As a neurosurgeon has admitted to infectious diseases ward?
Alexander Kashin: All of our hospital was placed under the treatment of a coronavirus. Doctors suggested to undergo a 36-hour study, then there were courses on COVID-19. Agreed almost all bounce units.
what was the reaction of your relatives?
Alexander Kashin: didn’t want to let go. My wife is a physician, obstetrician-gynecologist. Understands, relatively calmly, but I can still see the anxiety in his eyes. The first watch lasted three weeks, the whole time I lived in the hospital. The wife, of course, was a difficult one to cope with: work, a five year old son. Well, grandma helped.
the Son knows, what do you do?
Alexander Kashin: Knows, is experiencing. While I was on watch and asked, “Where’s dad?” “When is dad coming?”, “I see dad?”
What thoughts were spinning in my head when the first time was in the “red zone”?
Alexander Kashin: I Have more stomach twisted from excitement (laughs). Those who are already in the area, I can’t with newcomers to chat, we go in – they leave. Don’t know what to do. Similar feelings were at the Institute when I worked as a nurse. Therapeutic patients such as surgical, to work with them unusual.
what’s unusual?
Alexander Kashin: Have a lot to talk, to reassure. In surgery we, of course, also communicate, but patients with coronavirus require more attention. Ask a lot of difficult questions that have no answer, no you, no one in the world: what to treat, what is the prevention. After the change are to read books the next day trying to answer.
Tell us about your patients.
Alexander Kashin: the youngest was 33 years old and a single grandmother at 90, both have been discharged. No I have not died, ugh-ugh. Every patient is different. Someone does not believe in the coronavirus, someone optimistic, someone hysteria: “We’re all gonna die! I have to go to the er!” Looking for a approach to each. When I go to the house, saying: “I’m a neurosurgeon, trained, have certificates, so we will be treated and to recover.” Some understand, others don’t. The first patient at discharge said: “Come here doctor-taught…”
And many of these “quack” from other areas of medicine?
Alexander Kashin: a Lot. I work with neurosurgeons, orthopedists, traumatologists, in the adjacent building – physicians, cardiologists, neurologists. Our entire hospital. And, I want to say, the staff is awesome, very professional and friendly. The first month was a torn, now improved: the algorithm of reception of patients, hospitalization, treatment.
What are your hours?
Alexander Kashin: watch we are on duty in shifts of six hours, then 12 hours to rest. Take Dejarctwo in the morning, go out at seven in the morning, at seven in the evening again for a change. To adapt to this whirlwind is hard: I do not understand, when the morning, when the night. The first three days I practically did not sleep huddled mode. Six hours in the mask, glasses, anti-plague suit – hard. Some compare his work in “red zone” with military field medicine. I think the war is terrible. Here is the task – and you do it. To reflex once.
my job is in office standard: sheet set appointments, bypass, filling in medical documentation. Did not think, incidentally, that have so much to write: we, the neurosurgeons, everything is computerized.
How you spend your free time?
Alexander Kashin: When you come out of the “red zone”, the first thing to drink water – at least a liter. Eat, talk on the phone with family, surfing the Internet. Someone goes out into the fresh air, in the yard. With colleagues in the breaks to communicate mostly on medical topics – all raises questions that require answers, but can laugh and chat about the weather, nature, fishing. Live right in the hospital – for health-care workers have allocated the whole Department.
What was missing during the first watch?
Alexander Kashin: missed the barbecue. Well we are not home of course the food, from the dining room. Tasty, but lacked meat. Well, nothing, but lost: this week, nearly five pounds.
After the end of the pandemic tour operators want to send the doctors who fought with the coronavirus, to the resorts. Where would you go?
Alexander Kashin: Always wanted to visit Cuba! But seriously and realistically – I have vacation in November, so the local sanatorium. Walking, gymnastics, pool, massages, mud therapy, kinesiotherapy.
What we teach pandemic?
