we can talk even better with those who are directly involved in this, but from the point of view, you are the main specialist in pediatrics, we came to you, the specialist here should be in autism, in neurology, and i even think that not every neurologist will undertake to discuss the topic of autism so globally with details, and genetics, we live in the 21st century, many say that the last century was the century of physics, now we live... the century of life sciences, biology, medicine, there are movements when people offer to do tests, genetic tests for their children, on on the basis of the information received, make decisions that are related to both health and the choice of profession, a variety of things, and well, here, probably, there is still a certain commercial background, when everyone indiscriminately begins to do genetic tests, and the most important thing is then not to know what to do with their interpretation, today ... we have encountered, well, we have not

encountered, but at least we have come to such a philosophical and medical concept as epigenetics, when the state surrounding the child, both in utero and for thousands of days after birth, when the surrounding circumstances impose a certain influence on the genetic material, on the genes themselves, and... when certainly unfavorable conditions later lay the foundation, including many diseases that an adult faces, this includes diabetes, high blood pressure, maybe even some mental states, today, of course, the condition of a pregnant woman, the condition of an unborn child and a child just born, it is, in fact...

the root of all those pathologies that a child will have, then a grown child, turning into an adult in the future, and here is this whole scientific layer, which we still have to raise and raise, well, this is very general, it is almost like you yourself said the word philosophical, yes, what is it in essence, that everything affects everything , everything is interconnected, but to admit this is one thing, and what to do on this topic is a little different , for example, what do you think genetically? should parents do genetic testing of their child? without there is no point in doing such tests for medical reasons, but if the doctor advised it , said exactly which areas to look at for changes, then of course it needs to be done, that is, these are the indications that are revealed during regular visits to the doctor, what we started when we see, when the doctor detects some deviations, well , god forbid, in the development of the child. of course, of course, and

the pediatrician on the spot should already determine which specialist should show the child, and the specialist then sends to to a geneticist and recommends exactly the genetic tests that he needs to take. okay, you're breaking all the myths and leaving no hope, you keep saying that you just need to go to the doctor, do it regularly and trust the doctor. i just wanted to ask about another myth, as it seems to me: umbilical cord blood. there is the idea of ​​biobanking, storing blood, stem cells, if god forbid with a child, even when he has already grown up, he has already become, maybe there are no parents anymore, but this is what will help him with the replacement of some organs, maybe even transplants, well, this is, let's say, a distant future, but nevertheless there are a number of conditions when cryopreserved blood taken from a cryo-bank can be used.

money, the collection costs a certain amount of money, well , accordingly, then the question is whether it will be useful or not, how conscientiously it was preserved taken, it will need to be protected for. surely we will be able to use this material again for a greater number of pathologies, returning to the fact that you need to trust the doctor, well, i will tell you more than that, that of course, you see, the difference in the concept

our slavic doctor and latin doctor, yes that is respectively, doctor is to disgust, but not to deceive in the sense. to deceive to mislead, from the original meaning, that is when to charm, to persuade, including to charm pain, therefore in this sense, when we go to the doctor, first of all it is important to establish contact with him, so that you trust him, and from the doctor's side, he must win your trust, namely by talking, most of the problems, especially for young mothers, she resolves ...

but nevertheless here i use so to speak glasnost, i want to address the fact that the president said about the educational service that it is no longer a service, well, i really want that from now on there will be no more medical services either, and that we with the patient do not provide him with services, but treat him, and communicate accordingly, i assure you that a lot of problems go away with...

it was always in the west that they suddenly saw the light and decided that medicine should be personalized, we always knew about this and always talked about it, that this is exactly how it should be, that it is the patient's communication a doctor gives a better result than a machine filling in all the cells and making a diagnosis. you are not against instrumental methods of all these high technologies that allow, well, in particular in pediatrics earlier, to effectively identify some conditions for which some measures need to be taken, this cannot all end in conspiracies, but, right? definitely not, and i am for a reasonable combination of machine intelligence and doctor's intelligence. to what extent is this feasible, do you believe that this, well, in

