Military Review

Stay half dead

68



The war against Russia is fought by economic, informational, diplomatic means, but the power phase can begin at any time. The army and navy are actively re-equipping themselves with new VVST, conducting exercises. The Supreme Commander personally supervised the training of the SNF with ballistic missile launches. And are military medicine and civilian healthcare ready for mass reception of the wounded and sick?

During the Great Patriotic War, millions of people were hospitalized with injuries and sickness in excess of 22 - soldiers and officers of the Red Army. Of this huge number of 17 millions returned to the line, continued to fight on the fronts.

Not only the military medical service participated in the treatment of the wounded and sick, but also civilian health facilities throughout the country.

Marshal of the Soviet Union Konstantin Rokossovsky recalled: “... in preparation for the battle of Kursk, replenishment of parts of the front was mainly due to the returning wounded. It was the former wounded, who received complete cure in evacuation hospitals, found themselves in the parts by those veterans who taught the art of combat to newcomers, taught them not to be afraid of the enemy bullet, led to the attacks and formed the backbone of our front-line units. ”

Three new motorized rifle divisions equipped with modern weapons and military equipment are deployed along the western border of Russia. tank army. The revival of the defense industry is proceeding at an accelerated pace. Regularly conducted sudden checks of combat readiness of the armed forces, large-scale comprehensive exercises throughout the country, on adjacent naval theater, in the airspace, civil defense events. But military-medical units and civilian medical institutions do not appear in reports about this.

But in the event of the emergence and development of an armed conflict between military units of NATO and the Armed Forces of the Russian Federation, there will be a need to mobilize large hospitals, which must be located in a secure rear. It is unlikely that hospital complexes next to Ukraine can be considered as such in regional centers such as Bryansk (100 kilometers from the border), Orel (160), Kursk (100), Belgorod (40). All these cities will immediately be in the shelling zone and will be obliged to take in the first place the affected population.

According to some calculations, with the start of large-scale hostilities among the wounded, injured, patients may be up to 100 thousands of soldiers. It will be necessary to quickly deploy a bed network in the amount of at least 10 percent of this number, that is, at least 10 thousands of places. Moreover, patients will go mostly surgical. They should be engaged in military field medical units near the front line. And what do we have in stock, if we focus on the Western theater of military operations?

This is primarily the 1586-th District Clinical Hospital in Podolsk. But with all its branches there will be two thousand beds at most. And the central military clinical hospitals of the Krasnogorsk Central Culture and Clinical Hospital located in Moscow and the Moscow region are intended primarily for senior officers.

Secondly, in peacetime, military hospitals do not have such a diverse and varied surgical experience as in civilian hospitals. Thirdly, and this is probably the most important thing - in military medicine, no more than 15 percent of surgeons of all profiles will be recruited. The rest are therapists. So without civilian health care is not enough.

As for mobile military field medical units, their first task will be to provide emergency assistance to the wounded, their sorting and sending to the rear medical facilities, which may include regional and district-level civilian hospitals. Are they ready to accept so many patients?

Each of us knows about the sores of our health, personally confronted with the system. There are numerous glaring cases of rendering poor-quality (to put it mildly) assistance, lack of qualified doctors. Everything suggests that the expected growth in efficiency and availability in recent years has not happened. This is known at the top. 13 May 2017 of the Year issued a Decree of the President of the Russian Federation No. 208, approving the “Strategy of the Economic Security of the Russian Federation for the period up to 2030 of the year”, where in the section “II. Challenges and threats to economic security ”in paragraph 21 openly acknowledges the fact that“ the quality and accessibility of education and medical care is declining and, as a result, the quality of human potential is declining. ”

Quota life

How does the patient usually communicate with the doctor today?

1-th stage - a medical examination, which is designed to identify the disease, including serious, in the early stages. But it was and remains formal. It is not by chance that the well-known commandment says: "He who is well diagnosed can heal well." How many people (mostly men) have died due to acute heart failure, stroke in 40 – 60 years? This is the level of our clinical examination.



The reasons? Weak material interest of doctors, lack of qualifications, limited time to communicate with the patient, the lack of modern diagnostic equipment. But even equipping hospitals and clinics with modern equipment does not mean that your ailment will be timely installed with the appointment of adequate treatment. The best tool is effective only in capable hands.

2-th stage - access to a doctor. Begin to go on a pain. The procedure of making an appointment has become much easier - modern information technologies allow doing it from home. But in reality, even the therapist can now be reached at best in two or three days. Moreover, in many clinics there was a reduction in medical staff, there is an acute shortage. Recently this was discussed at the Plenum of the Union of Veterans of the Air Defense Forces. In the suburban village of Zarya, for example, where mostly the military and their families live, only one of the nine therapists is left, according to the chairman of the local veteran organization Alexey Dedov. Colonel-General Anatoly Hyupenen called the situation with the medical care of veterans a complete disgrace. In the Zvenigorod military sanatorium, the general and his wife could not even take a blood test. From hospitals, according to him, patients are exposed to under-treatment. Sometimes doctors push this FMS: no complaints - write out.

In Soviet times, the reception could be reached immediately, on the day when the need arose. Now, if you want to contact a specialist, the wait can last up to a month. It is far from a fact that they will accept without a coupon even with acute pain - there are enough of those suffering. Time to receive the patient is now strictly regulated. For 10 minutes you need to listen to complaints, ask questions, study the results of tests and examinations, make a diagnosis, prescribe treatment. The doctor sometimes does not even raise his head to the patient and writes, writes ...

The 3 stage is to go to a medical institution with a serious illness when high-tech medical care (VMP) is indicated. Such a procedure, the very request for a quota is demeaning - such as asking for the right to life. And then - a few more stages: operation, nursing, rehabilitation.

In specialized medical centers, you can still find local House doctors - knowledgeable, able, thinking and willing to help. And in the district hospitals and clinics? In addition, many medical institutions were overwhelmed by the plague of our time - hidden and frank extortion.

14 August Muscovite died in emergency ward in the famous Botkin hospital after four hours of waiting for help. He was taken to an ambulance with a diagnosis of bilateral pneumonia. Tragic accident or pattern? It happens that they are brought with a diagnosis of "stroke", but the patient does not receive the prescribed care during the day. But in such cases it is extremely important to render it in the first hours, otherwise irreversible changes begin in the brain.

Alcohol, scalpel, wallet

What happens far from the capital if something like this happens under the walls of the Kremlin?

