Why the number of COVID patients admitted to hospitals in Romania decreases. Beatrice Mahler: “It’s a festive phenomenon” | Freedom

01/03/2021 Health, Romania

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According to the latest balance of the authorities, on Sunday, January 3, in specialized health units, the total number of people hospitalized with COVID-19 is 8,868, while on December 3, 13,156 patients were hospitalized. However, intensive care units continue to be overworked. (1,119 patients, on January 3 / 1,252, on December 3).

Dr. Beatrice Mahler, director of the Marius Nasta Institute of Pneumoftiziology in Bucharest, interpreted these figures for Libertatea.

Beatrice Mahler, IP Medical Director — Beatrice Mahler, medical director of the Marius Nasta Institute. Photo: Inquam Photos

The doctor says that the desire of people to spend the holidays at home has reduced the number of patients in hospitals and he hopes that in the next period the numbers to rise again.

“If we take the decrease in the number of hospitalized cases, especially during this Christmas season, I think it is part of the desire that everyone has to spend the holidays as a family.

I think there are two aspects here:

On the one hand, patients who felt a little better after starting treatment did not continue their treatment in the hospital and requested discharge. And it is your right.
On the other hand, another category of patients who are not feeling well, but because it is the holidays they do not come to the hospital ”.

Beatrice Mahler warns: “This situation is risky, because we can see in the next period a significant increase in the number of cases, which will eventually require assistance in Intensive Care”.

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It is a phenomenon that we have seen in hospitals for other types of pathologies. Chronically ill patients do not want to come to the hospital until St. John passes, for evaluations or checkups. There have only been major emergencies in recent years. This phenomenon seems to be present even now.

Beatrice Mahler:

Patients treated at home are closely monitored. “Let’s see what will happen to the patients who are now at home, let’s try to treat the medication they have available and see how this type of pathology will evolve, which until now has created many surprises and unfavorable developments,” he said. specified the manager of the Hospital Marius Nasta.

“Marius Nasta’s ATI section is full”

Beatrice Mahler revealed that the ATI section of “Marius Nasta” is still full. “Those who are in intensive care really have no other option for the holidays. Those who have respiratory failure and need oxygen go to the hospital. In COVID we also talk about a peculiarity of this condition, a low saturation of 90% that people do not perceive as a problem for them, they just feel a little tired. This “happy hypoxemia”, which we already see frequently in these cases, is present “.

Self-medication, extremely dangerous

The doctor issued a warning to people who are being treated “by ear” against the coronavirus, claiming they could be life threatening.

“Various recipes that contain cortisone and that people take are circulating on social media or among people. Unfortunately, these prescriptions are available at pharmacies. It is an extremely risky drug, because the administration of anti-inflammatory and non-steroidal drugs, that is, paracetamol, can cause complications and the appearance of hypertension flare-ups ”, said Beatrice Mahler.

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She continued: “If we talk about cortisone, dexamethasone, medrol, the risk of developing or unbalancing diabetes, of adrenal insufficiency when you suddenly stop this drug is extremely high. Major endocrine disorders, high blood sugar levels, and high blood pressure can occur. It is a drug that must be administered by a doctor, otherwise it can be life threatening.

According to Dr. Beatrice Mahler, cortisone treatment in SARS-CoV-2 infection is indicated only in moderate forms.

“In mildly symptomatic forms, a symptomatic treatment is administered, that is, at most paracetamol, nurofen, vitamins. And in the forms in which respiratory failure appears, we also give anticoagulants,” Mahler said.

Self-testing, an obstacle to the correct assessment of the degree of infection

The doctor also draws attention to another phenomenon that makes it difficult to assess the impact of the new coronavirus on the population: self-diagnosis.

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“More and more often we find that people who are mildly symptomatic or asymptomatic are tested at home, with tests purchased online, and they are no longer registered,” says Beatrice Mahler.

In these cases, the risk of transmitting the virus is greater. “Because they will continue to carry out their daily activities, perhaps. Some may not. Basically, we have no information about them in this regard. We know that 80% of infection cases are mild or asymptomatic, but patients are selected from this large category. who arrive symptomatic at hospitals.

Why the number of hospitalized COVID patients in Romania is decreasing. Beatrice Mahler: — Beatrice Mahler, left, manager of the Marius Nasta Hospital in Bucharest, was vaccinated on Wednesday, December 30, against COVID-19 | Photo Source: Hepta

The important thing is that this year we understand that we have to behave and manage our illness a little differently than any other respiratory infection we have had in recent years. Unfortunately, the only possibility at this time to return to normality is to understand that vaccination is a priority for each of us. I got vaccinated on December 30th and I feel great. I had no side effects

Beatrice Mahler: