Na tejto ceste s\u00fa dopravn\u00e9 z\u00e1pchy obzvl\u00e1\u0161\u0165 bezn\u00e1dejn\u00e9 a\u00a0je naozaj ve\u013emi \u0165a\u017ek\u00e9 zvykn\u00fa\u0165 si na kambod\u017esk\u00e9 motoristick\u00e9 oby\u010daje. Ve\u013ea motoriek, ktor\u00e9 jazdia bl\u00e1znivo, k\u013eu\u010dkuj\u00fa v\u00a0prem\u00e1vke, potom takzvan\u00e9 tuk-tuky, ktor\u00fdch \u0161of\u00e9ri sa pred odbo\u010den\u00edm ned\u00edvaj\u00fa do sp\u00e4tn\u00fdch zrkadiel (ak v\u00f4bec nejak\u00e9 maj\u00fa), dvojkoles\u00e1ky pln\u00e9 \u013eud\u00ed pohybuj\u00face sa ve\u013emi pomaly\u00a0 uprostred vozovky, potravinov\u00e9 trhy, ktor\u00e9 zaberaj\u00fa polovi\u010dku cesty a\u00a0samozrejme ve\u013ek\u00e9 aut\u00e1 s\u00a0pohonom 4×4, v\u00a0ktor\u00fdch nikto ani len netu\u0161\u00ed, \u017ee existujete a\u00a0\u010do je e\u0161te hor\u0161ie, niektor\u00e9 z\u00a0nich maj\u00fa aj policajn\u00fa eskortu, preto\u017ee\u00a0 niekto \u201eve\u013emi d\u00f4le\u017eit\u00fd\u201c sa v nich potrebuje ve\u013emi r\u00fdchlo vr\u00e1ti\u0165 domov. Po pribli\u017ene dvadsiatich min\u00fatach a\u017e polhodine \u0161of\u00e9rovania v\u00a0tomto zm\u00e4tku vo\u0161iel som po prv\u00fd raz do nemocnice. Prv\u00e9, \u010do mi napadlo, bolo, \u017ee stoj\u00ed na pr\u00edli\u0161 od\u013eahlom a\u00a0spustnutom mieste. Budovy, celkom star\u00e9 a\u00a0za\u0161l\u00e9, stoja na\u00a0zarastenom pozemku, kde divoko rastie tr\u00e1va a\u00a0palmy. Nie je tu nijak\u00e1 bet\u00f3nov\u00e1 cesta. Namiesto nej tu vidno iba zablaten\u00fa \u0161pinav\u00fa stopu z\u00a0\u010dervenej p\u00f4dy. Jazdi\u0165 a\u00a0chodi\u0165 tu v\u00a0obdob\u00ed da\u017e\u010fov \u2013 to mus\u00ed by\u0165 rados\u0165.<\/p>\n
Detsk\u00e9 oddelenie a sa nach\u00e1dza na druhom poschod\u00ed jednej z\u00a0t\u00fdchto budov, v\u00a0strede nemocni\u010dn\u00fdch pozemkov. Ke\u010f som vo\u0161iel, bolo tam ve\u013ea \u013eud\u00ed \u010dakaj\u00facich so svojimi de\u0165mi na konzult\u00e1ciu na\u00a0oddelen\u00ed pre ambulantn\u00fdch pacientov alebo na infek\u010dnom oddelen\u00ed. Videl som nieko\u013eko kompletn\u00fdch rod\u00edn s\u00a0mamou, otcom, babkou, bratmi a\u00a0sestrami… Ka\u017ed\u00fd chod\u00ed na konzult\u00e1cie. Niektor\u00e9 z det\u00ed behali okolo, hrali sa na chodbe; niektor\u00e9 z\u00a0nich zasa boli ve\u013emi tich\u00e9 a\u00a0hanbliv\u00e9, sedeli pokojne v\u00a0k\u00fatiku; \u010fal\u0161ie sa zdali by\u0165 ve\u013emi chor\u00e9 \u2013 plakali a\u00a0kri\u010dali.\u00a0<\/p>\n
Spo\u010diatku sa mi detsk\u00e9 oddelenie zdalo by\u0165 ve\u013emi \u0161pinav\u00e9. \u010casom som si v\u0161ak uvedomil, \u017ee v\u00a0porovnan\u00ed s\u00a0in\u00fdmi miestami je ve\u013emi \u010dist\u00e9 a\u00a0\u0161pinavo iba vyzer\u00e1 kv\u00f4li star\u00fdm dla\u017edi\u010dk\u00e1m na podlahe a\u00a0dlh\u00e9 roky zvetr\u00e1vania v\u00fdzoru budovy tie\u017e nepomohli. Steny boli ned\u00e1vno poma\u013eovan\u00e9 mil\u00fdmi animovan\u00fdmmi postavi\u010dkami a\u00a0zvieratkami, \u010do nemocni\u010dn\u00e9mu prostrediu dodalo ve\u013ea farby. Bol som ve\u013emi prekvapen\u00fd, ke\u010f som zistil, \u017ee tam nie s\u00fa nijak\u00e9 sklenen\u00e9 okn\u00e1 a\u00a0\u017ee namiesto nich s\u00fa tam len otvory zastret\u00e9 okenicami. Viem si predstavi\u0165, \u017ee to nie je ve\u013emi pr\u00edjemn\u00e9, ke\u010f f\u00faka siln\u00fd vietor, pr\u0161\u00ed, alebo je chladno.\u00a0<\/p>\n
