Why complain to the ENT specialist so that they can open a sick leave. How to get sick leave without getting sick

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05.06.2018
Sick leave for sinusitis is issued from the moment you go to the hospital and lasts up to half a month, with the subsequent possibility of extension for final recovery.

The exact period of incapacity for work is individual for everyone and directly depends on the following points: the type of sinusitis, the cause of the pathology of the nasal cavity, developing complications, and the characteristics of the patient’s work activity.

Sinusitis is a serious inflammatory process of the nasal mucosa that develops against the background of flu and colds. Therapy takes a long period of time, the symptoms bring significant discomfort to the patient. The patient has severe congestion, copious mucous secretions from the nasal cavity, and voice changes.

Sinusitis requires an immediate course of therapy, so it is important to visit a medical facility in a timely manner, where, along with prescribing the appropriate course of treatment, a sick leave certificate is issued, intended for official release from physical education, study, work, as well as quiet recovery at home.

How long can you expect?

The main thing you need to know when applying for sick leave is that sick leave does not necessarily imply inpatient treatment. Having received this document after the examination, the patient has every right to be treated at home or refuse any medical services.

To correctly apply for sick leave, the following facts should be taken into account:

• In case of sinusitis, sick leave is required for all persons, with the exception of citizens who do not work and are not on the labor exchange, regardless of the severity and nature of the disease. At the first visit to a doctor, the patient has the right to count on sick leave for a week, with the possibility of extending this period for another seven days;
• If the treatment goes without complications, then two weeks is enough to get rid of sinusitis. In this case, the person is recognized as able to work again in the absence of an elevated temperature upon a second visit to the doctor;
• the medical commission may extend the required period of treatment for another two weeks if complications are noticed or the treatment does not help;
• the specific duration of sick leave for sinusitis depends not only on the severity, nature of the disease and the treatment process, but also on working conditions. For example, street workers or those engaged in manual labor, as well as workers in hazardous enterprises, can count on a much longer period of sick leave than office workers engaged in mental activities.

What if there is no fever?

Is sick leave given for sinusitis without fever and in the absence of some other symptoms, for example, runny nose, headaches, etc.? This question is very relevant, since many people do not experience any special problems with illness, but still want to take out a certificate of incapacity for work in order to take a break from work for a while.

You can get sick leave for sinusitis in any case, even if there is no fever or runny nose. Of course, the final decision is made by the attending physician, however, the patient can also tell the doctor about the presence of other, no less serious symptoms. Sinusitis is a rather serious disease that requires urgent treatment, so a specialist cannot refuse a patient a certificate of temporary disability. Moreover, inflammation of the paranasal sinuses can lead to serious complications if it is not treated and you continue to go to work or school.

The final decision regarding further treatment of sinusitis is made by the otolaryngologist

During sick leave, it is recommended to avoid drafts, take various vitamin complexes, strengthen the immune system, and give up bad habits. Compliance with these rules will allow you to quickly close the hospital certificate and, most importantly, get rid of unpleasant symptoms and sensations.

Temporary disability certificate for sinusitis without fever

The main goal of obtaining sick leave for sinusitis is complete relief from the disease and a return to normal work status. An elevated temperature indicates complications or a severe course caused by this disease. However, the absence of fever does not mean that there are no complications, and the person is able to work without harm to health.

Damage to the maxillary sinuses with accompanying complications indicates a decrease in immunity, even in the absence of elevated temperature. In such a condition, a person can count on receiving sick leave for a period of two weeks. The patient must receive all necessary treatment in full, which is impossible without bed rest. That is why a vacation of 14 days is allocated, which should be enough for recovery. In case of complications, this period may be extended.

If it is necessary to pierce the maxillary sinus, sick leave can be extended for another 2 weeks or can be closed after 14 days from treatment.

Sinusitis: features of the disease

But first, it’s worth considering some of the features of the disease, and why sick leave is provided when it occurs.
There can be many reasons for the occurrence and development of the disease: an infection, an advanced cold, damage to the maxillary sinuses, etc. In any of these cases, a person is not only tormented by a severe runny nose, particles of pus may come out along with the discharge, breathing is difficult, the patient experiences increased fatigue, sometimes the body temperature rises, there are chills and insomnia.

If such symptoms are present, no person will be able to work peacefully, which is why sick leave is provided, the duration of which will depend on the patient’s condition and existing symptoms.

If you have symptoms of sinusitis, it is difficult to work or do anything at all

To treat the disease, various antiseptics, antibiotics, special nasal drops, rinsing solutions, auxiliary medications and some folk remedies are used. In severe cases of the disease, surgery is prescribed. For prevention, it is recommended to strengthen the immune system, beware of drafts and colds, and treat colds until complete recovery. You should also eat right and do breathing exercises.

