How much does it cost to call 2/3/4/5 children at once?
Examination of one more child will increase the cost by 1300 ₽.
How long does it take to see a pediatrician?
Typically, an appointment with a paid pediatrician lasts 40 minutes. However, our doctor is not limited in time and will spend as much time with the child as necessary.
Is it possible to get vaccinated at home?
No. Vaccinations must be done in specially equipped rooms to monitor the child’s reaction to the drug.
Does the pediatrician have an otoscope with him?
Yes. Using an otoscope, the pediatrician will definitely examine the child’s ears.
Is it possible to call a pediatrician at home for a routine examination?
Yes, calling a pediatrician at home is possible in this case.
Can a pediatrician issue a certificate at home?
Yes. A paid pediatrician can provide a certificate of temporary disability for preschoolers, schoolchildren and students.
After visiting a pediatrician, is it possible to make an appointment with a specialized specialist?
Yes. If necessary, a paid pediatrician will provide a referral to a specialized specialist. An ENT specialist and a neurologist at DOC+ can also be called to your home.
What does the pediatrician check first?
If you make a paid pediatrician home call, the appointment will take an average of 40 minutes. During this time, the doctor will find out how the pregnancy and childbirth proceeded and ask about your medical history and complaints.
Next, the doctor will carefully examine the baby, perform palpation (feels the tummy), auscultation (listen with a stethoscope), percussion (tapping), measure the temperature, and check the throat and ears with a special device called an otoscope.
If necessary, the doctor will issue a sick leave, issue a certificate, and give a referral for tests and to specialists.
What are the benefits of calling a pediatrician at home?
At the clinic, the local pediatrician finishes work early and it is often impossible to get his help in the afternoon. In this case it will also helpchildren's doctor at home.
You don’t have to go anywhere with a sick baby or sit in line with sick children and their nervous parents. The doctor will examine the child in comfortable conditions, and not on a cold changing table in the office. The examination time is not limited, so the doctor will spend as much time with your baby as necessary.
What will happen when the doctor visits again?
How the second appointment goes depends on the child’s condition. In any case, the doctor will examine literally every centimeter of the baby, listen and tap him, measure his temperature, and check his nose and ears with an otoscope.
If the baby’s condition worsens or remains the same, the doctor may prescribe additional tests and studies. Most often, the doctor sends you for a blood and urine test; if bronchitis is suspected, he may send you for an x-ray.
If the baby feels better, you can close the sick leave and issue a certificate at a regular clinic and save money. For those who value convenience, a paid pediatrician at home will help save time and effort.
No matter how parents protect their child from diseases, in any case there is no escape from them. It may sound sad, but childhood does not pass without illnesses, ranging from a common cold to a sore throat, pneumonia, etc.
At the first symptoms of the disease, young and not yet experienced parents panic, which is generally not worth doing. The main thing is to pull yourself together, take the right actions: provide first aid to the child (for example, bring down the temperature if it is above 38.5C) and immediately call a pediatrician.
When is it necessary to call a pediatrician at home?
And now let's look at situations when you still need to call a doctor at home:
- the child has a temperature above 38.5C;
- there is chills, weakness, lethargy for two days;
- there is severe vomiting or diarrhea;
- fainting state;
- severe abdominal pain;
- labored breathing;
- neurological symptoms.
In other words, everything that causes you anxiety and fears for the state of your child’s health.
Procedure for calling a pediatrician at home
You can call the reception of the children's clinic to which you are geographically assigned and call your local doctor. Therefore, always keep the telephone number of the children's clinic in a visible place. As a rule, a doctor is called in the first half of the day, before lunch.
The second option is to call a doctor online, for example, on the NaPopravka portal. The advantage in this case is that you independently choose a doctor for your child, referring to reviews of other mothers or your personal experience, and you are not limited in time.
In all cases, when calling a doctor at home, you must provide the following information by phone:
- Child's full name;
- full date of birth of the baby;
- disturbing symptoms;
- residential address and contact telephone number.
In addition, it is recommended to clean the apartment a little before the doctor arrives. For example, wipe the floor and ventilate the room in which the doctor will be present when examining the child. You should also prepare a clean towel in the bathroom, slippers (shoe covers if possible).
