The first stage of medical rehabilitation
The hospitalization of patients in the acute period of the course of the disease or injury (at the stage of the stage) is carried out through ambulance channels and emergency medical care to medical organizations in a stationary type:
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GBUZ "Research Institute of SPI. N.V. Sklifosovsky dz " |
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GBUZ "GKB them. S.P. Botkin Dzz " |
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GBUZ "GKB number 1. N.I. Pirogov dz " |
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GBUZ "GKB them. MP Konchalovsky dz " |
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GBUZ "GKB them. V.M. Buyanova dz " |
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GBUZ "GKB № 15 them. OM Filatova dz " |
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GBUZ "GKB them. A.K. Eramishantseva dz " |
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GBUZ "GKB them. F.I. Inozemeseva dz " |
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GBUZ "GKB number 67 them. L.A. Tvorobova dz " |
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GBUZ "GKB № 68 DR" |
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GBUZ "GKB them. V.V. Veresaeva dz " |
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GBUZ "GKB number 4 dz" |
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GBUZ "GKB them. Brothers Bakhrushina DzM " |
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GBUZ "GKB number 13 dz" |
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GBUZ "GKB number 17 dz" |
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GBUZ "GKB number 29 them. AD Bauman dz " |
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GBUZ "GKB number 31 DzM" |
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GBUZ "GKB named after Konchalovsky dz" |
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GBUZ "GKB them. S.I. SPAKOKUKOKOK DRM " |
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GBUZ "GKB № 64 DR" |
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GBUZ "GKB them. E.O. Mukhina dz " |
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GBUZ "GKB them. M.E. Zhadkevich dz " |
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GBUZ "GKB them. S.S. Yudina dz " |
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GBUZ "GVV № 2 dz" |
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GBUZ "GVV № 3 dz" |
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GAUZ MRPTS MRVSM DZM, branch number 1 |
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GBUZ MKNPTS DRM. |
Second stage of medical rehabilitation
The direction of patients for medical rehabilitation at stage II is carried out on the presentation of medical commissions medical organizations:
1) from traumatological, orthopedic, rheumatological and neurosurgical sections with translation:
a) in the department of medical rehabilitation of a multidisciplinary hospital;
b) in hospitals of medical rehabilitation centers;
2) from medical organizations providing primary health care - by sending patients to medical commissions for hospitalization of rehabilitation hospitals.
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GAUZ MRPTS MRVSM Dzz, branch number 1 ul. Earth shaft, d. 53; tel. 8-495 916 45-62 tel. 8-495-917-22-06 |
The severity of the injury: medium and heavy, Stabilization of basic vital functions, The level of physical and neuropsychological abilities corresponding to positive reinstatement forecasts Lack of early postoperative complications The presence of signs of healing postoperative wounds, The ability to independently movement (with the means of support or actively in the wheelchair). |
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GAUZ MRPTS MRVSM DRUM, branch number 2 ul. Talalichina, d. 26a; tel. 8 495 676 05 74 |
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GAUZ MRPTS MRVSM DZM, branch number 3 ul. 2nd Volskaya, d. 19 |
Third stage of medical rehabilitation
The direction of patients on medical rehabilitation in outpatient conditions (polyclinic, day hospital, sanatorium) on stage III is carried out:
- from traumatological, orthopedic, rheumatological and neurosurgical after the end of inpatient treatment;
- from hospitals of medical rehabilitation centers / departments;
- from medical organizations providing primary health care.
