The greatest Russian physician Botkin S.P., who created in times when hearing was not heard
about x-rays, ultrasound, and other medical examinations, which are used in our time, made a diagnosis for one or two, and never mistaken. Moreover, he studied, learned, created and shared discoveries with colleagues at the workshop throughout his life. The most valuable thing, the essence of his scientific and practical research, is that the examination and diagnosis obliges the doctor to consider the body as a whole, to diagnose not only the disease, but also the "diagnosis of the patient", to treat not only the disease, but the patient as a whole. It was Botkin who created the doctrine of the organism as a single whole, where a causal link is seen in everything. One example of his genius: One day on a weekend, early in the morning, his apartment was called and opened, he saw a woman on the threshold, with a teenage girl of 12 years, asking to inspect her daughter, because they are passing far away and can not stay in Peter to get to the reception on the day of work. Botkin in pyjamas, asking, replied rude, and actually, sent them to a known address. The woman cried, took her daughter by the hand and they began to descend the stairs. Botkin looked at them for a while, and then shouted the woman and said that the girl at the place of residence should come to the earthly doctor and be treated for "renal failure." It was this diagnosis that was confirmed (from the memories of the old Bolshevik who was that girl).
They are not “treated.” By the word "treated" I mean not only ultrasound or X-rays, or injections, or anything else, but also what modern doctors have completely forgotten (or simply don't want or don't know) carefully! Gathering an anamnesis. Two of them are anonymous: An. disease and an. of life. And if the history of the disease from the doctor can be heard up to 10 questions (when sick, where to give, what temperature, stool, etc.When collecting a history of life, the modern doctor is not especially frightened and can only ask if he was not sick with watermelon, and if there were schizophrenics or tuberculosis in the family. This is where the data collection ends. And in vain, because this is where the most causal investigative relationships lie.

In the distant 197... years I was saved by a doctor from God, an elderly, 70 years old, intelligent, with the therapy department of Martha Leontievna. Saved from making the wrong diagnosis, and accordingly from "treating" the body with a fictional disease. It turned out that I, a sports young man, a student, who had not been to the hospital in his life, began to notice that there were cramps in the area of the heart, mostly during the day, lasting 5 to 6 hours. At the reception with Martha L. I was not subjected to tests, X-rays and not even an ECG. The diagnosis was, and is, correct. The emphasis was placed on the history of life (Anamnesis vitae – Latin). She carefully asked me: about lifestyle, nutrition, studies - how many couples, when they end, what I do on changes, etc. Everything turned out to be banal - a student, money in circumcision, naturally malnutrition: rusted bread - 14 cops, halva - 1.20 rubles / kg (for 4-5 days stretched), milk - 14 cops. The package. And so every day, with rare exceptions, meat and sausage fell, but very rarely. On the shift – cake with cabbage in the dining room, on the street was not from 8.00 to 15.00. And, sorry for the medical details, such food simply caused abundant gas formation, while having to "suffer" (from the room to the street in the course of the day did not go out to hide), the gases supported the mediastinum (?And it all pressed my heart. This is the whole “disease.” He started eating properly and the problems ended the next day and until now.
Today’s realities are such that with such complaints, our squadrons will not release such a sacrifice, they will stick to the full program. With compulsory re-examinations, surveys and consultations (paid), testing, with prescriptions of medicines for many thousands of scars, with recommendations to refrain from physical activity (ch. of the sport). As a result, a healthy guy will quit sports, will take pills that simultaneously kill the liver, will receive a complex of inferiority. The question is, and from what scare I raised this topic, and also pulled Botkin out for review? Just that week my companion grabbed his back, he went to the doctor / am (going to several, because. used to listen to the opinions of several specialists to more accurately reveal the correctness of judgment), visited three (you can go down to ten, pay and forward). Here’s what came out of it:
Doctor No. 1: D/s “Rhinal colic?”
Doctor No. 2: d / z "Intercostal neuralgia"
Doctor No. 3: d / z "Sickness of soft tissues of the back. Isis is?”
My cousin is a traumatologist, we often spend time together - bathing, tennis. And after a cup of tea, I asked him where everything went: empathy, humanity, responsibility, and so on. Quality of doctor. His response lasted a long time, with a voice of fatigue, disappointment, emptiness. He explained how he does 2-3 trepanations of the skull a month, and knows that in the United States such an operation costs up to 70,000 backs, and he has a salary of 12,000 rubles. About $200 a month. And in order to at least somehow earn, take a lot of duty, there is almost nothing at home. And another year into retirement, and all he has is a twin apartment and a roof of "kalina", and even varicose nodes on his legs, from endless standing at the operating table. And what are the disagreements with the dissatisfied, mailings and trials to the prosecutor’s office, the courts. The man after the accident was gathered in pieces, and he filed a claim that the scars remained ugly, such as it was possible to sew the wounds more carefully. I have a lot more to say, but I will limit myself to what I have said.
Something happened to our people, to our country, when doctors who guarded the physical health of the nation, teachers who guarded the moral health, came down from the piedestal, somewhere not by their will, from where they stood in Soviet times. For me, a Soviet boy in those years, the doctor, the teacher and the astronaut were synonymous with the words honour, conscience, dignity. Now on the pedestal other characters - barrages, thieves, chinushs, and synonyms correspond to them, or rather one that unites them all synonym - butterflies. and sad.