this hospital took on the first strike, and began to receive patients COVID-19. “Zero” the patient appeared at the end of March, and after a few days there has been a proper hospital. That is logical: at the hospital two communicable disease.
At 09.00 Hope bypass. Patients are wrapped in wires and devices, totally defenseless. And wizened old ladies and big strong men seem to be swaddled babies. From living on their pale faces, only eyes. Seeking, alert, often frightened.
But, said Hope, for the most part they are not afraid for their relatives, which could infect.
what are the symptoms patients? Tell me what are experiencing unusual symptoms, compare their condition with irradiation. Such a feeling is created because of the strong General weakness. Exhausting temperature, reactive inflammatory process. From exotic symptoms – loss of smell and taste. “This is due to the influence of trapped in the nasal passages of the virus for the receptor,” explains Hope.
“I have a patient N., 48 years old – continues the doctor. – Complains of cough, fever, aching. Inspect, measure pulse rate, temperature, breathing. Calm. Tell you what’s assigned, what’s going to work. Explain that assigned a range of survey, when the study of blood, organs of the chest. People often ask what the results of the tests, please explain what they mean.”
And so every patiently, carefully. Patients cling to the doctor, as to life, begin to talk about the family because many of them were infected. Share what symptoms they have, how they feel. Hope is not in a hurry, everyone is trying to help and support.
Directly in the “red” zone the doctor is not more than three or four hours. To replace him on duty intrudes the other. Patients remain under the supervision of a team of doctors, nurses, nurses. Based on 20 patients one doctor. The brigade’s four of them, day doctors, consultants.
Hope, how are you today assess the situation with a new disease?
Hope Skripkin: Current coronavirus situation is unusual and difficult. We are all in suspense. I want to help everyone.
In fact, pandemics occur about once in a hundred years. One hundred years ago raged a Spaniard. And now we hit the next wave. Epidemic overtake us almost every year, remember the flu H1N1, there are intestinal epidemic. It is also difficult viruses, but we did it thanks to vaccinations. The pandemic happened the first time and, God forbid, to the last.
the Most dangerous feature of viruses is their ability to mutate. It is therefore difficult to predict what will happen in a year – does not mutate the current virus does not cause a new wave of disease. The same with time. Carried��growth are sometimes conflicting evidence about the timing of the completion of the pandemic, because the virus is still not fully understood.
And even how it will behave in hot weather, with certainty is no one will say. But at the moment epidemiologists control of the situation and has already accumulated clinical experience of dealing with it.
what do you treat patients because drugs from the virus itself yet? Does this mean that patients receive only symptomatic drugs, help to support the work of the lungs, heart?
Hope Skripkin: We are working on the provisional recommendations of the Ministry of health, in our Arsenal there are a number of antivirus and immunomoduliruta drugs.
Because the virus is new, the methods of struggle absorbed and picked up on the fly. Literally every day there’s new information, scientists and doctors all around the world share their experience in the diagnosis and management of patients. Successfully recovering we have a lot, and many patients are discharged.
If you take into account the total incidence, the percentage of critically ill patients remains low, and this allows to provide the necessary assistance to all. Bedspace is, the ventilator in abundance, we have put all the necessary medical equipment. There was no case to heavy patient refused hospitalization.
Who still often hurts, who you fall?
Hope Skripkin: When it all began, the beds were mostly occupied by those who arrived from abroad. Then the virus has already spread through the region, and we began to receive people who have no contact with the returning from foreign travel were not.
we Have no data on who hurts more – doctors or cashiers of large supermarkets. Hurt all. Less, of course, are young, have higher resistance than those who are 70 years old. Carry heavier patients who have chronic diseases, cardiovascular disease, diseases of the endocrine system and respiratory system. Stated poor outcome due to late presentation to the doctor.
There are family cases – we were once husband and wife, father and son. And yet we were born two children, from infected mothers, but the babies are completely healthy.
And you scared? You are afraid to get infected?
Hope Skripkin: Honestly? Personally, I don’t. I feel protected. I’m sure a suit, mask, respirator, Shoe covers protect me. Everything is already established, and we adapted.
some covid-hospitals staff leave to work for a week to no contact with relatives. And how are you?
Hope Skripkin: We go home. Of course, observing all the rules of isolation: does not attend, parents do not arrange holidays. I have two children they now live with your parents in the Aksai district, in the air. At home only the husband working on udalenke.
the Most important thing to observe all preventive measures. Be attentive to yourself. At the slightest sign of a cold to rinse the throat. I am against half-measures. To enter mask mode – then enter, and it must comply without exception.
We will win. Many of us, and we feel great support from volunteers, bringing us lunch, and ending with the government that appointed us increased pay (have already got!). Among my colleagues there is no one who would have refused to work in Covina the hospital.
And we are ready to work for as long as necessary. We can’t leave because I got tired or bored. And I really want it to all be over.
Leaving the “red” zone, the staff fully exposed, the costumes are desoribed, protective equipment sent to the scrap.
This procedure takes much more time than the entrance. Careful hygienic procedures, shower. You need not to take out the virus from inside the infected branches. The advantage of infectious disease was that they are trained in security measures.
“We can wear anti-plague suits and personal protective equipment, – says Nadezhda. And at first actively trained other staff of the hospital. Because hand in hand we work with kovid-patients, other doctors, many physicians retrained for work with infectious patients. And not a single ill health care worker for all the time we have, ugh-ugh, no.”
After all the procedures with the removal of the costume – delicious lunch. Hot meals brought to doctors many cafes, restaurants, entrepreneurs, because the menu is varied and almost home. “It’s really a help because we often work late, and time sorely lacking,” says Hope.
Tests for coronavirus entire hospital staff delivers every week. “I’m no hero! laughs Hope. Hero we have, for example, the head of the hospital. I’m just doing my job, which I always loved.”
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