tv Worlds Apart RT December 31, 2017 2:30am-3:01am EST
noninvasive. painkilling drugs for children from birth will only appear in russian federation in two thousand and twenty two we are used to a lot of pain for children. you mentioned this philosophy of the hospice moment and i think the slogan of the hospice moment here in russia if a person cannot be cured it doesn't mean that he or she cannot be held strikes at the very heart of just the distinction between medical and palliative care and i know that from personal experience that many ordinary people strongly effort that emphasize about but i wonder if the if the authorities have internalized it do they treat pale aged care as something that they are obliged to provide like medical care for example or still as a charitable activity. you were right when you say that very little time ago some ten fifteen years ago we had just a few hospices in this huge country and obviously we'll have around a hundred which for
a charge that we have is about an hour hundred hospices but we also have a lead of care units everywhere and we have home care services quite a lot of them but a few years ago this few activities a really only existed. due to enthusiasm of their only duis and they had very scarce financial support from the government and even fuel money from charity. it was already after my mother's death my mother very much as you said she was a pious apostle who brought believe came to this country in its. social circle souness actually brought it from united kingdom after my mother's day she died seven years ago. were thor it is the government have stated goal weight of medical care in the federal law about. health. but unfortunate. clee the understanding of elite if care to turn to medical care in
this law very much differs from understanding of police of care in the world health organization in russia it only states that police have medical care aides to ease the suffering of the patient by means of pain killing or some medical inventions. therefore in our legislation police have care less all the aspects connected with spiritual health with a social support that is really what is the sami both your mother and yourself have tried to provide in the facility he has and that's what's been happening in the last years so i think in this country we should not so far look at police of care. sort of crossing out one of its aspects federal money or charity money hopefully we
will never have to cross out charity of federal money but. i think one of the hugest achievements of charity you verify is that in the last eleven years and there a foundation has existed for eleven years now. is that this phrase the phrase that you mentioned if one cannot be cured it doesn't mean one cannot be helped it no longer causes any questions i very well we member of the time when i would address journalists and to the channels ten eight seven years ago and we would come to talk with journalists and they would say ok but please know what cancer no word such as hospice on no death on their ok why what would you don't want me to talk about then as years passed by now. there's no questions about it any longer get can i pick up on that because in the one of your interviews you talked about normalizing or even humanizing death and from what i've known in other countries to
you the hospice moment has encountered so in the resistance because of all those professional and cultural taboos associated with open communication about death how big of an issue is that in russia i think it's a very big issue actually death and topples and talking about you cannot look at it . without your behind you have to take into consideration all the cultural layers and what is it specifically say about russia because it's not only about people are afraid to discuss death here but for example you know that in russian many forms of cancer are diagnosed extremely late for effective treatment partially because people are also afraid to recognize the symptoms the level of. credibility the level of. trust to medicine to social services to the government is very low it has always
been very low in this country this is a paradox we all very like authoritative power we all very much love strong leaders but we let trust and when people let trust they do not turn for help in proper time they do it when it's too late and also when christians feel loss of the suffering goes along with death and suffering. eases your sins before you die this is one of the hugest problems actually which we face when we talk about pain killing. but nevertheless going back to your question and to our chief once i think that the meth fact that. politicians no longer turn a deaf ear to the problem. it's only this year that we can we started saying about
hospices are about like hospices are about leading till the very end. and this is now welcomed because now people realize that without fully to care all life is much worse and if you have to fear something you have to fear death without hospital but living through it is a very add also means a bad. an ng hope of curative treatment that's a very important distinction between medical care and palliative care and in russia we have this saying that hope is something that dies last and what are you actually saying is that sometimes you need to allow that hope to die before care about and never hope always dies last but it all with matter is. what you hope for you can hope to be cured but usually i would patients i think ninety nine point nine percent they know it before doctors say they know it before their relatives feel it they have feeling of their own boat is they understand what's happening and
hope. shifts you know they hope so in the winter they hope to live to new year eve they hope to see maybe a. little children to become toddlers they may be hope to once again hug their wife they may be home to see doc therapists again because we have docs coming here. saying i've chosen hopes no they're not simple pleasures they're the most important pleasures i have i always say to journalists or to some doctors or nurses who come here for the first time in their lives and they have this question of what people think about before they die what they fear of what they talk about so you know they never talk about problems we talk about they talk about each other they talk about their families they talk to their children they like every single thing in life which we being healthy don't notice you mention the word family and you are
also lost your mother to cancer and she is somebody who is i think remembered in this country for trying to institutionalize kindness and dignity in the country where let's admit it not many people are used to being treated with kindness and dignity especially by the state i think she definitely succeeded in creating that. caring atmosphere within one institution but here are now tasked with trying to spread that kind of attitude throughout the whole field the least in moscow what makes you believe that you can actually do that to her as. i see the result people are not used to being treated with dignity and kindness which once you start you feel the response so fast it's very inspiring you come to a medical organization to hospice which two months ago was closed rather resembled a prison than a hospice and you talk to nurses you tell them look we're going to have our
twenty four seven we're going to have volunteers along with volunteers because people here actually are dying we have to admit this nothing can harm them any longer we will have cats and dogs coming we will have concerts here we will have alcohol and we will let them smoke and you suddenly see the nurses say really we can't do that we've always wanted but it's been prohibited you feel that there's such a demand for being a loved and also a demand to let people love we have. doctors here who never thought about it but we to care and to tough a year ago and it was always my few that they would come see that their patients actually die every day and they would leave and they're very bright very eager to
be educated they want new knowledge and they want to to feel they want to feel necessary and some of them say with never have i worked in a medical sphere would where we would have so much gratitude so much response they thought their relatives would hate them and relatives loved them and it is so absolutely inspiring to hear something at telephone call or a person coming actually i just had a man in my room who set the same words he says my wife has just died thank you why this is absolutely impossible to believe until you come and work on this fear and. i'm pretty sure that you encounter that pretty much every every day of work i hope to be in with patients every day but unfortunately unfortunately most of the days now are spent in different. minister ministry of the well hold that thought because we need to take a very short break now but we will discuss that immediately after the break.
