Gynecologist at Hospital 33. Bakhrushin Brothers City Clinical Hospital. Department of palliative care

The story of an accidentally burned out patient

3 years after the operation performed in the hospital № 33 named. Ostroumova nevertheless decided to write a review about this hospital, since the impression of the experience did not allow me to live in peace. The compassionate former mayor YM Luzhkov gave instructions to place in this hospital, in addition to the insured patients, the inhabitants of 3 railway stations, without any preliminary sanitization of the latter. Placing postoperative patients with homeless people on neighboring beds But the worst thing is how the surgeon Varuzhan behaved, who was preparing to defend his thesis at that time.

On 11/30/2007, by ambulance, I got to the 2nd surgical department of the Ostroumov city hospital 33. A surgeon named Varuzhan performed an operation to remove my gallbladder. As expected, after the operation, I was sent to the intensive care unit. From now on, I want to describe in detail how the postoperative period went in this hospital.

I regained consciousness and felt a pungent smell of fumes and a stench. Next to mine

the first bed was a bed on which a bloody bum lay and groaned. A man's voice came from another corner, asking for a drink. The nurse came in and told the man in the corner to shut up, otherwise she would crush him with a pillow. Seeing that I regained consciousness, she turned to me and said: "What are you just breathing here?" The other nurse who came in after the first one was more compassionate. She moistened my lips with water and rolled my bed to another room, in which young women lay and also moaned. Nobody approached them at all. Morning came and the doctor Varuzhan approached me, who operated on me. Inquiring about my health, he immediately asked if I was going to thank the doctors and showed me a hand with five fingers, which meant that I had to pay him 5, and did not specify what exactly. After the lane operation, my consciousness was still not entirely adequate and I agreed, deciding that it was 5000 thousand rubles as a gratitude. From the intensive care unit I was transferred to a common ward with six beds, which was located in the male quarters. On that day, elections were held and members of the election commission came up to me with protocols led by the head of the department and no one asked why the postoperative patient was not in the recovery room. During my postoperative stay, patients were constantly changing, besides that, visitors came.

Consequently, there is no talk of sterility. On the third day after the operation, an old woman of 94 years old was laid next to me in a state of agony. The day before her death, the old woman began to empty his bowels with a stench. The nurses began to put her in order right in the ward, and I vomited, the stitches began to bleed, the bandage turned red with blood. The patients called the attending physician A.S. Balarev, who personally rolled the bed with the old woman into the hygiene room. The surgeon Varuzhan called me on the phone and asked if I was ready to pay off with him and, having learned that I was ready, I immediately arrived. I gave him 5,000 rubles, to which he told me that I did not understand him, that the payment was 500 dollars. I asked him a question about the conditions in the hospital and my stay after the operation in such unsanitary conditions. To which he replied that there were no places in the recovery wards (at that time the recovery wards were not occupied by postoperative patients). To my complaint that I had an upset stomach and I had to get to the toilet, which is located at the opposite end of the corridor 10 times a day, he just threw up his hands and asked when he could go to get money. To which I replied that 5000 thousand is too much for such a service. “So save people after that”: were his words. I never saw this surgeon again. The attending physician Balarev A.S., did an internship and was supervised by Varuzhan. The next day after the removal of the stitches, I was informed that I was being discharged today and at 12 o'clock I had to vacate the bed. I said that there was no one to pick me up until 6 pm and I had no keys to the apartment. To which she received the answer that this does not bother anyone. This answer was given to me by AS Balarev, who was undergoing residency ("he will be a good start, a good start"). At 12 o'clock I received an extract from the hospital, which had no seal. I drew the attention of doctor A.S. Balarev to this, to which he said that if I needed a seal, I could put it in the administrative building. The administrative building turned out to be very far away and I hardly got to it after the lane operation. Experiencing severe pain (since the healing of the wound was primary) I sat down on the chairs, but all the doctors passed by and no one paid the slightest attention to the man cringing in pain. Recovering myself, I crawled out into the street and, catching a car at the gate, got to the house where my neighbors gave me shelter until evening. A few days later, my head began to itch badly. And then my roommate called me and said that the patient who was lying with us

The Department of Surgery occupies a special place in the structure of the hospital. The oldest and at the same time advanced, it became the basis for the creation of other departments of the surgical profile. And the main wealth of the department is the invaluable experience accumulated over 60 years of work.

