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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

Lump in my breast
I have noted the lump in my breast periodically appeared following breastfeeding my first child (as a result of plugged duct). I did an ultrasound, but it revealed nothing, as if everything was normal. I knead my breast periodically and feel pain at those moments. Now I am pregnant, due date is on 20th. What should I
do?? When to examine my breasts, is it possible to perform the examination during pregnancy and lactation?
...more
The "lump" in the breast cannot occur after feeding, even if it was the plugged duct. You should not "knead" the breasts. If there is a problem or even if you think it is – the breast should be examined. Pregnancy and breastfeeding are not contraindications for this. Under normal conditions for pregnant women we
recommend a breast examination during 1 and 3 trimester (before childbirth). There are no contraindications for breast examination in your case. You are welcome at any convenient time for examination and advice on breastfeeding.
...more
Benign disease
I have a benign lump in one breast size of 12.0*9.9 mm. Puncture or a biopsy will be done next week. I was told by mammologist that surgery is needed. As far as I know, concerning the surgery, axillary lymph nodes are to be removed together with the tumor. I also know that in Europe lymph nodes are testes for
specific markers and only affected ones should be removed; if lymph nodes are no affected, they are not to be dissected and the surgery is minimally invasive. So what is your approach? Does it make sense to do it or you have the same methods and the same equipment?
...more
If histological examination of the sample reveals fibroadenoma of basic type or tissue hyperplasia without atypia, or nodular type fibrocystic condition of the breast tissue, the question of surgical treatment should not arise. If biopsy reveals giant fibroadenoma sectoral resection is indicated, i.e. mass excision
within the healthy tissues and lymph nodes will be removed. In case of non- benign histological result, i.e. carcinoma is detected, subsequent immunohistochemical examination is required as well as a clinical oncologist and surgeon consultation; and the decision on complex treatment will be taken by case management team. With regard to the diagnosis and treatment methods in our center, each case is addressed individually. Sometimes we remove a benign area (for example, the area of hyperplasia with atypia) using the vacuum-needle technique through 3-4 mm incision. As for the surgical procedure protocols for benign breast tumors, benign simple fibroadenoma is not removed in America, Europe, Israel, etc. I would like to discuss your case with you in more details and perform some additional tests if needed, so I would be glad to see you at EMC’s Breast center.
...more
Melanoma
My mom had a mole (suspected for melanoma) removed in November 2015. Histology revealed lentigo melanoma in situ. We checked the slides back in the Netherlands, and the diagnosis was a superficial spreading melanoma of Clark 3 Т1а Beslow 0,8 stage; re-excision with capture of 1 cm of healthy skin is recommended. Is
it possible to make re-excision and subsequent histology in your hospital? If so, how soon?
...more
We absolutely agree with the opinion of the European colleagues: re-excision with a wider offset is required; according to the Russian Protocol it is necessary to move 2 cm from the peripheral edge. This is for counter insurance, as lentigo-melanoma is a favorable type, and previous surgery is likely to put an end to
this story and the forecast is favorable. All the necessary manipulations for the study are possible in our Clinic; we have our own well-equipped laboratory with the possibility to ask the advice concerning the sample in Germany and Israel. You should make an appointment with the surgeon-oncologist (Marina Bissessar) in the nearest time to conduct the diagnostic re-excision. Hope to help!
...more
A spot on the back and chest
I have a spot on the back and chest, what could it be?
A spot on the skin is one of the most common symptoms of various skin diseases. Infectious (viral, bacterial or fungal) as well as noninfectious skin including serious diseases and nevi (moles or birthmarks) can manifest as spots on the skin. You should go to the dermatologist for accurate diagnosis. The doctor will
examine you and, if necessary, a special instrument (Dermatoscope, wood lamp) will be used. A skin scraping can also be done in the lesion for microscopy, cytology or culture. A treatment will be prescribed after diagnosis.
...more
Batkaeva Nadezhda
07 September 2016
Uterine cancer
My mom was diagnosed with the uterine cancer. She is 68 years of age and has an obesity of 4th grade (the growth of 166 cm, weight 135 kg) and hypertension. Admission to the radiology department was recommended. What should we do? As far as I know the surgery is the only method for cancer of the uterus to be removed.
Is it really so that this surgery is only possible for young and relatively healthy persons?
...more
It is not quite so. We can operate on any patient, but the issue is which complications can lead to patient’s death and which of them can just delay the recovery. From the anesthesiologist’s point of view, it is a major challenge to intubate patients with 4th degree obesity; the abdominal section is also possible,
but there is a 100% risk of suture line disruption and inflammation, let alone the postoperative pneumonia, venous thrombosis, etc. There is another option such as vaginal hysterectomy which is more acceptable and relatively safe in obese patients. It is not a «treatment standard», however, as it allows not obtaining pelvic washings, but still there is a possibility of complete cure. Anesthesia remains a problem - both general and spinal. Radiation therapy without surgery is another acceptable treatment option besides vaginal hysterectomy. A chance of complete cure is still exists, but the survival rate is on average lower than in surgical treatment
...more
Vladimir Nosov
07 September 2016

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Dr. Marina Sharova = A+++++! Highlights => super knowledgeable! Confident! Professional! Mother-type! Truly terrific bedside manner! Spends endless time with moms! A wonderful choice for all, especially first time moms and foreigners who only speak English! Special thank you to
midwife Svetlana Kirsanova and anesthesiologist Vladislav Stanivlavovich! Great team! Great work!
... more

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