once this husband, he says: you, you don’t understand that i won’t cook anything for you, there’s a mountain of unwashed dishes, i have such a mess there, you, you, why did you bring him, he says, don’t worry, it’s just that this idiot decided to get married, he’s not very funny, but somehow, you know, a slob of a day, that now, like now, in general, about the fact that women and girls in general, like cooking, it becomes for them somehow like, that i can order everything right now, right? now they’ll bring a trali-vali and well, well, more and more like about a man, here he is cooks cooks and i always when i see there they invite me to visit and there to fry some shashlik seriously i notice that most often it is the guys who cook in the kitchen that is my male friends and my buddies all the time that's what lyokha what else is there guys all did something there i went and bought this look all the men are standing there discussing the products what will he say well now such a modern time has appeared well if it concerns meat let them

do it, if it concerns, well meat, fish on the fire, please do it, but still there are some salads, there is some small work that men don't like to do, wash, wash, cook, cut, put it all neatly, you know, a sandwich, a bun, in fact, that's how it is, you just don't notice all this, when a woman is standing there and something is rummaging around, you brought meat, oh, there's already some here, i can't think, i have an eternal struggle when they tell me at home.

and about fish, and about fish, why in japan the cooks are men, there is a completely scientific explanation, because it is believed that women warm motherly hands that do, for fish temperature is critical, that's great, now they will always clean fish, imagine, lyokha, thank you, thank you very much to the podcast. so tell me, that's the formation of a female team, even let's say, you 're engaged in humor, there were some stories that in principle fit into the format of our program, but which are just like that, well, i'm often asked about situations like that, what did you have there on the tour, i honestly remember some the funniest of all, but i want to say that i got into the same female team, when everyone was already living separately, we didn't have any conflicts, the funniest thing for me was when we came on tour, well... and

after the concert they tell us: girls, well now to the club, we booked the best seats for you, and we are like, what club, right? and what , did our hotel close or something? we went to bed and they are like organizers sometimes, like how are you all, and you no, no, we, no, we go to bed, then they cut together, no, not true, that's it, we and cut together, no, then everyone to the hotel later, you know, one by one sew, sew, sew all then in one place, i tell you, yes, we are standing with katya skulkina in the aisle at some point tanya morozova says something natka natka girls look what is showing us there on the ground and we are like that with skulkina we go to the porthole starts to turn and who is there well naturally our little team girls girls girls take your seats well what are you starting?

we went to the club after concerts, our cheerful gang, and you see some girl on the dance floor she dances like that, you can see she tries harder than anyone else, you know, it happens that someone needs someone else more than anyone else, yes, yes, they try very hard to dance, you also approach her and say, girl, did you ever dance professionally before, you leave, and it doesn’t matter what’s going on there, you sit, she starts dancing like that, and it worked everywhere in general, my beloved will entertain, i never knew how right away. the funniest recognition in my life,

right in the middle of it, when that comedy, everything, popularity, all that, i have a car in someone scratched you in the yard, well, and there you have to , you know, go to the traffic police , so that you... according to the insurance, there you have to, you know, have the traffic police write you this refusal to initiate a criminal case, you have to go to the local investigator, and so i go to our local police station , so, i go into the investigator's office, he says: oh, i know you, i say, seriously, he says: you're dj likhnitsky, you play techno, imagine, and at that time i was just fooling around, playing, the investigator in the car, yeah, well, that's cool, that is, you were already thinking, now it's going to happen again. well, there are some things, which, well, times pass, yes, but still there is some kind of relationship between men and women in psychology, that is, they are still at the heart of the joke, well, as if they lie unshakably, that is, the joke is not connected with

any situation happening there at that time, in this life, in this country, and so on, so forth, which are eternal like crystals, like a recent joke like this... i read, when the phone rings, the wife picks up the phone and the husband says, he says, katyusha, please don't worry, i'm fine, everything is fine now, she, what happened, he says, i was actually leaving the office, a car hit me at full speed, but natasha took me to the intensive care unit, and they would have told me that yes, the lung was punctured, they thought that the second one, well , there are only three broken ribs, but it was punctured, the second lung was not punctured, but a concussion, yes, but the skull in general, that is... not fractured, that is, everything is fine in this, but the only thing that of course, the only thing that of course, well, they suspect an open fracture there and if they do not heal well, maybe they'll cut off my right leg, but otherwise everything's fine, and my wife is like, what kind of natasha is this, yeah , yeah, you know, you also pierced right away,

of course, of course, i just , i just at the beginning, maybe, i told you a joke , yeah, well, i just made one, you know , about stereotypes and so on, it just seems to me that society is just developing, those flares that were there before, they don't work now, now it's more like some things about professional activity work, about development, well, about the blonde, again, about the mother-in-law, about society is developing, relationships between people are changing a little, the role of women in that very society is growing, well yes, if earlier everyone was laughing at women behind the wheel, now there are fewer and fewer, because there are more women behind the wheel, look at the weekend, here she gives the keys.

