• Contact us
• About us
• A-Z topics
• Symptom Checker
• Service Finder
• Linking to us
• Information partners
• Terms of use
• Privacy

Pregnancy, Birth and Baby is funded by the Australian Government and operated by Healthdirect Australia.

Pregnancy, Birth and Baby is provided on behalf of the Department of Health

Pregnancy, Birth and Baby’s information and advice are developed and managed within a rigorous clinical governance framework. This website is certified by the Health On The Net (HON) foundation, the standard for trustworthy health information.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.

The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.

Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.

Support this browser is being discontinued for Pregnancy, Birth and Baby

Support for this browser is being discontinued for this site

• Internet Explorer 11 and lower

We currently support Microsoft Edge, Chrome, Firefox and Safari. For more information, please visit the links below:

• Chrome by Google
• Firefox by Mozilla
• Microsoft Edge
• Safari by Apple

You are welcome to continue browsing this site with this browser. Some features, tools or interaction may not work correctly.

Complicated pregnancy - prices for diagnosis and monitoring of pregnancy in the clinic "Mother and Child" in Moscow

Some patients have to go through many serious trials before they feel the joy of motherhood. Among the most pressing problems are difficulties with conception and gestation associated with antiphospholipid syndrome.

This is an autoimmune pathology in which the immune system begins to destroy the structures of its own body. The disease is accompanied by a complex of thromboembolic complications, which are dangerous at all stages of waiting for the baby. Pregnancy planning, timely diagnosis and preventive therapy can minimize risks and create favorable conditions for gestation and successful delivery.

Antiphospholipid syndrome during pregnancy in Moscow:

Clinical hospital MD GROUPClinical hospital Lapino-1 "Mother and Child"Clinic KG "Lapino" in Odintsovo (branch)Clinic "Mother and Child" Khodynskoe PoleClinic "Mother and Child" Kuntsevo

Clinic "Mother and Child" Savelovskaya Clinic "Mother and Child" South-West Clinic "Mother and Child" Novogireevo Clinic "Mother and Child" Lefortovo

Hide

Features of pathology

Antiphospholipid syndrome is a condition in which antibodies to phospholipid complexes present in organs begin to perceive the tissues of their own body as foreign. Due to the attack on tissues, any system can suffer, but most often the disease causes thrombosis.

The relevance of the problem of antiphospholipid syndrome is associated with high risks of miscarriage, as well as with severe malformations in newborns. The reasons for the development of APS are not yet fully understood, but there are a number of predisposing factors:

• hereditary predisposition;
• autoimmune pathologies of complex origin;
• transferred infectious diseases;
• diseases of the blood and hematopoietic organs;
• malignant neoplasms;
• long-term use of hormonal drugs.

Risk of antiphospholipid syndrome

Antiphospholipid syndrome can be primary or secondary, both forms have the same manifestations - thrombosis with localization in the arteries or in the veins. Antiphospholipid antibodies can disrupt the implantation process and the properties of embryonic cell structures, which leads to the launch of pathological processes - the development of severe inflammatory diseases and cell death.

Without medical supervision and adequate therapy, APS is dangerous for both the expectant mother and the baby. The most frequent complications:

• for a pregnant woman - preeclampsia, placental abruption, thrombocytopenia, cardiovascular complications, arterial hypertension;
• for the fetus - miscarriage, premature delivery, intrauterine death, severe intrauterine growth retardation, fetal thrombosis;
• in a newborn - thrombosis, asymptomatic increase in the level of antibodies to phospholipids, autism.

Pregnancy management

To exclude the development of dangerous complications, a pregnant woman should be constantly under the supervision of an obstetrician-gynecologist and a hemostasiologist. It is important to understand that all existing methods of treatment do not guarantee the complete elimination of antiphospholipid antibodies from the blood, since their production is spontaneous. The number of antibodies can increase or decrease up to complete disappearance, and this dynamics depends little on the therapy used. Treatment is aimed primarily at preventing complications.

Prescribed drugs:

• anticoagulants that reduce blood viscosity;
• antiaggregants that prevent erythrocytes and platelets from sticking together;
• B vitamins;
• progesterone.

The dosage of drugs is adjusted based on the results of laboratory tests.

To make an appointment with the specialists of the Mother and Child Center, fill out the feedback form or call the specified phone number.

Make an appointment

services - Antiphospholipid syndrome in pregnancy

Clinical Hospital MD GROUPClinical Hospital Lapino-1 "Mother and Child"Clinic KG "Lapino" in Odintsovo (branch)Clinic "Mother and Child" KuntsevoClinic "Mother and Child" Khodynskoye PoleClinic "Mother and Child" SavelovskayaClinic "Mother and Child" Yugo-ZapadMother and Child Clinic LefortovoMother and Child Clinic Novogireevo

Antiphospholipid syndrome in pregnancy

By clicking on the send button, I consent to the processing of personal data

19:32 October 29, 2022.