our lifetime can be put into practice, in general, well, there are among the population, among people, well, complaints, not complaints, but probably some kind of grievances, in particular about doctors, they are also people, they are all different, well, doctors are ordinary people, and i generally believe that the percentage of stupid people, unfortunately, in the medical profession is exactly the same as among biologists or chemists or janitors, by and large we are also a cross-section of society, in connection with this all the problems, what to do, ban stupid doctors, gradually come up with methods, let's say, for passing certain certifications, well and to wash out such zacheshnykh it seems to me, we deviate from pediatrics, but it seems to me, doctor, as... as some function, well , which checks with some tables, textbooks and so on, makes a decision

based on objective indicators - this is just a way to fight a fool, well, because you - bring out the personal part and, probably, the best doctors cannot show everything that they could, but those who are from fools, probably more, yes, they will work at least at the level, in this sense you provide the same quality of medicine for everyone. you are absolutely right, for this purpose there are certain standards for diseases, and this is even called protection from the genius of a doctor, yes, because genius can also harm, absolutely, therefore certain standards were invented for everyone, they proved that this is necessary, research institutes wrote, these standards, which everyone is obliged to comply with, we started with that, once every 10 years, they change, but nevertheless they change based on experience. based on new discoveries, then yes, they are changing not because some brilliant doctor thought that everything

was being done wrong. this is the baden baden podcast, and i am its host, konstantin severinov. today we are talking about pediatrics, and discussing this very important topic with andrey alekseevich stepanov, the chief specialist in pediatrics, the presidential executive office of the russian federation. i see several that are useful to me.

and cord blood rather yes, if possible, and maybe it would even be worth expanding someday, well, in the end, yes, well, and thus we ensured - that our children will be healthy, as far as possible, smart, is there some golden key, we all want children to be smart, talented, well, first of all, here too genetics comes first, which is not worth doing, which cannot be done, unfortunately or fortunately, we cannot interfere in this process... on a global level, in particular, intellectual abilities, the original ones, they are given to us, but of course, it is in

our power to improve something, develop it, which will have a positive effect on intellectual abilities, it's like a talent, yes, which can be buried in the ground, and which can be allowed to grow, well, here are the kids, when if we are talking about very small children, it is still too early for them to play tennis or do something like that, there is kind of an incomprehensible way...

cannon fire, he will not wake up, because this structure will cut off all the excessive impulses, and the child is simply programmed with a small number of stimuli that are close to him are important, here.

accordingly, the source of milk, by and large, everything develops in the child as on the mother's chest in order to achieve, it should not speed up, well, unfortunately, slow down, if some disease has occurred, it is possible, but it is precisely to force and so that, like the hero in the fairy tale, in a year he went through all the stages and became 30, so ilya muromets 33 years old, on the contrary, he was lying on phx. well yes, but there are those who did not have time to be born immediately the next year they went to get married, there are also a lot of such fairy tales, so here it all coincides, the motor abilities of the child, for example, when he begins to crawl, it is at this moment that he begins to be afraid and distinguish strangers, because before he began to crawl,

there was no point in being afraid, because it is impossible to run away anyway, so everything is physiologically justified. well, if everything is wonderful in this best of all possible worlds, then nothing needs to be done, that is, it really is by itself, well, by evolution, by nature, by anyone , laid down so that we all go through a common path of development, but the results are still different, because different people get, you see, specially theatrical performances, maybe there is no meaning and no, you need to communicate with the child, you need to talk to the child, you need to put on really right music for the child, classical music is beneficial.

actually, the sound analyzer, it is more ancient than the visual one, i think all young mothers will agree with me that - if , for example, a child is exposed to some monotonous noise, low-frequency, there is an exhaust fan, a vacuum cleaner, turn on the water, maybe the father's voice, by the way, there have also been studies that a male voice has a more positive effect on a newborn child calming actions, that is, low tones. but nevertheless, if we are talking about the noise of a waterfall, the so-called white noise, yes, all mothers know about this concept, so, in this way the child hears sounds through the abdominal wall, through the wall of the uterus, when it is in the womb, such a monotonous hum, this also calms it down, that is, in fact, all those techniques that are associated with calming

the child, they are aimed at returning the inside inside the womb, simply that is, there is a repertoire. now if we move on to practical advice, that is, there is what you need to listen to and what you don’t need, i’m afraid that there is a repertoire, it can be found on the internet, just what we started with, when you said that there are too many sites with different information, there are probably recipes right yes, what you need to listen to, of course, well, you can combine that you need to listen to classical music, modern, well, personally, i wouldn’t put it on for my children when they were little and i have a granddaughter, so i tried not to put it on for her with... the brain is more, at least, well, it continues develop, it continues to develop throughout life, but at least at that

