I never said that the above doctors are expensive. All I was saying is that finding good doctors(by good I mean good considering the factors above) who will perform the surgery + hospital costs/ therapy only for $20000(the op budget) is probably going to be impossible!
If you know doctors who you think are good and would do it only for $20000 then I would like to hear some suggestions?
100k RUB = 1700$
APPROXIMATE:
Preoperative consultation by orthopedist (professor)
admission to the municipal clinic – 1.200
x-ray examination (1 long-film + 2 short-films) – 4.000
ultrasound examination – 1.500
Surgery + 3 days in Clinic
First surgery:
We recommend:
in private clinic - 296.000 (Conventional Ilizarov or LATN – first step)
+ 3 days in clinic:
8.532x3=25.596 (double room)
11.340x3=34.020 (single room)
19.872x3=59.616 (lux room)
OR
in private clinic - 296.000 (LON – first step)
+ 3 days in clinic:
8.532x3=25.596 (double room)
11.340x3=34.020 (single room)
19.872x3=59.616 (lux room)
+ cost of 2 nails:
110.000x2 = 220.000 (Chinese nails)
130.000x2 = 260.000 (American nails)
We consider admissible:
in municipal clinic – 148.600 (Conventional Ilizarov or LATN – first step)
+ 3 days in clinic:
4.400x3=13.200 (single room)
4.700 x3=14.100 (lux room)
OR
in municipal clinic – 148.600 (LON – first step)
+ cost of 2 nails:
23.000x2 = 46.000 (Russian nails)
57.500x2 = 115.000 (American nails)
+ 3 days in clinic:
4.400x3=13.200 (single room)
4.700 x3=14.100 (lux room)
Postoperative period
The 3rd day after operation – the 14th day after operation
Location of the patient:
We recommend:
in a hospital (in municipal clinic - 4.400 per a day (single room) or 4.700 per a day (lux room), in private clinic - 8.532 per a day (double room), 11.340 per a day (single room), 19.872 per a day (lux room)
We consider admissible:
in hotel (1.000 – 6.000 per a day)
in apartment (30.000-40.000 per a month); the house cleaner - 1.500 for 1 visit
In case of any complications – emergency hospitalization to hospital.
Additional medicines:
We recommend:
Pradaxa – 1 tablets per a day for in-patients from the 11th day after operation and for out-patients (2.000 per a month)
We consider admissible:
Pradaxa – 1 tablets per a day for in-patients from the 11th day after operation and for out-patients (2.000 per a month)
Food supplements
Rebandages:
We recommend:
Rebandages by doctor - 2-3 times a week (cost of 1 rebandages - 1.500 in municipal clinic and for out-patients; 4.320 in private clinic (no matter – 1 or 2 frames)
To pay tailoring of a cover on the frame (2.000 for 1 cover). We recommend buying 2 covers for every frame.
Foot holders (free of charge in municipal clinics, 600 – in private clinics)
We consider admissible:
Rebandages by patient - 1-2 times a week (cost of materials and solutions – 500 for 1 rebandages) + rebandages by doctor once a week (cost of 1 rebandages - 1.500 in municipal clinic and for out-patients; 4.320 in private clinic (no matter – 1 or 2 frames)
Cover the frames with bandages instead of covers after every rebandages (400 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 – 1.200 for 1 training in municipal clinic and out-patients; 3.000 in private clinic)
Buy walkers (3.000-4.000)
Buy wheelchair (10.000-15.000) and office-chair (5.000)
We consider admissible:
Self-trainings or trainings with the trainer less than we recommend (1 training – 1.200 for 1 training in municipal clinic and out-patients; 3.000 in private clinic)
Buy crutches (2.000)
In case of joints stiffness the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
Consultation (x-ray included, transfer and assistant not included):
We recommend:
In 5-7 days after the beginning of distraction: in municipal clinic - 2.800, in private clinic – 5.000, for outpatients – 5.000 (short-films) or 6.000 (2 short-films and 1 long-film)
We consider admissible:
In 5-7 days after the beginning of distraction: in municipal clinic - 2.800, in private clinic – 5.000, for outpatients – 5.000 (short-films) or 6.000 (2 short-films and 1 long-film)
The cost of transfer, taxi and assistant depend on the place of residence
Distraction period
(15th day after operation – completion of manipulations in frames)
Location of the patient:
We recommend:
in hotel (1.000 – 6.000 per a day)
in apartment (30.000-40.000 per a month); the house cleaner - 1.500 for 1 visit
We consider admissible:
in a hospital (in municipal clinic - 4.400 per a day (single room) or 4.700 a day (lux room), in private clinic - 8.532 per a day (double room), 11.340 per a day (single room), 19.872 per a day (lux room)
in apartment (30.000-40.000 a month); the house cleaner - 1.500 for 1 visit
at home
In case of any complications – emergency hospitalization to hospital.
