You will read this text to the end and finally put on the masks

Three funeral buses - two silver and one black - stand at the gate. The humble stream of relatives with transfers rests against Budochka. The guard is watching in black form. P.smens go by quickly, after 20 minutes a shift.

15th hospital, Moscow. 1474 patients, 225 came per day. The whole hospital, with the exception of the "blue" and diagnostic buildings, is the red zone. In the blue building are people whose coronavirus has not yet been confirmed. In the diagnostic, the headquarters sits and doctors are sleeping between the shifts. Near the hospital there are three more quickly vested blocks for recovering. There were four in the spring, but once they dismantled it, in its place they are now building a sudden body - for emergency. There is a maternity hospital where the women in labor with coronavirus lie.

Children are divided with mothers immediately after childbirth, show the kids according to WhatsApp. 385 children were born here during the pandemic.

The territory of the hospital is huge, you can get lost on it.

This is one of the three Moscow hospitals that has been working with coronavirus since the beginning of the epidemic - without a break. In the 15th, they are treated “from head to toe”-therefore, the infected Covid-19, complicated by other diseases, are brought here.

This is the 207th day of the fight against coronavirus. Then, in March, at the beginning, the hospital turned off for several days - all the "clean" patients were discharged. For three days, the largest building was completely filled. Since then, there is a war here.

It is called the war here. Peaceful time is further delayed. Many told me - I can’t believe that it was different.

What has changed in these 207 days?

All doctors have vision villages-somewhere on half-apartments. Not much, but noticeable. For six months they look at the world through plastic glasses and helmets.

From hypoxia, everyone has headaches. "Also used to it."

415 out of 2700 employees of the hospital were ill with coronavirus.

During this time, seven instructions from the Department of Health have changed, how to treat Kovid. The head physician Valery Ivanovich Vecorko says: “Now we have gained a lot of our experience. These 28 thousand who have passed through us are already 28,564 patients - they made themselves felt. Many drugs have changed, we no longer use Caletra. And who did not use the same hormones before, now we use. I am very pleased with them. We have already learned to better understand from which corner, where and how to hook this coronavirus infection. ”

He has a gray face stretched to the limit. In the spring, he lived in the hospital for two months - until his family was ill with coronavirus.

Says: “Such tension makes itself felt ... I’m not talking about myself - it’s just about everyone, I probably say. Yes, and to yourself, probably. But I, as a boss, cannot tell anyone and show it - without options. ”

When I ask what is missing (doctors, medicines, sizov), he says: "Forces."

Some nurses stopped seeing dreams.

Night

Coffee smells sharply in front of the red zone.

The girl and the boy are sitting, frozen, hugging. It has surgical pajamas, on it is pajamas with a stamp of the army of Russia.

The daily commandant is replaced by a night commandant.

The commandant is the right hand of the head physician. The head physician comes first to work and leaves the last, but he is only a person, he needs to sleep.

The night commandant goes through the body and listens to the radio. His name is Viktor Davidovich Anosov. He is the deputy head physician for surgery. Today, the commandant works at night, tomorrow works until seven in the evening - bypassing surgeons, several operations. He moved from Bryansk, works in the hospital for a year. Says: “In Germany there was several times. When he arrived, he began to visit international conferences. And everything that is said there is no longer in the distant future, but in reality. I used to look with wide eyes, but now I say - and we do the same. ”

Married, wife cardiologist. He says: “My first spouse was not a doctor. The marriage did not linger. Work - she captures everything. " Two daughters, the senior chemist, the youngest in the 11th grade, is also going to medicine.

When there were two quiet months - July and August, 900 patients, and not one and a half thousand - managed to go to Turkey.

“Our vacation is that turn off the phone. It doesn't matter where you are. So you turned off the phone and ... and you do not have access to patients. Then you can ... you can somehow relax. "

In Turkey, he did not turn off the phone.

