How can a cancer patient receive treatment at their place of residence. See what "hitting a sore spot" is in other dictionaries

Hit the sore spot Razg. Express. Inflict moral pain, reminding of something unseemly, shameful, reprehensible. Nicknames directly hit on the sore spot and leave as a keepsake to the descendants and in future times of people's tormentors and ill-wishers ... They began to call the accursed robbers - Vanka Cain; traitors and traitors - Mazepami (S. Maksimov. Winged words). And she again, with even greater force, pounced on Varvara. She shamed her, scolded her, appealed to her conscience ... In general, she hit on a sore spot, on Varvara's pride (F. Abramov. Two winters and three summers).

Phraseological dictionary of the Russian literary language. - M .: Astrel, AST... A.I. Fedorov. 2008.

See what "hitting a sore spot" is in other dictionaries:

Hit the sore spot - to whom. Spread. Inflict moral pain, remind of smth. unseemly, shameful, reprehensible. F 1, 23 ...

A PLACE - Reserved places. Arch. Until now, up to this place. SRNG 18, 128. To be near the body. Arch. Have permanent job, occupation. AOC 10, 453. To places not so distant. Spread. Iron. To exile, to prison. BMS 1998, 374. Jump out of place. Kar. Find out ... Big dictionary Russian sayings

Lopukhina, Natalia Fedorovna - State lady of Empresses Anna Ioannovna and Elizabeth Petrovna. Rod. November 11, 1699, d. On March 11, 1763, Lopukhina, née Balk, was the native niece of the Mons: Anna and Vilima, daughter of Modesta Mons. Both by origin and by upbringing, she ... ...

Suvorov, Alexander Vasilievich - (Prince of Italy, Count of Rymnik) - Generalissimo Russian troops, Field Marshal of the Austrian Army, Grand Marshal of the Piedmontese Troops, Count of the Holy Roman Empire, Hereditary Prince of the Sardinian Royal House, Grand Crown and Cousin ... Big biographical encyclopedia

TOLK - BESTOLOCH - Cross yourself and sleep! Bow to Makar, and Makar to seven sides. He began with the spirit and ended with the belly. He sits in trouble and smokes in trouble. Conceived for health, and brought together for peace. Neither from the box, nor into the box. Does not fit into the box, does not come out of the box and does not give the box. No dignity ... IN AND. Dahl. Russian proverbs

Sailing down the Nile from Cairo to entering the Bahyuda Desert - In the afternoon of September 28, we, together with the missionaries and their retinue, sat in a large comfortable Nile barge, which was already loaded with all our supplies and stood at the Bulak pier. At the usual hour of departure, with the Arabs ... ... Animal life

Family of snakes, or snakes - In the first family of aspids, we connect snakes with an elongated body, a small head, a roll, at the end with a moderately pointed body. It is rounded or appears to be bluntly triangular in cross-section, due to the prominent ridge on the back. Nostrils ... ... Animal Life

MOSCOW, August 17 - RIA Novosti, Maria Saltykova. Otkritie Bank, B&N Bank, Credit Bank of Moscow (MKB) and Promsvyazbank are at risk, by autumn "the situation around them can be finally resolved" management Company Alfa Capital warned its clients in a letter sent on August 16. Later, the bank's press service reported that "this was the opinion of the company's private manager." Whether it can be considered "unfair competition" and whether the four indicated banks have any signs of instability - in the RIA Novosti article.

What risks were warned about in the letter to Alfa Capital

“We continue to receive more and more public and non-public information about problems within a whole group of banks: FC Otkritie, Bina, Credit Bank of Moscow (MCB) and Promsvyazbank. There is a high probability that the situation around them can be finally resolved this fall , and not after the presidential elections in Russia in 2018, as many think, "- said in a letter that was sent to their clients in the Alfa Capital Management Company.

Primarily at risk are the issues of subordinated bonds, "which, in the event of reorganization" (of the issuing bank), are likely to be written off in full, "the letter said, excerpts from which were cited by Vedomosti. of these four banks and recommended to its clients “to distance themselves from risk by transferring assets to more reliable participants in the Russian banking system.” The letter was sent on behalf of Sergey Gavrilov, director of work with wealthy clients of Alfa-Capital.

