Daria Starkova extract from. Dasha Starova, about whom the whole country learned last summer, died of cancer. “Doctors are being searched”

25-year-old Daria Starikova, who complained to Russian President Vladimir Putin during a “direct line” about the inaccessibility of medical services, died of cancer. The girl died in one of the capital's clinics. Nikolai Bova, head of the Apatity city administration, told TASS about this.

“Dasha is gone. She died in Moscow at the Herzen Cancer Center,” he said.

We won't just help, we'll do it. Of course, Dasha last way We are doing it very well. The main assistance will be provided by Phosagro; what depends on the administration has already been done,” the agency’s interlocutor clarified.

The municipal administration helped with the registration of guardianship of Dasha's seven-year-old daughter and a survivor's pension for the aunt.

She will be buried in the city of Apatity. The exact date I don’t know, but we are doing this and will do everything very well,” said the head of the Apatity administration.

As the press service of the governor of the Murmansk region reported, the regional authorities, the administration of Apatity and the Apatit plant will provide assistance to the family of the deceased.

Daria Starikova to Moscow for treatment after she complained to Putin during the “direct line” about the situation in regional healthcare. The girl was diagnosed with stage four cancer. Daria, during the “direct line,” said that doctors initially diagnosed her with “ intervertebral osteochondrosis"and treated my back, missing time in treatment.

In a Moscow clinic they did it for her complex operation for removing stomach ulcers. It seemed that the girl was on the mend.

I want to thank... for the fact that Vladimir Vladimirovich [Putin] gave me the wizard Andrei Dmitrievich [Kaprin] - the man who saved my life, gave me a second life, hope for the future. For me this is the greatest gift in life. I feel great, compared to what I felt at the moment when I first entered... this moment I'm planning to go home for New Year“, spend time with your family, with your daughter,” Daria Starikova said in December 2017.

investigative committee Murmansk region opened a criminal case on medical negligence. As the girl told the president, the state of the healthcare system in Apatity is last years deteriorated greatly: several departments of the local hospital were closed, including surgery and cardiology.

Let us remind you: in Murmansk, a patient of a doctor at an oncology dispensary. According to one version, the man went to the hospital for two years and complained to the doctor about bad feeling, however, he did not pay any attention to this and told him that he was completely healthy. And two years later it turned out that the patient had cancer at an inoperable stage.

Daria Starikova, a resident of Apatity, became known during the “Direct Line” with President Putin in June 2017. A 25-year-old girl with cancer complained about the inaccessibility of treatment in her city. On May 22, the Russian woman died in one of the Moscow clinics, where she was later transferred. Unfortunately, the efforts of the capital’s doctors came to nothing, even despite a successful operation to remove the tumor. Daria had stage 4 cancer. She left a little daughter at home.

Delayed diagnosis

Russians first learned about Daria on June 15, 2017 during a “Direct Line” with the president. She said that in her native Apatity, doctors misdiagnosed her with “intervertebral osteochondrosis.” It was later discovered that she actually had stage four uterine cancer. In a conversation with the president, the girl said that due to the negligence of local doctors, she was given an accurate diagnosis late, at a time when the disease was already inexorably progressing.

Daria also drew attention to the fact that residents of Apatity who need highly specialized care are forced to travel to neighboring Kirovsk - the local hospital cannot be completed for several decades. After this story, Vladimir Putin turned to Daria with a request “not to lose hope for recovery.”

The head of state expressed bewilderment at what guided those responsible for medicine in this region and promised to help solve the problem: “We’ll definitely look into it. Either this one needs to be completed, or the old hospital needs to be restored. We will work, I promise you. But, Dasha, as for your problem, we will also work on this. OK?" Then the president’s words instilled hope in Daria and local residents.

hope dies last

After “Direct Line” Daria was sent to intensive care district hospital. She was then transferred to a regional medical facility in Murmansk. A week later, on a plane of the Ministry of Emergency Situations, she was transported to the Moscow Institute of Oncology. Herzen. This is where she was treated. After two courses of chemotherapy, the size of the tumor decreased by more than half, making it possible to perform surgery.

Last December, doctors operated on her for 4.5 hours, after which she underwent another course of chemotherapy. Then Dasha was full of hope for the future, making plans and dreaming about how she would spend time with her six-year-old daughter. After she returned to Moscow, she underwent reconstructive surgery. As her attending physician, oncologist surgeon Andrei Kaprin, said, this operation was easier, since there was no longer a tumor in the girl’s body.

The operation was completed. Messages about Daria Starikova’s health appeared less and less. On April 14, the VKontakte group, which was created in her support, published a message that Dasha was still undergoing treatment. Here, everyone who was worried was thanked for their support. As for Dasha herself, the last time was on her personal page in social network it was on March 27th.

