Hospital 33 surgical department telephone phorum. Gynecological department. Palliative care department

The story of a patient who accidentally survived

3 years after the operation performed in hospital No. 33 named after. Ostroumova nevertheless decided to write a review about this hospital, since the impression of the experience does not allow me to live in peace. The compassionate former mayor Yu.M. Luzhkov gave instructions to place in this hospital, in addition to insured patients, residents of 3 train stations, without any preliminary sanitization of the latter. Placing postoperative patients with homeless people in adjacent beds. But the worst thing was how the surgeon Varuzhan, who was preparing to defend his dissertation at that time, behaved.

On November 30, 2007, by ambulance I was taken to the 2nd surgical department of City Clinical Hospital No. 33 named after Ostroumov. A surgeon named Varuzhan performed an operation to remove my gallbladder. As expected, after the operation I was sent to the intensive care unit. From now on, I want to describe in detail how the postoperative period in this hospital went.

I regained consciousness and felt a strong smell of fumes and stench. Next to mine

On the second bed there was a bed on which a bloodied homeless man was lying and moaning. A man's voice came from another corner asking for a drink. The nurse came in and told the man lying in the corner to shut up, otherwise she would crush him with a pillow. Seeing that I had regained consciousness, she turned to me and said: “What are you breathing here?” Another nurse, who came in after the first one, turned out to be more compassionate. She wet my lips with water and rolled my bed into another room, in which young women lay and also moaned. No one approached them at all. Morning came and the doctor Varuzhan, who operated on me, came up to me. Inquiring about my health, he immediately asked if I was going to thank the doctors and showed me a hand with five fingers, which meant that I had to pay him 5, but he did not specify what exactly. After undergoing a strip operation, my consciousness was still not entirely adequate and I agreed, deciding that this was 5,000 thousand rubles as gratitude. From the intensive care unit I was transferred to a general ward with six beds, which was located in the men's half. On this day, elections were taking place and members of the election commission, headed by the head of the department, approached me with protocols and no one asked why the postoperative patient was not in the recovery room. During my postoperative stay, the patients constantly changed, and in addition there were visitors.

Consequently, there is no talk of sterility. On the third day after the operation, an old woman of 94 years old was placed next to me in a state of agony. The day before her death, the old woman began to have bowel movements with a stench. The nurses began to clean her up right in the room, and I started vomiting, the stitches began to bleed, and the bandage turned red with blood. The patients called the attending physician A.S. Balarev, who personally rolled the bed with the old woman into the hygiene room. Surgeon Varuzhan called me on the phone and asked if I was ready to pay him and, having learned that I was ready, he came immediately. I gave him 5,000 rubles, to which he told me that I did not understand him, that the payment was 500 dollars. I asked him a question about the conditions in the hospital and my stay after the operation in such unsanitary conditions. To which he replied that there were no places in the postoperative wards (at that time the postoperative wards were not occupied by postoperative patients). In response to my complaint that I had an upset stomach and had to go to the toilet, which is located at the opposite end of the corridor 10 times a day, he just threw up his hands and asked when he could come for the money. To which I replied that 5,000 thousand is too much for such a service. “So save people after this”: these were his words. I never saw this surgeon again. The attending physician Balarev A.S., did his internship and was supervised by Varuzhan. The next day after the stitches were removed, I was informed that I was being discharged today and at 12 o'clock I had to vacate the bed. I said that there was no one to pick me up until 18:00 and I didn’t have the keys to the apartment. To which I received the answer that no one cares. This answer was given to me by Balarev A.S., who was undergoing residency (“something good will come out of him, it’s a good start”). At 12 o'clock I received a discharge from the hospital, which did not have a stamp. I drew the attention of doctor A.S. Balarev to this, to which he said that if I needed a seal, I could put it in the administrative building. The administrative building turned out to be very far away and I had difficulty getting to it after a strip operation. Experiencing severe pain (since the healing of the wound was primary), I sat down on the chairs, but all the doctors passed by and no one paid the slightest attention to the man cowering in pain. Having come to my senses, I crawled out into the street and, catching a car at the gate, made it to the house, where my neighbors sheltered me until the evening. A few days later, my head began to itch very much. And then my roommate called me and said that the patient who was in bed with us

