[000:00:00;00] therefore, today, these powers are being transferred to the all-belarus people's assembly, plus, of course, we have a parliament, it is involved in the formation of the government, that is, this is the prime minister of appointment, and today the supreme national assembly will appoint a central election commission, we will form the entire leadership of the national bank, so we will form the top leadership of the courts and the constitutional and supreme courts, that is, we... in one day, in fact, we must form a complete system of public administration for 5 years, legitimate government, if a person does not come to the polls, then he has no moral right to present anything to this government at all, if you did not take part in its formation, missed one day, in my opinion, a more than exhaustive answer, here we are your previous questions, they are very correlated with elections, there is a transformation of the international system

of relations, these are all the issues... biological warfare, the use of high technologies, artificial intelligence, control of near-earth space, that’s all methods, tools in achieving a goal, uh, victory, so to speak, in geopolitical confrontation, establishing the order that one or another force considers more correct for itself. the methods will be very tough, geopolitical rifts always happen painfully, right up to a nuclear disaster, what we talked about,

why? roll us back a decade, stop the development of our cities, the development of our education, science, industry, economy, yes, after all, this is really in our hands, so let’s hope that we enough awareness and responsibility to do everything right, thank you for this conversation, that’s all for today, see you in

a week, happily. people who know their purpose. i am certainly, in my eyes, of course, a successful person, in my opinion, for the simple reason that i have a wonderful family, i have

a favorite job. glyadzitsa project "belarusians" on

the tv channel "belarus 24". hello, you are watching the program say don’t be silent, in the studio of victoria popova and tatyana shcherbina. and today our guest is the chief minsk doctor. it’s common to think that a glass of champagne won’t do any harm, but you’re already immediately saying that

it’s also insidious, yes, of course, there is serious monitoring of the situation, that’s how global the problem is for belarus, how many drug and alcohol addicts we have in republic republican center for narcology, monitoring. according to data from just this center in the republic of belarus, as of november 1 , 150,000 people reported alcohol abuse and about 7.0 drug abuse. 150,000 alcohol addicts are officially registered. yes. well it a big number in my opinion, what do you think about it? well, yes, this is a big number, although if we compare it with world statistics, then it is right in the middle. it’s easy to calculate, this is 1.5% of the population, but according to the data. literature from one to 2% of the world's population, yes, they suffer. we came across the figure that more than 50% of drug addicts are young people aged 19 to 24 years. what do you think, how realistic are these numbers? well

, it’s probably exaggerated, and this figure is voiced by those who basically only work or come into contact with them, less 20%, 19.1, well, approximately, we will, we will round up to 20%. at this age , yeah, well, maybe we are talking about some kind of official statistics, yes, we should say that, probably, not all people, not all people come from voluntarily to register, however, i would said, a minority of them come voluntarily and become, basically this identification goes against aspirations, i watched an interview with you on the eve of our meeting, and

there is no such telephone line or maybe you explained the problem why teenagers, children starting to use drugs today? in terms of what you said about the stasis of the pie, then of course i agree with him, this is really so, this is the distribution, in particular in our republic, of drugs via the internet, this is massive, in fact , the involvement of young people now to a greater extent in their distribution than into use, due to my work i

regularly participate and... they will forgive you, they will take your age into account, if anything, but in general they will give you a maximum fine, yes, absolutely right, the other part of the suggestion says that that these are legal substances and that they only act for a short time, and then everything will be fine, but young people, especially in adolescence, are very easily suggestible, and of course they end up believing more, for them this plays a huge role, one can even say, probably, this

is the leading role in general in principle in... we have two of them, the number is very small, if we are talking about those who have become dependent on alcohol, then today there are zero of them, but this does not mean that there are no, that doesn't mean they don't exist, i'll get to that now, so, well, i just want to answer the question of what is being treated today, based on what i just voiced, it is clear that it is not, and you also said once that this is already going out of fashion? it's synthetic and back to the good old