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GBUZ "GP No. 66 DR"; GBUZ "GP No. 69 DRZ"; GBUZ "GP No. 175 DR"; GBUZ "GP No. 191 DR"; GBUZ "KDC number 2 dz" |
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GBUZ "GP number 8 dz"; GBUZ "GP No. 195 DR"; GBUZ "GP No. 209 DR"; GBUZ "GP No. 212 DR"; GBUZ "KDC number 4 dz" |
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GAUZ "MRPTS MRVSM DRZ": F.7; GBUZ "GP No. 5 DRZ"; GBUZ "GP No. 46 DZM"; GBUZ "GP No. 68 DR"; GBUZ "GP № 129 DR" |
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Zelao |
GBUZ "GP number 201 dsm" |
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GBUZ "GP number 6 dz"; GBUZ "GP No. 62 DR"; GBUZ "KDC number 6 DR" |
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Svao. |
GBUZ "GP No. 12 DRZ"; GBUZ "GP №107 DR"; GBUZ "GP No. 218 DR"; GBUZ "DTS N 5 DR" |
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SZAO |
GBUZ "GP No. 115 DR"; GBUZ "GP №180 DZM"; GBUZ "GP No. 219 DR" |
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Yuvao |
GBUZ "GP No. 9 DR"; GBUZ "GP No. 19 DR"; GBUZ "GP No. 23 DR"; GBUZ "GP No. 36 DRZ"; GBUZ "GP No. 109 DR"; GBUZ "DTS N 3 DR" |
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JUSA |
GBUZ "GP No. 11 DR"; GBUZ "GP No. 22 DRZ"; GBUZ "GP No. 25 DR"; GBUZ "KDP No. 121 DR"; GBUZ "GP №134 DR"; GBUZ "DKTS N 1 dz" |
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GBUZ "GP No. 52 DZM"; GBUZ "GP No. 67 DRZ"; GBUZ "GP № 166 DZM"; GBUZ "GP No. 210 DR"; GBUZ "GP №214 DR" |
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Tinao |
Polyclinical compartments: GBUZ "Moskovsky Dzzh City Hospital" GBUZ "Sherbinsk City Hospital DR" GBUZ "Hospital" Grasshoppers "DR" GBUZ "Voronovskaya Hospital DzM" GBUZ "Troitsk City Hospital DR" |
From medical organizations providing primary health care, not included in the data list, patients should be sent to branches Nos. 1, 2 and 7 GAUZ MHPC MRVSM DRM.
Patients aimed at medical rehabilitation should be needed:
- passport of a citizen of the Russian Federation or a document certifying personality;
- oMS insurance policy;
- direction (057 / U-04);
- a copy of the extract from the medical record of a stationary or outpatient patient;
- radiographs (no longer than 6 months old), CT or MPT;
- eCG results, up to 1 month;
- clinical blood test (up to 1 month old);
- general urine analysis (up to 1 month old);
- the results of fluorography or chest radiography (up to 1 year old);
- the conclusion of the gynecologist (women) is up to 1 month old;
- blood test for hepatitis B and C (up to 1 month);
- blood tests for HIV, RW (up to 1 month old).
Sanatorium
Fuling (rehabilitation) in sanatoriums are subject to patients after operations of orthopedic, traumatologicities for defects and defects of the development of spine, intra-articular fractures and plastic of joints, endoprosthetics and reendoprosthetics, limb replantation in a satisfactory condition, in the absence of postoperative complications that do not need persons capable of independent movement , self-service, with the level of physical, mental and mental abilities sufficient to stay in the sanatorium without constant extraneous care.
Medical selection of patients sent to fuzzy is carried out by the hospital medical commission, where the first stage of rehabilitation was carried out.
For 2017, the fogging of patients after injuries and operations by carries out:
- Sanatorium management of the mayor and the government of Moscow named after Artemom (Sergeeva).
Reforms 1992. led to a fundamental change in the health system of Russia.
The place of free and high-quality medical care has occupied compulsory medical insurance (OMS), in which the minimum of basic is guaranteed medical services. The most complex and expensive types of treatment (in a slight exception) became paid.
Free sanatorium treatment At the expense of the state is provided with the help of two funds: social insurance (FSS) and compulsory medical insurance (FOMS).
At the expense of FSS
From January 1, 2005, the Fund performs the functions of providing sanatorium tickets to the treatment of the following categories of citizens:
- war veterans and the Great Patriotic War;
- disabled;
- orphans;
- residents of the blockade Leningrad;
- chernobyl and liquidators accidents;
- Heroes of Russia and the USSR.
Duration of treatment - from 18 to 42 days. It is determined depending on the nature of the disease.
The trips are allocated only to Russian sanatoriums included in the special, approved Mintruda. Grearants are guaranteed the right to free treatment in domestic sanatoriums once every three years.
Sequence of registration of vouchers through the FSS line:
how to arrange a ticket
- Receive a certificate in the polyclinic, testifying to the presence of medical testimony and the absence of contraindications for treatment in the sanatorium.
- Apply B. local organs FSS about the issuance of trips.
