efeikov, as now, which is now observed in relation to russia in relation to our country of our truth and our actions it has never been observed what this is connected with here you can dig deeply and a lot, including with a special attitude towards russia with fear in relation to russia and with fear in relation to that alternative, both economic and political and spiritual, yes, which russia can provide to the rest of the world russia must be excluded from this situation russia must be virtually erased from the information map of the world. and everything that russia does to demonize so that today's journalists who are really trying to do something, trying to give some more or less objective picture, need to understand that they have only two two ways to act, the first is to do what they do. and come what may, because sooner or later. this is a drop. this is a gap. she will break this dam anyway. this will be connected with them of our armed forces

in the first place and with the economic collapse in europe which will begin this autumn and this winter the dam will be broken through their information. everything it will reach its audience as the first. and the second, which is no less important for all our colleagues look argentines for some french and for some germans, very selectively speaking the truth to think about their own safety. but because, uh, such games, uh, in an alternative point of view in an attempt to convey some really genuine information to a western audience will be suppressed more and more harshly. and it is harder to get out of the western agenda. so, journalists who want to report continue to report the truth to their colleagues. i highly recommend and strongly ask them to take care of themselves and take care of their own safety. not only in the territory of donetsk and lugansk well, when they return to their own countries. that 's right. thank you so much for visiting us today. that's it, watch the anti-freaks program with us in the fight against the untruth that

has befallen us. if any photo or video materials cause you doubts. send to the editors of our program, we will conduct our own investigation and tell the results. the first channel presents healthy and great. the word is one, but the meaning is many scooters proved scooter grass is a symptom, but the diseases are different, what is the pain in the joints talking about. going to the bottom is not an eye disease in the fundus can be detected by an ophthalmologist. hallelujah so, dear friends,

we have the most famous ophthalmologist's device. for some reason, in our culture , there is no culture at all of going to the ophthalmologist once a year, meanwhile, due to the fact that ophthalmologists work and look at a person's eyes. very often they discover those diseases that they do not treat then we treat therapists and cardiologists. right now we invite you to the seabed. it is unusually beautiful. why because that's how we pushed off one sea thanks to professor konovalov, he is an ophthalmologist, we will examine the fundus of the eyes of those people who came to us. that's where it is michael. sit down, we'll actually show you this as a game, because ophthalmo. of course, they see the

fundus of the eye, and the fundus of the eye is, in fact, the vessels correctly. basically, we evaluate the vessels. well, the nervous tissue only then, well, first of all, of course, the vessels, so they see different diagnoses. and when, of course, this is a professional, then in general the matter is clear. galina vitalievna come to us, do not tell us what your diagnosis is. sit down, please, to mikhail yegorchik, germashevich. uh, please give us a tablet with the diagnosis of our guest. so we have a diagnosis written, then we 'll see if this diagnosis is true or not. mikhail egorovich will now look into the fundus of the eye with a slit lamp. mikhail yegorych yes, your diagnosis my diagnosis is hypertension yes, yes, what can you tell us how old a

person has children? we measure your blood pressure. go plant. why do you sometimes therapists turn to ophthalmologists so that we can look at the vessels and, in particular, vessels of small caliber, because hypertension begins precisely with these vessels. they are compacted by their wall becoming dense and there are such specific crossovers. yes , when we see where the vein intersects with the artery, and there should not be a deflection in the norm, you understand some minimal changes in the vessels, we can say how much experience of hypertension and naturally hypertension. eventually, if we all scroll through the stages, it spoils the nervous one. and leads to classic hypertensive angioretinopathy. that is, if the pressure update has already increased

the pressure on our guests from your point of view for 10 years for sure. i've been here 10 years. yes, some kind of pressure is needed at the moment 151 to 90, yes, that is, you are drinking an insufficient dose of drugs to you. it needs to be increased or another drug added by another guest. and this is generally a diagnosis that is already for the vision of hypertension. sit down, please, and again i ask herman shevichi take our tablet, on which the diagnosis is already written. so, an ophthalmologist should not make an eye diagnosis , of course, if this is a person of such skill as professor konoval mikhail yegorych well, look, i will leave the diagnosis

