• high blood pressure and shortness of breath
• elevated levels of cholesterol in the blood, signaling problems with metabolism
• an increase in glucose levels and the possibility of diabetes mellitus
• overweight as a result of metabolic problems, hormonal disruptions
• frequent headaches, malaise, chronic fatigue

Many chronic diseases proceed in a latent form. Only a general examination can reveal them. Few people listen to the advice of doctors to regularly do an electrocardiogram, an X-ray of the chest organs, and make an appointment with specialists for preventive purposes. There is not enough time for this. By paying for the service, you will pass the necessary tests and visit doctors on the territory of one medical institution. The whole procedure usually takes 1-2 days.

Comprehensive health insurance includes:

A full range of tests - general clinical blood and urine, flora and oncocytology, biochemical blood screening (glucose, cholesterol, triglyceride, HDL, LDL, total bilirubin, AST, ALT, etc.).

One of the tests of the patient's choice. The therapist will recommend which of the proposed list is more appropriate to do with your clinical picture. So, on the eve of surgery, you can take a blood test for the prothrombin index, and in the recovery period after fractures, you can undergo a study on the total calcium content.

• Medical appointments of specialists - neurologist, ophthalmologist, surgeon, obstetrician-gynecologist or urologist. As well as an additional consultation of one of the doctors - an otolaryngologist, a cardiologist, an endocrinologist, a mammologist, a gastroenterologist, a dermatologist or a proctologist.

Under the terms of insurance, the patient can independently choose one narrow specialist, whom he will visit for free

The price of an initial consultation with a urologist, cardiologist, endocrinologist or other private doctor varies from 1,500–2,000 rubles. If you visit narrow specialists in private clinics, it will cost more than the cost of a full examination under insurance with analyzes for functional studies.

What diagnostic tests can be done free of charge as part of insurance

Under the terms of insurance, the patient can undergo free of charge such studies as:

• complex ultrasound - liver, gallbladder and ducts, pancreas; kidneys; spleen
• Ultrasound of the pelvic organs / prostate and bladder, for women / men, respectively
• electrocardiogram
• chest x-ray
• gastroesophageal duodenoscopy

In addition, the patient chooses one additional study on the recommendation of a specialist. The surgeon will refer you for an x-ray of the lumbosacral or cervical spine, a gynecologist for mammography, an otolaryngologist for examining the paranasal sinuses or respiratory functions.

Individual studies are expensive in private clinics, and the savings on a comprehensive study is a huge amount

The final stage is a consultation with a therapist. The patient receives answers to exciting questions, a medical opinion and recommendations. The cost of such a comprehensive service is 12 - 15 thousand rubles. It all depends on the clinic where the examination is scheduled.

4 reasons to choose a comprehensive medical examination under the insurance program:

1. economic benefit. The total cost of analyzes, studies and consultations included in the program does not exceed the amount of 12 - 15 thousand rubles.
2. Effective Care. A separate visit to an otolaryngologist, pulmonologist or urologist does not give a complete picture of the state of health, as well as several tests without consultation or additional studies. Therefore, for those who are interested in maintaining health, and not just in need of a “tick” of the working report, this approach is suitable.
3. Saving time and nerves. Theoretically, these services can also be obtained at the municipal clinic, but the cost of such “health care” will be the loss of nerve cells and a lot of time in queues, coupons and a showdown.
4. High quality of services. Only accredited laboratories, qualified specialists, offices equipped with modern diagnostic equipment become participants in insurance programs under VHI.

The cost of this service under the insurance program is low. Annual control is necessary for both an elderly person and a student who is used to thinking about anything but health. A policy issued for a year will be more useful than persuasion and scheduled examinations in a regular clinic. Keeping track of your health in this way is much easier and more enjoyable!

In Moscow, several dozen health centers operate on the basis of city polyclinics. If the clinic you are attached to has a health center, you can get a free preventive examination there. It can be done at any age, once a year, and the visit itself will take from 30 minutes to 1 hour.

You can take an examination without an appointment at any convenient time (according to the schedule of the polyclinic). To apply, you will need a passport and a compulsory health insurance policy.

