{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-572d6a42.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-f4d0de30.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Floating clinic visits remote communities in Siberia' data-url='/boclips/videos/5c54d464d8eafeecae1f24c1' data-video-url='/boclips/videos/5c54d464d8eafeecae1f24c1' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nFloating clinic visits remote communities in Siberia\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca href=\"/search?publisher_ids%5B%5D=\"\u003e/search?publisher_ids%5B%5D=\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eLEADINA mobile health clinic is setting sail in remote Russia to visit communities cut off by the freezing winter conditions. The huge territories of Northern Siberia are almost inaccessible for up to 9 months each year, the roads are...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eLEADINA mobile health clinic is setting sail in remote Russia to visit communities cut off by the freezing winter conditions. The huge territories of Northern Siberia are almost inaccessible for up to 9 months each year, the roads are inadequate and there's no regular air connection. STORYLINE This boat called 'Rus' is a floating clinic heading off on a journey along the river Ob. Eighteen medics say goodbye to friends and family, who they will not see again for around fifty days. They are off to bring medical care to residents in isolated communities of northern Siberia, who have been cut off from the world by the long harsh winter. The river is an artery and a lifeline. When the ice melts in May, friends and family gather on the dockside in Tomsk to wave goodbye to the travelling medics. The 'floating clinic' travels along the Vasyugan swamp, the largest one in the northern hemisphere, traversing 4000 kilometres along waterways of the Ob and its tributaries. The medical ship was started by Tatyana Solomatina, a doctor in the region who was born and raised in a swamp village. Solomatina is now a member of the Russian parliament. \"I know what situation is there, what transport accessibility is there, as a doctor and as a person. I really realize that's the only way we can provide (them) with specialist medical care because even if a man (from those areas) gets to here (Tomsk), here is no guarantee of someone (of medics) waiting for him,\" Solomatina says. The project of Solomatina costs 11 million rubles ($200,000 US dollars) each year, which allows the ship to be equipped with a wide range of medicines, ultrasound and X-ray machines, and arrange labs for blood and other tests on board. One of the main sponsors is gas company Gazprom, which gave 8 million rubles for the floating clinic. The local authorities also provide funding. Oncologist Vladimir Krylov says \"(We) try to be mostly autonomous. We bring ultrasound, our own lab. Last year they (colleagues) managed to bring even an X-ray machine.\"  The passengers include specialists of various medical disciplines including a physician, a paediatrician, a cardiologist, a gynaecologist, a neurologist, a gastroenterologist, a ophthalmologist, a endocrinologist, a oncologist, and even a surgeon. They provide people in the northern localities of the Tomsk region with comprehensive diagnostic examination, and if a serious disease is detected, they send patients to the hospitals in bigger towns for treatment. Doctor Yevegenia Enguel says: \"They (people of the remote areas) mainly come only to us. Children (for check ups ) before (entering) kindergarten, kids (for check ups) before (entering) school, recruits  (for check ups) before (entering) army. All they come to us because they have no possibility to go to the district center (where are hospitals). So there is a complicated situation there. Without the floating clinic I think the population would decline very significantly.\"After the end of the Soviet era, many clinics closed and medics left. In order to get medical treatment, villagers had to travel by helicopter for a few hours or by boat for a few days. Now the medical aid, in the form of the free floating clinic, comes to them, with no charges for the patients. In Russia it is free to see a doctor but diagnostic checks such as blood tests, scans and medicines must be paid for by the patient. The floating clinic provides everything including medicines for free. The boat started from Tomsk and a day after reached the nearest village on the route, Mogochino, 200 kilometres further north. It is the first of 39 towns that will be visited. A small clinic with a single medic still exists in Mogochino, and the doctors from the floating clinic see patients here for appointments. In many other places they usually see patients at local schools and administrative offices. The medics deal with a variety of medical issues - from baby nutrition advice to cancer diagnosis and small surgeries; the most common disease is hypertension because most patients are elderly. Residents eagerly await the arrival of the medical ship because it's the only opportunity for a general check up once a year. \"Oh, we eagerly await them (doctors) because we have problems here. In our clinic, there is one medic only, no other specialists actually,\" says resident Lyubov Spichenko. Maxim Sushkin, the chief doctor of the floating clinic says the boat is a novelty for locals and sometimes results in unnecessary appointments. \"People live in some outback here. And when new people come, local residents come to see us, to communicate as always it happens in village areas. But now there are fewer of such an aimless visits,\" he says.  