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Is it possible to get a consultation?
The doctor confirmed that even during this extreme period, scheduled consultations take place, albeit to a lesser extent. This means that with an electronic referral to a specialist, patients can contact the institution, but, as already mentioned, the number of contact inquiries is very limited.
On the other hand, the doctor, who has access to the reference information, remotely verifies with the patient any remaining uncertainty and determines if the patient’s condition meets the established list of priority conditions that require him to be seen live to evaluate the situation. If necessary, the patient is invited to a contact consultation. If there is no such need, it communicates remotely: recommendations are given, medications are prescribed, etc. Inpatient emergency care is also available without reservation.
Regular outpatient consultations are scheduled to resume in the near future. Of course, normal operation will take a while to return to normal.
People are late for the application on time
“While the pandemic has forced us to limit planned operations, we have another concern: Patients are afraid to seek help, even when their lives are in danger.” This is not only our problem. Everyone is talking about it.
People are so afraid of the infection that they tend to stay home even when they have to go to a medical center as soon as possible.
In March, there was a significant decrease in the number of acute strokes and heart attacks in almost all European countries. Stroke was reported at 30 percent. less, heart attacks: 25 percent. This is paradoxical because COVID-19 is known to activate prothrombotic processes that increase the risk of stroke and heart attack. This decrease in cases is believed to be related to people’s fears, so a milder stroke or heart attack simply roams or suffers at home. This is a flawed approach.
I want to assure you that every effort has been made so that we can come safely. All patients who come to the ward pass a certain filter, i. and. Three currents are distinguished: healthy, infected and unclear diagnoses. Until we know if a person is healthy or infected, they do not go directly to any Santara clinic department.
A coronavirus test is performed and, pending a response, the patient is monitored and treated in designated isolation facilities. Only after a negative response is it transferred to the department, ”explained the doctor.
Professor Dalius Jatužis visits Josvydas Elinskas / 15min photo / 15min studio
What security measures are followed
According to the neurologist, all instrumental actions are carried out in accordance with all safety requirements: doctors have special protections, the equipment is disinfected and the facilities are ventilated.
“Obviously it takes longer, and at first it was a challenge for us, because until now we only knew of such a threatening infection in theory. However, now we have learned everything, including putting on the “spacesuits” correctly when it comes to going to a COVID-19 patient. Masks, respirators, face shields, gloves, special bathrobes are becoming our regular outfit.
In the event of a stroke, time is worth its weight in gold: each minute of delay further damages the brain and exacerbates the effects of the disease. Therefore, I want to assure you that if you feel a stroke, heart attack or other dangerous symptoms, you can not wait in any way, it is necessary to call an ambulance, which will take said patient to the hospital. There will only be some of these drawbacks until a coronavirus test is available and patient care is currently restricted.
That is the price we have to pay, but we are earning a lot: we are avoiding unnecessary contamination. In the neurological department, we did not have infected patients or staff in the hospital, therefore we do not have a problem with the staff, no one had to be quarantined, ”said D. Jatužis.
Good consequence of quarantine.
A good consequence of quarantine is the decrease in referrals when people arrive at the hospital due to deterioration in well-being, but this condition does not meet the requirements for emergency care.
“We used to have a third or even half of those patients. Now, most newcomers actually have serious health problems that need to be addressed in a hospital setting. Therefore, this pandemic has purified the flow of patients and those whose problems can be solved on an outpatient basis do not come to us, ”said D. Jatužis.
According to the neurologist, COVID-19 does not cause specific neurological phenomena other than the frequently mentioned loss of taste and smell. However, some neurological diseases, such as multiple sclerosis, are treated with immunosuppressive drugs. Patients who take them should be especially careful with the virus, as with any other infection.
However, the medication should not be discontinued during this period as this would worsen the patient’s condition. Furthermore, it has now even been hypothesized that these drugs may alleviate the course of COVID-19 disease. In this direction, intensive research is underway to try to find out.
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