Diagnosis online: which of the doctors accepts patients using WhatsApp and Skype. How can a doctor treat via Skype

As soon as we finish the family experience group, we will launch a dynamic psychotherapy group with a powerful effect for people who are tired of doing the same thing that brings neither pleasure nor satisfaction! This group is for those who want to find harmony in relationships with themselves and others, improve relationships with people, find their love and finally stop suffering and become happy!

This group is for you if you are experiencing discomfort from life. If it is not possible to build relationships with relatives, colleagues, change the circle of contacts. A group for those people who want and are ready to change, but go around the same problems and do not understand where to start the changes or take on everything at once.

We guarantee complete anonymity and security.

Participation in the group is confirmed after a short interview with the leaders - a psychotherapist and a psychologist. The conversation takes place individually and free of charge, complete confidentiality is guaranteed. Such an interview is necessary in order for us to get an idea of ​​​​the request of the person, what problems he wants to solve and whether participation in the group is suitable for this. Also, the conversation helps to understand whether a person is ready for change. After all, the group is a very powerful tool! We will work intensively for you, but we also expect feedback from you. In this case, everything will work out and your life will reach a qualitatively new level!

Who leads the group:
Psychotherapist: Vladislav Alekseevich Sipovich
Psychologist: Natalya Valerievna Pavlova

Where are the classes held:
St. Petersburg, Torez Avenue, 98, building 1, office 410

Group duration:
2 days off for 12 hours each.

Price: 20000 rub./person in 24 hours.

We are waiting for those who are ready and want to change their lives and become free from problems and a happy person!

Ask your questions in the comments or by phone: +7-921-784-47-37

Medical Center "Harmony of Health" - a multidisciplinary clinic withhigh standards of qualified medical care. The center's specialists are leading narcologists and psychotherapists of St. Petersburg with more than 18 years of experience, psychologists, speech therapists and teachers. The key areas of work of the center are narcology, psychotherapy and psychology, therapy.

NARCOLOGY

The problem of addictions, including alcohol, in St. Petersburg is one of the most urgent and urgent. It requires timely identification and urgent solution. At Harmony Zdorovya Medical Center, experienced narcologists will select an effective treatment method, help get rid of addiction and prevent relapse, and provide comprehensive support to the patient and his relatives.

To solve a delicate problem, you can call a narcologist at home at any time, around the clock. The doctor will prescribe individual therapy based on author's methods and advanced developments, which will give lasting results. In the treatment of alcoholism, this will gently bring the patient out of binge and prevent binge drinking in the future. The provision of any type of medical care in our center is completely anonymous service.

PSYCHOTHERAPY AND PSYCHOLOGY

Staff members of the center "Harmony of Health" - psychotherapists of the highest category, psychiatrists and clinical psychologists. Experts will help to find the true causes of mental discomfort, find a harmonious balance and solve the complex issue of human self-determination. Doctors will select the optimal treatment system based on methods accepted and practiced throughout the world in order to get rid of symptoms and protect against the return of problems in the future.

The psychotherapeutic service will provide effective assistance in the following areas: sexual problems, depressive and anxiety states, panic attacks, fears and self-doubt, unmotivated attacks of aggression, psychosomatic diseases, etc. For the convenience of clients, the service works psychotherapist consultations online at a convenient time, which eliminates the need to visit the center. Psychotherapists practice family counseling, work to overcome barriers and "difficulties" in their personal lives, and carry out a deep correction of parent-child relationships.

THERAPY

The general practitioner is an important fundamental "link" in the chain of providing comprehensive and targeted qualified medical care. Seeing a therapist is the first step on the road to recovery. He will recommend a specialized specialist to whom you should contact, help to establish the cause of the pathology, the process of its transformation, prescribe effective therapy in order to avoid possible complications and side effects.

The therapist assesses the general condition of the patient, has the most integral and diverse view, selects a comprehensive and high-quality treatment. To save time and comfort, you can call a therapist, pass the necessary tests and undergo research. The service includes issuance of sick leave (without additional payment).

FAMILY CENTER

The Family Center operates under the aegis of "Health Harmony". It is focused on the disclosure and development of the creative and intellectual abilities of children and adolescents aged 1 to 16 years, and their parents. Individual and group classes are conducted by attentive and experienced psychologists, speech therapists, teachers of various specialties and yoga instructors.

