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As soon as you feel the first symptoms of the coronavirus, it is very important that you go to the kovid clinic as soon as possible and do not treat yourself “on your own” to avoid a tragic outcome, such as the one witnessed by health workers at the kovid clinic in Kraljevo.
Namely, those present in the ambulance in Kraljevo yesterday witnessed the sudden death of a man in the waiting room. A reckless man died in the hallway of the waiting room while waiting for an exam.
– The man just fell. The doctors took him in immediately, but there was no way out. I am very afraid. The situation is very difficult – says one of the patients.
His clinical picture, as the director of the Kraljevo General Hospital, Dr. Zoran Mrvić, told us, was so difficult that “the doctor could not save him.”
Health workers say the problem is that patients are late, so it is assumed that the man was treated at home and waited for the last moment to visit the doctor.
– All patients who do not need oxygen support should be placed in institutions where there is no central oxygen supply. The number of examinations in triage centers is not decreasing and it is worrying that lately we are receiving more and more patients with a severe clinical picture who have treated themselves – Stevanović pointed out.
Visiting the “Chronicle of Belgrade”, 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, said that patients should not be treated alone and should not stay at home for long.
When should you call a doctor?
– If someone has a very high temperature of 39, 40, severe chest pain, if they cough, three days is enough to wait to come to the clinic. If the symptoms are milder, the temperature ranges from normal to 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 longer – explains Dr. Jeremic.
He adds that patients can call the Kovid clinic at any time and receive advice on what to take from vitamins, therapy and when to go for an exam.
Beware of antibiotics
Dr. Dino Tarabar says that the issue of antibiotic use in the early days is moot. If it is an exclusively 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, coexisting at the same 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.
The scanner sees what the x-ray does not see
He emphasizes that they had experiences at the 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 necessary. If an experienced doctor deems it necessary, then it is absolutely necessary because it is a big 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 an improvement or a worsening, if they come in serious condition, it can really be life-threatening ”, 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. So it is not wise to stay home for a long time and receive treatment at home, ”says the doctor.
Dr. Ana Jeremic says patients are referred for a lung X-ray when necessary and when they hear something suspicious.
When a patient complains of a prolonged cough that goes on throughout the day, when there is a feeling of tightness, fatigue, pain, pressure in the chest, and there is information that he may have been in contact with someone who is positive, a febrile condition lasting two or three days is mandatory. an X-ray of the lungs is being done, “explains Dr. Jeremic.
He adds that if the patient tests positive for antibody tests or PCR, 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, the Infectious Diseases Clinic, where additional scans and diagnoses are performed.
How often the blood is checked
The initial clinical picture determines the frequency with which patients who are in home treatment should have blood tests.
Dr. Jeremic explains for RTS that if the patient has parameters that are important, high ce-er-pe (CRP), low leukocytes, lymphocytes, it is necessary to do a blood test more frequently. These are parameters that show whether it is a bacterial or viral infection.
“Anyone with a question about their health can call the clinic and get the right information. Of course, if you want to avoid order in the Health Center, you can do it in private, but if the doctor tells you. No one should be treated. There are suitable medical personnel who can advise you, “advises a doctor from the Kovid clinic in Voždovac.
He adds that previous experiences show that children generally have milder symptoms, but a more severe clinical picture may develop, requiring hospitalization.
The doctor says symptoms should be controlled. If it is a prolonged temperature, when the child does not want to eat or drink, if they are schoolchildren, he will complain and say what he feels.
kurir.rs/blic
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