Fourth stage

According to doctors, specialists did everything they could. But stage four cancer is a very complex disease, with almost zero cure; in this case, you can only make the patient’s life easier by improving the quality of life. Another thing is the zero or first stage, when there is a chance of being completely cured.

"I remember that the girl had malignancy, but what kind of structure is very important. Her attending physician Andrei Kaprin is a leading oncologist and director of the Radiology Center of the Russian Ministry of Health. Could he really have missed something? I think everything was done correctly. The peculiarities of the biological behavior of the tumor played a role here,” commented the professor of the Department of Oncology of the State Budgetary Institution of Healthcare of the Moscow Region MONIKI. M.F. Vladimirsky Lali Kogonia.

She said that at a certain point Daria felt better, her condition was maintained with the help good drugs. The specialist also explained: “In oncology you never have to guess, because there are biological features of the tumor. We don’t yet have individual therapy that would be selected for each patient separately, like antibiotics.”

According to Kogonia, in December 2017, a resident of Apatity, Starikova, may have experienced so-called micrometastatic processes of metastasis. “It’s impossible to even see them. The surgeons, when they operated, saw everything, looked at it, and said - yes, everything is clean. However, no one knows how the body will behave,” the doctor concluded.

Epilogue

Daria Starikova will be buried in her native Apatity. The girl’s daughter will receive a survivor’s pension, as well as “all necessary payments in this case.” At least, this is what the city administration assured. In addition, as stated by the government of the Murmansk region, the city, regional authorities, as well as the local city-forming enterprise will jointly help Daria’s family.

Dasha’s appeal to the president during the “Direct Line” caused a great resonance not only in Apatity, but throughout Russia. First, the Investigative Committee conducted an investigation into the failure to provide qualified medical care, then a case was opened against the doctors under the article “negligence.”

Later, the regional governor ordered to organize a reception of citizens in Apatity, which was attended by the head physician of the hospital, Yuri Shiryaev. There were a lot of people, and they all asked for help, to find competent specialists, to cure chronically ill patients, or, for example, to perform an operation out of turn. A few days later, Shiryaev wrote a letter of resignation from the post of chief physician.

In March of this year, during his address to the Federal Assembly, Vladimir Putin gave instructions to develop a system to combat cancer. The head of the country noted the need to modernize cancer centers and build the entire chain in this direction, starting from the ability to make a diagnosis to early stage and ending with effective treatment.

A briefing was held at the Moscow Research Oncological Institute named after P. A. Herzen with the participation of Daria Starikova from Apatity, who, during a “direct line” with Vladimir Putin, spoke about her cancer disease, and academician Andrei Dmitrievich Kaprin, general director Federal State Budgetary Institution "National Medical Research Center of Radiology" of the Russian Ministry of Health.

A resident of the city of Apatity, Murmansk region, 24-year-old Daria Starikova, who was diagnosed with stage 4 cancer, during the “direct line” appealed to Vladimir Putin with a request to eliminate the consequences of the health care reform, which prevented her from making a correct diagnosis in a timely manner and providing her with quality treatment.

According to Daria Starikova, time for her treatment was lost because doctors initially tried to treat her for another disease. The correct diagnosis was made only after her health condition deteriorated greatly and the girl was admitted to the hospital.

"We don't have enough narrow specialists, thanks to which it would be possible to diagnose people on time. Our maternity hospital was closed, closed surgery department, cardiology, everything was transported to a neighboring city.

We have to go and seek help there, and also for difficult operations, we are sent to Murmansk for the necessary examinations - this is a five-hour drive from us,” she told the president.

As Vladimir Putin said, a similar story happened at one time with his father - doctors also for a long time could not recognize his cancer, but in the end they managed to diagnose the disease and find effective medicines.

According to the president, despite a significant number of medical facilities commissioned in recent years, the lack of specialists remains a serious problem.

“But finally, the most important thing is to ensure accessibility. This is the number one task in medicine today - to ensure accessibility medical care“Vladimir Putin said, promising to understand the situation with the organization of medical care in the region, as well as to provide assistance in solving the problems of Daria Starikova.

As a result of the “direct line” with the president, a criminal case was opened in the Murmansk region on the grounds of a crime under Part 1 of Art. 293 of the Criminal Code of the Russian Federation (negligence).

Russian oncologists saved the life of Dasha Starikova with stage 4 cancer

According to Daria Starikova, Andrei Dmitrievich is the person who gave her life, gave her hope for the future, and this is the most valuable gift. “I will always be grateful to the people who fight for my life, treat me and support me,” said Daria. “I have always believed that miracles happen, and my example is proof of this.”

Homes where Daria goes to New Year holidays, family and friends are waiting for a five-year-old daughter who really misses her mother, because she hasn’t been home for six months. “I want to surprise her,” Daria smiled. “She opens the door and mom is there.”

