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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

Thursday, Apr. 24


Learn more about Denmark during the Danish Business Delegations visit to SPIBA this evening starting at 5:30 p.m. at the Danish Culture Institute. Danish Consul general Klaus Sorensen will be in attendance and the buffet following a presentation on Danish companies in Russia will be the perfect opportunity to network with the assembled businessmen.


AmChams Human Resources Committee Meeting is scheduled for 9 a.m. this morning in their St. Petersburg office. Check their website for more details.



Friday, Apr. 25


Light Music presents the main events for their Cultural Kitchen project at Loft-Project Etagi today. A B2B event that focuses on Finnish food, arts, travel, music and design, the evening will conclude with a dinner by chef Jyrki Tsutsunen and dancing to music by Aino Venna. The event, which began yesterday with presentations by tourism and cultural institutions, concludes today with a preview of Finlands Flow festival and other musical events. Invitations are available from www.culturalkitchen.fi.



Saturday, Apr. 26


At 6 p.m. this evening, stylist Liliana Modigliani offers 50 simple ways to up your style quotient with beauty tips at the Galeria shopping center on Ligovsky Prospekt. The event is part of the final day of the shopping malls Fashion Saturday sales event, this week focusing on top brands located on the ground floor as well as presentation from fashion experts on sprucing up your spring look.



Sunday, Apr. 27


Families shouldnt miss Childhood Planet 2014, the trade fair that started yesterday and concludes today at LenExpo. Not only will goods and services be provided for children and families but the event hopes to promote Russian brands and eco-friendly products using the latest technology available in the childcare industry.



Monday, Apr. 28


The Hotel Indigo will be the site of SPIBAs Acting Skills for HR and Other Managers master class this morning starting at 9 a.m. The event will begin with coffee before moving on to the class itself and conclude with a tour of the recently opened hotel. Confirm attendance by Apr. 24.



Tuesday, Apr. 29


Improve your English at the British Book Centers Interactive English Lesson tonight at 6 p.m. Students at pre-intermediate and intermediate levels are welcome discuss topics that are selected to help learners master the more difficult aspects of English grammar and vocabulary.