62 oncology hospital chief doctor. "A cancer diagnosis is not a fatal sentence." Psychological support for patients with cancer

Anatoly Makhson, former chief physician of the Moscow City Oncological Hospital No. 62

You may have heard about the 62nd hospital scandal. The story is very important, and I ask you to pay attention to it! Moscow City cancer hospital No. 62 is considered one of the best such clinics in the country. Ordinary people who do not have money for expensive foreign clinics could be treated in this hospital. But the optimizers got to the hospital. Perhaps because the head physician, Anatoly Makhson, uncovered schemes by which the Moscow government purchased medicines at several times inflated prices. Now Makhson has already resigned as head physician, and a large-scale check is being carried out at the hospital. And thanks to optimization, the purpose of which is “improving the quality of service,” the hospital has lost the ability to independently purchase the medicines that its patients need.

Briefly, about what happened and what is happening now:

WHAT'S HAPPENED?

November 25 Stalik stalic Khankishiev wrote a post about how his daughter was treated for cancer at the Moscow City Oncological Hospital No. 62. The post ended with the news that they decided to optimize the 62nd hospital. Stalik strongly condemned this decision and urged his readers to seek its reversal.

WHAT'S BAD IN OPTIMIZATION?

The optimization of the 62nd hospital consisted in its transfer from the category of autonomous to budget ones. That is, after optimization, she lost the right to independently purchase the medicines she needed. She now receives her medicines from the Department of Health, which purchases them under the Public Procurement Act.

WHAT'S WRONG IN PUBLIC PROCUREMENTS?

It turned out to be very expensive to purchase medicines through public procurement. For example, in 2016, the government purchased Irinotecan at a price of 5 844 rubles per bottle, and the 62nd hospital in the same year purchased the same drug at a price 1 213 rubles(almost five times cheaper). The state purchased the drug Docetaxel at a price 19 474 rubles per bottle, and the hospital - at a price 7 500 rubles(2.5 times cheaper). The state purchased oxaliplatin at a price of 5 839 before 13 580 rubles, while the hospital bought it for 859 rubles(6-15 times cheaper). It turns out that the state spends more money, but at the same time buys a smaller amount of medicine. Because of this, there was a shortage of medicines in hospitals, which became a deadly threat for patients with certain types of cancer. Previously, the 62nd hospital could independently and at its own expense buy additional drugs necessary for their treatment. But after optimization, she lost this opportunity.

Defenders of the hospital believe that the decision to optimize is due to the desire of the Department of Health to hide the fact of waste. After all, if the hospital does not buy medicines five times cheaper, then there will be nothing to compare prices for public procurement. And then no one will have questions why the Department of Health is so inefficiently spending the money allocated for the purchase of drugs.

“A very convenient approach - instead of putting things in order in the purchase of drugs, which are purchased annually for more than 5 billion rubles for cancer patients in Moscow, eliminate the opportunity for the 62nd oncological hospital to purchase them at normal prices, and then there is nothing will compare. As Zhvanetsky said, "it's hard to change without changing anything, but we will."
After that, something like a war began in the blogosphere. After the incident with Share, Stalik began to accuse bloggers of venality: in particular, nikitskij who rolled out strange revealing posts about Makhson; nemihail , who reproached Stalik for excessive wealth and dishonesty; losyara1975 , the post of which was frozen before I could read it. Supported Stalik and Makhson miss_tramell .
WHAT IS HAPPENING NOW?
At the end of December, Anatoly Makhson wrote an official statement to the FSB and the Investigative Committee about the overpricing he had uncovered in the purchase of medicines. The application was accepted for consideration, the results are not yet known. - it says that in comparison with the hospital, the Moscow Health Department overpaid for equipment and medicines RUB 217,894,133.58.
In addition, Stalik and Anatoly Makhson received many letters about money fraud and corruption in the healthcare sector. Stalik promised that he would publish this information as soon as it was confirmed by documents. There is already a post about the fact that the Moscow Health Department spends a lot of money on the purchase of unnecessary packaging materials for sterilization.
Meanwhile, in the 62nd hospital, the check continues.
HOW MUCH DOES THE MOSCOW HEALTH DEPARTMENT OVERPAY FOR MEDICINES?
On January 13, Stalik published a series of posts analyzing the prices at which the Moscow Health Department purchases medicines for cancer patients. He considered that when purchasing 12 drugs, the Department overpaid more than 800 million rubles.
I give below own calculations according to the documents provided by Stalik. In his posts, he also gives links to auctions and contracts for public procurement, all information can be double-checked (, , , ,).
Capecitabine
4 161 - so many packages purchased DZM
21,002,439.45 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
14,474,292.52 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
2 867 - how many packs of medicine could be bought with the overpaid money
Gemcitabine
21 148 - so many packages purchased DZM
13 323 240 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
60,558,210.32 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
96 124 - how many packs of medicine could be bought with the overpaid money
Paclitaxel
43 357 - so many packages purchased by DZM
52 028 400 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
167,340,997.45 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
139 450 - how many packs of medicine could be bought with the overpaid money
Bevacizumab
Dosage 16 ml

Dosage 4 ml

In total

9 454 - how many packs of medicine could be bought with the overpaid money
Topotecan
163 - so many packages purchased DZM
2 255 594 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
873 729 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
63 - how many packs of medicine could be bought with overpaid money
Trastuzumab
4 503 - so many packages DZM purchased
223 979 445.15 ₽ - how much he would have spent if he bought the medicine at the same price as the 62nd hospital
74,030,986.11 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
1,488 - how many packs of medicine could be bought with the overpaid money
Panitumumab
2 500 - so many packages purchased DZM
99 962 500 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
15 507 571 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
387 - how many packs of medicine could be bought with overpaid money
Oxaliplatin
17,049 - so many packages purchased by DZM
28 983 300 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
108 158 237 ₽ - this is how much DZM overpaid by buying medicine at an overpriced price
63,783 - how many packs of medicine could be bought with the overpaid money
Irinotecan
24 160 - so many packages purchased DZM
24 715 680 ₽ - how much he would have spent if he bought the medicine at the same price as the 62nd hospital
95,367,509.85 ₽ - this is how much DZM overpaid when buying medicine at an overpriced price
93 223 - how many packs of medicine could be bought with the overpaid money
Docetaxel
Before the price jump
3 392 - so many packages purchased DZM
3,392,000 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
18,704,531.75 ₽ - this is how much DZM overpaid when buying medicine at an inflated price
5 514 - how many packs of medicine could be bought with the overpaid money
After the price jump
6 864 - so many packages purchased by DZM
51,480,000 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
122 237 346 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
16,298 - how many packs of medicine could be bought with the overpaid money
In total
140,941,877.75 ₽ - this is how much DZM overpaid when buying medicine at an inflated price
21 812 - how many packs of medicine could be bought with overpaid money
Vinorelbine
5 810 - so many packages purchased by DZM
3 341 853.9 ₽ - how much he would have spent if he bought the medicine at the same price as the 62nd hospital
11,242,746.9 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
19 546 - how many packs of medicine could be bought with the overpaid money
Bevacizumab
Before the price drops
2 549 - so many packages purchased by DZM
34,422,307.76 ₽ - how much he would have spent if he bought medicine at the same price as the 62nd hospital
72,806,398.77 ₽ - this is how much DZM overpaid by buying medicine at an overpriced price
5 391 - how many packs of medicine could be bought with the overpaid money
After price drop
1 920 - so many packages purchased by DZM
6 482 016 ₽ - how much he would have spent if he bought the medicine at the same price as the 62nd hospital
13,717,785.6 ₽ - this is how much DZM overpaid by buying medicine at an inflated price
4,063 - how many packs of medicine could be bought with the overpaid money
In total
86,524,184.37 ₽ - this is how much DZM overpaid when buying medicine at an inflated price
9 454 - how many packs of medicine could be bought with the overpaid money
Here's what happens when you add up the numbers:
RUB 861,544,526.64- total overspending
457 651 - how many packs of medicines could be bought with overpaid money
Approximately 500,000 people fall ill with [cancer] (get sick for the first time) in Russia every year. Of these, 290,000 die in the first year of illness. This means that, in fact, they did not fight for their lives ... They are not treated, medicines do not reach them!
And after all, we calculated only for Moscow, let's say, roughly speaking, 10% of the country's population lives here. This means that approximately 29,000 people who fell ill for the first time died in Moscow during the year. And here are 427,000 packages of drugs! Some of them are very expensive. Nearly 15 missed packages of drugs for every cancer death. Is it necessary to say that these medicines, these allocated funds, these 844 million rubles of ours and you could save many of these 29,000 people?
Can you imagine how much it is - 29,000 people a year? Do you think it's nonsense - women give birth to new ones? That's 80 people a day. One car in the subway, a full trolleybus. Every day one carriage leaves us for the cemetery. And in each of them - our relatives, relatives, friends, acquaintances.
HOW DID THE MINISTER OF HEALTH RESPOND TO THE SITUATION?
Veronika Skvortsova said that Anatoly Makhson and Leonid Pechatnikov should resolve all their differences themselves.
“We need to find a common language and somehow decently resolve this situation.<...>If it turns out that they [Makhson and Pechatnikov] cannot find a common language now, well, then they will meet in my office and the three of us will talk.”
Veronika Skvortsova, Minister of Health of the Russian Federation

Skvortsova speaks of the dispute between Makhson and Pechatnikov as a personal conflict that can be resolved by conversation. She did not mention the situation with the purchase of medicines at repeatedly inflated prices. It remains unclear how a personal conversation between two people in her office will help solve the problem with the huge overspending of budget money when purchasing medicines. And from her words it is not clear whether she is going to solve this problem at all or not.
I ask you not to pass by and connect to this story. Tell us about what is happening in your social networks, follow the news about the 62nd hospital, do not remain indifferent.

