“The advice is not to challenge the disease,” says the CTI doctor in RJ, who fears the advance of the coronavirus | Rio de Janeiro

Medical coordinator of the Intensive Care Center (CTI) at the Santa Teresa Hospital, in Petrópolis, in the mountainous region, and an employee at the Pedro Ernesto University Hospital (Hupe), in the capital, deals with different realities.

Although the Petropolitans created a sanitary barrier, allowing only residents to enter and controlling the temperature of those who arrive in the city, in Rio, full beds are already becoming a reality.

As of Friday, the capital registered almost 3,000 cases and 219 deaths; against 67 cases in Petrópolis, with 6 deaths. The only way out, says the doctor, is to control the speed of manifestation of new cases so that the system does not collapse.

“(The advice) is not challenging the disease. The disease has a very high contagion power. And, the disease does not allow you to return to the wrong behavior,” he says.

Error, says the expert, can put the entire society, and especially doctors, in a sad and unprecedented situation.

“What can most distress the doctor and society is to observe that people did not have the opportunity to fight adequately to overcome the disease. Lack of bed, supplies, structure to face the disease and this determines that death is too distressing” . , recognize.

Santos cites the case of the Lombardy region in Italy, where the lack of respirators made doctors choose the patients who would survive and those who would die.

To prevent this from happening again in Brazil, he recommends restrictive measures as the only way to prevent the spread of the virus.

“I think none of us experienced exactly that. Obviously, some professionals, especially in large centers, in major emergencies, may have experienced this experience of having a seriously ill patient and providing just one ICU place and having to choose one that can benefit more from this vacancy. But as a global concern, in the country and even in the world, no. ”

Due to the high risk of Covid-19 transmission, visits to patients diagnosed with the disease were prohibited. In the Petrópolis hospital, the psychology sector created the “virtual visit”.

With a cell phone, a member of the medical team enters the room and makes a real-time video call with the family, according to psychologist Jociane Coutinho from the unit.

“It is a possibility for the family to better understand what is happening, better control the recovery or evolution of their relative and not feel so disconnected from reality. Psychology unites this difficult and heavy reality with what we can do humanization. No It is the ideal, what we would like, but it is what is possible at that moment. And it is having an effect: the family participates and has the information they need, to be able to exchange affection. ”