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

Hit on the sore spot Express. Cause moral pain, recalling something unseemly, shameful, reprehensible. Nicknames are directly hit on a sore spot and left as a keepsake for posterity and in the coming times, people's tormentors and unkind people ... They began to call the accursed robbers - Vanka Cains; traitors and traitors - Mazepas(S. Maksimov. Winged words). And she again, with even greater force, fell upon Varvara. She shamed her, scolded her, appealed to her conscience ... In general, she beat her in a sore spot, in 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 "Beating on a sore spot" is in other dictionaries:

Hit on the sore spot- to whom. Razg. To inflict moral pain, to remind of what l. dishonorable, shameful, reprehensible. F 1, 23 ...

A PLACE- Hit the seats. Arch. Until now, up to this point. SRNG 18, 128. To be near the place and near the body. Arch. Have permanent job, occupation. AOC 10, 453. To places not so distant. Razg. Iron. In exile, in prison. BMS 1998, 374. Jump out of place. Kar. Turn out to be... Big Dictionary Russian sayings

Lopukhina, Natalya Fyodorovna- State lady of the Empresses Anna Ioannovna and Elizabeth Petrovna. Genus. November 11, 1699, d. March 11, 1763 Lopukhina, nee Balk, was the native niece of Mons: Anna and Vilim, daughter of Modesta Mons. Both by origin and upbringing, she ... ...

Suvorov, Alexander Vasilievich- (Prince of Italy, Count Rymniksky) - 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, grandee of the crown and cousin ... Big biographical encyclopedia

TALK - BESTOLOL- Cross yourself and get some sleep! Bow to Makar, and Makar to seven sides. Started with the spirit and ended with the belly. He sits in trouble, and smokes trouble. Conceived for health, and brought to rest. Not out of the box, not in the box. It does not fit into the box, it does not come out of the box and does not give the box. Neither san ... IN AND. Dal. Proverbs of the Russian people

Sailing the Nile from Cairo to entering the Bahiuda Desert- On the twenty-eighth of September in the afternoon, we, together with the missionaries and their retinue, got into 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, among the Arabs ... ... Animal life

The family of aspid snakes, or asps- In the first family of aspids, we connect snakes with an elongated body, a small head, a valky, moderately pointed body at the end. It is rounded or appears obtusely triangular in cross-section due to a protruding ridge on the back. Nostrils ... ... Animal life

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

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, Moscow Credit Bank (MKB) 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 people think," the letter said, which was sent to their clients at Alfa Capital Management Company.

Under the risk in the first place are issues of subordinated bonds, "which in the event of reorganization" (of the issuing bank), most likely, will be written off completely, "it was specified in the letter, excerpts from which were quoted by Vedomosti. It was noted that the Criminal Code closed the limits on bonds these four banks and advised its clients to “distance themselves from risk by transferring their assets to more reliable participants in the Russian banking system.” The letter was sent on behalf of Sergey Gavrilov, Director of Wealthy Clients at Alfa Capital Management Company.

Representatives of all four banks denied reports of problems. The Central Bank asked the Federal Antimonopoly Service (FAS) to check whether this is unfair competition. Gavrilov was summoned for a conversation at the Central Bank. Alfa Capital itself said that they would check the work of the author of the mailing list 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 about the 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 Binbank is in 12th place. On the same day, August 16, Otkritie Bank published its financial statements, from which it followed that his liquid assets almost halved over the month: from 1.23 trillion to 721 billion rubles (most of the funds were taken from the bank not individuals, and state-owned companies). He eventually dropped to eighth place from sixth.

Alfa Capital called the statement about the banks "private opinion" of the employeeEarlier in the company's mailing list there was information about the difficulties of Otkritie, Binbank, MCB and Promsvyazbank. Clients were advised to transfer assets "to more reliable organizations."

Reporting of MCB, Promsvyazbank and Binbank showed no major problems: there were no significant capital outflows from them.

Can the letter be considered "unfair competition"

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

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

Two more management companies - Aton Management Company and the BCS group declined to comment. Evgeny Malykhin, Director of the Investment Department of Aton Management Management Company, 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 letter could not 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 management company, because you need to answer for your words,” Tvardovsky added.