Inpatient treatment for sinusitis

Usually, if no complications are observed, then 3 to 5 days in the hospital followed by outpatient treatment for up to two weeks is enough to overcome the disease.

If the disease is chronic, hospitalization may be required for 10 to 14 days, followed by outpatient treatment for up to two weeks.

In case of complications, the treatment period, with a mandatory hospital stay, can be extended to several months. It all depends on the specific case. But even after such a long hospital stay, further outpatient treatment and rehabilitation procedures are necessary. It is recommended to return to work only after complete recovery and complete relief from all associated symptoms.

Sinusitis is also a cause of disability for students at universities and other educational institutions. Schoolchildren and students are given sick leave for a period of one to two weeks. Upon returning to school, they are exempt from physical education classes, as well as from events such as cleanup days.

Where can I get a sheet?

As a rule, employees go to the clinic at their place of registration. The good thing about this option is that the service is free. But public health facilities often have long queues of patients. If a citizen does not want to waste time, he may well go to a private clinic. For example, access by appointment is common. This way you can save time and quickly resolve issues that arise. True, issuing sick leave in private clinics will be paid, so it is recommended to familiarize yourself in advance with the prices for services in the selected company.

It happens that an employee cannot get to the clinic for health reasons. The cause is often high fever, severe injury (for example, a broken leg), attacks of nausea and vomiting, and so on. Then it makes sense to call an ambulance, which will take the citizen to the hospital. After the examinations, he will be issued a certificate of temporary incapacity for work.

It’s okay if the document is issued in a different institution than the person’s registered address. Such a sheet will also have legal force.

Rules for issuing a temporary disability certificate

The main thing you need to know when applying for sick leave due to sinusitis is that the duration of treatment and the need to recognize temporary disability are influenced not so much by the diagnosis itself as by the patient’s well-being.

Schoolchildren, students, registered and unofficial workers can go to the clinic to which they are assigned to receive sick leave. Receipt of such a document automatically indicates the fact that a person is unable to attend the workplace and perform professional duties.

The employer does not have the right to refuse to provide leave if there is sick leave. In cases where management does not sign a vacation document or applies sanctions against a subordinate, the employee has every right to file a complaint with the court, trade union or other body that controls this aspect.

Sick leave for students

For those who study or work informally, there are also special opportunities to devote time to treating sinusitis. Anyone can get a certificate of temporary disability, which is issued at a local clinic. To do this you need:

• Make an appointment with an ENT specialist (or first with a general practitioner, depending on the requirements of your local clinic).
• Undergo the appropriate examination.
• Start treating the disease using methods recommended by a specialist.

To obtain a certificate of temporary disability, a student must make an appointment with an otolaryngologist

The duration of such a certificate will also largely depend on the patient’s condition and symptoms present.

If the patient wishes, the medical certificate can be completely abandoned. This is done if the person feels well enough and is not able to miss work days. This also happens if the patient wants to undergo treatment in another place or another clinic.

Complications of sinusitis

In cases where the treatment was not complete, and the process did not end with final recovery, complications are possible. In this case, the patient has the right to count on an extension of sick leave.

Complications include:

• optic neuritis;
• phlegmon of paraorbital tissue;
• otitis;
• eustacheitis;
• tonsillitis;
• bronchitis, pneumonia;
• abscesses of the meninges;
• meningitis and a number of other conditions.

If your health condition suddenly deteriorates, you should immediately seek medical help. In case of aggravated symptoms, hospital treatment and subsequent rehabilitation are necessary. Naturally, sick leave is issued for the entire period of treatment and rehabilitation.

Treatment followed by complete relief from the disease is possible only if it is complex (etiotropic therapy, pathogenetic, symptomatic) and bed rest is observed. The course of therapy cannot be interrupted, nor can bed rest.

Risk group: children

For children, even without hyperthermia, doctors strongly recommend that they be treated only at home and not visit kindergartens, schools and any public institutions. Why is this so important?

The fact is that during periods of intense epidemiological conditions, the infection spreads very quickly, primarily among kindergarten children and schoolchildren. A child's body often has an underdeveloped thermoregulation apparatus, and hyperthermia becomes one of the late signs of ARVI. Children under 3 years of age are especially prone to such manifestations. So mothers are always given a mini-leave to care for their children.

A special group includes children who fall ill with ARVI; in this case, mothers are given mini-leave to care for the child.

In what cases is hospital treatment necessary?

Exacerbation or severe course of an infectious-inflammatory process in the maxillary sinuses can cause the patient to be hospitalized. As a rule, treatment for sinusitis in 2 cases out of 100 can be completely outpatient. However, the final decision on hospitalization is made by the attending physician. Only by following all the advice of doctors can you get rid of the pathology once and for all.