He is 54 years old. He studied at the naval department and instead of “cold” says “freshly”. He does not believe in depression. “The movement forward is the result of a kick from behind. And there is no burnout. ”

“Doctors! You come: “Well, what? How are you?" - “Yes, tired. When will it all end? How much can it be? We are waiting, we ... ”-“ Have you received covid surcharges? ” -"Yes, they got and finished." - “So what? Let? " -"Well, let go, let's let me."

The surcharge is 60 thousand federal and the same from Moscow. Doctors for the first time in their life began to build cottages.

He looks into the operating room, approaches the people around the table. The surgeon raises his head: “The ischemic ulcer is perforated. Part of the rectum was removed, two holes were made, brought out, a dressing with peritonitis. They made a resection. But KT-2, pronounced pneumonia. "

“What was temporary became constant. Many have quit, they cannot be blamed. Those who suited are used to working, doing.

They thought in the spring - well, 2-3 months. They believed that we would throw caps. And it does not end. Now we are guided by a couple of years. The next summer - it will definitely be. ”

He says: “Dialysis patients are especially difficult to endure Covid. According to some sources, they write that they have already decreased by 50%. ”

The nurse says: "What, my good, we’ll do now." It gives a person water from a syringe, he coughs and howls.

A fat man inhales every second. His black eyes are bulging, look with horror. “An indicator of the inefficiency of natural breathing,” says Viktor Davidovich.

The man raises his hand to stop the nurse. “Suck, an ambush? Now we start, ”the doctor says to her. “The stomach is large, do not put on the stomach,” the nurse responds.

The man is suffocating.

“If you do not introduce, for an hour, most likely, will die,” says Viktor Davidovich.

In the second resuscitation, the orderlies tie up the girl on a gurney red -haired pigtails.

Viktor Davidovich says: “And 30% of our patients are an outpatient clinic, but clinics are not ready to receive. Relatives are not ready - yes, through one, they are afraid as plague. “Two negative smears and then pick up”, “I have children”, “Put on your feet first.” I say: "She broke her hip of her hip, she will stand on her feet only two months later, if you do it." And to me: "I work, put on your feet yourself."

He says: “This disease can be defeated in two weeks. To do this, everyone on Earth should not communicate with each other for two weeks. But this, it turns out, is impossible. ”

In the fourth Aro (department of anesthesiology and resuscitation) bypass. They look at the patient Z. - he was transported from another hospital. “My leg fell ill. I got very sick, ”Z. says helpless eyes cling to the doctor, to the nurse, for me. Dr. Irina Evgenievna Kharlamova raises the blanket and touches her legs. The right leg is cold, white. "Thrombosis. This is the usual complication with Covid. We will get out. The operating room will be in two hours. ”

“Everyone has blood clots. D-Dimer, which shows the body's tendency to thrombosis, is normal 1–2, 500 maximum, ours 1000, 3000, 7000! - says Viktor Davidovich.

- A blood clot in the head is a stroke, in the heart - a heart attack, in the lungs - pulmonary embolism. It is easier with limbs. Amputations go every day. "

“Usually mortality in operations is 1-2%. Now mortality reaches 50%. Therefore, we canceled all planned operations. We operate urgently or urgently, ”says Konstantin Eduardovich Rzhebaev, head of the surgical service.

The operating room for Z. appears only after four hours. There are four emergency operating rooms in the hospital. The rest are converted into intensive care.

The anesthetist Konstantin Sergeyevich Popov - only his bushy eyebrows are visible under the Siz - says Z.: "I will hold you, do not worry." Z. falls asleep. The silver blade of the laryngoscope enters the throat, behind it reaches the Ivl tube.

The surgeon Mzokov comes. His name is Hetag Tymurazovich, he tells his sister - you still do not remember. There are not all tools - three vascular operations have been carried out in a row, they do not have time to sterilize. But you can’t wait - you have to save your leg.

