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Dr Elisa Perego Profile picture
@elisaperego78
Dec 29, 2023 • 23 tweets • 6 min read • Read on X
"It's wartime medicine"

Emergency departments are collapsing across all Italy from Turin to Lombardy to Rome. Days of wait just to get an hospital bed. Ambulances stuck in a queue. Covid, influenza and even lack of staff due to the festive season

ilfattoquotidiano.it/2023/12/29/pro…
In Lazio, the Rome's region, public healthcare had to buy over 500 hospital beds from private institutions at the cost of 33 million € to front the emergency. Yet, even this wasn't enough and people are still fighting for care
Hundreds of people have been stuck in emergency departments in Lombardia, the early Covid epicenter of 2020 [apparently, "hybrid immunity" hasn't been achieved 🙄]. Emergencies in Milan, Lombardy's capital, are under siege
@xabitron1 progresses with Lazio 🙂
At Turin's hospital Le Molinette, in Piedmont, north Italy, even stretchers have been lacking
Many healthcare professionals are down with Covid and influenza too, leading to a lack of staff. In Modena, patients are being mainly seen by junior doctors who finished specialist training one month ago, or the like. The Emilia Romagna region is in fact under duress, too
In Lombardy, which is severely affected by the crisis, it appears access to rehabilitation centres has been halted as to move hospitalized patients who do not necessitate acute treatment anymore to such structures (2020 vibes. I hope such patients aren't infectious anymore..)
According to La Repubblica newspaper, on Thursday almost half of the ambulances in use during daytime (64 out of 150) were stuck in queues outside hospitals in Lazio-Rome, as not enough hospital places were available to accept the patients
Translation and summary by myself from the original Italian newspaper article
Medical professionals for example from the SIMET association have been raising the alarm too. Many patients with respiratory and febrile conditions do have Covid on test

General practitioners and family doctors in Italy are receiving dozens of phone calls in a few hours by sick patients

Liguria, north Italy, is also under pressure

Giorgia Meloni herself, Italy's PM, has been down with a "stubborn influenza" that doesn't go away

Pediatric infections with Covid, streptococcus and influenza are also hitting children hard

A severe situation in Lombardy, with Welfare's Guido Bertolaso reportedly meeting up with hospital directors to tackling the emergency. Niguarda hospital emergency had 500 patients between Thursday and Wednesday (photo is archive). Covid and influenza



imilano.corriere.it/notizie/cronac…
From one week ago, a difficult situation also in Naples, with the ICU full at the Cotugno hospital. Covid and flu key drivers. A patient had to wait 24 hours for needed treatment.
Covid positivity rate now at 20.4% (+2.3%)



ilmattino.it/napoli/cronaca…
nuovairpinia.it/2023/12/29/cas…
"I saw again after years an extremely severe Covid case."

A testimony from a MD from Italy. (Thanks)

Newborn from Italy, late December 2023, infected with SARS-CoV-2, RSV and pneumococcus. I redacted part of the original tweet for privacy but it's publicly available. I thought a bit before sharing but I think it's important people are aware of the risks and current situation Image
Data in the tweet above shared publicly by an Italian MD. JN.1 is reportedly, now, the dominant variant in Italy (37%), which probably explains the rise in deaths and hospitalizations

adnkronos.com/cronaca/covid-…
On 30 December 2023, Lazio and Rome are still under duress, with hundreds of patients at various emergency departments + medical practitioners also under pressure because of a boom of infectious diseases, including Covid 🧵👇

Lombardy, the early Covid epicenter in north Italy, has now decided to block "non-urgent" hospitalizations (e.g. planned surgeries) to free thousands of hospital beds for the severe influx of Covid and influenza patients

@SkyNews Italy now estimates 1 million people in Italy symptomatically affected by Covid, influenza and respiratory diseases (night 31 December 2023 - 1 January 2024)

Healthcare professional from Bologna confirms emergency departments are full, including with patients with dyspnea

