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tv   PODKAST  1TV  June 14, 2024 12:00am-12:46am MSK

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and they share pills, by the way , this older generation often has green, blue, and red pills, and it definitely helped me, it will help you too, and for some reason no one thinks that this can even lead to very serious consequences, yes , it’s a direct contraindication for someone to take this, well, let’s go back to this person who came with a lump in his throat and decided that he had hypothyroidism, you ask questions, yeah. that there is nothing related to hypothyroidism, but the person has such an emotional state, increased anxiety, there is a direct anxiety syndrome, this is the feeling, it is not associated with an increase in the volume of the thyroid gland, or sometimes there is a nodule that, well , let’s say, puts pressure on something important, so this feeling arises, this is absolutely neurological situation. sometimes you
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can help yourself in this situation, when you are really sure that everything is connected with this, sometimes you send the person to a neurologist, and there they actually make an appropriate diagnosis and prescribe appropriate treatment, the situation ends, that’s why no matter how simple it may seem, it is sometimes much more complex and interesting, and not only that, when the doctor looks at the patient, examines him, he can find something else that doesn’t hurt at all... absolutely, it’s more dangerous than the lump he came with. but it happens that you start asking a person, and he is so suspicious that he immediately starts to hurt here, that’s what you ask him about, about this and how to deal with it, that’s when you see that the person is so suspicious, you you immediately explain to him, that this is not at all what you thought about, because there would be this, this, this and this, but there is nothing of this, so forget and don’t even think anymore, at the same moment the same people. they say: doctor, what should i expect?
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now, what will happen next? i never program such patients, i always say, don’t expect anything, only good things, it will be like this, like this, for a certain period, just a little about this, pay attention, pay attention to this here, phone number, if something happens, write , don't be afraid of anything, sometimes this phone is just like a lifeline, that’s all, a person knows that if anything happens, he has this opportunity, and he calms down, that’s it. artificial intelligence works better than humans, of course, well , science, medical science, statistics, everything is calculated much better there, moreover, people involved in science have this peculiarity, when they believe in something, they want it so much that.. in order for the statistics to turn out in
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the right direction, this is where artificial intelligence is indispensable, because it does not have such and some kind of emotional attachments, he will consider that there is probably also the production of medicines, yes, too, probably, artificial intelligence should help here, well, he collects some options, well, if the salad recipes are artificial intelligence can collect, then why can’t he offer some options, now there’s a big problem with antibiotics. that antibiotics stop working, bacteria are ahead, yes, yes, the current popular antibiotics stop working, but there are a huge number of others antibiotics, which we don’t know about yet, we haven’t identified them yet, and so on, and we still have drugs that i think, i hope that they will still show themselves very, very well, well, monoconal antibodies are already everywhere, but bacteriophages are not yet everywhere, on the one hand they seem to have been experienced.
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it seems to me that a search engine, no matter how you look at it, is still a help, a serious help, a serious one, but it should still be a help, someday, perhaps. yes, artificial intelligence will reach such heights that it will be able to become more more effective than a doctor, well, for example, i had a dream, in such a huge space, a large wall, a large wall of a hangar, to try to draw all the relationships of hormones with each other, in the end i realized that no wall would be enough, this is such a cosmic there must be a story, there are a million stars there. everyone is interconnected with each other, and these connections are very difficult to trace, that is, it is useless, but artificial intelligence will most likely be able to hold all this information in the head , understand what influences what, how it prevent, and so on, but the customer must still be a person, and
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a person, well, like a specialist, this is , first of all, of course, a doctor, there is such a whole profession, now prompt engineers, these are special people who know how to draw up requests to... to artificial intelligence, to get, to get the necessary answers, this is not just like that, repeat, as they are called, prompt engineers, and i didn’t know, thank you, here, because of course, well, it hurts you head and you ask what to do, i have a headache and you you there’s a whole bunch of treatment options coming out, and which one will suit you is completely unclear, in fact, probably the most striking example is this winter, when... rospotrebnadzor tried its best to dissuade us from self-medicating during the flu and covid epidemic, because flu, covid, or, absolutely the same symptoms, you feel bad, you have a headache, you
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most likely feel nauseous, weakness, throat, nose, and so on and so forth, but they are treated in radically opposite ways, and if you treat. the point is not that there is only one liver, there are some treatment regimens, they are antagonists, that is, they can lead a weakened body, in fact, to death, of course, so, i googled it myself, well, yes, you have a snot, what, what to do, this must be taken, so
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what i mean is that you can’t do without a doctor, there is another important component, which, unfortunately, ... people ask: why is this, and why, here i have it here for the fat ones, such and such a parameter is highlighted, here an ultrasound specialist wrote something to me, but could you please tell me explain, and by explaining, you reduce the person’s level of anxiety; moreover, you explain in what time frame, what we must achieve, how
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some symptoms will go away, or vice versa, we must explain that first there will be a deterioration, this also happens, and then everything will go down, when a person has received these explanations, he understands, but... how would such a road map be formed, he perceives this whole situation completely differently, in general he will calm down, this is already half the treatment, he will understand that professionals have taken care of it , everything is in good hands, everything will be done, everything that is possible, just to make him feel better, but in fact there are a whole bunch of medical specializations that you can’t do without people, well, for example, nurses, this is important, nursing, of course, there are many places where we have operating robots. but the operator is still a person, for now it’s somehow difficult to do without a person, it’s even difficult to imagine this situation for now, although in the future anything is possible, but in our age doctors are still needed, yes, well, probably artificial intelligence is important where
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you need, so to speak, a sharp eye, when you need to look at pictures, well, some changes. i saw and read a study where artificial intelligence surpassed diagnostic doctors, radiologists, and made diagnoses more accurately, yes, but... but no one was happy about this, apparently, well, what i mean is, let there be this duplicating function , yes, because a person is a person who may be tired, sick, he may have some kind of stressful situation, he may have something skip, absolutely, it’s stupid to even discuss any variations here, but if artificial intelligence will be an assistant, then why not, the only thing that scares me a little in this situation is that how...
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or well, whatever you like, the medicine for me they didn’t sell it there, or they gave me a replacement, and i don’t understand whether it’s the same thing or not, and i want to have access to a doctor so that i can at least write briefly and get an answer. on the other hand, someone abuses this, and the doctor too, again, this is a person who, when he comes home, i also have to forget about work, switch off, relax in order to work fully tomorrow, so i... i give my patients a phone number, but even so, sometimes, here is one of these
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situations that will probably remain in my head forever, a wonderful patient , such a sincere lady who was embarrassed to ask me, having a phone, she went to the internet, google, search, and on this very internet, in a search engine for information, and read that this is... some side effects, most likely, related to so-and-so medicine, she simply canceled it, but she had complex therapy, in this complex it was impossible to take out some medications and leave others, then everything had to be canceled, and against the background of this resulting hormonal imbalance, we got a side effect, unpleasant, no good result, but we got a bad result. our youth are very, very helpful in our work, because we are not so
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clever in taking advantage of opportunities. when i defended my doctorate, i have a very large list of references, one of opponents asked: have you really read all these articles? well, even smiling, i said: yes, but some are only abstracts, he says, what am i saying, they are paid, now there are a lot of paid articles, you don’t have enough finances to buy all these articles, they don’t always cost even something like that accessible, so the guys help with the help of artificial intelligence, create a drawing so that it reflects the essence, but does not copy, yes, but i couldn’t do it myself, or they find articles, well, in a slightly larger, let’s say, volume, when you can...
