Leda Fernandez: "Neruda did not die of terminal cancer" / Doctora Leda Fernández Ávila / "Clarín", Cuba
Saturday, September 08, 2012 20:10 Mario Casasús
Mexico City. - In digital interview from Cuba, Leda Ávila Fernández (1945), analyzes the Legal Medical Service Report of Chile in relation to Case Neruda: "The poet was transferred to the Santa Maria Clinic for urinary sepsis and fever not necessarily have to be a result of a final stage of the treated tumor, but a urinary sepsis in a patient older We stress that a cancer patient may die with him and not necessarily of it, so then it would other questions to answer. This was discussed extensively by us and those elements can not speak of a stage four with metastatic disease. "
A native of eastern Cuba-city of Las Tunas, Leda Fernandez was literacy in 1961, graduated from the Bachelor of Medicine in 1970, he specialized in the 2nd. Pulmonology degree, and in 1978 took part in the expedition to Angola internationalist doctors. Currently convened a team of internal medicine and a medical examiner to study the clinical record tracks Neruda, Clarín exclusively for Dr. Fernandez Avila talks about the intention of several Cuban scientists to engage in research: "There has been no formal proposal from the relevant bodies of the Republic of Chile requesting our collaboration. Our provision of scientific and medical collaboration is widely known and I think our authorities if requested such participation would not hesitate at all. "
MC. - Dr. Leda Fernandez, Neruda discussed the case with coroners or oncologists of Cuba?, What conclusions? LF. - In fact we discussed among some colleagues, I wish to clarify that there necessarily must be a specialist in medical oncology or legal for a doctor to give your opinion on an event of this importance, I refer to the case at hand, my colleagues are recognized internists: as Dr. Peter Sastriques, Dr. Rubén González, Dr. Magalis Mejias Yanaili Dr. Fernandez and Dr. Noris Toledo Legal Medical Institute of Cuba.
After an analysis quite difficult, because there is not a history, an evolution of patient test results, the evidence collected were bystanders criteria, articles published by you, materials published on the website: www.nerudavive. cl, Radio Venezolana materials, teleSUR and Cuban television that allowed us to make a judgment with the information provided.
MC. - The Report of the SML was categorical: "You can argue that the forensic manner of death of Pablo Neruda would correspond to a kind of violent death: death from disease." Does prostate cancer radiotherapy controlled can end the patient's life suddenly? LF. - Not necessarily. Tumor should be studied and know the stage it is in, and even histology, that would give us a forecast, we will approach the elements that we handle and give as facts, Neruda was the bearer of a prostate cancer treated and follow-up by a urologist.
We know that Neruda was transferred to the Santa Maria Clinic with symptoms of urinary tract infection and fever, did not necessarily have to be a result of a final stage of the treated tumor, but a urinary sepsis in an elderly patient want to make clear that a cancer patient may die with him and not necessarily of it, so then there would be other questions to answer.
There are interviews conducted by you, a Cuban journalist, among other reports that show the contradictions in your state and a death that can point to as sudden, so much so that caught our attention when Neruda was able to call his wife and driver by phone, because you are given a drug, which the poet apparently suspected he might end his life and that we give great value because it is not discussing whether cancer was responsible for his death, but the real consequences of His death, which must be cleared.
MC. - In the ambiguity of the MLS report reads: "the value of the acid phosphatases is within a normal range and no conclusions can be extrapolated or inferred from them the presence of metastases." No biopsy of the patient and without the certainty of metastasis. Dr. Leda,? Endorse the diagnosis of cancer cachexia and metastasis? LF. - This was discussed extensively by us and those elements can not speak of a metastatic stage four of the disease, so it would support more than Neruda not die of terminal cancer.
MC. - The SML acknowledges: "the blood count showed mild anemia ... The uremia and glycemia values are within normal limits" How would you interpret this data Neruda's medical records? LF. - This data you provide values of uremia, glycemia and phosphatases further support the medical criteria that Neruda was not in final stage of their disease, as claimed.
