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  #18541  
Old 24.12.2020, 11:41
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Re: Coronavirus

Just noted that only 1/3 of the article has been translated in the free version. Maybe someone has the pro version of deepl.
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  #18542  
Old 24.12.2020, 13:57
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Re: Coronavirus

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Good NZZ piece on the tremendous work of medical staff in the Covid stations. To me it is crystal clear that currently available medical care is by suboptimal for anybody that needs to go to a hospital. And not getting better anytime soon.

https://www.nzz.ch/zuerich/coronavir...mpf-ld.1592655
Thank you for posting...

I've often thought that it must the nurses and doctors working in the hospitals who have the most realistic understanding of this virus and pandemic. For most of us, it's just something we read about in the news, I guess (unless or until we're unfortunate enough to have a loved one badly affected by it or are affected ourselves).

Maybe if some of these anti-maskers and people who think the virus is "no big deal" had to visit an ICU ward then they would have a different and more realistic perspective.
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  #18543  
Old 24.12.2020, 14:38
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Re: Coronavirus

I wish that Swiss and German TV would show more of the bad bits! You tend to get some on the Brit TV's, but not enough here.

It might change a few minds...

besides that

'av a GREAT Xmas y'all

and stay healthy

GREG
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  #18544  
Old 24.12.2020, 14:59
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Re: Coronavirus

Todays published numbers are 4898 out of 48 k tests

193 hospitalisations
103 death

https://www.covid19.admin.ch/en/overview


Compared to last week thursday

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Todays published numbers are 5058 out of 40 k tests

216 hospitalisations
102 death

https://www.covid19.admin.ch/fr/overview

Last edited by Sigh; 24.12.2020 at 15:04. Reason: Added info
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  #18545  
Old 24.12.2020, 15:04
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Re: Coronavirus

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Todays published numbers are 4898 out of 48 k tests

193 hospitalisations
103 death

https://www.covid19.admin.ch/en/overview


Compared to last week thursday
Steady two months now with 100 deaths a day.

Merry Christmas!
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  #18546  
Old 24.12.2020, 15:33
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Re: Coronavirus

Here’s the whole thing from NZZ (I have deepl pro). Tried to edit out photo captions. Good article.

"The fear that the patient will suddenly stop breathing accompanies me" - three female nurses report on the grueling battle against the corona virus.
Never before have there been so many corona patients in the wards of Zurich hospitals as there are these days. And now, of all times, important helpers are missing. Can the staff hold out?

Fabian Baumgartner, Jan Hudec
Dec. 24, 2020, 05:00 a.m.


Doctors and nurses in Swiss hospitals are at their breaking point. Last week, the directors of the three largest Zurich hospitals therefore issued urgent warnings of a collapse of the healthcare system. André Zemp, director of the Zurich City Hospitals, put it this way: "The staff is not equipped for a continuous marathon; a significant reduction in the number of infections is needed."

One of the crucial questions of this second Corona wave is therefore: how long can the staff endure this marathon against the virus?


Three female nurses from Zurich hospitals describe how they deal with the exceptional situation and experience these difficult weeks. For their own protection and that of the patients, their names and places of work have been made anonymous.

One of them is the nursing specialist Fiona Lüthi. She works on a Covid 19 ward, where patients suffering from the virus who do not require intensive care are treated.

***
Fiona Lüthi: In this second wave, a lot of patients come to the hospital already very sick. They are then often already dependent on supplemental oxygen. So it can sometimes go rapidly downhill within a few hours. I monitor them three or four times a day, because they themselves often don't notice when their condition deteriorates. With confused patients, we have a sitting vigil - if it comes good. If we don't find one, there is a risk that patients will pull out their IVs or that they will fall without us noticing.

The virus masks to patients how they are really doing. We often notice that they are in poor condition by the fact that the sick person is breathing extremely fast and superficially. There are patients who tell me they are fine when I first meet them. Then when I check in on them again later, they are already struggling to breathe.


Some patients feel they don't need any additional measures because they can't assess their condition. I then sometimes get into a dilemma. Should I call in a doctor when the patient doesn't even want me to?

