so far so good with her doctor vera has already passed the most important part of the path of diagnosis and basic treatment, now it's time to recover. at the beginning of this year, vera, a mother of two children, found out that her cancer had come into remission, it helped that the patient asked for help on time and was diagnosed in suvorov. this is a city in the tula region. uh, here the oncologist andrey nikolaevich uh, gave me a referral to the one where i was again examined, underwent treatment in the tula regional dispensary, treatment. it took me 3 months. everything was that's been treated came here while she 's recovering. hmm, now that's how early diagnosis, cancer, is as important to successful treatment as modern equipment and drugs, advanced protocols, their well-trained doctors. ambulatory oncological care centers in the regions of russia help to save precious time. they

are opened under the national health project and the base can become a multidisciplinary medical center, a district hospital or a polyclinic. new equipment delivered for the outpatient center cancer care allows the suvorov regional hospital to significantly improve the number of diagnoses made at early stages. increased from 48 to 57% for every figure of the fate of real people, firstly, the second stages of the tumor are completely cured and, uh, the patient lives, then the usual full life, that is, well, as a new birth in terms of treatment, one of the most important decisions, which are implemented in outpatient cancer care centers the opportunity to receive therapy immediately at the center, without leaving for a larger city in a day hospital is preparing wards for patients with cancer already installed a laminar flow cabinet for the preparation of solutions. it will be possible to carry out chemotherapy here, which does not require a round-the-clock stay in the hospital. the

equipment purchased for the outpatient cancer care center also helps in the diagnosis of other diseases. the old mole, on which the laboratory assistant used to work, has long served his purpose. yes , and he doesn’t have as much opportunity as the new one device. now for the experts. it is possible to make sections with a thickness of 0.5 micron and higher; the resulting material is called a preparation; it is applied to glass, then it is stained, and after the pathologist examines the section and writes a conclusion . eh, somewhere in some place some kind of there, let's say, process begins. er, well, let's say now. e, of course, he paid great attention to pathology. and then you can understand sick level. uh level of defeat. e, goes or beyond some limits, and then it's easier after giving

a conclusion. e is already a specialist oncologist and it will be easier to decide on a distant one. the patient can sign up for treatment at the outpatient oncological care center himself, or he can be referred by a doctor from the district and polyclinics, suvorov tsap is one of more than four hundred similar centers that are organized in the regions of russia . designed to help doctors detect cancer at an early stage earlier. what was the story of a man comes something feels wrong, if there is any suspicion, he is given a direction to go here, uh, more than 100 kilometers. well, he walks and thinks. all right, i'll go tomorrow, then came the time when you need to plant a garden, well, i'll plant a garden, then i'll go. it's okay, here. everything, this inspection is a suspicion. it's not accurate. well, time passes, and then everyone in the tula region annually falls ill with cancer for about

7,000 people the authorities of the region decided to speed up the work on organizing caps, the plan is being implemented ahead of schedule in tula, they are building a new oncology center with 340 beds, the medical facilities will have their own clinic, which, along with the caps, will become an important element of the oncological care system. we now have six auls, that is, we have grown from three to six in just a year. and this is currently closing the main, as it were, territory need for the construction of the complex itself, almost the first basic contour has already been completed and we are even going. it seems to me that i am not a professional in construction, but it seems to me that, ahead of those deadlines and the road map, and on december 23, this center will open in the working village of novospasskoye, ulyanovsk region, the outpatient cancer care center was opened on the basis of the district hospital thanks to. the health care project managed to re-commission the hospital building, which had been empty for several years, as far as you can see

