Coronavirus Covid-19 - opšta tema

[vememah]

11 minutes ago, Kampokei said:

Nemam pojma o epidemiologiji, ali cini mi se da ovako mlake mere u Evropi i imaju za cilj da se uspori virus, a ne i sasvim suzbije (ne zato sto nece, nego mozda zato sto ne misle da je to vise moguce).

U Nemačkoj teško da će uspeti dovoljno da ga uspore sve i da dupliranje svedu na sedmodnevno, a ne samo dvodnevno kao sad.

[I*m with the pilots]

Quote

 

https://www.facebook.com/groups/greecetravel/permalink/10157330299853353/

 

This is for everyone who still considers travel. This message is a post by an Italian doctor at a hospital in Bergamo where the outbreak begun just two weeks ago. She explains what life has become and why this virus is anything but a flu.

 

Translation
In one of the constant emails that I receive from my health department on a more than daily basis now these days, there was also a paragraph entitled "doing social responsibly", with some recommendations that can only be supported.
After thinking for a long time if and what to write about what is happening to us, I felt that the silence was not at all responsible. So I will try to convey to people "not involved in the work" and further away from our reality, what we are experiencing in Bergamo during these pandemic days from Covid-19.
I understand the need not to panic, but when the message of the danger of what is happening does not reach people and I still feel who cares about the recommendations and people who gather together complaining that they cannot go to the gym or be able to do soccer tournaments I shudder.
I also understand the economic damage and I am also worried about that. After the epidemic, the tragedy will start again. However, apart from the fact that we are literally also devastating our NHS from an economic point of view, I allow myself to raise the importance of the health damage that is likely throughout the country and I find it nothing short of "chilling" for example that a red zone already requested by the region has not yet been established for the municipalities of Alzano Lombardo and Nembro (I would like to clarify that this is pure personal opinion).
I myself looked with some amazement at the reorganizations of the entire hospital in the previous week, when our current enemy was still in the shadows: the wards slowly "emptied", the elective activities interrupted, the intensive therapies freed to create as many beds as possible. Containers arriving in front of the emergency room to create diversified routes and avoid any infections. All this rapid transformation brought in the corridors of the hospital an atmosphere of surreal silence and emptiness that we still did not understand, waiting for a war that was yet to begin and that many (including me) were not so sure would never come with such ferocity .
(I open a parenthesis: all this in silence and without publicity, while several newspapers had the courage to say that private health care was not doing anything).
I still remember my night guard a week ago passed unnecessarily without turning a blind eye, waiting for a call from the microbiology of the Sack. I was waiting for the outcome of a swab on the first suspected patient in our hospital, thinking about what consequences it would have for us and the clinic. If I think about it, my agitation for one possible case seems almost ridiculous and unjustified, now that I have seen what is happening.
Well, the situation is now nothing short of dramatic. No other words come to mind.
The war has literally exploded and the battles are uninterrupted day and night.
One after the other, the unfortunate poor come to the emergency room. They have anything but the complications of a flu. Let's stop saying it's a bad flu. In these 2 years I have learned that the people of Bergamo do not come to the emergency room at all. They did well this time too. They followed all the indications given: a week or ten days at home with a fever without going out and risking contagion, but now they can't take it anymore. They don't breathe enough, they need oxygen.
Drug therapies for this virus are few. The course mainly depends on our organism. We can only support it when it can't take it anymore. It is mainly hoped that our body will eradicate the virus on its own, let's face it. Antiviral therapies are experimental on this virus and we learn its behavior day after day. Staying at home until the symptoms worsen does not change the prognosis of the disease.
Now, however, that need for beds in all its drama has arrived. One after the other, the departments that had been emptied are filling up at an impressive rate. The display boards with the names of the patients, in different colors depending on the operating unit they belong to, are now all red and instead of the surgical operation there is the diagnosis, which is always the same damn: bilateral interstitial pneumonia.
Now, tell me which flu virus causes such a rapid tragedy. Because that's the difference (now I'm going down a bit in the technical field): in classical flu, apart from infecting much less population over several months, cases can be complicated less frequently, only when the VIRUS destroying the protective barriers of the Our respiratory tract allows BACTERIA normally resident in the upper tract to invade the bronchi and lungs, causing more serious cases.
Covid 19 causes a banal influence in many young people, but in many elderly people (and not only) a real SARS because it arrives directly in the alveoli of the lungs and infects them making them unable to perform their function. The resulting respiratory failure is often serious and after a few days of hospitalization, the simple oxygen that can be administered in a ward may not be enough.
Sorry, but to me as a doctor it doesn't reassure you that the most serious are mainly elderly people with other pathologies. The elderly population is the most represented in our country and it is difficult to find someone who, above 65 years of age, does not take at least the tablet for pressure or diabetes. I also assure you that when you see young people who end up in intubated intensive care, pronated or worse in ECMO (a machine for the worst cases, which extracts the blood, re-oxygenates it and returns it to the body, waiting for the organism, hopefully, heal your lungs), all this tranquility for your young age passes there.
