Fernando Otto

That's how there it is. the main director of risk hospital. . The clinicals are divided into three principles. is a specialist in complexity. and how many specialties focus on the isolation The clinic is the only trained person to manage the patient We have a problem. It's him who instablish the disease that enters the infection urinary the safety of the card is compensated in conclusion mental, all at the same time. He doesn't treat the disease, he treats the disease. The clinical is a shield against the defensive. The only insurance is the most baratest and efficient medicine, which is the gastrocnical clinic. When I examine and talk with the patient, he is able to see the tomographs necessary examinations of the respiratory system and to consult if a doctor is in seguro or recém-formado would be for him. The Clínico is the guardian of the Leeds of Sulph. The clinical is the one who defines the border between the Arquita Salva! And the day of the Espiritist. It's the role of him deciding with precision who needs to be UTI who will go to the hospital and who can go home with security. Without him, the hospital is in internação inercial. and if it's for a question, notando leitos, that will be a part for the most serious cases. In your room. the role of the clinic in emergency is to guarantee that the port of the hospital is working as a local solution. protecting patients with the necessary interventions and protecting the money from the desperdice Thank you. - Okay. Thank you.

Thank you. Peace. Good morning to all, good morning to the deputado Luis Fernando, good morning to the members of the committee, good morning to my colleagues who are dividing the table with me. I'm here to just talk about... not only in a speciality, but from the Funding of Medicina. The medical clinic. She is the main of all the specialties clínicas: cardiology, epidemiology, neurology, which are the most essential. but the trunk that supports the tree and supports the whole patient's complex is the critical. When we look at the door of an emergency, the fantasy is the trauma of a sonograph. The reality, however, is that 70% or 80% of the emergency is purely clean. It's the diabetes compensated, it's the adults with sepsis, it's the disease aguda, And who dominates this door, needs to dominate the clinic. Today we are suffering from the fragmentation of the patient. The adult doesn't choose to sleep every time. he comes with the pulmonary infection "Rim Parano" and the heart failure. If we put on the door a specialist, only one in the organ, he will get the symptoms of his heart and ask three interconsultations. The clinical, on the other hand, He looks at the patient's feet, not only the disease. The medical literature is unânime. 80% do diagnóstico is in laminase and physical condition. When we don't have a clinic expedient at the door, What is the place? and the fear generally is defensive and the protocol is ceged. The doctor in seguro pede tomography of the body, battery of exames from point to point, trying to find the diagnosis that the physical exam is not given. The emergency is the big gargoy of the world. The clinical experience is the gold filter. He has a technical security to say This patient can go to home with a receipt This patient will go to the hospital and this patient will have a now. "Sem o clínico, o hospital sofre da internação inicial." "Internate the patient, only because he doesn't know what he has." ocupando um leito que fará falta amanhã. Thank you. Costuma-se dizer que o item mais caro da medicina é a caneta do médico. to pay the clinic at the emergency door It's the biggest economy that a health care can implement. The presence of the clinic is a financial expense. Evita o excesso de exames de margem e reduz o tempo de permanência hospitalar. The current model in Brazil is dangerous. transformando a porta da emergência the most important risk of gravity in a room for medicals informatics to wait for your residence. This creates a high-struck rotation and gives the population "Disassistible Disperience". What we have proposed is a solid foundation of policies We need to keep the support to keep the senior in the emergency. not only attending, but also as perceptors. "Passando segurança e ensinando o raciocínio clínico aos mais jovens na trincheira do Sul." The parliamentary machine, the most advanced advanced machine of the hospital does not make a bagnet. The most advanced machine is the clinical machine. and a doctor well prepared to use the medical clinic in emergency is to develop the SUS and its capacity to solve problems. is to protect the public's time And above all, it's to save lives of a intelligent and human life. Thank you very much for the conversation of all and I'll be at your disposal. Thank you.