Hemodynamics and local medicine are necessary to revive Orvieto healthcare despite the opposing bastians – Orvieto Life

We are to write again of thehospital of Orvieto, indeed of the health of Orvieto because hospital e local medicine they go hand in hand more and more in the health 3.0, what in the Orvieto area is still a chimera or almost, with some exceptions. We return to discuss it after the unhappy release of the mayor of Attigliano who defined thehemodynamics “useless thing” while “The helicopter rescue is a serious matter”. Surely the explanations given in the city council are the result of a careful cost / benefit analysis of the hemodynamics and helicopter rescue service, of a timely evaluation from a scientific and medical point of view, otherwise it is politics, written with a “small p” to justify the unjustifiable for a territory penalized for too many years, despite some past, present and future make-up operations that should serve to silence the voices out of the chorus.
We would not like to argue but it seemed to us, that of the first citizen of the Municipality of Attigliano, a speech thought and written by several hands, with the decisive help of some doctors we hope not from Orvieto or in service in the Orvieto area, at least that!
It is right to ask those who know the subject and so we also consulted with a series of health professionals to better understand, to deepen the subject with numbers and statistics. We start from the assumption that the Orvieto territory does not end with regional borders, but goes further, insisting on part of the Viterbo and of lower Tuscany. Here, then, the calculation must not be made on about 40 thousand inhabitants but on 120 thousand, a number that is always low, but not divorced, absolutely. The orography of the territory and the average age of the inhabitants come into play, two factors that can and, indeed according to the Umbrian regional councilors, all make the difference. Pointing the compass at Orvieto the hospitals with hemodynamics the closer they are at 80 km, Terni and over 100 km, Foligno with travel times in both cases exceeding an hour. L’middle age, already high in all of Umbria, in theorvietano has an incidence of over 70 of 26% of the total populationis. Calculating all these variables, the number of procedures could exceed 250 even if the guidelines as parameters for having active hemodynamics foresee 300,000 people and 400 operations per year. But, probably, those who collaborated in the speech of the mayor of Attigliano did not read the guidelines of the Italian Society of Interventional Cardiology who believe the lower limit you have 400 interventionsi “tolerable when the laboratory is located in geographically isolated areas …”. It is also undisputed that thehelicopter rescue be necessary in a large area, poorly connected with any other hospitals, with three traffic routes, two by rail and a motorway, which can trigger some rather important emergencies. Put on the same level helicopter rescue and hemodynamics is incorrect, especially compare them on costs. The regional helicopter rescue spreads the costs over the entire Umbrian population, a hemodynamics service must be calculated on the directly affected catchment area. But also on the costs the waving competitiveness of the helicopter rescue is all to be demonstrated. Let’s do the math; a hemodynamics laboratory has an average cost of 2.5 million euros to which must be added that of the dedicated health and medical team. Every transport by helicopter it will cost about 5 thousand euros and for cardiac emergencies with 100 interventions we would reach 500 thousand euros per year, that is 2.5 million in just 5 years. To these must be added the social costs, all the chronic diseases that require frequent hospitalizations in the absence of local medicine and advanced telemedicine, the inevitably longer hospitalization costs and the loss of appeal of the Orvieto hospital from the point of view professional.
In conclusion, thehemodynamics in Orvieto is justified professionally given the distance in kilometers and hours from other hospitals for time-dependent pathologies; non there must be one bell tower competition with Foligno, which has slightly higher numbers in terms of inhabitants and alternative and equipped hospitals much closer. There must be no competition but treatment equality Yup. Then there is the false problem of the lack of professional roles in the hospital of Orvieto. Today, hic stantibus rebus, the Santa Maria della Stella is intended to a slow but inexorable decline, while with the hemodynamics laboratory and real telemedicine, could become a landmark also regional with regard to remote medicine. There is also the satisfaction of the citizen and the unanimous vote in the regional council dating back to May 26, 2020, which approved the hemodynamics service in Orvieto. Let’s hope this battle of civilizations be endorsed not only by local administrators, the mayors have signed a letter in which they ask for the opening of hemodynamics in Orvieto, but above all by healthcare professionals who for once will have to look beyond their skimpy backyard for a wide-ranging project which will lead later fruits for the whole structure and a return to the center of attention for the public health.