As part of the work of the Family Center, there is a constant enrollment for classes in groups in the following areas: logorhythmics; neuroyoga for children; sand therapy and drawing on light sand tables; training in decoupage techniques, ebru, dot painting and felting from wool. Registration is underway for author's courses - "School of the Wizard" (classes on fairy tale therapy), "School of a happy parent" (secrets of effective education), "Friendly Dwarf" (group of socialization and adaptation to kindergarten) - and trainings. The format of participation is varied: both one-time visits and the purchase of a subscription for the entire cycle of classes (more advantageous offer) are acceptable.

In our medical center each patient receives the services of exclusively professional and experienced doctors and nurses. In our clinic, the reception is carried out by professors and associate professors, doctors and candidates of medical sciences, doctors of the highest or first qualification category. This is the best guarantee that each patient will be able to receive a high-quality and effective consultation, based on the results of which an in-depth examination will be recommended and, of course, the most modern, effective and comprehensive treatment will be prescribed.

Areas of activity of our clinic

Private medical center - a guarantee of a healthy and fulfilling life

Undoubtedly, every person wants his health to be in the hands of exclusively highly qualified specialists. And it's quite real, because medical center EXCLUSIVE in St. Petersburg equipped with the most modern, innovative and quality medical equipment, and the staff is represented by high-level specialists, who have many years of invaluable clinical experience and a huge amount of unique theoretical knowledge behind them.

What kind of services can a private medical center provide?

A modern private medical center is able to provide a wide range of a wide variety of medical services: in-depth diagnostics, prevention and treatment of a wide variety of diseases in women and men.

The main principles of the work of our medical center are: a high level of professionalism of doctors and nurses, the use of exclusively modern and high-quality equipment in the process of treatment and examination, the provision of a wide range of medical services. Our medical specialists in their work are guided by the most important and essential rule in medicine - human attitude and respect for each patient, because the key to successful treatment can only be psychological harmony between the doctor and the patient.

Thanks to the availability of high-tech diagnostic and treatment equipment, our private medical center will allow each patient to receive the most accurate diagnosis and appropriate, effective, high-quality treatment.

Today, our medical center provides its patients with high-quality and affordable medical services. Among them:

1. All types of dental care. Only the most experienced and qualified dental specialists work in our clinic: general dentists, orthopedic dentists (prosthetists) and dental surgeons. Anyone can contact an orthodontist, implantologist, periodontist and pediatric dentist.
2. Outpatient care. In our clinic, doctors of various specialties conduct appointments, we perform a wide range of various laboratory tests and analyzes, perform ultrasound of all organs and tissues, medical diagnostic procedures, medical massage, we provide services in a one-day hospital and in a treatment room.
3. Our medical center has the only private highly innovative department for research and treatment of hepatitis C in Russia.

Why should you trust your own health to our medical center?

Health is an invaluable indicator that determines the happiness and life expectancy of every person. And if there are any health problems, then under no circumstances should you let everything take its course or seek help from the first doctor you come across. An in-depth examination and further effective complex treatment should take place only in a single complex under the close attention and supervision of a highly qualified doctor.

Our medical Center provides services to the most sought-after medical specialists today. Among them are gynecologist, urologist, sexologist, hepatologist, mammologist, proctologist (we have performed more than 500 operations to remove hemorrhoids), oncologist, hematologist, urologist, endocrinologist, cardiologist, internist, dermatovenereologist, chiropractor, neurologist, as well as doctors of ultrasound diagnostics , surgeons (general practice, thoracic, cardiovascular) and ENT (otorhinolaryngologist).

Therefore, if you have even the slightest concern or doubt about the state of your health, then it is enough to seek help from our medical center, whose doctors and specialists will be able to help you improve your well-being and return to a happy and fulfilling life as soon as possible and at the most affordable prices. .

General Director of LKSC Exclusive LLC Medical Director medical center EXCLUSIVE Doctor of Medical Sciences Professor of the First St. Petersburg State Medical University named after Academician I.P. Pavlova

D.L. Sulima

Not only residents of St. Petersburg and the Leningrad region apply to the EXPERT Clinic. People come to us, sometimes, from the most remote corners of Russia, as well as from other countries.

That is why it became necessary to create the possibility of remote counseling of such patients via Skype when it is impossible to hold a face-to-face meeting.

Skype consultation has its own characteristics.

Communication with the patient after the initial appointment at the EXPERT Clinic

This is the best situation since the doctor-curator knows the anamnesis, examined the patient, prescribed examination and treatment. Conducting a survey, monitoring the dynamics of the results of the therapy, and adjusting the treatment is most often not difficult. We draw attention to the fact that we insist on face-to-face observation by doctors at the place of residence and act together, making adjustments based on specialization.

