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Russian
00:00:01
[music]00:00:07
if you need to go there yet, no, well, I wasn’t00:00:11
given such a task yet, and00:00:13
our colleague left00:00:19
[music]00:00:21
what do you think and what do you think,00:00:34
no matter what problem we encounter, we are going to00:00:36
help people if they have00:00:38
them there00:00:54
I mean, we have been working in this epidemic for00:01:10
quite a long time, we have some experience00:01:12
in this work, we already know some of the00:01:15
pitfalls, some of the nuances of the00:01:17
epidemiology of this disease, it00:01:19
would be stupid to hide it and only detain it00:01:22
in your locations, so let’s say so, at the00:01:25
suggestion of00:01:27
our so to speak leaders, well,00:01:29
in fact, I expressed it the desire00:01:31
to help our colleagues here is why we00:01:33
are here, I was happy to00:01:35
be here, well, although in fact he00:01:37
never appeared to me, I’m in a row in00:01:39
Estonian, it’s not that far from here,00:01:42
just three days by train, I was once a00:01:45
military man, my past life00:01:48
is ending Siberian Medical00:01:51
University but00:01:52
the Faculty of Military Medicine, so I sort of graduated as a00:01:54
lieutenant from the university and it was,00:01:57
you know, such a hell of a distribution to get to00:02:01
serve in Transbaikalia then it was called the00:02:05
Transbaikal Military District, my times it is00:02:07
often called Siberian why yes00:02:10
because it’s probably big,00:02:18
stop but here through a bite 5100:02:22
thank you more thank you here00:02:26
is mine for we who have a great00:02:30
command of the situation understands how00:02:33
we should be reorganized and00:02:35
inpatient services, in addition, the00:02:38
guys and I have built a system of care for00:02:40
severe patients and00:02:42
at the same time we work and give00:02:45
lectures00:02:46
and help with smart moments,00:02:50
well, he showed me that this is the complete00:02:52
set of a group of00:02:55
people who can clinically and00:02:57
organizationally help and it was00:02:59
optimal,00:03:01
you know something like that,00:03:04
looking at Tolyan, we thought very seriously whether the two of us should work together00:03:06
because we always duplicate00:03:09
each other, someone remains on charge at the00:03:12
farm tomorrow then leaves but having00:03:15
some 3 personal information about what is00:03:17
happening in Transbaikalia, we concluded for ourselves00:03:20
there on the shore that00:03:24
apparently the main focus here will00:03:27
not be clinical for starters, but00:03:31
administrative management,00:03:33
but as for this situation, as it is00:03:38
written in one book,00:03:40
everything is mixed up in the house Oblonsky, as00:03:43
for me as the chief physician, they took00:03:46
me away, everything was mixed up,00:03:47
absolutely, in 2019, a certain significant amount was00:03:51
allocated for the overhaul of the surgical building00:03:53
and the entire00:03:56
surgical building is 250 beds, we00:03:59
transferred to the existing territory,00:04:02
very cramped conditions,00:04:08
only 23,000 patients were treated in the hospital here, but00:04:11
after the onset of the new year and especially the00:04:14
Chinese New Year,00:04:16
when the main workers who worked00:04:20
at this stand left the People's00:04:23
Republic of China and then00:04:25
the pandemic came, that00:04:27
was a period when there was a very serious mental00:04:31
doubt about how quickly we would get out of00:04:34
repairs, but then the development of the pandemic was added to this00:04:40
and everything went like oh my God our00:04:46
working day is structured as follows:00:04:50
we ask you to present to us patients00:04:53
who have fairly severe increases and00:04:56
have some problems in00:05:00
order to discuss together and express00:05:02
their opinions;00:05:04
Chita colleagues express theirs and00:05:07
ultimately we find a compromise,00:05:09
so first we meet in a clean00:05:12
area, we discuss because there there is00:05:15
information,00:05:16
including looking at analysis and00:05:19
diagnosis, and then there is further we go00:05:34
