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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

Wednesday, Oct. 1


The St. Petersburg International Innovation Forum 2014 kicks off today at Lenexpo, where it will be presenting the latest and greatest ideas until Oct. 3. Focusing on economic development and the decisions and measures necessary to encourage development in Russias most important industries, the event is a possibility to discuss the innovations currently available in a variety of fields.


Representatives of the Russian and international media industries arrive in St. Petersburg for the first ever International Media Forum being hosted by the city until Oct. 10. With a variety of events on tap, including workshops, lectures and film screenings, the event plans to reemphasize the citys reputation as the countrys culture capital and as an emerging market and location for the visual arts.



Thursday, Oct. 2


The celebration of the bicentennial of the birth of Mikhail Lermontov continues with todays free exhibition in the citys Lermontov Library at 19 Liteiny Prospekt. Titled Under the Rustling Wings, the temporary exhibition will feature the costumes and scenery used in the 1917 production of Lermontovs play The Masquerade, which he wrote in 1835 when he was only 21 years old.



Friday, Oct. 3


Learn more about how to manage and evaluate employee performance during SPIBAs Human Resources Committee meeting this morning on Employee Assessment: Global and Local Trends. Starting at 9:30 a.m., the discussion will touch on such topics as the partnership between HR and business, reliable assessment strategies and more, with Tatiana Andrianova, the head of the SHL Russia and CIS branch in St. Petersburg, as the featured guest. Confirm your participation by Oct. 2 by emailing office@spiba.ru or calling 325 9091.


AmChams Procurement Committee Meeting is at 9 a.m. this morning in their office in the New St. Isaac Office Center on Ulitsa Yakubovicha.



Saturday, Oct. 4


Wine and cheese lovers will get their chance to revel during Scandinavia Country Club and Spas Wine Market Weekend. Going on today and tomorrow, wining diners can listen to live music, take part in culinary classes and, of course, sample a variety of fine wines from around the world. The cost of admission is 400 rubles ($10.30) for adults and 200 rubles ($5.15) for children.



Sunday, Oct. 5


Look for the latest fall fashions at the Autumn Market today in Freedom Anticafe at 7 Kazanskaya Ulitsa. The minimarket plans to offer clothes more flattering than the puffy jackets that are a staple of the citys cold-weather fashion, while offering the same amount of protection from the biting winds blowing off of the Baltic.



Monday, Oct. 6


SKA St. Petersburg, the citys KHL affiliate, welcomes Slovakian club HC Slovan in a match-up tonight at the Ice Palace near the Prospekt Bolshevikov metro station. The puck drops at 7:30 p.m. and tickets can be purchased on the clubs website or in person at either the arenas box office or the clubs merchandise store on Nevsky Prospekt.



Tuesday, Oct. 7


Learn more about Russias energy industry at the St. Petersburg Energy Forum that begins today and runs through Oct. 10. Attracting industry experts and political and business representatives, the forum plans to welcome more than 350 plus companies and their representatives to discuss the future of Russias largest economic sector.



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