COVID-19 GRAPHSADDRESSING VENTILATOR SHORTAGES
Off-label use of one ventilator to save multiple lives.
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03/14/2020. QUOTING JOHN DONATI.Quoting a friend of mine who lives in the Northern part of Italy (see original text in blue below): ENGLISH TRANSLATION [by Dr. Danilychev] [03:13, 3/14/2020] John Donati: "in Italy 50% of the people who are positive for the virus and manifest the symptoms DO NOT have the need for a hospitalization. They stay hoe, usually have symptoms of light/moderate intensity also like the normal flu and get better in one week. 40% need to be hospitalized for two - three weeks. 10% need ICU [intensive care unit] care. 3-4% of the patients do not survive (at times even the young patients and in good health). The big issues is that the increasing number of people who are sick AT THE SAME TIME. In Italy, in 2 weeks the number of [ICU hospital] beds and [ventilators - ICU artificial breathing machines] has tripled and the number of healthcare workers of all kinds has increased to several thousand (over 4,000 [in some regions]) to the point of retired doctors being asked to work. All of this also means that ANY OTHER TYPE OF MEDICAL TREATMENT NOT CONNECTED TO COVID19 and that's not urgent is postponed until a later date (which means when the situation is going to be back almost to normal). [03:16, 3/14/2020] John Donati: "Therefore, the biggest problem remains that of containment of the contagion as much as possible. Otherwise, we'll arrive at a point that the hospitals will not longer be able to treat patients, both those affected by covid 19 and those affected by any other condition." [03:13, 3/14/2020] John Donati: "in Italia il 50% delle persone che sono positive al virus e manifestano i sintomi NON hanno bisogno di cure ospedaliere. Stanno a casa, di solito hanno sintomi lievi/di media intensità quasi come una normale influenza e solitamente guariscono in una settimana. Il 40% hanno bisogno di cure ospedaliere fino a 2/3 settimane. Il 10% ha bisogno di cure intensive. Il 3-4% dei pazienti non sopravvive (a volte anche pazienti giovani, sani e in forze). Il problema grande è il numero elevato di persone malate CONTEMPORANEAMENTE. L'Italia in 2 settimane sta triplicando il numero di posti letto e di macchinari per la terapia intensiva e ha aumentato di qualche migliaia (oltre 4.000) il personale sanitario di ogni tipo, arrivando persino a richiamare in servizio i medici in pensione (retirement). Tutto ciò significa anche che QUALSIASI ALTRO TIPO DI CURA MEDICA non legata al COVID19 e non strettamente necessaria è stata posticipata a data da destinarsi (which means when the situation is going to be back almost to normal)." [03:16, 3/14/2020] John Donati: "Quindi il problema più grande è e rimane quello di arginare il più possibile il contagio. Altrimenti si arriverà al punto che gli ospedali non saranno più in grado di curare i pazienti, sia quelli affetti da covid19 che quelli affetti da qualsiasi altra patologia." 03/14/2020. QUOTING SIMONA CORRA'.Quoting another friend of mine who lives in the Northern part of Italy (see original text in blue below, and some of my replies in black): [Simona Corrà]: "Here in Milan there are very few contagions at the moment but because all the activities have been stopped: museums, cinemas, schools ... even churches have been closed! The bad things that this virus is carrying are great irrational fear and racism. I really hope it will end soon." [Simona Corrà]: "Lombardia, my region, is the one with the most cases"  [Simona Corrà]: "We are fine, even my friends who live in Milan, but we are all closed at home. Only a family member can go out, and only for important reasons (such as going to buy food or going to the pharmacy)." [ Dr. Danilychev]: "It’s one of those things, people think “it’s over there, it will never happen here!” [Simona Corrà]: "Yes, it is true, it also happened here in Italy. It was thought to be a problem only in China and instead ... [Simona Corrà]: "also write something to make people understand the seriousness of the problem: people must not panic (among other things, stress lowers the immune system, right?) But people must prevent as much as possible, adopting all the hygiene systems basic and avoiding going to crowded places and, if the situation worsens, staying at home." 03/2020. QUOTING SIMONA CORRA'Quoting Simona Corrà: [Simona Corrà]: "[Dr.] Massimo Galli, infectious disease specialist at the Sacco hospital in Milan, declares, 'It is not a simple influence. If people think we are exaggerating, I would like to tell them to come and see what happens in our wards." Patients multiply so doctors and nurses work between 12 and 14 hours a day to exhaustion.'
[Simona Corrà]: "I am writing to you from Milan, the capital of the Lombardia, the Italian region with the most contagions of Coronavirus. The government has invited all Italians to stay at home, even if we are well, and to go outside only for necessary reasons, such as buying food or get the dog out. Until April 3, many activities must remain closed to avoid the spread of the new Coronavirus COVID-19: schools of all levels, gyms, shopping centers, hairdressers, cinemas, museums, offices whose employees can work from home and so on. It is no longer just a matter of respecting the simple health rules (like washing your hands, blowing your nose in a handkerchief, staying indoors if you have a fever). Cases of contagion must now be contained because all hospital intensive care are full, and doctors are forced to decide who should be treated before the others, even though they are all urgent cases. There is no need to panic, it is also scientifically proven that fear and stress lower the immune defenses that must be at the top right in this period! But it is important to give due importance to this global pandemic, since it is no longer a problem for China alone. If we respect the rules we are given, by doctors and the government, we will save many lives, not just ours. Here in Italy we say #IoRestoAcasa ("I'm staying at home") and #AndràTuttoBene ("Everything's gonna be all right") because we want to continue living in serenity, keeping fear away." |
AuthorDr. Maria Danilychev, M.D., is a San Diego based medical doctor with 20 years of experience and board-certified in Internal Medicine, Geriatrics, Hospice/Palliative Medicine, and as a Hospice Medical Director. Dr. Danilychev also conducts clinical trials and was one of the first responders during 9/11. ArchivesCategories
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