IN at the end of February 1956, the thirty-bed surgical department was one of the three main divisions of the new hospital. It was headed by David Dmitrievich Zavelgelsky - an excellent doctor who went through the harsh war years as a home front surgeonthe first hospital, who had excellently worked out operational techniques, high theoretical knowledge and great erudition. His excellent talent as an organizer, together with the selfless work of the first senior nurse of the department, K. I. Petrova and the first senior operating nurse, A. I. Okhatrina, made it possible for many years to lay a solid foundation in the basis of the entire surgical service of the hospital.


The first planned operating day was March 5, 1956, when two patients with inguinal hernias were operated on. Following this, the department began to provide emergency surgical aid to residents of the city, first on Wednesdays and then on Mondays.

A special contribution to success surgical treatment patients belong to the doctor - anesthesiologist-resuscitation specialist Lidiya Serafimovna Usoltseva, who organized resuscitation wards equipped with all the necessary equipment. In 1975, she headed the independent department of anesthesiology, and later - the department of anesthesiology and resuscitation.

In 1975, the department moved to a new five-story hospital building, where it is currently located. Three new operating rooms were opened, the number of wards for patients increased, two of which were allocated for urological patients

In 1984, the young surgeon Nikolai Anatolyevich Erastov became the head of the department. The department kept the old traditions, but at the same time, new technologies were rapidly introduced. Since 1995, laparoscopic operations have begun, since 1997 - operations by minilaparotomic access. By 2000, the number of patients treated in the department per year exceeded 1900, and the number of operations performed - 1100. From under the wing of the surgical department in 1994, the department of purulent surgery emerged as an independent unit.

The next page in the history of the department began in 2006 with the arrival of the surgeon professor, Doctor of Medical Sciences, as the chief physician of the hospital No. Pavel Sergeevich Zubeev, who invited the head of the surgical department of a doctor - surgeon-oncologist, Ph.D. Mikhail Konstantinovich Ryzhov. In 2012, when, together with his colleagues, he was awarded the title of laureate of the Nizhny Novgorod Prize in the field of medicine.


Over the past 10 years, with the advent of promising equipment and the arrival of new surgeons and urologists (Ph.D. P.S. Zubeeva, M.A. Zhukova, S.A. Pchelina, Ph.D. M.V. Matyanina , O. A. Korovina, Yu. V. Egorova, N. S. Grekova, E. Yu. Shumilina, S. N. Toropova, N. V. Alekseeva, S. S. Shulgi, O. V. Kochina) were Numerous modern methods of treatment have been fully mastered and introduced into everyday practice, in particular:

- various operations for morbid obesity; interventional (ultrasound and Rt-controlled) interventions on the abdominal organs and kidneys;

- organ-preserving operations for peptic ulcer disease;

- all types of operations on the thyroid gland (including minimally invasive ones under ultrasound control);

- video endoscopic and laparoscopic operationswith acute appendicitis, cholecystitis, perforated ulcer, etc.; extended surgery for gastric cancer with the creation of an artificial reservoir from the small intestine;

All types of hernia repair with strengthening of the abdominal muscles with mesh implants;

Operations to create permanent vascular access in dialysis patients (AV fistulas, synthetic vascular prostheses);

Operations to remove the bladder with various types of its plastic replacement;

Remote and contact methods of crushing urinary stones;

Operations on the bile ducts from the mini-access and many others.

Dove in In 2014, a ticket to an independent life for the urological service, the surgical department was reduced to fifty beds. The department annually treats more than two thousand patients, performs about one and a half thousand of a wide variety of operations, most of which are on the abdominal organs.