District settlement No. 5 (RB No. 5), former medical unit No. 48 of the Third Main Directorate of the USSR Ministry of Public Health, which served the employees of sensitive enterprises (mailboxes) that were part of the USSR Ministry of the Economy, is located in the village of Selyatino, Naro-Fominsky district. At one time, such institutions were created according to a single principle - the entire infrastructure (medical and sanitary and auxiliary) was located compactly, as a rule, in well-constructed buildings, equipped with first-class medical equipment. In Soviet times, the NFM-48 was the pearl of the Naro-Fominsky district in providing highly professional medical care to the population of the village and employees of enterprises located in it.

Stay half deadToday, the former level in the past, with doctors sparsely. Over the 2015 – 2016 years, mortality in the village exceeded the birth rate. The trend persists in 2017. And all those who need to consult a narrow profile of doctors, sent to institutions of the regional or republican level.

What prevents, on the basis of the medical unit, to make a modern medical center of the district level? Next door, behind the fence is a military hospital - a branch of the 1586 district. On the fenced areas there are free areas that can be used for construction. In addition, 55 kilometers military airfield Yermolino, capable of taking helicopters of all types and military transport aircraft. And to the western border with Ukraine (Chernihiv, Sumy and Kharkiv regions) - 350 – 400 kilometers.
On the basis of such a hospital-hospital complex, it is feasible to organize a medical center of constant mobilization readiness with a modern diagnostic and treatment base. In peacetime, he could receive civilians and people in uniform, and in the wartime he could provide medical care to officers, sergeants and junior officers who received injuries of varying degrees of severity.

In the past, the profession of a doctor was considered prestigious, was revered by the people. Now its attractiveness has fallen sharply: only 30 percent of medical institute graduates get a job in their specialty. Doctors in hospitals and clinics are forced to work at several rates. Salaries of teachers in medical schools do not exceed 15 thousand rubles, candidates and doctors of medical sciences - 25 – 40 thousand. Get someone as you can.

But the specialists of the higher school, research institutes, institutes for the improvement of doctors often provide advice to military doctors in hospitals in the treatment of the wounded, who need specialized types of care. The need for such close cooperation was also mentioned by the Chief of the Main Military Sanitary Administration of the Red Army, Yefim Smirnov, analyzing and summarizing the work of the medical service during the years of the Great Patriotic War. Alas, there is no prophet in his homeland.

In Crimea, polyclinics and hospitals miss about nine hundred specialists of different profiles - for a peninsula with a population of 2,3 million people, the figure is threatening. Urgently required district physicians and pediatricians, neurologists, cardiologists, oncologists, diagnosticians, infectiologists, gastroenterologists ... Deficiency in all medical areas.

Something is being done. In 2016, 116 young professionals arrived in Crimea. However, many of them preferred private clinics or left health care altogether, “unable to bear the burden of responsibility for the lives and health of patients.”

Many complaints have been received, for example, from Alupka. About two years ago, in a single complex with the Yalta (Livadia) city hospital number 1, the regional Ministry of Health united all medical institutions of Alupka. More precisely, what is left of them is a polyclinic and a hospital, in which the number of beds has been reduced from the round-the-clock to the daytime. The necessary materials are obtained here on a residual basis. X-ray has been out of order for several months. Since mid-summer, the salary has almost fallen by half. Nurses receive on hands 10-11 thousand rubles. Why? The answer can not achieve. Moreover, doctors are liable to fines for taking more patients per shift than is required by the regulations.

But the Crimea is the unsinkable aircraft carrier of Russia. Attitude must be appropriate.

Drug List

A year ago, an increase in the average life expectancy of Russians to 71,5 was reported, and now to 72,2. But at the same time there is information about the excess of population loss over the birth rate. According to a study commissioned by the World Bank, the Russian Federation is the European leader in the death rate of men up to 65 years - 43 percent. But these are all potential and real defenders of the Fatherland. In Switzerland, Japan, Israel (a constantly fighting country), the average life expectancy for men is 81 a year.

In our country, public health expenditures amount to only 3,5 percent of GDP and have been declining in recent years. We will not compare them with similar expenditures of the USA and European countries - they exceed Russian ones by several times. The minimum level recommended by the World Health Organization for underdeveloped countries is five percent.

“Military-Industrial Courier” found out from the specialists what to do besides what the leaders of the national health care are talking about. It is necessary:

change attitudes towards admission of students to medical specialties of higher and secondary educational institutions - only by vocation, after a preliminary interview proving that a person is suitable for medical practice, if approved, the candidate is allowed to take entrance examinations;

to train only at the state expense (if the toll is prohibited!) with the provision of a worthy scholarship (no less than the subsistence minimum) and housing;

to recreate the system of postgraduate state distribution of graduates;

establish salaries for faculty members not lower than 8 – 10 MROT with additional payments for academic degrees, titles and teaching experience (respectively, also for personnel providing the educational process);
to introduce a similar wage system in hospital and medical institutions;

to transform the management of medical institutions, to separate administrative and medical management, life support infrastructure and medical and preventive work; the chief physician should manage the healing and rehabilitation process, and the director, in cooperation with administrations at all levels, should provide the necessary conditions, including financial and economic ones;
abandon insurance companies as inefficient and burdensome intermediaries between hospitals and budget financing.

Finally, the main question is about the material sources of such large-scale transformations. The time has come to take advantage of Alexander Livshits' covenant “We must share!”. First of all, land the defiant salaries of the State Duma deputies. To bring to reasonable values ​​a fantastic salary of top managers of companies with state participation. Yes, and our oligarchs could share the example of American billionaires, transferring significant amounts to charity. Vladimir Putin set a good example - he extended the term of his decree by 2018, according to which the salary of the head of state and the prime minister, vice-premiers and ministers, as well as the prosecutor general, the head of the Investigation Committee and the head of the Central Election Commission is paid at a “discount "In 10 percent.

It would be good to form an extra-budgetary fund for health development, to which money confiscated in court from corrupt officials would also be deducted. External debts are not forgiven, but returned, as many Western countries pragmatically do, and at least partially sent to such a fund. With the world on a thread - our health care will be a good shirt. In a word, finances can be found, there would be political will and desire.