The leg is smeared with yellow, cut. Separate vessels from muscle tissue. Three trunk arteries go in the lower leg, everything must be cleaned. The fogart catheter is introduced into the vessels - a plastic thin pipe with a bubble at the end.

Blinings take out - long, similar to gray rainworms. “Here we have fishing,” says the nurse. Cloths are folded in a jar, they will be explored.

“Very bad Russian catheters. It is easy to pierce the artery. On a plaque - and immediately breaks, ”says Hetag Tymurazovich.

News are discussed: 12th, 13th, 14th operating rooms, preserved from the beginning of the pandemic, open as resuscitation and transmit the 4th Aro. These are 22 resuscitation beds. To 154 places that are now.

The radio is rattling. Two maxillofaces are taken (“they come with their instrument”), appendicitis and urology. Appendicitis is the first, but the maxillofacial insists insist that they are operated urgently, so that two tables will work at once in a neighboring resuscitation.

A young doctor comes in. Suitable to the table. “Do you have one operation? Will you help me later, dear? They are served there. ”

- Certainly.

The vessels - dark, frozen - begin to pulsate. Blood goes on. Hetag Taymurazovich leans to the Dopler’s leg - an ultrasonic microphone with a speaker, and we hear a rumble of walking blood. He calms down in the foot, but there is a hope that the small vessels of the foot will expand and take on the function of blood supply. “That's all we can. Let's sew up. "

“Where there are twenty minutes, there is forty,” says the nurse. “Sure me, I’ll go out, take it away, I’ll drink the most tasty water in the world.”

Day

“Proper accounting of working time = the value of your allowance,” says the poster with the QR code above the entrance.

- Set me free! To set me free! - Sings the radio.

Doctors change directly in the corridors.

- There are no slippers! - shouting the housewives of the pantry.

Bajiks are stuck on the blue. Name, surname, position. Most costumes are reusable, erased and sterilized. Blue, they are tied from behind, resemble the form of sisters of mercy of the First World War. On the chest - a girl from the cover of the magazine "Youth".

Girl in a mask, next to it is written: "No passaran!" Costume models here are called “Ujanka”, “Inquisitor”, “Inquisitor Non -traditional”, “Dandelion”.

- Let's go! Oh, I didn’t put the second gloves, but I scream on you.

- There are no slippers in the warehouse, they can’t bring it.

- You sweat, then it becomes cold.

- She stopped answering calls, but is she alive?

- Orphan. Girl, 35 weeks of pregnancy, headache and weakness.

- We take it. The husband is also sick, nurses are not going to them, they are afraid.

“I even know who I got from!”

To dress to the shift, you need to take a cotton shirt and trousers. Wear high shoe covers on top of the slippers, tie them on ankles, on top - smaller shoe covers. The first pair of gloves. Tycete-ukhanka-or the reusable form of the inquisitor. The second pair of gloves. Respirator. Glasses. Some on top of glasses, which are simpler, put on helmets. The jumpsuit is delayed by the throat. Everything is done very quickly, the change will begin about.

Four operating rooms are open and ready to work.

A gray -haired man is squinting at a surgical lamp. Trembling, breathing. He was transferred from another clinic, prepared for amputation of the legs.

- Can you raise your head? Sign up where the checkbox is. Weight? Height?

- I have not eaten for the last 4 days (pause, inhalation). There will be anesthesia? (breath).

- How without anesthesia?

The man picks up full breasts of air and says quickly:

- Help, please, I beg you.

- We are all here for this and gathered.

The drug is introduced into the catheter by the neck, the man whispers, and the anesthesiologist confirms soothingly: “Eagles, eagles, it happens, eagles have come in.”

Yellow foot, purple leg. He is 59 years old, he has no diseases except Covid. He fell ill on October 9, on the 14th he was hospitalized with severe pneumonia, the 18th-acute pain in his leg, then for several days he waited for the transfer to the 15th, and his leg was dying.

