Just a usual work day of a district pediatrician in a city which is shelled on a daily basis. We had enough doctors before but some doctors left the city because of the war, so I am working on three districts - for three doctors.
Some patient voices:
Patients come from everywhere: Petrovka*, Spartac*, Putilovka*, again Putilovka*, Gornyak (Miner)*, Azotniy*, Putilovka*, Petrovka*, Krasnogorovka*, Avdeevka*.
In the early summer many people were from Mar’inka* - and they all remained here, in my district.
Their voices are ringing from tears:
I don't send them to the chief, as I should. I just type them in the census, take the records if they have one and make new records for those who haven't.
In my opinion, they are already more than those who left early in the summer.
Today: another shelling. Nothing special. This is a routine district doctor’s work in a city which is shelled on a daily basis.
The area where my doctor's district is located is one of the few without shelling. I go to work with the sounds of cannon fire. The Government of Ukraine said that they won't pay our salaries. This means 150€ per month and less for me.
Maybe, I should explain you something regarding the features of ukranian medical care.
Our government started the reform of medical care. Most therapists and pediatricians were retrained to family physicians. But most of us are trying to work in their specialty – and our bosses are trying to help us in this (if they are smart bosses), because it is very difficult to change the speciality after 23 years of work.
District pediatrician should observe at least 800 children. Family doctors – 1,400 adults and children. We had enough doctors before but some doctors left the city because of the war, so I am working on three districts - for three doctors. I should observe, do routine exams (monthly children under one year and annually up to 18 years), vaccinate, diagnose and treat 2,400 children (in fact they are a little less - about 2,000). And I have to go to the call and patronage (four times in first month of life, twice – doctor and twice - nurse) to their home.
And of course I should write a lot of records and reports - at least 5 per examination of the patient and 5 monthly.
* - names of villages, towns and urban areas, which are shelled on a daily basis.