ASK A QUESTION TO THE SPECIALIST FOR MEDICAL AND SOCIAL CARE
Natalia
Good evening! I have bilateral coxarthrosis of the hip joints. In July 2019, an operation was performed. total arthroplasty of the right joint, on the left hip joint, a borderline condition of 2-3 degrees. Polysegmental osteochondrosis of the lumbar spine After the operation, the doctor said that so far the operation on the second joint is not needed. Before the operation there was a disability of the 3rd group. Passed the ITU, the group was removed because Grade 2 is not a disability. Is the decision of the ITU doctors correct?.
It is important to know about the course of the disease, the frequency of exacerbations, the severity and limitation of movements in the boy's joints, whether he consulted specialists in advisory regional and regional centers, whether the disease has been progressing since the moment you have already been examined at the ITU. In any case, you can insist on an examination. Even if you are denied referral to the ITU, you are required to give a certificate of refusal, with which you can apply to the ITU along with medical expert documents (all medical documents available for your disease) yourself, according to the post. dated February 20, 2006 No. 95 “Rules for recognizing a person as a disabled person”.
Nina
The child is 15 years old. From the age of 7, he suffers from pauciarticular juvenile arthritis. In October 2019, a disease was detected: vegetative-vascular distance of the pubertal period, a mixed type of autonomic dysfunction, a cardiocerebral variant, a permanent course. Can these diseases be cured? It is recommended to contact the medical commission honey. institutions for m / f on the direction of the ITU. Previously, we applied, disability was denied. Are they right?
Legal Specialist
According to the order of the Ministry of Labor of Russia dated December 17, 2015 "On the classifications and criteria used in the implementation of medical and social examination of citizens by federal state institutions of medical and social examination" p.13.2.4; Pathology of the lower extremities, you should be identified: restrictions on the movements of the hip joints of a pronounced degree, unilateral, i.e. restriction of movements in the non-prosthetic limb should be defined as pronounced (subparagraph 13.2.4.34 of the order) or if the frequency of exacerbations of lumbar osteochondrosis was at least three times during the inter-commission year with treatment in a hospital with an intractable pain syndrome! It is difficult to say with high certainty whether the specialists of the ITU bureau were mistaken due to the lack of objective data at the time of your examination: what are the limitations of movements in the hip joints, in the lumbar spine, are there any data on root compression with motor dysfunction of the lower extremities, are there any strength disorders (paresis, paralysis).
yuliya28
I am 32 years old. Diagnosis: Adhesive disease, abdominal cavity. Invagination of the small intestine into the small intestine on February 13, 2018. Enterolysis, resection of a portion of the small intestine, side-to-side enteroanastomosis. Apoplexy of the right ovary in 2010 Caesarean section in 2011 and 2013. Invagination of the small intestine with secretory resection in 2006. Enterolysis in 2007. Multiple tubal-villous adenomas with erosions of the small intestine. iron deficiency anemia. The b/l has already gone for the 3rd month. The surgeon sent me to the ITU, they said that I was a little sick and I was not disabled. Is the decision of the ITU doctors correct? And how to treat Peutz-Jeghers syndrome, I read that it is inherited, and I have 2 girls, I'm afraid for their health
Legal Specialist
In this case, disability could not be established due to the fact that not all rehabilitation measures were used by the doctors of the medical institution. Also, accordingly, persistent violations of the functions of the digestive system of the body did not develop, that is, you were referred for a commission in the early stages, when it was difficult to establish a disability group. There is always an opportunity to appeal the decision of the bureau to a higher organization in a legal manner (within thirty days from the moment the decision is announced in the bureau).
Tatyana
Hello! Please tell me, is it possible to assign a disability group upon discharge from the hospital: Forestier's ankylosing hyperstosis, NFP II-III, concomitant polysteoarthritis, gonarthrosis RG II, CHRONIC synovitis, NSF II. Coxarthrosis RG II. NSF II flat feet III Athrosis of the shoulder joints RG II NSF II. SUBAcrominal impingement syndrome from 2 sides, NFS-II, hypertension stage 2, grade 3, risk 3 CHSNO, DE 2 tbsp. complex genesis of s-m vestibulopathy, cephalgia, partial external hydrocephalus. mri-spondylosis at the level of C4-C7, posterior median herniation of the disc c4-c5 up to 2.5 mm., posterior circular protrusions of the discs c5-c6., posterior diffuse protrusions of the intervertebral discs L1-2 to 2.5, L2-3-3.7 mm, L3-4 to 3.5. L4-S1 up to 4 mm. She was in July 2017, now she has undergone anesthetic injections. superficial gastritis, signs of duodeno-gastric reflux. Do you need recent X-rays and an MRI for a referral?
