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“Bury Patients!”

Recently, an unprecedented event took place in the Republic of Altai: audio recordings of people’s conversations began to be distributed in Internet groups in the region, their voices and topics of conversation giving the right to assume that the participants in the conversation were the Minister of Health of the Republic of Altai Andrei Makin, the head physician and head of the Ust-Koksinskaya district hospital Svetlana Adybaeva and Andrei Fishermen.

The decoding of the audio recordings is given below:

Record 1.

(Inaudible)

A voice similar to Adybaeva’s: And how should we defend ourselves?

A voice like Makin’s: From whom? From the ministry or what?

A voice similar to Adybaeva’s voice: Why from the ministry? From the fact that we do not have an anesthetist today.

A voice similar to Makin’s voice: Guys, I say again – there is no anesthetist in three hospitals, the only hospital that wrote to the prosecutor about this is you.

A voice similar to the voice of Adybaeva: That's right. Choa is nearby.

A voice like Makin’s: What Choi?

A voice similar to Adybaeva’s: There is no anesthetist in Choi.

A voice similar to Makin’s voice: What's Choi here?

A voice like Rybakov’s: Is that good? Do you think this is good, or what? (unbroken)

A voice similar to Makin’s: My dear, when you start writing, you must understand …

A voice similar to Rybakov’s voice: I wrote you, but not one letter … I’m here is a letter …

A voice like Makin’s: Wait a minute! You write a letter, then what? You told me there is an anesthetist. The anesthesiologist does not want to go while you are working here.

A voice similar to Rybakov’s voice: Surname …

A voice similar to Makin's voice: Wait! Who are you? Wait a minute! Who are you?

A voice similar to the voice of Rybakov: Nachmed.

A voice similar to Adybaeva’s voice: … for the time of absence …

A voice like Makin’s: Nachmed. Wait a minute! All papers at a time when you (the head doctor) are absent. You must coordinate this paper, it does not require, there, a sudden, there, urgent solution.

A voice similar to the voice of Adybaeva: Well, but how not urgently?

A voice like Makin’s: Wait a minute! Svetlana Albertovna!

A voice similar to the voice of Adybaeva: … here we have the last three …

A voice like Makin’s: Wait a minute! You are the head doctor!

A voice similar to Adybaeva’s voice: … they even die …

A voice like Makin’s: Wait a minute! Then no one died anywhere! I say again: All the papers … Wasn’t I the head doctor? No matter where I was, they always agreed with me.

A voice similar to the voice of Adybaeva: So what, and what next?

A voice similar to Makin’s: I can’t understand, why did you take a position?

A voice similar to Adybaeva’s: What position? We need an anesthetist!

A voice like Makin’s: I don’t know?

A voice similar to Adybaeva’s voice: Pay not three thousand a day! Do you understand? For a normal salary … We already have no money.

A voice like Makin’s: Wait a minute!

A voice similar to Adybaeva’s voice: Why pay? Now …. 19 thousand underpaid … What 19 thousand we underpaid him?

A voice similar to Makin’s: Okay, okay, you have no money. I will look for money – I will bring you an internal audit, which will check the spending of all financial resources. Do you want this? Come on, I'll get one!

A voice similar to the voice of Rybakov: Well, as you see fit …

A voice similar to Makin’s voice: Come on, I'll get one.

A voice similar to Adybaeva’s: For God's sake! Why are you scaring us? Andrei Anatolyevich, are you scaring us?

A voice similar to Makin’s: I don’t scare you, you start to scare me!

A voice similar to Adybaeva’s voice: Why are we scaring you? We ask the anesthetist!

A voice like Makin’s: Wait a minute! I don’t react to your things or what?

A voice similar to Adybaeva’s voice: React, but how do you react? Recently, they began to react in a normal way … Before that, how are you? ..

