monothyroid gland due to hypothyroidism, here, and then she decided to improve, they should be taken exclusively on an empty stomach, half an hour before meals, she decided to improve her story, she uh decided to wash them down with a protein shake, because there is always not enough protein in the body, yes, it brings life and so on, she also hacked the system, this 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, which should decrease, so the dose increases, the effect can already be negative from this dose, but the doctor can’t understand what is actually happening, or else, this is very often associated with people.

not combining, then you don’t even need any water with anything acidified or sweetened with anything, just water and everything will be fine, again returning to the topic of our conversation today, this woman, well, she would not have found the answer anywhere, in any search engine and never, she would not have asked this question to artificial intelligence either question, right, to get the right answer, she doesn't even know what to ask, yes , in this situation, everything seems to be right, only a doctor who... will get to the bottom of it, who

will conduct a survey, who will compare one thing and another, maybe, well, in general, as i understand it, doctors will be safe for a long time, in such a life, for now they are safe, therefore when students say, yes, soon everything will be replaced by artificial intelligence, i say, it will be enough for your life, you know, this is also of course such a small digression from the topic, here they also say the same thing about journalists, nothing like that, a good journalist is a person who knows who to ask

what question. digital photography came to our world, film photographers, they resisted, they said, there is nothing alive in this digital photography, it’s impossible, everyone has a dead look, glassy eyes, it’s terrible that this hasn’t happened there, i don’t know, 10-15 years, everyone just forgot, great, so it’s about the same, artificial intelligence, search engines and so on, these are wonderful helpers for good doctors - who nevertheless know how to work with a patient, how to help him, how to prescribe everything to him, and in the end, write out a prescription, a machine will definitely not write out a prescription, it will write out, it will still be clear, damn, legibly, well, here i think everything will be fine, here with the addition of some things, and i think that still a person for now - using artificial intelligence, will be... needed,

maybe, yes in the future, but for now needed. zukhra, and do you generally use search engines yourself in order to, of course, of course, well, it is very difficult to do without it, because even the same medicine has so many names that a patient comes in and i ask him, what are you taking? he says: this, that, that, that, that, i hear about some drugs for the first time, but i can’t ignore them, suddenly they, well, as they say, are not very compatible, i enter them into a search engine. the reference book opens and i look - the active ingredient, then i understand everything, please, there are situations when a person comes with some tricky - some kind of pathological disease or just , well, i don’t know, he has some kind of another disease, i want to say, is not in my specialty, i need to understand what it is, maybe i have never encountered this, i don’t know, some kind of syndrome. so i forget about it, read, look,

sometimes i write something out for myself, on weekends or in the evening i look through it, i have all sorts of interesting books, and i sit, compare, solve, i also have some of my own puzzles, these professional ones, i prepare for an appointment, by the way, there was once a patient, there are 15 such people in the whole world, can you imagine how many i dug through it, i almost said, lucky, but it's the opposite with yes, unfortunately, it's a real disaster, it's a very complex disease, it also has all sorts of different components, and i sat right there for some time, didn't raise my head, because it's very rare, very... in a place where you need to provide assistance, but you 've encountered this for the first time, you need to understand how to help

a person, this also happens, yes, by the way, in moscow, what's really cool is that medical assistance based on artificial intelligence is developed and so on.

i, having put together all the complaints and symptoms, cannot figure it out, i will say: dear patient, i have questions, i cannot reliably say that this is something that i can handle, or is it not at all in my profile, and

let's see, what can i do here, i can send you to someone who deals with this, yes, i think that this is professionally honest, i can ask ... you to know how to treat, she has nothing like that, it is necessary to check, so that a person receives the most excellent help, when i interviewed elena zelikovna golukhova, she is the head of the bakulev institute and a cardiologist, a famous cardiologist, academician, a female doctor

