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Alessandro Gonzato
In your opinion, in Germany, how likely is it that a judge will prohibit family doctors from treating Covid patients at home? “What did you think when reading the Lazio TAR ruling?” This is news that makes you drop your arms, that you can read from the side of those who presented the appeal or those who accepted it: certainly this is not how a pandemic is approached. ” Luminario of Anesthesia and Intensive Care, former scientific director of the Policlinico di Milano and president of the World Federation of Medicine and Intensive Care, the professedr Luciano Gattinoni teaches at the University of Göttingen in Lower Saxony. It is among the most prestigious universities in the world: the Brothers Grimm and Chancellor Otto von Bismarck studied there. “In the mid-1700s, King Georg-August chose Göttingen as the seat of the University because it was isolated, there were no distractions for students.”
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And today?
“We still have a lot of countryside and clean air.”
Why are there so few deaths and infections in Germany?
“There is no miracle formula: only, as it were, so many parts that in the right place make the sanitary machine work much better than in Italy.”
Let’s start with the first one.
“I mean the ART madness: in Germany there is a very close connection between territorial medicine and hospitals, which are therefore not overloaded. In Italy this system has disappeared for thirty years: we treat general practitioners as a world apart, and nobody talks about it. Too many people still come to the hospital when their health is already compromised.
Another difference.
“Germany, compared to Italy, invests 2,000 euros more per capita, about 5,500, in healthcare. It means more care and prevention.
There is also a great disparity between the number of ICU beds …
“In Germany there are 35,000: more or less triple. But there is also another factor that should not be underestimated.
Which?
“Accessibility. Intensive care is better distributed throughout the territory. It is more accessible. It must also be said that in Italy there are 6 nurses for every 1,000 inhabitants, less than half of Germany. They are two very different anti-Covid armies.”
Is the treatment also different?
“No: doctors just work in a better context.”
Does Germany Classify Covid Deaths Differently?
“But does anyone really think that doctors are idiotic enough to hack data?” A doctor can be wrong in 5-10% of the cases, but this does not justify the difference between Germany and the other states.
Is the virus less aggressive there?
“I don’t think there is any scientific evidence.”
For a few days in Italy, the contagion curve has stopped growing. Are you worried that the seasonal flu could cause it to come back?
Tip: If I am alone on a desert island, what is the probability of contracting the flu? And how many do I have, instead, in a subway where 100 people sneeze? If we continue with the mask and respect the distances, the chances that the bad season will extend much less than in the past are 99%: if I could play the Lottery, I would do it without hesitation. The concept is simple, you don’t need a scientist: the flu passes from one man to another. Less contacts, less influences.
Do you believe in the third wave of Covid?
It cannot be ruled out a priori: it is an anomalous virus with high contagion and that we still do not know in part ”.
The frond of those who are against the vaccine grows.
“There are also those who believe that the Earth is flat, but I do not argue with them. I will get vaccinated ».
Some of his colleagues raised questions about how quickly they prepared.
«Heraclitus used to say that war is the mother and queen of all things. In an emergency situation, it is normal for tests to be faster. No one can market a vaccine that has not passed safety protocols. In any case, we will have to live with this virus: either we will defeat it with the vaccine or it will go away by itself, like Sars, although it has slightly different characteristics.
Forecasts for Christmas?
“I don’t plan dinner or spring. Horace said, “Don’t think ahead and don’t play with the Babylonian dice.” It is the human condition.
Do they talk about holidays in Germany as much as we do?
“Italians tend to dramatize everything. Merkel said clearly and succinctly that there will be no markets, people accepted it, period. Not that everyone likes it, of course, but there is a lot of respect for the state. The differences show in the little things. I will give you an example “.
No problem.
“Before the pandemic, I was stopped on a train to Hamburg: people got off without much protest and organized with taxis. Think about what would have happened in Italy.
In Italy trains stop often …
“I will surprise you: at high speed more happened in Germany.”
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