The eighth meeting of patients with complex chronic diseases from SEMI


61 percent of The patients In hospital in Spain chronic. The percentage that increases each year due to Increased life expectancy and poor lifestyle habits, which leads to the emergence of increasingly frequent and incurable chronic diseases. However, to date, There is no clinical evidence containing guidelines On how to deal with these cases in National health system. Hence the need to create encounters like the ones you are promoting Spanish Society of Internal Medicine (SEMI).

After a slack year due to the epidemic, the agency is tackling Eighth meeting on complicated chronic diseases To explore these questions of interest and concern internists In order to process these personal files. This is because his treatment, in addition to being chronic, is compound, As the name of the meeting suggests during the convergenceMany very complex diseases in the same patientIf the protocols stipulated for each of these diseases are followed, the patient will be compelled to do so. Take between 15 and 20 drugsWhich is, in the eyes of Pilar Romain, former president of SEMI and meeting coordinator, a “disaster”.

“It is difficult to identify and know which diseases were compensated at that time,” he explained from his vision as an internist at the Requena hospital in Valencia. The same thing happens when it comes to Choose drugs “They have to stay in the pattern or they can be removed,” he explains, speaking of the multiple drugs and their side effects. “We must learn to receive this type of patient“, He explains, starting from two basic rules:” primum non nocere “, first do not harm and” less is more “, thus avoiding all that is useless and working only on what is important.

Internal medicine 2.0

For this reason, the meeting took place approximately on October 6 and 7 and Sponsored by Boehringer Ingelheim, will spend a significant portion of the time updating chronic diseases. It will also lay eyes on the future of the profession with a department of Young Doctors of Internal Medicine, they are generally reluctant to treat this type of polypathologic patients, even if they represent the majority.

According to Roman, responsible for the eighth edition of the event, the new generations prefer to treat cases of serious immunological diseases or infectious diseases, and for that he considers it necessary to “stimulate” them and to arouse interest in what, in a few years, will be The “volume” of health activity in the SNS. It will therefore be necessary to define what cThe sedation that an internist will need.

Keeping the usual form, Román will again interactively display a clinical case, this time online, to allow participants to identify poorly performed actions.

Telemedicine boom

The COVID-19[female[feminineAs it could not be otherwise, given its overall impact on health, it would also feature prominently in the meeting, and take up much of the second day. Thus, internists from Lugo, Malaga and Seville, led by Jesus Manglano, president of SEMI, will talk about Adapt the practice of internal medicine to the epidemic, with the telemedecine Wearing a spearhead.

Specifically, Carlos Hernandez, president of the internal medicine department of the Virgen del Rocio University Hospital, will be responsible for presenting the results. “Atlan_TIC” clinical trial on the effectiveness of telemonitoring in patients with advanced respiratory and cardiac diseases. Emilio Casarego, from the Locos Auguste University Hospital and former head of the organization, will be responsible for telemedicine in response to the pandemic, while Javier Garcia, professional from the Costa del Sol hospital, will lay the foundations for the future of this area of ​​specialization.

After more than a year and a half Facing Covid-19, Keep Motivation of healthcare professionals, and especially among internists, has become a challenge for departments and leaders. Victor Coopers, a well-known lecturer who will put the finishing touches to the meeting, will speak precisely on this subject. The perfect opportunity to “catch your breath”, says Roman, after having lived with colleagues “especially the difficult months”.

Although it may contain statements, statements or notes from institutions or health professionals, the information contained in the medical editorial staff is edited and prepared by journalists. We recommend that the reader be consulted on any health-related matter with a healthcare practitioner.


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