Metropolitan doctors have been fighting a dangerous and insidious enemy for almost a year - a new coronavirus infection. In the spring, at the peak of the pandemic, more than 69 thousand doctors helped the sick. These are doctors, nurses and nurses, ambulance workers. They are the ones who have been at the forefront of the fight against COVID-19, risking their health every day.
What was the year 2020 for metropolitan doctors and when will it be possible to declare victory over the coronavirus? How different is the current situation from the spring peak, and how do doctors cope with the load? Chief doctors and heads of Moscow clinics, hospitals, medical research institutes told mos.ru how the balance of power has changed over the year and whether it is possible to take control of COVID-19.
Denis Protsenko: The task of vaccination is to control the incidence and minimize severe cases
Chief physician of the medical complex in Kommunarka
The last spring was the most difficult. We were faced with a disease that was incomprehensible to us, it was not clear how to treat it, how to treat it, the peculiarity of the severe course was not clear. We mastered all this on the fly, analyzed, delved into, discussed with our colleagues, including foreign ones.
The current situation is different in that, on the one hand, we have learned to quickly diagnose this disease, we have acquired certain tools for the relief and treatment of severe forms. But, unfortunately, there is no ideal targeted drug for treatment yet, and this is also a limitation that we face.
Of course, in the context of viral epidemics, vaccination is the only possible way out for prevention. And the fact that a vaccine was created so quickly in the world, and the fact that Russia has this vaccine, and more than one, inspires optimism.
In the fight against COVID-19, Moscow is an example not only for the regions, but also for many countries of the world. We are talking about a quick response, quick re-profiling, no shortage of beds, rapid deployment and construction of reserve hospitals, quick equipping of this number of beds, a rapid increase in the resuscitation bed capacity, equipping with oxygen, the absence of its deficit, the availability of devices, the creation of local ducts, constant discussion. It seems to me that all this should become an example for many cities and regions.
For Muscovites who, fortunately, have not been affected by the coronavirus, I can probably advise two things. The first is to get vaccinated. And the second is to continue not to lose alertness. Wear masks, change them regularly, maintain social distance and protect yourself as much as possible from unnecessary contacts, getting into crowded places.
Vaccination will give us the opportunity, if not to win, then to control the coronavirus. Defeating an infection is actually very difficult, but controlling it, minimizing severe cases and managing disease through vaccination is the future of 2021. I really hope so and believe in it.
Valery Vechorko: You shouldn't relax
Chief Physician of the City Clinical Hospital 15 named after O.M. Filatova
COVID-19 is insidious and unpredictable. And although its genome and the mechanism of influence on the body have already been studied, it is not possible to calculate and predict how the virus will behave in each specific case. Someone suffers the disease asymptomatically, someone goes to intensive care.
We do our best to help, heal. And we succeed. Since March 27, we have treated more than 40 thousand patients. I would like to note that during this time we have discharged more than 700 patients over the age of 90 years. And four of them are over 100 years old. Coronavirus infection is not a sentence, but it must be treated with the utmost vigilance.Muscovites shouldn't relax now. Even those who have already been ill. The virus is highly contagious. It is necessary to observe epidemiological safety measures, wear masks, gloves, use sanitizers, observe social distance and do not visit crowded places without unnecessary need.
No one in the world today will give you an answer to the question of when the pandemic will end. One thing is clear: for the virus to weaken and move into the category of seasonal respiratory diseases, it is necessary to form collective immunity. And for this it is necessary that more than 70 percent of the population acquire it. This is possible either after having been ill or having received a vaccine. The second option seems to me to be safer.
Andrey Shkoda: Have you won smallpox? Defeat the coronavirus
Chief Physician of the City Clinical Hospital 67 named after L.A. Vorokhobova
We already know how to treat COVID-19, how to diagnose it. A lot of experience has been accumulated in this regard, and it is worth a lot. All medical workers in Moscow - at all levels - worked as one team. We constantly exchanged the experience that we were accumulating, literally from the first day of the pandemic, we always felt each other's support - this is important.
We have opened four new medical institutions this year. But what does it mean to open? It is necessary to debug all the mechanisms, ranging from nutrition, treatment, supply, cleaning. In general, the whole complex. And we didn't just open them, they work like a clock. The reserve hospital in the Krylatskoye ice arena stands out in particular. This is a huge site, there are 1347 beds, of which 42 are intensive care units.
One of the achievements of Moscow is the organization of express diagnostics of lung lesions based on a neural network. It is popularly called the CT calculator. Our hospital carried out this work together with scientists from Moscow State University and the Department of Information Technologies. This service may not completely replace CT, but it is a new tool in the hands of doctors, which makes it possible to predict the course of pneumonia using blood tests and other parameters. This is a very accurate calculator. Hit - more than 90 percent.
We will defeat the coronavirus. Previously, people asked doctors: is it possible to defeat smallpox? We won. Can measles be beaten? We won. So the coronavirus can be defeated if we all comply with the requirements that doctors talk about. Of course, mass vaccinations will also contribute.
