and this is bad for both the doctor and the patient in the botkin hospital, the patient chooses how to do the procedure himself. the program in moscow allows you to perform these screening studies of sick patients for early detection of the disease, primarily malignant diseases of the gastrointestinal tract, free of charge under the compulsory medical insurance policy and the patient does not depends on whether you have to pay or not. all this is done without ward gastroscopy and the study itself. narcosis is paid by the state. a visit to this huge endoscopic center takes no more than one and a half hours, including rest after the procedure, everything is calculated here to the smallest detail, which door to enter? what clothes to change into? where to wait your turn? look, here comes the patient. the first thing that is done is measured by pressure. well, sit down. all this is also done so that it is fast, so that it is screening, how many

patients pass here a day, like this, you put your pen deeper and pressed the button. how much per day daily is done at least 150%, the average number of 150 patients. they do within 200-220 studies, because some patients are also undergoing gastroecology colonoscopy; from this, these are the average figures, a biopsy of the stomach is done. e intestines. this is about 60 and up to 30-40 polyps, a total removal of polyps is performed . now, i want to see what your pressure will be 170 and 906, the body reacts very much when you are outside, so don’t worry now and they will always give you everything, the anesthesiologist will connect now, you will connect in the hospital, which means everything will be

calm . technological, we will see at the end of the program health, but for now the health program begins. and vladimir vladimirovich and i will continue our journey through this center, a report about this at the end of the program, while in this life severe me , endless passions to wake up healthy, the happiness of strength, if we remain, probably health will be with you again, dear friends. good morning, we started our morning at the botkin hospital in a stunning endoscopic center, and to be honest, i am proud that such centers

exist in moscow and i really want them to be all over russia today. in the end programs. we will meet people who have been protected from cancer simply because they showed up on time for this examination. this is a very serious conversation. who is responsible for your health you or we doctors will return to him at the end of the program. in the meantime , as always, only one rule is valid in our program, only the best doctors in russia and the world work here in the tv clinic, the health truth eyes program. kolya, for those who cannot tear themselves away from tv screens and phones, we collect a home first aid kit for all occasions, which help get rid of dry eye syndrome a pregnant woman was knocked into a bus , two survived a miracle salvation, how doctors from nizhny

novgorod managed to make it impossible hits the kidneys and not only stress organs that can not withstand it. what happened to elena proklova and somehow got out onto the platform. everything is badly glued to me there. you must have overdone it yesterday. i say yes no no no, i just feel bad stroke medical advice for those who are very worried. you know, right at this time, when for some reason all of you gripped, panic, we began to look at medicines differently, and it seemed to me very important all the time, when it comes to treatment about medicines, to create such my own anti-crisis first aid kit. why because today the hype is the demand for everything from my point of view, this is stupid, because until the end of your life you will not accumulate everything for yourself, moreover, in

pharmacies a supply for a month, when one person buys for a year, it means that twelve people will not get anything and therefore calm down ah, if perishing you think about choice drugs. choose really what we need today will be a topic that in medicine is called dry eye syndrome. well, if you understand who has dry eye syndrome. you can look at me. normally, a person should blink, but once every 4 seconds. now look at me and look at this eye, since i am now looking at the camera, then i blink less often, this will be very good. apparently, look 1 2 3 4 1 2 3 4 1 2 3 4. well, that means i blinked twice as often as i should blink. this is what happens to all modern people. in connection with this, in connection with the fact what we look at the phone screen we look at the

computer screen. and when we have. here is such an atypical, visual load, we do not blink, to our great regret. we, as they say, you will be in the eyes, look at our world through the screens in a variety of gadgets. here. now i want to invite a woman here to come to us, please, natasha. sit down. you can sit on the back and i will do what is called the shimer test in medicine, that is, the shimmers are very simple. there are such stripes with millimeters in the norm during the tear tear shimmer test. there should be a 15 mm graduation here. we leave you for 5 minutes and see how much you leak. and i will remind our viewers. how does dry eye syndrome occur? so this is our eye . normally, the surface of the eye is covered with tears. this is

