Treatment of which diseases is within the competence of a general practitioner?

The section of medicine called “therapy” is aimed at studying, diagnosing, developing a system of conservative treatment, prevention and rehabilitation, studying the pathogenesis and etiology of various internal diseases and their clinical manifestations. The field of therapy includes the study of diseases of the cardiovascular system, respiratory system, digestive tract, connective tissue, kidneys, liver, endocrine system, as well as infectious diseases. Accordingly, a therapist is a general practitioner whose competence includes studying the cause-and-effect relationship of the mechanisms of disease of internal organs and systems. He deals with their diagnosis, treatment, prevention and, if necessary, refers the person to a more specialized specialist, for example, a pulmonologist or cardiologist.

The profession of a therapist is in great demand in the field of healthcare, since it is he who carries out the initial appointment and physical examination of the patient, and, based on the existing symptoms, determines which specialist should deal with this disease, including a surgical focus.

Areas of activity: what does a therapist do?

It is the therapist who is the “first line” of help to whom a person with alarming symptoms and suspicion of the presence of a disease goes. In the process of interaction with the patient, the doctor carries out a whole range of measures to help the patient.

First of all, the therapist begins to collect anamnesis, that is, conducts a survey and carefully studies the information obtained as a result in order to establish a general picture of the symptoms.

The next stage of communication with the patient involves a physical examination, during which palpation and percussion of the organs of the thoracic and abdominal cavities, retroperitoneal space, auscultation of the lungs, heart and great vessels are carried out.

It is the therapist who maintains the primary medical documentation - the patient’s outpatient record, which reflects the entire history of the disease, the diagnostic methods used and the prescribed treatment regimens, and also determines the degree of temporary disability and the need to open a sick leave. Mainly participates in medical examinations or medical examinations of the working and non-working population, issues various medical certificates, exemptions and conclusions in the medical record book.

The therapist’s area of ​​competence also includes establishing the need for hospitalization of the patient already at the first stages of the examination.

Organs and parts of the body treated by therapists

• organs of the respiratory system;
• heart and blood vessels;
• kidney and urinary system;
• endocrine system;
• circulatory system;
• joints and muscles;
• connective tissues.

What diseases does a general practitioner treat?

Most diseases, if they do not require surgical intervention by a surgeon, can be diagnosed and observed by a therapist, for example:

• heart failure, anemia, post-infarction conditions;
• nephritis, cystitis, pyelonephritis;
• initial stages of chronic kidney disease;
• thyroid diseases, diabetes, metabolic disorders;
• pancreatitis, gastritis, duodenitis, cholecystitis, biliary dyskinesia and other destructive changes in the gastrointestinal tract;
• arthrosis, arthritis, osteochondrosis, sprains, injuries and bruises;
• pneumonia, bronchitis, bronchial asthma, chronic obstructive pulmonary diseases, pneumoconiosis;
• ARVI and other respiratory infections of the upper respiratory tract;
• connective tissue dysfunction.

In addition, the general practitioner diagnoses and studies the symptoms that accompany many diseases, namely:

• drowsiness;
• increased irritability;
• chronic fatigue;
• swelling;
• depressive states;
• sleep disorders;
• febrile syndrome;
• rashes on the body of unknown etiology;
• headaches and pain syndromes without clear localization.

Who is a primary care physician and what does he do?

The local physician is a key link in the system of medical care for the population.

This doctor takes a major part in the healing of the entire adult population living in a specific territory - an area that is assigned to him, and, for this reason, local therapists can be called family doctors, because they constantly interact with the same circle of people, are familiar with their living conditions, lifestyle, and previous illnesses. Thanks to this, the local therapist can more quickly and accurately predict the possible causes of certain diseases in a particular person.

The local doctor maintains dispensary records and observation of chronic patients, monitors the timely implementation of preventive measures, vaccinations, carries out primary diagnosis of the disease, prescribes and carries out rehabilitation and preventive measures. After the patient’s recovery, the patient’s condition and ability to work are assessed and he is given a certificate of incapacity for work or a certificate of exemption to be presented at his place of study or work.

Consultation with a therapist for pregnant women

After the obstetrician-gynecologist, the second most important examination of pregnant women occurs with a therapist. As a general rule, consultation with this doctor occurs at least twice - when registering for pregnancy monitoring, and at the thirtieth week. A woman comes to an appointment with a doctor with ready-made blood tests, urine tests, a coagulogram, blood biochemistry, and she also first needs to undergo an electrocardiography procedure.