MC. - The MLS says: "According to the version of family, friends, medical staff, nursing staff and paramedics technical Clínica Santa María, Mr. Neruda admitted with the diagnosis of advanced prostate cancer, in poor general , underweight and anasarca ", but omits the statement SML diplomats from Mexico and Sweden who spoke with Neruda Sept. 22 and did not find him in a fever and on the brink of death, what do you think the respect? LF. - I want to make clear from the medical point of view which means "anasarca" generalized edema is a product of urea and creatinine retention, by a severe kidney damage, of course during end-stage disease, but I am struck by the normality of urea as we discussed above, and the description of the clinical picture that was commented on by the SML and nothing is said of other figures to suspect edema. Also why it was necessary to show the body of Neruda died around a hospital, looking witnessed something that could be a plot, this is not usual among physicians who are respected by the code of ethics, it is assumed that they were now of pain and grief for the loss of that human being. There are contradictions in bad faith by trying to cover up something that is not clear, we mean the real cause of his death.
MC. - As Sergio Draper-duty doctor on September 23, 1973 - ordered to inject Dipyrone Neruda. The exhumation SML ruled: "the results of toxicological analysis would have the qualitative character, so only detect the presence of the substance, but would not be achieved establish the concentration of the same". In case of extending the search, not only Dipyrone what coroners could find?,? Heavy metals, poisons, drugs? LF. - I have no clear reason why dipyrone was administered, does for a fever? If by a feverish state, Dipyrone use would be indicated, but not through the abdomen, it is indicated intramuscular, oral or intrarectal. Dipyrone, might have caused death if it were allergic, there is a description of the patient was in anasarca, if it is an allergy, edema explained as allergic reaction, but would have to dig deeper.
One should be located in the historical context of when Neruda is brought to that clinic, I ask you, was given another substance that would lead to his death? I will not name any of them, but we must remember that Neruda left the country in the direction of Mexico in Chile burned his works, his house was destroyed. Why could not think administrársele any product or large lethal dose of a drug, which inevitably would lead to his death?
Unfortunately there are no bodies which verify whether any element of what I have named remains, are only bones and only if substances such as heavy metals, thallium, or others could appear bones. Could have used then something that would cause death in hours, using a lethal drug dose.
MC. - Neruda's body is buried facing the sea since December 1992, according to the experience of forensic medicine in Cuba, despite the transfer? Moisture from the sea and could find traces of heavy metals, poisons and medicines ? LF. - You could find traces of heavy metals, although his remains were in a place near the sea could be positive finding these substances, unfortunately given the time elapsed, the finding of other components would be very difficult.
MC. - Judge Mario Carroza, after studying the report of the SML, decided to seek a second opinion before ordering the exhumation of Neruda, this time to consult specialists in prostate cancer. What about the twist in the case analysis Neruda? LF. - I think that should be the most useful legal practitioners.
MC. - Have you seen interest from colleagues in Cuba to study medical records Neruda?, Could convene a multidisciplinary team and internationalist working in forensic investigation? LF. - There are many interested colleagues, but how to access the medical records of Neruda?, Until today, I know, there has been no formal proposal from the relevant bodies of the Republic of Chile requesting our collaboration. Our provision of scientific and medical collaboration is widely known and I think our authorities if requested such participation would not qualms.
MC. - Finally, how they received the news of the alleged murder of Neruda in Havana, is it an issue for the average Cuban? LF. - The Pablo Neruda's literary creation is widely known for our population. The news of the murder of Neruda was widely publicized by the hundreds of newspapers that are published in Cuba, for radio communication systems, Internet portals, channels for provincial and national television. We have been educated in Marti's thought: "To be educated, to be free", and learned Neruda: "You can cut all the flowers, but they can not stop the spring." These two ideas require us, as Cuban-be keen to flourish in the light of truth.