{"id":53907,"date":"2019-12-13T00:00:00","date_gmt":"2019-12-12T21:00:00","guid":{"rendered":"https:\/\/prohoster.info\/blog\/blog_prohoster\/golaya-pravda"},"modified":"2020-02-18T14:01:51","modified_gmt":"2020-02-18T11:01:51","slug":"golaya-pravda","status":"publish","type":"post","link":"https:\/\/prohoster.info\/ro\/blog\/news\/golaya-pravda","title":{"rendered":"Adev\u0103rul gol","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/cb9fe97df84b82b25b6c0eba29ec6cff.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nDragi prieteni, m\u0103 bucur s\u0103 v\u0103 rev\u0103d. Personal, mi-a fost foarte dor de discu\u021biile noastre. Absen\u021ba mea \u00eendelungat\u0103 de pe acest site a fost cauzat\u0103 de un num\u0103r extrem de mare de pacien\u021bi. \u00centre ace\u0219tia, m\u0103 bucur s\u0103 men\u021bionez c\u0103 au fost mul\u021bi cititori ai articolelor mele anterioare. \u0218i chiar, nu ezit s\u0103 spun, comentatori!<\/p>\n<p>Ceea ce m-a determinat s\u0103 iau din nou stiloul \u00een m\u00e2ini este faptul c\u0103 \u00een ultima vreme am fost confruntat cu o cantitate incredibil de mare de lucru de calitate \u00eendoielnic\u0103, care, observa\u021bi \u2014 nu a fost gratuit\u0103, ci cu un pre\u021b destul de ridicat, unde s-a jonglat \u0219i s-au f\u0103cut tot felul de trucuri. <\/p>\n<p>De aceea, ast\u0103zi v\u0103 voi deschide sufletul. \u0218i v\u0103 voi scrie adev\u0103rul. Numai adev\u0103rul. ADEVARUL PUR! Vorbind \u00eentr-o manier\u0103 simpl\u0103 \u0219i accesibil\u0103.<br \/>\n<noindex><a rel=\"nofollow\" name=\"habracut\"><\/a><\/noindex><\/p>\n<blockquote><p><b>Din p\u0103cate, \u00een societate s-a creat o opinie nu tocmai favorabil\u0103 despre stomatologi. Suntem \u0219i me\u0219te\u0219ugari nepricepu\u021bi, \u0219i culeg\u0103tori care \u00ee\u0219i toarn\u0103 120 de benzin\u0103 \u00een Porsche-ul lor cu 666 de ruble litrul. Da, este exact a\u0219a. M\u0103 \u0219i indignonez \u0219i critic caviarul sturionului pentru pre\u021bul exorbitant. Glumesc, desigur. V\u0103 rog doar s\u0103 lua\u021bi \u00een serios sfaturile \u0219i analogiile din articol. \u0218i uneori cu un z\u00e2mbet.<\/p>\n<p>\u00cencerca\u021bi s\u0103 nu citi\u021bi printre r\u00e2nduri. O insult\u0103 la adresa colegilor? Da, poate. Autorii unor \u201elucr\u0103ri\u201d prezentate mai jos merit\u0103 cu siguran\u021b\u0103 o clism\u0103 cu ace de gramofon. Despre care afirm sincer. La naiba cu aceast\u0103 etic\u0103 corporatist\u0103 vicioas\u0103.<\/b><\/p><\/blockquote>\n<p><i>V-ar pl\u0103cea s\u0103 primi\u021bi o astfel de \u201elucrare\u201d?<\/i><\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/68f35e25ad229777f54d3bb0431371e3.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\n<i>Sau o astfel de?<\/i><\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/13bc54be7f6e48bb1c477d9982a04434.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\n<i>Despre aceast\u0103 \u201elucrare\u201d voi vorbi \u00een detaliu:<\/i><\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/63a7874f1db5c9e85ba60983fe2ee652.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nAceasta este un exemplu de cum NU trebuie s\u0103 fie realizat.