• gynecological
• urban
• children's urban
• children's infectious diseases
• infectious
• psychiatric and drug treatment
• specialized
• tuberculosis

Address

Phones

Information, +7-499-268-24-26, +7-499-268-46-25

Chief physician, +7-499-268-24-75

Help Desk Phone

Metro

Email address

reference Information

List of outpatient clinics providing specialized medical care to citizens living at serviced addresses

CJSC "Dental Center 17",

Dental clinic No. 50,

Women's consultation No. 15,

Oncological dispensary No. 3,

Psychoneurological dispensary No. 8,

Dermatovenerological dispensary No. 6,

Narcological clinic No. 8,

Anti-tuberculosis dispensary No. 8;

Medical and physical education clinic No. 4,

Center for State Sanitary and Epidemiological Surveillance of the Eastern Administrative District.

Chief physician

Branches

The hospital consists of departments:
reception
traumatological
1st surgical
2nd surgical
neurological
oncosurgery
neuroreanimation
radiology
gynecological
anesthetic
operating unit
radioisotope laboratory
surgical resuscitation
gastroenterological
cardiological
1st therapeutic
2nd therapeutic
3rd therapeutic
4th therapeutic
chemotherapy
toxic resuscitation
x-ray
computer and nuclear magnetic tomography room
Ultrasound
PJSC
CSO
functional diagnostic room
endoscopic
FTO
Exercise therapy
KDL
analyst's office diagnostics
bacteriological laboratory
pharmacy

The clinic consists of departments:
oncological
otolaryngological
surgical
neurological
ophthalmological
1 therapy
2 therapy
3 therapy
registry
emergency room
infectious disease room

The advisory clinic consists of departments:
oncological
radiological
vegetological
somnological
psychotherapeutic
traumatological
surgical
gastroentorological
day hospital

City honey centers:
city ​​pathological center
city ​​poison control center with a mobile detoxification team
city ​​vegetation center
city ​​sleep center

Addresses served

List of addresses of residential buildings served by health care facilities:

Babaevskaya street, houses: 1/8; 3; 3A; 20(general);

Barbolina street, houses: 4; 6; 8;

Boevskaya 1st street, houses: 1 (building 1, 2); 2/12; 5;

Boevskaya 2nd street, houses: 6;

Gastello street, houses: 4; 6; 8; 10; 12; 14; 37; 39; 41;

Egerskaya street, houses: 1; 3; 5 (building 1, 2); 10; 12;

Zhebrunova street, houses: 1; 2; 4; 5; 6;

Kolodeznaya street, houses: 5; 7 (building 1, 2, 3, 4, 5, 6, 7, 8);

Kolodezny Lane, houses: 2 (buildings 1, 2);

Korolenko street, houses: 1 (building 1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12); 2 (building 1, 7); 2/23 (building 1, 4, 5, 6, 7); 4/14; 5; 6A; 6B; 7 (building 1, 2, 3); 8; 9 (building 1, 2); 10;

Lobachika street, houses: 23 (buildings 1, 2);

Malenkovskaya street, houses: 3; 7; 9/11; 10; 12; 13/12; 14 (building 1, 2, 3); 16; 28;

Matrosskaya Tishina Street, houses: 10 (military unit); 16; 16A; 19 (building 1, 2, 3); 23/7 (building 1, 2);

Matrossky Bolshoi Lane, houses: 1

Oleniy Val street, houses: 24 (buildings 1, 2, 3);

Olenya Bolshaya Street, 3; 8; 15; 15A;

Ostroumovskaya Bolshaya street, houses: 10 (buildings 2, 3); 11 (building 1, 2, 3); 13; 15; 17; 21; 23/2;