“I’m glad that the country’s leadership trusts us, that they did not send the patient abroad,” said A.D. Kaprin. “We constantly felt help and support from the President of the Russian Federation and the Minister of Health.”

During this time, the doctors became friends with Daria. She had a major radical surgery to remove the tumor, and a PET-CT study does not reveal its presence. The treatment is not completed; reconstructive surgery is due in a few months.

Daria underwent several courses of chemotherapy with combination drugs (domestic generics and imported drugs) both before and after the operation. Many consultations took place, and, as Academician Kaprin emphasizes, this applies not only to Dasha: “We never refuse each other in difficult cases, we consult, and make decisions together. Dasha is a great guy, a courageous and patient person. The patient’s faith in us is very important, it is an integral part successful treatment».

The history of Daria Starikova’s treatment is a common occurrence for the national cancer center. For this purpose similar scientific institutions and are created to solve such problems, says A.D. Kaprin. More specialists who have the necessary experience accumulate here, and complex, expensive equipment is concentrated here.

The very course of Daria’s illness was challenging task for doctors, explained Academician Kaprin. A tumor of such localization is usually heterogeneous, that is, it can be represented by more than one pool of cells and develop very quickly.

For example, at the Institute. Herzen is currently observing two girls in whom no more than two weeks have passed from the moment of detection to the moment of tumor progression. And there are frozen tumors that long time are not developing. To identify all these features, you need sophisticated equipment, which Apatity does not have.

During treatment, three or four specialists worked with Daria. A morphologist who talks about the type of tumor and how treatable it is. Clinical pharmacist. A clinical oncologist or chemotherapist who decides, together with the surgeon, how and when to carry out therapy. It is finally the radiation therapist who decides whether and to what extent his treatment will be required.

“The combination of all these specialists is our basic oncological law, so we always say how important it is to be in the hospital under our supervision,” emphasized Academician Kaprin. – Moreover, we invited several specialists from abroad and communicated via teleconference.

Conferred with colleagues - for example, from Science Center obstetrics, gynecology and perinatology named after. Academician V.I. Kulakov, headed by Academician G.T. Dry. Our famous chemotherapists, Academician M.R., took part in the treatment. Lichinitser from the Russian Cancer Research Center named after. Blokhina, V.I. Borisov, Chief Chemotherapist of the Ministry of Health of the Russian Federation. He and I often discuss patients, and we never hear a refusal.”

IN postoperative period Specialists from the Federal State Budgetary Institution “Federal Research Center for Nutrition and Biotechnology” came to consult Daria, since the patient had critically low body weight. She was watched and actively helped by rehabilitation specialists, clinical psychologists from the Institute of Forensic Psychiatry named after.

Serbsky, because at first the mood was depressive. Gradually, the young girl was pulled out of her illness, and now, in her own words, she increasingly wants to look into the future and make life plans.

“Dasha is far from the only patient with this type of pathology,” emphasized A.D. Kaprin. – I personally operate on about 25 of these girls every year. At the radiological center in Obninsk, we take on approximately 50 such patients a year, and in total we treat approximately 100-120 patients with similar diagnoses.

We are open to everyone, we work according to quotas, so we take in severe patients right away, realizing that for now there is little help for them. The geography is the most extensive - from Kaliningrad to Kamchatka. Therefore, you should not think that the attitude towards Dasha was somehow special. No – we try to help everyone who needs it.”

As Andrei Dmitrievich said, the united consortium of three institutes, which he heads, is the most advanced oncology center today. Every year, up to 12 thousand people undergo surgery here, and 36 thousand people are treated here.

“We take on everything from neurotumors to bone formations, lymphomas, gynecological oncology, urology, thoracic, abdominal patients with tumors abdominal cavity and so on".

However, it is clear that to help all those in need alone cancer center, even so powerful, is impossible. Andrei Dmitrievich admitted that there is a problem of an acute shortage of specialists locally and, of course, this problem must be solved without relying on a miracle, which happened to Daria Starikova, who managed to get through to the president of the country.

“We have nothing,” Daria emphasized. – In order to get help from an oncologist, you need to go to Murmansk. True, I heard that now, thanks to the intervention of Vladimir Putin, a chemotherapy department is being opened in Apatity, so the situation is slowly changing. But I would still like more serious changes so that no one repeats my experience.”

The lack of specialists for the regions is very serious. Andrei Dmitrievich pins great hopes here on the recently issued Law on Telemedicine. Minister of Health of the Russian Federation V.I. Skvortsova calls on doctors and scientists to conduct teleconferences and create telecommunications.

