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Firass Abiad

@firassabiad

19 Nov

@mophleb

1.4 The worrying news in the @mophleb report yesterday was not the record number of new Covid cases. That was expected. It is still early to see the effects of the lockdown, which is relatively working. The worrying news was the reported death of a patient at home, aged 60.

@mophleb

2.4 That was the 5th reported death at home during the last few days, including a 51 yrs old patient. Circumstances are not clear, but hospitals are working at almost full capacity. Therefore, the agreement yesterday between @mophleb and the private hospitals was much welcomed.

3.4 The agreed new tariffs will incentives the private hospitals to increase their Covid bed capacity. In addition, RHUH will announce a new expansion this Friday. The two field hospitals in Tripoli and Tyre should also be ready soon. All of this is much needed good news.

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Firass Abiad

@firassabiad

18 Nov

https://twitter.com/abaadmena/status/1328268375605305347

٤.١ كيف هي الحياة بعد الكورونا؟ بالنسبة للبعض، ليست جيدة على الإطلاق. في الأسبوع الماضي، مريضة شابة عانت من اصابة كورونا شديدة ادخلتها العناية، لكنها حتى بعد خلوها من العدوى والفحص السلبي، توفيت رحمها الله، بسبب فشل تنفسي حاد. يمكن أن يكون للكورونا مضاعفات خطيرة على المدى الطويل.

https://twitter.com/abaadmena/status/1328268375605305347

٤.٢ يمكن ان يبقى مرضى الكورونا في وحدة العناية المركزة لفترة طويلة. مع الرعاية الجيدة، يبقى أكثر من ثلثيهم على قيد الحياة، لكن بعضهم يغادر العناية المركزة في حالة جسدية ضعيفة، ويحتاج إلى إعادة تأهيل تنفسي وجسدي، ويعاني من ضعف في المناعة وقلة في الحركة، ويحتاج إلى الرعاية الطويلة.

@mophleb

٤.٣ مع تزايد حالات الكورونا، سيحتاج المزيد من المرضى لدخول اقسام العناية المركزة، وسنشهد المزيد من المرضى يغادرون مع مضاعفات بعيدة الأجل للكورونا. لا يُظهر تقرير @mophleb هذه الفئة، لكن هؤلاء المرضى يعانون من تدهور في مستوى وجودة معيشتهم، ويمكن أن يظلوا منهكين لفترة مديدة.

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Firass Abiad

@firassabiad

18 Nov

https://twitter.com/AbaadMENA/status/1328286226101772289

1/4 How is life post-Covid? For some, it is not good at all. Last week, a young RHUH patient who had suffered from severe Covid, became infection free and tested negative, still sadly passed away from severe respiratory failure. Covid can have serious long term complications.

https://twitter.com/AbaadMENA/status/1328286226101772289

2/4 Covid patients can stay in the ICU for a long period. With good care, more than 2/3 will survive. However, many leave ICU weak, and require respiratory and physical rehabilitation. They have depressed immunity, decreased mobility, and will need support until they feel well.

@mophleb

3/4 More Covid cases will result in more ICU admissions, and more patients leaving with long term Covid sequelae. The published @mophleb report does not show this category. These patients have a diminished quality of life, and can remain debilitated for a considerable time.

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Firass Abiad

@firassabiad

23 Sep

1.6 #Covid19 in 🇱🇧, an update: In the past week, record numbers of new daily cases were reported. Covid has now spread all over 🇱🇧( see graph). Hospitalizations are still within capacity, but they, and deaths, usually rise following a lag period. Clearly, new measures are needed.

@mophleb

2.6 The scientific committee at @mophleb recommended a total lockdown for 2 weeks. As the sharp rise in cases was not confined to one region, a lockdown could help to regain control or to prevent cases from overwhelming the hospitals. The recommendation was not endorsed.

3.6 The resistance to the lockdown was lead by the business sectors, already suffering from the effects of the financial meltdown. The security forces also felt the public, already restless, would not respond well to the measure. The previous lockdown had not ended well either.

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Firass Abiad

@firassabiad

23 Sep

٦.١ في الأسبوع الماضي، وصلت حالات كورونا اليومية لأرقام قياسية. و قد انتشرت العدوى في جميع أنحاء 🇱🇧 (انظر الرسم البياني). لا تزال المستشفيات في حدود طاقتها الاستيعابية، لكن ارقام مرضى العناية والوفيات عادة ما ترتفع بعد التشخيص بفترة. من الواضح أن الوضع يستوجب مقاربة جديدة.

@mophleb

٦.٢ أوصت اللجنة العلمية في @mophleb بإغلاق عام لمدة أسبوعين. نظرًا للارتفاع الحاد في عدد الحالات والذي لم يقتصر على منطقة واحدة ، فإن الإغلاق العام قد يساعد على استعادة السيطرة على الوباء أو منع تزايد الحالات في المستشفيات. لكنه لم يتم تبني التوصية من السلطات.

٦.٣ عارضت القطاعات الاقتصادية، والتي تعاني من آثار الانهيار المالي، هذا الاجراء. كما عبرت السلطات الأمنية عن خشيتها من أن المواطنين، المرهقين بضغوط اقتصادية واجتماعية ، لن يلتزموا بهذا الإجراء بشكل جيد، وهذا ما حدث خلال الإغلاق السابق.

Read 6 tweets

Firass Abiad

@firassabiad

20 Sep

1/4 A challenge we are facing repeatedly is addressing the mental health of our elderly Covid patients. Some need admission for oxygen therapy and other care. Clinically, they can be doing well. However, they complain from social isolation which takes a toll on them mentally.

2/4 Visitation is not easy on the Covid ward. Access to internet is available, and video calls can be made. Yet, we are social beings. What the elderly most crave, or need, is human contact. This is limited with Covid. How can this be attained?

3/4 Some patients who had a family member stay with them seem to become different person. They were calmer. But once alone, they became agitated. We have tried to encourage Covid patients to visit each other. However, not everyone is comfortable meeting strangers.

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