LANATA: LE SACARON LA SEDACIÓN
El periodista, quien ha estado internado en un estado crítico durante varios meses, presenta signos de mejoría. Los médicos retiraron su sedación y aunque aún no responde a estímulos, esto se atribuye al largo período que estuvo sedado.
️ Guillermo Andino
Seguí en #AndinoYLasNoticias
a24.com/vivo
El periodista, quien ha estado internado en un estado crítico durante varios meses, presenta signos de mejoría. Los médicos retiraron su sedación y aunque aún no responde a estímulos, esto se atribuye al largo período que estuvo sedado.
️ Guillermo Andino
Seguí en #AndinoYLasNoticias
a24.com/vivo
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NewsTranscript
00:00Let's talk now about Jorge Lanata, because, let's see, there is good news within Jorge's really serious picture,
00:09and we have been arguing here so that there is no internal discussion, so that he can get ahead.
00:16What is known, I am going to read different portals, right?
00:19What is known about the health of the journalist?
00:21That he is still hospitalized, but that his picture is favorable.
00:24The doctors emphasize that it is a day-to-day, but attention, because the last thing we found out is that he was sedated.
00:33Yes.
00:34And this is very important. In this particular context, where many of us thought that the worst could happen in the next days or hours, he was sedated.
00:44I said, for me he is fighting his final battle as a gladiator, but more than a gladiator, a double gladiator.
00:53And the truth is that you have to put the chips on him because he has already gone through so many operations, and really very difficult,
01:00that this is being done as an artistic thing, the doctors, because getting the sedation out, what does it imply?
01:08Let's see, we are going to ask Dr. Santamaria.
01:10Ah, of course, right, he is a doctor.
01:12Come on, Dr. Santamaria, how are you? Thank you for attending us.
01:15How are you, Guillermo? Very good day, how are you?
01:18Let's see, can we say happy for the evolution of Jorge's health, or slow, slow, calm, step by step?
01:25What would you say to this news coming from the Italian hospital?
01:29Look, I think there are many versions, but there are few official reports.
01:34Since last Friday, a week ago, there is no official report.
01:39The data that has transcended is that they put a dry helium valve on him, so that it can be understood.
01:46It is a valve that joins the last portion of the thin intestine.
01:49Do you remember that they had taken 70 centimeters out of him?
01:52Yes, yes.
01:53With the thick intestine, so that the bacteria and the fecal matter of the thick intestine does not return to the thin intestine.
02:00That is what transcended what they did to him.
02:03And I think there is no official part, because they are seeing if the surgeries they did to him,
02:09of the digestive system, recover the intestinal transit.
02:14That is why they put, according to the transcendents yesterday, a nasogastric probe,
02:19because he is receiving food, so that he can be nourished, through a vein, it is called parenteral.
02:26But they put a nasogastric probe on him to see if the digestive tube, from the mouth to the end,
02:33recovers the intestinal transit.
02:36And yes, they removed the sedation, because as he was operated on,
02:40and they did four interventions, plus this one that I am telling you,
02:44obviously they have to remove the sedation so that he wakes up and does not have pain.
02:51The truth is that I would be very cautious, Guillermo, because Jorge has two battles,
02:58apart from the digestive tube.
03:00I don't want to forget what the official part says.
03:03A multi-causal encephalopathy, which is why he went to rehabilitation twice and had to come back,
03:10and a lung problem due to Jorge's cigarette addiction, which is what led him to the hospital on June 14.
03:18Claudio, encephalopathy, are you trying to understand that, and that's why we have to wait,
03:25it would have to do with how he is regarding his discernment and communication?
03:31Yes, look, the information we have from the official part,
03:35do you remember that he was hospitalized 134 days ago, four and a half months on June 14,
03:41to do a lung study, there he suffered a heart attack,
03:46and from there he is in intensive care in Combinador.
03:49And the official parts said, officially, that's why I can say it,
03:55that he has a multi-causal encephalopathy.
03:59Let's remember that the brain is the set of organs that is inside the skull,
04:05the brain, the cerebellum, the pulse,
04:08and that it was externally manifested by confusion and disorientation.
04:14Even the official part said that he couldn't even sit down, that he had motor disorders.
04:21That's why you have to be prudent and wait for him to recover from these pathologies.