a water-fat emulsion that covers the surface of the eye and prevents dust particles from collecting and then from a tear and removes e from our body. here is the tear film. it can tear, and in order for it to connect, we must blink, that is, here we blinked every 4 seconds the film was stretched again. if we blink less, then the film breaks because it is super thin and the eye remains unprotected and not moistened. roughly speaking, this is how dry eye syndrome occurs. that is, the less often we blink, the higher the risk of dry eye syndrome. what to do, in this case, what we should know when choosing a drug that globa is an artificial tear, we need an artificial tear in our first aid kit. yes, it is needed. what principles did i introduce for the selection of this very artificial tear. first principle. here i am

put down her tear. the first principle is that it should contain a humectant humectant, which is used in medicine most often is hyaluronic acid. it is able to hold water molecules, the second thing i added to my structure of choice. i wished there was something else that would fix the eye if it 's damaged because, uh, i don't blink for long periods of time both when i'm filming and when i 'm on my phones, i have that problem. there is further, look only 5 mm, but it should be 15 or more, therefore, natasha has dry eye syndrome. you have there is a home medicine cabinet for instillation of the eye, i use it. it is very correct that such preparations exist. and i repeat once again. you based your choice on what, you just bought it and felt, yes, so that i don’t have a gel base, in general, hyaluronic acid is a gel. this must be understood

and it must be understood that if it is water that flows, then it flows alone and it is just beautiful. it should keep an eye on my advice to take advantage of the correct selection principles without fail. please try, well, like this, dear friends. as a matter of fact, about a syndrome of a dry eye. i told you everything about health, dear friends, our programs continue, and i will once again return to the fact that, for various reasons , you are now rushing around pharmacies and trying to buy. you don't have to go crazy, you definitely need to go into your panic attacks. enter some reasonable actions. we're starting a vitamin cycle today, and we're going to start with vitamin d, because that 's what our people are buying too fast. and since the

time of the corona virus, this drug has just been snapped up. today i want to tell you about dosage forms of vitamin d and about non-drug forms . why is it important to know? because if you are taking vitamin d as a dosage form or as a dietary supplement. you must understand that there may be side effects. why because there is hypervitaminosis d and if you do? it 's irrepressibly insecure, without controlling the amount of vitamin d in your blood, it can end badly, because an excess of vitamin d leads to the formation of calcification, it leads to an increase in calcium in the blood. and these are kidney stones, like this vascular recenosis and so on, that is, hyper. vitamin d - this is a serious disease, so point number one, if you drink vitamin d in the form of tablets or solutions, then the doctor must prescribe the dose and the doctor must check the level of

vitamin d in your blood, the vitamin d norm is from 30 to 100. why do we need the vitamin ? d everyone knows that it is needed for bones. that's right, vitamin d is the key that opens the bone so that calcium can be built there, but most importantly, why do we we need vitamin d, we need it for immunity. this is an immune cell, our main immune cells are white blood cells. now i will ask that a camera drive up to us, and we will show that in general our white blood cells should have teeth. if there is no vitamin d, then it is a toothless cell. she won't kill anyone. and if there is vitamin d , this is a toothy cell, and it will devour all viruses and microbes like this, including vitamin d, unexpectedly forgotten by us further by the coronavirus , is needed for the heart, because with its deficiency, there is a risk

sudden cardiac death rises five times vitamin d needed for memory 50% more dementia if you don't have vitamin d now let's turn to foods. why is it important to know the product and containing the vitamin. d because when using rich foods foods rich in vitamin d, it is impossible to achieve hypervitaminosis, that is, there will be no side effects. here they mean, and so cod liver. this is a champion. it contains 25 daily norms, all atlantic herring contains vitamin d. tyre daily allowance salmon contains 100 g of vitamin d all norms are calculated per 100 g 100 g contains two daily norms of vitamin d oysters contain one

daily norm and sardines in tomato sauce contain a little less than one daily norm. and now to be clear. how much of this product should be consumed per day. this means that the daily norm of vitamin d is contained in 4 g of liver, cod, a wonderful, tasty product more than 25 g. here we are right here cut off these pieces. these are comic norms, vitamin d well oysters. excuse me, 100 g of oysters is the daily requirement of vitamin d, but without oysters, all this contains vitamin d, and finally, 120 g of sardines in tomato sauce is the daily requirement of vitamin d. d that is, it's just some kind of impossible beauty.

