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“Neither heroes nor cowards.” A nurse stands on the roof of the Emergency Department-Urgencies of San Carlo hang one flag and shouting their truth raising their arms, others manifest and they protest. Is what you see outside of Santos Pablo and Carlos, the two Milanese hospitals where the case of the letter from 50 doctors that denounces the lack of means and personnel and speaks of options “neither clinic nor ethically tolerable“And white coats” forced to delay access to therapies and techniques“In practice, deny intubation to patients who would have needed it. The professionals involved are those of the Usi union, which has proclaimed a state of malaise that will culminate in a strike on December 14. But even inside the hospitals, starting from the upper floors of the ASST, there is much turmoil.
After escalating the issue, he announced a audit internal and asked for all medical records, the general manager Matteo stocco in the evening he dismissed his senior executive from the DEA Complex’s Operational Unit, the Emergency Department. The doctor Francesca Cortellaro since yesterday he is no longer the director of the department that deals with the short stay and first aid, the same areas where the doctors reported the collapse. All this while the emergency is still ongoing, with 350 patients with Covid manage.
The defenestrazione Primary is serious and surprising for another reason too. The director himself had entrusted him with a first official defense of Asst and Cortellaro had not backed down. Along with the primary resuscitation. Stefano muttini, in fact he had signed a note in which yes dissociate based on the statements of fellow rescuers and nurses, thus leaving them abandoned in fear of suffering reprisals for the initiative. The next day, he also replied in Republic, brandishing his letter as “embarrassing”: “It’s false what they wrote, I’m not in the ER no more cures necessary to save Covid patients. “
But a document that Fatto.it was able to read proves otherwise. the October 26th, almost a month before the letter from the doctors and rescuers, Cortellaro wrote the same in an email that he sent to the general manager Stocco and a copy to the medical director Nicola Vincenzo Orfeo: “My God, the situation in both PS it’s explosive. At San Paolo there are 40 patients awaiting hospitalization, out of a total of 77 patients present. In San Carlo there are 77 patients, 40 of whom are waiting to be hospitalized in the Covid area, without the possibility of hospitalization for at least 24 hours. (…) In this context we cannot guarantee adequate care and assistance to patients“. The email ends with a series of requests organizational on the staff front, including the use of a former area 118 for observation of non-Covid patients “currently unused due to lack of nursing units and dedicated OSS staff.” Last step, the non-receptivity of both emergency rooms for “at least 24 hours”.
It is an important document not only because it turns the primary ousted person into a scapegoat. The history of the two Milanese hospitals is acquiring important connotations for health and safety public health in a Region that has not come forward ready for the second wave of swab testing, tracing and vaccines. The Asst dei Santi has been trying to bring it down for two days, but now it turns out that the collapse had been reported internally for almost a month. at the highest levels. The countermeasures taken by the management must not have changed the image, if 23 days after the email from the chief doctor, 50 doctors arrived to sign, with their registration number, a document that nail to their responsibilities (and somehow frees them from theirs). They certainly weren’t looking for publicity. The letter was sent to ASST as an internal document, not to newspapers. At the same time, it wasn’t even illegal, because it was posted in a piggy bank to allow those who consider it to sign it. He said the unspeakable, that is the point. But only once did it come out of the drawer and become public domain.
In the bulky silence From the Lombardy Region, the search for an official defense in the upper floors of Asst has never stopped. Since yesterday between the doctors of the two hospitals there is one counter-letter to be signed to further disavow colleagues and their complaint. The first ones signed are me Department heads, who are the trustees of Principal Stocco. All willing to swear that “the statements (from the letter of the 50 colleagues, ed) are totally devoid of any foundationAnd “seriously undermines the professionalism and commitment” of all doctors in the two hospitals. And therefore the “maximum solidarity to the Strategic Directorate of the ASST, which has always strived to organize the best possible care and management routes without ever leaving the health personnel the necessary support in terms of biomedical equipment, PPE, therapeutic aids, logistical support and search for human resources even in very difficult current contingencies “.
All statements that contrast with a long series of complaints, exposed, informs the Ats of the Lombardy Region about the lack of personnel and equipment in the PS departments that have occurred in the last two years, without finding answers. Among the many, the failure to summon the Corporate Security Committee, provided for by the April decree for the verification of security protocols before the afterlife 300 contagion among the workers of the Asst. Attempts to save themselves and patients that, at the height of the second wave, culminated in the famous letter of the 50 doctors. Perhaps those who signed to disavow his complaint did not know that those words had been anticipated, almost a month before, by those who handled emergencies. As proof of the absolute “spontaneity” of the initiative, the counter-letter is also disseminated from the press office dell’Asst who has supported the attempt to stifle history. Making it a kind of internal referendum, with signature collection, on the powerful director. And there was the writing: “Neither heroes nor cowards”.
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