The autonomous coordinator of Internal Medicine in front of Covid: “We have seen so many conditions of joint matrimonial property”
Llega at the Clinical Hospital Universitario de Valladolid about the 7.30 hours and can be done. In this year of pandemic he learned, like the rest, ‘n “starve like the chick” because he did not find another. The autonomous coordinator of Internal Medicine in front of COVID-19, Carlos Dueñas, did not pay homage to the marathon journals in which each had to attend to more patients; buskar alternative and hold a contingency plan to vacate limpias plantas; open sucias, decide what to do with the patients in COVID-19 y, así, minute by minute, both the arrangement of the numbers of new contagios. “Elevation” figures that there are no respite and that are exciting every second in hospitals; and all with the psychological and physical fatality of a pandemic that has not been triggered, which has been exhausted for some time, and more than a tsunami that has been reported in the hospitals and ucis, because of the contagios of hoy son the manana of the centers. With all the imagination about the month and the search for beds on the shore, lament: “Although the gymnasiums and cafeterias of the hospital were opened, if the people were unconscious, it could be a catastrophe”, which is a pandemic también la están pagando los enfermos no COVID-19. For this, he called it autocopinamiento, and advised: “I have not seen such conditions as joint matrimonial property. These are the consequences of family reunions ”.
If converted into a mantra. The sanitation system is saturated, the offices are on board, so is the overload of emergencies, professionals agotados … Do you think it is in the canyon, is it a situation in a society, in theory, evolving? What more do we have to say?
The messages are clear and have been live since March of this year. The problem is that it is not as cold as it is cold. The reality is that hospitals are prepared to assume a limited number of admissions and not a number that is too high and that those things do not work as well as they do. Castilla y León has had 600 patients ingested in COVID-19 in recent weeks and now has 2,000. An increase of 1,400 patients in 15 days is brutal in order to be able to count the hospitals, and it is hoped that there will be more patients in COVID-19; siguen llegando las urumatcias traumatológicas, los infartos, los ictus, las hemorragias digestivas. We have a record of total diarrhea, duplicating wounds and hospitals have a limited number of beds, our inventory. All of them are Asian, Río Hortega, Clinic, Palencia, Segovia … And so, with a limited number of professionals, and we are willing to work hard on the third. The quality of the assistance is increased by the number of patients we have, that is. And the people have to maintain that hospitals have a limited number of beds and that we can not follow this rhythm of ingress. If they are not confined and have the things as the ten that do, the hospitals will have enough supremacy, and they will be sufriend.
¿Han tenido que decir ya a algún enfermo, vuelva usted manana; mandar a gente a su casa que en otraas crunstancias se hubiera quedado ingresada en el Hospital?
No, because of the final inventions we invent. If you are looking for camouflage slings, we are looking for them in Palencia. If you want to train the gym to attend to patients, we will do it. But it is not the same to see patients in a plant as in a gymnasium; the quality of assistance also increases. It is. Be more restricted in emergencies at the time of deciding an entry, however, but if it is indicated, no one is going to decide no. Habrá que buscarles sitio donde see. So far, we have seen surgeries in private hospitals for patients without beds. It’s what we call, reinventing and looking for beds in these houses.
Do you know the figures of contagios that are no longer than 2,000, with the addition of the British cepa, much more contagious and, on the other hand, also more mortal, ¿se temen lo peor en quince días?
We deal with very high incidents, the hospitals have to support a great deal of assisted living, and 15 days more than that, we can stay, follow; y las ucis, un mes más. When the incidence rate is normalized, we will all have cases with problems in hospitals. If we add the progressive increase in patients with the British variant, to increase the transmission, we will increase the size. All in contrast to the hospitals and primary care facilities, too.
Can we return to the situation in April, the moments of the pandemic?
Si seguimos así, sí; we are in near digits. In April, the Clinic launched the maximum of one 200 plant patients and at the UCI up to 70, and now there are more than 160 and we have them for the past three weeks with a high number of patients. There are hospitals in the Community that can be Leon that have the highest numbers in the first place, the Palencia, the Avila …
Have you started derivatives between hospitals, in order to help patients follow up, to develop small centers?
The UCI’s coordinator works through organized zones where there are more areas, there are more liberated areas and there is a lot of movement. The Segovia Hospital, which has been one of the most sought after, has been located in Burgos, the Clinic and the Río Hortega patients at the UCI; Medina del Campo, too, has no UCI. There is no movement. And in plant, as part of the transmissions to Hospital Rondilla -which has received patients from the Clinic, Río Hortega, Palencia, Segovia, Ávila and the Medina del Campo-, the Hospital de Palencia has been assigned to the Hospital de Burgos and the Clinic of Valladolid some patient with important respiratory affection, because they are not able to summon in moments pico to all the patients in plant.