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this is the most valuable thing, you can use the world, including experience, in general there is such a very interesting figure that plowed me: in order to equal the saturation, say, with what we can take from our erudition , let’s say, with one of the variants of artificial intelligence, if you read one page of a certain book every minute, then in order to get equal in number you need to read. around the clock for about 400 years, and the information is there
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every 2 years or however long it is doubles, but still , artificial intelligence is what it is, it’s a search for the average between the information that is put there, and who puts it there, a person, and where does a person take it from their experience, the experience of doctors, it is absolutely invaluable, why look for information it’s necessary on the internet, because when you come to see a doctor, you may not tell him something, well, simply because you forgot, didn’t pay attention or something like that when you start. count, something may form in your head, for example, here it is known that antidepressants cannot be taken with certain dietary supplements, yes, because they cause panic attacks and all sorts of severe symptoms, yes, yes, yes, but this is not directly written anywhere, so to speak, and in general dietary supplements are considered such frivolous things,
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in general, people take them like vitamins, which is completely unacceptable and wrong, just imagine. such a serious doctor prescribed an antidepressant, and at the same time the person takes these vitamins, he begins to have the most terrible panic attacks, it’s like a drug didn’t work well, no, it’s just adding this bad thing, that’s why there must be trust, and this kind of communication, i sometimes establish communication, when the situation is something special, i literally communicate with the person. day or there once a week, because i see that it can get out of control, it helps a lot, because a person, well, such a person is a rebus, and he will have manifestations that you do not expect, so you know for sure that something will happen, but you cannot predict what exactly, and timely correction decides such questions, but this is hardly possible,
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because well, you are alone, and there are many patients, in this regard it is good when there are students, they need to be recruited. experience, they are active, they are so eager for all this, when you include them in this process, it works absolutely wonderful, the other thing is that patients begin to react, well, what am i telling you here , some kind of experiment on me, no, in my opinion on the contrary , it’s good, because they are meticulous students, they are so very interested, especially medical students, well, in medicine in general they don’t just come for a reason, these are people of a very special type, there is also such a very special one. there is a well-known story that if a person takes statins - these are drugs to reduce cholesterol in the blood and they are lifelong, as they say, they are, that is , these are drugs that in no case can be canceled, there is no amateur activity there, unless the doctor prescribed them, they must be taken, but under no circumstances should they be taken next to greyforth
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juice, it simply aggravates the side effects, although in my opinion there are not many of them... there are not that many, but however, why? well, yes, it’s better without it at all, because it scares a person, sometimes some manifestation of a medicine is quite effective, such a universal antioxidant, acid, it’s called acid, well, there’s a certain theoctic acid, and if you drink it with less water , then he can, a large tablet is enough, if it gets somewhere in the esophagus, such a terrible pain begins there... pain with burning, uh-huh, a man calls and says: i have a burning sensation behind my sternum, the man is an adult, it seems that this heart attack, yes, yes, and you start asking this and that, that’s where there is even the slightest doubt, there is no need to risk an ambulance here, well, one day a patient said, he barely
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swallowed this, he also barely swallowed this pill, what a pill, such a pill , yeah, sit down, please, reduce your blood pressure, pulse, and so on, drink more water, while we were talking, zhenya left, but this doesn’t always happen, again, you can’t always get through to the doctor, the doctor works a lot, and it’s not clear what’s wrong write in the search engine, it’s all about the sternum and a heart attack, but how as a rule, it’s time to make a will, but the fact that you just took a vitamin, yes, yes, yes, go for a vitamin, that’s why a... i agree, there are many, many different combinations that are incompatible, and it is impossible to predict, provide for, but when a person takes medicine, i always say, take it with water, there is a small list of medicines that it would be advisable to take with milk, for example, yes, but it’s right there, everyone who prescribes these medicines, they
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know, they will say, but others, on the contrary, should never be washed down with milk, nuances, but if you take the medicine. with water, as a rule, nothing bad will happen, that’s right, god forbid i go crazy, it ’s better to go crazy, when our immunity goes crazy, these are bluish immune cells, then the immune system literally eats the human body alive. a unique medicine has been created in russia that has overcome the madness of our immunity. about it. and many other breakthroughs in the program to live healthy, dedicated to the day of the medical worker. tomorrow is the first, i don’t need the fate of a friend.