therefore, i want to conclude this short mini-lecture about vitamin d with one single point, dear friends, before headlong running to the pharmacy and buying yourself a year's supply of vitamin d normalize your diet. i want in the end show you the famous map the fact is that all people have living. and in the higher forty-second e, the latitudes are vitamin d deficient. here you see our country, it is gray. it is all above the forty-second latitude. so we don't have enough sun . and if there is no sun, then vitamin d will not be produced vitamin d is produced in the body under the influence of the sun, the sun is not hungry, we are in the sun, we do not appear dressed from head to toe, so food can be an excellent source of vitamin. d that's what i am i wanted to tell you today we will break for a while,

and then we will continue. i'm 56 and still i hope i don't die until i finish the city and take my son in my arms. you are now forever protected. russian artist painted your wife on the wall of the golden horde mosque tomorrow after the program time why should i spare the one who dishonored my wife? and

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. yes, we are something like an artist with him, he goes on stage and simply does not breathe when he is doing nothing. it’s just that a person sings this is not given to everyone, believe me. never in my life have i used profanity lecture, but he was brought up in a different way musician, intelligent family. that's how he took me by the handles by the shoulders. and this is how it shakes. i beg you, never never in your life make me remarks through the microphone will merge to hide each other more like two birds than like two people, because they heard each other first of all thank him every morning. every evening every

day every minute every second for the fact that he gave me everything for the 80th anniversary of muslim magomayev today on first hello, that's just on proklov is not affected by age. look at her, well, nothing at all disgrace, some great happiness. well, that, the truth was actually a stroke, yes, the truth of reality. yes, and now the truth every day elena proklova measures the pressure my morning. this is where it begins and gives me this pleasure to a person who has never taken pills and has never measured blood pressure. well, i actually paid for it. how much pressure do we have? 115x70 is perfect health cosmos is perfect. just everything must understand that the ideal pressure is lower than 1280, if 125-130 is also normal pressure.

uh-huh. well, perfectly normal. it's lower than 1280. well , it's nice, you hear that i'm low and so on. this nonsense is the ideal pressure that prolongs life very well that you are not afraid of being so upset as it was. you generally did not correct for 1 g by three kilos. that's for it, yes, well, in everything bad you have to look for something good. it 's true, it's right. and in general, uh, surprisingly, life somehow opened up, as if i'm starting to live, as if everything is reevaluated differently. let such a disease. that's how lenochka, i came to you during the advertising fee. i will now return to the studio, waiting there for you well. i’ll come, i’ll wait, we agreed on measurements and we’ll see everything. health is with you again,

dear friends. our program continues and now is an absolutely amazing story. this is the story of a pregnant woman who was actually run over by a bus. it was an ordinary october day, but for nastya it turned around. nightmare her pregnancy, almost ran into the bus when she committed i had a ride. well, it feels like a sound, like a balloon has burst. so i immediately realized that it was a turning point postitasis. so i was pregnant, to be honest, i already said goodbye at that moment to the child. the ambulance brought. nastya to the thirty-third city hospital of nizhny novgorod, a fracture of the tass pelvis was crushed under the weight of the bus, lacerated wounds of the thigh, blood loss, unthinkable 4 liters out of five

available in the body of a pregnant woman doctors in such situations, it is categorical to terminate the pregnancy in the first place, of course , in order to save a woman we are talking about the struggle for the life of the mother, so you need to understand that in the first place. we were directly involved in saving her in life, saving her mother, but at the same time we examined the miracle fetus, but the six-month-old baby was not injured at all. this is what his heart sounded like. at that consultation, all the doctors unanimously decided that they would save two. the first stage. the team of traumatologists begins to collect the bones of the pelvis of a pregnant woman into one whole and fix them with special structures. uh, the front of the pelvis and the back through the skin punctures, we s