2. What procedures does the examination include?

A preventive examination consists of a number of procedures, including:

• measurement of height, body weight, waist circumference, determination of body mass index;
• measurement of blood pressure and diagnosis of arterial hypertension;
• determination of the level of total cholesterol in the blood by an express method, diagnosis of disorders of fat metabolism;
• determination of the level of glucose in the blood by the express method, detection of diabetes mellitus;
• determination of the total cardiovascular risk (the risk of developing cardiovascular complications over the next 10 years is assessed);
• determination of the concentration of carbon monoxide in the exhaled air (allows you to assess the severity of smoking and identify the fact of passive smoking);
• spirometry - assessment of the main indicators of the respiratory system;
• bioimpedancemetry - determination of the composition of the human body, the ratio of water, fat and muscle mass;
• express assessment of the state of the heart by ECG signals from the limbs (performed using a cardiovisor);
• determination of the ankle-brachial index (detection of early signs of atherosclerosis in the vessels of the lower extremities);
• measurement of intraocular pressure and visual acuity testing (both studies are carried out on modern equipment, intraocular pressure is measured by a non-contact method);
• reception (examination) of a dental hygienist with an assessment of hygiene and diagnosis of diseases of the oral cavity.

3. What will happen after the examination?

After the examinations, you will be directed to an appointment (examination) with a doctor at the health center. He will give recommendations, including on the correction of identified risk factors - unhealthy diet, overweight, smoking, low physical activity.

When we think of a clinic in our area, “service” and “politeness” are the last things that come to mind. Moreover, sometimes the hospital at the place of residence is not equipped with the equipment that is necessary for high-quality diagnostics. But it is important and necessary to monitor your health, and full-fledged examinations in the capital's clinics cost money and quite a lot. Foxtime talks about where and how to get diagnosed for various types of cancer, take an anonymous HIV test, blood tests, get an oral exam and an eye exam absolutely free

• Diagnosis of oncological diseases of the pelvic organs and mammary glands in women

A breast tumor occurs in every second woman over thirty years old. Despite the fact that most of them are benign, at any time the tumor can turn into cancer. About 50,000 new cases of breast cancer are registered in Russia every year. Any woman, regardless of income level, can undergo free diagnostics at the White Rose Charitable Medical Center for Women's Health. Appointments open every first and third Thursday of the month. In the center, you can get a consultation with a gynecologist and a mammologist, do an ultrasound scan of the pelvic organs and mammary glands, take a smear for oncocytology, undergo an invasive examination, as well as do a colposcopy and mammography. All examinations are carried out using the latest equipment. Such a comprehensive diagnosis will eliminate the possibility of a tumor or notice it at an early stage.

Charitable Medical Diagnostic Center for Women's Health "White Rose"
Working hours: 8:00 – 22:00
http://belroza.ru

• Primary examination and consultation of a dental hygienist, photo and video diagnostics, panoramic x-ray of teeth

At the Dentatek clinic, there is an opportunity to undergo a preventive examination, photo and video diagnostics of the oral cavity, take an x-ray of the teeth, and, importantly, get pictures in your hands. Based on the results of the examinations, you will be able to objectively assess the condition of the oral cavity, find out the recommendations of a dental care specialist and, if necessary, discuss a treatment plan with a doctor. For the same procedures in another clinic, you will have to pay a considerable amount, and without an initial examination and diagnosis, you cannot continue full-fledged dental treatment. Each unnoticed caries is pulpitis in the future, and pulpitis is expensive to treat and impossible to endure.

Family Dentistry Center "Dentatek"
Working hours: 9:00 – 21:00
http://dentatech.ru/

• Colorectal Cancer Test

In Russia, colorectal cancer (cancer of the colon and rectum) is in third place in terms of prevalence (in men - after lung and stomach cancer, and in women - after breast and skin cancer). The worst thing about it is the high mortality rate in the first year after the tumor is detected. In 60-70% of patients, cancer is diagnosed already in advanced form, when pain appears or bleeding occurs. Therefore, GMS Clinic came up with the idea of ​​conducting self-testing: extremely loyal to the person, given the eternal shyness in such a delicate matter. Colorectal cancer is preventable in 95% of cases if a polyp is detected in time, from which the tumor grows. Until the end of February, GMS Clinic is running a campaign for the prevention of colorectal cancer. Any visitor can take a box with a test to determine occult blood in the stool from the toilet free of charge. This is a reliable way to "catch" colon and rectal cancer at a stage when a person does not yet suspect that he is ill. The promotion will run until the end of February 2017.