join me every thursday i'll be all excitement and i'll be speaking to us of the world of politics sports business i'm sure business i'll see you. los angeles the city of luxury and fame but also an alarming number of people living in the streets. simple fact in l.a. he's there's just not enough shelter even if people on the streets right now decided to come in there's nowhere to come in it's been a struggle. this man phoned his own response to the problem and constructed dozens of tiny homes for people in need of shelter when you have nothing and
nowhere to go. you know having something like this may as well be a castle but do the authorities accept such solution. me house on city parking space is not a solution. someone wanted touring the site otherwise it will be a free for all there are a better alternative to end the homelessness crisis. welcome
back to worlds apart but new the fed master how the moscow senator for palliative care knew that i know that you not only have been trying to change the culture but you've also been trying to change the legislation to policy and i heard you say that every leader and here it takes much more effort than it should why do you think it's brewing so much difficult to move things around because the things that you related before the break very understandable so you know officials public officials are people too they have families they have older parents they have children or so they have what is called in russia blocked they have a possibility to pull the strings when they need something to help with their i mean i would be amazed that you know i don't think i always think that if something happens in their family they will go to the first boss the hospice settled by. and they will feel their relatives have dignity and painkilling actually for me today especially is this is a very painful question because i had an absolutely awful meeting yesterday which
practically killed me. but nevertheless the night is over and i'm back to work and i'm sure that. i'm sure that i very well know what i want for our patients and sooner or later. making him a symbol everywhere i have started the family the memory of the meeting yesterday because as you said in one of the interviews that the british colleague of yours once told you not to be afraid to dance with the devil and i know that the russians are christie is not as evil as the devil but sometimes across as callous and indifferent how do you penetrate that callous as this same doctor who gave this advice couple of years ago he came here to lecture in front of pediatricians about using often for children in care and after one of the meetings he came up to me and said no to you remember i told you this raised a lot when i said yes i use it i know i lived with it and he said well i've never
thought that you've got so many devils around. but in fact you know when you actually penetrate you see that panel of holes they just extremely tired they have lots of tasks a lot of very honest very hard working people extremely exhausted because they actually work in the world of papers and. computer and that's it they don't have this back which we have when we go to the wards and talk to relatives of patients. why the. i actually what i fear is that one day might come when i will stop understanding that papers especially in this country mean march less than bureaucrats thinks they do all good things are usually done. ignoring papers can i mention one good thing rich is actually a devastating story because on the one have it's one of the success stories of
public n.g.o.s here in russia which involves the every lability of opiate painkillers especially for cancer patients and i know that the process was extremely. difficult until the suicide by one of russia's counter admirals the man by the name of an awesome guy who shot himself in the have because he couldn't bear the pain anymore i know that the death actually how countless others but i wonder why do you think that particular case was able to move that policy why the counter admiral and not let's say. a mob there or a child well because this is what we already talked about this pulling the strings the blood out because actually come to admiral of that level is a person who can easily open the door and talk to the president of the country and if at this level the system proved to be absolutely impotent and he suffered from
pain so watch that he killed himself in his own apartment and actually he has written. a suicide note which say that that he did it to help. all others dying patients to do with pain did he have yes i think that all the changes in legislation after that have to be. called his name and i am always in touch with his and with with his two doctors and whenever something good happens i always write to them and tell a look we've now done this or that now we can. give people pain q. is when they go home for five days in advance this is thanks to your father but there's still a long way to go we cannot and we will never have every person who needs pain
killers. who without pain unless we criminalize some of the elements in our legislation today every doctor and every nurse who works with drugs who work with drugs they can be. sued in case any mistake happens in this very complicated process of prescribing drugs and actually it's not surprising that people just don't want to work with drugs and unless we deck women allies this we won't have doctors coming into the sphere i know that you and other. organizations have been very consistent in logging for it determine analyzation. i know that there is also a problem in the field. dealing with the use of foreign money in that sector and we talked about these. people in the apple there are people in the government and in
russia they structure of the government is very dominated i think by one age group with one very specific background so that creates a lot of suspicion around foreign money coming into the country how big of an issue is that. i think it is still an issue for some charitable organizations for some and geos. it is no longer an issue for in jos that work in health or in education as far as i understand this lore because. we actually fought to change some of the wording in the slower and we succeeded and now if you work in this of that fear you actually can all be some changes in the legislation and get foreign money and you will not be foreign a.j. you are talking about this special exemption from foreign agents law or socially oriented anywhere else but what it also created is it created the motivation for