using a drill, they made the corresponding hole, where these rods were returned, and then, due to these all elements, they assembled the pelvis in the form of such a semicircle, the composition is very rigid fixation. but that was not all, the bus dragged nastya along the asphalt, sodra, on the left thigh, literally everything began, necrosis of the wound did not chew. nastya was threatened with leg amputation, but her baby lived. a team of surgeons led by pavel zubiev decided to transplant eight skin flaps to close the defect. from the skin of the mother of the adjacent thigh for in order to pair a leather spoon, we naturally created conditions for good blood flow, so we stimulated this

blood flow with the help of drugs. here, with the help of a specially created environment in which the lower limb was located, they caught nastya , they fought her, they performed operations one after another, and her baby. in spite of all the deaths , the treatment continued to live, finally the pelvic bones began to grow together, the woman began to heal early . and after 3 months the long-awaited baby was born. this is our guest today this is an amazing woman who managed to survive so much for pregnancy. unfortunately, i came here without a baby, i didn’t dare to take the baby, so now you see our shooting, where we see that the baby is fine, everything is fine. nastya i want. here's what to ask, but you generally lost consciousness. i didn't lose. i myself am a doctor by profession, my god. so

you can, so to speak, supervise the process, how to properly hospitalize me. that is, so that they do not disturb me, do not shift and do not touch. and what kind of doctor are you? i am a dentist to a dentist. uh-huh, i was just driving to work on saturday and early in the morning. this is how a tragedy happened. eh, uh, pushed the bus and ran over me. horror i was, of course, in a little state of shock, and i did not feel pain, but the only thing was that after some time, after 10 minutes, while waiting for the ambulance, i started to move, baby, and i realized that yes, and i was scared. and in general, how would i, to be honest, forgave that i had already said goodbye to her, but he continued to live. what did you name it? dmitry now we see how

dmitry dima the little one lives his wonderful life already in our world, that he survived all this in utero. hear that your husband is sitting here, seryozh, i wonder how they called you about this. they said they called me. nastya father. without thinking twice, i got dressed and called a taxi and drove to the scene. bye. what the most terrible thoughts were in my head that i could lose both my loved ones at once. uh, well at that time, uh wife and unborn child, the baby was already six months old. how do you understand? yes? now, according to the parameters of who, is this a living child? yes, here such people are already moving, already. everything is there, of course, so our main task was to save two of you at once, you worked as an obstetrician-gynecologist surgeon. you

stood by the whole time, the operations began, as it was organized, you know, here, uh, we have unique hospitals. it consists in the fact that since 2006 we have been working with an mobile obstetric revolutionary brigade, what does this mean, if there is some complication in any maternity hospital in our city, our brigade goes there and saves my mother, we take her to us, and the most various teams of obstetrician-gynkong surgeons, sometimes ent doctors, that's why we have a colossal experience of more than 400 rescued mothers for the whole country. obstetricians voted for the baby when it turned out that he was not injured at all, right? obstetricians have always voted for the preservation of pregnancy, if only there was no emergency obstetric situation. therefore, upon admission , a comprehensive diagnosis was immediately carried out, including damage to the uterus for premature

evaluation. well, for some emergency, here he is holding on to yes, yes, the attending doctor of our beautiful mother is sitting with us. what was the most difficult for your work, yulia viktorovna, the most difficult thing was that it was necessary to preserve the psychological state of the patient, of course, taking into account the fact that she is a young, beautiful woman it was necessary to make sure that her leg would continue to please not only her, but also her husband and everyone else. well guys? you are lucky that you tell your colleagues. i am very grateful to my colleagues. i had no doubts about their professionalism. i believed but on the other side. i remember ranevskaya, that if the patient wants to live, then medicine is powerless. he told us

to finish our program. these bright shots with a baby with your dimka. well guys to him a terrific fate and admiration for war. well done , nothing to add. our program continues. today, mankind is separated only by one misunderstanding, one miscalculation from nuclear annihilation ukrainian nationalists prepared a provocation at the zaporozhye nuclear power plant for a long time and carefully today in the ruling circles in the united states of america are ready to use ukraine as such a second chernobyl, we must by now look at the most diverse scenarios, see there are two options to start a third world war, start a physical war with russia or make russia pay a high price for the relationship between large holders any use of a low-yield nuclear charge. the