Representatives from all four banks have denied the reported concerns. The Central Bank asked the Federal Antimonopoly Service (FAS) to check if this is not unfair competition. Gavrilov was summoned for a conversation at the Central Bank. Alfa Capital itself said that it would check the work of the mailing list author for compliance with internal procedures, company standards and professional competence. They also said that they do not have any non-public negative information regarding all four banks, and the letter on risks is "the personal point of view of an individual employee and in this case does not correspond to the position of the company."

All four banks indicated in the letter are in the top 15: according to RIA-Rating, as of July 1, Otkritie Bank was in sixth place in terms of assets, Promsvyazbank was in ninth (both banks are among the backbone banks), MKB is in tenth place and B&N Bank is in 12th place. Otkritie Bank on the same day, August 16, published its financial statements, from which it followed that its liquid assets had almost halved over the month: from 1.23 trillion to 721 billion rubles (most of the funds were not taken from the bank individuals, and state-owned companies). As a result, he dropped to eighth place from sixth.

Alfa-Capital called the statement about banks the employee's "private opinion"Earlier in the mailing list of the company there was information about the difficulties of Otkritie, B&N Bank, MKB and Promsvyazbank. Clients were advised to transfer assets "to more reliable organizations".

The reports of MKB, Promsvyazbank and B&N Bank did not show any major problems: there were no significant capital outflows from them.

Can a letter be considered "unfair competition"

"Sending such letters is 'pure marketing', - said RIA Novosti general director Sputnik Capital Management Company Alexander Losev. According to him, the management company "has the authority from clients to independently make certain investment decisions within the framework of asset management, therefore it never sends recommendations to its clients to sell, buy, run away, and so on."

"Any advice from a financier should be based on real numbers and facts, on financial results company activities, data on debts and revenues, on the basis of which a conclusion is made about fair value asset and a recommendation is given to buy, hold or sell securities of certain companies or banks ", - explained Losev.

Another two management companies - Aton Management Company and BCS Group declined to comment. Yevgeny Malykhin, director of the investment department of Aton Management, said that the story "is so sensitive for the market and for colleagues that the less you say the better." Finam Management managing director Vladimir Tvardovsky, in turn, pointed out that the mailing of a letter cannot be considered "unfair competition" if it was sent to a limited number of clients who signed a non-disclosure agreement.

"But if such information could potentially be available to a wide range of people, this is an unpleasant situation for both the analyst and the Criminal Code, because you need to answer for your words," added Tvardovsky.

The letter was probably sent by an employee of the sales department, and not by an analyst, says Vyacheslav Putilovsky, junior director for bank ratings at Expert RA. According to him, the tasks of the "sales" include consultations on the acquisition, holding, sale of securities and other assets - the so-called trading ideas. "Within the framework of his competence, he could recommend anything to clients, this is his job, and clients could or may not follow the recommendations," the expert noted.

What's wrong with Otkritie Bank, B&N Bank, MKB and Promsvyazbank

In the opinion of the director of the MC Finam Management, the recommendations of the employee of Alfa-Capital could be based on the analysis of the banks' balances published before August 16. “You can see a lot in the dynamics, it's another matter that many people prefer not to watch, some analysts believe: this bank is too big to fail (translated from English -“ too big to go bankrupt. ”- Ed.), And some are watching and they see: it's bad here and here, "the expert noted.

Tvardovsky clarified that he himself had not analyzed the balance sheet of Otkritie Bank, so he could not say anything about its prospects. At the same time, the information contained in the letter, according to him, for the participants financial market added nothing new. “But in fact, the Central Bank has a lot of leverage in its hands to prevent negative dynamics from developing,” concluded Tvardovsky.

“Each of the banks has certain difficulties. But Bean - everyone has been following him for a long time, its owner (Mikhail Gutseriev. - Ed.) Has at least Russneft. And Otkritie has good partnerships with VTB and a number of other large banks, I think, they do not need the collapse of Otkritie, "Losev said. In his opinion, even if something happens to Otkritie, it will have the character of a smoother reduction in assets, and the bank will simply will move from the top 10 to the top 20. MKB and Promsvyazbank have a different business than the first two: they are universal banks, although they also invest in real estate and development projects. "It's no secret that there are certain problems, but these banks also have serious clients and shareholders with connections, "he said.

