Incidentally dying

Due to coronavirus, hospitals are closed to quarantine, scheduled chemotherapies are canceled, and undershated patients are prescribed from hospitals. This not only turns into disaster for specific people, but also came around the entire medical industry

We will arrive when you will death

More recently, experts said that in the group of the highest risk of infection with the new virus there are elderly people. Later, the statistics were adjusted, one remains unchanged: in Russia, the old people are not only the main electorate, but also the main consumer of medical services. Now in many regions they are forbidden to leave at home, and hospitalization is possible only in case of emergency.

65-year-old Valentina Vasilievna Tsyganenko lives in the village of Oktyabrsky, Krasnoarmeysky district of the Krasnodar Territory-70 kilometers from Krasnodar and 17 kilometers from Slavyansk-on-Kuban. She had a heart attack a month before the large -scale closure of medical institutions throughout the country - in early March this year.

About what happened next, “such matters” was told by her daughter Natalya: her grandmother in her current state is not up to communicating with reporters.

It all began, as it seemed, with pain in the stomach. The ambulance came twice, both times the paramedics made a cardiogram, an anesthetic injection, but they did not suspect anything serious. Only after relatives independently brought Valentina Vasilievna to the hospital, doctors diagnosed a heart attack.

“She was put on the operation, made coronarography,” says Natalia. - They put a stent, discovered atherosclerosis of the vessels. The second stent, according to doctors, can only be put in a month. ”

Immediately after surgery, the patient jumped in temperature, diagnosed pneumonia. The daughter says that my mother spent five days in an intensive care room for oxygen. During this time, the hospital was quarantined in connection with the coronavirus, and the elderly woman was discharged and escorted.

Valentina Vasilievna was suffocating, but it was impossible to achieve a new hospitalization - everywhere they refused: in all medical facilities of the Krasnoarmeysky district, preparations were prepared for the intake of coronaviral patients. The family of Tsyganenko was advised to contact Slavyansk-on-Kuban-their grandmother was loaded into the car and taken in search of medical care.

In Slavyansk they said that difficult breathing causes problems with the lungs, and sent back to the district hospital. They reported that the lungs were healthy, the case is in a sick heart. And again, a short hospitalization ended with the presentation of the discharge immediately after the hospital closes for re -profile. In Krasnodar, they replied to requests for hospitalization that they did not accept planned patients, only emergency in an ambulance.

“In fact, we must wait until the mother is at death to call an ambulance,” says Natalia. “Only then will they be able to hospitalize us.” Whether she will have time to get a big question. ”

At the time of our conversation, Valentin Vasilievna still lay at home in anticipation of an exacerbation. The publication of her granddaughter Angelina on Facebook helped to turn the situation, where the girl described all the ordeals of the family. The post was noticed by representatives of the Ministry of Health of the Krasnodar Territory. According to Angelina, doctors from the district hospital came to the grandmother and said that they would give free medicines. " How is unknown. When the second heart operation is finally done - too.

The Ministry of Health of the Krasnodar Territory “such cases” said that there is no problem with the provision of medical services to anyone, but planned reception and hospitalization are really impossible.

“In all municipalities, patients are continuing,” says Anna Bataeva, consultant to the Ministry of Health. “But in order to prevent the spread of coronavirus infection, planning and hospitalization are closed from Monday, March 30, according to the order of the Ministry of Health of the Krasnodar Territory No. 1332. All planned patients are provided with medical care at home.”

According to Bataeva, those in need of help should consult a district doctor who will give a referral to medical organization. You can find out the free date of visit by calling the district hospital. Emergency assistance and hospitalization are carried out to call ambulance.

Sit at home, treat cancer

Meanwhile, in Sevastopol, the dream of many local residents, for years protesters against the flow of tourists: the city, as in the 80s, was closed for entry and departure. You can get to Sevastopol and even leave it now only on a special pass . Local hospitals were closed to the input: from March 30, planned hospitalization has been stopped, and visits to patients are prohibited. And although this rule does not apply to cancer patients, excesses are observed in places, as usual.

Documents of Olga Zlobin photo: Leonid Pimenov

62-year-old Olga Zlobina lived in Sevastopol all her life. In October last year, it was diagnosed with invasive carcinum of the mammary gland. To live with oncology, according to doctors, there were about six months left. But this time can be very reduced: due to the closure of hospitals, a woman cannot get to planned chemotherapy. She also does not succeed in undergoing another examination.

