As someone currently under training to become a palliative care doctor, Isidro’s storyline is amusing to me at the moment.
Medicine was extremely paternalistic until not very long ago. Patient centered medicine is extremely new. The movement making it more popular are like 20 years old or something.
“In patient-centered care, an individual’s specific health needs and desired health outcomes are the driving force behind all health care decisions and quality measurements”
It’s a novela, so the suffering from someone going through end-stage heart disease is certainly absent. An experimental treatment is what the name says, it’s an experiment. It might work, might not work, might prolong someone’s life in pain.
It being expensive was a script recourse to add drama and involve Marta’s family, which from a text point of view is ok. As it is more than okay for Isidro to refuse a care that is uncertain and would drown his daughter in debt. And he had every right to do that.
Unpopular opinion but on this topic, seeing it from a shallow view, Fina isn’t feisty, she’s being full of herself and trying to drive her father towards an unknown treatment to ease her wrongly perceived guilt of being to blame for her father’s death. And it’s not because she just doesn’t trust Jaime (which is fair! More than fair!), but she also didn’t listen to Luz when Luz wouldn’t tell her what she wanted. And won’t listen to Marta either, all she sees is her pain and her guilt.
Being deeper, it’s also understandable for Fina to go through all this considering she has just finally grasped the gravity of her dad’s condition and being faced with the inevitability of death (as in, death is by nature inevitable, but being faced with it brings a lot of feelings of fighting it as much as possible).
On the infodump side of things, this obstinacy in fighting death is also relatively new in human culture. Interestingly, it rose as medical technology increased, it’s a byproduct of the advancement of medicine. Which is precisely what we’re seeing here.
Anyways! We have here a 2024 telenovela writing a medical arc that happens in 1958 with doctors acting more human and less paternalistic than what we see in medicine today. I don’t know if it was intentional, but I admire this route anyway.
(Another point of interest, the paternalism was adopted by Damián. He behaved much the way that would have been expected of a doctor of those days. I could provide so many examples of how pervasive paternalistic medicine can be but I’m not going to ruin everyone’s day.)
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