When I start work, I always ask myself if I have all the material I need in the Covid 19 zone. Because once I'm in, I can't get out right away. If I forget something, I have to pick up the phone so someone from outside the zone can bring me the materials. So 5 to 10 minutes go by. It also always takes me 10 to 15 minutes longer than normal to put on the protective clothing. This includes goggles, mask, gloves and coat. After each patient, I have to change gloves and disinfect my hands.


Some days I spend up to six hours in the zone. After that, I'm always totally exhausted. You can't drink anything in the Covid 19 ward and you can't go to the toilet - even if you had to. And you sweat like in a sauna. In addition, your vision is restricted by the plexiglass goggles. So I have to rely more on my feeling.

***
The situation at Zurich's hospitals has worsened in recent weeks. The number of hospitalizations has risen to around 500 - more than twice as many as at the peak of the first wave. The situation is particularly tense in the intensive care units. While just under 40 Covid 19 patients had to be cared for in an intensive care unit at the beginning of November, the number has now risen to over 100.


The pressure is not only because the number of cases is increasing, but also because the current patients are older and sicker than at the beginning of the second wave.

***
Fiona Lüthi: If one of four patients on early duty is unstable, the other three have to wait for me - sometimes for up to two hours. Unless another certified nurse has a short time to take care of my patients. However, it can also happen that the condition of another patient deteriorates and I notice this too late.


Currently, there are patients on the ward who are already in a critical condition. They can go downhill rapidly at any time, but we don't have the same equipment as in the intensive care unit. The fear that the patient will suddenly stop breathing accompanies me. We always have to ask ourselves: How long can a patient hold out before they have to go to the ICU?

There is a fine line. The doctors make sure that we find a bed somewhere in the canton as quickly as possible, but the situation is tense. Sometimes we also get patients who were stable in the intensive care unit but have not actually recovered enough to be cared for in our Covid 19 ward. In addition, those who are ill have no one to stand by them because no one is allowed to visit them in the isolation ward. We become like family to the patients, yet we are strangers.

I am worried about the festive season. We are already at our breaking point. Will it get worse then?

***
To create more capacity to treat the many patients, hospitals are converting entire departments into Covid 19 wards, and they are bringing in staff from other areas to help - especially for the intensive care units, where care is particularly time-consuming.


At the University Hospital and Winterthur Cantonal Hospital, for example, employees from the operating rooms, anesthesia and other areas are now being used for intensive care.

This also happened to nurse Susanna Meier. She was recently transferred from another department in her hospital to an intensive care unit. She recounts:

***
We were all totally taken by surprise when we learned one evening that our department was being closed and that we would now have to help out in the intensive care unit. The hospital management had decided at short notice to once again increase the bed capacity for the Covid 19 patients. Not even my superiors were pre-informed. We had to move immediately, and a few days later I was already on duty in full uniform. I already knew how to work with isolated patients, but I was pretty scared of this new task. As I now know, rightly so.

It's really bad on the ward. Sometimes the patients are very confused, want the tubes removed. Others suddenly change dramatically. There is also quite a lot of commotion with constant doctor visits. As a result, the patients can hardly sleep, which weakens them even more.


Caring for the patients is extremely time-consuming. We therefore do one-to-one care and help each other out when we have to reposition the patients. You have to constantly monitor the sick, help them inhale, administer medications. Often they are totally frightened because of the shortness of breath. Others have heart problems.


***
To relieve their employees at least somewhat, hospitals are trying to recruit additional staff. But this is not easy. At the University Hospital, 318 positions have been added this year alone - mainly due to the Corona crisis. At Winterthur Cantonal Hospital, 12 additional nursing staff positions have been approved, but only on a temporary basis. And this despite a lack of funding, as a spokesperson writes in response to a query. In the meantime, it has been possible to fill most of the positions, despite the dried-up market.


The city hospitals Waid and Triemli are looking for new nurses via social media and advertisements, but also through their own employees. Since November, 26 new nurses have been recruited there. In addition, nurses have been hired temporarily through specialized agencies, the hospital writes on request.

