“Everything is transforming again, once again. But this time it’s not like when there was the lockdown and people stayed indoors. Now they are all around, there is the flu, the other sick people: where should we put them? “. On the phone with Francesca Fratianni, head of health for the Fp CGIL from Trieste e Gorizia, it feels like you’ve gone back a year or more. In the capital of the Friuli Venezia Giulia it is all a transfer of personnel, between departments that are closing to face the new wave of Covid that in this borderland raises its head too quickly. The seriousness of the picture lies in the numbers released by the president of theAssociation of Italian hospital resuscitators (Aaroi-Emac) Alessandro vergallo: in the region, he said, “there is a situation alarming for the employment of terapie intensive. It is beyond the 10% threshold“. And despite the reorganization of the departments, the emergency room of theCattinara hospital, one of the largest in the region, is already in trouble. So much so that Fp Cgil, Fials and Nursind have signed an appeal to Doctors Without Borders, Emergency and whoever will be able to send personnel to help local health. According to Vergallo, “if the green pass rule is not strictly applied and third doses are not encouraged, we could reach a dramatic situation within a month and a half about all over the country “.
In Francesca Fratianni’s voice there is an alarm that is already beyond worry. Because in Trieste and Gorizia the situation has exceeded the alert level, while in the whole region coronavirus cases and hospitalizations continue to rise. “Slovenia e Croatia are red areas with a low number of vaccinated, from where many workers come to whom nobody checks the green pass“, explains. And then there were the No Pass events. “Both in Trieste and Gorizia, with many people coming from outside the region who filled public transport and bars”. But above all there is the question of unvaccinated health workers. “Between exemptions and no vax all direct assistance is in crisis, just think of the services related to psychiatry, which in the city of Franco Basaglia sees 24-hour operations suspended and two offices closed due to a lack of 50 staff “. In general, they are only in Trieste healthcare 65 the exonerated from the vaccine e 50 suspended because they didn’t want it. If we take into account that a department has an average of 20 units, these numbers already correspond to five closed departments. And indeed rehabilitation, including post-stroke rehabilitation, and geriatrics in the central Maggiore hospital have already been closed.
“Then there is the medical clinic, already transformed into a Covid ward, while the surgery general he comes sacrificed to open a Pneumo Covid department. And then there is theHyperbaric which is the regional reference center and risks closure because it is necessary to recover two anesthetists for Covid patients “. And that’s not all: “The entire operating complex has reduced the number of sessions and the day surgery have been closed, only emergencies are operated “.
Yet, despite the efforts and sacrifices on the other fronts of assistance, the places recovered are too few. Because the fourth wave seems to be moving fast. “The home checks of the special assistance continuity units, the Usca of Trieste, close the evening shifts with dozens of people still to be visited, even sick people with red stickers. Lately they left them in charge of the doctors on call, that’s how we are”Says Fratianni. A situation that in the emergency room of the hospital of Cattinara translates into a constant average of 20 Covid ventilated, who remain in Intensive Short Observation until they find accommodation. And in the appeal of the unions it refers to patients undergoing ventilation “without an available bed”. “Like this whoever arrives at the emergency room does not see a single stretcher, there are none. All already inside, all already occupied ”. And again: “We have 30 Pneumo Covid beds, currently 23 occupied. But the problem is that there is a lack of specialized personnel, which needs 12 months of training, and meanwhile we lose anesthetists who between stress and 12-hour shifts have decided to leave and go private. Four in the last six months ”. In short, the health company, explain the local unions, “despite having the necessary ventilation equipment, it is not staffed with sufficient staff for the use of this instrumentation “, while the current suspension of specialized professionals” does not guarantee the normal coverage of shifts and does not allow to train the few units that the system tries to recover with the closure of ordinary hospital wards “.
So much so that the unions have launched a sos and an appeal, starting with those sent to the Minister of Health Roberto Speranza and to the governor of the region, Massimiliano Fedriga. But above all to realities such as Emergency and Doctors Without Borders, so that they offer the support of doctors and nurses to stop the situation. Unfortunately, the first negative answer has already arrived. “The operating medical department confirms that unfortunately at the moment we do not have medical staff on the Italian territory that is not already employed in other services”, said the humanitarian association Emergency. “We are therefore unable to satisfy the requests that we receive in this sense”.