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Open Letter from The Regional Oncologist Velvil Mirochnik

For almost 40 years now, every morning, I walk down to this gray, brick building – the convergence for pain, sadness and overwhelming happiness. You are probably wondering why I used such an emotional word to describe a regular medical center, where I work as the deputy director. Here’s the answer: cancer was the cruel and harsh whip of the 20th century, and even in the 21st century, it still plagues the world.

When one is diagnosed with cancer, it causes great stress, fear, and pain. From that moment everything a person had in his life becomes very questionable. The next stage of analysis and final diagnosis turns into an even harder process for the patient, because it brings more painful questions.  What will the final diagnosis be? How fatal is it? What is the possible treatment? The list of questions seems endless. And finally, it’s so exciting to see the patient’s euphoria if the cancer diagnosis was not confirmed or if some kind of promising treatment was offered, whether it is surgery or chemotherapy, and it leads the patient to expect a successful conclusion.  This feeling of happiness increases after the treatment brings the long awaited recovery. 

            I simply can’t get used to perceiving my patients as being just sick people.  I always try to get to know their personality - their sorrows and troubles.  I believe that only if the doctor and the patient have the same disposition, the treatment can be successful.

            Our cancer clinic is located in an old German building, built in 1928.  The original purpose of the building was not intended to house patients, so needles to say there is very little accommodation for the patients and staff.  Most of the equipment is old, and there are not enough finances to fix it.  Also, in June of 2001 we had a fire, and half of the building burned, where gynecological and radiological units were located.  The surgical unit also suffered considerable damage.  The building is almost repaired, but to do that we had to spend our entire annual budget. 

            We do not have any money for medical equipment. At the end of 2001 we had 13,578 patients. In 2001 we had 2,730 patients who were diagnosed with cancer for the first time. There are 62.5% of our patients who did not have recurrences and metastasis during a 5-year period. In Kaliningrad region we have ranked the following cancers in order of mortality rate.  First place goes to lung cancer, second place goes to breast cancer, but for women breast cancer takes first place, in third place we have colon cancer, fourth place goes to cancer of rectum and the large intestine.

            It’s always disappointing because a part of our patients turn to professional help too late when the disease is in its advanced stage. This makes the treatment harder and it does not always work. It’s very emotionally draining when we fail. We will be very thankful for any kind of help that will give us a chance to improve upon the quality of treatment and life of our patients. 

Signature,

Velvil Mirochnik

* For almost 40 years now, 5 times a week Velvil Mirochnik performs surgeries on tumors: stomach, lung, rectum, large intestine, etc.

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