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Where the conference was held and we recorded a conversation with Johanna and Valeria discussing their work.
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First up, let's go ahead talk to Johanna, who works in Colombia.
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So I'll hand over to Sarah to Staffester.
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Buenos días, I'm Professor Sarah Wallace, and I'm speaking to you from Cancun in Mexico at the Universidad de Anois, and I'm joined by Johanna Gonzalez, who is from Colombia.
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Yeah.
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So please tell us a little bit about yourself.
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In Colombia we work with track use meet um on ICU.
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We work many types of strategies that we have invitation.
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I use your airflow and subcloud in space.
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We use blue light test.
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Does decannulation tend to happen on ICU or after discharge?
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After discharge.
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After they go home?
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No, no, in the hospital.
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We have um a respiratory team, of B team.
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But we work also with uh clinicans.
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Always have discussion because we always talk between us.
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Okay.
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Because um I can do it all by myself.
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I need help.
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So we work all together to get a station without the tracing too.
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Fantastic.
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And and in Colombia, uh are there any problems with tracing care or things that you're doing really well that you think you would like to share?
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Um we have also always problems.
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We also, yeah.
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We we'll talk about it.
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But we what happened?
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Um in Colombia is not always we have tracheos need to uh penetrate it.
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Or uh always it's conventional track.
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Always so uh we have to deflate the code, but some conditions told us no, don't decode.
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Don't deploy it because it's unsafe to the patient and we have configuration and it doesn't work.
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So we have and can you access one way?
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It's hard, but yeah, yeah, yeah.
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Some from from five years ago, I think or ten years ago.
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I have access.
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Some are pretty uh high cost.
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Yeah, yeah, okay.
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I can afford some like a smart valve, or it's too too uh expensive, I think, too expensive for us.
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So we have a lot of uh types and so have you got any messages you would like to share with countries via team, a world team, because uh all of us are working for uh same output.
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We are working on me and patients with the most of all people we have to work together to get uh the best practitioner with our patients.
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How do you say goodbye in what is uh praise from Colombia?
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Uh adios, adios, adios, okay, adios.
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Happy so thanks to Johanna for that glimpse into her work in Colombia.
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Now Sarah's working very hard at the conference and she also ran into Professor Valeria Thon from Argentina and she asked Valeria about her clinical and academic work and also her role with the Argentinian Dysphagia Society.
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So I'll hand back to Sarah.
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Hello, hello, hello Sarah.
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Buenos días, buenos dias, it's an honor to be uh for me to talk to you and in your podcast that I love it.
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It's an honor for me.
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Um so I am with Professor Valeria Twon, who is from Argentina.
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Um please tell us all of your um responsibilities.
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You hold many positions um in Argentina.
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You know, I'm the T of an institution that is specializing in critical and critical chronicle patients from the acute to the rehabilitation, and the president of the Argentinian Despages Society.
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And so and in the staff of SLAL, the Latin American American Despages Society.
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Yeah, Latin American Dispensation.
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That's why we're here.
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Vice President now.
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I know, vice president, no, I'm just and we are here in the Congress, in the fourth Congress of the Latin American uh DC Association, where we are now like uh 10 countries, so officially but 17 present attendance attending.
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And uh yeah, two from UK.
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Two from UK and uh three or four from the United States, and yeah.
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So it's an honor for me to be here in Arafamy.
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And I am uh I've learned a lot, uh but there are still many questions I have about tracheosnecare in uh all the different parts of Latin America.
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But maybe you can tell us a little bit about how uh how that is in Argentina.
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Yeah, in Argentina we work um I think very good uh with uh with a team, tracheotomy team in a lot of uh clinical and hospitals and settings.
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Uh and that's the most important thing to to have consensus in that kind of world and to um to work in a in um in a team with a coordination of each profession uh acting in in in a tragic emancipation.
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I agree.
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I definitely agree with that.
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So are there any specific things in Argentina that you are doing that uh you can share you're sharing with the other countries in Latin America?
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Yes, of course.
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Um let me see.
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Uh for I think one of the most important goals is often to restore airflow through the upper airway, but we we we must see a patient in in uh that sometimes is a critical and chronic patient that can not be decannulated.
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So uh sometimes we have to see a patient with a multisystem diseases that is uh interfering in the work.