The modern level of surgery presupposes minimal traumatic aggression for a person, which allows avoiding severe complications and severe postoperative pain, shortening the length of hospital stay, thereby quickly completing the physical and psychological rehabilitation of the operated person. All this is achieved today by the introduction of high-tech operations into the work of the surgical department, that is, operations performed by video endoscopic or minimally invasive methods.

The department headed by Mikhail Konstantinovich Ryzhov is a close-knit, highly professional, constantly improving team of like-minded people who are able to provide this highest level of surgical care.

  • gynecological
  • urban
  • children's city
  • children's infectious
  • infectious
  • psychiatric and narcological
  • specialized
  • tuberculous
  • Scientific research and scientific-practical institutions
  • Institutions Medicines Diseases
    City Clinical Hospital № 33 named. A.A. Ostroumova

    Address

    st. Stromynka, 7

    Telephones

    Admission department, + 7-495-268-09-16, + 7-495-268-24-61

    Inquiry, + 7-499-268-24-26, + 7-499-268-46-25

    Chief Physician, + 7-499-268-24-75

    Help desk phone

    +7-499-268-24-26 ,+7-499-268-46-25

    Underground

    Sokolniki

    Email address

    [email protected]

    reference Information

    List of outpatient clinics providing specialized medical care to citizens living at the served addresses

    JSC "Dental Center 17",

    Dental clinic number 50,

    Women's consultation number 15,

    Oncological dispensary number 3,

    Psychoneurological dispensary number 8,

    Skin and Venereal Disease Dispensary No. 6,

    Narcological dispensary number 8,

    Tuberculosis Dispensary No. 8;

    Medical and physical dispensary number 4,

    Center of the State Sanitary and Epidemiological Supervision of the HLW.

    Chief physician

    Kolobov Sergey Vladimirovich

    Departments


    The hospital consists of departments:

    foster
    traumatological
    1st surgical
    2nd surgical
    neurological
    oncosurgery
    neuroresuscitation
    radiology
    gynecological
    anesthetic
    operblock
    radioisotope laboratory
    surgical resuscitation
    gastroenterological
    cardiological
    1st therapeutic
    2nd therapeutic
    3rd therapeutic
    4th therapeutic
    chemotherapeutic
    toxic reanimation
    x-ray
    computer and NMR tomography room
    Ultrasound
    PAO
    CSO
    functional diagnostics room
    endoscopic
    FTO
    Exercise therapy
    CDL
    analyte cabinet. diagnostics
    bacteriological laboratory
    pharmacy

    The polyclinic consists of departments:

    oncological
    otolaryngological
    surgical
    neurological
    ophthalmic
    1 therapy
    2 therapy
    3 therapy
    registry
    emergency room
    infectious disease room

    The Consultative Polyclinic consists of departments:

    oncological
    radiological
    vegetative
    somnological
    psychotherapeutic
    traumatological
    surgical
    gastroenterological
    day hospital

    Urban honey. centers:

    city \u200b\u200bpathological center
    city \u200b\u200bpoison control center with a mobile detoxification team
    city \u200b\u200bvegetation center
    city \u200b\u200bsleep center

    Served addresses


    The list of addresses of residential buildings served by the healthcare facility:

    Babaevskaya street, houses: 1/8; 3; 3A; 20 (general);

    Barbolina street, houses: 4; 6; eight;

    Boevskaya 1st street, houses: 1 (building 1, 2); 2/12; five;

    Boevskaya 2nd street, houses: 6;

    Gastello street, houses: 4; 6; eight; ten; 12; fourteen; 37; 39; 41;

    Egerskaya street, houses: 1; 3; 5 (building 1, 2); ten; 12;

    Zhebrunova street, houses: 1; 2; 4; five; 6;

    Well street, houses: 5; 7 (building 1, 2, 3, 4, 5, 6, 7, 8);

    Kolodezny lane, houses: 2 (building 1, 2);

    Korolenko street, houses: 1 (building 1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12); 2 (building 1, 7); 2/23 (building 1, 4, 5, 6, 7); 4/14; five; 6A; 6B; 7 (building 1, 2, 3); eight; 9 (building 1, 2); ten;