accordingly to the departments for00:05:36
patients who deserve attention in00:05:39
terms of their severity00:06:31
[music]00:06:38
[music]00:06:50
I can only say, as it were, words of00:06:53
respect because Irina Nikolaevna is00:06:55
just me I think she’s such a strong00:06:58
specialist and clinical organizer,00:07:02
she’s a deputy in the medical department, she’s00:07:05
playing coaches, so to speak, that is, she00:07:08
not only leads while sitting in the office in the00:07:11
resident’s room, she makes rounds,00:07:13
she participates in discussions of patients00:07:16
deeply in the topic,00:07:18
they hold conferences, she keeps her00:07:21
finger on the pulse, look, well We found out how to00:08:03
receive the Moscow team when00:08:07
the Ministry of00:08:08
the Trans-Baikal Territory naturally reported this. We, of course,00:08:11
expected this help. In general, we00:08:14
understood that with them, with these00:08:16
specialists, certain experience in00:08:18
treating this category of patients would come,00:08:20
so we, of course, waited for the help of our00:08:24
Moscow colleagues00:08:25
to become practical doctors always00:08:27
have such feelings, but when the00:08:28
specialists arrived, we began00:08:32
to work together, it became clear to us that these are the00:08:33
same doctors who really work in00:08:36
practical medicine, understand what we are00:08:39
talking about, a certain category of patients,00:08:41
that is, and indeed we practically00:08:43
from the very first days, it became clear that we00:08:46
would have quite good mutual00:08:49
cooperation in terms of the treatment00:08:51
process, tactics for treating patients, [ __ ]00:08:54
you, I can’t do it, call00:08:56
the avatar, kiss the floor00:08:57
there, it seems to me that you are all00:09:00
in front of me, it’s probably not necessary until the evening00:09:13
without oxygen, he is stable, he would00:09:17
you put it on one God we put it on the day00:09:22
of admission and on a special one or you00:09:46
run home00:09:49
230 saturation a couple of sails the pressure is00:09:56
normal slows down you prescribe00:09:58
calmly quite under observation the00:10:00
outpatient sign up for the mainsail before00:10:03
when it will be in another month it will00:10:07
only just start as the bruise has slightly00:10:09
melted00:10:10
with us I have my own opinion on at what00:10:13
point patients can be00:10:15
routed there and at00:10:18
what point they can be sent home for follow-up treatment and the00:10:21
criteria are those that have been developed by us, but00:10:24
here we have not yet gained enough experience00:10:29
working with patients with these, so there is00:10:33
some00:10:34
disagreement and discrepancy in00:10:37
these moments who should be considered00:10:39
severe patients who should be considered00:10:40
outpatient who can go home me00:10:46
Transbaikalia00:10:48
but I don’t want most of all I was surprised but00:10:52
I don’t see some question marks00:10:56
this is looped into the administrative00:10:59
loop through clear decisions00:11:03
here are the options for interaction this00:11:07
surprises you know maybe because00:11:09
Moscow is a very fast city, Moscow is a city00:11:13
that quickly makes a decision,00:11:15
we are used to doing it quickly, we have lost the habit of doing this, in our00:11:19
opinion, our00:11:20
colleagues have not encountered such a clinically00:11:24
difficult situation and the one we00:11:26
encountered in Moscow, we see here00:11:28
other manifestations of this viral infection,00:11:31
but realizing that this could be very00:11:36
serious splash you have probably00:11:39
heard the word war many times in relation to the view,00:11:42
this is absolutely probably the00:11:44
right word because where we00:11:47
have been these four months you know00:11:52
what we see in Transbaikalia00:11:53
is a prominent resort conditionally we were water like00:11:57
this in the Transbaikal region what we00:12:00
saw was not there are so many severe forms in00:12:03
number, of course there are patients and they00:12:06
get sick, but there00:12:09
really aren’t that many of these severe patients. I really00:12:12
remember the trip to the city of Borzhom00:12:15