Ostroumovskaya Malaya street, houses: 1; 1/3; 1/10; 1A; 1B; 1G;

Okhotnichya street, houses: 3; 6 (building 1); 10/12 (building 1, 2, 3, 4, 5, 6);

Cross clearing, houses: 17

Pesochny Lane, houses: 2; 3;

Polevoy 2nd lane, houses: 2; (building 1, 2, 3); 4;

Popov proezd, houses: 1 (building 1, 2); 2; 6;

Rubtsovsko-Dvortsovaya street, houses: 2; 6:

Rusakovskaya street, houses: 18/20; 22; 23; 25; 27; 28; 29;

Rusakovskaya embankment, house 1;

Rybinskaya 2nd street, houses: 12;

Rybinskaya 3rd street, houses: 1; 12; 19; 21 (building 1, 2, 3); 26 (building 1, 2); 28; thirty:

Sokolnicheskaya Slobodka street, houses: 3; 10; 14/18; 16; 16A;

Sokolnicheskaya 2nd street, houses: 1; 2; 4; 6; 8;

Sokolnicheskaya 3rd street, houses: 1; 2; 4; 7;

Sokolnicheskaya 4th street, houses: 1 (building 1); 2; 3; 4; 4A;

Sokolnicheskaya 5th street, houses: 1;

Sokolnichesky Val street, houses: 2; 4; 6 (building 1, 2); 8; 22; 24 (building 1, 2, 3); 37D; 37ITR; 38; 40; 46; 48; 50 (case 1.2);

Sokolnicheskaya Square, houses: 4; 9 (case 1,2);

Staroslobodskaya street, houses: 3; 14; 16/17; 23;

Staroslobodsky lane, houses: 2; 2A; 4; 4A; 6;

Stromynka street, houses: 1; 5; 13; 14/1; 15; 16; 19 (building 1); 21; 23/16; 27/3;

Shumkina street, houses: 1/26; 3 (body 1,2); 5; 7; 9; eleven; 11a; 13; 15; 17/16;

History of the institution

In October 1882, the Bakhrushin brothers donated 450 thousand rubles to the Moscow mayor for the construction of a hospital. By the fall of 1887, a large for that time - 200 beds - Bakhrushinsky hospital for those suffering from incurable diseases was built on Sokolnichye Field according to the design of the architect B.V. Freudenberg. All hospital buildings were a single architectural ensemble with decorative facades in the Russian national style.

According to the charter, the hospital accepted for treatment persons of “every rank and condition, mainly from those who were insufficient.” Treatment was free; the patients were called pensioners of the Bakhrushin brothers.

In 1890, a charity home was built at the hospital for incurable patients for 150, and later for 200 people (it seems that the only one in Moscow at that time). Since 1895, a small maternity hospital with 8 beds was opened, and in 1903, according to the design of architect I.A. Ivanov-Shits, the first maternity hospital for Moscow was built on the territory of the hospital. By decision of the City Duma in 1911, the Bakhrushin hospital became the training base for the Higher Women's Courses in Hospital Surgery and Therapy, and in 1913, with the bequeathed capital of the Bakhrushin sisters, Vera Fedorovna, an outpatient clinic was built according to the design of the architect S.F. Chizh for 230 visits.

At the beginning of 1920, the hospital named after. Bakhrushinykh was renamed the hospital named after. N.V. Sklifosovsky, and in 1923 - to the hospital named after the Russian scientist clinician, Professor A.A. Ostroumov, who was the chief physician of the newly opened Bakhrushin hospital and the house doctor of the Bakhrushin family.

Since 1934, the hospital has been transformed into a clinical base for the therapeutic and surgical departments of Moscow medical institutes. In 1959, the ITMGO underground structure was built. In 1974, a surgical building with 300 beds, a central treatment center, an X-ray film storage facility, a radiological treatment center, and a pathology building were built. In 1992, in connection with the liquidation of hospital No. 16, City Clinical Hospital No. 33 named after. prof. A.A. Ostroumov, two buildings were returned: a therapeutic building, built in 1981, and a neurological building, built in 1954.

