From university to battle

The coronavirus epidemic is still far from its peak, but there is no longer enough hands to fight it. The order of the Ministry of Health of April 3 prescribes to involve non -core specialties, doctors with expired certificates, students and teachers of medical universities and colleges in the fight against the epidemic of doctors. "Such things" talked with two residents and one teacher from RNIMU. Pirogov (2nd honey) mobilized in this war

"In my immediate environment, everyone is fighting with coronavirus now"

Polina Volkova - Officer of RNIMU named after N.I. Pirogov of the first year of study in the specialty "Obstetrics and Gynecology" (maternity hospital of the GKB No. 36). He works as a therapist in the city clinic No. 131, branch No. 4 GBUZ KDC No. 4.

In mid -March, the Moscow Department of Health turned to our university with a request to come to the rescue. I agreed immediately because I live separately from parents and grandmother and not at risk their health. I think it is very correct that we were mobilized even before the sharp increase in the number of challenges began, we managed to join the work in calm mode.

There are four residents in the branch. We work in two shifts - we go on the challenges for eight hours, after drawing up documents and sick leave. The residents are engaged in challenges about SARS (flu, pneumonia, bronchitis), now there are about 90%. The district therapists still go through their chronic patients, all scheduled notes are canceled. A separate brigade comes to those who need to take strokes on Covid. We form lists strictly according to indications, because laboratories also can not cope when they have 50 ointments per day only from one clinic. Employees are tested if possible: first we write down all patients, and add ourselves to the remaining windows. It will be my turn soon.

The evening shift lasts until eight in the evening, but almost never we end on time while you walk around the site, the calls are added and added to you. At the beginning of the shift, along with addresses, we get equipment and we carry all this with us all day. At the entrance to the entrance, we put on protective glasses, masks, disposable robes and gloves.

Patients with a confirmed coronavirus infection in mild form we lead at home. Now it has already become a problem to hospitalize the patient, because the hospitals are crowded. Just yesterday, he was sick, not severe, but with a very bright picture of pneumonia. On the one hand, it can be taken at home. On the other hand, if Covid is confirmed, then there is a risk that pneumonia will be complicated and we will no longer have time to hospitalize it or we will have to hospitalize it in serious condition.

They give me the calls from pregnant women who have received in my shift. Today I had such a patient, a period of 32 weeks, a protracted cough, green sputum - this is interpreted as acute bronchitis. If there is no answer to the antibiotic, we will solve the issue of hospitalization. But at home she is now even safer, because, most likely, she does not have a viral, but a bacterial infection. We already took her a second smear on Covid, the first has not yet come. It is sometimes longer than four days to wait for the results. Plus, there is no single transparent system - we can see the results of only those strokes that were taken specifically in our clinic.

Polina Volkova Photo: From Personal Archive

Every day we are discussing when the peak of the epidemic already happens and we will exhale a little, but our employment contracts are only extending and extending, now until the end of May. In my immediate environment, everyone is fighting to varying degrees with coronavirus. My close friend leaves soon to work for replaceable work in a hospital, many friends, like me, became therapists in clinics. In the hospital in which I worked as a nurse, the situation was also complicated. Our department was not re -profiled by Covid, but everyone in their posts is very worried that planned operations were canceled, because the meaning of planned treatment is not to bring the situation to the emergency.

"It is very difficult when you see how your child grows, only on the monitor screen."

Andrey Bykov is a teacher at the Department of Anesthesiology and Resuscitation of RNEMU named after N.I. Pirogov. He works in hospital No. 40 in Kommunarka.

Before the pandemic, I combined teaching and practical activities - I worked as a doctor Orit in hospital No. 1 named after Pirogov, who is the clinical base of our department. In Kommunarka, in addition to working in the intensive care unit, I teach training courses and are also a member of the city exit brigade on the problem of pneumonia. We travel along the hospitals assigned to us, which are now re-profiled to receive patients with Covid-19, we help with what we can-we consult somewhere, we transfer patients somewhere. The working day begins at 7:30, at 8:00 - a unhealthy conference, where everyone reports on the past shift. Everything that happens in the clinic is discussed, including severe patients who require special attention. Then everyone goes to their departments to engage in patients. And so every day.