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space is larger than it was breathable and also thanks, of course, to the ceiling, because this bleached stain lay on it, and it’s like fog, about comfort, the premiere is on saturday on the first, so i know, zukhra, i really love your this story, about a girl , who was forced to take thyroid hormones from... and then she decided to improve, they should be taken exclusively on an empty stomach half an hour before meals, and she decided to improve her story,
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she decided to wash them down with a protein shake, because protein is always not in the body enough, but during our lifetime and so on, she also hacked the system, and it turned out to be an absolute fiasco. because it is not absorbed, yes, there will be no effectiveness, the endocrinologist will increase the dosage, because it does not work, high hormones that should have decreased, so the dose increases, the effect may already be negative from this dose, but the doctor cannot understand , what exactly is happening, or else, this is very often connected with people who work... with the schedule: you got up, took a pill, then you have to wait half an hour, you may not be able to get to work on time, everyone is trying to somehow improve this and
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simplify the situation, someone else, adults take cardiac medications, which should also be taken on an empty stomach, they think, that if you combine them, then everything will be fine, unfortunately not, so if the doctor said strictly natasha, not combining them with anything, then don’t even... you don’t need any water with anything acidified or sweetened with anything, just water and everything will be great, so again returning to the topic of our today's conversation, this woman, well , would not have found the answer anywhere, in any search engine and never, she would not have asked this question correctly to artificial intelligence in order to get the correct answer, she does not know what to ask, but in this situation everything seems to be correct only a doctor who is about to get to the bottom of it, who...
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in our world, film photographers, they were so stubborn, they said, there is nothing living in this digital photography, it’s impossible, everyone has a dead look, glass eyes, it’s
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terrible, what’s not passed there too, i don’t know how many ten 15 years old, everyone just forgot, great, so about the same thing, artificial intelligence, search engines and so on, these are excellent assistants for a good doctor, who nevertheless... knows how to work with a patient, how to help him, how to prescribe everything for him, and in the end write out a prescription, the machine will definitely not write out a prescription , he will write it out, it will still be clear, damn it, legible, well, here i think everything will be fine, here - with the addition of some things, but i think that after all, humans will still be needed, using artificial intelligence, maybe... the medicine has so many names
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that the patient comes, i ask him, what are you taking, he says this, that, that, that, some drugs i’m hearing for the first time, but i can’t leave them without attention, suddenly they are, as they say, not very compatible, i enter it into a search engine, the directory opens, and i look at the active principle, then i understand everything, please, there are situations when a person came with some kind of tricky, painful somehow or in general, just, well, i don’t know , he has some other problem i’d like to say it’s not in my specialty, i need to understand what it is, maybe i’ve never encountered it, i don’t know some kind of syndrome, i’ll forget to read it, i’ll look it up, sometimes i write something out for myself on the weekends or look through it in the evening, i have books anything interesting and i sit.
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i deliver, i solve, i also have some puzzles of my own, these are professional ones, i’m preparing for an appointment, by the way, i once had a patient - there are 15 such people in the whole world, can you imagine how many i shoveled, i almost didn’t say, lucky, but this is the opposite story, yes, unfortunately, it’s a complete disaster, it’s a very complex disease, it also has all sorts of different components, and i sat straight for a while and didn’t raise my head, because it’s very rare, very cunning, very complicated. that’s why search engines help a lot without them, like without hands everywhere on the phone, and well, sometimes you find yourself somewhere in a place where you need to provide help, but this is your first time encountering this, you need to understand how to help a person, this also happens , yes, in moscow, by the way, this is what’s very cool, medical care based on artificial intelligence has been developed, and so on and so on,
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because your personal data, in essence, that’s it, this is also such a sensitive topic, i had patients from america, they were very indignant , saying that yes, everything here now is somehow very complicated, complicated, can you imagine, i came to the doctor, i asked him questions, and he said: wait, he sits, searches in a search engine, writing down my symptoms, what it is, well, this is a disaster, he says, i
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can do this too, and so can you... dear patient, i have questions, i can’t figure out the symptoms of complaints, i’ll say, i can’t reliably say that this is something i can handle, or this is not at all my profile, and let’s see what i can do here, i can send it to someone who does this, yes, i think it’s professionally honest, i can ask my colleagues to help, there are...
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healing chats, i post information there without names, without any, and they can tell me, well, here are the situations things like this don’t happen every day, it’s just a very rare story, but this happens, well, this is probably the same story as with clinical recommendations, for every disease - clinical recommendations have practically been issued, in principle this is the same as denying them, saying that the doctor must remember by heart, know that how to treat.