heroin addict chic in belarus, right? yes, it happened, so what is it connected with? designer synthetics, designer drugs, they are approximately, well, it may still be 10 years too early to give, but somewhere around 9-8 years ago , our clients appeared on the market, for everything new, they are patka, all the newness very attractive and... at that time we had rapid exponential growth, even among teenagers, so more than 100 of them immediately came under our surveillance, because they began to try everything en masse, then, if you remember, there were deaths, because here from these synthetics they began to throw themselves out of the windows, not specifically for suicidal purposes, but in their hallucinations the delirium in their heads was such a mess that it seemed to them a completely different reality, against the background of this they experienced self-harm and

trauma, absolutely true, that’s all under the influence of these drugs, and this was precisely the moment when they began to try new drugs. gradually, naturally, everyone, including the public , including the media, the police, and healthcare, everyone immediately paid attention to this and began to work with it gradually, so today i am telling you that in the city of minsk there is a very serious work has been done, identification. why? because we detect it very early. the very first sample of the drug comes into view. well we have those so-called commissions for minors, inspectorates for minors. yes, the commission includes drug addiction doctors, and the first hit, regardless, a teacher saw it, a police inspector saw it, i don’t know if it was a social worker or someone, but in the end this case is sorted out into these commissions. and this. the teenager is immediately treated by all specialists, including

a narcologist, he has not yet developed an addiction, he is still on his first try, but so that this does not turn into trouble, into addiction, yes, which will entail a bunch of other social things, they start with it right away, well, basically it ’s preventative, i will confirm your words, because i know cases of mothers of teenagers who told me that everyone is on guard, and even if there is the slightest suspicion that.. ... something or a son or daughter is behaving inappropriately, a signal is already coming to the mother and then, well , what is his fate, now he is registered with you, that’s all, registration is monthly. visiting a doctor, this becomes the responsibility of our client if he is on appointment, indicated by the doctor, the dates do not appear, which means we are already starting to look for him, the most ordinary phone call for starters, oh, yes, i missed a day, i’ll come to you now or i’ll be there tomorrow at such and such a time,

everything is fine, we don’t find it at the address , we send him a written invitation, he doesn’t come, we go to his house, we ask at the clinic, but in general he, he’s still with us , how do you visit him, he comes or they visit him somehow, nothing, his healthcare loses, then we write a statement about the location to the police, and if already and the police don’t find him, then it probably becomes clear that he probably doesn’t want to visit us due to force, we narcologists think, because he probably doesn’t want, doesn’t want us to see that he

continues do it. as i understand from your story, it doesn’t exist at all, there is also a category of preventive observations, here is preventive observation, for example, if we talk about people who have used drugs in their lives, this has become the subject of working with a narcologist, but they are still independent, they are taken for mandatory quarterly preventive examinations, here he is during the year, every quarter, that is

, once every 3 months, he must visit. assistance is provided, including even a decree of the ministry of health on the provision of medical assistance on an anonymous basis, including drug treatment, this is possible if a person applies to an anonymous basis, undergoes treatment, a medical record is created for him, which is then stored in the archive after he stops treatment, but from his words it is written down with patronymic surnames, yeah, otherwise

you can eat any ivanovsky. with him, before we do anything, we conclude an agreement with him, well , someone can’t just come from the street like that, i want this and that, that’s not how it happens, firstly, it’s all through the cash register with receipts, checks, and secondly , on a contractual basis, because this is where the relationship begins, yes, the client is a doctor, that is , he still leaves his data in the contract, in addition, there are also such nuances when a person contacts us for help in a state when you need it, well, badly. it is controlled by the state, yes they are included to the republican list. these substances cannot be prescribed to ivan ivanovich ivanov from balda according to his passport. in this case, complete

anonymity cannot occur, but this is due to the fact that the person has brought himself to this state. well, in principle, treatment is voluntary or only voluntary ; there is no compulsory treatment in health care institutions. there are moments of so-called forced hospitalization, but it is only ... if a person is dangerous to himself or to others, but there has never been a case where the court would have decided in this case in favor

of the person’s health and life, such a period of time passes, during this time he can do something until the court makes a decision, this period is limited to three days, this period is before the court’s decision we provide medical care without his consent, not voluntarily, but this is not called treatment, but forced hospitalization, forced treatment itself... it exists in the republic, but it does not happen in the health department, alexander sergeevich, well, i read reviews about your center, and the patients said that they have such forced labor, so to speak, someone there is an engineer, one was forced to wash toilets or sweep the yard there, so people complain, they confuse the center with the medical treatment center or that by a court decision, but this does not concern forced hospitalization concerns the commission if a person commits a crime and you appear during the investigation. that he is still a dependent person, yes, then the court can make a decision, compulsory observation and treatment on