If for some reason the local doctor refuses to make house calls, arguing that there are many calls or the child does not have serious symptoms, then you should call an ambulance, which by law must arrive at any time of the day: day and night. The only point: emergency doctors do not prescribe treatment, but only provide emergency assistance, and can take you and your child to the children's department for a more accurate diagnosis.
A difficult situation arises when a child becomes ill on weekends or holidays. As a rule, the children's clinic is closed or there is only one doctor on duty who can simply give advice over the phone. In this case, you should take the child to the children's hospital yourself or go to a private clinic. You can call a paid doctor on any day, regardless of the day on the calendar. You can use the service https://napopravku.ru/ for this: doctors of different profiles, with reviews from patients.
It is worth adding that you have the right to simultaneously use the services of both a paid doctor and a government one.
Call a doctor at home if you cannot come to the clinic on your own. The doctor must come on the day of the call.
We all love to self-medicate and put off going to the doctor until the last minute. But there are situations when you need to see a doctor urgently, for example, a fever or other symptoms that do not require delay.
- When a person finds himself in such a situation that he cannot cope with an illness on his own, he decides to go to see a doctor.
- But, if you can’t go to the clinic on your own due to poor health, then you need to call a doctor at home.
- Every person should remember that health problems may arise when it is impossible to hesitate. In this case, the waiting time for a therapist at home may not be in the patient’s favor. We urgently need to call an ambulance.
- In what cases you need to call the clinic to see a doctor, and in what cases you need to call an ambulance, will be described below.
In the clinic, each therapist and children's pediatrician have their own area. Patients living in the areas assigned to this site must make an appointment only with the doctor who is in charge of that site. So, how to call a doctor at home by phone? There are several ways:
- Call the dispatcher or receptionist your clinic. The specialist will ask for your information: last name, residential address and what concerns you. The doctor will come on the same day.
- Leave a request on the website of the medical institution. In many large cities, patients have the opportunity to use the network to call a doctor at home.
- Visit to the hospital by relatives or friends. It often happens that it is not possible to call the clinic (you have run out of money on your mobile phone and there is no landline phone), then you can ask someone you know who is going to go to the hospital. The person will contact the reception desk and make a call. But to do this, you need to provide your friend with personal information.
Important: The doctor comes on call completely free of charge. You don't have to pay the doctor anything - that's his job. Visiting patients at home, if the application was submitted to the registry, is the direct responsibility of each practicing physician.
Is it possible to call a doctor online, through the State Services website? You can call a doctor at home via the Internet if the clinic has its own online resource. Through the State Services website you can use electronic registration services. Making an appointment or calling a doctor at home is done online.
There are times when you need to call a specialist to your home, but for this you need to have certain indications. If you call the reception and want to make an appointment with a doctor at home (an ENT specialist, an ophthalmologist, a narcologist, a neurologist, a surgeon or a psychiatrist), they will tell you that a therapist will come to your home.
- Calling a specialist directly to your home is only possible for disabled people, veterans and their widows, bedridden patients or elderly people over the age of 80.
- A therapist comes to see other patients. If there are certain indications, the person is sent to the hospital for further examination and treatment.
- If you refuse hospitalization, the therapist makes an entry in a special book at the clinic, and only then a specialist can come to you. During a home examination, the doctor will make an opinion and carry out the necessary manipulations.
For special indications, for example, laboratory assistants can come to a disabled person’s home to take samples.
If you are a citizen of Russia, then you have an insurance policy that provides you with free medical treatment in government clinics. Patients often have a question: which doctors can be called to a child’s or an adult’s home for free?
You can call any doctor from a public clinic for free. But, as mentioned above, a therapist or pediatrician will definitely come to the call. Other doctors make house calls only for special indications of the patient.
Every Russian citizen should have a medical insurance policy. It gives the right to free medical care. Is it possible to call a doctor not according to registration, without registration, if there is no insurance policy?
If you have a policy, but do not live at your place of registration, for example, in another city, you have the right to receive medical care in any clinic in our country.
Important: If you do not have a medical insurance policy and registration in the Russian Federation, you will not be able to seek help from doctors at a state clinic.
But in this case, there is a way out - turning to doctors at private clinics. In such hospitals, admission is provided on a paid basis.