Regulated temporary rules:
- Message about acceptance of the application is no later than 10 days after applying, indicating the date and registration number.
- The issuance of the vouchers is later than 18 days before the date of arrival in the sanatorium.
After receiving a ticket, a sanatorium-resort card should be issued. Both documents are presented during registration in the sanatorium.
At the expense of the OMS
Citizens of the Russian Federation, not included in the category of beneficiaries, have the right to be treated in sanatoriums at the expense of OMS.
To obtain a free voucher in this case, it is necessary to have an OMS policy and good medical testimony, for example, the need to restore after severe injury transferred to the disease.
That is, the main form of treatment at the expense of OMS is the rehabilitation of patients.
Not allowed to treat OMS patients:
- with venereal diseases;
- after operating complications;
- in need of surgery;
- unable without any help move and serve themselves;
- under anemia (hemoglobin rate of less than 100g / l), blood circulation deficiency;
- with hypertension of the 3rd degree;
- having significant violations of the conductivity of blood vessels and cardiac rhythm;
- mentally unhealthy;
- alcoholics, drug addicts;
- oncological patients.
After the doctor has identified a list of necessary procedures, you should contact the medical commission by submitting a package of documents:
list of documents
- insurance policy (copy);
- passport;
- direction of polyclinic;
- the conclusion of a doctor with a description of the main and related diseases;
- ECG, surveys on NA, HIV, RW;
- results of the analysis of urine and blood;
- the results of fluorography;
- the conclusion of the gynecologist (urologist).
The Commission confirms the need for rehabilitation and issues a direction to a sanatorium, after which the patient must choose the most appropriate (not only in his opinion, but also - according to the attending physician) health care.
Specific features of the treatment on the system of the OMS:
- strict sequence;
- treatment of only one disease;
- term - no more than 16 days.
After accepting a positive decision, the applicant must convey to the management of social protection statement on issuing free vouchers. In accordance with the standards, no later than 10 days after submission of the application, the applicant reports a personal number in line for a social ticket office or a decision to refuse to present the reasons.
Failure can be justified by various reasons and requires appropriate actions from the applicant:
- If you denounce the wording "there are no free seats in the sanatorium" you will need to wait until such places appear.
- They can also have a wording "The selected sanatorium is not suitable for the treatment of your diagnosis." In this case, it is necessary to consult with specialists and submit documents on the disease profile.
Waiting for a queue can be long, not one month.
The total number of sanatoriums and the funds of the Russian Federation, providing free treatment - more than 800. Preference is given to the sanatoriums located in the regions of the applicant's residence.
Recovery includes mandatory massage, reflexo and physiotherapy, as well as diet food. At the same time, local health sources are used, which is rich in our country.
Where is it better to undergo treatment
The quality of the treatment provided depends on regional conditions.
For example, in Moscow there is a law No. 70 "On Measures of Social Support ...", which provides for additional services, significantly improving the level of medical care; Life-superslooks are equipped with the latest technology.
Excellent functional sanatoriums and the MO, MTD, mining industries, Rosatom, metallurgists.
Departing for treatment, you need to take the same documents with you as for obtaining a ticket, as well as a policy of OMS.
When choosing a sanatorium, you can consider the options for the hospitals of the Caucasus and Crimea.
However, as experience shows, the sanatoriums of these resorts are not very complaining of patients who came for treatment on the Socialist. The treatment of this category of patients is limited to a minimum, they feed in individual halls, dishes are distinguished by low quality and monotony. Dirty and dirty furniture of Soviet times. The "new poor" is given a complex of inferiority before those who are treated for their blood money, ensures the profitability of the sanatorium.
Impressions on hot trails
Perhaps not everyone knows that for the second year of the residents of the Ruzsky district (at least in the disabled people and pensioners) there is an opportunity to treat their chronic ailments in the sanatorium "Dorokhovo". The rehabilitation period of finding in this medical institution is paid from the means of compulsory medical insurance (OMS). The direction of hospitalization can be obtained from its district physician. After that, it is necessary to wait for its turn on arrival in the Sanatorium "Dorokhovo".
In February of this year, I visited there for the first time. For two weeks, he treated his own solar gastritis. In early September, I was in the same time the second fourteenty-day course of treatment. Immediately I will say, the impressions of the sanatorium itself and from the atmosphere, which in him reigns, the most pleasant and welcoming. However, it was not without lining.