Legal Specialist
Quantitative assessment of the severity of persistent disorders of the statodynamic function of the human body, caused by dorsopathies, is based on several parameters. These include the degree of severity and duration of the pain syndrome, the presence of restrictions on the mobility of the spine and the degree of dysfunction of the lungs and upper limbs caused by this pathology. It also takes into account the impossibility for any reason of surgical intervention on the spine, the negative dynamics of dysfunction of the spine (progressed deformities and curvature of the spine), the frequency of exacerbations of the pain syndrome. Unfortunately, you did not detail the expert medical data, and therefore it is difficult to assess the correctness of the decisions of the ITU bureau specialists.
Christina
Hello, I was diagnosed with systemic lupus erythematosus, subacute course, activity 2 with skin lesions (butterfly on the face, rash on the body), skin appendages (diffuse alopecia), joints (polyarthralgia, fn 2), with immunological activity (at to DNA- 28.8, ana-positive). Defiguration of the joints due to the strait of practical phenomena in the hands, knee joints. Moderate epiphyseal osteoporosis, osteoporosis of the bones of the wrist in combination with initial manifestations of deforming arthrosis in the distal interphalangeal joints are determined. Deforming arthrosis of the knee joints (1 degree). Could you please tell me if disability is due to this diagnosis!? In his hospital they say that it is too early to be observed. Thank you very much in advance.
Legal Specialist
In accordance with the Order of the Ministry of Labor and Social Protection of the Russian Federation of December 17, 2015 No. 1024, clause 5.5 and the note to clause 5.5, a quantitative assessment of the degree of persistent dysfunction of the musculoskeletal system and connective tissue of the human body caused by inflammatory severity of clinical and functional manifestations. That is, clinical dysfunctions of the joints, the x-ray stage of changes in the joints, clinical and laboratory indicators of the activity of the inflammatory process, the nature of the course, the frequency of exacerbations and the severity of the disease, and the dysfunction of the systems of internal organs. According to clause 5.5.2.1; clause 5.5.3.1; 5.5.4.1, a slight degree of dysfunction of organs and systems damage (10-30%) in patients with systemic lupus erythematosus is determined with a slight damage to the function of organs and body systems caused by a disease with the activity of the process of 1 degree against the background of adequate therapy. Violations of the function of the kidneys, locomotor (motor) apparatus, central nervous system, cardiovascular system and other body systems involved in the process are minimal or absent. At the same time, patients can serve themselves, move independently and work in non-contraindicated working conditions. The medical commission can give recommendations on rational employment. There are no grounds for establishing a disability group.
Elena
Hello! In August 2016, I underwent surgery to remove my right breast. The diagnosis of cancer T4N1M0, III A st was confirmed, she underwent 3 chemo before surgery, 12 sessions of radiation therapy, 7 courses of chemo after surgery. Now on the disability group (second). In December 2017, the group was renewed, but it was made clear that this was the last time. In remission after the operation was released for 5 years. I take a hormonal medicine (anastrozole), I do not feel very well. Constant pain in the hip and ankle joints. I had to quit my job because I was in constant pain. What to do if the disability group is removed during the next examination?
Legal Specialist
According to the order of the Ministry of Labor and Social Protection of the Russian Federation "On the Classifications and Criteria Used in the Implementation of Medical and Social Expertise of Citizens by State Federal Institutions of Medical and Social Expertise" dated December 17, 2015. No. 1024n p. 14.7.2.3, "during the first 5 years after removal at higher stages" is the basis for establishing group 2 disability. This is true if the so-called formula of your disease has not changed - T4N1M0 3st.
