Initially, you need to contact a urologist to get a referral for surgery. Before it, you will need to collect all the necessary tests. In parallel with the delivery of tests, it is worth finding a clinic where varicocele surgery is performed. It is worth looking for where there is a urological department.
Regardless of whether the treatment will be provided free of charge or on a commercial basis, need to contact the clinic, where you can do a varicocele operation after collecting tests.
Specialists will be able to suggest what additional tests may be needed, what are the conditions for staying in a hospital, how payment should be made, what method the operation is performed, and so on. Also you will learn are there any vacancies in the hospital for timely treatment.
Compulsory health insurance policy covers the costs of varicocele surgery in municipal hospitals. To use it, you need to come to the initial appointment with a urologist at the clinic to which you are attached.
After receiving a consultation and referrals for the collection of tests, it is imperative to go to the hospital where you will be operated on.
The fact is that in municipal hospitals there are not always places and equipment necessary for surgical intervention. If everything is in order, then you will be told exactly what things you need to take to the hospital and when to come to the emergency room. By the appointed date, all analyzes must be collected.
Also on hand should be a referral from a urologist from your clinic. At the time of admission to the hospital, you must also have your passport, an extract from the medical history and the MHI policy with you.
The varicocele surgery itself is free. It is usually scheduled the next day after the patient's admission. Most often municipal hospitals use the Ivanissevich method or laparoscopy.
These operations are considered the simplest, and the chance of recurrence is quite high, so it is important to strictly follow the doctor's recommendations during the rehabilitation period in order to avoid complications and the recurrence of varicocele.
It is important to understand that municipal hospitals provide additional services on a commercial basis. These include accommodation in a single room, the presence of a TV, refrigerator, air conditioning and Internet access in the room, round-the-clock supervision by a nurse, and much more. However, this does not affect the recovery process after the operation in any way, but only increases the level of comfort while in the hospital.
Thus, there are many ways to get rid of varicocele. It's pretty easy, but it's important to keep your reproductive system healthy.
To do this, it is important to observe a sparing regimen for 3-6 months after treatment and follow the doctor's instructions for the prevention of varicocele. It includes small physical activity and an annual examination by a urologist.
Hip disease is a big problem due to the high percentage of disability and the involvement of young and active patients in the process.
The generally accepted and most effective treatment today is hip arthroplasty. Currently, 1,500,000 artificial joint replacement surgeries are performed annually worldwide.
The long-term viability of the endoprosthesis is ensured by the high wear resistance of materials during friction and strength under mechanical (cyclic) loading. Practical results indicate that endoprostheses J. Charnley are capable of working in the human body for 25 years or more. In active patients, endoprostheses fail earlier due to wear of rubbing surfaces.
The above listed diseases of the hip joint are accompanied by severe pain, a sharp decrease in working capacity, loss of the ability to self-service.
In our practice, we divide contraindications to hip arthroplasty into absolute and relative.
To perform this type of operation, an operating room of the 1st degree of cleanliness is required, which is not provided in all hospitals. Our Clinic guarantees compliance with these requirements. The duration of the operation is from 1 to 3 hours. Operations are performed under combined anesthesia (epidural or spinal with intravenous support). The operation is accompanied by blood loss of about 500 ml, which in 50% of patients requires intraoperative and postoperative blood transfusion.
Surgery on the hip, knee joint according to the quota can be performed only in difficult cases. There must be special indications for it. So, you can get a quota in such cases:
The operation to replace the hip-knee joint according to the quota, in accordance with Government Decree No. 1273 of November 28, 2014, can be performed in cases where:
This is an exhaustive list of indications for free surgery. In other cases, you will have to pay for the procedure from your own pocket at the full cost.
In a situation where hip arthroplasty does not pass the quota, a completely logical question arises - how to save money. You can reduce your expenses in the following ways:
As for the first option, here the patient saves on the operation itself. You will have to pay for the material, the prosthesis, but you can save money on staying in the hospital and the services of doctors. Such costs are covered by the insurance policy, provided that the applicant collects all the necessary documentation. In private clinics, without options, you will have to pay for both the stay, the services of the staff and the cost of the prosthesis.