rebellious stage, perhaps it is just normal, to then return to the classical repertoire at a more mature age, and to torment your children, well, in this case, and here, here the pediatric recommendations will change, we will all be in such sync, yes, yes, yes, great, thank you very much, i we obviously that the topic is very big, it suddenly occurred to me that another very important thing is actually artificial feeding, but i'm afraid, we we can't talk about it now, when you were talking, it's very interesting about the fact that the child focuses on the mother, that in his first months he lives in order to , well, to receive milk from the mother, but when we transfer him to artificial feeding, it turns out to be a completely different story, but you're right, konstantin, because any branch of pediatrics... it's like a separate universe, we can talk about this for a very long time, and if you come up with some kind of series of programs there about certain - subsections, i think that

you and i will be able to highlight, if you see in this, it seems to me that this is precisely the mission, yes, because after all, information from the car, if you need doctors who can be trusted, then you need to see these doctors and talk to them and hear them, yes, otherwise you will listen to something else, because a holy place is never empty, yes absolutely. it would be wonderful, thank you very much, thank you, this is the baden baden podcast, today we talked about pediatrics with andrei alekseevich stepanov, chief specialist in pediatrics of the presidential executive office of the russian federation. hello, dear friends, the anekdoty podcast is on the air, i am vadim goliggin, and today i have two completely different people as guests, but

we certainly have something in common, this is of course our kvn past, but now i will talk about you as actors, okay, mikhail bashkatov and renat mukhambaev, i suggest that today we talk, friends, about friendship, in a broad sense, of course, we will touch on some. maybe serious moments, yes, but first of all these are stories, of course, jokes, and so that this, let's say, gives joy, our positive communication touches the souls of the audience and makes them a little more cheerful, well , let's start with misha, you and i have done so many things, and i know, i am very glad that you, let's say, went into this acting... side, yes, of course, that is, you already have a large number of roles, somewhere we even together, i think we crossed paths then on the set, yes, is there any,

let's say, such a story now, where you would change, because after all, these were mostly comedies, yes, well, but, but, often, yes, almost every comedy actor has such a dream, after all, something serious, well, well, to fulfill this like... somehow, after all, i realize it more in the theater, that is, i have many serious roles there, some deep ones, in the cinema they still prefer to call me in comedies, yes, yes, that is, well, as if there is an association. yes, there is, there is an association, i get funnier with age, you know, such a, a trail, a trail of some kind, yes, that like, well, comedic actor, renat, well, the same thing is happening to you, yes, practically, and cinema,

the filmography is also growing, thank god, little by little , yes, yes, for serious roles, for some, uh, well, mostly comedies, naturally, they called me like that, in dramas of all sorts , mostly some bodyguards or something, they almost always killed, but the experience is interesting. and is it possible that my mother doesn’t watch me, after all, please don’t kill me at the end, i had a role where they killed right on the head of the train, this is the diesel locomotive itself, with these bridges, i’m on insurance just like that it was lying there just like that it was warm summer and i got tanned just like that only on one side and in three takes i think. i was riding the train, listen, i had this case, since we also remembered about the tan, we were, you know, when i was studying at a military school, we were standing in a grip, that is, in the...

scorching sun and black, we woke up, just black, you know, well, and black legs, and we returned already, when we went back there to school, and so we have a bathhouse every week, and when i was walking with these legs through the bathhouse, someone suddenly, well, you know, all these friendly jokes, all these army ones, i'm walking and suddenly someone starts, it's very, very, you know. in such

a marvel team, it's all perceived as very funny, let's talk about friendship, who is a friend today, for example, because times have changed, yes, it's the one you have in your phone and there are more photos, because of course there is some kind of defining set, yes, that is, they went through something together, yes, there is such a friend, and it happens that it's just some kind of common hobby fishing there or skiing there and so on, in your opinion - is there now a difference in friendship, which maybe, the concept was, as in soviet times, or when we were all there, there kids, well , not kids, teenagers and now, it seems to me, the same friendship has certainly remained, as you say in the soviet union, yes, yes, i have, because a friend with whom we were friends just in childhood, and then moved away, we were probably 20, 22 years old, he now lives somewhere in norilsk, or somewhere