of diabetic angioratinopathy, because well, because it’s enough just to make this diagnosis, because in the fundus. uh, there are typical changes. that's right. i made a diagnosis. here are the brick changes. again, the problem is that the vessels deteriorate , so-called microneurisms arise. well, such thickening of blood vessels. here you have money, these stages all pass. as a result, it ends badly in the sense that it could be, uh, hemorrhage, retinal edema, central diabetes. the number one cause of blindness, yes, permanent loss of vision, that is, diabetes. the number one reason is permanent vision loss. with all any among all love. the disease is all right, i see. and go, we will measure your blood sugar, and german savich will show you these hemorrhages

that occur in people and in the future this leads to loss of vision. in fact, diabetes is the first cause of vision loss in mia or, look, this is a hemorrhage. we are now measuring our patients' blood sugar, which is important to understand that both hypertension and diabetes can permanently impair your vision, both. first, it is easy to measure at home. secondly, today it is perfectly controlled by drugs and the pressure in the blood is superbly controlled by drugs. if you do not control your eyesight will deteriorate, and eventually. are you blind to these questions only which is faster stroke. blindness, and in diabetes , we know that blindness will come the fastest. but even here we can say

that in the early stages it is possible, in general, to suspend somewhere. the development of diabetes mellitus and hypertension prevents the development of these changes by eye. our guests are 11 at a rate of up to six. it is quite clear that, well, first of all, there is an understandable reason. you are overweight and it is quite clear that your eyesight is at risk. here in general jokes aside lose weight, physical activity burn glucose. and, of course, pill therapy should be corrected, because you will lose weight for a long time, and diabetes is already destroying. your vessels, understand? yes, sit down like this, please, the next guests will come to us germashevich. take the diagnosis to show it to us. natasha sit down with the professor. once again we do a special fundus examination so that you understand how dramatically

some diseases can affect your vision. i repeat that the number one tragedy is diabetes mellitus, which you do not know about and do not treat, or you know and treat it badly mikhail yegorych is here. i think we can diagnose atherosclerosis. why? well , because we see those vessels that are on the retina. here the problem is of what nature, when the vessel changes so much that its patency decreases, that is, naturally. uh, now the part of the retina or optic nerve that feeds this vessel begins to suffer to one degree or another, this thrombosis is expressed by occlusion of the artery, when of course there is disc edema h this is a very, very difficult situation, which, well,

as if an ophthalmologist can treat, but only what he can do in this situation, but globally, the general treatment, the global, the treatment situation is different. of course, you take statins, and they do not reduce you. let's die now. what kind of cholesterol, because such situations happen when statins do not lower cholesterol, in this case, we change the treatment and prescribe additional drugs. here we define cholesterol. recent determinations how much cholesterol was? eight eight norm five and a half should be about cholesterol. well, as long as cholesterol is determined by the word of the doctor, ganda, why evracha ophthalmologist? you see, this is a large carotid artery. it gives e an artery that supplies blood to the eye. and if atherosclerosis develops here, then this naturally affects

the retina, because now she and mikhail are checking his blood vessels. that is, if there are problems with people, this is due to severe atherosclerotic lesions of the tons arteries , the issue of cholesterol. your guests and now she is taking statins, what and at what dose do you take? oh, how the doctor wrote out a prescription there. you don't remember anything. you are nothing you know it's right. why you have 10 lives. well, one milligram will somehow disappear there, no matter how much she remembers, there is no name, such is the tactic. if you're already on a high dose of statins, you're given a drug, uh, that interferes with absorption. e cholesterol from the intestines. if you take a small dose, it will increase, but if you are already on a large dose, satin, and on the second

drug that reduces the absorption of cholesterol from the intestines, you will be prescribed the most modern drug according to gender. well, that is, we have. series to lower cholesterol we always they said it would protect you from a heart attack and from a stroke, but it will also protect you from blindness, because when an ophthalmologist sees a lesion in front of your eyes, these are the smallest vessels, in fact. these are the harbingers of blindness. you have them, so you need to be treated very, very seriously. thanks to professor konovalov. we have fallen to the bottom. we sank to the bottom of the eye and i hope you will go to the ophthalmologist and be sure to have the same basic examination and be sure to pass. this is a survey routine. but also more we hope that you will keep your blood pressure normal. sugar to zero is normal, their cholesterol, our program

continues and i invite you to the kitchen. how much berry a to intoxicate? bitter berry andrey petrovich sobers up in our kitchen, sweet berry blackberry berry, it is pretty, similar to raspberries, only black we call the whole cycle sweet berry, because we love berries and this is a berry, black black color in fresh products always indicates that that