Is the Rondilla edition going to be sufficient, or is it the flight to the camp hospitals?
It has a capacity of up to 200 patients. With the total aperture of the second plant, we have a capacity of 90 and we are sitting and algae. Probably a factor as to why they’re doing so poorly. If hiccups fail to open more cams to saturate hospitals, if irian stays at the moment when staffing is available.
Another problem, because of the paids in the professional salons?
We are staring at each other and we are talking about what we are doing. We are not in the ideal situation, let alone duplicate the number of patients we are going to diagnose; duplicate the guards … Now though he has some optional work in the Rondilla Hospital, and this is the minor problem, there is more nursing staff, because there are no nurses. I would like to thank you, from here, the nurses who work in the 1-1-2 days that are willing to incorporate as volunteers into this hospital the days that are at a standstill.
And how are our professionals, with a fat accumulated that escapes?
Doblando turns, multiplying guards, with many more patients a cargo of each; with a pathology that has much to do psychologically, because there are patients who are sick and there are no solutions because they do not evolve well. It is very difficult physically and psychologically. La gente está agotada, cómo va a estar; exhausta. But good, we know what we decide and we will do without thunder in the hay. We intend that the people descend to a reasonable point, because this is a fundraiser … We leave this one year and do not realize that you are going to leave without delay.
In a normal situation, how many patients need a doctor, how many times?
Pongo is a sample of the Clinic. In another year, the Hospital once had intensive care units, at the moment there are 71, and the staff has increased by one person. In this era, Internal Medicine can have 70 patients in a normal situation, and now we have 80 patients COVID-19 and 60 in COVID-19, more or less with personal staff. We are looking at more than double the number of habitual patients, and the same happens in Neomology and in all sites. It is as if duplication of work in a small era as can be entered with the flu.
What invoice is pending the pandemic on the system and on all those pathologies in COVID that are currently being reported; to the surgical interventions?
It is pagan. The one that dedicates much more effectiveness to COVID-19 pathology, the ones that detract from other sites. Now, the Neumology and Internal Medicine service is dedicated, practically exclusively, to COVID-19 patients. The consultations of other related pathologies are ongoing or delayed. Imagine that you can have a pulmonary cancer that has not been diagnosed because the consultations are delayed … But we also have professionals of other specialties who are collaborating with us, where we are also active. Digestive colabora, which is probably repercussions in the studies, for example, colon cancer and then retreat; jw.org af Onlogía ocurrirá lo mismo. Make sure we retrieve diagnostics that have implications for the prognosis. It is not possible to diagnose a colon cancer in an initial state, which in a more advanced phase, because it is the risks that it may extend to its major. This is Asia. First of all, we are all there, and now we are supporting what COVID and COVID attention can do.
Do you know that all the days there are young people in the UCIs?
The media edition of UCI and plant patients is growing. I have seen so many matrimonial habitats at this hospital as now. These are the consequences of the family reunions of Navidad. Están el marido y la mujer, dos cuñados … Y son gente, por lo general, más joven que en la primera ola.
We all have the hope of living in the vacancy. What breath can be created when you can breathe, and when can you read this breath?
Everything depends on the percentage of vacancies and the dose we take in the short term. How many times will the vacancy rate be higher, always and when it comes to a variant that is vacant, and currently the only one in which it appears that it is not effective is the South African and, salvo a case that has in Spain, where no tenemos más. The respiration can be increased by less than 70 per cent of the vacant population, we say that in Verona, but if powder is much better. Israel is massively vacant and is being used in the numbers of contagios.
Hemos tropezado dos veces no, tres con la misma piedra. What do you think is wrong, who is wrong, where is the problem?
It’s a little bit of everything. Probably, when the politicians are able to analyze the risk of transmission in front of the economic risk, they can be more lively at the time of taking decisions. The Mayor of the closed and confined sanitary sanatoriums has done so much time. Y, by another lad, the persons; llega a moment that the cambian cambian, dejan to receive information from COVID-19 because they are saturated. There is a moment when you have to breathe and breathe. If you want a little. The population is likely to be saturated and requires respite; the politicians are their people, it is not easy to get caught up and sing like in the first place, and in the end everything has its consequences.
Ultimately, what more can you ask or tell the people?
What the good things are not in the hands of the politicians, nor in the doctors. Tienen que darse cuente de la situaón, del peligro que correid sanidad en Castilla y León de colapso. What is the mayor’s possible time in his houses, with the minimum number of people with whom he has a habitual relationship. Although there is a species of self-financing, though it is not, there is a moment when only the gymnasiums and the cafeterias of the hospital can be reached by the cameras and we can help all the patients. Acabaremos como Portugal. If the person is not conscious and responsible, he can be a catastrophe.