healthy food from her own garden, but then everyone there can't straighten up, that is , someone feels bad, someone got sick in the heat, that is, in essence, that is, this dacha, which should be there so that it would be great and cool, in the end it is neither great nor cool, someone there is everything, you will not have it anymore, there are children, parents said, no more dachas,

because you send healthy ones there, in general, backsides, such rosy parents who have eaten their fill of lard in canning, they then crawl from this dacha, that is, here... now there is a dacha, you have a dacha, i have a dacha, i will tell you that i have been through those dachas that you are talking about, and now i consciously bought myself a dacha, we had a dacha, at that time both my parents were engineers, and it was a real necessity, that is, it was necessary to have potatoes until spring, here - there was a year, we even took an additional six hundred square meters purely for potatoes, which is understandable, because you had to dig it up, you came once. then you had to plant it, that 's another visit, that's a special trip, you have to hill it up, hill it up, then you have to collect the colorado beetle or poison it, then weed it, one trip is a must, that's a whole full cycle of the dacha, yes, instead of

you being able to be at that time, so it's understandable that it's a special pleasure, like you, especially young, when you want to walk, have fun, go to birthdays, you kind of come, yes land. you need to catch no there was also a potato field we have imagine 50 km from home fish and we went there in yakutia and we collected 20 bags of potatoes i apologize we had a storage room behind the elevator where dad kept it and we sorted it out there was still a temperature. and then they dug it up, this is not a dacha, it was a field, and then when the season came to dig up

potatoes, that is, they stole them, we also went to guard them, that is, we went through the fields we were breaking up, guarding potatoes, and then we did something else, we went for lingonberries and blueberries, and it gets cold here too, in september , the temperature is below zero, and this berry gave us compote all winter, these health in general, vim, and so on, so in order to preserve. as a concept in jokes, get a dacha first, let's go back to discussing this male, female and some kind of division, here's an absolutely simple question: you grew up, you grew up somewhere there in the north, yes, that's right, in yakutia, yes, this geographical point somehow left its mark, yes, well, in general, this is the geographical place where you lived on humor, that is, well, it is clear that, well, you told. as far as humor is anecdotes,

because even in soviet times there were a huge number of anecdotes about this region, there about chukotka, and then they just disappeared somewhere, that is, how did you grow up, what did you find funny, or did everyone from the mainland laugh? " wow, really, yes, it's so difficult, i can say about us about the team, because we have a small town, everything basically turned out like a team, everyone was engaged in some kind of creativity, basically everyone danced, and then they came to kv with some talents, skills, to do something, so we had a team, the guys dance and there was a music school, i sang there, it happened, i learned, they dance, but we lived in our own juice, you see, the plane flew once a week to moscow and a table of crazy money, the train traveled for 6 days, there was no internet, we

we lived, well, very, yes, everything was a little different when we did this, that's why we had some kind of good humor, without politics, without vulgarity, we were forbidden to do this, because we probably had naive eyes, even when we joked some dirty jokes, they didn't believe us, well, that is, we, no, guys, well, this is not yours, not yours. it's just that in my family, my mother has a very, how to say, isolated sense of humor, which stands somewhere completely on the sidelines, my mother understands humor very poorly, seriously, and my dad he like that, he collected all these jokes, he listened to all sorts of comedy shows, once yes, yes, he even wrote them down, then he told me about them, we were laughing together, but one day i don’t remember with...