“For two years now we have been holding such events with thirty regions every Tuesday morning,” shared A.D. Kaprin. “We ask all our colleagues to show seriously ill patients and decide together which of them we take to our place. With the help of such telecommunications, we are going to significantly expand the reach of cancer patients across the country.”

At the same time, according to A.D. Caprina, the situation in the regions is changing in better side. “There are well-armed regions where we are getting fewer and fewer patients,” he said. – Oncology must be equipped with complex, expensive equipment and must employ competent specialists. It is very important".

The other day, according to Andrei Dmitrievich, the Institute named after. Herzen is launching a project with Japanese colleagues, during which they will send pre-scanned glasses with histological samples of the tumor for morphological consultations.

Academician Kaprin plans to implement the same program with regions where there is a large shortage of morphologists, but this is where everything in oncology begins - with recognizing the type of tumor, and therefore searching for those methods with which it can be cured.

“We will seat all our specialists and solve these problems together so that our beautiful young women no longer have the need to call the president of the country about this,” concluded A.D. Kaprin.

Video: Cancer patient brought to Moscow from Apatity feels better

Daria Starikova (Apatity) - fight for life. Latest news (updated 05/22/2018)

MURMANSK, May 22. /TASS/. Daria Starikova, who last year contacted Vladimir Putin’s Direct Line, died of cancer in Moscow. The head of the Apatity city administration, Nikolai Bova, told TASS about this.

“Dasha is gone<…>She died in Moscow at the Herzen Cancer Center,” he said.

Bova added that information about the death was received on Tuesday morning. “We won’t just help, we’ll do it. Of course, we are sending Dasha off on his last journey with great dignity. The main assistance will be provided by Phosagro; what depends on the administration has already been done,” the agency’s interlocutor clarified.

He also explained that the municipal administration helped with the registration of guardianship of Dasha’s seven-year-old daughter and a survivor’s pension for the aunt. “She will be buried in the city of Apatity.<…>I don’t know the exact date, but we are doing this and will do everything very well,” said the head of the Apatity administration.

As the press service of the governor of the Murmansk region told TASS, the regional authorities, the administration of Apatity and the Apatit plant will provide assistance to the family of the deceased. “The regional and municipal authorities, as well as the city-forming enterprise Apatit, will provide assistance to Daria’s family,” said the governor’s press secretary Anna Bulatova.

About the suffering cancer Daria Starikova and the medical situation in Apatity became widely known after her call to the Direct Line to Russian President Vladimir Putin on June 15, 2017. She said that she was late diagnosed with stage four cancer; before that, she had been treated for a long time for osteochondrosis, and was given massage and injections, which is contraindicated for oncology.

They were able to give her an accurate diagnosis only in Murmansk. Starikova also complained about the lack of a hospital, specialized specialists and other problems in the city. (Updated May 22, 2018 Source tass.ru)

A resident of the Murmansk region, who died on May 22 at the Herzen Institute in the capital, was remembered by Russians after her dialogue with the head of state on June 15. The girl struggled with stage IV cancer in the almost complete absence of qualified medical care, but the forces were not equal.

ON THIS TOPIC

Dasha's story touched millions of people. Until recently, everyone believed that a miracle would happen, that soon her little daughter would be next to her mother again.

Dasha was left an orphan early on - her mother died, and practically nothing is known about her father. She was raised by her older brother, and after 18 years old she began to live independently and soon gave birth to a daughter. The child's father refused to take part in the baby's fate.

According to the girl’s friend Svetlana Morozova, Dasha was always a cheerful and cheerful person and laughed very contagiously. When her daughter grew up a little, Daria went to work. At first she worked as a conductor, and then became a salesperson in one of the local stores.

Aunt Lyubov Tulupova helped her with the child, who will now become the girl’s guardian, Moskovsky Komsomolets reports. “It all started absolutely out of the blue. For no apparent reason, Dashka’s back started to hurt. Nothing helped, so she decided to go to the doctor,” recalled another friend of the girl, Maria. And then Dasha’s medical history was known: she was given an incorrect diagnosis, which was why precious time was lost.

The cancer diagnosis was a shock for Starikova, but she decided to fight to the end. “She always loved life very much, she knew how to enjoy little things, things that many others simply do not pay attention to,” said Dasha’s friend.

Almost immediately after turning to Vladimir Putin, Daria was transported for treatment to Moscow, where the best oncologists in the country tried to save her. “At first her messages were completely hopeless, it seemed that she did not believe that anything could help. But after the operation, before the New Year, it seemed to me that she had hope for recovery. She wrote that she began to gain weight, she felt "I felt better and even started making plans. I kept thinking about how I would come to my daughter for the holiday with gifts," a friend shared.

According to a distant relative of Dasha, she dreamed of taking her daughter to first grade on September 1. But insidious disease won... Daria Starikova will be buried in her native Apatity.