AMAZING ISRAEL DEALS WITH CORONAVIRUS

THANKS TO NURIT GREENGER FOR THIS…..RSK
Dear Friends…
In view of the fact that COVID-19 has impacted everyone around the world, Sheba would like to provide you with critical insights and expert advice based on our experiences with coronavirus patients at Sheba Medical Center. Using a variety of advanced medical technologies, Sheba has been on the frontline of the battle against this insidious disease. I invite you to read the important information contained in this special coronavirus bulletin and share it with family and friends.
Cordially.
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Facts & Figures:

Almost 40 Israeli citizens who have tested positive for COVID-19 are currently being treated at Sheba Medical Center in a special isolated, quarantined complex at a location off of the main hospital campus. This location can accommodate between 35-40 patients. 

The special coronavirus compound is about 2.5 km (over a mile) from the main hospital campus and treatment wards. 

Sheba Medical Center has dedicated a special medical team to treat individuals that are affected by COVID-19 and are in isolation. The dedicated staff is in no way involved in treating patients who come to the Sheba clinics or are admitted to the various wards. In fact, they have been removed from all the other shifts they previously had in the hospital. 

The compound is divided into several areas:
Section 1 – This is the complex in which the patients who have tested positive for coronavirus live. It is isolated from the rest of the buildings in the area and has separate infrastructure. All communication and interaction with patients, including measuring vitals and other clinical tests, is done through the innovative use of technology. No one, not even medical personnel, is allowed to enter Section 1.

Section 2 – The tele-tent is the remote treatment area where members of the special medical unit are located, and it is staffed 24 hours a day. They have only remote contact with the infected patients living in the complex, using telemedicine to monitor their medical and mental status. In order to test patients for the virus, all samples are taken through a special facility that eliminates any contact between patients and the medical staff.
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NEW Underground COVID-19 Critical Care 
Intensive Care Unit

This past week, working around the clock, over 400 people transformed an underground parking garage on Sheba’s campus into a full-fledged COVID-19 critical care unit, which will feature an additional 45 beds, advanced technology and robust medical capabilities, including orthopedics and a birthing area. The underground facility already featured special electric housing units for use during times of war. In addition, medical staff has already been trained for immediate work in this new facility, as the numbers of coronavirus patients will continue to increase in the coming days.
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Groundbreaking Telemedicine Technologies Used at Sheba to Combat COVID-19 From a Distance:
InTouch-Robot: The InTouch-Robot is operated by the doctors from a remote location where they can monitor patient’s facial expressions and conduct basic check-ups.
Datos App: According to Dr. Galia Barkai, “Datos’ solution can help us greatly reduce this risk by enabling us to monitor less severe patients outside the hospital, in the relative safety and comfort within their homes. The telemedicine app allows us to communicate with them via video whenever necessary.”
Tytocare: All of the patients will be given a hand-held device that will allow doctors to remotely examine the patients. The Tytocare device is also able to monitor the lungs, where the COVID-19 virus strikes hardest.-
EarlySense: EarlySense’s real-time delivery of actionable data, combined with sophisticated patient data management tools, empowers clinical staff to identify potentially critical situations early, before they become high risk.
Uniper: Uniper provides a direct interactive video link between doctors and patients.
XR Health: XR Health uses virtual reality technology to keep patients’ cognitive skills sharp.


Watch how these technologies are being used on a daily basis and our special treatment for a 9 year old child:
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What You Need to know about COVID-19….

Q & A with Prof. Eyal Leshem, MD DTMH
Director | Institute for Travel and Tropical Medicine | Sheba Medical Center

Where did the first known case of COVID 19 in Israel come from?
The first confirmed cases were Israeli citizens evacuated from the Diamond Princess ship on Feb 20, 2020. The first case newly identified in a returned traveler was on February 27 when an Israeli who returned from Italy four days earlier, did not adhere to quarantine instructions and infected his wife, two co-workers and a costumer in his retail shop.


Do we how long it takes for people to recover? We know it differs by age and health issues. What if people are sent home and do not return for hospitalization?
It is important to differentiate clinical recovery from infectiousness. While most COVID-19 patients suffer from a mild disease and recover clinically within several days without persistent symptoms, virus secretion may persist for days and weeks after recovery. Public health professionals and virologists are still studying the implications and infectiousness of continued viral secretion.


There is high concern that people can pass on the disease asymptomatically. Do you know of any patients who caught it “mysteriously?”
Asymptomatic persons may transmit the disease, and such cases were reported from China and other countries. COVID-19 patients who do not have a known exposure such as travel or close contact with a confirmed case may have been infected by a symptomatic patient not aware of their condition in the community, or by an asymptomatic person.


What the situation at Sheba?
Sheba Medical Center is a university-based tertiary referral center with ample experience in emergency response both domestic and international. From day one of the COVID-19 outbreak, Sheba entered an accelerated response phase, building a biologic inpatient facility with full telemedicine capacity and treating dozens of patients. We are currently on the second phase of preparedness which includes shifting all wards to emergency mode work and adding over 40 ICU beds with a surge in critical care capacity.

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