Natalia Golubkova

Healthcare, News of the Kuril Islands, Weekly, Yuzhno-Kurilsk

— No, I don’t go to doctors, I’m afraid of them. If you come, they will definitely find something, otherwise I am the healthiest person in the world. So my mother went to an appointment - now I'm taking her to the hospital in Yuzhny.

This is what an employee of the Shikotan detention center for homeless animals says. He boards the ship "Igor Farkhutdinov" together with members of the expedition "Frontiers of Russia". With those to whom I did not dare to come for an examination. And in vain. For ten days, 15 narrow specialists from different cities of Russia received residents of Shikotan free of charge at the local district hospital and helped many of them to find out the diagnosis, get recommendations, and adjust the treatment. And some, quite possibly, saved their lives by noticing something serious in time. There have been many such cases in 15 years.

“Yes, there are no such doctors,” some Sakhalin residents write in the comments, having learned that doctors take vacations and come to the Kuriles to examine everyone for free.

Like Boniface from the cartoon, who went to his grandmother to rest, but still worked.

If you also think that in our world this is something from the realm of fantasy, read the stories of doctors who even happen. The correspondent of Sakh.com was convinced of this by observing the work of doctors on Shikotan.

Elena Muraseeva

Cardiologist, Moscow

What struck me here on Shikotan is the professionalism of the therapists, cardiology. They work according to medical recommendations, according to the algorithm according to which certain drugs are prescribed. The first years, when we came to Iturup, I thought - how is it possible, this drug was not prescribed, this one was not prescribed . .. But then, of course, it became more professional. And now - it’s really neither to add nor subtract to their diagnosis. Everything is done according to the standard. I can advise the patient on another drug, another combination, but the very fact that the diagnosis is made and the patient receives the right, right treatment here is very pleasing. Another thing is that here, as elsewhere, there is a certain percentage of patients who believe that if they went to the doctor, they should already be healthy, that there is no need to make any efforts. If a person wants to be healthy, he will find ways to be healthy, even if it is not so easy. Sometimes residents of the Kuril Islands after consultations came to us for operations.

Elena Muraseeva

This is my eighth expedition. The first time I came in 2014, in the spring. An adult cardiologist was needed, and an application was sent to the head physician of the hospital. Since I was the head of the department, they gave it to me first. I said that I would go myself. At first, I didn’t even think about significance, about some high matters, I just wanted to see something new, people, places. It was Iturup. Everything turned out to be so exotic... And then the work began. Then, for the first time, I was struck by how the patients relate to our arrival, how smart they come to the reception. There were regular situations for a doctor when a patient comes to you, and he has a heart attack in progress and he is immediately hospitalized.

During the current expedition, our doctors had about 2 thousand visits. It is very important to continue this project, both patients and doctors need it. On such trips, you feel that you are needed. I remember why I became a doctor. Yes, I had no other choice. I am the fourth generation of doctors, my daughter is the fifth. My great-grandfather was a rural paramedic, my grandfather is a nurse, my mother is a doctor, I am a doctor. Therefore, we somehow won’t run away like that. And my daughter is also a doctor. Moreover, each next generation says that only through my corpse to medicine, but the children step over and go. That's what my mother said, that's what I told my daughter. Now my granddaughter says - grandmother, I will be a doctor, treat children. Her great-grandmother is thrilled with happiness because she is a pediatrician and finally someone will continue her work. I graduated from the third medical school in Moscow, then I worked for eight years in an ambulance, then I decided that I needed to grow professionally, I completed my residency in cardiology, then I came to work at the Russian Railways hospital in Moscow, defended my Ph.D., a doctor of the highest category.

Sergey Kosilov

Psychiatrist, Moscow

In May, my father-in-law went on an expedition to Iturup and Shikotan. He is a urologist. He really liked it, he said that a psychiatrist is needed here. At that time, there were three completed suicides, and three more happened in the summer. Total six. That's a lot for such a small island. Mostly suicides are committed by those who come to work on a shift, not by the local population. But everyone has problems. People live apart, on the edge of the world. There is little entertainment. There is alcohol. Everyone knows each other, everyone is in sight of each other. The main complaints are increased anxiety, low mood, mild stages of depression, sleep disturbances, and so on.

Sergey Kosilov

I am a psychiatrist, I have a certificate of a psychiatrist-narcologist and psychoanalyst. Even in one consultation, it is possible to identify a problem, give recommendations and write a prescription so that a person can already start taking therapy, do homework, and subsequently turn to a psychiatrist again, but not on the island, because he is not here.