i don’t know how it ended, do you think there are a bunch of jokes, well, probably there are , most likely, of course, there is one about a squirrel with a man on me he wants to say, dear friends, if you remember the ending, yes, please write to us, and we’ll tell nadya, i remember that my dad and i were laughing, sitting at the table and my mom was sitting next to me, and i didn’t understand, and that the squirrel was talking there was, and we just had a second hysteria, a fairy tale nanich, a father had three sons, the eldest was a smart guy, the middle one was so-so, the youngest

was a complete idiot, this is the daughter saying: mom, was their dad sick? they just got worse and worse each time, you know, i think that this is a real case from life, which became a joke of course, 100%. and i also liked the phrase i heard today, 100% of the mice surveyed are afraid of women. it 's just the most simple 100% i remembered i had a school joke, such a teacher, well, a little with such inclinations towards faith. some one says to the children: and so children, well , they came to the first grade, says, whoever will study for an a will go to heaven, whoever will study for a d will go to hell, vovochka understands the hand and says: marya ivanovna, but it will not be possible to finish school alive, and

this is about wait, well, you should already know about the woman who caught the boy, the young man, the young man caught beautifully, you don’t know, no, well, just don’t... now i’ll ask you a riddle, if you guess it, i’ll give myself to you, and if not guess, i'll eat you, so look, the green one is croaking in the swamp, so...

what is this even closer, go to hell, suddenly he suddenly emerges from behind the corner of the reeds, so there's a boat, a frog is sitting on it and rowing with a teaspoon like this, a frog, and why are you rowing with a teaspoon instead of oars, such and such, i heard the same about a guy with small oars, guys, time, as they say, runs for us, unfortunately, very quickly, thank you very much for coming.

o you already know what full cycle will close there yes, therefore friends, summing up some kind of programs, everything is getting a little better, let it be so, the main thing is that something new appears, about which you can joke, including in jokes. alexey lekhnitsky, nadezhda angarskaya, today, we somehow geographically united a lot of things in our program, argued somewhere, and of course, it was cool that women's humor is still good and developing, and men's is not so bad yet, as they say. has not grown old, yes, has not grown old, so on this optimistic note, we say goodbye to you, vadim golygin, joke, podcast, in general, see you, tell jokes, send them to us, the main thing is to live happily and smile, bye!

hello, baden baden podcast is on the air, i am its host, konstantin severinov, and today we will talk about children, about pediatrics, we will talk, our guest is andrei alekseevich stepanov, chief specialist in pediatrics, presidential administration. andrei, hello, hello, konstantin. i would like to talk to you today about a few things. as a father with experience, i had a feeling that what pediatricians say.

percent of what we know today will be revised in 10-15 years, we will be told that everything is arranged a little differently, and new generations of parents will religiously

follow the recommendations of pediatricians, understanding that they are the opposite of what their parents did, we will probably change our views on some, let's say, drugs, we will change our views on some approaches, but our basic views will still remain unshakable, based on the same concerns the fact that the child should be healthy, and we make every effort to in order to make it so, not to let the disease take over, this is an absolutely

unshakable postulate of medicine, well then i understand that medicine exists here now, and this is probably right, yes, and what was before or what will be later, well , let's see, scientists or doctors will tell us, well, you see, even, let's say, back in the middle ages.

you won't drive it, that's for sure, especially as it grows, it simply won't fit there, so let's return to this triad, then, so that the child is healthy, after all, probably, this is the most important thing, yes for parents, well and for the child of course too, are there any recommendations, what should be done and what should not be done, should we use common sense, are there any innovations in all this now, regarding common sense, of course there are no innovations. i urge mothers first of all to skip any recommendations, because unfortunately, well, as you understand, to pass

through the prism of common sense, i did not finish, because, unfortunately, medical advice is quite strange, and also from the medical environment, starting with the cloakroom attendant at the clinics, everyone has quite a lot of information about it. therefore, of course, common sense first of all, do not use unverified sites and unverified information from the internet, because now in the age of the internet all mothers, when they put their children to bed, immediately start looking for information on the internet, why he does not sleep, why he poops there or, on the contrary, does not poop, well, in general, for a variety of reasons, unfortunately, you can find on the internet, as in the classics, that advice of a cosmic scale cosmic stupidity, here in connection with these same is not written, they say the opposite, yes, it is true, but these tips can lead to

disastrous results, often you hear that, for example, a child on breastfeeding may not poop for 10-15 days, i want to say right away that no, this is not so, a child should have a bowel movement every day, especially a newborn several times a day, in connection with this you need to be very careful about the information you receive, and even better consult with a trusted pediatrician who can say that yes, this information can be used by you, but this is in no case, run away from there, but for this you need to trust the doctor, therefore the second piece of advice is to get a doctor you trust, you need to consult with a doctor,

