Hello,
may I add CIRM, Centro Internazionale Radio Medico, web site
http://www.cirmtmas.it/ Based in ROme, they provide free medical advice to seafarers in English and Italian language.
It was founded in 1935 (I think the historically second such center of medical assistance to mariners), they deal with thousands of cases
per year, from fishermen to cargo ship crews, to pleasure sailors; just have a look at their yearly statistics/archive. All advice is free.
They can be contacted through phone or mail, see here:
http://213.183.150.75/_cirmtmas/wp-content/uploads/2019/08/CIRM_report-prova-finale-3.pdfFor those using Winlink, this form is available among Winlink templates.
They are recognized by MRCCs as one of the official entities entitled to require Medical evacuations.
ps we had to call them once while crossing the Atlantic (suspect of invalidating sinusistis): sent email through Winlink with all the details (descriptions of patient, symptoms, etc plus available drugs onboard), we checked again the email half an hour later and there was their answer, they asked a followup every 12 hour which we could not afford due to radio propagation, they perfectly understood and gave according advice.