Women came to the reception more, in a percentage ratio of 90 to 10. One woman came to see if she was crazy. She worded it exactly like that. There are no complaints, everything is fine, but he says - what if I suddenly lost my mind and don’t know about it. But usually a person who has psychiatric problems does not realize that he has them.

I thought the hospital here would be much smaller and much worse. I did not expect such a large hospital with perfect repairs and good equipment to be on the island. Here, as I was told, there are more equipment than specialists.

I really liked Shikotan, there is something to see. It's impossible in a big city, but here to the left is the ocean, to the right is the sea...

I work in a hospital, in the psychosomatic department, abbreviated as PSO. There is a psychiatric hospital, there is a city hospital. And to do both - there are only two such branches in Moscow. The uniqueness of our department is that psychiatrists work in it, but besides this, we have the functionality of a city hospital. And we have patients who have a psychiatric diagnosis and something else on somatics: endocrinological problems, cardiological problems. .. But these are our patients, so they cannot be in regular departments. Most often they have schizophrenia, severe depression with suicidal thoughts, epilepsy, there are alcoholics, drug addicts.

I can tell you one story. When I was still a resident, we did practice in different places, including in the gerontology department. And there was a grandmother who had a very interesting nonsense. It seemed to her that a whole race of little men lived in her mouth. And in the morning she crushed them with her tongue, but the next morning, in her opinion, they were reborn. Because of this nonsense, when she was in a psychosis, she loosened and pulled out all her teeth. This is schizophrenia, which she suffered for many years, aggravated by age.

If we talk about the path to medicine, I am a graduate of the Russian State Medical University, now he is the Pirogov Russian National Research Medical University. My dad is a clinical psychologist. At first I dreamed of being a neurologist, and when I got acquainted with psychiatry in my fifth year, I realized that I didn’t need anything else. I dreamed of being a forensic psychiatrist, but then I realized that I didn’t. I worked in a rehabilitation center for post-stroke conditions, worked for five years in a psycho-neurological dispensary, then covid began and I was called to the city clinical hospital No. 67 named after Vorokhobov. For two years he worked in the covid department, the level of anxiety in patients went off scale, there were sleep disturbances, depression. Then we won covid, and I moved to the psychosomatic department.

Galina Dudareva

Gastroenterologist, Khabarovsk

This is my sixth expedition. I started traveling in 2013, but I didn’t manage to get into every one. I have been to Iturup five times, once to Kunashir, and now, to Shikotan. Every expedition is something special. Coming to the end of the world, helping patients is an incredible feeling.

Galina Dudareva

I remember quite an emergency on Iturup. A patient with acute alcoholic hepatitis against the background of alcoholic cirrhosis was admitted to the therapy department. Young woman, 36 years old, mother is nearby. She is in a pre-comatose state with very poor tests and endless vomiting of blood, all liver enzymes are increased 30 times. There was a young therapist in the department, she was a little confused and asked me to help, write down the treatment.

I wrote down a serious therapy, everything inside and out. We did an endoscopy on her right in the ward, in the field. She had diffuse bleeding of the entire gastric mucosa. They told her mother that the prognosis was most likely unfavorable. It was impossible to transport it. Gradually, she began to get out of this state, to improve. It was obvious that another binge - and this would definitely be an unfavorable outcome. But the binge still happened later, and the patient died.

There was another story. 2013, my first expedition. A patient came in with diagnosed cirrhosis of the liver. I watch it, but it doesn't fit into cirrhosis. And he was already given a disability for this disease. I began to examine him, there are huge packets of lymph nodes on the neck. It's good that we had an ultrasound specialist and an oncologist with us. Although he is a mammologist, he is still an oncologist. And I took this patient to them. Handsome wonderful man, 48 years old, seemingly healthy. We played it in just two hours, and it turned out that it was not cirrhosis, but presumably lymphoma. They recommended to go to Yuzhno-Sakhalinsk urgently. When we sailed, he was on the ferry with us. The diagnosis was confirmed. He decided to go to Korea. Unfortunately, it was not possible to recover, since the diagnosis was made late.

These two stories are about how important both the patient's desire to recover and diagnosis are. One without the other is not enough. Of course, there were many stories with a good ending, the expedition helps many people.

I accidentally became a doctor and did not regret it. My mom is a teacher, my dad is an engineer. I graduated from school with a gold medal. I was good at languages, I wanted to go somewhere in a foreign language. But two of my girlfriends were going to honey, their parents were doctors. And I went after them like a tail. We also drew lots, where are we going, can you imagine? Children, what do you say. My friends didn't get in, but I did. And it's good that everything worked out that way.

