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Спасибо Вам за ваш подробный отзыв! Как руководитель клиники благодарен своему сотруднику за соблюдение норм и требований предотвращения вреда здоровью пациента. Закон есть закон! Повышение креатинина и мочевины - стоп! Исследование не проводить! И это - не повод для разговоров по-понятиям и околонаучных дискуссий. Врач должен, прежде всего, руководствоваться принципом \"не навреди!\". И дело не во внесенной предоплате и не в компетентности врача, хотя это - один из лучших специалистов своего профиля, а в соблюдении регламента клиники и клинических рекомендациях. При повышении БХ-показателей крови (креатинин и мочевина) исследования с применением в\\в контрастирования проводятся в условиях стационара, оснащенного диализным центром. В случае ухудшения состояния Вашей матери, кто бы брал ответственность за возникшие осложнения здоровья. Вы бы быстренько \"переобулись\" и сослались на нашу некомпетентность. Зачем-то вы приводите в пример свой стаж и то, что вы в своей практике идете на нарушения клинических рекомендации, для чего? Здравый смысл в данном случае проигрывает риску и погоне за наживой. Сотрудник получит премию за четкое следование правилам.\nС уважением, Костромин Иван Васильевич, ген. директор клиники семейного здоровья \"МЕДЭКСПЕРТ\".","type":"/ugc/comment","isExternal":true,"id":"4q8XLkJe02P3iXDcG0saOGaCJiIqE57t4","object":{"id":"docJkwpSti3Sdo4N"}}],"moderated":true,"time":"16 мая","text":"... Пустовгар А.А., и задает вопрос \"Вы сами с такими показателями взяли бы пациента?\". Да, взял, больше того, берем.\nЗатем началось что-то не понятное, якобы я должен был пороситься к нему, зайти в кабинет...","fullText":"14.05.2024г. записал маму на МРТ органов малого таза с в\\в контрастным усилением. У нее подозрение на ЗНО шейки матки, необходимо делать именно с контрастным усилением. Прошли подготовку, собрали необходимые анализы, пришли заранее и на этапе оформления началось;\nу нее повышены показатели мочевины и креатинина, и на основании этого нам сразу отказали в исследовании, вышел рентгенолаборант и сказал Вам делать не будем, я пытался объяснить, что это обусловлено перекрытием мочеточников (я сам врач-рентгенолог и 12 лет работаю на МРТ, правда в Краснодаре, а родители живут в Белгороде и исследования нужно пройти сейчас) и противопоказанием к контрастному усилению является только тяжелая степень почечной недостаточности (это написано и в аннотации к контрастному веществу и на сайте Вашей клиники), передал лаборанту протокол УЗИ, он ушел, через некоторое время выходит врач, Пустовгар А.А., и задает вопрос \"Вы сами с такими показателями взяли бы пациента?\". Да, взял, больше того, берем.\nЗатем началось что-то не понятное, якобы я должен был пороситься к нему, зайти в кабинет и там с ним разговаривать. О чем и зачем? надо было ему там в ноги падать и умолять? Или может денег ему еще дополнительно предложить?\nИ вообще, раз я требую провести исследования согласно рекомендациям, то я должен был предоставить ему анализ СКФ (скорость клубочковой фильтрации). Я уже не буду вдаваться в подробности, что ни слова об этом не было сказано при записи через колл центр, просто СКФ можно рассчитать на калькуляторе, зная возраст, вес и показатели креатинина, т.е. человек полный ноль в этом вопросе!\nЯ уже говорю врачу, что не надо мне описывать, от Вас ничего не требуется, всю ответственность беру на себя, просто проведите исследование, запишите на диск и мы забудем о существовании друг друга! Мне отказали. 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