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How COVID-19 manifests itself

We continue to share important information about COVID-19 with you. Read a selection of the most relevant questions and answers on the topic.

How does infection occur?

COVID-19 is a respiratory virus. It is transmitted mainly by airborne droplets, for example, by coughing or sneezing. It can also spread through contact when the patient touches any surface, such as a door handle.

What are the symptoms of coronavirus?

  • Elevated temperature
  • Dry cough
  • Shortness of breath

In most cases, these symptoms are not related to the coronavirus, but to the usual acute respiratory viral infections.

What are the preventive measures?

The main thing is to follow the rules of personal hygiene and minimize visits to public places.

Keep your hands clean, wash them more often and thoroughly with soap, and use a disinfectant.

Try not to touch your mouth, nose, or eyes with your hands (we usually unconsciously do this an average of 15 times per hour).

Regularly clean work surfaces and devices that you touch (keyboard, smartphone, remote control, etc.).

Always cover your nose and mouth when coughing or sneezing.

Use individual dishes and cutlery.

Ventilate the rooms frequently.

Tell your children about coronavirus prevention.

If you find disturbing symptoms, stay at home and call a doctor.

Should I wear a mask?

Using a disposable medical mask reduces the risk of airborne viral infections. For patients with acute respiratory viral infections, wearing a mask is mandatory. The mask needs to be changed every 2 hours.

How long can the symptoms occur?

Within 14 days after contact with an infected patient.

What are the complications of coronavirus infection?

The complications of COVID-19 are the same as those of other acute respiratory viral infections: pneumonia, bronchitis, sinusitis, etc.

What is the COVID-19 test?

The diagnosis is carried out by PCR (polymerase chain reaction). A smear from the nose and mouth is taken for examination, and other tests may also be performed as prescribed by a doctor.

What should I do if I returned from a trip abroad?

If you have arrived from any country where cases of the new coronavirus infection have been reported, you need to call the Department of Health's hotline at 8 (495) 870-45-09, inform them of your arrival and leave your contacts. If you have visited China, Iran, South Korea, the United States, any of the European countries, Ukraine, or Belarus in the last two weeks, you must be quarantined at your place of residence for 14 days from the date of crossing the border of these states, even if there are no symptoms. It is also necessary to observe the self-isolation regime for people living with you. To receive a sick leave, please call the Department of Health hotline at 8 (495) 870-45-09. The courier will bring the sick leave to the house.

What can not be done during quarantine?

You can't leave the house. To receive a sick leave, call the Department of Health's hotline at 8-495-870-45-09, and a courier will deliver it to your home. The self-isolation regime must also be observed by people living with you. The risk of infection of family members is reduced if basic hygiene requirements are followed - use a mask, individual dishes, wash hands frequently and use skin antiseptics, and ventilate regularly.

Which hospitals are potentially infected patients assigned to?

Currently, people with acute respiratory viral infections who have arrived from countries with unfavorable epidemiological situations are being sent to infectious diseases clinical hospitals No. 1 and No. 2, as well as to a new medical complex in Kommunarka.

What should I do if I arrive from a country with an unfavorable epidemiological situation, am in quarantine and have a fever?

If you have signs of acute respiratory viral infections (fever, cough, etc.), immediately call a doctor at home or an ambulance!

Coronavirus Hotline

The phone number of the Department of Health's coronavirus hotline is +7 (495) 870-45-09, open daily from 08:00 to 21:00. Additionally, you can contact the 24-hour information line for the diagnosis and prevention of coronavirus (2019-nCoV): +7 (499) 251-83-00.

What mass events and programs are being canceled due to the coronavirus?

In connection with the decree of the Mayor of Moscow dated 03/16/2020 No. 21-UM, it is prohibited to hold sports, entertainment, public and other mass events on the territory of Moscow until April 10, 2020.

Leisure activities, including in the fields of culture, sports, exhibitions, entertainment and educational activities, with more than 50 participants at a time, have been temporarily suspended.