And while there are still people on social networks who pride themselves on not being afraid by ignoring the indications, protesting because their normal lifestyle habits are "temporarily" in crisis, the epidemiological disaster is taking place.
And there are no more surgeons, urologists, orthopedists, we are only doctors who suddenly become part of a single team to face this tsunami that has overwhelmed us. The cases multiply, we arrive at the rate of 15-20 hospitalizations a day all for the same reason. The results of the swabs now arrive one after the other: positive, positive, positive. Suddenly the emergency room is collapsing. Emergency provisions are issued: help is needed in the emergency room. A quick meeting to learn how the first aid management software works and a few minutes later they are already downstairs, next to the warriors on the war front. The screen of the PC with the reasons for the access is always the same: fever and respiratory difficulty, fever and cough, respiratory insufficiency etc ... Exams, radiology always with the same sentence: bilateral interstitial pneumonia, bilateral interstitial pneumonia, bilateral interstitial pneumonia. All to be hospitalized. Someone already to intubate and go to intensive care. For others it is late ...
Intensive care becomes saturated, and where intensive care ends, more are created. Each fan becomes like gold: those of the operating rooms that have now suspended their non-urgent activity become places for intensive care that did not exist before.
I found it incredible, or at least I can speak for the HUMANITAS Gavazzeni (where I work) how it was possible to implement in such a short time a deployment and a reorganization of resources so finely designed to prepare for a disaster of this magnitude. And every reorganization of beds, departments, staff, work shifts and tasks is constantly reviewed day after day to try to give everything and even more.
Those wards that previously looked like ghosts are now saturated, ready to try to give their best for the sick, but exhausted. The staff is exhausted. I saw fatigue on faces that didn't know what it was despite the already grueling workloads they had. I have seen people still stop beyond the times they used to stop already, for overtime that was now habitual. I saw solidarity from all of us, who never failed to go to our internist colleagues to ask "what can I do for you now?" or "leave that hospitalization alone." Doctors who move beds and transfer patients, who administer therapies instead of nurses. Nurses with tears in their eyes because we are unable to save everyone and the vital signs of several patients at the same time reveal a fate that has already been marked.
There are no more shifts, schedules. Social life is suspended for us.
I have been separated for a few months, and I assure you that I have always done my best to constantly see my son even on the days of taking the night off, without sleeping and putting off sleep until when I am without him, but for almost 2 weeks I have not voluntarily I see neither my son nor my family members for fear of infecting them and in turn infecting an elderly grandmother or relatives with other health problems. I am satisfied with some photos of my son that I regard between tears and a few video calls.
So have patience, too, that you cannot go to the theater, museums or gym. Try to have mercy on that myriad of older people you could exterminate. It is not your fault, I know, but of those who put it in your head that you are exaggerating and even this testimony may seem just an exaggeration for those who are far from the epidemic, I but please, listen to us, try to leave the house only to indispensable things.
Do not go en masse to stock up in supermarkets: it is the worst thing because you concentrate and the risk of contacts with infected people who do not know they are higher. You can go there as you usually do. Maybe if you have a normal mask (even those that are used to do certain manual work) put it on. Don't look for ffp2 or ffp3. Those should serve us and we are beginning to struggle to find them. By now we have had to optimize their use only in certain circumstances, as the WHO recently suggested in view of their almost ubiquitous impoverishment.
Oh yes, thanks to the shortage of certain devices, I and many other colleagues are certainly exposed despite all the means of protection we have. Some of us have already become infected despite the protocols. Some infected colleagues have in turn infected family members and some of their family members already struggle between life and death.
We are where your fears could make you stay away. Try to make sure you stay away. Tell your elderly or other family members to stay indoors. Bring him the groceries please.
We have no alternative. It is our job. Indeed what I do these days is not really the job I'm used to, but I do it anyway and I will like it as long as it responds to the same principles: try to make some sick people feel better and heal, or even just alleviate the suffering and the pain to those who unfortunately cannot heal.
On the other hand, I don't spend many words about the people who define us heroes these days and who until yesterday were ready to insult and report us. Both will return to insult and report as soon as everything is over. People forget everything quickly.
And we're not even heroes these days. It is our job. We risked something bad every day before: when we put our hands in a belly full of blood of someone we don't even know if he has HIV or hepatitis C; when we do it even if we know that he has HIV or hepatitis C; when we sting with the one with HIV and take the drugs that make us vomit from morning to night for a month. When we open with the usual anguish the results of the tests at the various checks after an accidental puncture hoping not to be infected. We simply earn a living with something that gives us emotions. It doesn't matter if they are beautiful or ugly, just take them home.
In the end we only try to make ourselves useful for everyone. Now try to do it too though: with our actions we influence the life and death of a few dozen people. You with yours, many more.

