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05.07.13 10:14:19

My mother, 87 years old, disabled group 1, was hospitalized at City Clinical Hospital No. 71 from June 7, 2013 to June 22, 2013. She was referred by the local therapist, who called 03. The ambulance arrived quickly enough. They took her straight to the cardiac intensive care unit, from which she was “lowered” into the emergency department. For more than 5 hours, I drove her from one office to another, where she had endless blood tests, ECGs, x-rays and other procedures. Finally, she was admitted to the intensive care unit of the surgical department, where she was kept for 2 days. When I saw her for the first time after resuscitation, she was being taken along the corridor to room No. 501 of the first therapeutic department, probably after another procedure, most likely after a gastroscopy. A twisted open mouth full of blood clots, bloody lips, a fixed gaze. And this was after resuscitation, where, it would seem, her condition should have been alleviated. Next, I met the attending physician Tatyana Mikhailovna Pankratova. Having found out from me that when my mother’s health periodically deteriorated, I gave her medications that were recommended to her earlier, after being in City Clinical Hospital No. 52 in 2002 and from where she left on her own two feet. Accusing me of incompetence, which I of course agree with, although for some reason my mother’s health improved after taking these medications, Tatyana Mikhailovna took the reins into her own hands. As a result, I quote the condition at discharge: “Stable... Physiological functions are normal. During therapy, a positive clinical effect was achieved. Hemodynamics are stable." What actually happened, in my incompetent opinion? If before hospitalization there were no bedsores, my mother had difficulty sitting up in bed, but after treatment she doesn’t even sit up (now I sit her up), she can’t put her feet in the bed after she lies down. Weakness, numerous hematomas, terrible diarrhea, persistent cough, bedsores, swelling of the hand and eye, lack of appetite - these are a bunch of problems that I had to deal with at home after the “positive clinical effect.” The only positive effect is that she still survived. Now my impressions about the atmosphere in the hospital, at least in the 1st therapeutic department, and the attitude of the medical staff towards the patients. Ward No. 501, where my mother was lying, has 6 beds. Everyone was busy, all the patients were seriously ill, unable to walk, and had poor perception of their surroundings. Treatment. It was impossible to see the attending physician in the ward except during an examination. To my repeated attempts to draw attention to certain deviations in my mother’s health, the answer was given that she was aware and measures were being taken. So, having expressed concern that my mother was constantly coughing, I received a recommendation to turn her over every 15 minutes. She didn’t say how she imagined it, and I didn’t bother to clarify, understanding that this was a theory that she might have been taught at the institute, but was not forced to do in practice. The nurses, strictly according to the doctor’s orders, administered IVs, distributed medications, and gave thermometers. There was practically no monitoring of the implementation of procedures. The patient could rip out the catheter and the liquid would drip onto the floor or into the bed. I have repeatedly seen the tablets lying on the floor or in the bed. The temperature was measured somehow. I will describe the dialogue with the nurse. The nurse of the neighboring patient told me that my mother’s temperature was 39. I approached the nurse and asked if the temperature was really 39. She calmly told me that no, her temperature was not 39, but 39.1. "What are you going to do? - I ask, the answer is - Tomorrow, at 10:00, during a five-minute meeting with the attending physician, I will report this. She will decide what to do." True, later a woman in a white coat approached my mother and gave her an antipyretic pill. A day later I asked again what the temperature was, the answer was normal. Miraculous healing. And at home, after discharge, the temperature remained 37.5. On the day of discharge, the catheter was not removed from my mother’s arm. I turned to the nurse to take it out. Answer: “I’ll tell the treatment nurse, she’ll take it out.” Without waiting for anyone, I had to contact the attending physician and only after that, in my opinion, the same nurse removed the catheter. Feeding. The distributor brings food and places it on the tables. If there is a nurse or relative, they feed. The rest are offered to be fed by the nurses. More often, there is either no answer or the answer is no. This is where all feeding ends. Nevertheless, with the help of persuasion, I still managed to feed some bedridden patients. The fact that people do not die of hunger, they are discharged before this can happen. I’m finishing, otherwise no one will probably read this to the end. The general impression is painful. Judging by City Clinical Hospital No. 71, no reform has occurred in medicine. It would be better not to increase the salaries of doctors, but to transfer the insurance money to us, to a medical bank card, and from this card they would receive deductions for the work performed. And so it’s all in vain. And for this attitude towards his wife, my father fought in the Patriotic War, returning disabled and no longer alive?

