Every year on the pages of the newspaper we talk about positive changes in the Sheksninskaya Central District Hospital - repairs carried out, updating of the material and technical base, events aimed at improving quality and accessibility medical care for the population of the Sheksninsky district. What did you manage to accomplish in five months of 2017? On the eve of Medical Worker Day, we asked Chief Physician A.V. to answer this question. Meadow.
At first current year work began on installation, commissioning, commissioning, monitoring operational parameters, radiation monitoring at personnel workplaces in the X-ray room, adjacent rooms and adjacent areas, as well as monitoring technical condition and maintenance, with the replacement of spare parts for the computer spiral tomograph by the forces and means of the Central District Hospital. Using donations we raised from partners supporting the hospital, repairs were made to the premises of the Central District Hospital and FAPs. In particular, the premises of the first and second floors of the ward building of the hospital, where the provision of outpatient care for the population and the work of the emergency department were organized, measures were carried out according to the instructions of the supervisory authorities for previous years, fire prevention treatment of the premises, recharging and replenishing all available fire extinguishing equipment , installation of a video surveillance system in structural divisions Central District Hospital (entirely at the expense of donations). Cosmetic repairs were made to the premises of the ward and administrative buildings of the hospital. Medical equipment, specialized medical and office equipment for a total amount of more than five million rubles, and medical furniture have been purchased and are planned to be purchased. Office furniture, office equipment, construction materials and other assistance for the hospital were received under donation agreements.
Work is constantly being carried out to control accounts payable; from May 2016 to the current date, there has been no delay in payments to counterparties or other overdue debt.
Young specialists were recruited to work at the Central District Hospital - T.V. Yakimova, functional diagnostics doctor from Yaroslavl, A.Yu. Garabadzhi, ward nurse of the therapeutic department, A.S. Kuklina, midwife antenatal clinic, A.A. Kochetova, ambulance paramedic. We returned to Sheksninskaya Central District Hospital N.A. Botvin for the position of head nurse in the village of Chebsara, V.N. Berseneva as a paramedic in the prevention room. Within a year, we plan to hire eight experienced doctors and young specialists from other regions, and five mid-level staff. The agreement has already been received.
- Alexander Vladimirovich, you have specialists constantly moving from office to office, from floor to floor. People who have been accustomed to one layout system for years get lost, although they later admit that things have not gotten worse, but on the contrary, there is more space, light, and convenience. Explain why these constant housewarming parties? 
- We bring the premises of outpatient care in accordance with regulatory documentation. Relocations occur, as you probably noticed, only to renovated offices. I hope that the patients noted the spaciousness at the ENT and surgeons’ office; even the queues seem to have become shorter - we have removed the attached oncology specialist’s office, giving him a normal room. The buffet moved from the first floor to the second, we entered into an agreement with one of the cafes in Sheksna, and now here you can have a full lunch, drink tea - everything is civilized, pleasant, tasty. The vacant premises of the former canteen are now given over to the emergency department; we installed double-glazed windows there and carried out renovations. Partitions former premises The emergency departments on the second floor have been removed, now there are offices here and all the local therapists have moved into them. In the future, the treatment and vaccination rooms will be moved here. Gradually the system will be built, and our patients will get used to it. Moreover, everything is done for their convenience and comfort.
- I would like to thank you for the good deeds and changes that began to occur in Sheksninsky healthcare. Thank you and happy holidays!
Elena IZYUMOVA.
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The first laparoscopic surgery was performed in Sheksna
In the autumn interview chief physician Sheksninskaya Central District Hospital A.V. Lugovin said that by the end of the year the hospital will be replenished with modern diagnostic and medical equipment. In particular, a tomograph will finally be installed, additional equipment will be purchased for laparoscopic operations in our hospital, and Sheksna residents will no longer have to be sent to Cherepovets and Vologda. Moreover, we now have our own highly qualified specialist - the head surgical department Boris Anatolyevich Minyukhin, surgeon of the first category, traumatologist-orthopedist of the highest category.
On December 20, endoscopic equipment for laparoscopic operations was received. It was tested, and on December 22 the first patient was operated on. This became the reason to get to know the head of the surgical department better and ask him about the prospects for Sheksna surgery.
- Boris Anatolyevich, who became the first patient of Sheksna’s unique operation?
“We just had a patient in the surgical department who was admitted with an exacerbation of cholelithiasis. The issue of performing an open or, as it is also called, strip operation on him was being decided, since an acute attack could result in serious consequences. He was lucky, and we also had the luck, one might say, to test the equipment in action right away. Now, instead of a huge scar and a painful long postoperative recovery, he has only four small sutures measuring 1-1.5 cm. He underwent a cholecystectomy, that is, removal of the gallbladder, and with it two stones of very impressive size. Postoperative period went smoothly. The next day he was able to get up and walk. New Year our hero will meet in the home circle.
- For you personally, was this the first such operation or have you had to do them before?
- Before moving to Sheksna, I worked for 23 years at the Ustyuzhensk regional hospital and had about 200 similar operations on my account. This method has been introduced into surgical practice there since 2009. Endoscopic surgery versus traditional method has many advantages - such operations are less traumatic, the body recovers faster after them, and there are no large scars left on the body. And using this method, it is possible to perform operations not only to remove the gallbladder, but also, for example, appendicitis, and gynecological surgical interventions.
- Boris Anatolyevich, despite your extensive medical experience, you are new to our hospital, but you have already earned the authority and respect of patients. In your opinion, will Sheksna surgery be able to reach the heights for which the department has always been famous?
- The team of surgeons is efficient, the specialists are strong. It is important that we are fully staffed with anesthesiologists. Modern appears diagnostic equipment. The head physician is very interested in equipping the surgery with new equipment for carrying out operations on modern techniques, on the introduction of advanced technologies. The equipment of the clinical laboratory greatly helps us in successful treatment sick. With the introduction of endoscopic surgery into practice, the list of operations that we can perform will expand. So, one of the closest options is unipolar hip replacement. We have already received metal structures and unipolar prostheses. We are waiting for the equipment, the contract for its supply has been concluded. These operations will be designed for older patients. For many older people with injuries hip joint installing such an endoprosthesis is the best way to get back on your feet. After surgical intervention they will be able to serve themselves for another 10-15 years. I performed such operations in Ustyuzhna, and we will do them in Sheksna as well. I will say that at the Department of Surgery of the Sheksninskaya Central District Hospital, an operation to remove varicose veins of the lower extremities has already been carried out. There are many plans.
- We accepted you into the ranks of the Sheksninites. Tell us a little more about yourself, where you are from, how you ended up in Ustyuzhna, about your family and hobbies.