During the examination, the doctor collects information about past illnesses, examines medical documentation and test results: this way the doctor can determine the presence of any pathologies or dysfunctions of the body that are not related to the state of pregnancy. If any chronic diseases are detected that may pose a danger to the unborn child, the therapist may decide to hospitalize the woman in a hospital.

When examining a pregnant woman, the therapist must be very attentive to all manifestations indicating the possible presence of diseases or abnormalities in the functioning of organs and systems, because any health problems of the expectant mother can negatively affect the development of the fetus. Another feature of examination and treatment of pregnant women is that women in such a special situation are not allowed to take all medications, and some research methods, for example, radiography, are not recommended for use with them at all.

Various complications during pregnancy, such as anemia, hypertension, toxicosis, hypoxia, require systematic monitoring by a physician and the prescription of appropriate medications approved during pregnancy.

What symptoms should you consult a therapist for?

In the normal state of a person, the presence of some deviations is sometimes allowed, for example, a rare feeling of fatigue or the appearance of muscle pain after too intense physical activity. However, it is important to understand and distinguish those manifestations and sensations that may be signs of an incipient disease. So, the reasons for contacting a therapist are:

• causeless weight loss;
• chronic fatigue, which occurs constantly over a long period of time;
• increased fatigue, when even the usual everyday stress causes rapid malaise;
• pain of any localization;
• tinnitus, unmotivated weakness, numbness of the limbs;
• characteristic primary signs of diseases, for example, runny nose, sore throat during ARVI;
• constant low-grade fever or sudden increase in temperature;
• changes in the external characteristics of urine and feces;
• decreased concentration and attention.

Other painful conditions, a feeling of heaviness, physical or mental discomfort are also indications for visiting a therapist. You can get an appointment and consultation with a doctor at a clinic or hospital.

If the symptoms of the disease are accompanied by a very high temperature or a marked deterioration in health, a doctor is called to the home for an initial examination and decide whether the patient needs to be admitted to a hospital or remain at home for treatment.

What examination and treatment methods does the therapist use?

In addition to the initial examination and questioning of the patient, to make a diagnosis, the doctor must collect all objective information about the current state of the body. For this purpose, the therapist prescribes some laboratory tests. Based on the results of a general urine test, it is possible to determine the condition of the organs of the urinary system, as well as diseases of other organs and systems, manifested in the detection of certain elements in the urine sediment.

• A general blood test shows the number of blood cells, from which one can conclude that there are inflammatory processes of a viral or bacterial nature in the body, as well as blood diseases, allergic reactions or suspicion of malignant processes.
• Stool analysis can show the presence of pathogenic microflora, parasites or helminths.
• The doctor may also prescribe a blood sugar test if diabetes is suspected.
• In addition, therapists use other functional methods for diagnosing diseases:

• ultrasonography;
• radiography;
• electrocardiogram;
• fluorography;
• CT scan;
• digital mammography;
• Magnetic resonance imaging;
• other ways of examining the patient.

Further actions taken by the therapist consist of making a diagnosis, after which the doctor decides whether he can continue further treatment of the patient on his own, or whether it is necessary to refer the patient to a specialist. For example, when identifying ailments that require surgical intervention, the surgeon is directly involved in the treatment process and makes the decision to perform the operation.

The therapist does not prescribe surgical treatment methods; his competence includes the development of a conservative treatment plan with the prescription of appropriate medications in different forms - tablets, syrups, suspensions or solutions for intramuscular and intravenous administration. Also, if indicated, the doctor writes out a referral for physical therapy procedures, such as electrophoresis, magnetic therapy, ultrasound, quartz treatment, exercise therapy and massage.

As a preventative measure, the therapist can determine the order of adult vaccinations.

For patients who have undergone medical or surgical treatment, the doctor prescribes rehabilitation measures, including massage courses, special procedures, physical therapy, and also gives recommendations on limiting physical and work activity, creating a diet, sleep and rest.

Recommendations from therapists to strengthen the body’s overall resistance

In most cases, preventing the onset and development of the disease is easier than treating it in its active stage. Considering the modern lifestyle of people, in which there is often a lack of basic physical activity, doctors advise following simple rules to maintain the tone of the muscular corset and musculoskeletal system, as well as satisfactory function of the immune system.

