Translated material
Dr. Lisa
She saves those who are abandoned by relatives and the state
## 
Ilya Vasyunin,
Maxim Avdeev (photo)
A palliative medicine doctor works with patients in the last (terminal) stage of the disease. He does not heal the disease, but its symptoms - so that a person can live in recent months, weeks or days with dignity. The service in which Dr. Lisa works is called “fair assistance” and exists for six months. In total, Elizabeth Glinka has been working with doomed patients for 15 years. She was educated in the USSR (an anesthetist resuscitator), then she got married and left for the United States. There became an oncologist. In America, I went to work in the hospice. At the same time, she helped patients in Russia and organized the first hospice for cancer patients in Kyiv, where she lived for two years. When I arrived in Moscow, it turned out that her help also needed her.
- The ambulance does not come to them -
  |
“First, a problem arose with coma patients. See: they are undergoing an operation. Sometimes it passes successfully, sometimes not. If it is clear that the patient will not recover - neither physically nor mentally - he is written out. In fact to the street. Non -reliable patients are not taken to the hospital: why will he take a place there? ”
Then Elizaveta Petrovna - Dr. Lisa - undertook to organize her “Salvation Service”. For those who were denied everywhere. Five people work in the Fair Help Foundation. Dr. Lisa herself, Ivan - a doctor (works on the exits twice a week), Pavel - driver, Lena - accepts calls. Fund President - deputy Alexander Chuev. The help of Dr. Lisa is required when doctors forget the oath of Hippocrates. On the day "Fair Help" can go around no more than five patients. More time takes communication with hospitals who refuse to take heavy patients from other regions (without registration) or simply “unpromising”.
It was planned that “fair help” will help only neo -infological patients (hospices are built for oncological in the city). It turned out that the circle of wards is much wider. Firstly, you can not always get into existing hospice for patients with cancer. For example, the patient does not have Moscow registration. Or worse - Russian citizenship. You have to arrange such for a long time. In addition, a huge number of people with disabilities are simply abandoned. Relatives and the state. Then you have to take on the functions of social services. For example, as in Petrovo-Dalny.
- There is no one to help the old man -
To the 60-year-old old man who breathes through the tube and which-the tube-fell out of his throat, leaving a gaping hole, not only refused to come an ambulance. For three months he has no water at home.
“I came to visit him last week,” says Sister Nina Sergeevna, “and it turned out: there are debts, eighteen thousand.”
The sister lives in Dolgoprudny and says that he can’t come often, herself is disabled, and then all day on the road. Yes, and it is expensive. He says that Anatoly Sergeyevich and his wife were moved to the basement two years ago. The wife followed him.
Then she died. The son remained, but he does not work and drinks. Therefore, there is no one to help the old man. After the death of his wife on payment of the apartment, they “recalculated”. What exactly they counted, Anatoly Sergeyevich could not figure it out, and now they turned off the water. In the residential administration, the situation was simply explained: the water was not disconnected, just a water distributor is broken in the apartment. Until they pay debts, the plumber will not come and there will be no water.
Dr. Lisa sends Nina Sergeevna for an extract. "Will you, fund, will pay for water too?" - I ask. "Certainly. Not to leave the pensioner. ”
Sister returns: debt for water - 15 thousand rubles. The pension of the Podrublevsky pensioner is 2800. “This is with allowances for disability and medicine,” the sister said.
“You will send an account by fax,” Lisa admits a pensioner. “We owe something to you? - The sister escorts the Hallgazh on the threshold of the house. “Maybe we’ll write gratitude somewhere ...” Lisa only tiredly waves her hand.
- "I work with outcasts" -
  |
She does not get tired of giving examples when patients can die from the indifference of others. For example, relatives.
“We traveled here to Novopedelkino. Patient with scattered sclerosis. The door to her room was laid with rags so that it did not smell. ”
The old woman refused to prescribe the roommate of her daughter in the apartment, so she was closed with rags. The door was opened by the grandson. The patient is a heavy woman. It must be washed. The wheelchair, which was issued in the interview, has no brakes. In general, the fragile Dr. Lisa and Paul dragged her to the bathroom on herself. Brother comes out. “Help,” they say to him. Refuses. “I managed to attach it to the hospital,” Lisa rejoices.
A call from Perovo: “We have a terrible smell on the ground floor. The neighbor says from the fifth. ” - "The police called?" - “Carled. They arrived, looked and left. " A sick person really lives there. No, not a bum. He even has a passport. He is not provided with medical care, because he lost a medical policy. And he himself cannot restore it, because it is not coming.
“I work with outcasts,” says Dr. Lisa. “Before we started working, I had no idea how there are a lot of them.”