<\/p>\n<p>Implantul st\u0103 \u00eentr-un unghi serios, axa sa nu corespunde axelor dintelui \u201enatural\u201d. Sarcina, conform principiului bra\u021bului de levier, este distribuit\u0103 incorect, iar coroana are o form\u0103 anatomic\u0103 gre\u0219it\u0103 \u2014 cu margini care dep\u0103\u0219esc, sub care se acumuleaz\u0103 alimente \u0219i pl\u0103ci dentare.<\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/5de432de8d97e153fd7db6ea06a9d5eb.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nSe dezvolt\u0103 inflama\u021bia \u0219i, ca urmare, pierderea \u021besutului osos \u0219i gingival din jurul implantului. Pu\u021bini dintre voi ar dori s\u0103 pl\u0103teasc\u0103 bani pentru o lucrare care, \u00een final, va ajunge pe \u201eborc\u0103\u201d (adic\u0103 va da gre\u0219). Chiar \u0219i abutimentele individuale nu vor ajuta aici.<\/p>\n<p>Ce crede\u021bi \u2013 ce leag\u0103 aceste trei calit\u0103\u021bi \u00eendoielnice ale lucr\u0103rii?<\/p>\n<p><i><b>R\u0103spunsul la aceast\u0103 \u00eentrebare \u00eel ve\u021bi g\u0103si citind articolul meu...<\/b><\/i><\/p>\n<p>M\u0103 simt uneori extrem de sup\u0103rat \u0219tiind c\u0103 oamenii, \u00eencerc\u00e2nd s\u0103 economiseasc\u0103, pl\u0103tesc de fapt un pre\u021b dublu, fiind nevoi\u021bi din nou \u0219i din nou s\u0103 \u00ee\u0219i piard\u0103 nervii, timpul pre\u021bios \u0219i s\u0103n\u0103tatea. Orice interven\u021bie chirurgical\u0103, indiferent de cum ar fi \u0219i \u00een ce clinic\u0103 SuperMegaHyperNanoBombastic\u0103 (cu geishas, administratori negri, asistente goale sau elefan\u021bi) ar fi efectuat\u0103, r\u0103m\u00e2ne tot o manevr\u0103 chirurgical\u0103, iar clinica este o institu\u021bie medical\u0103, unde, s\u0103 fim sinceri, oric\u0103rui om normal i-ar pl\u0103cea s\u0103 se duc\u0103 c\u00e2t mai rar posibil. \u00cen via\u021b\u0103 sunt lucruri mai interesante pe care s\u0103-\u021bi investe\u0219ti timpul. \u0218i banii.<\/p>\n<p> Atunci, de ce \u00een diferite clinici stomatologice costul acelea\u0219i manevre poate fi diferit? Pe baza c\u0103ror factori se stabile\u0219te pre\u021bul \u0219i de ce este at\u00e2t de important s\u0103 ne uit\u0103m mai \u00eent\u00e2i la cifre.<\/p>\n<ul>\n<li>\n<h4>Instrumente \u0219i materiale<\/h4>\n<\/li>\n<\/ul>\n<p>\n \u00ce\u021bi voi prezenta un caz real din practic\u0103 \u2013 un prieten din \u0219coal\u0103 m-a contactat, afl\u00e2nd c\u0103 lucrez de mult timp ca chirurg implantolog, cer\u00e2ndu-mi ajutorul. Tat\u0103l s\u0103u a primit implanturi dentare la o clinic\u0103 privat\u0103 decent\u0103, dar cu o rat\u0103 de succes de aproximativ 50%. Din dou\u0103 implanturi, unul cade. Se mai adaug\u0103 alte patru \u0219i cad dou\u0103. Dar e ieftin. Totu\u0219i, nu este foarte pl\u0103cut. Desigur, corectarea acestor gre\u0219eli s-a f\u0103cut \u00een cadrul garan\u021biei, dar pacientului i s-a f\u0103cut pu\u021bin r\u0103u de acest lucru. S-a decis s\u0103 continu\u0103m tratamentul la noi. Dup\u0103 o evaluare am\u0103nun\u021bit\u0103 a tuturor investiga\u021biilor necesare, am ajuns la concluzia c\u0103, cu o mare probabilitate, e\u0219ecurile s-au datorat freselor implantologice foarte uzate, cu care se formau lojele pentru implanturi, ceea ce a dus la supra\u00eenc\u0103lzirea osului cortical \u2013 