Physical inactivity is a phenomenon that accompanies modern man due to a sedentary lifestyle. Those who spend most of the day in the office or at home at the computer in a passive state simply need regular exercise. This could be training in the gym, morning exercises lasting 10-15 minutes, special physical therapy, yoga or walking in the fresh air.

Light hardening will also not harm the body if you accustom yourself to it gradually. Contrast showers, visits to baths and saunas, dousing with cold water and wiping with snow, provided there are no contraindications, help to invigorate and tone up the body's defenses.

Medvedeva Larisa Anatolyevna

Specialty: therapist, nephrologist.

Total experience: 18 years.

Place of work: Novorossiysk, medical center "Nefros".

Education: 1994-2000 Stavropol State Medical Academy.

Training:

1. 2014 – “Therapy”, full-time advanced training courses at the Kuban State Medical University.
2. 2014 – “Nephrology” full-time advanced training courses at the State Budgetary Educational Institution of Higher Professional Education “Stavropol State Medical University”.

Source: https://FoodandHealth.ru/vrachi/terapevt/

What is the competence of a general practitioner?

Upon entering the clinic, the patient is immediately sent to a general practitioner. His specialization includes a clear list of diseases. The main task of the therapist is correct diagnosis. Often this specialist will write a referral to a specialized doctor for further examination.

What diseases does the therapist treat?

• blood;
• metabolism;
• gastrointestinal tract;
• bronchi and lungs;
• kidneys and genitourinary system;
• of cardio-vascular system;
• connective tissue;
• spine and joints;
• hematopoietic organs;
• acute respiratory infections, acute respiratory viral infections

You can also contact a therapist with neurological disorders and such a common problem as chronic fatigue. In general, the therapist covers different systems and organs of the human body.

How to understand what you need to see a therapist

• Pain is felt in different parts of the body;
• Presses or pulls in a certain place;
• There is discomfort and constant fatigue;
• Concentration decreases, absent-mindedness and forgetfulness increase;
• Blood is noticed in the urine or stool.

Well-being is influenced not only by natural factors and age-related changes. Your body signals a problem in every possible way. Therefore, you should not ignore obvious symptoms.

Diagnostic methods

Modern therapy has at its disposal a wide range of diagnostic, prevention and treatment tools for various diseases. This doctor can independently determine the following diseases:

• Anemia;
• Diseases of the gastrointestinal tract, liver and gall bladder;
• Atherosclerosis;
• Diseases of the bronchi and lungs;
• Osteoporosis;
• Cold.

Also in his practice, the therapist conducts cardiac risk tests, ECGs, food allergy tests and other types of diagnostics.

Our clinic employs general practitioners who specialize in general diseases. Almost all medical areas are in their area of ​​competence.

If you experience any symptoms of illness: dizziness, nausea, drowsiness, contact your general practitioner for a comprehensive diagnosis.

You will be prescribed laboratory tests and given referrals to see highly specialized doctors for subsequent treatment.

Therapists at the Caring Doctor clinic

Source: https://zabdoctor.ru/interestnoe/chto-vhodit-v-kompetenciyu-vracha-terapevta/

Therapist

The general practitioner is one of the key figures in modern clinical medicine.

This is a general specialist with a rich medical outlook and deep encyclopedic knowledge, possessing a number of special knowledge and skills that help him competently carry out primary diagnosis, prescribe preventive measures, analyze the results of additional studies and prescribe correct, effective treatment.

The need to consult a therapist

In the life of almost every person, sooner or later health problems arise that entail the need to receive qualified advice or even medical care.

If ailments appear, complicated by pain in the abdominal cavity or chest, fever, insomnia, aching joints, weakness or other uncomfortable conditions, and the nature of these phenomena is difficult to determine, you should see a therapist.

In this situation, consulting a therapist is the right choice, since his responsibilities include conducting primary diagnostic measures, prescribing extended diagnostics if necessary, analyzing the results obtained and deciding on further actions.

At the appointment, the therapist performs an initial examination and collects an anamnesis, that is, finds out the details of the patient’s lifestyle, the individual characteristics of his body, hereditary predispositions, and clarifies the details of the onset and course of the disease.

Based on the information received during the initial consultation, the therapist makes a preliminary assessment of the patient’s health status and prescribes an appropriate examination, and, if necessary, refers for consultation to specialized specialists.