It is very difficult to work in a protective suit. But the situation dictates the rules on which your own health depends on first of all. Therefore, we try to do everything that we recommend - how to wash, do not rub our eyes, do not pick in the nose and not to bite the burrs on the fingers.

But in general, I can’t say that my current work is very different from the one that I got used to in “peacetime” - emergency resuscitation. The rapid development of events is generally a peculiarity of resuscitation. A few years ago, we went through another, influenza H1N1 pneumonia, which, like Covid-reproach, developed very quickly.

In intensive care, heavy all patients. But there are also different risk factors that exacerbate their condition (age, accompanying pathology, the background of this disease). Such patients naturally and predictably become more severe. But the running stages for now, fortunately, the minimum number: all are scared, and now even more appeals are not about than cases when people sat at home.

I hope that we will not have an Italian scenario when we had to choose whom to take for a resuscitation bunk . And I really hope that the Moscow situation will not spread to the regions, after all, the crowding of the population and the probability of transfer there is less.

But in fact, the speed of spreading an epidemic is a question of discipline. When they say to people: observe the regime, quarantine and self -isolation, and today there were traffic jams on the Moscow Art Theater, then what to talk about? I would like to turn to people: “Do not go crazy, do not create a panic. But at the same time, take care of a little of yourself and your loved ones in order to reduce the likelihood of distribution and not bring us to the European script. ” I really want all this to end as soon as possible. On January 15, I had a son, for safety reasons, he and his wife left Moscow, I live in a city apartment alone. And it turned out that it is very difficult to watch how your child grows, only on the monitor screen.

"To assess the situation, there are only ears, hands and eyes"

Dmitry Aliyev - Officer RNIMU named after N.I. Pirogov of the first year of study in the specialty "Therapy". He works in a clinic No. 175 in the Ivanovo region.

I got a job at the clinic for half -time in November 2019, I have been working for five months, and the situation has developed before my eyes. We knew what we had to prepare for, but still everything began suddenly. Earlier of all, the lack of hands felt the primary link. Now all the doctors are removed from the reception and go to calls, the number of which has increased about three times. If earlier on Saturdays I had up to 10 calls, now they can be 30. And now they can start transferring into plots, to help at home and many narrow specialists.

Most calls are to patients with colds. Pressure, dizziness, etc. - no more than 20%. Not all challenges are justified, because many people are scared and not like before, they perceive a banal runny nose and temperature 37 , which could not pay attention to at all. It is important not to miss the onset of Covid-19 among such calls. At the same time, in the clinic, you can at least make an X -ray and take blood, and here to evaluate the situation you only have ears, hands and eyes. This disease is previously unknown, new information comes every day, and the Department of Health constantly updates methodological materials for us.

Photo: from personal archive

If you suspect a coronavirus infection, I take a smear from the patient (we have a tube for strokes with cotton sticks) and attribute it to the clinic. If the test is positive, quarantine is introduced, the whole family of the sick is examined, and then a separate doctor is engaged in it.

“What will happen next, I don’t even want to think”

Today there are already standards and treatment schemes for such patients. The doctor goes to them not alone, but with a paramedic or with a nurse, they have special protective equipment, and they take repeated strokes.

There are practically no disappointed cases, so you know in advance whether you will be faced with coronavirus or not, it is no longer possible. It is also difficult for people to say where they could pick up the infection, all the same, everyone has to go - to shops, to the pharmacy, not everyone uses mask and gloves. But this really helps to stop the spread of the virus, as well as compliance with hygiene rules, and self -isolation. And helps us, doctors, in the fight against pandemia. Therefore, we repeat again and again: please do not leave the house! We do not have such an opportunity, I go to work from the region, on a minibus. At work, my protective equipment - gloves, a mask or a respirator, glasses, a hat and a dressing gown. At home - immediately shower and no contacts with relatives from the risk group, with grandparents.

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The material uses links to publications of social networks Instagram and Facebook, as well as their names are mentioned. These web resources belong to Meta Platforms Inc. - It is recognized in Russia as an extremist organization and is prohibited.