necroza acestuia. Din aceast\u0103 cauz\u0103, \u021besutul osos \u00ee\u0219i pierdea alimenta\u021bia \u0219i nu avea loc osteointegra\u021bia \u2013 fuzionarea \u021besutului osos cu suprafa\u021ba rugoas\u0103 a implantului. O, dar am promis\u2026 Mai exact, se datoreaz\u0103 utiliz\u0103rii unor burghie uzate, cu care erau forate g\u0103uri, \u00een care, la r\u00e2ndul lor, erau \u00een\u0219urubate \u0219uruburi de titan, ca \u00een perete. Numai c\u0103 f\u0103r\u0103 suport. Toat\u0103 aceast\u0103 mizerie s-a \u00eent\u00e2mplat doar pentru c\u0103 o persoan\u0103 neagr\u0103 a decis s\u0103 economiseasc\u0103 ni\u0219te bani \u0219i a \u201euitat\u201d s\u0103 cumpere fresce noi, ascu\u021bite \u0219i str\u0103lucitoare.<\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/e6fb7e98d14314bf1dc047ea989879ac.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\n<img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/1b28d563f534988e5e841168c566ba5a.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nCred c\u0103 situa\u021bia cu burghiele \u0219i toate instrumentele rotative-t\u0103ietoare din acea clinic\u0103 nu este mai bun\u0103.<\/p>\n<p>Acest lucru duce la faptul c\u0103, atunci c\u00e2nd se \u00eencearc\u0103 eliminarea, de exemplu, a unui dinte de \u00een\u021belepciune, care, de obicei, trebuie fragmentat (<noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/455499\/\">cite\u0219te aici<\/a><\/noindex>) apare acelea\u0219i probleme. Burghiele sunt tocite, negre din cauza supra\u00eenc\u0103lzirii, se blocheaz\u0103 \u0219i se rup \u00een timpul lucrului. \u00cen loc de 15 minute pentru extrac\u021bie, primim 40 de minute plus o injec\u021bie suplimentar\u0103 de anestezic \u0219i o bucat\u0103 rupt\u0103 de burghiu supra\u00eenc\u0103lzit \u00een obraz, (\u00een cel mai bun caz) ca bonus.<\/p>\n<p> Aceea\u0219i poveste se aplic\u0103 \u0219i \u00een terapie \u2013 cu to\u021bii ne amintim de mirosul din\u021bilor ar\u0219i \u00een stomatologie, c\u00e2nd praful este \u00een aer \u0219i nu se poate respira. De precizia prelucr\u0103rii cavit\u0103\u021bilor carioase nici nu mai vorbesc \u2014 c\u00e2nd un burghiu tocit este introdus \u00eentr-un contraunghi deteriorat, \u00een loc s\u0103 ob\u021binem o g\u0103uric\u0103 curat\u0103, primim o gaura. Ca la o fost\u0103. <\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/39f317bd887b8a1633ab2fc85df1d0c0.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nEconomia total\u0103, naibii. <i>Dar pre\u021burile sunt mai mici, lumea vine mai des...<\/i><\/p>\n<ul>\n<li>\n<h4>Echipament<\/h4>\n<\/li>\n<\/ul>\n<p>\n Un aspect important \u00een formarea costului final al serviciilor este prezen\u021ba sau absen\u021ba unui cabinet de radiologie complet echipat, care include un aparat de CT conic pentru diagnosticul de calitate \u0219i planificarea corect\u0103 a tratamentului. Niciun dentist respectabil nu va \u00eencepe implantarea sau tratamentul canalelor dentare f\u0103r\u0103 aceast\u0103 imagine. \u00cen cazul \u00een care acest dispozitiv extrem de util nu este disponibil \u00een clinic\u0103, preg\u0103ti\u021bi-v\u0103 s\u0103 merge\u021bi de la clinic\u0103 la clinic\u0103 (sau la centre de diagnostic specializate) unde aparatul este disponibil. Ceea ce, dup\u0103 cum \u0219tim cu to\u021bii, nu este \u00een regul\u0103. S\u0103 spunem c\u0103 un astfel de aparat cost\u0103 de la 5 milioane de ruble \u00een sus. Dar \u00eel pute\u021bi evita \u0219i economisi.