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00:00We were informed of the case that we are dealing with in relation to Cedillac,
00:05which is the center of plastic surgery in which Egan Contreras works.
00:09We were informed of a case and immediately we did everything necessary to investigate
00:16in what circumstances the death of that lady took place.
00:20That process is in development at the moment.
00:23We cited the actors. They were here this morning.
00:28We have the file, which we are analyzing from a medical point of view,
00:33and in a few hours we will have some preliminary information for the case.
00:43The medical director came, the anesthesiologist, the cardiologist,
00:47and we didn't think it was wise for Egan Contreras to come.
00:55He didn't come, doctor.
00:57But he didn't come because...
01:03But he didn't come because he didn't show up, because that's how you decided it?
01:13Doctor, the report that the medical team brought to him,
01:16didn't it indicate that the patient had a problem, a persistent disease,
01:20before undergoing the surgery?
01:24Before the surgery, everything was normal.
01:27The patient died 12 days after the surgery.
01:32There are complications.
01:34In every surgical procedure, there can be complications that are immediate
01:38and some that are long-term.
01:41In this case, we have to wait for the result of the necrosis
01:47of the Institute of Forensic Pathology, which they are working on,
01:50for us to give the definitive diagnosis for which the occision died.
01:56And when will that result come out?
01:59When we have the result of forensic pathology,
02:02then we bring Dr. Egan Contreras, we sit down with him, we talk to him.
02:07Because we, from the Ministry of Public Health,
02:11and in a very particular way, from this vice-ministerium,
02:14we have a particularity that when some of these events occur,
02:19we look for the measures to prevent them from continuing to happen.
02:23In fact, in 2020, we found a large number,
02:28and we have reduced that to almost the same expression.
02:31Because we don't just do a furious event,
02:35but we sit him down and see what the cause is,
02:38so that it doesn't continue to happen to him, so that it doesn't continue to happen to us.
02:41We saw that they took some measures in the center.
02:44Because I'm half an old man already.
02:46Not the center.
02:49Not the center. The surgical areas.
02:52Until then, we have the results of the necrosis,
02:56and the decision is made to keep it closed or keep it open.
03:01A piece of information that the relatives say is that
03:04she was subjected to several processes without her consent.
03:08The question, when you asked the interviewees,
03:12did they show you documentation that she had signed some kind of document
03:17that she accepted all these processes?
03:20We don't make an echo of that kind of information,
03:23but in the file is the informed consent,
03:27and each of the steps is also signed by the patient.
03:31Doctor, over the years, have other centers intervened for similar cases?
03:35We don't spend the whole year.
03:37Every time there is a natural event, as I say again,
03:41luckily God has reduced his minimum pressure,
03:44but every time we go, we intervene in the center,
03:48we look for the file, we bring the actors here,
03:51and we subject them to the same thing that is happening.
03:54That is not new, what is happening today.
03:56Doctor, how many times has the center of Dr. Contreras been intervened by the public health?
04:00I don't have that information.
04:02I really don't think we have done it.
04:05And at this year's level, how long has it been at this year's level?
04:10How many centers have been intervened?
04:12If you have the statistics.
04:14I can tell you that we have around 4 or 5 centers
04:17where we have had to close the surgical areas.
04:19There are two centers that we closed definitively
04:23with the help of the public health ministry
04:25because they were in conditions until they can correct
04:28or make a center that is suitable for the person to go.
04:31Here in the capital?
04:32Here in Santo Domingo.
04:33So that people understand, the public,
04:36what is the process that a center of this type must fulfill
04:40to operate in the Dominican Republic?
04:43We have an authorization regulation
04:45and that regulation has a series of steps that it has to fulfill.
04:48If it does not meet the 98%,
04:51to tell you a number of those that are asked there,
04:53the center cannot operate.
04:55Like which are some?
04:56You have to go to the page, we are on our page,
04:59and there you look for it and you will find all the requirements
05:02to enable a center.