, everything worked out well, she was talking about, it was 2 or 3 years ago, she was talking about how she had a huge dream. so that all medical histories, so that all - all medical practices, uh, all would be united in one database, so that a person, a doctor, a beginner or not, could look into this database, compare something, already understand what to start from, in which direction to look, uh, again, in order to help a person as much as possible, yeah, that's it, so, a good dream, i join in. now it's actually practically possible to say yes, it's being realized little by little, yes, databases are being combined, and that was a great point, olesya nosova and zukhra pavlova were with you.

hello, badden baden podcast is on the air, i'm its host. konstantin severinov, today we 'll talk about children, about pediatrics, we'll talk, our guest is andrei alekseevich stepanov, chief specialist in pediatrics, presidential affairs department, andrey, 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 changes to the exact opposite, approximately once every 10 years, and i would like to understand why this is so. you are absolutely right, konstantin, this is generally a problem, i think, of all medical science, this is not only pediatrics, the outlook on many problems. they change quite quickly, and what was absolutely indisputable for us

10 or 15 years ago, today revised, and we took a diametrically opposed point of view, and why should i, as a consumer, listen to a doctor now, i know that i am smart now, that in 10 years everything will be the other way around, you know, well, the main, let's say, postulates are unshakable, that is, all doctors certainly want your child to grow up with...

in fact, this relates more to pharmacology, this relates to genetics, this relates to those processes that are at this junction, that is, precisely due to the fact that we study more the processes that occur in the body, we have the opportunity to reconsider many views that are becoming obsolete and replace them with others, as for the fact that a child should be healthy, and we all... make efforts to make him 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 , we'll see, scientists or doctors will tell us, well, you see, even, let's say, back in medieval, and not even medieval, vektorian england believed that, let's say, and... and even in the twenties in russia, that a child should be kept swaddled in a swaddling cloth as much as possible, so that he would move his arms and legs less. well , thank god, we have followed the path of common sense and are saying that it is possible to swaddle a child, but only for a certain amount of time, because in theory, it is swaddling that is actually an imitation of the child's intrauterine stay, when he... it is feels the boundaries of his body due to the soft pressure of the walls of the uterus, when we

swaddle a newborn, we actually remind him how good it was in the womb, in connection with this the child calms down, but all this is also good up to a certain age, when he already begins to get out of swaddling clothes, then of course we should not insist already then you will not drive it back you will not drive it back, that's for sure, especially as he grows he is already there simply. are there any recommendations on what to do and what not to do, should i 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 skip, to skip, through the prism of common sense, i

did not finish, since, unfortunately, medical advice is quite strange, and also from the medical environment, starting with the cloakroom attendants of the clinics, everyone has quite extensive information about medicine, 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 begin to search for information on the internet.

on breastfeeding, a child may not poop for 10 to 15 days. i want to say right away that no, this is not true. a child, especially a newborn, should have a stool every day several times a day. and in this regard, 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, and this is in no case, rather run away from. from there, but for this you need to trust the doctor, so the second piece of advice is to get a doctor you trust, you need to consult with a doctor, show the child to the doctor, and of course, based on this advice, as we have already said, our prospects will be the brightest, well, after all, children, well

, at least little ones are taken to doctors, well, regularly, or rather in accordance with some schedule, in in this sense, it is impossible to avoid it, even if we wanted to. well, yes, they should be decreed, they are decreed terms, when a child undergoes a medical examination, that is , is shown to all doctors, when examinations take place, but unfortunately, this is not always observed, so i urge you to show doctors to observe all the terms that were set specifically for showing the child to specialists, if we talk about schedules and the need for regular visits to doctors, there is another stage in the life of any child, when he receives regularly,

lead to autism, they were left in the last century, were proven, in fact , sabotage and malice on the part of 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 can’t make this up, the myth was picked up on the banner, the myth is alive, but in medicine there is such a postulate that not everything that as a result...

