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Shortness of breath, shortness of breath, muscle aches, with a temperature that does not drop and easily returns after taking antipyretic drugs, are signs that you should call a doctor again because it is very possible that a clinical picture has developed. The most common are respiratory problems, but they can also be digestive.
Visiting the Belgrade Chronicle, Dr. Ana Jeremić from the Kovid ambulance in Voždovac and prof. Dr. Dino Tarabar, who works in the red zone of the “Dragiša Mišović” hospital, says that patients should not be treated alone and should not stay at home for long.
If someone has a very high temperature of 39, 40, severe chest pain, if he coughs for three days, it is enough to wait for him to come to the ambulance. If the symptoms are milder, the temperature varies between normal and slightly elevated, if the symptoms are coughing and scratching in the throat, loss of the sense of smell, these are signs that you can still wait those three days and maybe more, explains Dr. Jeremic.
He adds that patients can call the Kovid clinic at any time and get advice on what to take from vitamins, therapy and when to go for an exam.
Dr. Dino Tarabar says that the issue of antibiotic use in the early days is moot. If it is exclusively a viral disease, antibiotics are not necessary.
– We give them mainly to elderly people where we hope that bacterial superinfections protect them from further complications. Sometimes the viruses that we treat with antibiotics can cause us a problem so that the antibiotics destroy the saprophytic bacterial flora, so the clinical picture will worsen – explains Dr. Tarabar.
He adds that it is very difficult for first-line physicians to assess whether or not an antibiotic should be given.
– The clinical picture of colds, flu, coexistence at a time can be exactly the same. It is not easy to evaluate this based on the first contact. Much more is needed, to look at the patient, to see the clinical picture, the laboratory findings, the blood picture and ce-er-pe. You don’t need to hear anything in your lungs and that can be misleading, explains the doctor.
He emphasizes that they had experiences at KBC “Dragiša Mišović” that they did not see anything in the patients who had X-rays, and on the same day the scan was performed, they saw bilateral pneumonia.
– However, not all patients can have a scan. It is not even necessary. If an experienced doctor deems it necessary, then it is absolutely necessary, because it is a great mistake to be late. If it is late and if we arrive in the next seven days, because we saw that on the seventh day there is improvement or worsening, if they come in a difficult condition, it can be really deadly – says Dr. Dino Tarabar.
He says doctors are sometimes wrong.
– We lost some colleagues who stayed at home longer and came with severe pneumonia, they ended up with a respirator and that was not good. That is why it is not wise to stay home too long and receive treatment at home, says the doctor.
Photo: RTS print screen
Dr. Ana Jeremic says that patients are referred for an X-ray of the lungs when necessary and when they hear something suspicious.
– When a patient complains of a prolonged cough that lasts throughout the day, when there is a sensation of tightness, fatigue, pain, pressure in the chest and there is information that he may have been in contact with someone who is positive, it is mandatory a febrile condition lasting two or three days. An X-ray of the lungs is done: Dr. Jeremić explains the symptoms.
He adds that if the patient tests positive for antibodies or a PC test, then a more detailed observation is addressed.
If the radiograph is good, the patient is monitored in the following days and a control laboratory is performed. Sometimes that image changes, says the doctor, and the patient himself feels discomfort and sometimes not. When his status changes, he is sent to a pulmonologist, to the Infectious Diseases Clinic, where additional scans and diagnoses are performed.
(RTS)
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