How it really is and in what circumstances a medical team under the leadership of academician Andrei Kaprina?
the Bypass starts at 8. The working day of Kaprina Andrei – academician of RAS, General Director of SMRC radiology, Director of Moscow Oncology research Institute named after P. A. Herzen, chief oncologist of Ministry of health of Russia — an hour earlier, at 7. History — dry figures. Before the eyes of real people. For each he finds simple words. After rounds — videoconference. 10:30 Andrew Kaprina waiting in the operating room. The patient is under anesthesia — can begin.
“This is the first love. And went I to this profession to handle people. What is Poperinge surgeon?” says Karin.
Kidney, struck by a huge tumor, will be removed. To delay the operation is not. Case and so neglected.
They win in a fight to the death sometimes for years. Valentina Vasilyevna was 56 when doctors Smolensk Oncology center issued a direction to the hospice. Lost hope back in Obninsk. Daughter brought her to the radiology center, when a woman has not walked.
“They gave me a second life. I will forever be for you to pray to God, as long as I live. You give me renewed life. You wanna live,” — says Valentina.
This is a complex operation, when the patient removes all the pelvic organs. And after doing the reconstruction of lost, returning to a normal life.
Here each case is heavy. And to win means to survive. But cancer today is a new ally – COVID-19.
“you Know, as in Oncology: it seems that you will never touch, so no need to go to be examined. So it is here. It seems that this infection will affect any country, any city except our own. And when we realized that we began to receive these patients, for me, large school was the composure of the team in these difficult conditions”, — said Andrey Kaprin.
the national center for radiology is the three branch hospitals a thousand patients and more than four thousand employees. Academician Kaprin is responsible for each.
“We were frightened that will quite suspended cancer care. We understand that it is not clear how many will die from COVID infection, but we clearly know that 26 people a day die from cancer. Cancer in quarantine is not going away,” said Kaprin.
research Institute of urology named Lopatkin — pereprofilirovanie under COVID. Radiological center in Obninsk Tsyba and the Herzen Institute in Moscow leave “clean”. All patients who come for treatment Obninsk, tested for coronavirus. Medical teams alternate each other every two weeks to reduce the risk of infection.
the Method of proton therapy is not in every country of the world. Treatment rare. Aimed a beam of protons to attack without a miss and only works on the tumor, without affecting healthy cells.
“In our practice, quite often there are cases of inoperable formations of the brain when talking about a radical surgical removal of the tumor is not necessary. In this case, comes to the aid of radiotherapy, in particular, the method of proton therapy as the most gentle,” — said Alexey Semenov, radiation therapist Department of proton and photon therapy of MRRC named after A. F. TSYB SMRC radiology.
Proton accelerator works in the period of a pandemic when the rate must not be interrupted. The brachytherapy sessions are also in progress. For the first time in Russia, this method of cancer treatment used academician Kaprin in 2008.
the Institute of Herzen as before the pandemic, and now continue to treat cancer patients. It treats patients from the regions of: surgery, radiation therapy and chemotherapy. Sometimes the cancer patient’s elective surgery is emergency treatment when the tumor cannot be postponed.
With the heads of regional cancer center Andrey Kaprin twice a week holds a videoconference. Chief oncologist of Russian Ministry of health tells how to work in an environmentthe process of the pandemic. He himself several times a week, passes the test for the coronavirus. The day before the operation — is necessary. Doing the same in his staff.
“Sick, of course, doctors, but not in such quantity as written by our foreign colleagues. There are centers, where up to 70% decimated doctors. We now ache in the heart of the 12th man,” said Kaprin.
every day He enters the “red zone”. At the Institute of urology named Lopatkina is a branch of the national Centre of radiology — April 24 treated patients COVID-19.
“it is Necessary to know what’s going on. How you can lead the institution and not know what’s going on? This is the same as not to operate in the hospital,” — said Kaprin.
He knows how hard it is sometimes to breathe in the respirator, as sweat glasses, not once treated with a special spray. Daily bypass. Kaprin visits of each patient. And they are in a hospital more than 150. He knows every face and remember them indicators from medical records. Patients learn him in the eyes and encouraging ton — all will be well.
a Fatal virus for cancer patients — these patients are at particular risk. Due to a weakened immune system, they are particularly susceptible to the coronavirus. Doctors to the last fight for the lives of everyone with cancer. Doctor cancer center obviously know how to work with these patients. In civilian life, they often face failure and metastases in the lungs. Intensive care removed from critical status of even the most complex patients.
“In Europe there is no such practice was not. Because of this, they missed out on a great cancer service. What is the problem? They have all Oncology service — and we were once convinced was derived from the specialized agencies, and transferred to multiprofile hospitals. And when you close multidisciplinary hospitals, of course, the Oncology service had the. For these patients there is no one to observe. And we left,” said Andrei capRin.
Head of cardiotrainer Institute Gercena Faith Potievsky now treats patients in Covina the hospital. She suggested the use of xenon. This gas has long been used in cardiology. The doctor suggested that in the treatment of coronavirus it can give the effect.
“it Reduces the manifestation of hypoxia, i.e. lack of oxygen. Along with such effects as withdrawal anxiety. stress it will be successfully used for the treatment of our patients. Especially those who have severe pneumonia according to CT,” said Potiowsky.
Resuscitator Natalia Proskuryakova now she is a patient. Each time, starting a shift, the doctor was not afraid of becoming infected. But the virus still climbed. Even now in the hospital she thinks not about himself but about critically ill patients who need to be saved.
“What a strange infection which is treated very difficult. In some patients it stabiliziruemost, and they are selected out. Other patients did not stabiliziruemost. It’s very unsettling,” admits Proskuryakova.
Out of the rut and beat them anonymous on the Internet. There are doctors saving lives, and for them it is vilify. Publication of the “Alliance Vasilyeva”, where no truth — only a vile lie, it will come back like a boomerang.
“This is a huge school of human relations, the depth of human relationships, so we really are invincible. And these trials that we are now given, including such performances, they do not hit the team, as these people think, they unite the team. I said, guys, it means something has come. And the guys go ahead of them. Lord these people — the judge,” — said Kaprin.
Academic Kaprin for two months was not at home. Now you cannot leave the team, because it is my second family. And every day figured out. 7 — at work, in — 8 bypass, no surgery, meeting. And red stripe, which is dangerous. But by pof offers free wifi in all impossible.
Text: “News of the week”