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our programs continue and you know the whole cycle of programs. we dedicated to stress because stress. so many of you are experiencing right now. here's to understanding what stress is. i want you recall such an ancient picture. so the ancient people are struggling with stress. they either need to catch up. or someone is chasing them, and they need to be saved. and at this moment they are experiencing stress, stress is an ancient reaction of the human body in response to the presented irritation. what happens during stress in the human body develops a mechanism that, and outside the scientific literature is called bay or run in all

cases, this is a huge motor activity bay if you are attacked run if you cannot hit, so that a person can do it. his blood supply must change, the blood supply is redistributed in favor of the heart and brain, that is, let's say the digestive tract, other organs. there, the blood flow weakens and all the blood is sent to the heart and brain. this is the first. second, in order to have enough blood, the body increases pressure so that it finishes shooting to the brain. and so on, the third thing is that there is nutrition for the muscles, because you have to either beat or run, there must be sugar in the muscles, so the next thing that happens is the sugar in the blood. this is the old reaction. it is designed for the fact that we live in the wild. we hit. we are running, we are fighting for our lives, the only trouble is that we have ceased to live in the wild. we

don’t beat anyone, we don’t run away from anyone, but stress remains, which means our pressure rises and sugar rises, but we don’t realize all this. that is, if we moved, then the muscles would eat sugar, if we ran and stopped, our blood vessels would expand and the pressure would, having risen, fall to a normal level, but we just we experience all our suffering while sitting, and unfortunately, this leads to the fact that from the link of adaptation. in addition to what the environment presents us, stress becomes the main link in the pathogenesis or development of the disease, primarily hypertension. and as a result of stress, strokes can occur. our guest today is a wonderful actress elena proklova whose life and fate literally flowed before the eyes of our entire country. it looks like elena proklova is an actress, whose

life passed before the eyes of the whole country for the first time. she appeared on the screen in the sixty-fifth year, then and was only 12 years old, and she got her first role in the film alexander meti call open the door. can you help me beat one here ? well, do not be afraid, through all the boys, the little ones in a year. lena became the idol of millions of soviet children. incredible glory brought them the main role of gerda in the legendary movie fairy tale the snow queen. found you and hush, you're bothering me. dear, it's me gerda was born in moscow in the family of a teacher, but about the grandparents, the proklovs were actors, it was from them that the girl

inherited acting talent people call you fear. well you better burn me who's dino. i sleep after school elena entered the school-studio, the entrance to the acting department, she played in the theater and at the same time acted in films, her partners were legends kirill lavrov leonid filatov vladimir zeldin oleg yankovsky andrey mironov on the head at the beginning of 22, lena had a stroke ambulance took the actress to the hospital only a few days later. she got in touch with the journalists attacking her, without going into details, briefly said that with she's all right elena proklova our guest today i just remembered not about the stroke. and about the fact that in

this film, where are you and andrei the world. yes be my husband you had an amazing dress. here , with such a hemstitch, it is spinning, and then it’s shilo for me . my mother, can you imagine, it’s straight. here it was copied. there were those. that's very often at meetings with the audience. they say that they sewed the same outfits and exactly exactly with me. it was precisely lenochka what happened? how did the stroke happen? what happened to you? where did it happen? happened in the night from january 1 to january 2 after the new year, which i spent with my daughter, without abusing alcohol, i’ll say right away. i drank only one and a half glasses of champagne for the whole evening, and i rode the train to st. petersburg on tour. uh-huh, and since the morning of the second number. i woke up on this train from the fact that i had nausea, vomiting, dizziness. i can't