"Thrombosis. The iliac artery, the femoral artery. "

“Asia, Armenians, Persians are a lot of difficult,” says Konstantin Eduardovich Rzhebaev, head of the surgical service. “Such an unspoken covid pattern.”

The nurse throws the layers of green fabric - and now the face of the sleeping one is not visible.

A probe in the stomach, a catheter in the bladder, a catheter in a subclavian vein. "Teeth, do not forget about your teeth." Take the inserty jaw from the mouth. A tube in the trachea. Hetag Taymurazovich rests on his foot with his hand, raises her high or high. The leg is dark yellow, smeared with iodine.

Hetag moans hands to wear third gloves as tightly as possible.

Two surgeons will work here.

- The patient has severe ischemia. Amputation is ahead, but the vessel is highly closed. The stump will not heal. Our task is to clean the vessel.

Operates Maitesyan Derenik Agnavovich. Glasses - curved semicircles on an arc - are taken far from the face, increase each movement. Before the pandemic, he headed the department of vascular surgery. 70% of the managers changed, the young came - "not burdened with luggage, more configured to fight." He himself was ill with Covid. “I can operate on an hour, I can, I am choked on the third.”

“Thrombosis or embolism,” says under the nose. - Now let's see.

A black -handed tender of blood clots accumulates on a napkin. Money Agnavovich cleans the small vessel, which supplies blood of the femoral bone.

“In three gloves, it is not quite comfortable to wield such threads,” he says. - Quite uncomfortable. You do not feel the thread in your hands. Gennady Nikolaevich?

- Yes?

- How are heparin with us?

- Eat!

- You need to enter 5 thousand. What is heparin?

- Belarusian.

- In Belarus, it's hard, they say?

- It is always hard there!

-Come on "from the corner." Is there a "drunk"? Now the “bulldog” ( the so -called clamps. - E.K. ).

The blood supply is restored, the surgeons quickly argue whether it is possible to keep your leg.

- The kidneys will immediately sit down, he will die.

- Lose leg and keep the patient with a high probability.

The anesthetist Gennady Nikolaevich says: “Do you know about Vasil Ivanovich and Petka? A cockroach crawls, a paw is torn off, they say - Polzi. He crawls. Fourth paw, fifth. The sixth paw is torn off, they say - Polzi. He lies. Vasil Ivanovich says to Petke: write - when taking off six paws, a cockroach loses his hearing! ”

No one laughs.

“Tea, coffee, beer,” the next surgeon Mamontov comes in.

- In a three -liter barrel! - the brigade responds.

The leg is placed on the stand. The foot is wrapped in a napkin. Now this is not a leg - just a pillar. Roman Evgenievich Mamontov squints at us:

“I hope you understand. This is not about the leg, but about life in order to save life. ”

He cuts his leg widely and quickly with a scalpel. Deeper and deeper. He cuts with electronics, clamps with clamps. Bending the thigh.

Open red, heterogeneous. Drushing temple of the body.

The delicacy of surgical instruments here looks wild. The leg diverges streams, pieces. Blood is in small streams. Bone is exposed. The scalpel is cleaned with the space around.

Silver surgical expanding wraps over the bone with a ring. A saw, similar to a thick metal thread, drain what remains.

The orderly removes the leg in a red bag.

“They began to build a new hospital there, and we are all in the old one,” says Gennady Nikolaevich.

Stopped meat remains. The surgeon brushes briskly, tightens the torn pieces, sews them to a common mess. He is in no hurry to close the wound with his skin.

“If you do not sew it, it infects, if you close it, there will be necrosis. Generation experience. If you sew the stump, it will end badly. It’s better to see how he heals on the dressing. And this is a question of a particular person. Medicine is art. When will he heal? Two months or never at all. If he survives now, everything will heal quite quickly. There is enough skin, this is fundamentally good. You can make plastic after six months. There will be a prosthesis. "

The operation ended in two hours. Operational is sterilized - the following amputation is prepared.