A voice similar to Makin’s voice: Wait a minute, Svetlana Albertovna! You haven’t contacted me before! You yourself tried to decide …

A voice similar to Adybaeva’s: Yes, we tried, as Munatova told me: “These are your problems.”

A voice like Makin’s: Wait a minute! This is what Munatova said!

A voice similar to the voice of Adybaeva: Munatova is your deputy. She did not inform you?

A voice like Makin’s: No!

A voice similar to Adybaeva’s: But why didn’t she coordinate all these issues with you, with the Minister?

A voice similar to Makin’s: What are you getting away from the question now?

A voice similar to the voice of Adybaeva: From what question?

A voice similar to Makin’s: We are now specifically addressing the issue that has now arisen! Let’s turn to King Peas again!

A voice similar to Adybaeva’s voice: Where else should we go?

A voice similar to Makin's voice: Wait a minute guys. You look at what you are doing: you raised the deputies, you write to the prosecutor’s office. What do you want from me?

A voice similar to Adybaeva’s: We want an anesthetist who works here all the time.

A voice similar to Makin’s: I don’t want to?

A voice similar to Adybaeva’s voice: But a very strange moment, we have not been able to anesthetist for six months …

A voice similar to Makin's: Not only you do not have it!

A voice similar to the voice of Adybaeva: But we are an extreme region, we have nowhere else to go!

A voice similar to Makin's voice: Here he is – Aktash, they also do not have an anesthetist. There is no anesthetist in Kosh Agach right now. Already a month.

A voice similar to Rybakov’s voice: But this is not good. This is very bad!

A voice like Makin’s: What? So what?

A voice similar to Rybakov’s voice: I explain to you – when it comes …

A voice similar to Makin's: Yes, I do not need to explain!

A voice similar to Rybakov’s voice: Listen to me!

A voice similar to Makin’s voice: What is there to listen to you? You are one and the same city!

A voice similar to Rybakov’s voice: What am I gorod?

A voice similar to Makin’s voice: “Let the anesthetist.” I told you: “Let him turn,” you did not even give the name.

A voice similar to Rybakov’s: When they come with a knife wound, the pressure is forty to zero, right? And there is no anesthetist …

A voice similar to Makin's voice: And?

A voice similar to Rybakov’s: What is “and”? What "and" something? When I call your deputy Putilova, she – according to the general (inaudible) … send to Ust-Kan. How do you imagine this?

A voice similar to Makin’s: And then what?

A voice similar to Rybakov’s: Okay, what should I do? What should I do with the patient, tell me? My nurse is reclaimed, I am reclaimed, the patient is in the operating room, then what do we do?

A voice similar to Makin’s: What are you talking about now?

A voice similar to Rybakov’s voice: About the absence of an anesthetist.

A voice similar to Makin’s voice: About the absence of an anesthetist. I’m telling you again …

A voice similar to Rybakov’s voice: Tell me, how should I act in this situation?

A voice similar to Makin’s voice: You don’t act in this situation!

A voice similar to Rybakov’s voice: Bury a patient?

A voice similar to Makin's voice: Bury the patient!

A voice similar to Adybaeva’s voice: And then who will be to blame?

A voice similar to Makin's voice: You will be to blame!

A voice similar to the voice of Adybaeva: That is the point.

A voice similar to Rybakov’s: Why am I to blame?

A voice similar to Makin's voice: Why why? Because you ended up in that hospital where there is no anesthetist! Where did they all run away!

A voice similar to Adybaeva’s voice: Because the head doctor is like that. You told me today.

A voice similar to the voice of Rybakov: Then we will be responsible in half with you …

A voice like Makin’s: Please! We will be responsible for all this. I do not run from responsibility …

A voice similar to the voice of Rybakov: As a minister, say that you need to bury a patient!

A voice similar to Makin's: You said that! Do not! No need to open bullying on me guys!

