Internal Medicine: the vanguard of the HGUCR against the Covid – Lanza Digital

Beatriz La Rosa, intern at the General University Hospital of Ciudad Real, recalls that on March 14th, the cases of Covid empezaron to duplicate, triplicate, and the sanitary facilities need to make an assistance precession never before seen. Todavía hoy confies that when llega a planta sabe cuando va a acabar su jornada laboral. At this time, one of the most colorful things is communication with the families of the sick by phone

Medicine is never a comfortable profession: many days of guarding, high assistance in every winter, constant laughter with illness and pain in the eyes of families when it comes to life. The pandemic, without embarrassment, has crossed all the limits lived by the last generations of facultatives.

Beatriz La Rosa, internist Hospital-General Universitario de Ciudad Real, was first in line with the ‘first oil’ produced by the coronavirus in Spain, and at the moment it’s one of the doctors who directs the diagnostic consultants to demorables who respond to the ‘no Covid’ patients who can hope more and which is relevant in the last months.

Procedure of Jaén and completed since 2012 in Ciudad Real, where he resides and works three years in the emergency service, La Rosa has the multiplication of the contagios from the last month of March, the agotamination three months of pandemic and the difficult to deal with families when the telephone is the only means of communication.

The March 2020 tsunami

Five or ten days before the declaration of the first state of emergency alarm, the first positive in Real City, which received the attention of the specialists in infected diseases, to prevent the pandemic puso the hospital comes soon, that tuva lrura. “We will never hope that ours will come again”, dice.

In principle, the initials “in the form of paulatina”, but on the second week after March 14 the evolutionary virus is out of control. “Each day is duplicated, the number of ingresses is tripled”, states that all Internal Medicine specialists, in their area, form part of the vanguardia in the air against the coronavirus.

Although the ancient patient predominates, there are all kinds of plant-friendly profiles in UCI, all “with neonium by Covid, some more or less, but with similar characteristics”. In the first few days, an impressive EPI is called, but for the sake of “the only thing that can help the press”.

Beatriz La Rosa explains that he has been told that the doctors “should be able to make more guards, not only because of the increase in sickness”, but because “at this moment we are trying to contact companions, have more wishes”, and all my professional tenants who are fighting the tsunami.

All the invaders, from the doctor, “make us a high assisted prisoner”, but insist that “the levels that are elevated in the ‘first oil’ and that exist in the ‘third’ are new”. This is because Internal Medicine needs to receive help from other specialties.

The telephone: one way of communication

As a consequence of the Islamization of the enmity, for Beatriz La Rosa one of the most colorful things of sobrellevar in all this time has been the diary communication with the families by telephone, although always good news.

It has been reported that the patient’s failure has been accompanied by his family and the physicians inform him of the personalities, without embarrassment, now the visits are very restricted, as far as the patient is concerned as to what he is. This is a great “angustia”.

“Calling families to communicate bad news over the phone, so it’s something I’ve had a lot of money for, because I intend to send to the families I support, who have been with their family until the last moment. which is not difficult, but by telephone it is very difficult ”, explains the doctor.

The disappearance of visual and physical contact, in order to transmit with the expression “tranquility or carriage simply to the families”, has been very impactful for the medicine, which reduces the possibility of accessing the people to say “the sense”, to which is in its expression “that it is of values”.

The “consultable and non-diagnostic consultants”

La ‘segunda ola’ no fue tan fuerte en Ciudad Real, pero les Infecions se sucedieron hasta nu nuve pico experamas tras la Navidad, por lo que el Covid exigió hace bien poco unne nuve restructuration de servicios, y Beatriz La Rosa est a la actualdad in front of a “consultable diagnostic tool”.

The question is whether to respond to “tumor pathologies, febrile syndromes of those who do not know the cause and thromboembolic diseases”, among others. The medical department said that “treatment is given to patients who can not hope for a habitual consultation and that we have a priority”.

El Covid is not a one-off virus, so sanitary facilities will not terminate this situation, for which, from this consultation, La Rosa, and other faculties, carried out in coordination with Primary and Emergency Aid “a huge effort to function with total normalcy ”. Asia has been able to continue its above-mentioned service in the ‘first oil’, but not in the second, nor in the third.

Infinite Labor Day

With “calm” La Rosa intends to manage the ‘new normality’. “We came on the 8th of the month and did not know when to end our labor day, and it’s an important exercise in physics, as well as emotional,” explained La Rosa, who confessed that many days he had to come to “5, a las 6 o including la 7 de la tarde ”.

According to him, “the work of medicine requires a very important effort, but it is clear that in the last year he has suffered a brutal form”. “There is no other word for it, no one can say that it is multiplied by 2, it is not by 3”, he explains.

His hours and hours are “exclusive dedication to the hospital”. For this medicine, the personal life practically has disappeared, can “wait for the patients with the assisted quality of life always in our working day is practically impossible”, recalca.

At the personal level, the most difficult is the separation of his family. One year ago, his contacts were limited to his spouse. “Yo soy de Jaén, antes iba a mi casa una vez al mes y ahora en todo el ano he ido una vez. Entonces, claro, no ver a la familia, desde agosto, cuesta ”, dobbeltsteen Beatriz La Rosa, que se emotiona.

Solidarity in the form of ‘subject mascarillas’

At the gates of the hospital, Beatriz La Rosa valora “the solidarity between companions”, and also, of the city. Recall that a day, a friend passed a direction and “by the window, with a smile, descended a ball with ‘subject mascarillas’ of a person totally down to me”.

“Thank you, thank you for the work you do”, the dijeron watered people in a moment “really emotional”. La Rosa recalls the applause to the sanitary ware all the days of the ‘first ola’ on the 8th of the late, although he has to increase the amount of contagios in the third can not avoid the frustration.

La ‘tercera ola’ no la ha pillado de sorpresa. If so, the doctor said that “with more laxity and family reunions, do not hesitate to sell a case number. For that matter, I confess that huberti likes “more responsibility, on the part of all, both on the political level, on the media that do not take, as on citizens”.

If the realities of the hospital’s reality, Beatriz La Rosa has no doubt that Tomarían has the most precaution and limits to the maximum of contacts. There is the image of patients, “who live in solitary confinement, without company and in close proximity”, and on the other hand they have their families at home “with an uncontrollable inconvenience”.

Without the consent of the 8 women I will live well, without embarrassment, as far as the medicine is concerned, “even though you have given me protection, protection for my patients, protection for my family when they are lost, the rest of the people have the same and our habits also in this way. If we take care of each other, the protégés will each take care of the rest, ”he concluded.