"Give painkillers, and even then not always"

In the Main Directorate of the FSIN in the Krasnoyarsk Territory, an official check began after the MSC-4 doctors sent a Gulagu.net audio recording from the working meeting in the hospital to the human rights site. On the record you can hear how the head of the medical unit, Colonel of the internal service Vladimir Elyart in a rather rude form requires subordinates to hide the real causes of patients of patients. Among those “uncomfortable” diagnoses that doctors are recommended not to mention in the history of diseases, for example, tuberculosis or severe injuries received by convicts during beating are indicated. “Do what you want, but so that this is not,” you can hear on the record.

"I understand that they die from tuberculosis. But since the director ( head of the Federal Penitentiary Service of Russia G. A. Kornienko. - RS ) said that they are not dying of tuberculosis, then they do not die," says Vladimir Elyart on this entry. A few more diagnoses fall under the ban. He disobeyed his subordinates threatens dismissal, insults them, including obscene, does not allow them to object to them.

In the GUFSIN regional, the situation has not yet been commented yet: they say that all comments will be after an internal investigation, which will also confirm (or not confirm) the authenticity of the recording. In the reception of MSC-4, Vladimir Elyarl, they refuse to invite to the phone.

Human rights activists are sure that attempts to bully the true causes of the death of patients in prison hospitals are already becoming a system.

Over the past two years, in cases that have reached the ECHR, Russian citizens have been awarded 175 thousand euros

“We have now made it a rule as soon as possible to appeal to the European Court of Human Rights, when we are aware of the facts of non -ordering or improper provision of medical care to convicts: to defend their right to life and health is faster and more efficient,” says Radio Liberty, the human rights organization Zone Law, Bulat Mukhamedzhanov . - The leadership of individual correctional institutions, as a rule, does not mind itself that seriously ill -painted prisoners are ahead of schedule or sent to a "civilian" hospital. And the petition of the colonies submit about this. But in 90% of cases they are refused. For various reasons. Formally, this can be the severity of the criminal article, and the statement that the patient is helped in a prison hospital properly. But this is not so. In order to understand the scale of what has been happening: only in the last five years and only for those cases that have reached the ECHR, Russian citizens have a total of compensation of 565 thousand euros for the inadequate medical care in the FSIN hospitals.

Mukhamedzhanov says: the organization "Zone of Law" is engaged in the problem of prison hospitals for about three years. Observations of how this system works, allowed to name its main problems:

While doctors wear shoulder straps and obey the GUFSIN, for the most part they are interested in promotion and “correct” reporting, and not assistance to patients

“The first is the lack of normal funding,” says Mukhamedzhanov. - Often in prison hospitals there is no most elementary drugs, not to mention medical equipment. Next - the absence of narrow specialists (cardiologist, pulmonologist, etc.). But there are no contracts with state medical institutions that could help patients-associated. As a result, even in emergency cases, when patients, for example, show an urgent operation, people are left without help. A serious problem is untimely and incorrect diagnostics, concealment of some diagnoses, hence the incorrect therapy. For example, cancer patients in prison mshh is "treated" with analgesic, and there are not enough. We believe that prison medicine should be re -referred to the Ministry of Health. Because while doctors wear epaulets and obey the GUFSIN, for the most part they are interested in promotion and “correct” reporting, and not assistance to patients. And circular bail in this situation flourishes.

Human rights activists talk about two cases that have occurred in the Krasnoyarsk Territory only recently.

During the year before the oncological diagnosis was made, prison doctors treated Slastikhin from pneumonia

In September 2016, convicted Viktor Slastikhin, a lung 4th stage was identified in September 2016. It was impossible to operate it - metastases spread throughout the body, soon the affected lung refused completely. During the year before the oncological diagnosis was made, the prison doctors treated Slastikhin from pneumonia. There is a record in the history of his illness about this. Doctors still claim that they could not make a mistake.

In January 2017, a court took place, which refused Slustikhin to release. In the spring of this year, he died in a colony.

Another very recent story, fortunately, did not turn into a tragedy. In mid-December 2016, the court decided to release a 50-year-old convicted person suffering from a serious illness from the colony (his name was not disclosed).

Back in 2004, it turned out that the man was infected with HIV. 11 years later, already in a prison hospital, doctors found a bladder cancer in him. According to the law ( a list of diseases that impede the serving of a sentence, approved by the Government of the Russian Federation. - RS ) with such diagnoses should have been released ahead of schedule. But this did not happen at once. For some time the patient was treated in a prison hospital. But a year later, in October 2016, his condition worsened. The only opportunity to save his life was to remove the bladder. But such an operation could only be done in the oncology dispensary, and not in the prison hospital. That's why the court allowed the patient to be released.

According to Mukhamedzhanov, for the human rights organization "Zone Law", it was the eighth released from the colony of seriously ill -painted convicted person in 2016. But still, he says, such cases are rare. And before the initiation of criminal cases, such situations had almost never reached before.

- At the beginning of this year, the head of the Investigative Committee, Alexander Bastrykin, among the priorities of the department, called the disclosure of so -called medical crimes, that is, those that encroach on the main needs and interests of a person, violate his honor and dignity. I think that he also had such cases, says Mukhamedzhanov. -Since the beginning of 2017, two criminal cases on improper medical assistance to convicts have been opened on our statements, a forensic medical examination has been appointed, and other investigative actions have been carried out. It was impossible to imagine this before.

In a prison hospital, a woman received only painkillers, and then not always. In the fall of 2016, she died

The first thing against prison doctors was excited in St. Petersburg. There, a 37-year-old convicted person, who was diagnosed with Cancer in 2015, died there. In addition, she suffered from HIV and hepatitis. But after the oncologist made an appropriate conclusion and documented that chemotherapy would extend the patient with a life patient for treatment to the cancer dispensary, the court refused to release it ahead of schedule. And in a prison hospital, she received only painkillers, and then not always. In the fall of 2016, a woman died.

The second case of causing death by negligence is investigated in the mound. There, on January 7, 2017, 24-year-old Ruslan Saifutdinov died in a prison hospital. On January 18, his sentence ended, he had to be released. A year and a half before, erosive gastritis and chronic duodenitis were detected from him. The young man did not receive any medical care all this time.

- We sent materials in St. Petersburg to the European Court of Human Rights, soon we will send all documents on Kurgan history there. We hope that the relatives of the dead will receive compensation from the state. We are waiting for whether the Investigative Committee will bring work on these matters to the end, ”says Mukhamedzhanov.

... After the regional Gufsin was still picked up in the medical units No. 4, they answered in the reception room that no one would comment on.