With Alexander Nikolayevich, we studied together. In one year, enrolled in medical school, he was the medical faculty, and I am a pediatric. Then he was no Alexander, and friends, and acquaintances called him exclusively Shurik. From the first course Shurik knew who he will be when he grows up, I mean, when the institute to finish. It will be a gynecologist.
Their views on this future Alexander explained to me during the trip in the bus. We were in a corner near the driver's cabin, this corner was decorated with a standard banner reading "Wanted." Poster prigashal for courses drivers, guaranteed employment, and reported that the pay ranges from 180 to 220 rubles. Shurik drew my attention to the fact that the rate a doctor after graduation is 110 rubles, and the profession of a gynecologist will allow him to earn no less than a trolleybus driver. Along the way, I have expressed heartfelt condolences on the future specialty pediatrician...
Ten years ago, after a sleepless night duty, I stood at the bus stop and was pleasantly surprised when I stood next to shiny new white "nine". Behind the wheel, as you've probably guessed, sat Alexander. Started talking about life, and it turned out quite amazing facts that explain the origin of the car. It turned out that resourceful Alexander signed an agreement with the owner of a commercial kiosk and within three years marketed to him (the owner), brandy, coffee and candy received as thanks for their treatment.
Told the story is amazing in its paradoxical nature, but absolutely reliable and ubiquitous in the framework of relations between patients and the patients. Fundamental point: our patients and our patients! Average European or American man in the street all this seems, at least, improbable.
Who could have imagined that a man with great difficulty has been received in medical school and who studied there are seven (!) Years, as a result receives for his labor is less than that ... It should probably list a couple of tens and even hundreds of specialties but we will not do this. Everybody knows that the salary of a doctor to live hard.
But few people think of those surprising fact that the doctor's salary can not be a doctor. Yes, yes, a doctor brand name viagra with a capital letter, a highly educated man who constantly strives to learn something new and improve their skills. Sources of new knowledge are worth much. Specialized medical journals, textbooks and monographs is impossible to acquire, in the budget of the family physician, they do not fit at all. Monthly service fees on the Internet roughly comparable to the monthly salary of a doctor. Not every state hospital can not afford it that much here about a simple doctor says.
And one more question. Should look like people on a daily basis to make decisions that affect the lives and health of others? Ride the trolley? Wash his robe in the evenings? Borrow up to the salary of his neighbor-mechanic? Four of them live in a studio apartment?
Universal socialist equality of poverty remained after the end of socialism. True, it was possible to see at least on TV nenashenskih doctors. Well-fed, happy, well-maintained, with a smile emerging from his own cottage and riding to work on their own "do not Zaporozhets, nazvanivaya sporadically on a mobile phone: and how many people signed up on?
Interestingly, the reaction of the above-described doctor if, after discussions with the patient to stretch his pack with a bottle of brandy?
This, we probably will not see - too fantastic. We live and communicate with our doctors. Ours, which is not worse - know and can not lower, although have no incentive to make know and more.
Preliminary results:
1) every citizen of our country knows that the doctor on the salary can not live;
2) the foundations of our worldview (mentality) in view of any religion, whether Orthodox, Muslim, or a moral code of the builder of communism, the state: the good you have to pay good.
Subject to paragraph 1, the good, committed doctors, almost disinterested, and hence at the first opportunity to thank the patient is doing (I repeat - if feasible). If the reward does not work (there is no material basis for appreciation), it becomes uncomfortable because it violates the foundations laid down in paragraph 2.
Can a mother to feel normal, which caused the house to the sick child the district pediatrician, knowing that the doctor in 50, an apartment on the tenth floor, and the house is not working elevator? And that, say thank you? Thank you exhausted, tired woman, living in constant expectation of whether the pension, or downsizing, torn between family, shops and a constant, useless writings in his native clinic? ..
State of the discussion threads payment of medical work as possible declines. Like, you're out there themselves to each other understand, and we simply will not pay attention to it. For neither give nor take legally impossible, for all of you - and those who treat and those who climb and then with their packages, by and large, criminals. And to solve the problem only one way: by making the doctor a wealthy man, whose well-being of the patient, in principle, not interest. If each of us will know that our doctor is not a poor man, the problem goes away by itself. Simple words of thanks will be enough. But it's all about the dream.
Separately, I note a very important point: when in a public hospital to extort money when taxes are developed for each surgeon for each operation for every shot, over washed the floor of the ship served as before the treatment, prior to the survey, prior to admission ALREADY have to say thank you and crumble in gratitude, and without it most thanks there will be no admission or treatment, or anything else - so, it has nothing to do with the topic of our conversation. It is unworthy of this crime, it does not relate to any orthodoxy, nor with Islam, nor with the moral code of the builder of communism.
We're not talking about that. You brought to the hospital barely alive, Sergey Ivanovich operated seven hours, but now everything was ok. My son had pneumonia, and your pediatrician, instead, to give direction to the hospital and forget to run every day and really worried, worried, was so sweet and gracious, Sergei asked all the time: "And Aunt Valya today come?". Terrible headache the night, jumped the pressure came the ambulance - the doctor quite a young boy, his nurse even called Andrew, but carry an hour and a half, and not in a hurry and did not leave until it was better ...
Doctor, thank you for everything. This standard principle, acceptable to all. What to say further, how to express my gratitude, do not smile, not an ingratiating tone, both materially tangible pay good for good? Stretch the envelope? And how many are skill, kindness, gold hands? Not low if it is dirty there, try to measure all this money? Do not be offended if Sergei Ivanovich, Andrew, Aunt Valya?
And if not money, then what? Flowers? .. Three days of memory and a sad way to the garbage disposal? Drink for your health! And that, Aunt Val would drink too? Candy? Coffee? Perfume?
What do you give a man my dear? ..
People are expensive, not torment. We do not take offense! We, your doctors, your best members know how you find it hard and uncomfortable. And the life we see the other side. We're with you from the same sandbox.
But our common environment makes flowers, chocolates, coffee, and brand name drugs perfume items are not necessities. We need all kinds of paper and office stuff, we did half a lifetime writing and, if possible, anything to repair - cement, paint, wallpaper - all that hospitals do not give money now. And if you have any light bulbs - for some reason they burn out. By the way, very much like to get laundry detergent, and do not necessarily "Tide with lemon" - the usual "Lotus" will suit us well. All that we are not goin home! It's all here in the clinic, and will remain very much in handy.
How do you want to deliver something for me? The right word, is not expected. Cognac is certainly good, but two bottles of vodka better! Beautiful currency. Believe me, physicians, and eating sausages and cheese, and canned foods, just do not have eggs - for the same money three cans of corned beef, will be just right. This is from your garden cucumbers? Great! Your spouse personally caught this carp! Great! What is honey? No, no, thank you, my kids really love it, and just particular flower!
What is it? Money? Yes, is not justified in the end, it's not us you need to apologize for the fact that we are sick, we want to feed our children and ourselves sometimes eat. And there is no doubt an obvious fact: the amount in the envelope is not the equivalent of medical work, it is only a measure of the patient to ...
We can only hope. Hoped that a better life becomes a reality, and the kind words, kind smile and a bouquet of roses - perfect and the only possible answer to the question: "What do you give?"
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