As the virus progresses, symptoms of hope begin to appear in hospitals in Paris

PARIS (AP) – He coughs dry as he pedals – after the effects of his own personal battle with a hack, hack, COVID-19 – the doctor cycling through the darkness of pre-Paris, meeting his crisis Accelerates hospitalization where, back in February, the disease first evacuated more than a quarter million dead in Europe.

In the nine months since then, critical care chief Philippe Montravers and 150 doctors and nurses who led him to the Torring Bichet Hospital in Paris have become experts about their enemy. This knowledge is proving invaluable against the second deadly surge of the virus that threatens to sink again European Health System.

Pedaling and splitting as he paddles, as his lungs are still congested, Montravers details the progress he and his team have made under his care as he fought the grueling early waves last spring, Medical advances that were helping Bisht and other hospitals. Resists renewed infections better. Bikat was the first hospital outside Asia in February to report the death of a virus-infected person: an 80-year-old tourist from China.

“In the first wave, people did not dare to come to the hospital. They were scared, scared of being infected, “recalls Montavors. “When they arrived, they were on their last legs, exhausted, unable to move and so – hop! – we informed them and ventilated.”

Now, there are steroid treatments that were not available to Bitch’s doctors in the first boom. They have also learned not to put oxygen on the ventilator if possible and instead keep them awake and bathed in oxygen through a face mask instead of an invasive tube. The sick are also giddy, and are seeking help first for their symptoms, which makes them easier to treat.

Added together, these and other advances mean that patients are spending days rather than weeks in critical care more often and are living in greater numbers.

“We live about 15 days caring about them and the death rate has reduced by almost half,” Montravers says.

This painting is also nationwide. Although France now has more patients hospitalized with the virus than during April of the initial wave, there are about 2,000 fewer in intensive care. The situation remains grim, with one in four deaths in France now linked to COVID-19 and the country is largely shut down again. But hospitals appear to hold hospitals in the coming days with the ability to survive the elevated high point to sweep across France.

“The system is on the verge of eruption, but at the same time, there is little hope at the end of the tunnel,” says Montavors.

In other major hospitals in Paris, anesthetist nurse Damien Valeant-Fallquire is also beginning to believe that he will also see this wave of infection.

When the system was battling coronovirus cases in the spring, it was fired from its specialized job to put people to sleep for surgery and instead threw respiratory care patients into battle in the intensive care ward .

But this time he has not been drafted, even in cases in which he was snowballed, which helped him continue care for non-COVID-19 patients who underwent liver transplant and cancer surgery. .

“In September-October, I and most of my colleagues were convinced that we were going back to the ICU,” he said. “But at the moment, no.”

Bichat is able to establish more resources for life-saving non-viral treatments.

Montravers says that in March – April, the hospital, which specializes in heart and lung transplants, stopped about two-thirds of surgery to free up space and staff for patients with the virus. This time, only one-third of surgeries are being postponed. Teams that have gone on to fight the virus included a lung transplant last week and another transplant a week before that.

The illuminated towers of Notre-Dame Cathedral flow as Montravers pedal against the light skies in their morning meeting. There, he and other hospital administrators discuss how to divide their beds and personnel. A question he is asking himself as he rides what might be the next 48 hours? Should he mothball more operating rooms to divert additional resources to fight the virus?

“The situation in the hospital is complicated because we are not sure where we are going, at all,” he says.

From personal experience, Montavors are doubly aware of how viruses can surprise spring. He and his wife, who also work in a hospital, were “completely destroyed” for two weeks when they were infected, with fever, headaches, pain and coughing. He lost 5 kilograms (11 pounds) of muscle, which he is now trying to regain on his bike.

But the good news about his morning ride was that the previous night was quiet in his critical care department; They took just one additional coronavirus patient, a 70-year-old woman with breathing problems. They still had beds to spare in an operating room that had been converted for use with critical care in case of any sudden avalanche of virus cases. Until now, they did not need to.

“It’s not a tremendous tide, as we were expecting,” he said. “Things are not doing so badly and not as badly as we expected a month ago.”

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