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All about the problem that stopped tourism around the world
All about the problem that stopped tourism around the world
Translated automatically from Russian. View original
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53 subscribers  • asked 2020-04-094 years ago
Answers  •  2608
аватар Apyatka
The Hippocratic Oath is not a suicide oath, you need to have respect for those who are on the front lines.
In addition, no one has taken any Hippocratic oath for a hundred years.
I remember the fire at the Chernobyl nuclear power plant. The firemen were the first to die. They, choosing a profession, understood that they were going to be firefighters, so they don’t feel sorry for them?
I think who is now in stubborn denial, let them write a refusal to be hospitalized in case of covid. In your apartment, let them get sick quietly and to the end. Physicians will be less burdened. Because to understand how hard it is to work in protective suits, there are not enough brains for this, but deciphering conspiracy theories is welcome, they are the smartest of all.
аватар Apyatka
I don’t understand why all of a sudden there is such a negative attitude towards doctors. It is not doctors who are to blame for the fact that the epicenter is working, and it is not doctors who are to blame for the fact that people are not able to understand exactly how and why masks should be worn and why quarantine is needed.
Medics are raking shit while other people are just shaking the air. In the same way, these same doctors treat both tuberculosis and heart failure. And in the same way, they are now infected with coronavirus in non-core hospitals. Medics stay with their patients inside these hospitals. And they do not see their relatives, and they become infected and die. And to sit here and be indignant at one set about the epicenter and about the koyat of Hipokrates is completely dishonorable. It is also dishonorable to say that too few people died. Few of them died, because quarantine. And because those doctors who are denied the right to be alive and well here are working hard to save the sick. Or the connection is not visible?
аватар AllOverTheWorld
Where did I express negativity to doctors? it’s you who stubbornly ignore the problem of doctors, it doesn’t matter what happened before, tuberculosis and oncology, as you put it, “hell”, medical reform and layoffs and everything else. What does the firefighters have to do with it, and what does pity have to do with it?
Refusal of hospitalization, you generally made fun of it))) yes, if you only die, you will be hospitalized and that’s not a fact. Testing for covid is done selectively in extreme cases, and many are generally told to have symptoms? - stay at home.
It is dishonorable to ignore other problems under the guise of a coronavirus.
Who denies them the right?? I? or Vika? Maybe you are not blaming those and do not understand who is to blame and what to do?
аватар Pachok
It is also strange to me that people do not understand the connection "few died because of quarantine."
аватар Vika284
There was no connection between the work of the Epicenter and the doctors, everyone understands who is behind this business
We all know and understand the feat of doctors. But not all doctors do not see their relatives for days and sit in hospitals - you know this very well.
This is not a quarantine, nothing to do with these strange restrictions.
аватар Vika284
We do not know exactly how many died from the coronavirus and how many fell ill because few tests have been done.
I repeat, this is not a quarantine, this is a business restriction
аватар Apyatka
We obviously live in different worlds) I communicate like with aliens)
аватар Vika284
Apyatka all medical staff sits in all hospitals and departments and does not go home for several days?
Also in clinics?
Where is Ukraine in terms of testing?
Do you really think that this is a real quarantine with working shopping centers and restaurants?
аватар Apyatka
“With the advent of the coronavirus, nowhere, in any (!) country in the world, did the total mortality exceed the average values.”
"For the sake of this trend, the treatment of other diseases was completely abandoned, and the overall mortality remained the same as in previous years precisely because of the increase in deaths for other reasons, not from the virus."
"and doctors, before receiving medical education, are not aware of epidemics, pandemics, contagiousness"
"They do their job, before entering the university, where one of the biggest competitions, one had to understand what a DOCTOR is and the Hippocratic oath."
"In this thread, the working shopping centers Epicenters and Novaya Liniya have already been mentioned a little."
