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Rehabilitation was planned immediately after the hospital.
Karina, a 47-year-old man infected with COVID-19, spent a lot of time in the hospital, including in the intensive care unit for two weeks. He was diagnosed with pneumonia and respiratory failure.
He was released from the hospital and the family made plans to extend treatment and rehabilitation at the sanatorium. However, difficulties have arisen here: according to the amendment to the Minister of Health’s order, which Arūnas Dulkys signed on April 29, sanitariums only accept those whose COVID-19 test is negative.
According to Karina, in the case of a severe form of COVID-19, the result of a coronavirus test can still be positive for a long time, even though the person has been formally cured. Doctors also warned them about this.
“We were told that a man’s test for up to 90-180 days can be positive. What to do next? Where and how to receive treatment? How to continue the treatment of a 47-year-old man if the Minister of Health blocked all access to the rehabilitation facilities? ”The woman was outraged.
They wanted to pay for themselves
Her husband, who was discharged from the hospital, was only able to receive state-reimbursed rehabilitation services, according to Karina, in late May, but the man was extremely ill, so they planned to go to the sanatorium for several weeks, pay for rehabilitation and then use the reimbursed services.
Due to this lack of proof, no one wants to accept us. A certificate that a person has become ill is not appropriate, only a negative test is required.
“It just came to our attention then. A certificate that a person has gotten sick is not appropriate, only a negative test is required. The man will go for the test on Tuesday night, because only at that time there was a place in the queue, you have to wait another 1-3 days to respond, and there is a very high probability that the test can show a positive result up to 180 days after illness.
That’s what everyone says: the 1808 hotline, family doctors, who cannot test people who have just been ill, because the tests will be positive, “Karina said excitedly.
123RF.com nuotr./Reabilitacija
No exceptions were left in the Minister’s order for those who had fallen ill.
“The sanatorium in Druskininkai told us that – we cannot accept without a negative test, because we have such an order. The GP made a great effort to receive rehabilitation as soon as possible. But the command does not allow it.” My husband was released from discharge from the hospital on April 29, and the minister’s order is valid from April 30, “said the indignant woman.
No reservations
Until Saturday, May 1, all rehab centers, according to Karina, could prescribe treatment to relapsed COVID-19 patients without a negative test if no more than 90 days had elapsed since the relapse. Now, a negative test is mandatory for everyone.
The Ministerial Order “On Approval of the Description of the Procedure for Organizing the Provision of Personal Health Care Services in the State of the Republic of Lithuania”, which was amended last week, states: “Your test for the SARS-CoV- 2 (PCR Test) “.
Photo by Sigismund Gedvila / 15min / Mobile coronavirus checkpoint
The test must be done no more than 72 hours before arrival at the rehabilitation center.
Specialists were consulted
Gitana Ratkienė, Advisor to the Division of Primary Health Care and Nursing of the SAM Department of Personal Health 15 minutes He confirmed it as of April 30. In 2006, an amended Ministerial Order came into force that requires the patient and their companion to undergo PCR testing for SARS-CoV-2, even if they have recovered from COVID-19 or have been vaccinated with COVID-19.
T. and. Previous reservations have been waived when patients are hospitalized for emergency care, scheduled inpatient services (including day hospital services), childbirth, medical rehabilitation services, supportive care and nursing services, transferred from a ward from hospital to another ward or hospital, and housed in social services. care facilities.
There is a high risk of infecting or infecting other people in hospitals, especially those with a higher risk of developing a severe form of the disease.
“These changes have been adopted after evaluating the opinion of infectious disease physicians, epidemiologists, suggestions from other specialists and the information and suggestions provided by the administrators of the organizing hospitals.”
It has been estimated that we have high levels of SARS-CoV-2 virus infection in society; The spread of the SARS-CoV-2 virus (eg South African, British, Brazilian, etc.) and the -19 league have been taken into account.
In addition, there is a high risk of infecting or infecting other people in hospitals, especially those with a higher risk of developing a severe form of the disease. Therefore, it is important to minimize the possibility of outbreaks in health institutions, because in the event of an outbreak, a large number of people would not receive services, ”said G. Ratkienė.
Photo by Sigismund Gedvila / 15min / Ministry of Health
Among the reasons, he also stated that the vaccination is 100 percent. it does not protect against infection and recurrence does not prevent reinfection with the virus. This was confirmed by several studies and the experience of the organizing hospitals in conducting studies for all planned inpatients. A sufficient level of public immunization has not yet been achieved.
Promises improvements
“Therefore, a patient who is referred to a medical facility that provides medical rehabilitation and / or psychosocial rehabilitation services for inpatients must undergo a SARS-CoV-2 virus detection test (by PCR) no earlier than 72 hours in advance. prior to their arrival at the medical institution that provides said rehabilitation services and a negative response was received.
If a patient tests positive for SARS-CoV-2, they can receive services from a rehabilitation center that is listed on the List of Special Rehabilitation Centers.
If a patient tests positive for SARS-CoV-2 (CRP), he or she may receive services from a rehabilitation center designated by the Minister of Health, the 2020 State of Emergency Operations Manager. December 25 at the decision no. V-3007 “Regarding the organization of more symptomatic treatment services in patients with COVID-19 disease (coronavirus infection),” said the SAM representative.
The Ministry of Health has reported that changes to this procedure are still possible in the near future, as improvements and possible reservations are being considered.
AFP / “Scanpix” nuotr./COVID-19 tested
The test is mandatory in any case
“Eglės sanatorija”, which can be found in Druskininkai and Birštonas, writes on its website that sanatoriums can be visited for treatment programs, as well as to restore damaged bodily functions after the COVID-19 virus or by sending the Territorial Funds of the Health Insurance (TCA).
According to the government, the test is necessary even if you are already infected with COVID-19, have antibodies, or have been vaccinated according to the full COVID-19 vaccination schedule.
However, all visitors must have a negative COVID-19 test: “According to the Government Order, all clients must have a negative COVID-19 test (PCR method) upon arrival at the sanitarium. According to the government, the test is necessary even if you are already infected with COVID-19, have antibodies, or have been vaccinated according to the full COVID-19 vaccination schedule.
You can take the test for free when you arrive for your scheduled inpatient service. Register tel. 1808 or 1808.lt. Upon arrival with a valid negative test result, you can enjoy wellness services immediately.
If you arrive with an ICD ticket without an exam or if the exam is no longer valid (more than 72 hours have passed), we will do the COVID-19 exam at the sanitarium. While you wait for a response, you will need to isolate yourself in your room, so we recommend that you arrive after a COVID-19 test. “
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