Citizens of Tatarstan after coronavirus recovery in the Black Sea — RealnoeVremya.com

Whether companies are helping their employees restore their health after COVID-19

Photo: Gulnara Karimova

Shortness of breath even with minimal exertion, constant fatigue, drowsiness – this condition is familiar to most who have suffered from Covid-19. Even if the patient has undergone medical treatment and the new PCR test is negative, it does not mean that the person has completely regained their health. Realnoe Vremya found out what is dangerous in post-Covid-19 syndrome and also interviewed companies in Tatarstan: whether they help their employees recover from COVID-19, and if so, how exactly.

“At first, we doubted…”

This is how Gulnara Karimova, an employee of Kazanorgsintez, described her feelings and distrust of her colleagues when they were offered to go to Anapa for free. The woman was ill for the whole month of October. The insidious coronavirus has affected the lungs and the whole body.

“This disease has revealed itself. There are consequences. There were health problems,” she shared her impressions with the Realnoe Vremya reporter. Increased fatigue, mood swings, shortness of breath – the same set of ailments that is well known, if not to everyone, at least many of those who have become familiar with COVID-19.

Gulnara Karimova, an employee of Kazanorgsintez, was included in the first group of those who underwent rehabilitation at the SIBUR-Yug Corporate Wellness Center. Photo: Azat Samigullin

In the Kazanorgsintez day hospital it is possible to receive a set of physiotherapy procedures necessary to recover from the novel coronavirus infection. But even such help is sometimes not enough. Here, the opportunities of the corporate wellness center, which SIBUR has on the Black Sea coast, in Anapa, and which is now available to employees of Tatarstan enterprises, are useful. During the pandemic, the center switched to the rehabilitation of patients who had suffered from COVID-19, quotas were also allocated for Kazanorgsintez. Be the first to breathe the salty sea air and improve their health Since Kazanorgsintez there were 50 people — company employees and their family members. Including Gulnara Karimova with her daughter Alisa. The rehabilitation course was covered by additional medical insurance, the company paid for travel expenses.

“There were a lot of doubts among people: how come – to go to Anapa for free, to SIBUR-Yug for 2 weeks with the family – husband, wife, children. Someone didn’t believe it, someone couldn’t go there for some reason,” Karimova said.

An individual recovery plan has been selected for each of those undergoing rehabilitation. Photo: sibur yug

But those who decided to — did not regret it. In the wellness center, where, in addition to employees of Kazanorgsintez and Nizhnekamskneftekhim, specialists of almost all SIBUR productions were rehabilitated under the same conditions, rehabilitation programs were selected for each individually.

“You have a psychological and moral rest there, and from the point of view that the treatment there is good. We were assigned physiotherapy, breathing exercises, mechanotherapy in the gym, cardio exercises, in the pool. We were taught Nordic walking. There were a lot of useful things. We went in December, but we were very lucky with the weather. The air temperature was up to +17˚C. Even a walk along the seashore, the possibility of breathing the sea air is already a big plus,” Karimova said.

Gulnara Karimova completed a two-week rehabilitation course with her daughter. Photo courtesy of Gulnara Karimova

Now the following groups of company employees who need rehabilitation are preparing to be sent to SIBUR-Yug.

Sanatoriums and extra weekends

Large companies that have their own sanatoriums, such as SIBUR, are also switching them to anti-Covid-19 mode.

“In 2022, three more participants joined the rehabilitation program for those with coronavirus infection under CHI. Two sanatorium resort institutions belonging to Tatneft PJSC and one to the oil and gas production department of Prikamneft,” Tatarstan’s chief epidemiologist Rezeda Bodrova said.

Rezeda Bodrova: “In 2022, three more participants joined the rehabilitation program for those who had a coronavirus infection under the CHI.” Photo courtesy of Rezeda Bodrova

TANECO reports that “rehabilitation is underway in all sanatoriums of the Tatneft group, where the corresponding program has been developed”.