04:27Mr. Claudio, maybe there is some info that happens to me,
04:31that they tell me that sedation has been taken away from him for days,
04:35but they use a very specific word, let's say that there is no connection,
04:39as if there were no answers, what could this be due to?
04:44And in the face of this, the panorama, what would it be?
04:47There are no forgiving answers.
04:49Stimulus.
04:51Stimulus.
04:53Jorge has been on epitensive treatment for four and a half months.
04:58All patients who take away the sedation to see how he recovers.
05:02But the important thing here is to know how Jorge's brain is
05:07after these four and a half months.
05:09And the breathing can also be recovered,
05:13since remember that he has a tracheotomy connected to a respirator.
05:17And that's why it's a day-to-day.
05:20I think that's why there are no official parts.
05:23We would need to know and they will be evaluating
05:26what degree of commitment or not he has at the level of his brain.
05:30Okay. Yes, Deborah.
05:32Doctor, good morning. I'm Deborah Ambo, a lawyer, not a doctor.
05:36Could it be that this that Germán asked,
05:39in relation to the fact that there are still no responses to the stimuli,
05:43is due to the amount of time he was sedated?
05:46And that it is normal in patients who have a long time of hospitalization and sedation
05:52that, let's say, the resuscitation or the response is late?
05:56Or is it random?
05:58Yes. No, no.
06:00Jorge has a lot of medication because they had to put him to sleep
06:04for the different surgeries.
06:06He had several periods of anesthesia.
06:08And he has sedation because he has an endotracheal tube.
06:12And don't forget that Jorge has a kidney failure with a kidney transplant.
06:17And then the depuration of the drugs they give him to be able to keep him
06:22and so that he doesn't have pain, they take time to leave.
06:25And you have to see how his transplanted kidney is.
06:28And his liver, which are the two organs that depurate the drugs
06:32that they gave him to maintain all this time,
06:35which has already been four and a half months.
06:37The truth is that it is a long time for a patient in intensive care
06:41with multiple complications and with multiple pathologies.
06:45Yes. Doctor, could this picture be reversed?
06:50I mean, is there a precedent that these pictures can be reversed?
06:53Beyond the fact that now there would be no answer to the stimuli?
06:58Look, Guillermo, as long as there is life, there is hope.
07:01The truth is that the first point is that Jorge is alive.
07:04You yourself said that we feared the worst hours
07:07when he had intestinal necrosis,
07:10because it is a pathology that has a high mortality rate.
07:14Jorge has overcome this problem of intestinal ischemia
07:18with four or five interventions.
07:21Now he has a serious respiratory failure as a precedent,
07:26which was what led him to be hospitalized.
07:29And he has encephalopathy, which the official party says is multi-causal.
07:34But there we do not know, Guillermo,
07:36what magnitude of damage he has at the level of the brain.
07:41And how much he will recover or how much not.
07:44Those data are not available, we do not have them.
07:47Of course, one speaks from the anxiety of the affection that one has for Jorge
07:52and that we want him to evolve well.
07:54That is why I understand that from what you are saying, Claudio,
07:58if I ask you when I could go back to his house,
08:02if there is no answer to that, this is a minute by minute, right?
08:07Yes, I see that there is news that says that they are going to get him out of therapy.
08:11Many people say that he is going to come back.
08:14The truth is that the two times they tried to do multiple rehabilitation,
08:19because that is why they sent him to Santa Catalina twice,
08:22because Jorge needs rehabilitation to speak, to move,
08:27because he is in bed, so that we can say,
08:31four and a half months ago, it is a very complex picture.
08:34I think we have to wait, it is good news that he is recovering,
08:38but we have to be very careful because the picture that Jorge has is serious and complex.
08:43Doctor, and what is the mechanism to remove sedation?
08:47Is it in a moment, is it progressive? How is it carried out?
08:52The sedation that is done to every patient who is intubated,
08:56that is, who is connected to a respirator,
08:58when you wake up, you want to take it off because it bothers you.
09:02So, every patient who has to be sedated,
09:06and they are testing if he can recover the respiration by his own means.
09:12You measure the concentration of oxygen in the tissues
09:16with different devices, because it is connected.
09:19And with that, you know if you can go down.
