What is the risk of getting sick for e-cigarette fans?

If you vape, and you have shortness of breath, chest pain, fever, it may not be COVID-19 at all. Radiologists and medical imaging scientists sound the alarm about a new disease spreading across the planet, associated precisely with electronic smoking cigarettes. The first reports on a new disease began to appear at the end of 2019, long before the start of the coronavirus pandemic. The US Center for Disease Control and Prevention (CDC) called the disease EVALI — e-cigarette or vaping use-associated lung injury, in other words, a lung disease caused by electronic cigarettes or vaping. 95% of patients with EVALI initially complain of shortness of breath, severe cough, chest pain. In 85% of cases fever, chills, weight loss is added to the above symptoms. In 77% of cases diarrhea, nausea, and vomiting emerge. As you can see, it looks like pretty much as an ideal picture of symptoms of bilateral pneumonia caused by COVID-19. …

The polyclinics converted to outpatient CT centers started to admit COVID-19 patients. A novel routing mechanism is there to secure access to radiological and instrumental diagnostic methods for patients with physical illnesses or cancer

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22 polyclinics have been converted to outpatient CT centers. Each Moscow district has at least one that operates twenty-four-seven. There, patients will receive a comprehensive clinical examination, incl. CT study, based on the indications. According to Stanislav Samburskiy, CMO of the Moscow Center of Diagnostics & Telemedicine will be responsible for supervision over the quality of radiology and instrumental exams. …

Not long ago I published an article about the use of computed tomography (CT) to scan chest organs in patients with suspected COVID-19. The article resonated with the audience while CT imaging was positively acknowledged both in Moscow and New York. Some readers, being also regular health care consumers, expressed concern about the safety of imaging studies in the article titled: “Computed tomography causes cancer”. Prof. Sergey Morozov, CEO of Moscow Center of Diagnostics & Telemedicine explained to Stanislav Samburskiy when CT can actually be harmful.

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Prof. Sergey Morozov

Why do we need CT?

Around 49% of the symptomatic patients who have positive PCR test results manifest chest CT imaging abnormalities common to COVID-19 pneumonia. The UpToDate recommendations suggest splitting patients into two groups with either less or more than 50% of the pulmonary involvement (this can be seen on radiography or computed tomography images). In order to monitor changes clinicians rely on the unified classification scheme that assesses pulmonary involvement based on a four-grade scheme. Mild changes correspond to the CT-1 grade and manifest with less than 25% pulmonary involvement. The moderate condition is graded CT-2 and is associated with 25 to 50% abnormal changes. The patients who developed severe stage present with from 50 to 75% pulmonary involvement and are assigned a CT-3 grade. Critical condition (CT-4) is observed when the area of pulmonary lesions exceeds 75%. Such changes can only be seen on a CT image. The patients in severe (CT-3) or critical (CT-4) conditions accompanied by typical symptoms are referred to inpatient setting in 99% of the cases. It is also a common practice to hospitalise patients with moderate lung lesions (CT-2) if they show signs of hypoxemia. …

Stanislav Samburskiy talked with Sergey Morozov, CEO of the Moscow Center of Diagnostics & Telemedicine, and Maxim Smolyarchuk, Deputy Chief Officer of Radiology and Instrumental Diagnostics for Radionuclide Diagnostics in Moscow.

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@ http://жить-в-россии.рф/ 2020

Cancer patients will be examined at PET-centers in Moscow using a new radiopharmaceutical agent — fluorine-18-PSMA. Patients with recurrent prostate cancer after a radical treatment — surgery or radiation therapy — will undergo this diagnostic testing.

About 37,000 patients with prostate cancer are under the observation of Moscow doctors. Recurrence of cancer is identified in at least 30% of cases. Diagnostics is complicated by the fact that not all methods of diagnostic radiology detect new malignant cells at a low level of prostate-specific antigen (PSA). The lower the antigen level, the more difficult it is to detect malignant cells. …

Stanislav Samburskiy talked with Sergey Morozov, the Chief Specialist in Radiation and Instrumental Diagnostics and CEO of the Moscow Center of Diagnostics & Telemedicine.

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The use of computed tomography in outpatient computed tomography centers (OCTC) is entirely consistent with the clinical data and global best practices. This is also an effective tool for diagnosing the coronavirus infection COVID-19

In April the Moscow clinics had seen a surge in the number of patients suspected for COVID-19, including those in critical condition. A need had emerged to employ mass screening techniques to facilitate early diagnosis of the COVID-19 infection.

To accomplish this, the Moscow outpatient clinics were converted into 48 OCTCs. That way the clinics joined the fight against the coronavirus so that treatment could be initiated at the earliest possible time. To reduce the hospital burden the patients with mild symptoms were urged to maintain self-isolation at home. …

COVID computed tomography centers at the Moscow outpatient clinics are gradually being returned to normal. Stanislav Samburskiy and Elena Bukolova talked with Sergey Morozov, the Chief Specialist in Radiation and Instrumental Diagnostics and CEO of the Moscow Center of Diagnostics & Telemedicine about the options available to people in Moscow for COVID-19 testing. Also, he emphasized the role of outpatient CT scanning in diagnosing coronavirus and named the Moscow regions with the highest patient attendance.

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Sergey Morozov, MD, PhD

- Professor Morozov, let’s review the activities of the Moscow outpatient computed tomography centers (OCTC) seen during the recent two months. …

To date, 12 of the 46 Moscow COVID outpatient computed tomography centers (OCTC) have been transferred back to normal operation. Previously, these centers were opened in the city clinics for the examination of people with suspected COVID-19 and flu symptoms. For two months during their operation, 150 thousand people were tested by the COVID outpatient centers. The most significant number of studies were conducted in Mitino. In this area of ​​Moscow, 205 patients were examined daily at OCTCs. …

Russia celebrates Medical Worker Day on the third Sunday of June. This year, most holidays are being held online, and the Center for Diagnostics and Telemedicine celebrated its professional holiday online too. On June 21, Doctor’s TV channel, with the support of the Center, held a virtual concert dedicated to the Medical Worker Day. Doctors, musicians, actors, TV hosts, and more than 800,000 spectators took part. The concert participants congratulated the entire medical community on their professional holiday and thanked them for the work done.

Unlike regular concerts, not only various celebrities but also members of the medical community went on air and shared their news and thoughts about recent changes. Professor Sergey Morozov, director of the Center of Diagnostics and Telemedicine, said that he was very proud of his colleagues, whose impetus to develop a COVID-19 dataset came about from working together during the pandemic. He also expressed his joy that in the last few months, new exciting collaborations and productive teams have begun. For example, just in time for this holiday, the Center for Diagnostics and Telemedicine launched a new information resource: tele-med.ai. Attractive interface, convenient navigation, and all the most relevant information are the three pillars on which the concept of this site rests. The site is intended for heads of departments of radiation diagnostics, doctors of the departments of radiology, radiology, functional diagnostics and ultrasound, and radiologists and specialists in related fields. …

Diagnosing diseases is a complex process, especially when it comes to a new infection. A set of diagnostic studies helps to interpret the clinical picture of the patient correctly and to propose the right treatment plan. The Moscow healthcare system adopted the following approach: outpatient computed tomography centers for patients with suspected coronavirus infection were opened at 48 metropolitan polyclinics from the onset of the COVID-19 outbreak. Under the supervision of therapists, a set of examinations was carried out: smears for PCR, a blood test for signs of inflammation, pulse oximetry to assess blood oxygen saturation, and ECG, including computer tomography (CT). …


Stanislav E. Samburskiy

Chief marketing officer of Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthсare Department, МВА

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