not according to some schedule, in this sense it is not even avoidable, if you wanted to definitely yes, they should be decreed, they are decreed terms when the child undergoes a medical examination, that is , is shown to all doctors, when examinations take place, but unfortunately, this is not observed always, so i urge you to show doctors to comply with all the deadlines that were set specifically to show the child to a specialist, if we talk about schedules and the need for regular visits to doctors? there is still a stage in the life of any child when he receives regular vaccinations in accordance with the national schedule. absolutely right, this is a separate topic, unfortunately, today there is still an anti-vaccination movement, i am not even afraid to call it a movement, because many people are united by these strange ideas, but nevertheless , today the state has paid

attention to this problem. at least official medicine feels support from the state specifically regarding vaccination, vaccinations are needed, because in the 21st century, it is very stupid and strangely painful to watch the deaths of children or the irreparable damage caused by a disease that could have been prevented, which is related to controlled infections, within the framework of this movement that you...

but nevertheless, the idea that vaccinations lead to autism, they were left in the last century, were proven, in fact , sabotage and malice on the part of - there is a british doctor who promoted his ideas and his medicines, and he was deprived of his diploma, from there came the fact that this myth is alive, but i did not invent the myth , it was picked up on the banners, the myth is alive. but in medicine there is such a postulate that not everything that is due to this because of this, that is , it turns out that we, firstly, after the vaccine , can really expect an increase in temperature, there is a local reaction, but nevertheless however, if we are faced with the fact that a child develops cerebral palsy or autism, this is not the root cause, here it could be that...

they simply paid attention to the child because of the vaccination and, having diagnosed it, they decided that the child had this disease, but the role of the vaccination in the development of these conditions has not been proven anywhere in the world, i assure you that if at least some connection were found between, say , autism and the vaccine, then insurance companies, especially for...

in pediatrics, the department of affairs of the president of the russian federation. autism, isn't it also something that is the pain and fear of many parents, yes, isn't it a disease that has now become more common among children, modern ones? well, firstly, due to the fact that diagnostics have improved, once, criteria have been developed, what we call autism, and here are combined a lot of symptoms.

here, of course, this is a separate, like the universe , topic, with this autism you can talk even better with those who are directly involved in this, but from the point of view of a pediatrician, you are the main specialist in pediatrics,

of course, it is the specialist here who should be in autism, neurology, and even i 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 in the century of life sciences, biology, medicine, there are movements when people offer to do tests, genetic tests for their children, based on the information received, make decisions that are related both with health, with the choice of profession, with a variety of things, 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, not encountered, but at least came to such a philosophical and medical concept as epigenetics, when a state

surrounding a child, both in utero and thousands of days after birth, when the surrounding circumstances impose certain... influence on the genetic material, on the genes themselves, when, of course, unfavorable conditions, in the future lay down, including many diseases that an adult faces, this includes diabetes, high blood pressure, maybe even some mental states , today, of course, the state of a pregnant woman, the state of an unborn child. and a child who has just been born, it is, in fact, the root of all those pathologies that the child will have it later as a grown child, who will turn into an adult in the future, and

here is this whole scientific layer, which we still have to raise and raise, but it is very general, it is almost like you yourself said the word philosophical, yes, that this is essentially, that everything affects everything, everything is interconnected. when it is seen, when the doctor detects some deviations, well, god forbid in the development of the child or yes, of course, of course, and the pediatrician on the spot should already determine which narrow specialist should show the child, and already a narrow specialist sends to

a geneticist and recommends exactly those genetic tests that he needs to take. okay, you are breaking all the myths and do not leave any hope, you are always 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, blood storage, 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 when replacing some organs, maybe even transplants, well, this is, let's say, a distant future, but nevertheless, there are a number of conditions when it can be used...