You cannot call a doctor to your home for a fee from a public clinic. This service is only available in a private hospital. The call is accepted by receptionists, you can pay both before and after the appointment.
Fever is not a reason to call a doctor at home. After all, some people with a temperature of 37.2 cannot get out of bed, while others with a temperature of 38 and above feel fine. In general, a temperature of 38 degrees or higher is considered a reason to call a doctor at home. But the main argument that should be heard in a telephone conversation with the registrar is: “I cannot come to the appointment on my own.” This is the basis for calling a doctor at home.
Often patients do not know in what cases they can call a doctor if their blood pressure has increased.
- If pressure readings are within 110-139/70-89 mmHg, this is not critical. Try to put yourself in a calm state and just relax.
- If the indicators are within 140/90 mm Hg, begin to carry out manipulations to reduce pressure. Turn off the TV and bright lights, establish silence.
- When simple procedures to reduce blood pressure did not help, and your health worsens ( pressure has increased to 160/100 mm Hg or higher), call an ambulance. While a specialist is visiting you, take antihypertensive medications and remain in a lying position.
Important: Do not hesitate to call an ambulance if you feel very unwell. Hypertension can cause serious diseases: stroke, heart attack.
An ambulance is called if the patient's condition threatens his life. Accidents, injuries, electric shock, serious poisoning - all this is a reason to call emergency services. With such symptoms, you need to call not your local doctor, but an ambulance:
- Labored breathing
- Bleeding
- Strong headache
- Loss of consciousness, convulsions
- Stomach ache
- Heartache
- Pain in the lumbar region
Remember: Any pain that does not go away and increases progressively is a reason to urgently call an ambulance. Do not hesitate to contact specialists; when many diseases appear or worsen, minutes can count.
A doctor can be called to your home if the temperature persists. When called again, the therapist may refer you to a hospital for treatment, especially if there is no improvement in your health. When the child is called again, the pediatrician prescribes a different treatment: additional therapy, antibiotics, and so on. The pediatrician visits children at home as many times as needed.
As mentioned above, fever is not a reason to call a doctor. If you can come to the clinic on your own, then you should go. If you have blood pressure or simply feel unwell, dizzy and weak, you need to call a doctor.
The registrar accepts calls from 8-00 to 12-00 hours. During this time, all patient calls are collected and then distributed to doctors by area. You can later call a doctor to the child’s or adult’s home, but then the doctor will come in the evening.
Not all clinics provide a doctor's home call on weekends. This is due to a lack of staff. Therefore, these days it is better to call an ambulance station. The emergency team will arrive quickly, and qualified specialists will be able to help.
A pediatrician is on duty at the children's clinic on Saturday and is available from 8:00 to 12:00. If the child’s health allows, you can come with your baby to see the doctor.
An ophthalmologist is responsible for eye health. This is a narrow specialist who usually does not go on calls.
If a child has purulent conjunctivitis, call the reception and have a pediatrician come to your home. The doctor will come and examine the baby. For bacterial conjunctivitis, the pediatrician will refer you to an ophthalmologist. Without this doctor it is difficult to cure such a disease. An adult will have to go to an ophthalmologist without calling.
Chickenpox is a highly contagious disease caused by the herpes virus type 3. Every person is 100% susceptible to primary infection through contact with sick people. Therefore, if you have chickenpox, you need to call a doctor at home, and not go to the clinic.
The doctor will definitely see the symptoms of a cold, if any. A person may not have a fever, but he sneezes, watery eyes, runny nose, and cough. The doctor will also examine the throat of the sick person, and it will be red. Therefore, for any ailments, especially during an epidemic of respiratory diseases, call a doctor at home. He will write out sick leave on the same day.
When treatment is prescribed, a person should recover during illness. But there are situations when the condition worsens: the temperature rises, severe headache and weakness appear. In this case, call a doctor at home even while on sick leave.
Important: If your condition worsens significantly during illness, call an ambulance!
Carrying a child affects a woman's well-being. Therefore, when calling a doctor at home, inform the registrar about your pregnancy. The doctor will come to you first and then to the rest of the patients.
Remember: There is no need to wait for the therapist to come in case of high fever, vaginal bleeding, pain in the lower abdomen, a feeling of tension in the uterus, weakness and dizziness. If these and other painful symptoms occur, call an ambulance immediately!