Ekaterina Polyanskaya

Gynecologist, Moscow

Many people remember how it all began, and I remember too. This is probably my eighth expedition. How did I get into it? I was once approached by our very respected surgeon professor, who had already traveled to the Kuriles in 2011. He knew that I love everything, that I am a tourist person. And he says - would you like to go to the Kuril Islands? My task was at the same time not to faint with happiness and not to yell in a wild voice: "Tell me when to go out on foot?". But, of course, I was scared. It was terrible for family and friends. The husband sent for the first time with frightened eyes - where, what, how ...

Ekaterina Polyanskaya

I remember we arrived at Shikotan and slept above the fish shop. There was a hostel with large rooms. Everything was saturated with fish oil, the stench was wild, and opposite the door of our women's room was the door of a room for 15 people, where seasonal workers lived. We were told not just to lock ourselves with a key, but it would be nice to prop it up with something else. In Malokurilsky, we received patients in an old Japanese dispensary, now it has already been destroyed. Some doctors did not fit there, they were accepted at school. And on the stage in the assembly hall, and somewhere else. The rheumatologist in the corridor behind the closet received, there was even a sign like this - "Rheumatologist behind the closet" and an arrow. Now everything has changed a lot, the conditions cannot be compared.

When we come to the Kuriles, they come straight to us in formation, in rows and columns. To the gynecologist especially. Now one woman came and said - I was in May, but decided to check again. Well, well done. But there are also running cases. Moreover, it seems to me that there are more on Shikotan than on Iturup. Let's say a very serious patient came in the other day, she needs to be sent to the mainland for surgery, because she can bleed at any moment. Hemoglobin already drops to 50 instead of 120. If there is bleeding, what to do with it? This should be put in intensive care.

And I want to point out another feature. In the Kuriles, they give birth a lot and willingly. Significantly more than on the mainland. Three children is the norm. Three, four. One child is few. But I didn’t have to take births for all my expeditions.

Oleg Gusev

Manual therapist, St. Petersburg

I have a daughter Katya, she is nine years old. She is a synchronized swimmer and loves to travel. When she found out that I was going on an expedition again and not taking it again, she said that I was obliged to take a toy, take it everywhere and take pictures everywhere. This is how this knitted dog named Adele appeared. I had daily reports with the dog, where she had been and what she was doing. On morning runs, at the Cape End of the World, at a tasting at a fish processing plant ... I almost even swam in the ocean, as much as possible for a knitted dog. Adele was with me at appointments at the hospital. Of course, she did not work with patients, but she sat nearby and watched, assisted.

Oleg Gusev

Initially, I was a pediatrician, I graduated from the pediatric institute in St. Petersburg, but in parallel there was always some kind of sport. And then, somehow, everything gradually came together - the medical component and the sports one. Slowly, he retrained: he received a certificate as a physiotherapist, work and practice in rehabilitation began, then certificates of a chiropractor and physiotherapist.

This is my third expedition. It is always interesting in terms of helping patients and in terms of communicating with colleagues, because the composition is different, you always learn something that will come in handy later in your work.

I compare our expedition with the lion from the cartoon "Vacation of Boniface". It seems that you are going on vacation, but you still work for pleasure. Every time there is more and more work, but also more and more joy. This is a professional feeling that you are needed, that you are in demand.

I am glad that after the first appointment, patients feel that they feel better, and against this background, I give them recommendations, exercises, so that they do them themselves, I try to motivate them to do it themselves. So that they understand that a lot depends on their actions. According to all WHO standards, lifestyle is the most important component of health. And in the way of life, of course, the image of activity occupies a large part.

Olga Gorbatenko

Doctor of ultrasound diagnostics, Smolensk

My colleagues went to the Kuriles and talked about this expedition, I also wanted to. And then it was my turn as one of the graduate students, but the expedition was canceled due to covid. I was very upset and afraid that she would not be there at all. But then my supervisor called me and asked if I wanted to go. I was delighted and even cried, I say - yes, of course, I agree!

Olga Gorbatenko

I had a lot of patients on Shikotan. Since I look at all the organs in full, it took a lot of time for each patient, but even taking this into account, I managed to see 30 people a day and more. From 9 am until lunch, I worked almost all days, not getting up at all, after lunch there were also many who wanted to be examined. The most memorable - I found a large tumor in a woman.

In general, there are quite healthy patients on Shikotan in terms of ultrasound. Many have a good liver, very few cases of gallstones. But here there are some very rare, but memorable diagnoses. There are many patients with subcutaneous formations: lipomas, neurinomas. Women have problems more often in gynecology. A lot of myomas, a lot of underexamined people. There was a short-term pregnancy, planned, the woman is very happy.

