Medical examination: to pay or not to pay

Health Tips

All these stories that medical examinations are required annually or even twice a year are a marketing ploy. If you have some kind of pathology, then, of course, you need to keep it under control (doctors call this “observe in dynamics”). But if you are generally healthy, then for prevention it is enough to be checked once every three years. Modern technologies make it possible to detect bad diseases at their zero stage, so there is no need to run around too often and see if something that was inaccessible yesterday has become available to the naked eye.

The list of examinations required for any citizen is prescribed in “Appendix No. 1 to the procedure for conducting medical examinations for certain groups of the adult population, approved by order of the Ministry of Health of the Russian Federation of February 3, 2015 No. 36an” (you can google it).

What do we get for free

Medical examination is divided into two stages: the first – for everyone, the second – for those who have something found and suspected. Since anyone who approached the issue informally is discovered and suspected, we can consider the list general. Here it is (for women):

Stage 1

  • History taking, blood pressure measurement, body mass index calculation
  • Blood test (AK) for total cholesterol
  • AK on glucose levels
  • Clinical blood test
  • Blood biochemistry (every other time, that is, not once every three years, but once every six years) – from the age of 39
  • General urinalysis
  • Fecal occult blood test – from 48 years old
  • ECG – from 45 years old
  • Fluorography
  • Examination by a gynecologist, a smear for microflora and oncocytology
  • Ultrasound of the pelvic organs
  • Ultrasound of the kidneys and pancreas (once every six years)
  • Mammography – from 39 years old
  • Measurement of intraocular pressure – from 39 years

Stage 2

  • Duplex scanning of the brachiocephalic arteries
  • Gastroscopy
  • Neurologist’s consultation
  • Otolaryngologist consultation – after 69 years
  • Ophthalmologist consultation – after 39 years
  • Consultation with a proctologist and colonoscopy
  • AK on the lipid spectrum
  • AA for glycated hemoglobin
  • Spirometry (to detect bronchopulmonary diseases)
  • In-depth consultation based on examination results

If you carefully study the list of examinations in paid clinics (they use the buzzword “check-up” instead of “medical examination”), you will find that, as a rule, it does not differ much or does not differ at all. Why do people prefer to get tested for money? For a lot of money, let’s be honest. Now I will tell you why.

How to pass a medical examination in a regular clinic

Keep in mind this is just my personal experience. And he is from Moscow. I fully admit that in small towns everything is more chamber and soulful … To start a medical examination, you need to come to the health office. It is not a fact that there is one in your district clinic, because most of the district health resorts are no longer on their own, but branches of something larger. As a rule, this larger one is far from you and it is impossible to sign up there, so sign up immediately with your local therapist. Therapists now work on Saturdays and Sundays. But this will not help in our noble undertaking: on weekends, neither the registry with stamps, nor the special girl who manages the referral forms for tests is open – so you still have to come again. Directions are written out manually and entered into the computer in parallel, there are many directions (see the list) – plan for this purely technical visit for 30 minutes, not counting sitting in line.

With a bunch of directions, you go to the reception desk to put stamps, and then to the self-registration terminal or home to the computer. And already there you find out that for the next two weeks there is no record for anyone from the list.

Then you start every morning – not earlier than 7-00, but not later than 7-40 – to catch schedule updates. This is a quest! If you are lucky enough to join two surveys in one day, you can consider yourself a monster of the eightieth level.

I got an ultrasound of the kidneys in March, a gynecologist in May, and then I couldn’t get to her a second time to find out what they found in me and extend the referral for an ultrasound of the small pelvis. The fact is that a referral for an ultrasound scan is valid for one month, if you didn’t get an appointment during this month, then you need to return to the previous level and repeat all the steps: make an appointment with a doctor, get to a doctor, get a referral, make an appointment for an ultrasound …

In the fourth month of the quest, it began to seem to me that I would move to the next age category earlier than I would reach the second level of medical examination.

Analyzes, however, can be taken on a first-come, first-served basis. I usually do this: I come to the laboratory in the morning, look at the crowded queue … And I go to take tests for money at INVITRO.

So, I come, it means, with this armful in “Invitro”, and there they tell me: “But here you can go through the entire medical examination.” And I gave up.

Not right away, of course, at first I checked the lists: I’m afraid of unnecessary examinations. Paid medicine often profits from the universal cancerophobia and offers a complete cancer screening or computed tomography of everything. And this is dangerous not only for your bank account, but also for your health.

Now I didn’t seem to harvest anything: the commercial check-up included everything the same as in the “state”, plus an endocrinologist, plus ultrasound of the mammary glands – for those who have not grown up to mammography, plus PCR diagnostics of genital infections and HPV, hemostasiogram ( especially valuable for those who are planning a pregnancy or choosing contraceptive methods), MRI of the spine and head, colonoscopy (for early detection of colorectal cancer), duplex scanning of the veins of the legs for varicose veins. And all this is attention! – in a day. Would you resist?

How to pass medical examination for money

Now, having gone through everything, I dare to say that the entire medical examination in one day is not for everyone. It is even technically very difficult: preparation for different studies is different, often mutually exclusive. Ultrasound of the kidneys and bladder should be done with a full bladder, ultrasound of the pelvic organs – with an empty one. At the same time, drinking on the spot is excluded, because you must come to the gastroscopy with an empty stomach. Performing an ultrasound after a gastroscopy or, God forbid, a colonoscopy is completely pointless: during any endoscopic procedures, you are inflated like a balloon so that the walls of the stomach, intestines and esophagus do not stick together – and these gases then greatly interfere with examining anything on ultrasound.

The doctor who will schedule examinations and consultations for you must be not only a brilliant doctor, but also a virtuoso manager!

In order to avoid a malfunction in the program, a curator was assigned to me, who accompanied me all day from office to office, making sure that I was not late, did not get lost, and did not fall to the water cooler at the wrong time.

I got to the gastroscopy at 16-00. I was able to eat, respectively, at 17-00. In general, that’s what I assumed – that’s why I didn’t take sandwiches with me: they would have gone bad anyway. I didn’t take into account that a dining area with a table, a refrigerator, a microwave oven and (for some reason) an artificial respiration simulator is provided specifically for the check-up heroes … And you keep in mind – and take food with you: after all, you will have a lot of blood loss.

In my early youth, I practiced Brag fasting – probably this allowed me to last until the end. Well, besides, during the MRI, I took a nap for half an hour right in the tomograph – this partly contributed to the restoration of strength.

By 19-00 (the whole medical examination took a little more than eight hours – a full day) I was completely unable to listen to the doctor’s final word: I wanted to drink, eat, sleep and not go to work tomorrow. Fortunately, all the instructions and conclusions were duplicated for me in a thick Talmud.

Now I re-read it at night – and I know that in the next five or six years (that is, until the next medical examination) I can feel safe. The test results, which were not yet ready on the day of the application, fall into my mail, and I don’t have to run anywhere else …

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