Often during an epidemic of respiratory diseases, doctors do not have time to attend calls due to their heavy workload. In this case, you need to call again the next day and notify the registrar that the doctor did not come. The doctor must issue a certificate or sick leave from the day he did not come.
If you have indications for calling a doctor at home, call the dispatcher or registrar at the clinic and leave your request and data. Do you have the strength to come to the appointment yourself? Go to the clinic so as not to waste time from yourself and the doctors.
Video: Calling a doctor to your home - in the program “600 seconds about health and beauty”
Some mothers, unknown on what grounds, have formed a strong opinion that a children's clinic is an institution where they go for medical help with a sick child. This is the wrong orientation. It is customary to come to the children's clinic with a healthy baby (consultations, laboratory tests, preventive measures, etc.). And if your child suddenly gets sick, you are obliged to call a pediatrician at home. But it happens that for some diseases (if they are not dangerous to others) you can visit a clinic. The same can be said about visits to some specialized specialists: an ophthalmologist, a neurologist, a dentist, a speech therapist, etc.
In all cases when you have doubts whether you can visit the clinic or should call a doctor at home, call the receptionist of your local clinic. They will probably tell you the right way out.
Immediately after you and your child are discharged from the maternity hospital, documents for the baby are sent to your local clinic from the maternity ward. Based on these documents, an individual development card is created, which is stored in the office of the local pediatrician. Information regarding the physical and mental development of your child is regularly entered into the card, and a calendar of preventive vaccinations is also kept here. If a child is sick, his condition is described in this card. Over time, when your child grows up, this card will be given to you.
Let's go to the clinic.
Preventive appointments with doctors at the clinic and vaccinations are carried out on the day of a healthy child. Theoretically, on this day there are no sick or contagious children; in practice, you should take care of your child and take measures to protect against illness.
Take an assistant with you who will wait in line at the doctor’s office, but in the meantime, take your child for a walk outside. It is advisable that he stay in the clinic for as little time as possible.
Take nasal drops with saline solution with you and give them to your child every 20-30 minutes, as well as when you come home. At home, don’t forget to change clothes and wash your child’s and yourself’s hands and face.
Bring water for your child to drink, a sheet, diaper, and wet wipes with you to the clinic. If your baby is breastfed, dress so that you can comfortably breastfeed if necessary. Dress your child in something that is easy and quick to take off and put on; for a baby up to six months old, wear a light cap in the clinic so as not to catch a cold in the ears.
How do you know if a child is healthy?
When the child is healthy:
the baby is gaining weight well (according to average indicators),
The child has a healthy complexion, clear eyes, and the child is cheerful. The cheeks are elastic and cool.
The child is in a good mood, he is animated, plays, and is interested in everything that surrounds him.
The baby has a good appetite, normal bowel movements, and sleeps peacefully.
When a child gets sick:
The child loses weight (this primarily applies to infants).
The child has a pale complexion or, conversely, burning cheeks, arms, circles, swelling under the eyes, a dull look, a tongue with a white coating.
The child is lethargic and half asleep during the day. Not interested in what is happening around him, does not want to play.
Excited, nervous, crying for no reason, capricious.
The child has poor appetite and sleep.
It is necessary to take the temperature, look at the throat, and check for a rash on the child’s skin.
When should you call a doctor?
For an infant - at the slightest increase in the child’s temperature or at any, even minor, sign of illness, for example, a runny nose.
When symptoms of the disease are visible, for example, red throat, swollen lymph nodes, rash, cough, rapid breathing, chills, vomiting, diarrhea. The smaller the child, the more important it is to show him to the doctor as soon as possible.
In most cases, the child does not require emergency medical care - standard colds and acute respiratory viral infections go away within a few days. But sometimes, behind ordinary symptoms, serious illnesses can be hidden. So when should you call a doctor, and in what cases can you get by with home treatment?
The earlier the disease is identified and treatment is started, the less time it will take to recover. Experienced parents notice at first glance that their child is feeling unwell, even without obvious signs such as fever and an annoying cough.
