We really appreciate the relationship that has developed between the Investigative Committee of the Russian Federation and National medical chamber (NMP), legal standing to represent the interests of the medical community of the country.
we Have created a joint working group on amendments to the legislation, representatives of the NMP are invited to receptions of the country’s residents that are held by the Chairman of the Investigative Committee, Alexander Bastrykin made a detailed report at the last Congress of the NWO (2019). Of great importance is the recognition of the investigative committees created by the NWO the original independent medical examination, one of the best in the world, impersonal and extraterritorial, which is headed by not a doctor, a judge or a lawyer. Our expertise stands on the side of truth and will punish doctors if they made a mistake. Only recently the regional investigative committees and the Central office of the Investigative Committee of Russia sent to independent professional medical expertise in NMP, more than 40 cases. And our cooperation is developing and hopefully will develop even more actively.
of Course, Alexander Bastrykin himself is not a doctor or specifically microedition. And he makes conclusions based on those findings, which he has prepared employees.
I Believe that the investigators who worked on the case of the Kaliningrad doctors accused in the murder of a newborn, simply substitute the Chairman of the Investigative Committee.
Investigators have concluded that a poor woman gave birth in the Kaliningrad baby premature, but viable. The investigators understand that the term “viable”?
readers might get the impression that the child was born premature, but quite healthy. Such a rosy, immediately shouted, he began to breathe, and so a Very premature baby weighing in at 700 grams it is difficult to consider generally is totally viable, because mortality in such children is high worldwide, and survivors often have severe, including neurological disorders. Moreover, quite a few years ago in the USSR, and then Russia didn’t do the death of a child weighing up to 1 kilogram the causes of infant mortality. He died died of natural causes. Only in recent years, including to some extent with the participation of the author of this article, we adopted international live birth criteria.
In this case, the mother’s second pregnancy. Previous ended sadly. She lived in Kaliningrad, but never officially observed. In the period 23 weeks pregnant went into labor. 54 hours (!) before going to the maternity home’s water just broke. The boy was born extremely premature. Immediately required mechanical ventilation, the child was zainteresovan and developed a comprehensive therapy. He was born in fact in agonal condition.
And in this case the investigators were able to report to the head of the baby “viable”?
Next bring the entire following quotation from an interview with the Chairman of the Investigative Committee: “To maintain life support the child needed certain resources, and according to the materials of the criminal case Elena White (approx. acting head of the maternity home) these resources for the child to spend wanted, assuming that he will still die later that would worsen the statistics of the regional perinatal center, where they had to guide the child for further treatment. Therefore, the consequence put forward the version that the doctor made the decision to commit the murder of a newborn, having it look like he died at birth”.
Why is it so to bring the Chairman of the Investigative Committee?
“To maintain life support the child needed certain resources, and according to the materials of the criminal case Elena White these resources to waste not wanted”. What kind of resources is it? The newborn baby had hyaline membrane disease – the defeat of the respiratory mucosa. Thus really need to enter an expensive drug Curosurf, which costs more than 25 thousand rubles. When investigators began their work, they accused the doctors that Curosurf not entered and saved on the child. Then, this charge was eliminated because it was proved that Curosurf was introduced. In addition, the child received all necessary infusion therapy and beyond.
Ask the regional investigators: what resources are these, which the child did not receive, and what saved a maternity hospital? And again I ask them, why put the head of the Investigative Committee in such an awkward position?
And then the investigators for their leader has prepared the following idea, the essence of which was that the newborn had to kill in order not to worsen the statistics of the regional perinatal center. Where other institution – regional perinatal center? It could go on the statistics of the maternity hospitals, but not a regional center. And if the acting chief physician of the maternity hospital were asked to really identify it as stillborn and falsify history, it must answer for it according to the law, but that has nothing to do with the “murder” of the child.
Quote from the article: “Insights on qualification was made on the basis of the weight of evidence: conclusions of Commission a comprehensive forensic examination of cause of death of the child, spectrographic and other examinations”.
The fun here is the proof that the “child was killed” as a result of the introduction of ��agnesia – spectrographic study. This study identified 27 indicators. Of these, the results of only 9 indicators. Of them found elevated iron, copper, magnesium and zinc in the liver, kidneys and stomach. The researcher made two reservations. The first is that the study was conducted within the limits of sensitivity of techniques used, and what is the sensitivity, we do not know, and second, that the figures obtained exceed the allowable values for adults. Data on children, the researcher does not. On this basis, the investigators concluded that the child was killed by the introduction of a lethal dose of magnesia. But we have published data on young children. And it is given by the researcher, the indicators meet the standards. Just in adults and young children many of the rules differ. Furthermore, autopsy was conducted only on the fourth day after death, and spectrographic study was conducted across 5 (!) months after the death of the child. Experts say that the true data we can get, but only if the study will be conducted in the next hour or two after death, but not after 5 months.
And, by the way, we can explain found increased concentration of copper, zinc and iron in the liver? The child was introduced not only a lethal dose of magnesia, and zinc? Thus, mass spectrometry data may not be evidence of murder of the newborn.
General issues of forensic medical examination needed to be improved. Indeed, she carried out twice, but in fact the same specialists. According to the experience of a professional independent medical examination of the National medical chamber a large number of official examinations, sometimes conducted three times, was flawed. We often refute a forensic examination, because it is poor quality.
At the same time, with his opinion in defense of Dr. Sushkevich made the largest in the country, Russian society of neonatologists. It was supported by the national medical chamber of the Kaliningrad region.
