the walls of the aorta after 11 minutes, the blood flow in the aorta is restored, and after another 40 minutes, the blood flow of the brain and body is combined into one and the patient is disconnected from the artificial blood supply device. you know, i want to be the first. call the center. or a complex operation with separate blood supply to the head of the body, he remained alive, and he came to us today. come to us , sergey, because if you don’t imagine this construction to the human body, you won’t understand what ’s the matter. so this is how the heart is approximately located, this is the aorta. here comes the duaorta. here it goes subclavian and carotid arteries and the situation was such that it was necessary to replace the entire aortic arch, these vessels, and even the valve inside the heart, which the doctors were afraid of, they were afraid that when the whole body was

cooled and the brain would be cooled, recovering from the operation. you will lose some brain functions, so they supplied the heads with warm blood separately, and the entire lower part of the body with cold blood, because the heart lives longer in the cold, and the operation was not short. do you remember anything terrible from your life or nothing? but how this would never have been the first. i want to invite here the person who was supposed to propose this scheme of separate blood flow, head of the department of anesthesiology and resuscitation, mikhail evgenyevich evdokimov. these are the vessels that a person actually has, before surgeons. we began to change the aorta to change these vessels to change the valve. you had to split the bloodstream. how did you separate the head and body ? special tubes were connected to the body; they were

taken from the atrium from this point ; turned off? yes, another part of the apparatus, which was directly intended for the head, was connected to the vessels that feed the brain. it was warm here, the usual temperature was 37. what was the temperature in the lower part of 26 °. this is the cold body of a man, then the surgeon team came out. i would like to invite vladlen vladlenche, chief physician of the federal center for cardiovascular surgery in penza, to visit us. bazarev and his assistant to the second surgeon, also a cardiac surgeon dmitry sergeevichasov. what did you have to do prosthetic aortic valve we replaced the aorta to somewhere serial thoracic. and that was

the end of the operation. look, you have a serious pathology. but it’s very hard for your friend to have the highest carving out of respect for the doctors who at 8:00 stood over your body. you must lose weight and start living differently. watch your blood pressure. watch your cholesterol. watch your sugar. well, after such operations, the main thing is to monitor the pressure. of course, of course, what's your pressure? well now 110 by 90 is perfect, what do you say in your doctors. thank you of course. they did it here. thank you very much, dear friends, please sit down. federal centers have been built all over the country, and such a famous federal center is located in penza, and

miracles really work there. this is a live healthy program, tick friends are preparing to hunt the tick season begins. all over the country three of us presenters of the live healthy program come from kuzbass from the city of kemerovo and some from novokuznetsk, this is an endemic area for tick-borne encephalitis. we had a rule in may in the forest do not walk correctly to anyone head no kebabs. they didn't go. we now see how the tick is crawling. they have a specific direction of movement. they always crawl up, they don't live in trees. they live in the grass. and you have to understand what it is. that's from there. klitschko will crawl to you, moving. only up. it was straight up. now

, let's talk about diseases. which ticks carry such dangerous most serious diseases, number one in nightmares, is, of course, tick-borne encephalitis. i want to show the map of the spread of tick-borne encephalitis in russia , here those foci are highlighted in red, where someone was bitten by an encephalitic tick, namely an encephalitic tick. and you see that there are regions. just a lot the trouble is that ticks are spreading now, if earlier we knew that there were no ticks in the moscow region, then in the last 5-7 years. they are already there, dmitry nikolaevich. the moscow region also has endemic areas, this is the dmitrovsky district on the first quarter domsky district. and there are even registered ticks in some moscow parks. so you are so three diseases causes tick-borne encephalitis borreliosis and

tuler has tick-borne encephalitis we know brilliant we lived in it, in general the whole clinical picture and in general the method of transferring infection of diseases and creating uh, tick-borne encephalitis vaccine all this belongs, uh, to our russian scientists. e. this was first discovered in the far east and then it was completely understandable. that is, the tick bites a person and, carrying the causative agent of tick-borne encephalitis, introduces it into the blood. getting into the central nervous system is not in vain this name wears. ncephalitis occurs precisely in the brain tissue of the brain. take a look at it there. this key virus destroys the brain and leads to paralysis, and in severe cases, during and death. i just want to say, we never had

an anti vaccine movement in kuzbass yes , germany. that's not the point. we saw these children some kind of finite. this is where the kids went. this is how the defeats that remained alive and not dead show, they really became deeply disabled and the vaccination system from the key encephalitis in soviet times. so, when we studied, it existed, regardless of our consciousness in general, it came at certain hours and two times. people at the school gather a place and go. and then i still remember. we were still in college . we still had these vaccines delivered. look , six months ago, we did a program about tick-borne encephalitis to say that exactly six months before the start of this outbreak of tick-borne encephalitis , you need to get the first vaccination now. there is still

