Dr. Delia Viola Reurean-Pintilei, doctor of diabetes, dietetics and metabolic diseases, spoke in the new episode of the “De bine” project launched by Banca Transilvania, about the passion she had since childhood and which she turned into work in adulthood. He was able to fulfill his mother’s dream of creating a private multidisciplinary center for diabetes patients and is part of a generation of doctors who understood that today is just a demonstration that you are better than yesterday.

How was today’s demonstration, how did you demonstrate today that you were better than yesterday?

Dr. Delia Viola Reurean-Pintilei: I think this is quite a difficult question. But I think about the 16-year-old I saw today who refused to take insulin at home the other day when his blood sugar was 400. And your main reaction is to get angry. And I understood that if you get angry in his presence, I will lose the fight, and I decided to have an hour and a half discussion in which we both came out victorious, and he went home with a device that will help him control his health. illness and with greater trust in him and with the awareness that we are close to him.

You have succeeded in fulfilling your mother’s dream of creating this hospital for diabetics, a private hospital that provides them with everything they need.

Dr. Delia Viola Reurean-Pintilei: Yes, it started in 2002… It started with a diabetes practice in collaboration with a cardiology practice and an obstetrics practice. And then cardiology and diabetes remained from one diabetologist, now there are 8 diabetologists. We are a young team. A neurologist, a nephrologist, a cardiologist… about 40 people work in this team. Some of them have been working with us for 20 years. I am very proud of the fact that I can continue and develop further, and I believe that “there is no way”. We follow the motto “it is possible, yes”, it is not always easy, but we can do it.

I would like to go back 15 years to 2007 and ask you, where will 2007 be found?

Dr. Delia Viola Reurean-Pintilei: In the oncology clinic. Not long before going back to diabetes. I remember it was a particle accelerator for radiation therapy. It had been lying in the hospital yard in a box for some time and could not be installed. I don’t remember why.

The bunker was poorly constructed or had other deficiencies…

Dr. Delia Viola Reurean-Pintilei: I don’t remember anymore, but I know there was a whole discussion and the oncology colleagues were very unhappy that they couldn’t apply the therapy and the patients didn’t have access to what they could have and these things were resolved . Now there are more of them.

So.

Dr. Delia Viola Reurean-Pintilei: But I was there 15 years ago.

What, in your opinion, are the limitations of the state system? Why do you need a private center for diabetes patients?

Dr. Delia Viola Reurean-Pintilei: By private center outside you mean something else. The patient pays. The patient, in private centers, under a contract with the House in Romania, has the same services. They mainly go for consultations, day hospitalizations and receive services for which we receive funding from the National Insurance Chamber, like any other hospital. Why is it sometimes different in private centers? Because we come to work every day and depending on what we do, we have a bill at the end of the month. We have performance indicators that we pay close attention to. We have an audit process as we are ANMCS accredited and we really care about becoming better than we were yesterday. And I’m not saying that we didn’t make mistakes either, there are, it’s human nature to make mistakes. In another system, in the same system, if you like, it’s the same funding, it’s different because…

At the state…

Dr. Delia Viola Reurean-Pintilei: Yes, I try not to talk about “public” and “private” because I think that segregation is irrelevant. We all have the same education. We also complete 6 years of medicine and as many years of residency as we choose, depending on the specialty, at the same hospitals. Some of us choose private territory, others stay in public. Now it depends on your reasoning. You can stay at university or not. Why does what we see happen all the time?! Perhaps because the audit procedure is not always the same as in the private system. Maybe because the desire to be better than him is not so strong. I mean on a general level. Each colleague in the hospital strives individually. Maybe we should learn more about teamwork. Let’s communicate interdisciplinary, interspecially in the sense that a diabetic patient with chronic kidney disease, with a disease of the cardiovascular system enters the hospital, you can be sure that he will find a place at the reception, in cardiology and at the reception in kidney diseases. , the patient unnecessarily feels that waiting is a hassle.

Reduction of waiting time. Let’s treat our patients the way we want to be treated in hospitals. Our hospital is headed by an economist, and the entire management department consists of people who do not have any medical education. They do what they do because it’s what they know best. We do what we do because it’s what we know best. And we have regular meetings where we try to understand each other. Do we always get along? No, constant arguments. We want more time, they are trying to explain the numbers to us. We explain that we need more time for people and they have to adapt. And they usually adapt. And I saw it happen. This is happening in Denmark, this is happening in Sweden, where I had the opportunity to go and observe what is happening in health care systems, in the specialty I work for, and I “stole” the models from there and learned to apply them here. Because I learned very early that in order to improve something, you have to copy someone, and then by copying very well, you innovate because you understand what you need. But you have to start somewhere. And in our system, we have to start somewhere. Movement is, you know. I’ve seen people get better, I’ve seen people who want to change.

Say that everything will change for the better. If we were to turn to the sanitation system you learned fromAhemthis profession, 15-20 years ago, it is very clear that the system has changed. I mean a lot.

Dr. Delia Viola Reurean-Pintilei: Yes, a lot.

What, say, is this change over these 15 years?

Dr. Delia Viola Reurean-Pintilei: If you change the way people see work, you change the system. If everyone wakes up every morning and goes to work with the desire to actually do the job they’ve chosen or given, then yes, things change. I think people should learn how to do this job. People need to learn empathy. In the health care system, without empathy, you do absolutely nothing. People don’t go to the hospital because they are fine.

Dr. Delia-Viola Reurean-Pintilei is a primary physician in diabetes, nutrition and metabolic diseases and director of Consultmed Center, Iasi. Over the past 3 years, he has given more than 40 specialized reports on healthy and balanced nutrition. He is a member and active participant of professional scientific societies.