- I was born in Veliky Ustyug, a fellow countryman of our chief physician - Alexander Vladimirovich Lugovin. Since the seventh grade I already wanted to become a doctor. My mother is a teacher of Russian language and literature, my father is a water transport engineer, but my uncle is a general practitioner, so there were doctors in our family. After finishing school he entered Arkhangelsk medical school. A year before its end, I wrote letters to hospitals in the region, told about myself, as they say today, and sent a resume. I wanted to decide on a place of work in advance. A very warm letter came from the chief physician of the Ustyuzhensk regional hospital. I went to Ustyuzhna, I liked the city, and the working conditions too. After my internship, I spent 23 years working on health issues for the people of Ustyug. My son Mikhail was born and graduated from school in Ustyuzhna. Now he is a second-year student at the Arkhangelsk Medical Academy. I hope he will follow in my footsteps and become a surgeon too. As for hobbies, the main thing is my work. Apart from that I like to read good books, play chess and dream of mastering the guitar.
- Boris Anatolyevich, thank you for decision about changing place of work and residence. I am sincerely happy for the Sheksna residents!
- Thank you for your kind words.
1697
What was 2016 like for the Sheksninskaya Central District Hospital?
During the year, the Sheksninskaya Central District Hospital took measures aimed at improving the quality and accessibility of medical care for the population of the region. In particular, to update the material and technical base of the Central District Hospital. Work has also been carried out to solve the hospital’s personnel problems, including measures to motivate staff to meet planned targets, comply with the standards of the state guarantee program, ethics and deontology.
The beginning of positive changes. 2015
In the last months of the year, we managed to fully pay off the overdue accounts payable of the Central District Hospital for 2015. In addition, during this period, the Central District Hospital began repairing the fifth floor of the hospital’s ward building. The district hospital entered 2016 with a focus on achieving positive results.
Repaired, purchased, implemented
This year, delays in payments to contractors and other overdue debts were eliminated, the renovation of the fifth floor of the ward building was completed, where the wards of the neurological and therapeutic day hospital were organized in accordance with the requirements of regulatory documentation. A floor-by-floor move of the hospital's children's, neurological and therapeutic departments to renovated premises was carried out. A car has been purchased. With the efforts and resources of the Central District Hospital, as well as thanks to donations raised from partners supporting the hospital, repairs were made to the premises of the Central District Hospital and FAPs. Thus, the second floor of the ward building of the hospital was renovated, where the provision of outpatient care for the population was organized, measures were carried out according to the instructions of the supervisory authorities in previous years (fire prevention treatment of the premises of the clinic of the central district hospital and first aid stations, recharging and replenishment of all available fire extinguishing equipment, anti-terrorism security measures) . The roofs of the catering unit, ward and administrative buildings of the hospital were repaired. A significant achievement is the purchase of medical equipment, specialized equipment and office equipment for a total amount of more than three million rubles (endoscopic equipment, two dental units, a plasma defroster, an audiometer, defebrillators, a urine analyzer and other equipment), medical furniture was purchased. Under donation agreements, office furniture, office equipment, construction materials were received and other assistance was provided for the hospital.
The tomograph will start working soon
By the end of this year, work will be completed on installation, commissioning, commissioning, monitoring operational parameters, radiation monitoring at personnel workplaces in the X-ray room, adjacent rooms and adjacent areas, as well as monitoring technical condition and maintenance with replacement of spare parts for a computer spiral tomograph - Somatom Emotion model. These works were planned for execution in 2014, at a pre-agreed cost of about three million nine hundred thousand rubles. It was possible to significantly reduce costs for these purposes - the cost of the work amounted to two million six hundred forty-five thousand rubles. The saved funds are used to solve other problems.
It arrived in our regiment
Young medical specialists, doctors with experience and intermediate medical staff. In addition, they are aimed at advanced training and training, including specialized ones medical specialties, more than 60 hospital employees. All the measures taken will improve the quality of medical care provided to the population of the Sheksninsky district, and in the future - increase the level of prevention, diagnosis and treatment, and reduce the incidence rate.
According to the federal program “Zemsky Doctor” and in order to implement the regional law of 06.05. 2013 No. 3533OZ “On social support measures aimed at staffing the regional healthcare system”, eight medical specialists who came to work at the Sheksninskaya Central District Hospital in 2016 were attracted and received one-time compensation payments. These are two therapists, two dentists, a neurologist, a trauma surgeon, an endocrinologist, and a bacteriologist.
What lies ahead?
In conclusion, the chief physician of the Sheksninskaya Central District Hospital A.V. Lugovin noted that new positive changes await us, and work in all areas will continue.
- Yes, maybe not everything is working out yet, not everything is working out as we would like. But we are glad that we have many enthusiasts, many partners ready to help us, competent specialists who want to grow and improve, to keep up with the times. I am confident that together we will be able to overcome all the difficulties along the way, make medical care more effective, modern and accessible, and the services provided be of higher quality, so that our patients visit our medical institutions with greater comfort, so that only if available insurance policy could receive a decent level of service. Health to everyone in 2017!
4479
A.V. Lugovin: “My task is to return the trust and respect of Sheksna residents to the district hospital”
The Sheksninskaya Central District Hospital has received a large addition: local therapist Nvard Sasunovna Arakelyan, neurologist Lidiya Igorevna Makarevich, local therapist at polyclinic No. 2 Tatyana Yurievna Obryadina, endocrinologist Zamira Zeynutdinovna Tagirova, dentist at polyclinic No. 2 Yulia Nikolaevna Cherepanova, dentist at Nifantovskaya outpatient clinic Igor Sergeevich Akulich, dental surgeon Ar men Sargisovich Petrosyan, head of the bacteriological laboratory Natalya Yurievna Bashkanova, surgeon of the first category, traumatologist-orthopedist of the highest category Boris Anatolyevich Minyukhin. How did you manage to solve the personnel problem so quickly? Chief physician A.V. answered this and other questions from Zvezda newspaper journalist Elena Izyumova. Lugovin.
- Alexander Vladimirovich, how can you explain such interest in our hospital?
- First of all, the “Zemsky Doctor” program has become an effective incentive. It allows a doctor with a higher education to receive 1 million rubles for the purchase of housing. Since 2013, urban-type settlements have been equated with rural areas. In addition, the age limit has been raised to 50 years, and thanks to this, not only young, but also experienced specialists came to us. As a result, due to the human resources, health issues in the region were able to be raised to a higher level.
- Is the Sheksninskaya Central District Hospital staffed with all specialists today?
- Not really. Currently, two of our target specialists are undergoing internships. We urgently need pediatricians, functional diagnostic doctors, paramedics, nurses and other employees. We have posted information about vacancies and attractive working conditions on the Internet, on the website of the Central Regional Hospital, so we are sure that specialists will definitely be found.
- The problem of all enterprises and institutions is the sudden loss of workers - they got sick, went on vacation. How do they get out of the situation at the Sheksninskaya Central District Hospital?