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More from @elisaperego78

Dr Elisa Perego Profile picture
Jul 23
There are concerns about a "mysterious illness" going through the pelaton at the top cycling event Tour de France. Several racers were reported to be affected already days ago. Since then, star M. van der Poel has withdrawn with pneumonia while R. Evenepoel left feeling "empty" Image
One of the most prominent racers affected by the "mysterious illness" was superstar and current Tour leader Tadej Pogačar, who lamented cold symptoms but remains in the race. Van der Poel also had cold symptoms, which has now progressed to pneumonia

rmcsport.bfmtv.com/cyclisme/tour-…
Tadej Pogačar told reporters on Sunday "Am I sick? Thanks for checking in, actually I'm better, it's almost over" He added: "I have a bit of a runny nose, a bit of a cough, but I'm not really sick. It's just a bit of a pain in the *ss."
Pogačar currently remains Tour leader
Read 7 tweets
Dr Elisa Perego Profile picture
May 20
Five years ago today the term #LongCovid was first used as a Twitter hashtag. A single tweet by a patient linked together a growing, grassroots movement of people who weren't recovering from Covid. Across the world, we were fighting for recognition and studying our own disease Image
Image
Image
I feel strange posting this again after five years of fighting, suffering, and a global, grassroot mobilization of Covid survivors, who changed how Covid was understood and communicated to the public
Far from being a short, respiratory illness in most, dangerous only for the "old and frail", as said in early guidelines, Covid was a prolonged, multi-system disease, which could be severe and even fatal also in the "young and healthy": #LongCovid

sciencedirect.com/science/articl…
Read 20 tweets
Dr Elisa Perego Profile picture
May 19
A severe surge in Covid cases is reported in Asian countries.
"In Hong Kong, weekly cases surged over 30 times in 10 weeks. Cases also surged by nearly 30 per cent in a week in Singapore. There are also reports of significant surges in China and Thailand"
indiatoday.in/diu/story/in-n…
There also seems to be a raise in certain indicators about Covid in Italy, such as child hospitalizations, in Italy, where novel variants of concern have been detected
However, surveillance in the country remains low

Italy PM Giorgia Meloni would be suffering from a "fever" and has cancelled institutional meetings

Read 4 tweets
Dr Elisa Perego Profile picture
May 11
Biopsies of five patients with myocarditis in #LongCovid showed disruption of mitochondrial integrity in the heart. This research was replicated in mice and shed light on the profound cardiovascular impact of SARS-CoV-2 infection on cardiovascular health
sciencedirect.com/science/articl…
The team's "investigation provides histopathological and electron microscopic analyses from endomyocardial biopsies of five patients who experienced various post-COVID-19 cardiovascular outcomes." such as myocarditis (inflammation of the heart muscle)
"Electron microscopy revealed widespread mitochondrial disorder and the presence of myofilament degradation within the cardiomyocytes from the patients.

Similar mitochondria disorganization were found in SARS-CoV-2 infected mice."
Read 5 tweets
Dr Elisa Perego Profile picture
May 10
I appreciate WHO raising awareness about Long Covid. I, however, considered, and still consider, a great mistake to have declared the end of Covid "as a global emergency" two years ago. This contributed to minimize the ongoing risks of SARS-CoV-2 infection, including death and LC
We must also interrogate ourselves as to whether LC is (only) 6% of people who get Covid (as per WHO quote). I think further reflection is needed here, especially when taking into consideration sub-clinical pathology and those who are never diagnosed with LC.
(Not making any assumptions about prevalence and incidence of LC in this thread myself, as there are so many issues to consider, as I have already pointed out many times. I think, however, health bodies should be careful around this point, too.)
Read 4 tweets
Dr Elisa Perego Profile picture
May 7
New PET imaging data reveal the long-term impact of COVID on heart and lungs, showing changes to these organs which are not detectable by standard medical assessments. 

#LongCovid

healthimaging.com/topics/medical…
"We [study's authors] believe long COVID results in an inflammatory response that may predispose patients to premature coronary artery disease, pulmonary hypertension, and valvular damage such as stenosis or regurgitation."
Study on 100 patients who were treated for COVID in 🇺🇸 between December 2020 and July 2021. Nearly one year after their initial infection, each patient was struggling with lingering cardiopulmonary symptoms; 91 underwent hybrid 18F-fluorodeoxyglucose PET/MRI
Read 8 tweets

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