other angles to register as socially oriented for example the analytical center of the russian government is registered believe it or not as a socially oriented and your reach is clearly not that is by primary function don't you think that this will create another reason for this law either to be revised or to be perhaps stricken all together there are so many lawyers in social sphere which i think should be revised starting with a committee of lore and and joe is the smallest of the evils here and. at a certain point. i stopped myself and i said. either i work in police of care and try. to make everyone not only believe that people can die in love without pain and with dignity but also have it in real life not only in that but we have to limit your field or
i will die anyway so because there are so many things i want to fight against it as frustrating as it may be i think you would agree the palliative care at least provides a very inspiring example of where social activism has been impactful that cannot be said about many other areas for example in the penitentiary system the government is not very welcoming of either public contribution or public oversight what do you think makes palliative care so different because you said that people believe in blood and yet somehow you've been they believe in in blood which is the russian award or a special access or another test but i think there is still a record of achievement there would be exploitive care special very simple death everyone is afraid of death and when you tell them the flu this can be not frightening this can be with a lot of this can happen with a lot of love around it can happen with no suffering people just want to open the
door in a little bit just a little bit. how it is and also who this is one of the spheres when you can very easily feel that. he will have his perfect with that you know no problems all that what really matters that we're really hurts that's a real problem it's here in hospice on this back that's what's happening now when you're losing somebody are you love losing forever and also in this fear people can feel they are needed very easily because when you are side by side with somebody who is completely helpless everything you do being near holding a hand scratching somebody is shoulder for them doing this or combing hair or feeding or giving water to drink every minute of your life. you feel that you are needed we left it very much but also when you say about
a penitentiary system i think that as death in fact is everywhere you go outside and you know that in every big block of flats some distain of this mode this is a huge city death is in. prisons death is in children hospitals death isn't grown up hospitals death isn't flats actually police chief care is something is an instrument with which you can go into a prison for example one of my dreams if i have two wives is to settle a first hospice for prisoners in russia and i hope maybe maybe again i ask of perhaps the final question because our time is running out i came across a recent poll the other day suggesting that two thirds of russians sixty seven percent participated in some kind of charitable activity in two thousand and seventeen that's a big number thing and two thirds two thirds no i don't believe in it cannot be
true while we will leave it to the pollsters but i think at least that this is my perception that more and more people are ready to contrary to their community and i wonder from your. and how should perhaps good the government to stimulate and to use that social energy to contribute to this is the development i think. of that not two thirds but much less than two thirds but the amount of people who are involved it grows it escalates sometimes people who take part in charity and they don't even understand it when they buy a product potatoes in mcdonald's or when they put some koreans into a special box in a supermarket they don't realize what it's going for. but it will grow there's another idea or whatever they say that only ten percent of money that
can be collected from. citizens into charity is going to charity is now collected only ten out of one hundred possible i think what government can do they have actually started doing already they have to welcome volunteers they have to create special conditions for volunteers who. want to volunteer in a hospital at least give them a possibility of free transfer tickets for example they have to talk about it they have to be open they can create some special conditions for students and trying universities as it is in europe if you volunteer and you can prove your volunteer activity you will have some i don't know preferences. there's a lot that can be done actually well perhaps opening up the government for i think
it. could help making it more transparent and more inclusive well currently i definitely believe then. that charity and volunteering are those two things that will keep the country united that will. somebody said couple of weeks ago a person to another person is a volunteer and if if we believe in it if we follow it. we will stay. and the nation which has hope rather than had hope well you know that on this very inspiring though we have to leave it there really appreciate your time and terrorist please keep the conversation going on our social media pages and i hope to see you again same place same time here on a well to part of. our .
i had a great education a good job and a family that loved me. i never had to worry about how i would eat somewhere i would sleep. but i'm facing christmas alone out on the streets of london. well you look to be. a political you like going to school you know to simulate it to still give up food for the over the so. that you don't really feel like you could be you know. and then. the guy just came over to me this will be in charge of this book.
despite the fold of islamic state in iraq thousands of people from the minority ethnic group. still being held hostage on the program and we speak to a fifteen year old girl whose. captivity. and it's. the detention of a teenage girl the puncturing two i.d.f. soldiers a fourteen year old. in the face. of the u.s. . forces. thousands of terrorists. leave. reportedly with the full knowledge.