“Everyone believes that my patients are homeless people and alcoholics, and this is not at all. I work with people who once had a family and work. They lost everything due to illness. And because of the conditions in which they are forced to exist. ”
Even through the “Living Journal” Elizabeth Petrovna help to cope with “emergency situations”. For example, in early October, Dr. Lisa took the girl to the hospital with light, sick with cerebral paralysis. The hospital first agreed to accept the light, but then the doctor was scared: what if they refuse to take the girl? What will he do with an unpromising patient? Dr. Lisa waited four hours in the reception - the responsible doctor did not pick up the phone. Then the ambulance driver photographed Dr. Lisa with a child in his arms and sent a picture to a “live magazine”. So users of the Internet learned about the situation, and among them are journalists from television. They called the hospital, and after fifteen minutes the problem was solved, the girl was hospitalized.
"They took it on a receipt that I would take her in a week."
I took it. Dr. Lisa takes the patient in her arms and puts on a gurney. Sveta does not let her go. Go - in Butovo. All the way the doctor is carrying his patient in his arms.
“Do not see that she is a disabled person,” says Dr. Lisa. - She also feels and understands. In its own way, of course. "
- a car from Mironov -
Through the “Living Journal”, Dr. Lisa arranged “charitable evenings” twice. The first time they collected money for a young guy, a war veteran in Chechnya, who was discovered by cancer. The second time-for a girl from a chrystal goose (diagnosis-hydrocephalus). They took her family a whole car of money and things. For the third time they collected diapers and hygiene products. They brought a whole car. “Distributes are always needed. You see, they have already been spent half, ”Lisa shows the shelves in the office. - Part of the funds allocate sponsors. Bloggers send funds to the account indicated in LJ. ”
Dr. Lisa is often accused of working for politicians. For example, on the party "Fair Russia".
She explains: she met Mironov, even when she lived in America. By mail. Here, in Russia, it was necessary to hospitalize a boy with cancer. The hospital refused to take him. I wrote an outraged letter to the senator, and bureaucratic problems were resolved. When she arrived in Moscow, she said that she wanted to meet. She talked about the project (help with hospice patients) and demanded an ambulance. Mironov gave an ambulance. For his own, clarifies Elizaveta Petrovna, money. The senator does not suspect in the self -interest: “He will not earn any political capital on us. Because our patients will no longer go to vote. ”
The main task of Elizabeth Petrovna is to open a hospice in Moscow for its current wards. “The issue with oncological hospices is somehow resolved,” she says. There is not a single one for non -infectic, but also doomed patients with a hospice. Clinics do not take such patients. The ambulance has a black list of patients who are already “useless” to leave. Often they die at home, not even receiving elementary assistance, such as painkillers. Relatives also refuse such patients.
“Previously, this problem was somehow solved, for example, the houses of the disabled,” the doctor says. - With the advent of “wild capitalism” in the medicine, she ceased to be decided at all. The patient in the last stage of the disease, as a rule, is insolvent. Already everything that can be sold, relatives have no money. ”
“None of the doctors will definitely determine how much the patient remains to live,” says Dr. Lisa. - With good care, they can live for several months, and sometimes years. With poor care, they die painfully. ”
The state of dying was thrown. It was just the most part to leave the sick. And the doomed - and even more so. But a person has the right, if not to recover, then at least die in normal conditions, in a love. Therefore, the hospices for hopeless patients, and the visiting services that will help them at home are needed.
By the way, the work of hospice doctors does not always find understanding. Many believe that it is necessary to provide assistance to alive, not doomed people. Sometimes even colleagues-doctors write to her in LiveJournal: "Our business is to save, not to torment." Dr. Lisa answers them abruptly. Last summer, the Minister of Health of the Zurabov wrote to her. Lisa asked to organize a hospice. “I consider this type of assistance to be inappropriate,” the minister answered. Elizaveta Petrovna believes otherwise. She is negotiating with two Moscow hospitals to implement the project.
“Why are you sad? She asks when we return from the outskirts. “Everything will work out, be sure.”
From the Internet Devil of Elizabeth Glinka (DOCTOR-LIZA)
And here Petrovo is more. House in the village. A semi -basement room with open windows. Neighbors with the words: “Finally! You would have arrived on Friday, otherwise you’ve got out of your arrival. ”
A dark room with a smell of rotting meat. On the bed is a man. Beautiful. 60 years.
Next to him is a disabled sister.
- I called you. Nobody rode to us. He went out and, not saying goodbye to us, disappeared the only son of the patient.
- Anatoly, what happened to you? On the neck is a well -formed hole from tracheosta. There are no tubes in the throat. She lies on the likeness of the table. Breathes hard. On his fingers, he showed that he underwent 8 operations.
- Write.
"The tube fell out, he could not put it back."
Crying.
- Is it difficult to breathe?
Nods.
- Scary?
A nod again.
“I won't hurt you.”
Ivan shone with a flashlight, Schumacher stood in a wipes. I saw what was overlapping a hole. Somehow I picked up a clamp. I pulled out. Rather, the word "scooped up" is suitable, sorry for the details.
- And now you will cough. We sit together. We coughed for a long time. And they also cleared a lot.
Dr. Lisa has been working with doomed patients for fifteen years .