well, i don't know such a friend. well, that is, if we are somewhere there on a social network somewhere or accidentally maybe meet there so that we can keep in touch, there are no such people, but kvn kvn's past, that is, with our team we all, well, that's not at all, we usually all support each other, yes, even in a friendly way, yes, it really is, thank you, as they say , to this club, how else that when you lived there for 10 years with these people in a hotel , everywhere at home, well, just around the clock you

lived with them for. from the casino, it's already morning, it's already dawn in general, two friends come out of the casino, drunk as a skunk, one in his underwear, the other without any underwear at all, standing like that at the taxi stand , they are wandering around, and the one without underwear says, kolya, that's why i 've respected you all my life, that you can stop in time?

that's the main thing, of course, when i tell jokes, yes, that is, in a company, i tell my friends, then of course, that is, if a person is not a fisherman, yes, he will not laugh at jokes about fishing, well, agree, that is, well, very it's difficult, i had a case like this when i was just riding with a friend, well, with one whom you don't see that often, but he's a good buddy, you know, like with complete confidence, that is, well... he's also a fisherman, i tell him, listen, i say, well, well, how do you explain it to a person, how can you sit there, let's say, on a pipe there for several hours waiting for this bite, if he's not a fisherman, he won't understand, and at that moment he's like, i say, wait, just don't tell me, and you, and i, well, somehow, you know, full of faith, that all my my friends are circling me, he is a fisherman, and then i get there, you know, he ran into a reef, you know, a ship, this one, and you...

fishermen, by the way, yes, i am from zastrakhan , of course, i am a fisherman, but well, i understand , that's probably where it all begins, they tell not bedtime stories there, they tell little children, who caught what fish? i don't remember such people, well , we had a joke there, when we caught such a mayor in asttorhan, i have one story with fishing, we had a kven shift in the camp on abi, we arrived there, that is schoolchildren, students, and we taught them kvn with them there as counselors and how to entertain, a little bit of this, a little bit of that, a little bit of the program. a little bit of pioneer camp, a little bit of kvn, like yes, they taught kvn there, like, and some kind of closing of the shift and that it was approaching the closing, friends came to us, fishermen, like, what are you fishing here on the obin, what are you, and we

are not fishermen at all, we are going to go fishing now, now we are with a little nonsense, it means there and at night we go with this little nonsense with them, and we have there is this andrey shilkov. you know, andryukha, yes, he is not a fisherman at all, he means, and they came, brought more, just let him walk around with a seine at night, so we are all walking with a seine, and he, and he is walking next to him along the shore with a bottle of champagne and a glass and they brought, so, the guys came from the city, not a fisherman, well, it's 100% brought champagne, he means, he missed champagne more, so he is like, oh, guys, the fishing is great, that's it, we caught this fish, gave it to andryukha and he left, and he lived with me at home, and he went to town with the fish, i say, put everything in the fridge, that means, and he did everything, put the fridge, that means, he did some business in the city, came back, so i lied, it's not the end of the shift, it was the middle of the shift, and this shift lasts for about another week, we come back home, i

open the door, i can't understand what's wrong, something's wrong, yes, yes, the power went out, it's summer and the power went out, and for several days this fish lay in the fridge without power, that is, there's just but why don't you like fishing, i do, the associations are not very good, but i have a friend, he went fishing, he is an avid fisherman, he can’t live without fish, he went fishing, went somewhere far away from the region, found a house, as he said, i say, i came to this house, knocked, there is an open house on the bank of the volga, no one is there, reeds, no one is there, i say, after 2 days i arrived there, after three i started living, then i came with my castle, he says, i have, he says, there is a house there, it’s fine, i found a house, the man, now imagine, looks with exactly where, where he said, you know, imagine, people forgot there, you know, famous favorite artists gathered at our table, who will tell funny stories and funny things that happened to them,