In order to relieve the staff in the intensive care units in the care of seriously ill patients, the canton introduced a fast-track course in corona care in the summer. At Triemli, 27 employees completed the course. According to the city hospital, the feedback has been consistently positive. "The course participants gain confidence in support care as a result."

Despite the efforts: It's not enough. And apparently not even all major hospitals know about the crash course. In Winterthur, for example, they say the course is not known. They train the staff themselves.

In addition, there is a shortage of valuable auxiliary staff: the students. In the spring, they had been doing important auxiliary work, such as simple clinical tasks, supporting the nursing staff, accompanying patients and visitors, as well as logistical and organizational tasks. The reason for their absence: In contrast to the first wave, teaching continues. At the Triemli, it says: "Currently, students are only available on a very small scale. The effort required to train them would be too great."

***
Susanna Meier: "In the nine hours on the ward, I can take a break at most once, then I have a quick tea and eat a sandwich. That's all I can do, I drink extra little so I don't have to go to the toilet. Of course, that's not healthy. We all have headaches and painful pressure marks from the FFP3 masks on our foreheads and behind our ears. After a few days, I am completely exhausted.


We are very worried that more treatment places will now be created, we can't imagine where the staff will come from. There are shortages everywhere. We will probably have to work even harder. In contrast to the spring, we are also seeing more and more infections.

Several of my colleagues are currently in quarantine or isolation. This means that the workload is increasing, and we also have to step in more and more often on the spur of the moment, which puts a strain on our private lives. We also already have people who are absent due to illness as a result of the stress. I am curious to see how much appreciation there will be for this special job. A lot of what we do is unfortunately too often taken for granted.

I was never really in favor of a lockdown, but the tough measures are really necessary now. We simply can't provide more.


***
The hospitals try to do something good for the staff during this difficult time with counseling offers, free massages or even corona bonuses.


Nevertheless, frustration is spreading among nursing staff, as VPOD trade unionist Roland Brunner says: "Many are exhausted and don't know how much longer they can hold out. Planned vacations are being questioned, even cancelled directly by superiors, although the duty roster is already in place and plans have often already been made, perhaps even booked." He hears from more and more employees that they want to change jobs, Brunner says. "While fundamentally there is a lot of solidarity among health care workers and people support each other and stand up for each other, many now lack the strength to do that."

The shortfalls among hospital staff are still limited. At Waid and Triemli, 7 employees are in quarantine, 30 in isolation. By comparison, a total of around 4,000 people work at the two city hospitals. At the Winterthur Cantonal Hospital and the University Hospital, around one percent of employees are absent because of the virus.

The many Corona patients in the hospitals also have an impact on the departments where other sick people are otherwise treated. One example is nursing specialist Carla Brunner.

***
Carla Brunner: The situation is more tense than it was in the spring because operations are still being performed. In my department, this has consequences: We now have patients from surgery, for whose care we are not actually trained. In addition, we have recently had to admit Covid 19 patients because the isolation wards are so full.


Currently, we also have a lot of admissions otherwise, sometimes up to eight in one evening. Some of the cases are very complex, and some of them should actually be in the intensive care unit. But in the meantime, a transfer can no longer always be guaranteed immediately, because they have no capacity there and the staff is overworked. Sometimes patients have to wait in the corridors until we have a bed free.

We are moving beds from one ward to the next all the time in order to be able to admit more patients. It's also a huge administrative hassle because we can't put private patients in the same room with patients with general insurance.

We are actually overloaded nonstop at the moment. This also has a negative impact on the quality of care. There is not enough time to observe the patients. And then suddenly the condition worsens because we missed a symptom. In some cases, this means that the patients have to stay with us longer than is actually necessary.

