A helping hand: how Moscow doctors are coping with the pandemic

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The city authorities are strengthening control over the observance of the glove and mask regime in public transport and are actively vaccinating pensioners. The clinics, which switched to their usual mode of operation after the pandemic, decided in a number of cases to return for preventive purposes to the previous formats – for example, in the Inozemtsev hospital, the COVID corps reopened. How the capital’s doctors cope with the situation – in the material “Izvestia”.

Combat readiness

Before long weekends and major religious holidays – Easter and Eid al-Adha – Rospotrebnadzor advised the capital’s authorities to increase restrictions in the city, especially during divine services, and Russians – to spend days off mainly with their families.

On April 30, 2662 cases of coronavirus infection were detected in Moscow, the day before that – 3215. Mayor of the city Sergei Sobyanin urged residents not to postpone vaccination and take care of their health in advance.

Vaccination centers continue to expand, they have appeared in several other shopping centers in the capital. During weekends and holidays, the points will work as usual. In January-February, the incidence of covid in the capital declined, so several dozen hospitals redesigned for coronavirus dispensaries returned to normal operation. In the same time three more buildings were opened in the reserve hospital in Sokolniki, which is assigned to the GKB im. F.I. Inozemtseva. For patients with COVID-19, an additional 625 beds were deployed, of which 18 were for intensive care, so that, if necessary, Sokolniki could receive a large number of patients

But in April, the Inozemtsev hospital resumed the work of its COVID corps due to the worsening epidemiological situation in the city.

Repurposing

The Inozemtsev hospital was one of the first to be redesigned into a covid dispensary – in April 2020… The clinic is adapted to provide emergency assistance: it is one of the largest ambulance facilities in the city and one of the leading hospitals in the field of disaster medicine. Here they treated victims of terrorist attacks in the Moscow metro, in Domodedovo and at the Cherkizovsky market, during the fire in the “Lame Horse” and plane crashes.

One of the hospital buildings was redesigned for patients with coronavirus. It accommodated more than 200 beds, including 34 intensive care beds.

During the pandemic, the clinic quickly renovated its premises, hired more doctors and brought in additional equipment. An admission department with isolated boxes was built in the building, entrances for admitting and discharging patients were divided, locks and showers were equipped. X-rays, endoscopic devices, ultrasound and ECG machines were installed in the diagnostic rooms.

A year ago, in just 35 days, it was possible to open a temporary hospital with 1000 beds in Sokolniki

On April 27, the Inozemtsev hospital got into the news: a video appeared on the Web where nurses threaten an elderly patient. The media reported that the incident was filmed by another patient of the City Clinical Hospital, and the nurses were drunk.

After that, the head physician of the hospital, Alexander Mitichkin, took responsibility for what had happened, apologized to the pensioner on behalf of the team and left the post.

According to Andrei Karpenko, an expert at the Center for Medical Law, Mitichkin’s decision does not lie in the legal plane.

– If he took responsibility and left the post, believing that he could no longer occupy him, it is exclusively a matter of honor. This is responsibility to oneself first of all and to society secondly. It’s just that a person has a conscience. A similar story was at the Herzen Institute, where after the scandal the chief oncologist resigned from his post. There really would be more of them. The right thing to do in a difficult situation, ”he told Izvestia.

The managing director of the Russian Society of Surgeons Mikhail Tariverdiev called Mitichkin a system leader and a system man.

– In the hospital, he also built the system. Hospital named after Inozemtsev – flagship. She has the best time in town to provide emergency services for myocardial infarction. That is, the patient is delivered from the ambulance to the operating table in the shortest possible time. They did not close on covid, but worked for a huge sector of the city – about 5 million people. That is, in fact, in military conditions… He is a very serious leader. This dismissal for him was a matter of part. Not an easy decision, of course, given that there were a huge number of plans.

The hospital continues to work with covid, infected patients are placed in a reserve hospital in Sokolniki.

The work of doctors

In general, Moscow copes better with the coronavirus than other world capitals, said the head of Rospotrebnadzor Anna Popova

The city was able to quickly convert hospitals into dispensaries. Temporary hospitals have opened in Sokolniki, Krylatskoye, the Moscow shopping center and at VDNKh. Large hospitals were equipped in Kommunarka, GKB named after Filatov, GKB named after Inozemtsev and in several dozen other clinics. At the peak of the pandemic, 26,000 beds were deployed in Moscow. In a month and a half, a complex of buildings for the Moscow Clinical Center for Infectious Diseases was built in the Voronovsky settlement.

Member of the State Duma Committee on Labor, Social Policy and Veterans Affairs Svetlana Bessarab noted that the capital distinguished itself with personalized care for patients with covid

– In Moscow, digital methods of supporting and advising citizens have proved to be especially effective. The practice of consultations, medical aid, distribution of medicines at home was widely used. We can say that we really appreciated the work of doctors during a pandemic. When everyone reasonably feared this threat, doctors worked, helped, saved lives, realizing the danger they were exposing themselves to. I have not come across a single justified complaint about the actions of doctors. They were not enough, they really worked for wear and tear. At the same time, they did not give up, – she explained to Izvestia.

The well-coordinated work of the authorities, scientists and doctors allowed the well-coordinated work of the authorities, scientists and doctors to avoid the sad consequences, Valery Ryazantsev, First Deputy Chairman of the Federation Council Committee on Social Policy, said in an interview with the publication.

– The doctors were not very armed in the first days, but they managed to get out of this situation with dignity, even without treatment protocols. The problem was not the doctors, but the novelty of the disease. No one in the world had any idea how to deal with it yet. And the doctors were at the forefront. At the initial stage, there was not enough work clothes and medical equipment. Again, the blow fell on the doctors. They got the most of both problems and worries, and, unfortunately, they got infected the most.