Again, as the last time, when clearing, a question arose about why I was disabled, the first group, I am going to a sanatorium without accompanying. Do I have any problems with self-service? But the head of the registration service itself reassured the young investigator, saying that I would not have any difficulties.
Avoid, if there are similar questions, causing a duty doctor. Let him sign a permit, she reminded her employee.
Determined me again in the first building. Only this time is not on the second, but on the first floor. I got the yellow book of the resort and the oral order to go to the room 11-01. Here I was given the key from my room and a tongue for food. The latter I had to give in the dining room of the dietistra. That, in turn, is obliged to specify me my place at the dinner table.
Taking the key, we went to my room with the dad faithfully. Complete set of double rooms in Dorokhovo standard. Wooden bed, night lighting lamp in the headboard, shifted by the bedside windows for things, at the wall opposite the linen cabinet with places under the TV and refrigerator, here are two massive stools. In the corridor in front entrance door (Opposite the entrance to the bathroom) a small entrance hall: clothes hangers, lower shoes. Immediately weighs a large (full height) mirror. All furniture of light wood-colored, made under one headset. In the room a small color TV "Vityaz". On TV shows 6-7 federal channels. The quality of the shows of the channels, to put it mildly, leaves much to be desired. Also in the set of a small refrigerator. The room is small. The room pulls on three stars. Sure, but cozy.
We entered apartments. There was no one in the room. Which bed free understood was difficult. I had to find out where my place was. Finally, the maid came, the little elderly Tatarka, poorly speaking in Russian, rebounded my bed. Playing the bed, she argued something that such as I should not be in the sanatorium alone. I did not really listened that she grumbled there. Looking ahead, I can say that more for two weeks she did not prevent me any complaints.
A little later, my neighbor, an elderly man appeared in the room. We immediately met him. It turned out that his name is Vasily Ilyich, he himself from the stupine, works there by a doctor. Eight years ago, Vasily Ilyich knocked a car. As a result, a fracture with a leg displacement in the area of \u200b\u200bthe pelvic bone. Since then suffer. Walk it hard. Moves not exactly with a wand. Pain in the legs constant. We reached Vasily Ilicich quickly. In addition, we planted us in the dining room at one table.
Short certificate. Sanatorium "Dorokhovo" consists of six bedroom buildings. The first four of them are interconnected into a single structure. It seems that the first second and third building was built in Stalin's time, as a single architectural ensemble built by a semicircle. Where the central is the third case (in it on the second floor there is a huge dining room in a spacious oval room). The fourth building was most likely confessed later in the years of the seventies. The fifth and six-circuits are located to remove the deep ravine through which you need to go along a long suspension bridge. These buildings even later buildings. Therapeutic case and room where you can catch up with the legendary mineral Dorokhovskaya water, so useful for the stomach, are located in a hundred meters from the first building. In general, the entire territory of the resort is located in a wooded coniferous park.
In the courtyard, you can get, only passing under the arches of the buildings. It looks very beautiful. Right in the center, opposite the third building a round fountain. Everything around is small paving slab. Lawns, trees and shrubs are neatly trimmed. Broken flower beds are drowning in colors. In the park along the tracks sufficient number shops and benches. It is felt that a painstaking care is being conducted. Around the perimeter of the park elegant arbors. From the fountain wide alley with large bright flowerbami In the middle, goes to the descent to the Moscow River. At the edges of the alley hanging shops-swing. And the very deep and steep staircase, I called myself a "Potemkin's staircase". It has 250 steps. The suspension bridge is also stretched across the river. They say if they go through it, you can get into the sanatorium "Moscow region".
The suspension bridge, by the way, is mentioned in the waltz dedicated to the sanatorium, in the peculiar anthem of Dorokhovo, which is often twisted on local disco. However, about dancing later.
The morning of the next day began for me from the course of "young resort service". Before breakfast, to the eight o'clock, it was necessary to go to the medical body and to pass in two different offices of blood tests and veins. The benefit did this time in the sanatorium not alone. At the same time, my good friends came to be treated with me. They took the place in the queue in advance. So I did not take the tests of tests. Already, as it should be, at 8-30 I was at breakfast.
