
Murder by a patient of the patient as a mirror of Russian medicine problems - and not only
Network messages like "Shock! Video! The doctor killed the patient!" Far from always true. But this time, the "boulevard" headlines that were accompanied by many blogs and the media video of the on the evening of December 29 in the Belgorod city hospital No. 2 completely reflected reality.
In Belgorod, the hospital doctor killed the patient with one blow https://t.co/0xguqx1fyn pic.twitter.com/rbsxtrpiw2
- 9111.ru (@9111_ru) January 11, 2016The video, first published by the Moscow Region 360 channel, is characteristic of its clarity and unambiguousness - the beginning of the fight (more precisely, beating), and its consequences, and the reaction of the medical staff, and attempts to resuscitation (with the participation of the very doctor that struck), and, finally, cleaning the premises after the body was released.
Events on the video occurred on December 29, the video appeared on the network only on the evening of January 8. The name of the doctor - Ilya Zelendinov - became known after a couple of days.
The first reaction was cynical jokes with understandable subtext:
The Nazis completely started in the Kiev hospital for the words "Crimea - Russian" the doctor killed the patient https://t.co/0eghsevdix
- laughed, lost (@podluva) January 8, 2016Saved on the budget of the FMS
He killed the patient - saved the budget, helped his homeland, released a bed in a medical institution, a doctor is a doctor! He must take care of healthcare.
- Alex (18+) (@sanndrio) January 9, 2016 A surgeon of a fist Kulak killed the patient // something new in Russian medicine
- Sasha_Sever (@aleks_SPB) January 9, 2016Immediately after the appearance of a shocking video, voices in defense of the surgeon immediately began to be heard. The defense has two main lines. The first is the fact that he "stood for a girl", a nurse, who allegedly offended the murdered patient. The second is connected with the difficulty of profession of a doctor (especially in Russia) and inadequacy of patients. The versions immediately appeared that the patient was drunk, homeless, criminal, etc. - This, however, was not confirmed, the stories of witnesses regarding the situation with the “offended nurse” are diametrically different.
Oops! And the killer is a butler! I mean, a nurse. The man, getting up from the couch, accidentally touched the nurse, she freaked out. I didn’t accept the apologies, I judged: “What, every man will beat me”? He called the doctor, the doctor killed a person who had just suffered a difficult procedure.
However, all this did not prevent the doctor from justifying the doctor with heartbreaking stories about patients with respect to doctors and nurses (often sounding quite believable).
So many people die at the hands of the doctors that the Belgorod doctor is just a Painka .. more he defended the honor of the lady and he himself defended himself ..
- /// Yerebtsov (@igorzhe) January 9, 2016The doctor, I'm sorry, I don’t know his name, the hero, I fully support it, otherwise it will be like in Cologne, but I would support it without Cologne, the man saw the creature - killed
Well, since such a topic has gone today, I will say: - I am completely on the side of the surgeon, who was lying blue cattle. But this is all the toothless-heartless "oh unhappy man, came to the hospital, and there, there, fists, right on the head, horror-uzhas nightmare ..." This is all fuflo, guys. Surgeons just do not jump out of the offices and do not "beat" on hardcore of innocent citizens.
Here is what an amazing phenomenon: why does our public sleep when the doctors (crews of “ambulances”, doctors, etc.) are subjected to systematic attacks from the “patients”, but immediately wakes up when the other side suffers as a result of the fight? <...>
Indowing, users of the network cannot understand the reasons for the aggressive behavior of that very doctor, asking the question that does not require the answer to the void: “Why immediately with fists?”.
If not directly in defense, then, in any case, some of his colleagues made requests for condescension to the Belgorod doctor. The post of cardiologistAlexei Erlich on Echo of Moscow was widely dispersed:
People! Come to your senses! That is, an armed uncle who protects loved ones is clear (well, yes, macho, clin into the seveneros), and an unarmed man who protects his loved ones (and a nurse with whom you spend up to 80 hours a week, even if not a wife and a mistress, although this can also be undoubtedly close to a person), are you ready to blame only because he is a doctor? <...>
Yes, in each hospital, the drunken Murlo threatens the life and health of doctors, nurses and nurses in reception rooms almost daily in the reception rooms ...
Probably, it’s really time to greatly tighten responsibility for such violations to doctors (there is a strict punishment for attacking police officers). Yes, and doctors themselves need to be able to protect themselves legally (at the first signs of the threat to call the police !!!). But so far you have to protect yourself with fists. And as a result, the tragedy: the patient died, the doctor will be imprisoned, and 80% will continue to live in distorted reality.
