabo any ambanivohitra. |
5 | She does this because she knows what she's talking about: she questions, analyses, tests and proposes solutions. | Ataony izany satria fantany izay resahany: manontany izy, manadihady, manandrana ary manome vahaolana. |
6 | If you have a look at #ruraleando, you might stop to read about day 112, when Doctor Calle met Segundo, an addict in rehabilitation who arrived with an intestinal infection, and left smiling ear to ear after being given a new opportunity to begin again. | Raha mitsidika ny #ruraleando ianao, mety hijanona ianao ka hamaky ny momba ny andro faha-112, rehefa nihaona tamin'i Doctor Calle i Segundo, olona iray mandrongony manaraka fitsaboana izay tonga niaraka taminà aretin-tsinay, ary feno tsikitsiky rehefa nomena fahafahana vaovao hiarina indray amin'ny fiainana. |
7 | There is also the story of a 29-year-old patient with high glucose levels, who, after arriving at the hospital for testing was simply told that he looked fine, and should come back four days later -and not one test was performed! | Misy koa ny tantaran'ilay marary iray 29 taona izay manana tahanà siramamy ambony be, izay, taorian'ny nahatongavany tao amin'ny toeram-pitsaboana hanao fitiliana dia notenenina tsotra fotsiny fa tsy marary izy, ary tokony hiverina efatra andro taorian'izay- sady tsy nisy fitiliana natao na iray aza! |
8 | In the same post, the author tells of her encounter with Marlon, a child with special needs who came to the clinic and was entertained by the music of Pink Floyd. | Anatin'io lahatsoratra io ihany, nitantara ny fifanenany tamin'i Marlon, ankizy iray manan-kilema mila fikarakarana manokana, izay tonga tao amin'io klinika io ary niala voly tamin'ny hiran'ny Pink Floyd. |
9 | These are every day stories, so common that they seem normal. | Tantara andavanandro ireo, diso iombonana loatra ka toa zary mahazatra. |
10 | The blog teaches us to look further than the distraction of medicine as a profession, a profession which no longer centers itself in the patient, bur in endlessly dolling out prescriptions and medical exams. | Mampianatra antsika hijery lavitra noho ny fitsaboana amin'ny maha-asa azy ity bilaogy ity, asa izay tsy mifantoka intsony amin'ny marary, fa mifototra amin'ny fanomezam-panafody sy fitiliana ara-pahasalamana tsy misy farany. |
11 | Its pain touches us while reflecting upon the human element in a community's problems. | Mahakasika antsika ny fangirifiriany raha mitaratra ny singa maha-olombelona eo amin'ireo olan'ny vondrom-piarahamonina. |
12 | Denisse with one of her patients, Génesis. | Denisse miaraka amin'i Génesis, iray amin'ireo marary tsaboiny. |
13 | Image taken from #ruraleando, and used under a Creative Commons license (CC BY-SA 3.0 EC) | Sary nalaina tao amin'ny #ruraleando, ary nampiasaina teo ambany lisansa Creative Commons (CC BY-SA 3.0 EC) |
14 | Thanks to the blog, Denisse was able to make contact with national representatives in Health and tell them of needs which would go unseen, unfelt or unlived unless they become a part of this reality. | Noho io bilaogy io, afaka nifandray tamin'ireo solontena nasionaly misahana ny Fahasalamana i Denisse ary nilaza tamin'izy ireo ny zavatra ilaina nefa toa tsy hita, toa tsy tsapa na koa tsy iainana raha tsy lasa ampahany amin'io zava-misy andavanandro io ry zareo. |