Is it possible to judge the reliability of banks by ratings

In June-July, Russian and international credit agencies reported that the ratings of all four banks were downgraded or that they were not very high. Thus, in July, ACRA assigned Otkritie Bank a BBB- rating with a stable outlook. This deprived the bank of the opportunity to attract funds from the federal budget and NPFs. It was reported that this is the first time that the agency has assigned such a low rating to a private systemically important bank. For comparison: the rating of "Alfa-Bank" is at the level of "AA", of the Moscow Credit Bank - "A-". Earlier, in June, large clients of the bank took more than 100 billion rubles of deposits from it.

The international agency S&P in June confirmed the rating of B&N Bank "B" with a "stable" outlook. At the same time, analysts identified two main risks: the first is an interbank loan of 563 billion rubles, and the second is a high share of construction and real estate with "significant risk" in the loan portfolio (18.4% at the end of 2016). At the same time, the National Rating Agency (NRA) in December 2016 assigned it the "AA" level - reliable. Two agencies accredited by the Central Bank - ACRA and Expert RA - did not assign a rating to the bank.

In June, the Fitch rating agency downgraded the rating of Credit Bank of Moscow (MCB) from BB to BB- with a stable outlook (the agency does not rate the other three banks). At the same time, the state of the institution cannot be called completely critical, the senior director of the analysis group explained to RIA Novosti. financial institutions Fitch Ratings Alexander Danilov. "I do not see such risks in the ICB. The bank has" sores ", like many others, but nothing that would require a sharp intervention," he said. According to him, this is not the worst rating for Russia. As for the quotes from the analyst's letter, "the conclusions are biting, tough, but the evidence base is empty," he said.

In turn, the credit agency "Expert RA" at the end of June withdrew its rating from MKB without confirmation (before that, in May, it was assigned at the level of "ruBBB-" with a stable outlook). It was reported that the bank did not provide the necessary reporting for the assessment. Promsvyazbank received a ruA rating a few days later. It was noted that the bank has a low quality loan portfolio, but its size speaks in its favor: really too big to fail.

According to Losev, the ratings of international agencies "are largely politicized," at the same time, the methodology of Russian rating agencies not too transparent. And to draw conclusions about whether it is worth using the services of a bank for a client, one can only consider the ratings of rating agencies in combination with other indicators.

After antitumor treatment, which is carried out in courses with periodic registration in a hospital, the patient is discharged under the supervision of an oncologist and therapist of the polyclinic at the place of residence.

It is necessary to undergo an examination during the first year - once every three months, during the second year - once every six months, then - once a year.

How can a cancer patient get their medicine at their place of residence?

Prescriptions for medicines, as a rule, are written by the patient's attending physician at the polyclinic at the place of residence. The drug must first be prescribed by a doctor, and then a prescription must be given for it.

Often polyclinics refuse to write a preferential prescription in the absence of drugs in the pharmacy. Such actions are illegal. According to the current legislation, the absence of a medicine in a subsidized pharmacy should not be a reason for refusing to issue a prescription, on the contrary, a prescription is needed to put it on deferred service.

Where to complain if medicines were denied at the place of residence

to the head of a polyclinic whose doctors refuse to issue a prescription for a preferential treatment;
with a complaint about the actions of doctors, you can contact the department of drug supply of the Ministry of Health of the region;
with a complaint about the actions of the Ministry of Health, you can apply in writing to the territorial body of Roszdravnadzor, which monitors drug provision for disabled people;
to the prosecutor's office with a complaint about non-compliance with the above normative acts on the right of a cancer patient to receive preferential drugs

How to choose a local clinic for a cancer patient

As a rule, patients receive medical care at the territorial polyclinic, at their place of residence, but according to the law, the patient has the right to choose a medical organization and a doctor. You can choose a clinic in another area of \u200b\u200bthe city - if the patient does not live by registration or it is more convenient for him to undergo treatment near work.