you will forgive me, i accidentally broke this new vase, don’t worry, it’s not that big, it’s already new, it’s only 200 years old. i invite you to the program, i need to play the queen, i think, but it will be some piece dedicated to honey, i come, so the next day in the remains of all the makeup costume, one of the women brings me such a big velvet circle, it has hanging on the sides there are two such things, these are the ovaries, she died, how this cry was made by herman, bending over with a fork in his hands, approaches nina ruslanova at that very moment and sticks this fork into her ass, she does and it sounds: stop, cut, ruslanova only rubs, says, i didn't know that directors work with actors like that, and how much zapashny

told me, a long time ago a soviet circus, a tiger grabbed a father, he quietly tells them: and skolt, take a stick now and hit him on the head with all your might, and now the tiger. on saturday on the first. dear friends, we continue the jokes podcast. my guests are rinat mukhambaev and mikhail bashkatov. we talk in a pelik about friendship, well , basically we tell jokes on a free topic, which is why, actually, we always gather here. if friends are united by hobbies, here are some interesting hobbies you have, well, for example, you have...

my children's friends, there are a lot of them, in short, i now have people whom i can call friends, this is not a sad story, but why did you think that it was a sad story, well, because he said, i have friends appeared when i took my children to kindergarten, i thought, this is not a sad story, before that, not new friends, who else did i meet there with a doctor of medical sciences with a urologist, let's say, well, there are options, there are others, okay, but medical jokes just brought a huge number, that is, exactly why they are like this - somewhere on the edge of such a kind of cynicism, yes, but still , well, as if you know, it is given, well, that we still get sick, yes, well , roughly speaking, god grant that everyone is healthy, but nevertheless, but it seems to me that it's a profession in itself, well, i

've talked to a lot of doctors, well , you can't do it without a sense of humor, it seems to me, it seems to me, medical jokes are just the most, the toughest and the funniest, about a medical joke, a guy comes to a casting at a modeling agency, he's really nervous, so this casting guy meets him there, says, so, so, gorgeous, cheekbones, excellent, m, what a chin, powerful, class, neck! about the shoulders, the torso, from good, arms like that, everything, well done, well done, great, i like it, everything, and where is the leg, it means he thinks, so what to say, what to say, what to tell the truth, what does it mean, he got there up to the waist, they amputated, no, they will say, we don’t need such inattentive people, i’ll say that a shark ate him, damn, what shark, what am i even talking about, so what to say, what to say, i’ll say, i’ll say, i lost him near kandahar, oh my god, oh my god,

what does it mean, hey, hey, boy, where is the leg, you know, there was such a leg, i know a joke here, it’s funny, you know, as i remembered, also a topic, when a doctor tells a patient, you smoke, and by the way, smoking, that’s it it's just so harmful that it, well... it just eats up half of your life's path, exactly half, look how old are you, he says, 30, well, and if you were 60, we talked about friendship somehow, yes, well, it turns out that passions don't always connect, as it turns out, you see, you, you're insured, yes, you, you're not a fisherman at all, but nevertheless, we're sitting here now in the same studio, here we are next to each other, yes, yes, what else can connect, the topic of pets? can connect, that is, i don't know, do you have pet, oh, listen, yes, i

got a dog, two years ago, 2 years ago, yes, and i realized that there is a whole community, it's a kind of subculture of dog lovers, that is, you are like, well, i didn't intend to become part of this, but in the morning you go out, hello, hello, and there, hello, and who do you have, and oh, and what do you have, and we have this, and you, and that is, they start asking questions and you are like, especially at first you don't know at all, well, what to answer like? and what kind of food do you feed, we feed him with something, with food, now we eat it ourselves, we give it to him, and they, that is, they, as if involuntarily, you start communicating with strangers, on some topics that are unfamiliar to you, than well, like this , try it, yes, these they still get together in a bunch of these five people, they walk with dogs and walk, and next to the forefront of the owners, they are friends again, yes, they are friends like this, you reminded me of a joke, when... a driver, well, the director gives an ad that he needs an assistant,

uh, an employee, a personal assistant, who, so, uh, well, he has, uh, computer knowledge, mandatory, conditions, knowledge of a foreign language, and like the ability to work, to compile there, work with documentation, and so, he just posted an ad, there's a knock on the door, he opens it, there's a dog, and so, she comes in, it's important, he... he just rubbed his eyes, you know, she sits down in a chair and says, but i think you won't find better candidates, i'm from the ad, as you understood, he says, yes, i understood, but - if you read the ad carefully, it says the ability to create documents, easy, he takes a pen, then from the table, a sheet of paper and there is a plan of events for the year consisting of planning this , holding meetings, setting something, deadlines