    Lobachik street, houses: 23 (building 1, 2);

    Malenkovskaya street, houses: 3; 7; 9/11; ten; 12; 13/12; 14 (building 1, 2, 3); sixteen; 28;

    Matrosskaya Tishina street, houses: 10 (military unit); sixteen; 16A; 19 (building 1, 2, 3); 23/7 (building 1, 2);

    Matrossky Bolshoy Lane, houses: 1

    Oleniy Val street, houses: 24 (buildings 1, 2, 3);

    Olenya Bolshaya Street, 3; eight; fifteen; 15A;

    Ostroumovskaya Bolshaya street, houses: 10 (buildings 2, 3); 11 (building 1, 2, 3); 13; fifteen; 17; 21; 23/2;

    Ostroumovskaya Malaya Street, houses: 1; 1/3; 1/10; 1A; 1B; 1G;

    Hunting street, houses: 3; 6 (building 1); 10/12 (building 1, 2, 3, 4, 5, 6);

    Cross glade, houses: 17

    Sand lane, houses: 2; 3;

    Polevoy 2nd lane, houses: 2; (building 1, 2, 3); 4;

    Popov passage, houses: 1 (building 1, 2); 2; 6;

    Rubtsovsko-Dvortsovaya street, houses: 2; 6:

    Rusakovskaya street, houses: 18/20; 22; 23; 25; 27; 28; 29;

    Rusakovskaya embankment, building 1;

    Rybinskaya 2nd street, houses: 12;

    Rybinskaya 3rd street, houses: 1; 12; nineteen; 21 (building 1, 2, 3); 26 (building 1, 2); 28; thirty:

    Sokolnicheskaya Slobodka street, houses: 3; ten; 14/18; sixteen; 16A;

    Sokolnicheskaya 2nd street, houses: 1; 2; 4; 6; eight;

    Sokolnicheskaya 3rd street, houses: 1; 2; 4; 7;

    Sokolnicheskaya 4th street, houses: 1 (building 1); 2; 3; 4; 4A;

    Sokolnicheskaya 5th street, houses: 1;

    Sokolnichesky Val street, houses: 2; 4; 6 (building 1, 2); eight; 22; 24 (building 1, 2, 3); 37D; 37ITR; 38; 40; 46; 48; 50 (building 1,2);

    Sokolnicheskaya square, houses: 4; 9 (building 1,2);

    Staroslobodskaya street, houses: 3; fourteen; 16/17; 23;

    Staroslobodsky lane, houses: 2; 2A; 4; 4A; 6;

    Stromynka street, houses: 1; five; 13; 14/1; fifteen; sixteen; 19 (building 1); 21; 23/16; 27/3;

    Shumkina street, houses: 1/26; 3 (building 1,2); five; 7; nine; eleven; 11a; 13; fifteen; 17/16;

    History of the institution

    In October 1882, the Bakhrushin brothers donated 450 thousand rubles to the Moscow mayor for the construction of a hospital. By the fall of 1887, a large for those times - 200 beds - Bakhrushinsky hospital for those suffering from incurable diseases was built on Sokolnichy Pole, designed by architect B.V. Freudenberg. All hospital buildings were a single architectural ensemble with decorative processing of facades in the Russian national style.

    According to the statute, the hospital admitted for treatment persons "of any rank and condition, mainly from insufficient." Treatment was free; the patients were called retirees of the Bakhrushin brothers.

    In 1890, a charity house was built at the hospital for incurable patients for 150, and later for 200 people (it seems, the only one in Moscow then). Since 1895, a small maternity hospital with 8 beds was opened, and in 1903, according to the project of the architect I.A. Ivanov-Shitsa, the first maternity hospital for Moscow was built on the territory of the hospital. By the decision of the City Duma in 1911, the Bakhrushin Hospital became a training base for the Higher Women's Courses in Hospital Surgery and Therapy, and in 1913, an outpatient clinic was built with the bequest capital of the Bakhrushins' sister, Vera Fedorovna, designed by architect S.F.