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diseases, so that everything, all medical practices, are all united into one database, so that a person, a doctor, a beginner or not a beginner... hello, this is a podcast ask surkova, and i am
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larisa surkova, a psychologist and mother of seven children. today anastasia came to ask me. hello, hello, what brought you here, tell me. lately it has begun to seem like children. finances, but i need help, because i am with my husband and i understand that even though i work with children, i am still a mother, and a person needs a person, so i decided to ask a psychologist, children, there are several of them, tell me, who are they, what are they, age, what are their names? i have royal twins, i have a boy and a girl, from the age of seven, stasik and adelka, so the girl is a minute older, sometimes behaves appropriately, like an older sister. now they are already graduating from kindergarten,
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and we are preparing for first grade, uh-huh, uh-huh, recently these problems with discipline have started, it feels like i can’t come to an agreement with my own children, uh-huh. wow, this began to be observed very often with construction sets, that is , a construction set, well, in my opinion, this is that thing, so you took out this set, put it together, enjoyed it, tidied it up, then you take it out, play, here they immediately brought it, unpacked it, tore it apart, scattered it , lost everything, buy a new one, and what measures have you already taken, i i collected the entire construction set. in one bag, she said that you will receive it in a week and you will disassemble it yourself, that is, these are some small construction sets, more parts, everything in one bag, that is , it looks like one big mess that
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you will have to work on work hard, and a week passes, and the children forget about this toy, that they like it, they want it and return it back, uh-huh, that is, it turns out that my punishment has been reduced to zero. the child didn’t understand anything, okay, let’s figure it out then together, now everything will be the other way around, i will tell you, and you will ask me, if something is clear or unclear, let’s start from the very end, you just said a phrase that you yourself created about children, but you yourself created this the situation that your construction kit went there or some thing of yours, some toy went into the dressing room, in fact it was created by the parents, we now find ourselves in such a world... when there is even the phrase “all the best for children.” each country has its own foundation, someone there allows children up to 5 years old, everything, then drives them into strict boundaries, as, for example, there in japan, in european countries in hot countries, children are squeezed,
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loved, allowed a lot, then again, strict discipline, borders are included, muslim countries generally have their own characteristics of raising children, so we went through such an evolution literally within 100 years after graduation. at first the main treasure was the man, because there were very few of them, when there were many men, suddenly unexpectedly, after the nineties, the child becomes valuable, parents are under enormous pressure number of books and theories of education, you just happened to be one of those parents who fell under this slogan: all the best for children, give the child what you didn’t have, now it’s mostly the generation that becomes parents.
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look, create, we once had a moment when we decided, suddenly a child wants to buy this, come to the store, collect, this is also great, collecting, when we decided to support this and bought something from the same series the child wanted the next, next, next, and we realized that our experiment, that is, everything did not go in the direction we wanted, this moment, to own. a child wants something just to own, but he doesn’t play
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, throws it around, tears it up, uh, regarding books , my husband and i probably have a separate quirk, when we glued these library books there, that’s it, that’s it for us it’s books that offend books, this is also true from childhood, this is also an adult trauma, absolutely, yes, but probably - as you said, this is more about us than about them, this phrase that everything the best for children, we implement this, and this leads to very simple consequences, yes, at 7 years old the reasons for the investigative connection have not yet been formed, it will be a little later, in another two, three years, they will understand and be able to draw simple conclusions that if a bag goes to the dressing room, it will never return from there, that’s it, you won’t have that, yes, that is, a relationship will be formed, now it’s still early, it’s unclear, especially if a situation suddenly arises that it does return from there or that they know he is there. because if we promise that a thing leaves us, it really
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leaves us, and we will talk about this separately now, but this is our desire to give all the best to children, how it is fixed in them, now we already see this in the generation of those who are 20 and a little older, they become extremely infantile, because with this message we convey to children all the best to children - an equal sign, never grow up, don’t grow up, my friend, why do you need it? grow up, you will lose all the best, because all the best is for children, this is the first story, if we do not want to raise extremely infantile people who they will never come to this desired achievement of yours, well, you don’t give them a chance, why, they already have everything, why should they dream about something, they remain in this infantile position for very many years, they don’t want to grow up, they want to be attached to your parents so that they have everything, the first story, the second story is this: more individual about your family, you constantly