Contraindications for prosthetics:
So, if highly professional treatment is required and there are indications for a free procedure, the patient needs to arrange such an opportunity. It is immediately worth determining that the procedure is protracted and lengthy, takes several months and takes place in several stages:
This is the initial stage, which involves interaction with an orthopedic traumatologist at the place of actual residence and the passage of a planned examination and treatment. The specialist draws up a referral to the first level commission based on the medical record, the results of the examination and analyzes.
Based on the consideration of the application, the supervisory authority at the medical institution draws up a protocol. It contains all the personal information of the patient, his diagnosis, recommendations and indications for his treatment. You have 10 days to make a decision.
If no contraindications for knee arthroplasty are established for the patient, his application is sent to the regional health department. In this case, a complete package of documents must be generated, including:
The commission should be held with the participation of an orthopedic surgeon. The personal presence of the patient at this stage is not required. He can only be called when there are disputes. No more than 10 days are allotted for consideration of the application. The decision must be recorded. If it is positive, then a copy of the protocol, along with a package of papers and a coupon, is sent to the clinic where the operation is performed.
After the documents are received by a medical institution specializing in arthroplasty, a quota commission is assembled. After a discussion by orthopedists and traumatologists of the situation, a decision is made on the possibility of performing prosthetics in a particular case. If the outcome is positive, the clinic informs the regional department of its decision, which, in turn, informs the patient.
Replacement of the hip joint is performed with severe pain, developing lameness and a decrease in the amplitude of joint movements caused by the progression of:
Replacement of a destroyed joint is recommended for femoral neck fractures in elderly patients due to the ineffectiveness of conservative methods of treatment. Hip prosthesis is considered inappropriate in cases where the patient cannot move independently. Surgery is contraindicated if there is a history of:
In the preparatory period, a comprehensive examination is carried out. To clarify the diagnosis and determine the optimal technique for arthroplasty, an x-ray is taken. If the x-ray does not allow the orthopedist to obtain comprehensive information about the nature of the deformity, computed or magnetic resonance imaging is prescribed.
The most important step is the examination of the patient. To do this, it is necessary to pass clinical tests, undergo an ECG, consultations of specialized specialists, ultrasound. The patient is hospitalized at least one day before the operation. As preparation, you need:
Three weeks before surgery:
Magnetic resonance imaging. Multidisciplinary medical center "K 31"; must monitor. according to Norbekov are especially effective and what rules exist?
Muddy. Contact the regional health department (now - the Ministry of Health of the region) at the VMP department - they will tell you for sure. You don’t need to look for anything yourself. If a person has suffered pain for years, cartilage and bones wear out, muscles atrophy, and the replacement is done “at the last moment”, then rehabilitation can take quite a long period. Perthes disease, Bekhterev’s disease.
, according to the OMS policy. Must be carried out! Be careful. In some hospitals, they also ask you to pay for the operation itself. To put it mildly, this is not entirely correct. This option is ideal when there is no time to collect medical and administrative documents
Children's Clinical Hospital im. Semashko;
behind the seam, body temperature and your feelings. Pain during this period can pass and return, the patient must be ready for this and make efforts to fully restore the motor functions of the body. Necessary: In modern medicine, there are more than six dozen modifications of endoprostheses today.
NatellaDischarge after joint replacement is carried out in a week. In Russian medical institutions, the patient can be discharged in a few days. But this does not mean that the body has recovered. How long the recovery period will take depends on many factors, including the possibility of complications.
Bone scintigraphy (isotope study). Central Clinical Hospital No. 2 of Russian Railways, etc. The first few days
High qualification and professionalism of the surgeon and all medical staff;
It is important to take into account the pathology, due to which the joint prosthesis was carried out:
When considering the operation of arthroplasty, other points are taken into account, such as the general condition of the person, comorbidities, the degree of damage to the operated area and the entire hip joint.
FreeThe most common complication, even after a full course of restoration, is loosening or displacement of the prosthesis.Diagnostic puncture.
A hip replacement, or arthroplasty, is a surgical procedure to partially or completely replace a joint with an artificial prosthesis. Such prosthetics are resorted to in cases where the joint is severely destroyed, the pain syndrome is severe, motor functions are impaired, and drug treatment does not work.
The patient is assigned the availability of technical capabilities (endoscopic equipment, high-tech materials).
To non-obvious - diseases (infectious and not arthritis, osteoarthritis, inflammatory processes in the joint and periarticular tissues).