Galina Germanovna
Hello! My son, born in 1995, after an injury in kindergarten at the age of five, developed a tumor in the cone of the spinal cord, in the thoracic region. The diagnosis was made in Yekaterinburg, after a month and a half of examinations in Noyabrsk, when the motor functions of the lower extremities and pelvic organs were already pronounced. Two operations and radiation therapy were performed in Yekaterinburg, but the tumor continued to grow. In 2003, the tumor was removed, but the consequences were pronounced. Strong spasticity of the lower extremities, impaired sensitivity, function of the pelvic organs. In 2006, an operation was performed, rhizotomy of the nerve endings of the spinal cord, because with severe spasticity, there were violations, contractures of the joints in the lower extremities and in the right hip joint, subluxation. In 2011, in Tyumen, after another examination, on the recommendation of neurosurgeons, transpedicular fixation was performed with a length of Th 11-TH-12, L1-L3. After that, there were several more operations. Now there is no sensitivity in the right leg, from the hip to the knee, when moving, the right leg drags, does not bend at the knees, there is mixed sensitivity in the feet, equinovalgus deformity of the feet. Fixed spinal cord syndrome. Spinal arachnoiditis. Lumbosacral hyperlordosis. Walks short distances, requires support when going up and down stairs. Mobility of the back, only in the cervical region. Chronic pyelonephritis, urinary and stool retention. Chronic pain in the back, very sensitive to changes in the weather. When examining the knee and hip joints, the images revealed osteoarthritis of the 2nd stage, osteoporosis, small osteosclerotic foci in the femoral head and tibia on the right. In 2016, a blockade of the right knee joint was performed on the basis of the Noyabrsk clinic. There were terrible pains, I could not even lean on my leg. At the next examination at the MSEC, minor violations were recognized, and they were assigned the third group. But when Nikita got a job as a bookbinder for two hours, the commission exhausted him and me, as I had to accompany him. Explain to me where and how I can protest the disability group. A year and a half has passed since its assignment. Sincerely, Galina Germanovna.
Today, Elena Malysheva's program with the telling title "Live Healthy" is very popular. Russians will learn from it about the features of the human body, proper self-care and many other important facts about their bodies. The program provides the most accessible and adequate information, which, thanks to the game form of presentation, is easily perceived not only by adults, but also by children.
Malysheva invites outstanding professionals for consultations on her programs, which makes Living Healthy a real clinic.
Today, on Russian television, Elena Malysheva's program “Live Healthy” is one of the most popular television programs that addresses a wide range of issues on health, hygiene and the prevention of various diseases. During the four blocks of the program, telling about the house, food, and, the audience from the studio gets an exclusive opportunity to be examined for free using the most modern equipment and get useful advice from qualified Russian specialists.
How to contact Elena Malysheva
Since the program “Live Healthy” addresses specific issues in each episode, many viewers cannot get the information they need on a particular diagnosis. Elena Malysheva also has an official website, however, all the materials posted on it are rather for informational purposes, so the ideal solution is a personal letter from the TV presenter herself.
For many people, communication via email is more comfortable because anonymity allows you to voice your problems without hiding intimate details.
In order to ask Elena Malysheva a question on the topic of health, you need to fill out a special form on the website of the Live Healthy program, where you are invited to describe your problem in the form of a text message. To receive professional advice personally from Malysheva, the letter must be sent to [email protected] After receiving the letter, Elena Malysheva will either personally consider the problem or redirect the patient to an experienced doctor who specializes in the question asked. If the answer does not come instantly, do not be upset - thousands of people write to Elena Malysheva, she is physically unable to answer all questions quickly.
It is also possible to send a letter to the address: 127427, Russia, Moscow, Akademika Koroleva st., 12, indicating - "Elena Malysheva" or "To the program" Living Healthy ".
Well-known TV presenter-doctor Elena Malysheva has been giving live advice on a healthy lifestyle since 1997. During this time, the TV show “Live Healthy” has repeatedly changed its format, turning into a talk show, a TV magazine and, finally, into a real TV clinic. People crave Malysheva's advice, but how do you get in touch with her?
Projects by Elena Malysheva
Today, Elena Malysheva's teleclinic is a family program from which viewers draw knowledge about the structure of the human body and basic hygiene skills. The information provided in the Health program is presented in the most accessible and interesting game form, due to which it is easily perceived by both adults and children.
On the air of the TV program, outstanding Russian professional doctors give their consultations, which makes it even more valuable and useful.