A gray -haired man will die that night.

The head of the first department, Sergei Nikolaevich Ignatiev, goes to the second resuscitation. He has a conversation. He approaches a woman’s bed and stands above her. Nurses leave. They look at each other. He does not start right away.

- Tamara Ivanovna, hello. When did the leg get sick?

“A week,” she replies. - There were different pains.

Sergei Nikolaevich lifts the blanket and looks at the leg. Tamara Ivanovna takes her eyes to the wall.

- The leg died. I must do amputation.

- No.

- You will die yourself.

“I will die so,” she says evil. - But without a leg at this age ...

The doctor quickly looks at the sheet at the head of the bed.

- You have 74 age. 74. We will do a prosthesis, you will walk. Understand the kidneys will refuse.

- I already have one.

- Especially.

“You will die, and die in suffering,” the commandant says behind the doctor. The doctor does not turn around.

Tamara Ivanovna squeezes her lips. She looks at the ceiling so as not to cry. Sergey Nikolaevich is silent.

Then he says simply:

- There is anyone to live for?

- Yes.

- Then the operation. You will be prepared today.

- Just not today!

- Okay, we will do it tomorrow.

- The droppers are undesirable for me ... Ah ... this, that is, show me?

He understands. He raises the blanket and easily puts his hand over his knee.

- A little higher. Tomorrow I will do everything. Myself. Can't let us down?

“I will try,” Tamara Ivanovna says quietly. Sergey Nikolaevich nods.

He goes into the corridor. I cannot read his expression. He goes to the operating room-and there in 15 minutes it removes what was once a female hand.

- A person does not know his limits. It seems that we are doing what is impossible to do, ”says Irina Evgenievna Kharlamova. She is an anesthetist, cardioanesthesiologist and anesthetist Operational. Today she has a holiday.

The cardiac surgeon Bayanddin will operate the heart. This is a joy in the current times. A real, complex, beautiful operation.

The patient is a heroin addict, the kidneys on dialysis, hepatitis S. Covid. Doctors evaluate the chances of high - "drug addicts are basically strong." He is 48 years old. It is very thin, it seems like an icon. “Ukolchik, now we will have a catheter,” the nurse cooked Milena Georgievna.

Replacing a trinutinated valve. A serious operation, even if there were no Covid.

Two brigades gather - anesthesiologists and perfusiologists. The apparatus of artificial circulation is ready.

Bayandin operates, but who else. " “Nikolai Leonardovich will come now, and we have music,” says Irina Evgenievna. - He does not like music. He loves in silence. "

- Yes, here the weight of kilograms is 55!

- Is there any atropine?

- Propofol.

Five girls and surgeon get up around the table. Bayandin has sleepy blue eyes and high eyebrows. Karina Kardanova assisted him, she seems very young. Her mask is wet from sweat. Bayandin is blown up with a stream of air - so as not to sweat. The operating room is hot. Air conditioners are prohibited in pandemic conditions.

- Do we have an ambush?

- The phone is 8.5, quickly!

“The tracheostoma did not work, I had to re -recovate,” Irina Evgenievna Kharlamova smiles.

It resembles an orchestra.

And here is who creates this music. Nikolai Leonardovich - surgeon, Karina - second surgeon, Irina Evgenievna - anesthetist, Natalya Alexandrovna Chugunova - perfusiologist, Milena Georgievna Tarasova - operating sister, Valentina - assistant anesthesiologist.

Electron - it cuts and immediately cauterizes, reveals the chest.

- Beautiful potassium!

- He had a dialysis yesterday.

The whole space is covered with careful hands.

- Can heparin enter?

- Connect AIC!

“Two tubes - one in aorta, the other in Vienna,” explains Irina Evgenievna. - The heart will not work. This is called - work on a dry heart.