Please share and share the message. We must spread the word to prevent what is happening here in Italy

 

 

[vememah]

21 minutes ago, vememah said:

da mediji mnogo drame

Mala ispravka za Drostena: bio je rekao da se na društvenim medijima mnogo drami.

[Poludziber]

1 minute ago, gone fishing said:

jesu li to isti oni sexperti koji su pre 8 dana rekli guverneru da će u narednim danima doći do pada broja novo zaraženih ovim virusom u lombardiji

Upravo oni. 

Inace do pre par dana je bio plan da se osposobe 2 bolnice u Lombardiji samo za corona bolesnike, sad odlucuju da sve ne corona bolesnike izvuku iz Lombardije i raznesu po Italiji i da sve bolnice u Lombardiji posvete samo corona bolesnicima. Stalno spominjem probleme s mestima u intenzivnoj, ali problem je sto skoro pola obolelih ima potrebu za strucnim lecenjem po mogucnosti u bolnici. Takvih je ovde vec vise od 3000. Inace rast je 700% od 28 februara. Za sedam dana siguran kolaps.

[Tihajeza]

13 minutes ago, omiljeni said:

Albanija i Moldavija se upisale

 

U Moldaviji otprilike 3/4 odraslog stanovništva pečalbari po Italiji (u zemlji bukvalno ostala deca i babe da ih čuvaju); dobro su izdržali do sada.

[banecare1]

17 zarazenih u rusiji je sprdnja od informacije. testiranje u moskvi je moguce samo u jednoj drzavnoj bolnici i to ako imas uput ili te doveze hitna. 

 

 

 

 

 

 

 

 

 

 

[Jumanji]

4 hours ago, Tresko said:

Mislim da će totalno da zatvore Malpensu u Milanu, tako da i ako neće oni da obustave letove, neće imati gde da sleću.

Nazalost letovi i dalje idu nesmetano, koliko cujem. Besmislica totalna.