they are useful bring us a sweet blackberry to the studio. andrey petrovich, i must say that your truth is that blackberries and raspberries are quite close. yes, uh, they have roughly the same structure. similar. the only thing is that when the blackberry of the bush is ripe and the small one is harvested, then the core in the blackberry remains, i will say, what will it be then. the chinese difference, and in fact the cultivation of blackberries was significant later than other berries, and uh, one of the first such articles was a new american gardener such a magazine in 1826. uh, there was an article saying that, unfortunately, this berry is not used that way

popular, as it should have been, but it was unpopular, because the bushes were very prickly, called the hedgehog berry. and no matter how much breeders still try to create blackberries that were less prickly, the only thing they could do was make the spines shorter. a. in general, in principle, i think it is natural with these spikes. i defended myself until of course not, there are no parasites from the animals that they eat, otherwise there would simply be nothing . great britain, it is considered that the day when you can’t eat and live and vika is october 11, because on this day, in general, basically it's a devil's berry. and now it’s happening, and here, from a medical point of view, there are a little more indigestible fibers in blackberries, for example, than in the same blue berries as blueberries and uh, blueberries in

this respect, and the podium for uh, indigestion of fibers. the first place, of course, is occupied by blackberries, blueberries, the second blueberries, and in general, they are quite different about two times, raspberries and blackberries are relatives, not relatives, not close, but quite relatives. and the color is an anthospheric color, we always love it always we highlight the black purple color - these are anthocyanins all vegetables are fruits, and i love black and purple. the colors they contain are anthocyanins, which are antioxidants in essence. cancer protection, what else can they say so here it must be said that blueberries have a fairly large amount of blackberries, but still blueberries are slightly ahead of blackberries and blueberries are in second place 90% of the daily dose, eighty percent. sunny even

anthocyanins are small. yes, well, in principle, it is almost daily that in many other berries it practically does not exist at all. more. what other properties, for example? this is also here to say that i can’t really, really much, but 33%, the daily allowance. here, look. that's a good enough amount. uh, vitamin. c we need blood vessels for health, skin vessels remain elastic, and when there are not enough vitamins. see what happens to them. a vessel breaks - this is a stroke, a hemorrhage, a heart attack. therefore, the fact that blackberries contain vitamin c is, in principle, a good fact. how

to choose how to store and how to eat the first question? how to choose? choose clean visually, so that it is not bat uh moldy. eh, wet. in general, everything is berries, as usual, how to store them correctly.

the ideal option is fresh. the perfect option is frozen, because the concentration of vitamin c will increase in the frozen version. our chef aleksey kovbe wants to surprise us with something. hello. actually no, in fact , look everything is simple, because the fresh version is the best and with blackberries are rare, what they do in the kitchen is some kind of option, and smoothies or something else, because it is enough dense inside and does not have a pronounced taste. i propose to do that here here is the sauce, which is based on mint and blackberries and a little yogurt is added and just a fruit mixture. ie try yes perfectly.

i love awesome berries. yes, so blackberries are available today. eat her fresh. it 's always great and freeze for a short break, and then we continue the pain in the joints, the symptom is one, but the cause is different. why they came to the doctor so late, nothing bothered. well, as you probably hurt no, how not to confuse and start the right decision? and again, we call an ambulance for the most common injuries of scooter lovers. let's go to the premiere tomorrow at the first with age,

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charged against pain. diseases gemini dear friends the symptoms are the same diseases are different today we have two diseases very similar one of them is rheumatoid arthritis, that is, joint damage and joint pain, but the disease is autoimmune, caused by rheumatism, the second disease is osteoarthritis. the disease is globally associated with age-related changes in the joints, i will ask andrey petrovich to give us signs of these diseases and we will begin our story. so the first sign herman neck joint pain. it exists, uh, in both uh diseases, because they affect the joints, the next sign of

stiffness in movement. eh, naturally. this will be more with two diseases, expressed with rheumatoid authoritis. it is in the morning, but any affected court for movement, of course, but then the signs begin that are typical for rheumatoid arteta and not so typical for a simple age-related lesion, what is called this inflammation and how parts of this inflammation are redness e joints why because in these joint goes so active after the inflammatory response, that is, the body attacks the joint. here, of course, in the finale everything ends with a gross deformation of the joints. if left untreated and it is very important that you rheumatoid arthritis scream on time. i