Currently, a new project by Malysheva has been launched on Russian television - the program “Live Healthy”, which is devoted to a wide range of issues related to a healthy lifestyle. This program consists of four blocks - "house", "food", "medicine" and "life". During the broadcast, viewers present in the studio have the opportunity to undergo a free examination using modern highly professional equipment and consult with leading experts in a particular field of medicine.
How to write a letter to Elena Malysheva
Since the TV program “Live Healthy” deals with certain topics each time, people cannot always get complete information regarding their specific diagnosis. And, since all the materials on the Elena Malysheva website are provided for informational purposes, the best way out would be a letter from the TV presenter herself, who will be able to answer in detail on topics of interest to you on the Internet.
It is most convenient to ask a question by e-mail - this is how anonymity is maintained and it is easier for a person to voice some purely intimate problems with his health.
To ask the “sister of mercy” Malysheva a specific question, you can fill out a form on the official website of her TV show by writing the text of the message in the field specially designated for this. To get comprehensive advice about your illness, you can send a letter with a question that concerns you to the address Your message will certainly reach the TV presenter, and she will be able to help you with your problem. There is also the possibility that Elena Malysheva will refer you to a professional doctor who specializes in your disease and will give you really useful advice, as well as suggest a further course of action on how to treat the disease.
author The Walking Dead asked a question in Other about health and beauty
how to contact elena malysheva? and is it free??? and got the best answer
Answer from 123 123
[guru]
buy a sweater with a high neck and get confetti as a gift
Answer from Feodor teodor[master]
Personally, no way.
For the purposes of others, on the "official" sites.
Answer from Olga Zilinskaya (Lobastova)[newbie]
Hello Elena Vasilievna, you are my HELP, please, my only sister Korshunova Tatyana, 47 years old, she had an accident and is now in a stable serious condition in Tula in the Sempshko hospital, I could not contact you via Skype, but I beg you to help me overcome this misfortune, my phone is 89067727829
Answer from Yania Saifulina[newbie]
Hello Elena Vasilyeva, we decided to write to you because our doctors in the Samara region do not say anything about this, the fact is that I am 54 years old on June 30, 2015 had an operation on a brain tumor in Samara at the hospital named after. Serdavina, but after the operation, the headaches did not stop after 6 months, they did an MRI and it turned out to be a tumor again, with the results of the MRI, I was at the neurosurgeon's appointment, he said that we would wait a year and do the MRI again, he gave a hint if the tumor grows, then again it is waiting for me trepanation. And now here’s my question to you, you heard that now in Moscow they are putting everyone on the queue for a cyber-knife, how would we also get on the queue there how to do it right, I’m very afraid now after the first time that I had to go through very scary, tell me please help how can we get on the queue if it is possible where to start we don’t even know the phone number 89277267856
Answer from Dashunia[newbie]
Elena Vasilievna, hello! Please take a look at this article and if possible, please respond. Newspaper article about my nephew Artem Lukashenko. Artyom's parents turned to foundations and one charitable foundation Ray of Happiness represented by Victoria Shaumyan. Artemka with mom and dad are now in a hospital in Moscow.
Answer from Yovetlana Nekrasova[active]
Well, why are you so stupid, women, is it really not clear that Malyshevs will never read your messages in their lives ?!
Answer from Natalia Dolgova[active]
Dear Elena Vasilievna, hello! My daughter has been diagnosed with MS. The girl needs serious treatment. What help can I get?
Answer from Elena Paranina[newbie]
Elena Paranina Hello Elena Malysheva. We have health problems with our son, we are 8 months old, a premature baby was born at a period of 33 weeks immediately after birth, were in intensive care, breathed and ate on his own, received oxygen after birth for a short period of time, then breathed on his own, then in the acute renal failure, the diagnoses were made there: congenital CMVI, cerebral ischemia Grade 2, SEC, PVL, neonatal jaundice. Unfermented hepatitis with high enzymatic activity. During the last hospitalization, the indicators of liver tests were ALT 526 AST more than 500 the next day ALT 545 AST 383 to discharge ALT 107 AST 49 there are sharp jumps prescribed Ursofalk 2 ml 2 times a day for 3 months when it is canceled, liver tests increase significantly. the liver is enlarged and pancreatic silience is not visualized. Retinal angiopathy ON CHAZN ON to a greater extent the left eye but the retina is normal at the moment. Recurrent obstructive bronchitis: treatment with beradual pulmicort. Timoligalia. Atopic dermatitis.
