Anonymity in the
field
Leticia Martínez
Hernández
Photos: Juvenal Balán
PORT-AU-PRINCE, Haiti.— Surgeon Oscar Suárez says
that, without the medical electronics technicians,
known as the "electromédicos," they would be nothing.
"We have worked nights, into the morning… but they
aren’t far behind us. These young guys have also
been sweating; they are often our anonymous help,
because you always see the doctors attending to
people, but behind us, there has to be an
electromédico."
"You
see all of this here? They’ve set it all up. And
every time we have a problem, there they are. They’re
‘doctors’ too, but doctors who take care of us."
That is how surgeon Suárez talks about the team of
medical electronics technicians who set up Cuba’s
five field hospitals in Haiti. In addition to this
one that was readied in Arcahaie, about 20 km from
Port-au-Prince, there are the four in Croix des
Bouquets, Jacmel, Carrefour and Leoganne.
The team is made up of five Cubans, from
Camagüey, Las Tunas, Matanzas and Havana, and since
they arrived in Haiti, they have forgotten the fact
that they come from different provinces, or that
they have different specializations, or even their
baseball rivalries. They are like the "five
musketeers" as they set up the hospital. At the
count of three, and with the help of the doctors,
they carry heavy boxes, install electrical networks
and put together the tiny screws and pieces of
medical equipment as if it were a complicated jigsaw
puzzle. That is when the hefty Osmín Camero, who has
just carried a heavy load, says he could use the
hands of a woman. Even so, not one screw escapes him,
and he ends up putting together the monitor for the
intensive care unit with incredible dexterity.
Among the parts and boxes, Osmín, another medical
electronics technician, comments that they will
later assemble four pulmonary ventilators. They have
already set up the anesthesia machine, he adds, and
the operating room is ready, with its surgical table,
aspirator and lamps. "If everything works out, we
should finish the work in two days, or a maximum of
three."
The
thing is, this team’s most precious treasure is its
experience. One of them, engineer Julio César Sáenz,
was in Pakistan after the October 8, 2005 earthquake,
where the Cubans established 34 (!) field hospitals.
He explains how they installed those centers. "They
are set up based on a surgical unit, intensive care
unit, and post-op unit, along with a clinical
laboratory, and then the whole hospital system is
equipped. Along with the tent where patients are
received, an average of five others is erected for
each hospital. We also set up the tents that house
the doctors and nurses."
Several times, Julio César uses the word "flow-gram,"
and in response to our puzzled expressions, explains
that these hospitals are not set up arbitrarily.
They have an order, a diagram, which indicates, for
example, where the entrance to the doctor’s office
should be, and then which ward should be next. The
tents are not placed next to each other by chance.
But that’s not all. The engineer says that
because of Haiti’s hot weather, areas like the
surgical units require air conditioning, for which
they are adapting foundations and setting up
conventional systems. According to Julio César, the
only reason that these are field hospitals is
because they are in tents, because their technology
is cutting-edge, the same as that used in regular
hospitals in Cuba.
Jorge Luis Núñez, a young specialist in medical
equipment services from the Central Institute of
Digital Research, agrees, adding that "the machines
are made in Germany, Japan and, a good number of
them, in Cuba. From Cuba, we’ve brought the Doctus
VI vital signs monitor; the pulse oximeter, which
uses a battery, so that oxygenation monitoring can
be mobile; an automated external defibrillator for
patients suffering cardiac arrest – the new version
also features pediatric paddles, so that it can be
used with children; and the electrocardiograph, very
common today in our polyclinics. Cuba is now
marketing this technology in nations such as Mexico,
Venezuela and Algeria."
Jorge Luis comments that he came from his country
with the mission of troubleshooting the installation
of this equipment, but in Haiti, he has had to do
everything. He helps to set up the tents and power
generators, to arrange for the distribution of
potable water for the laboratories, to create
electrical networks…
He says the team of medical electronics
technicians has risen to the occasion, and that it
is up to them to keep going, anonymity or not. This
is a very questionable word, especially when the
first patient arrives at the Arcahaie field hospital
and, thanks to the work of the technicians, has a
place to be attended. He is Abdiala Joseph, who
injured his right kneecap in an accident. Even
though Arcahaie is not completely finished, the work
begins. As the doctors see to his injury, the
"electromédicos" speed up their labors.