2016 Price update after emailing professor Leonid N. Solomin
Preoperative orthopedic examinationprofessor consultation – 1.200 rubles
x-ray examination – 4.000 rubles
ultrasound examination – 1.500 rubles
Surgery + 3 days in Clinic
Clinic:in Int. Clinic MEDEM - 278.400 rubles
+ 8.532x3=25.596 rubles (double room) = 304.000 rubles
+ 11.340x3=34.020 rubles (single room) = 312.500 rubles
+ 19.872x3=59.616 rubles (lux room) = 338.000 rubles
in St. Elizabeth Hosp.
142.000 (single room)
149.000 (lux room)
The 3rd day after operation – the 14th day after operationLocation of the patient:We recommend:
in hospital (in St. Elizabeth Hosp. - 4.100 rubles per a day (single room) or 4.700 rubles per a day (lux room), in Int. Clinic MEDEM - 8.532 rubles per a day (double room), 11.340 rubles per a day (single room), 19.872 rubles per a day (lux room)
We consider admissible:
in hotel (1.000 – 6.000 rubles per a day)
in apartment (25.000-40.000 rubles a month); the housemaid daily - 7.000 rubles a week, every other day - 4.500 rubles a week, 2 times a week - 2.000 rubles a week
In case of any complications – emergency hospitalization to hospital.
Additional medicines:We recommend:
Fraxiparine - 1 injection per a day during 10 days after operation (300 rubles for injection in St. Elizabeth Hosp.; in Int. Clinic MEDEM - free of charge)
Pradaxa – 1 tablets per a day from the 11th day after operation (2.000 rubles a month)
Perfalgan – 1 dropper a day 5-10 times after operation (200 rubles for dropper in St. Elizabeth Hosp.; in Int. Clinic MEDEM - free of charge if it is required)
Linex - 6 tablets per a day during 10-14 days after operation (1.000 rubles a week in St. Elizabeth Hosp; in Int. Clinic MEDEM - free of charge if it is required)
We consider admissible:
Fragmin (instead of Fraxiparine) - 4 injections a day during 10 days after operation in St. Elizabeth Hosp. (free of charge)
Pradaxa (for out-patients) – 1 tablets per a day for out-patients (2.000 rubles a month)
Paracetamol (instead of Perfalgan) – 1 tablets per a day (in St. Elizabeth Hosp. - free of charge if it is required, 200 rubles a week for out-patient)
Amoxiclav (for out-patients) – 3 tablets per a day + Linex 6 tablets per a day during 7-11 days after operation (2.000 rubles a week for outpatient)
-------------
Changing bandages:We recommend:
Changing bandages by doctor - 2-3 times a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
To pay tailoring of a cover on the frame (2.000 for 1 cover). We recommend to buy 2 covers for every frame.
To pay for the foot holders (600 rubles)
We consider admissible:
Changing bandages by patient - 1-2 times a week (cost of materials and solutions – 500 rubles for 1 changing bandages) + changing bandages by doctor once a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Cover the frames with bandages instead of covers after every change bandages (400 rubles a week)
In case of inflammation the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
Trainings/physiotherapy:We recommend:
Training every day or every other day with trainer (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
Buy walkers (3.000-4.000 rubles)
Buy wheelchair (15.000 rubles) and office-chair (5.000 rubles)
We consider admissible:
Self-trainings or trainings with the trainer less than we recommend (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
Buy crutches (2.000 rubles)
In case of joints stiffness the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
Consultation by professor:We recommend:
In 5-7 days after the beginning of distraction (in 10-12 days after operation) (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
We consider admissible:
In 5-7 days after the beginning of distraction (in 10-12 days after operation) (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
Visa support (only for Int. Clinic MEDEM outpatients):Payment every month - 3.500 rubles, payment for visa prolongation (usually - once every 3 months) – 17.000 rubles
------------------------
The 15th day after operation – completion of manipulations in frames
Location of the patient:We recommend:
in hotel (1.000 – 6.000 rubles per a day)
in apartment (25.000-40.000 rubles a month); the housemaid daily - 7.000 rubles a week, every other day - 4.500 rubles a week
We consider admissible:
in hospital (in St. Elizabeth Hosp. - 4.100 rubles per a day (single room) or 4.700 a day (lux room), in Int. Clinic MEDEM - 8.532 rubles per a day (double room), 11.340 rubles per a day (single room), 19.872 rubles per a day (lux room)
in apartment (30.000-40.000 rubles a month); the housemaid 2 times a week - 2.000 rubles a week
at home
In case of any complications – emergency hospitalization to hospital.