, this and that, the whole sheet of paper is filled up, he says: wait, wait, wait, dog, wait, and did you read there about computer knowledge, okay, so right away, what is the password, he said, climbed into the table there, i know, accounting there tra-ta-ta, ta-ta-ta, he is just in shock, he says, but if you read the ad to the end and got it, it also says knowledge of a foreign language, the dog is like that pos... well, okay, let's say, meow, there was another similar joke, when there's an ad for sale, a talking dog, and a guy is sitting at home, he's browsing through an ad in the newspaper, reading something, a talking dog is for sale, he thinks, people have gone crazy, the price is 100.00 rubles, he thinks, someone's kidding, 1000 rubles, a talking dog, it's not a million dollars, it's not two, it's 1000 rubles. the phone, damn, is sitting there, it's tempting him, right, damn, well, i'll call,

i'll find out what kind of nonsense, what kind of joke is this, hello, there, yes, hello, i'm talking about the dog, yes, yes, yes please what would you like to see? don't wait, it says it's talking, he says yes, that's right, 100,000 rubles, he says, well yes, he says, can i see, he says, well yes, i'm telling you, those who have your address, he thinks, i'll go, what a scam in a few days, they told him the address, he got into a taxi, he arrives, he stands by the door, he thinks what am i doing, damn, i'm a grown man, i fell for some nonsense, oh well, i've already arrived, then a guy in a robe opens the door for him, his hair is wet, he says, excuse me, i'm here i'm late, i need to dry my hair here now, you look around for now, chat, and then i'll go out and we'll discuss the details, he wants to chat, he says: yes-yes-yes, you're talking about the dog, he says: well, yes, well, come in, she's there, and he got all worked up, well, the guy went into some bathroom, turned on the hair dryer, he looks in, there's a dog sitting in a chair, reading a newspaper, wearing glasses, and he

bam, and he says: good afternoon, he puts the newspaper away, and good afternoon, please come in, sit down, he's just dumbfounded, is that so? the dog speaks for real and he just sat down like that i don't understand what kind of scam is this, that this is a suit, that this is a doll, that this is some kind of technology, and he, and he says, tell me about yourself, well, i was born there, i don't remember anymore, somewhere in the village, but i 'm a thoroughbred, my mother was such and such, my father was this, then you see, i was so young and stupid, i was traveling somewhere, then they moved me to the city, then i had time there, you see, they took me, i served in the army for a bit, then after that at customs, that is... i've seen all sorts of things in life, yeah, so what, well while i was communicating everywhere, i heard some foreign languages, well, a conversation in english, i can support something somewhere, in principle i can look for a truffle, well, in principle i can do nothing, just sit at home, we can play in the evenings, chat there, because i can talk about any topic, because i have

a library at my owner’s, i read, you see, lenin, the collected works, i read everything, i can, here is marxism, communism, or here is a library of adventures, we can raise any there at all. the work of julverno, that is, generally fantasy, science fiction, well , anything, on any topic we can just sit there and talk, and he says: you - you don’t understand that this guy comes in here, well, how did we talk, he says, you, i just started talking, what are you talking about 100,000 rubles. he says, well, yes, 100,000 rubles. you don’t understand, it’s a talking dog, i just heard him, he and i talked, yes, he’s worth. he’s worth millions, millions of dollars, and this guy is like, you know, they’re already fixing their hair in suit, he says, well first of all, he 's been telling you all the time, we're continuing the podcast jokes, renat, mikhail stayed with us in the studio and

are ready to tell a couple more amazing stories jokes, please, renat, as you said, you like short jokes. and some, you know, long ones , artistic and theatrical ones, i adore them, especially when they tell some meters there, you know, who serve in the theater, there are movie actors, sometimes you just listen and even you even know this joke, you just know for the ears of the sweet how it sounds from the lips there's some master, you don't like jokes like that, well i like long ones, but i also like those that are a little bit stupid, there's a steppe joke like that... eh, a reporter, a steppe joke, when a reporter, a reporter came to a shepherd, in the steppe there, he's herding a ram, so they ask him: tell me, how much wool do your rams give per year, he says, well...