stand on my feet. somehow i made it to the platform. everything speaks badly to me there, lena, you probably overdid it yesterday. i say. no, really, no. i just feel bad. somehow we got to hotel. they called an ambulance and they diagnosed me there, and the presumptive diagnosis was a stroke. what was the pressure of 220 was the top bottom, i do not remember, and i played a performance. although i was offered to go to the hospital. i said no. well, people are not to blame. they came, and on holiday. it's new year's eve . i played the performance with difficulty the artists me. they took it by hand. eh, instead of a mise-en-sen, where i should go there to show something, i sat all the time, but i spoke the text and remembered it in the evening. i went to moscow well, to moscow arriving on the third numbers. in the morning i drove home and realized that there was no point in going to the hospital now. nightmare here i told you is called how

i survived we will know, only you and i, i lay at home until the tenth day. i took pills for pressure and the eleventh. i went to the hospital. and i must say, just some praises to sing to the doctors, and the staff to the junior medical care of such attention. in general , i spent 40 days there. they put me on my feet. at first i couldn't even stand on my feet. i had an ischemic stroke was damaged, the little man and the vestibular apparatus. i mean, i was like this all the time. strange woman, i couldn't sit, even i felt dizzy. i just lay ate only sideways. well, it was terrible, eh, but it's a good lesson for me. you know me. eh, i began to appreciate life in a completely different way, however, here is every moment of it, every day, every minute. i now understand that health is a gift. this is true. it's not easy, what we own, and so

of course it's gifts you need to feel to understand, and unfortunately a person does this only after something random happened to him now, what are you drinking now? this is what is now secondary, which means that you need to understand that strokes and heart attacks are diseases that develop according to the same scenarios. this is a tragedy everywhere in the vascular bed , where the vessel is damaged there it will be in the brain. so it will be brain systematics. there will be a heart attack in the heart, but the essence of the photo is somehow. that's where the platelets stick together. and they clogged the vessel. this is the essence, therefore, it is necessary after a heart attack of a stroke certain groups of drugs are prescribed. so i ask the fearless, what does she drink. i have four drugs of the name that i remember, only one enderby. so it's a blood pressure drug. i have one pill in the morning and another drug for

pressure, which i drink in the evening plus. i'm drugs that thin the blood, which i have very thick, but what is it, it's acetylsalicylic acid, but i do it very scrupulously. i take out all these bags and put everything in such a special little thing. i am very responsible to this is the fourth drug for cholesterol, right? yes, that means i think that there are two correct preparations. this, of course, is a drug for lowering cholesterol, because here it is the basis of all brain and heart disasters and acetylsalicylic acid. we have a lot of preparations of acetylsalicylic acid. i didn't have a stroke. i had a severe hypertensive crisis with a pressure of 220, but i had a ct mri, there was no stroke. thank you lord, well, i, like you, was so frightened, because i, as a doctor, understood? by the way, that i will remain paralyzed, and my life will also end and they will be alive, but

paralyzed, so i, too, am a terrible picture of the pill, everything and i don’t need to agitate me. so why is it important to drink acetylsalicylic acid, because look, here they are red, there are cells. we also have platelets. they are also red. these are plates, they stick together. now, if the platelets stick together, then they will be beaten. as i understand it, this is a vessel and there is a cholesterol plaque in it, this one, and this one, platelets do not pass, they do not pass, and they stick together. it would be nice if they squeezed one by one there, but they stick together and clog this passage, so we must drink drugs that prevent them from sticking together such a drug from acetylsalicylic acid. it is very common to drink acetyl celicilic acid with magnesium. this drug is important, important, it is important to drink throughout life without interruption for a single day, and we adore

patients who understand this and who take it, oh, whom i need to agitate. now i am such a patient, i really regret that i used to somehow. well, the pressure was up. it went down i also thought it was, well, like an organism. he 'll manage himself. he needs help. health to you. thanks lena. nothing else to you, too, health and to all everyone who watches us today, well, a little attention, to this health, it's definitely not for a long time we will interrupt, and then we will continue. you were close to death, yes, several times i lived in a cruel difficult and magnificent time and in spite of everything, the best years of my life are connected with work in intelligence. we burn ourselves. all of us will cope with you, where i worked for the good of the motherland, fulfilling my duty patriot of russia dmitry bystroletov. an outstanding illegal intelligence agent, an unsurpassed master of recruiting, a courageous person who did not break under the

blows of fate in the camps. i pretty quickly stopped identifying my executioners with the motherland. in russian history, there were periods when for a decent russian person there was only a place in prison. so even in the camps i was in my place, sometimes the strength runs out, and the meaning of what is happening becomes completely illusory. what becomes your support together. i believe that i have lived a good life and is ready to live it in the same way. once again recruiter, look after the program time even if the damaged liver worries, it is better to take care of it in time for two active components. were able to help reduce inflammation and restore liver cells phosphogli care for the liver with a vengeance.

