Medical care for PAIVS and ME/CFS. Evidence-based, from home.

Yes. Long Covid and post-COVID syndrome are the focus of the platform, as is ME/CFS, which often develops from them. We group these conditions under PAIVS because similar symptoms also follow other infections or vaccinations. Book the PAIVS/ME/CFS appointment; for children and adolescents from age 10, PAIVS Kids.

Long Covid refers to symptoms persisting from the 4th week after a COVID infection, such as exhaustion, concentration problems, breathlessness or a racing heart. Post-COVID syndrome is used when symptoms last longer than 12 weeks and cannot be explained otherwise. Everyone whose symptoms persist after COVID is welcome, however long they have lasted.

Yes. Persistent symptoms after a COVID-19 vaccination often look similar to Long Covid or ME/CFS and are assessed and treated just as carefully. Please book the PAIVS/ME/CFS appointment.

For people aged 10 and over with Long Covid, Post-Vac, ME/CFS, MCAS, POTS or other dysautonomias. An in-person work-up is needed: by your GP and ideally by cardiology (e.g. echocardiography) and neurology. If these findings are not yet available at the appointment, we issue a referral. Dangerous causes in the heart or nervous system should be ruled out, because we cannot examine you physically online. Working together with your GP remains important during treatment.

Please book only one first appointment, even if you have several diagnoses (e.g. ME/CFS and MCAS). If in doubt, choose PAIVS/ME/CFS: its questionnaire is more detailed and covers related conditions. Please do not book first appointments with several physicians at the same time; it brings no benefit and takes a place from someone else. If you have already booked two, please cancel one and let us know briefly via the MediPrime app.

Demand is much higher than the number of appointments. New appointments are usually released at the start of each month and are often taken quickly; cancellations free up individual slots in between. The best option is to join the waiting list: you will get an email as soon as new appointments are released.

After booking you receive access to the MediPrime app. About 4 weeks before the appointment you receive the medical history form and further questionnaires and tests there (e.g. a circulation test, grip strength). You can fill them in calmly and in stages on your phone; please return them no later than 2 weeks before the appointment. Upload prior findings in the app under “Documents/Uploads”; we cannot accept post. If a form cannot yet be completed in the app, print it, fill it in and upload a photo or scan. The physician's preliminary evaluation feeds directly into the appointment.

The MediPrime app on a smartphone or tablet, or a current browser (Chrome, Edge, Safari, Firefox), and a stable internet connection. For technical problems, MediPrime support can help: support@mediprime.eu.

Yes. Relatives may join the video appointment and speak for you, for example if you do not have the energy for 30 minutes. If you cannot take part yourself, a trusted person can attend alone. So that we are allowed to share information with them, please give us their name and phone number.

Yes. The platform is designed precisely for severely affected people. All appointments are by video, and you can lie down. Length and pace follow what you can manage, and a trusted person can speak for you.

A detailed medical report with findings and a treatment plan, plus prescriptions and referrals if needed, digitally signed. Because each report is written individually, you receive it about 7 to 10 days after the appointment. At follow-up appointments you receive an updated treatment recommendation.

After the first appointment, please book a follow-up yourself, ideally about 8 weeks after starting treatment and with the same physician if possible. This allows treatment to be adjusted in a targeted way.

Then we reschedule. This is free and possible several times. If you worsen significantly, the appointment can be paused for up to 12 months; anything already paid is kept. Just let us know via the MediPrime app.

A crash (post-exertional malaise, PEM) typically starts 12 to 48 hours after exertion and can last hours to days. It is unpleasant but usually not an emergency. The aim is to keep it as short as possible: reduce exertion immediately, including mental and emotional load (screens, reading, phone calls). Shield yourself from stimuli and rest lying down rather than sitting. Drink enough and, with POTS, keep to the salt intake agreed with your physician. Take as-needed medication according to your treatment plan. No training and no increase in activity until you have fully recovered. Note the trigger, onset, duration and symptoms; this helps a lot at the next appointment. Call the emergency number 112 or go to an emergency department immediately for chest pain, acute shortness of breath, new paralysis, speech or vision problems, loss of consciousness or a severe allergic reaction. A crash does not automatically explain new or unusual symptoms; have them checked.

We are happy to answer organisational questions in writing via the MediPrime app. Medical questions need a conversation so that we can ask follow-up questions and assess how you are now; that is why we do not answer longer medical messages in writing. Feel free to upload your questions for the next appointment. If it cannot wait, contact your local GP or specialist (in Austria also the health hotline 1450), or 112 in an emergency.

Please not for matters concerning the Online Klinik. The physicians' practices are separate from the Online Klinik, organisationally and for data protection. The staff there have no access to your records and cannot look anything up or pass anything on. Please write to us via the MediPrime app, or before booking by email to info@pais-care.online. We usually answer urgent medical matters within two working days; organisational matters can take one to two weeks. If you feel acutely unwell, contact your local health services, in an emergency 112.

We correct our own errors, such as incorrectly transferred values or dates, free of charge. We do not reword the medical assessment on request. If you need a report for a specific purpose, such as a pension insurer, we write it as a separate document charged by effort; we tell you the cost in advance.

Each physician sets this and tells you the price in advance. In Dr. Geiger's practice: prescription or referral €15, short certificate or signature €40, longer reports by effort.

Yes, from age 10, in a separate appointment type (PAIVS Kids) with age-appropriate questionnaires. A parent with custody registers the child, and a parent attends the appointment.

There are specialised services for younger children. Paediatric Long Covid outpatient clinics in Austria: Vienna, Klinik Ottakring (Dr. Maria Rothensteiner, Dr. Florian Götzinger); Graz, University Clinic for Paediatrics and Adolescent Medicine (Assoc. Prof. PD Dr. Volker Strenger); Tyrol, Dr. Anna Zschocke, specialist in paediatrics. Paediatric rehabilitation with pacing: kokon Rohrbach-Berg (Upper Austria), kokon Bad Erlach (Lower Austria), Wiesing (Tyrol). Support for families is offered by, among others, the Austrian Society for ME/CFS (mecfs.at) and Long Covid Austria. Outside Austria, please ask your paediatrician.

Yes. Prescriptions and referrals are digitally signed and are as valid as hand-signed ones. We cannot judge in advance whether or how much your insurance will reimburse; please ask them beforehand.

In German, and with most physicians also in English. Dr. Aburaia also offers Arabic, Dr. Pacejkova Czech. The languages are listed for each physician. Medical reports are available in German or English.

A sound recommendation requires your medical history, findings and a consultation. Without them it would be neither medically justifiable nor legally permitted.

Yes. You choose when booking. All physicians work to the same evidence-based standards. First and follow-up appointments should be with the same physician where possible. If it does not work out, you can change: let us know in the MediPrime app and then book with the physician you prefer.