Sergey Petrikov: Moscow has always been one step ahead in the fight against COVID-19
Director of the N.V. Sklifosovsky
When we first faced the coronavirus infection, we did not understand the scale of what we would have to work with. Later we received an order for the re-profiling of our buildings. We did it responsibly: we redesigned the premises, made various locks, purchased consumables to protect the personnel. The scientific structure of the institute worked very seriously. Because it was necessary to prepare for how we will treat patients, after all, we are a research institute. On March 20 they opened and from the first hours realized the scale of the problem.
It should be understood that at the institute, the logistics of providing care to patients with coronavirus infection are different from hospitals. We have a large resuscitation fund - 92 resuscitation beds have been opened and only 43 hospital beds. Half of those patients who are in intensive care units require different methods of respiratory support, these are very serious patients.
Not a single country, not a single city has prepared for the treatment of coronavirus infection as well as Moscow. Moscow has always been one step ahead, and many measures were introduced preventively, and tasks were set in advance, various moves were thought out.
Moscow has a well-established state healthcare system. This made it possible to quickly and efficiently regulate the number of beds for patients with coronavirus infection. If necessary, whole hospitals were re-profiled. If this was not necessary, then they were returned to normal life.It is important that, in addition to treating patients with coronavirus infection, it was possible not to stop or reduce the amount of emergency planned care for patients.
The main thing in this story is to withstand until this whole coronavirus armada begins to decline. And in any case, it will decline, such are the epidemiological laws. We need to hold out, and preferably without heavy losses.
Nikolay Plavunov: We must make coronavirus infection controllable
Chief Physician of the Station of Ambulance and Emergency Medical Aid named after A.S. Puchkova
In the early stages of the pandemic, it was difficult to predict the development of this process. Although it was clear that this is an airborne infection with its own characteristics and clinical treatment. Nevertheless, it can hardly be compared with any other infection in terms of spread.
The situation today is certainly difficult, but it is much more understandable. It is clear how to work with the infection, a clear algorithm of actions has been created. So far, there has been no decline in cases either in the regions or in Moscow. There is only one peculiarity. At the beginning of this epidemiological situation, cases in Moscow accounted for approximately 75-80 percent of all cases in Russia, and now it is vice versa. Moscow is somewhere around 20-25 percent, and the rest of the cases are in the regions. Today the regions are using the experience of Moscow, which we have accumulated in the spring. The situation turned the other way, and, of course, Moscow turned out to be the most prepared for the autumn peak.
The combination of two methods - prevention and vaccination - will ultimately lead to a decrease in morbidity. Transforming COVID-19 into a common infection with a low incidence rate is the challenge we face.
We must make the coronavirus infection manageable. This can be considered a victory over COVID-19. We all strive for this. It is very important that everyone is involved in this - both medical workers and residents of the city, so that everyone makes their own contribution to the victory over this infection.
It is impossible to fight the epidemic alone, the system must work.
Natalia Kuzenkova: The most effective protection against coronavirus is vaccination
Chief physician of the city polyclinic 68
The most effective protection against COVID-19 is vaccination and the use of personal protective equipment. This is exactly what will help stop the spread of coronavirus infection. The doctors are already tired, the medical workers are tired. We have been working continuously since March. And all those city services that are involved in the fight against coronavirus infection are working with us.
The organization of outpatient CT centers implied a round-the-clock operation in which the clinics had never worked. Additional mobilization of resources was also required to organize a doctor's home call. All this required a larger number of specialists, greater care in their work, and adherence to the necessary treatment algorithms.
The infection is now better understood. We have a well-defined treatment algorithm, clinical protocol and clinical guidelines. The city buys all the latest drugs and provides all the necessary materials. But the city is not closed and not everyone follows the individual security measures that are necessary, which provokes the further development of coronavirus infection.
We will definitely defeat COVID-19. How much more time we will live with this virus depends on how socially responsible we are in relation to ourselves and our loved ones.
Maryana Lysenko: Now we know and can do a thousand times more
Chief Physician of the City Clinical Hospital 52
Moscow is not only the capital, but also the largest transport hub in the country. The metropolis is facing the most serious onslaught of coronavirus infection. But the city is no stranger to it: both the management structures, the special services, and the most important enterprises are ready for work of the highest complexity. The healthcare system is instantly mobilized and responds quickly to changes in the situation.
The main task now is to prevent an avalanche-like increase in the incidence.
At first, it was believed that COVID-19 is a disease of the elderly, but very young people, up to 30, are in our intensive care and intensive care units right now.
It is difficult to predict the course of the disease. Deterioration of the condition is possible at any time. Therefore, any patient must be constantly monitored, even if experience says that there is no reason for fear.
We finally have at our disposal a means of final victory over the coronavirus - a vaccine. All epidemics since the time of Catherine II have been defeated, and the use of vaccines began with her. Then the doctors took the contents of the smallpox pustule, dried it - this was the vaccine. It is impossible to imagine such a thing now. But that vaccine worked, smallpox was no longer an irresistible force.
Now we know and can do a thousand times more. Probably, the end of mass vaccination can be considered the point of final victory.