GMS Clinic
Working hours: around the clock
http://www.gmsclinic.ru/

• HIV test

In Russia, the total number of people registered with HIV is approaching 500,000. AIDS is one of the top five killer diseases on the planet. The virus, for which no cure was found, is not a thing of the past: every day there are more infected people. AIDS cannot be cured, you can only continue to exist with it. Every Russian can take an HIV test absolutely free of charge at any polyclinic or hospital in their place of residence. There is also the possibility of an anonymous examination and consultation with a doctor before and after the test. There are 36 medical institutions in Moscow and the Moscow Region where you can be examined absolutely anonymously and receive further psychosocial counseling.

http://o-spide.ru/test/where/

• Dermatoscopy

The FreeDermoscopy project gives everyone the opportunity to have a free mole examination in just fifteen minutes at the EuroFemme clinic. Melanoma (skin cancer) kills one person every hour on earth. It is often called the most dangerous cancer of all: it is difficult to notice melanoma at an early stage, but it develops quickly. On dermatoscopy, the doctor will point out suspicious formations, advise the frequency of preventive examinations. The clinic also provides you with an examination card and secure access to your videocopy images free of charge. For a free examination, you need to print a coupon, which can be found on the clinic's website and make an appointment by phone.

Euro Femme
Working hours: 9:00 – 21:00
http://www.eurofemme.ru/clinics/actions.php#freedermoscopy

• Blood tests, respiratory function tests, electrocardiography

In 47 clinics in Moscow, you can comprehensively examine the body. The examination includes blood tests for sugar and cholesterol, a check of respiratory functions and electrocardiography using modern hardware systems. You can be examined in any clinic, regardless of the place of registration. It is enough to present a medical policy at a medical institution. Based on the results of the examination, a “health center card” is drawn up, which contains recommendations “how to live longer” and the rules of a healthy lifestyle. A comprehensive examination will show your general level of health and will help you notice deviations that have appeared in time, and prevent illness.

http://alicomet.ru/prodlit-zhizn-i-zamedlit-starenie.html

• Vascular examination, electrocardiogram and bioimpedancemetry

In the Center for Medical Prevention, any person over 18 years of age can, free of charge and, importantly, without queues, undergo an examination for the detection of non-communicable chronic diseases. There are always risk factors for the development of such diseases, and timely examination can prevent it. If somewhere it hurts, pulls, colitis or cuts, you are in the "Center for Medical Prevention". The examination includes several tests, an examination by an ophthalmologist, a dentist, a cardiogram, a check of the vascular system, a comprehensive examination of the respiratory system and a determination of the percentage of fat, musculoskeletal mass and fluid in the body (bioimpedancemetry). According to the results of the tests, the doctor will issue a conclusion of the examination and prompt with treatment and lifestyle adjustments. You can also get a free consultation from a doctor on physiotherapy exercises, and then take a course under the guidance of an instructor.

"Center for Medical Prevention"
Working hours: Mon-Fri 8:00 – 17:30
http://zmp53.ru/free-obsledovanie-zdorovya.html

• Ophthalmological examination, diagnosis of the heart and feet

In 2017, VDNKh offers free eye, heart, and foot diagnostics. Examinations are simple, but there is an opportunity to get doctor's recommendations and find out what to pay attention to in the future. By the way, a bonus to the vision test is the selection of glasses. The schedule of examinations can be obtained from the pavilion in paper form or found on the web.

VDNKh, Pavilion No. 5 (Moscow Public Center for a Healthy Lifestyle)
Working hours: 10:30-17:00

Text: Elizabeth Smorodina,

1. A full examination by doctors makes it possible to identify a predisposition to a particular pathology, to diagnose it at the earliest stages of development. With such a regular examination of the body, it is quite possible to identify problems in the work of the cardiovascular system, to diagnose oncological processes at an early stage.
2. Comprehensive health screening makes it possible to save on treatment in the future. It is well known that the treatment of the disease at an early stage of development is much cheaper than therapy or surgical treatment in advanced cases.

Many clinics have an excellent base for a complete examination of the patient, and this will be done in a short time and at a completely adequate cost.

What is a comprehensive examination of the body

It all starts with a visit to a therapist who will talk with the patient, collect and document an anamnesis, which will help determine the next steps. If you have to conduct a comprehensive examination of the child, then you should immediately contact the pediatrician. During the visit to these specialists, the physical parameters of the patient are also measured - his height, weight, blood pressure is necessarily checked.