What is the "optimization" of the 62nd hospital?
What are the true reasons for "optimization" and attempts to remove the head physician, who gave the hospital 27 years?
Why do patients lack medicine?
What to do to stop the outrages?

Before publishing this material, I decided to consult with wise people. One of them said:
- Stalik, I have a bad prognosis for the fight against corruption.
But I was not going to fight corruption, I do not want to get into politics, but I will fight for life to the last. Yes, we are talking about the life and death of almost millions of people. Silence in this case is a crime.
You don't have to get into this! - told me the second friend.
- We'll take care of everything! - promised the third.
But now, when the egregious facts, from which the hair stands on end, have been written on the medical portal.ru - why be afraid? On the contrary, let those who are engaged in "business" tremble, which I will talk about under the cut.

A few years ago, in order to save budget funds, it was decided that medicines for medical institutions would be purchased centrally, through auctions. Like, if you buy in bulk, it will come out cheaper and the auction itself should provide a minimum price. In addition, it is easier to control - all data is available on the website zakupki.gov.ru

First, the good news. Significantly more money was allocated for the purchase of drugs for the treatment of cancer patients in 2016 than before. Okay, right?
But along with the increase in funding... purchase prices have risen. Do you know how many times? Sit down and hold on to the arms of your chairs so you don't fall off.

Two years ago, A.N. Makhson, the head physician of the 62nd hospital, was the chief oncologist in Moscow.
In 2014, Irinotecan 100 mg was purchased at a price 518 rubles per bottle through auction No. 0173200000513001231.
In 2016, under the new chief oncologist of the capital, the same drug was purchased at a price 5 844 (five thousand eight hundred and forty four) rubles per vial through auction No. 0173200000515001479.
At the same time, in the same 2016, the 62nd hospital, which had the right to independently purchase at the expense of earned money, purchases Irinotecan at a price 1213 rubles. Such an increase in the price of the drug can be explained by a change in the exchange rate. But how to explain the increase in prices by more than ELEVEN (!) TIMES public procurement?

Don't believe me? Check - all data is open on the website zakupki.gov.ru
As a result, in 2014, the Moscow city health department purchased 7,500 packs of Irentoekan, and in 2016, only 4,765 packs. At the same time, the money for the purchase of Irentoekan in 2016 was spent approximately SEVEN TIMES MORE than in 2014.

Listen again: 37 patients out of 100 will die because they will not get Irenotecan at a sevenfold increase in the cost of purchasing this drug.

Of course, Makhson A.N. with his independent purchases at a price almost five times cheaper, he spoiled the whole picture for businessmen and officials. This is probably why, by a decree of November 8, 2016, hospital No. 62 was transferred from autonomous to budget. So that they don’t buy anything on their own, but treat the sick with what the state will issue. So that there is nothing to compare with, as it is written in the article.

Under the spoiler, I place a detailed, but far from complete document sent to me by Makhson A.N.

Analysis of the system of centralized procurement of chemotherapeutic drugs
for oncological hospitals in Moscow and additional medicinal
provision of oncological patients in Moscow.

For chemotherapy treatment of Muscovites under the CHI program, chemotherapy drugs were purchased for Moscow hospitals using the city's budget funds centrally, in order to "save" budget funds, because when buying in bulk, prices should be lower and easier to control.
Due to the lack of centrally purchased chemotherapy drugs for the treatment of patients under the compulsory medical insurance program, MGB No. 62 was forced to independently purchase drugs from extrabudgetary funds for the treatment of patients under the compulsory medical insurance program (more than 73 million rubles).
Due to the sharp rise in prices for domestic drugs in last years, a comparative analysis of purchases for 2015-2016 was carried out. basic chemotherapy drugs, which were carried out by the Department of Health of Moscow and GAUZ MGOB No. 62 according to the official website zakupki.gov.ru
Auctions for the purchase of drugs historically take place in the fall of each year so that drugs can arrive as early as January of the following year.
As a result of the analysis, it was revealed that the price for a number of domestic drugs increased from 5 to 10 times from 2015 to 2016, which explains the increase in complaints from cancer patients about the lack of a number of chemotherapeutic drugs under the DLO program in Moscow in 2016.
So in autumn 2014, for treatment in 2015 - 7500 vials of Irinotecan 100mg. DZ of Moscow was purchased at a price of 518 rubles. For a total amount of 3,885,000.00 rubles. (auction No. 0173200000513001231), and in the fall of 2015 for 2016, the same drug in the amount of 4765 vials was purchased at a price of 5844.00 rubles. per bottle for a total amount of 27 846 660.00 rubles. (auction №0173200000515001479). In both cases, it was a domestic drug. Thus, the price of a domestic drug has risen more than 11 times over 2 years.
In addition, it is noteworthy that in 2016 the Moscow Oncological Hospital No. 62 made an independent purchase of the same drug (Irinotecan 100 mg), due to its lack of centralized supplies, in the amount of 2900 vials at a price of 1213.00 rubles. per bottle for a total amount of 3 517 700.00 rubles. (auctions No. 31603274973 and 31603597603). Thus, the overpayment of the DZ of Moscow amounted to at least 22,066,715.00 rubles.
The next example is for 2015. Moscow Department of Health is purchasing 9,000 vials of Paclitaxel 100 mg. at a price of 552.00 rubles. per bottle for a total amount of 4,968,000.00 rubles. (auction No. 0173200000513001218), and in 2016 the purchase of 8400 bottles of the same drug already cost the city 48,720,000.00 rubles, because a bottle of it already cost 5,800.00 rubles, i.e. more than 10 times more expensive (auction №0173200001415001172).
At the same time, MGOB No. 62 purchased 1,000 vials of this drug at a price of 1,304.82 rubles. per vial for a total amount of 1,304,820.00 rubles, or 4.5 times cheaper than with the centralized purchase of the same drug from Moscow DZ. In this case, the overpayment of the DZ of Moscow amounted to 37,759,512.00 rubles.
Another example - in 2015, the Moscow Department of Health purchases 8500 bottles of Docetaxel 80 mg. at a price of 3093.75 rubles. per bottle for a total amount of 26 296 875.00 rubles. (auction No. 0173200001414001436), and in 2016 the same drug is already purchased at a price of 19,474.95 rubles. (3226 bottles), i.e. more than 6 times more expensive, for a total of 62,826,188.70 rubles.
In the same year, MGOB No. 62 independently purchases this drug at a price of 7,500 rubles, almost three times cheaper, and the overpayment of the DZ of Moscow amounted to 38,631,188.7 rubles.
The next example is the purchase of the drug Zoledronic acid. DZ of Moscow in 2016 buys 13,564 packs. For the amount of 103 812 666.00 rubles. with a range of prices per package from 4 135.00 rubles. up to 17 125.00 rub. for packing. MGOB No. 62 in 2016 independently purchases 1490 packs. Zoledronic acid at a price of 1019 rubles. for packing. Thus, the overpayment of DZ only for this drug amounted to 89,990,950.00 rubles.
Only on the example of the purchase of 5 drugs, hundreds of millions of rubles were unreasonably overspent in the 2016 budget period of the Moscow Department of Health.
The fact is that until 2014, the formation of the starting price for auctions organized by the DZ of Moscow was carried out based on the results of negotiations and receipt commercial offers from manufacturers or suppliers medicines. Moreover, the starting prices for auctions were determined by the smallest offer. After the change in 2014 of the chief oncologist and head of the Moscow Department of Pharmacy, the initial price for the auction began to be formed based on the maximum registration price of the drug for this INN, which is arbitrarily determined by the supplier. This price has nothing to do with the cost of the drug. Usually, the highest registration price for each INN is held by original drug, generic manufacturers register it 10-15% less, but this does not reflect their real cost. At the same time, if there are not many possible suppliers of large volumes, most often 2-3 manufacturers, then there is a possibility of collusion between them: drugs are collected by one of the privileged distributors, which unites several manufacturers and they win the auction for the maximum possible price. At the same time, for the sake of order, they pretend to reduce prices by 15-20%, imitating budget savings for the buyer (or regulatory authorities).
As an example, we can cite the auction for the supply of oncological hospitals in Moscow with the drug Docetaxel, announced by the Moscow Department of Health in November 2015. The auction was won by Pharmriva, and drugs from 4 different manufacturers with a range of prices for Docetaxel 80 mg from 17 to 26 thousand rubles. bottle.
MGOB No. 62 in 2016 independently purchased the drug Docetaxel 80 mg. in a vial for 7500 rubles, and the same drug was supplied to the hospital in a composite auction at a price of 25355.00 rubles. per bottle (auction 0173200001415001425). Interestingly, in the same auction, Docetaxel was supplied at 160 mg per vial (i.e., the dosage is 2 times more) at a price of 18794.80 rubles. - a large dosage was 25% cheaper than a widow of a smaller one.
Since there are currently a large number of generics, and auctions are announced by INN (international non-proprietary name) and a large number of manufacturers can participate in them. At the same time, if suppliers and manufacturers fail to agree among themselves, and the auction price is formed at the registration price, the initial price can be reduced tenfold.
As an example, the following auction No. 0173200001416000647 for the purchase of
Anastrozole. The initial price is based on the registration price of the original drug Arimidex at 8,078.40 rubles. for packing. Auction price RUB 484,704,000.00 (60000 packs). As a result, the contract was won by Propharm for 18,000,000.00 rubles, i.e. 300 rubles each for packaging, i.e. the cost of the initial price of a package has decreased by 27 times. If the firms were able to agree, the cost of one package could reach thousands of rubles. However, what's the point of looking for almost half a billion rubles in the budget to buy a cheap drug, if it was known in advance that the price would fall so sharply. All previous purchases of this drug were also at a price several times lower than the cost of the original drug. All information about these purchases is available in open sources.
At the end of 2015, it was pointed out to the Chief Oncologist of Moscow and the head of the pharmacy department of the DZ of Moscow that with such an approach, as well as with large purchases of low-demand expensive drugs(the application was made with a clear predilection for certain manufacturers and distributors) there will not be enough funds to purchase the most important and sought-after anticancer drugs. And this will lead to a large number unsecured prescriptions. However, many patients will not receive necessary treatment or there will be long breaks in treatment. This is exactly what happened in May, June, July 2016, when a defect arose in several of the most important drugs at once. Only in the polyclinic department of MGOB No. 62, to which 2 districts of Moscow are attached, for 10 months of 2016 there were more than 3,000 unsecured prescriptions with a waiting period of up to 1.5 months. At the same time, some essential medicines (e.g. trastuzumab) were completely removed from the 2016 hospital application, resulting in more bigger problem in the treatment of cancer patients. Unfortunately, no conclusions were drawn in this case either. For 2017, the approach to drawing up an application and organizing auctions has not changed.
As a result of such a system of organizing centralized purchases of chemotherapy drugs, despite a significant increase in budgetary funds allocated for these purchases, the number of unsecured prescriptions under the DLO system is increasing. So in the polyclinic of Moscow City Hospital No. 62 in 2016, there were more than 3,000 unsecured prescriptions with a delay of up to 1.5 months. At the same time, the cycles of treatment of oncological patients are violated and, as a result, one should expect not a decrease in mortality from oncological diseases, but rather, on the contrary, an increase in it.