The expedition is a great experience and a great impression. You see completely different patients, and this is very interesting and important. From Shikotan, the impressions are grandiose. This is my first time in the Kuriles and I have never seen such beauty, such bays, sunrises, sunsets. There is a very friendly staff who received us, helped us. Shikotan left the most pleasant impression of my entire life.

And, of course, I once again realized how glad I am to be a doctor. In high school, I decided that I would only go to medicine. She graduated from Smolensk University, general medicine, and immediately entered the Department of Radiation Diagnostics, Radiation Therapy in residency. That is, I am a radiologist and a CT doctor. Then she underwent retraining in ultrasound. I knew for sure that my life would be connected with this specialty. Then I entered graduate school, and now I am a third-year graduate student, writing a dissertation.

Leyla Sozaeva

Pediatric endocrinologist, Moscow

I am one of the five newcomers to the expedition. I really wanted to go, for five years or even more I was waiting for such an opportunity. Three of my colleagues from our institute previously participated in this expedition, all spoke very enthusiastically about it. And all my expectations were justified. And after we worked all day and went to clean up the beach, I thought - yes, I ended up with exactly those people and in exactly the same place.

Leyla Sozaeva

Basically, on Shikotan, all children are healthy, even those with excess weight are not especially children. Single cases. I paid attention to one moment when I was collecting an anamnesis. Many parents said that their children were born large - 3.8, 4, 4.5 kg. This is often combined with a carbohydrate disorder, an increase in sugars in mothers, but here they did not have this. Just big kids. And they still give birth to them on their own, just heroine mothers!

In general, almost the entire territory of Russia is iodine-deficient, so violations, some diffuse changes in the thyroid gland are common. If children develop thyroid tumors, they usually respond well to treatment.

And as for obesity, in Russia it's just a disaster. A few years ago, our center participated in the WHO program for examining healthy children in schools. Each country got a certain age, ours got the first class. And we had to change the weight and height of all children from random Moscow schools, to assess sexual development. We were just shocked by the amount of obesity in first-graders. Here on Shikotan, I do not see such a trend. And in Moscow - reduced physical activity, fast food, sweets, all this leads to such consequences.

In Shikotan, all our colleagues worked in Krabozavodskoye, in the Shikotan district hospital, and we, with a pediatric ultrasound specialist, worked in the general practitioner’s section in Malokurilsky. To be honest, here is such a section of a general practitioner ... Not everywhere there is such a clinic as here. Everything you need is here.

I really enjoy working with children. My mother is a doctor and two older sisters are doctors. When I was at school, they studied at the institute. I helped them write essays and somehow, naturally, I also became a doctor. And I don't regret it at all. I first unlearned to be an adult doctor, and then retrained to be a child doctor. I have a very interesting job.

Vladimir Govdyak

Doctor of ultrasound diagnostics, Yuzhno-Sakhalinsk

This is my seventh expedition. I got into the first one on the recommendation of my classmate from Khabarovsk. Now these trips have become an integral part of my life. I never refuse, this year I have already gone twice. In May I was and now also took a special vacation, went to help the children.

This is a completely different job, we work during the holidays, help people for free. In these expeditions, we become somehow different - cleaner, kinder, more responsive. This is some kind of state of mind, it's hard to describe, you have to experience it for yourself. I see that my help is needed here, so life is structured like this - first I go to the children in the Kuriles, and then I plan my other vacations, trips somewhere.

Vladimir Govdyak

During a week on Shikotan, I received more than a hundred children. Five had a pathology that requires further examination. Most of the children are healthy. In principle, the children here are healthy. Many parents say - we have already been to Yuzhno-Sakhalinsk with you and it is good that you have come to us now. This expedition was attended by parents with children after heart surgery, who needed monitoring in dynamics. If not for the expedition, they would have had to go to Sakhalin for an ultrasound. They are very grateful.

The most important thing in my work is the ability to detect pathology in time and help children. I enjoy watching different children and newborns, find an approach to them when they are worried, crying. Others sometimes find it difficult, but for me it is easy and pleasant.

I never regretted becoming a doctor. First, I worked as a pediatric infectious disease specialist for five years, then I moved to ultrasound, for 32 years I have been working in this field. The fact that I worked as a pediatrician and an infectious disease specialist helped me a lot, because I already know approximately what pathology children come with. I love children very much, I like my work. From 19For 85 years I have been working first in a children's hospital, then in a children's clinic. When she disconnected, the question arose of organizing an ultrasound diagnostics department. We started from scratch, organized a large department, now I am the head, we have five doctors, we perform different types of examinations.