09:22If he breathes and begins to breathe spontaneously,
09:25you can lower the sedation, you remove the respirator.
09:29They said that during the day they could remove it and only connect it at night.
09:33That is a good sign.
09:35As long as the respirator is connected, you have to continue with sedation.
09:40Very well, Claudio, we send you a hug.
09:42It is always very valuable to reflect and say,
09:45let's say, calm, because one gets excited, it is evolving well.
09:49We want to hear it on the radio next Monday and we have to be cautious.
09:56The truth is that yes, that's why it seemed important to me.
09:58And thank you for being able to share this comment with seriousness
10:02about the health of someone we love and appreciate a lot.
10:05Sure, thanks to you.
10:06Let's see, now we are going to the Italian hospital.
10:08I'm going to have something raised.
10:09Assuming that Jorge returns home tomorrow,
10:12who is going to take care of him after everything that has happened?
10:14Now I would like to discuss it.
10:15But there is Selmira Polaco there in the Almagro neighborhood.
10:18Selmira, how are you? Good morning.
10:21Good morning. Well, the situation is still very delicate.
10:25Jorge has been hospitalized for more than four months.
10:27These last few days, as the doctor explained well,
10:30they are starting to lower the sedation.
10:32What does that mean?
10:33Not that he has woken up,
10:34but that he is also beginning to respond to the stimuli of the doctors.
10:37The doctors are very surprised by the progress that Jorge Lanata is making
10:41in these last few days.
10:43If this continues, he could go to a common room
10:46and finally leave intensive care,
10:49a place where he has been for four months.
10:52The last intervention they gave him was of low complexity
10:54and it was a nasogastric probe.
10:56It is a probe that enters through the nose
10:58and directly goes to the stomach to feed him
11:01and that does not interfere precisely in the intestines
11:04that were intervened in his last surgical intervention,
11:07which removed 60 centimeters from the thin intestine.
11:11Therefore, we are still waiting for news here,
11:13but Jorge Lanata is beginning to advance little by little.
11:16He still has to be compensated, he is still in a critical state,
11:19but he is beginning to show improvement.
11:22Well, thank you very much, Elmira,
11:23call us before any news or testimony,
11:26a daughter, Marco Vecchio,
11:28those who usually visit him or those who have permission.
11:31And speaking of that,
11:32now I would like to talk about,
11:36I hope this happens,
11:38that Jorge wakes up,
11:40that he becomes aware again of everything that happens around him
11:43and of everything that has happened during these four months.
11:46Because I wonder,
11:47if he returns to his Cabanac apartment,
11:49after so much family dispute,
11:51they are supposed to smoke the pipe of peace
11:54and say, well, take care of yourself one day,
11:57or join and be all behind Jorge's health, right?
12:00The figure is family solidarity, isn't it?
12:03But who would Elva Marco Vecchio belong to?
12:05Actually, the family is a whole,
12:06not just Elva Marco Vecchio.
12:08Elva Marco Vecchio is the current wife,
12:10but the family is integrated by the wife,
12:12as Clarita said the other day,
12:15we have to integrate everyone.
12:17Of course.
12:18That's not happening.
12:19It wouldn't be.
12:20It wouldn't be.
12:21Let's not be so negative.
12:23Not until today.
12:24Even Dr. Córdoba, I think,
12:26drew a very clear line.
12:28What do you think, Dani?
12:30Who is Dr. Córdoba?
12:32Dr. Córdoba is the magistrate
12:35who had a very, very correct resolution.
12:38The one who went to talk to Nata?
12:40The one who went to talk to Nata
12:41and the one who said that, in reality,
12:43the care was in charge,
12:45that is, the decision-making was in charge
12:47of Elva Marco Vecchio and Bárbara,
12:48with which she already advanced
12:51to a criterion of family unity.
12:54That is, here, guys, pay attention,
12:56because it's not one on one side and the other for the other.
12:58Here we need them together.
13:00That's why, I don't know, what do you think?
13:02Maybe it sounds very sentimental,
13:04what I'm going to say.
13:05It has to do with the fact that I come
13:07from an assembled family.
13:09One, in addition to thinking,
13:11in the moment, in a rational way,
13:14the decisions that he is going to make,
13:16he has to think emotionally about the after.
13:18Totally.