Some details from the life of Russian doctors really sound scary:
The doctor committed a crime. I'm not going to protect.
Chronicle of the last five years that I have been working on an ambulance. What I remember.
1. Call to the night club. The man was beaten. He behaved inadequately, prevented medical care.
- If you do not help him, from here you will not leave alive!
-Do the restraint
-This is your work. As a result, I held, Nastya bandaged. Beded. Policeers did not wait.
2. It seems February 2014. A stained man rushed at people. <...>
3. A drunken woman, after we brought her to her senses, suddenly hit me with a fist in the stomach. The police watched us from a distance of twenty meters. They twisted and took them into the car themselves.
4. 3 in the morning. A drunken freak broke his hand to his civilian wife. When I suggested that she take off my shirt for examination, with the words: "You, undress my wife?! He rushed to the knife that lay on the refrigerator. Neutralized himself. Nastya called the police: "We have a threat of an attack on a doctor!" "We cannot come for such an occasion. When there is an attack, call" <...>
Again. I am not going to justify the doctor who committed the crime. I just want you to know about our work. Take care of yourself.
The ambulance doctor talks about some features of his work. Sounds shocking. Moreover, the fact that people prefer not to intervene in anything and "stand like in the theater" is familiar and familiar. The fact that the police, in general, does not give a damn about everything, of course, is not the discovery of America. However, when a person calmly talks about one and another at the same time - an interesting synergistic effect of perception arises: childish surprise "How can you live in such a society?"
And this feeling is wider than just sympathy for the madmen who still work in the ambulance.
They attacked me several times. Personally on me. On my nurse. Drunk and sober. Old people and not. Each time (miles \ Poly) tion refused to come. Yes, and they did not accept the application. “They will kill \ hit the minced meat .... Then ..." Defense - it is also such a thing ... ambiguous. I also made it that previous events do not get into the network. Never. It will always be only how to hit \ Hoiled \ insulted by the doctor. As the door slammed in front of his nose, without explaining anything. There has never been a video of the provocation itself. Never. And sometimes I want to give in the face ... I had to.
Another question is how all these horrors justify a particular Belgorod surgeon.
Any practicing doctor perfectly imagines what the reception of the Russian sudden hospital is on the evening of December 29. The flow of drunken, often aggressive people with injuries and exacerbations of chronic diseases against the backdrop of binge or withdrawal. As you know, the sovereigns from the system of the Ministry of Internal Affairs were taken out, so the ambulance is lucky to the hospitals and simply very drunk, not even sick: to conduct an examination of intoxication so that the person does not freeze to death, etc. Security for a hospital of 150-200 beds can be a couple of retirement age of grandfathers or muddy chopovtsa with an Afghan past, but one. As a rule, this guard cannot protect anyone. Medical personnel are not enough, he is constantly in an inflated psychological state due to an excess of work (including a common hospital unusual for doctors, for example, sobering) and threats to his health, and sometimes life from patients. <...> I do not justify the doctor for his act, he must be responsible by law. But the whole system is made so that such tragedies were and will certainly be.
This "I do not justify, but ...", of course, is still perceived as an excuse. Other colleagues went even further, having launched mainly in Vkontakte the hashtags #onneubic and #
Here, however, I found a braid on a stone:
#Ilyastobobobo Colleges - Joseph Mengele, Andrey Chikatilo, Nehhinoon Rafik
- Alexey Krasilnikov (@alexkrasi) January 10, 2016 I understand doctors who support a doctor from Belgorod. But I can’t understand that you want to achieve a hashtag#onneubic and# Do you really not understand that this will even more angry people, and share society. The one who invented this and launched this did not help, but threw firewood into the fire.
Now, because of this hashtag, a sharp-indifferent attitude towards all doctors will develop. In general, there is a feeling that someone is specially drowning.
Finally, the chief physician of the Belgorod hospital Vladimir Lutsenko gave an interview with MK .
I don’t know what they write there, and how reliable it is. But there were no written or even oral complaints from patients and their relatives against Ilya Zelendinov. He did not have a single administrative penalty (superimposed in cases where the doctor was late, came into a drunk form, etc.- approx. Author). This is a fact. He has established himself as a competent, disciplined and executive doctor.