and having diagnosed, they decided that the child has this disease, but the role in the vaccination itself, in the development of these conditions, it has not been proven anywhere in the world, and i assure you that if at least some kind of connection was found between, say, autism and a vaccine, then insurance companies, especially abroad, they would seize on it with their teeth, and vaccine manufacturers. would play the accordion for nothing at the train station, so here it is absolutely certain, there is no connection, and it has been scientifically proven. antifake, the premiere of the season. 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 andrey alekseevich stepanov, chief specialist in pediatrics, the presidential administration of the russian federation. autism, after all, is also something that is the pain and fear of many parents, right? is this a disease that has now become more common among modern children? well, firstly , due to the fact that diagnostics have improved, once, criteria have been developed, what we call autism, and here a lot of symptoms are combined, this is the case when there are no healthy ones, there are undiagnosed ones, well, in general yes, in general yes, if earlier it could be called schizotypal diathesis or something else, today... everything is related to autism and accordingly treatment is carried out in this vein, but i don't think that it has become more, i think that it has simply

been classified, and they have learned to isolate it from other conditions, that is why it has developed in such quantities, something can be done about it, this is something that can be prevented, something that parents can unfortunately, there is no prevention, because it is not even a disease, it is often... a condition, that is , no actions that could be practically taken, i don't know, listen good music, and not listen to some wrong music, read books, well , what you listed, this must be done undoubtedly, but unfortunately, this will not be a prevention of autism, because well , today this condition includes a lot of genetic anomalies, which are accompanied by the fact that the child's reactivity is arranged differently, it is not that it does not work like that, it works differently, here, of course, this is a separate, like the universe, topic, you can talk about this autism, 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, it is the specialist here who should be in autism, neurology, and i even think that not every neurologist will undertake to discuss the topic of autism so globally with detail. 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 received information, to make decisions that are related to both health and the choice of profession, a variety of things, well, here , probably, there is still a certain commercial background, when everyone without...

an unborn child and a child who has just been born, it is, in fact, the root of all those pathologies that

a child will have, then a grown child who has turned into an adult in the future, and here is this whole scientific layer, which we still have to raise and raise, this is very general, it's almost like you said the word philosophical, yes, that it is essentially that everything affects everything, everything is interconnected. we started when we see, when the doctor detects some deviations, well , god forbid in the development of the child or, of course, of course, and the pediatrician on the spot should already determine to

which narrow. specialist it is worth showing the child, and already the narrow specialist sends to the doctor geneticist and recommends exactly those genetic tests that he needs to take. okay, you break all the myths and do not leave any hope, you are all the time you say 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.

the decency, say, of the company that took this blood, and accordingly, these are private services, this is, in fact, our accessible medicine does not represent this, no, this is mostly a cryobank, this is all somehow connected with commercial processes, well, nevertheless, in general there is a certain number of diseases, including blood diseases, when this preserved blood can be used, but not very many.

those, then at least the indications of the possibility will be broader in this sense, we will certainly be able to use this material again with a larger number of pathologies. returning to the fact that you need to trust the doctor, well, i will tell you more than that, of course, you see, the difference in the concept of our slavic doctor and the latin

doctor, right? not in the sense of deceiving, introducing into misconceptions from the original meaning, that is, when to charm, persuade , including charming away 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. most of the problems, especially with young mothers, are resolved with the help of a conversation between the doctor and the mother, when we answer her questions, even if some questions seem stupid, mothers do not 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 a doctor provides a medical service, but it

is regulated, you better know in particular the time of communication with the patient and so on and so forth. konstantin, you are absolutely right, you are pressing on a sore spot, but nevertheless, here i am using, so to speak, glasnost, but i want to address, here the president has already said about the educational service that this is no longer, this is no longer a service, well so i really want that - medical services also no longer exist, and we with the patient did not provide him with services, but treated him. accordingly, communicated with him, i assure you that a lot of problems go away when collecting anamnesis simply during a heart-to-heart talk, here is the latin title doctor, well, it simply states that a person has received a diploma, our medical institutions, they are now training , from your point of view, doctors or physicians, here in this dichotomy that you mentioned, here we need to decide who, who will be talk?