an outpatient basis at the place of residence, such people are not behind bars wired, there behind bars, they are among us, but they are obliged by a court decision to fulfill all the doctor’s demands, while we take a break for a while, i remind you that we have a telegram channel, say don’t be silent, subscribe, ask questions and invite guests, we are connected. on the air again , say don’t be silent, and today our guest is the chief doctor of the minsk city drug treatment center, alexander alishevich. alexander sergeevich, well, from the reviews about your center, my friend and i were both cured, but how can we say, we were cured, we just

hang on and try. yes, we have specialists who use the methodology, seriously, that is, good old coding works, well, we do not stand still, in fact, this method has been formatted many times, something new has been introduced by others, also leading specialists, and it is being improved continuously , the very fear of people that they somehow get into their head, violate their psyche or something, yes, who refuse this treatment, what is fear,

is fear negative? shorten this path, so a person got sick and came to the doctor, is there any universal recipe? i will place such a small responsibility on the closest people who live and want to live with this person, this is the motivation to get to a specialist, this will be assigned more to them. you answered absolutely correctly, this is not just characteristic, almost one hundred percent of everyone who takes the path of acquiring addiction, they... deny it to themselves for a really very long time, in order to reduce it, and he must be motivated, he will no longer motivate himself , yeah, that is, only help from to me, my dear friend, how effective will such treatment be when, for example, he still resists, and his relatives brought him up, well, there are a lot of examples when a wife drags her husband, and he resists in every possible way, will it be effective, there are a lot of examples, approach which, before doing, for example,

coding or filing, it is necessary to motivate him, so... well, i’m already silent about detox, but that’s absolutely right, he must set a goal sincerely for himself, not for his wife, not for the local police officer , not just for the boss at work , but for himself, when he sincerely does it for himself, then it will be effective, today famous artists publicly admit the first, second, even third stage of alcoholism, let's listen, yes, i drink, but my face says i'm drinking. a little, and i, unfortunately, have such a problem, i confess to you, but i can’t stop when i drink, look what i like here, yes, i drink, but, i have a face, a doctor, a narcologist, next, he says he was given the third stage, this is already as far as i understand, it is a serious stage, but

you will tell us as a doctor in more detail, but

the person has not yet... a role, they should be, another thing is that existence, moreover, they carry out their work in general, private centers have the right to how they carry out it when the desire to gain benefits prevails over the desire to provide quality medical care. then this is of course not good and such centers are no longer medical, but their presence indicates that there is competition in society, it is healthy, the degree of development of society can be judged the presence of alternatives for a specific person on a specific topic, if we talk about drug addiction, if a person has a choice to go here, here or here, this indicates that the person lives in a developed society. well , it is known that those who drink alcohol

daily experience personality degradation with irreversible changes in the psyche. in such cases, treatment is useless, the psyche will no longer return to normal, a person who is degraded already has irreversible changes in the brain, that is, even if he will stop using. he won’t get better, he will, he will, well , it’s still recovering, the liver is being generated, the nerve cells are not recovering, the fact is that the brain, the human brain is very plastic, extremely, the surviving neurons, they take on functions those neurons that have already died, unfortunately, this is not infinite, at some point this reserve is no longer enough if a person

has stopped, and he still has something there... as if here now, but in his head already your own movie, well, not even a movie, memories of past life, it seems to him, for example , that a person is 50 years old, and he lives with his twenty-five-year-old self, he asks him what the date is today, he tells you 2000 for the first year, but of course, he has emptiness, that’s what he doesn’t remember now, he ’s filled with events from the past, yeah, he stood at the table from the kitchen, came out, you ask what you ate just now, he starts telling you: what he ate, for example, in childhood, and not in reality now, it’s very similar to alzheimer’s or dementia, those conditions which are accompanied by gross impairments of cognitive functions, they are very

