Psychologist dies after 5 days of waiting for a bed in MG; family challenges new regulation system
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Rebeca Cardoso Tenente Molina, from Mar de Espanha, died after being transferred to Oliveira, in the Center-West of Minas Reproduction/ Social Network Psychologist Rebeca Cardoso Tenente Molina, aged 32, died after spending around 5 days waiting for a transfer to an intensive care unit (ICU) bed in Minas Gerais.
Rebeca Cardoso Tenente Molina, from Mar de Espanha, died after being transferred to Oliveira, in the Center-West of Minas
Reproduction/ Social Network
Psychologist Rebeca Cardoso Tenente Molina, aged 32, died after spending around 5 days waiting for a transfer to an intensive care unit (ICU) bed in Minas Gerais. The case occurred after hospitalization in São João Nepomuceno, in Zona da Mata, and air transport to Oliveira, in the Center-West of Minas, on Saturday (7).
The delay in finding a vacancy and the distance between the two cities led the family, who is from Mar de Espanha, to question the functioning of the new system of the Operations Center for State Regulation (Core/MG), replacing SUS Fácil. Understand more below.
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According to Rebeca's twin sister, lawyer Sâmela Cardoso Tenente Furtado, the psychologist sought medical attention on June 2 due to gallstones. The health situation worsened quickly.
"When she got there, at the consultation with the surgeon, she was already sent to the hospital because she started to no longer feel her arms and legs. Then she got worse until she needed to be intubated and started to hemorrhage", reported the sister.
As her clinical condition worsened, Rebeca needed an urgent transfer to an intensive care bed. The family even went to court to try to speed up the vacancy.
Transfer to hospital 300km away
The ICU space was only made available on June 6, in Oliveira, about 300km from São João Nepomuceno. According to the family, a task force was organized to transport Rebeca on a private plane to the municipality.
She was transferred, but died a few hours later. The cause of death is still investigated. According to the sister, family members are still awaiting clarification on what caused the rapid worsening of the clinical condition.
Rebeca Cardoso Tenente Molina, from Mar de Espanha, died after being transferred to Oliveira, in the Center-West of Minas
Reproduction/social network
The death certificate states septic shock as the cause of death. According to Sâmela, doctors who treated Rebeca also considered the possibility of botulism and requested new tests.
🔎Botulism is a serious, rare, non-contagious neuroparalytic disease, caused by the action of a potent toxin produced by the bacteria Clostridium botulinum
Questions about Core-MG
Since May 19, Minas Gerais has been using Core-MG, a new state bed regulation system, which is centralized in Belo Horizonte. The platform uses technology and artificial intelligence to help classify patients and define priorities for transfer.
Rebeca's family claims that the seriousness of the case would not have been adequately reflected in the system. According to Sâmela, the patient received a score considered lower than the clinical condition observed by the medical team, which would have impacted her position in the regulation queue.
"What we saw was that doctors lost the autonomy to say if the patient is very serious. The person who has to accept if the patient is serious is no longer the doctor who is there experiencing the patient's reality, it's the Core. That's why my sister was in a very serious level, she would be a 10, and the system only accepted her as a 6.8. So she couldn't run the system properly because an 8 patient, a 6.9 patient would pass in front of her. And the system wouldn't accept increasing her severity in there because of the exams that were feeding him all the time.”
For Sâmela, the system needs to be reviewed. "Before this Core was implemented, I believe there was a lot of research, a lot of things. But it actually, sometimes works on paper. My sister, other people, they're not just numbers, they're not just protocols, they're not just a CPF thrown into the system. They have a family, they had dreams, they had a whole life ahead of them. ”
What the State Department of Health says
In a note, the State Department of Health of Minas Gerais (SES-MG) reported that Rebeca was immediately registered in the regulatory system and that, given the unavailability of beds in Juiz de Fora, the search was expanded to other regions of the state, including the supplementary network.
The ministry stated that the choice of the destination hospital is not defined exclusively by geographic proximity, but by the availability of beds compatible with the patient's clinical needs.
According to the secretariat, the current system has not changed the assistance criteria or the methodology for searching for vacancies. The state government also informed that regulation continues to be carried out by medical regulators responsible for evaluating each case and seeking the most appropriate assistance resource.
SES-MG argued that CORE-MG brought more agility, efficiency and transparency to the regulation process and reported that more than 200 doctors participate in the analysis of cases.
However, while the state maintains that the new model modernized the system, Rebeca's family demands answers and defends that the tool be revised.
"She wasn't just a number or a protocol within the system. I had a family, I had dreams and a whole life ahead of me", said Sâmela.
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