The Italian doctor flattening of the curve COVID-treating 19 patients in their homes

The Italian doctor flattening of the curve COVID-treating 19 patients in their homes

Last month, Giovanni Sartori has lost all sense of time. She does not remember exactly when his younger brother, a strong and healthy 53 years she lived, high fever and respiratory problems began. But he knows that after about a week in this state, paracetamol prescribed by her family physician, was taken to hospital. Ten days later he was dead. Sartori, 60, was left alone with his 90-year-old mother in Castana Pradello, a village in the Emilia Romagna region, Italy, where there are more cows and sheep than people. Their home is more than 3 miles from the chemist shop and nearest grocery, and 30 miles from the hospital in Codogno, where the first outbreak of COVID-19 was registered in Italy. Now Sartori mother shows symptoms of the virus. “He ‘been for a couple of weeks, and then they are unwilling to go to the hospital,” he said in a telephone interview. “Fortunately Dr. Cavanna came to us one day. When I saw him walking in, I felt like a new person” Luigi Cavanna is the head of the hospital’s cancer ward near Piacenza .. From the second week of March, when the firm began in Italy, he realized that too many seriously ill COVID-19 patients admitted in the emergency room – while most of them have previously can be treated at home before their symptoms became serious . So now in the areas around Piacenza we leave every day, along with some colleagues. Along with his three teams have visited more than 300 people with symptoms COVID-19. They bring medical patients and a device that monitors oxygen levels in the blood returning after winning. In critical cases Cavanna leaves oxygen tanks and, as with Sartori mother, nutrient liquid bags for delivery no oral intake. “My mother is much better,” says Sartori. “To be in his bed, rather than in a crowded hospital, is what made the difference.” “When I that the emergency room was built, crowded with people already in serious condition, I knew something was wrong,” said Cavanna. “This is not a stroke or a heart attack, but a virus that can affect in different ways and takes its course. We must first try to stop damage in a way to the lungs, sometimes irreversible.” According to data from he collected during the first month, fewer than 10% of patients treated at home worsened to the point where they are admitted to the hospital had. Until last week, Cavanna (often for malaria and certain inflammatory diseases such as rheumatoid arthritis) and one that is usually prescribed for antiviral HIV has given most of his patients is hydroxychloroquine. Then AIFA, Italy corresponds to the US Food and Drug Administration, gave a note to be very careful, advises them together in prescription. So now, except in rare cases, hydroxychloroquine used alone. Although the drug has not been tested for the crown, he says it is the White House has also enthusiastically recommended to Crown the drug as a treatment, with President Donald Trump describes as a “magic bullet” “most effective treatment for society . ” – a confirmation that the bottle necks risk. Cavanna emphasizes that the importance of prescribing medical attention and monitor the watchful drug. “Every day I receive dozens of phone calls and respond to all of them. I prefer the phone at 02:00 to answer, rather than feeling that a patient is getting worse,” said Cavanna. Now that the Italian krona cases has reached a plateau, medical officials look, what worked and what did not – and as more and more turning to new Cavanna pioneering initiatives. Local governments of other regions and non-profit organizations, doctors are more at risk Without Borders organize groups of medical services at home and in institutions such as nursing homes. Stay up to date on the growing threat to global health, by signing up for our daily newsletter crown. “We made a mistake, especially in Lombardy,” said Ivan dowels, Professor of Sociology of Health at the University of Tor Vergata in Rome. “We were totally focused to increase the number of beds in intensive care units, without having enough anesthetists,” he says. “But in situations like this, the entire system must be strengthened considerably. Only hospitals can function properly.” He says, however, general practitioners and other primary health care facilities have been “abandoned” and “left unprotected. “So far, nearly 100 doctors have died in Italy, about half of them general practitioners. Cavanna and his team are giving a patient position at home, because they have the necessary protective equipment, both for the hospital where they work and private donors. During their expeditions wearing a protective suit that Cavanna jokingly describes as similar as worn by “pilots in the movies”, and on it, on each visit, enlist additional disposable gown. They also bring Google, two masks, two gloves, two caps and shoe covers. Officials are also trying to prepare facilities for a possible resurgence of the crown. “To organize Apart from the new hospitals, we need to reorganize the medical offices in the region,” said Pier Luigi Bartoletti, deputy secretary of Fimmg, the Italian Association of Family Physicians. Bartoletti and his staff are already looking forward to next winter, when in the worst case the virus could force again strikes. “In October, the waiting rooms to be redesigned by medical studies, with separate paths for people with flu symptoms,” he says. “In addition, we need to provide to use it properly Medical equipment and security training, along with the appropriate diagnostic tool.” Bartoletti of Spallanzani Hospital is working with doctors in Rome a test device that only a drop of blood taken from the finger using COVID-19 test would allow quick. Today the crown tests can take four or five days of time to get a result. This is too long, if you follow the preventive strategy. Instead of waiting for the tests, Cavanna bringing with it a device the size of an ultrasound breast cell phone scans to be performed. “We know that in this type of area affected with signs of bronchitis or pneumonia are almost certainly positive,” she explains. “I hold the pad in doubt, or for the time after treatment to ensure that they are no longer contagious healed again.” Doctors and experts agree that the pandemic was a revelation – not only for Italians, but for the rest of the world – in terms of strengths and weaknesses of the various health systems. But no system has yet to be proven, with an extreme situation to be treated as the current pandemic. “We have surprisingly in a time when we felt immortal, but it is now clear to everyone that this is not the case,” said Pier Luigi Bartoletti. “If we repeat the same mistakes, it will be our fault.” Copyright
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