On “fast” many not profile calls really arrive, the family doctor, a member of the European association of family doctors Konstantin Zelensky who worked as the ambulance surgeon where it had to treat both adults, and children earlier tells: «At child ОРВИ, and mum, being afraid of complications, causes us though with this problem in a telephone mode the pediatrist well knowing the child perfectly would consult. At the patient the aggravation of chronic disease – too rushes a brigade». It is inefficient in every respect, Zelensky has counted in due time, and trained for a new profession in the general practitioner. Now it treats the most widespread diseases from different sections of medicine.

The family doctor should be able to treat a hypertensia and a stenocardia – from cardiology, a diabetes – from эндокринологии, a radiculitis – from neurology, to watch, whether normally passes pregnancy – from gynecology, варикозную illness of veins and furuncules – from surgery. To 80 % of illnesses at the patients – “will cure-will cure” good family Aybolit so much, confirm this system of medicine.

In the developed countries of the world on family doctors it also is under construction. Only there to the doctor address not because of illness which already progresses, and for preventive maintenance is more often.

The healthy client is is unprofitable?

Anatoly Viter, the manager of one of the Kiev enterprises, only on Chekhov yes on a film «the love Formula» knows, who such family doctor. «The doctor is full – and to the patient it is easier», – he quotes hero Leonid Bronevogo. To Use such doctor it does not hasten. «I have not enough time for conversations about we wash health. And not in ours it is mentality – to talk about state of health while the cock, as they say, will not peck. And if will peck – I will take advantage of the insurance and I will go to the narrow expert», – he speaks.

At Valentina Shostak medical insurances are not present. Therefore and itself, and with the child it is compelled to sit in turns to the divisional to receive consultation, on analyses and to open directions the sick-list. «Then it is necessary to go on other doctors, again to come here that this sick-list to close», – she complains.

In Ukraine really the stereotype that one person cannot be able to carry out all medical manipulations still is strong. Therefore patients also address to the narrow expert, doctors family assure. «Interest of doctors of narrow medical specialities – in that they had as much as possible repeated patients. Therefore and treatment is often spent so that to the patient a little полегчало, but through any time it became again bad. Clients throw from the expert to the expert on various consultations. Especially it concerns solvent patients. And the healthy client is is unprofitable», – Skokov confirms.

Family doctors dissemble, when speak, as if doctors of a narrow profile make profit of patients, Marina Nikolaenko, the doctor-cardiologist speaks. The family doctor – partly the businessman, considers it. Many of them do not hesitate to declare that live on the maintenance at the clients. “And” throwing of clients »about which Skokov speaks, – not from our practice. If we are compelled to direct the person on additional inspection it is completely justified», – she is assured.  With that the family medicine focused in basic on the preventive maintenance, «attacks heels» to doctors of a narrow medical profile, the majority of doctors of the general practice agrees. The basic conflict of family medicine to its “traditional” model also consists in it, they speak.

Most the doctor is necessary to family medicine

Ukraine reforms the medicine any more the first year. Leaving from medicine “local” to family, from treatment – to preventive maintenance, the system of the primary help fills the cones and itself demands «First aid».

Unfortunately, the family medicine did not become while enough popular. One of interrogations has shown that the majority of people at all do not know, who such family doctor, and more than thirds in case of problems with health follow the help to “the narrow” doctor, instead of to the family. Reform really goes «with a scratch», Zelensky agrees.

The present family doctors in Ukraine while units, recognise family doctors. More truly, training goes constantly, shots in high schools and at institutes последипломного formations annually prepare. But experts, family medicine not practising teach there basically.

Of the family doctor wish to make simply local therapist, having charged it with responsibility for all illnesses on light (thus reducing experts, children’s polyclinics and female consultations), complain doctors from family ambulance stations.

Not less serious problem – financing of family medicine. Financing of a primary network – ambulance stations where family doctors work – depends on quantity of the attached population. There is still a secondary network – a hospital. And the more patients with the serious illness demanding qualified medical assistance in hospitals, the more means are lost by ambulance stations. That is, the more people are ill, the great sums leave in hospitals.

If “the narrow” doctors working in hospitals, can be interested”in the prompt hit of the patient in a hospital other party of a medal – probability of that unfair family doctors will”tighten”illness. Roughly speaking, to treat heart attacks in-home lotions, if only not to admit the patient to a hospital.

The following hitch – private practice. In the conditions of a family ambulance station the family doctor acquires the right to conduct treatment privately. That is during the working day the family doctor under the contract accepts patients free of charge and gets wages from the budget of local council, and at leisure renders services which are paid by the patient. A question on засыпку: how to earn everywhere simultaneously? Some family doctors find on it the answer.