I ask you, fellow citizens, to check for yourself each figure from the above document. According to my most rough estimates, the overpayment for the purchase of only five drugs for the treatment of cancer patients amounted to 600 million rubles.
For this money, it would be possible to cure very, very many of those who died without receiving proper treatment. That's only five drugs!

I am not a revolutionary. I do not call to the barricades, I do not invite to rallies. Thanks to naive idealism, I hope that this information will be of interest to the competent authorities and they will sort out true reasons what is happening. But a sense of reality tells me that in the end we will be A.N. Makhson, the journalists who dared to write the truth, and I will turn out to be criminals.
Makhson has been in charge of the hospital for 27 years - if you dig deeper, you yourself understand. Well, the Fergana Forest that I robbed has long been demanding retribution.

Okay, to hell with them. Not afraid. What will they do to me? Will they go to jail for cooking books? Hit on the head with a piece of iron in a dark alley or shot? Yes, not from vodka and a cold, after all, to die! In this case, any option suits me, except for one: to die without medicine, in agony, simply because for someone your life is pah, a penny, a fraction of a percentage on foreign accounts and every day of their comfortable, cloudless existence is just a few fresh graves in "non-prestigious" cemeteries.

I am not a prosecutor. And I do not consider myself entitled to accuse people of committing a criminal offense on the basis of just some numbers there. But in a philistine way, I can ask myself the question: are there any signs in these actions corruption crimes? Or is it just "business, nothing personal"?
Wait, but this is just personal, moreover, personal, concerning each of us. Sooner or later, each of us will get sick or injured. And why should the duration of our lives depend not on the will of the Lord God, but on some fucking, nasty business?! So they'll be rowing grandmas with trucks, and we'll die? No, guys, this is definitely a crime, at least - moral! Do you understand what they do? By "earning" this money, they completely deprive millions of patients of the right to life! These are someone's children, parents. These are orphans left without maternal love. These are young people who died prematurely, who could have done a lot of good, and now lie in the ground.

On the one hand, we are shown on TV the results of the fight against corruption. They say that every major official, in fact, is under the hood. But these guys with clean hands, warm hearts and cold heads, which is that cap, do not see, yes, where our money goes and why PEOPLE DIE?!

Let's help them! This is our direct civic duty!
I am absolutely sure that together we are a huge force. We are from open sources we can find out the names of the owners and management companies that participated in the auctions, where signs of collusion are seen with the naked eye. Let's take a look at their progress. What are they doing there - what houses have they built for themselves, what yachts have they bought? How are our tears monetized, what joy did our grief give them?
I ask you: let the relatives of all the people who died of cancer this year and those who die next, know who to invite to the wake.

Or take the same officials. Those who put signatures do not even need to be calculated - everything is known. Why are they so cheeky? Why does the vice-mayor of the capital, Mr. Pechatnikov, after looking at the above documents, decide to transfer the 62nd hospital to the budget ones? In whose interests does he work - in ours or in the interests of those companies where the price of medicines suddenly increased 11 times in a year?!
I understand that now among high-ranking officials it is not very fashionable to answer people's questions. We will not wait for answers from Pechatnikov. But it is in our power to make sure that other people ask him our questions, in front of whom he will sit and tremble at attention. Let some kind of social competition arise between other people - who will be the first to ask our questions to this person. May he justify himself, may he turn out to be the most honest person on earth - I sincerely wish him this!

Many people wrote to me last time that a petition should be drawn up. Do you seriously believe in it? Do you believe that we will put anonymous signatures and something will change there, right? Well, okay, here's someone already. 8,300 people have already signed up. We can easily collect both 100,000 signatures and 400,000. There the wording is a little wrong, because they will say "There is no optimization, on the contrary, we decided to put this good hospital for budgetary support completely, and we have so much money, funding increases every year!" And we know who feels good from those money - not sick, alas.
But let's see if it works or not.

But I know exactly what will work for sure. PLEASE SHARE THIS ARTICLE AS WIDE AS YOU CAN! Because my previous article "My daughter got cancer" worked. All interested persons have read it. The noise has risen, the journalists are digging deep. Now we need to make sure that this very factual information becomes public, so that no rooftops can help, so that the bastards either run away from our country or sit down for a long time! Yes, of course, I would like to return the stolen to the budget - after all, how many lives could be saved for this money!

As a maximum program, I cherish the dream that among the new deputies in the State Duma there will be one daredevil who will submit a change to the criminal law for consideration. For theft and corruption in the field of medicine, the punishment should be the same as for the murder of more than two people by prior conspiracy, as part of a criminal group. Because in fact, from the point of view of morality, such theft is mass murder. Those who steal cannot fail to realize that without medicine, the sick die. And good laws are those that are fully consistent with the morality that operates in society.