After morning meals - visiting the doctor. My attending doctor Ivanova Iraida Zinovievna prescribed me baths, healing physical culture and electromagnet on the stomach. The pool to appoint me Iradazinovna was afraid, and the massage in the list of services during gastritis is not included.
After the visit to the doctor, I again went to the healing case, to paint the procedures. I went, I must say, successfully. Not only the schedule of all appointments received, but still managed to do the bath, and the electromagnet.
The procedures were a little tired. After them, clone into sleep. Therefore, before dinner and after I usually slept. We had dinner at 18-30. Until dinner, I walked a little, talked on the street with a friend, walked for mineral water.
A day at one of the walks strolled towards the fifth corps. I reached a long suspension bridge, I decided to go on it to the other side. With each step, the bridge slightly swollen, because of which the tension in the legs increased. Having reached the middle, I suddenly thought: "But then I will then return back." The desire to go to the side dropped immediately. And I returned back. I did not regret anything at all. Near the bridge elderly woman Fed from his hands sitting on a pine squirrel. My happiness, I had a camera with me. And I gladly captured this sight.
The cultural program in the resort "Dorokhovo" begins in the art center after lunch. First, the ear guys from network marketing are arranged either the "fair" of honey, or the "master class" on the tying of the tie nodes or scarves, can also lecture on the benefits of sleep. As a result, it turns out that only the honey bought in the sanatorium can get rid of all his pivots, you need to buy a handkerchief so that it brings good luck, and sleep can only be useful in such cases, if you buy a pillow in the belonging price and other notable accessories. Most of all the advertising posters were mixed up across the sanatorium: "We put the diagnosis of the iris." The poster depicts a laptop, is attached to his tripod some thing with a lens is attached. Below on the poster are drawn in a row of white cylindrical boxes with badges. Apparently, they are cured of all diseases. Immediately on the poster contact information and the cost of the service. From 16 o'clock the club turns films. By this time, all "business treatment" ends.
After dinner, sometimes very interesting concerts show. We come with Solniki Lyudmila Lyadov (she, thank God, always in the ranks), Gennady Samoilov (ships came to our harbor), other metropolitan actors. In addition to concerts, occasionally can be hit under karaoke. But most often in the evenings they turn a disco.
Disco, when it was warm, passed on the street on the summer dance floor. In rainy weather, danced on a dance floor in DC. Since in this race I was not alone, but with good friends from the district society of persons with disabilities (and all of them were female), we went to the dances. I liberated there very quickly, and already calmly danced and fast, and slow dances in a pair. Summing up, I can say that on these disco I got rid of one of the incompleteness complex. Now, not embarrassed, I can approach the girl you like and invite to the dance. The refusal will not be upset and confidence in himself will not weaken. Well, an additional physical charging was not superfluous.
As for the treatment itself, after the baths, I had strained and pain in my legs. I think this is a traditional exacerbation, after which there are improvements. At least, so I had in my childhood.
Unfortunately, this sanatorium for treatment internal diseases. It is not at all adapted for the flaws. It is not even in the absence of ramps and elevators. Elementary railing is not enough. For example, a high staircase is leading to the building of DC, but handrails to grasp and climb. But a lot of older people come to the sanatorium, who are difficult to move. He saw the old people asked passersby to help them rise. Surely this problem is not difficult to solve. Just need to pay attention to it. It would not be prevented by the railing and in the corps on the first floors where the stairs consist of two steps.
In general, I liked everything in Dorokhovo: I really liked it: the hearty diverse nutrition, a good attitude towards vacationing cores of employees.
I remembered the funny case that happened to me in one of the first days of my appearance. I went to sign classes on therapeutic physical education. Instructor Lena, looking at my resort book, said:
So are you we have nomes?
Yes. And what happened? -
You did not lose a social card?
Machine to the hand in the pocket of the jacket, where the card should be lying. For sure, there is no place.
Looks like lost, - insecure, I say.
Alas, my scatleton, part of me myself.
Our nurse found a card. It no longer works. I came to me interested, don't you do I do IF? Today she no longer works, tomorrow you will take it.
The next day plastic card I gave me. As it turned out. Founding her child Larisa (the very nurse) on the territory of the sanatorium. In general, this time, thanks to the kind people, everything cost me without disorders.