In the meantime, very often it is necessary in despair to scoop up all the available funds, collect them by friends and acquaintances in order to go to a good clinic, where there is an opportunity to receive highly professional or at least just qualified help.
There are positive examples in the development of medicine, including military. The elite military hospital (A.Vishnevsky Central Military Clinical Hospital) in Krasnogorsk became a multidisciplinary center with a high level of services, which we are primarily obliged to by the former head - Major General of the Medical Service, Doctor of Medical Sciences, Professor Yuri Nemytin, during the Afghan campaign - Head of the Medical Service of the 40 Army. But this only confirms the conclusion: it all depends on specific people, their attitude to work.

There is an episode in the film of Alexander Row's wonderful film director and storyteller Vasilisa the Beautiful: Ivan, a peasant son, approaches the place where the magic sword is stored, which can do away with Serpent Gorynych. But then a huge spider appears and declares that Ivan will receive a treasure trove if he guesses at least one riddle. And no matter what the insect asks, everything is irrelevant to Ivan. Without waiting for the answer to his last riddle “what is sweeter than anything in the world?”, The spider is already going to swallow Ivan, as it came to the conclusion that “life is nicer and more precious than anything in the world.”

And its basis is human health, which the state and each of us should attend to. It is time for our power and each of its representatives to realize a simple truth: a healthy nation is a strong state, and health care is a component of defense capability.
Author:
Originator:
https://vpk-news.ru/articles/40126
68 comments
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  1. prior
    prior 1 December 2017 15: 21 New
    13
    Paid medicine and pharmacology in Russia is a direct path to the cemetery.
    But how expensive it is to die today.
    1. St Petrov
      St Petrov 1 December 2017 17: 57 New
      +6
      Free medicine and professionalism at the present time are dreams. When there was free medicine, people were tired of it and they decided to build capitalism and praise Yeltsin at rallies

      then the free one ended - and people still by default believe that medicine is a free benefit from the state.

      Although we are not paid. Paid medicine here

      1. DanSabaka
        DanSabaka 2 December 2017 09: 21 New
        +4
        Ask ANY gr. our immense, who is a paramedic? and you will hear from the overwhelming majority in response: “A medic is the one who gave a hypocrat and therefore must treat everyone for nothing and without interruptions” ...
        Unfortunately, in our country there is no respect for medicine .... well, we have what we deserve ...
        1. Dr_engie
          Dr_engie 3 December 2017 20: 11 New
          0
          Seriously? Have you ever seen doctors at all?
          Such people often sit there, that I don’t even want to go to them.
          Moreover, the young, no matter how scolding them, work much better and in themselves are much friendlier than the old staff. Here the situation is, both with teachers, and indeed in many industries - in institutions "the old blood has stagnated", it needs to be updated, but the old hold on to their places and do not allow young people to work or develop.
          1. I doubt it
            I doubt it 5 December 2017 15: 35 New
            0
            Quote: Dr_Engie
            .... "the old blood has stagnated", it needs to be renewed, but the old ones hold on to their places and do not allow young people to work or develop.

            Everything is much worse. There are simply no new ones. 90% of students do not associate their future with medical business at all. There are minimum budget places, but practically no. Education is paid and not very cheap. Learn through the sleeves. The main task of the university is making money, not the knowledge of future doctors. Virtually no dropout. Only the most are expelled, the rest will be released.
            In 2017, two new pediatricians arrived at once. Zav talked to them, the "oaks" both. One did not dare to put the district police officer, although the vacancy is open.
            Prior to this, the young replenishment came two years ago. In the amount of 1 person. In the issue of that year, two went to pediatrics.
            Here is such a medicine.
            In adult clinics, even worse.
            1. Dr_engie
              Dr_engie 6 December 2017 14: 54 New
              0
              In my city, because of all this (poor quality of education), the Ministry of Education deprived the Academy of Medical Academy status and now it is simply a university. No matter how further it rolled down.
  2. sergey32
    sergey32 1 December 2017 15: 47 New
    10
    My average daughter in Moscow to study at the Sechenov Medical Academy. One of the best. An excellent pupil. The best students for internships are actively invited by foreign clinics. So mine will go soon. I’m trying to talk to her about the fact that you need to live and work at home, but as soon as her aunt, a doctor in Bryansk, voices her salary, my words lose their credibility. But it’s a pity, our talented doctors should treat us. Hey, are you up there, hear? ..
    1. bandabas
      bandabas 1 December 2017 16: 10 New
      +5
      They don’t hear. If 60-70% medical staff in polyclinics is considered an excellent result. And then, pay the money. And, not the fact that you will receive quality treatment for them.
      1. I doubt it
        I doubt it 5 December 2017 15: 43 New
        0
        Quote: sergey32
        Hey, are you up there, hear? ..

        Quote: bandabas
        They don’t hear.

        And why should they hear?
        THEY are served by their outpatient clinics, with good doctors and equipment, and they are not treated with iodine with aspirin.
  3. sso-xnumx
    sso-xnumx 1 December 2017 16: 07 New
    +5
    As long as "colleagues in the Ministry of Emergencies" who do not have a specialized military medical education sit in the leadership of the Main Military Medical Directorate of the RF Ministry of Defense, the situation will worsen every day. The conversion of military medicine to self-financing is the essence of wrecking, wretched thinking and crime on the part of Mr. Trishkin.
  4. turbris
    turbris 1 December 2017 16: 07 New
    +6
    And it seems to me that there will be no changes in healthcare without a complex of radical reforms. Training specialists - why do we need medical institutes if only 15-20% of graduates remain in the profession, the rest went to medical statisticians, successfully inject foreign drugs, in the interests of foreign companies or even left the profession. And the reason is not the salary, but simply the students didn’t plan to stay in medicine and leave the big cities upon admission. School graduates should not be admitted to medical institutes; only a graduate of a medical college or medical school should become a doctor after no more than two years of work in medical institutions. They say that then the medical institutes will be left without students? And it’s very good, because there is no need for so many medical institutes that prepare dummies, no matter how many students they graduate, there’s no sense, doctors are still lacking. How many years do they study at the medical institute? After how many years can a graduate get to work? Maybe you need to review training programs and remove completely unnecessary items? Teach, teach, and the doctor does not know how to use a computer - how is it? Instead of using the computer, scribbling continues, only now you still need to additionally enter data into the computer. No changes in terms of mastering computer technology are happening, where are electronic cards? Why is everything happening so slowly? And because the heads of medical institutions have the same computer-illiterate managers in the chain above, this is only one of the problems in our healthcare.
    1. andrej-shironov
      andrej-shironov 1 December 2017 16: 14 New
      +4
      smile Do you think the problem is in managing health facilities? About the chain higher and higher you wrote it right.
      1. turbris
        turbris 1 December 2017 17: 24 New
        +3
        Of all that I wrote you were attracted only to the mention of the above? Well, you give, I’m not so often met with such blindness, do you live from this, that you criticize the authorities?
        1. andrej-shironov
          andrej-shironov 1 December 2017 19: 21 New
          +1
          smile So, there wasn’t anything smart there request
    2. I doubt it
      I doubt it 5 December 2017 16: 07 New
      0
      Quote: turbris
      School graduates should not be admitted to medical institutes; only a graduate of a medical college or medical school should become a doctor after no more than two years of work in medical institutions.