- We use such a method of work as doctors having a second certificate. This system allows us to provide multifunctionality in the work of specialists, including replacing colleagues who are on vacation or on sick leave, expand the cognitive skills of doctors and provide medical care in several specialties at once. So, our local pediatrician Olga Nikolaevna Odochuk is also a neonatologist and general practitioner, anesthesiologist-resuscitator Alexander Nikolaevich Mikhin has two more specialties - obstetrician-gynecologist, transfusion therapy doctor, Vladimir Alekseevich Pankov - head of the obstetric department , obstetrician-gynecologist and ultrasound diagnostics doctor, Svetlana Rostislavovna Akulich is a radiologist and ultrasound diagnostics physician, Ivan Aleksandrovich Subbotin is the head and doctor of the emergency medical department and the admission and diagnostic department and also has a specialty of anesthesiologist-resuscitator. Valentina Alekseevna Aksenovskaya – head therapeutic department, general practitioner and occupational pathologist, Elena Gennadievna Smirnova – head of the intensive care unit, anesthesiologist-resuscitator and obstetrician-gynecologist, Dmitry Vladimirovich Petrov – surgeon and endoscopist. And we can go on and on, almost all doctors have two diplomas and two certificates.
- Alexander Vladimirovich, what about specialists with narrow profiles? Today cardiovascular diseases come out on top, but we don’t have a separate cardiologist, we have problems with urology and oncology. People are forced to turn to paid specialists. However, they are not aimed at obtaining quick results when treating a patient. And one more observation is the imposition of additional services, tests, examinations, often completely unnecessary, but very expensive.
- You are right, these problems are topical for all regional centers of the region, but I would like to draw the attention of our citizens that when contacting paid clinics For patients, the first priority should be the question of the advisability of prescribing medical and other services to them, and then questions of price, conditions and quality. In our region, we are solving the problem of the lack of specialized specialists by attracting the necessary doctors to conduct consultations at the Central District Hospital within the framework of compulsory health insurance, that is, they provide free consultations to the population. In addition, I would like to tell Sheksna residents: before seeking paid medical services in private clinics, check with your attending physicians at free appointments whether there is a need and indications for additional examination and treatment. .jpg)
Each patient has the right to check with the attending physician for information regarding this consultation or examination; perhaps, they can be provided to you within the framework of government guarantees. If we cannot provide some consultation or service in a district hospital, but it is indicated for you, then we are ready, moreover, we are obliged to provide referrals to other healthcare organizations in the region and country for specialized or high-tech medical care.
I would like to note that today there are two regional medical structures that our residents can contact in the direction of the Central District Hospital within the framework of compulsory medical insurance - regional No. 1 (Vologda) and regional No. 2 (Cherepovets). And to improve the quality of specialized medical care to the population of the Sheksninsky district, we organized field work within the framework of the state guarantee program for specialists from regional clinical hospitals of Vologda, Cherepovets and the regional children's clinical hospital. The visiting teams include a variety of doctors - an endocrinologist, a neurologist, a cardiologist, an ophthalmologist, a urologist, and pediatric specialists. Over 10 months, 5,551 people were consulted and examined, of which 3,872 were children. As a doctor, I want to emphasize: it is necessary for each of us to remember that it is more expedient to prevent the disease, to manage healthy image life and give up bad habits. Early detection, timely and complete treatment is a guarantee of recovery and longevity.
- What if the doctor at the Sheksninsky Central District Hospital does not prescribe the necessary or additional examinations and treatment, and is silent about the opportunity to refer the patient for a free examination and consultation?
- This shouldn’t happen, but if it does happen, and the doctor does not prescribe or delays the time, then immediately contact me or my deputies. Upon receipt of an appeal, an investigation will be carried out. internal audit with the involvement of independent specialists to identify violations in the treatment provided. We will look into each specific case.
- Alexander Vladimirovich, the terrible word optimization still stirs up fears and gives rise to rumors. You recently explained through the newspaper about the clinic in northern Sheksna that not only are they not going to close it, but, on the contrary, they are planning to expand it. What is optimization happening now?
- By activating internal resources and optimizing the costs of maintaining medical institutions. And first of all, we reduce utility costs through energy saving; we analyze and optimize the costs of maintaining the material and technical base of the central district hospital, analyzing each service presented for payment. All savings will be used for the development of the hospital, including the purchase of modern diagnostic and medical equipment.
- Here we come to one of the main questions. What kind of equipment? And is it really possible that the tomograph promised several years ago will finally be installed? And you will be the same chief doctor of the Sheksninsky Central District Hospital who can do this!
- Yes, we plan to install it in the fourth quarter of 2016, in addition, within the specified time frame we will purchase additional medical equipment for laparoscopic operations. We hope that the auction will take place in November, and the equipment will be installed before the end of the year, and the operations necessary for the Sheksna residents will be carried out in our hospital, and they will no longer have to be sent to Cherepovets and Vologda. Moreover, we now have our own highly qualified specialist - the head of the surgical department, Boris Anatolyevich Minyukhin. In addition, equipment is being purchased to determine drug signs of intoxication, to identify drug addicts driving cars, who, like drunk drivers, pose a great threat to safety traffic. Today there are special requirements in this regard. We will have new audiometry equipment for examining Sheksna residents and conducting preventive examinations. Additionally, defibrillators and ECG machines were purchased for the emergency department and intensive care unit. New medical equipment will allow us to expand the range of services provided by our hospital, and this is only the first stage in the equipment. 
I would also like to note that we managed to do this in addition to the fact that renovations were going on all year: the fifth floor of the ward building, where the children's department, Department of Neurology and Day Hospital. The renovation of the second floor of the ward building is almost complete. The premises are allocated for expanding the provision of outpatient services. The roof of the catering unit and the roof of the three-story ward building have been repaired; it is planned to repair the roof of the five-story building.
- Just unbelieveble! Where are the sources of funding, if it’s not a secret?
- In addition to the budget funds, which are determined by the Department of Health and Economics, which I spoke about above, Evgeniy Artemovich Bogomazov, the head of the Sheksninsky district, provides enormous assistance in solving tasks and problems; of course, these are the heads of enterprises and organizations of our district and region. A lot of people helped and continue to help: Stanislav Stanislavovich Berezin, deputy of the Legislative Assembly of the Vologda Region, head of the Sheksninsky LPUMG, A.A. and Yu.A. Atomyan (“AtAg”), directors of branches of the SOGAZ insurance group, ShKDP headed by A.I. Nakvasin. Tangible support comes from Sheksna CJSC, Sheksna-Vodokanal, Sheksna-Teploset, and district entrepreneurs. Help is not necessarily money, it helps with material and technical means, provision of transport services, provision of labor resources. Take, for example, the head of the road section of the federal highway Vologda - Novaya Ladoga Tamara Viktorovna Oparina. 
Thanks to her, it was possible to repair the hospital's access roads. As you remember, there have been complaints about their condition for many years, severe patients on bumps and pits, tossed from side to side in ambulances (photo from the editorial archive). Now all the potholes are covered with asphalt chips. A large amount of work has been carried out for the benefit of our region together with the heads of the Sheksninsky correctional institutions, for which we are deeply grateful. The hospital is being revived, and help is coming from all sides, and we accept it, realizing that this is an advance of trust from the citizens of the region, in the hope of high-quality and affordable treatment.
- Alexander Vladimirovich, it becomes clear that you are using all possible legal means to increase the rating of the Sheksninsky Central District Hospital, and in other words, to preserve the health of the Sheksninsky residents. I know that, among other things, you are leading a great educational work in the team, starting with impatience, rudeness towards patients, indifference, and each such case is a hospital-scale emergency with all the ensuing consequences.