As an additional examination, the therapist may prescribe the following procedures: clinical and biochemical blood tests; radiography of bones, joints and organs of the chest, ultrasound of the abdominal cavity, FGDS, ECG and some other diagnostic measures.

Based on the test results, survey data obtained and the opinions of specialized specialists, the therapist makes a diagnosis and prescribes a course of medication and physiotherapeutic treatment, or refers the patient for treatment to a specialized specialist.

Subsequent consultations with a therapist are carried out as necessary in order to monitor the progress of treatment and subsequent rehabilitation.

Local therapist

A special category of doctors are local therapists. These are the “number one” doctors, the specialists who are the first to encounter the manifestations of ill health in the majority of people in our country. From this point of view, such a general practitioner is the most important, key link in the healthcare system.

Their patient circle includes approximately the same people over a long period of time. To some extent, local therapists are family doctors, since they know the medical histories of most patients who permanently reside in their areas.

As a rule, a local doctor is familiar with the patients’ living conditions, their lifestyle, hereditary predispositions and other factors that can complicate the patient’s condition, and therefore, faster than a regular general practitioner, he can predict the causes of the disease and take measures to eliminate them.

The competence of the local therapist includes the initial diagnosis of the disease, the prescription and implementation of treatment and preventive measures necessary for the treatment of seasonal infectious diseases of mild and moderate severity, as well as some other diseases, the treatment of which is carried out at home and does not require hospitalization. After the patient has recovered, the local therapist assesses the degree of his ability to work and issues a sick leave certificate - a document certifying the fact of illness and provided at the patient’s place of work.

Responsibilities of a local therapist

The responsibilities of a local physician include:

• be well prepared to perform the main functions of a local therapist: organizational, diagnostic, advisory, preventive, therapeutic and rehabilitation;
• competently combine thorough theoretical training with practical therapeutic skills, continuously engage in self-education, improving and increasing one’s professional competence;
• navigate modern sources of scientific and technical information and use the acquired knowledge in practice;
• as necessary, prescribe additional special research methods: laboratory tests, fluoroscopy, functional studies;
• if necessary, refer the patient for consultations with specialized specialists;
• determine the degree of disability of the patient or refer him for examination of temporary disability;
• organize rehabilitation activities for patients in need;
• identify infectious diseases in the early stages, notify the SES about the infection and implement the necessary anti-epidemic measures;

Besides,

• the therapist must establish indications for hospitalization of the patient and take organizational measures for its implementation;
• according to the established procedure, the local doctor must organize and carry out preventive vaccination and deworming of residents in the area entrusted to him;
• must organize and implement a set of measures for medical examination of adults living on his site, i.e. conduct preventive examinations, determine the need for therapeutic and preventive measures, draw up and maintain medical documentation, make timely reports on the work done;
• a general practitioner working at the site must be able to make a preliminary diagnosis and provide all possible first aid in case of emergency conditions of patients specified in the job description;
• at the initial appointment, the therapist must be able to correctly prescribe a set of necessary treatment and preventive measures;
• the local therapist must have strong skills to carry out a number of manipulation procedures specified in the job description.

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Source: https://www.neboleem.net/terapevt.php

Profession therapist: what he does, how a doctor works

The profession of a therapist is one of the most in demand in medicine. The therapist conducts the initial appointment with patients, prescribes treatment, and, if necessary, writes out referrals to specialists of a narrow profile. If the patient does not know which doctor he should see, then he should start with a visit to the therapist.

What does a therapist do?

The responsibilities of a general practitioner include:

• collecting anamnesis (obtaining information about the patient’s illness, studying complaints about health, medical history);
• the use of objective examination methods (examination of the patient, including by tapping cavities (percussion), listening to the lungs (auscultation), palpating organs (palpation));
• identification of special research methods (for example, laboratory, x-ray);
• entering information about the patient’s diagnosis and treatment into his medical record;
• determining indications for hospitalization (for example, if surgery is required);
• identification of risk factors for the development of chronic diseases;
• registration of sick leave;
• prescribing the necessary medications, procedures and other therapeutic measures.

How does a therapist work?

At the appointment, the therapist asks the patient about complaints about his health, finds out the reasons for previous visits to medical institutions, studies his medical history (collects anamnesis), and conducts an examination.

After the initial consultation, the doctor directs the patient to the necessary tests (for example, do a blood test, urine test, take a cardiogram, measure blood pressure).