The patient’s killer "established himself as a competent, disciplined and executive doctor," but patients in the opinion of the Belgorod head physician "are increased aggressive"
The head physician also said that the hospital’s staff did not try to hide the crime (they also accuse his colleagues on the network - in any case, there is no evidence that the police were immediately called due to the death of the patient).
A terrible video ... But if you slightly leave aside the crime itself, then I was finished off how others behaved in this room. They did not jump up on their hands to stop all this, because he would not hit them! No, they looked at everything that was happening, and then slowly began to go out, probably so that they would not solder complicity. And what happened after it became clear that the worst thing happened? - Yes, they began to quickly clean the room, trying to hide the tracks ... and help the second victim (who came with the killed) even in their thoughts, the main thing is to help their ...
However, on January 11, the head physician himself was fired.
Not all Zeendinov’s colleagues are ready to "understand and forgive him."
The Belgorod incident (a child who caused his death, which caused his death), unfortunately, was not very surprised - those more morals reign in the reception departments, no worse than in the “monkey” - but it surprised, and unpleasant, the reaction of several doctors I respected (Alexei Erlich, Alexei Kashcheev). The fact that the fighting was caused by the doctor in execution is undoubtedly aggravating his guilt by circumstance. If, for example, in a restaurant, a doctor in response to an anti-Semitic replica of a visitor will give him a fist or a bottle on the head, I will warmly support a colleague. But if he, in response to the same replica, begins to strangle him at his reception with a phonedoscope - no, it is impossible.
It is necessary to tighten the punishment of attacking doctors. And in connection with the last case in Belgorod - immediately. It is necessary to tighten the punishment of attackers of teachers. Also immediately. It is necessary to tighten the punishment of attackers of priests. Seriously and also immediately. It is necessary to tighten the punishment of attackers to journalists. Immediately. It is necessary to tighten the punishment of patients with patients. And in connection with the last case in Belgorod - immediately. It is necessary to tighten the punishment for an attack on readers. And the faster, the better ... Continue? No?
Honestly, I did not want to comment on this last case. The case of “causing death by negligence” (the case has been initiated under this article). True, I always thought that negligence in medicine is something else. Here is an inexperienced surgeon osteotomy of the thigh. By negligence, he slipped from the bone of Doloto - and into the femoral artery. I could not cope with bleeding, again by inexperience ... This is such a hypothetical case, it seems to me, and there is actually negligence. And when a healthy baby, with the will of fate dressed in a surgical uniform, bursts into the observationian and beats a half -naked patient, who is examined by another doctor at that moment? What the hell is this negligence?! Along the way, the accompanying person does not fly childishly. However, you can see and draw conclusions yourself. At the same time, I emphasize, it does not matter at all that this patient, killed by a surgeon, made before that. Before the inspection. Safe sister. He beat his mother. He beaten the wife of a surgeon. Killed someone. It does not matter at all. How many times have to be inspected and operated on both rapists and killers. Especially at the beginning of the journey, when I worked in Siberia. Can't you? Do you want? Take off the bathrobe and go home.
Navalny also participated in the discussion.
OK. Does this mean that teachers, lawyers, scientists or lumberjacks with low salaries can kill people? pic.twitter.com/0fkkyrtbyn
- Alexey Navalny (@navalny) January 9, 2016Delinatory about problems with "medical ethics", medical ethics and violence (not only) among doctors is written by Nyuta Federmeser . And it comes to the same conclusion - the only mirror of what is happening in Russian life in general in medicine.
We have not learned the human attitude to the patient. The patient should still be strong, must be patient, guilty himself, because there was nothing to smoke/drink/cross the road/do not go through the medical examination ...
And no bosses and no department will correct this situation. This is the culture of the nation. <...>
I can’t understand those who write that poor doctors also need to be understood. They were produced, they have small salaries, they are tired, they were put in incredible conditions, they have stress. And patients are also hammers and bastards, so it is excusable that doctors sometimes break down. No friends, unforgivable. Let's understand the poor builders, they have such terrible working conditions, they are deceived and they are not paid, so if they somehow not be involved in concrete from fatigue or from evil, and then the whole building collapses, then let's understand them. And forgive. And even if no one gives the city control from the teacher at all, then let's understand the teacher and forgive him, he is paid little, he is tired, he replaces at the same time the teachers in physical and geography, so no one wrote the control, and all the children are stupid, and the teachers are sorry . <...> Let's agree like this: we will regret the doctors when they turn out to be patients and come for help, and the doctor in the healthcare institution, like a car dealership in a car service, is a person at work, and I should not regret him, I must get help and sympathy, and not draw conclusions about his fatigue or the insolvency of the healthcare system. Rudeness is rudeness everywhere. It is unacceptable everywhere. But in maternity hospitals and hospices, it is more noticeable and hurts more than in a car service. <...>
Yes, in medicine, as elsewhere, there are boories, there are polite people, there are devoted fanatics and merciful angels, there are nonsense and lazy people, there are workaholics. But here the low level of culture is critical, the inability to communicate is more noticeable, and rudeness wounds more painfully. Therefore, let's, friends, tell each other compliments ... You can teach and learn this.