***
In a few days, the canton of Zurich will also begin vaccinations against the coronavirus, on which great hopes rest. However, it will be months before the vaccination campaign can take full effect. The marathon run at the hospitals is not yet over.
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  #18547  
Old 24.12.2020, 21:40
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Re: Coronavirus

So two British people have brought the new strain to CH https://www.20min.ch/story/neue-coro...n-911416763283

Really it's all very well saying people were entitled to come etc etc, but this is the result. Happy Christmas!
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  #18548  
Old 24.12.2020, 21:48
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Re: Coronavirus

where was that? Can't open due to Ad Blocker. Thanks.
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  #18549  
Old 24.12.2020, 21:51
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Re: Coronavirus

I am sorry, didn't realise not everyone could open that. It doesn't say where, but it says two UK residents tested positive here with the new strain and are in quarantine.
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  #18550  
Old 24.12.2020, 21:53
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Re: Coronavirus

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where was that? Can't open due to Ad Blocker. Thanks.
They don’t specify where it was just that the cantons concerned have been made aware and the people concerned are in quarantine.
I read it in Arcinfo, I have adblocker do can’t read the 20 minutes either.
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  #18551  
Old 24.12.2020, 21:56
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Re: Coronavirus

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So two British people have brought the new strain to CH https://www.20min.ch/story/neue-coro...n-911416763283

Really it's all very well saying people were entitled to come etc etc, but this is the result. Happy Christmas!
Maybe. But the UK tests for virus variants literally 100x more than countries like Germany, Switzerland. They have detected it first therefore. Whether it really stems from UK, who knows? Forget borders, they don't exist as far as the virus is concerned.
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Old 24.12.2020, 21:59
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Re: Coronavirus

Yes, that's true.
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  #18553  
Old 24.12.2020, 22:00
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Re: Coronavirus

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Maybe. But the UK tests for virus variants literally 100x more than countries like Germany, Switzerland. They have detected it first therefore. Whether it really stems from UK, who knows? Forget borders, they don't exist as far as the virus is concerned.
It was detected apparently at 2 british persons who just came back from the UK
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Old 24.12.2020, 22:02
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Re: Coronavirus

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Maybe. But the UK tests for virus variants literally 100x more than countries like Germany, Switzerland. They have detected it first therefore. Whether it really stems from UK, who knows? Forget borders, they don't exist as far as the virus is concerned.
That’s a very good point, just because it was first detected in the UK doesn’t mean it originated there.
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Old 24.12.2020, 22:56
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Re: Coronavirus

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Maybe. But the UK tests for virus variants literally 100x more than countries like Germany, Switzerland. They have detected it first therefore. Whether it really stems from UK, who knows? Forget borders, they don't exist as far as the virus is concerned.
Does this mean that the mutant strain was potentially already here anyway but undetected? Why has it now been identified ... simply information sharing?
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  #18556  
Old 25.12.2020, 00:26
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Re: Coronavirus

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Does this mean that the mutant strain was potentially already here anyway but undetected? Why has it now been identified ... simply information sharing?
My understanding is that the uk does a lot of virus sequencing, so they’re likely to identify a new variant earlier than many other places. That says nothing, however about where the variant originated.
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Old 25.12.2020, 10:07
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Re: Coronavirus

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where was that? Can't open due to Ad Blocker. Thanks.
20Minuten - like a lot of news sources - block anyone using an ad blocker. You just need to white list 20Minuten and it will open OK. Click on AdBlock and select either "Don't run on pages on this site" or "Pause on this site".
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Old 25.12.2020, 10:25
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Re: Coronavirus

Looks like the South African mutation is a bit more worrying than the Engllish one. Current research indicates it also spreads more easily, appears to hit younger people worse and most worryingly may make current vaccines less effective.

All to be confirmed of course

https://www.theguardian.com/world/20...e-at-spreading
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Old 26.12.2020, 15:02
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Re: Coronavirus

Here's an English-language version of a German TV documentary report on serious long-term (many months, with uncertain outcome) effects of having had Covid19.

It follows some patients who are listed in the statistics as "recovered" but who still suffer symptoms such as difficulty breathing, overall weakness, pain and exhaustion, problems with metabolism, and a general downturn in overall fitness and health, and a little about therapy programmes aimed at rehabilitation.

https://youtu.be/VGzxmxhVJ9w
Coronavirus complications
DW Documentary, 22 December 2020
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Old 26.12.2020, 15:33
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Re: Coronavirus

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where was that? Can't open due to Ad Blocker. Thanks.
It's certainly now in Kanton Zürich as a family we know have all tested positive with the mutated version initially identified in Kent, UK. Two of the people concerned are extreme high risk so we feel very concerned for them.
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