this is all connected with commercial processes. well, nevertheless, in general, there are a certain number of diseases, including blood diseases, when this preserved blood can be used, but enough diseases that developed later, you don't know. it was conscientiously preserved taken away,

it will need to be protected throughout life the current child, that is, he will grow up, then grow old, all this time this emergency reserve is stored somewhere, yes , and moreover, it is paid for accordingly every day of storage, and this is the future, do you think that in 10 years or someday this will be the case for everyone, newborn children, well, i think it will be, if not for everyone, then at least... the indications of the possibility will be broader in this sense and we will certainly be able to use this material again for a greater number of pathologies, returning to that you need to trust the doctor, well, i 'll tell you more than that, of course, you see the difference in the concept of our slavic doctor and the latin doctor, yes, that is , respectively. this is from vrat', but a doctor is from vrat', but vrat' not in the sense

of deceiving, misleading, but from the original meaning, that is, when to charm, persuade, including charming 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 should to gain your trust, namely by talking. most of the problems, especially with young mothers, are resolved by a conversation between the doctor and the mother, when we answer her questions, even if they seem stupid . mothers don't have stupid questions, they are all smart, there are stupid doctors who refuse to answer them, and you suggest trusting them, that is, here it is besides, as far as i understand, in our country now the doctor provides a medical service, but it is regulated, you probably know better in particular time communication.

the president has already said about the educational service that it is no longer there, it is no longer a service, well, so i really want that from now on there will also be no more medical services, and we with the patient do not provide him with services, but treat him, respectively. certainly, but we must learn from our

teachers, there is a certain, of course, age-related gap, especially, which falls on those difficult nineties, two thousand years, when, unfortunately, even talented doctors and scientists left various industries, including medicine, but i i hope that today we have already been able to fill it, among other things. and the basis of the soviet pediatric school, it allowed us to go through covid with dignity, and i think that it will also allow us to educate, including young doctors, who will be able to treat patients, not provide medical services, personalized medicine is a very fashionable term, but in my opinion it comes from the west, this is communication with the patient, looking into his eyes. or is it something else? well, apparently what we had

always, in the west they suddenly saw the light and decided that medicine should be personalized. we always knew about it and always talked about it, that this is exactly how it should be, that it is the communication between the patient and the doctor that gives a better result than a machine filling in all the cells and making a diagnosis. you are not against instrumental methods of all sorts. high technologies that allow, well, in particular in pediatrics earlier, to more effectively identify certain conditions for which certain measures need to be taken, this cannot it will all end in conspiracies only. definitely not, and i am for a reasonable combination of machine intelligence and the intelligence of a doctor. to what extent is this feasible, do you believe that this, well, in our lifetime, can be put into practice, in general, well, the population has, well, complaints, not complaints, but

probably some kind of criticism, in particular about doctors, doctors are people too, they are all different, well, doctors are ordinary people, and i generally believe that... 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, passing certain certifications, well, and wash such out of doctors. it seems to me that we are deviating from pediatrics, but it seems to me that a doctor, as a certain function, well, which checks against some tables, textbooks , etc., makes a decision based on objective indicators, this is just a way to fight a fool, well, because you you bring out the personal part, and probably

the best doctors cannot show everything that they could, but those who are fools, probably more, but they will work at least at the level, in this sense... you provide the same quality, you are absolutely right, for this purpose there are certain standards for diseases, and this is even called protection from the genius of the doctor, yes, because genius can also harm, absolutely, therefore certain standards were invented for everyone, they proved that this is necessary, they wrote research institutes, these standards that everyone is required to comply with, we started with that... change, but nevertheless, they change based on experience, based on new discoveries, that is, they change 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

we are discussing this very important topic with andrei alekseevich stepanov, the chief specialist in pediatrics. and the presidential administration russian federation. i see several useful lessons, it seems to me, that is , you need to get vaccinated, yes. and genetic tests are not necessary yet, because you will not find anything. but if according to the doctor's indications, then apparently it is still necessary and can be useful. and i apologize, i will interrupt, in the maternity hospital they take certain screenings, that is, they take blood on a special test paper, send it to a special center, where they perform , among other things, a genetic analysis for the maximum amount and this is just a medical service, you don't look anyone in the eye, they just give you some table, yes, but nevertheless, in general, this is done for everyone here, it's like any screening, yes, you understand, that is , when the coverage is maximum, and if

suddenly there is some deviation, then they call the patient and look him in the eye, of course, either for a repeat analysis, or... they are already starting to do something more in-depth, a vaccine, genetics, and umbilical 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 our children to be smart, talented, well, first of all, here too genetics comes first, which should not be done. which cannot be done, unfortunately or fortunately, we cannot interfere in this process on a global level, in particular, here are intellectual abilities, the original ones, they are given to us, but of course, it is in our power to improve something, develop it, which in a positive way...