What happened to the Ivanovo Cardiological Dispensary after he was converted into the Covidarium

This year, the Ivanovo cardiology dispensary turns 30 years old. Probably, when I suggested that the head physician Svetlana Rachkova make an interview, she suggested a more festive conversation - but it turned out how it happened. Yes, and the atmosphere in the dispensary today is not at all festive: at first I could not enter the door that I entered many times: it has a “red” zone on it, then I was held in a small room, where the head physician moved due to the seal. And we started a conversation with Svetlana Alekseevna, not with the glorious history of the medical institution and not from specialized cardiological topics, but from the ubiquitous coronavirus.

- On the main page of your site it is written that the cardiological dispensary has been re -profiled by the Covid hospital from October 12, 2020. What does this mean for the team of doctors who work here?

- This means that not only the intensity of labor has changed, but also the main work profile. At the time of re -profiling, 175 beds were deployed for cardiomobic, today there are 260 of them. We did not just additionally put beds in existing chambers, but involved additional rooms and we had an additional staff for the treatment of more patients. They scored an unprecedentedly large number of students, when compared with other medical institutions: 106 students of medacadema are working with our orderlies and nurses in the “red” zone. And they tried to take the residents as much as possible by the standers. They work in shifts and graphs, and this is a huge responsibility - including because they are still children, and for most this is the first work in life. Therefore, you need to teach them, explain, show them.

Reprofiling, it was still hard - every six hours a new shift enters the red zone (the health worker can be in personal protective equipment for only six hours). Four shifts per day, each time with a completely updated composition. A day is about 170 people, and this is a lot, especially considering security requirements. People should go through special gateways, have to dress correctly - and this is only one trouble. Then you need to undress correctly and go through a shower - it was very difficult to organize.

- As an administrator, you added non -trivial tasks?

- Of the non -trivial decisions, the simplest decisions were to find the sheet that the doctor wrapped after the shower, although this is also a huge problem. All these 170 people every six hours should leave their things somewhere, and then get dressed somewhere.

From the category of “funny” - we have special employees who, at the junction of the “red” and “green” zones, disassemble the laundry of doctors, which comes from the laundry room. There is a rack called “socks”, another “panties”, there are “trousers”. We have an employee, a childhood disabled person, he can do this work - he sits with bags from the laundry room and disassembles the things of employees.

- And then everyone is looking for their own?

- And everyone finds. Then we began to wash the laundry of patients - these are infectious patients. We send in tons to the laundry, disinfect in tons. They organized the nutrition of patients in disposable dishes, and these are huge bags that must somehow be brought, unload and make them get into the red zone. It was difficult.

At the time of re -profiling in the Covidarium, we had work to install a new elevator, and the repair had to be finished as quickly as possible. We did it. We are cardiologists, and at the time of re -profiling we did not have respiratory equipment and oxygen eyeliner. It was very difficult to build a system of oxygen supply of patients when you already have people. Something has not yet been completed to the end, because it is a great infusion of funds, and we are waiting for the region to help us.

- Do you think the dispensary will remain in this profile for a long time?

- I would like to get out. In the country, I know that this year only two cardiological dispensaries are reprofiled because the cardiological service is socially significant, and cardiovascular diseases in the structure of mortality, unfortunately, occupy a high place. You can’t do without us.

- I am 55, and many peers have already gone into another world in your profile.

- Unfortunately, 40-year-old men also die. We had the largest number of cardiological beds in the region, and when the hospital was closed, we tried to make up for the loss of the cardiocoecons with clinics as much as possible, and the expert class echocardiographs were transported there, we took out rooms, and the functional diagnostics were taken there. The entire pool of echocardiography, which was done in the hospital, was transferred to the clinic.

- How work in Covid will affect specialists - they will not become infectious disease specialists. Will they not lose qualifications?