now want to invite two patients to us. one acute arthritis associated with age and gigantic overweight, but the other woman has a slender tightened arthritis, rheumatoid, culminating in a gross deformity of the joints. come to us, please. well, one on the left? one on the right? show us both of your hands, please. there is no deformity, here is a gross, rheumatoid deformity of the hands, how long have you had this situation. it's been 10 years now. when you first went to the doctor , there was already a deformity, it was not like that, a slightly less pronounced deformation takes years. yes, of course, why did you come to the doctor so late, nothing bothered. well, how are you, for sure? the joints didn’t hurt, there is no

deformation among the full, health, they didn’t hurt, that is, the hands were deformed and bent and this does not bother you. but now at eats you in your hands. we have such a term. well, i don't know, maybe it doesn't bother me either. now it doesn't bother me either. but now you are the presence now i will stop it, of course. well , let's start with you, because well, the situation that you have is partially man-made. how old are you 40 40 height and weight 1.64 and weight. well, almost a table, i'll ask you to bring us a model of the stage of destruction of the knee joint. which joints do your knees hurt? so the first distinguishing feature in age-related destruction of joints or in the destruction of joints of excellent weight is most often

large joints suffer, the joint looks normal. absolutely nothing there is not damaged, when the weight affects the standing up, the permanent injury squeezes, then the homeland of the cartilaginous e-e sections of the joint begins to form. and it leads rough. resolution of the joint inability to move. and all because the load is one and a half times more. how did the joint plan to live with this joint for as long as it measured your life? we tell all patients. they all nod to us like you. and you just think, you told everything, and she understood everything a year passes, a woman comes to you plus 10 kg. and again, you know

she needs to lose weight. then you will destroy that well, now i understand everything, because it comes that the pain intensifies. but well, what to do with you? how to help you? if you don’t do what needs to be done, i will get together and do it. definitely in a year i will definitely come to you and show what i have achieved, but we basically agreed well. you just peck your joints with weight and you have to stop, because further only the replacement of nothing will continue to exist. of course you will take a piece of food. remember this card. please sit down, rheumatoid arthritis, the situation is much more severe and serious and reproach our guest. i can only do one thing, which is watching the deformation of my joints. she didn't go anywhere. and, of course, i will never in my life

believe that she did not have more. it’s just that i’ll never believe in my life, things happen. that don't happen, that's how it doesn't happen. this disease is accompanied by painful attacks. and this is destruction. what examinations were x-rayed for you, then they did me mri of the hands, arms. i have had many different tests. what is the essence of the disease? why don't we reproach patients here, we'll live and want them to come to us and their fault is not here, unfortunately, this is such a crooked and unlawful reaction. actually the immune system on uh articular tissue. basically, on the cartilage of the joints, when their own lymphocytes , the so-called toxic lymphocytes, attack and eat this tissue, and inflammatory processes occur there, which is indeed often accompanied by more, but

over time, when deformations occur, the joint occurs and the deformation is narrower. limbs and arms or legs so the first difference between rheumatoid arthritis is that the small ones are most often affected, often starting with small joints and as several joints at the same time, and this is most often one in nine women's problem, that is, women get sick much more often than men. what is the plus in the fact that today we practically do not see people, but with such gross deformations such people happened, uh, a long time ago, when we did not have modern treatment. and today it is. here you are being treated with methotrexate. that's right. this is the number one drug basic treatment hormones methotrexate and painkillers the second treatment is the most progressive that exists today - these are monoclonal antibodies,

as i understand it, it is pointless to prescribe them here, because all the deformations have already taken place, but if you came early, if only if you didn't stay at home, you wouldn't end up with such a deformity. right now, our guests receive 30 times a week, that is, four times a month for basic e-therapy and due to the fact that she does not have a pronounced pain syndrome. apparently. that's how they lead her and with her well, we'll talk. such a partial laboratory remission, that is, we discussed, she takes special tests every six months that evaluate the activity of the laboratory process and, accordingly, so far , such therapy has been chosen with you. we will not return him back with others, if there is stiffness, pain in small joints, we cannot wait, we need to be checked for rheumatoid arthritis and

immediately begin to act, then there will be no deformations. what is your profession. i am lawyer by profession. well, that is, you are holding a pen. yes, i used to hold a computer, thank god. now. well, motor skills too. it's a pity that everything is so late, sit down, please. thank you for a short break, and then we will continue magomayev's final series. look after the program time how is it you remember the name, fatigue, i sleep badly. yes, to improve cerebral circulation, brain work to restore memory, reduce fatigue and improve sleep for lunch. now i won't forget. you do not notice how you stoop from the side it seems that yi is older than his years, and the second chin and stomach spoil our appearance so much. it's all about bad posture. we present you