“The patient has a trivial valve,” says Nikolai Leonardovich. - A patient with endocarditis.

Women follow his every movement.

The heart opens. It is large, three -part, spread through the chest.

“Families who managed to see the heart said that they were ugly, unpleasant. So they said, you can imagine, ”Bayandin mutters.

The heart is stopped by a solution of potassium.

“We operate a little, little,” says Irina Evgenievna. - Now only emergency operations. We suffer very much about this. On maternity leave, when I was, I dreamed of seeing my heart. How difficult it is. How it stops. Then you start up, lives again.

- We connect one of the highways, look! Blood will pass from the vein through the apparatus, it will return.

Plastic ribbed tubes come out of the heart, filled with lively blood.

“The beginning of artificial circulation,” says Natalia.

“The right section is expanded,” says Bayandin.

He excisions with an injection valve, similar to a pink sponge.

The man is sleeping on the table. His heart does not work, but he is alive.

“8 minutes and a half have passed,” says Natalia.

A white-gold valve is made from the heart of a pig and serves 6–7 years. He is put in the heart. The valve is surrounded by blue and white threads. The threads are laid out in pairs, an account is important. Bayandin screams at Karina - she prompted incorrectly.

- I have the ninth, and you can’t make mistakes here! The seams should be uniform! Often bad, rarely also bad!

The tricuspid valve Bayandin can sew in twenty minutes.

In the heart, each movement becomes the most important. The threads are tied, the finest macram. Bayanddin ties on each four knots and says:

- You can’t do it twisted.

In the 38th minute, the heart began to contract.

Irina Evgenievna quickly comes out, returns and says Natalya Alexandrovna:

- There everyone is dying with us.

- Life is finite, what to do? - Natalya Alexandrovna responds.

She monitors how the apparatus pumps blood. She acts as the head of the 4th Aro. Speaks:

- I love resuscitation. But not the way there. And what is here. Maybe our artery does not work well? Some kind of curve is ugly.

“79 saturation,” Irina Evgenievna responds.

- We take everything from the apparatus, Ir?

- Let's not squeeze out?

- Finished. Coronary stop! - says Natalia.

“The potassium was removed, the heart itself started. There is a little blockade slightly. It takes 3-4 days. Myocardial edema, ”says Irina Evgenievna and smiles again.

“He acted with covid pneumonia, and then they found a non -working valve. They do not live with this for a year. He was lucky. "

We will talk to him when he comes into consciousness. He will cover the hole in his neck with his hand and smile. He lives in Novokosino. Golden rimal glasses make him like an American professor.

Night

Irina Evgenievna and Natalya Grigoryevna watch evening tests of patients and talk about cars. Hyundai makes discounts to doctors. Natalya Grigoryevna advises Irina Evgenievna to consider the “Creta”.

They are both forty with a little. During the pandemic, Irina Evgenievna lost 15 kilograms, Natalya Grigoryevna at 20. The beginning of the coronavirus procession Irina Evgenievna met with panic attacks and was forced to accept antidepressants. Natalia Grigoryevna was dying of his father, and Pandemia did not add horror. Irina Evgenievna has blue eyes, Natalya Grigoryevna has green. Irina Evgenievna has a four-year-old daughter, Katya, Katyusha, Natalya Grigoryevna has a 14-year-old son, and she hopes that he will not become a doctor.

The evening bypass has already passed. Natalya Grigoryevna screamed at the nurse. They did not put the pillow near Petrovich, the patient in the seventh bed, when they transferred him to a prona, to the stomach.

- We need to do right away right and well! Do not argue with me! There is nothing to argue!

The joint efforts of Petrovich are lifted, the pillow under the stomach is slipped. He is big. He is an unconscious day.

Nurses - Marina Bolshoi and Marina Little - nod Natalia Grigoryevna and correct the corners of the pillow for a long time. Usually they work in the hospital, but for a month already attached to the 4th Aro-to strengthen.