Today City Clinical Hospital No. 33 named after. prof. A.A. Ostroumova is a multi-building, multi-disciplinary, technically equipped medical complex that continues the best traditions of the hospital’s founders.

The hospital has 1,060 beds, in addition 41 intensive care beds, an outpatient department for 750 visits per shift, a consultative and diagnostic clinic with a day hospital for 20 beds, and 4 city centers operating at the hospital: Pathological; Toxicological; Vegetological; Somnological.

In the city healthcare system, the hospital solves the problems of providing the population of the capital and its guests with both ambulance and emergency medical care (in the following profiles: therapy, trauma, surgery, neurosurgery, cardiology, neurology, gynecology, toxicology, intensive care units), and planned medical care (except The mentioned departments also include gastroenterology, general oncology, head and neck oncology, mammology, radiology, chemotherapy, and a therapeutic department for patients with impaired autonomic regulation). The activities of hospital doctors are supported by a powerful diagnostic base. The hospital has an X-ray department with a computer and magnetic resonance imaging room, a clinical diagnostic laboratory with an analytical diagnostic room for acute poisoning, a hemodialysis room for patients with acute poisoning, a radioisotope laboratory, ultrasound and functional diagnostic departments, a bacteriological laboratory, an endoscopy department, physiotherapy with a physiotherapy room; cytological and morphological laboratories operate on the basis of the pathology department.

Continuing and developing the traditions of scientific cooperation with Moscow medical universities, City Clinical Hospital No. 33 is the base for 14 departments of leading medical educational institutions in Moscow. These are the departments of hospital surgery No. 1 of the medical faculty with courses in mammology and neurosurgery of the FPDO MGMSU, hospital therapy No. 1 of the MGMSU, anesthesiology and resuscitation of the MGMSU, radiation diagnostics and radiation therapy of the MSMSU, disaster medicine of the MSMSU, pathological anatomy of the RMAPO and MGMSU, gastroenterology of the RMAPO, emergency conditions in clinic of internal diseases of the I.M. Sechenov Moscow Medical Academy, nervous diseases with a course of somnology of the I.M. Sechenov Federal Postgraduate Medical Academy, operative surgery and topographic anatomy of the Moscow State Medical University, obstetrics and gynecology of the I.M. Sechenov Federal Postgraduate Medical Academy, military toxicology and medical protection at the State Institute of Internal Affairs of the Ministry of Defense of the Russian Federation, clinical functional diagnostics of the Moscow State Medical University. Cooperation with the listed departments has a beneficial effect on improving the treatment process and improving the qualifications of hospital staff.

The hospital staff is highly qualified, each manager and senior nurse has one qualification category or another, many managers have an academic degree. The chief physician of the hospital, Sergey Vladimirovich Kolobov, has an academic degree of Doctor of Medical Sciences, the highest qualification category, and is a professor at the Department of Operative Surgery and Topographic Anatomy at Moscow State Medical University.

Inpatient and outpatient care is provided to the population in full compliance with the city compulsory health insurance program; the interests of patients are represented by such insurance medical companies as Insurance Group Spasskie Vorota-M, Max-M, Ikar; for guests of the capital There is a voluntary medical insurance program under which the hospital cooperates with leading medical insurance companies in Moscow; paid medical services are provided under contracts with patients for all types of medical care provided in the hospital.

The Department of Surgery occupies a special place in the structure of the hospital. The oldest and at the same time advanced, it became the basis for the creation of other surgical departments. And the main wealth of the department is the invaluable experience accumulated over 60 years of work.