That's all someone writes) Someone who, in my understanding: a) denies covid as a disease. b) claims that people don’t die from covid, c) believes that the coronavirus was invented by someone who wants to get rich at someone’s expense, d) but at the same time believes that the doctor must die now, because he took an oath, e ) believes that now other diseases are not treated at all.
аватар Apyatka
Vika284 and we are talking about ALL medical staff? Why all of a sudden?)
Where is Ukraine in terms of testing - did you come to the right address? Do I look like a help desk?
Whether this is a real quarantine is also not a question for me. No government in the world cares about some hypothetical person. Quarantine conditions depend on the rate of spread of the infection. In those countries where the danger is higher, the nuts are tightened more strongly. Where the infection is low, the quarantine is lifted. Everything else is in the middle.
Why do you keep asking me questions like you think I work for the government?
Maybe I should indicate my position so that you do not confuse me with anyone?
I think the infection is serious because it spreads too fast. Some irresponsible citizens annoy me by saying that the virus is invented. In addition, I am angry with the attitude towards doctors who are now in the red zone, they are there solely of their own free will and, I think, this is their feat.
I do not affirm anything else.
аватар hanno4ka
When each writer has a probability of infection of more than 90 percent, like many health workers, then there will be a "different coat", and everything will fall into place.
аватар AllOverTheWorld
I don’t understand your logic at all, or rather your conclusions from the above.
Who denies that covid is a disease?????
It was about quarantine, you know about QUARANTINE, quarantine is not a disease, it is the measures that are being taken.
Where did they write that they don’t die from covid ??? I personally cited official data that 439 people died (in Ukraine). Moreover, many times more people die from other diseases every year and the trend is only growing.
It's you from another planet, they write one thing to you, but you see something completely different. They say that the topic with the crown is inflated, and not that it is invented, do you feel the difference ??
Yes, other diseases in our country were not properly treated before (without money and connections, I mean serious illnesses), but now it’s like that in general. You don’t even have to lie to yourself about the state of medicine in our country (you understand MEDICINE, not doctors)
Whether a doctor is at least a specialist from God, without proper equipment and medicines, he can do little to help.
аватар Apyatka
AllOverTheWorld, so let's say goodbye on this) It was not you who wrote that the coronavirus was invented. But you reacted to my answer to that person. You about yours, I about mine. There is no medicine in our country, it is an axiom, who would argue with that. It is not clear how this reduces the risk of the virus.
аватар Pachok
The logic is not that strange - but it does not exist at all. If the government is .... aces, then we need to give up on the danger? To spite my mother, I will freeze my ears. Is medicine bad? Let's get her! Does the government care about the people? Let's not think about ourselves!
Everyone (!) can and should do something to the best of their ability, not for the sake of the mayor, the sanitary doctor or the president, but for the sake of their mother, the nanny in the kindergarten and just someone else's woman Klava, who cleans the yard or works as a concierge. I am already silent that the average age of the sick and dead in our country is far from 85, as in Italy. Everyone is at risk.
аватар Vika284
But probably because you think that some of the respondents do not respect the doctors, especially those who work in the infectious diseases departments. And not everyone works there willingly.
There are doctors of various specializations who have performed, are performing and will perform life-saving feats, and not only now working in the red zone.
None of the respondents denies that the virus exists and no one denies that there is a certain percentage of mortality, no one mentioned that doctors owe someone the Hippocratic Oath.
But the fact that this situation was used for enrichment is for sure
аватар AllOverTheWorld
Apyatka, they turn to you because you yourself have indicated that you are directly related to medicine. If you were from the government, you would have completely different questions.
Therefore, you ignore the statistics on other diseases and defend your point of view about the terrible threat of corona.
So I don’t understand how it differs from the flu (you don’t need to talk about the vaccine, it’s not for all types of flu)
Corona directly causes death? no. High mortality rate, too.
So what is the biggest threat? That he can mutate further? So the flu also mutates from year to year.
