The hospital is increasingly becoming a ghost. Simultaneously with the presentation of the new chief of the colony, the order was read out, now it is no longer called the "Central Hospital of the institution", but becomes an appendage to the colony of strict regime. At the same time, the fund is not reducing - there are still the same 325 beds, of which 120 are tubercular. With the introduction last year of a hospital for 80 beds to the hospital, the HIV-infected patients were "fused" not only from the Kirov UIN, but also from other regions. Many of them (almost all) are associated with tuberculosis. For today in hospital three patients with an active phase TBC and a HIV of an infection. One (22 years) entered Wednesday: HIV infection, tuberculous meningitis, active phase, severe course. Patient in a coma, edema of the brain, edema of the lungs. There is no need to talk about any specific therapy, unless of course streptomycin can be considered a specific therapy. Today, on alert, I barely found four ampoules of dexazone. The mother of the convict herself brought a doctor from Kirov (a specialist in extrapulmonary tuberculosis). In the hospital there were 12 doctors, all transferred to dezhuranty, including laboratory technician and roentgenologist. People leave and leave. There was not a single baklaborant. The payment for the duty was canceled for six months and replaced with compensatory time off. The department of resuscitation does not exist as such. Attempts to convince him of the need are simply being stopped. Contrary to the legislation, the hospital does not have the status of tuberculosis or infectious (LIU - medical correctional facility), which means that we, doctors and nurses, are deprived of the benefits that are due to work with tuberculosis patients and HIV-infected people. One of the phthisiatricians had already had tuberculosis, but continues to work. I believe that all this is well thought out at the top. Medicine in penitentiary institutions today is the "fifth wheel in the cart". The profanation of its existence is obvious.