Hospitalizovan\u00e9 deti le\u017eia v\u00a0ka\u017edej z\u00a0izieb s\u00a0preva\u017ene najkomplikovanej\u0161\u00edmi a\u00a0najv\u00e1\u017enej\u0161\u00edmi pr\u00edpadmi. Sedia na svojich posteliach alebo tie, \u010do sa c\u00edtia lep\u0161ie, sa prech\u00e1dzaj\u00fa po izbe a\u00a0po chodbe a\u00a0je tu aj jedno die\u0165a, ktor\u00e9 \u010doskoro nemocnicu opust\u00ed. Niektor\u00e9 sa tie\u017e hraj\u00fa v\u00a0herni s\u00a0hra\u010dkami vyroben\u00fdmi doma, alebo z\u00a0obchodu. Je zvl\u00e1\u0161tne vidie\u0165, \u017ee s\u00a0dreven\u00fdm aut\u00ed\u010dkom s\u00a0dvoma kolesami sa zabavia ove\u013ea viac ne\u017e s\u00a0\u00faplne nov\u00fdm batmobilom. Zasa a\u00a0op\u00e4\u0165 som musel zabudn\u00fa\u0165 na svoje eur\u00f3pske \u0161tandardy v\u00a0snahe pochopi\u0165, ako to tu v\u0161etko funguje.<\/p>\n
Iste, na oddelen\u00ed nie je nijak\u00e1 pomocn\u00e1 sestra alebo dozorca. Sestri\u010dky s\u00fa tu na lek\u00e1rske kontroly a\u00a0lek\u00e1rsku starostlivos\u0165, zatia\u013e\u010do lek\u00e1ri vykon\u00e1vaj\u00fa vizity a\u00a0vypisuj\u00fa recepty. Tak\u017ee matka (alebo in\u00fd \u010dlen rodiny) mus\u00ed vykon\u00e1va\u0165 v\u0161etky pomocn\u00e9 pr\u00e1ce: zost\u00e1va pri svojom die\u0165ati cel\u00e9 dni a\u00a0noci po\u010das celej hospitaliz\u00e1cie, aby ho sledovala, um\u00fdvala, k\u0155mila, volala sestri\u010dky, ak sa vyskytne probl\u00e9m a\u00a0sumarizovala lek\u00e1rovi celkov\u00fd stav die\u0165a\u0165a po\u010das rannej vizity. Na\u0161\u0165astie, hne\u010f ved\u013ea oddelenia je kuchy\u0148a, ktor\u00fa prev\u00e1dzkuje Magna pre pacientov a\u00a0ich rodiny, tak\u017ee nemusia aspo\u0148 vari\u0165.<\/p>\n
Pokia\u013e ide o\u00a0organiz\u00e1cie p\u00f4sobiace v\u00a0nemocni\u010dnom prostred\u00ed, v\u0161etko toto sa mi spo\u010diatku zdalo by\u0165 ve\u013emi \u010dudn\u00e9 a\u00a0nelogick\u00e9, ke\u010f som to porovn\u00e1val s\u00a0t\u00fdm, \u010do som videl v\u00a0Eur\u00f3pe. Ale vedel som, \u017ee mus\u00edm pochopi\u0165, \u017ee toto nie je t\u00e1 ist\u00e1 mentalita, ten ist\u00fd sp\u00f4sob pr\u00e1ce a\u00a0ten ist\u00fd sp\u00f4sob starostlivosti. A\u00a0v\u00f4bec to nie je t\u00e1 ist\u00e1 organiz\u00e1cia.\u00a0\u00a0<\/p>\n
Najprv som za\u010dal chodi\u0165 na vizity s\u00a0lek\u00e1rmi, aby som si zvykol na choroby, s\u00a0ktor\u00fdmi som sa mohol stretn\u00fa\u0165 na oddelen\u00ed, aby som videl, ako sa daj\u00fa lie\u010di\u0165 a\u00a0aby som nadviazal s\u00a0pacientmi prv\u00fd kontakt. Izba za izbou, die\u0165a za die\u0165a\u0165om, pr\u00edpad za pr\u00edpadom… Po\u010dul som ve\u013ea r\u00f4znych a\u00a0niekedy aj smutn\u00fdch pr\u00edbehov. Na prv\u00fd de\u0148 toho bolo ve\u013ea. Mnoh\u00e9 z\u00a0det\u00ed prich\u00e1dzali do nemocnice, a\u017e ke\u010f boli vo v\u00e1\u017enom stave a\u00a0boli u\u017e ve\u013emi chor\u00e9. To preto, lebo rodi\u010dia pridlho ot\u00e1\u013eaj\u00fa s\u00a0n\u00e1v\u0161tevou lek\u00e1ra a\u00a0v\u00e1haj\u00fa, \u010di \u00eds\u0165 do nemocnice. Niekedy preto, lebo nemaj\u00fa peniaze