, we get a fairly large amount of the drug here, and the main chemotherapy drugs and concomitant therapies, which is used during chemotherapy courses for patients in novospanskoye are waiting for patients from five districts of the south, the ulyanovsk region. the appointment is led by three oncologists, thanks to the health care project. a lot of modern equipment from heavy units appeared here. it is x-ray e-e, x-ray stationary e-e device e-digital expert -class ultrasound diagnostic equipment with four sensors a large number of endoscopic equipment digital fluorograph. also purchased. well, and a large number of uh, light weight equipment. and from the moscow medical college and vitebsk medical university, alena, having received a diploma, decided to look for work in the regions of russia in order to participate in the zemsky doctor vacancy program offered by the hospital. literally from all over the country, karelia kamchatka altai ural moscow region, an oncologist went to the ulyanovsk

region to meet future colleagues and decided that this place suits her best in my place, where i am needed as well as any doctor in russia you must be there somewhere here, and for such a large enough bypass of the population, an oncologist, especially one who conducts chemotherapy, was simply necessary; sometimes specialists from the regions, if necessary, can send the patient to federal centers; to the district clinic. in his native krasnodar, in the regional oncological center, the formation was removed, and the study showed that it was a malignant patient, the patient was sent to moscow c tonal medical research center oncology named after blokhin to clarify the diagnosis at present, for an accurate diagnosis and determination of an accurate prognosis, such a procedure as biosistorzhou of the lymph node is necessary. it lies in the fact that we must determine the closest lymph node to the

area where the tumor was, remove it by giving it for morphological examination, less than 2 weeks passed between receiving a referral in krasnodar and the operation in moscow, and tatyana aleksandrovna is very glad that she turned to the district clinic on time, and the treatment was not delayed when the wound you start to be treated, then optimism in general is simply called, and it’s easier for doctors and it’s easier for him himself. the mood is different. in the same way, specialists from national cancer centers are involved in the organization of cancer centers in the regions of russia. population, but here the realities of a large country interfere in one place. it's one city and another place it's a few that's right. quite right. and by the way, the example you brought there, just as we are working on now. with the leadership of the region, some new, more rational way of organizing caops, so that we

can choose correctly between accessibility, in order to bring it closer to the patient, and between quality, despite logistical difficulties, thanks to our healthcare project. in yakutia, it was possible to create a network of sopops, there are already a dozen of them, and in 2024 there will be 18 problems of distances and availability of assistance are also being solved in the second largest region of russia in the krasnoyarsk territory, the krasnoyarsk territory is almost 3.000 km from north to south and most of the population of the regions, about 80%, live south of the angara. that is, only on 10% of the territory the distance is huge. here, it is especially important to strike a balance. on the one hand, medical institutions should not stand idle waiting for their patient. on the other hand, it is very important that help be available, sharypovo is a city four hours away from krasnoyarsk and one of the 13 saups that already exist in the region operates here, an impressive network by 2024 will have 20 outpatient oncology centers in the region.

care, the northernmost of them in norilsk , sharypovskaya, the hospital, before being connected to the national health project, was very limited in its capabilities before, except for receiving, and for oncologists, patients from the city and the region. e, in. in principle, uh, nothing, uh, could now literally do at the expense. uh, us a project. we have the opportunity to really, uh, treat our oncological patients in the conditions of the adenosal hospital of the father of op, and also, uh, perform puncture biosi of superficial focal structures, uh, s, followed by museum control next histology is precisely to determine malignant formations precisely at an early stage. in the city hospital, during the planned and clinical examination , the operation was already done in krasnoyarsk in order to

fully expose pensioners once every 3 weeks , you need to travel by public transport for procedures. there were two options either to achinsk, which is 140 km away, or even to krasnoyarsk needless to say, what does it mean for tatyana vasilyevna to be treated at an outpatient oncological care center, which can be reached on foot? we are very satisfied, because for us it was very painful trips to krasnoyarsk and especially, uh, trips for chemistry. it was very difficult to go there, you suffer at night, you go, and from there, after chemistry, no strength at all. no move. not like 4.5 hours. shake, don't scream, oncologist, sergei rubtsov has been working at the sharypov hospital for almost 20 years, and now they will run the outpatient cancer care center before heading the new department of the hospital. the doctor went to study in krasnoyarsk several times new things appear in it. and if you don't

know these nuances, but work the old fashioned way, you can just, well, sit and do nothing, but the result. i am satisfied, of course, sharypov's doctors, thanks to our healthcare project, have the opportunity to conduct histological studies on the formation of the mammary glands, thyroid and prostate glands, accurate diagnosis and high-quality treatment are getting closer, which means that the chances that the disease can be defeated are growing.

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