      I support on 100%.
      Oh, sorry Putin does not know ...
      Quote: turbris
      ... scribbling continues, only now it is still necessary to additionally enter data into the computer.

      Our children's doctors gloomily joke about this: "children simply interfere with work!"
      But not because the doctors are so bad, but because ...
      Quote: turbris
      ... And because the management of medical institutions, there are ... illiterate leaders and the chain above ....

      This is really a TROUBLE! A bureaucracy has been bred such that it’s just AH! Each bureaucrat needs his own reports, numbers, statistics. Moreover, it is completely useless for the patient and the medical case itself, taking away a lot of time. Moreover, often fake. And this is not the fault of the doctors. And not even the head. polyclinics. First of all, the hordes of officials "from medicine" of all stripes who created and "improve" the current system are guilty of this.
      And that is why
      Quote: turbris
      ... there will be no change in health care ....



      Quote: turbris
      ... that you live from this, that you criticize the authorities?

      No. We live contrary to our power.
  5. andrej-shironov
    andrej-shironov 1 December 2017 16: 12 New
    +3
    Dear authors, all this will be true if there occurs a local conflict of low intensity with a weak or equal opponent in Russia. If there is a conflict between NATO and Russia, nothing you wrote will simply not happen.
    1. turbris
      turbris 2 December 2017 14: 47 New
      0
      How do you know, you are our smartest?
      1. andrej-shironov
        andrej-shironov 2 December 2017 15: 24 New
        +1
        Nuuuuu .... Imagine that I'm from the future wink
  6. Settlement Oparyshev
    Settlement Oparyshev 1 December 2017 17: 16 New
    +3
    I would like to clarify. There is a deep medical illiteracy among the people. Moreover, medicine deliberately deceives people that they would be tied to doctors and pharmacies. People sometimes do not want to be treated themselves, rely only on medicine. You really need to be treated every day, then the common cold, then the liver, splinters bruises, hemorrhoids, a lot of sores. But then you do not run to the doctors. The thought begs that you need to develop self-medication, including cardiac.
    Doctors leave surgery and an ambulance.
    1. Curious
      Curious 1 December 2017 21: 42 New
      +2
      I wonder how you examine your own hemorrhoids. Or fill your teeth.
      1. Settlement Oparyshev
        Settlement Oparyshev 2 December 2017 06: 34 New
        0
        Why examine hemorrhoids? Are you a pervert?
        G. is treated by switching from three meals a day to one-time. I recall your illiteracy honey.
        At the expense of your teeth, you froze stupidity. I clean the pain and inflammation myself energetically, and the mechanics will have to do everything with the specialist.
        1. Curious
          Curious 2 December 2017 13: 55 New
          +1
          Well, and if everything happens, you’ll suddenly wind it on a screw, will you also treat it energetically?
        2. Reklastik
          Reklastik 4 December 2017 19: 29 New
          0
          Ohhh, yes you are a famous folk healer - treat according to the photograph?)))))) Discounts for students and pregnant women? laughing
    2. Baloo
      Baloo 1 December 2017 21: 57 New
      +3
      Quote: pp to Oparyshev
      There is a deep medical illiteracy among the people. Moreover, medicine deliberately deceives people that would be tied to doctors and pharmacies.

      Quote: pp to Oparyshev
      . It begs the thought that self-medication, including cardiac, needs to be developed.
      Doctors leave surgery and an ambulance.

      Yes you are a radical! Do you want to both in Ukraine or in Africa?
      I'm closer to the topic, though civilian. I will say this: doctors stopped educating doctors, teaching clinical thinking. Specialists on the 5th toe of the right foot, and you have the left. A man asks his roommates: The doctor has not been treating me for a whole week, but says everything: a difficult case, wait? Why wait? They answer him: so he said, "I must give ..." And this is. At work, I travel several times a year with checks to district hospitals. I don’t know where, but in Tataria, rural medicine pays a lot of attention in terms of equipment, including reanimobiles in each district hospital. The soul rejoices, looking at new buildings, equipment, but with the cadres trouble. Not enough doctors, with medicines too. The truth of life: everywhere mortality is higher than the birth rate, youth are leaving the village. A lot of attention in the countryside is given to culture and sports. Just arrived from the area. The population is about 20 thousand. So in their district center, you won’t believe Victory Park: a helicopter, armored personnel carrier, several guns, everything is clean and tidy, even the "House of Children's Creativity"! A lot is being done, but work is bad. Doctors like everywhere else do not paint a person, different. But sometimes in the regions there are well-trained, erudite young doctors. About them and colleagues and patients say so, golden hands. They pompously talked about the upcoming salary increase. So far they have given only a premium, tangibly. We’ll see how it will be in February, when we promised to pay in new ways. They came up with continuing medical education. Good idea, right. Today I spent half a day to sign up through the Internet for the necessary work cycle. I couldn’t! The site does not work, it hangs. We wanted the best, it turned out ... It's a good thing, primarily for a doctor from the outback. Standards? The truth of life: this is a list of services that can be used for a specific disease. Insurance companies take money from hospitals for non-compliance. But the standard is advisory in nature, this is not a treatment algorithm and not a tactic !!!!
      I don’t know how others, but on traumatology, the standards are written clearly by Muscovites and obviously far from traumatology, profane, just ignoramuses. Judge for yourself: for what purpose, according to the standard of treatment for shin fracture from 2006. all in a row it turns out it is necessary to put a catheter into the bladder !? belay
      Or, for some reason, the standard for the treatment of osteoarthritis says gypsum overlay for fracture. What is the fracture of a planned patient?
      In general, medicine has become better, money is being invested. But the problems are old: training, equipment, bed capacity, rehabilitation, postgraduate education. Is psychological testing necessary before accepting documents at a university? unconditionally. I have to work with complaints and appeals. I state that 1 out of 20 authors are inadequate, in other cases, people complain rightly, rightly. Just do not immediately write the presidents of all countries and peoples. You have the phone number of the insurance company in the policy, in each hospital and clinic there are telephones and management names. So it will be faster. A lot of problems, a lot. But for some reason no one will ask us ordinary doctors, but what kind of medicine do we see? I showed you the example of standards. the quality of work of some employees of the Ministry of Health of the Russian Federation. And the last order No. 203n of 2017, do they themselves understand what they composed? fool
      So, you stay there, the main thing is health, and all the best to you. wink hi
      1. Settlement Oparyshev
        Settlement Oparyshev 2 December 2017 06: 44 New
        0
        I would like your worries! Dry starvation is usually used in treatment. Are dry fasting chambers equipped in your hospitals?
        Influenza is treated for a day, even in infants and in pregnant women, by constantly wetting the throat with a solution of zelenka. ORZ, tonsillitis, is treated with a single rinse with the same zelenka.
        All internal inflammations are treated energetically with the palms of the energy focus on the site of inflammation, in a few minutes. Arthritis, inflammation under the meniscus in the knee, has been cured in this way in a few hours.
        An ulcer is treated in 7 days, by disinfection of the cavity, energy treatment of internal tissues, + two immune: ASD2 + dry fasting.
        1. Baloo
          Baloo 2 December 2017 07: 29 New
          +3
          Quote: pp to Oparyshev
          I would like your worries! Dry starvation is usually used in treatment. Are dry fasting chambers equipped in your hospitals?