a\u00a0niekedy preto, lebo nemaj\u00fa \u010das. Okrem toho ka\u017ed\u00fd z\u00a0nich najprv vysk\u00fa\u0161a miestny liek, ktor\u00fd pozost\u00e1va z\u00a0trenia chrb\u00e1tika die\u0165a\u0165a s\u00a0hor\u00facimi mincami a\u00a0tigr\u00edm balzamom. V\u00fdsledkom je, \u017ee ke\u010f sa u\u017e dostan\u00fa do nemocnice, sympt\u00f3my ich choroby s\u00fa u\u017e ve\u013emi z\u00e1va\u017en\u00e9: vysok\u00e1 teplota, hna\u010dka, zvracanie, bolesti… Niektor\u00e9 deti s\u00fa u\u017e tak\u00e9 dehydrovan\u00e9, \u017ee nemus\u00edte robi\u0165 ani vy\u0161etrenia, aby v\u00e1m to bolo jasn\u00e9; mnoh\u00e9 z\u00a0nich trpia silnou podv\u00fd\u017eivou a\u00a0s\u00fa ve\u013emi chud\u00e9. Ale lek\u00e1ri v\u017edy venuj\u00fa \u010das kompletn\u00fdm vy\u0161etreniam v\u00a0snahe ur\u010di\u0165 diagn\u00f3zu a\u00a0nasadi\u0165 spr\u00e1vnu lie\u010dbu. Ak sa zm\u00fdlia, zmenia strat\u00e9giu a\u00a0ich znalosti o\u00a0chorob\u00e1ch, ktor\u00e9 lie\u010dia denne, s\u00fa naozaj dobr\u00e9. Siln\u00fd dojem na m\u0148a urobili aj schopnosti sestri\u010diek z\u00a0technick\u00e9ho h\u013eadiska lek\u00e1rskej starostlivosti. Naozaj s\u00fa vyu\u017e\u00edvan\u00e9 na to, aby sa starali o\u00a0mal\u00e9 deti, ale v\u00a0kontraste s\u00a0t\u00fdm hygiena a\u00a0organiz\u00e1cia rozhodne nie s\u00fa ich silnou str\u00e1nkou.\u00a0<\/p>\n
Deti a\u00a0ich rodiny na m\u0148a z\u00edzali cel\u00fd \u010das. Pravdepodobne si kl\u00e1dli ot\u00e1zku, \u010do tam rob\u00edm. A\u00a0ja som si ju kl\u00e1dol tie\u017e. Po t\u00fdchto v\u0161etk\u00fdch aktivit\u00e1ch pri\u0161iel \u010das obeda. Bolo naozaj z\u00e1bavn\u00e9 vidie\u0165, ako ticho vie by\u0165 pri obede toto hlu\u010dn\u00e9 oddelenie. Medzi poludn\u00edm a\u00a0druhou hodinou v\u0161etci spia \u2013 v\u0161ade: Niektor\u00ed v\u00a0posteliach, \u010fal\u0161\u00ed na stoli\u010dk\u00e1ch, in\u00ed na stoloch. Toto je toti\u017e ve\u013emi d\u00f4le\u017eit\u00fd a\u00a0posv\u00e4tn\u00fd \u010das ka\u017ed\u00e9ho d\u0148a. \u2028Popoludnie bolo ve\u013emi tich\u00e9, ako v\u00a0podstate ka\u017ed\u00e9 popoludnie, ke\u010f\u017ee \u010das\u0165 person\u00e1lu odi\u0161la preto\u017ee konzult\u00e1cie s\u00fa iba dopoludnia.<\/p>\n
Tak\u017ee prv\u00fd de\u0148 bol za mnou ve\u013emi r\u00fdchlo a\u00a0v\u00a0ten ve\u010der, na ceste sp\u00e4\u0165 do Phnom Penh, som si trochu viac za\u010dal zvyka\u0165 na kambod\u017esk\u00fd sp\u00f4sob \u0161of\u00e9rovania. D\u00fafal som, \u017ee \u010doskoro si zvyknem aj na atmosf\u00e9ru pediatrick\u00e9ho oddelenia.\u00a0<\/p>\n
Romain Santon pracuje v\u00a0Kambod\u017ei pre Magna Deti v\u00a0n\u00fadzi ako lek\u00e1rsky asistent.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":" Predt\u00fdm ne\u017e som za\u010dal pracova\u0165 pre Magna Deti v n\u00fadzi, str\u00e1vil som v Kambod\u017ei nieko\u013eko t\u00fd\u017ed\u0148ov. Ale s tunaj\u0161\u00edmi nemocnicami som dovtedy nemal nijak\u00e9 sk\u00fasenosti. <\/p>\n","protected":false},"author":1,"featured_media":8841,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[],"post_country":[],"post_year":[],"post_layout":[],"post_topic":[],"class_list":["post-8839","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"\n