Posted 30 августа 2021,, 08:11

Published 30 августа 2021,, 08:11

Modified 24 декабря 2022,, 22:38

Updated 24 декабря 2022,, 22:38

30 thousand for the medical assistance after a tick bite, or why there are almost no free first-aid stations left in Moscow

30 thousand for the medical assistance after a tick bite, or why there are almost no free first-aid stations left in Moscow

30 августа 2021, 08:11
Getting first aid in case of injuries and accidents is becoming practically unrealistic in Moscow: the number of first-aid stations is dramatically decreasing. But this is not even the point, but the quality of the assistance that is provided there.
Сюжет
Medicine

Meanwhile, in the capital, ordinary trauma centers are gradually replaced by the paid ones with cosmic prices.

Victoria Pavlova

There are 63 trauma centers in Moscow. But none of them was able to provide me with quality emergency assistance. I'll tell you why.

A tick bit me in the country. Yes, not one, but three at once, and it hurts. It was not possible to pull out the bloodsuckers on our own. The first thing that came to mind was an emergency room. It was there about 2 years ago that I was quickly diagnosed with a fracture and helped to put on a splint. These memories led to Michurinsky Prospect, where the emergency room was located - the savior. But in the usually crowded building, I found emptiness. In this void, on a huge space of many hundreds of square meters, two people in white coats were sitting. Nearby was a sign "Covid-19 vaccination station". There were no vaccinations to be seen. But there were more than enough injured people with pale faces who drove up in a taxi to the former emergency room. But the sign informed that the emergency room was moved to the district clinic.

The picture that appeared in this very clinic was not for the faint of heart. There was a sign on the ground floor: if you go to the right, you will get vaccinated, if you go to the left, you will get to the emergency room. To the right - where the vaccination was, there was an empty corridor with perfect furniture and repairs. To the left is a picture from a horror movie: a space packed with unfortunate people.

The injured citizens were sitting, standing, lying on gurneys, in wheelchairs. They cried, moaned, cursed. There were at least 30 people in front of me. I timidly tried to get out of the queue: they say, ticks bite, it hurts, but they told me that it hurts everyone, everyone suffers. And the woman lying on the gurney looked at me in such a way that words became redundant.

I decided not to tease fate and come the next day early in the morning. But the next morning there were twice as many people.

There was another emergency room in the area, though near the Moscow Ring Road, on the very outskirts. She rushed there, frightened by the news of imminent borreliosis. The nurse from the emergency room, who refused to accept me out of turn, informed me that I should get sick with it. An hour of searching led to a shabby two-story building. About 10 people stood in line to see the only doctor. I had to show the people the ticks that had bit into me, and some impressionable man himself went to ask the doctor to be admitted out of turn. In the former village, now New Moscow, the patients turned out to be more tolerant, and the doctors were kinder, and I was accepted. The paramedic fumbled with me long enough and finally the pincers were defeated. True, while I was lying on the couch undressed, a broken man was bandaged next to me. But I didn't care anymore.

When I started reading the forums dedicated to the metropolitan trauma centers, I realized that in my trouble I am not alone. Indignation against the liquidated emergency rooms poured in a stream.

In general, the liquidation of first-aid posts in Moscow proceeded gradually. If anyone does not remember, they used to be at ALL city hospitals. It was quite convenient: in severe cases, patients were immediately hospitalized and provided inpatient care. Then the optimization took a step further: the number of emergency rooms was reduced, making them a “corral” in some polyclinics. So, in the entire Western District of Moscow there are only two hospitals for the injured: on Bolshaya Ochakovskaya, 38 and in Solntsevo, on Rodnikovaya, 4. Their location, frankly, is very inconvenient and difficult to access. And only 2 small emergency rooms for the entire district - this, of course, is not a solution to the problem. But in case of bruises, fractures, bites, cuts, accidents, they are taken here. People in a serious, sometimes critical condition, on gurneys, suffering from unbearable pain, bleeding, are forced to wait for their turn for several hours. And it is not a fact that a tired, hunted paramedic will provide it skillfully, because it is very difficult to cope with such a flow of people.

From messages on social networks. User Veloman writes:

“Having reached the emergency room on your own, you can be very upset. First of all, where people sit with light cuts in their fingers, bruises and slight dislocations. I experienced it myself, I arrived with a broken arm in my forearm after flying over the steering wheel. And with a hanging blue hand, I ask you to skip ahead, to which laughter and the answer that everyone is like that. Then the next one is called, and he leaves after 1 minute. On the face of a 20-year-old boy, there is joy that it is not a dislocation, but a bruise. And you stand all blue and wait in line. Secondly, it seemed to me, the low qualifications of nurses for complex fractures. Those. by X-ray, what is broken will be determined, but they will not be able to make a good rigid fixation”.

“All optimization attempts are nothing more than theft from our pockets in favor of a beautiful life for optimizers ... Emergency clinics at hospitals should be unambiguously around the clock. But they must first be opened, and then closed in polyclinics. Neither the Southern Administrative District, nor the Southern-Western Administrative District of Moscow have such trauma centers. And in general there are not many of them".

On the Feldsher.RU forum, doctors provide interesting data: it turns out that 1 ambulance call under compulsory medical insurance costs 7,824 rubles, 1 bed-day in a day hospital is 2,128 rubles, 1 bed-day in a hospital is 5,960 rubles. The emergency room falls out of favor with us: payment only for compulsory medical insurance - 1,064 rubles. per visit. Of course, with such a low cost of medical care in trauma centers, it is unprofitable for polyclinics to allocate decent premises for them and to allocate several doctors - this will not get solid budget funding. It is easier to open a vaccination center, which will be generously paid for by the polyclinic for compulsory medical insurance. So it turns out that there are empty vaccination centers in every polyclinic and even in parks, in “Health” pavilions, as well as in shopping centers, and emergency rooms with their “cheap” but necessary help are being liquidated.

Of course, this niche was instantly occupied by commercial structures. Thus, the K + 31 Clinic Trauma Center is already offering its services with might and main , which works around the clock and provides outpatient and inpatient trauma care.

We contacted him to find out the terms of assistance. The manager explained:

“The price is as follows: an appointment with a traumatologist is 6,000 rubles, an X-ray is 4,500, and a bandage is applied from 4,500 rubles. There is an infectious disease specialist who takes it for 6 thousand rubles".

If a concussion is suspected, they can call a neurosurgeon, whose consultation will also be far from free. I asked how much it costs to remove a tick. The price tag was impressive: removal of one tick - 3,900 rubles, PCR of one tick - 3,300 rubles, then the appointment of an infectious disease specialist - 6,000 rubles. Since there were 3 ticks on me, if I went to a paid emergency room, my problem would have been solved for 33,600 rubles - the price of a tour to a decent hotel on the Black Sea coast. At the same time, there were no professors or doctors of science among the doctors of this commercial trauma center. By the way, in the city children's hospital. Bashlyaeva's consultation with a pediatric ophthalmologist now costs even more - 7,500 rubles.

The trend is obvious: specialists and structures optimized for compulsory medical insurance are quickly replaced by commercial offers.

"