Olga Alekseevna should go to chemistry every 21st day. The next procedure was carried out on March 23. The next was scheduled for April 15, but the order was struck on the ban on planned examinations.

“Chemistry is made in a local oncology dispensary,” says the woman. - Before that, I have to go through the therapist in my district clinic, make a cardiogram, take blood tests, urine and go to chemistry. After that should look at the condition of my tumor. Without this, they will not put me on chemistry. I did almost all the procedures for a fee, one and a half thousand rubles for each analysis, since in hospitals everything is distributed in the coupons for weeks in advance. My pension is 8.8 thousand rubles. ”

“They have strawberries, they pulled it”

The ban on planned examinations introduced in Sevastopol, as in many other regions of the Russian Federation, March 30, the treatment schedule Olga Alekseevna greatly spoiled. On the eve of admitting the woman, a woman-medical doctor called the woman and said that there was no need to come.

“She says:“ Sit at home, get well. ” From a malignant tumor? "

Olga Alekseevna still cannot get to the oncologist. The term of the next chemotherapy has been missed. According to her, one specific doctor is engaged in breast cancer, to which there is no tolerance, and in the oncocenter the patient is recommended to "call on Monday."

“In the district clinic, everything works only on the crown, only the doctor is taking there. I could not sign up for examination: they refuse me. My hands dropped. What will happen. "

In the district clinic, where oncological patients were attached, “such cases” reported that although not all, but a number of procedures Olga Alekseevna will still be able to go through. “Nothing is being done now. But if an examination is assigned to chemotherapy - let it be suitable, ”they answer in the registry.

“And they tell me that there is only one doctor who is on duty in acute cases. They direct me to ONCO, and to the quarantine - and they refuse me in the reception, ”Zlobin perplexed.

This is not the only story of the cancer patient, encountered during the pandemic with obstacles in the treatment that we became aware of.

Moreover, many do not know that hospitals do not have the right to do this. This was told by the director of the territorial fund of compulsory medical insurance of Sevastopol Tatyana Grozdova.

Olga Zlobin photo: Leonid Pimenov

“Planned assistance cancer is carried out without fail, they are in special control. We finance them [treatment of cancer patients] by one hundred percent, there is enough money for this. If patients have any problems, then the first option: they can contact the organization where they are insured. If they do not know where, then to the territorial compulsory medical insurance fund. We take control of everyone. Something is wrong-immediately contact the insurance or TFOMS. ”

According to Grozova, this system works throughout Russia. “Planned assistance to cancer patients during the epidemic does not stop, it is obliged to fulfill it in full, and no one has the right to refuse the patient. Each insured has a policy where the name of the insurance organization is written. She takes on the full support of the cancer patient so that examination, treatment and drugs are always carried out in time. ”

The press service of the Sevastopol Gorshdrava replied that they were not ready to comment on the situation with planned patients, and recommended to write an information request.

Colitis Ugolniki

The 53-year-old resident of Zheleznogorsk Andrei Lopushansky, who was diagnosed with laryngeal cancer, did not know that the compulsory medical fund could help him. According to his daughter Alina, his father was operated on and sent to irradiation last fall. The therapy was harmful, in a man began to rot the bone of the lower jaw. In planned treatment, he was refused for the same reasons as the previous heroes of our material. Instead, doctors recommended stabing painkillers, which, however, quickly ceased to act.

“He complained about pain immediately after irradiation, but he was told that this was an inflammation of the trigeminal nerve, and he was treated not from that,” the girl told “such matters”. - When once again his father came to the hospital [with complaints], he was taken a picture and sent urgently to take tests for hospitalization. But then they announced a quarantine, and the man was left at home alone with pain. ”

Andrey and Alina Lopushan photos: Alina Lopushanskaya

Everything changed after the information about Andrei Lopushansky appeared in the Telegram channel “Mash on the Moika”. Alina said that immediately after the publication of her father, they finally agreed to hospitalize and operate. According to Mash, the rotting bone was removed, in the future, another operation.

While individual patients are looking for help, in the Leningrad region the leadership of one of the hospitals decided to dissolve all hospitalized by the houses and close: on March 20, in the Priozersky inter -district hospital, dozens of patients were discharged by his unfinished ones. The decision was made in pursuance of a certain directive, lowered from above, even before the official termination of admission to the hospitals. So the leadership of the institution explained its actions to journalists in Novaya Gazeta. One of the patients, Dmitry Dymnikov - he ended up in the hospital because his legs refused - he walked home about four hours, incomplete, with pain.