15 | Through a proposal for a first aid training program after helping a traffic-accident victim in a very difficult situation, she was able to contact the Ministry of Public Health and the Ministry of Internal Affairs. | Amin'ny alalanà sosokevitra ho anà fandaharam-potoana fanofanana amin'ny fitsaboana vonjimaika taorian'ny nanampiany olona iray niharan'ny lozam-pifamoivoizana tanatinà toerana sarotra dia sarotra, afaka nifampiresaka tamin'ny minisitry ny Fahasalamam-bahoaka sy ny minisitry ny Atitany izy. |
16 | In a blog post, the doctor explains: | Tao anatin'ny lahatsoratry ny bilaogy iray, manazava ilay mpitsabo fa: |
17 | A man, motionless on the asphalt, a crowd of 20 people and two policeman around him…and no one, NO ONE, came forward to even feel his pulse…I knelt down and when I was about to touch him, the police asked me “What are you going to do? | Lehilahy iray, tsy mihetsika eo ambony tara, voahodidin'andian'olona miisa 20 sy mpitandro filaminana roa… ary tsy misy na iray aza, NA IRAY AZA, nanatona na dia hitsapa ny fitempon'ny fony fotsiny aza… Nandohalika teo anoloany aho ary rehefa handeha hitsapa azy indrindra aho, no nanontany ahy ny mpitandro filaminana hoe: “Inona ity hataonao? |
18 | You can't touch him, you can't do anything to him!” to which I replied “I'M A DOCTOR!” and they gave me permission. | Tsy afaka mikitika azy ianao, tsy afaka manao n'inona n'inona aminy ianao!” izay novaliako hoe “MPITSABO AHO!” ary nanome alalàna ahy ry zareo. |
19 | Yes! | Eny! |
20 | It sounds absurd! | Tsy araka ny tokony ho izy izany! |
21 | Authorizing someone to help a stranger who's suffered an accident, while you ask the people around whether they saw the vehicle that hit the person, where it went or what color it was. | Ny fanomezanano làlana olona iray hitsabo olona tsy fantatra niharan-doza, raha manontany ireo olona manodidina ianao sao mba nisy nahita ny fiara nandona ilay olona, na ny nalehany na koa ny lokony. |
22 | In July, Denisse received an invitation to be part of the Seminario-Taller Internacional ”Retos Actuales de la Salud Pública en Ecuador y Vigilancia Ciudadana de las Políticas Públicas y Servicios de Salud” [International Lecture-Workshop “Current Challenges in Ecuador's Public Health and Civic Vigilance of Public Policy and Health Services”], and Nobel Prize winner in Medicine, Thomas Südhof [en], even responded to one of her queries through the BBC. | Tamin'ny Jolay, nahazo fanasàna handray anjara aminà Seminera Lehibe Iraisam-pirenena ”Retos Actuales de la Salud Pública en Ecuador y Vigilancia Ciudadana de las Políticas Públicas y Servicios de Salud” [Fivoriambe-Atrikasa Iraisam-pirenena “Sedra misy ankehitriny eo amin'ny Fahasalamam-bahoaka ao Ekoatora sy ny Fanarahamason'ny Vahoaka ny Politikam-panjakana sy ireo Tolotra Ara-pahasalamana”], ary Maripankasitrahana Nobel eo amin'ny lafiny Fitsaboana i Denisse, i Thomas Südhof [en] aza dia namaly mihitsy ny iray tamin'ireo fanontaniany avy amin'ny BBC. |
23 | In this way, bit by bit, what began as a dream is becoming reality. | Tamin'izany fomba izany, lasa tena izy tsikelikely ilay nanomboka tamin'ny nofinofy. |
24 | Since publishing the first post in February 2013, Denisse has written about her wish to “show that change in health begins rurally; if a community is educated about things which seem tiny and even unimportant, you can achieve big changes.” | Hatramin'ny namoahany ny lahatsoratra voalohany indrindra ny Febroary 2013, i Denisse dia nanoratra mikasika ny faniriany ny mba “haneho fa manomboka any ambanivohitra ny fiovàna ara-pahasalamana; raha toa ka ampianarina reo zavatra heverina ho bitika indrindra sy tsy dia ilaina loatra aza ny vondrom-piarahamonina, mety hahavita fanovàna goavana ianao”. |