the porch is going in flight spetsbrigada allocated to transport for a CT scan outpatient. In the cabin a bright yellow ambulance Ford Transit, which already has its own name – the “Crown”, the nurse and the driver of memorized movements wear anti-plague overalls and other protective equipment.
– the Car is great, not what “the pill,” praises the technique of the driver “Crowns” Stanislav Chepurnykh. – To us have transferred from the Center of medicine of accidents, though old, but quite smart. Importantly, the ventilation is working properly. And I separates from the passengers door. So safe.
the Nurse Marina Kozlova is ready to exit and hurries colleagues who are confused about the leg of the overalls, and I can not pull the sweaty palm gloves.
– Today, before lunch, need to get 14 people to bring-to take – she’s waving a piece of paper with the names and addresses of patients. – And then a second list of doctors will give out, can and more will.
the First address, here it is, just across the road from the clinic. But it is not necessary for patients with COVID-19 walk the streets.
the Patient sits in the car. Today Paul went to the final examination. The person can say joy two analyses came back negative, recovered. However, the man is not happy.
“my Wife is in the infectious diseases hospital, two days out of the intensive care unit was transferred, he said. – She has 75 percent damage of lungs in serious condition was taken to the hospital. Dr – well done, I think, took it from death, came out. How many more will lie in the hospital, don’t know for sure, but at home two daughters, they too suffer. Even without symptoms, and still scary. The virus, now I know for myself, the insidious. Go today, and tomorrow dump. I am ashamed to say, I did not believe that he is, thought it was the flu and the flu… he won both the family of my hit”.
Paul’s brigade, swosu CT, delivered to the house and said goodbye. But the next patient, Mr, has not yet recovered. The tests show positive, and the scanner was brought in, because the temperature is kept high.
– my mother and a couple of sick – man said heavily, breathing hoarsely. – Other household members healthy, I to the cottage had to be escorted out. My mother is elderly, her tomorrow in the hospital lay.
Dmitry is being examined, gets his hands on shots. Then his data is sent to computer local therapist. The doctor will look at the dynamics, if necessary, will adjust the treatment. In case of deterioration will be sent to the hospital as mom.
“Crown” went in the third flight, this time taking just four living in the same apartment block. All clear this time. Marina Kozlova manages all measure the temperature and saturation (pulsoximeter is in the ambulance) and transfer the data of the doctor.
Therapist and part-time pulmonologist Marga��ITA of Musorina just at this time calling their patients. She is now 25.
– Hello, it’s Margaret A., – addresses the doctor in a tube. – How are you feeling? No fever? – pause. Course of the drug over until there is nothing else to assign will not, in the end of the week you will come to the brigade, to take control of brushstrokes. And the husband like? Shortness of breath appeared… And why just do not call me? Today, after three come to you, take a look. And now write down on the CT.
And so every day – first, the admission of emergency patients, who still, despite the pleas of doctors to call them at home, came to the clinic. Then work on challenges not related COVID-19.
Then comes the “time coronavirus”: according to the plan, each must be checked weekly, and out of respect, too – and when there were complaints and time waits for no man.
To Margaret Masorini go to counseling and those who received treatment in the infectious hospitals.
– And the problem remained, – concludes the doctor. – To recover from pneumonia some will have long months. Appoint immunomodulators, breathing exercises, vitamins.
For each therapeutic area listed from 5 to 20 patients COVID-19 and 30-50 contact persons, which is also under observation and identified the level of load on the doctors, Deputy chief physician GKB № 8 outpatient work Olga Osaulenko. – In addition to continuous monitoring and provide direct communication of doctor with patients, we stock all the patients COVID-19 is specially designed monuments. They are all described in detail – and what symptoms should alert, and how to handle the dishes, and what drugs can be used along with prescribed by your doctor.
Doctors are trying not to lose sight of each infected. However, according to Olga Osaulenko, there are patients that the doctors can not find at home. Data on violators of isolation is immediately passed to the CPS and the police.
And it happens that asymptomatic patients flatly refuse to do a CT scan of the lungs, say “I don’t want to be irradiated once again”.
– for these patients, we again and again explain that COVID-19 – a dangerous infection, and to refuse testing are not eligible. Because dangerous to others, – explains the doctor with a metallic voice (see, hard got stubborn and ignorant). – So the educational program engaged in, convince and persuade. The figures that almost half of asymptomatic patients screened for the office CT scan revealed lung lesions, and 10 percent very extensive. But you can’t always get through. Here the medicine is powerless.
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