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So I think the most important thing is is is the uh opportune or not say early, the opportune um assistment and treatment early.
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Uh, since the patient is ventilated and since the patient is stable and thermodynamic and clinic stable with certain stability, so in that way we can um start assist assisting and um and planificating the objectives in the short pla in the short term and in the long term for this patient in in a team, in a real real team, working together for that person.
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So uh in that way we can improve the secretion management, the the sensitivity of the upper airway, and a lot of things that helps to the winning.
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So we have talked a lot about that in the last few days.
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Yeah, we talked about that, yes.
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That's that's that's exactly what what what we did these days.
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So uh and it it was very nice to hear you in the Congress, uh to hear you in the Congress, and uh very important for us in Latin America that you can you can you can come here uh from far away and and make a big effort, we know, uh, because you know uh we we're real uh for for us, uh you are um a focused, you know, a guide uh with with all the your writings and and on all the things you do in in this sphere, so it's very important.
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Yeah, but also you know come to Cancun.
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Come to Cancun It's not bad.
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It's not bad, it's not bad.
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That's right.
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No.
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Um seriously, um it's been wonderful to meet you.
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Please, can you just tell us a little bit about your background?
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Because I know you have a lot of experience.
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How many years?
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Um where do you let me see?
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I don't want to say how many years.
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Well, okay, where do you now maybe 30 years?
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30 years.
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So um uh working in in uh in Buenos Aires with patients with artificial uh airways, so um and with a population of patients that is very specific, the that patient that is uh uh critical chronically uh with a lot of disease.
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So if without a treatment, without uh um a treatment with each um specialist, this patient will live the whole life with a trachotomy.
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Yeah, and we know it can sometimes uh ventilate it.
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So it's very important.
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Always we have things to do um to improve the communication, to improve the secretions, to improve the but the quality of life is is the end of uh our work.
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So I couldn't agree more.
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Um one final thought.
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Across Latin America, yes, a huge region, Central America, South America, yes, but all the countries are different, different geographies, different populations, different population densities.
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Absolutely.
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How uh how do you find um I know you you you come together uh in for instance this uh event here where you brought brought ten countries together?
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How do you find in terms of tracheostomy care that you're working together as a as a region?
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As a region is it difficult?
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Yeah, it's difficult in this field because you know the the health systems in all our countries are pretty different.
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Uh for example, uh in Argentina we have public health and gratuity in the gratuity, yeah.
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Okay.
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The two systems you have the private uh or with the health system private, and you have the public that is totally uh free for everybody and universal.
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For everybody, doesn't matter what country uh is your national nationality.
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So it's um uh I think we are the only country in South America that has this system, you know, in health and in education.
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Okay.
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That is the same.
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Okay.
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We have private and public uh universities.
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So um sometimes it's uh what when you have a coverage of everything by the states, uh you cannot compare with kid maybe uh your neighbor, your country neighbor that uh everything is private and uh only can access the that that uh patient that have um more economy better economy situation better economy situation than that other.
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So maybe that's a fantastic system.
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Yeah, and it means more patients are able to receive the high quality care and hope we uh that we can continue in this system because it's difficult uh politically situations that you think so and and other countries uh it's less difficult, it's less uh less accessible, but not difficult because you have uh very good teams in Chile, you have uh very good um um professionals in a lot of South American countries.
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Brazil cool, Brazil, yes, Brazil has a public and and uh system of health too.
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So Brazil is is a similar situation.
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They they have um better research than us, but uh yeah, because yeah, it's it's big country and they have a political a public political um help for the researching.
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So this is different to research.
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Yes, we don't have that, so this is determinant in the car in the quality of the research.
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So because we research you know when we have time after work, so it's not the same when you are a clinical and you're a researcher.
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I know it's but if you are passionate, yeah, make it work, yes.
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Um and everybody has a responsibility to build research into it.
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Yes, yes, yes, we we agree on these things.
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Do you have any final words that you would like to say from Argentina?
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From Argentina, what do we say?
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Uh gracias, muchas gracias.
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Uh nos vemos pronto.
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And uh new friends felices, thanks to Anna and Valeria.
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I hope you found that as interesting as I did.
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Hearing about the great work that colleagues are doing in South America.
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You can find a lot more about speech and language, speech and language, and more than the will do that.