<\/p>\n<p>Mul\u021bi dintre voi vor spune: \u2014 \u201eAha, asta e o prostie, suntem r\u0103sf\u0103\u021ba\u021bi? Nu e greu s\u0103 merg s\u0103 fac o radiografie \u00eentr-un centru specializat.\u201d Sunt de acord, dar a merge pentru o radiografie planificat\u0103 \u00eentr-un centru specializat este un alt lucru.<\/p>\n<p>E complet diferit c\u00e2nd este vorba despre:<\/p>\n<ul>\n<li>O durere acut\u0103 \u0219i la intrare \u021bi se spune: \u2014 \u201emergi s\u0103 faci o radiografie \u00een alt\u0103 parte \u0219i apoi \u00eentoarce-te!\u201d Cel pu\u021bin, acel \u201ealt loc\u201d ar putea s\u0103 nu fie \u00een cl\u0103direa de l\u00e2ng\u0103. Cine ar aprecia o astfel de atitudine? O vizit\u0103 la dentist este \u00eentotdeauna stresant\u0103, mai ales c\u00e2nd ai suportat durerea toat\u0103 noaptea \u0219i, \u00een cele din urm\u0103 (!!!), ai ajuns la clinic\u0103, unde te g\u00e2nde\u0219ti c\u0103 vei primi ajutor, iar acum \u2013 \u201enu avem aparat, dar \u021bine-te bine, toate cele bune \u0219i o stare de spirit optim\u0103!\u201d<\/li>\n<li>C\u00e2nd este nevoie de controlul tratamentului canalelor dentare sau de monitorizarea opera\u021biei \u0219i a pozi\u021biei implantului, de exemplu.\n<p>Ve\u021bi merge cu \u201eacele\u201d \u00een gur\u0103 \u0219i cu un cofferdam (un material izolator pentru dinte) \u00een centrul vecin? Dar, desigur, nu este necesar s\u0103 efectuezi acest control. Atunci po\u021bi s\u0103-i spui din\u021bilor \u2013 \u201eadio!\u201d<\/li>\n<\/ul>\n<p>\n<i>Dar pre\u021burile sunt mai mici, lumea vine mai des...<\/i><\/p>\n<ul>\n<li>\n<h4>Sterilizare<\/h4>\n<\/li>\n<\/ul>\n<p>\n A\u0219 dori s\u0103 acord o aten\u021bie special\u0103 CSO (Centrul de Sterilizare). Acesta, bine\u00een\u021beles, exist\u0103 peste tot. Dar cum este?<\/p>\n<p>Un autoclave vechi de m\u00e2na a doua, cump\u0103rat dintr-un magazin de second-hand. Nu a fost niciodat\u0103 lovit, nici vopsit. Un singur proprietar, \u0219i acela \u2013 o bunic\u0103 german\u0103 \u00een v\u00e2rst\u0103, care s\u00e2mb\u0103ta steriliza borcane pentru conserve de c\u00e2rna\u021bi bavarezi. Acesta nu mai men\u021bine temperatura \u0219i presiunea necesar\u0103. <\/p>\n<p>Prin urmare, nu se poate vorbi de nicio sterilitate. \u00cen plus, \u00eentr-un CSO normal ar trebui s\u0103 existe o mul\u021bime de echipamente speciale \u0219i solu\u021bii, menite s\u0103 asigure c\u0103, chiar dac\u0103 \u00een fa\u021ba ta s-au tratat to\u021bi locatarii celor trei g\u0103ri \u0219i doamnele lor cu o responsabilitate social\u0103 sc\u0103zut\u0103, nu te po\u021bi infecta dup\u0103 ei. <\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/9f4e1185ca370cc6662440dddbbc010c.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\n<i>Dar pre\u021burile sunt mai mici, lumea vine mai des...