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Patients from the village of Khani register at the reception desk in the Matvei Mudrov train before going to consult one of the specialists specialists. The village, with a population of 900, does have one doctor but he is a specialist in diseases of the mouth, not a general practitioner. <br />
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The Matvei Mudrov train is a medical train operated by Russian Railways along the course of the Baikal Amur Magistral (Baikal-Amur Mainline, or BAM) railway line. Named after a famous 19th century Russian physician, the train employs around 15 doctors who make about 10 trips a year, each lasting two weeks. Along the way they deliver essential medical services to people living in remote villages along the 4,324 km long BAM railway. Though not equipped to carry out surgical procedures the train has heart monitors, ultrasound and x-ray machines to deliver diagnosis.