Somehow at the very beginning you also wrote that the virus itself is not as terrible as the collapse in medicine due to the influx of patients.
аватар Apyatka
AllOverTheWorld , maybe I have fiction effects and that is why my words are somehow misunderstood?)
I work in medicine. In private. In control. Not in the Ministry of Health) Ask questions about medicine. According to statistics - not for me, I'm not a statistician. I am engaged in allergology, to be precise - the organization of the clinic. I do not treat patients, but I have a specialized education and extensive experience. My social circle is mostly doctors. My strong point is laboratory diagnostics, more precisely, laboratory diagnostics of allergies.
I know about the deplorable state of public medicine. I can't fight it. I work therefore, as I said above, in private.
With regards to the danger of other diseases - I do not deny and never denied it in any way. I myself am disabled and this quarantine brought me some inconvenience. For example, the medicine that I have to take every day is available in Poland, but not in Ukraine. Closed borders mean I'll have to look for something like this when supplies run out.
аватар Apyatka
And I also suffered financially, like those who are outraged by the quarantine here, I am not an oligarch and now I am responsible for other people who, of course, are much harder than me, because initially their income was lower. But none of the doctors I know are outraged by the fact of quarantine. Do you know why? But because we are now attending online conferences that talk about the coronavirus more often than we are talking to you here.
It is difficult for me to retell all this to you, because, firstly, not everyone is ready for medical details, secondly, it will take a lot of time, thirdly, it will drag me into a dialogue again, and I am somehow too nervous about this topic lately time.
I said and continue to say that the virus is dangerous. And that it is not dangerous for everyone. And that the statistics do not reflect the real picture. None. Not in any country. And that, in principle, we do not have risk groups, because the virus is easily tolerated, or severely, or fatally; it does not depend on the state of immunity, or on age, or on concomitant
аватар Apyatka
... or from concomitant diseases.
If the virus does not kill 100% of the infected, then it is not as terrible as the collapse of medicine) This is a joke, of course, but I wrote earlier and I do not refuse my words - the mortality rate is very small, but the contagiousness is very high. This is what forces us to introduce quarantine, so that those patients who need medical care do not go to hospitals all together, not in a huge wave, but in a thin stream. Because there will not be enough resources at once and for everyone, because the country will choke, and those who suffer from other diseases will not receive help at all. And because the economy in a society that is under quarantine is better than the economy in a society where every second person is sick and chaos and panic reign. There are countries that have not introduced quarantine at all. But these countries take into account the mentality of the population and the authority of the government. We have the kind of quarantine that is possible under our conditions and which keeps the incidence in approximately the same numbers. What is important is not the numbers of all who have become infected, but those who really need help.
аватар Apyatka
and those who really need help.
In our country, tests are not done in sufficient quantities, and this is a huge problem. But Ukraine has fulfilled the main task very well - the hospitals are loaded, but they are pulling a specific number of patients, although they creak.
Regarding the danger of the virus, just don't take risks. This is a lottery. I would say Russian roulette.
I finished)
аватар Apyatka
Oh, no, I didn’t finish)
"the corona directly causes death? no." - YES!
Covid-19 is a disease that can occur with varying degrees of severity - asymptomatic or with minimal symptoms that are insignificant for the patient, mild, like a normal acute respiratory viral infection, moderate inflammation of the lungs (more precisely, damage to the pulmonary alveoli), severe - when lung damage is large and intensive care is needed. This disease leads to death. The virus penetrating inside the alveoli "causes fire on itself" - a person's own immunity attacks their own alveoli and destroys them. Acute respiratory failure or distress syndrome sets in, a person is saturated with oxygen, if the insufficiency increases, they are connected to a ventilator. On mechanical ventilation, the mortality rate is 80-88 percent.
All this is a kitchen that you don’t need, but maybe it’s clearer?
аватар Vika284
Hospitals tomorrow are loaded across the country for all cases, including coronavirus by 10%. There are hospitals that are loaded more, and there are those that are not loaded at all.