<\/i><\/p>\n<h4>O mic\u0103 digresiune<\/h4>\n<p>\n Recent am fost \u00een capitala cultural\u0103, pe canalul Griboedov, s\u0103 hr\u0103nesc ra\u021bele, dar \u0219i r\u0103\u021boii. Admira\u021bi frumuse\u021bea bisericii \u201eM\u00e2ntuitorul pe s\u00e2ngele v\u0103rsat\u201d, nu am observat c\u0103 nu mai era p\u00e2ine delicioas\u0103. <\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/f2a978a1098ac55b9a5e59ae47fa8364.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\n\u00cemi pare r\u0103u, r\u0103\u021boi \u0219i ra\u021be. Data viitoare cu siguran\u021b\u0103 v\u0103 voi hr\u0103ni. Dar nu e sigur. Dup\u0103 ce m-am \u00eent\u0103rit, l-am vizitat pe un fost coleg de curs\u0103, care lucreaz\u0103 ca chirurg \u00eentr-o clinic\u0103 bine cunoscut\u0103. Ce s\u0103 spun, tovar\u0103\u0219i. Urmeaz\u0103 groz\u0103vii.<\/p>\n<p>Am trecut peste trotuar, intr\u00e2nd \u00een cl\u0103dire\u2026 <\/p>\n<p> \u2014 Ehhh! Pune\u021bi ciorapi! Aud vocea cuiva. Fie c\u0103 receptorul este prea \u00eenalt, fie c\u0103 feti\u021ba a uitat s\u0103 se ridice, dar m-am speriat de strig\u0103tul sup\u0103rat. \u0218i, abia dup\u0103 ce am \u00eembr\u0103cat cu st\u00e2ng\u0103cie ciorapii \u0219i m-am retras \u00een sala de a\u0219teptare, am realizat c\u0103 aroma care m\u0103 chinuia \u00eenc\u0103 de la sosire era cauzat\u0103 nu de un atac al fricii mele, ci de scurgerile dintr-o \u021beav\u0103 de canalizare veche din subsolul Sankt-Petersburgului. Vreau o cafea! Organismul meu a dorit o cea\u0219c\u0103 de cafea fierbinte, tare, aromat\u0103. Dar \u0219i aici am avut un e\u0219ec.<\/p>\n<p>Caf\u00e9 3 \u00een 1 \u0219i pachetele de Lipton, care se propun a fi turnate cu ap\u0103 fierbinte din cooler, \u00eemi taie tot elanul.<\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/2004ed7264347a8ae77decb83872864d.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nDin p\u0103cate, nu am reu\u0219it s\u0103 v\u0103d st\u0103p\u00e2na cur\u0103\u021beniei la acea vreme. Dar am reu\u0219it s\u0103 v\u0103d o g\u0103leat\u0103 plin\u0103 cu ciorapi folosi\u021bi.<\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/bc4e578ef3bc2fc816cfed5c655e1f83.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nDar ar putea fi altfel. F\u0103r\u0103 ciorapi, pentru c\u0103 sunt persoane specializate care primesc salarii pentru cur\u0103\u021benie. Cu cafea bun\u0103, de care orice cafenea din capital\u0103 s-ar putea invidia. Un sistem complex de purificare \u0219i aromatizare a aerului. Administratori bine preg\u0103ti\u021bi. \u0218i o atmosfer\u0103 pl\u0103cut\u0103 \u0219i primitoare, \u00een care ui\u021bi c\u0103 te afli \u00eentr-o clinic\u0103 dentar\u0103. Evalueaz\u0103 dac\u0103 merit\u0103 sau nu \u2013 decizia \u00ee\u021bi apar\u021bine.<\/p>\n<ul>\n<li>\n<h4>Chirie \u0219i servicii comunale<\/h4>\n<\/li>\n<\/ul>\n<p>\n Contrar opiniei generale c\u0103 \u00eenchirierea \u00een centrul Moscovei ar putea cre\u0219te pre\u021bul final de mai multe ori, afirm cu responsabilitate \u2013 aceasta este o provocare. Deoarece diferen\u021ba de costuri pentru \u00eenchirierea a 500 mp \u00een centrul Moscovei \u0219i pe marginea ora\u0219ului constituie o sum\u0103 capabil\u0103 s\u0103 creasc\u0103 pre\u021bul unei consulta\u021bii cu maximum 100 de ruble. \u201eSupra-\u00eenchirierea\u201d se amortizeaz\u0103 \u00een c\u00e2teva ore de activitate a clinicii, crede-m\u0103.