In the conditions of market relations the patient really turns to the client. All has the price – both a healthy way of life, and problems with health. Here only for what to pay – for to were ill and look well or be treated eternally and quickly to grow old – everyone solves independently.

– Alexey Viktorovich how you have come to medicine and why have chosen resuscitation?
– In 1996 I have ended the Arkhangelsk state medical academy. The doctor wished to be since the childhood, at all I do not remember, from which age … For some reason when children, the future doctors, choose specialisation at institute, the majority wish to be surgeons. But the more deeply you learn a human body, the you understand more what to cut – not always the most important thing. To manage not to finish before be more important. By a youth I have decided that to me resuscitation where a matter of life and death constantly dares is closer.

– Resuscitation for simple people associates with something terrible and unpredictable for a life. Whether it is possible to get used to death?
– There are situations when you lose the patient of eight-ten years and understand that such outcome was inevitable, and happens, the sixteen-year girl … In such cases always dies start to think, whether and you have correctly made all during that moment… Here, probably, it is necessary to learn simply to worry an event reason, instead of soul to remain … it it is very important!
– In what an essence of your method which has allowed to keep many human lives?
– When I have started to take up the issue of a hemorrhage in a brain (геморрагический a stroke), standard in medicine application (haemostatic) preparations was considered. But in practice it led to blood pressure strengthening in the centre and to numerous complications. I have judged differently: if the organism has been compelled компенсаторно to stratify a vessel it is necessary to create all conditions for pressure normalisation in the amazed site, and has suggested to appoint means (anticoagulants) diluting blood. At first sight it is a nonsense, and it seemed absolutely wrongful. It is natural that at a hemorrhage it was psychologically difficult to doctors to appoint to the patient the preparations ostensibly strengthening a bleeding. Actually pressure and force of a blood-groove in a sick site at appointment of preparations diluting blood decrease that allows to stabilise a condition of the patient. First to me strongly got from colleagues. But positive results have sorted things out.

– And why you have decided to leave resuscitation and to go to therapy?
– In нейрореанимации I have worked 10 years. Also has understood that it is time to leave therefrom. I in general am assured, it is necessary what to leave in time – on peak. Psychologically work реаниматолога очерствляет. Sometimes for change there was on 3–4 death it it is very heavy … Many doctors to remove stress, start to drink. And I have simply left. When two years ago I have arrived to Moscow, I already had a name – I was invited to work in the Main military hospital of a name of Burdenko, Institute of First aid of a name Sklifosovsky …

– Then why you have chosen Clinic of the Moscow institute of cybernetic medicine?
– Casually together with colleagues it has appeared here and has been pleasantly surprised by not so much level of medical equipment of clinic, every possible preparations and the equipment which here are applied, how many by the approach to the patient, non-standard algorithm of thinking of doctors, quality of diagnostic process and unique complex intensive therapy. I have wanted to work here and about the choice I am not sorry. The usual expert-therapist could be lost simply here, and my preparation and practice have appeared are pertinent. Moreover, it was necessary to much to study.

Understanding, patience, compassion – here the basic qualities necessary in medicine. So Natalia Dmitrievna believes. It renders medical aid to inhabitants of nine villages of Aleysky area, for the work time and again was awarded by Certificates of honour of regional and local value. Many years are the deputy of Meeting of deputies of Alejsky area, the chairman of the constant deputy commission on social policy. Peasants this remarkable woman.

Natalia Dmitrievna very vigorous, surprising person. In its biography – work in женсовете, the administrative commission of village. Many years are the deputy of regional meeting of deputies.

The medical staff of Mohovsky hospital assists both emergency, and planned (reception of the diseased, treatment in a hospital). On Natalia Dmitrievny’s supervision, disease among the population grows. Here that she speaks: «It is connected with adverse ecological conditions. Social trouble of a family (unemployment, a lack of money) influences that there is no possibility to get expensive medical products. Under the national project to doctors have added the salary, but in Mohovsky hospital there were unresolved problems. But despite difficulties, collective tries to work, use the best efforts for the sake of people».

Sympathetic heart, the kind soul is all about it, Natalia Pozdnjakova. She was born in with. Maralikha, Charyshsky area, in with. Mohovsky has arrived after the termination of the Altay state medical institute. The trade was transferred to it from mother – managing rural local hospital.

Tens bouquets lie at a fencing of embassy of the USA in Russia. Muscovites bring there flowers, grieving on singer Michael Jackson. The king of pop has died yesternight in the USA because of cardiac arrest. At a fencing of embassy except colours – photos of the singer, posters with its image, burn candles. To the American embassy admirers of creativity of Jackson have started to come still early in the morning.