- There is no other way. First of all, everyone needs to start with themselves, with their attitude towards the chosen business. We work with people! My task is to return the trust and respect of Sheksna residents to the central regional hospital. Today there is a financial recovery in general and a recovery of the team from a purely human and spiritual point of view. Provided that we treat people adequately and with care, and they begin to treat us the same way. As of today, all pressing issues regarding hospitals have been resolved, and even in the clinic there are practically none. The coupon system started working. Our residents began to understand that if a patient has a coupon, he will definitely be seen at the specified time. In addition, thanks to the coupon system, the patient determines his own appointment time. If a person goes to the clinic from the village, he already knows that he can order a ticket in advance with the help of a local paramedic or general practitioner in order to get an appointment on time. If emergency or emergency assistance is needed, it is provided “on the fly,” as it should be. It all works and there are almost no complaints anymore. 
It should be noted that the hospital increases the availability of medical care for the population of the region. They go to rural FAPs medical specialists and conduct consultations, including narrow specialists. Today, a dentist began his work at the Nifantovskaya outpatient clinic; additionally, a general practitioner, Evgeniy Yuryevich Ruzanov, is conducting appointments. Work goes on every day, systematically and without stopping. The main objectives of Sheksninsky healthcare are to preserve and strengthen the health of the population, ensure accessibility and further improve the quality of medical care, strengthen the material, technical and medical base and efficient use of industry resources. We understand that our path is thorny and multi-tasking, but we are confidently moving along this path towards achieving the goal set by the leadership, for the benefit of the population of the Sheksninsky district.
- Alexander Vladimirovich, thank you very much, as always, for the detailed conversation and for everything you do for the residents of the Sheksninsky district.
3386
The Sheksnins have decided which doctor is closer to the people!
The regional competition “People's Doctor” in the Vologda region is being held for the fourth year in a row in accordance with the resolution of the government of the Vologda region and with the support of the United Russia party. During it, medical workers who enjoy special trust and respect of local residents are determined by popular vote. Based on the questionnaires filled out by residents of the Sheksninsky district, the voting results for the Sheksninsky central regional hospital were summed up, and the winners in each nomination were determined. We have already reported that among doctors the title of “People’s Doctor” was given to Dmitry Petrov. Ekaterina Petrova took second place, Olga Odochuk took third place. All three are young professionals.
«
People's
paramedic
»
But in the “People's Paramedic” nomination, only seasoned professionals were among the winners. Thus, for the third year in a row, Natalya Yuryevna Nosovenkova holds the palm. In 1991, a graduate of the Cherepovets Medical School, a resident of the city of metallurgists, arrived on assignment at the Syromyatkinsky FAP. Then she worked at the Sizemsky district hospital, and then for many years she gave to patients who needed ambulance. For the last four years, Natalya Yuryevna has been a senior paramedic at clinic No. 2, a local paramedic at a therapeutic area. Sheksnin residents trust their health to this woman in a medical gown, because she has enormous experience, knowledge, consolidated in practice, versatile - she will not get confused in any situation, since she has seen a lot during her work. But most importantly, she did not lose her compassion and mercy. Problems in the human body, physical pain did not become a routine for her. For this she is loved and respected.
Second place in this category was taken by her ambulance colleague Nadezhda Veniaminovna Stulikova (pictured above). Her medical experience dates back to 1978. The Churovskaya pioneer was an activist and “commanded” the sandruzina. Then her teachers prophesied her future - she must definitely become a medical worker.
- My profession is my calling. After receiving my diploma, I came to work at Churovsky FAP, then worked at Kvasyunensky, Rechno-Sosnovsky. On the ambulance service - since 1988. And while I have the strength, I will work, and also rush to call the sick, listen to them, measure their blood pressure, make diagnoses, give injections, help and save. They say there is great happiness when you go to work with joy and desire. I'm just that person. And my soul has not hardened over the years, I worry about every patient, and especially about the elderly. I feel sorry for the village grandparents, spiritual and physical pain I perceive everyone as my own. 
Third place in this category went to another respected paramedic - Lyudmila Veniaminovna Vasilevskaya (pictured). Her medical work experience is already 41 years.
Independent work began in the pre-medical office. Then, having specialized in regional hospital, received the qualification “paramedic-ENT”. 33 years have passed since then, of which 15 years I have been conducting independent treatment. Indeed, Sheksnin residents consider her a professional who can be trusted. This is confirmed by the official status - a specialist of the highest category. Lyudmila Veniaminovna has the skills to masterfully perform wide range medical procedures. Every five years he undergoes specialization, so he is aware of all medical innovations.
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Folk
nurse
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In the “People's Nurse” nomination, the first step of the podium was taken by the district nurse of clinic No. 2, Natalia Nikolaevna Redrukhina. Such recognition is not new to her - this is the second time she has found herself on the highest step of the people's pedestal. Her homeland is the Sizemsky region. My medical activities She started in the therapeutic department, and for the last 20 years she has been faithfully guarding the health of the residents of Sheksna-2. Always calm, balanced, tactful, she will skillfully carry out assignments, write out directions, and give recommendations. An indispensable doctor's assistant. In recent years he has been working at the therapeutic site together with N.Yu. Nosovenkova. It’s probably not for nothing that they both ended up among the “people’s” winners. (In the photo: I.N. Khruleva, N.Yu. Nosovenkova, N.N. Redrukhina)
Olga Nikolaevna Belyakova, a local pediatrician’s nurse, took second place in the “People’s Nurse” nomination. (in the photo with O.N. Odochuk and a little resident of Sheksna). Here we have a successful tandem with Dr. Olga Nikolaevna Odochuk. Youth and experience. 29 years of pediatric experience as a nurse and three years as a doctor. Also namesakes.
Olga Nikolaevna the younger shared: “My homeland is Sheksna. I am a graduate of the Ustye-Ugolsk school. After graduating from the pediatric faculty of the Yaroslavl Medical Institute and completing an internship in Vologda, I returned home. But there was no vacancy for me. It was 2008. I managed to work as a general doctor "
Nurse Olga Nikolaevna Belyakova also loves her job. She worked for many years with a wonderful doctor, Larisa Vladimirovna Kuznetsova. The friendly nurse is well known to the parents of children from the site, since several generations of children have passed through her caring hands.
Another winner in the “People’s Nurse” category, Irina Nikolaevna Khruleva, took third place. Her experience as a district nurse at clinic No. 2 dates back to 1998. Before that, she worked at the Sizemsk district hospital, at her small homeland. She and her local doctor Ekaterina Petrova are also in tandem - both became nominees. Irina Nikolaevna’s daughter followed in her mother’s footsteps, choosing a medical path and working as a pediatrician in Cherepovets.
Elena IZYUMOVA.
Photo author.
4526
Doctor Pankov: “Life begins in the maternity hospital!”