turned into one day, although this is a decent00:12:19
distance, not even in terms of00:12:21
mileage, but in terms of travel time,00:12:30
absolutely amazing people work in the00:12:34
district hospitals are so passionate00:12:37
about their business and you know how much it is possible00:12:40
to organize00:12:41
aesthetic pleasure on the territory of a00:12:43
hospital in such a remote region, we00:12:46
will see it, we have already spoken about the nightmare of00:12:49
distribution in the00:12:50
Trans-Baikal Territory and so Greyhound00:12:52
is the most terrible place for a joint venture to00:12:55
distribute in the Trans-Baikal Territory00:12:56
since it was really an outpost00:12:58
of the Soviet then Russian army00:13:00
that could resist there, let’s say,00:13:02
but conditionally, an enemy invasion00:13:04
from China is easy to masturbate these00:13:07
abandoned military garrisons00:13:09
that are encountered along the road when trees00:13:12
grow from the windows of these five-story panel buildings00:13:13
30 years ago of this00:13:16
playground, then schools are kindergartens this is a00:13:18
bustling life now, nothing is a dead00:13:20
zone, absolutely I can’t say that00:13:23
there is something that completely00:13:25
surprised me, I understand perfectly well what00:13:29
the situation is00:13:30
in some subjects, especially in areas with00:13:33
medicine, and this concerns primarily00:13:37
internal technical problems and of course00:13:39
there are problems that are associated with the fact that the00:13:42
sick leave fund is already outdated00:13:45
there is00:13:47
definitely a need to take some00:13:49
action regarding repairs we worked on00:13:52
the construction of skis and bathtub00:13:54
viktorovna but I am acting as the chief physician of the00:13:57
state Georgian church on00:13:59
May 22, we began preparations from the00:14:02
beginning of March until the twentieth year for all the00:14:06
time since On May 13, we treated 172 patients,00:14:11
and that means you were discharged, which00:14:16
means 76 patients, seven people were00:14:21
seriously ill and00:14:23
we transferred the00:14:26
first city hospital of the city of Chita to the air ambulance, we,00:14:29
in principle, solved all this on our own,00:14:32
technical problems, as they say,00:14:37
when we organized the locks, it means we00:14:41
prepared the territory to do this00:14:43
with the strength of the hospital, but in order to00:14:48
prepare for work, accordingly,00:14:51
a lot of consumables were needed,00:14:54
including personal00:14:55
protective equipment, medications,00:14:58
equipment, this gradually means that it00:15:04
was provided to us by00:15:05
the Ministry of Health, many00:15:08
things we purchased ourselves,00:15:10
Inter Mikhalna has been working in our hospital for more than forty years00:15:13
and probably more00:15:21
time is said, she is just in the position at night00:15:25
before she works, well, it seems our00:15:29
energizer, our00:15:33
battery, as they say, as if due to00:15:35
which exists, in general, our entire00:15:37
hospital, the entire treatment process, you00:15:40
will go in one car to accompany the beech of00:15:42
patients, will they now give you00:15:44
she will allow it like here I am and then00:15:47
decide to take oxygen with you and00:15:49
so on equally lay down a second00:15:54
attempt but his Lukyanov at the city00:15:58
hospital she is a rescue let’s say it00:16:16
was a hospital00:16:19
this bonus for 120 beds for treatment of00:16:24
prominent patients we currently serve00:16:28
15 districts first by00:16:33
all areas were served, here it is as00:16:35
possible as a hospital and they began00:16:37
to lay some of them for us00:16:39
Mogoytuy one year Gurko in total it turned out00:16:42
15 this is a clean gate, a car doesn’t come in here,00:16:47
only clean ones come out, but there it’s00:16:50
dirty and the gate from there drives in00:16:53
with a sick bear, a prominent bear drives in and immediately00:16:57
drives up to the building00:16:59
they are unloaded and the car goes for processing, there is a00:17:03
special area, there it is00:17:05
written, there is an area for processing00:17:07