The floating clinic has changed the lives of villagers, according to resident Galina Stepanova. \"My husband has got diabetes, hypertension, and he broke his leg. He uses a lot of medicines, plenty,\" she says.Every doctor of the floating clinic sees twice as many patients in a day in these villages than they do at their city offices.   Some doctors return year after year, encouraged by a higher salary, but also a sense of adventure. \"We work probably in the most unique place on the planet - the great Vasyugan swamps which are the lungs of the planet. That's the endless, wide area with it's own nature and people living here. The population density here is so low that you are more likely to meet a bear rather than a human,\" says Svetlana Pershina, a neurologist on her 15th trip with the floating ship. Pershina says she has plans to set off again next year.Tomsk - 13 May 20171. Wide of the floating clinic at the pier in Tomsk 2. Mid of a family bidding farewell 3. Wide of people at the pier waving 4. Close of children waving5. Ship captain overseeing departure, speaking on the radioUPSOUND (Russian) \"The motor ship \"Rus\". We're going to sailing. Thank you for hosting us\" 6. Wide of people at the pier7. Mid of doctors on the ship waving8. SOUNDBITE (Russian) Tatyana Solomatina, Organiser of the floating clinic:\"I know exactly how people live in the places where we're sailing to. We serve 39 settlements. I know what situation is there, what transport accessibility is there, as a doctor and as a person. I really realize that's this is the only way we can provide (them) with specialist medical care because even if a person (from those areas) gets to here (Tomsk), there is no guarantee that someone (medical) is waiting for him.\"9. Wide of the motor ship floating on the Ob river10. Mid of medics carrying boxes 11. Close of woman opening box with medicines 12. SOUNDBITE (Russian) Yevegenia Enguel, doctor of Diagnostic Laboratory: \"They (people of the remote areas) mainly come only to us. Children (for check ups ) before (entering) kindergarten, kids (for check ups) before (entering) school, recruits (for check ups) before (entering) army. All they come to us because they have no possibility to go to the district centre (where there are hospitals). So there is a complicated situation there. Without the floating clinic I think the population would decline very significantly.\"13. Wide of the Ob river through the porthole 14. Wide of the Ob river from the ship 15. Wide of a settlement on the bank16. SOUNDBITE (Russian) Vladimir Krylov, oncologist:\"(We) try to be mostly autonomous. We bring ultrasound, our own lab. Last year they (colleagues) managed to bring even an X-ray machine.\"   Mogochino, Tomsk region - 14 May 201717. Wide of the ship at anchor 18. Wide of medics going ashore19. Mid of medics getting into the ambulance 20. Mid of a doctor in the ambulance21. Wide of medics entering the clinic with boxes22. Wide of patients standing in a line23. SOUNDBITE (Russian) Lyubov Spichenko, 68, patient:\"Oh, we eagerly await them (doctors) because we have problems here. In our clinic, there is one medic only, no other specialists actually.\"24. Wide of patients standing in line to have consultation 25. Close of elderly ladies in the line26. Various of ophthalmologist examining a woman27. Wide of ultrasound examination 28. Close of a prescription being written 29. SOUNDBITE (Russian) Maxim Sushkin, chief doctor of the floating clinic:\"People live in some outback here. And when new people come, local residents come to see us, to communicate as always it happens in village areas. But now there are fewer of such an aimless visits\".  30. Wide of patients in the clinic hall Mogochino, Tomsk region - 17 May 201731. Wide of street in Mogochino 32. Wide of houses33. Mid of house windows 34. Various of Stepanova showing her husband's medicines 35. SOUNDBITE (Russian) Galina Stepanova, 56, Mogochino resident:\"My husband has got diabetes, hypertension, and he broke his leg. He uses a lot of medicines, plenty. Somewhere the medicines are prescribed for free. So either the specialists come here, or we go to a town.\"36. Wide of the village 37. Mid of house38. Various of the village from the riverside 39. Close of water glinting in the sunMogochino, Tomsk region - 14 May 2017 40. Mid of the floating clinic 41. Various of blood testing in the ship lab 42. SOUNDBITE (Russian) Svetlana Pershina, neurologist:\"We work probably in the most unique place on the planet - the great Vasyugan swamps which are the lungs of the planet. That's the endless, wide area with it's own nature and people living here. The population density here is so low that you are more likely to meet a bear rather than a human.\"  43. 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