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“Before the pandemic attack Market they had 129 intensive care beds and last summer’s dpcm asked to create 105 more. Apart from the 2:00 pm at the Fermo hospital, the other companies have not yet created one, this is the situation in which I find myself operating “. Filippo SaltamartiniRegional health advisor of the new right-wing council, has a problem with the beds and talks about a situation inherited from the previous center-left council, in office until September. The Covid areas have not been adequate and each hospital now tries not to distort its nature so as not to have to block operational and diagnostic activities. And uncertainty also creates inconvenience.
For now, the only measure adopted has been the reopening of two modules of the Covid Hospital in Civitanova where 19 patients are currently housed, 8 of whom are in intensive care. Without qualified personnel to put inside the spacecraft, Saltamartini had to ask for help from the same hospitals attacked in the front to receive an anesthetist or professional nurses, encouraged by a file. Two speed chips. The anesthetists of Asur Area Vasta 3, Macerata provincial territory where the Covid Hospital is located, work on the basis of service orders, they receive 30 euros gross per hour and the shift is part of the normal rotation of the hospitals to which they belong. Those who come from abroad, from other hospitals in the Marches, have a record of 60 gross euros. Bonuses for working at Covid in Civitanova are also awarded to nurses, but nothing is known about healthcare workers, technicians, radiologists, physiotherapists, etc. This organization, with staff that occasionally arrive from all corners of the region and with staggered shifts, does not guarantee continuity of care.
The rest of the ICU scene is problematic. Currently the active hospitals in the Marches are those of the company North March a Pesaro housing 13 patients, Ospedali Riuniti di Ancona with 19 (another 10 beds will be activated soon) and San Benito which is equipped to reach 12. The small hospital of You are Guarantees 2 and the famous 14 Fermo locations should be activated in a few days. At the end of March, in the period of maximum pressure, the Marche system had 180 intensive care beds, today it houses 56 (in total, there are almost 500 hospitalized patients in Marche, on June 30 there were 8 and on March 9 1,168). It is no better for the other Covid care intensities, from semi-intensive to non-intensive rooms.
With new infections never so high in Marche, especially in the province of Ancona (212 in the last survey and almost 5,000 since the beginning of the pandemic), asymptomatic patients and those who end up in hospital with mild symptoms have increased. At the Torrette emergency room, the largest in the region, about twenty arrive a day. It is not always possible to discharge them because there are no structures where they can be housed, waiting for them to become negative or others where they can be guaranteed compliance with quarantine. Emblematic is the case of a Bengali worker from Fincantieri, unable to isolate himself at home. stayed in an emergency room for a week. The basic concept is not to expand the Covid basin too much so as not to close the rest of the hospital activity. In fact, the abrupt interruption of surgeries, diagnoses and hospitalizations has produced a terrifying rebound effect: “Many people have simply stopped taking care of themselves and coming to the hospital for fear of contagion and blocking activities” explains Professor Stefano Gasparini Vice President of the World Association of Pneumology and Interventional Broncology (Wapid) and head of Pulmonology at Torrette Hospital -. Operating rooms, clinics, and closed radiology have produced devastating results for all patients who, apart from Covid, have sadly continued to fall ill. I am thinking of cardiac and oncological pathologies in particular. Our pulmonology, at that time divided into two parts, Covid and no, for now is all ‘clean’ and full and patients arrive all the time. Many are those chronic cases that have gone through the hardships of the first pandemic phasea”.
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