In the 4th ARO, twelve patients. Everything is men, "Weaker Paul." Every four hours, Natalya Grigoryevna and Irina Evgenievna write observation diaries for every patient. For each catheterization, infusion, hemotransfusion, a separate document is filled out. For each patient, a paper map of daily observation is filled. There is no time to work with patients, "Twist the Ivl Handles." Previously, there were interns, they helped with the documentation, but they eliminated the epidemic during the August recession.

Natalya Grigoryevna is the third day from vacation. "I came to work, went home from work and cried."

- True, it is impossible when the coefficient of useful action is zero. When you accepted, buried, accepted, buried ... I have been working for 19 years, and as much as I called for this period with a message about death, it seems to me that I did not call in my life. I worked in a 24-year general resuscitation, they brought everyone there, not only planned. But really never called so much. Each duty is the call of relatives, a message.

Yes, tears, for a long time, but what was it? How was it? Did he suffer? Was anyone nearby? They need it, but for us this information is such ... Of course, someone was nearby. Always someone nearby.

“We have mortality in the department 90%,” says Irina Evgenievna. - I wanted to quit in August. But now I can’t - again a wave.

At midnight, Marina Little runs out of the ward: “Irina? How are you? Please come alone. ”

Petrovich died in the seventh bed. The Ivl device still breathes dead lungs, but the heart stood up.

“I feel bad,” says Marina.

“I understand,” says Irina Evgenievna quietly.

- We only soaked him, everything is good.

“They love when they get wet.”

“The patient is gone. No need to fuss. That's it, ”Irina Evgenievna tells me and sits back behind the computer. Releases tests again. “There is no longer needed a hurry. I told the girls: calmly there, well, do other things. ”

She does not start resuscitation. “There is no point in reanimating. He is age -related, he probably has an ischemic disease in a history of, and so on. Therefore, the body simply does not withstand the load, and all sorts of metabolic disorders occur, and ... so that I am looking for ... I want the morning biochemistry. So, Achtv, Albumin, and, here, urea.

Urea 40. Ah, well. Urea 40. Acute renal failure is also as a complication of Covid. It often happens that the patient’s kidneys cease to function normally, respectively, the slag function is broken, well, the kidneys are all, we are all without kidneys.

And he worsened, worsened, all our reserves that we could only, we could do, but, unfortunately, he left. He naturally left, nothing happened here. Unexpected. "

“Moreover, he is in pronor,” adds Irina Evgenievna. “Boys”-makers just went to a break. Petrovich remains to lie down, and his face swells, becomes blue. Natalya Grigoryevna is also at the break, and Irina Evgenievna calls her: “Ale! Grigoryevna, you have the seventh bed. Well, to which we put a pillow. Well, he is a right time - and did it, on his stomach. Urea 40. We have not yet arranged anything yet. Well, in general, you come, and you will do. In the sense of when you come, then we will arrange. ”

A person here is reduced to the medical history. Petrovich was 69 years old. He fell ill on September 9th. On the 28th he was transferred to intensive care and connected to the Ivl. He had GIIINA-Barre syndrome-an autoimmune disease that paralyzed his breath. On October 6, Koronavirus was discovered, on October 8 they transferred to the 15th hospital, to the 4th Aro. On the 16th, they tried to remove him from the apparatus, the 18th began to deteriorate. "And he lived here for so many days, it turns out."

The boys returned. They say: "They helped themselves!"

Petrovich’s body was turned over and fenced off with a screen. Death is hidden behind a white thin curtain.

Due to the fact that you need to write fresh diaries for one in the morning, doctors are in no hurry to fix death. “Immediately, as the body will be taken away, they will give a new patient, and it will have to be designed.” "We have a conveyor here."