Natalya Poklonskaya, former prosecutor of the Crimea. For some reason I remembered you, I hope it's no coincidence. Here is your chance to stop all the sneers directed at you. Prove once again that you are an honest prosecutor, an honest deputy. Do whatever you can. In the next election, I promise to come to every election meeting and explain to voters what a wonderful person you are. And others will come, I'm sure.

PS I completely forgot to write what I saw today weird dream. I dreamed that the position of the head physician of the 62nd hospital had already been sold for 1,100,000 US dollars. I saw the money so brightly, they say, a million to someone there, and a hundred - to an intermediary. If only I could find out - am I the reincarnation of Joseph the dreamer?
Oh, scary, scary. Oh, I'm afraid. If something happens to me, then in a whisper, in the kitchens, with the radio turned on, tell each other about the reasons, about who benefited from it. Because I do not intend to be silent in any other way!

PPS Thanks to the dastardly actions of Maxim Novikovsky (actually Mirkushov), my facebook has been blocked just since the publication of the previous article. And for me it is a very powerful platform for disseminating information. Please spread this article on Facebook as widely as possible, help me, yourself, your parents and children. Click on the social media logos above this paragraph - it costs nothing!

What is the “optimization” of the 62nd hospital? What are the true reasons for "optimization" and attempts to remove the head physician, who gave the hospital 27 years? Why do patients lack medicine? What to do to stop the outrages?

Before publishing this material, I decided to consult with wise people. One of them said:

- Stalik, I have a bad prognosis for the fight against corruption.

But I was not going to fight corruption, I do not want to get into politics, but I will fight for life to the last. Yes, we are talking about the life and death of almost millions of people. Silence in this case is a crime.

"You don't have to get into this!" a second friend told me.

- We'll take care of everything! promised a third.

But now, when the glaring facts, from which the hair stands on end, have been written on the medical portal.ru - why be afraid? On the contrary, let those who are engaged in the “business” tremble, which I will talk about under the cut.

A few years ago, in order to save budget funds, it was decided that medicines for medical institutions would be purchased centrally, through auctions. Like, if you buy in bulk, it will come out cheaper and the auction itself should provide a minimum price. In addition, it is easier to control this way - all data is available on the website zakupki.gov.ru

First, the good news. Significantly more money was allocated for the purchase of drugs for the treatment of cancer patients in 2016 than before. Okay, right? But along with the increase in funding ... purchase prices rose. Do you know how many times? Sit down and hold on to the arms of your chairs so you don't fall off.

Two years ago, A.N. Makhson, the head physician of the 62nd hospital, was the chief oncologist in Moscow.

In 2014, Irinotecan 100 mg was purchased at a price 518 rubles per bottle through auction No. 0173200000513001231.

In 2016, under the new chief oncologist of the capital, the same drug was purchased at a price 5 844 (five thousand eight hundred and forty four) rubles per vial through auction No. 0173200000515001479.

At the same time, in the same 2016, the 62nd hospital, which had the right to independently purchase at the expense of earned money, purchases Irinotecan at a price 1213 rubles. Such an increase in the price of the drug can be explained by a change in the exchange rate. But how to explain the increase in prices by more than ELEVEN (!) TIMES public procurement?

Don't believe me? Check - all data is open on the website zakupki.gov.ru

As a result, in 2014, the Moscow city health department purchased 7,500 packages of Irentoekan, and in 2016, only 4,765 packages. At the same time, the money for the purchase of Irentoekan in 2016 was spent approximately SEVEN TIMES MORE than in 2014.

Listen again: 37 patients out of 100 will die because they will not get Irenotecan at a sevenfold increase in the cost of purchasing this drug.

Under the spoiler, I place a detailed, but far from complete document sent to me by Makhson A.N.

I ask you, fellow citizens, to check for yourself each figure from the above document. According to my most rough estimates, the overpayment for the purchase of only five drugs for the treatment of cancer patients amounted to 600 million rubles. For this money, it would be possible to cure very, very many of those who died without receiving proper treatment. That's only five drugs!

I am not a revolutionary. I do not call to the barricades, I do not invite to rallies. Thanks to naive idealism, I hope that this information will be of interest to the competent authorities and they will understand the true reasons for what is happening. But a sense of reality tells me that in the end we will be A.N. Makhson, the journalists who dared to write the truth, and I will turn out to be criminals.

Makhson has been in charge of the hospital for 27 years - if you dig deeper, you yourself understand. Well, the Fergana Forest that I robbed has long been demanding retribution.

Wait, but this is just personal, moreover, personal, concerning each of us. Sooner or later, each of us will get sick or injured. And why should the duration of our lives depend not on the will of the Lord God, but on some fucking, nasty business?! So they're going to row grandmas with trucks, and we - die? No, guys, this is definitely a crime, at least - moral! Do you understand what they do? “Earning” this money, they completely deprive millions of patients of the right to life! These are someone's children, parents. These are orphans left without maternal love. These are young people who died prematurely, who could have done a lot of good, and now lie in the ground.

Let's help them! This is our direct civic duty!

I am absolutely sure that together we are a huge force. We can find out from open sources the names of the owners and management firms that participated in the auctions, where signs of collusion are seen with the naked eye. Let's take a look at their progress. What are they there - what houses have they built for themselves, what yachts have they bought? How are our tears monetized, what joy did our grief give them?

I ask you: let the relatives of all the people who died of cancer this year and those who die next, know who to invite to the wake.

I understand that now among high-ranking officials it is not very fashionable to answer people's questions. We will not wait for answers from Pechatnikov. But it is in our power to make sure that other people ask him our questions, in front of whom he will sit and tremble at attention. Let some kind of social competition arise between other people - who will be the first to ask our questions to this person. Let him justify himself, let him turn out to be the most honest person on earth - I sincerely wish him this!

Many people wrote to me last time that a petition should be drawn up. Do you seriously believe in it? Do you believe that we will put anonymous signatures and something will change there, right? Well, okay, here's someone already. 8,300 people have already signed up. We can easily collect both 100,000 signatures and 400,000. The wording there is a little wrong, because they will say “There is no optimization, on the contrary, we decided to put such a good hospital on budgetary support, and we have so much money, funding increases every year!” And we know who is good from those money - not the sick, alas.

But let's see if it works or not.

But I know exactly what will work for sure. PLEASE SHARE THIS ARTICLE AS WIDE AS YOU CAN! Because my previous article, “My Daughter Got Cancer,” worked. All interested persons have read it. The noise has risen, the journalists are digging deep. Now we need to make sure that this very factual information becomes public, so that no rooftops can help, so that the bastards either run away from our country or sit down for a long time! Yes, of course, I would like to return the stolen to the budget - after all, how many lives could be saved for this money!

PS I completely forgot to write that today I had a strange dream. I dreamed that the position of the head physician of the 62nd hospital had already been sold for 1,100,000 US dollars. I saw the money so brightly, they say, a million to someone there, and a hundred to an intermediary. I wish I could find out - am I the reincarnation of Joseph the dreamer?

Oh, scary, scary. Oh, I'm afraid. If something happens to me, then in a whisper, in the kitchens, with the radio turned on, tell each other about the reasons, about who benefited from it. Because I do not intend to be silent in any other way!

Mass Media about us

Who is most susceptible to lung cancer?

Lung cancer is the second most common cancer in both men and women. It ranks first in terms of mortality. So who is most susceptible to this disease and what are the most effective methods of diagnosis and treatment? Narrated by Dmitry Kanner, Pavel Kononets and Daniil Stroyakovsky.

Risk and chance "Rossiyskaya Gazeta", February 5, 2018

Channel "MediaDoctor", program "Oncology with Professor Makhson: breast cancer"

Daniil Lvovich Stroyakovsky, Head of the Chemotherapy Department of the Moscow City Oncological Hospital No. 62, talks about the treatment of breast cancer.

It is unacceptable to refuse ultrasound in oncology

Head of department ultrasound diagnostics Moscow City Oncological Hospital No. 62, Vladimir Viktorovich Kapustin - about why both Russian and foreign specialists pay special attention to the use of ultrasound in the diagnosis of oncological diseases.

The robot will wait "Rossiyskaya Gazeta", October 5, 2017

Channel "Mediadoctor", program "Oncology with Professor Mahson: chemotherapy, immunotherapy, targeted therapy"

Daniil Lvovich Stroyakovsky, Head of the Chemotherapy Department of the Moscow City Oncological Hospital No. 62, talks about chemotherapy treatment, immunotherapy, and targeted therapy.