Initial contact with the doctor of the clinic via Skype

It happens that the patient is already undergoing treatment at the place of residence and wants to clarify a number of issues with an independent expert doctor, or a doctor of a certain specialty is not available in the region where the patient lives.

We are ready to provide such assistance, which, however, is not a full-fledged consultation, as in the face-to-face option.

In this case, Skype consultation includes:

• preliminary familiarization of the doctor with the results of instrumental studies and analyzes, which must be provided in advance (1 week before the Skype consultation)
• a detailed online survey - collecting an anamnesis of the disease and life.

To sign up for an online consultation and send the results of the examination, write to us by mail [email protected] website.

Anna Roitman specially for "Social Navigator"

In 2017, the Ministry of Health of the Russian Federation submitted to the State Duma a draft law on telemedicine, which proposes to legalize online consultations "doctor-doctor", "doctor-patient", issuance of certificates and prescriptions for medicines and remote monitoring of patients' health.

With the help of online technologies and gadgets, doctors can already remotely consult patients and monitor their well-being, and the law signed by the President of Russia at the end of July should direct this practice into a legal direction.

What are the prospects for this initiative and what obstacles face the informatization of medical services, the editors of the "Social Navigator" tried to figure it out with the help of experts.

Expert assessments

Doctor of Medical Sciences, Professor of the Department of Radiation Diagnostics and Radiation Therapy, Moscow State Medical University. I.M. Sechenova, director of the Scientific and Practical Center for Medical Radiology Sergey Morozov believes that by the end of 2017 the law on telemedicine will most likely be approved, and then there will be a pause.

"There are only two areas in which automation is in its infancy. These are medicine and education," Morozov said.

The medical community is very conservative in terms of introducing new technologies, so it will take some time for doctors to get used to working remotely. After the adoption of regulations for the provision of telemedicine services, many telemedicine projects that are already de facto operating will move into the legal sphere, they will begin to formalize their "information services" as medical ones.

In turn, Vladimir Gurdus, a member of the Expert Council under the Open Government of the Russian Federation and a member of the Public Council under the Ministry of Health of the Russian Federation, is confident that, despite the wide range of opportunities that new technologies provide, global health problems will continue to be solved in medical institutions, and complex diagnostic research can also not be carried out remotely.

Risk factors

Many doctors have long been consulting patients by phone, SMS or Skype. The current bill proposes to legalize this procedure.

“If telemedicine exists only virtually, then the rights of patients will not be strongly protected,” Sergei Morozov believes. “Nevertheless, a telemedicine site can be assessed by the number of well-known names and highly qualified specialists.

When receiving a telemedicine service, a person will already agree in advance with a certain regulation of the organization. There will be a disclaimer on the site explaining how the service is provided, and the patient will actually have few rights to complain about it. To prove the fact of an error in medicine takes quite a long time and costs.

Morozov also believes that in order to provide high-quality remote medical services, an audit should be carried out: “It is necessary to check the quality of work in the information system, collect data about the patient, record all consultations, hire several doctors who will evaluate the correctness of the provision of services.”

According to Professor Morozov, in order for telemedicine to work, it is necessary to describe in detail what exactly will be within the competence of the doctor, and transfer certain functions of the doctor into an automated format - the Internet, gadgets, mobile devices, telemonitoring devices, information networks, personal accounts, robots.

Soap bubbles or breakthrough?

The law on telemedicine can provoke serious changes in this area. It is possible that a huge number of private companies will appear, which will begin to provide remote medical services and sell related programs for telemedicine interactions.

"A huge part of them will be just soap bubbles, in which they will actively invest, but it may turn out that these companies are nothing sensible," said Sergey Morozov.

However, Vladimir Gurdus is sure that telemedicine is a new, more modern platform for communication between a patient and a doctor, which will become a real breakthrough for traditional medicine.

According to him, the health of patients will be in safe hands: the bill provides for the development by the Ministry of Health and the Ministry of Communications of a unified system for identifying a doctor and a patient, with which a secure connection can be established. It is also important that telemedicine can reduce the percentage of people who self-medicate.

Major players

In telemedicine, most likely, new players will appear, but well-known companies are working on the market, which already today provide a certain list of telemedicine services: Yandex, Invitro, Doctor Nearby, Doc + and others.

One of the stumbling blocks in the future development of telemedicine in the country may be the high cost of a full consultation and development of a treatment plan, or the disappointment of patients in telemedicine services due to insufficient quality.

“For a patient, it is more important to find an expert doctor, hear an accurate diagnosis and receive the right treatment, while the issue of cost is in the background. Nevertheless, specialists need to find a balance between price and quality,” Morozov said.