Vladimir Alekseevich Pankov, a doctor at the Sheksninskaya Central District Hospital, became the winner of the regional competition “People’s Doctor”. Since 2004, he has been in charge of the obstetric department, where about 270 babies are born every year. Each of his working days begins with the maternity hospital, and almost every day is marked by the birth of a new person. But for the conversation, I suggested questions mostly not about work, but about personal life. What kind of son, husband, dad is he? What are your hobbies and how do you relax?
- Vladimir Alekseevich, I know that your father is a military man. Why did his son not want to follow in his footsteps, but decided to become a doctor?
- Today dad is a retired colonel. And my entire childhood was connected with the army, life on the road, I had to change seven schools during my studies. Just get used to your new place of residence, to the teachers, make friends with your classmates and everything will be new. I am the only son of my parents. I wanted to get out of this vicious circle, so I couldn’t even think about a military career. But I don’t know why exactly the doctor. Maybe my dad’s sister, my aunt, contributed, she worked as a paramedic. I wanted to be a surgeon. But in the first year I failed upon admission. I stayed to work at the institute and prepared intensively, so take-2 became successful. Unlearned. And then it was determined based on vacancies in the Gryazovets Central District Hospital. My family had settled in this town by this time. Surgeons were not required, but obstetricians and gynecologists were needed, so I completed an internship in this specialty. The irony of fate, it would seem, but how accurate it turned out to be in my choice. It is a great thing to help bring a new life into the world. At the same time, there is enough extreme in my work, almost every day I have to quickly make the only right decision; I am an operating surgeon. 
- You have three children. Who helped them come into being?
- At the birth of my first daughter, unfortunately, I was not there, but I did not trust the process of giving birth to both sons to anyone. Today Nadyushka is 12 years old, Egor is eight and Evgeniy is three.
- What reason made you leave Gryazovets and move to Sheksna?
- My wife worked as a midwife at the Gryazovets maternity hospital, when I came to work, we met and then got married. I wanted to live with my family, separately from my parents, but getting housing was unrealistic, as was buying it. Visiting doctors were given apartments, but since we had a place of registration, we were not entitled to such a benefit. So we moved to Sheksna, where we were given our own housing. Having settled here, we began to rarely come to our parents’ house. As I already said, I am the only child of my parents. They couldn’t stand it, sold the apartment and moved to Sheksna, buying their own home here. Dad and Mom became our support in everything, especially with the children. When a problem arose with the midwives at the maternity hospital, my wife even went to work early to support me. And grandmother Tanya took up the upbringing of her youngest grandson.
- I heard you are building a house?
- Yes! And our parents pushed us to take this step. They exchanged the apartment for a house in Nifantov and moved there, so to speak, closer to the ground. So we bought it nearby land plot and started construction. We hope to be able to move in by the fall.
- Do you build it yourself?
- If I had time, I would build it. But work takes a lot of effort and personal time. I'm just a helper for the builders. While on vacation, I restored an old bathhouse on the site. I dug up all the ground.
- How do you rest? Do you have a hobby?
- Rest for me is a change of activity. We have a dacha on Zaitsev. Although we planted the plot near the house under construction, we did not abandon the dacha. Moreover, we not only grow crops there, but also keep chickens and rabbits. 
- Rabbits? Chickens? How do they winter there?
“We started breeding rabbits after our youngest son was diagnosed with an allergy to chicken and beef. Rabbit meat is a dietary product. At first we bought carcasses, and then we were offered a female rabbit who was expecting a litter. As a result, by the fall we raised a litter of rabbits, put the supplies in the freezer, and took the female to her parents for the winter. With the arrival of spring they started breeding again. Today we already have about 40 long-eared ones, and 10 hens with a rooster. We feed them all the waste from the garden, weeds - waste-free production it turns out. Everyone takes care of the animals. My wife got it specially driver license to be able to go to the country. Children are accustomed to work. They also have a house full of animals that need to be taken care of - a dog, a cat, two parrots, fish. For the winter we make a good supply of rabbit meat, providing ourselves with vegetables, berries and even fruits. Everything is environmentally friendly. Good support for family budget, and for health. 
What about hobbies? I enjoy restoring vintage motorcycles. I have already assembled an IZH-49 manufactured in 1956 using individual spare parts, and IZH-56 manufactured in 1961 is already on the move. I'm working on a new copy now. I repair, I collect for the soul.
- Who helps the children do their homework? What do they enjoy in their free time?
- Children's lessons are the wife's concern. But our Nadyushka is an independent girl. She does everything herself, and also helps her brother, a second-grader. The daughter is fond of basketball, Egor goes to the pool to swim, and also plays basketball. Both go to a tutor to study English in depth. For the youngest, kindergarten is enough for now.
- The maternity hospital is a “women’s kingdom”. Is it difficult to work in a team where your colleagues are women, and one of them is a wife, and the patients are only women.
- Women in the maternity hospital are unique specialists, women with masculine character, because they need to have an instant reaction, professional flair, the ability to independently make the right decisions, plus they need to be able to turn off emotions in work and at the same time show compassion, be sensitive and attentive. They are my team of professionals! It is not customary for us to say: “My working day is over.” If someone fails, another immediately takes his place, without complaints or offense, because it is impossible otherwise. And as a result... It’s probably not for nothing that many Sheksna women prefer to give birth in the district maternity hospital.
4257
Coupon system in the clinic of the Sheksninskaya Central District Hospital
In the clinic of the Sheksninskaya Central District Hospital, a coupon system has been introduced for appointments with specialized specialists - a surgeon, an ENT specialist, an ophthalmologist, a neurologist, and a dentist - in order to regulate the queue and make it easier for patients to visit medical institution. The administration did not reinvent the wheel; this is how they conducted receptions before, and this is how they conduct receptions in regional clinics.
As told by T.V. Yukhno, the head of the outpatient department, now at the reception desk gives two coupons to patients who have applied for an appointment with a specialist at the Central District Hospital for the first time: a regular one for an appointment with a doctor and a coupon with the queue number and appointment time. Patients who seek medical help again no longer need to stand in line at the reception desk; the doctor gives them a coupon at the appointment indicating the date and time of their next appearance. Patients in need of emergency medical care receive it regardless of the availability of coupons. Specific times have been set for medical examinations and paid services– from 14.00 to 15.00.
For the convenience of patients, there is a pre-registration - you can make an appointment at the reception desk, via the Internet, rural residents make an appointment with a specialist at the Central District Hospital by telephone from a FAP paramedic. A certain number of coupons are allocated for pre-registration, so it’s better to worry 10-14 days in advance, since you won’t always be able to sign up for tomorrow. I would like to note that, in accordance with the State Guarantee Program, a wait of up to 14 days for an appointment with a specialist is allowed, just like for routine examinations.
In April 2016, a coupon system was introduced for appointments with dentists. Every day at the reception there are 9 coupons for initial dental appointments for treatment and 10 coupons for removal. From the beginning of May, a coupon system will be launched in the X-ray room, so do not be surprised when the doctor issues a coupon for a specific date and time along with a referral for a routine x-ray examination. When scheduling a test, the FAP paramedic will make an appointment for rural residents by telephone for a specific time.