With the murder of a child chalk is also not so simple. It is based on the testimony of only the head of the NICU, T. N. Kosareva, which suggests that the murder of the child occurred in her eyes.
However, during the first interrogation on November 14, 2018 T. N. Kosarev never talked about the introduction Sushkevich magnesia baby. Moreover, she is literally answering the questions of the investigator, stated, “that the child required intensive care and that the acting chief doctor White told us that we do everything possible to help the child died. But neither I nor the doctor ROC (Regional perinatal center Sushkevich) never agreed to that”. And further: “the doctor (Sushkevich), saved the child, BBODili all the necessary preparations. And then the acting chief White demanded Sushkevich, so she returned to the ROC. However Sushkevich still not out.”
On the question of the investigator to Kosareva: child Akhmedova was disconnected from the ventilator? the answer was verbatim: “No, he was not disabled. He died while on the device connected to it. We did our best and tried to save him, prolong his life, but given that the baby was extremely premature, he died”. On a direct question of the investigator: newborn Akhmedov was introduced to machine magnesium? (Probably the investigator was not referring to “unit” and “medication”) the answer was: “I was not introduced. Introduced by anybody else, I don’t know.”
According to the testimony Kosareva, the child was treated. “I’ve seen on the infusion pump (a device for injection of solutions) epinephrine, dopamine, glucose, saline, sodium bicarbonate, caffeine”.
In the interrogation six months later (15 may, 2019) appears Novella about the murder of a child Sushkevich by introducing magnesia, but at the same time a doctor Kosareva noted that “Sushkevich immediately involved in active stabilization of the child gave instructions to the nurses office to take blood samples, measure pressure, to check acid-base status (to assess degree of acidosis, that is, carbon dioxide in the blood, pH and oxygen in the blood), supervised therapeutic activities, took measures to increase therapy, we determined the volume and procedure of rendering of medical aid Akhmedov, and the staff of the hospital was to ensure the execution of all appointments”.
However, almost six months later, on may 15, 2019, Kosareva abruptly changed his testimony, accusing Sushkevich murder. Can be made, a good job, cornered? We already had in 1953, when he accused a group of doctors in the murder and in 1937, enough examples. Read.
it is Interesting that simultaneously with this statement more than six months later, on December 12, 2019, during the interrogation, the doctor Kosarev added that the doctor resuscitator Sushkevich has given orders for therapy: “added to infusion therapy drugs dopamine and sodium bicarbonate, and the medical staff of the hospital provided these purposes”. She stressed that “the decision to move to the center should be taken by me (as the head of the NICU) and Sushkevich together”. At the end of the interrogation suddenly, as if in passing, there is the question of the investigator about the murder of a newborn Sushkevich, with no mention of magnesia. A short question and a short answer.
In the interrogation of the acting chief physician of maternity hospital E. V. White, of 9 March 2020 she said that when she went into intensive care, before the death of the child, saw Sushkevich doing CPR, saving the child, and clearly heard Sushkevich asked Tosarevo to dilute the epinephrine, and that Kosarev was the EPI in the umbilical cord. The heartbeat is not restored. About any magnesia there was no question.
In General, if we analyze this story, we can conclude that largely played a purely human factor, which creates an unhealthy atmosphere in the team, which often occurs with a change of leadership. In addition, pay more attention to the fact that from the primary to the investigative Committee appealed not the child’s mother, and the anonymous person that reported the murder of a child in a maternity hospital.
of Course, in the provision of medical care this child was flawed.
these include:
– No doctor neonatologist during delivery, which casts doubt on the data that came out with a score of 3 on Apgar scale – quick assessment of a newborn to determine he amount of emergency medical aid for development. The assessment is conducted by a neonatologist on the first, fifth and 10th minutes of life. When the child was born, the doctor neonatologist wasn’t there. She was on another floor. It is not called in advance. She saw the newborn is already borne by the midwife in the intensive care unit.
So what evidence makes micropedia: “Approximately 04 hours and 30 min. 06.11.2018 I got a call on a cell phone, Bolashenko (obstetrician) who reported that Akhmedova giving birth”. And further: “I examined the child and determined that it has one of the signs of live birth, namely, he had a heartbeat. Respectively, was not determined spontaneous breathing, pulsation of the umbilical cord, random motion, that is, other signs of live birth”. Therefore, the child had to rate the most critical one point and not three points that gives the minimum odds of life.
– Allowed drop in hemoglobin to critical numbers.
– Late call team of intensive care specialists-neonatologists from regional perinatal center.
– Lack of informing the upper management of the hospital rescue brigade on receipt of such mothers and the birth of a child in critical condition.
Given the proven forgery at the insistence of the acting chief physician of the maternity hospital White, I believe that it should be deprived of medical degree.
Doctors Wide, directly faked history, and Kosarev who gave a false statement to punish.
Dr. neonatologist Jelly to send in special training in neonatology with subsequent primary specialized accreditation.
All the above faults have no relation to the deliberate killing of a newborn.
From a survey of nurses to his sister Anna: “Sushkevich I know more than three years. She is punctual, calm, vereny doctor, competent, always mandatory filled all the necessary documents.”
the subject I know firsthand, as many years of my life I have dedicated neonatal surgery.
Generally, when you read the transcript of the interrogation of mother of the child, the impression that this man says, knowing and speaking the Russian language, but, as evidenced by the materials of the investigation, it is very poorly speaking in Russian.
I don’t believe in the killing of a newborn. And investigators probably very rich, to put it mildly, a fantasy. Excellent specialists in drama. And to substitute the Chairman of the Investigative Committee of the ugly.
this article is asked to attach to the case.
