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Quick pads yes or no, in general practitioner clinics? The discussion is very heated between unions and medical associations, but it is also necessary to understand the repercussions on the hundreds of citizens who do not know how to access the test. Let’s start from the beginning. The largest union of family doctors, Fimmg, has just signed, with the central institutions, a protocol that provides for the possibility, effectively the obligation of these doctors to perform rapid tests on the following types of people: close and asymptomatic contacts of positive individuals; visiting patients, perhaps for other illnesses; positive contacts, upon expiration of insulation.
Who doesn’t fit
But the other unions are not, especially the Snami, which is very strong in Lombardy, a region, at the moment, “especially sick.” According to the national president, Angelo Testa, there is a high risk of contagion for doctors and it could lead many of them, as they age, to retire, thus depriving medical care at a critical time. Let’s see what the Scientific Society, which brings together more than 10,000 general practitioners (out of more than 50,000 in Italy), Simg and the newly elected president of the Order of Doctors of Milan, one of the cities with the smell of confinement, think. Claudio Cricelli, President of Simg, says: “General medicine has been very neglected in recent years, but in this time of emergency, if you have to push yourself, you do.. Not all doctors can safely perform this test, but those who can should do so. And at least 25-30 percent of healthcare professionals have adequate facilities. It is a question of solidarity and citizen conscience: nobody can back down ».
Sense of responsibility
Faced with this call to arms by Cricelli, which relies on the doctors’ sense of responsibility and evokes the famous Hippocratic Oath, in which all doctors trust, Roberto Carlo Rossi, recently elected president, responds with a certain pragmatism of the times modern. of the Order of Doctors of Milan, a city besieged by the Coronavirus. “There are at least three types of problems that make these tests difficult”Rossi confirms. «The first: the presence, in the clinic, of people awaiting tests, and potentially positive ones, can pose a risk to other patients. The second: we are not equipped with protection devices (unless we buy them for ourselves: we are talking about suits, masks, gloves, etc.): let’s not forget that at least one in ten patients, during the swab, has the reflex of cough and, therefore, can transmit droplets contaminated with the virus. And thirdly, there is a timing problem: if I am busy with all this, how can I care for patients with other diseases?
Potential risks
A collateral aspect, but no less important, also refers to the possible environmental and public health risks. Many medical practices, especially in Milan, are located in condominiums that have their own safety rules. On many sides, among general practitioners, it is observed that one in five people tests positive for hyssop and this person, to get to the doctor’s office, uses, for example, the elevators of the condominium or travels through other common areas. Risk of spreading the virus. It is also worth listening to the voice “from the field” of a general practitioner who has been working in Milan for several years and who, in this Covid emergency, also initially volunteered and is also infected. His name is Franco Marchetti. “The swabs in the clinic are a problem due to the risk of contagion, especially since, in the meantime, we must also get vaccinated against influenza and pneumococcus (responsible for pneumonia, ed) in “fragile” people, especially the elderly or with chronic diseases, who come to the clinic. It would be better to have these swabs available when we visit patients at home, even for their contacts. And he, after the Monday night phone call, was going there.
November 2, 2020 (change November 2, 2020 | 21:56)
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