A comprehensive examination of the patient includes the performance of an electrocardiogram, and this procedure is performed twice - under load and without it. Based on the results of the electrocardiogram, the doctor determines the state of health of the cardiovascular system and decides whether additional examinations are needed in this direction.

Each patient is assigned a general analysis of blood and urine, and if necessary, then feces. A detailed biochemical blood test will give a three-dimensional picture of the state and functioning of the body. Spirometry is also mandatory, which allows you to determine how well the lungs are doing their job.

Comprehensive examination programs at the hospital also include an ophthalmologist check-up - the doctor examines the fundus, determines intraocular pressure and visual acuity. All other specialists are considered narrow, so they need to be regularly examined only as prescribed by the main doctors.

The results of a full examination are announced to the patient by the therapist.

Comprehensive examination of women's health

In addition to a general examination, a woman must also undergo a specific one, which is carried out taking into account the age characteristics of the patient. As a rule, a comprehensive examination of a woman's health includes:

• ultrasound examination of the pelvic organs
• computed tomography of bone thickness to diagnose osteoporosis
• mammography (helps detect early breast cancer)
• Pap test (detects cervical cancer at an early stage)
• a specific blood test that determines the level of hormones.

If a woman undergoes a comprehensive examination of the whole body on time, this will help not only to diagnose pathologies at an early stage of development, but also to identify the beginning of the physiological restructuring of the body, for example, during menopause. This will help to correct the condition or cope with the disease before it harms the body.

A full body examination in a clinic is not a whim or a fashionable phenomenon, but a necessity. Very often it is required to carry out a similar procedure for children, it will help to identify health problems, even if there are no characteristic signs. For example, many children do not cope with their studies, parents attribute this to laziness, and the examination may well reveal a lack of thyroid hormones. This condition is easily and quickly corrected, which normalizes the child's studies.

Many are interested in where you can get a complete examination of the body. Firstly, you can contact a state polyclinic institution - all the main specialists are simply obliged to examine the patient and make their verdict. Secondly, you can contact the clinic, which will provide not only specialists, but also modern equipment for examination - the results will be more informative. By the way, the price of a comprehensive medical examination is quite adequate, it will suit even not the most wealthy citizens.

This is a real opportunity to identify hidden pathological processes in the early stages, when there are no serious symptoms yet, to assess the state of organs and tissues of various parts of the body to diagnose diseases, to determine how common this or that disease process is (for example, tumor metastases or vascular thrombosis). Of course, you can be examined in other ways, but only MRI makes it possible to obtain complete information about the state of the body without pain, harm to health and time.

Types of complex MRI according to the scope of the examination

In one procedure, the entire body can be examined, if necessary. But more often small complex programs are used, which involve examination of 2-3, less often 4 areas of the body.

Full Comprehensive MRI

Full body scan includes MRI of the following areas:

1. brain, cerebral vessels;
2. pituitary;
3. spine;
4. chest, heart, lungs;
5. abdominal organs;
6. pelvic organs;
7. limbs.

Such an examination can be carried out in the following cases:

1. detection of latent pathology in elderly people, when there are no serious complaints and health problems;
2. insufficient amount of information about the prevalence of the pathological process in the body;
3. the presence of several diseases, each of which requires an examination to determine the stage of the pathological process and the severity of changes in a particular organ, the persistence of remission (if remission is achieved), and the effectiveness of treatment.

Comprehensive MRI of the central nervous system (CNS)

To diagnose the pathology of the central nervous system, it is mandatory to scan:

1. brain;
2. vessels of the brain and neck;
3. cervical, thoracic and lumbar spine.

Such an extensive examination allows you to identify problems in any of the departments of the central nervous system. In this case, the doctor will receive complete information about the state of the gray and white matter of the brain and spinal cord, the characteristics of the blood supply to certain areas of the central nervous system (stroke, ischemia). The scans clearly show the bones of the skull and spinal column, as well as various pathological changes in the musculoskeletal system that can disrupt the normal functioning of the brain and spinal cord (tumor, disc herniation, narrowing the spinal canal).