          Do not pour the maggot, and take away the clave from him.
          1. Settlement Oparyshev
            Settlement Oparyshev 2 December 2017 07: 35 New
            0
            In your medical aspirations, such a thing is observed. You are doing everything that would be good for you, but the sick certainly do not remain any good.
            1. Baloo
              Baloo 2 December 2017 08: 19 New
              +2
              Quote: pp to Oparyshev
              In your medical aspirations, such a thing is observed. You are doing everything that would be good for you, but the sick certainly do not remain any good.

              Avoid treatment, go to the ward and run a march! am
              1. Settlement Oparyshev
                Settlement Oparyshev 2 December 2017 08: 32 New
                0
                Go in to increase the number of beds. An additional thousand hundred beds will be required, in the case of a full-scale batch.
                1. Baloo
                  Baloo 2 December 2017 09: 17 New
                  +1
                  Quote: pp to Oparyshev
                  An additional thousand hundred beds are required, in the case of a full-scale batch.

                  Is that for you alone? belay
                  There will be no kneading. Shtirlitsy do their work, they will not allow it. Fig you, not Maidan. I’ll go to disperse the maydauns, if Che. angry
                  1. Settlement Oparyshev
                    Settlement Oparyshev 2 December 2017 10: 15 New
                    0
                    You can study politics according to my comments, otherwise you are not only in medicine not very, but in politics too.
                    1. Curious
                      Curious 2 December 2017 14: 56 New
                      +1
                      Oparyshev, your recipe for treating gonorrhea is in the studio. Will you smear Zelenka?
                      Or prescribe dipping in iodine?
                      1. Settlement Oparyshev
                        Settlement Oparyshev 2 December 2017 15: 16 New
                        0
                        The prescription for treating a tripper is simple. Do not put it anywhere. But in general it’s karmic, two have slipped anything, and the third is enough. Look for the reason in yourself.
                        You can use antibiotics, but the dose is such that you need to soak it.
                        If you wanted to poke me, then there is a question about trichomones. That's really it. I watched a doctor who was injected directly into the prostate and had no effect. It’s interesting for me, but I doubt that I will decide. Success.
      2. Settlement Oparyshev
        Settlement Oparyshev 2 December 2017 08: 34 New
        0
        A lot has been written, but what is surprising is that there is not a word about spinning and medicine.
    3. Dedall
      Dedall 4 December 2017 19: 07 New
      +1
      The Americans had it during the Great Depression. There, even textbooks on independent appendectomy, birth control and the like were sold to the public. There is even such a thing as the "Chicago experiment" when the then American "managers" organized self-treatment courses. Do you offer this?
  7. Alexander S.
    Alexander S. 1 December 2017 18: 33 New
    +3
    Admission interview? Welcome to the tsunami of corruption. Learn only on a budget? I know many examples when students paid paid better education than state employees .. participated in conferences .. and they were successfully transferred to free places.
    1. UAZ 452
      UAZ 452 2 December 2017 11: 04 New
      0
      I also think that non-paid tuition should be eliminated, but vice versa - free. This is the only way to weed out those who receive education "for themselves and their families" (especially for girls from the North Caucasus), not intending to work in their specialty from the very beginning. Are you facing distribution? Already such graduates will definitely solve this problem simply by getting married and having given birth.
      No - only paid tuition, but not like now, but with absolutely equal competitive conditions for everyone, 100% access to educational loans with an interest rate equal to inflation (the state pays the difference with the commercial rate, it will still be much cheaper than the current situation) , and the distribution will successfully replace the possibility of concluding a contract with a graduate for 3-5 years of work in the countryside with the condition of paying the educational loan by the employer. From those who wish, there will be no end if you provide decent working and living conditions.
  8. Severok
    Severok 1 December 2017 21: 05 New
    +3
    There is only one way to cure a healthcare system:
    - to unite all compositions of the government and the State Duma with the council of federations from the 98th year to the present;
    - to employ in the specialized departments and ministries only and only specialists in the profile without nepotism and kinship;
    - completely returning to the legislation of the USSR and the constitution of the USSR in pre-perestroika time;
    - return the strictest responsibility of leading employees for the deterioration of living conditions of citizens;
    - There should be no impunity among senior leaders.
    1. Baloo
      Baloo 2 December 2017 09: 18 New
      +2
      Quote: Severok
      You can cure the health system

      Need to increase funding: its medical industry, salaries, training.
      Deputies should be treated at the place of residence, and not abroad and in special clinics.
  9. Fedor1
    Fedor1 2 December 2017 04: 32 New
    +1
    First to stop stealing
  10. minus
    minus 2 December 2017 10: 22 New
    0
    About salaries in medical universities, you just do not need to lie ... Firstly, higher, and secondly, corruption is most developed there. Niece (excellent student, gold medalist, and honey graduated with honors) felts in the first, roofing felts in the second year passed histology or anatomy. Accepted several teachers, among them the head of the department. She answered everything perfectly ... So the host approached the department head and asked what grade she should give, she didn’t pass 10000 for the exam ....
    1. turbris
      turbris 2 December 2017 14: 59 New
      0
      Just go to a medical institution or medical school and see which cars are parked at the "poor" doctors, where? Corruption in medicine flourishes, this is taught right away at the institute, a vivid example is given by Minus, how much salary you don’t raise - they will "take" all the same, but if only they would help, but this is not always the case. Can really make medicine paid, then at least you will not doubt how much to give?
      1. Baloo
        Baloo 3 December 2017 18: 08 New
        +3
        Quote: turbris
        Just go to a medical institution or medical school and see which cars are parked at the "poor" doctors, where?