It was so interesting to introduce quarantine when the increase in cases was 1-2 people a day, and there were 3 cases and 1 death
And we decided to leave the quarantine when the increase in cases is 400-500 people a day. The number of cases is 16425 and 439 people have died.
Just like 2 months ago, there were few tests, and now there are few.
аватар Vika284
Sorry just the hospitals are busy, no tomorrow
аватар Vika284
"the corona directly causes death? no." - YES!"
A patient with Crohn's disease had an appendectomy, and the patient died of complications. Is the complication of appendectomy directly the cause of death, or did a serious illness have a significant impact on the patient's condition?
аватар Apyatka
I can’t say anything in percentage terms, but other, non-infectious departments are being re-profiled, that is, the number of places is growing. There are regions that suffered less, there are regions that suffered more, this is normal.
Why was quarantine introduced when the increase in cases was 1-2 people per day, and there were 3 cases and 1 death - there was a danger of an outbreak, that is, a sharp increase in growth, based on the experience of European countries, so preventive quarantine was introduced. The state of medicine and the training of doctors were at a disadvantage, it was necessary to give time and an opportunity for the system to learn. Now the growth is under control, so relaxation is possible. Not out of quarantine. I have already said that the state does not protect each of you, but itself, regulating the number of patients with the help of quarantine measures.
About tests - you are right, there are few tests and this delays the quarantine for an indefinite period. Tests would give better detectability, which means they would be able to better regulate growth. This is the government's fault, no doubt.
аватар Apyatka
"A patient with Crohn's disease underwent an appendectomy, the patient died from complications. Is the complication of appendectomy directly the cause of death or did the severe illness have a significant impact on the patient's condition"
In this case, the patient died from another disease, not from covid, if his lungs were not affected by the virus.
And if a patient has diabetes and was treated for covid and died, covid is to blame, because before getting covid, the patient lived with diabetes and did not know grief. The coronavirus may not have killed this patient, but he is to blame for the death, as the patient's body could not cope with the load.
аватар Vika284
And they don’t tell you at a video conference to keep clear statistics and separate sick healthy patients, sick patients with comorbidities and concomitant serious diseases, and also deceased patients with the same gradation. Because it is important for epidemiology statistics. And you probably understand why.
"the patient lived with diabetes and did not know grief" do you really think so?
аватар Vika284
About Crohn's disease and appendectomy, no covid situation.
Could Crohn's disease be a significant cause that led to complications after surgery?
Could grade 3 diabetes mellitus be a significant cause that led to the complication from covid?
аватар Apyatka
"About Crohn's disease and appendectomy, without a covid situation." - (sorry, I did not immediately understand your question, since in one message it was: "corona" and "crown"). In this case, the severity of Crohn's disease prior to surgery matters. Conclusions should be made by a gastroenterologist or a surgeon, I am neither one nor the other.
"Could Crohn's disease be a significant cause that led to complications after the operation?" - could, of course.
"Could grade 3 diabetes have been a significant factor leading to the covid complication?" - In this case, the infection provoked an aggravation of the patient's severity. this will count as death from Covid. Also, the death certificate will indicate diabetes mellitus as a concomitant disease. If, for example, a patient died of leptospirosis but had a history of heart failure, should leptospirosis be denied as the cause of death?
аватар Apyatka
"But they don't tell you at the videoconference .." - do you ask or reproach?
"..keep clear statistics and separate sick healthy patients, sick patients with comorbidities and concomitant serious diseases, and also deceased patients with the same gradation. Because for epidemiology statistics, this is important. And you probably understand why this should be done."
And it's all done, no doubt)
"the patient lived with diabetes and did not know grief" do you really think so? - if he was alive before he developed Covid-19, then it would be surprising to think otherwise.
By the way, my mom has diabetes. He probably won't kill her.
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