    At the beginning of 1920, the hospital. Bakhrushins' was renamed to the hospital. N.V. Sklifosovsky, and in 1923 - to the hospital named after the Russian scientist clinician, professor A.A. Ostroumov, who was the chief physician of the newly opened Bakhrushin hospital and the family physician of the Bakhrushin family.

    Since 1934, the hospital has been turned into a clinical base for the therapeutic and surgical departments of Moscow medical institutes. In 1959, the ITMGO underground facility was built. In 1974, a 300-bed surgical building, a central heating center, an X-ray film storage, an RTP, and a pathological building were built. In 1992, in connection with the liquidation of hospital No. 16, GKB No. 33 named. prof. A.A. Ostroumov, two buildings were returned: a therapeutic one, built in 1981 and a neurological one, built in 1954.

    Today GKB number 33 named after prof. A.A. Ostroumova is a multi-building, multi-profile, technically equipped medical complex that continues the best traditions of the founders of the hospital.

    The hospital has 1,060 beds, in addition, 41 intensive care beds, an outpatient-polyclinic department for 750 visits per shift, a consultative and diagnostic polyclinic with a day hospital for 20 beds, 4 city centers operate on the basis of the hospital: Pathological anatomical; Toxicological; Vegetological; Somnological.

    In the system of urban health care, the hospital solves the problems of providing the population of the capital and its guests with both emergency and emergency medical care (by profiles: therapy, trauma, surgery, neurosurgery, cardiology, neurology, gynecology, toxicology, intensive care units), and planned medical care (except the above departments also include gastroenterology, general oncology, head and neck oncology, mammology, radiology, chemotherapy, a therapeutic department for patients with impaired autonomic regulation). The activity of the hospital doctors is supported by a powerful diagnostic base. The hospital has an X-ray department with a computer and magnetic resonance imaging room, a clinical diagnostic laboratory with a room for analytical diagnostics of acute poisoning, a hemodialysis room for patients with acute poisoning, a radioisotope laboratory, departments of ultrasound and functional diagnostics, a bacteriological laboratory, a department of endoscopy, physiotherapy with a physiotherapy room, cytological and morphological laboratories operate on the basis of the pathological department.

    Continuing and developing the traditions of scientific cooperation with Moscow medical universities, City Clinical Hospital No. 33 is the base for 14 departments of leading medical educational institutions in Moscow. These are the departments of hospital surgery No. 1 of the Faculty of General Medicine with courses in mammology and neurosurgery FPDO MGMSU, hospital therapy No. 1 MGMSU, anesthesiology and resuscitation medicine MGMSU, radiation diagnostics and radiation therapy MGMSU, disaster medicine MGMSU, gastric anatomy of the Russian Medical Academy of Postgraduate Education and Emergency Medicine of the Russian Medical Academy of Medical Sciences the clinic of internal diseases of the Sechenov Moscow Medical Academy, nervous diseases with a course of somnology, FPPO, IM Sechenov Moscow Medical Academy, operative surgery and topographic anatomy of the Moscow State Medical University, obstetrics and gynecology, FPPO, Sechenov Moscow Medical Academy, military toxicology and medical protection at the GUVM of the Ministry of Defense of the Russian Federation, clinical functional diagnostics of the Moscow State Medical University. Cooperation with the listed departments has a beneficial effect on the improvement of the treatment process, advanced training of hospital staff.

    The hospital staff is highly qualified, each manager and senior nurse have one or another qualification category, many managers have an academic degree. The chief physician of the hospital, Sergey Vladimirovich Kolobov, has a doctorate in medical sciences, the highest qualification category, and is a professor at the Department of Operative Surgery and Topographic Anatomy of the Moscow State Medical University.

    Inpatient and outpatient care for the population is provided in full accordance with the city's compulsory medical insurance program, the interests of patients are represented by such insurance medical companies as Spasskie Vorota-M, Maks-M, Ikar; There is a voluntary medical insurance program, according to which the hospital cooperates with the leading medical insurance companies in Moscow; paid medical services are provided under contracts with patients for all types of medical care provided in the hospital.