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As if the emergence of insufficient beds and doctors in numbers absolutely inadequate for Molise’s current needs under Covid attack were not enough, now the “blow” of the contagion that begins to spread again among health workers themselves.
The Cardarelli di Campobasso is a “mixed” hospital, welcoming covid and non-covid patients. And that would be all mixture the main defendant for the outbreak within the Tappino district. Today November 13, on another day of extraordinary emergency, there would be at least 5 infected operators among Orthopedics (where there are no staff and where the entrance has been reopened to allow relatives to help their hospitalized loved ones), transfusion center. and an analysis laboratory, precisely in which molecular swabs are processed, among other things.
“It’s a disaster,” you hear repeat from the doctors, nurses, Oss. But none of them are willing to speak officially, because in Molise, even in this critical phase where the word war passes from mouth to mouth, paradoxically, the “Gag Law” wanted by the former dg Asrem Gennaro Sosto and more current than ever (we are talking about the Code of Conduct approved by the general director, Gennaro Sosto, on November 10, 2016, which provides disciplinary sanctions for those who speak about internal health issues with the press without prior authorization). Then the information, you have to “extort it”, go find it with the flashlight.
But in a situation of discontent so generalized towards a management defined by many as “inadequate”, the complaints about the deficiencies they cannot be hidden. Everyone now agrees that the plan drawn up by DG Oreste Florenzano and Governor Donato Toma to face the epidemic faces water from many sides. Me first individuals (Neuromed and Gemini) those who should have actively participated in putting beds and there are no human resources, continue to develop their normal (and profitable) hospital activity. Second: the Covid hospital that was to accompany Molise in the second wave of the pandemic does not exist. The pavilion of the former Hospice del Cardarelli, a structure adjacent to the hospital, financed with 4.5 million euros directly by the government, will not see the light before the end of February. Governor Toma himself admitted it, supported in this stage of management by regional councilor Quintino Pallante, whom he appointed.
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the Vietri di Larino, a hospital already installed in which many fronts of public opinion and political representatives converge, is still in disuse. For about ten days the hospital beds have been at a loss, in fact, they have been taken and taken to Cardarelli where it is now difficult to find a place for new patients and where number of deaths per day (28 in 14 days, two deaths per day on average) does not seem to stop.
Covid-19, the victims continue to increase: three dead in a few hours, there is also a 62-year-old street vendor
Of course, the problem is not just hospitalizations, which have now risen to more than 50 in the Infectious Diseases ward. So to speak, because in fact now almost all of Cardarelli is a gigantic infectious disease department, with dozens and dozens of patients placed wherever they pass, in the different departments (starting with Pediatrics) turned into Covid ale in a hospital that continues to be “mixed”, where Emergencies continue to arrive (stroke, heart attacks, traffic accidents) because, if this option were eliminated, the right to health and assistance would be violated and Asrem’s leaders and politicians would be held criminally responsible.
The problem is mainly doctors who are not enough to handle such a high patient load. Infectious Diseases has 5 doctors, and also in the other departments the staff (who are not specialized in the management of Covid patients) is reduced to the bone. Not to mention the intensive care. And not to mention the two peripheral hospitals, San Timoteo in Termoli and Veneziale in Isernia, where First Aid and Emergency Medicine are now overflowing with Covid patients waiting to be transferred to Campobasso, where places are sold out.
Hospitals, in Cardarelli there is a maxi-emergency. 5 patients with Covid in San Timoteo. Among them also an operator of the department
The provisions of limit hospitalizations to the most serious cases (and for older patients) are not the result of sci-fi and conspiracy reconstructions, but the harsh and tragic reality. The 118 staff, who go from one end of Molise to the other for calls for respiratory crises, high fever, elderly who no longer saturate, admit it. There is no room for everyone: this is the synthesis beyond reluctance and caution. A synthesis that, as in a war, is the prelude to the choice between who to let live and who to let die.
The Campobasso hospital, the only regional covid hub, seems like a ‘bomb’ ready to explode also in light of the latest positivity registered among employees of the analysis laboratory in which the swabs made to detect Sars-Cov are processed daily. 2 .
It is the latest blow to the health center that seems on the verge of collapse, already affected last month by an outbreak that affected some nurses and a resuscitator. A hospital that has lost its appearance to make way for the growing number of hospitalizations for Infectious Diseases. The number of beds is running out, despite the numerous expansions planned by the health authority: first on the ground floor, then on the fifth floor and finally on the third, in the Pediatric ward. An effort that has not been able to stop the growing need for beds for covid patients. Currently, about 60 people are hospitalized in Cardarelli because they need medical treatment.
In short, the red light is no longer blinking, but remains solid. So much so that the ‘maximum emergency’ has been triggered in the health center.
The policy, which should have foreseen it and attacked the risk, remedies it with reminders to the Government. “Sending Domenico Arcuri to the emergency commissioner requests to strengthen our health facilities “, Governor Donato Toma said today on the sidelines of a press conference to present the measures for livestock companies.
While the mayor of the capital Roberto Gravina she asked an intervention of the ministerial inspectors by sending an official note to Minister Speranza, his deputy Sileri and finally to the health commissioner of Molise Giustini, assuming non-compliance with ministerial protocols for covid hospitals and in particular the latest operation of the covid pathways: are they working or are health personnel at risk of infection?
Finally, all patients with covid must go to Cardarelli di Campobasso, including dialysis patients from the province of Isernia. Reported it this morning Filomena calenda who requested the urgent intervention of Asrem to resolve this situation.
They have to undergo dialysis but have coronavirus: patients ‘sent’ from Isernia to Campobasso
In this situation of confusion and general uncertainty, although the work required to create an autonomous ward adjacent to the Cardarelli for the care of covid patients will take time, the most important hospital in the region risks ending up in an ‘abyss’ and collapse into a health emergency that seems unstoppable.
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