Channel "MediaDoctor", program "Oncology with Professor Makhson: lung cancer"

Pavel Vyacheslavovich Kononets, Deputy Chief Physician of the Moscow City Oncological Hospital No. 62, talks about the treatment of lung cancer.

Treatment of bladder cancer - problems and solutions

Crayfish Bladder- one of the most common oncological diseases in the world, moreover, surpassing almost all others in the frequency of relapses. About the difficulties of choice, the pros and cons various options surgical treatment this disease says the head of the urological department of the Moscow City Oncological Hospital No. 62 Valery Ivanovich Shirokorad.

Why Oncologists Can't Cure Bladder Cancer VADEMECUM Weekly Business Magazine [Come with Me], August 22, 2017

Cancer diagnosis is no longer a death sentence

Key to effective treatment cancer- concentration within one institution of diagnostic, surgical, chemotherapeutic and radiological services, the possibility of conducting both inpatient and outpatient treatment. This is how the patient care system at the Moscow City Oncological Hospital No. 62 is arranged.

62nd will live! Rossiyskaya Gazeta, March 6, 2017

Every parent at the birth of a boy should know at least the elementary rules for maintaining men's health.

Valery Ivanovich Shirokorad, head of the urological department: "In order to keep a man healthy for as long as possible, you need to think about this when the son is still in the womb. And even more so after his birth."

Take care of your strength from a young age Rossiyskaya Gazeta, March 2, 2017

Channel "MediaDoctor". Program "Doctor's times"

Is an oncological diagnosis an obstacle to active sports or, on the contrary, does sports help to overcome the disease? Answer to this and others topical issues- in a conversation with Dmitry Kanner, chief physician of the Moscow City Oncological Hospital No. 62.

A malignant tumor does not interfere with the birth of a healthy child

Daniil Lvovich Stroyakovsky, head of the chemotherapy department at the Moscow City Oncological Hospital No. 62: “In our time, the combination of pregnancy and cancer is not uncommon. And it is not fatal. Cancer occurs long before pregnancy, but due to the secrecy of the course, it is detected accidentally during pregnancy. In the 1980s, they learned how to treat pregnant women with lymphomas and leukemia.And they proved that chemotherapy in the second and third trimesters is safe for the child and saves the mother.In such situations, the joint work of oncologists and obstetrician-gynecologists is very important.And we have a positive experience of such work ".

Pressing to the chest. "Rossiyskaya Gazeta", November 24, 2016

Symposium "Past and Future of Antiangiogenic Therapy for Gastric Cancer"

In Moscow, within the framework of the XX Russian Cancer Congress, a symposium "The Past and Future of Antiangiogenic Therapy of Gastric Cancer" was held. The participants of the symposium discussed the development of one of the most promising methods of tumor treatment. The symposium was attended by the head of the molecular biological laboratory of the Moscow City Oncological Hospital No. 62, Ph.D. Irina Demidova.

Issues of anti-angiogenic therapy for gastric cancer were discussed in Moscow. RIA AMI, November 21, 2016

Lung cancer: detect and cure

Surgeons, chemotherapists, radiologists - without the coordinated work of these specialists, effective treatment of patients with oncological diseases impossible. It is also impossible without timely diagnosis, which makes it possible to accurately establish the diagnosis. Leading specialists of the Moscow City Oncological Hospital No. 62 spoke about the most effective methods for diagnosing and treating lung cancer.

"Moscow in detail": how lung cancer is treated. TV channel "Moscow 24", November 8, 2016

Channel "MediaDoctor". Medical Management Program

Anatoly Nakhimovich Makhson, chief physician of the Moscow City Oncological Hospital No. 62, talks about problems, opportunities and prospects Russian healthcare.

Modern drug therapy gives a chance to cure even the most severe cancer patients

In Copenhagen, an international congress of oncologists was held, dedicated to the latest methods of diagnosing and treating cancer. Participant of the event, head of the chemotherapy department of the Moscow City Oncological Hospital No. 62 Daniil Lvovich Stroyakovsky talks about existing problems, achievements and prospects in the treatment of oncological diseases.

Non-transferable recipe Rossiyskaya Gazeta, October 6, 2016

High-tech medical care for cancer patients

Quantity oncological operations made with the help of high-tech equipment, is growing every year. Before surgery, doctors at the Moscow City Oncological Hospital No. 62 can examine the tumor in detail in order to decide on the need and method of intervention, and to perform the operation itself with minimal trauma for the patient.

"Life in the big city": Medical technologies in the capital. TV channel "Moscow 24", August 30, 2016

What new technologies are used in oncosurgeryTV channel "Moscow 24", September 16, 2016

"Moscow in detail": how the capital is fighting oncologyTV channel "Moscow 24", September 22, 2016

Is there a link between cell phone and brain cancer?

Discussions about the harmfulness of electromagnetic radiation have been going on for more than a year. Many researchers come to the conclusion that mobile phones are dangerous, especially for children. But the link between the use of cell phones and brain cancer has not been established.

Mobile phones make children weak-minded and interfere with writing dictations The site of the newspaper "Moskovsky Komsomolets", August 18, 2016

Immunotherapy in cancer treatment - new opportunities?

The first innovative immuno-oncological drug for the treatment of severe forms of cancer was registered in Russia this spring. In USA and Europe similar drugs have been in use since 2011. Perhaps very soon they will be used in our country.

Breakthrough drugs for cancer treatment will appear in Russia Information agency INFOX.ru, August 15, 2016

Cancer moves back

Until recently, cancer was a verdict for every patient who heard this diagnosis. Today, the achievements of science and medicine, the latest technologies in the diagnosis and treatment of oncological diseases make it possible not only to cure a significant number of patients, but also to maintain a high quality of life. However, there are still problems, without the solution of which we can talk about victory over terrible disease just impossible.

Cancer moves back Literary newspaper, July 6, 2016

Association of Melanoma Specialists established in Russia

One of the main reasons for the high mortality from melanoma in Russia is late diagnosis. Thus, the country is experiencing an increase in the incidence of this type of cancer, while 12% of patients die within a year after diagnosis, the country's leading oncologists said at a press conference on May 23. To change the situation and stop the problem, the Association of Melanoma Specialists has been created in Russia.

Stop the rise in deaths: doctors created the Melanoma Association IA REGNUM, May 24, 2016

Get tanned and not get sick

Summer is coming - season beach holiday and, of course, sunburn. One of traditional ways preparation for it among the fair sex is considered a trip to the solarium. This is not always justified, and often also unsafe. "morbidity different types skin cancer is constantly growing, and most of all in northern countries," - said in an interview with "RG" chief physician Moscow Clinical Oncology Hospital N 62 Professor Anatoly Makhson. However, scientists continue to look for a way by which you can tan and not lose your health.

Burnt by sunburn "Rossiyskaya Gazeta", May 12, 2016

Minimally invasive resection of the esophagus for cancer - the search for a path or a confident step forward?

Surgical treatment of cancer thoracic The esophagus remains one of the most difficult problems in oncosurgery for a long time. It's obvious that essential role c It is precisely the oncologically adequate surgical component that plays the role in increasing the rates of disease-free and overall survival.

P.V. Kononets, Deputy Chief Physician for Surgery, GAUZ "MGOB No. 62 DZM"

Fire on the tumor - accurate aiming!

January 14, 2016 at the Ministry of Justice Russian Federation a new community of specialists was registered - the Interregional Public Organization "Association of Cancer Pathologists". The President and one of the initiators of its creation, head of the pathoanatomical department of the Moscow City Oncological Hospital No. 62, Vyacheslav Nikolaevich Grinevich, talks about the main goals and objectives of the Association.

V.N. Grinevich, head of the pathoanatomical department of GAUZ "MGOB No. 62 DZM" "Oncology Today", April 2016

TV channel "NTV". Program "Accents of the week"

Every year more than 500,000 people in our country are diagnosed with cancer. At the same time, young people are increasingly becoming patients of oncologists. The problem of the lack of a national cancer control program is exacerbated by many factors, including untimely appeal patients to a medical facility when it is no longer possible to completely cure the disease.

Cancer treatment abroad: pros and cons

The desire of the patient, who heard the terrible diagnosis of cancer, is treated in the best medical institution, where "they will certainly help," is understandable. At the same time, "the best" is often associated with the word "foreign". But is it really any better? Is it necessary to spend time, effort, and often a lot of money for treatment in foreign clinics, despite the fact that our country has both highly professional specialists and modern equipment for the treatment of oncological diseases?

Pavel Kononets, Deputy Chief Physician for Surgery at the Moscow City Oncology Hospital No. 62, and Dmitry Kanner, Head of the Department of Abdominal Oncology, speak in detail about the current situation.