similar to each other, yeah, and you said that the brain, well , fortunately, is plastic, how is this expressed in your practice, when people are drug and alcohol addicts, well, you observed that they we completely changed our lifestyle and became more successful and happy. yes, i once said that there are quite a lot of them, the greatest concentration, where i saw them as if at once, these are the so-called forms or a meeting of hey or ah, alcoholics anonymous, and what’s characteristic there is that people with experience, well, they call themselves recovering in the present tense, although they may have experience of sobriety for several decades, oh, this is interesting, here we have doctors - this is always a strong school. in general, it is generally recognized throughout the world, but it is bad with rehabilitation, and for a long time it seems to me that this was considered a western practice, and clubs of anonymous alcoholics, yes, it came to us from there, but why has it taken root here, why

is this form of work so effective , the most attractive thing about this is that a person is completely free, no one forces him, here at the drug dispensary, if he is under supervision, he is already obliged to come, he is obliged to take tests, he was trawling there, but there you are completely free, come if you want, don’t come if you want. does not require anything from you , there is no need to contribute any money, yes, they gather, they, for example, drink tea and communicate, but the tea is not bought because here you are today, here you are tomorrow, no, they call it charitable contributions, who wants and can, he does it, who doesn’t want, can’t or something else, he doesn’t do it, and it’s not discussed in any way, it’s not raised, well it is simply accepted as it is, it is in this freedom that it is attractive. a person finds himself in an environment where everyone is the same as himself , and everyone, no one lectures him , no one nags him, no one

threatens him with medical therapy and other things, yes, the doctor does not tell him that there is no doctor there who would be fulfilled, yes, and does not tell him that we are now there and will lock you there or something else, this is also attractive, he sees how everyone, like him, shares their problems, shares the way... he copes with this problem, but those who came today, and today are not quite sober, most of them are the same, but some of them have been sober for 5 years, 10 there are 20, and that is, he understands that he can from this state, looking not at yourself in the mirror, but at a person who is the same, to become like this, people who still use can come there, and mostly they come like that, yes, but i thought that they had recovered and

were going now. well, their loved one, codependency really interferes with normal functioning, but explain in nuances, this is what it looks like, imagine a diagram, a dependent person, an alcoholic, for him the center of his life becomes a bottle, and all his activities revolve around the bottle, a codependent is an outer circle, for him the problem is his loved one, whom she or he loves him, wants to correct him and build his life around him, here is a bottle, dependent codependent. these are circles, they

mutually reinforce each other, not knowing how to deal with it, they coexist with each other like this, and you know how to get out of this circle, our specialists, and there are mutual aid groups specifically for codependents, for alcohol, they are called allanon, we teach in the same way as in the hey groups, mothers, wives share their experiences, how they coped with their loved ones and coped successfully.

so what are they doing, helping him to continue using, and the group of all-dependent people, well, it kind of teaches him to divorce such a person or help him? in the course of use, a person forgets how to bear social responsibility, he does not foresee the consequences of his actions, and accordingly, transfers the elimination of these consequences to the shoulders of others. an adult is self-sufficient, which is different, for example, from, let’s say , an addict or a child, he understands what they can lead him to. actions, he understands that this could be such and such, and he takes action to either answer for it or prevent it, well, to prevent this from happening, well , this is an acceptance of responsibility, yes, then the person is dependent, it is necessary again to teach this, in general terms, this is what specialists do, the specialist works, in a shorter time, he brings our patient to awareness, teaches him what to do with it, how

to accompany it further, in groups this...

here a huge component is psychology, the social environment, social functioning, and no less important is the spiritual part, here is the bio, psycho, socio, spiritual, this approach is comprehensive, it is the most effective, you asked me at the beginning about the methods, so it’s not the method, but the approach that is the most effective, exactly this this, narcologists, psychotherapists , doctors take on bio and partly... psycho, because psycho is psychologists, these are psychotherapists, bio is the liver, the brain, everything else is there, we carry out a detox, free us from all these harmful things that have accumulated over the years of drinking or over months, we begin to manage our brains, and what to do with it, how to live correctly, after all, you remain in the same place, you will communicate with the same people, you will find yourself in the same situations, but we teach how to it is to react, constituting a strizom, a psychological state human plays a huge role in the period of collapse. soviet union

