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A resident pediatrician (first and last name known to the editorial board) shared a sensitive message on Facebook. It describes the unenviable daily routine of doctors at this time of the COVID-19 pandemic.
I read a message from a colleague: “Nurses, your assistants are heroically sitting in positions waiting for new patients, <...> explains the general order, the order, how and what will be done. The problem is that we do not know how to do ECG and X-rays <...> There is no presenter.<...> The problem remains: drawing arterial blood from a decompensating patient, none of us have done it. “
Gunpowder ran out. I cried yesterday, I cried today.
Yesterday, the VULSK bulldozer moved the COVID-19 adult ward to the Children’s Hospital. At the end of the workday, nurses who have not seen a person over the age of 17 for decades. patient, and only for residents who have cared for children and over 17 years. Specialists who are not even legally supervised by people have been told to ‘move the children to another place, now with COVID-19.’ Long and healthy weekend.
It was probably decided to move to the old Pediatric Pulmonology Department just because of the oxygen that is available there, that is, from now on the children will NO longer need oxygen, THE CHILDREN WILL NOT BE SICK. And a pediatric resident or nurse MUST come and treat adults with COVID-19: “There is no choice, but you are the real heroes.”
More than half a year has passed since the pandemic began. So far, in Vilnius, it turns out that neither VULSK’s non-infectious disease facilities nor other hospitals have supplied oxygen and prepared for COVID-19 patients, who have now been unexpectedly found. Well, because it was suddenly filled with everyone else who was still accepting of something.
More than half a year has passed since the pandemic began. To date, therapists, nurses, and all other staff who, in theory at least, have the right to care for COVID-19 patients, are not properly trained on how to do so. Of course, including all resident children and caregivers. Once again: NO ONE IS TRAINED, not just the resident children. Only resident children last saw a sick adult when their grandfather had a heart attack during 2012. Christmas Eve.
More than half a year has passed since the pandemic began. The administrators of the support hospitals were deprived of responsibility for the surrounding regions. Hospital managers, in turn, handed over responsibility to their subordinates, with results no it was gradually closing in and out of the districts. The reform is taking over itself and letting God decide what to do with the pandemic. Literally, at first glance, the heads of some administrations simply offer to PRAY.
More than half a year has passed since the pandemic began. Hospitals do not yet have a plan to place excess COVID-19 on children themselves if this occurs. In Šiauliai, managers think that children will simply survive, because they will only snore, and in Vilnius, children can be seriously ill, but patients with high levels of COVID-19 can be poured on children with oncological diseases. Let me remind you that overall, VULSK Children’s Hospital is the only one in the region that hospitalizes children with COVID-19.
In any case, those Šiauliai and Vilnius and others will run away, because more than half a year has passed since the beginning of the pandemic, but it is still not understood that children experience significantly more violence and abandonment due to not going to school. Let’s leave the bars and basketball games open no perhaps with the restrictions of a street vendor, but ignore the advice of pediatricians around the world to let children learn. At the expense of the children, apparently, we can do EVERYTHING.
In general, this VU MF has not yet allowed residents to use it anywhere for their own needs on residency bases. Maladec. But on Friday afternoon, when it turned out that the base of the residence was spitting, it showed that they weren’t very interested either. Why isn’t there a great mass of experienced hair therapists at the forefront when it comes to covering COVID-19 patients? Because they have to pay a salary and the residents are residents after all.
For those who now want to talk about the fact that the residents are lazy. 98% of the young residents and doctors I know have voluntarily walked and walked the front lines and wherever they saw a shortage since the pandemic began. In that sense, even those who had been on long sick leave suddenly recovered because, quote, “I couldn’t sit down when patients needed me.” The people closest to them have BUILDING new departments at their expense, BREAKING with administrations, Winning with SAM, BREAKING with a professorship to have AT LEAST ONE of the evidence-based medicine so that at least a little more people survive to that at least a little more workers do not suffer.
In my immediate environment, there are people who have developed evidence-based algorithms for all of Lithuania on the management of COVID-19. If something has happened, it is still not as complete as suggested. A group of resident resuscitators established and trained new departments and developed algorithms and recommendations for physicians on how to treat COVID-19 in the first few days before someone scratched their heads and measured each other ******. What did they get for that? Swelling of what branches out here. He continued to go straight to the COVID-19 wards, divorced for months with their families. Greetings.
Let’s remember that when I went to the children’s department in the spring and my husband did. administration. He said there would be no mask for me today, then we circulated a message that tools were missing. A couple of hours later, the administration told me to shut up, and the next day Rita Miliūtė writes and asks “Migle, our measures are not accepted, what is happening to you there?”
The supplements I needed to get through the blood, everything OK, received. There have been many pandemics so far, but now there are, now there are no attachments. On the other hand, I am glad that SAM from home working all summer boasted that they are still getting supplements. In such a way that the properties are at hand. Okay, I’ll be happy. But I won’t be happy when my fellow nurses need to go out into self-isolation or, don’t give up, get sick, she won’t have anything to eat after a couple of weeks.
A friend writes about what is happening at the LSMU Kaunas clinics and his line managers and administration beat him up completely. I hope this is not the last time as there is still a lot to write about. Greetings. By the way, before the presidential elections in the Kaunas clinics it was forbidden to shake by Ingrid Šimonytė and it was mandatory to go to meet S. Skvernelis, just say.
A colleague committed suicide a year ago. Clearly, there is an effective and truly evidence-based way to protect physicians. These are laws that would protect doctors from aggression by managers and patients at work, and laws that protect journalists from unethical behavior in the media. What has been done in a year? It was suggested to have psychologists somewhere in the hospital. What’s going on?
The reception is opened by parents yelling at the doctors, threatening to stand up, and the doctors have not yet called the police (because they may receive a sentence from the administration). Journalists sit at the door of the hospital and film how doctors treat poorly and do nothing, pumping out interviews of anyone who has waited four hours without being seen. Managers can continue to go to the doctor without restriction and threaten that if he performs services in a way that is unfavorable to him financially, there will be service, there will be reprimands.
What is the pandemic here for? In addition to the fact that not all doctors will make it out alive after being managed and this crisis continues to be managed. As it was, the doctors were still huge hostages in this system. The man, seeing me cry, asks – “maybe go out?” … But I’m a doctor, how can I get out if the patients are waiting?
Here as much as in the heart at that time. I bow down and thank all the pediatricians and other professionals who have fought for children’s health and rights thus far. You really are a lot and you are amazing.
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