Instruction
Before you start writing to Elena Malysheva in the program “Live”, correctly formulate the question you want to ask. If you don’t feel like getting a template reply with the words that doctors don’t have enough data for medical recommendations in your case, try to pre-collect them by grouping them into a concise one. Avoid enclosing whole “volumes” of medical records, extracts from hospitals, listings of how the doctors of the district clinic treated you. Believe me, no one will read all this, let alone analyze the information, delving into its essence. Therefore, find yourself the main thing that can shed light on your ailment, in particular, the history of its appearance, early symptoms.
If you want to ask the host of a popular program about anything related to general recommendations for a healthy lifestyle (reduce cellulite, eat right, force yourself to exercise), it’s better to spend a couple of hours on Malysheva’s website. With a high degree of probability, you will find answers to these questions, and to many others directly related to the topic. The same can be advised to those who are concerned about baldness (as options - excessive hair growth, brittle nails and other external manifestations of the internal state). Indeed, much has already been said about them. Despite the fact that these problems find the most lively response from thousands of viewers, it is unlikely that the doctor will focus on them again.
Another thing is when your illness does not belong to the so-called. "cosmetic", in other words, behind your clinical symptoms is a serious threat to health or even life. For example, unequivocally write to Elena Malysheva if you have questions related to severe changes in the functioning of internal organs, the musculoskeletal system, and the psyche. It often happens that in violation of some behavioral reactions of our loved ones, we are in no hurry to consult a doctor at the place of residence. The reasons are banal and understandable: in part - we know well that relatives will not support us and a visit to a psychiatrist will be ignored; partly - we are afraid of the "stigma" that they can put on them. In this case, instead of looking for advice on unknown one-day sites, it is better to write a letter to Malysheva.
Another topic that you can boldly address to her is the decompensation of chronic diseases. It is possible that you follow the therapy recommended by doctors, but after a while the body gets used to it and stops responding adequately. You go to the doctor, and he only shrugged his shoulders, explaining that "we are doing everything in our power." In this case, an additional consultation of a well-known and respected doctor, especially the host of a health program, will be very helpful.
Write to Elena Malysheva if you notice the occurrence of any syndromes that are obvious complications of a sluggish chronic illness. For example, you have diabetes. You take care of yourself: lead a healthy lifestyle, go in for sports to the best of your ability, significantly reduce simple carbohydrates - in short, keep your sugar normal by all means. But at some point, you suddenly begin to feel dryness of the mucous membranes, rapid eye fatigue, twitching and, as it were, a pulsation in one of them. Perhaps these are the first signs of retinopathy, one of the complications of diabetes. Having compiled a competent letter, it is quite appropriate to contact Malysheva with him for advice.
Ask a question to a competent doctor even if your problem is so delicate that your innate sense of shame will not allow you to go with it to the doctor of your clinic. The case may relate to diseases of the intestines or the genitourinary sphere. Sometimes people with high suspiciousness “attribute” the most terrible ailments to themselves. In particular, there was a case when he lived for several months, confident in rectal cancer. According to him, he could not even imagine that an undeniably unpleasant, but by no means fatal hemorrhoids could produce such severe bleeding. If he had written a letter to the program “Live Healthy” in time, Elena Malysheva, after listening to the description of the clinical picture, would almost certainly have saved him from the weeks spent on the verge of a nervous breakdown.
Reach out to her and here's why. In most regions of our country, it has become possible to get a referral to a specialist only from local doctors. And they, in turn, give out very, very dosed, they have quotas. It turns out that Malysheva was almost the only one who could suggest what tests to take for the initial self-diagnosis of problematic conditions. Having studied the symptoms, the TV presenter will determine in which area, most likely, a failure occurred. In accordance with this, a plan of examination will be drawn up, which can be taken at any paid clinic where there is a laboratory. Skeptics will ask why it is impossible to contact the attending physician of that medical institution with the same question, why be sure to ask for advice on television. Everything is trivial: because Malysheva is in no way interested in making you order the most expensive services. Which, unfortunately, cannot be said about the doctors of most paid clinics.