time for emergency vaccination, how is it carried out there is no emergency vaccination, emergency vaccination is also carried out anyway with two doses of extra- the first dose. now the second one in a month. that is, it’s still a protocol that, uh, really works and will protect, if you are going to barbecue, if you live in these endemic foci, of course, if you want to go to altai or siberia, now the far east is very often like that is . all these zones, everything beyond the urals, uh, must be done somewhere. now and in a month the second next disease, which is also caused by a tick - this is borreliosis, what kind of disease is herman shaydzh. or the so-called lyme disease according to statistics, every fourth tick can carry the barrel that causes this disease. this disease is a disease that is very

stable. or rather, there are three stages of biting you. first, a high temperature appears, it looks very much like the flu, and vitema appears. uh, such a roundabout, uh, with a soft roundabout. you can look here, and then the problems begin. we are talking about the most serious problems , it can be damage to the brain of peripheral nerves by spares, it can be affected heart with those, and complete ator and ventricular blockade of cardiac arrest and one of the most frequent lesions. this is the so-called monoarthritis inflammation in individual joints that can move around and very severe muscle pain. i want to emphasize that the damage to the joints occurs

delayed after about six months, so we advise all people who are from these endemic foci of barreliosis, if you have a disease of some large joint, to be tested for antibodies to barrels. i also want to emphasize that from borreliosis there is no vaccination, so you have to dress in a special way, the essence of the matter is such as the tick crawls. only up all the clothes should be tucked down, that is, trousers in boots, sleeves in a glove. this is the perfect clothing for the forest, oddly enough, of course, we didn’t wear such masks in siberia, but these are already so deep special things called catchers. now, if the tick crawls up, then it hits. here in such a pocket and then he gets into a dead end, the last disease that ticks cause is mia's tulers

ariel copper. indeed it is a bacterial infection that is carried by the shoulders and mosquito midges, but uh, they have such an intermediate host. these are often rodents or, uh, domestic animals can be either a remic, unfortunately, you can get infected not only from a tick, but also from an animal or, uh, rodent, uh, that was bitten by this tick. i want to show the symptoms of tolarmia in the photo - these are large lymph nodes. moreover, such a lymph node can occur within just a few days. it's called bubo the joy is that there is a vaccine, and this disease is well treated with antibiotics. vaccination is allowed for children from the age of 7 and revaccination is carried out every 5 years for people who work in endemic areas,

for example, in agriculture or often go somewhere in the forest. they must all be vaccinated. e from tularemia. it is an inoculation according to indications in the region. here the ticks went hunting, it seems to you that this is far from you, but dmitry nikolaevich for the last year. how many times have we seen these targets seen ring erythema with their own eyes. it was yin and several times already we have diagnosed lyria in people who have these more incomprehensible joints, their muscles hurt, their spine hurts, and this continues for months. unclear. where does this come from, and we took tests for antibodies and received. i remember dmitry nikolaevich sent me a photo of even this ring road. this is how we share our medical experience with each other. do not neglect the achievements of medicine. we were fine with you. may you

live healthy and be sure healthy because there is nothing more important than health. information channel on the first program time will tell anatoly kozichev olesya loseva is following the progress of russia's special military operation in ukraine and here is good news from the united nations, they said that refugees from ukraine in the rostov region are being assisted at the highest level. here is what karim, his representative for refugees in russia, said. we visited two centers that are now equipped with temporary accommodation centers from children's sanatoriums and camps. we see what's there families with children arrive. many of them have

special needs, the need for treatment, it turns out, psychological support, which is now very important from the financial and material side, everything is well organized, everything is organized at the highest level. we believe that all assistance is being provided at a good level by the entire organization. as far as we have seen , it is provided both at the federal level and at the regional level. i believe that for refugees who come to russia, the conditions are in terms of hospitality and generosity. they are very good. well it is clear that this is our duty. this is how we treat it at the federal or regional and personal levels to help all people provide them with all possible assistance. and now with us, uh, the head of the executive committee of the russian popular front in general comes out directly. mikhail kuznetsov yes, not alone, look next to him is the representative of the popular front, the world champion in wb and ibf boxing denis lebedev hello gentlemen. and what are you, comrades? and mikhail mikhailovich immediately knows that you have just returned from lugansk in the rostov region.