Sometimes these two worlds are crossed. The woman by name of Liza Glinka keeps a diary on the Internet where tells about a life of those who at station, – for those who on work. And it read – behind a smoking cup of coffee. When does not write, it helps these vagabonds to survive: distributes at Paveletsky station sandwiches, milk and hot dishes and ties up it purulent wounds. Doctor Liza – so knows its virtual world…

From which sometimes it is possible to leave and glance to it in подвальчик on Pjatnitsky, in office of its fund «Fair help», and to bring milk in small bags with a tubule or medicines under the list – зелёнку, iodine, bandage, antibiotics… It very much is necessary to It. On Wednesdays she feeds and treats vagabonds. On other days of week – “calls”: from Muscovites and the inhabitants of the nearest Moscow suburbs dying on houses. By training doctor Liza – the doctor. The doctor of palliative medicine. That when already it is impossible to rescue – can facilitate only. To anaesthetise, take a hand in hands, to bring pampers and diapers.

It began the pediatrist in America. Has moved for the husband-lawyer to Kiev. Searched to itself for business. Has found: has constructed the first hospice in Ukraine. To have a look at it there has arrived Vera Millionshchikova who has opened the first hospice in Moscow. In delegation there was also husband Lizy Glinka – has come to look, than the wife who could sit in 5-roomed apartment is engaged and bring up sons. On one of patients to whom not for long remains to death from a cancer, there was a pyjamas. Good. To a pain the acquaintance. The husband has learnt a pyjamas. It was its pyjamas. Миллионщикова has asked, looking round brand new chambers: «all has bought?» Liza has quickly nodded. The question was inopportunely. The husband only has lifted eyebrows, and has noticed at home: «And I all thought that so spirits have strongly risen in price …»

… On Tuesday Liza Glinka has told that takes with itself «on a call». To the dying. One of those whom did not take in a hospice, who does not have minimum conditions for decent death – the pampers anaesthetising, those who descends for fear from mind… Speak, doctor Liza is able to console … But we have not gone anywhere. Next morning I have read in ЖЖ: «on April, 7th. The call from a city situated near Moscow yesterday has arrived. Neighbours, not that distant relatives called not that. The woman is sick. Age about 60 years. A family named асоциальной. The patient lies on a floor. Without clothes. It is covered пролежнями. The door is beaten out for a long time, and the input in apartment is opened. We were on other call and could not have time to arrive the same evening. In 4 mornings the patient has died. On a floor. The things collected for it remained in a luggage carrier of my car».

- How in you it is combined? One gives everything, but they профукали the life, and the second cling even to those remains of days which it remained …

- All of us are people. In our life we – and not just vagabonds – make different mistakes. I simply love all of them.

She has told that about it it is not necessary to write: «we will have only even more patients, and assistants I will not increase …» With patients I can do of nothing. And that who reads newspapers, instead of takes cover them at night, I inform: old “fast” has had an accident, doctor Liza saves for the new. And still: it always can bring milk – what never itself you will give to the vagabond from the underground. And pampers: for those it cannot already rescue whom even.

The French hierarch has underlined in the thankful word that such visits are a display of joint aspiration of Churches to unity of Christians. «I met orthodox metropolitan Philaret and with Catholic metropolitan Tadeushem Kondrusevichem, and to them to both I have addressed with the same offer: that students came to study to us to Lyons because all of us are very anxious by a question of unity of Christians», – cardinal Barbaren has underlined.

Metropolitan Kondrusevich during ceremony in БГУ has noticed that «visit of cardinal Barbarena to Belarus and award to it of a title» doctor honoris causa «Institute of divinity BGU is one more proof of our general aspiration to development of Interchristian and interreligious communications and the joint answer to present calls».

Cardinal Barbaren is the author and the co-author of numerous theological works, among which «Missionary service and professorial activity», «the Christian, what your belief?», «hundred hot points of history of Church», «our Otche», «the Way of a spiritual life», «Rabin and the cardinal», «the Life for me – the Christ». On Tuesday it has made a mass in the Minsk Catholic cathedral. In the sermon he has urged parishioners «to be earth salt», «to fill the world with pleasure and to change its taste».

The archbishop Lyons has transferred in library of a Catholic theological seminary in Grodno a collection of books in French from a series «Christianity Sources» (Sources Chretiennes). In these editions the writing of Fathers of Church which are studied by representatives of various faiths contain.

For the long career of Mihaj Volontir has played in set of known films. Among them “In a zone of special attention”, “From Bug to Vistula”, “Traces of the werewolf” and other pictures. But its most known role is the role of Budulaja in television movies of “Gipsies” and “Returning of Budulaja”.

The actor has been awarded ranks the National actor of the Moldavian Soviet Socialist Republic and the National actor of the USSR, is the winner of the State award of RSFSR. Now Mihai Volontir continues to work at theatre of a name Vasil Aleksandri.