“We try to prevent this from happening.” I am the main cardiologist of the region, and I have access to online learning. Moscow and federal centers send links, we have chats with cardiologists of the clinic and hospital, chat with cardiologists of the region-we are trying to constantly study in the online format.

- Patients did not be left without cardiological help?

- During this time, we treated more than three thousand specialized patients. Not so long ago there was a patient with a transplanted heart, we led him in the dispensary for so long, after transplantation he had been observed for a long time, and then he got into a hospital with a Covid. It’s good that to us, because we understand how to work with it.

- They say that many deaths do not fall into covid statistics, because people leave for concomitant diseases, and Covid exacerbates them, primarily diabetes and cardiopollation. Has your “your mortality rate against the background of Covid?

- The Ivanovo region was recently awarded as a territory where there is no explosive mortality from cardiovascular diseases. The cardiological dispensary, firstly, strengthened outpatient assistance, and secondly, he did not fully cover the stationary. And those three thousand of our patients with cardiovascular diseases who were sick with Covid fell into the hands of cardiologists. Therefore, we kept mortality from cardiovascular diseases, and from Covid it would not say that there are a lot of people-more often these are patients of our dispensary group.

There is another nuance. When we were only reprofiled, we urgently received a vaccination license - we were never engaged in it - and instilled our dispensary group in a cardiocolin. Many were vaccinated at the place of residence. We literally persuaded our “heavy” patients to get used to, and these are people after heart attacks.

With them, cardiologists conducted information work, plus we increased the volume of assistance in the conditions of the day hospital in the clinic.

- That is, unconditional patients continue to receive cardiological help?

- Of course, only not in stationary conditions. We did not fail cardiology as we could, given the closure of 175 cardiocec. The third city hospital in its primary vascular department supported us, almost a year worked without closing. It was hard to get the surgeons in the regional hospital, in the regional vascular center - all the heart attacks “went” to them. It was very difficult for them.

- Let's talk on other topics, not only about Covid. Most recently, academician Yevgeny Chazov, who is called the initiator of the creation of cardio drawers, including Ivanovsky, died. From the height of a 30-year history, how would you determine the essence of the creation of a separate cardiological service?

- I know this from the firsthand, because Tatyana Vitalievna Isaeva, the first head physician of the dispensary, told how everything happened. When the Obkomovsky hospitals lost legal status, the question arose of what to do with them.

- There was also the best in the field of the legendary “Obkomovskaya” hospital, which then suddenly opened for ordinary mortals.

- The film was a hospital, as I say. Then Anatoly Stepanovich Medvedev was the head of the Department of Health, and he and Isaeva went to consult in Moscow: what to do, which profile was really in demand. And they came to the conversation that the heart disease in the hospital could not be cured, they came to the reception of Chazov, who was indeed an ideologist of re-profile in cardio dispensaries, helped. Then Vyacheslav Nikolayevich Pankov worked for us, he developed this topic and made a cardio -dispensary.

Then independent cardiological dispensaries have just become “legal”, legislation came out on them, they were allocated in an existing organizational form, and began to actively create throughout the country.

How could the big pool of therapists who worked here as well as as much as possible? It is clear that not surgeons or infectious disease specialists, as it is now [smiling sadly]. And they decided that instead of the "Obkomov" hospital there would be a cardiological dispensary. Cardiology has always been close to therapists. Unlike other hospitals, we are engaged in complex rhythm disorders, inflammatory heart diseases - myocarditis, pericarditis.

Everyone believes that only surgeons treat cardiology, timely operating the heart attack. But a heart attack is not such a large percentage of cardiological diseases, although as fatal as possible.

Take, for example, atrial fibrillation - atrial fibrillation, its prevalence is enormous, and in a huge percentage of cases it is complicated by strokes. The disease has a chronic form, it must be identified, diagnosed, prescribed correct drugs. And a cardiologist is the artist that can prevent, provide for a serious situation. Few people are engaged in therapeutic cardiology in the region, and it is our doctors who keep records of patients, reveal them, take them under observation. All patients are being examined, we send them to federal clinics-to Moscow or St. Petersburg, and some kind of conductivity violations are treated by the surgery of the regional hospital.

