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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

Thursday, July 24


Liliana Modiliani, a well-known Russian stylist, will talk about choosing clothes that fit during her lecture at 7 p.m. at the Pryamoy Efir art club, 13 Viborgskoe Shosse.



Friday, July 25


Discuss Russias economic and political prospects for 2014 during a Business Breakfast organized by SPIBA at 9.30 a.m. in the Bank Saint-Petersburg office at 64


Malookhtinsky Prospekt.


Start your weekend with adorable miniature pigs at the Squealing Pig festival at 7 p.m. this evening in the Karl & Friedrich restaurant, 15 Iozhnaya doroga, on Krestovsky Island.



Saturday, July 26


Hundreds of brand-new and retro cars, drag and drift shows, test drives and karting are planned for the Avtobum-2014 festival, which will take place in front of the RIO shopping center at 2 Fuchika Ulitsa.


Participants in todays SaniDay Summer competition will impress visitors with their hand-made, unusual and hilarious boats, which will race at the Igora Resort near the 54th kilometer on Priozerskoe Shosse.


Metro Family Day will include both serious lectures for adults and master-classes for children, making the event interesting for the whole family. To participate, come to Kirov Park on Yelagin Island.


Photography will be the focus of todays Photosubbota, which features lectures by famous photographers, meetings with photo schools and studio representatives, and participation in a photography competition. The event starts at noon at Petrokongress, 5 Lodeynopolskaya Ulitsa.


If you like cycling, make sure to visit the Za Velogorod Festival with its retro bike exhibition, market and live music. The second round of the Leningrad Criterium race will also take place during the event at Petrovsky Arsenal in Sestroretsk.



Sunday, July 27


Navy Day will be celebrated with a weapon and military transportation exhibition, self-defense master classes and concerts. The event starts at 1 p.m. in the 300th Anniversary Park of St. Petersburg.



Monday, July 28


Dont miss a chance to see the latest achievements in robotics during the RoboDom interactive show, exhibiting more than 150 robots. The show will be at BUM center, 22/2 Gzhatskaya Ulitsa, until Aug. 3. The entrance ticket costs 350 rubles ($10).



Tuesday, July 29


A video of a Queen concert from 1986 will be shown today at 8 p.m. in Yaschik, 50/13 Ligovsky Prospekt.



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