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where germany is my dad's movie tv there , conquered by my relatives. i need it for sure. so , what about the wedding, are you suggesting that i kill sasha? for the first person you meet, why me? the snake has news from the yellow press hello friends, we have scooter injury with words.

let's look at the screen, we have chosen the softest and most frequent. pay attention to the fact that everyone is falling trying to lean on his hand. right there in the palm of your hand. this is the most, the main difference between scooter grass. that's right, right in the palm of your hand. everyone leans on the palm. here it is scooter injury again leaned on his palm. no , i just walked out the door to the store yesterday and two people flew at me on a scooter. but this is a real natural disaster. the first thing i want to say is that i i can understand why a vehicle that can travel at a speed of 60 km / h does not obey the general rules is a real mystery. it 's not that there is a children's scooter, like

my grandchildren have. so scooter injury. our guest today is a traumatologist-orthopedist. surgeon, wonderful alexander gennadievich kurmanov alexander gennadievich well, we have seen enough so, the main fall is a fall like this on a hand on a palm, which most often breaks, most often a bone breaks in a person. show here where it breaks. here we break down the lower third, the lower third and the most stressful, the most stressful and the most defenseless zone. this is the soft part of the bone. as a result, it breaks and look at the screen, where is the place from the most frequent fracture. here it is, dear friends. here is this fracture and it is very important to understand how the hand may look at this moment. well, she is in an unusual hand, we immediately pay attention to the fact that the so-called wild-like deformation is a bayonet-shaped deformation, that

is, the axis of the hand ceases to be straight. she becomes like a bayonet. that is, if the deformation is the displacement of fragments in width predominantly, and it takes the form of a bayonet. let's pretend i'm crazy. i got on the scooter and fell, but i'm alone, there is no one around . what should i do? alexander do? well , of course, you understand, you injured, but we press the russian pain, we press the infernal handle to ourselves. like this, like this, with the brush up. why is it important with the brush up, because the edema will increase and the pain will increase, because no one has canceled the force of gravity so that the edema does not increase. well, a little bit further pressed down, you need to straight place a little bit lower just a bit lower pressure of the fracture site will cause pain. if there are drugs better immediately. that is, if there is an anesthetic pill, it is better to drink it. if

not, the scooter got off the handle, pressed it and speak in a compassionate passage. help help in an ambulance went to the hospital, definitely bad. the second question vermishevich is riding surrounded by comrades, he fell, he had a fracture of the beam in a typical place of the battle, hellish but there are friends nearby. what should dr. gundelman do? how to help in this situation unfortunate person? well, we can use improvised means. this is a wand. this is a board. this is a piece of cardboard, yes, you can attach it to a friend to a friend to another, as if on the back surface. yes, and on the palm of the surface, yes, ears on the palm of the surface. we want to fix two joints and here it is, including, well, at least

at least at least a better order. although, yes, it is impossible for us to drop wobblers anymore. well , let's take it. and now, please, we want to bandage him to the body. everything is fine. i'm calling again the ambulance must be told that this requires a mandatory operation. now you will see how dr. kurmanov operates, the only task is to connect the fragments on the operating table. he had an elderly woman a week ago. she fell and broke her arm. the plaster was applied, but the fracture was displaced, the surgeon must correctly connect from the fracture and restore the entire architecture of the arm. the bone fragments

are compared and fixed with a special plate with screws. here it is a plate and in fact this is the essence of the operation. can i ask you to show us this record? alexander gennadievich yes, this is such a plate, it is so small, it is pre-bent, that is, it repeats the shape, but the bones, which allows it to be accurately installed and fixed, but given that the patient of 68 years old can already be left. although it is made of titanium or with some kind of trim, but medical metal, in principle, uh, there was no allergy. that is, if the patient asks, maybe you can take him all the scooters that need to be controlled. these vehicles are dangerous, just like all the rest . just look at dr. gundelman. thank you very much alexander gennadievich