Dr. Sexy If the bones and cartilage are worn out, the muscles are atrophied, after the prosthesis has been carried out, the rehabilitation period may take a long time. In addition, like any manipulation, this operation also has contraindications. The endoprosthesis cannot be installed if there is:
. And the algorithm of actions is quite simple and looks like this:
The cost of arthroplasty surgery depends on the type of implant chosen, the country in which the medical institution is located and the cost of its services. Therefore, it is impossible to name a specific number. For example, a hip replacement in Germany will cost approximately 15,000 euros, in Israel - 12,000 euros, in Russia - 3,000 euros.
Analysis of blood and synovial fluid. Allows you to identify the presence of inflammatory and other pathological processes.
Further rehabilitation after hip replacement consists in prescribing special light gymnastics and breathing exercises.
Fortunately, you don't have to travel to Germany or anywhere else to get a prosthesis. In Russia, such a procedure is carried out in Moscow according to a quota paid by the state. It is worth noting that joint replacement is very expensive. For example, in Germany, the cost of a hip replacement is from $10,000.
Before arthroplasty is performed to replace the hip joint in Germany, Israel or another country, examinations (laboratory and instrumental) are prescribed, the patient is consulted by specialists. It is possible to correct the condition with drugs and physiotherapy before surgery and joint replacement.
Who will operate: an experienced orthopedist or a young surgeon?
Joint arthroplasty in Moscow
To date, the quota for the manipulation in question, in accordance with the appendix to the Order of the Ministry of Health of the Russian Federation of August 12, 2013 No. 565n, can be obtained with the following ailments:
Joint arthroplasty, or its replacement, is a popular surgical operation and joint treatment at the present time. The procedure for replacing a joint is not cheap, for most people it is not possible to replace a joint at their own expense. However, the current legislation in the Russian Federation in some cases allows you to fully or partially compensate for the costs of the specified operation.
Today we will talk about how you can replace a joint completely free of charge (or partially) according to a quota, where and to whom to contact. At the bottom of the page, interesting videos have been selected for you about the features of the operation, types of endoprostheses, how to choose an artificial joint optimally in terms of quality and cost of money.
According to the annex to the order of the Ministry of Health of the Russian Federation of August 12, 2013 No. 565n, today the quota can be obtained with the following diseases:
According to the above order and in accordance with the Decree of the Government of the Russian Federation of November 28, 2014 No. 1273, hip arthroplasty according to the quota is possible in the following cases:
In other cases, patients must have money to install an endoprosthesis.
These costs can be reduced in the following ways:
Depending on the scale of the resection and the number of components of the implant, arthroplasty is divided into:
Endoprosthetics and replacement of a damaged hip joint can be carried out in two ways:
According to the quota, those endoprostheses that are currently in the clinic are placed. It is far from certain that these will be endoprostheses from leading companies. But no matter which endoprosthesis is placed, the success of the operation mainly depends on the experience of the orthopedic surgeon. Incorrect installation will not help even with endoprosthetics with the “best prosthesis”.
Agree, this is also a minus of this path when replacing a joint. Until recently, it was carried out at the expense of quotas for a high-tech operation, which were allocated by the state. To be more precise, an artificial hip joint with a total replacement is installed and fixed with a cement, cementless and combined method.
The cement method involves filling the space between the implant stem and the inner cortical layer with bone cement. The cup for cement fixation around the perimeter has ribs, due to which adhesion with cement is enhanced. Irreversible changes in the bone are an indication for surgery practically painless.
exfoliation and shift of tissues around the vehicle;
metal - very high quality plastic;
Death in the head of the TS of some parts of the bone marrow - non-infectious necrosis (avascular).
Natalya
In the 1st option, the patient pays for everything necessary for the operation. As for the 2nd option, there is a special state program for the provision of free high-tech medical care (quota). To receive it, the patient needs to collect the necessary documents and sign up for a queue at the health department, which is located at the place of registration.
Total joint replacement (head and acetabulum).
main:
Potential postoperative complications include:
Endoprosthetics may be accompanied by complications:
Many clinics operating in Russia have international status. The number of highly qualified specialists in orthopedics and surgery is growing every year. Changes in educational programs in universities also affect this. The availability of foreign manufacturers of implants allows you to find the necessary prosthesis easily and quickly.