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

What is wrong with Otkritie Bank, Binbank, MKB and Promsvyazbank

According to the director of Finam Management, the recommendations of the Alfa Capital employee could be based on an analysis of the balance sheets of banks 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 think: this bank is too big to fail (in English -" too big to fail. - Note ed.), and some watch and they see: it’s bad here and here,” the expert noted.

Tvardovsky clarified that he himself did not analyze 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 didn't add anything new. “But in fact, the Central Bank has a lot of leverage in its hands in order to prevent the development of negative dynamics,” Tvardovsky concluded.

"Each of the banks has certain difficulties. But Bean - everyone has been following him for a long time, his 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 don’t need Otkritie to collapse," Losev said. In his opinion, even if something happens to Otkritie, it will be in the nature of a smoother reduction in 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. problems, but these banks also have serious clients and well-connected shareholders," he said.

Is it possible to judge the reliability of banks by ratings

In June-July, Russian and international credit agencies reported downgrading the ratings of all four banks or confirming their not very high level. Thus, in July, ACRA assigned Bank Otkritie 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", the Moscow Credit Bank - "A-". Earlier, in June, the bank's major clients withdrew more than 100 billion rubles of deposits from it.

The international agency S&P in June confirmed the rating of Binbank "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 a "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 a level of "AA" - 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 credit rating of Moscow Credit Bank (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 absolutely critical, the senior director of the analysis group explained to RIA Novosti financial institutions Fitch Ratings Alexander Danilov. “According to the ICD, I don’t see such risks. 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 quotes from the analyst's letter, "the conclusions are biting, harsh, but the evidence base is empty," he said.

In turn, the credit agency "Expert RA" withdrew its rating from MKB at the end of June 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 rating of "ruA" a few days later. It was noted that the bank has a low quality of the loan portfolio, but its size speaks in its favor: indeed too big to fail.

According to Losev, the ratings of international agencies are "largely politicized", while 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 admission to the hospital, the patient is discharged under the supervision of an oncologist and a therapist at a 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, in the future - once a year.

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

Prescriptions for medicines are usually written by the patient's attending physician at the clinic at the place of residence. The medicine must first be prescribed by a doctor, and then a subsidized prescription must be written for it.

Often, clinics refuse to issue a preferential prescription in the absence of drugs in the pharmacy. Such actions are illegal. By current legislation the absence of a drug in a discount pharmacy should not be a reason for refusing a prescription, on the contrary, a prescription is needed to put it on deferred service.

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

the head of a polyclinic whose doctors refuse to issue a preferential prescription;
with a complaint about the actions of doctors, you can contact the drug supply department of the Ministry of Health of the region;
A complaint against the actions of the Ministry of Health can be submitted in writing to territorial body Roszdravnadzor, which exercises control over the provision of medicines to people with disabilities;
to the prosecutor's office with a complaint about non-compliance with the above regulations on the right of a cancer patient to receive preferential medicines.

How to choose a clinic for a cancer patient at the place of residence

As a rule, patients receive medical care in the territorial polyclinic, according to the 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 polyclinic in another area of the city - if the patient does not live by registration or it is more convenient for him to undergo treatment near work.

Step 1. To attach to a new polyclinic, the patient submits an application addressed to the head physician to the polyclinic 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 will not hurt (but not necessarily) temporary registration or a housing contract in a simple writing with the owner of housing or a certificate from the place of work.

Step 2. The new polyclinic and the one that the patient wants to change start a correspondence, as a result of which the patient is informed about the change of health facility with 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 picks up his medical card and brings it to the new health facility himself. And maybe even simpler - the patient is simply recorded for an appointment with a doctor at a new place of residence.

If the patient is registered in one district, but wants to be attached 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 issue 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 patient's compulsory medical insurance policy.

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

They have the right to refuse attachment due to the workload of the clinic, which is the case. In this case, you need to ask the head physician for a refusal in writing and apply with it to the health authority (Ministry of Health or the Department of Health), 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 may influence the decision of the head physician.

As for specialized medical care - an oncology dispensary for inpatient treatment - you can choose it only with a referral from a doctor. In other words, you will have to go to be treated where they will give you 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 State Guarantees Program, and the patient has the right to choose any of these organizations.