A voice similar to Adybaeva’s voice: What persecution, Lord? Andrei Anatolyevich, what are you saying …

A voice similar to Rybakov’s voice: There is no gynecologist, they wrote letters to you: a woman arrives with contractions, with a scar on her uterus. I walked, Caesar. You are speaking at a session, let me type (inaudible) … What are you talking about? You are a minister, what are you talking about?

A voice like Makin’s: “And me?” Don't you understand what you are doing? You never tell anyone about this! I do it too!

A voice similar to the voice of Rybakov: – All the consultations I have recorded.

A voice similar to Makin's voice: – Wait a minute! But don't say that! You must understand – if you said there … it's an unlicensed activity. You will be put in jail for this!

A voice similar to Adybaeva’s voice: And will they be put in prison for failure to provide assistance?

A voice similar to Makin's voice: And they will put me in prison! You see, I do the same thing without a certificate, but I do not yell to the whole republic. So you told the deputies about this. Why are you doing this? Are you protecting yourself?

A voice similar to Rybakov’s: What is this to be done?

A voice similar to Makin’s: I am going the same way, Caesar! I do gynecological surgery. But I am silent about it! This is bad! But I am silent about it! I am silent, but I do!

Ust-Koksinskaya District Hospital. Photo: gorno-altaisk.info

Record 2

A voice similar to Makin’s voice: If it comes out that he illegally recorded our conversation in your office … I seriously say – I will break it. Let me get fired, but I'll break it. If he wants me to break his ridge, I will break him. Believe me, Svetlana Albertovna. If you misunderstand – there they guys agreed, signed up. Now they’re running around with investigators. Grind so that there is no time limit, 15 years. Therefore, I officially, just humanly, warn you: if more information outside the hospital will go about why children die there newborns … Better be silent. (Adybavaeva, nerazb.) Well, you understand why others talk about Ust-Koks? Where does the information come from?

A voice similar to Adybaeva’s voice: We all have new ones … I can’t shut anyone’s mouth …

A voice similar to Makin’s: So, Svetlana Albertovna, I’m telling you again: I was always asked to protect doctors from the very beginning. I always protect them. Keeping the hospital in good condition is the most important assessment of the work of the head physician. This is what we need to think about now. On the contrary, it is necessary to rally the people now and try to do everything.

A voice similar to the voice of Adybaeva: Everything is clear.

A voice similar to Makin’s: Doctors should never oppress anyone. Create maximum …

A voice similar to the voice of Adybaeva: Never oppressed anyone!

A voice similar to Makin’s voice: Svetlana Albertovna, I’m not talking specifically now, but just asking you that the main task now is to have doctors so that you can somehow make money. (Adybaeva: “Yeah”). I don’t understand the position of your nachmed absolutely. For me, especially for a man: now, a man dies for me, what should I do? I say again: I will include all my connections, believe me, but I have a lot of them in the republic. I'll turn everything on, I'll gut it completely! Do you understand? He will sit in the zone without panties! And I will find a reason! By God, I’ll find it!

A voice similar to Adybaeva’s voice: I see.

A voice similar to Makin’s voice: Therefore, do not fight with me. You understand: you are a bargaining chip, you will stay where? On the sidelines! And understand, this wave will simply sweep you away. Nobody will intervene for you. And you undertook to fight with me, with the ministry! Well, tell your assistant (“Good,” – Adybaev), if his illegal entry pops up somewhere, he will look for the fifth corner to hide from me, believe me! Svetlana Albertovna, you just seem to misunderstand who I am. If I in Ust-Koks, oh, in Kosh-Agach twisted people into a horn, including the administration … Here, now in Gorno-Altaysk I just work calmly, I just need to make a call and they start working here.

It is not clear how politicized the publication of the audio recording is, but the fact that once again the widespread problems in medicine have clearly manifested itself is not in doubt.

On September 11, the head physician of the Ust-Koksinskaya Hospital, Svetlana Adybaeva, was removed from her post. What caused the dismissal is not officially announced.

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