IN At the end of February 1956, the thirty-bed surgical department was one of the three main divisions of the new hospital. It was headed by David Dmitrievich Zavelgelsky, an excellent doctor who went through the harsh war years as a rear surgeonhospital, who had well-developed surgical techniques, high theoretical knowledge and great erudition. His excellent talent as an organizer, together with the dedicated work of the first senior nurse of the department, K. I. Petrova, and the first senior operating nurse, A. I. Okhatrina, made it possible to lay a solid foundation for the entire surgical service of the hospital for many years.

The first scheduled operating day was March 5, 1956, when two patients with inguinal hernias were operated on. Following this, the department began to provide emergency on-duty surgical care to city residents, first on Wednesdays and then on Mondays.

A special contribution to the success of surgical treatment of patients belongs to the doctor - anesthesiologist-resuscitator Lidia Serafimovna Usoltseva, who organized intensive care wards equipped with all the necessary equipment. In 1975, she headed the independent department of anesthesiology, and later the department of anesthesiology and resuscitation.

In 1975, the department moved to a new five-story hospital building, where it remains to this day. Three new operating rooms were opened, the number of wards for patients increased, two of which were allocated for urological patients

In 1984, the young surgeon Nikolai Anatolyevich Erastov became the head of the department. The department maintained old traditions, but at the same time new technologies were rapidly introduced. Since 1995, laparoscopic operations began, and since 1997, operations through minilaparotomy access. By 2000, the number of patients treated in the department per year exceeded 1,900 people, and the number of operations performed - 1,100. From under the wing of the surgical department in 1994, the department of purulent surgery emerged as an independent unit.

The next page in the history of the department began in 2006 with the arrival of surgeon professor, MD, to the position of chief physician of Hospital No.33. Pavel Sergeevich Zubeev, who invited a surgeon-oncologist Ph.D. to head the surgical department. Mikhail Konstantinovich Ryzhov. In 2012, when he and his colleagues were awarded the title of laureate of the Nizhny Novgorod Prize in the field of medicine.

Over the past 10 years, with the advent of advanced equipment and the arrival of new surgeons and urologists (MD. P.S. Zubeeva, M.A. Zhukova, S.A. Pchelina, Ph.D. M.V. Matyanina , O. A. Korovina, Yu. V. Egorova, N. S. Grekova, E. Yu. Shumilina, S. N. Toropova, N. V. Alekseeva, S. S. Shulgi, O. V. Kochin) were Numerous modern treatment methods have been fully mastered and introduced into everyday practice, in particular:

- various operations for morbid obesity; interventional (under ultrasound and RT-control) interventions on the abdominal organs and kidneys;

- organ-preserving operations for peptic ulcer disease;

- all types of operations on the thyroid gland (including minimally invasive under ultrasound control);

- video endoscopic and laparoscopic operationsfor acute appendicitis, cholecystitis, perforated ulcer, etc.; extended operations for stomach cancer with the creation of an artificial reservoir from the small intestine;

All types of hernia repairs with strengthening of the abdominal muscles with mesh implants;

Operations to create permanent vascular access in dialysis patients (AV fistulas, synthetic vascular prostheses);

Operations to remove the bladder with various types of plastic replacement;

Remote and contact methods of crushing urinary stones;

Operations on the bile ducts from a mini-access and many others.

Dove in In 2014, the urological service was given a start to independent life, and the surgical department was reduced to fifty beds. The department treats more than two thousand patients annually, and performs about one and a half thousand of a wide variety of operations, most of which are performed on the abdominal organs.

The modern level of surgery involves minimal traumatic aggression for a person, which avoids severe complications and severe postoperative pain, reduces the length of hospital stay, thereby quickly completing the physical and psychological rehabilitation of the operated person. All this today is achieved by introducing high-tech operations into the work of the surgical department, that is, operations performed using video-endoscopic or minimally invasive methods.

The department, headed by Mikhail Konstantinovich Ryzhov, is a close-knit, highly professional, constantly improving team of like-minded people who are able to provide this highest level of surgical care.