<\/p>\n<p>Despre ce cre\u0219tere global\u0103 a costului tratamentului poate fi vorba? Te \u00eentrebi \u2013 de unde \u0219tiu asta? \u00cen fotografia de deschidere, locul meu de munc\u0103 este acoperit de piciorul so\u021biei fondatorului clinicii. Numai s\u0103 nu-i spui despre asta.<\/p>\n<p>Acum uite, uit\u0103 tot ce am scris mai sus. \u00cen esen\u021b\u0103, nu conteaz\u0103 \u00een ce tip de scaun stai \u2013 \u00eentr-unul confortabil, ergonomic sau \u00eentr-unul vechi, a c\u0103rui mecanism de ridicare s-a stricat acum zece ani, iar locul de odihn\u0103 p\u0103streaz\u0103 contururile \u0219oldurilor de husar \u0219i are urme de spori de la cizme. \u0218i nici calitatea cafelei gratuite nu influen\u021beaz\u0103 procentul de succes al manoperele stomatologice. <\/p>\n<p>Dar nu am putut scrie un articol dintr-un singur paragraf.<\/p>\n<p>Atunci, de ce \u00een diferite clinici \u0219i la diferi\u021bi doctori \u2013 pre\u021burile pentru aceea\u0219i procedur\u0103 variaz\u0103? De fapt, totul nu este complicat, ci foarte simplu.<\/p>\n<p>S\u0103 presupunem c\u0103 toate clinicile existente lucreaz\u0103 cu acelea\u0219i materiale. \u0218i func\u021bioneaz\u0103 \u00een acelea\u0219i condi\u021bii \u2013 c\u0103ci nu este rar ca clinici foarte scumpe \u0219i foarte ieftine s\u0103 se afle la doar zece metri distan\u021b\u0103 una de cealalt\u0103, uneori chiar \u00een aceea\u0219i cl\u0103dire. \u0218i se poate presupune c\u0103 au acelea\u0219i costuri de \u00eenchiriere \u0219i de operare.<\/p>\n<p>Dac\u0103 ne imagin\u0103m c\u0103 ele lucreaz\u0103 dup\u0103 acelea\u0219i reguli de formare a pre\u021bului \u0219i calculare a rentabilit\u0103\u021bii \u2013 de unde provine diferen\u021ba? Iat\u0103 de unde:<\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/9c3170cf39e9d8dc039d69c7e997bed7.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nDe exemplu, avem un student de ieri, dispus s\u0103 lucreze pentru m\u00e2ncare, \u0219i un asistent care se hr\u0103ne\u0219te cu resturi de la student, \u0219i un administrator pe o diet\u0103 strict\u0103 \u0219i s\u0103r\u0103c\u0103cioas\u0103, adic\u0103, pe scurt, pe ap\u0103. Costul muncii acestui personal este minim. Acum exist\u0103 destule oferte din partea speciali\u0219tilor debutan\u021bi (stagiari) care, f\u0103r\u0103 plat\u0103 sau pentru o sum\u0103 nesemnificativ\u0103, pot crea un \u201e\u0219edevr\u201d. Dar e o diferen\u021b\u0103 dac\u0103 e vorba de p\u0103r sau unghiu cu gene, care cresc, \u0219i alta dac\u0103 e vorba de din\u021bi...<\/p>\n<p>\u00cen col\u021bul din alt\u0103 parte a ringului se afl\u0103 speciali\u0219tii, aduna\u021bi \u0219i atra\u0219i din cele mai bune clinici stomatologice. Doctori, asisten\u021bi \u0219i administratorii c\u0103ror servicii sunt foarte cerute. Personalul, calitatea muncii c\u0103ruia este apreciat\u0103, \u00een m\u00e2inile c\u0103ruia au \u00eencredere mii de pacien\u021bi. Din p\u0103cate, astfel de speciali\u0219ti nu vor lucra cu salarii mici. Au fost atra\u0219i din alte clinici cu cele mai bune condi\u021bii de munc\u0103, inclusiv cu salarii atractive. \u0218i acum trebuie s\u0103 pl\u0103tim acele salarii.