what's going on what are people saying? what is the situation and what is the situation? we are with you now, we are with denis already in rostov at our headquarters. together we are a volunteer headquarters, which is deployed on the basis of the don university. here already the second second month. guys, two shifts around the clock collect humanitarian aid from all over the country, and send it both to temporary accommodation centers and, accordingly, on the territory of the luhansk and donetsk people's republics. and this was ours. uh, a joint convoy with the boxing federation. our first joint big canoe. this is just the beginning, we were able to withdraw about 600 e tons of products and medicines. water, uh, basic necessities for three directions, lugansk donetsk in mariupol, and opened an additional humanitarian center in donetsk, brought a couple of generators from now on, mikhail mikhailovich, what is the most

needed? so you mentioned both water and generators and i don’t know products and i don’t know books. here's what's needed. now in lugansk , there is a need for water in mariupol, donetsk, and we are working to open these needs. ah, in the countryside, where we went with denis, we went to the slavyanosemsk region, the village of nicholas, uh, they ask for, uh, seeds and potatoes, because the sowing season, uh, people peaceful life is getting better, the front has moved away. and, of course, like the most. the main thing is to have time to sow now in order to harvest the rotation, so we brought everything like in that potato to give tons of seeds. this is enough now for those first needs that people ask for and even took part in planting potatoes. here denis studied new technology, how they imprison potatoes. here we have less forgery. i understand denis by the way, first of all, thank you very much. i think they are like this. i'm sorry that you

will be called with this word. i just have at hand. there is no other right now. so what level of celebrity? of course, they must understand happiness and thanks. what are you doing? i'm just very happy and very, very proud, and what are your impressions? were you able to talk to people? what do you think? what do you feel like that? what did you think of it? you know, i'm anatolia, i just felt warm, warm relationships of people, especially people. here, uh, the elderly elderly of this grandparents, they communicate with such warmth. they talked with us and even tried to help, someone showed us where to wash the market, someone else there , uh, relations, yes, a woman who was tortured by her son. uh, nazis, i beg you, a year has not passed since then, and she was already trying this

care that she gave to her son. she handed it out to us, you know, she felt her heart and tried to give us this care, of course. people, despite the fact that such a situation, only recently they were released, and already you can’t imagine the gardens already well-groomed, clean plowed ones, you can already feel the peaceful atmosphere of life is gradually beginning to improve. thank you very much, listen, how are you looking at the inscription on the back, i appeal to our viewers. yes, on the inscription behind denis mikhailov's back. here we are together. this is what is most important and what must be said so. this is what we should both feel and understand. well, somehow, so to speak, to implement. thank you very much michael thank you denis see you soon, thank you for what you do. well, actually. keep doing this . we will now be on a short commercial and

immediately after it we will return to the studio of the program. time will tell. that this is a summary of the movement of german troops near our border, if this is not preparation for war, then that it is an imitation of preparation for war, we are doing a very important thing, we personally took part in the preparation of two materials that you passed on to the russians as a source of information.

and to the exploration of the premiere of a serial film look after the time program. do you even understand that you signed a diode for yourself when your nerves are at the limit ? papilla ice cream is back on all windowsills of the country we are investing in the

future in achieving safety. we invest in our children. this is our strength. invest in the future. this is not true, dad is not on a business trip. you're all going to die nowhere to go it was caused by something the end of innocence. i have one ticket to germany where i have a dad in germany, turn on your voice, press the red button on the remote control and start

the game, guess the fate of the participants. get instant prizes, promo codes. play where you like. this time will tell, the information channel on the first we continue our broadcast, russian troops drove the enemy out of the village of boguslavsky, located near the city of popasnaya in the lpr. our unit was accompanied by russian grads. they worked on the positions of ukrainian nationalists. and here is what the first deputy head of the department said national guard in chechnya daniil martynov all local residents have already been released evacuation almost everyone has been evacuated. we entrenched ourselves there and

continue to move forward, and there was both the living force of the enemy and artillery, respectively, having taken. uh, buguruslavskoye settlement. we can state that their defense is broken and we continue to operate in the city with wider maneuvers. and in this video, the su-24 of the ukrainian air force was shot down under raisins, and he told the details of the work of the russian calculations of the man-portable anti-aircraft missile system military commissar, komsomolskaya pravda alexander kots. over the past week, i have been doing, the air defense of the russian federation shot down three aircraft in the slavyansk direction. moreover, they were shot down from portable anti-aircraft missile systems. enemy aircraft fly at extremely low altitudes of 20-30 m, strike and leave in pairs. this is actually a soup, 24, which, like the previous two su-25s, was shot down from a manpads needle with the guys