Step 1. To join a new clinic, the patient submits an application addressed to the head physician at the clinic where he wants to be treated, presenting his passport and compulsory medical insurance policy. The application shall indicate the place of actual residence, place of registration. Therefore, it does not hurt (but not necessary) a temporary registration or a rental agreement in idle time writing with the owner of the home or a certificate from the place of work.

Step 2. The new clinic and the one that the patient wants to change start a correspondence, as a result of which the patient is notified of the change of medical facility with the notification of the insurance company.

In practice, it often happens differently. If the answer to the application for attachment is positive, then the patient either writes an application for detachment to the old clinic, or takes his medical record and brings it to the new health facility himself. And it may be even simpler - the patient is simply made an appointment with a doctor at a new place of residence.

If a patient is registered in one area, and wants to attach to the clinic at the place of work, then it must be borne in mind that the doctor may not come to the house on call.

Therefore, the question of visiting a patient at home should be clarified in advance with the head physician of the new clinic and with the insurance company that issued the compulsory medical insurance policy to the patient.

What to do if a cancer patient is denied registration at the place of residence

They have the right to refuse to attach because of the workload of the clinic, which is the case. In this case, you need to request a written refusal from the head physician and apply to the health management body (the Ministry of Health or the Health Department), the insurance company, TFOMS. They will check whether there really are no more places in the clinic and whether it is permissible to make an exception. In some cases insurance Company can influence the decision of the head physician.

As for specialized medical and sanitary care - an oncological dispensary for inpatient treatment - it can only be chosen by a doctor's referral. In other words, you will have to go for treatment where you will be given a referral in the clinic. However, when issuing a referral, the attending physician is obliged to inform the patient about all medical organizations that participate in the implementation of the Territorial program of state guarantees, and already from these organizations the patient has the right to choose any one.

Choosing a doctor at the place of residence for cancer patients

The patient can choose a doctor with the consent of the doctor by submitting an application addressed to the head of the medical organization and indicating the reason for the replacement. And the leader is obliged to assist in this.

Treating a cancer patient in another city

The right to receive medical care - both outpatient and inpatient care - free of charge at the place of your actual residence and work in any city is provided by the law and the compulsory medical insurance policy, which is a document certifying the right of the insured person to free medical care throughout the territory Russian Federation... The rights of such patients are especially often violated in Moscow.

For example, a nonresident patient will receive planned medical care in a hospital, but he will not be able to do some types of complex planned operations under the policy, since they may not be included in the basic compulsory medical insurance program. A nonresident patient can find out about the scope of the basic CHI program at the Territorial CHI Fund.

Attaching a cancer patient to a clinic in another city

They do not have the right to refuse to enroll due to the workload in a medical facility in another city, otherwise the patient will not be able to receive medical care at all. You must complain about the refusal to attach to the representative office of the medical insurance company in the city of temporary residence, to the TFOMS, to the regional health authority.

To receive planned treatment in a specialized oncologic dispensary at the place of actual residence in another city, it is necessary, after attaching to the clinic, to receive a referral there from a general practitioner, oncologist or a surgeon of the clinic.

Then the operation and all subsequent treatment in the oncological dispensary will be carried out free of charge under the compulsory medical insurance policy. In addition, attachment to a polyclinic will give a disabled patient from another city the opportunity to receive prescriptions for painkillers, including narcotic drugs, which may be necessary when a lonely cancer patient moves to another city with relatives.

James Hadley Chase

Hit the sore spot

My name is Dirk Wallace. I am not married, forty years old, tall, dark-haired, and my face still does not frighten children. I am one of twenty detectives at the Acme Detective Agency, which is located under the very roof of the Truman Building on Paradise Avenue in Paradise City, Florida.

Detective Agency "Akme" - the most expensive and prestigious on the east coast of the United States. Founded six years ago by Vietnam War veteran Colonel Victor Parnell, the agency has grown to become one of the most prosperous. Parnell turned out to be a shrewd fellow and reasoned that sooner or later the billionaires who live in abundance in Paradise City would need a first-class detective agency. Our agency specializes in divorce, blackmail, extortion, hotel theft, spousal spousal surveillance and a bunch of different things, excluding only mutilation and murder.

The twenty detectives are mostly former cops and military police officers. They all work in pairs. Each couple has their own office, and no one interferes with the work of their colleagues, unless it is dictated by extreme necessity. Thus, almost nothing is leaked to the press. But if a "leak" does happen, and this happened once, both detectives investigating the case immediately quit.