Pavel Kulesh

Traumatologist-orthopedist, St. Petersburg

The expedition is already the fourth or fifth for me, it is always a rest from a change of job. Plus, there are a lot of friends, it’s nice to communicate with them, there is something to talk about, including at work. Each lunch is at least two consultations with related specialists. It's great, because in a hospital, in a hospital, you can't always catch a cardiologist or a surgeon by the sleeve and say if you'd like to see my patient. And here it is very convenient in this regard, we are all close and work together. It's very efficient. Many clinics are now conducting on-site consultations, fighting for patients, so the expedition is a very relevant format.

Pavel Kulesh

Patients can be helped quickly. Well, for example, a girl with not very good feet who came to see me at Shikotan. One clinic in St. Petersburg is already ready to take her, two are in operation. I just wrote, asked, friends are everywhere. The operation can be done according to a quota and, perhaps, you won’t even have to pay for the road if all the documents are properly executed.

In general, patients came with the usual problems. People from 45-50 have arthrosis, primarily of the knee, hip joints, and back pain. There were few young people. Arthrosis is, in general, a normal process, well, a person wants not to grow old, he has the right to do so. But if arthrosis goes faster than it should, then, of course, treatment is needed. And if it's really bad - surgery, arthroplasty. And this can be done through OMS.

Patients are not always able to use medicine, they often lack training. I think this should be taught at school - how to use the health care of our country in order to be treated, where to go, what you have the right to. In fact, patients are entitled to much more than they usually receive, they just do not know about it. And many more do not realize what will happen if they do not take care of their health.

With the choice of profession, it turned out interesting for me. Based on the results of the final exam at school, I was admitted to the third year of the Omsk Polytechnic University. Then he went and became a doctor. And then, apparently, he is still inclined towards technology, so he became that doctor, where bolts, nuts, screws, screws, certain mechanical axes and mating angles, geometry, quite good computer modeling, including parametric. We often use hexapods. Although patients do not need to know all these names, the main thing for them is that their legs are straight and nothing bothers them.

Vyacheslav Ekaterinichev

Otorhinolaryngologist, Moscow

This expedition is the seventh or eighth for me. In 2010, the head of the department invited me to participate in it. I got ready, I thought that a tent would be needed here, I took with me a sleeping bag, a pillow, a lot of medical instruments just in case. And I took the dosimeter, because there was just an incident at Fukushima. Because of him, the spring expedition was canceled and the autumn expedition was mixed - for children and adults. We were about 35 doctors. They lived in a laboratory at a factory.

Vyacheslav Ekaterinichev

Since that time, the Kuriles have changed tremendously, the development is very noticeable. Patients in Shikotan are not very different from patients in large cities, except that the need for narrow specialists is greater here. There is no ENT, no ophthalmologist, they are not required by the state. So a lot of people came to me. It all started with 30 people a day, then more than 40. There are about 2,500 people on Shikotan, of which about 600 are children. If a mother came with two children, it turned out three patients at once in one go.

I found a neoplasm in the throat of one woman, I did not like it. I reported it to the head doctor, this patient will be dealt with first. Well done woman for coming. Let's hope everything goes well. All patients who need surgical interventions were recorded.

On an expedition, it is very important to work in a team. For example, a patient complains about a lump in his throat. This can be a manifestation of problems with the thyroid gland, and hysterical laryngospasms, and an unsanitized oral cavity - anything. Even dentures, if poorly treated, can cause a lump in the throat. I look at the patient and, if necessary, immediately send him to related specialists.

For me, the expedition, especially this time, is a powerful reboot. And also - the opportunity to make new contacts, new friends, with whom you continue to communicate later. And, of course, all possible assistance to the local population.

I dreamed about medicine since childhood. My mother is a doctor, she never wanted me to become a doctor too, but somehow it all turned out that way. Initially, I wanted to become a urologist, but I thought about it and chose otorhinolaryngology. I work as an ENT doctor, I have a certificate in audiology. Associate Professor of the Department of Otorhinolaryngology of the Moscow State University of Medicine and Dentistry, Candidate of Medical Sciences, I write articles, I move science, I have the title of a Moscow doctor.

Tatyana Devyatko

Endocrinologist, Yuzhno-Sakhalinsk

On Shikotan, patients are underexamined. This complicated my work, since the endocrinologist's hands were tied without tests. Suspecting some kind of diagnosis, I must confirm it with a hormonal examination. I do not have the opportunity to schedule an examination and at the end of the expedition to see its results, to complete work with this patient. Here such analyzes are not performed. We can only hope that the person will go to the mainland, pass the tests, and we will see each other again on the next expedition. And this creates such a feeling of devastation that you let a person go for a long time without a final diagnosis. But there is also a good point: I was here in May, and many patients returned already with an examination, received a diagnosis, appointments.

