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Nothing to Stop the Pain

Published: February 12, 2014 (Issue # 1797)




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Afew days ago, retired Rear Admiral Vyacheslav Apanasenko put anend tohis own life. He earlier helped develop theBulava missile but later struggled with terminal cancer. Although he had little hope ofsurviving, he could have spent his remaining days inthe company offriends andrelatives. Former Apple CEO Steve Jobs died froma similar illness, andhe managed tocontinue working almost right up until theend. Apanasenko preferred shooting himself. Inhis case, euthanasia was preferable tothe treatment provided bythe medical system.

Euthanasia is illegal inRussia, but it remains common practice. Relatives kill their loved ones rather than watch them suffer inagony without painkillers. Patients commit suicide, andone patient even killed his doctor who was prolonging his torment before taking his own life.

News reports have been rather vague inexplaining Apanasenkos cause ofdeath. Thenewspaper Rossiiskaya Gazeta reported only that he had aserious case ofcancer andexperienced difficulty obtaining painkillers. But his daughter gave amore dramatic description ofthe situation ina Facebook post:

Papa had late-stage pancreatic cancer, she wrote. He courageously endured thepain. Mama tried toobtain themorphine he had been prescribed. Toget afive-day supply ofvials, forseveral days she had torun fromoffice tooffice inthe medical center forhours ata time. Onthe final day, she was short ofone signature when themedical center closed. She came home completely burned out andwithout theanesthetics. Papa was outraged. This was thelast straw. That night he got everything ready andleft anote clearly stating his reasons. I ask that you not blame anyone except theHealth Ministry andthe government. I am prepared tosuffer, but it is intolerable tosee my loved ones suffer. He wrote thetime anddate andsigned it. Then he took his prized pistol. I think that with this act he wanted todraw attention tohow cancer patients are treated inRussia.

TheFederal Drug Control Service headed byViktor Ivanov, alongtime associate ofPresidentVladimir Putin, created this inhumane system forcontrolling theissuance ofpainkillers.

Terminally ill patients andthose insevere pain must navigate ahellish bureaucracy toobtain even five vials ofpotent painkillers. Then, they must return theunused vials andbottle labels after thepatient has died. Not only is it difficult andfrustrating toget theclinic staff tosign off onthe returned items, but therelatives are held criminally responsible forfailing todo so even if they have accidentally lost them. Cancer patients are assigned toa single pharmacy that works with themedical center or cancer clinic inquestion. If that pharmacy does not have themedicines forwhatever reason, thepatient is left toscream inpain or die ofshock. Insome cases, individuals with late-stage cancer must personally appear toreceive aprescription forthe medicines that can relieve their suffering. Long weekends or holidays become aliving nightmare forpatients andtheir relatives because each prescription covers only ashort period andregulations make it impossible tostock up inadvance.

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ALL ABOUT TOWN

Friday, Sept. 19


SPIBAs newest addition to their Cultural Discoveries events is Handmade in Germany, an exhibition featuring unique handmade objects of a significantly higher quality than mass-produced items. The work of over 100 German manufacturers will be displayed during the event, which opens today in the Lutheran Church of Saint Peter and Paul on Nevsky Prospekt and runs through Sept. 28.



Saturday, Sept. 20


Starting on Sept. 18 and ending tomorrow is the Extreme Fantasy Wakeboarding Festival in Sunpark by Sredny Suzdalskoye lake in the Ozerki region of the city.


Those after something more laid back can instead head to Jazz and Wine night at TerraVino with legendary jazz guitarist Ildar Kazahanov. 12/14 Admiralteyskaya Emb.



Sunday, Sept. 21


Learn more about African culture and get some exercise during todays Djembe and Vuvuzela, a bike ride starting in Palace Square that includes several stops where riders can listen to the music of Africa or watch short films about the continent. The riders plan to set off at 4 p.m. and all you need to join is a set of wheels.



Monday, Sept. 22


Do you love puppetry? If so, then be sure to go to BTK-Fest, a five-day festival that starts on Sept. 19 celebrating the art. Contemporaries from France, Belgium, the U.K. and other countries will join Russian artists to put on theatrical performances involving a variety of themes, materials and eras. Workshops and meetings are also scheduled for a chance to discuss the artistic medium in further depth.



Tuesday, Sept. 23


Marina Suhih, Director of the External Communications Department at Rostelecom North-West, and Yana Donskaya, HR Director for Northern Capital Gateway are just some of the confirmed participants of todays round table discussion on Interaction with Trade Unions being hosted by SPIBA. Confirm your attendance with SPIBA by Sept. 22.


Kino Expo 2014, an international film industry convention, will be at LenExpo from today until Sept. 26. The third largest exhibition of film equipment in the world, the expo focuses on not only Russia but former Soviet republics as well.



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