The changes will also affect studies such as ultrasound. To streamline registration for the study, so that the priority does not exceed the requirements of the state guarantee program, the doctor will issue a coupon along with the referral. It will not be possible to sign up for an ultrasound without a coupon. The exception will be cases emergency assistance when research is vital to establish a diagnosis. In addition, both X-ray and ultrasound examinations are carried out for patients in hospitals, emergency rooms, and clinics in case of emergency care.
- Of course, there are difficulties, since the specifics of central regional hospitals are not purely outpatient. Doctors, most often surgeons, may be interrupted from an appointment for an urgent operation or to the emergency department to provide emergency medical care. In accordance with the requirements of the law, specialists go to children's institutions to conduct preventive examinations of children, work at the military registration and enlistment office during conscription, conduct examinations of pre-conscription age teenagers in the clinic - Tatyana Vladimirovna shares her problems. - Despite the fact that last years The hospital staff has been replenished with young specialists, the personnel problem remains relevant. Sometimes, instead of 40 patients, there are 80-90 patients at an appointment, and each patient receives medical care to the required extent. In such conditions, the patient’s friendly attitude and smile are a support to the medical worker. The administration of the Central District Hospital is trying to establish a system that will be convenient for both patients and doctors. There are certain questions. We are just beginning to develop the coupon approach, so we are open to dialogue and discussion.
Elena IZYUMOVA.
Photo by the author.
3597
I chose a white robe because...
Medical workers have chosen a difficult, but extremely noble profession for themselves. People trust them with their greatest treasure - health, and sometimes life. They not only treat patients based on knowledge, hard work, professionalism, discipline and honesty, but they give them something more - faith in healing. On the eve of the Day of the Medical Worker, I invited our doctors, paramedics, and nurses to answer a number of questions. Why did they decide to devote themselves to medicine? What guided them in their choice? Was this choice correct?
TatianaIvanovnaPopova,doctor-pediatrician.
Her small homeland is the Tambov region. 36 years of experience and all in one area. Now she supervises the health of children of the third generation. It is enough to name the child’s last name, and she already knows who his parents are and what illnesses they had in childhood.
“In my family there were only teachers, and back in elementary school I firmly declared that I would treat children, and not teach. At the institute I met my husband, he was from the Sheksninsky district. But first I ended up in the Vozhegodsky district and worked there while my husband completed his internship in ophthalmology. Three years later we arrived in Sheksna. Never in my life have I regretted choosing pediatrics and medicine in general. I liked the phrase of my dentist colleague Galina Vladimirovna Kuzmina - over the years of work, the white coat grows to the skin. Indeed, you can no longer imagine yourself outside the profession, outside the white coat.
SvetlanaRostislavovnaAkulich,doctorradiologist,originally fromfromSeverodvinsk.
She came to the Sheksninskaya Central District Hospital after graduating from the Arkhangelsk Medical Academy, and additionally specialized in ultrasound diagnostics.
- My mother is a midwife, I spent a lot of time at her work as a child, so I didn’t have a professional choice before me. And I chose diagnostics because it is interesting and extremely important, since the most important thing is a correct diagnosis. Diagnostics is creative thinking process! I think I made the right choice. My husband will come to see me soon. He is finishing his internship and will work as a dentist.
TatianaVictorovnaLyubutina,medicalsisterdepartmentsgeneral medicalpracticesNifantova:
- I came into this profession because of my mother. She was seriously ill, I was very worried... I couldn’t help... She died when I was in the 11th grade. That’s when I firmly decided that I would work for the benefit of people’s health. She graduated from the Cherepovets School, received training as a paramedic and worked for 10 years as a pediatrician, independently receiving small patients at the second section of Sheksna. Since 2006 I have been working in Nifantov and, mainly, also with children. I like my job, I am happy when it is possible to prevent the serious development of the disease, when children recover, it gives me pleasure to help them cope with infections, or better yet, to avoid them altogether. And by my personal example, I encourage everyone to lead a healthy lifestyle, take care of health from childhood, and value life.
AnnaSergeevnaBatogova,paramedicdepartmentsambulancemedicalhelp.
- I come from Sheksna. Since childhood, I dreamed of working in medicine, but after school I went to study as an engineer. However, I quickly realized that this was definitely not for me. I no longer tempt fate. I have been working in an ambulance for four years now. I was convinced that I made an informed choice.
AllaAlexandrovnaVorobyova,proceduralnurseclinics.
Patients go to her for injections and donate blood for tests without fear. They say about it that it will even get into the vein of a fly on the fly.
- First, I applied to the Forestry Mechanical College, and my mother’s friend advised me to go to medical school. After graduating from it and working for two years, I accidentally found in the home archive my drawing from kindergarten on the topic: “What do you want to become?” It turned out that she was a nurse. I drew myself with a syringe in my hands! Probably, after all, this choice was not accidental. My aunt, Zinaida Alekseevna Tsyganova, gave her whole life to medicine.
ElenaGennadievnaSmirnova,anesthesiologist-reanimatologist,headdepartmentresuscitation.
“I decided to become a doctor in elementary school. It was just my choice, which I persistently pursued. After graduating from the Chebsary school, she entered the medical institute in the target field. I wanted to specialize in surgery, but since only the vacancy of an obstetrician-gynecologist was available, I had to choose it. But I worked as a gynecologist for only three years; obstetrics today is my second specialty. I additionally studied to be an anesthesiologist, and today this is the main field of my activity. My sincere conviction is that there are no random people in medicine; the “stray” ones are eliminated very quickly. There are people who remain persistent and faithful. I thank fate for the choice I made. The health and life of a patient is the most precious thing a person can have. And I do my best to help people keep them.
SvetlanaFedorovnaHalabuzar,nursefosterpeace.
- I was born in Donetsk. And my mother is from Yurochkina. I dreamed of becoming a medical worker since childhood, so I didn’t have to make a choice about where to go to study. Dad was then serving in Cherepovets, we lived there, and I graduated from medical school. By distribution I ended up in Charomskoye. I worked for a year and left for my homeland. She got married, gave birth to children, and in 2006 the whole family came to permanent place residence in Sheksna. She worked in Chebsary for 11 years, now she is an emergency room nurse. I haven’t regretted my choice for a single day. Moreover, my daughter entered medical school and is in her second year. There will be a dynasty!
NataliaNikolaevnaSavinova,paramedicDemsinskyFAP.
Colleagues and patients say about her that she has natural mercy.
- My small homeland is the Churovskoye settlement, the village of Igumnovo. In 1985 she graduated from the Vologda Medical School and was assigned to Slizovo. I've been working here ever since. I have asked myself more than once the question of why I chose the medical path. Our family includes teachers, military personnel, and no medical workers. It seems to me that the decisive role was played by Antonina Nikolaevna Malysheva, paramedic at the Churovsky FAP. I remember I was seriously ill, she came to call me, and I immediately felt better. That’s when the idea of my future profession appeared in my head - helping people, treating their illnesses. Unfortunately, different opinions are expressed about medicine now. Personally, I believe that if you choose to become a medical professional, you should put the pain of another person and their care first. Callous people should not work in medicine. You can’t be completely without money, but you can’t measure human pain with money, otherwise goodness and compassion will disappear.
