In the Botkin Hospital created a unique department for treatment of adolescents For the prize of the Moscow government in 2011 in the field of medicine is a work of "Optimizing treatment technologies lymphoproliferative disease of adolescents and young adults."
Blood is called the river of life. Very precise definition, without blood there is no life, so dangerous because of her illness and heavy. Despite all the advances in science, perhaps, it is difficult to think of other diseases in which so many secrets, as in diseases of the blood. They are particularly insidious because the creep imperceptibly. Therefore, to warn them in advance is extremely difficult to detect. And sometimes even impossible.
Suddenly, a man begins to feel dizzy, blood pressure rises suddenly. Treat, give pain pills, but there is no improvement. It turns out that "sick blood." Acute leukemia and acute because that flows swiftly. If time does not recognize it and begin a massive, adequate treatment, the end may be the most frustrating. A treatment need not only the most advanced products, techniques, but also the special conditions.
Recently opened a unique center for pediatric oncology, hematology and immunology. Children who are here at the box offices, will be able to watch TV through the glass. Why? This office should be a special order compliance with sanitary norms and rules. Treatment of such patients as massaging that suppresses the immune system. A person becomes vulnerable to any speck of dust. A television screen attracts dust, and it is dangerous for someone who is being treated.
Sometimes it seems that somewhere in other countries — Germany, Israel or the United States — to cope with leukemia, and we do not. Was in many overseas clinics that treat leukemia. Results of treatment, drugs are used, the techniques used are almost identical. Let us remember the tragic history of suicide Raisa Gorbachev. Were not able to save her in this country, and were powerless to foreign clinics. Leukemias are different: some are treatable, while others are "evil", that there is no salvation.
Why is it so important to the opening of the new Center for Pediatric Oncology, Hematology and Immunology? It provides a great new opportunity for getting kids from blood diseases. Head of the center — a member of RAMS Alexander Rumyantsev operates figures. Not so long ago, kids caught in leukemic trouble, were doomed almost to a man. Now achieve long-term remission, and sometimes recovery at 70 percent. Why is it so important to work, put forward for the award of the Government of Moscow? The fact is that more or less cope with children with leukemia are more or less able to achieve long-term remission, and sometimes healing in adults. But from this chain, not only in our country, "dropped out" teenagers and very young. There is no reasonable explanation for this. However, it is a fact that can not be ignored. And now the efforts of representatives of federal and local government agencies, City Clinical Hospital named after SP Botkin acts such separation.
While it is one thing for the whole country, where they treat boys and adolescents with cancer of blood and bone marrow. In its 60 beds. In addition, the city hematology center at the Botkin receives nearly 25,000 patients a year. Basic pathology — acute and chronic leukemia, lymphoma, anemia and other diseases of the hematopoietic system. The last three years has increased the use of combination therapy.
The country has a hematology department for adults and children. Every oncologist knows that these categories of patients are very different from each other. They are developing different types of cancer that must be treated differently. For example, children are derived drugs faster and more intensive chemotherapy. Young bodies can more easily tolerate the toxic effects of treatment and is more susceptible to chemical and radiation than adults. And adults happen to die soon from the toxicity of high-dose therapy than from the cancer itself.
The child usually begins stable therapeutic effect. And teenagers? To which group they carry? How to determine when childhood ends and adulthood begins? These questions largely unanswered, not only in our country but also abroad. For some young people drop out of medical attention, and often die nedotyanuv to adulthood. And the fact that the hospital operates Botkin department specifically to help these patients is extremely important.
While this is a unique experience. Here is the features: teenagers still live and live, and applied treatment options should take into account the need to preserve their reproductive health. The opportunity to get a full education, to realize their potential. Botkin In the past 10 years due to the fact that introduced into clinical practice the results of the work of scientists, medical practices, managed not only to reduce mortality from these diseases by an average of 40-50 per cent, but also to achieve a high quality of life for these patients. They can learn, can work, can start a family.
Head of the Division of Hematology and Oncology, adolescents and adults Federal FNKTS of Pediatric Hematology, Oncology and Immunology Russia, Doctor of Medicine, Professor Vadim Ptushkin right when he says that today various tumors — the main cause of death among youth and young adults in the developed countries. Thus for the last 20 years, the world has not been achieved progress in the treatment of neoplastic disease in these patients. While these children in the older age group, the progress is obvious. The reasons? Limited treatment of such patients, controlled study, the absence of "biological" understanding about what kind of strategy — a baby (more intense) or adult (less toxic) — should be taken as a basis for the treatment of adolescents and young adults. Clearly lacking in knowledge about the perception of cancer drugs in the age group of the border, as well as a lack of attention to the psychological characteristics of adolescence, leading to a sharp drop in the discipline of treating these patients. In the Botkin try to solve these problems. Because it is so important to create here units for the treatment of blood disorders in boys and young men.
Botkin not accidentally become the center of treatment of boys and adolescents. This particular medical facility. And not just because he was 100 years old, but because it has always been the focus of the best experts in the field of domestic medicine. Including hematologists who were not only adults, but it is teenagers, boys. Botkin has always worked on an ambulance, and patients with any acute diseases, including hematologic, carried it here. There always has been and is to cancel the hematology service.
For the award presented by representatives of the federal and local government agencies. This is very important because of the disease, including hematologic and are unaware of division by municipal, federal. The patient is looking for a place where the best and he absolutely does not matter — it’s municipal or federal agency. Because sometimes in a municipal Botkin treated patients from other cities of Russia.
Department, where lie with acute leukemia, do not let yourself to strangers. To get here, we must carefully change. I’m not vain mentioned at the outset that even the TV has to look through the glass. Even close relatives without masks and special clothing can not visit their loved ones. In the Botkin able to develop such treatment regimen that is effective for everyone. And the most i
mportant medical tenet that we must not treat the disease, and the patient is observed strictly. Moreover, even the study, whether or some other morphological, assigned only in the condition of the patient.
This seemingly small change on a wall near ordinatorskoy — A reminder to patients. In many institutions, a memo on the walls do not enjoy the attention, but not in hematology. Here patients these memos know by heart. Know what solutions, what preparations to handle the throat with certain parameters of blood. Here, everyone knows your level of white blood cells, red blood cells and platelets. This is a unique way of life, because the Botkin taken to treat the most complex, the most "mysterious" hematological patients.
direct rechVladimir Yakovlev, chief doctor of the hospital Botkin, professor:
— On the 3rd floor of the 1st building renovated appears 7th hematology unit by 55 beds. On the 2nd floor — 6th hematology unit by 55 beds. Each department will be 7 to 1 bunk houses, 9 chambers for 2 beds and 10 wards for 3 beds. Food Pantry for patients and dining room. On the 1st floor will house a department of hematology intensive care, emergency laboratory analyzes. There will be six rooms for a bone marrow transplant. The ground floor provides Cryobank storage of stem cells. Classrooms bronchoscopy, colonoscopy, x-rays. On the 1st floor of the 11th Corps will hematological city center to receive ambulatory patients from other medical institutions.
The prize of the Moscow government in 2011 in the field of medicine are:
AG Rumyantsev — Director of the Federal Research Center of Pediatric Hematology, Oncology and Immunology, corresponding member of the Academy of Medical Sciences
VV Ptushkin — Head of the Department of Hematology and Oncology, adolescents and adults Federal FNKTS of Pediatric Hematology, Oncology and Immunology Russian, MD, professor
SV Semochkin — MD
NK Huazheva — Head of 6th hematology department Botkin Hospital
VV Lunin — Head of the 7th hematology department Botkin Hospital
VL Ivanov — Head of the City hematology center Botkin Hospital