It depends on what degree of arthrosis ...
Table 1. Prices for hip replacement surgery
Total joint replacement, when all parts of the hip joint are completely replaced by an endoprosthesis. Surprisingly, with the help of IPR, you can put a good, high-quality prosthesis. To put this endoprosthesis in one of the leading Moscow clinics, in excellent conditions and in the shortest possible time. And all this was carried out at the expense of quotas until 2014. Since 2014, quotas for most of these operations
Medicine has approximately 60 different types of endoprostheses, which differ in the type of construction and material of manufacture. But any prosthesis consists of 3 components:
As with any surgical intervention, there is a risk of complications after the operation. There are a number of cases when joint arthroplasty is inappropriate:
How rehabilitation goes after hip surgery is detailed in the video.Restoration of tissue integrity and wound closure.
As after any operation, some complications are possible after arthroplasty at the expense of budgetary funds
fragility of the bone, which will not allow the implant to be held;
Surgery for prosthetics of the TS is a high-tech process.
The video clearly shows how the hip arthroplasty is performed.
All the necessary information on preparation for the operation will be presented to you by the attending physician.
Problem solving
A bowl-shaped depression on the outside of the pelvic bone (acetabulum) and a spherical bone of the femoral head together form a hip joint, which is a kind of hinged structure. An orthopedist in his clinic will arrange everything.
a metal ball that replaces the head of the femur; damage to the nerve endings in the joint;
In 2015, the inclusion of high-tech medical care (HMP) in the system of compulsory medical insurance is provided for by the new legislative draft "On Compulsory Medical Insurance in the Russian Federation." Any surgical intervention in the body can have its negative consequences. Complications after the procedure most often occur in However, there are moments for which the patient will have to prepare in advance (especially for those who are alone).
leg - a metal rod for the strength of the prosthesis. joint instability;
The next step is to pass all the tests and diagnose. Hospitalization is carried out a couple of days before the operation. Consultation with a doctor, then preparation of primary documents for IPR and hospitalization in the clinic. Further, the operation and, at the time of discharge from the hospital,
Cost of hip replacement with large joint deformity;
You can also call the Health Department/Min. hello
In order to avoid the development of complications, it is important to quit smoking and not taking alcohol, fight overweight, if such a problem exists, treat all foci of infection in the body.
Details can be found by calling or sending a request for treatment.
Large joint The first exercises after the operation begin to be done the next day (in a sitting position).
The patient is implanted into the healthy part of the bone with an artificial head pin
Family Clinic;
the occurrence of infections;
the patient is obliged
- removal of cartilaginous layers from the acetabulum with replacement with a special artificial material and turning of the femoral head with a metal cap put on it. Gliding, thanks to such a replacement of the articular surfaces, is achieved close to natural.
Thrombotic phenomena in deep veins.
opportunities:
LADY with a dog
There is a dependence on the previous pathology:
It should be noted that arthroplasty, for example, in Germany is carried out according to the following indications:
CM-Clinic;
Rehabilitation after arthroplasty can be long and take up to 6 months.
If there was a fracture of the neck, then the time after which the prosthesis was installed matters. When not much time has passed, the muscles get to work quickly enough.
Congenital dislocation of the femoral neck. The operation and stay in the clinic is carried out
Due to the presence of a foreign body in the body, the joint next to the endoprosthesis can be destroyed. This reaction occurs for the following reasons:
Ultrasound.
Reader reviews about knee replacement allow us to conclude that it is difficult to get a quota for surgery, but it is possible. It is necessary to prepare that the entire registration procedure will take about three months. Complications can be avoided if medical advice and instructions are strictly followed.
All these firms and their product are quite competitive among themselves and, by and large, differ only in service.
Modern joint endoprostheses are detachable and consist of an acetabular component (cup), a femoral component (leg) and a prosthesis head.
All components are made of steel or titanium, the cup of the prosthesis is made of polyethylene or titanium with an insert. The head can be steel or ceramic, with a fit on the conical neck of the leg.
endoprostheses with cementless and cement fixation and their combinations. Cementless prostheses in their design are intended for young patients, the rest of the patients may have various options for cement and combined fixation.