The choice of cancer patients by a doctor at the place of residence

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

Treatment of a cancer patient in another city

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

For example, a non-resident 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 CHI program. A non-resident patient can learn about the scope of the basic CHI program at the Territorial CHI Fund.

Attaching a cancer patient to a polyclinic in another city

They do not have the right to refuse to attach because of the workload in the health care facility of another city, otherwise the patient will not be able to receive medical care at all. You need to 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.

In order to receive planned treatment at a specialized oncology dispensary at the place of actual residence in another city, it is necessary, after attaching to a polyclinic, to receive a referral from a general practitioner, oncologist or polyclinic surgeon.

Then the operation and all subsequent treatment in the oncology dispensary will be free of charge. compulsory medical insurance policy. In addition, being attached to a polyclinic will give a disabled patient from another city the opportunity to receive prescriptions for painkillers, including narcotic drugs, which is necessary when a lone cancer patient moves to live with relatives in another city.

James Hadley Chase

Hit the sore spot

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

Akme Detective Agency is the most expensive and prestigious on the East Coast of the United States. Founded six years ago by Vietnam veteran Colonel Victor Parnell, the agency has grown into one of the most prosperous. Parnell turned out to be a shrewd guy and figured 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 spying, and a bunch of other things, except for mutilation and murder.

The twenty detectives are mostly ex-cops and military police. 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 leaks to the press. But if a “leak” does happen, as it happened once, both detectives investigating the case are immediately fired.

Bill, a former deputy sheriff, was short but stocky, with the musculature of a boxer. Once he helped me a lot in one complicated case when I was sent to Seattle to find a missing teenager. As a deputy sheriff at the time, 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 didn't count how many hours he worked, which is important in our business. He provided me with comprehensive information, thanks to which I could fully concentrate on the investigation. When we were not working, he studied the city and was an unsurpassed connoisseur of all the restaurants, nightclubs and other hot places on the coast. Despite his small stature, he could knock down an elephant with a punch.

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

Anderson was writing a letter home, chewing gum, and I put my feet up on the table and thought about Susie.

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

Susie had long, shiny dark hair, gray eyes, and a cheerful, slightly mischievous smile. Her figure was just to my liking: full breasts, thin waist, seductively swaying hips and long legs.

We began dating and now dined together on Wednesdays every week at a modest restaurant where we were treated 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 about three months, until we both realized that we were truly in love with each other. Before Suzy, I had a bunch of different girls, but she meant more to me than any other woman.

One day I gave her the idea of why we shouldn't get married, but she shook her head with her mocking smile and said, “Not now, Dirk. I don't mind, but I have a well-paid job now, and if we get married, I'll have to leave it. Come on, honey, let's wait a bit."

I had to back off. And so today was our Wednesday, and I, daydreaming, 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 quickly walked down the long corridor to her room. The chief was in Washington, and Glenda was in charge of everything.

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 in the chair in front of her. Mrs. Thornsen called. She asks that a detective be sent to her home by twelve o'clock in the afternoon, and then she will tell everything. She warned that she preferred intelligent, decently dressed men.

“Is that why you immediately thought of me?”

“I was thinking about you because everyone else is busy,” Glenda snapped. “Does the name Henry Thornsen mean anything to you?”

- I don't remember anything. What is an important person?

Glenda sighed.

You see, he died. Mrs. Thornsen has been a widow for a year now. She's got huge connections, and she's all stuffed 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. Be with 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 carefully to everything and agree to everything. Did I understand you correctly?

Glenda nodded.

- Exactly. Then tell me everything.

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

“Well, Bill, we got some work to do,” I said. “Mrs. Henry Thornsen asked for a detective to be sent to her. Go to the Herald's Information Desk and dig up everything you can about these Thornsens. I have to be at the old cod at exactly twelve. We'll meet here around four, and don't you dare come empty-handed.

Bill jumped up and down in his chair for joy. He loved this kind of work.

“Bye,” he said, and immediately disappeared.

Three minutes to twelve I was at the Thornsens' house. It was a stately mansion surrounded by two acres of woods and lawns. A bit away from the main entrance was an asphalt parking area. It was one of the few truly secluded houses. The mansion was so large that one would have thought that there were at least fifteen bedrooms in it alone, not to mention living rooms and verandas.

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