In the observation diary, Natalya Grigoryevna writes how the dead Petrovich is already worsening:

“The progression of multiple organ failure (respiratory, cerebral, cardiovascular, renal), with gross electrolyte and metabolic disorders. Maceration on the stomach, pressure 80 by 30, injection of norepinephrine 650. "

Groat with bodies roll past. The bodies are covered with sheets with the head.

Five or six catals roll in three hours. "A train."

Resuscitologists need to fill out the protocol of cardiopulmonary resuscitation. They fill out. “2.45, the deposition of heart rhythm has been registered. At 3.15 the death of the patient was stated. Indirect heart massage, ”writes Natalya Grigoryevna. “Adrenaline was introduced back.”

The death of Petrovich is fixed at 3.15.

Natalya Grigoryevna calls his son. Her voice becomes glass, Lolling. She says:

"Hello. You are worried from the intensive care unit of the 15th city hospital. Tell me, please, who do you have to? Please accept our condolences. Unfortunately, he died.

Can you write a phone number now? I'll wait. Tomorrow after 9 in the morning, please call this phone, and you will be oriented for all issues. Yes, until 9 in the morning it makes no sense to do something. Once again, accept our condolences and all the best. ”

Two hours later, a solid catka arrives. Two guys - white figures in SIZs - cross the body of Petrovich and cover his sheets. A nurse Alla from Gus-Khrustalny (4 hours before work, 4 hours back) washes a bed, prepares for a new patient.

While doctors make death and write the following diaries, Marina observe patients. The man in the fourth bunk fanned his stomach. Patient Z., who was saved, lies on his stomach. He is unconscious, on the Ivl. The foot is red, the fingers are black. The blood circulation in the foot did not start, and the leg will be cut off - but lower than they could, not on the thigh, but on the lower leg.

Petrovich was loved by Petrovich, the name of the “pet” was called. “It was clear what was going on, but they thought - if only not in our shift.” They recall how they corresponded with him notes - he wrote poorly on the apparatus, without a voice, but wrote, while he was conscious. As he asked Kefir, and they ran around the case at night - they looked for kefir and found. As the watermelon and tomatoes asked to hold in his mouth. As he promised to marry Marina Bolshoi, and they laughed that he was a Muscovite, and she would become a Muscovite.

“Previously, we complained that 17 Kesarevs per day,” says Marina Bolshoi. “Now we dream that Caesarean, and not that.”

“Well, that’s how they die.” Therefore, I say that the coefficient of useful action is zero. Now this has been rolled out, the next will be rolled, ”says Natalya Grigoryevna.

“Lena was simply very surprised that we were not performing resuscitation actions,” Irina Evgenievna smiles eyes.

-It makes sense to perform resuscitation actions only when they can lead to some effect. If we fight for the patient for a week, and he does not respond to our actions, multiple organ failure is growing ... From the fact that we now jump for half an hour, shake in a cellophane bag - we will only work out with physical education.

“We can look a little into the future,” says Irina Evgenievna. - Here is my chamber. The first bed is a corpse, the second bed is young, we will fight, the third is not a fact, the fourth is a corpse, the fifth is a corpse, the sixth - maybe.

- And Z.?

- Z. - Maybe. I'll say hard now. Patients over 80 with the 3-4th stage of pneumonia should not enter the intensive care unit, ”says Irina Evgenievna. - Like in war. And this is a war. And the resuscitation bed is expensive. There are people who can compete for life.

I think how we reached Italy.

The Moscow Health Department gives me numbers: “who died from coronavirus infection by age, GKB No. 15. 18–45 - 3%, 46–65 - 20%, 66+ - 77%.”

The people gather in the dressing room - a new, fresh shift. They go with a loud shaft, leave things in the locker room, climb into the "dandelions" and "inquisitors".

Queue to a point with badges.

Irina Evgenievna leaves the shower and claps on my shoulder. I recognize her by the eyes. She has white hair in a square and an attentive face.

Morning comes.

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Dedicated to our doctors.