1. Intensive care.
postoperative massage (chest and general), exercise therapy and learning to walk with crutches from the 2nd day after the operation. (dressings after removal of drains on the 2nd day) 1 time in 2 days.
Postoperative outpatient treatment (14-17 days from the day of surgery)
Recovery is the most important stage of the operation. The success of the entire event depends on the accuracy of the implementation of all recommendations. The most important rules:
The patient can be active lying down already on the first day after prosthetics. On the second day, you can try to sit down, carefully perform static exercises and breathing exercises. You can walk with support from the third day. Removal of sutures - before discharge, that is, approximately on the tenth day.
The patient can get home on the tenth or twelfth day. Rehabilitation continues, it is necessary to follow the recommendations of the doctor. Also, recovery can continue in a special rehabilitation center under the supervision of rehabilitation specialists. Up to eight weeks, there is a restriction of the mobility of the operated leg. Additional support during this period is a must.
You can start delicate sports activities. It can be physical therapy exercises, exercises on simulators. You can not run, jump, play active outdoor games. Sitting cross-legged, sitting down deeply, moving sharply is also impossible.
After the operation, the functions of the joint, as a rule, are completely restored, disability is not needed. If the work is associated with strong physical exertion, a third disability group may be considered.
The cup-shaped recess on the outside of the pelvic bone (acetabulum) and the spherical bone of the femoral head together form the hip joint, which is a kind of hinged structure.
The head of the femur is connected to the femur by a neck, which is colloquially called the "femoral neck". The inside of the acetabulum and the femoral head itself are covered with a layer of special articular cartilage (hyaline).
Cartilage is an elastic and, at the same time, a strong and smooth layer in the joint. Provides sliding during the operation of the joint, releasing the joint fluid, distributes the load during movement and the necessary cushioning.
operation is very efficient
One way or another, the body of each patient is individual, and this also matters in the length of the recovery period.
Severe renal and liver failure.
People with necrosis or severe hip fractures may also need a hip implant.
exercise therapy prescribed
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I have been working as a doctor for four years and all this time I hear talk that medicine in Russia has not been free for a long time.
Dmitry Melnikov
In fact, everything is not so bad. There are complex operations that can only be done for money or according to a quota, but most operations are covered by the CHI policy. I’ll tell you, using the example of Moscow, what needs to be done so that you are operated on without money, and what you still have to pay for.
All this applies only to planned treatment, when health problems were identified during the examination. Acute conditions require emergency medical care, and in any case it must be provided free of charge.
In the text, I often use the words “possibly”, “probably”, “for sure” and the like. It's part of my professional upbringing to never make accurate predictions.
Any medical intervention can lead to unpredictable consequences, and a planned one-day hospitalization sometimes turns into a week in a hospital bed. It all depends on the individual characteristics of the patient's body and many other factors. Therefore, we doctors do not say “You will be discharged tomorrow”, but use the wording “Probably, hospitalization will take no more than a couple of days.” This is medical ethics.
This article will focus on diseases and their treatment - but only as prescribed by a doctor. I understand the desire to google the diagnosis in order to find out more about your condition, but I do not advise you to be treated on the Internet: this can cause irreparable harm to the body.
Treating people is difficult. Before starting to practice, doctors study for at least eight years, and then continue to improve their skills throughout their careers. Therefore, do not trust treatment to anyone other than doctors.
But it is also difficult to be treated, even on the recommendation of a doctor. If the disease is not very disturbing, treatment is often postponed until later. As a doctor, I believe that one should overcome oneself: after all, the stronger the disease is triggered, the more difficult it is to cure it. But as a human being, I know that is easier said than done.
For example, one of my friends after each meal of fatty foods suffers from pain in the right hypochondrium. He was diagnosed with gallstones and treated with surgery to remove the gallbladder. But he is in no hurry: he says that it is difficult and expensive. I can't help it that it's difficult to heal, especially if it means scary. But about the "expensive" acquaintance is wrong: the operation to remove the gallbladder is done under the MHI policy.
In addition to cholelithiasis, hernias, lipomas, and varicose veins are most often operated under compulsory medical insurance, and there are more than two thousand items in the list of free planned operations. A complete list can be downloaded from the website of the Moscow City CHI Fund.
Under the compulsory medical insurance policy, you can be operated on at any state city hospital. You do not have to explain to anyone why you chose a particular institution. It can be a recommendation from friends, the result of a comprehensive study, a sign of higher powers - anything.