Tatyana Devyatko

This is my third time on the expedition. When I was in it for the first time, I felt this feeling, for which once a child, a teenager, you choose a profession according to the call of your heart. You want to help people, but then, getting into the realities of medicine, in the flow, in the mode in which you work, it is not always possible to fully feel it. Coming as a volunteer on an expedition, seeing the eyes of patients, how they absorb information, how grateful they are, you feel something important. After the reception, people say words that you rarely hear. The girl told me - you are a unique doctor, thank you. You recharge, fill up and remember what you went into medicine for. The charge of emotions that you get here is not available anywhere else. And then you come here for a new dose.

I was a frequently ill child, I saw doctors trying to help me, and I was lucky to have doctors, very humane ones. I was just blown away by the doctors. It seemed to me that their work was the most important in the world. And I also wanted to be a doctor. There were no doctors in my family before me. My endocrinology teacher infected me so much with love for this specialization, for how hormones waltz in the body, how they can be controlled, gently corrected. She made me fall in love with this specialty. And partly influenced by the fact that my mother has diabetes. Added desire to help a loved one.

Roman Anoshkin

Neurosurgeon, Yuzhno-Sakhalinsk

I wanted to go back in May, but I couldn’t, I fell ill with covid. This is my first expedition, before that I was on business trips in the Kuriles. Now I have definitely decided that I will come to Shikotan on vacation with a backpack and a tent.

"Frontiers of Russia" is a cool project. An interesting company is not only a multidisciplinary team, but also people from different regions, from different medical schools, with different approaches. Here, of course, I did not operate, but I worked as a neurologist. I'm here more for primary selection, I looked at the results of an MRI or CT scan if the patient brought them with him to the appointment. There are a number of patients whom I operated on before, they came for a second examination. It so fortunately coincided that, thanks to the expedition, they did not need to go to Yuzhno-Sakhalinsk for observation and consultation. I told some patients with hernias, protrusions that they need to think about surgery. The fact that they came to see me, a neurosurgeon, as a neurologist, is absolutely not useless. I am the same neurologist, only with a knife. I also evaluate the neurological status, reflexes, do the same, blockades, some other manipulations.

Roman Anoshkin

If we talk about my more than 20 years of practice, then the worst thing for me is to operate on children. Seven sweats will come down during such an operation. I once had to operate on a very young child, five months old or so. He had an injury, I did a trepanation. And then, at the age of 18, he came to me for the closure of a skull defect that remained after that operation. He is alive, everything is fine, everything is fine. Such is the meeting after so many years. And so, of course, every day is something interesting, important. Neurosurgery is a microscope, brain, aneurysms, tumors, hernias, chondrosis, spinal injuries, fractures. The level of neurosurgery in our region is quite high, this is a fact, everyone admits it. We have a young manager, Andrey Antonov, who is very advanced and ambitious, and we have a good team.

On Shikotan, many people say that they came for a short while and stayed for years. I did the same with Sakhalin. I graduated from medical school in Blagoveshchensk, worked as a nurse in neurosurgery. Came to Sakhalin in 2000. I didn’t think that I would be late for a long time, but it so happened that I stayed. There are many interesting things here: snowboarding, spearfishing. And, of course, important work.

Vyacheslav Stetsik

Urologist, St. Petersburg

The expedition is the fourth for me. True, in the third I managed to stay only in the role of a patient, since I had a heart attack. But now I'm back and I'm very glad to participate in this project again.

And it all started with the fact that my relatives called me and said that there was an option to go on such an expedition. I have never been to the Kuril Islands, but I had a rough idea of ​​what the sea, the ocean is, since I am a big fan of fishing. The only question I asked was what about active recreation? Because for a sufficiently long period of professional activity, it is quite difficult to surprise me with some kind of medical work in the profile. But fishing in a new place is possible. On the first two expeditions, before the appointment, I sacrificed my sleep almost every day and went fishing, it was Iturup. On Shikotan it is a little more difficult, but there was also a catch. This is sport fishing. Everything I catch, I release.

Vyacheslav Stetsik

My experience is 23 years. I came to urology by accident. It's a bit of a family thing for us. Interesting specialty. While still a student at the institute, he helped his older brother on duty, learned the basics of the profession. I liked it and continued to study. Then he plunged headlong into work, because emergency medicine is such a difficult undertaking. Now science has stepped forward, minimally invasive methods of treatment are being used very actively.

In St. Petersburg, I work in a hospital providing emergency medical care, and here, in the Kuril Islands, patients come to me who do not need urgent treatment. Although there are such cases. There are urological patients who need active treatment tactics in terms of surgery. We performed a small operation here, with a small patient. There was probably nothing completely exclusive, mostly routine. There were situations when it was necessary to make not always good diagnoses, but timely measures made it possible to provide assistance in full. Sometimes patients after consultation were hospitalized. In general, all patients with standard urological problems.