Based on the results of the examination, after studying the tests and studies, the therapist prescribes treatment or, if necessary, refers to a doctor of a narrow specialization (for example, if diabetes is detected - to an endocrinologist, if cancer is suspected - to an oncologist).

What does a therapist treat?

First of all, the general practitioner must be able to diagnose and carry out the necessary treatment of infectious diseases (influenza and acute respiratory infections, food poisoning, dysentery, whooping cough, measles, scarlet fever, chickenpox, mumps and others).

In addition, the therapist must be able to diagnose and treat diseases of the cardiovascular system, respiratory system, digestive system, urinary system, endocrine system, hematopoietic system, and rheumatic diseases.

In these cases, the therapist performs a coordinating function (directs the patient to the appropriate specialist) and exercises general control over the progress of treatment, that is, “guides the patient.”

This article is posted for educational purposes only and does not constitute scientific material or professional medical advice.

Source: https://DocDoc.ru/library/chto-lechit-vrach-terapevt

Therapist. What does this specialist do, what research does he do, what pathologies does he treat? :: Polismed.com

The site provides reference information. Adequate diagnosis and treatment of the disease is possible under the supervision of a conscientious doctor. Any drugs have contraindications.

Consultation with a specialist is required, as well as detailed study of the instructions!

A therapist is a multidisciplinary specialist who deals with diseases of internal organs that do not require surgical treatment. The therapist received a higher medical education, and after graduating from medical school he completed a one-year training in the specialty “Therapy”. This type of training is called an “internship.” A doctor undergoing internship is called an intern doctor. Since 2017, a doctor can work as a therapist in a clinic immediately after graduating from medical school.

The therapist is the primary care physician in the health care chain. Primary care consists of those specialists with whom the patient communicates when first visiting a hospital or clinic.

The therapist can work in the following medical institutions:

• polyclinic (city, district, regional) - as a local therapist, that is, a doctor treating people living in a certain territory;
• hospital - as a doctor in the therapeutic department of a hospital;
• multidisciplinary hospitals - as a doctor in the emergency department or therapy department;
• health center - the therapist accepts practically healthy people who want to undergo a preventive examination, prevent the development of diseases and lead a healthy lifestyle, while the health center therapist does not prescribe treatment;
• private clinic - as a doctor in the admission or therapeutic department, treating patients who seek help from the clinic;
• diagnostic centers - as a consultant physician, mainly diagnosing diseases.

The therapist is the first doctor to be contacted when symptoms occur. The therapist is called a multidisciplinary doctor or general therapist, since he does not have a narrow specialty, and his work is not limited to one organ system, unlike the work of narrow therapists.

A therapist is any doctor who treats patients without using surgical methods. Despite the fact that a general therapist works on all fronts, he does not replace specialized therapists, since the tasks and capabilities of a general therapist are completely different.

Narrow therapists include:

• pulmonologist - a specialist in diseases of the respiratory system;
• cardiologist – specialist in heart and vascular diseases;
• gastroenterologist – specialist in diseases of the digestive system;
• hepatologist - a specialist in diseases of the liver and biliary tract;
• nephrologist – specialist in kidney and urinary tract diseases;
• hematologist – specialist in blood diseases;
• rheumatologist - a specialist in autoimmune diseases that affect the entire body;
• endocrinologist - a specialist in the pathology of glands that secrete hormones.

The responsibilities of a general practitioner include:

• determining the cause of the patient's complaints;
• prescribing the necessary laboratory and instrumental diagnostic methods;
• establishing a diagnosis;
• prescription of treatment;
• referral to specialists for further examination;
• visiting patients at home;
• assessment of the risk of diseases of internal organs (identification of risk factors);
• hospitalization of patients for diseases requiring treatment in hospital;
• provision of first aid before hospitalization;
• management of patients after discharge from the hospital;
• control over taking medications that were prescribed by other specialists;
• rehabilitation of patients after treatment in a hospital (sanatorium-resort treatment, physiotherapy);
• periodic preventive examinations for patients with chronic diseases of internal organs (dispensary observation);
• issuance of a conclusion after passing a medical examination;
• assessment of the patient’s ability to work (temporary or permanent);
• examination of patients who are to receive preventive vaccinations (identification of possible contraindications);
• identification of patients with helminthiasis (worms) or people who are carriers of helminths (an infectious disease specialist treats helminthiases);
• identification of patients with suspected malignant tumors (tumor treatment is carried out by an oncologist);
• identification of patients with suspected tuberculosis (tuberculosis treatment is carried out by a phthisiatrician).

