The pandemic was a hvileskjær

So can norwegians save 4,25 billion in interest expenses

After a long covid-19 period of overbemanning and underbelegg waiting now a little heroic life with underbemanning and overbelegg.

One should be careful to predict anything in these nervous and insecure the corona times, but we can at least determine that there has not yet been Italian conditions in Norway. There shall we praise ourselves lucky for. A quick look back shows that the fear of chaos in the Norwegian health care system, was overwhelming when coronaen spread in Europe.

26. February broke the transmission on the loose in Norway. Three of the fifteen first cases was embarrassing enough staff at Ullevål hospital. 10. march said health minister Bent Tall that we norwegians need to prepare for what he called "a medium pandemiscenario" with 22.000 hospitalized patients.

the Day after warned a dramatic professor Dag Jacobsen, head of the medical intensive care unit at OUS Ullevål, that the contagion in Oslo already then was out of control. He was convinced that Norway will certainly get a kapasitetsproblem, while the never resting physician Mads Gilbert believed the situation would become so critical that Norway should go in lockdown.

The day was three covid-19 patients at Ullevål. The day after the shut Norway down and the Health care was put in the yellow emergency response.

Three weeks later, there was a total of 325 covid-19 patients at Norwegian hospitals. It should prove to be a (currently) smittetopp. Same day insured Ullevålslege Marlen Stensrud stating that "we stand until we are finished, and kneeling never".

The easy dramatic selvheroiseringen has not been less among us nurses. Even I wrote a påskekommentar where I told the story of a nightmarish night with covid-infected, possible infected and a "regular" patients about each other.

- The kaver for the air

While Facebook and the media is flooded with nurses with surgical masks and smittefrakker, and daily endorsements to the underbetalte and overworked sykepleiestanden.

It is easy to be etterpåklok, and no one knows how it had looked without all varskuene.

Health care is also a dangerous place to admit that we actually have periods of good times, for who knows if one or another faceless even bureaucrat sitting there with a stopwatch and sparekniv and uses the chance to further cuts.

"But with all possible caveats about full intensive care unit and infeksjonsposter, has this time been a to some extent comfortable hvileskjær for many orderlies."

For our part - on Gastromedisinsk department at Ullevål - we have been a covid-19 beredskapspost in the normal operation. We have been partially built into a clean covid-19 mail, had chaotic conditions with OUS record for the number of infected employees, and a number of employees in quarantine.

On pasientsiden on the other hand, we have only had ten covid-19 infected to together and - with the exception of a few hectic periods - fewer of our "regular" patients. We have also had something as luxurious as a readily available doctor on the night.

Covid-19-the doctors have largely consisted of scientists who either relocated or themselves have volunteered to the Front. One of them, I remember, went around restlessly and wondered a little desperately if it were not something he could do. Then had covid-19 record in the same floor only one patient and three nattsykepleiere. In the periods they have not had patients in all – with full staffing.

Overbemanning and underbelegg is rarely cost in health care. Usually grunnbemanningen very low, and ekstravakter will be charged our own ever-tighter budget.

In the corona period, however, it's apparently been open pengekraner.

OUS have had a separate covid-19 code, where leaders have been able to fill in all the expenses to ekstrabemanning and the huge amount of overpriced smittevernutstyr which now fills up the bearings. A preliminary extra grant of six billion to the health service provides an indication of how much this has cost.

16. april notified High that Health-Norway was going back to the green emergency. It means approximately the normal operation, and it is not done in a jiffy. According to our head of department Asle Medhus, had Gastromedisinsk outpatient clinic in march send out cancellations to nearly 1000 patients.

Global to the pandemic have led to 28 million canceled the surgery, and for Norway it should up to 64 442 procedures be cancelled. A preliminary calculation shows that it will cost up to two billion to get back to normal operation and clean away from the waitlists.

Hallvard (57) fighting for life

Now the pop up new skrekkscenarioer, alerts and staggering numbers of potential patients who haven't been able to study the possible undiscovered and dangerous diseases.

this, Too, is there any way to noticing nuances a bit. In the winter, we had a seminar at our department, as part of the international legekampanjen "Make Wise Choices". The purpose is to reduce over-treatment and overdiagnostikk, which - for the west's part well to note - should be a much bigger problem than underbehandling and underdiagnostikk.

there are Many surveys and treatments should not only be unnecessary, but also harmful for patients.

How can this period be seen as a cleaning up of the health care system, and Medhus he says after a review of the waitlists believes the liquidation and deferrals will not have been out of the medical proper operation.

A part of the consultation is, strictly speaking, not medical seen necessary, but only automatic summonses for safety's sake that does not lead to more than a chat and a handshake. When the patients now not even take the doctor in hand, there is much that can be done digitally, he believes, but adds that it must, of course, use discretion.

"An equally big concern is how in the world are all the regular patients have been off."

On our sengepost we have at least 80 per cent of emergency room visits. As in other medical departments have many of these missed. There are various reasons: the Fear of burdening the health care system or even to become infected in hospitals. Sykeligheten that have gone down because we have lived more caution and fewer have been infected by other infectious diseases.

But here too there may be a need for a cleaning up. With us, there may be chronic pain patients who strictly speaking do not require medical treatment. Or those many elderly patients sent from nursing homes for unnecessary and painful investigations with likely little clinical consequence or just a simple antibiotic treatment.

It is now a month since the High alert that we should return to relatively normal operation. It takes time. OUS is the largest hospital in Northern Europe.

It sounds impressive, but there may be good reasons why our neighbouring countries prefer smaller devices.

OUS is a huge ship to navigate, something that is disturbing visible when we now shall return to normal operation. The well-known and somewhat hated a comprehensive collection of Health care represents a slow-down in the system, together with uoversiktlighet and a lack of transparency makes that decisions taken far up in the OUS system takes immense as long to implement on the floor.

the Consequence is among other things almost empty covid-19 items in the several weeks have passed with full staffing. Not infrequently, it involves one to two patients and up to eight nurses on the job. This is of course also about ansatterettigheter and agreements,

head of the Department Medhus likens this period in health care with the military. Also where they sit ready and waiting for a blow that may not come. He believes that the period also has made us well prepared for a possible new smittebølge, and that it combined with readiness for a future wave must necessarily cost money.

For many of us health professionals, there has been a deserved hvileskjær before the holy general sykehushverdag now to capsize us. It means a far more anonymous and less heroic existence, understaffed and overbelagt.

Kreftpasientenes tough days

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