- The cardio -dispensary is the only medical institution where there is its own museum. What does he give you?

- We have the advice of veterans, it has our entire cardiological elite. And when veterans come to the Day of an elderly person or to the New Year, we will organize an exit to the museum, where they see themselves in the photographs, the history of the dispensary. This is just a delight for them. And for young people this is very important, because photos are hanging in the museum, for example, the departure of the brigade of doctors to the collective farm, where all the masters are in handkerchiefs, with baskets, in rubber boots go to examine patients.

There are many photos with Chazov. This is a story that shows when and how we developed. The same Tatyana Vitalievna Isaeva said that in the 90s the dispensary lived by Barter: they changed humanitarian aid in the form of an excavator for medicines, received some kind of cereal and changed it to bandages ...

And the story of how the clinic opened? In 1992, the former building of the Leninsky district committee of the CPSU on Sovetskaya Street was simultaneously promised to give both the court and the dispensary. And Tatyana Vitalievna and the employees barricaded inside, closed the doors, and did not let the judges, who also came with documents and printed cars. The doctors said then: "We will not leave until the document is signed that this is ours." And they won the building. Where are we without such a story?

Historical certificate

In the spring of 1933, in the premises of the former stable of the manufacturer Fokin, a special -clinic began working, serving the party and Soviet asset of the Ivanovo region. The first director of the regional clinic No. 1, as it was called then, was Yakov Ageevich Kovantsev. Medical techniques were conducted in three specialties: therapy, nervous and childhood diseases. Then the gynecological, otolaryngological, dermatological, x-ray and dental offices, clinical laboratory, electric and hydropathies were opened.

In 1957, a hospital for 40 beds was deployed, which began to be called the regional hospital No. 2.

In 1966, the regional unit No. 2 was united with clinic No. 1 and called the “clinical department of the regional hospital No. 2”. A new stage in the activity of the hospital serving the party and economic asset of the region has begun. The hospital was located on Krutitskaya Street, 29a. It was a small stone two -story building with a catering unit and two warehouses. The clinic was located on 11a Lenin Street.

In 1964, the foundation of the new building of the regional hospital No. 2 on the Avenue of Engels 22, and in November 1966, the clinic and a hospital united in a new building took place. On the ground floor there is a clinic with all types of specialized assistance, the rest was occupied by a hospital for 100 beds.

In 1976–78, the intensive care unit for six beds was opened, where emergency care was provided with cardiological and neurological patients.

In 1983, they completed the hospital building for 180 beds, equipped with the latest medical equipment, helping patients in the departments of planned surgery, gastroenterology, neurology, nephrology, gynecology, endocrinology, cardiology. Patients were received by patients in the intensive care unit with a capacity of 10 beds. The rehabilitation department used the progressive treatment for the treatment of laboratory and functional diagnostics.

In 1987, a hospital for 140 beds with the intensive care unit and intensive therapy, located on Lyubimov Street, moved to 22 Engels Avenue, to the three -story building of the clinic, to the second and third floors.

From January 1, 1988, the branch of the OKB was renamed the independent medical institution “Oblzdravotdla Hospital”, whose main doctor remained Korulin Vladimir Matveevich.

In 1989, Tatyana Vitalievna was appointed the chief physician.

On November 1, 1991, the regional -breeding hospital was reorganized in the regional cardiology dispensary. Specialized medical equipment appeared, it was possible to save the entire medical personnel.

In 1991, the first extension was built to the main building, on the ground floor of which the intensive care and intensive care unit was located. A resuscitation machine from Germany appeared in the hospital.

In 1992, the building was handed over to the building of the Leninsky District Committee of the CPSU on 28 Sovetskaya Street, which was rebuilt under the clinic.

In 1995, a new four -story building of the hospital per 100 beds was built.

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