Bill, a former deputy sheriff, was short, but dumpy, with the muscles of a boxer. Somehow he helped me a lot in a confusing case when I was sent to Seattle to find a missing teenager. As a deputy sheriff then, he really wanted to get into our agency. Thanks to his help, I managed to "split" this business, and I, in turn, helped him get into the agency.

Bill Anderson was a godsend for me in every way. He did not count how many hours he worked, but in our business this is important. He provided me with comprehensive information, thanks to which I could fully focus on the investigation. When we were not working, he studied the city and was an unsurpassed connoisseur of all restaurants, nightclubs and other hot spots on the coast. Despite his small stature, with a blow of his fist, he could knock down an elephant.

This July morning we sat in the office and were exhausted from idleness. It was raining and everything was damp. There were few people in the city at this time of year. Young people have left somewhere, and rich visitors and tourists appear only in September.

Anderson, chewing gum, wrote a letter home, and I threw my feet on the table, thinking about Suzy.

Suzy Long worked as a receptionist at the Bellevue Hotel. Once I was inquiring about a guy who was staying at this hotel, as he was suspected of blackmail. I explained the situation to her and she helped me gather enough evidence to put the rogue behind bars for five years.

Susie had long, shiny dark hair, gray eyes and a cheerful, slightly mischievous smile. She had a figure just for my taste: full chest, thin waist, seductively swaying hips and long legs.

We began to meet and now every week on Wednesdays we dined together in a modest restaurant, where they treated them to seafood, unless, of course, she had a night shift at the hotel. From there we went to her small apartment, where we had fun on her too narrow bed. This went on for three months, until we both realized that we were truly in love with each other. Before Susie, I had a bunch of different girls, but she meant more to me than any other woman.

Once I gave her an idea why we shouldn't get married, but she shook her head with her mocking smile and answered: “Not now, Dirk. I don't mind, but I have a well-paying job now, and if we get married, I'll have to leave it. Come on, dear, let's wait a little with this.

I had to retreat. And so today was our Wednesday, and I, dreaming, was looking forward to a sweet evening turning into a blissful night, when suddenly the buzzer buzzed.

I pressed the selector button and said:

- Wallace is listening.

- Come, please, to me.

I walked quickly through the long corridor to her room. The chief was in Washington, and Glenda was in charge.

I knocked on the door and entered. She sat at her desk in an immaculate white blouse and black skirt.

“I have a task,” she said as I sat down on a chair in front of her. “Mrs. Thornsen called. She asks that the detective be sent home to her by noon, and then she will tell everything. She warned that she prefers intelligent, decently dressed men.

“Is that why you immediately thought of me?

“I thought of you because everyone else is busy,” Glenda rapped out. "Does Henry Thornsen's name tell you anything?"

- I don’t remember. Is this an important person?

Glenda sighed.

- You see, he died. Mrs. Thornsen has been a widow for a year. She has huge connections and is filled with money. So it must be handled with the utmost care. I only know that she is not an easy person. Go find out what happened to her. She handed me a piece of paper across the table. - Here is the address. Have her at exactly twelve. Thornsen's money will be very useful to us now, so get along with her, please.

- I will go to her, listen to everything carefully and agree to everything. Did I understand you correctly?

Glenda nodded.

- Exactly. Then tell me about everything.

The phone on the desk rang, so I got up, took this piece of paper, and returned to my office.

“Well, Bill, we got a job,” I said. “Mrs. Henry Thornsen asked me to send her a detective. Head to the Herald Information Department and unearth everything you can about these Thornsen. I have to be with the old cod at twelve sharp. We'll meet here around four, and don't you dare come empty-handed.

Bill even jumped in his chair for joy. He just loved this kind of work.

"Bye," he snapped, and immediately disappeared.

At three minutes to twelve I was at the Thornsen house. It was a stately mansion surrounded by two acres of forest and lawns. There was an asphalt parking area a little off the main entrance. It was one of the few truly secluded houses. The mansion was so large that one would have thought it had at least fifteen bedrooms alone, not to mention living rooms and verandas.

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