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Dr. Alexander Simidchiev Staff: BNT
The Medical Council at National Operations Headquarters holds a virtual meeting twice a week, and once a week the guidelines they give to doctors are updated. At last night’s meeting, several new sections were included in the document.
Including guidelines on how to classify patients who have died of any disease, whether they should be classified as dead from COVID-19 or from their underlying disease. This was stated to BNT by pulmonologist Dr. Alexander Simidchiev, who is part of the Medical Council.
This is a WHO guide and to have accurate statistics, it is important to have very precise definitions, said Dr. Simidchiev.
COVID-19 may be the underlying disease that led to death, it may be a comorbidity that accompanies other diseases that have led to death.
Dr. Simidchiev emphasized that it is important to understand as a society that we need to get used to something we call the new normal.
“We are beginning to know what the virus is, what it does. But for a longer period of time we will continue to maintain physical distance, especially indoors, to walk in protective gear, to wash our hands more frequently,” he added.
With regard to infected doctors, the pulmonologist insists that they work in a high-risk environment and there, even with minor discrepancies, such as the lack of supply of protective equipment or the failure to follow the procedure to use these protective equipment, can occur progress.
The virus is particularly contagious in groups such as nursing homes, where there is also a boom in infected people. The risk is high for people over 65, especially with concomitant diseases.
It is good that this virus does not predominantly affect younger teams. The virus doesn’t push healthier organisms as hard, Dr. Simidchiev said.
When asked if a more severe peak is expected in the fall, the pulmonologist said that we know very little about this virus and that we must be prepared for different scenarios.
“The virus, when it begins to mutate, will not mutate into a more dangerous virus. This is not the usual pattern,” said the doctor.
Regarding the last case of the deceased doctor from the Emergency Center, Sofia, who had two negative PCR tests, Dr. Simidchiev explained that the virus infects the upper respiratory tract, but its true nature is when it migrates to the lower respiratory tract.
When it migrates lower, it is sometimes removed from the upper respiratory tract, and when we take a PCR sample, it may come back negative because it has migrated. The problem is not that the test is not accurate, but that it migrates to different places in the body, added Dr. Simidchiev.
He recommended that the different types of tests come together in a test strategy so that we know what we are looking for, when we are looking for it and what we will find.
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