In addition to planned surgical operations, we provide emergency surgical care around the clock. We perform operations on the abdominal organs, chest, and vascular pathology (phlebectomy). One of the priority areas of activity is laparoscopic and endoscopic methods of minimally invasive surgery.

The department provides treatment for:

• cholelithiasis;
• varicose veins;
• peptic ulcer of the stomach and duodenum;
• benign diseases of the thyroid gland, benign soft tissue tumors, abdominal hernias, hiatus, hemorrhoids, anal fissures;
• any emergency conditions of the abdominal organs.

The following operations are performed as planned:

• on the gallbladder and extrahepatic bile ducts - laparoscopic cholecystectomy, cholecystectomy from a mini-access, interventions on the extrahepatic bile ducts;
• with varicose veins of the lower extremities;
• on the main arteries of the lower extremities;
• regarding abdominal wall hernias;
• on the stomach and duodenum;
• on the pancreas;
• on the colon (including laparoscopic).

Laparoscopic cholecystectomies are performed:

• cholecystectomy from minilaparotomy access;
• treatment of abdominal hernias using alloprosthetics, organ-preserving operations for gastric and duodenal ulcers (PDU);
• removal of benign thyroid diseases, benign soft tissue tumors;
• surgical treatment of hemorrhoids, anal fissures.

Minimally invasive research and treatment methods are also widely developed.

• biopsy of mass formations of the liver, pancreas, thyroid gland under ultrasound control;
• puncture of space-occupying formations, cysts, abscesses of the liver, pancreas, abdominal cavity under ultrasound control;
• pericardial puncture (treatment of hydropericardium);
• drainage of limited accumulations of fluid in the pleural cavity, abdominal cavity under ultrasound control, including removal of ascitic fluid in cases of severe adhesions;
• percutaneous transhepatic cholangiography under ultrasound and x-ray control;
• percutaneous transhepatic drainage of intrahepatic ducts under ultrasound and x-ray control;
• percutaneous transhepatic stenting of the common bile duct (for cancer of the head of the pancreas).
• daily monitoring of gastric secretion (RN-metry)

The department's doctors are members of the All-Russian Society of Surgeons, the Russian Society of Herniologists and Phlebologists.

State budgetary healthcare institution of the city of Moscow City Clinical Hospital No. 71 (GBUZ of the city of Moscow "City Hospital No. 71, Moscow"), is a diagnostic, treatment and advisory center. Provides outpatient care (both planned and emergency), and round-the-clock inpatient care that meets the most modern medical standards, to both residents of its own and other regions.

On the base City Hospital No. 71, Moscow, are provided both free of charge, within the framework of the compulsory health insurance program and the Territorial State Guarantees Program, and paid medical services. As part of paid medical services, you can receive specialist consultations, laboratory, diagnostic, therapeutic and other types of services.

71 city hospital, Moscow equipped with modern treatment and diagnostic medical equipment. The institution constantly introduces the achievements of modern science and technology and preventive techniques. Service is carried out by highly qualified specialists. The institution has created all the conditions for providing various types of medical, organizational, methodological and advisory assistance.

City Hospital No. 71 (GKB), Moscow- a constantly developing and improving medical and preventive institution. The organization uses the most modern information technologies in its work. For the convenience of patients, the possibility of making an electronic appointment with a doctor online via the international Internet is widely used, including in City Hospital No. 71 You can also make an appointment with a doctor using the Electronic Registration service.