So, when is it worth paying attention to the child’s condition:
- decreased appetite and refusal of the most favorite/habitual foods;
- change of behavior. Calm children, who usually play with themselves for a long time, suddenly begin to ask to be held and do not leave their parents a single step, and on the contrary, children dependent on parental attention begin to retire alone in the room, curling up on the sofa.
- lethargy, loss of strength;
- drowsiness;
- even a slight increase in temperature.
Try to note even the most minor deviations from the child’s normal behavior. This will help gain time and stop the disease at the earliest stage.
How to understand that a month-old baby is sick?
It is not for nothing that newborn children are usually protected from prying eyes for the first time. And the fear of the evil eye has nothing to do with it - the baby’s developing immunity does not provide the necessary protection and the child can easily catch any virus from the environment. A new mother always worries when her child gets sick, and if symptoms of the disease appear in a month-old baby, fear is added to the usual worries.
Most medications should not be given to a baby, and the reaction to an increase in temperature in such babies can be unpredictable, even leading to seizures and death.
When a month-old baby gets sick, he refuses to eat, becomes capricious and lethargic, and sleeps more than usual.
In addition, you should immediately call a doctor if your child experiences one or more of the following symptoms:
- an increase in temperature above 37.4C or a decrease below 35.5C;
- regurgitation mixed with blood or excessive regurgitation similar to vomiting;
- frequent foamy, watery stools;
- labored breathing;
- wheezing and hoarseness while crying;
- cloudy white of the eye;
- accumulation of abundant mucus in the nose and dry mouth.
How to find out if a child has a temperature if there is no thermometer?
An increase in temperature is the main symptom of infection entering a child’s body.
The most reliable way to determine the temperature is with a thermometer, but if you don’t have one at hand, you can use other methods:
- reddened cheeks and spots on them;
- tearfulness;
- atypical drowsiness, lethargy and loss of appetite;
- hot neck and stomach;
- bright yellow urine.
Cold hands and feet of a baby are the surest sign of fever.
There are two ways to determine a child’s temperature: tactilely or by measuring the pulse rate.
You can use your palm or lips to detect an increase in temperature. Places sensitive to heat are the forehead, armpits, groin area, elbow pits, neck.
A more effective way to determine temperature is pulse rate. When increased, it exceeds the normal value by 15-20 beats per minute. Normal heart rate in children of different ages:
from birth to 1 month - 140 beats per minute;
from a month to a year - 125-130;
1-3 years - up to 125;
3-7 years - up to 110;
7-10 years - up to 90.
Symptoms of a viral disease in children
When the first symptoms of the disease are detected, many people mistakenly attribute them to a common cold. What is fundamentally wrong is that any manifestations of illness, be it a runny nose or fever, are caused by viruses. When hypothermia occurs, a person’s immune defense is reduced and viruses easily penetrate the body, causing illness.
Viral infections differ by type, and naturally their symptomatic manifestations are completely different. But still, the overall picture consists of the following symptoms:
These symptoms (depending on the type of infection) may include a runny nose and nasal congestion, cough, inflammation of the lymph nodes, as well as vomiting and diarrhea. The last two symptoms directly indicate a rotavirus infection.
Symptoms of rotavirus disease in children
Even the most caring parents cannot protect their child from rotavirus. This is due to its high pathogenicity and simple routes of infection. You can catch the “intestinal flu” through dirty hands, unwashed vegetables and fruits, and even ordinary tap water. To avoid dangerous consequences, you need to know the “enemy in person.”
According to statistics, 98% of children have had a rotavirus infection at least once before the age of 3 years.
Rotovirus manifests itself rapidly, symptoms begin to appear one after another, so there is no doubt about infection with intestinal flu if a child has:
- intestinal disorders - diarrhea, diarrhea. The stool has a characteristic greenish or yellow-light green color, watery with a pungent odor;
- repeated vomiting;
- a sharp increase in temperature;
If the disease is not detected in time, due to dehydration, the child may develop complications in the form of loss of consciousness, fever, and convulsions. Severe dehydration can lead to death, so if parents cannot solve the problem on their own dehydration you need to call an ambulance.
How to call a pediatrician from the clinic to your home?
Children get sick often, so the numbers of the ambulance, local pediatrician and children's clinic should be written down in the phone by default. Whose number to dial depends on what happened to the child.