        Well, not cooler than near the police department, court, prosecutor's office.
        Quote: turbris

        Can really make medicine paid, then at least you will not doubt how much to give?

        To do this, you must have a salary of at least 150 thousand for each member of the family. Arthroscopy of the knee-joint is from 30 thousand (with luck) to 60 thousand (this is in our city, where the average salary of doctors is 8 thousand according to statistics, the actual rate of a doctor with the highest category is about 39 thousand). Endoprosthetics? from 15 to 100 thousand
        The main achievement of the USSR bloody communist regime is free public medicine. The system itself at the turn of the first half of the 80s was recognized by WHO as the best in the world. Weak and backward was a mat. those. base. For example: I need a tool or a medical functional bed. I am writing an application, at the end of the year the hospital transfers to medical equipment. Medical equipment at the beginning of the year sends an application to Moscow. Moscow sends out factories. Factories complete the plan for next year and ask for funding. The Ministry of Finance allocates money. The plant does, sends to the regions. Like this. There were no direct connections.
        We must do our best to fight for free, accessible medicine. Let the paid one exist separately. hi
        1. UAZ 452
          UAZ 452 3 December 2017 18: 22 New
          0
          The legend of the recognition of Soviet medicine as the best in the world wanders from source to source. But if without myth-making, then WHO recognized the successes of the USSR specifically in anti-epidemic measures and in terms of access to primary medical care, and not at all in the development of the entire healthcare system in general. But the stage of primary care can be limited to SARS, and then not always. All that really needs to be treated requires the presence of more advanced stages and technologies. But with this there was always a seam.
          And for those who firmly believe in "the best medicine in the world" for some reason, one cannot explain the fact that in all the years of the existence of the "advanced health care system, Semashko" never managed to achieve the same life expectancy as in " rotting "countries where medicine has never been completely free.
  11. UAZ 452
    UAZ 452 2 December 2017 10: 56 New
    0
    “to change the attitude towards the admission of students to medical specialties of higher and secondary educational institutions - only by vocation, after a preliminary interview proving that a person is suitable for medical activity, if approved, the candidate is allowed to take entrance exams”
    Already this thesis shows that the authors are storytellers. Now there are any number of training firms that provide training services for any interviews, questionnaires. Well, they will have additional income from those who want to prepare for an interview for admission to medical school. Mandatory "practice" in hospitals? And if the applicant in his village did not even have a FAP? Not fit for admission? Or vice versa - father and mother fictitiously arranged as a nurse, having agreed with the administration that they only need seniority, and the salary does not interest the word at all, so they can dispose of it at their discretion.
    So the introduction of some kind of interviews into the university admissions mechanism, which, by definition, can only be subjective and unverifiable, will lead to only one thing - a sharp increase in the corruption component, blat, and, ultimately, a result that is directly opposite to the declared one - medical institutes will receive less prepared, trained, but more "sophisticated" applicants, representatives of "dynasties". And "not yours" will simply not be allowed to take entrance exams, since, in principle, they will not have a chance to pass an interview.
    1. Baloo
      Baloo 2 December 2017 11: 57 New
      +1
      Quote: UAZ 452
      So, introducing into the mechanism of admission to universities some kind of interviews, which by definition can only be subjective,

      Tests can not be fooled if you answer on your computer. it is necessary to cut off prone to unmotivated aggression, well, psychologists know.
      1. UAZ 452
        UAZ 452 2 December 2017 12: 50 New
        0
        "Dragging" into tests is generally the easiest thing you can think of. It is only necessary to have a memory that is not full of holes so as not to answer repetitive questions in different ways.
        1. Baloo
          Baloo 3 December 2017 18: 27 New
          +1
          Quote: UAZ 452
          "Dragging" into tests is generally the easiest thing you can think of. It is only necessary to have a memory that is not full of holes so as not to answer repetitive questions in different ways.

          Tests can not be fooled. It is necessary to cut off prone to aggression, with an IQ below 118-120, with a lack of ability to impatience.
    2. turbris
      turbris 2 December 2017 15: 02 New
      +1
      But still, young people who sniffed at the district hospital for 2 years and did not run away have a greater right to remain in the profession than school graduates.
      1. UAZ 452
        UAZ 452 2 December 2017 22: 12 New
        +1
        Two years in the hospital, guys - a year of military service, three years of medical school (they offered to take them to medical schools only with secondary medical education), 6 years of honey proper, then another internship (which was canceled, but many require returning), two or three years of residency, and girls also need to find time to go a couple of times on maternity leave ... Do you think? Such a doctor will begin to work years after thirty, when in other sectors their peers have already achieved a lot in career and material terms. Do you think you will find a lot of fans of the white coat who will do all this out of love for Hippocrates? Around the whole country there will remain a couple of thousands of doctors "from God", which will be enough for a maximum of a hundred thousand "patients about God" (a list of such patients will be highly approved), and the rest will have to be independently treated with urine therapy.
        1. Baloo
          Baloo 3 December 2017 18: 23 New
          +1
          Quote: UAZ 452
          Such a doctor will begin to work years after thirty, when in other sectors their peers have already achieved a lot in career and material terms. Do you think you will find a lot of fans of the white coat who will do all this out of love for Hippocrates?