[cedo]

rimsko carstvo korone >>>  rimskog carstva

[Tresko]

51 minutes ago, Jumanji said:

Nazalost letovi i dalje idu nesmetano, koliko cujem. Besmislica totalna.

Alitalia je već obustavila sve letove od juče za Malpensu, od danas i za Linate. I govori se da će Malpensu potpuno zatvoriti.

[steins]

Za razliku od Kine gde smo gotovo imali pbp situaciju u kojoj je država preduzimala nešto - od stavljanja miliona u instant karantin, preko masivnog upućivanja aviona sa ljudima i opremom u regione, preko svakodnevnih snimaka o dezinfekciji svega i svačega i izveštaja ljudi sa lica mesta, pa do live prenosa gradnje bolnica  , 

iz Italije nemamo gotovo nikakav fidbek - kao da se ništa živo tamo ne dešava. /izuzetak su snimci sa bežanijom sa železničkih stanica/. 

 

In other news, Kina opet dvocifrena danas - ukoliko se nastavi do kraja nedelje, to će biti ozbiljan silazni trend. 

Takodje je i J Koreja je prepolovila broj potvrdjenih slučajeva, sa 6 (šest!!) puta manjom stopom smrtnosti nego Italija, na isti broj slučajeva. 

Iran takodje beleži pad u broju potvdjenih slučajeva za oko 20%. 

[Jumanji]

 

 

Alitalia je već obustavila sve letove od juče za Malpensu, od danas i za Linate. I govori se da će Malpensu potpuno zatvoriti.

 

 

Dok se govori da ce da se zatvori, sve regularno tece. Avion u 11:04 sleteo na bg aerodrom. I nekoliko min pre njega i onaj iz Rima.

 

 

 

 

[cedo]

3 minutes ago, steins said:

Za razliku od Kine gde smo gotovo imali pbp situaciju u kojoj je država preduzimala nešto - od stavljanja miliona u instant karantin, preko masivnog upućivanja aviona sa ljudima i opremom u regione, preko svakodnevnih snimaka o dezinfekciji svega i svačega i izveštaja ljudi sa lica mesta, pa do live prenosa gradnje bolnica  , 

iz Italije nemamo gotovo nikakav fidbek - kao da se ništa živo tamo ne dešava. /izuzetak su snimci sa bežanijom sa železničkih stanica/. 

 

In other news, Kina opet dvocifrena danas - ukoliko se nastavi do kraja nedelje, to će biti ozbiljan silazni trend. 

Takodje je i J Koreja je prepolovila broj potvrdjenih slučajeva, sa 6 (šest!!) puta manjom stopom smrtnosti nego Italija, na isti broj slučajeva. 

Iran takodje beleži pad u broju potvdjenih slučajeva za oko 20%. 

 

To je zato sto su registrovani vecinom clanovi sekte koji u tome vide spasenje/sta vec 

 

 

edit: meni je i dalje hajlajt nemacka, nema umrlih, i dalje igraju fudbal na punim stadionima

Edited March 9, 2020 by cedo

[steins]

2 minutes ago, cedo said:

 

To je zato sto su registrovani vecinom clanovi sekte koji u tome vide spasenje/sta vec 

 

To je posebno poglavlje o ljudskoj gluposti koje takodje treba da se izučava. 

Ja nisam imao pojma o čemu se tu radi do pre par dana - sada cenim da su te ludake trebali jednostavno da - postreljaju. North Korea style!

[Ros]

29 minutes ago, cedo said:

 

edit: meni je i dalje hajlajt nemacka, nema umrlih, i dalje igraju fudbal na punim stadionima

puno se ovde prica o coroni, ali zivot ide dalje. ima manje ljudi u minhenskom prevozu, a vise automobila na ulicama. zeleni ce da polude od corone

[cedo]

a be momce makedonce

lekarka (direktorka klinike za dermatologiju) registrovana na koronu. bila u italiji, a kad se vratila 5 dana isla na posao

masala