If there is one place I don’t like spending my time, it is at a hospital. I doubt many people do. Going to the hospital is not usually a joyful experience unless you are having a baby or receiving the “you are cancer free” news. Those are my only two truly joyful hospital experiences up to now. I have spent quite a bit of time in hospitals in the past 11 years and I am happy to say that the majority of that time was spent in Spanish hospitals, except a brief experience in Switzerland. Spain has an exceptional healthcare system. It ranks extremely high both in Europe and worldwide. I realize that there are many different opinions about universal healthcare and also people who may have had negative experiences when dealing with the system. However, this is about my experience and I only have positive comments to make about Spain and its healthcare system. I am happy to say that my daughter has had minimal reasons for care except for her birth, a pulmonary stenosis that cleared up in a few years and her random visits for a common illness or vaccinations. That pretty much sums up her experience until now and I hope it stays that way. With an exception to this past Covid filled year, we are always able to get an appointment either the same day or the next at our local health clinic. My daughter only had two different pediatricians in her 14 years here in Granada and we loved them both! This year she has now moved up to a general practitioner. How did that happen so soon?
I am a freelancer so I pay Social Security through my monthly “autonomous” payments. However, let me state that healthcare in Spain is socialized and FREE! During the times when I was either unemployed or too ill to work, my healthcare was completely and 100 percent covered. The only exception to this was when I chose to do necessary treatments with a private doctor so I would be able to keep my promise to one of the companies that I worked for and have available dates to be working. In retrospect, I would never do this again. It was expensive for me and I was treated none the better by the company for doing so. Besides, most of the best medicine exists at the public hospitals, many of which are connected to the university medical school which is the case here in Granada.
Healthcare is a touchy subject for many people so I am only going to share my personal experience. Thanks to our lovely pandemic my last necessary surgery was put on a waitlist a year ago. Basically, if you were not going to die without it, all procedures and operations were waitlisted and with good reason. I had been told that I would probably have my surgery in July or August of 2021. In my mind I imagined receiving the call that I would finally have my regular job again and receive a call from the hospital on the same day. Murphy’s Law. Thankfully that wasn’t the case. My last doctors visit set off an alarm of urgency and I was called in much sooner. With just two days to prepare I notified friends, filled the refrigerator for my daughter, received my negative Covid test and took my last long walk for awhile making my way to the hospital. You are not allowed to have a companion unless completely necessary and if you do, the companion must be “admitted” and “discharged” with the patient. I was not about to subject anyone to sleeping in one of those chairs for who knows how many nights even if they are fed three meals a day and able to choose the “diet” of their choice. And in the end the care I received was above and beyond what is expected.
I was asked to arrive at 11 am the day before my surgery in order to have some necessary tests done and to speak with my group of surgeons. Apart from that I was free to enjoy the view of the mountains, eat when served, and binge on Netflix. In the public hospitals the rooms are shared. The number of patients can vary. A few years ago I spent a week in Cardiology in the old hospital and shared a room with three other women. This room was for post op and had only two beds. During my stay at the hospital this month I was blessed to share my room with 4 different women with 4 different stories. (they came and went during my stay) We shared our fears and pain and life stories. There is something about being nervous and alone that really unites people.
As I read my book and played with my bed remote on that first day watching the various hospital staff come and go, I was reminded of an important word in Spanish. Convivencia. Convivencia means living together or coexistence. However, this word has a different significance here since it is often used when speaking of the time in history when the Christians, Jews and Muslims lived together on the Iberian Peninsula. I don’t add the word “peacefully” to this statement because that would be incorrect for many reasons. For me this word also represents a very important aspect of the culture here and the healthcare system is a big part of this. Sharing a hospital room when you are very ill or about to go into or come out of an operation can be a delicate situation. I am happy to say that my experiences have been nothing but positive and enlightening. A genuine interest in helping one another and taking care of others becomes the most important concept. Not only was the hospital staff extremely attentive and kind at all moments but my roommates were also a crutch of empathy and kindness in my weakest moments.
My surgical team was outstanding. My operation was extremely difficult and had complications, 7 hours instead of the usual 2 hours. Everybody in the room introduced themselves kindly calling me by my name and reassuring me before the anesthesiologists sent me off to la la land. In the public hospitals you don’t choose your doctors or surgeons. I had met three doctors the day before but the other two I met just before surgery. Being a university hospital and my case being quite unique, I had extra people in the operating room to learn and observe. Everyone in the post operation recovery room was equally compassionate as they kindly injected me with “ALEGRÍA” , otherwise known as morphine. That part is all a bit hazy.
Lucky me! I had some minor complications in the days after surgery so I got to spend some extra time in my 5 star hospital room. This also meant that I finally graduated from a liquid diet to a “semi-bland” diet. These are the moments that I always remember for some reason because they remind me of where I live and why. My liquid diet consisted of decaf coffee with whole milk, juice boxes and clear broth. But, my semi bland diet was a major improvement. Many dishes that are served seem like they came out of someones Grandma´’s kitchen, like the great soups and meatballs! Actually, the meatballs were served to me the day before surgery. But, my other “bland” meals consisted of different vegetable purees, a garbanzo, potato and spinach soup, fish soup, grilled fish with parsley and olive oil, grilled chicken breast, grilled tuna with peppers and onions and a cute little omelet shaped like a cupcake. Oh, and we cannot forget the late afternoon snacks of “Galletas Maria” served with decaf and whole milk of course and breakfast with decaf and magdalenas “mini muffins”. And, every night at about 11 pm you are always offered a cup of tea or a yogurt as a good night snack.
I am now home and recovering. I still have a bumpy road to travel but I am seeing a bright light that I have not seen in many, many years. I am grateful to the healthcare system in Spain and all of the amazing people who give all of their energy everyday to the care and wellbeing of the people they encounter. Especially after this past year. They should be exhausted and over it all! But, what I encountered was only true kindness and professional healthcare workers who are dedicated to what they do. The aids who took care of me when I was passing out and seriously sick were attentive to every detail. They even arranged my flowers carefully in water and placed them where I could enjoy the view! Of course I am even happier to be home with my gorgeous daughter. Soon, I will be making new Youtube videos for you all and eventually back to travel and life as usual. It is important to remember the idea of “convivencia” and to learn to live together and take care of each other. Hopefully what we have lived in the past year has helped many people to take a deep look at how we coexist with others.