in the nineties, if you study everything thoroughly, you will see how much there was a surge, but now there is stability, now there are fewer and fewer psychological reasons, well, that’s good, social here, yes, social is like family self-sufficiency, yes, if so talk about these things if a person has a job he loves, if he has a family in which he is respected, appreciated, loved, and so on, if he has no problems with the law. yes, if he has a favorite hobby, besides work, family, some kind of hobby, leisure time, personal space, he has no need to engage in this matter at all, from the word at all, alcoholics, their will immediately suffers and... weakness of will manifests itself from the first moments of addiction, therefore, but nevertheless there are those who who seem to be leaders who strive to have their word, who we will talk about, have some kind of stronger spirit, but there are those who are weak, to whom you tell them to do something, he will go and do it simply in silence and as if he will not

ask questions, there are a number of people who are easy to persuade to drink, drink again, and then drink again, but there is no way, there is a huge amount of knowledge already accumulated on this subject , well, i know hopeless cases, in particular, amy winehouse, singer, she said that she went through 10 clinics, but

still graduated, as we know . subconscious pull out events and remember them here, but it will be here now, we can assume the future, but again , attracting here now is consciousness, all trying to remember something from the past from the rest of the block is the subconscious, so here is

the subconscious, and this is already a law of thinking, not tolerates, does not understand, does not perceive denial, particles do not and do not exist for the subconscious, if i tell you not to run,

the first thing you imagine is... there will be a direction, do not crawl, do not fly, we need to go, it will be don’t run , it will move in this direction and the subconscious will immediately throw you in exactly this direction, in the right direction, and not think in which direction should i turn, if we learn this, we will have everything legi artis in this regard, and now we

will take a break for a while, after a short pause again let's return to this studio, for now subscribe to our telegram channel, say don't be silent, look for all our episodes on the youtube channel belarus 1. on the air again say don't be silent, our guest is the chief doctor of the minsk city narcological center, alexander alishevich, we are not we talked about specialists, you talked about the team that works today, about the approaches that are used, but not a word about people yet, do

you have anyone to work with, alexander sergeevich? we still have, they say that the attitude towards them in another institution, well another, well, yes, i confirm this, here you feel much more comfortable, and in general you begin to feel like a person, which is generally important for a cure, again in our program the ceo of belvidit unifarm spoke about an interesting vaccine that is now being developed in belarus, let's listen, well, another new thing you have is a vaccine against drunkenness, what

the... under the influence of an uncontrolled amount of alcohol consumed, well, several lose their competencies and cannot resist with... a green snake, as they say, yes, that's why we began to analyze the available technologies, in general, today a vaccine is being developed in a very active phase, specifically against alcoholism, that is, against the consequences of alcoholism, so that a person does not get drunk. how do you feel about the prospect of creating such a vaccine? we talked a few minutes ago about the fact that the biopsycho-socio-spiritual approach is

absolutely sure. from the information that i have just heard, it is very scarce, i can only speak with some

apprehension about the use of such vaccines, since such a term has been expressed, if it is used by an already addicted person, it will help him continue to abuse, one must think hard before releasing it into a wide circle. as a narcologist, alexander sergeevich, what is the most painful place for you in our society today? excessive availability, in fact... everywhere you look, wherever you go, alcohol is in abundance at low prices, alcohol exceeds the availability of medical care, imbalance, unfortunately, yes, we have already heard from you that even a glass you won’t allow yourself champagne for the new year , that’s true, i lead an absolutely sober lifestyle, including because i’m a narcologist, that was the turning point when i decided for myself that this was not mine, it was not my physical condition, huh... at that time i was already the head, i worked at the rcp, it was called, now it’s the republican scientific and practical center for mental

health, i worked at the republican scientific and practical center, this is before the republican scientific and practical center, this is the same institution, i was in charge of the men’s department. alcoholic thirty-four, at a certain moment i realized for myself that i i wean people off this, i try to draw them out, i try to teach them how to live with it further, but without drinking alcohol, while i drink it myself, i realized that if you tell a child one thing, but demonstrate another in your behavior, whatever the child chooses, he will not hear believe, he will believe his eyes, he will repeat the behavior, for example, of his parents, if his parents clink glasses and drink, he will strive to do the same thing with non-alcoholic champagne. first of all, start with myself, in order to be at this moment i realized that i need to change effective for patients, well, when they say that add a spoon to tea for blood vessels,

