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Less than 60 kilometers from Bucharest, at the Ploiești County Hospital, the nightmare of all doctors has already become reality. Primary care physician Violeta Tănase, UPU director, made a harsh confession on Digi24: For several weeks now, doctors have been choosing between patients and deciding who to save, because there are no more places for intensive care. Those most likely to survive receive gives an extra chance. They get a place in Intensive Care when they are discharged. Otherwise, patients who would need intensive care wait 72 hours in the ER, because they are not performed.
– Have you ever had to make a bad decision? Violeta Tănase, head of the UPU department at the Ploiești county hospital, was queried on Monday night on Digi24.
– Gives!
“You mean someone lives, someone doesn’t live?”
– Basically we have to choose between them, when creating a position or two in Intensive Care, we have to choose between the six, for example, that would require care for the one who seems most suitable to enter a vacancy.
“I mean, the one with the best chance.”
– Gives!
“How long have you been making these decisions?”
“We have been in this critical situation for two or three weeks.”
– Between a young person and an old person, will you choose the young person for an intensive care bed?
“You ask me as a person?” Yes. I don’t know if it’s a general team position, but I, as a doctor, yes.
“The population does not follow instructions. We are not doing well in Prahova”
Violeta Tănase explained how a nightmare situation was reached: “We are in an extraordinarily difficult moment. For several days, we simply have nowhere to hospitalize patients in intensive care. The National Coordination Center no longer helped us, it probably could not help us, and practically all the seriously ill patients – and there are not a few – remained in the emergency room for 72 hours each, until they could be treated by the Intensive Care Unit or its been has improved, being treated at the UPU, which is absolutely abnormal. Outpatients remain in the emergency room, consulted by the hospital infectious disease specialist and intensive care physicians, but patients who could not be admitted to an intensive care unit due to lack of places. There was no place to hospitalize her, ”said Dr. Violeta Tănase.
“At this moment I come from work, I left at 20:00 and there were six or seven patients in the Emergency Unit who needed hospitalization in Intensive Care and we have no place to place them,” said the doctor. “This is how we are in Prahova, unfortunately, because the population does not follow our indications and those of the authorities, it is a very populated county, with a tourist area, these are probably the explanations, I don’t know. The truth is that in Prahova things are not going well for us ”, added Violeta Tănase.
ATI guard exclusively with resident doctors
And in Ploiești, the crisis does not stop in the intensive care units. There is also a great need for doctors. “Those of us who are still healthy need to take care of patients, who are as many as they have been in the last two months, I think. In Intensive Care we have four resident physicians attached, who practically cover the line of guard in Intensive Care COVID There are six primary care specialist specialists and therapists who provide the non-COVID on-call line and one of them covers the morning period every day, until the COVID intensive care line begins, and from noon until the next morning. the guard line is covered by resident doctors. Residents must also always be coordinated by a specialist, a primary care physician. However, they are in the preparation period, “explained Dr. Violeta Tănase.
The intensive care unit for COVID patients at the Ploiești County Hospital has 12 places. It also benefited from a mobile unit, a TIR, which at one point did not work, then was repaired, but could not be put into operation due to lack of personnel.
On Monday, there was a meeting in the county prefecture with the management of all hospitals and it was decided to reopen mobile intensive care on Tuesday, which, says Dr. Violeta Tănase, “is a breath of fresh air.” It means 12 more seats, eight of which can be used with fans. In addition, the intensive care unit of the COVID support hospital in Câmpina was expanded by two places.
Any intensive care unit matters right now
“Any intensive care unit is important at the moment. Absolutely anywhere. Any ventilator is an extra opportunity for a critically ill patient,” said Dr. Violeta Tănase.
What can you do when your parents, for example, are waiting for an intensive care bed and there is no space? Violeta Tănase was asked. “This situation happens every day, we are subjected to these pressures every day, because almost all critical patients have relatives who of course are worried and who will of course save them. The problem is that there is no solution. In the last two or three weeks, practically, the National Coordination Center has not helped us with any transfers anywhere. A few weeks ago, I transferred patients, even to Oradea city It was the discussion at one point to transfer one of the patients, but in the meantime a place was created in our intensive care unit and this flight was avoided, at such a distance, ”said Violeta Tănase. “It’s been about three weeks since they had no solutions for us, because Bucharest was full and the counties around us were also full “added the doctor.
We got where we didn’t want to go
I mean we got where we didn’t want to go, no? Violeta Tănase was also asked. The answer is disarming: “Yes! Did you think I didn’t make it? I am not here! “Said the doctor.
„I would like those (authorities – no.) Who make such decisions (late – no.) Of organization, training, to take time to spend an hour in the Emergency and Intensive Care Reception Unit. So, to see how it breathes and how it dies “concluded the doctor.
Editor: Luana Pavaluca
