we are working on the corpses, but in reality, when a pathologist looks
biopsy material, its conclusion may depend on a human life.



Autopsy, who believe our main job, unfortunately, may
soon all go into the past. Why "unfortunately"? Before 1990, we dissected
approximately 70% of all deaths. And so it knew the cause of death and the level of
mortality from various types of pathologies. Most importantly, we were able to establish the reasons
misdiagnosis, and our conclusions learned practitioners.



In 1991, the Duma passed a law that autopsy can be done now
only with the consent of relatives. And it threatens to impunity for physicians.
The patient died, they buried him - and all, no "from what?", "Why?" Will not. In
Moscow then adopted by-law under which, if the
patients after admission to hospital had at least some medical
manipulation, since the formulation of subclavian catheter and ending
gastroscopy, the autopsy should be conducted. Some Moscow hospitals
thanks to a regulation act preserved figures of fifteen
Period: reveal the remains of about 70% of the dead. And in Russia the number of autopsies
already accounts for about 25%. After 5 - 6 years we get a total outrage, and
Doctors absolutely will not be afraid of making mistakes: do not care if the relatives
time something is suspect, no one can prove.



According to reports, the chief pathologist of Moscow, 36% of Russian pathologists -
aged 60, 15 - 20% - middle generation, and young people under 30 years ... in Moscow
For example, 2 - 3%.



For youth, this specialty has lost its prestige due to the small salary. In
any other country coroner - the second in terms of paying medical
specialty of surgery, because in the West realize that without the pathological anatomy
impossible to put half of diagnoses. In Russia, the salary of doctors is very small,
and it certainly is not news. But other doctors besides the salary is
a no extra money. Patients are paid to doctors if
no money, then at the level of "you heal me, and I'll repair the car."
Pathologist as directly with the patient and his family does not communicate, he
for them somewhere far away and abstract. The doctor tells them: "we'll see, and I
put your diagnosis, and the pathologist is like it is not involved in
treatment.



To somehow survive, people are working on 3 - 4 bets, and a colossal
load. For a single bet pathologist should look 4000 biopsies per year,
that is, to 340 per month. Suppose we cease to open, but who will investigate
biopsy? For the year as one of their only hospital is about 40 thousand. And when
the older generation retires, and we postareem, work will be virtually
no one. "



Three questions from the layman



- Do pathologists there are professional superstition?



- I have no superstitions, no. But one thing is sure: none
pathologist will not reveal the man whom he knew.



There is one unwritten law: you go to open a tuberculosis patient - always
must eat, or risk of infection is very high.



If medical students are joking and arguing over who will be able to dine next to the corpse, no one
of them are not exactly become a pathologist. Among my colleagues, such "entertainment"
nobody's interested.



- Is it tase that unscaspulous doctors are waiting for the end of the opening under the door?



- By law, doctors must always be present at the autopsy, they need not
hide behind a door. But from the intensive care unit, intensive care doctors do not
can always break out - in such cases they are simply asked to tell then that
and how. Information about medical errors is delivered to the chief doctor and hospital
head offices, and they have to decide how to dispose of it.



- How not to go crazy on the particular job?



- When I became a pathologist, we wondered: why I do not touch
head? Concluded that there is a psychological defense within us.
When you read history, you see in front of a live person, but before
opening is some internal switch: it is interesting to understand the kind of
Pathology and why it happened. Idea works only in one direction: that
based on pathology, are comparable whether our findings with the clinical picture
disease and how it should sound anatomopathological diagnosis.



Neither the pathologist will not reveal the man whom he knew.

Source: Aif.com