Recently our mission in Covina hospital, Republican hospital he graduated from chief non-staff pulmonologist of Ministry of health of the Altai Republic Ekaterina Maximova. She became one of the pioneers in this region for the treatment of patients COVID-19. The website “news of Mountain Altai” managed to contact Ekaterina Anatolievna by phone, as she is still in isolation, and discuss the nuances of such a difficult, but interesting from a professional point of view work.
the — Catherine A. when you started to work at the hospital?
On 21 April the hospital was opened and from that day until recently I worked there.
the — With what mood you come to work at the hospital, what was done? Something inside you has changed in that time?
The attitude, of course, was fighting in the beginning. Although I must admit that at first it was very difficult, there were questions about the tactics of treatment, as this was a new disease for us. It was difficult to debug as the work itself, the healing process, there were many organizational issues. Then we had the fear of the first patient. Because of the experience with these patients was not, and patients, we have not seen. Idea ambulance arrives, the emergency workers are all “Packed” in the anti-plague suits, sick of shaking, we respectively too. Then I realized that this is a common patients requiring treatment. When in late may, the number of patients began to increase, we already had everything ready because it was time to drive, we already knew how to heal and lead the patient examination, by that time, was put on stream.I came with what felt like the established work-place that won’t be a problem, I medical debt is completed, the remaining doctors are all experienced and competent.A big plus that I personally met with this. Appeared experience a new disease, for me it was very important from a professional point of view, it was considered a lot of pictures. Not only I, but all the doctors that worked with coronavirus patients are now comitologie.
the — How did you cope psychologically? How much you were willing to work under the new conditions?
— Psychologically it is difficult. But I think I managed to show resistance and resilience. There were conflicts among colleagues, because when there is uncertainty, there will be a difference of opinion. Plus more sick with each passing day became more and more load is increased. Well, now there are instant messengers, you can always call the family, kids to talk.
the — What is the atmosphere like in the team?
We are all each other knew, was closely associated and to work in the hospital. During operation, very good friends. Can learn any in a costume the eyes or silhouette. Without humor anywhere, found his strength, and jokes, and photo shoots. Finally��etila that many emotionally burned out.In my free time, I discussed the treatment of problems of work of the hospital. We also have General chat, in which we daily solve problems, are always connected with each other. I still continue to participate in this chat.
the — whether support from colleagues not involved in the fight against the coronavirus?
— Support was, she felt, thank them for it. But there were those who responded negatively, saying that we work for money. But really such people who would go to work for money, we do not have a team, because it’s a big risk to health. And work only those doctors who have the spirit of adventure and patriotism, people who love their work with scientific, practical and professional interest. I’ve even had the urge to go or not to work in cavigny hospital. Vouch for my colleagues that they also thought. I want to note that the medicine we have at a decent level, all health care providers it is collected and competent professionals.
the — I would Like a little deeper into the process of work. As for the condition of the patient can be determined that the most dangerous moment passed and the man is on the mend?
— First of all it is important to assess the patient’s condition by a doctor. There are many symptoms: normalization of temperature, improvement of General condition, decrease of weakness. Second, an important obligatory laboratory analysis, which should be seen by the decrease in the number of inflammatory protein to almost normal values. And of course, we need a clear positive trend in CT. When we began work in April, the sick were not so complicated, it may be the virus was less virulent. At the moment the virus process is more complex flows, with aggravating consequences for the organism. Appear more severe in patients who have respiratory failure. Began to appear, and death.
the — Dropped out whether your change of death, if so, what was the cause of his death, the virus or associated illness?
— On my shift there were two cases. Virus process causes a viral pneumonia which can attach to the bacterial process, and already bacterial virus process causes severe pneumonia, acute respiratory failure, resulting in a large process of destruction of the body, which causes death. Unlike viral pneumonia from the usual in that it causes severe bilateral process. Regular pneumonia is less dangerous.I want to emphasize that people do not die of old, they could continue to live if it were not for kovida.
the — How the virus is unpredictable?
