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“The health management of the San Carlo and San Paolo hospitals in Milan started immediately internal investigations and external to Asst, to carry out all the necessary controls with total transparency towards the patients attended and their families ”. In three lines, the leaders of the two hospitals promise clarity on how the emergency was handled in Second wave. The case arose yesterday, after the fattoquotidiano.it revealed the content of a very heavy letter that 50 medici, including anesthesiologists and rescuers, have written to your address to represent the extreme difficulties in which they were found operating, with 350 beds already occupied, the emergency room burst in, the stretchers that are transformed into beds and waiting rooms in wards, with doctors forced to “do options neither clinically nor ethically tolerable ”and having been forced to delay access to therapies and techniques“.
The rest of the note (download full text) is a official defense which lists the “reinforcements” recruited by the structure since January, to the extent of 97 medici me 94 nurses, while the general manager Matteo stocco assures (after the verification that has just been announced) that “all the patients treated at the San Carlo and San Paolo Hospitals have had access to intensive care in case of need and patients have never been denied the best possible care. “The request to acquire all medical records began today.
Issued to cool down the case, the note does not calm the political controversy, however, with several opposition forces asking the Region and ASST to focus on the merits of the complaint and not start a “witch hunt.” The Five Stars call for the case to be one of the first on the desk of the Covid Investigation Commission. On the front Lombardy region there are still no reactions to the story, the health councilor does not speak about it Giulio Gallera. The risk is that the entity will eventually control itself. Next, the Democratic Party asks “Fontana and Gallera to make the necessary controls immediately and to intervene.”
Meanwhile, other things happen in hospitals. Since yesterday, the doctors who witnessed this situation fear retaliation and they are afraid to speak. If they do, you are under the absolute guarantee of anonymity. “They can not discard -one of them reasons- but since yesterday there is an air of terror here, I have heard of the request to verify all the signatures to identify the doctors one by one ”. Someone is afraid of expulsion. “If it does not happen, it is because we have 350 hospitalized Covid and the same number of non-Covid patients to save”, is the only security, which however does not cancel out the fear of future initiatives on the disciplinary front. Nobody talks to the newspapers, also because the ASST of the two hospitals had already intervened in this in the first wave, at the request of the Lombardy Region, ordering their doctors to do not give interviews o Interventions “in relation to the Coronavirus emergency”, if they have not been previously authorized.
In fact, the letter was born as internal communication to provide management with detailed report of the difficulties in which the doctors are operating due to the shortage of personnel. But on the upper floors of Asst it was not taken as a legitimate request for help and confrontation with management, but as a reckless and irresponsible gesture that puts hospitals and their management in poor condition because it hints at patients and their families doubts about the treatments received. Therefore, an omen of possible consequences for those who signed it. The document it was not intended for newspapers. As long as it was in a drawer, it didn’t bother anyone. The director Stocco, before the publication, had been interviewed precisely to speak about the problems of the critical area. Although he admitted the difficulties, he did not mention the letter that had been sent and registered the day before.
Only when the temperature in the corridors of San Paolo and San Carlo became hot did it become public. Heads of emergency and resuscitation departments Francesca Cortellaro me Stefano muttini They were urgently summoned for clarification and at night they took a position dissociated publicly by colleagues. Up RepublicCortellaro then spoke of a “shameful letter”, calling what they wrote “false, the emergency room has never been denied the care necessary to save Covid patients.” In short, companions they would have lied. But they were not one or five: they were fifty. And all operational in the critical zone.
If it is the letter that burns internally almost military look, on the outside it has become a political case, both for the clamor of the complaint and for the particular moment that sees Fontana and the majority in the Region committed for some time to claim the orange zone for Lombardy, also on the basis of the decrease in pressure in hospitals in recent days. The letter, however, tells what happened inside them. The opposition attacks. “While Fontana complains and talks about the orange zone, his doctors at the San Carlo and San Paolo hospitals write a letter that is a punch to the stomach,” declares the regional councilor. Pietro Bussolati (P.S). “Very serious facts that in recent months we have denounced with questions and highlighting the situation, in a forceful and implacable way, receiving elusive and arrogant responses (also from health management) ”. The hope is that “the hospital management becomes aware constructively of these screams to search solve problems, and do not undertake the nth Witch hunt against those who fight day and night at the front ”. The vice president of the regional council adds to the dose Carlo Borghetti: “In any case, it is true that these doctors need help, like all those who are in the trenches of the other hospitals in the metropolitan area, and we really do not want the Region to think only of the Fair pavilion”
I also move Five stars. “I have read the excerpts of the letter, it denounces very serious things. I only wrote a letter to the president of the Covid Commission because on this very serious matter, it must shed light until the end and without conditions, “says the M5S advisor. Gregory Mammì. “A piece of news of this type must be investigated in this forum, which is also a way of comparing the different versions, giving doctors who have decided to report inefficiencies a location and coverage to do so without conditions or retaliation. But I can say that even a written warning would be unacceptable. “
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