All analyzes and studies have an expiration date, and it is not very long. For example, for a general and biochemical blood test, this is only two weeks. If you donated blood before, then the results of the analysis are no longer informative enough. And it is important for the surgeon to know what is happening with your body right now. Therefore, you will be asked to retake everything: all of a sudden, any surgical intervention is already contraindicated for you.
The list of studies is almost the same everywhere - these are blood and urine tests, ECG, fluorography and ultrasound. If there are chronic diseases, the list can be expanded. For example, if a person has problems with the thyroid gland, he will be asked to do an analysis to determine the levels of thyroid hormones, and in case of bronchial asthma, they will undergo functional tests.
The results of tests and studies must be brought to the doctor who will perform the operation. If everything is in order, he will tell you the date when you need to go to the hospital. In case of any problems, the surgeon can send for a consultation to another specialist. For example, if the cardiogram shows an arrhythmia, you will have to go to the cardiologist and he will already decide whether this will interfere with the operation. Sometimes the risk is too great. If the patient has a small hernia, but there are problems with the lungs and metabolism, then it is better to be like a hernia than to undergo surgery with unpredictable consequences.
Free tests can be taken at the clinic where they issued the referral. But here, how lucky. It happens that the tests are done quickly, but it happens that “ECG is only on Wednesdays and Fridays, and the radiologist will return from vacation in two weeks.”
If you do not want to wait, you can contact any commercial medical center. Ultrasound, cardiogram and fluorography will be issued on the same day, and the results of the tests - in a maximum of two days. There you can also get advice from the right specialist if for some reason you can’t get an appointment with him through a free line. This will add another one and a half to two thousand rubles to the check.
Ultrasound of the veins of the lower extremities
4000 R
Blood chemistry
3000 R
Gallbladder ultrasound
1800 R
Chest x-ray
1800 R
Blood test for carriers of infections
1790 R
Coagulogram
1720 R
1500 R
General blood analysis
800 R
On the day appointed by the doctor, you will have to appear at the admission department of the hospital. You must have a passport and a policy with you, the results of analyzes and consultations, as well as a referral from the clinic, signed by the head of the department. In addition, I advise you to take a change of clothes and hygiene items: not after every operation you can go home the same evening.
The admissions department will take a medical history. This is the main document where everything that will happen to you in the hospital will be recorded: information about studies, the protocol of the operation, diaries of the daily condition.
A medical history is not the same as a medical record. The medical record is kept constantly, it contains all the information about a person's health. And a medical history is taken for each hospitalization. After discharge, it is handed over to the archive, and the patient receives a short version of the document - the discharge summary.
After completing the documents, the nurse will take you to the department and put you in the ward.
Chambers are free and paid. Free rooms in specialized departments of hospitals, usually for 3-6 people, with a bathroom and shower. Paid chambers are designed for one or two people. There is always a fresh repair, TV, even Wi-Fi. Prices in Moscow hospitals start at 2,000 rubles - a day in a double room.
width="2000" height="1826" class=" outline-bordered" style="max-width: 1000.0px; height: auto" data-bordered="true"> VIP ward in the Moscow City Hospital No. 31 for 14,900 R per day Most often, the operation takes place on the day of hospitalization: in the morning a person comes to the hospital, and a few hours later he is operated on. The duration of the planned operation depends on the disease. Say, with cholelithiasis it is 40-60 minutes, and with a serious hernia - several hours. After the operation, if everything goes according to plan, the patient returns to the ward.
Endoscopic surgery and modern recovery methods help to ensure that minimal harm is caused to the body during the operation, and after it it quickly returns to normal. Therefore, after a simple operation, such as removal of the gallbladder or lipoma, you can be discharged on the same day - as soon as you recover from anesthesia. As my experience shows, when a person feels healthy, they do not detain him in the hospital.
I have heard stories of patients being discharged from the hospital before they have had time to recover. In my experience, a doctor will not discharge a person unless they think they are healthy. If this does happen, you can complain about the doctor to the Ministry of Health and he will answer for his negligence. Hospitals are now required to respond to all complaints and comments, even on social media.
