Dr. Eran Rotman, director of Beilinson Hospital, spoke this morning (Tuesday) with Guy Peleg and Anat Davidov on 103FM and told about the congestion at the hospital. In addition, Dr. Rotman predicts that in the coming weeks we are going to see the results of the many gatherings on Yom Kippur: “Just as we are now seeing the results of Rosh Hashanah meals on the Thursday before the closure.” Rotman added: “Prime Minister Netanyahu spoke “We have 1,500 critically ill patients, assuming that everyone adheres to the closure. If people continue not to follow the guidelines, we will see much larger numbers.”
Anat: Let’s first hear what the Deputy Director General of the Ministry of Health, Prof. Itamar Grotto, said yesterday and we will continue to speak. The Prime Minister spoke yesterday about 1,500 patients in a very difficult situation this week. Do you appreciate that we go there?
“First of all we see a gradual increase in the number of patients is difficult and we expect there to be a larger increase in terms of its scope, when even if it is not within a week it can also be within two weeks and there is no doubt we all need to prepare and we are already preparing for that.”
Guy: According to the reports we are exposed to, about a third of the patients are ultra-Orthodox, is that also a situation at your hospital?
“The situation is that there are more ultra-Orthodox than their size in the population, but there are certainly patients from the Arab, general sector. We certainly see disease among all the people of Israel and we must take it to all of us that this disease does not miss anyone and we certainly see the results of The conduct on Rosh Hashanah not only among the ultra-Orthodox, but also among all those who made holiday meals on the Thursday before the holiday, all those who continued in the gatherings. “
Police are enforcing the closure. Photo: Ron Yarkoni PR
Guy: I think you missed the word promiscuous conduct, right?
“It can certainly be called that and again I think it is the personal responsibility of all of us and none of us should forget that it is a personal, social responsibility and it is possible to impose a closure for half a year but even within this closure if we do not keep the closure guidelines useless “Also during Yom Kippur we saw gatherings in some places and areas and it is important to understand – if a closure is announced, it does not mean that you can try and look for ways to get around it and get around it. These are instructions from all of us.”
Anat: Yesterday we saw and even now Sen. Aharoni told about it, a big tish in Bnei Brak, such a tish with hundreds of people even more, what is its effect?
“We know and this has been backed up by studies that being crowded in enclosed spaces when it comes to corona morbidity is extremely dangerous. By the way, there are already studies that also show what it means to have crowded gatherings in open areas but all the more so when we talk about enclosed spaces, we’ve seen it All this time also in the wedding halls and other events, and again also in the synagogues what was on Rosh Hashanah, there is no escape, any such event means sickness and morbidity on a large scale immediately on the order of several days later, and the serious patients by the way of these events seem on the order “Ten days and two weeks later, so think about where we’re going.”
Anat: That means it will be more than 1,500, more than what the Prime Minister said yesterday.
“The prime minister said it would be 1,500 assuming the closure is enforced and people follow the guidelines. If people continue not to follow the guidelines despite the closure, then surely we may see much larger numbers. ”
Guy: This epidemic has been with us for almost half a year, a size closure of half a year, I wanted to ask if anything in your treatment has changed along the way. That is, are you the one giving the same treatment, in a significant number of cases emergency treatment, have you learned anything about the virus?
“Certainly, learning is fluent. A. We breathe much less today and know how to do everything not to reach the state of the soul, of course to the point where he has no choice but to feminize the patients. Therefore the therapeutic ways given today are much more informed and after learning and experience “Only from the country but from all over the world, there is mutual learning in the entire world health system. So the patients today are definitely being treated better than at the beginning of the corona plague at the world level.”
Guy: And yes and on the other hand the teams are more worn out, tired, more staff members go into isolation on their own.
“True, and we all need to understand that any team that enters the Corona ward is a team that until that day treated other patients in other wards. There are no surplus staff so as we prepare and there is no doubt we prepare for larger numbers of patients, it will be at the expense of other patients. Which is not urgent, and non-urgent treatments will be postponed as a result. “
Anat: What is the situation at your hospital? We hear from Rambam and we know of other hospitals that are opening underground parking lots and converting them into Corona patients’ wards. How is Beilinson in the picture?
At Beilinson Hospital, two floors were built several months ago inside the parking lot that can accommodate about 200 corona patients. The amount of manpower then in order to absorb everyone who will need to receive treatment. “
Guy: What about the age of the patients, the patients are difficult? We still see a picture that this virus is harming older adults more severely?
“The virus affects an older population but also a younger population, any patient who suffers from some kind of chronic illness and it also exists in our 40s and 50s and 60s, definitely causes us to be more exposed to the virus. We see a population of relatively young patients who have had transplants and patients So again, this is not age, it’s also everything beyond. “
Anat: Today we are talking about second-time infections, in Israel it seems to me that there is one or two such cases, but this is something that is already being talked about. How do you explain that ??
“Again, A. These are very specific things, none of us still know in the long run what the level of immunization is and how long it lasts, and these are things that like I said before we study them and learn them. At the moment there is still no way to come and define it happens or “That’s not going to happen. It’s still in the works.”
Anat: Last question, the number of deaths in the last month less than a month is about 500, the total number of deaths here is 1,507. How do you explain this large number of deaths in less than a month here?
“The death toll is a function of morbidity, and the higher the morbidity, the higher the mortality rate. We still do not see an increase in mortality due to congestion in the health system, we are not there yet, we see the same morbidity rate as before But it is important to emphasize here that the more patients there are in the health care system, it can also reach a threshold where the mortality rate will increase because for that matter respiratory patients will already be treated by teams that are not the day-to-day teams that treat respiratory patients. “.
Prof. Rothstein: “The government transferred billions? Apparently there is a blockage in the pipe”
Hadassah Ein Kerem CEO Prof. Zeev Rothstein told B. that the hospital under his management is in serious budget difficulties, mainly because a state budget has not yet been approved: “Why do I have to look wistfully at the drug truck that turns around and does not leave me to treat people? I miss the usual supply of medicines to the hospitals. We have a live business note that did not resolve the hospital issue. “Why can’t I add more medical students and not be able to absorb the medical school he graduated a week ago?”
Prof. Rothstein wanted to make it clear that the hospital is not collapsing “and I will not throw a corona patient because I have no place.” At the same time he noted that the severe lack of budget led him to take a loan from the HMOs: “Q some people who receive a salary to take care of the budget of the hospitals and I turn to them, that this is their job, you will get out of indifference. For every patient. “
The director of Hadassah also clarified that in his opinion a significant change should be made in the corona testing policy. According to him, the best way to reduce the incidence of the disease is by identifying “super-infectious people” – people who regularly, due to their work, meet many people every day. Prof. Rothstein says that corona tests should be performed on all those super-infectious agents, so that the level of morbidity can be reduced by tens of percent every day.
*The article has been translated based on the content of Source link by https://www.maariv.co.il/corona/corona-israel/Article-792508
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