this means that in small doses, training for blood vessels, this is actually true, unfortunately, even like... penetrating the brain, it kills several neurons, but there is also good news for our viewers, you promised that they are restored, so a teaspoon is possible, at birth a human individual is given, i say the average number of 100 billion neurons, well, there are from 80 to 140, we will say 100 billion, if we exclude stressful ones situations and all sorts of influences that kill additional neurons, we... growing up, aging, lose neurons, so, if we exclude all stress, if we live such a life, so to speak, useful for neurons, then they would last for a thousand years, this the good news is that the brain has not been fully studied, we know, yes, in my practice , a young man, thirty-three years old, was placed in a boarding school because he developed alcoholic dementia, here is the youngest in

my practice, he does not have dementia already remembered, yes, yes, nothing, he was no longer oriented, he as if he had fallen out of... society and it was not possible to cure him, we saved his life, but the question from the audience was for you, you know what, but he became very young, or something, the failure of people, they early become puffy, red with signs of abuse on the face, it ’s true, something happened, especially for men , this applies to 30 years old, well, you can see that he drinks and maybe even... what does this have to do with the poor quality of alcohol, with the environment? i would consider here on a global scale, today the population of the planet earth is 7 billion, yes, but 100 years ago, if we put it aside, the average life expectancy used to be 50 years, and even earlier 40 years, the infant mortality rate was

terrible, very high, because medicine was undeveloped, then whoever survived was strong, and in order for him to die prematurely, it was necessary well, there are too many problems, now the level of medicine is such that we have 500 g for 22 weeks, the overall overall result is the same, it has become a little thinner, sorry for the slurry, that’s why the manifestation was earlier, as for the quality of alcoholic beverages, well, here you can bet, the state has taken measures, so that these cheap roofs. shock there, remember those, good wine, tasty, no , in fact, the quality of wine in our country, well , at least the official one, it has increased, here i even as a narcologist have to admit this, another thing is that the doses, volumes against the background of what i said is that the strength of human health, it is a little different from what it was, this is like a totality, probably, well, then

maybe you can provoke us into a sober new year and tell us how... with with someone else, with friends, no, this exceptionally close ones, well, that’s right , it seems to me that the new year is still the most family holiday of the year and you can stay at home at this time, but how many children do you have, three, what a beauty, why go to visit when there are so many at home guests, one of the youngest is 15 years old, they are all boys, no, the eldest girl and

two boys, and two boys, well, a role model, what can i say, the chief doctor. three children, doesn’t drink, just a peek, thank you very much for this conversation today, it’s very nice that doctors are in our centers today so young. so purposeful, so well-read, so literate, so kind , so endearing, when you entered the studio, we immediately felt that you knew how to endear yourself, because literally everyone relaxed, this is probably how it should be, and today the narcological center the word should not cause any horror, only the desire to come and trust the doctor if there are any problems. happy new year to you and your family, tatyana shcherbina, victoria popova, we say goodbye to you for today, goodbye, see you

goodbye now. we wish you new year's wishes with your signature, and we'll see what it looks like. no, your

handwriting is beautiful. we will introduce you to belarusians who deliberately exchanged the city for the village, about 10 years old, just a country house, and one fine day they just came to minsk in winter. stayed for 2 weeks and realized that it was very noisy, well, the circumstances developed, we already lived here, that is, we already came here, we liked it, despite the fact that our apartment was on fire, they believed in themselves, their strengths and achieved results in their our favorite business, the main goal of our economy is not to earn money, but to provide ourselves with good quality products, how to build a house and not get divorced, that’s what helped, probably after all? to be together and a miracle, the presenter from the capital will have to experience all the delights of rural life, apparently a tv presenter with experience

in performing construction work, well, i have a wife, i have a mother-in-law, i think, as a man , you understand what it smells like, it’s also so mocking , i don’t know, you can’t see it, they’re sticking out their noses from there, they’re looking, the city guy is cleaning up after us, okay, i’m the project from the village. watch on the belarus 24 tv channel . live broadcast of the main news in poldi in the studio. olga kalairova, hello and