NinaIvanovnaTuchanskaya, Head of the department of medical and preventive care for the rural population of the Sheksninskaya Central District Hospital, she has been guarding the health of the residents of Chebsary and the Chebsary region for 44 years, of which she worked as chief physician for 22 years. For services to the protection of public health, high professionalism, many years conscientious work and in connection with the anniversary birthday - 70 years old - was awarded a valuable gift on behalf of the governor of the Vologda region - wristwatch with the symbols of the region.
In the Sheksninskaya Central District Hospital, having worked for 25 years as the chief nurse of the Sheksninskaya Central District Hospital, she retired ZinaidaAlekseevnaTsyganova. On May 12, she was awarded a valuable gift from the governor - a wristwatch. 
Appointed to this position on May 24 TatianaAlexandrovnaTropareva.
“My mother really wanted me to become a nurse.” She determined my future profession, and I have never regretted it. She worked in the therapeutic department for 19 years, and as a district nurse for five years. Now I'm learning new responsibilities.
- My homeland is the city of Veliky Ustyug. After school, he entered the Arkhangelsk Medical Institute, after graduating he completed an internship at home and worked as a dentist. Three years later he became the head of a dental clinic. In 2002, he went to work for the Sheksna insurance company and headed the branch in Veliky Ustyug. After I built a systematic work and organized the activities of the branch in six more districts, I was offered to become the head of the development department of the entire Sheksna insurance group in Cherepovets, where I moved with my family in 2005. There, from five branches, he developed a regional network to 20 branches and 180 points of presence in the Russian Federation; developing together with the company, he “grew up” to deputy general director. After the sale of the Sheksna insurance group to Sogaz in 2009, I was transferred to Moscow along with the general director. He worked in the capital as the head of the regional network administration department of the entire Sogaz group - 83 branches. In 2013, I headed the regional network of the Guta-Strakhovaniye insurance company as vice president, but, unfortunately, while being active professionally, I devoted little of myself to my family - constant business trips and traveling. When I received an offer to return to my homeland and head the service “For the protection of the rights of the insured and medical examination” in the territorial compulsory health insurance fund of the Vologda region, a family collegial decision was made: “We are returning!” During professional activity At the foundation, I developed a vision for solving healthcare problems, and I wanted to find practical application for the accumulated knowledge and experience. There were many offers, but I chose Sheksna. Convenient geographical position, and with its rivers and bays it reminds me of my homeland - Veliky Ustyug.
- You have been heading the Sheksninskaya Central District Hospital for more than six months, how did the staff receive you?
- When does one take up the position? new person, this naturally suggests that with his arrival new trends will begin. And here came not just the chief medical officer, but a specialist with an economic education, so the team received me with caution.
- Economic education?
- Yes, by profession I am a dentist, second higher education in the specialty “Finance and Credit”, in addition, there is a third one - “Healthcare Organization and Public Health”.
-Why did you decide to become a doctor at one time, what guided you?
- Main role Mom played a role in the choice. She was a professional in her field, worked as a general practitioner and was awarded the high title and award of Honored Doctor of the Russian Federation. Dad first worked as a foreman, then as a teacher at a vocational school, and later became a deputy director and always supported my mother and our close-knit family in everything. There are three children in our family, and they all followed in their mother’s footsteps: the older brother is the chief physician dental clinic"Maestro" in Veliky Ustyug, younger sister She graduated from the Kirov Medical Institute and works as the director of this clinic.
- What were you like as a child? Just as purposeful, correct, hardworking?
- I'll disappoint you. As a child, I was a reckless tomboy. My brother and I are the same age, he studied well, was always exemplary, and in my behavior, at best, there was a “satisfactory” rating. My parents had to blush for me more than once. My brother was sitting at his textbooks, I was hanging out with my friends on the street. There are 11 C grades in the school certificate. However, these threes spoke no longer about my knowledge, but about my behavior. I entered medical school the first time, passing all exams with “4” and “5”. From the second session I received an increased scholarship and so on until the end of my studies.
- It turns out that you typical representative C students who become more successful than excellent students. What grades do you now require from your children?
- Like my parents, I have three successors to the family. The youngest daughter is 1.5 years old, the middle one is a first-grader, and the son is 16 years old. He is a smart guy, there are no complaints about him and there is no need to demand success in his studies. I'm lucky! And he completely left the first-grader at the mercy of his mother, looking at her textbooks several times - “nowadays in school, 1st grade is worse than college.”
- It’s very interesting to know about your life outside the hospital. What are your interests and hobbies? What is your day off like?
- Despite the fact that I am with my family every day, there is still very little time for communication, unfortunately. Therefore, I try to devote myself completely to it on the weekends. In his youth he was fond of fishing, hunting, and now he has a family vacation at the dacha (Alexander Vladimirovich, smiling, shows traces of calluses on the palms of his hands that did not have time to fade after digging up the beds in the spring).
- I’m listening to you, and the question naturally arises: you happy man?
- Happiness is a reliable rear – a loving wife and children. Happiness is a job that you like and go to with pleasure. Happiness is a friendly and close-knit team of like-minded colleagues, with whom all problems become solvable. Happiness is when healthy and happy people surround you, and you do everything possible for this and give all your strength without reserve, and then rejoice with them in your joint victory over illness and disease.
- Is it possible to “turn your head off” from professional activities by closing the door of the Sheksninskaya Central District Hospital after a working day or week?
- I don’t turn off my head or my phone. I won’t have a full vacation or a weekend until I finally get the system working. But we are still far from ideal. We are constantly improving, moving forward in development and not standing still. It is no secret to colleagues that the chief doctor can come for an inspection in the middle of the night, on a weekend, or even just before the opening of the registry, in order to control the issuance of coupons and the attitude towards patients when making an appointment. Analyzing the work of the staff, I stand on the sidelines and observe the communication of my colleagues with the population. Systematic monitoring of the quality of medical care and communication with patients in hospital and clinic departments brings “fruits of joy,” namely, gratitude from the population in the organization of medical care, which they express directly during communication, and a decrease in the number of complaints about the medicine in our area. That is why I demand from my colleagues to keep me informed of all events in the district healthcare system, I do not leave a single complaint from the population unattended, because only joint work will give positive effect and will improve our activities, since there are always two sides to a “coin”, and all opinions must always be taken into account. We are intended to provide medical care to the residents of the area; we, doctors, cannot exist without patients, just as they cannot do without medical care. Our work must be built on the principles of mutual respect, understanding and compassion.
- What is the most difficult thing in your work today?
- I will put personnel first. They are the ones who decide everything. Today there is a good federal program “Zemsky Doctor”, when young specialists who come to work in the village are allocated allowances in the amount of 1 million rubles. This is significant support. Now the United Russia party is promoting the adoption of a similar program “Zemsky Paramedic,” which would solve the problem of securing paramedics in rural areas and rejuvenating the workforce. The second component is the continued improvement of the material and technical base.
- What tasks do you set for yourself in the near future?