13:19Be careful, with an improved Nata,
13:21I'm not talking about any...
13:23With an improved Nata, after, after,
13:25how are you going to feel better?
13:27With something in pieces?
13:29With a situation in pieces?
13:30With a situation in pieces or with a situation
13:32where you did everything possible
13:34to reconcile and reconcile.
13:36Obviously, several parts have to agree,
13:38but it seems to me that...
13:40With an improved Nata, unfortunately,
13:42what they tell me is that cognitively it doesn't connect.
13:44Still.
13:45Let's see.
13:46Four months.
13:47Germán, you are very pessimistic.
13:49No, no, I'm not pessimistic.
13:51The realism is total.
13:53I look for files,
13:55or I look for medical documentation,
13:57or I look for what Dr. Claudio Santamaria said,
13:59I speak directly with the local sources.
14:01The outlook is not so positive.
14:03But you saw that he said...
14:04It's not going to be the same Jorge who came in.
14:06No, definitely.
14:07In that sense,
14:09what we all expect,
14:11and the miracle can be given
14:13that Jorge comes out,
14:15it's not going to be the same Jorge,
14:17and obviously it's going to require
14:19absolutely...
14:21In some way...
14:22In this family context.
14:23In some way, Germán,
14:24you give me a foothold for what I was saying.
14:26You have to think about that after.
14:28With a...
14:29La Nata.
14:30Improved, but perhaps different.
14:32Because it is a united family,
14:34even if it is assembled,
14:36the one that will be able to support it.
14:38And you have to think about that,
14:40and you have to put the selfishness aside.
14:42That's why I want to hear...
14:43The doctor...
14:44Excuse me.
14:45The doctor...
14:46Sorry.
14:47Now I also want to hear it here.
14:48But I say,
14:49we all want La Nata
14:50to be the one to decide
14:51that organigram.
14:52So it's...
14:53I understand.
14:54We accompany
14:56the hope,
14:58but I also respect what Germán says
15:00about a situation that would not be favorable.
15:02Dr. Claudio said it,
15:04Claudio Santamaria,
15:05every time he comes out,
15:06he gives us a specific outlook.
15:07And fortunately,
15:08progress is being made,
15:09evolutions in terms of the operation.
15:11But we must not forget
15:12that he comes with heart conditions.
15:14He has comorbidities
15:16that he has been dragging.
15:18He also comes in for breathing issues.
15:21Let's say,
15:22the complex picture of Jorge is absolute.
15:25What surpasses now is ischemia.
15:27Dr. Kieper,
15:28what do you think?
15:29Your question was
15:30who should take care of the patient.
15:32Exactly.
15:33Or who should.
15:34In this context of health,
15:36obviously,
15:37it must be specialized personnel.
15:39Of course, of course.
15:40The question must be
15:41who has the ability
15:42to make the decisions
15:44related to their medical care.
15:47If there is no conflict,
15:48the ideal,
15:49as Débora said,
15:50is the united family
15:53that adopts the best measures
15:56to take care of Jorge and Nata's health.
15:58Before the conflict,
16:00unfortunately,
16:01it must be the judicial power.
16:04In the conflict,
16:05which I understand
16:06is already raised judicially,
16:08who should adopt the decisions.
16:10That is,
16:11it would reach that extreme.
16:12Well, apparently,
16:13there was already a beginning.
16:14Yes, yes, yes.
16:15Ideally,
16:16this should not happen.
16:17But,
16:18humanly,
16:19they were always,
16:20let's see,
16:21in conflict
16:22within the framework
16:23of the situation
16:24of the goods.
16:25Elba also denounces,
16:27Jorge's daughters
16:28denounce Elba,
16:29presumably,
16:30for providing him
16:31with food
16:32when he is diabetic.
16:33But Jorge arrives
16:35for a picture
16:36that he has in himself.
16:37It is not that he arrives
16:38to the hospital
16:39or the hospital
16:40in some way
16:42motivated
16:43or induced
16:44by Elba.
16:46I mean,
16:47Jorge's environment
16:48loves him.
16:50That is clear
16:51and they will protect him.
16:52Now,
16:53the discussion
16:54that is in the framework
16:55of the civil trial
16:56is nothing more
16:57than a matter of heritage.
16:58No.
16:59It seems to me that...