Name: Italy to 'prioritise patients with highest chance of survival' from coronavirus, says doctor
Uploaded: 2020-03-24T07:04:04.000Z
Duration: 8 min 17 s
Description: Thousands of YouTube videos with English-Chinese subtitles! Now you can learn to understand native speakers, expand your vocabulary, and improve your pronunciation...

Adverbs of degree

You know, things are just as bad as last week.

So every day we struggled to find enough that for for our patients and the number of patients keeps increasing.

We have treated in total in our eyes to use Ah 1300 patients right now, and almost 1000 of them are currently being treated at the issue.

So it's a continues increase in the number of patients, but this was somewhat expected because clearly all those people are those who are developing the disease, and they were probably infected before they did look down off the country started.

Experts say that epidemiologists say that we should expect that beak off the curve for letting tomorrow or the day after.

And then hopefully we should start to see atleast a flattening off the curb and then finally a decrease.

But for the eye cuz I expect that if this happens, we will we will.

We will realize it not not earlier than next week, so at least this week is expected to be to be very bad for us.

We've been the first region, Um, way a serious infection.

I mean that probably the virus has been around for at least one month before the first cases.

So during that period that we were not able Probably to diagnose a recognize a typical pneumonia due to Corona virus.

And so in that period, many people got infected, and then something happened like it happened in with Eva Han something happening in Caledonia.

And then the fire started from there, and and our region has a very high density of population.

Many people coming and going, you know, moving around Milan is the center of this.

And so the virus had quite a long time to spread.

And probably many, many people, many, many infected people.

Everybody everywhere is learning about the virus and how to tackle it.

Now, would you have started in a different way?

Because, you know, it's, um it was just a big surprise for us, and everything happened in life one today.

Tried to track every contact off the first patients.

Uh, but this has been incredibly difficult because again, for example, we did not find the patient zero.

But we find only the patient one, and, ah, meaning that there are.

There were a lot off, probably a symptomatic positive patients around.

And so, um, maybe the only thing that we could that could have done could have been done differently would be toe anticipate the lock down off the region and then off the country.

So possibly that that that's the only possible measure.

Or do you have to decide ultimately, whether someone lives and someone else dies?

That's ever is a very important point in our in our life, as intensive ist not only during the Corona virus outbreak, but in our normal life.

We always, you know, have toe make the decision.

Whenever we we are called to see a critical patient, whether that patient can benefit or not from invasive treatment, because our goal is to be proportion ating care.

Okay, so people who are good candidate for intensive care should receive intensive care people who are not a good candidate for intensive care because their chances off surviving or an end or off returning to normal part of life, uh, should not receive intensive care independent on the number of Freeman's along.

So until now, I can say that by increasing our human capacity and that by increasing the total capacity of the system, we have been able to grant, and I see you bet and a ventilated toe every patient who has been judged as it reasonable candidate for issue.

And I'm afraid that if we keep it keeps going like this, we will get to the point where the number of deaths will not be enough for the number of patients.

So in that case, we will have to prioritize those patients who, with the highest chances of surviving.

But until now, I can say that we have been able to treat every patient who was who deserved.

And I see you've met we in Britain up behind you in the tower outbreak was after yours.

Do you have anything you can tell us in Britain about what to expect?

I think that the other countries and other regions have a small advantage compared to us, which is that you know that the virus is around.

So you had some time to realize it and that you will probably be probably easier for you to try to identify the first cases because now, clearly everyone who go to the hospital with fever, calf and infestation pneumonia is a suspect case, so you can diagnose the first cases and you can track their contacts and you can try to contain the spread of the disease in limited areas.

So that's my hope for for other countries that they will be ableto contain the spread of the disease.

And to avoid this explosion of patients which invested us in the last three weeks.

Do you actually see people recovering on?

In which case, what's our proportion of people are recovering well, luckily enough, we see people recovering.

We see people recovering also from the I.

Um, it's very early to say because, for example, Frei to you for a rescue patients.

The immortality published in the Chinese population off patient undergoing invasive mechanical ventilation was about from 40 to 50% Um, and these percent the percentage of people who die increases with age and sharply after the age of 65.

Um, what we're seeing now is that, uh, we out off those the 1300 patients that we have treated in the I C u.

The percentage of pay patients who died was about 13 to 14% and the same percentage of patients have bean discharged from the issue.

But again, it's a short period observation because you have to think that most of these patients stay in the I.

U and stay on the ventilator for a two least a couple of weeks.

So it's very early to give an estimate off the mortality, which will should certainly be higher than 13%.

But we have seen, uh, almost 200 patients recovering from my ex.

A lot of patients are discharged from the hospital.

So now the problem is that number of patients who go to the hospital is higher than the number of fishes are discharged.

But it clearly it's a disease that can that can recover, prevents aggressively.

 Thank you very, very much for talking to us. 