The work of the Moscow Longevity program clubs and sections, as well as other leisure activities in social service centers, have also been temporarily suspended.

- Is it possible to use public transport due to the coronavirus? Do the restrictions apply to bars, restaurants, and cafes?

It is recommended to avoid using public transport whenever possible.

In land transport (buses, trolleybuses, trams, and electric buses), ticket sales by drivers are temporarily canceled.

The restrictions do not apply to the work of enterprises that provide the primary needs of citizens, such as food, purchase of goods and medical services. Therefore, the restrictions do not apply to restaurants and cafes.


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Questions and answers

Рancreatic cancer
My wife of 64 years was diagnosed with pancreatic cancer in the autumn of 2014. Stage 4 was concluded. Surgery is impossible. There is a massive thrombosis. Three biopsies were carried out. A benign tumor was revealed. She lost a lot of weight. An episode of severe pain took place about one month ago. Currently, a
significant problem is the ascites, swollen legs; food is poorly digested, general discomfort. What can you recommend? Is it necessary to remove the fluid and what might be the consequences?
...more
The picture you described is consisted with the concept of "metastatic ascites". Laparocentesis is appropriate as a therapeutic and diagnostic approach. Given the negative cytology, it is likely that the patient has a neoplastic disease of the colon, ovaries or stomach. Our experts will hold a consultation on the
same day and perform the procedure to verify the diagnosis and consider the possibilities of palliative treatment.
...more
Pavel Koposov
07 September 2016
Break iafter the last course of chemotherapy
Why a break is necessary after the last course of chemotherapy?
In cases where chemotherapy is not enough effective, some cells of the tumor does not die as a result of exposure and only slow down their biological processes temporarily, so they do not accumulate diagnostic radiopharmaceutical that can lead to a false negative result. After 2-3 weeks, tumor cells return to their
normal state and can be seen at the PET/CT scan. Thus, the break after the last course of chemotherapy should be done in order to obtain reliable results of the quality of treatment.
...more
Radiation therapy for prostate cancer
What to expect during radiation therapy for prostate cancer?
The procedure of external radiotherapy is similar to conventional x-ray examination. Radiation is invisible, has no smell and gives no sensations, side effects do not appear until 2nd or 3rd week of treatment. Radiotherapy for prostate cancer is a local treatment; therefore, you may experience some side effects
only in those parts of the body that are exposed.
...more
Сhronic nonspecific spondylitis
Can we go to your center in the following case: the patient born in 1955. Diagnosis: chronic nonspecific spondylitis T7-T9. A state after interbody fusion T7-T9 with autologous bone. Brown-Sequard's syndrome. Right thoracotomy with interbody fusion using autotransplantation (resected rib) was done in 2010, no bone
block formed during the postoperative period. Transpedicular fixation T 5-6-10-11 was also done in November 2010. There was a primary healing on the wound as a result of treatment. He was able to sit and stand as well as stay in upright position up to 2-3 hours. At the moment, mobility is restored, able to walk and sit. But pain is still present. Can we expect further surgical treatment and rehabilitation at your center?
...more
In this case surgical care rendered fully, but it is hard to say more without images. If pain is still present, it is necessary to look for the cause of this, but it may be in the early postoperative period. You can contact us for a consultation to clarify the nature of the disease.
MRI or CT scan
Please tell me what kind of examination is better in case of head injury - an MRI or CT scan. I have hit my head in June this year, and now I feel a discomfort at the site of the injury sometimes (there in no acute pain)?
CT has advantages in the visualization of bone structures. MRI is better for soft structures imaging, including the brain substance. According to the description, the intracranial structures damage is unlikely. Why CT or MRI? An ultrasound of soft tissues in the area of injury is also applicable. The pain in the
scull can also be associated with vessel, for example, cranial arteritis, or lymphadenitis, or muscle/enthesis, and then you might need certain blood tests. And maybe these tests are not required. I would recommend you to see the doctor and let him assess the case; he will take a decision concerning following examination as a result of consultation.
...more

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