Here's another account Lee, from another Italian ICU doctor in Bergamo (home to one of my favourite football teams, Atalanta).
Thread by @silviast9: 1/ I may be repeating myself, but I want to fight this sense of security that I see outside of the epicenters, as if nos going to happen "here". The media in Europe are reassuring, politicians are reassuring, while there's little to…
threadreaderapp.com
The twitter unroll is actually a summary of a longer article in Italian linked below - use google chrome and autotranslate.
Con un lungo post su Facebook, il dottor Daniele Macchini, medico dell’Humanitas Gavazzeni, racconta la sua vita in prima linea per contrastare il coronavirus. È una testimonianza da brividi, da leggere dalla prima all’ultima riga.
www.ecodibergamo.it
A short part of the article.
"Now, however, that need for beds in all its drama has arrived. One after another, the departments that had been emptied are filling up at an impressive rate. The display boards with the names of the sick, of different colors depending on the operating unit they belong to, are now all red and instead of the surgical operation there is the diagnosis, which is always the same cursed: bilateral interstitial pneumonia.
Now, tell me which flu virus causes such a rapid tragedy. Because that's the difference (now I'm going down a bit in the technical field): in classical flu, apart from infecting much less population over several months, cases can be complicated less frequently, only when the VIRUS destroying the protective barriers of the Our respiratory tract allows BACTERIA normally resident in the upper tract to invade the bronchi and lungs, causing more serious cases. Covid 19 causes a banal influence in many young people, but in many elderly people (and not only) a real SARS because it arrives directly in the alveoli of the lungs and infects them making them unable to perform their function.
Sorry, but to me as a doctor it doesn't reassure you that the most serious are mainly elderly people with other pathologies. The elderly population is the most represented in our country and it is difficult to find someone who, above 65 years of age, does not take at least the tablet for pressure or diabetes. I also assure you that when you see young people who end up in intubated intensive care, pronated or worse in ECMO (a machine for the worst cases, which extracts the blood, re-oxygenates it and returns it to the body, waiting for the organism, hopefully, heal your lungs), all this tranquility for your young age passes there."