What a terrible interview with the wife of a person killed by a doctor. How much humility, humility and anger in this woman.
"I understand everything, medical ethics" ...
Medical ethics! This is the most popular way to conceal a crime in Russia!
What happens at all?
There is such a consideration:
The murder of the patient by the Belgorod doctor happened for an obvious reason: Russian society has finally become class, actually copying the principle of its social structure of about the 17th century. Believe me, this "doctor" would never have raised his hand to an official, a policeman, even an entrepreneur. But this animal attacked this animal absolutely boldly, subconsciously feeling that the murder of a person’s low social estate is no longer considered a special crime in the Russian Federation. Moreover, the murder by a doctor who, as they say, are respected.
Valery retired accuses doctors and law enforcement officers of protecting the “uniform honor”, considering this characteristic of modern Russia.
What is not given to soften the picture of the murder. The main theses.
1. We have much more good doctors. There was such a case ...
2. In each herd there is a "lousy sheep." Medicine is part of society and .... as usual (see about the FSIN, Church, Army, Education, etc. Relatively closed institutions ...)
3. Dewares on the nerves. They get little ...
4. "They are the first to start." This is about the sick. Among them are often inadequate, alcoholics, bandits. How can I not break ...
For me, the following “medical” facts are personally important, which directly say that what happened is not an exception of their “rules”, but a vivid confirmation that Rosmedicin “kills”.
1. The murder by the patient of the patient occurred on December 29, 2015. He was officially fired only on 9.01.2015. <...>
2. Only 9.01.2015. видео попало в паблик. А так бы о нем никто не знал и врач-убийца (я уверен, продолжал бы работать и, возможно, сумел бы даже сохранить свое место в больнице г.Белгорода).
3. В отношении врача возбуждено уголовное дело по статье «Причинение смерти по неосторожности». Еще раз – «причинение…по неосторожности» ст. 109 УК РФ (от трех лет запрета на профессию и «химии» до трех лет реального срока). А не «умышленное причинение тяжкого вреда здоровью, повлекшее по неосторожности смерть»ст. 111 УК РФ ч.4 (до 15 лет).
4. На сайте «Эха Москвы» практически официальный комментарий дал представитель Минздрава РФ г-н Салагай. <...>
Здесь есть все. И недоумение, и возмущение, и желание оправдать врачей и прямая «горячая стирка врачебного мундира» на примере случая из личной практики…Нет только главного. Принесения извинений и соболезнований близким убитого.
в фейсбуке рядом про японские поезда работающие ради одного пассажира и "врач одним ударом убил пациента". как-то сразу понятны приоритеты.
— Таня Коммунар (@kommunar_) January 9, 2016Даже если пациент чем-то "обидел" медсестру, решение вопроса насилием без какой-либо попытки сначала разобраться - как считают многие комментаторы - увы, неотъемлемая часть современной русской "мачистской" культуры.
Страна, люди, что вообще происходит? ! В полиции полицейские бутылки засовывают - пытая, в больницах врачи бьют больных просто убивают вместо помощи!
в белгородской истории мы сталкиваемся с легитимизацией всякого насилия по любому поводу. Врач бьет пьяного, убить теперь за это врача - весь спор идет лишь о том, у кого есть мандат на насилие, кто может увернуться от наказания. Комментатор готов примерить на себя обе роли, и роль субъекта насилия нравится ему больше. Убитый, вероятно, повел себя как-то не так, однако мертв именно он, и оказаться на месте врача теперь явно предпочтительней (могло быть и ровно наоборот).
Авторов этой фотожабы в чем-то можно понять:
Врач, убивший пациента, выполнял наказ Путина! pic.twitter.com/i0WNnJtHbQ
— Сергей Алексеев (@aleditor) January 10, 2016 Ужасное видео убийства врачом пациента.
Я понимаю, что население у нас не состоит сплошь из утонченных интеллектуалов, и убиенный вполне мог до всех этих событий вести себя непотребно.