To summarize, the therapist knows a lot, but not everything; he diagnoses most diseases, but treats only some. At the same time, the knowledge and skills of a good qualified therapist are enough to diagnose and treat about half of the patients who come to the clinic with complaints related to diseases of the internal organs.

All patients with chronic diseases of internal organs are simultaneously under the supervision of a therapist and an appropriate specialist. At the same time, examinations by a general therapist are carried out more often than by specialist therapists, and a referral for consultation with a specialist doctor is issued according to indications.

The therapist deals with the following diseases:

The therapist's competence also includes diseases that require surgical treatment only if they cause complaints and complications.

Thus, the therapist observes patients with various pathologies if they have a stable course (including surgical and neurological pathologies).

Acute respiratory viral infections (ARVI) are infectious diseases of the upper respiratory tract (nasal cavity, oral cavity, nasopharynx and pharynx), which are caused by viruses and are transmitted by airborne droplets from person to person. SARS is the medical term for the common cold. A viral infection can spread from the upper respiratory tract to the lower (larynx, trachea, bronchi).

ARVI includes the following diseases:

• acute rhinitis – inflammation of the nasal mucosa;
• acute pharyngitis - inflammation of the pharyngeal mucosa;
• acute tonsillitis (tonsillitis) – inflammation of the tonsils;
• acute laryngitis

Source: https://www.polismed.com/articles-terapevt.html

General practitioner in Moscow - services, consultation, house call, make an appointment GMS Clinic - Private medical clinic GMS Clinic (Moscow)

The motto of WHO (World Health Organization) is: don’t die from ignorance!

If in doubt, make an appointment with a therapist or family doctor!

What symptoms do you see a therapist for?

In most cases, the primary care physician is the first specialist you will see at the medical center.

His competence includes the initial consultation of patients with complaints of symptoms of diseases that do not require surgical intervention.

If you don’t know which doctor to contact with a problem that has arisen, it is the therapist who will write a referral to a specialist, based on the specifics of the complaints and clinical manifestations.

You need to consult a therapist if the following symptoms occur:

• malaise, general weakness, fatigue;
• fever, increased temperature;
• any signs of flu or cold;
• sore throat, cough, hoarseness;
• shortness of breath, difficulty breathing;
• runny nose, nasal discharge;
• ringing or pain in the ears, ear discharge, hearing loss;
• pain in the heart, behind the sternum, tingling and numbness of the limbs;
• heartburn, stomach pain, nausea, vomiting, upset stool;
• insomnia, constant fatigue, increased anxiety and restlessness for no reason;
• constant jumps in blood pressure;
• increased sweating, dry mouth, thirst;
• skin rashes, changes in pigmentation;
• redness of the eyes, change in color of mucous membranes;
• headache, dizziness, fainting;
• pain in the lower back, limbs, muscle pain, cramps, etc.

After the initial examination, the therapist will prescribe a series of laboratory and instrumental studies and, after receiving the results, will develop an individual comprehensive treatment regimen. If necessary, the therapist will write a referral to a specialist for consultation, additional examination and further joint observation.

Doctors at our Center use modern, highly informative diagnostic equipment and proven, safe examination methods, which allows them to carry out a full range of studies in the shortest possible time and make the only correct diagnosis.

You can get the following therapist services from us:

• the doctor's consultation;
• routine medical examination, vaccination;
• passing medical examinations (Order of the Ministry of Health of the Russian Federation No. 302)
• examinations of pregnant women, when registering for sports sections and health clubs;
• complex laboratory and instrumental diagnostics;
• treatment of therapeutic diseases;
• referrals for consultation to related specialists;
• preparation of necessary medical documentation, including for a sanatorium-resort card.

If necessary, the therapist at the GMS clinic will draw up the following medical documents based on the examinations performed:

• sick leave, medical record;
• certificate from the traffic police;
• health resort card;
• certificate in form 086/U (admission to an educational institution, employment)
• certificate to present to the pool.

All medical documents and certificates are drawn up in strict accordance with the legislation of the Russian Federation and certified with the necessary stamps and seals.

How does an appointment with a therapist work?

A consultation with a therapist is an opportunity to learn in detail about the causes of diseases and methods of their prevention.

The therapist's appointment includes:

• taking anamnesis;
• study of research results;
• inspection;
• making a diagnosis;
• development of an individual treatment program.