<\/p>\n<p>\u00cen timp ce redactam articolul, \u0218eful meu se \u00eemp\u0103ca \u00een Lj-ul s\u0103u cu un domn respectabil pe aceea\u0219i tem\u0103. Nu pot s\u0103 nu \u00eemp\u0103rt\u0103\u0219esc captura de ecran. Bucura\u021bi-v\u0103.<\/p>\n<p><img decoding=\"async\" alt=\"Adev\u0103rul gol\" src=\"\/wp-content\/uploads\/2019\/12\/4994f798e079a23f80b7f33f0c646f7f.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<\/p>\n<h4>P.S. <\/h4>\n<p>\n To\u021bi, inclusiv eu, am \u00eenceput de la \u201edezm\u0103\u021b\u201d. Nu e bine, nu e r\u0103u \u2013 este un fapt! Am lucrat mul\u021bi ani \u00eentr-o clinic\u0103 \u00een care nu aveam nici \u201eap\u0103\u201d (r\u0103cire), nici \u201elumin\u0103\u201d, nici \u201easpira\u021bie\u201d. A trebuit s\u0103 iluminez c\u00e2mpul operator cu o lantern\u0103 de telefon, iar elementele care se \u00eenc\u0103lzeau le r\u0103ceam cu o sering\u0103 cu solu\u021bie salin\u0103, ceream cuiva s\u0103 spitoneze \u00een oal\u0103 (care era de fapt un simplu farfurie de la cantin\u0103) la fiecare c\u00e2teva secunde de munc\u0103. <\/p>\n<p>Nu spun c\u0103 este imposibil s\u0103 \u00eent\u00e2lne\u0219ti un me\u0219ter incompetent \u00een stomatologia \u201escump\u0103\u201d, dar probabilitatea de a da peste un incompetent \u00eentr-o clinic\u0103 din subsol pe marginea ora\u0219ului \u0219i \u00een una din centrul ora\u0219ului \u2013 nu este deloc aceea\u0219i. Dac\u0103 pleca\u021bi de la consulta\u021bie cu sentimentul c\u0103 nimic nu v\u0103 este clar, mai mult dec\u00e2t at\u00e2t \u2013 ave\u021bi \u0219i mai multe \u00eentreb\u0103ri dec\u00e2t a\u021bi avut \u00eenainte, \u0219i v\u0103 apare o senza\u021bie temporar\u0103 c\u0103 doctorul este un incompetent, atunci, cel mai probabil, a\u0219a este. Merge\u021bi \u0219i la o alt\u0103 clinic\u0103 \u0219i asculta\u021bi opinia altor speciali\u0219ti. Aceasta va fi o decizie corect\u0103 chiar \u0219i \u00een cazul \u00een care doctorul v-a pl\u0103cut. Ve\u021bi avea cu ce compara. \u00cen clinicile normale consulta\u021biile sunt gratuite, pentru ca voi, c\u00e2nt\u0103rind toate avantajele \u0219i dezavantajele, s\u0103 face\u021bi o alegere con\u0219tient\u0103.<\/p>\n<p>Subliniez \u2013 bine\u00een\u021beles c\u0103 este important c\u00e2t de bun este cafeaua pe care o servi\u021bi \u00een clinica stomatologic\u0103 \u0219i dac\u0103 robo\u021bii de la \u201eBoston Dynamics\u201d v\u0103 servesc b\u0103uturi de lux, iar \u00een hol se afl\u0103 Amaq Akopyan care v\u0103 arat\u0103 tot felul de minuni. <\/p>\n<p>Dar, totu\u0219i, mai important este <b>PERSONALUL<\/b>. <\/p>\n<p>Cu respect, insider-ul vostru din lumea stomatologiei,<br \/>\n Andrei Dashkov<\/p>\n<p><b>Ce altceva s\u0103 citi\u021bi?<\/b><\/p>\n<p><i>Despre implantarea din\u021bilor:<\/i><\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/459140\/\"> \u2014 Implantarea unui dinte: cum se face?<\/a><\/noindex><br \/>\n<noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/455852\/\"> \u2014 Sinus lifting \u0219i implantare simultan\u0103<\/a><\/noindex><br \/>\n<noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/459956\/\"> \u2014 Implantare \u00een caz de absen\u021b\u0103 total\u0103 a din\u021bilor, ca urmare a unei vizite tardive la dentist<\/a><\/noindex><\/p>\n<p><i>Despre din\u021bii de minte \u0219i extragerea lor:<\/i><\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/455286\/\"> \u2014 Din\u021bii de minte: s\u0103-i extragem sau nu? <\/a><\/noindex><br \/>\n<noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/457336\/\"> \u2014 Consecin\u021bele unei extrac\u021bii tardive a din\u021bilor de minte<\/a><\/noindex><br \/>\n<noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/455499\/\"> \u2014 Extragerea din\u021bilor de minte. Cum se face?