Nizhnekamskneftekhim, along with Kazanorgsintez, are included in the SIBUR employee rehabilitation program. Sixty-five employees have already improved their health on the Black Sea coast. In addition, Nizhnekamskneftekhim has the additional program: outpatient care is provided on the basis of the enterprise polyclinic, and groups of employees are trained to undergo rehabilitation in the county spa — Korabelnaya Roscha. For those who have suffered from COVID-19, a special recovery program has been developed there in addition to the seven therapeutic and preventive programs already in force. Work is also underway to create a model of comprehensive medical care for Nizhnekamskneftekhim employees and their family members, similar to that implemented across SIBUR. Two health centers on the territory of the enterprise have already been transferred to round-the-clock operation.

Nizhnekamskneftekhim PJSC has an additional COVID-19 rehabilitation program. Photo: Nizhnekamskneftekhim PJSC

Sberbank responded to Realnoe Vremya’s request that “all employees of the Sber group of companies are included in the VMI program, which includes a very wide range of services.” Anticov’s operational headquarters have been installed in the bank. The visiting “practice doctor” is in contact 24/7 and is ready to advise his colleagues on all questions that arise at any time.

A significant portion of large companies surveyed in Tatarstan said they also have their own rehabilitation programs for employees after suffering from COVID-19, but did not feel it necessary to share details. True, not all companies can afford large-scale support, even for their employees. Most small business leaders have admitted that they often have to limit themselves to extra days off or a shorter working day during the recovery period for employees who have returned from sick leave after the coronavirus. . But even that works for the good, because often the post-Covid-19 syndrome turns out to be almost worse than the disease itself.

Post-Covid-19 syndrome

“Patients who suffered from COVID-19 complain of cognitive and psycho-emotional disorders, pain and inflammatory processes in the joints, increased fatigue, digestive disorders, etc. Post-Covid-19 syndrome is a complex of manifestations that affect the state of human internal organs – lungs, heart, liver, because during the disease the virus affects the vessels, ”said Rezeda Bodrova, chief guest specialist for medical rehabilitation of the Ministry of Health from the Republic of Tatarstan, FOMS expert, expert from Roszdravnadzor Realnoe Vremya journalist clarified that this is not a complete list of symptoms, new strains replenishing the list of post-Covid-19 complications with new events.

Expert: “It is possible to speak of a complete victory over the infection if, after several months after recovery, the patient does not show any manifestations of the post-Covid-19 syndrome.” Photo: tatarstan.ru

The fact that the patient was discharged from the hospital, according to the expert, does not really mean that he has completely overcome the infection. It is possible to say that the threat has passed only if 3 months after the closing of the sick list the symptoms of post-Covid-19 have not appeared. The doctor recommends paying special attention to their health to those who already had serious health problems before the coronavirus disease, and to those who skipped vaccination. Among these patients, post-Covid-19 syndrome occurs 20-25% more often.

If after a few weeks your health is not completely restored, this is an excuse to consult a doctor. In difficult cases, hospital rehabilitation will be prescribed – in the specialized department of Kazan Hospital No. 7, in the Nekhama Sanatorium or in the Kazan Hospital for Veterans. More than 1,000 patients have already received a coronavirus recovery course there. From 2022, there will be more institutions ready to provide inpatient rehabilitation services after coronavirus in Tatarstan.

Outpatient rehabilitation, indicated for less severe cases of post-Covid-19 syndrome, has so far been rolled out in Tatarstan on the basis of 15 institutions in large settlements. In 2022, thanks to the Federal Compulsory Health Insurance Fund, the republic will have more opportunities. On January 27, the Russian government allocated 7.3 billion rubles to support polyclinics operating under the compulsory health insurance system in the regions. In Tatarstan — 160 million.

In 2022, Tatarstan will have more opportunities for the rehabilitation of inpatients and outpatients after COVID-19. Photo: tatarstan.ru

“An average tariff has been established so that patients in approved establishments can receive services including physiotherapy, kinesitherapy, massages, etc. Medical institutions where, for example, there was no full-time medical psychologist, will have the possibility to conclude such a contract. Currently, the “Medical Care Model” is being developed in the profile of “Medical Rehabilitation” for the adult outpatient population – rehabilitation technologies and a comprehensive package of services, depending on the indications and contraindications of every patient,” Rezeda Bodrova shared the news.

Arseny Favstritsky

Tatarstan

Rose D. Jones