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compare yourself with your husband, with your children, you get the feeling that you are doing it for yourself, and the model is trying compare yourself with they are utopian, since we don’t compare in psychology at all, and we don’t compare people with each other, we compare a person throughout his life, how he changes, whether he has productivity, but all the time , even in our thoughts, we allow this story that and we... dreamed, and we were careful, and we glued books, but we didn’t, we would like to, it’s useless, you will only be more upset by this and will not get any results in the educational process, because your children not you, more in addition, your children, most likely, are already clearly reading these moments that are traumatic for you, they can someday use them, just like weapons, and in interaction with you, understanding that all sorts of things can upset their mother now. this toy, yes, that means i ’ll throw this toy now to make my mother angry, or
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vice versa, my mother won’t buy me something, uh-huh, what can i do, i’ll go and say, well, that means you don’t love me, you don’t love me you buy it, everyone has it, but i don’t, and i need these 23 sets here for instructions, so that i can feel my significance, including within the family, yes, because they buy me everything i want, satiety, the story is very sad. a person always needs to dream about something, but as soon as we lose a dream, as soon as we lose a desire, our life becomes extremely sad, sad, and in children this is even more pronounced, especially in crisis periods of life, which yours is now entering, there is a 7-year crisis ahead, for the girl it will begin a little earlier, maybe you are already observing something in the boy a little later, this is a crisis that tells us about the desire to separate. stretch the umbilical cord, blaydsky called it a true crisis, i myself, at 3 years old they scream,
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it’s already manifesting itself, i myself, yes, at 7 years old they want, i myself, they want to be independent, so yours is above them that the designer should be complex, there must be order in the room, now the areas of responsibility must be very specifically divided, this cannot be the case, that is, everything common should be moved, if possible, into a common space. or on some common shelf, but where, that is, we need to reconsider the room altogether, let's start from this, you come, return home, sit down with the children, say: here we have a room. the psychologist said that it makes sense for us to divide it into clear areas of responsibility. that's it, guys, 7 years old, school is coming soon, soon you will have different friends, different interests, already different toys, you need to put things in order, now it's time for summer to bring global order,
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take out everything unnecessary and give it to someone who needs it more, this in fact, what i also wanted to tell you about is the ability to participate in charity, sharing with... those who need it more is a way to at least fight children's satiety, never that it has gone somewhere in the dressing room, when no, let's not do that, look, there are centers, there are orphanages , which are accepted in good condition or in perfect toy, maybe there is some other format specifically in yours, but we can’t put it there like that, because no one will understand this bag, this is a very interesting psychological experiment like this in a good way, because firstly, children usually turn on, they are ready to share, they really like to participate in this, when we talk to them, it is necessary, it is not necessary, that is, they learn to make decisions for themselves, that is , we have this chain: summer is coming, we
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are growing up, we are putting things in order in your room, dad and i are helping you now, but in the future you will do it yourself. in order for you to be comfortable in this room, we must divide it, in order to start a new life, we need to clear as much space as possible, you will never be able to, we will be very it’s difficult to form their desires in general, dreams, desires, goals, if they have everything, in general you need to move away from the material to the emotional as much as possible, there is another point about gifts of wishes. this material thing that you said is the influence of the kindergarten and the group, and i can’t explain what the difference is between our families, when fedya is there, timofey is there, they did this, gave this, we also want, i i say, it’s not like that in our family, why? i say
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because it’s different, and they understand the approach there more clearly, because they just took it and bought it. let's be happy for all these children listed, and now we have a big poster like this on the door on our door, with a marker on it, they can write already, no, yes, yes, everything is fine, they can write themselves, let's go add it to your wish list, wishlist, yes, yes, wishlist, that’s it, write to your wishlist, we have a new one soon. right at your fingertips, before the new year we will decide which of these we need to give you, then you are not buying this entire list, that is, what you need to understand is that the list depreciates at the same speed as bought thing, when the occasion comes, you sit down with them and talk, so we choose,
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okay, considering the new year and march 9, and then we have another 9 months of joyless life, well, let’s do it. september 1, first grade, a wonderful occasion, have a party, this is a holiday of transfer of responsibility, when you set the table, put the cake, you will tell them that yes, that’s it, school, your responsibility, so great, you are great, the day before, ask them, please , we choose, at this moment it would be nice to indicate the budget, say, guys, there are 3,000 of us from grandma, we choose, it’s good to put price tags in advance, well, how would you navigate the prices, yeah.

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