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Nothing to Stop the Pain

Published: February 12, 2014 (Issue # 1797)




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Afew days ago, retired Rear Admiral Vyacheslav Apanasenko put anend tohis own life. He earlier helped develop theBulava missile but later struggled with terminal cancer. Although he had little hope ofsurviving, he could have spent his remaining days inthe company offriends andrelatives. Former Apple CEO Steve Jobs died froma similar illness, andhe managed tocontinue working almost right up until theend. Apanasenko preferred shooting himself. Inhis case, euthanasia was preferable tothe treatment provided bythe medical system.

Euthanasia is illegal inRussia, but it remains common practice. Relatives kill their loved ones rather than watch them suffer inagony without painkillers. Patients commit suicide, andone patient even killed his doctor who was prolonging his torment before taking his own life.

News reports have been rather vague inexplaining Apanasenkos cause ofdeath. Thenewspaper Rossiiskaya Gazeta reported only that he had aserious case ofcancer andexperienced difficulty obtaining painkillers. But his daughter gave amore dramatic description ofthe situation ina Facebook post:

Papa had late-stage pancreatic cancer, she wrote. He courageously endured thepain. Mama tried toobtain themorphine he had been prescribed. Toget afive-day supply ofvials, forseveral days she had torun fromoffice tooffice inthe medical center forhours ata time. Onthe final day, she was short ofone signature when themedical center closed. She came home completely burned out andwithout theanesthetics. Papa was outraged. This was thelast straw. That night he got everything ready andleft anote clearly stating his reasons. I ask that you not blame anyone except theHealth Ministry andthe government. I am prepared tosuffer, but it is intolerable tosee my loved ones suffer. He wrote thetime anddate andsigned it. Then he took his prized pistol. I think that with this act he wanted todraw attention tohow cancer patients are treated inRussia.

TheFederal Drug Control Service headed byViktor Ivanov, alongtime associate ofPresidentVladimir Putin, created this inhumane system forcontrolling theissuance ofpainkillers.

Terminally ill patients andthose insevere pain must navigate ahellish bureaucracy toobtain even five vials ofpotent painkillers. Then, they must return theunused vials andbottle labels after thepatient has died. Not only is it difficult andfrustrating toget theclinic staff tosign off onthe returned items, but therelatives are held criminally responsible forfailing todo so even if they have accidentally lost them. Cancer patients are assigned toa single pharmacy that works with themedical center or cancer clinic inquestion. If that pharmacy does not have themedicines forwhatever reason, thepatient is left toscream inpain or die ofshock. Insome cases, individuals with late-stage cancer must personally appear toreceive aprescription forthe medicines that can relieve their suffering. Long weekends or holidays become aliving nightmare forpatients andtheir relatives because each prescription covers only ashort period andregulations make it impossible tostock up inadvance.

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ALL ABOUT TOWN

Friday, Oct. 31


Put your grammar and logical thinking to the test in a fun and friendly environment during the British Book Centers Board Game Evening starting at 5 p.m. today. The event is free and all are welcome to attend.



Saturday, Nov. 1


The men and women who dedicate their lives to fitness get their chance to compete for the title of best body in Russia at todays Grand Prix Fitness House PRO, the nations premier bodybuilding competition. Not only will men and women be competing for thousands of dollars in prizes and a trip to represent their nation at Mr. Olympia but sporting goods and nutritional supplements will also be available for sale. Learn more about the culture of the Indian subcontinent during Diwali, the annual festival of lights that will be celebrated in St. Petersburg this weekend at the Culture Palace on Tambovskaya Ul. For 100 rubles ($2.40), festival-goers listen to Indian music, try on traditional Indian outfits and sample dishes highlighting the culinary diversity of the billion-plus people in the South Asian superpower.



Sunday, Nov. 2


Check out the latest video and interactive games at the Gaming Festival at the Mayakovsky Library ending today. Meet with the developers of the popular and learn more about their work, or learn how to play one of their creations with the opportunity to ask the creators themselves about the exact rules.



Monday, Nov. 3


Non-athletes can get feed their need for competition without breaking a sweat at the Rock-Paper-Scissors tournament this evening at the Cube Bar at Lomonosova 1. Referees will judge the validity of each matchup award points to winners while the citys elite fight for the chance to be called the best of the best. Those hoping to play must arrange a team beforehand and pay 200 rubles ($4.80) to enter.



Tuesday, Nov. 4


Attend the premiere of Canadian director Xavier Dolans latest film Mommy at the Avrora theater this evening. The fifth picture from the 25-year-old, it is the story of an unruly teenager but the most alluring (or unappealing) aspect is the way the film was shot: in a 1:1 format that is more reminiscent of Instagram videos than cinematic art. Tickets cost 400 rubles ($9.60) and snacks and drinks will be available.



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