<\/a><\/noindex><br \/>\n<noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/458218\/\"> \u2014 Chirurgie maxilo-facial\u0103 sau nu? Aceasta e \u00eentrebarea...<\/a><\/noindex><br \/>\n<noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/456402\/\"> \u2014 Din\u021bii de minte: \u00cei tragem, \u00eei l\u0103s\u0103m!<\/a><\/noindex><br \/>\n<br \/>Sursa: <a content=\"nofollow\" rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/479898\/\">habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>\u0414\u043e\u0440\u043e\u0433\u0438\u0435 \u0434\u0440\u0443\u0437\u044c\u044f, \u0440\u0430\u0434 \u0432\u0438\u0434\u0435\u0442\u044c \u0432\u0430\u0441 \u0441\u043d\u043e\u0432\u0430. \u041b\u0438\u0447\u043d\u043e \u044f \u043e\u0447\u0435\u043d\u044c \u0441\u043e\u0441\u043a\u0443\u0447\u0438\u043b\u0441\u044f \u043f\u043e \u043d\u0430\u0448\u0435\u043c\u0443 \u043e\u0431\u0449\u0435\u043d\u0438\u044e. \u041c\u043e\u0451 \u0434\u043e\u043b\u0433\u043e\u0435 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043d\u0430 \u044d\u0442\u043e\u043c \u0440\u0435\u0441\u0443\u0440\u0441\u0435 \u0432\u044b\u0437\u0432\u0430\u043d\u043e \u0447\u0440\u0435\u0437\u0432\u044b\u0447\u0430\u0439\u043d\u043e \u0431\u043e\u043b\u044c\u0448\u0438\u043c \u043d\u0430\u043f\u043b\u044b\u0432\u043e\u043c \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432. \u0421\u0440\u0435\u0434\u0438 \u043a\u043e\u0442\u043e\u0440\u044b\u0445, \u0447\u0442\u043e \u043c\u043d\u0435 \u043f\u0440\u0438\u044f\u0442\u043d\u043e \u043e\u0442\u043c\u0435\u0442\u0438\u0442\u044c, \u0431\u044b\u043b\u043e \u043e\u0447\u0435\u043d\u044c \u043c\u043d\u043e\u0433\u043e \u0447\u0438\u0442\u0430\u0442\u0435\u043b\u0435\u0439 \u043c\u043e\u0438\u0445 \u043f\u0440\u0435\u0434\u044b\u0434\u0443\u0449\u0438\u0445 \u0441\u0442\u0430\u0442\u0435\u0439. \u0418 \u0434\u0430\u0436\u0435, \u043d\u0435 \u043f\u043e\u0431\u043e\u044e\u0441\u044c \u044d\u0442\u043e\u0433\u043e \u0441\u043b\u043e\u0432\u0430, \u043a\u043e\u043c\u043c\u0435\u043d\u0442\u0430\u0442\u043e\u0440\u043e\u0432! \u0412\u0437\u044f\u0442\u044c\u0441\u044f \u0432 \u043e\u0447\u0435\u0440\u0435\u0434\u043d\u043e\u0439 \u0440\u0430\u0437 \u0437\u0430 \u043f\u0435\u0440\u043e \u043c\u0435\u043d\u044f \u0441\u043f\u043e\u0434\u0432\u0438\u0433\u043b\u043e \u0442\u043e \u043e\u0431\u0441\u0442\u043e\u044f\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u043e, \u0447\u0442\u043e [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[702],"tags":[],"class_list":["post-53907","post","type-post","status-publish","format-standard","hentry","category-news"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.2.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u0414\u043e\u0440\u043e\u0433\u0438\u0435 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