Photo: Asamaz Dzivaev/PublicpostOne of the few microsurgeons in the world, Kondrat does not work for fear, but for conscience: he sews limbs, often separated from the body due to Russian gouging, participates in the races for the soul and is engaged in the gift business to eat something.
About calling
I have been working as a doctor for 20 years. I realized that this is mine, when at the end of the first year I went to work as a nurse of the reception department in the 7th city hospital. It is clear that this is dirty work, blood, pain and tears. This is the edge of the hospital. But I, oddly enough, liked it: people help, reduce the degree of their suffering, even in this position and at this stage.
In the same first year, one of our comrade accidentally hit the microsurgery department. He returned all in delights: such a department, arms and legs sew, microscopes are standing. And for the next practice, we signed up working there as orderets. As a result, everyone ran away, I remained one of our company.
Doctors generally love students, take with them, show, tell. So the frames are selected, internal selection. Now most medical students do not study, but go and buy assessments. We at one time eager, strove, we were happy that they show us, showing us knowledge. We just did not get out of work. And now the guys have the first question: "Where do you have money earned here?" And they look at the clock, 14:30 - they already run away. Another era.
Then, after the third year, they took me to the same department to work as an operating sister. "Operating brother" - this is not, they always say "operating sister". This is the first assistant to the surgeon, the mistress of the operating room. A competent sister should go half a step ahead of the doctor, understand what he will need in the following points, act ahead of the lead.
When he graduated from the institute, he came to the chef and I say - I want to return to the doctor. And they took me to residency. Since then I have been working-in the 71st hospital. Almost all his life already. Each surgeon has its own style, handwriting. There are surgeons-pedants, surgeons-pizons, surgeons-bunks. Who am I? I am mixed, pedantically pighon, with elements of gouging.
About the penalty of microsurgery
Our department of microsurgery is one for Moscow and nearby regions. This is one of the youngest medical disciplines, in our country it arose only in the second half of the twentieth century. A hackneyed stamp, but we, microsurgeons, are less in the world than astronauts.
Recently, discipline is a little in the pen. In order for it to work, there must be competent transportation and sorting of patients. "Sorting" is a term from military medicine. It is very important precisely on the battlefield in order to understand who to be taken to nearby hospitals, who to provide assistance on the spot, etc. "On a citizen" an ambulance should do this, and it does not sort perfectly.
In Soviet times, patients from all over the country, aircraft, and transfers were brought to us. Now, unfortunately, they rarely take so far patients - expensive. It happens that some Surgutneftegaz and Gazprom on their plane will be delivered from afar, and so that it would be in the order of things, as before, so that any victim in the same Pacific Fleet or Western Siberia is quickly taken to us-this is not. And this is in some situations a watch.
About the dead and living
The amputated segment must still be properly preserved and delivered. You can’t freeze. It is impossible to immerse in the liquid (although they brought both in moonshine and in cabbage brine). It is necessary to put in a package, a package - in a bag with ice or snow or in a portable refrigerator. Then large segments can be taken in the range of days, and small - fingers or blocks of fingers - even more than two days.
This, of course, is a funny moment. The amputant is brought so dead, cold, white. So you cooked jagged, did you hold a pork leg in your hand? So the severed human brush is the same. Cold, empty, flabby. And then, when you connect the bones, blood vessels, tendons, remove the clip and trigger blood flow, at that second, in front of your eyes, the hand is filled, pink and comes to life. This is a wonderful moment in our profession: we can make living out of the dead.
Any such operation itself lasts a long time (I have a personal record - 18 hours). After surgery, everyone is thrown to smoke, without fail. There were such cases when a sewn finger died after one smoked cigarette.
30% percent of the total injury falls on hand. 90% of all emergency microsurgery falls on the brush. And so, they can get with the foot, and with a member and with a ear.
About the disorder of the Russian man
The main injuries are due to safety violations. The Russian man is non -zeal. That protection that is, he will most likely remove to make it more convenient for him to work. Of course, when the Bulgarian disk is scattered, the German worker is unlikely to suffer, because it is in the right equipment. And our Vanya will work with a cigarette in his teeth, in a sleeveless T -shirt. And when this disk is scattered, it will hurt Vanya like a shrapnel, and then we will have to pierce the fragments from all over Vanya for a long time, treat bones fractures.
The man who chopped off 8 fingers on two hands with a guillotine printing knife is brought to us. How is it possible? Such a machine has 2 buttons and a pedal. Put a stack of paper under the knife - press two buttons - press the pedal. You can’t hang your hands there anymore, only if your head. They, the buttons, are for this and are made to protect their hands. And our kulibins turn the buttons. Convenient: twisted the paper, bang, pressed the pedal, chopped it. And then he suddenly pressed the pedal, and forgot to remove the pens from under the knife.