You will receive detailed explanations of the diagnosis and clear instructions for the prescribed treatment. In addition, based on the results of the examination, the general practitioner may prescribe additional studies and consultations with specialists. The specialist will also select a diet and give recommendations on lifestyle changes (if necessary).

You may need to consult a therapist not only in connection with an illness, but also when applying for a job, undergoing a routine medical examination, or enrolling in a sports section or fitness club.

The general practitioner treats almost all diseases of internal organs and systems that do not require surgical intervention. That is, the specificity of the therapist’s work lies in the use of only therapeutic methods of treatment.

Dwelling on the diseases that fall within the competence of a general practitioner, we can highlight the following conditions that patients most often treat:

• colds, ARVI, sore throat;
• diseases of the respiratory system - bronchitis, pneumonia, bronchial asthma, laryngitis, tracheitis, pharyngitis;
• cardiovascular pathologies - ischemic heart disease, angina pectoris, hypertension, atherosclerosis, etc.;
• chronic fatigue syndrome, neurological problems;
• joint diseases such as rheumatoid arthritis, arthrosis, osteochondrosis, lumbago;
• systemic (autoimmune) diseases (lupus erythematosus, vasculitis, antiphospholipid syndrome, scleroderma, etc.);
• pathologies of the urinary system - cystitis, pyelonephritis, glomerulonephritis;
• dysfunction of the hematopoietic system - leukemia, anemia, diathesis;
• connective tissue diseases;
• metabolic disorders;
• diseases of the digestive system, etc.

Therapeutic diagnostics at GMS Clinic is a comprehensive laboratory and instrumental examination of internal organs:

• full range of laboratory tests;
• Ultrasound, CT, MRI;
• radiography;
• functional diagnostic methods - cardio-stress tests, electrocardiography (ECG), rheoencephalography (REG), echocardiography (ECHO-CG), echoencephalography (ECHO-EG), electroencephalography (EEG), Holter ECG monitoring;
• endoscopic examinations - gastroscopy, arthroscopy, colonoscopy, bronchoscopy, hysteroscopy, colposcopy, RPCG.

Expert class equipment allows our doctors to obtain the most accurate and informative data, which makes it possible to identify pathology even at the initial stage of development. Having our own laboratory makes it possible to carry out the full range of examinations as quickly as possible.

The Family Medicine Center GMS Clinic uses the entire range of treatment and preventive procedures.

The doctor individually determines the dosage of medications for each patient, calculates the course of administration and determines their compatibility with each other. When prescribing treatment, a number of additional factors are taken into account - age, stage of the disease and severity of its course, results of additional examinations, etc.

You can make an appointment with a GMS Clinic therapist by filling out the online form or calling us on +7 495 781 5577, +7 800 302 5577.

We provide medical services regardless of the time of day. If you urgently need qualified medical care, just come to an appointment, a paid therapist will see you, regardless of whether you have an appointment or not.

Calling a therapist to your home

Therapeutic diseases often occur with high temperature, fever, and severe pain, which makes going to the clinic very difficult. Therefore, an increasing number of our patients prefer to use such a service as calling a therapist at home.

Take care of your well-being and stay comfortable. A specialist will come to you and perform a series of diagnostic and therapeutic procedures at home. Based on the results of the examination, you will definitely receive a medical report.

Source: https://www.gmsclinic.ru/specialists/therapist

Therapist is a specialist who treats diseases of internal organs

The profession of a therapist is one of the most in demand in medicine. The therapist conducts the initial appointment with patients, prescribes treatment, and, if necessary, writes out referrals to specialists of a narrow profile. If the patient does not know which doctor he should see, then he should start with a visit to the therapist.

After the initial consultation, the doctor directs the patient to the necessary tests (for example, do a blood test, urine test, take a cardiogram, measure blood pressure).

Based on the results of the examination, after studying the tests and studies, the therapist prescribes treatment or, if necessary, refers to a doctor of a narrow specialization (for example, if diabetes is detected - to an endocrinologist, if cancer is suspected - to an oncologist).

Therapists at the Health of the Nation clinic meet the following requirements:

• have a higher medical education and a certificate corresponding to the profession;
• cope well with issues that are within their competence;
• extensive experience in work, allowing us to accurately diagnose and prescribe competent treatment.

What does the doctor treat?