It is likely that telemedicine services will be included in the CHI policy, but globally, it is private clinics that will be engaged in online medicine. So, Vladimir Gurdus assumes that at first online medicine will come to the private sector, more mobile and flexible, and after some time, budgetary medical institutions will also join.

As they say, wait and see.

The diagnosis of a child via WhatsApp became famous throughout the country. Prosecutors said he violated " requirements of health legislation" without appearing during his duty at work.

Interestingly, whilepublic and private clinics in Russiahave been providing online consultations for a long time - via e-mail, mobile applications and Skype.They have not yet had scandals, although, according to experts, if we are not talking about a well-known clinic with a good story, patients run the risk of stumbling upon charlatans. At the same time, online consultation has been developed in many countries as the most convenient way to communicate with a doctor.

State clinics go online

The Federal State Budgetary Scientific Institution "Scientific Center of Neurology" offers online consultations for 1.3-1.7 thousand rubles. To do this, you need to send medical documents by e-mail, in particular, a detailed extract from the medical history, the results of tomographic, electrophysiological and other studies, a text describing the treatment performed.

As early as 2014, the capital's social protection centers began organizing Skype consultations for pensioners with doctors from polyclinics. Doctors talk, for example, about the prevention of hypertension and answer questions from grandmothers. But online diagnoses are not made.

By the way, a year ago, the head of the Ministry of Health, Veronika Skvortsova, promised treatment via Skype for remote villages. The service, she said, will be available for two years.

In the next two years, fiber optics will be brought to each FAP [paramedical and obstetric station] and to each settlement. And in this way we will have the opportunity to use certain telemedicine technologies through Skype,” Veronika Skvortsova said in June 2015.

An alternative to medical tourism

The portal medviser.ru offers online consultations with the best foreign doctors. These are doctors of various profiles - oncologists, cardiologists, hematologists, neurosurgeons, endocrinologists, neurologists, orthopedists, etc. There are no restrictions on the principle "this issue can be resolved only with a face-to-face appointment" on the portal.

The cost of a consultation is $250-500. The doctor prepares for it in advance - he studies the documents provided by the patient. After the online appointment, the doctor writes a medical report in electronic form.

Russian doctors online

The Helpmed mobile application works on a similar principle. As stated on its Internet portal, consultations are carried out by "the best doctors" in ten specializations with at least five years of experience. For 550 rubles a month, you can get "unlimited chat" with a doctor and "unlimited photos" (that is, you can send as many documents, pictures and photos of injuries as you want). They promise to provide a response within 15 minutes.

It is 10 times cheaper than takinga doctor in any paid clinic, the website says. At the same time, "p about practice in 80% of cases is enoughremote medical consultation.

The law has not yet been written

With online consultations, the doctor bears the same responsibility as with face-to-face appointments, says Yulia Stibikina, lawyer of the Center for Medical Insurance Law.

But how companies where doctors provide online advice should work is not spelled out in the law. Therefore, there are many legal gaps. In fact, the patient has no guarantee that it is doctors who communicate with him in the online clinic, and not people from the street. He sees photographs in white coats, reads what positions doctors have, but all this may be fiction.

For example If the identity of the doctor cannot be identified, then there is no one to ask, says Yulia Stibikina. - Remains just write a statement to the police.

David Melik-Guseinov, director of the State Budgetary Institution Research Institute of Health Organization and Medical Management of the Moscow City Health Department, also says that the work of online clinics is not regulated by law.

P While there is no regulation, abuse is possible. It is quite possible to run into charlatans, he said.

As Alexander Myasnikov, chief physician of city hospital No. 71, said, online consultations are much wider than ours, they are common in Europe, the USA, and Israel. This has both pluses and minuses.

For example, there was a case: the patient was flying in an airplane, and he became ill, - said Alexander Myasnikov. - Using a mobile messenger, he sent his cardiogram to the doctor. The doctor diagnosed me with a heart attack. The plane was quickly landed and the patient was rescued.

A negative example was given by the expert as follows:

In Israel, they sent me the results of my ECG by mail, but they confused me with another patient. I seriously believed that I was in a pre-infarction state, - said Alexander Myasnikov.

As the lawyers said, the Yakut doctor a WhatsApp diagnosis could only be held accountable if it was wrong. Then the doctor could be tried for causing harm to the patient's health due to failure to perform his official duties.

Now he can only be charged with a violation of job descriptions, - says lawyer Zhanna Altunyan. - His only puncture - the absence of the workplace. For this, most likely, he will be scolded a little by the head physician or, in extreme cases, fined. And this is an ineffective leverage.