The acquaintance of Dmitry, Rufina of the Prishisovskaya, was the first to raise this story in social networks. She said that 30 bedridden patients from a neurological department on a stretcher were taken home. Lonely and paralyzed - too. They said: "Come in May."

There is nothing to breathe

Every day there are more such stories. On April 14, the director of the oxygen Foundation Maya Sonina told “such matters” that the Moscow GKB No. 57 named after D. D. Pletneva ceased to take adult patients with cystic fibrosis - an incurable genetic disease that affects internal organs, primarily lungs. According to Sonina, all patients with this diagnosis were simply discharged home.

“It will last at least a month, then you need to look at the situation,” explained Sonina. - Most nonresident left. In Moscow, only those wards of the oxygen fund, who are now in rented apartments, awaits light transplantation, 15 of them, including children. They can also count on help only by WhatsApp or Skype. ”

Forgotten

The authorities respond quite quickly to cases that enter the media or receive resonance in social networks. But the problem is systemic: medical experts have already expressed concerns that refusals in medical care of planned patients, reducing treatment of treatment for other diseases may have more serious consequences than those that we get from pandemia.

According to the medical expert, the general director of the Innovative Medical Technologies group, Artem Zuev, the consequences of refusals to medical care, the country will be disheveled both during the fight against the virus (complications, chronic acute and subacute pathologies, an increase in mortality from non -infectious diseases), and for a long time after the pandemic.

“The first in this link are oncological patients who require constant examinations against the background of chemotherapy, as well as those in the postoperative period. The lack of medical attention to such patients will primarily lead to sad consequences. But in Moscow in this regard, albeit with a certain delay, the other day, still re -profiled by Nikio them. L. I. Sverzhevsky for cancer patients, which is undoubtedly a positive moment. ”

The second group of “forgotten” citizens, says Zuev, are pregnant women. In regional decrees on the introduction of anti -epidemic measures, they are practically not mentioned.

“The authorities did not explain what to do to women in an epidemic and why they were not at risk for obtaining sick leave. Female consultations limited the reception. Many women missed the obligatory screening. But the worst of all, the process of closing and re -profiling of maternity hospitals began. This is purely psychologically pressed on pregnant women who already do not really understand what to do. ”

For example, the patients of the obstetrician, gynecology and perinatology named after academician V. I. Kulakov are concerned , one of his departments is re-profiled under the reception of patients with Covid-19, but many are afraid that the entire institution will soon affect the changes.

The third group of risk, according to the expert, is surgical patients who have been waiting for the operation for a long time, as well as those who may need non -excess aid this month. The emergency factor itself will now be constantly reviewed in the field, says Zuev, depending on the density of the patients of patients and the reduction of medical staff due to the replacement of sick colleagues in infectious departments.

“Without a doubt, changes in patients of patients, refusals or transfer of deadlines in medical care will have serious consequences. First of all for people's health. In the second - this is fraught with an increase in the activity of investigative bodies and claims against doctors and medical organizations after the epidemic. Already now there are a huge number of complaints. ”

"I doubt that he will live at all." In St. Petersburg, an 80-year-old veteran due to coronavirus postponed emergency hospitalization

In confirmation of his words, the expert gives a resonant example of a patient discharged from a hospital, who immediately after that died on a bench at her house.

According to Zuev, another category of patients who suffered due to coronavirus measures are people with disabilities.

“Currently, the terms of re -examination and receipt of benefits have come, but examinations for a disability group in clinics are suspended. Like all rehabilitation procedures. To be left without a group means losing benefits for expensive treatment and drug provision. ”

This problem, according to the expert, can be solved quickly: it is necessary to introduce automatic extension of the survey time while maintaining benefits.

“Was it possible to avoid such a situation, it’s difficult to say now. It is not yet clear whether all the redesigned stationary resources will be in demand and how many lives they will save. But I’ll add with confidence that, protecting the rights of some, one cannot neglect the rights of others, ”concludes Zuev.

The material uses links to publications of social networks Instagram and Facebook, as well as their names are mentioned. These web resources belong to Meta Platforms Inc. - It is recognized in Russia as an extremist organization and is prohibited.

The material uses links to publications of social networks Instagram and Facebook, as well as their names are mentioned. These web resources belong to Meta Platforms Inc. - It is recognized in Russia as an extremist organization and is prohibited.