vehicles there in the hospital00:17:10
there are two gateways, this is a clean gateway through00:17:15
which medical workers enter, get00:17:18
dressed and go into the dirty zone, the so-00:17:22
called red zone,00:17:23
they work for four hours because it is very00:17:26
difficult to work in suits and comes out00:17:29
into a dirty airlock where they treat00:17:33
this is a special medicine and when at00:17:37
any moment they can knock on your door00:17:38
and ask for help, this is mixed with00:17:42
communication at the ordinary everyday level and of00:17:45
course they are very imbued with the piles of the00:17:50
small homeland and everything that is there00:17:53
happens for 4 hours, they run in a clean00:17:56
area and the next team comes in for 4 hours,00:17:59
they rotate four00:18:02
doctors at a time and of course they00:18:15
work selflessly, they organized everything at a very00:18:18
good level despite their00:18:20
capabilities and the trip really00:18:24
made such a pleasant impression on us,00:18:27
except that of course00:18:31
communication with colleagues is also00:18:33
sometimes useful for our colleagues00:18:35
to see how people work and how people00:18:37
live before, in comparison with Moscow,00:18:39
when everything is there, when everything is streamlined, so to speak,00:18:42
when all processes00:18:45
are controlled and to understand how00:18:48
different life is in general and that it is not easy for00:18:51
us even I wanted to sing like that, to00:18:54
some extent, to help my colleagues in the future,00:18:56
Marina Anatolyevna,00:18:58
even when she was still with us and00:19:01
subsequently we already00:19:03
called each other on the phone, they suggested that it means being friends00:19:07
at home, as it might not be00:19:10
funny, but in fact it’s so creepy00:19:13
in general,00:19:15
here it is traditions and and you will have00:19:20
freedom in your rooms, which will be the first thing on your to-do list00:19:28
that urgently needs to be removed,00:19:34
even confused, of course, relax,00:19:39
probably be with your family, do00:19:44
your household chores, well,00:19:47
probably here in our rural00:19:50
region, this is our garden, these are household chores,00:19:56
these are the flowers,00:19:57
these are our beds I’m not giving up hope that in00:20:04
the fall I’ll be able to00:20:07
make another00:20:09
yachting breakthrough with you with my friends, that is, but00:20:12
since I’ve already been there for two years in a row00:20:14
on a yacht, that is, normal, a00:20:16
real sailing yacht, that is, I’m a00:20:17
simple sailor, no, absolutely00:20:19
fine, I hope that I after all, well,00:20:21
we will make this trip for a00:20:24
longer period, maybe over00:20:25
longer distances, I’m working now to00:20:28
somehow build the00:20:31
possibility of a visit to my00:20:34
family because I haven’t seen them in a smart00:20:35
month, of course it will work out very00:20:37
family in general, this is exactly my00:20:40
desire, but for today’s homelandDescription:
В то время, как в Москве пандемия идет на спад, многие регионы России только готовятся к основному удару ковида. За последние месяцы столичные врачи, которые работали в стационарах «первого эшелона», разъехались в самые отдаленные уголки страны, чтобы подготовить местных коллег к встрече с болезнью. Во второй части документального сериала «Пятьдесят вторая» съемочная группа Mash отправилась за командой врачей московской 52-ой больницы через всю Россию, в Забайкалье, чтобы своими глазами увидеть, как московские врачи передают свой опыт региональным больницам и с какими проблемами при этом сталкиваются. Внутри: 1:07 - Отъезд 2:17 - Красная зона в Чите 4:45 - Московские врачи - о разногласиях с читинскими коллегами 10:50 - Московские врачи об особенностях региональной медицины 12:28 - ковид в Районной больница города Борзя 19:14 - «Чем вы займётесь после пандемии?» - врачи о жизни вне больницы Подписывайтесь на нас в соцсетях: VK: https://vk.com/mash Instagram: https://www.facebook.com/unsupportedbrowser Telegram: https://tg.mash.ru/ Twitter: https://twitter.com/mash_breaking (https://twitter.com/mash_breaking)
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