Additional medicines:We recommend:
Pradaxa – 1 tablets per a day (2.000 rubles a month)
We consider admissible:
Pradaxa – 1 tablets per a day (2.000 rubles a month)
Food supplements
Changing bandages:We recommend:
Changing bandages - 2-3 times a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Washing of covers once a week
We consider admissible:
Changing bandages by patient - 1-2 times a week (cost of materials and solutions – 500 rubles for 1 changing bandages) + changing bandages by doctor once a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Changing bandages by patient - 3 times a week (for the outpatients at home)
Cover the frames with bandages instead of covers after every change bandages (400 rubles a week)
In case of inflammation the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
Trainings/physiotherapy:We recommend:
Training 2-3 times a week with trainer (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
To have a walkers (3.000-4.000 rubles) and crutches (2.000 rubles)
To have a wheelchair (15.000 rubles) and office-chair (5.000 rubles)
We consider admissible:
Self-trainings or trainings with the trainer less than we recommend (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
To have crutches (2.000 rubles)
In case of joints stiffness the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
--------------------------------------
Consultation by professor:We recommend:
Once in 10-20 days (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
We consider admissible:
Once in 20-30 days by e-mail (for the outpatients at home) - free of charge.
The cost of a transfer depends on the place of residence.
Manipulations in frames (distraction and correction):We recommend:
Lengthening no more than 10% of the initial length of a bone.
After finishing of lengthening – perform installation of the reduction module, to eliminate translation of bone fragments or deformity (setting the reduction module – 3.000 rubles, remove the reduction module – 3.000 rubles, calculations – 500 rubles for 1 frame at once)
We consider admissible:
Lengthening no more than 20% of the initial length of a bone.
After finishing of lengthening – perform installation of the reduction module, to eliminate translation of bone fragments or deformity (setting the reduction module – 3.000 rubles, remove the reduction module – 3.000 rubles, calculations – 500 rubles for 1 frame at once)
The correction is possible only in the absence of contractures of joints and a possibility of the patient to stand on the straightened legs.
In case of hypotrophic regenerate the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
completion of manipulations in frames – removal of framesLocation of the patient:We recommend:
in hotel (1.000 – 6.000 rubles per a day)
in apartment 25.000-40.000 rubles a month); the housemaid every other day - 4.500 rubles a week, 2 times a week - 2.000 rubles a week
We consider admissible:
in hospital (in St. Elizabeth Hosp. - 4.100 rubles per a day (single room) or 4.700 a day (lux room), in Int. Clinic MEDEM - 8.532 rubles per a day (double room), 11.340 rubles per a day (single room), 19.872 rubles per a day (lux room)
in apartment (30.000-40.000 rubles a month); the housemaid daily - 7.000 rubles a week
at home
In case of any complications – emergency hospitalization to hospital.
-----------------------------
Changing bandages:
We recommend:
Changing bandages - 1-3 times a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Washing of covers once a week
We consider admissible:
Changing bandages by patient - 1-2 times a week (cost of materials and solutions – 500 rubles for 1 changing bandages) + changing bandages by doctor once a week (cost of 1 changing bandages - 1.500 rubles in St. Elizabeth Hosp. and for outpatients; 4.320 rubles in Int. Clinic MEDEM (no matter – 1 or 2 frames)
Changing bandages by patient - 3 times a week (for the patients at home)
Cover the frames with bandages instead of covers after every change bandages (400 rubles a week)
In case of inflammation one or several additional operations are required.
Trainings/physiotherapy:
We recommend:
Training 2-3 times a week with trainer (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
To have a walkers (3.000-4.000 rubles) and crutches (2.000 rubles)
To have a wheelchair (15.000 rubles) and office-chair (5.000 rubles)
We consider admissible:
Self-trainings or trainings with the trainer less than we recommend (1 training – 1.000 rubles for 1 training in St. Elizabeth Hosp. and outpatients; 3.000 rubles in Int. Clinic MEDEM)
To have crutches (2.000 rubles)
In case of malunion or non-union one or several additional operations are required.
In case of deep infection, one or several additional operations are required.
Consultation by professor:
We recommend:
Once in month (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
We consider admissible:
Once in 2 months (x-ray included: in St. Elizabeth Hosp. - 3.000 rubles, in Int. Clinic MEDEM - 5.000 rubles, 2.500-4.000 rubles for out-patients).
The cost of a transfer depends on the place of residence.
Once in month by e-mail (for the outpatients at home) - free of charge.
1. To the housemaid the cost of products isn't included in a payment (the approximate cost of products You may look on the website
https://www.okeydostavka.ru/spb2)
2. Int. Clinic MEDEM usually provides discounts to the foreign patients. Discount in St. Elizabeth Hosp. is possible too.
3. We assume that it will be cheaper to get a second-hand wheelchair, office chair, walkers and crutches
4. The approximate cost of drugs is specified. You may look on the website
http://www.eapteka.ru/5. We would recommend to assume quantity of money 10-20% more than calculated
6. Surgery + 10 days in Clinic (minimum) in Int. Clinic MEDEM (278.400 rubles + 8.532x10 = 364.000 rubles) in St. Elizabeth Hosp. (142.000 rubles + 4.100x10 = 183.000 rubles)
7. We can perform External Fixation surgery on 2 segments at once
8. In case of complication additional operation costs approximately as much as primary
9. The advance payment is 150.000-200.000 rubles (in St. Elizabeth Hosp.) and 300.000 – 400.000 rubles (in Int. Clinic MEDEM).
Author
Topic: Dr Leonid N. Solomin (St. Petersburg, Russia) 2015 Update (Read 41222 times)