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our brother, we'll figure it out in everything in the program live healthy tomorrow on pervoy. health is with you again, dear friends, let me remind you. to you, with what our morning began. it's morning, dear friends. i'm starting the famous botkin hospital here, the largest one in our country. i think europe endoscopy center. good afternoon. by the way , you can turn you around like this and show that the person came to the gastro colonoscopy that he got here. he got a robe. slippers special panties with a hole will now change and go for an examination. what is your name svetlana and is your surname kokova? you came

here from some moscow polyclinic, you were not shown from the polyclinic. e, 129. what happened? why did i ask me to send me for a colonoscopy, because 5 years ago i was removed. oh what a smart one. i want to present. i know what i need. here is a clever one, this is the deputy chief physician for surgery at the botkin hospital vladimir vladimirovich well, so we are right off the bat vladimir vladimirovich well, are we letting you go? and with vladimir vladimirovich let's go and see this time boring building a vladimir vladimirovich so, a huge mountain building, because the doctors in the botkin hospital believe that only mountains can be higher than us. planet veliky vodkin which really exists and we are going here. an endoscopy center is a place where examinations are made using tiny video cameras, they are immersed in the patient's body, under a large

magnification, looking at the monitor, the doctor can see with his own eyes any deviations from the norm. what procedure did you come for? i came for gasroscopy for colonoscopy. what smart girl? that's why i don't understand why. but tell me you will do the squat, and you will sleep or you will not sleep - this is a drug sleep. most. the main thing is that at this time the patient does not have a gag reflex. no, discomfort and pain, but the doctor can calmly do his job carefully without rushing, examining the stomach and intestines is important, because in many hospitals and clinics in our country, endoscopic examinations are performed without sedation, and this is bad both for the doctor and the patient. in the botkin hospital, the patient chooses how to do the procedure. the program in moscow allows you to perform these screening

studies of sick patients for early detection of diseases in first of all, malignant diseases of the gastrointestinal tract are free of charge under the compulsory medical insurance policy and the patient does not depend on having to pay. you don't have to do all this. all without canvas and gastrolonoscopy and the study itself. narcosis is paid by the state. a visit to this huge endoscopic center for a patient takes no more than an hour and a half, including rest after the procedure. here everything is calculated to the smallest detail. which door to enter into which clothes to change, where to wait for your turn vladimir vladimirovich here is a whole series of treatment rooms and procedures are going on everywhere. how many such treatment rooms are actually operational work - this is a single moment with 8 treatment rooms equipped. expert endoscopic equipment allowing to perform. uh, all polyp biopsy gastro-colanoscopy work from 8:00 am to 8:00

pm every day in the cross section of the week on saturday and sunday. now you see how the covanoscopy procedure goes, the patient is sleeping . colonoscopy is an examination of the large intestine through the rectum using a small video camera. the main goal is to find polyps that can be reborn enemy endoscopes. here, special ones allow you to see a deviation from the norm in a special light. even on the intestinal wall. here we are now we see green light, yes it allows us to judge by the swamp green light helps to see in detail the network of capillaries on the mucous membrane, the intestines in the early stages of cancer development, the capillaries change shape and thus the doctor recognizes. track before the tumor starts to grow. here the drawing is normal , here another harbinger of cancer is normal - these are polyps on the walls of the intestine. if the doctor

