ITALIAN ICU Physician interview

[Doctodd]

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different than what the media has portrayed....

Among other things, the media has painted a picture of people being denied care. At around the 21 minute mark the interviewer asks him this directly, if people are being denied treatment or ICU care(ventilators), and the answer is no. He says they have been able to keep up. He is in northern Italy where there are about 50-60 hospitals with ICU capability that he is aware of.







Read the report of Dr Cecconi's experience at: https://jamanetwork.com/journals/jama... Topics covered in this video: Where is Lombardy in Italy and why is it unique? (2:22) COVID-19 cases and case-fatality rates in Italy to date (3:45) What happened after the first patient tested positive? (4:45) How did you reorganize your intensive care services as cases increased? (6:52) How many critical care beds were available the first week? (8:54) How many ICU beds were you able to add as cases surged? (10:10) How does your experience match China's? (10:57) Have there been infected children? (12:50) Are the younger patients (30-40 yo) doing well after receiving treatment? (14:51) Have you created separate ICUs for COVID-19 patients? (15:47) How are you protecting health care personnel? (17:20) Are health care workers allowed to go home? (20:36) Are you making painful triage decisions? (21:30) Are you seeing non-respiratory manifestations of disease? (22:52) Are you using therapies besides traditional approaches to respiratory failure? (24:50)

 

[lonelobo]

For those of us not watching a 40 min podcast, what is the synopsis?

 

[Ducttape]

it was not any different from what I had thought was going on....

I watched the entire video. does not seem different than what I had expected - a lot of patients, those who do poorly are sicker and older.

 

[lonelobo]

So different than the media portrayed?

 

[NOSfan]

From the video:

 

[lonelobo]

Italy
Coronavirus Cases:
80,539
Deaths:
8,165
Recovered:
10,361



So again DocTodd, what falsehoods are the media portraying about the situation in Italy

 

[Ligament]

different than what the media has portrayed

how is it different? Sorry I dont have time to watch the whole video just yet. thanks for posting!

 

[paindoc007]

Italy
Coronavirus Cases:
80,539
Deaths:
8,165
Recovered:
10,361



So again DocTodd, what falsehoods are the media portraying about the situation in Italy

sounds like he wanted an attention grabbing post. Lol

 

[Doctodd]

Among other things, the media has painted a picture of people being denied care. At around the 21 minute mark the interviewer asks him this directly, if people are being denied treatment or ICU care(ventilators), and the answer is no. He says they have been able to keep up. He is in northern Italy where there are about 50-60 hospitals with ICU capability that he is aware of.

 

[lonelobo]

Among other things, the media has painted a picture of people being denied care. At around the 21 minute mark the interviewer asks him this directly, if people are being denied treatment or ICU care(ventilators), and the answer is no. He says they have been able to keep up.

Hmm ....so every story about their hospitals being overwhelmed is false?

 

[Doctodd]

sounds like he wanted an attention grabbing post. Lol

no

 

[Ducttape]

some people are much more gullible...

when you look at the source of these stories, the actual original news items were about proposals to give doctors guidelines on whom to provide lifesaving treatment (ie ventilators) to reduce the ethical dilemmas that may weigh on the individual doctor, when the system was overwhelmed.

nypost, a conservative media source, was one of the big proponents of making it into the non-story of denying those over 80 of needed care.

I found this out independently, but, fwiw, USA today did fact check it:

Fact check: Were elderly Italians left to die? And is socialized health care to blame?

Claims have surfaced that Italy, ravaged by coronavirus, would leave its elderly to die. And blame falls on Italy's socialized health care system.

www.usatoday.com

fact of the matter - deciding who gets the most extreme treatments is called triage, and is a key role of ERs.

 

[Doctodd]

some people are much more gullible...

when you look at the source of these stories, the actual original news items were about proposals to give doctors guidelines on whom to provide lifesaving treatment (ie ventilators) to reduce the ethical dilemmas that may weigh on the individual doctor, when the system was overwhelmed.

nypost, a conservative media source, was one of the big proponents of making it into the non-story of denying those over 80 of needed care.

I found this out independently, but, fwiw, USA today did fact check it:

Fact check: Were elderly Italians left to die? And is socialized health care to blame?

Claims have surfaced that Italy, ravaged by coronavirus, would leave its elderly to die. And blame falls on Italy's socialized health care system.

www.usatoday.com

fact of the matter - deciding who gets the most extreme treatments is called triage, and is a key role of ERs.

i can’t speak for every source of every media story, but if you watch the video starting around the 21” mark, the interviewer asks a pretty direct question to clear it up.

JAMA is not my favorite source, that’s for sure.

 

[lonelobo]

920 deaths in Italy today

 

[Doctodd]

yup the numbers dont look good at all. I wonder if he will revisit the statements in his interview based on the passage of time. I saw a NYC ER doc video who was almost crying.