Health professionals are crazy about the coronavirus, burdened with work and learning. The protocols follow each other, like the waves; once the consultation is completed, dry, or before you start browsing the consultation, we offer you a space for us to give you the best possible attention. Unfortunately, once we read the last protocol, we should read a new updated protocol. It is perfectly understandable in view of the situation.

In the current situation, it is essential to avoid collapsing Hospital Intensive Care Units (ICU). Otherwise, many people would have been able to die without the possibility of receiving all the attention they deserve. What society would not accept. To this end, the organisation and functioning of Osakidetza has changed radically.

First, primary care workers (administrative, nurses and doctors) performed the screening. We identified the patients and telephone follow-up was performed. Somehow, we would be the first containment wall. Most cases are managed here, in particular mild cases. Obviously, there are hardly any face-to-face consultations; if so, we would be without health personnel for two weeks, or even contamination between patients would be disproportionate. This is a measure to protect patients, health workers and the health system itself.

On the second level are the outpatient clinics or health centers specifically organized to deal with the coronavirus, the next containment wall. Here, patients affected by the coronavirus are cared for in person, if we consider that they need a physical or radiological analysis. Many of them are required to undergo diagnostic tests, especially in the case of health workers.

Finally, we have hospitals. Those who are severe are channeled, those who need oxygen, intravenous treatment, or thorough follow-up. The most disadvantaged, of course, enter the ICU following the current protocols.

But there's one thing that we've been forgotten: patients. In fact, they have not participated in the protocol development process. Someone will think that it is because of the seriousness of the situation or that it is, but unfortunately it never is. It is exceptional to work with patients or family members, even in the best normal conditions. So things, we haven't figured out what their behavior would be: how they would respond, how they would live this really hard experience. There have been patients who have come to their usual health center, in a precarious situation, without knowing that they had another facility, which has caused a great shock and annoyance because they have been told to move elsewhere. It was the people who, out of fear of fear, went to the office to ask for the IT for fear that the situation of people with chronic diseases was not foreseen. There have been those who have entered the consultation with fever, without warning anyone, without protective measures. And that, for its part, can collapse primary care and put workers and users at risk.

No one eats sunburned cake, and sanitation is a knowledge-based activity. So we have a lot to learn. In a situation like this, in the midst of a scourge, it is essential that people, health workers, such as heads of service and managers know how they will respond. To act diligently and effectively in the future. And there's a tool for this: qualitative research, among others. Discussion groups or focus group with patients and workers, in-depth interviews, critical event technique, etc. Use. To know the needs, concerns, behaviors and responses of the society and the staff that integrate the core of the health system.

This crisis is going to go, even though a lot of friends are going to stay along the way. We have a lot to learn. Let's be optimistic and start research at all levels: epidemiological, clinical, as well as analyzing people's experiences and experiences. Learning is good in itself, because it allows for improvement. Osler was right; in the absence of patients, there was no medication.