Blind choice. Rossiyskaya Gazeta, April 14, 2016

Angelina Jolie hospitalized with pancreatic problems

Doctors commented on the news that the star was hospitalized with a sharp weight loss.

Anatoly Nakhimovich Makhson, chief physician of the Moscow City Oncological Hospital No. 62: “Angelina Jolie was diagnosed with a BRCA1 genetic mutation, which indicates a very high risk of developing breast and ovarian cancer. She decided on a preventive operation - a mastectomy, but this operation could not lead to such a loss weight."

Angelina Jolie is in the hospital and is facing problems with her pancreas. The site of the newspaper "Moskovsky Komsomolets", April 5, 2016

Pavel Kononets: cancer patients in our country are treated no worse than abroad

There are tumors that stubbornly resist the most modern methods of treatment. In oncology, these are primarily tumors of the lungs, liver, esophagus, and pancreas. This is probably why there are noticeably fewer specialists in the treatment of these tumors among oncologists than in other areas. With one of them - the deputy chief physician for surgery of the Moscow City Oncological Hospital N 62, Pavel Kononets, the columnist for "RG" is talking.

Interview with a scalpel in hand. Rossiyskaya Gazeta, March 3, 2016

New times - new opportunities

In June 1957, the executive committee of the Moscow City Council decided to organize the Moscow City Hospital No. 62 on the basis of a sanatorium in the vicinity of Krasnogorsk, Moscow Region. In 1960, the hospital was re-profiled into an oncological one. Thus began the history of the Moscow City Oncological Hospital No. 62.

How does one of the largest oncological institutions in our country live and develop today? What goals and objectives does it set for itself?

A story to be continued. "Medical Bulletin", December 24, 2015

Alexander Burlakov: An oncologist should always be a psychologist

Breast cancer ranks first among oncological diseases in women. And not only in Russia, all over the world. In addition, this localization is constantly getting younger. Therefore, more and more often it goes beyond the medical problem, becoming an ethical problem. The RG columnist talks about this with the State Prize laureate, Dr. medical sciences, head of the surgical department of the Moscow City Oncological Hospital No. 62 Alexander Burlakov.

Cling to your chest. Rossiyskaya Gazeta, December 24, 2015

TV channel "TV Center". Program "Doctor I.." Women's phobias: breast cancer

Perhaps all women are afraid of the diagnosis of breast cancer. At the same time, 10-15% of breast diseases are due to genetic causes.

Mutations in which genes are greatest danger Can breast cancer be prevented? Irina Anatolyevna Demidova, head of the molecular biological laboratory of the Moscow City Oncological Hospital No. 62, tells.

Sanctions and public procurement of medicines

Along with European and Turkish tomatoes, many were also subject to "sanctions" foreign drugs- and vital and necessary. According to Decree No. 1289, published on the government website on December 2, which was signed by Dmitry Medvedev, now foreign medicines that have at least two Russian (or manufactured by neighboring countries) analogues will not be able to get into public procurement.

Anatoly Nakhimovich Makhson, chief physician of the Moscow City Oncological Hospital No. 62, comments on the situation.

The ban on imported drugs in Russia is fraught with disaster for patients. The site of the newspaper "Moskovsky Komsomolets", December 2, 2015

Medvedev stepped on a sore ear. POLITIKA.RU portal, December 2, 2015

Moles as a risk factor

Why is a large number of moles dangerous? Can they turn into a tumor? These and other questions are answered by the oncologist of the fluorescent diagnostics room, photodynamic therapy and dermatoscopy of our clinic Tatyana Yurievna Kurakina.

Newspaper "Moscow. North-West", November 1, 2015

According to experts from the World Health Organization, the use of processed meat products can serve as a factor provoking a number of oncological diseases. Irina Anatolyevna Demidova, head of the molecular biological laboratory of the Moscow City Oncological Hospital No. 62, comments on the situation.

Medical care for cancer patients in Moscow: problems and prospects

Cancer care has always been one of the most acute problems of Russian health care. Anatoly Nakhimovich Makhson, chief physician of the Moscow City Oncological Hospital No. 62, comments on the situation.

In Moscow, oncologists continue to sound the alarm: there is not enough money for treatment. News agency Regnum, October 1, 2015

Cancer care: is a crisis coming? Newspaper "Arguments and Facts. Health", October 8, 2015

Instead of an outdated reception - a comfortable multifunctional center!

On September 2, our clinic hosted the grand opening of a new multifunctional center that combines the registry, help desk and call center. Electronic document management and electronic queue systems will ensure the efficient distribution of the ever-increasing flow of patients, and a spacious and comfortable room will significantly improve the conditions for visitors to the clinic.

Opening of a new multifunctional center in oncological hospital No. 62. Information centre Government of Moscow, September 2, 2015

Informational portal M24, September 2, 2015

Medical care for cancer patients has become more accessible. TV channel "Moscow 24", September 2, 2015

TV channel "TV Center", September 3, 2015

Out of turn. Rossiyskaya Gazeta, September 3, 2015

Moscow oncological hospital №62. Website Russian newspaper, September 2, 2015

Hospital advisory circle. Newspaper "Evening Moscow", September 2, 2015

An electronic queue appeared in the registry of oncological hospital No. 62. Moscow City News Agency, September 2, 2015

A multifunctional center was opened in the Moscow Cancer Hospital No. 62. Information portal Medical Bulletin, September 2, 2015

In the largest oncological hospital in Moscow, an electronic queue has been launched. Website of the newspaper "Moscow-Info", September 2, 2015

In Moscow, a multifunctional center was opened in oncology hospital No. 62. Information portal RuNews24, September 2, 2015

To the doctor by e-mail. News portal KRAGOR, September 3, 2015

TOP-5: the main events of the week. Information portal Medical Bulletin, September 4, 2015

Engagement and Healing. Rossiyskaya Gazeta, September 10, 2015

Treatment should be comfortable. Newspaper "Moscow. North-West", September 27, 2015

The most common diseases of the residents of the capital are respiratory diseases and oncology

Unfortunately, constant stress and poor ecology become the cause of a common disease among the townspeople - cancer. Anatoly Makhson said that about 40,000 citizens a year make this diagnosis, and 18,000 people die of cancer. At the same time, in 2014, the death rate from neoplasms increased by two percent.

Harm of a big city: what Muscovites most often get sick. Information portal M24, August 31, 2015

TV channel "Healthy TV". Surgery Program: Bone Cancer

Bone cancer is perhaps one of the most psychologically "difficult" diagnoses for a patient. After all, very recently surgery This group of diseases in most cases consisted in the amputation of the affected organ. Today, the patient can not only be cured, but also maintain the highest possible quality of his life. For example, patients after surgery to remove affected bones and joints lower extremities with the replacement of the defect with an endoprosthesis, they gradually learn to walk independently without additional support.

70 to 90% of people of reproductive age are carriers of the human papillomavirus

How is the human papillomavirus transmitted? What tests are needed to detect the disease? These and other questions are answered by gynecological department Mamed Taghievich Tagiev.

Beware of HPV! Sobesednik.RU, July 30, 2015

The best prevention of bowel cancer is regular check-ups

Who needs a colonoscopy and how often? What factors increase the chance of developing colon cancer? Tells the head of the department of endoscopy Boris Sergeevich Lensky.

Intestine: so that he was healthy! Sobesednik.RU, July 15, 2015

TV channel "TV Center". The program "In the center of events" with Anna Prokhorova

The Moscow City Oncological Hospital No. 62 not only cures patients of cancer, but also preserves the quality of life as much as possible.

Sunburn: pros and cons

What can be dangerous sunburn? Where is it safer to sunbathe - on the beach or in the solarium? Are there effective means protecting the skin from harmful radiation? These and other questions are answered by Tatyana Yuryevna Kurakina, an oncologist in the office of fluorescent diagnostics, photodynamic therapy and dermatoscopy at our clinic.

You ask - the doctor answers. Newspaper "Moscow. North-West", July 6, 2015

TV channel "Healthy TV". Program "Surgery": surgery for colorectal cancer and liver metastases

metastatic cancer the liver was most recently considered a doom for the patient. However, over the past 10-15 years, significant changes have taken place in the treatment of oncological diseases: new effective surgical, radiation and chemotherapeutic methods of treatment have been developed. A competent combination of modern technologies and an individual approach to each patient allows not only to save the patient's life, but to ensure its highest quality.

