Krasnodar, 8 October. Our today’s interviewee is Sergei Gabriel, Chief Physician of the Krasnodar Regional Hospital No. 2.
Q.: After all, what COVID-19 is and why is it so dangerous?
A.: A year ago, when the pandemic was beginning, I as well as many others did not take it very seriously. I thought it was one of many usual viruses. However now I understand that this is an absolutely different virus having grave consequences. It is absolutely not the flu virus we all are used to.
Q.: What problems appear with diagnostics of this infection?
A.: About 20 to 30 percent act as carrying agents, however they do not fall ill or have any clinical symptoms. Most probably, this is related to the concrete person’s immune response. As for many others, who are hardly withstanding their illnesses, some signs give us reasons to assume that this is coronavirus – but the result of their analyses is negative.
Q.: Why does it happen?
A.: The thing is that a negative coronavirus test cannot be treated as evidence of its absence. In other words, if it sits somewhere deep in the lung tissue, it may not be exuded through the respiratory tract. We have not studied this virus completely yet, and there are very many questions to it.
Q.: Academician Feliks Yershov believes that it is still the continuation of the first wave of the pandemic which we are experiencing now in the country. What is your opinion?
A.: I also support this opinion – it is still the first wave what we are experiencing now. I would like to hope that it would be the last one. In Russia, due to all quarantine activities, the pandemic has not become expressed so aggressively – we have smoothly reached the plateau, and I believe that the pandemic would disappear by next summer and that there would not be any new wave.
Q.: How did the quarantine help?
A.: First, it ensured lesser number of the diseased. The entire health care system and the concrete hospitals had time to get prepared for the treatment courses. Secondly, our industry also had time to get prepared. When the pandemic was beginning, there were difficulties with purchases of personal protective devices and medical preparations.
Q.: Last spring, your hospital was transferred into a COVID treating facility. What was done to ensure the high level of its work?
A.: The entire 12-storey building was switched to the work in infectious mode. We added additional oxygenation points and redid the ventilation system. The number of artifi cial lung ventilation devices increased. Their number has grown from 68 at the beginning of the pandemic to 92 now, and that will do: at the moment, a half of them are being used.
Q.: What personal protective devices are dispensed to your staff?
A.: Before entering the red zone, everyone must put on overalls fully covering their hands, neck and head. It is necessary to wear a respirator and protective goggles. They all, except for the goggles, are disposable things. All protective devices are given at the entrance lock. At the exit, physicians take them off in specific sequence. Then they take a shower and put on clean clothes. The individual devices are disposed in disinfection chambers.
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