Alexander Kashin: the Russian people, in my opinion, nothing. Declared a self-imposed isolation and what? It complied with the thirty percent… If we could all sit at home bezvylazno two or three weeks may have passed by. In General, the pandemic teaches us to act more smoothly in emergency situations. Like, everything was ready, but was not quite.
12 thousand people – many health care workers hold “protivokariosnoe” defense in Sverdlovsk region. Doctors, paramedics, nurses – two months, they are forced to wear masks and anti-plague suits. “RG” has decided to show the faces of some of them.
Polina Makhmutov, head of the infectious Department No. 3 of clinical hospital No. 40, Yekaterinburg:
the Department has changed: there are intensive care wards, is equipped with oxygen, an additional team of doctors-reanimatologov. Work became more intense, and even after duty do not let thoughts of patients. We are constantly on sites with information that you share more experienced colleagues, faced with the pandemic.
Pauline – a hereditary doctor. In normal times, its separation specializiruetsya for the treatment of hepatitis, parasitic diseases, HIV-infection. Now here bring patients with confirmed COVID-19 and severe concomitant pathologies of the heart, blood vessels, Central nervous system.
Maxim Parfenov, paramedic, ambulance station, Yekaterinburg:
– Perhaps the situation with the pandemic showed what we were missing in the work – crazy drive and real struggle for life of patients. It is no secret that the “fast” in “civilian life” is most often called on a regular or SARS to reduce the pressure. Now everything is different. I think that’s why I went into medicine.
Maxim directs the actions of mobile teams ambulance. Colleagues say that from the first days of operation of the substation in a special mode it is distinguished by fearlessness in the face of COVID-19.
Anastasia Parfenova, nurse, ambulance station, Yekaterinburg (the wife of Maxim, working in a team):
– here We are on the battlefield. Our goal is to bring, to take, to support. Myself think about it later. I’m sure everything will be fine.
215 calls to patients with coronavirus in the last month. Work – day after two. Their Maxim “the crew battle” saw the most severe patients. “The dropper for intravenous infusion it will be able to set even horses at full gallop” – joking colleagues.
Hope Galiyarova, paramedic pediatric ambulance:
– Adults in terms of development of coronavirus infection is, of course, not the children. They carry a heavier disease, but they, as young patients need attention and support.
After working for more than ten years the “children” brigade, Hope in a few days learned to assist COVID-19 children and very elderly patients. “You can trust her any challenge from her watchful eye, nothing is hidden” – talking about the Hope substation.
Sergey Salamatov, head of the substation ambulance, Yekaterinburg:
Calls to the grandparents – my profile. It is important to quickly navigate and while you get the oxygen mask, and the second nurse preparing the infusion, to convince the person in the best outcome, or we just don’t need this job.
Colleagues confirm that not everyone manages so easy and productive to communicate with elderly patients. Hospitalization for calls he never refuses anybody.
Lily Rozhkova, a nurse visiting teams polyclinic GKB № 6, Yekaterinburg:
– Psychologically, and physically in a “uniform” hard hot and can’t breathe. But after the army, frankly, a little scary.
Lily – a veteran of local wars, the first Chechen war served as a scrub nurse, sometimes 20 hours on duty in a military field hospital. Then teach��eh with military precision to complete the task. This experience came in handy now when the load has increased several times.
Mr Langolf, head of Department, infectious diseases hospital, infectious disease physician, Nizhny Tagil.
Four weeks ago on his page on Instagram Mr Langolf published a picture of a man in antiviral overalls, gloves and protective mask. “Leaving in the sunrise”, signed photo Vladimir. “Vova, proud of you, good luck!”, “Dylan, take care of yourself!” “Hey, you’re back!” – said friends. Hobbies are singing and Jogging postponed until better times, while life is only “dirty zone”: working in two hospitals receiving patients with COVID-19. “Mr Yushchenko is not a doctor, this is God.” – wrote one of the patients of Langolf.
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