A general practitioner must understand a wide range of diseases and their manifestations. Dwelling on the diseases that fall within the competence of a general practitioner, we can highlight the following disruptions:

• organs of the respiratory system;
• heart and blood vessels;
• kidney and urinary system;
• endocrine system;
• circulatory system;
• joints and muscles;
• connective tissues.

The therapist will provide assistance with the following pathological conditions:

• elevated body temperature due to acute respiratory infections or exacerbation of a somatic disease;
• the appearance of a rash, redness, bruises on the skin;
• weakness, dizziness, fainting;
• bowel dysfunction - diarrhea, constipation, bloating;
• pain in the area of ​​the right and left hypochondrium;
• high blood pressure, rapid heartbeat;
• the appearance of shortness of breath, sputum production;
• pain in the lower or upper extremities, feeling of numbness, crawling;
• constant headaches that are poorly relieved by analgesics, etc.

In order to make an accurate diagnosis, the doctor prescribes laboratory (blood, urine, feces, etc.) and instrumental research methods (ultrasound, X-ray, MRI, endoscopic methods).

The general practitioner also sees patients for preventive purposes. A scheduled therapeutic examination by a good specialist will allow early detection of pathologies of internal organs.

And take timely measures before the problems become chronic and potentially fatal. The therapist will talk about possible complications of existing diseases.

At the same time, he will give advice on how to improve your lifestyle in order to improve its quality and protect yourself from serious disruptions in the body’s functioning.

If signs of illness are detected, they will issue a certificate of incapacity for work, and a certificate of exemption from classes for students. When planning a visit to the pool - a certificate, for treatment in a sanatorium - a certificate and a card.

Source: https://zn48.ru/services/vzrosloe-otdelenie/terapevt/

What is the responsibility of a general practitioner?

When health problems arise, adults first turn to a therapist. This doctor deals with somatic pathologies.

General practitioners are specialists with higher medical education; they treat and prevent many pathologies in adults.

Their competence includes the diagnosis and treatment of diseases of internal organs - the digestive system, respiratory, cardiovascular and genitourinary.

In addition, therapists are also involved in medical examinations and prevention of various pathologies, medical examination of the population and their vaccination. If a patient is worried about something, but he does not know which specialist he needs to see, the first step is to make an appointment with a therapist. After the initial diagnosis, the specialist will determine which doctor will further treat the patient.

How to make an appointment with a therapist

If this is a preventive visit, the need for certain tests or colds, pathologies of internal organs and other problems, an appointment with a therapist is required. Today there is a whole system of receiving these doctors.

In state and municipal medical institutions there is a system of local therapists who monitor the health of the population in the territory under their jurisdiction. You can turn to them for help free of charge, under the compulsory medical insurance policy, or you can call them at home in case of serious illnesses and emergencies.

To visit a doctor in a clinic, you need to make an appointment with a therapist in advance, although not all clinics guarantee an appointment at the appointed time and without a queue. This is due to the fact that many patients apply without an appointment, come only for certificates and for urgent cases, which creates queues.

The high workload of doctors at the sites leads to a decrease in the quality of care. Private clinics that accept patients under VHI policies or for payment are free from this drawback.

In such clinics, an appointment with a therapist guarantees a timely appointment and no queues, as well as close attention to the patient’s problems and complaints. But such services are quite expensive, which is not affordable for everyone.

What do you need to make an appointment with a therapist?

If this is a municipal institution where appointments are free under the compulsory medical insurance policy, to make an appointment with a therapist you need to call or contact the reception desk, presenting your policy, SNILS and passport.

Some clinics switched to an electronic recording system, which, unfortunately, did not solve the problem with queues.

Elderly people who do not have the skills to use a computer, in the old fashioned way, go to the clinic without an appointment and create queues.

The doctor is already waiting for him, the appointment proceeds without delay, the doctor will devote as much time to the patient as is needed to draw up an objective picture of health problems and develop a plan for diagnostic and treatment procedures.

You can make an appointment with a therapist by directly visiting the clinic and contacting the reception desk, or by calling the clinic’s call center, leaving an online request for a call and appointment, or independently through the electronic registry. Either method is equally likely to result in the date and time being booked in your name.

You can also clarify during a call or correspondence what will be needed for an initial or repeated appointment, what documents you need to bring with you, how to prepare for the visit and what you need to know in advance. After the appointment, if repeat visits are necessary, you will again be offered a convenient time and date for the appointment.

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