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The number of patients we have who have serious sequelae after a crowned bed is alarming, so they even end up on a respirator. Unfortunately, complications in numerous organs and systems after kovida 19 lead to death, he notes in an interview with Kurir ass. Dr. Marija Milenković, anesthesiologist at the Emergency Center (UC) in Belgrade, who was the coordinator of the kovid hospital “Bežanijska kosa” while this KBC was in the kovid system.
What, in particular, are the consequences of the crown?
– It is about pulmonary embolism, thrombosis, which causes a stroke and a heart attack. Many people still have fibrosis in the lungs, which is damage to lung tissue in the form of scars that reduces capacity, and patients end up on a respirator even after the crown has been covered. Also, due to decreased immunity due to covid 19, new infections occur, often bacterial, and it becomes even more complicated. There are many complications in other organs: liver, kidneys, heart, heart failure is common. From UC, we later refer them to the Clinical Center, to specialists.
How to recognize complications?
– Shortness of breath, palpitations, shortness of breath, inability to move, severe muscle weakness, dizziness, headache tell us that something is wrong and should not be neglected at all. Here, as with the crown, the key is to call the doctor early.
And do these consequences affect both the old and the young?
– Absolutely everything. The crown does not choose the age and the age where it will leave consequences. It is terrible that it leaves many consequences in the healthy population.
And the chronically ill? How much are they damaged in this epidemic?
– Many people suffered in the previous period, they could not attend an examination, so now we have an exacerbation of chronic patients. The number of patients who appear in UC due to heart attack, stroke and any worsening of chronic diseases has increased, which also requires special care and attention.
How many patients do you find with covid?
– The number of examinations in the isolation of UC is growing, where patients come from all sides with temperature. The admission-triage service, which is attended by emergency medicine, works perfectly and thanks to this, it constitutes a real barrier in the UC to recognize the crown and not enter the Emergency Room. Last week in Urgentno, we had many younger people, even with a difficult clinical picture. And that’s because it’s late, because they sit at home with a fever for a week and only then do they call the doctor. The tests determine if they have kovid or the cause of the temperature is something else.
Is the crown confirmed often?
– Yes, and even in addition to the negative test, if the doctors suspect that it may be a crown, a lung scan and a complete laboratory analysis are performed. And if it is shown that it is still a covid, the patient is sent to a covid hospital.
Relaxation after the first dose of vaccine.
Many people get sick because they receive the first dose of the vaccine and think that they are immediately protected. It is incredible the irresponsibility of the people who received the first dose of the vaccine. The first dose means that you still need to follow epidemiological measures and that you are safe only after the second dose. Everyone relaxed, waiting for someone else to solve our problem. And only we can solve it.
How many patients a day undergo UC?
– We carry out around 1,000 examinations a day, much more than usual, and even more than we are used to in the summer and winter months, when traumas and injuries on agricultural machines intensify, that is, due to snow and weather. ice. UC folks are trained and used to numerous and difficult patients, but Urgent is overwhelmed. In addition to the UC providing doctors to the Kovid hospital in Batajnica, 24 hours a day, seven days a week, it cares for all other patients and pathologies, including the most serious, life-threatening, multiple trauma patients, all septic. conditions that are outside the crown … And this is the other side medal during the epidemic: working in an invisible hospital at the time of the crown. None of the doctors ask, they all line up again, exhausted, but committed to work and the Hippocratic oath.
But also furious. While saving lives, raging crown parties, concerts …
– Large meetings, ski resorts, concerts have caused an increase in the number of infected. Again, more people are being searched at the hospital and the hospital is in a very difficult condition. And the medical workers, who are running out of energy, with their superhuman enthusiasm and efforts, make it all work. But it is true that they hide their disappointment and anger under masks. Health workers must have the support of all citizens. However, many of their behaviors publicly show that they do not respect healthcare workers.
And what do we do? Long lock?
– It is devastating that we, as citizens, are absolutely irresponsible, especially since we have the opportunity to get vaccinated, everything is provided for us. We are insensitive to others. Everyone should be aware and always think that the patients who will wear a respirator tomorrow may be the people they love the most and the members of their family. However, despite everything, I still have faith that my people will act correctly. Is it difficult to have a mask, is it difficult to avoid socializing, and is it difficult to get vaccinated when, unlike the rest of the world, we have up to four vaccines to choose from?
(Kurir.rs/Jelena S. Spasic)
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