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"Let's not forget our patients": the call of doctors for non-Covid patients

2020-09-30T17:21:03.211Z


Faced with the progression of Covid-19, surgeons, cardiologists and other doctors from all over France are calling in a forum to organize


They are fifteen.

Hepatologists, surgeons, cardiologists, radiologists ... From the four corners of France, they are today launching a cry of alarm in the Parisian - Today in France, calling for no longer to sacrifice cancer patients, awaiting transplants, renal, hepatic, heart failure ... as during the first wave of Covid-19.

They have only one fear, that the flow of Covid will force the hospitals to be emptied again, which would be dramatic.

We must at all costs maintain the balance of care, they proclaim, judging including "imperative to create

channels

Covid not Covid to preserve certain activities."

Here is their platform:

“This spring, overwhelmed by the wave of patients with Covid, the health system too neglected its patients weakened by other ailments and who could have been cured.

In this

war

, we have seen general practices deserted, operating programs canceled and imaging exams postponed.

We have witnessed an avalanche of contradictory scientific data, with erratic debates on the optimal management of Covid.

The systematic and sometimes total orientation of resources raises questions with regard to the risks imposed on cancer patients or patients with cardiac, hepatic, renal or terminal pulmonary insufficiency.

It is surprising to see that we welcome the low mortality rate of Covid, compared to other countries, without asking the question of a possible loss of chance for all these other patients in France.

Surprising because their number may well exceed the Covid record, and it remains to this day incalculable, and still evolving, in deafening media silence, at the dawn of the second wave.

Because what is unknown to us and what we cannot predict frightens, the political aspect of the management of a health crisis has taken precedence over the medical aspect of the management of care as a whole. , focusing on the Covid.

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This second wave will certainly be different from the first, because we know the disease better and its spread is different, both virologically and geographically.

We believe it is important to preserve the balance between patients with Covid and others to prevent a break in the equity of the healthcare system.

It is time to act so as not to reproduce this scenario.

Maintaining the equity of the system, both between regions variously affected by the epidemic and between patients with different pathologies, is certainly complex but must be the priority of this short period of preparation which is before us.

Preparing the health care system does not only consist in increasing the number of beds and staff, which are necessary but not sufficient conditions.

It is imperative to create

channels

Covid not Covid to preserve certain activities.

The activation of city-hospital networks, the broader involvement of all caregivers, including general medicine and private structures, sometimes set aside, appears essential and urgent, to allow at all costs, even in in the event of hospital saturation, to be able to maintain the supply of care for as many patients as possible.

The circulation of the virus, a pretext for a precautionary principle, cannot be the only factor in deciding the deprogramming of treatments and examinations for other diseases.

In medicine more than elsewhere, the analysis of the benefit-risk ratio of a decision must always prevail over the precautionary principle.

This reorganization must be carried out in consultation with all the players and, above all, with those in the field, who will be able to guide administrative decisions as best as possible, and participate in prioritizing according to the realities of each center.

We are not at war, but we must organize ourselves to contain the epidemic until obtaining a vaccine without forgetting other health priorities.

The mobilization, responsiveness and commitment of hospitals made it possible not to be overwhelmed by the virus, in the spring, we must be ready, in this fall which begins, to ensure the care of all (other) patients.

We can no longer afford to leave them behind.

Let's not forget them !

"

The petitioners

Prof. François Faitot

, surgeon, Strasbourg;

Dr Emilie Grégoire

, surgeon, Marseille;

Prof. Pascal Hammel

, onco-gastroenterologist, Paris;

Prof. Valérie Vilgrain

, radiologist, Paris;

Dr Eric Epailly

, cardiologist, Strasbourg;

Pr Filomena Conti

, hepatologist, Paris;

Prof. Mircea Chirica

, surgeon, Grenoble;

Dr Marianne Latournerie

, hepatologist, Dijon,;

Prof. Jean-Yves Mabrut

, surgeon, Lyon;

Dr Louise Barbier

, surgeon, Tours; Pr Boris Guiu, radiologist, Montpellier;

Dr Pauline Houssel-Debry

, hepatologist, Rennes;

Prof. Sébastien Dharancy

, hepatologist, Lille;

Prof. Philippe Bachellier

, surgeon, Strasbourg;

Pr Lawrence Serfaty

, hepatologist, Strasbourg.

Source: leparis

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