Но культура русского врача всегда подразумевала отречение от личного отношения к пациенту, служение во имя общественного здоровья.
За XX век наша профессия сильно деградировала от почетного места в обществе до сферы услуг с соответствующим качеством людей, идущих в профессию.
Об этом много и подробно писал Федор Углов.
Я понимаю, что доктор находился в состоянии аффекта. Но все-таки существуют некие границы допустимого, а именно недопустимо одним человеком избивать другого, даже защищая. Я знаю, что такая точка зрения не популярна нынче, но иначе мы никак не вернемся к обществу всеобщей приязни
Мнение жителя Белгорода Сергея Лежнева.
Мне хочется понять врача. Только не могу.
Я бы мог его понять, если бы его ударили самого или его близких родственников. Тут была бы 100% уверенность в том, что он или его близкий родственник, которому нанесли удар — прав. Это чисто по-человечески. А по закону всё равно будет отвечать.
А тут он без разбирательства сразу стал наносить удары.
Ненужели врач не знал, что у пациентов с любым массивным кровотечением, нарушается свёртывающая система и любой удар может привести к внутреннему кровоизлиянию? Думаю знал.
Некоторые люди пытаются оправдать поступок врача «поведением мужика». Мол, он поступил как мужик.
А в чём заключается этот поступок? Бросился с кулаками на мужика, который на много старше и стоит в беспомощном состоянии — есть мужской поступок? I do not agree.
У него же в комментариях различные истории о, мягко говоря, плохом отношении к пациентам в той самой белгородской больнице.
Скажите, а люди, которые пишут про "драку" в Белгороде, они видео смотрели? Драка предполагает как минимум двух участников, а там ворвался врач и начал бить мирно сидящего алкоголика. Что было раньше - неизвестно, но драки там однозначно не было.
Дмитрий Гудков , как и надлежит политику, предупреждает о том, что рыба гниет с головы:
Между врачом, убившим пациента с одного удара, и Госдумой есть много общего. Белгородский врач - это история наглядная. Человек, призванный лечить, убивает пациента якобы после бытового скандала. К такому поведению полиции мы уже привыкли (!) - бутылка из-под шампанского всем памятна. А вот врачи ещё в новинку.
Рыба, однако, гниет с головы. Сегодня в Думе сообщили, что будут улучшать закон об иноагентах: "прорабатывается подход трехвекторного анализа деятельности" НКО, чтобы точнее определить, что же такое "политическая деятельность".
То есть раньше били всех наугад, а теперь станут, как врач, - аккуратно, но сильно.
Здесь прав Глеб Павловский: сейчас любой случайный инцидент может обрушить систему. Знаете, как началась революция в Тунисе? С попытки полицейских собрать дань с уличного торговца Буазизи. Он поджёг себя, а оказалось - всю страну. Мы уже в той точке, когда рвануть может любая бутылка из-под шампанского.
В целом общественное мнение в Сети все же склоняется к поддержке тезиса Льва Рубинштейна :
"Врачу, убей себя сам"...
Например, большинство слушателей "Эха Москвы " (71 процент) считают, что Зелендинов не заслуживает снисхождения. "Вы звери, господа!" - отвечает на том же "Эхе" Кристина Потупчик.
Безусловно, произошедшее ужасно. Однако звериная жестокость пользователей, которые требуют скорейшей показательной расправы над врачом, тоже не может радовать. Конечно, сотрудник медучреждения должен ответить по закону. Но я уже вижу в соцсетях тенденцию к тому, чтобы обвинять всех врачей в некомпетентности. Врачи спасают жизни, работая в необыкновенно стрессовой обстановке (особенно, под Новый год, когда большинство обращающихся в больницу — жертвы собственной глупости и алкоголизма). Делают они это, получая минимальную зарплату. Как врачи, люди, от которых зависит наша жизнь, дошли до такой жизни, что они могут сорваться от безысходности на пациентах? Как нужно издеваться над человеком, какой стресс он получил, что смог убить больного, хотя вступая в профессию давал клятву «Не навреди»? Белгородская область, где произошел инцидент, далеко не самая депрессивная по всем показателям. Что же происходит в больницах тех областей, где ситуация похуже?
Сам же Илья Зелендинов до понедельника находился под подпиской о невыезде.
Гуманизм в действии - "Белгородский врач полностью оплатил похороны убитого им пациента".
В понедельник же сообщили о его задержании , следствие будет ходатайствовать об аресте.