In severe cases, it may be necessary to pierce the maxillary sinus with daily rinsing of its cavity with antiseptics and taking medications. Such treatment requires a lot of effort, expense, and most importantly time. This is why it is necessary to take out long-term sick leave in order to fully recover.

How do you cover sick leave?

In order for the document to be officially accepted by the Social Insurance Fund, it is very important to prepare it correctly.

For this you always need:

1. Signatures of all attending physicians.
2. Stamp of the medical institution.
3. A special code (usually the diagnosis is recognized by it).
4. Days of illness.

If the symptoms of ARVI are no longer present, the therapist closes the sheet, filling out the fields in the document. It’s curious, but code 1 always “hides” the flu, ARVI or a common cold. The last stage is to enter the sheet into a special database and “stamp” - the seal of the hospital. Once these actions are completed, the person is considered healthy and able to work.

What does inpatient treatment provide?

Surgery

In some cases, with the development of complications or a prolonged inflammatory process, immediate medical intervention may be necessary to prevent it from spreading to other tissues and organs. Of course, when the patient is in hospital, it is much easier to provide surgical assistance, so in severe cases it is important that the patient is in the hospital.

Strict adherence to procedures

Only with inpatient treatment is it possible to fully follow all the doctor’s instructions and adhere to the prescribed regimen. This condition is very important for complete recovery. Unfortunately, at home, many people violate the regime and do not complete treatment.

Reducing the risk of exacerbation

Exacerbation of chronic sinusitis occurs most often in winter, spring or autumn. Cold and damp air that enters the nasal passages when walking to the clinic and back, especially if the patient's immunity is weakened, can ultimately cause deterioration.

This is especially dangerous after washing or using physiotherapeutic techniques. In a hospital setting, a certain temperature regime is maintained and the patient can rest calmly after the procedures without putting himself in danger.

Creating favorable conditions

It is not always possible to relax and maintain the necessary regime at home. Even stress such as housework can interfere with treatment. Inpatient treatment not only frees you from household chores, but also helps you focus all your energy on fighting the disease.

Purchasing sick leave

A certificate of temporary incapacity for work can be purchased for a fee. The sale of sick leave is permitted, but the seller must comply with legal regulations. In particular, the organization selling them must undergo state accreditation. The buyer has the right to request from the company a certificate confirming accreditation.

The company is also required to comply with the provisions set forth in Ministry of Health Order No. 514.

There are several ways to order sick leave. The most convenient way is to purchase online from the organization’s website. In addition, the employee can contact the seller by visiting a physical branch of the company.

The cunning doctor is always nearby! But he can also be convinced of the desired outcome!

Doctors do not advise suffering from a cold on your feet and say that it is best to “lie down” for any infectious diseases. But is it really that easy to go on sick leave?

Is it easy to give sick leave for ARVI without fever? - Yes, they do.

Simply and easily. All you need to do is tell the doctor that you are feeling unwell and that you have taken any antipyretic medication before your visit. For example, Coldrex. “Rolls” without problems. And in general, understand that a visit to the doctor is a bell that your health is not fine. The hospital doctor MUST give any complaints if you REALLY have signs of a cold or ARVI (reddish throat, snot, cough, etc.).

If you decide to get a document “for free”, it depends on the doctor, but it is assumed that you are a sane person and will not play such “games” in an adequate state.

ps Drive all schoolchildren to school with a belt! :)

Fever, severe runny nose, watery eyes and cough do not just unsettle you. If they are not treated in a timely manner, if they let the situation take its course and save themselves with pills, they risk outgrowing other diseases that are much more dangerous. A runny nose can cause complications in the form of sinusitis or sinusitis, a cough can turn into bronchitis, and conjunctivitis can affect the finest structures of the eyes and cause severe inflammation. The only way to avoid complications is to take out sick leave and devote time to health.

Is it easy to get sick leave for ARVI without fever?

It is always possible to get an “official chance” to undergo treatment at home in order to comply with bed rest if you have a fever. It is easy to confirm the condition if you see a doctor at a clinic at your place of residence or call a doctor home. But it happens that there is no temperature, although the person experiences severe malaise. What symptoms give you a chance to get sick leave without fever for ARVI?

The doctor takes into account the following symptoms:

• General weakness.
• Body aches.
• Sore throat, redness.
• Severe runny nose.
• Conjunctivitis.
• “Barking” or paroxysmal cough.

The decision to issue a sheet is made only by the local doctor, but if you prefer to undergo examination in private clinics, make sure that he has the necessary license to process documents.

The doctor takes into account additional symptoms of ARVI: cough, sore throat, etc.