finds them, then immediately removes them, let me remind you, the patient is sleeping and does not feel anything, samples of these polyps will definitely be sent for histology, often in them find cancer cells. and this means that if the polyp would not be removed, then cancer could develop at the exit. i access. once again, we carefully examine everything. the procedure ends. the woman will be taken to the ward, where she will wake up, and the endoscope, which was used for the examination, will deliver a special unit for cleaning and sterilization. the most modern powerful machines with disinfectants installed in this department are equipped with disinfectants. it’s already absolutely sterile here, i already see, they don’t even wash, but dried up here they still wash absolutely sterile boards. already from here, they take and sterile ready for the

patient plus. ah, the modern system. they calculate the information that the endoscope is completely flushed, all channels are washed, everything has been cleaned and it can be used already in prepared form. yes, they are ready for research from here they are taken. these are cabinets for the endoscope, the final point of the route for patients is the awakening ward. here people wake up after being medicated with the dreams of patients. don't just lie on the bed. they are being monitored by instruments , no, sisters and doctors. you were sleeping, yeah the time of the procedure, well, how everything went well, yes. the main task of these examinations is to detect cancer early and save a person. how long has this new endoscopic center been operating for? in what percentage of people did you remove cancers of the gastrointestinal tract, we have already identified overt cancer that requires

either surgical treatment or chemotherapy. these are almost three percent of patients, and there were 26,000 oe, and cancer was detected at the institute, that is, it was at the very initial stage, or a high degree of dysplasia. this is an ancestor closer to the shell. this is y 16.7% of patients. yes, we cured the patient in the initial herd with a minimum investment of financial resources. thanks a lot to a professor whom i have known for many years. and i treat him with incredible respect as the highest professional. and the botkin hospital, the largest hospital in russia, all the advanced technologies and old traditions , everything here is returning to the studio of the health program. well, dear friends. so , after this trip along botkinsky, i specifically asked

the head of the department to come to us. this is the one the doctor who did the colonoscopy. he was wearing a mask and hat. that is, he is not recognizable. now without a mask and without a hat. and this is one of the 26,000 patients who have passed through your endoscopy centers. here, two polyps were removed from larisa. and what were these polyps. well, one of them. that's right, it was for a high-quality education that the polyps were removed and larisa was not shown any major operation, nothing was right. because during the study, as they say, she came to us. uh, a colonoscopy was performed, as well as a gastroscopy under anesthesia, and in this study, too, a polypactomia was performed at the top of a large polyp and cancer cells were found. that is, if you had not walked for a year or two, the polyp would begin to grow inside, then metastases would begin. it was simply turned into cancer and began to develop into cancer according to its own laws. here,

unfortunately, people here do not go to these preventive examinations. well, fortunately, now it can be done. so, to whom it is shown the first people unexpectedly losing the forest, this is still, if we say we are symptoms of people whose stool is disturbed. it doesn't matter that you are constipated, this is an indication to make spotting run and run and until the diagnosis of cancer is canceled, consider that this is a sign. who else would you add to my list? in addition, these are people who have a family history of e, relatives, either the closest or not the closest relative, who have a history of e, tumor diseases of the gastrointestinal tract in the world at 47 or 50 years old, a person in good health should come for a gastroenteric colonoscopy necessarily. thank you very much for today, dear friends, i am finishing our program. i just want to wish you health, because health is the most

important thing, i love this program very much and of course elena a irina vasilievna a an amazing person who wants to help everyone to be healthy openly to absolutely everyone and everyone. health and then we have, as usual, a shoemaker of boots. watch the health program on channel one. in distant and distant times, the boy dima krylov

also sat at a school desk. no, he was not a reliable c student, and because of that, in geography lessons, he often could not find on the map the ural mountains, which separates europe from asya with a special squiggle, and did this simple soviet boy then know that a happy time would come, and he would cross this very geographical border alive and see the urals also alive. and i also had a strong connection with the urals with wise and romantic tales. pavel bazhov it was here that he saw both a goat with silver hooves and a galloping fire torch . well, and, of course, danila is the master and mistress of the copper mountain with her magic flower. by the way, pay attention to how amicably all these kids stuck in their books. long time ago. i don't i saw so many children reading at the same time, directly, as in my distant weight, but the urals this is not only a fabulous treasure, but nature.