          I’m closer to the topic, I will say this. An internship is required for at least 2 years. In the residency in surgical specialties only after 3 years of work in general surgery. Residency, depending on complexity, from one year to 5. If one year is enough for laboratory work, then for ophthalmology no less than 3, for neurology 4-5 years. In neurosurgery for about 5 years.
          Traumatology orthopedics 4-5 years. Each specialty has its own subtleties that you will not read in any book. The weak point of modern youth - poor basic training - do not know how to percuss a newborn, unlike an adult. Or ask for heart rate characteristics. Here is just one example: A man is injured. Department, diagnosed with a fracture of both shoulder blades and 1-2 ribs on both sides. For three days the doctors suppress the unbearable pain in the right hand with drugs as much as three times a day. Fourth, a sharp deterioration, and only in the intensive care unit Therapist (!!!) hi detects the absence of a pulse in the right upper limb. And this is after examination by 5 doctors, incl. with the highest category. The condition progressively worsens, it is already impossible to transport by sanitation, they cause the vascular on themselves, but it is too late. By the morning of 5 days, the patient dies. At autopsy: separation of the subclavian artery 4 cm from the bifurcation. Rare injury. But if the traumatologist, upon admission, examined the patient in good faith and measured the pulse and sensitivity on both hands, there would be a chance.
          I take off my hat to a therapist who honestly and conscientiously reacted to his duties.
          1. UAZ 452
            UAZ 452 3 December 2017 18: 31 New
            0
            If you have painted all this to show that the doctor, even by the age of 35, will not be able to start independent work, then I can agree with you. Thus, you confirm what I wrote above: if the future doctor will have to work as a junior medical staff for a few years before admission, then he will "get to the machine" exactly before retirement.
            And relying on over-motivated, ideological lack of money means abandoning the idea of ​​publicly available (or at least accessible to the majority of the population) medicine, since it simply cannot be found on so many idealists. And this I do not delve into the long-proven fact that it is the idealists in medicine who burn out first, leaving the profession ahead of schedule.
            1. Baloo
              Baloo 3 December 2017 18: 53 New
              +1
              Quote: UAZ 452
              If you have painted all this to show that the doctor, even by the age of 35, will not be able to start independent work, I can agree with you

              Why do you think so? I dreamed of becoming an eye surgeon at the institute, because of this I did not stay in my own city, but left for distribution to a neighboring region. Indeed, they provided all the conditions and had excellent prospects. For half a year, as an intern in pediatric surgery, I worked as an ophthalmologist in a children's clinic. But he did not pass the test of life. I could not remove a piece of glass from the cornea in a child. There is such a concept as intentional tremor; in many respects it is both genetics and a psychotype. Being completely calm, I could not catch a glass fragment, although I used a portable slit lamp and saw it perfectly. I do not have the ability to subtle movements. He worked on distribution and accidentally ended up in orthopedics in search of work, so he worked for more than half his life. And I started to operate on my own in an internship, amputation of an extra finger (genetic defect), then appendixes, hernias. In orthopedics, a few months later, too, he began to wave his saber at the machine with increasing complexity — menisci, trap, deformation, shortening, and oncology. the most unique is an extension of 9 cm with Marble disease, a rare pathology (deceased classmate). The most difficult thing is to correct multi-plane deformations in patients with phosphatidiabetes, when not only the angles can be corrected for each segment at several levels, but at the same time eliminated torsion, on the thigh in one direction, on the lower leg in the other, while lengthening is not less than necessary and not more than possible.
              Some young people want this all at once to impress everyone. In fact, any operation is the beginning of treatment. Restoring function is our goal, and for this we need basic training and clinical thinking — to see a patient with problems, not a problem in the patient.
          2. Dedall
            Dedall 4 December 2017 19: 19 New
            +1
            I’ll tell you one interesting thing about the fact that now they have done an internship for a fee and it costs about 160 thousand. I work in a hospital, so those who have not yet completed an internship have come to come to us. They say that neither they nor the offices that manage our health care have the money to pay for it. These are the things in our country. So prepare the plates to make coffins, otherwise the season will begin - you cannot buy.
  12. Curious
    Curious 2 December 2017 15: 24 New
    0
    Settlement Oparyshev,
    The fact is that tripper (gonorrhea) is transmitted through the household. So you really get ready. For many, a matter of life.
  13. Satum
    Satum 2 December 2017 16: 39 New
    0
    I didn’t even read it. The author confused the theater of the great Russian and modern. Now there are missiles that will cover kilometers in a square. There is nothing like a soldier and no equipment left. Previously, the army was many times larger, and now it is artificial intelligence. And the need for a large number of people has disappeared. And from here the quantity in medicine decreases. In Syria, ours, what are left without doctors? .
  14. Faust
    Faust 3 December 2017 00: 44 New
    +1
    Quote: pp to Oparyshev
    Influenza is treated for a day, even in infants and in pregnant women, by constantly wetting the throat with a solution of zelenka. ORZ, tonsillitis, is treated with a single rinse with the same zelenka.
    All internal inflammations are treated energetically with the palms of the energy focus in the place of inflammation, in a few minutes.

    Swam-know! In Angola, I've seen enough of such healers.

    Of course, sailors will not withstand such an execution, but from my own experience I can say that a pregnant woman can start premature contractions, and the baby fins will glue :(

    The Marine Doctor, when he operated on my leg, waved his hand in front of his face: "They say you won’t feel anything." I didn’t feel anything. By the way, he turned out to be such a healer: to straighten his back or something else, it’s easy for him, after his massage no pain.

    The joke about the tripper is very stupid. After all, they usually warn that in a combat situation, self-mutilation is supposed to be shot.
  15. Dedall
    Dedall 3 December 2017 18: 17 New
    +3
    While agents of imperialism and international Zionism are sitting in the country's leadership, everything will only get worse every year!
    1. Baloo
      Baloo 3 December 2017 18: 55 New
      +1
      Quote: Dedall
      While agents of imperialism and international Zionism are sitting in the country's leadership, everything will only get worse every year!

      Daedalus, shoot yourself, do not suffer, or go on to Lens exo matzo or a lie ..
  16. Kent0001
    Kent0001 3 December 2017 19: 04 New
    0
    Across the Russian Federation, many new prenatal centers have been opened, although the old ones have not been fully loaded, but now, given the drop in the birth rate, these facilities are used by a maximum of half. I saw data that oncology is in second place for reasons of death in the Russian Federation ... and it became scary, but I wouldn’t hear something in our area. Plus, problems with the release of high-tech drugs .... that’s where people are dying.
    1. Baloo
      Baloo 3 December 2017 19: 51 New
      +1
      Quote: Kent0001
      Across the Russian Federation, many new prenatal centers have been opened, although the old ones have not been fully loaded, and now, given the drop in the birth rate, these facilities are used by a maximum of half.