Increase in compulsory medical insurance tariffs for the treatment of oncological diseases

Anatoly Nakhimovich Makhson, chief physician of the Moscow City Oncological Hospital No. 62, on the situation that has developed after the transition to a single-channel system of financing for compulsory medical insurance.

Moscow plans to increase compulsory health insurance rates for oncological diseases. Information portal M24, June 25, 2015

Immunotherapy - a new method of cancer treatment

Daniil Lvovich Stroyakovsky, head of the chemotherapy department of the Moscow City Oncological Hospital No. 62, talks about the prospects for use.

Rossiyskaya Gazeta website, June 1, 2015

British doctors call immunotherapy a breakthrough in cancer treatment. Information portal Medical Bulletin, June 2, 2015

Scientists have found an effective method of treating cancer. Online publication Argumenty.ru, June 2, 2015

Psychological support for patients with cancer

There is a position of a psychologist in the staff structure of oncological dispensaries in Russia. However, as experts noted earlier, in many institutions these specialists are not enough due to cost cuts.

Pechatnikov suggested creating a support service for cancer patients in Moscow. Website of the weekly business magazine VADEMECUM [Come with me], May 15, 2015

Unique 3D surgeries at the Moscow City Oncological Hospital No. 62

Moscow City Oncology Hospital No. 62 is a modern clinic that meets international standards and is equipped with the most modern equipment. One of the main principles that high-class specialists of the hospital adhere to in their work is the maximum preservation of the function of the affected organ.

There is nowhere to retreat. Behind the 62nd. Rossiyskaya Gazeta website, May 14, 2015

The Moscow City Oncological Hospital No. 62 successfully performs 3D operations while preserving the organ and its functions. Russian information portal RRNEWS.RU, May 14, 2015

For the first time, unique 3D cancer surgeries are being performed at the Moscow Oncology Hospital. Website "Ryazan Vesti", May 14, 2015

Unique 3D oncological surgeries have been started in Moscow. Information portal "SakhaNews", May 14, 2015

Treatment of oncology within the CHI system

How, with what and for how much cancer patients are treated after a sharp reduction in oncology funding. Anatoly Nakhimovich Makhson, chief physician of the Moscow City Oncological Hospital No. 62, comments on the situation.

Question to Putin: Is there money for Crimea, but not for cancer patients? Sobesednik.RU, April 18, 2015

The Ministry of Health curtailed the oncology program

Anatoly Nakhimovich Makhson: "Analyzing data on the survival of patients treated in specialized and non-specialized medical institutions, it becomes clear that the figures differ by 10%-15%, or even 20%, in favor of those who received medical care in oncology hospitals."

Oncology: hope never dies. Portal Innov.ru, March 30, 2015

Where and how in Moscow they provide assistance to cancer patients

Commentary by Anatoly Nakhimovich Makhson, chief physician of the city oncological hospital No. 62.

Oncology: where to go for treatment, medications and psychological support. Information portal M24, March 26, 2015

cancer insurance

Anatoly Makhson, chief doctor of the city oncological hospital No. 62, spoke about the responsibility of people for their health and the possibilities of modern medicine.

We are offered to insure against... cancer. Information portal Medpulse.ru, March 23, 2015

The Ministry of Health of the Russian Federation will develop a concept of permanent psychiatric care for cancer patients

According to the concept, a psychiatrist will work with every cancer patient along with an oncologist. The possibility of using antidepressants and tranquilizers in the treatment of such patients will also be discussed with doctors.

Anatoly Makhson, chief physician of the city oncological hospital No. 62, noted that with single-channel financing, when all funds for the treatment of patients are allocated only by the Compulsory Fund health insurance, medical institutions can't afford to keep psychiatrists to work with cancer patients.

A psychotherapist will constantly work with each oncological patient. Information portal M24, February 25, 2015

Cancer patients will receive psychiatric care. Website of the newspaper "Vechernyaya Moskva", February 25, 2015

The Ministry of Health will involve psychotherapists in the treatment of cancer patients. Medical portal medportal.ru, February 25, 2015

The Ministry of Health will involve psychotherapists in the treatment of cancer patients. Website of the weekly business magazine VADEMECUM [Come with me], February 25, 2015

On the facts of suicides of cancer patients in Moscow will be checked

Since the beginning of February, according to media reports, 11 cancer patients in Moscow have taken their own lives. “In each situation, of course, you need to carefully understand,” says Anatoly Nakhimovich Makhson, head physician of the Moscow city oncological hospital No. 62. “Judging by my practice, cases of suicide among cancer patients are extremely rare.”

Like death. Lenta.ru, February 25

A "hot line" to support cancer patients has been launched in Moscow. The site of the newspaper "Moskovsky Komsomolets", February 24, 2015

If mom had cancer

Is cancer hereditary? How to protect yourself from insidious disease? Irina Anatolyevna Demidova, head of the molecular biological laboratory of our clinic, tells.

If Mom Had Cancer... Is Cancer Hereditary? Sobesednik.RU, February 18, 2015

cancer insurance

A new insurance program has appeared in Russia women's health. According to the developers, it will financially protect women in case of cancer and in some other situations. Anatoly Nakhimovich Makhson is convinced that the problem of treatment malignant tumors will help solve population-based insurance (following the Western example), when “all working people will be insured little by little, and if 360,000 of them fall ill, then insurance companies will have enough money to pay for treatment.”

Cancer can be insured. Russian Agency for Medical and Social Information AMI, February 24, 2015

The non-profit partnership Equal Right to Life supported an insurance program to protect women's health. Social Information Agency, February 24, 2015

CHI tariffs are less than the cost of the service itself

Oncologists officially warned the Ministry of Health that they would be forced to refuse treatment for cancer patients. The reason is the transition from direct budget financing to the CHI system. Anatoly Nakhimovich Makhson, chief physician of the Moscow City Oncological Hospital No. 62, comments on the current situation.

How much does it cost to die from cancer. Rossiyskaya Gazeta website, February 3, 2015

Moscow oncologists are sounding the alarm: they have nothing to treat patients with. IA REGNUM, February 4, 2015

Anatoly Makhson: Compulsory medical insurance rates do not even provide salaries to some hospitals. Website of the weekly business magazine VADEMECUM [Come with me], February 4, 2015

Oncology is on the verge of a crisis. The site of the newspaper "Moskovsky Komsomolets", February 4, 2015

The prognosis is disappointing: oncologists fear that soon they will not be able to treat their patients. Medical portal medportal.ru, February 5, 2015

Ministry of Health vs Cancer: 0:1? Website of the "Obshchaya Gazeta", February 6, 2015

Vladimir Putin is called to fight cancer. Website Kommersant.ru, February 9, 2015

The "Movement Against Cancer" asks Vladimir Putin to prevent a shortage of medicines for cancer patients. IA "Free News. FreeNews-Volga", February 9, 2015

A disaster in oncology. Medical portal medportal.ru, February 10, 2015

Cancer patients in Russia may be left without adequate care. Information agency INFOX.ru, February 11, 2015

It's too expensive to get sick. Website of the Gudok publishing house, February 12, 2015

Medical portal medportal.ru, February 12, 2015

The Moscow City Duma proposed to allocate a subsidy for cancer treatment. Website of the newspaper "Our district - Kotlovka", February 12, 2015

The head of the Moscow City Duma Commission proposed to allocate a subsidy for cancer treatment. Russian Agency for Medical and Social Information AMI, February 13, 2015

VIII Forum "Movement Against Cancer": a new strategy for Russian healthcare. ALLONCOLOGY.com, February 13, 2015

There is no cure for cancer patients. Website "World of News", February 16, 2015

How much money does the government plan to use to treat cancer patients? Russian Agency for Medical and Social Information AMI, February 17, 2015

The truth is a useful thing. Lenta.ru, February 17

"A cancer diagnosis is not a fatal sentence"

A round table under this title was held on February 3, 2015 in Rossiyskaya Gazeta. It was attended by: director of the N.N. Blokhin Mikhail Davydov, Deputy Director for scientific work N.N. Blokhin Mikhail Lichinitser, Deputy Director of the Research Institute of Pediatric Oncology and Hematology N.N. Blokhin Vladimir Polyakov, Chief Physician of Moscow City Hospital No. 62 Anatoly Makhson and Head of the Chemotherapy Department of Moscow City Hospital No. 62 Daniil Stroyakovsky.

Health system reform

Daniil Lvovich Stroyakovsky, head of the chemotherapy department of the Moscow City Oncological Hospital No. 62, talks about the difficulties and prospects of the reform, the dangers of treatment with folk remedies and responsibility for one's health.