A lot of drunken injury. I would only treat such an injury for money. If a drunk person breaks his car, then he will not be paid for the car for the car. But if he broke the glass with his hands, and all such in the blood, in tears comes to us - oh, sew - that would be sewn only for money, so that it was disgraced. And then you ask: why did you climb on the glass? It turns out that he had a fight with his wife. Yes, it would be better if he was fighting his head against the wall then.
But we are treating all. And I hope that it is equally good. Not trained to treat poorly. Used to hold the brand.
About business and doctoral salaries
The image of the current doctor helps a lot in business. And I periodically do not be silent about this in the negotiations. I would with great pleasure get good money for my favorite work. But they feed us badly. Here I am, a doctor of the highest category, with 20 years of experience, who has done more than 3,000 operations, I receive 25,000 rubles for a half-time-which means 50,000 per bet. I believe that an adequate rate is 150,000 rubles and higher. As they say: why do all doctors work at one and a half rates? To have something to eat. Why then do not work for two and a half bets? And then there will be no time to eat.
After the institute, I did not work for a year, it turned out: I had to devote it to the shopping tourism. Daddy's blood, Jewish craving for money and gesheft played. We had such a team: a doctor, an international journalist and a nuclear physicist. At first, I was ashamed to stand in the Luzhniki in the market with “cheap Turkish skin”: my institute is nearby, then a classmate will pass, then the dean. At first he hid his eyes. Then I think: what is it? We survive, earn.
And then my sister went to the Arbat to trade with nesting dolls, and two weeks later we opened my tables with nesting dolls there. Moreover, they made such a point that our nesting dolls cost $ 100, and on average on the Arbat - 10 dollars each. We found three or four of the best artists and did what is now called "to conclude an exclusive contract." They said: sit in Zagorsk, paint nesting dolls, we will come to you, take everything, bring you money and products.
And then they simply covered the Arbat: instead of a thousand tables, five stores are left. And at that moment I already actively went to medicine, it was not up to business. In the very timelessness I got. Then there was a completely pipe. I remember the doctors received $ 20-30 a month, and only $ 50 needed for food per month. I spun and worked part-time, bombed in a car.
By the age of 30, I met my beloved wife, who gave birth to both a like -minded person and children of beautiful children. Together with her, we built, together with partners, a grocery boutique. Then they dispersed with partners, started a gift business.
Business is a routine. I bought cheaper, sold it more expensive, covered all expenses and, preferably, left money for myself. I like to work in the hospital, and I do business as necessary. Thanks to my wife, who gives me the opportunity not to leave medicine, helping me with shops. When my middle daughter Alina was born, I went on maternity leave for a year and a half, and then returned to the half -time. Why are the Russians all wild? We need to know the laws, a man can also take a vacation to care for a child. Now I am on duty on average once a week, I work, develop, I am doing my favorite thing. Our family, by the way, is large, three children - I still have a senior, from my first marriage.
About the team of doctors-lines
I always gravitated to extreme. In his youth, he climbed into different rocks. True, this passion has gone with the birth of children because responsibility appeared for kids. I tried to dive with scuba gear, and the debut did not happen on the Red or Black Sea, as is customary, but on white and Barents. But - uncomfortable, not my element - it is scary to me there, in the depths. I tried to fly with a paraglider, but stopped when our mentor fell and broke his feet.
And then it turned out that my friend-architect called me, and says: "Have you gone to the race?" Me: "And where?" He: "Moscow - Vladivostok - Moscow." Me: "Are you a fool, or what?" And on this the first conversation ended. And then I called him back, asked to tell in more detail. Looks like I had such an age, the same average when a crisis, and I wanted to do something like that. Doctor and Architect - we were not taken seriously, and we sat down, drove and took third place. 21,000 km in 226 hours of clean time. Hard, extreme race, "Grand Prix Japancar", back and forth for a while, through the whole country, hobbits, b .... This is still the longest summer race in the world-well, there are no such distances anywhere. So I have such skins on the uniform: I participated and was in prizes in the world's longest summer race. The same parsley in the world's longest winter race, in the "expedition-Trophy", and as much as three times-2005-2006-2010-our team was engraved on the prize "For the Spirit of the Expedition".
You work in the race, as in the army: you lead 4 hours, 4 - stormy, 4 - sleep. We slept in an orderly order. How don't you want to sleep? Well, sleep, you behind the wheel in 4 hours, do not die for us because of your insomnia. These are competitions, not pokatushki, and we are all boys with strong eggs, we need to defeat everyone.
Over time, we have formed a "team of doctors." Then I was very lucky - rarely such close friends appear in adulthood. We, consider how we flew into space: only in combat mode we drove together the longer equator, not counting the punch on vacation. We have three professors in our team, they are also a doctor of sciences, one candidate. It's time to rename the Professor Team. And two combat ladies: one - head. traumatology, the other - head. Cardioremation. They drive no worse than boys.
The scale of Russia, its splendor surprises. When these empirical kilometers from the card you really pass by car, this is striking in the heart. We have a very large country, very beautiful, we must protect it and do not give out to anyone. Another children grow up - let them live here well.