– Short coveny FAQ (frequently asked questions – frequently asked questions) at the end of the first week of operation.
I Have (my family) have identified a coronavirus. How to be treated? You’re probably have a secret a secret!
Alas, I have no secret. Coronavirus infection is still no specific treatment. The hopes placed on delagil/plaquenil, Kaletra, etc., did not materialize. The indication for hospitalization is not the fact of disease and the severity of its course. If you become physically very ill, increasing shortness of breath, then you need to call an ambulance and go to hospital. If health allows, you can sit at home.
the cure is in the hospital?
a Handful of rather pointless pills, anticoagulants (drugs to thin the blood) and oxygen. If the inhalation of oxygen does not help, transferred to artificial lung ventilation. In this case, the prognosis is very poor (mortality 80%).
is it Possible to come to the hospital himself, not to call an ambulance?
you don’t have to do that. The health insurance Fund refuses to pay for the course. Yes, it’s wrong, but until the rules of the game are. Call for an ambulance. Don’t create unnecessary problems.
I Have tested negative on the COVID, and CT bilateral pneumonia…
the Sensitivity of tests for COVID very small (and very dependent on the validity of taking a smear, and it correctly no one takes). The sensitivity of CT is much higher. That is already in the pit seeing the typical pattern, we are 99.9% confident in the diagnosis. Data smears are statistical (epidemiological) significance, but did not need to determine the tactics of treatment.
I’m worried I have it… where I can be tested?
it is Not necessary. Sit at home and worry quietly. Any face-to-face contact with the medicine is a dangerous infection. The visit to the clinic, a CT scan center, ambulance call exposes you to the risk of infection. Even if you have it… a treat still nothing (see point 1).
what if I have not Covina pneumonia, as usual, and I will bring in COVID hospital. I will get it.
Yes, it is. We try on the sorting level to minimize these risks, but, really, the pneumonia in the current environment to the regular hospital not lucky. However, the frequency of such errors to less than 1%, the usual community-acquired pneumonia is very rare (you can distinguish them by CT).
there is much talk about the benefits of anticoagulants in COVID. It may be necessary to take them prophylactically?
you do Not need. Anticoagulants do not prevent and do not cure the infection itself. They allow you to break the chain of pathological processes responsible for the development of complications.
How to prepare for hospitalization if you get sick?
the Work of doctors with patients COVID-pneumonia has many differences from our normal practice:
* massive potoplenie
* the difficulty of communicating with the patient (age and severity of the patient’s condition, the availability of remedies at the doctor)
* the involvement of non-core physicians
I have a big request to all who are in the risk group (and the practice shows that no one is immune):
1) If you have a chronic illness, pre-write a ONE-page list of his diagnoses (for statements) and the list of regularly taken medications with doses. This will help doctors in the Department, in particular, will allow to calculate the risk of drug interactions.
2) prepare in Advance all the [regularly] medicines with the stock for 3-4 weeks in order to take with you to the hospital.