fired in pairs, because the first rocket, as a rule, falls on heat traps that fire off an attack aircraft or a bomber, as in this case, the second rocket hits the plane. at the same time, it is necessary to calculate clearly the time so that the second rocket does not shoot down the first rather delicate work, given that the time when the plane is at such low altitudes. anti-aircraft gunners have very few. the port of mariupol is under the control of the donetsk people's republic, the dpr fighters raised the flag of the republic on the navigation tower of the port. well , the ukrainian flag flew down. the control of the donetsk people's republic and the military personnel of the donetsk

people's republic have just raised the flag republic on the navigation tower of the mariupol seaport behind me is the next stage of the evacuation of the crew and ships. in this case, we evacuate to the hospital. e, a wounded member of the crew of the ship captain belousov as a result of shelling, e, by militants. azov is so normal shutdown everything is fine, guys. i want to thank you very much . hello daughter in volgograd granddaughters. what, alive and well? i'm going to the hospital to get out, everything will be fine, then you will come or i will come to you. historical moment in the city of berdyansk from the mountains the executive committee removed the coat of arms of ukraine russia offered the militants foreign mercenaries who settled at the plant. azov began to surrender in mariupol and

lay down their arms. they were guaranteed life and observance of the geneva convention on the treatment of their prisoners at the factory. literally fired leaflets with a proposal to lay down their arms in exchange for saving lives. so from 6:00 am april 17 around the perimeter. azov steel, red flags were hung out to indicate the corridors for the exit, surrendering those who were supposed to go out had to go under white flags. the fuses on these agit projectiles are adjusted so that they work in the air on the territory that is being hit, if you can, so to speak, a blow inside there are leaflets, like this and there is no task to destroy someone when such projectiles are loaded, in this artillery installation of 120 mm, which is called a carnation. there are a lot of inside several thousand of these

sheets and which contains instructions on how to properly surrender. well, it says rate your weapon shop. hang on the left shoulder. raise your arms above your head. well, and so on. in general, this is an instruction on how not to die when surrendering, but surrendering. uh, it has already become such a good trend for mariupol and those ukrainian military who continue to provide there, uh, resistance at this moment, damn it, the capital is already about 1,000 700 ukrainian military personnel. that's all the leaves flew. still, probably in the air, but very soon the territory would explode on it, the

militants, who had settled in the azu, stood up and persistently asked kiev to allow them to surrender, but this did not receive approval. surrounded and completely blocked in mariupol on the territory of the azovstal metallurgical plant, the ukrainian group was asked to voluntarily lay down their arms and surrender in order to save their lives. however, the kiev nationalist regime, according to radio interception, forbade negotiations. on the surrender of captivity, ordering the nazis of azov to shoot on the spot anyone who wants to lay down their arms among ukrainian military personnel of foreign mercenaries , in total, according to ukrainian soldiers who surrendered servicemen on the territory of the enterprise azovstan. as part of the ukrainian group, up to 400 foreign mercenaries are now surrounded. after the expiration of the ultimatum, the military space forces of russia hit the positions of the nazis and the apu. in the area of ​​the plant. azov-steel correspondent, it is known that

aleksey and a half-man managed to film the moment of impact on the building where the militants were. russian aircraft hit a residential five-story building, in which the ukrainian security forces settled. now the upper buildings are on fire. the russian federation continues work in that area. here, of course, it is interesting, yes, it seems to me that this should be discussed in order to understand, in general, what is happening, because yuri nikolayevich well, uh, why, the kiev authorities, so to speak, forbids surrender. i roughly understand, well, apparently, this is such an attempt to write a new mythology, so to speak, of a heroic nation. i don't really understand how it will be in this new mythology of the heroic nation. such a small chapter. we asked five times for permission to surrender, how to blur her, so to speak. well, god be with him. well how whatever it was, but the logic of these guys who settled there means that there are no prospects, the ammunition supply is running out and food is being supplied. eating

food for ends makes no sense, because it is clear that there are no chances, even theoretical , then. what for? well, i'll tell you home, firstly, zelensky once again showed his essence. he says one thing, he does another. third. to put it this way, the second time zelensky showed his essence, what he holds is what he holds about this nazi regime. uh, military people vsukraine and as hostages, in fact. as the so-called belly. they kept the living and keep the civilian population. and zelensky , in turn, is now holding the ukrainian armed forces e. as a human shield. this is the first reason. the second reason, uh, to show some kind of glorification, which is meaningless today, you correctly said and they ran out of it. this is exactly what we know from our data and ammunition and food and water.