There are those who are very sensitive to their health, and there are completely others. Here, on Shikotan, taking into account the inaccessibility of narrow-profile medical care, patients live according to the principle - past and past, not passed and not passed. This, of course, is wrong.

Natalya Efimova

Rheumatologist, St. Petersburg

I am a military doctor, I served in the Northern Fleet. She was called up from the reserve in 1995. She graduated from the service as a leading therapist of the main clinical hospital of the Northern Fleet, the city of Severomorsk. And she retired in 2010.

This is my third expedition and the first to Shikotan. Before that, two were on Iturup. In 2017, I was invited to participate. I like to travel. The distance was a little scary, and everyone at home was nervous, but everything was fine, a chic St. Petersburg team flew, we knew each other. We worked as a big friendly family, everything was very comfortable. The patients were incredible - it was felt that they were waiting for us, they did not just listen, but heeded, they returned, if possible, to clarify something for the second time ... Excellent, very useful teamwork. You learn a lot from each other. At home, everyday life is overwhelming, and on the expedition, in addition to receiving patients, there is also an educational process, you rise to another level. I like that there is feedback. I left my patients an e-mail, they later wrote with gratitude, reported on their condition.

Natalia Efimova

People rarely turn to a rheumatologist in the Kuriles, sometimes not quite according to their profile, but still they always managed to help, suggest something, give recommendations. And it’s very nice when a person then reports that the diagnosis made by me was confirmed during an additional examination, the treatment helped and everything ended successfully.

I did not expect that everything is so organized here. Iturup is not discussed at all, everything is cool there, but it’s also not bad here. Good hospital. Walls are one thing, filling is also important. At a basic level, everything is very good. This is not a paramedic's station, when here's a pill for your head and go home. Here doctors try to understand, they are quite advanced in many things.

I came into medicine by accident. It was a dispute. I was a very ambitious girl, physics and mathematics were mine. She dreamed of studying theoretical physics, preparing to enter the Lobachevsky University in Nizhny Novgorod. She graduated from school with a gold medal. And since I was the daughter of teachers, they threw it in my face that it was all bought, the medal was dishonestly earned. All these shu-shu-shu at school... And I decided to prove that this is not so. There were 11 people per place in the medical institute. I entered there with ease. The first course was rushing about - what have I done! And then it turned out that logic is very much needed in medicine, everything fell into place and I realized that it was mine. But I still love physics.

Olga Salanova

Ophthalmologist, Moscow

Things are going very well on Shikotan. When I was driving, for some reason I imagined that there would be many neglected patients, because people do not see a doctor for a long time. But no. In general, people are sufficiently examined, they are sent to Yuzhno-Sakhalinsk, if necessary, on complaints. There were patients with suspected glaucoma, with indications for removal of a benign tumor of the eyelids, with retinal dystrophy. The contingent is similar to Moscow, there is no insular peculiarity. I didn't see foreign bodies here. There is a severe shortage of pediatric ophthalmologists here. I am not a child, but I accepted children, advised something, although I cannot fully accept a child.

Olga Salanova

Mostly elderly people came. In all patients after 40 years, I measured the intraocular pressure to see if there was glaucoma. Glaucoma is irreversible blindness, this disease cannot be started. Everyone needs to measure intraocular pressure once a year.

On Shikotan, it is difficult to make glasses. I wrote out a prescription for glasses, picked them up, but you can’t buy them here, as I was told. There are some ready-made glasses somewhere, but basically they ask relatives to buy and send them, they order.

This is the first expedition for me. Of course, there are a lot of vivid impressions from the island itself, from nature, from excursions ... These are impressions for a lifetime. I managed to help people and see the Kuriles.

I wanted to become a doctor since the seventh grade, although there are no doctors in the family. There was a great desire. I graduated from the institute in Moscow. True, she didn’t enter right away, she worked as a nurse for two years and then entered. I love my profession very much, it always saves me in difficult moments. Favorite work means a lot. And she is very much in demand. I never regretted that I went to the medical school, although earlier the salary of doctors was not very good.

Learn more

• 
  How do babies get rashes
• 
  Mammary constriction syndrome
• 
  How often do braxton hicks contractions occur
• 
  Braxton hicks not painful
• 
  How to dress up like a flower child
• 
  Are babies ever born with teeth
• 
  Color urine during pregnancy
• 
  What can i do to make my baby poop
• 
  Carpal tunnel in early pregnancy
• 
  How much does it cost to raise a child for 1 year
• 
  Hemorrhoid pregnancy sign