My psychiatric patient in Kursk Regional Psychiatric hospital, Iskra.

Once I just turned some pages of a Oxford Psychiatric manual. One of my seniors had brought it home for his exam preparations. That time I was a 3 year medical student in the medical faculty. There was a funny saying in the top of the first page of the book. -->Welcome to Iskraß. We usually call the hospital as Iskra. There is no need to describe what kind of a hospital is it. Every citizen who is living in Kursk city knows about the hospital. Iskara Psychiatric hospital.  We started our second psychiatric cycle in the hospital and we were allowed to visit the patients. At the entrance a foul smell gave a unpleasant feeling. They are having a bath once per week. There are faces are not usual faces. Many of them are chain smokers. We saw classic smoker’s signs in these patients. Nicotine stained fingers. Dirty clothes.

My patient has several psychiatric disorders and syndromes. If I name them mental depression and Delusional syndrome with hallucinations. He was a resident patient for 5 years in Iskra. According to his description he was a military equipment developer for military airplanes. That time he had many connections with Russian KGB. His grandfather was a secret agent who had connections with foreign secret services. His uncle was a psychiatric doctor. He directly told to our teacher “I will communicate with them, no problem, my grandfather was a psychiatric doctor too”. We went deep in to the discussion. But some of the words which he was using not clear. It’s a symptom Neologism. His words were so fast some parts of the conversation were unclear because our Russian knowledge wasn’t enough to understand him. When I asked about the location of the work place he strongly suggested me not to ask about military secrets. He advised even to my teacher to save the military secrets.  Then we checked his memory status. According to the tests his memory was normal. No Amnesia. We asked about the current president and the previous presidents of the Russian federation. He gave the correct answers. When we asked about the American presidents he gave the correct answers.  He told according to his knowledge of secret services former KGB’s are rude people including the former prime minister of Russian federation.  The breath taking part was about his abilities to cure people by human natural energy. This energy he named as “Bio pole”. To give such a power his brain spheres are becoming a one body. He has met several people who had the same abilities. According to him his father had the same power and it have inherited the power from his father. He had seen once his father was treating his mother.  According to his words most probably termination of his life will be due to chronic effects of smoking, drugs like Haloperidol or barbiturates. 

It is forbidden to go outside from the hospital. So patients stay in the wards. According to our teacher’s words there are very dangerous patients with severe maniac and mental disorders in Iskra. Some of them are resident patients for 20-25 years. There are some people who search the same happiness which we are searching for long time. But they are isolated and limited to dark corridors of isolated hospital facilities. There is a big necessity of good psychiatric doctors at the present.