A free call to a doctor from a children's clinic is possible only at the child's place of residence.
To do this, you need to dial the number of the medical institution from 8 am to 12 pm on weekdays. By calling later, you can hope that your request will be transferred to the doctor on duty or you will have to call an ambulance.
Is it possible to call a pediatrician at home in the evening, on Saturday, on weekends and holidays?
Not all children's hospitals allow a doctor to be called to your home on weekends. Most often this is due to a lack of staff, so it is better to clarify how a doctor is called on such days in your city directly at the clinic itself.
IN Saturday and holidays from 8-12 o'clock in the children's hospital there is a pediatrician on duty, to whom you can bring the child yourself if the child is just starting to get sick and the situation does not require emergency permission.
Providing first aid to a child, what is possible and what is not?
It is the duty of every parent to know how emergency first aid is provided in an emergency. In each case, these measures are applied differently; we will look at how to provide first aid for ARVI and rotavirus infection:
- at high fever and vomiting you need to give the child as much warm liquid as possible - fruit drink, a weak solution of tea with lemon, for rotovirus - rehydron solution;
- at temperatures above 38.5C you need to give an antipyretic. For rotavirus, suppositories are preferable, since syrup and tablets may come out with the first attack of vomiting and not give the desired effect;
- at bouts of vomiting The child needs to be placed in an upright position, hugged and placed on your lap, this will help him calm down.
Now about what no need do before the doctor arrives:
- You should not try to rinse the stomach yourself and give any medications without a recommendation (exceptions are activated carbon, smecta, antipyretic drugs);
- there is no need to force a child to eat if he refuses to eat;
- There is no need to panic, children acutely sense the energy of their parents and the symptoms of the disease can sharply worsen.
When should you call an ambulance for a child?
Parents often panic out of nowhere, especially when children are very young and cannot yet report their condition, so it is important to know which symptoms require emergency care:
- feverish state - when the temperature rises above 39.5C and there is no effect from antipyretics, the child may develop a fever, which is dangerous for the child’s brain and can lead to consequences in the functioning of the whole body;
- convulsions - can occur not only against the background of illness, but also against the background of emotional overexcitation (hysteria, crying, sleep disturbances);
- fainting - even a short-term loss of consciousness requires an immediate call for an ambulance;
- sudden barking or croaking cough - can cause swelling of the throat, you should urgently call an ambulance;
- noisy breathing and severe shortness of breath - the surest sign of bronchial obstruction. Requires immediate assistance;
- rash with bruises - may be signs of meningococcal infection, you should immediately call an ambulance.
Features of emergency care for children
The sequence of actions of the emergency doctor depends on the assessment of the symptoms of the sick child’s condition. Before the team arrives, parents should ensure that the doctor has a complete picture of the disease.
For a complete history, you need to prepare information and answer the following questions:
- reason for seeking emergency care;
- circumstances and duration of the disease;
- time when the condition worsened;
- medications used before the doctor arrives;
It is also necessary to prepare the examination room, provide good lighting and completely undress the child before the ambulance arrives.
Emergency first aid for a child, when and how can you help?
Panic and fear in emergency situations are a thankless task. Oohs and ahs and tears will not help a child. Therefore, we abstract ourselves from our own experiences, pull ourselves together and act clearly, following the prescribed algorithm:
- when a child has cold feet and hands at an elevated temperature, it means that "white" hyperthermia . In this condition, you need to apply a cold compress to the forehead, and, along with taking an antipyretic, give the child an antihistamine (Zodak, Fenistil, Suprastin, etc.);
With white hyperthermia, you cannot dry the child; on the contrary, you need to warm him up, put warm socks on his feet, give him something hot to drink and wait until his feet and hands become warm.
- acute laryngotracheitis develops suddenly, so emergency measures must be taken independently before the ambulance arrives: you can give the child heated mineral water or a mixture of mineral water and warm milk.
To relieve symptoms, you can give your child an inhaler with a weak solution of Naphthyzin 0.05% per 1 ml of water
- symptoms rotovirus easily confused with poisoning and acute appendicitis. Therefore, before the doctor arrives, it is strictly forbidden to give the child any medications other than eterosorbents (Enterosgel, activated carbon, Smecta).