Additional medicines:
We recommend:
Pradaxa – 1 tablets per a day (2.000 per a month)
We consider admissible:
Pradaxa – 1 tablets per a day ts (2.000 per a month)
Food supplements
Rebandages:
We recommend:
Rebandages by the doctor - 2-3 times a week (cost of 1 rebandages - 1.500 in municipal clinic and for outpatients; 4.320 in private clinic (no matter – 1 or 2 frames)
Washing of covers once a week
We consider admissible:
Rebandages by patient - 1-2 times a week (cost of materials and solutions – 500 for 1 rebandages) + rebandages by doctor once a week (cost of 1 rebandages - 1.500 in municipal clinic and for outpatients; 4.320 in private clinic (no matter – 1 or 2 frames)
Rebandages by patient - 3 times a week (for the outpatients at home in different city)
Cover the frames with bandages instead of covers after every rebandages (400 per 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 – 1.200 for 1 training in municipal clinic and outpatients; 3.000 in private clinic)
To have a walkers (3.000-4.000) and crutches (2.000)
To have a wheelchair (15.000) and office-chair (5.000)
To have supervision by neurologist and dermatologist.
We consider admissible:
Self-trainings or trainings with the trainer less than we recommend (1 training – 1.200 for 1 training in municipal clinic and for outpatients; 3.000 in private clinic)
To have crutches (2.000)
In case of joints stiffness the distraction can be slowed down, temporarily stopped, prematurely complete; perhaps, one or several additional operations are required.
Consultation (x-ray included, transfer and assistant not included):
We recommend:
Once in a weak: in municipal clinic - 2.800 (short-films) or 4.000 (long-films), in private clinic – 5.000 (short-films), for outpatients – 5.000 (short-films) or 6.000 (2 short-films and 1 long-film)
The cost of transfer, taxi and assistant depend on the place of residence
We consider admissible:
Once in 20-30 days by e-mail (for the outpatients at home) - free of charge.
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, remove the reduction module – 3.000, calculations – 500 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, remove the reduction module – 3.000, calculations – 500 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.
Fixation period
completion of manipulations in frames – removal of frames
Frames removal (for conventional Ilizarov):
We recommend:
in private clinic (with general anesthesia)- 120.000
We consider admissible:
in municipal clinic (with general anesthesia) - 70.000
OR
in municipal clinic (with local anesthesia)- 20.000
1. We don't convert cost to the currency of patient's country. You may use Internet-converters from sites of the Russian banks. For example – Sberbank (
http://www.sberbank.ru/en/individualclients).
2. We don't provide service and assistance to convert patient's money to rubles. Assistants can take you to the bank, you've asked about, and back.
3. At present time clinics don’t provide visa extending. Preparing of invitation is possible in private clinics (patient’s x-ray pictures are needed for that).
For getting visa and registration, you may ask special company:
Phone central +41 41 410 61 61
Phone direct +41 79 690 20 16
Mail: michael@bornpower.com and info@visaworld.ie
Skype: bornpower_gmbh
4. In case of patient leaves Saint-Petersburg before frames removing, he should pay for the frames. Cost of the frame is calculated for each patient individual. Approximate cost of 2 frames is 50.000. After getting frames back the money will be sent to the patient back.
5. To the house cleaner the cost of food is not included in a payment (the approximate cost of food you may look on the website
https://www.okeydostavka.ru/spb2).
6. We assume that it will be cheaper to get a second-hand wheelchair, office chair, walkers and crutches.
7. The approximate cost of drugs is specified. You may look on the website
http://www.eapteka.ru/8. We would recommend to take quantity of money 20% more than calculated.
9. Surgery + 10 days in clinic (minimum) in private clinic = 296.000 + 8.532x10 = 381.320; in municipal clinic = 148.000 + 4.400x10 = 192.000
10. We can perform operations on 2 segments at once.
11. The cost of additional small surgery – frames reassembling or achilles tendons release – 75.000 in municipal clinic and 130.000 in private clinic (approximately).
12. In case of complication additional operation costs approximately as much as primary.
13. The advance payment is 200.000 + cost of nails (if nails are needed) in municipal clinic (in cash) and 400.000 + cost of nails (if nails are needed) in private clinic (in cash). Private clinic can provide the bills (papers about payment).
14. We can't provide preoperative consultation on Saturdays and Sundays.
15. We can provide surgery in 3-5 day after end of consultation in private clinics and in 2-4 weeks after end of consultation in municipal clinics.
16. The minimum recommend term of stay in St. Petersburg after operation – 2-3 weeks.
17. The minimal approximate cost of taxi for the patients with a wheelchair or crutches – 30 per 1 km and 5 for 1 min of waiting. The minimal approximate cost of transfer for the patients in a wheel bed – 2.500 per an hour.
18. Cost of 1 assistant – 700 per an hour.
19. There is no English-speaker staph in municipal clinic. There is English-speaker physiotherapist in municipal and private clinics.
20. We assume that it is possible to rent apartment cheaper than 30.000 in a month. In this case, it will be probable not very clean and convenient apartment. In this case, we can’t assist in renting.
21. In case of apartment renting payment of the realtor - 100% of payment of a rent in a month. In addition, the client posts bail of 100% of payment of a rent in a month. Thus, the first sum for payment is equal to payment for 3 months. The payment in cash acceptable only. We recommend cleaning the apartment every 2 weeks (minimum) and before leaving.
22. We ask you to take into account that the main clinic for foreign patients is private. In case of accident most likely you will get treatment in private clinic.
23. The possibility of LON or LATN we can determine after x-ray examinations only. DICOM format of x-ray pictures is needed.
24. LATN – lengthening and then nailing. LON – lengthening over nail.
25. About assistance, trainings, rebandages, trips: make the plans in 2-3 days beforehand, please
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Topic: Can someone suggest me a doctor who is economical (Read 4181 times)