The “organization” of the entire hospital medical part in France can only lead to putting in the leadership of people who are described as political, without pejorative judgment on it, but it is a fact. You want a chiefdom in hospital, whatever your spe ‘, you have to go through the caressing ds the direction of the hair and the disproportionate ego displayed. It is a trait of character essential to surgeons also, without that, no post of practitioner, boarding schools of lower quality … Really, medicine, it works or sometimes dies.
Basically, the egg or the chicken? Is it “the fault” of these psychological profiles that stick to the demands of the structure or else “the fault” of the mammoth (Claude Allegre, special dedication)?
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Laurence Peignot, general practitioner: “I stopped applauding my colleagues”
TESTIMONY. This young doctor is annoyed to see certain colleagues make themselves heroes and maintain fear. “Let’s give our patients a taste for life. “
By Nicolas Bastuck
It is his “little rant”, on the eve of deconfinement. “He only hires me,” she said at the outset, a little distraught at the idea that his words were “misunderstood, even distorted.” It is true that they break some taboos and turn out to be a bit iconoclastic. She also expects to receive “a ton of indignant reactions” on the networks, in the mode: who does she think she is? He will be insulted, the most upset may wish him to end up in intensive care. But hey, she wanted to say it. So here it is, she says: “It’s over, I won’t applaud my colleagues in the evening at 8 pm. “
Dr Laurence Peignot, general practitioner in Paris (18th arrondissement), 33 years old, three years of liberal practice, has “a little problem with that”. “Let it be understood: I have a lot of admiration for my hospital colleagues who, in the emergency and intensive care units, have given themselves without counting to treat people, facing death, struggling at risk of their lives, sacrificing, for some, faced with a virus they did not know. “She also applauded them” 43 evenings in a row, [sa] window “. But now she thinks “enough is enough”.
“We do the job and it’s normal”
“It will surely shock me to say that, but those who pretend to be heroes abuse,” she judges. They would also be a minority, among his colleagues, to take these evening applause for cash. Listening to her, on the contrary, many of them, like her, would be “a little embarrassed with that”. “Personally, I just didn’t do much compared to usual. To be honest, I am not overwhelmed and never have been. However, I was at the “front”, in the “front line”, as they say today. “She continues:” In the hospital, many consider that they only did their job. They did it very well, some took risks, but, at some point, you have to say things: we are doing the job and that is normal. In a way, it’s a chance to be able to work, earn a living and leave your home. It stings, we warned you!
“Our job is to reassure, not to panic the population”
But for Dr Peignot, this is not essential. “Some doctors, she thinks, are now diverting their knowledge and power to fuel a collective psychosis that will cost us dearly medically, socially, psychologically and economically. And for once, she “finds it disgusting”. She is angry with those who “disseminate complex information, as yet unsuccessful scientifically, helping to maintain irrational fears in the face of illness and death”.
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“Our job as a doctor is also to reassure people. In any case, it is certainly not to panic the population at a time when many are reluctant to send their children back to school and return to work. “Every day,” she worries, “I see anxious people parading through my office. The other day, a panicky student told me that he hadn’t been out of his studio for six weeks, not even to go shopping. Teachers, employees ask me for certificates so that I don’t go back to work. I see frightened patients, locked in their death anxieties, who prefer to stop everything, keep their children at home rather than going out, living, working, finding their relatives and friends. I find it sad. When one is in good health, one should not indulge in confinement, withdrawal and docility. This is why, she says, “the urgency may be to restore people’s confidence, to help them regain the will to live and be together, rather than depend on a system itself breathless “.
Read also Too fast, too blurry, too risky … When deconfinement distresses
She talks about her “medical courses”. “We learn that in college: health is a whole. It is not only to protect oneself from an illness or an infirmity, it is to be well in one’s body, one’s head, one’s social and family environment. We sacrificed all that and it was necessary to fight against this damn disease, but it cannot last any longer. Today, we must be reasonable and not forget this global vision of health, if we want to last. The fight against this virus is not over and we will continue to do our best to protect, screen and treat those at risk with Covid-19. But our job is also to make life start again. Not to scare people on TV. We must be filters, not anguish generators. “
Anxiety and insomnia
She is “just beginning” to measure the unexpected consequences that two months of confinement have produced for her patients. She quotes, pell-mell, depression, physical pain, insomnia, fear of being treated, delayed diagnosis, isolation, massive anxiety, “including in children”. “The worst part is that nobody dares to complain when what you are experiencing is very difficult, even when you are not sick. “
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She does not campaign in anything, except in a theater class; it is not part of any party. But she finds it “sad”, this “generalized drowsiness, this docility, this lack of revolt”. Because “when we take your freedom, that we force you to put a mask on transport, even if it is essential, it is not something normal, nor harmless. We have the right to say that we are not happy, that we are angry, that it is hard. We have the right to complain, it feels good. This is what I do with my little sputter. “
“Everyone understood that we were essential. Let’s not add more! “
Yesterday, she “saw a tweet” in which an AP-HP emergency doctor asked for funds to buy stethoscopes. “I thought to myself: this guy is blatantly abusing. Lots of people are in the panic and waiting to be able to reboss and, we, we are asking for money by playing on people’s fear. Again, from the height of her 33 years and her status as a “generalist”, she found it “disgusting”. She quipped: “Everyone understood that we were essential. It may not be worth adding and enjoying it! “
Calm in the emergency room
“I regret that some doctors exaggerate in their favor the real situation in hospitals to strengthen their power, their ego and obtain a financial incentive,” she continues. “However, there is a gap between what some media report and the reality on the ground. The interns I meet tell me about their hospital internship: the services that were reorganized to accommodate patients with Covid were full for two or three weeks, at the height of the wave. But, for a month, this has not been the case at all. The emergencies are deserted; in any case, those who, among my patients, made a passage there were treated faster than ever. I therefore regret to see some of my colleagues worrying a population already on edge to achieve their ends, however legitimate they may be. If it continues, one day, people will tell us: you freaked us out for weeks and it will backfire! “
“There is no such thing as zero risk, let’s help patients assume it”
She often says “they”, but who is she talking about, exactly? “From some media emergency workers who make tons of them”; “some teachers, often the same, that we see all the time on TV, to the point of wondering when they are in their service”. At the same time, she “understands” them “When you have inherited the status of hero, you are in no hurry to get out!” She quips. She says: “We may be only small generalists, but the patients, we see them living, working, growing up with their families. And what I can say is that many are atrophied by what they are going through. Our role is to help them get out. “
Second wave
The risks ? ” No risk does not exist. Some patients come to see us to avoid having to take it by asking us to stop, for example. What I would like is for them to take on this risk, at least when their health permits. It is up to us to ensure that this risk is minimized as much as possible. “
“Yes, there will undoubtedly be a second wave”, but Dr. Laurence Peignot thinks that the measures put in place will make it possible to face it. “Anyway, we can’t help but live indefinitely. There is a balance to be struck between the risk linked to the virus and the risks that one takes by prolonging confinement. “
“There, it was my little rant,” she concluded, suddenly a little stressed by “the fallout” it could cause. She sighs, “It’s worth what it’s worth, but it had to come out.” I had to say it. “
Message completed on 10/05/2020 20:51:57 by its author.
It makes me think of the beautiful and caustic song of Dutronc “Apart from that”
And this extract ui could apply to the jactances of the doctors on the TV sets:
“
You this, me this
There is no way out
Our opinions on life
Yes but other than that …
With the tick of easy criticism
And the problem with a lack of style
Everyone speaks about everything
who
Prints
Between heroes and zeros or bow
share this … “
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