Oncologist: Everyone is afraid of cancer. And this is generally normal. Sobesednik.RU, January 22, 2015

Moscow City Oncological Hospital No. 62 is one of the largest medical and diagnostic oncological centers in Russia

There is no need for patients with oncological diseases to go abroad for treatment - there are medical institutions in Russia that employ specialists of the highest level.

Where cancer is treated: cancer centers in Russia. Website of the publishing house "Komsomolskaya Pravda", December 12, 2014

Not only cure, but also maintain a high quality of life

The specialists of the Moscow City Oncological Hospital No. 62 set themselves the task of not only curing a cancer patient, but also maintaining the highest possible quality of life, restoring, as far as possible, body functions.

Such work is to save and preserve. Newspaper "Trud" №170, December 5, 2014

Optimization of the healthcare system

Recent economic difficulties are forcing the state to allocate funds more rationally, as well as to optimize the healthcare structure. Professor Anatoly Nakhimovich Makhson, Chief Oncologist of Moscow, Chief Physician of the Moscow City Oncological Hospital No. 62, spoke about the situation in clinics that decided to change their form of ownership.

Anatoly Makhson: "We thought it couldn't get worse..." Russian Agency for Medical and Social Information AMI, November 17, 2014

Vice Speaker of the State Duma Lyudmila Shvetsova passed away

On October 29, Lyudmila Shvetsova, vice-speaker, passed away State Duma who devoted much of his life to solving social problems our state. Anatoly Nakhimovich Makhson, chief oncologist of Moscow, chief physician of the Moscow City Oncological Hospital No. 62, recalls his acquaintance and joint work with Lyudmila Ivanovna.

The era is gone. What remains is memory. Website of the Parliamentary Gazette, October 29, 2014

In memory of Lyudmila Shvetsova. Parliamentary Gazette No. 38 (2667), October 30, 2014

Changes in the structure of the Association of Oncologists of Russia

The structure of the Association of Oncologists of Russia (AOR), which, along with federal agencies and professional communities includes the Moscow City Oncological Hospital No. 62, will change in the near future: the number of board members will decrease to 30 people. At the same time, individuals will also be able to join the association.

The structure of the AOR has changed. Website of the weekly business magazine VADEMECUM [Come with me], September 16, 2014

Creation of a registry of patients suffering from Hodgkin's lymphoma

The R-Pharm group of companies will support the creation of a register of patients suffering from Hodgkin's lymphoma. The project was initiated by the N.N. Blokhin Russian Cancer Research Center of the Russian Academy of Medical Sciences and the Moscow City Oncological Hospital No. 62. Soon several more Moscow and regional specialized clinics will join them, which will expand not only the scope, but also the geography of the project.

"R-PHARM" supported the national project for the treatment of Hodgkin's lymphoma. Website of the weekly business magazine VADEMECUM [Come with me], July 11, 2014

Russian doctors perform unique operations to restore the voice

Specialists of the Novosibirsk City clinical hospital№1, headed by the head of the department for the treatment of head and neck tumors, completed the most complicated operation to restore the voice with a unique prosthesis. The operation was supervised by Elena Nikolaevna Novozhilova, a leading surgeon in the field of voice prosthesis implantation, head of the head and neck tumor department at the Moscow City Oncological Hospital N62.

Vladimir Kapustin, Head of the Department of Ultrasound Diagnostics of the Moscow City Oncological Hospital No. 62, held a master class "Radiofrequency ablation in malignant neoplasms" at the Murmansk Regional Oncological Dispensary.

Khibiny.com, May 26, 2014

Moscow doctors shared their professional experience with Murmansk colleagues. "Nord-News", May 26

Doctors from Moscow and Murmansk exchanged professional experience. Murman.ru, May 24, 2014

Doctors from Moscow and Murmansk exchanged professional experience. Information agency "B-port", May 24, 2014

Moscow days on the health of northerners. Murmansk Bulletin, May 23, 2014

Availability of pain medications for cancer patients

Anatoly Nakhimovich Makhson, Chief Oncologist of Moscow, Chief Physician of the Moscow City Oncological Hospital No. 62, and Andrey Sokolov, Deputy Chief Physician of the Moscow City Oncological Hospital No. 62, comment on the situation.

Moscow will develop a system of oncopsychiatric care. Electronic periodical"MK.ru", April 2, 2014

Die in pain. Radio station "Echo of Moscow", February 18, 2014

Anatoly Makhson: "The crazy system does not allow patients to prescribe effective painkillers." Internet edition "Orthodoxy and the World", February 14, 2014

Pain. Internet portal "Rossiyskaya Gazeta", February 12, 2014

Painkillers for cancer patients. Radio station "Echo of Moscow", February 11, 2014

Employees of the Moscow City Oncological Hospital No. 62 applied with open letter to the mayor of the capital, Sergei Sobyanin, to the administration of the President of the Russian Federation, the Ministry of Health, the National Medical Chamber and the All-Russian Popular Front. They are asking to stop the process of reorganizing the hospital from an autonomous medical institution into a budget one, initiated by the Moscow government, and to extend the contract of the permanent head physician of the hospital, Anatoly Makhson. The document was signed by 677 people out of 1,040 hospital employees, below we provide its full text. In part, their arguments repeat the earlier arguments of Makhson himself, but he told Vademecum that the employees decided to write the letter on their own initiative.

Dear Sergey Semenovich!

The staff of the Moscow City Oncological Hospital No. 62, which has existed since 1959, is turning to you. During all these years we have been providing qualified assistance patients with oncological diseases.

In 1990, the staff elected Anatoly Nakhimovich Makhson, the chief physician, who has been working at the clinic for almost 45 years, by an overwhelming majority of votes. During his leadership, the hospital turned from a small hospital with outdated equipment and poor infrastructure into one of the best oncology clinics not only in Moscow, but throughout the country.

Over the current year 2016, more than 15,000 patients received modern oncological care in the hospital’s in-patient department, and another 6,000 were treated in day hospitals. More than 6,500 surgeries have been performed (more than a thousand in VMP), and many of them are not performed anywhere else in the city system: minimally invasive interventions and reconstructive plastic surgery for lung cancer and organ-preserving operations for tumors of the musculoskeletal system.

During the period of work of A.N. Machson, the mortality rate in the clinic has decreased by more than six times and for many years does not exceed 0.7%, which corresponds to the indicators of the best oncological clinics in the world.

Since April 2014, the hospital has received the status of an autonomous healthcare institution. As time has shown, this made it possible to more effectively manage budgetary and earned funds. During this period, the only integrated 3D operating room in Russia was built and put into operation, one of the best pathomorphological services in the country and the only laboratory for molecular biological diagnostics of expert class tumors in the city health care system were reconstructed, the latest angiograph was installed with extrabudgetary funds, three clinical departments were repaired and operating block.

It is known from publicly available sources that when our hospital independently conducted tenders, the prices for purchasing medicines were several times lower than when centralized tenders were conducted by the City Health Department. Despite this, on November 8, 2016, at the request of the Vice Mayor of Moscow, L.M. Pechatnikov, "in order to improve medical care", the Moscow government issued a decree on the transfer of GAUZ MGOB No. 62 to the status of a state budget institution healthcare.

Changing the status of an autonomous institution with effective management to the status of a budgetary institution in the difficult conditions of limited healthcare funding will inevitably lead to a decrease in the ability to provide affordable, high-quality, modern medical care to our patients. It is thanks to autonomy that the hospital survived and continues to develop, providing oncological care in all areas at the level of world standards, not only to Muscovites, but also to all citizens of the Russian Federation who apply to our institution.

We draw your attention to the fact that the development of the hospital, the coordination of its work, and a competent personnel policy have been carried out for more than 26 years by A.N. Makhson, a professional who has maintained a well-deserved high authority in the hospital staff all these years and has serious support and respect in the Russian and world oncological communities.

We ask you, taking into account the above facts, in order to further improve the quality cancer care residents of Moscow and citizens of Russia to reconsider the decision to transfer the GAUZ MGOB No. 62 to the status of a state budgetary healthcare institution and maintain the status of an autonomous healthcare institution for our hospital.

We ask you, in order to preserve the unique staff of the hospital, its systematic and effective development, maintaining a leading position among oncological clinics in Russia to extend the powers of the chief physician A.N. Makhson, under whose leadership the hospital has achieved great success in the treatment of oncological diseases.

We are convinced that your decision will be made in the interests of Muscovites and Russian citizens, who have the constitutional right to quality and affordable medical care and, as you know, giving trust and support to our hospital and its leader.

Sincerely, the staff of the Moscow City Oncological Hospital No. 62

Makhson, hospital No. 62, oncology, autonomous hospital, city oncological hospital No. 62