Reproductivity in the Upper Shizhem way: there were gynecologists, but they all left.

      Due to the anticipated dismissal of the hospital's "female doctor" Elena Goryachkina, who has "stayed at work" for two months to allow the clinic's management to find a replacement, the implementation of the federal project has become technically impossible. Since the second half of the "reproductive alliance" — the men from Verkhoshizhemye — probably no longer remember that there was once a urologist in the hospital. The hospital surgeon, to whom the chief physician Sergey Zonov has assigned and imposed andrological-urological functions and is tasked with examining patients at sawmills, agricultural firms, and stores, is definitely not coping with the assigned task — in specific numbers: 579 people. Even with careful consideration of their own prostate, the male half of the reproductive process actively does not want to "take off their pants" at work. Rationally believing that "the intimacy of the examination," if one does not think about its technical and hygienic execution, is not intended for the eyes of the entire workforce.

      They treated... Not to give birth, not to be ill, not to die.

      By the way, the only surgeon in the hospital, Gagik Smbatyan, who is also listed as a pathologist (in the village referred to as "the chief of the morgue"), also announced his intention to resign. This will inevitably lead to the closure of the surgical department, which is filled with patients referred by the therapist, as the outpatient surgeon is also absent after a fight with female patients.

      However, in the Verkhoshizhemye CRB, besides the already mentioned doctors, there is reportedly no cardiologist, endocrinologist, although the region is breaking Russian records for diabetes, urologist, proctologist, ultrasound doctor, neurologist, and ophthalmologist. And since March of last year, there has been no deputy chief physician, as the last deputy — who is also a psychiatrist-narcologist — Alexander Skrobanets was convicted for drug use.

      So if a patient has problems or questions, wandering through the hospital corridors of the CRB, they have the right to appeal only to the heavens, as the chief physician Sergey Zonov, who also heads Kirov City Hospital No. 9 on Verkhusunskaya Street, is at his workplace no more than twice a week (probably working full-time). At the same time, the lunch break constitutes a quarter of the time he is present at work. And the registration desk, when asked about the chief physician's presence, habitually replies that "his car is parked in the yard."

      By the way, last week — on March 19, and then on the 24th — the First May Court recorded the sixth and seventh instances of "fictitious dispensarization" in the 9th, "Zonov's city hospital." And at the end of March-beginning of April, as lawyer Tatyana Bazhina believes, the number of proven cases of "medical fraud against Kirov residents": where bedridden patients walk, blind people see, and those on their deathbed feel quite well, as well as grow and gain weight, will increase to ten, which will constitute a "critical mass" sufficient to initiate a criminal case for "forgery," "abuse," or "fraud."

      And from a moral point of view, which, probably, still exists in a residual sense within the law enforcement agencies, it is impossible not to pay attention to the fact that on March 24, one of the participants in the court process nervously inquired of Dr. Ovchinnikova, "what was done with his deceased brother, who managed to undergo dispensarization twice after death."

      "The doctor swore in response, turned away, and left," say witnesses.

      To the therapist. To the therapist?

      In the two weeks that the gynecologist has been absent from the Verkhoshizhemye CRB, urgent childbirth nearly ended fatally — for the mother and the infant. When the emergency medical staff refused to take the pregnant woman to Kirov, to the Perinatal Center — because "we won't make it," the pregnant woman was sent to the surgical department of the hospital, where she "gave birth."

      "Of course, from a human point of view, Gagik Gevorkovich is a hero — he saved two lives. Moreover, Smbatyan surely understood: in case of failure — he, an elderly man over 60, would be the first candidate for some colony or settlement," shares the opinion of a well-known Kirov doctor.

      The medical worker, understanding that the decision for surgical intervention was made on the "edge of a foul," when the lives of two people were at stake, and if not him, then no one else, Smbatyan's intention — then as the only right one, could have been backed up by an order from the chief physician.

      "Zonov surely knew that the Verkhoshizhemye hospital, after Goryachkina's departure, inherently has no 'gynecological license.' And neither does Gagik have such permission, nor does the surgical department. And it would have been brave and honest for the chief physician to take responsibility for granting permission for the gynecological operation. Although the court, of course, does not disregard saving lives, but if something went wrong, the law is strict: if not certified — do not touch the patient. And all responsibility for the consequences lies with you," shares the opinion of the interlocutor.

      It should also be noted that "adult surgery" is unlikely to have the equipment necessary for an infant born with complications. And this responsibility, including possibly criminal, was taken on by the rural surgeon.

      Probably, as the doctor reasons, if there were a gynecologist in the Verkhoshizhemye CRB who could determine both the incorrect position of the fetus and the threat of miscarriage, or other problems with the pregnant woman, then the problem would not have arisen at all — the pregnant woman would have been sent to the "perinatal center" before the critical situation.

      "Today, when it is reported that all gynecological patients in Verkhoshizhemye are sent to the therapist, a normal doctor cannot help but have their hair stand on end. Purely externally and functionally, a gynecological chair differs from a couch as a ballerina from a janitor. And women have very serious problems: bleeding, miscarriages, oncology, which cannot be determined from a top-down examination. And delay can be fatal — sepsis, infertility... And who will be responsible for this? That, excuse me, fool — and I mean the doctor, who, having no right to treat, was persuaded to solve outpatient problems and the registration desk's "send-off."

      As the interlocutor explained, if there is no certificate for providing certain medical services, and you are forced to accept gynecological patients, then demand a written order from the chief physician — so as not to dry out the bread later. After all, the "chief of the hospital" should have an agreed project with the Ministry of Health for resolving the situation and preventing emergencies.

      "What will it be? A rotational method or duty shifts, but the problem must be solved professionally, not just lamenting that doctors do not want to work there because they are afraid... of Tatyana Bazhina. Or honestly say: 'People, the CRB is no more, and treatment is now at the level of a FAP.' But if you want to take care of health in full, then welcome to paid medicine. As if it were a secret to someone that the medical sector has been replaced by commercial medical services," shares the opinion of the interlocutor.