- Renovation of the second floor in order to expand the premises for providing outpatient care to the population. Reconstruction of the ambulance premises, close attention to the organization of medical care for the rural population and much, much more. I don’t like to get ahead of myself, I’m used to talking not about what I plan to do, but about what I managed to do, so let’s give all the news after the fact.
Natalya Alekseevna’s homeland is the Churovskoe settlement, here she was born, raised, graduated from school with honors, after which she entered the pediatric faculty of the Yaroslavl State Medical Academy. She consolidated the acquired theoretical knowledge with practice, starting her career in the children's city clinic No. 3 in Vologda. Having gained experience as a local pediatrician, Natalya Alekseevna returned to her native Sheksna and has already managed to establish herself as competent, attentive, conscientious pediatrician. In the pediatric department, which is currently located on the third floor of a five-story hospital building next to the therapeutic department, Natalya Alekseevna now carefully treats the children admitted there.
- Natalya Alekseevna, recently there has been a lot of talk about the pediatric department, what do you think about it? Tell us, what conditions are created for children?
- The hospital administration and medical workers working with children are making every effort to ensure that our little patients and their parents feel comfortable while being treated in the pediatric department. Work to create conditions continues. The department can treat six children at the same time, and there is also a single “mother and child” ward. The nursing station is located in close proximity to the wards, so children are under constant supervision. Experienced children's nurses carry out doctor's orders and can take children to consultations with specialists and physical therapy.
- B modern conditions Many diseases are treated on an outpatient basis, but what are the advantages of inpatient treatment?
- Yes, treatment in a hospital has its advantages: constant monitoring of the child’s health by the attending physician, the possibility of timely adjustment of treatment, availability of additional examination in short time, physiotherapeutic treatment, which is very important for the family budget - free provision medicines for the treatment of a child. I believe that inpatient treatment is especially important for children who live at a considerable distance from Sheksna.
- Natalya Alekseevna, you are not only a young doctor, but also a mother. I would like to hear your opinion about childhood vaccinations? Are you making them for your baby?
- Of course I do! Unfortunately, nowadays, pediatricians are increasingly faced with the problem of parents refusing to vaccinate their children. I don't understand them. With their decision they are putting the child's life in danger. If the baby is healthy, or there is a pathology that is not an obstacle to vaccination, then there is absolutely nothing to fear. A rise in body temperature, which parents are often afraid of, is a normal reaction to the introduction of a vaccine, which means that antibodies against viruses and bacteria are being actively produced. Therefore, I repeat, do not believe myths and stories about the dangers of vaccination, but believe the achievements of medicine and common sense. Before vaccinating a child against a particular infection, the doctor will determine whether there are any contraindications for vaccination (specific vaccinations have specific contraindications).
- How can you facilitate the process of adaptation of a child when entering kindergarten?
- I would immediately like to set parents up to the fact that whether they want it or not, children will most often get sick during the first five years. This is due to the characteristics of the formation immune system. The frequency of diseases depends on the individual reactivity of the body. As sad as it is, you just have to get through this time. And there is no point in interfering with physiological process by using modern immunomodulators, if the child does not have congenital or acquired immunodeficiency. And you can prepare your baby’s body to get used to a new environment with the help of a set of hardening procedures that can be carried out with early age. These are air and sun baths, rubdowns, and for older children - douses, local impact environmental factors. Thanks to these activities, the child will be more resistant to the effects of cold air, temperature changes, and will have deep sleep, good appetite, improved health. The only thing you need to remember is that health activities must be carried out systematically to achieve the desired result. I wish all residents of our region, their children health and prosperity in 2016!
T.Yu. YUKHNO,
doctor at the medical prevention office.
Budgetary healthcare institution of the Vologda region ( BUZ VO Sheksninskaya Central District Hospital), is therapeutic and diagnostic and advisory center. Provides outpatient care (both planned and emergency), and round-the-clock inpatient care, corresponding to the most modern medical standards, assistance to both residents of their own and neighboring areas.
On the basis of the Sheksninskaya Central District Hospital, both free, 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 obtain a certificate for driving a vehicle, a certificate for purchasing and carrying weapons, a certificate for employment, as well as receive expert advice and other types of services.
Sheksninskaya Central District Hospital 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. On the basis of the institution, visiting teams of specialist doctors have been created to provide various types medical, organizational, methodological and advisory assistance.
Sheksninskaya Central District Hospital is a constantly developing and improving treatment 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 using the “Electronic Registration” service is widely used.
The population of the Sheksninsky district attached to the medical institution is about 33 thousand people. In addition to residents of the area, all residents of the surrounding areas can also receive help here.
In the structure of the Sheksninskaya Central District Hospital, in the complex, there is a polyclinic, a multidisciplinary 24-hour hospital, a hospital day stay at the clinic, general practitioners' offices, emergency department. To serve the rural population - medical and obstetric stations. The diagnostic service is represented by a clinical diagnostic (general clinical and biochemical) laboratory, an ultrasound diagnostic department, fluorography rooms, an X-ray room, exercise therapy and physiotherapy services.
The control function of the Sheksninskaya Central District Hospital is carried out by the Department of Health of the Vologda Region, the territorial body of Roszdravnadzor for the Vologda Region and the Territorial Compulsory Medical Insurance Fund of the Vologda Region.
INN: 3524004946, OGRN: 1033500887793, OKPO: 01921340, checkpoint: 352401001.
BUDGETARY HEALTH INSTITUTION OF THE VOLOGDA REGION "SHEKSNINSKAYA CENTRAL DISTRICT HOSPITAL" is a state budgetary institution that provides medical services to the population.
The hospital provides consultations and treatment at the expense of budget funds, insurance premiums, and other revenues. The health care facility employs certified, experienced doctors who constantly improve their skills. BUZ VO "SHEKSNINSKAYA CRH" has high-tech equipment that allows it to conduct research of a different spectrum and provide emergency medical care.
The chief doctor of the organization is ALEXANDER VLADIMIROVICH LUGOVIN.
Rating
Based real estimates and reviews from citizens about the medical organization, we present you with an average score reflecting the quality of the provision of paid and free medical services at the SHEKSNI CRH.
Operating mode
The organization operates according to the following schedule:
When planning your visit, be sure to check the opening hours by phone.
Doctors
The institution employs doctors specializing in the diagnosis, treatment and prevention of various diseases. The appointment schedule for specialists corresponds to the latest current data.
License
Any public medical institution must have a license to provide medical services.
License: LO-35-01-000795. Date of issue: 02.11.2011. Licensing authority: Department of Health of the Vologda Region.
Address
BUZ VO "SHEKSNINSKAYA CRH" is located at the following address: 162560, Vologda region, Sheksninsky district, Sheksna rp, Lenina st., 22.
You can build your path to the institution using the map:
Contacts
You can consult or make an appointment with a doctor by phone: 8175121806, 8175122460. You can also contact with your question email institutions: .
Official site
Medical institution has its own official website: http://Sheksna.volmed.org.ru, where all the information about attending physicians and their work hours is posted.
BUZ VO "SHEKSNINSKAYA CRH" interacts with the portal
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