      There is its own kitchen, there are specialists who must rely on the spirit and letter of the law to restore order.
      Quote: Kent0001
      I saw data that oncology is in second place for reasons of death in the Russian Federation ... and it became scary, but I wouldn’t hear something in our area. Plus, problems with the release of high-tech drugs .... that’s where people are dying.

      It's true. For this, we need 100% medical examination, and again qualifications. Here is the real case of the complaint. Woman over 40 years old. Pain in the shoulder, x-ray. Just a doctor wrote in the shoulder, and the radiologist took it on a small film in a package on the shoulder joint. This I saw in the lower corner of the film, the visor is the first 100% sign of sarcoma, but these two do not. Without having done the MRI, he began to treat it as a shoulder-shoulder periarthrosis, although without pathology in the cervical region or previous trauma, periarthrosis does not exist. Moreover, pain in the shoulder joint can be both reflex and pathology of intraarticular formations, which may require arthroscopy.
      Within six months, it gets worse and worse, a pathological fracture, an RCT doctor, an honored doctor and all that) describes how osteomyelitis, but in the end recommends excluding the tumor. Accidentally come to me, I turn around and turn to oncologists. Amputation and chemotherapy are proposed to save a life. A roommate calls to Israel via the Internet. These hypocrites promise both a hand to save and life. Then I don’t know how it ended. It happens that oncologists are wrong. In oncology, a patient was operated on who in Moscow oncologists together with an academician suggested amputating the entire lower limb and half of the pelvis. I was not mistaken, just a very large benign tumor from the pubic bone, the impression was made that poltase was affected. 1 \ 4 it took a liter jar.
  17. Brigadier
    Brigadier 4 December 2017 08: 53 New
    +1
    One speaks of one, the other speaks of the other, the third speaks of the third, etc.
    But EVERYONE forgets about the most important thing, in the presence of which all good words and wishes will remain an empty phrase ...
    And the main thing is that now in Russia CAPITALISM and in power it’s not the people, but the bourgeois who saw in the grave both the people and their health !!! The main thing for the bourgeois is his income and nothing more!
    Or do you think that these bourgeois are being treated in the same poor clinics in which you are being treated?
    Think about it ....
    1. turbris
      turbris 4 December 2017 10: 55 New
      +1
      Enough already to fuss, then why do many people go for this CAPITALISM and even on TV do we collect money for treatment for children? You can’t sleep - at night the bourgeois’s income is dreaming? Need to be selected and divided? Only it turns out to take away, but not to divide - at once new bourgeoisie appear, I’m personally tired of changing some bourgeoisie to another and don’t need songs about excellent Soviet health care, we went through, we know, there may have been nothing in Obkomov clinics and sanatoriums, but we were not treated there.
      1. Baloo
        Baloo 4 December 2017 16: 54 New
        +1
        Last year, more than 90 thousand people from all over the world came to Russia for treatment

        Quote: turbris
        turbris Today, 10:55 ↑ New
        Enough already to fuss, then why do many people go for this CAPITALISM and even on TV do we collect money for treatment for children? You can’t sleep - at night the bourgeois’s income is dreaming? Need to be selected and divided? It’s only possible to take away, but not to divide - at once new bourgeoisie appear, I’m personally tired of changing some bourgeoisie to another and don’t need songs about excellent Soviet health care, we passed, we know, there may have been nothing in Obkomov clinics and sanatoriums, but we didn’t heal
    2. fif21
      fif21 4 December 2017 11: 42 New
      +1
      Quote: Brigadier
      in power it’s not the people, but the bourgeois who saw in the grave both the people and their health !!! The main thing for the bourgeois is his income and nothing more!
      Everything is so, but with a small correction. The bourgeois are forced to deal with the birthrate and maintain the health of the employee until the termination of his labor, as this hired worker increases his income. With an increase in labor productivity by 1%, the wage of a worker increases by 0 point 0 tenths. hi
  18. fif21
    fif21 4 December 2017 11: 34 New
    +2
    Piled everything in a heap. Military medicine, this is a separate song. Do all fighters know how to provide first aid to themselves or to a comrade? Are there sanitizers in their mouths? Are there any means of delivering the wounded to the evacuation hospital? Are there any army evacuation hospitals? Is there a dignity aircraft, sanitary trains? Are there any plans to transfer hospitals, office buildings to the needs of military medicine? Are there enough medicines, dressings, surgical instruments and equipment, quickly erected modules in the military depots of the NZ to accommodate wounded, operating, and rest of medical personnel? Or now, each fighter must have a compulsory medical insurance or VHI policy? And when injured, call 03? recourse
  19. E_V_N
    E_V_N 4 December 2017 11: 46 New
    0
    No salary will ever force a person to work, and to treat a doctor is a harmful misconception. Make a million local salary today, tomorrow he will consider it small, because in a nearby clinic someone will receive a million and 1000 from above. The collapse of medicine began with an indication of GDP to raise the salary of district doctors 3 times, from 5000 to 15000, they raised the district, narrow specialists and junior medical staff did not, as a result, narrow specialists said that therapists get three times as much, so let them treat them themselves. They began to raise narrow specialists, the district policemen began to resent ... inflation, but they did not raise us. Now, most do not want to work, but only consider how much they get in the next office in the next hospital. So that the article is harmful in essence.
    The only thing that needs to be supported is the abolition of paid tuition at universities, who need specialists who buy diplomas in installments for money.
  20. aybolyt678
    aybolyt678 7 December 2017 21: 44 New
    0
    Readiness for war is a mobilization economy and medicine as well. This implies the possibility of independently establishing any production and medicines. Medicines Antibiotics require a certain technical base with trained personnel, but this is not. Nowadays, basically everything is made from Chinese raw materials. Few people know that even bleach and potassium permanganate are now Chinese. In a field hospital, the need for rapid disinfection is a critical indicator. Domestic antiseptics are not visible. Germicidal lamps are now also Chinese.
    important is the moral readiness of people to act in conditions of mobilization. In my opinion, if it smells fried, people in white coats will scatter in advance. I can’t imagine the medical help for free from these mummers - doctors. They used to work only for a lot of money. Who take, even if they can not help.