Comprehensive MRI examination of the joints

Different diseases can affect a different number of joints. The degree of involvement of the joints in the pathological process can also be different. Therefore, it makes sense to examine all the joints and the spine in one visit to the clinic in order to be able to move from diagnosis to treatment of the disease without wasting time.

Comprehensive vascular MRI

In this case, the examination program includes scanning of the vessels of the heart, neck and brain.

In order to study the structure of blood vessels, to identify pathological changes, narrowing or blockage, the doctor uses a three-dimensional image of the arteries and veins of a certain area of ​​the body. Special software of modern tomographs helps to build such an image.

MRI oncosearch

This examination program is used in cases where the patient is suspected of having a tumor in the body, but it is not possible to establish the location and type of neoplasm without additional research.

Such an examination is necessarily carried out with contrast enhancement, since without contrast, neoplasm tissues may not differ from healthy tissues of the human body. MR tomography during oncological search helps to find a tumor, determine its exact size, the stage of the oncological process, the presence of metastases, disruption of the organs located in the immediate vicinity of the tumor (compression, germination, etc.).

Indications for a comprehensive MRI

In each case, the doctor determines the indications for the appointment of the examination. This is especially true in cases where you can not do without the introduction of a contrast agent. To determine the volume of a complex MRI, the doctor often takes into account not only the main (suggested) diagnosis, but also the presence of concomitant pathology and age-related changes in organs and tissues.

If a large amount of MR imaging (and, accordingly, its cost) confuses the patient, then you can limit yourself to examining one area. But in this case, information for diagnosing the disease may not be enough and additional tests will have to be carried out.

Contraindications for the examination

MRI is not performed in the following cases:

1. the presence of metal foreign bodies in the patient's body, with the exception of titanium;
2. implanted electronic devices, the operation of which can be disrupted by the powerful magnetic field of the device (pacemaker, etc.).

1. pregnant and lactating women;
2. persons with intolerance to preparations based on gadolinium;
3. patients with chronic renal failure.

Preparing for a comprehensive MRI

Special training is needed in the following cases:

1. an abdominal or pelvic scan will be performed;
2. the patient is claustrophobic;
3. a history of kidney disease.

In order to get clear pictures of the abdominal cavity and small pelvis, it is necessary to free the intestines from gases and food, as well as to reduce peristalsis. To do this, it is important to follow a number of simple recommendations:

1. three days before the examination, refuse products that cause gas formation in the intestines (legumes, cabbage, carbonated drinks, sweets, etc.);
2. the day before the examination, start taking activated charcoal or another enterosorbent;
3. on the day of the examination, empty the intestines or do an enema in the morning;
4. Schedule your last meal 6 hours before your exam.

The bladder should be moderately filled before the procedure, so it is recommended to urinate about an hour or two before the procedure. There is no need to limit the amount of liquid during the day.

Patients with severe claustrophobia may start taking sedatives the day before the MRI.

If there is a suspicion of impaired renal function, additional tests will need to be performed to rule out chronic renal failure.

How is the procedure carried out

For MRI, tomographs are used - special devices of impressive size. The tomograph creates a powerful magnetic field, so before starting the procedure, you must remove all metal objects from yourself, whether it be jewelry, piercings or fasteners on clothes. You should not take electronics (phone, tablet, e-book) with you to the MRI room, as well as bank plastic cards, which may stop working after being in the magnetic field of the device.

The patient is placed inside the apparatus. During the entire examination, it is necessary to maintain complete immobility. The quality of the resulting images depends on this.

In terms of time, the examination can last from 20 minutes to 1 hour. Contrast-enhanced MRI is usually longer than a conventional examination.

Deciphering the results

The interpretation of the data obtained during the tomography is carried out by a doctor of functional diagnostics or a radiologist. To interpret the data obtained, the doctor can use the conclusions of specialists of various profiles made earlier, the results of other instrumental and laboratory tests available to the patient, information about the treatment being carried out, and other data. The waiting time is usually 1 to 3 hours. If the patient does not have the opportunity to stay in the clinic for such a long time, then the documents can be picked up on the day following the MR tomography or receive a conclusion to your email inbox.

How often can you get tested

The need for a comprehensive MRI is rare. Repeat MRI, as a rule, captures only those areas of the body where pathological changes were detected, however, MRI can be repeated as many times as necessary to diagnose the disease and monitor the effectiveness of treatment.

MRI of the whole body: the price of complex programs