“Our fear is running out of space”: in Saint-Etienne the hospital is facing the wave



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In ICU, we expect to receive a lot from caregivers. But not a chocolate nun. He was taken to Brahim on Tuesday evening. It’s unusual, but definitely not as much as waking up in a sheaf on your 40th birthday. “Today is my birthday and my greatest gift is to breathe,” she slips, her eyes clouded. As the Covid-19 virus prevents him from achieving this goal on his own, a machine takes over. “The Optiflow”, specify the doctors. Tubes connected to his nostrils to deliver high-flow oxygen and prevent father intubation. He knows he owes her his safety, but that night he was afraid of the breath rustling in his ears. Here, like Brahim, only half of the 22 coronavirus victims in intensive care are conscious.

READ ALSO> Covid-19: immersion in the Loire department, the epicenter of the epidemic

In Saint-Etienne, the Private Hospital of the Loire (HPL) has emptied all its services on the second floor to create a large 100% Covid platform, where you enter ultra-equipped and exit from a dedicated airlock. The pulley was reduced from eight to thirty-five beds. In early September, his boss, Janson Gassia, felt the tide and ordered new respirators. He had a hollow nose: a few weeks later, the epidemic flared up in the Loire department and throughout the Rhône-Alpes, the now capital of Covid where patients continue to come. 928 occupy the 1,130 intensive care beds opened in the region this Wednesday, double the usual capacity.

Public-private cooperation

“We have all sailed. Our fear is of running out of space, continues Janson Gassia. So, even more than in the huge Parisian structures, we must always look for cunning, innovation. This is what allows us to keep our heads above the water. To maintain this tiny “edge,” the department’s hospitals – public and private – have pushed aside competition for an unprecedented system of collaboration, communicating with each other every day, via meetings or WhatsApp wires. their availability and medical practices. Several dozen medical evacuations have taken place in Bordeaux, Angers, Saint-Nazaire… but intra-regional transfers also take place every day. Like this affable 60-year-old with a white beard, transferred from Roanne, an hour’s drive away.

Dr. Denis Muller, suffering from Covid-19, in the intensive care unit of the Saint-Etienne hospital. LP / Arnaud Dumontier
Dr. Denis Muller, suffering from Covid-19, in the intensive care unit of the Saint-Etienne hospital. LP / Arnaud Dumontier

“Hello Doctor Muller” launches resuscitator Laurent Gergelé, entering his room. While still in business, Denis Muller helped set up an emergency service in the Roanne region. This time it is as a patient who rubs his shoulders with resuscitation, infected by the one who has baptized “the cunning”. “Today I’m better,” he says to his colleague. To calm his anxieties, the caregivers had him undergo hypnosis which allowed him to escape into the paintings of Magritte and Gauguin. “This is a successful example of a mix between teams. We didn’t know about hypnosis in sheaves, but it was an operating room nurse who came as a support to suggest it, ”enthuses Laurent Gergelé.

City doctors to the rescue

“What’s extraordinary are bridges, everyone does it”, Jean-Yves Grall abounds. The director of the regional health authority is thinking in particular of the opening in a nearby hospital with 20 beds for intermediate care, whose responsibility has been entrusted to the municipal doctors.

Brahim, did not imagine that the virus could be so overwhelming. With his wife he lives upstairs above his parents. How did evil circulate? Impossible to say. But at the same time he and his mother were hospitalized in intensive care, his father, in an infectious disease ward. “It is an adventure, so deep, so crazy, it moves. I don’t wish it to anyone. “

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