Hello to every one (i posted my intro on Newbies section - Greeting from Italy).
I think that my personal experience could be useful. I am Doctor (MD - Neurologist) and i am working in a large public hospital in eastern piedmont - 30km near Milan (ITALY) since 2007.
I will try to be concise. The information that i write are all based on direct experience with patients or indirect experience (colleague and medical report). Every one can contact me privately and i can forward every details/information you need if you don t believe me. I have recently done a ward round in a COVID department (last Tuesday).
This is not a hoax.
-In the last 3 weeks the total ER access are composed of 50-85% of COVID suspect ( fever, dispnea, cough and combinatiion of symptoms). NEVER HAPPENED with other infective disease. Most are elder with comorbidities but we see also young people without previous illness.
-Our hospital have converted about 50% of total beds to COVID + patients (250 beds of 600+total). Normally the infective patient are about 50/80 total max beds (infective division beds + internistic divisions beds). Meanwhile some pathology are decreased (stroke patient reduced 30-40% for example). NEVER HAPPENED
-Our ICU beds has been doubled (25 beds) and is occupied with COVID patients only (before we had 14 beds in TOTAL for all patient with various pathology that needed ICU). Unfortunately there are many young people (at least 3 people in 30s - NO previous comorbidities) in ICU and the median age is 60 about. One of this is a colleague that was doing residency in anesthesia in our hospital.
Never seen many young people in ICU together with pneumoniea and insufficient respiratory syndrome in my life.
Other clinical data:
-we see many young people with coronavirus and we have many people in 40-50 years hospitalized (i think about 1/3 of total admission)
-the clinical presentation in young and elderly is the same: atypical pneumonia. Some develop ARDS and extreme infiammatory response. 70% recover after 2-3 weeks
-is true that that old people goes worse and people with comorbidity also.
-i have seen many patient hospitalized and not hospitalized with mild form (MOST).
-the mortality is gauged due to hospital resource collapse and management problem.
-the real number of cases is very underestimated due to the mild form which escape testing. The health personal are contributing to the spreading due to lack of protection and lack of control (i was tested yesterday after 4 contacts).
The clinical presentation is the same everywhere. The difference is that in some area the number of cases is lower in other are higher (like Bergamo/Brescia). We don t now why.
we NEVER SEE a high number of atypical pneumoniae like these TOGETHER. This virus is highly contagiuos.
I can give you other clinical informations in case. It is not easy to give a brief description of the situation. I can clarify in case.
Finally i can also tell that today i was positive to COVID screening (pharyngeal swap) due to job exposure. I have colleague in ICU and many colleague with pneumoniae (some hospetalized some not). And also this was never happened.
I don t want to create fear. Most of the infection goes mild (I hope mine too..). But i want to tell how is the real situation is in most affected area of Italy. This virus is something completely different with every other pathogen of the last times..
I read the last transcript... hope for the best..
I apologize for my english
I think that my personal experience could be useful. I am Doctor (MD - Neurologist) and i am working in a large public hospital in eastern piedmont - 30km near Milan (ITALY) since 2007.
I will try to be concise. The information that i write are all based on direct experience with patients or indirect experience (colleague and medical report). Every one can contact me privately and i can forward every details/information you need if you don t believe me. I have recently done a ward round in a COVID department (last Tuesday).
This is not a hoax.
-In the last 3 weeks the total ER access are composed of 50-85% of COVID suspect ( fever, dispnea, cough and combinatiion of symptoms). NEVER HAPPENED with other infective disease. Most are elder with comorbidities but we see also young people without previous illness.
-Our hospital have converted about 50% of total beds to COVID + patients (250 beds of 600+total). Normally the infective patient are about 50/80 total max beds (infective division beds + internistic divisions beds). Meanwhile some pathology are decreased (stroke patient reduced 30-40% for example). NEVER HAPPENED
-Our ICU beds has been doubled (25 beds) and is occupied with COVID patients only (before we had 14 beds in TOTAL for all patient with various pathology that needed ICU). Unfortunately there are many young people (at least 3 people in 30s - NO previous comorbidities) in ICU and the median age is 60 about. One of this is a colleague that was doing residency in anesthesia in our hospital.
Never seen many young people in ICU together with pneumoniea and insufficient respiratory syndrome in my life.
Other clinical data:
-we see many young people with coronavirus and we have many people in 40-50 years hospitalized (i think about 1/3 of total admission)
-the clinical presentation in young and elderly is the same: atypical pneumonia. Some develop ARDS and extreme infiammatory response. 70% recover after 2-3 weeks
-is true that that old people goes worse and people with comorbidity also.
-i have seen many patient hospitalized and not hospitalized with mild form (MOST).
-the mortality is gauged due to hospital resource collapse and management problem.
-the real number of cases is very underestimated due to the mild form which escape testing. The health personal are contributing to the spreading due to lack of protection and lack of control (i was tested yesterday after 4 contacts).
The clinical presentation is the same everywhere. The difference is that in some area the number of cases is lower in other are higher (like Bergamo/Brescia). We don t now why.
we NEVER SEE a high number of atypical pneumoniae like these TOGETHER. This virus is highly contagiuos.
I can give you other clinical informations in case. It is not easy to give a brief description of the situation. I can clarify in case.
Finally i can also tell that today i was positive to COVID screening (pharyngeal swap) due to job exposure. I have colleague in ICU and many colleague with pneumoniae (some hospetalized some not). And also this was never happened.
I don t want to create fear. Most of the infection goes mild (I hope mine too..). But i want to tell how is the real situation is in most affected area of Italy. This virus is something completely different with every other pathogen of the last times..
I read the last transcript... hope for the best..
I apologize for my english