— In my opinion, the virus is unpredictable, it mutates, apparently, because it proceeds entirely�� heavier and heavier. Also unpredictable is the very sick patient and his individual condition. Depending on comorbidity disease may be very different.
the — How do you take treatment for a patient, or for all of it alone?
— At first we had a lot of questions, and we often had to use a telemedicine consultation (TMC). There is a special center in Moscow at the Institute of pulmonology, to advise the regions. Most often we used TMK for patients with severe cases to get the opinion of more experienced colleagues. And to take advantage of this video advice is quite simple, everything is done very quickly, the answers come quickly, doctors advise you around the clock.Although in General it was easier, we had a gap, as all has begun later than in other regions. It was time to prepare, to read the literature to understand the disease based on the recommendations received from colleagues from other regions. For this reason we have a low mortality rate – doctors just have time to prepare. Also, when we came to work in the newly opened hospital, it was technically organized, medicine hospital was fully secured, in contrast to other regions where this was not possible to prepare.
the — What can you say about the patients, their behavior and reaction to the incident, an unknown disease?
— How would it sound rude, but the media had less to trumpet the fact that the disease is asymptomatic. People thought that once asymptomatic, then maybe it does not exist. Many said: “We have not seen infected, we have not seen that someone has complained about, who are these people?”. The fact that you recovered trying to hide the fact that they had such a disease. Some after discharge told their friends that they have not been kovida, and they laid in the hospital by mistake. Although he had them! Such a reaction in patients is due to social pressure – the neighbors look askance, relatives are afraid. Some people, learning that their neighbor is infected, saying that we will burn his house, even cursed. To witness such scenes are very unpleasant. So terrible was not the disease itself, and condemnation of people. Having the opportunity to be heard, I want to say – rooting is not a shame! If we deny the existence of this virus, the less patients will not.On the TV show, how some doctors applauded for their work, but we are not all so rosy. All patients are set up differently, someone refers to our work with gratitude, and someone is angry, does not understand why he even is in hospital. Maybe we have such a mentality, I don’t know. Also the media add fuel to the fire, to��always write that physicians themselves have come up with this coronavirus to earn money, it is very sad. But we, doctors, try not to engage in conversation, not comment on anything because we have no time, we just need to do their work for the benefit of patients ‘ health, even what I want, I think. The important thing is that we have a good performance for healthy, low mortality, this means that we are doing everything right!
the — Support from the leadership was?
— Initially, there were differences due to housing, living conditions some considered that we have a lot of request and demand. But we anything in excess is not requested. We were like a locomotive. In the end, our work with the leadership of the hospital when respaldiza was exemplary. Now on the basis of our work, the organization of work in other hospitals of the Republic.
the — once we returned home, what did you feel?
I had a feeling that the summer passed without me, there was a certain sense of housenote time. Work we started when I was still wearing spring boots, and there is already summer in full, the people go to rest. It surprises me how so!? Therefore, the adaptation is in full swing, will soon pass the final test of “the crown” and will be able to leave the house.
the — In your opinion, still worth it or not to go to public places?
— I, as a doctor, of course, think that everyone needs to sit at home, but as human beings understand that people from the April sitting of the house, physically impossible to comply with self-isolation. If, nevertheless, going to a public place, then at least wear a mask. On the street, if you are single, you can go without a mask in the car as well.General recommendations remain the same: wash hands, often treated with antiseptic; cover the elbow’s mouth when you cough or sneeze, keep your hands clean when you touch something in public; try not to touch your face; keep your distance. Now everywhere before Cass made the markings, but hardly anyone uses it. Need to stay home whenever possible.As if we really didn’t want it all quickly ended as a nightmare – this will not happen if we continue to behave carelessly and irresponsibly. Magically, the pandemic is not over. It all depends on our common efforts.
