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The Challenge of Finding a Remedy for Health Care

Published: August 26, 2008 (Issue # 1402)



  • Eight-month-old Alexei Artemikhin recovering from heart failure in a hospital in the Kirov region.?
    Photo: Country of Dmitry Sedykin

MOSCOW When anesthesiologist Dmitry Sedykh was called to treat an 8-month-old suffering from heart failure this May, he found no equipment to resuscitate the baby boy.

Sedykh, the only anesthesiologist in the village of Lesnoye in the Kirov region, was summoned to the childrens ward of the local hospital to help little Alexei Artemikhin, who was in critical condition because of severe pneumonia.

The boy needed oxygen, but the hospital had no oxygen concentrator, a device used to provide oxygen therapy to patients. Like many small, rural hospitals, this one also lacked a centralized system in which oxygen is shipped through pipes. The hospital did have compressed oxygen in tanks, but because of the decrepit condition of the childrens ward, fire inspectors had banned them from being used there.

All Sedykh could find was an antiquated oxygen pillow, a rubberized sac filled with oxygen from a tank. The oxygen passes from the pillow through a plastic pipe to a humidifier, where a nasal catheter then feeds it to the lungs.

But there was not even a catheter to carry oxygen from the pillow to the babys lungs. Do you think I am a magician? Sedykh said by telephone from Lesnoye.

Sedykh took an adult oxygen mask and somehow adapted it to the babys face. To humidify the oxygen, he filled a 20-gram syringe with wet cotton, placed it between the plastic pipe and the mask. After pumping the pillow with his hands for a few minutes, he saw the boys checks take on a rosy glow. Sedykh called for a nurse.

I told her, Keep pumping this pillow. Maybe well be able to take the boy to the district hospital tomorrow, he said.

The boy needed a new pillow every 20 minutes. Nurses scurried in and out of the room as they filled pillows with oxygen from the tanks in the adult ward. The process continued day and night for a week before Alexei was finally transported to the larger district hospital in the town of Kirs.

Inventive medical treatments are just the tip of the iceberg of the health care crisis facing Russia. The country ranks a lowly 130th in terms of the effectiveness of its health care system and 127th in terms of its populations health, according to the World Health Organization. This means that the country is not only considerably behind developed Western countries but also the majority of East European and Latin American countries with a similar level of economic development.

At the same time, Russians tend to fall ill much more often than Europeans. In fact, Russians are 30 percent more likely to get sick than Europeans, according to WHO figures.

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ALL ABOUT TOWN

Wednesday, Sept. 3


Although the Peter and Paul Fortress sand sculptures are more central and therefore more visible to the throngs of tourists, the 300th Anniversary Park of St. Petersburgs own collection closes today. The World Collection of Sand Sculptures that have been on display at the park reaches its final day, so fans of the classic beach activity should get there while they can.



Thursday, Sept. 4


Vladimir I. Danchenkov, Head of Baltic Customs, will be in attendance during AmChams Customs and Transportation Committee Meeting convening this afternoon at the organizations office near St. Isaacs Square at 3 p.m.



Friday, Sept. 5


Scrabble lovers and chess masters get their chance to assert their intellectual dominance at the return of the British Book Centers Board Game Evenings tonight. Held weekly on Friday nights, the event gives both board game lovers and those hoping to improve their English the chance to meet, greet and compete. Check out the centers VK page for more details.



Saturday, Sept. 6


Athletes will relish the chance to get the latest gear and try out something new at I Choose Sport, an annual event at Lenexpo forum that plans to welcome more than 30,000 people this week to the international exhibition center. Not only will visitors get to try their hand at various athletic endeavors but they will also be able to peruse equipment that can fulfill their dreams of becoming a champion.


Local KHL team SKA St. Petersburg open their season this evening at home against Lokomotiv Yarovslavl at the Ice Palace arena next to the Prospekt Bolshevikov metro station. See their website for a full schedule and available tickets.



Sunday, Sept. 7


Check out retro and antique cars at Fort Konstantin on Kronstadt Island in the Gulf of Finland at FORTuna, a yearly car festival that highlights the eccentricities of the Soviet automobile industry. A car race, contests and a stunt show will give visitors a chance to rev their engines.



Monday, Sept. 8


This evening marks the opening of the two-week ballet festival High Season at the Mikhailovsky Theater. Check the theaters website for more details about performances and featured dancers.



Tuesday, Sept. 9


Discuss the latest news and issues at the AmCham Hazardous Waste Management Roundtable this morning in the Tango Conference Hall of the Sokos Hotel Palace Bridge on Birzhevoy Pereulok. Starting at 9 a.m., planned topics include the Krasny Bor landfill and waste transportation between Russia and Finland.


Learn more about the citys modern architectural trends at the SPIBA Real Estate and Construction Committees meeting on the topic Contemporary Petersburg Style: What is It? Participants will get the chance to discuss whats in-demand with RBI Holdings Irina Petrova and Lubava Pryanikova, and the current state of the local real estate market. Please confirm your attendance by Sept. 5 through SPIBAs website if you wish to attend.



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