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Internal medicine, the galaxy of all-round assistance

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The Department of Internal Medicine © Termolionline.it

TERMOLI. We close the analysis of the report sent by doctors and primary doctors of the San Timoteo hospital on the state of health of the hospital in viale San Francesco, sent to the Asrem, the commissioner structure, and the Molise Region. We do this with the Internal Medicine Operational Unit, led by Nicola Milano. «This is a department which bears a considerable share of the care burden of the entire hospital, both in terms of hospitalization activities and clinical and instrumental outpatient services. It is equipped with 28 ordinary beds to 2 DH to which are added, throughout the year and in a constant manner, numerous supports in other departments. The internal organization of the department provides for an active guard 24 hours a day, 7 days a week. In addition, specialist rheumatology, pneumology, hepatology, internal medicine, geriatrics, dermatology, respiratory instrumental diagnostics, polysomnography and outpatient clinics for headaches and craniofacial pain are operational.

The organic endowment of the medical staff is 9 units (2 of which are exempt from night and holidays due to limitations) plus the Director. During the Covid emergency, the medical and nursing staff managed the Covid area (20 beds) allocated in the spaces of the former Urology. The case mix treated is remarkably heterogeneous (geriatric, neurological, pneumological, cardiological, gastroenterological, metabolic, etc.) with a high level of care commitment. The nursing equipment includes 10 shift worker units (one of which retired from next July 1st), 3 units out of shift in addition to the coordinator, 2 Oss and 2 health assistants in common with all the services of the plan.

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However, on the basis of the type of hospitalized patients, many of whom are bedridden, and the related need for assistance, it would be advisable to reintegrate the existing staff with 3 shift nurses and 2 Oss “. But on the Internal Medicine department, we also record the clarification on the so-called Mantoux exam, which weeks ago had seen the report by Dr. Giancarlo Totaro about the need for a patient to be subjected to Cardarelli. Milan has assured us that in the clinic the service is carried out from Monday to Thursday, only in these four days since it is an examination that must then be ‘read’ in the results after exactly 72 hours. But in the interlocutions written with Asrem, many other complaints were expressed by the director, one of the few who is the owner by competition. “We have received numerous complaints from citizen users for the failure to use specialist pneumological services, both clinical and instrumental, already provided for years at the Pneumology clinic in Termoli”.

Contested in the letter of 16 May last for the non-attribution of Alpi in the same discipline. In addition, another report, that of the transfer of Dr. Angelo Maruzzi, the only physiatrist in service and hired for an indefinite period at San Timoteo, moved as a service activity to Vietri di Larino. “Being the only physiatrist in the hospital, this move has eliminated an indispensable service for all operating units, but above all for Internal Medicine and Orthopedics”.

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