But I would like to remind you that the patient and the doctor are on the same side and the ostentatious separation between the client and the provider only harms the treatment process. Medicine has not yet reached such a level that the doctor can always guarantee a certain result of treatment or the absence of complications.
If you feel unwell or think that the doctor did something wrong, it is better to try talking to him personally first and explain everything. Perhaps there is no need to complain.
Before you are sent home, you will be given a discharge summary in your hands - this is a copy of the medical history, which records everything that was done to you in the hospital. It will also include doctor's recommendations. For several weeks after the operation, you can not lift weights, sometimes you need to follow a special diet. Even the simplest operation is still a great stress for the body, and for some time after it it is weakened. If you ignore the advice of a doctor, there is a risk of ending up in the hospital again.
If you are officially employed, you will be discharged with an open sick leave "for outpatient follow-up care." You need to come with him to the surgeon who issued the referral for the operation, or to any other outpatient surgeon on duty. The doctor will assess your condition and, if necessary, extend the sick leave: you have every right not to go to work until you recover.
Many hospitals use special cosmetic sutures made of special threads, which dissolve themselves a few days after the operation. But if the stitches are normal, it will be necessary to periodically do the dressing. For this, it is not necessary to go to the hospital, everything can be done in your clinic.
Worked on the material
Author - Dmitry Melnikov, editor - Petr Ryabikov, production editor - Marina Safonova, photo editor - Maxim Koposov, information designer - Zhenya Sofronov, illustrator - Karina Golubenko, editor - Anna Lesnykh, proofreader - Alexander Salita, layout designer - Evgenia Izotova
CHI is one of the components of the general system of insurance services provided by the state. This insurance provides an opportunity to receive medical care on equal terms to citizens of different income levels and social status.
A complete list of insurance options is set out in Federal Law No. 326 of November 29, 2010. According to this normative act, a basic package of medical services is provided to the insured population within the framework of compulsory medical insurance. Thus, free assistance to each person is provided within the framework of the basic program, but in an amount that does not go beyond the territorial rules.
Free treatment under compulsory medical insurance is possible in the following cases:
The CHI policy covers the cost of treating most of the most common diseases.
Three types of medical care are provided under the CHI policy:
Important! Medicines for treatment are not covered by the cost of the insurance policy. If necessary, they are bought at their own expense.
Free assistance in a hospital under insurance is provided in the following cases:
Free care includes accommodation in common wards, standard medicines, observation and examination. Other services (anonymous examination, consultation on the patient's personal initiative, medical care using alternative technologies, medicines that are not available in the hospital, etc.) are provided on a paid basis.
Also, the basic package does not include dental prosthetics, homeopathic treatment and vaccinations, but some can be obtained under the CHI policy.
The list of free operations under the MHI policy is set out in the same Federal Law (No. 326). It is annually reviewed, modified and supplemented within the framework of regional programs.
The main areas of free surgery include:
The list includes most of the surgical operations, as well as rehabilitation activities.
Important! The list is updated annually, supplemented with new items. It may also vary by region, as local adjustments are possible.
note
Free eye surgery to replace the lens under the policy is not done by all ophthalmological clinics. First of all, find out what conditions this or that medical institution offers. we will tell you more about CHI services in private clinics
If you need surgery, make sure the procedure you need is on the list.
If it is there, then the procedure for further actions is quite simple, although it takes some time:
In total, the entire specified process of preparing for a free operation can take up to six months. If it took more time to get a referral for the MHI operation, then file a complaint with the MHIF.
If you want to be hospitalized for surgical treatment in a certain clinic, then your wishes should be reported already at the first appointment with the doctor. But there is no clause in the law that obliges the doctor to fulfill your wish, so there is no guarantee that it will be taken into account. Firstly, not all clinics work with CHI, and secondly, the queue to the indicated hospital can be very long.
Coupon - a document that guarantees you a free operation. It is he who is the goal when going to doctors and conducting examinations. To obtain it, you need to collect the following package of documents:
There are cases when a patient may be denied a free operation.
Reasons for rejection:
If the operation is urgently needed, and you were denied free treatment, agree to a paid operation, and then apply for compensation. Remember that you will have time to return the money for the CHI operation, but you cannot risk your health.
Refusal can also be received for rehabilitation after surgery. Rehabilitation may be denied for the following reasons:
More information can be obtained by asking questions in the comments to the article.
