There is no anesthesiologist in the district worker for more than a year. The patient who needed the operation turned to journalists for help: they saved life, but not leg

According to the new “May decree” by 2024, the mortality of able -bodied residents should decrease in Russia. As President Vladimir Putin said in a message to the Federal Assembly, "it is necessary to ensure, and where it is necessary to restore step -by -step accessibility in the primary link." According to the head of state, in villages, where from 100 to two thousand people live, feldsher-midwife points (FAPs) and outpatient clinics will open. In small villages with a population of less than 100 people, mobile brigades of doctors will send. This year, three billion rubles are planned for the development of rural medicine this year.

A resident of the village of Azvolnoye, Rivne district of the Saratov region, Yuri Mosolov, did not hear the promises of the president. Since January, a 57-year-old man has a bad leg. The district hospital in the village was closed in the last century. You need to go to the Central District Hospital 25 kilometers, the bus runs twice a week. For several months, the patient developed gangrene. It turned out that it is impossible to do an operation in the district hospital, since there is almost a year and a half there is no anesthetist. In the regional clinic in Saratov, the villager was also not helped: according to the law, urgent surgical interventions should be carried out at the place of residence. Not knowing where to ask for help, Mosolov turned to reporters.

Go there, I don't know where

A patient with gangrene is sitting in a beige "six" in the parking lot of a supermarket. Zhenya brought him to Saratov. Looking at the broken Shah, it’s hard to believe that she was able to drive 100 kilometers. “I don’t have to shoot me, I still live in our area,” Zhenya closes with the camera, “you look at him on the leg.” A swollen leg is barely placed in a rubber slate. Yuri pulls the toe, unwinds a stale bandage. The inflamed foot with black and purulent spots looks terrible.

As the man says, the leg was swollen in January. In the bell, where he lives, the district hospital once worked, there were doctors of different specialties and even a small hospital. The hospital, according to residents, was closed twenty years ago. Only FAP remained. Mosolov went to the Central District Hospital in even. From the village to the district center 25 kilometers. “Minibuses go twice a week, the ticket costs 40 rubles. Yes, even before the stop, you need to go five kilometers! It hurts to step on the leg, but where can you get? " - Yuri says quietly. In one hand, he holds a cigarette, the other rubs the sore leg, trying to get comfortable in a served seat.

In the Central District Hospital Mosolov made an X -ray.

"They said: you have an intervertebral hernia, you need to lie down for ten days."

According to the interlocutor, as a result of treatment he was no better, but he was prescribed. The villager, who worked as a machine operator at the state farm and on private vegetable plantations, has not been able to argue with the medical authorities.

At home, Mosolov became worse. The temperature rose, the fingers on the legs began to blue. “I went to the surgeon. And there is a queue: first - to the registry behind the coupon, then - in front of the office. It happens that in the morning you will come until 14.00. ” Mosolov was again hospitalized for ten days. Arriving home after discharge, he felt even worse.

This time, the Central District Hospital was given a referral to the clinic of the regional hospital, located in Saratov on the Street of Workers' Street. From the clinic of the villager they sent through the whole city to a hospital located in the Smirnovsky gorge.

“The vascular surgeon wrote in the certificate that it was necessary to amputate the finger. And he says: we don’t cut here, go back to even. ”

In the Central District Hospital of Yuri, according to him, under local anesthesia, a ring finger on the left foot was removed. A week later, a little finger blackened. Mosolov was again given a referral to the regional clinic, but the record was busy almost two weeks in advance. Finally, Yuri got an appointment.

“The surgeon says: wow, you already have a gangrene. It is necessary to cut off above the knee. Go back to even. ”

“But there is no even anesthetist! We even send people to the city with appendicitis, - the driver Zhenya intervenes in the conversation. "Where do I take him now?"

I call the regional Ministry of Health. They promise to figure it out and call back. Yuri clearly cannot wait. He is all red in pain, the leg swells before his eyes, the temperature rises. We run to the pharmacy for ketorol and mineral water. Anesthetic does not work. Trying to call an ambulance. The tube is long, then short beeps. It is possible to get through in ten minutes. After another half an hour, the brigade arrives. There are two health workers in the car: one girl is in a pink hijab, the other is in a uniform with flowers. "And who do you have an agreement with the hospital, as the surname of the doctor?" - clarifies the one with flowers.

"People of the most humane profession"

Thanks to the operational and competent work of the press service of the Saratov Ministry of Health, the patient was accepted in the Engels city hospital No. 1. As the purulent surgery was reported, amputation of the leg at the middle third of the thigh was prescribed. “Gangrene of the foot is a serious condition. Any operation is a risk to life, ”the department notes. According to the doctors of the hospital, delay with hospitalization did not complicate the patient's condition.

As explained in the press service of the ministry, in this case, amputation is considered not emergency, but an emergency surgical intervention, which should be performed at the place of attachment of the patient. In the smooth, according to the ministry, there are really “there are certain difficulties with anesthesiologists.”

I’m calling an even to find out why there is no anesthetist in the area and what to do to those patients who will not guess to seek surgery with journalists?

“Patients do not need anesthesiologist every day,” says Iran Miriev, the head physician of the Rivne district hospital. - Do you write me down? I will not comment on anything. I'm on sick leave. "

An hour later, Iran Dzhalilovna called back herself and said that in the hospital they “figured out the situation”. “This is an isolated case,” the head doctor assured. According to her, patients in need of surgery, "according to the road map, are sent to the hospitals of the second and third levels." According to Mirieva, the Rivne hospital is fully provided with transport for the transportation of patients and personnel for escort. The anesthetist is not here for a year or three months (a specialist who held this position has retired). The hospital "is actively engaged in the search for a new doctor, posted the information wherever possible." The new specialist is ready to offer compensation for renting housing in evenly, help in the arrangement of children in the garden and school, a “decent salary”. According to the head physician, the average salary of doctors in the district hospital is 36 thousand rubles.

“We are people of the most humane profession. We can not scold us a lot, ”the interlocutor noted. - Let's on the eve of the Day of the Medical Worker ( this year is celebrated on June 17. - N. A. ) We will disseminate more positive information! "

Saratov