in russia, i would like to say that there is a system of counseling. yes, this is kind of comforting, but i would not want to use it, but i would like the number of takeoffs to always equal the number of landings successfully. this happened at the end of march, the helicopter of major roman caps and captain ivan boldyrev only from the eighteenth shot of the manpads was hit by the ground and the crew left the burning car with the help of a jet ejection system, this happened for the first time in world practice. so the designers of the kamov aircraft plant were definitely working. not in vain the flyers took the fight on the ground were evacuated by the search and rescue team and returned to the base unharmed. life at the airfield does not stop, not for a second, the helicopter blades did not have time to stop and the technicians of the ground personnel are worse surrounded, it is necessary to refuel the cars and load the weapons. speed ​​is again a dangerous job. this ka-52 is fully

ready for a sortie in standard equipment. input to the fuel nury unguided missiles thirty-millimeter gun and, of course, anti-tank guided missiles, here they are four pieces on the left wing console. they have the same inscription for sasha and slava, there is another flight ahead for today, the pilots are already near the helicopter. they are calm and confident their missiles will find their targets, we will avenge our own, this does not break us. it only pisses us off. and how we stand up harder, like granite, like marble. i don't know, so we'll beat the enemy to victory. aviation engineers also write a message to them, they have something to say, the pilots promise to deliver the package to the recipients and return home again alive and healthy. and what is important on its own already

native ka-52 you watched the program hour see you next sunday on channel one. do you know what problem people most often come to clinics and hospitals with? it is pain every second who comes to us comes with pain . the tragedy of the situation is that 80% of those who turned to doctors with pain will leave us with the pain they came with. how to change the situation the answer to this question is known. that is why we start this morning in the pain management clinic. this is our medical archive. patient with pain

so heavy that they moan, scream, even when they lie down on the couch, then dr. halperin will give medicine and the pain goes away the whole procedure lasts 10 minutes at this moment it is impossible to believe that this pain will pass, but it will pass. after the procedure, the doctor comes to the patient at that moment he really seems to be god who is the best doctor in the world, we are not greatness the union is the best doctor in the world. not well really, how are you? everything is fine. i did not expect such an effect. markevich has not slept for the fifth day. let's maybe ask

the patient to stand up or while lying no, everything, as it were. do not walk like that, because maybe it won’t be in your legs. no, how are you? of course, as i came to the wheelchair, you get up , well, let's go back to today, never and under no circumstances should doctors treat without examining and examining the patient, the main examination of magnetic resonance for tomography right now is being taken by dr. golbert. so watch when you need to. now we give where the right side, relax, relax. i support you. and here

slowly turn well, and now i 'll show, well, it's not in vain that they didn't make manti. here is your stream, look here, unfortunately, this is not this joint, which would be much more pleasant, but this is a strangulated root that comes out here between the fifth lumbar and the first christ vertebra. and you'll have to make a cry. come, i will accompany you. let's go, carefully hold, hold on to me. and you have to give. i understand that you have already understood for about five years, however, this is not conservative treatment for me either. nothing nothing what you're about to see is not just a blockade, it's an interventional procedure to treat pain. the main difference is that

everything is done strictly under x-ray control. that is why i will now put on an x-ray parka. i know roughly how and where i need to get in order to block the nerf now i'm under x-ray control of my needle here it appeared right here here so the injection is not placed somewhere the doctor must hit exactly the target the position of the needle is controlled by x-ray equipment. this is how the spine looks like in a small hole between the vertebrae, the nerf hole is inflamed and the nerve is compressed, so the pain is very strong, to make sure that the doctor got to this place under the control of x-rays, a contrast is introduced without x-rays. pain. it 's impossible to block. you see, the black one is gone, you see, a genius is working. here is the contrast along the nerves, i will show you directly how to introduce it. you see, this is how

this nerve goes down, so the contrast went down along the nerve to the leg and the pain in the patient gave to leg. the pain disappears immediately, but since the nerf is blocked, the leg is not shallow, so the woman is now taken to the ward and allowed to lie down. so one more time. these nerves are the main source of pain. this is where the feeling of pain is transmitted to the head and this feeling poisons. for us, today's medicine is able to relieve you of pain on this joyful note. i want to start the health program and watch it to the end, because at the very end we will tell this one about the strengths of today's medicine and what you can do so that you are not in this life, severe endless passions in the morning

, waking up healthy is a real happiness of strength, eve, if we arrange all health, you will probably be healthy again, dear friends. we started this program with pain and i repeat once again every second person who goes to the hospital or clinic comes to us with pain. this is such a big problem that it is simply necessary to solve it how to competently stop the pain. how to understand? a competent doctor offers you help or not, we will talk about this at the very end. programs, in the meantime, the program. where it begins and as always, only one rule works in our

program, only the best doctors of russia in the world come to your aid here in the television clinic of the health program. show evidence. how to understand that the medicine for flu and colds is safe; complications of the situation, what is terrible, runny nose and sinusitis, we bend our backs, head forward parallel to the ground, open our mouths, inhale through our mouths sometimes bold breath, rinse our nose, how to be treated correctly? unsweetened choice the lord prefers straight clean meat and it's hard enough to surprise your man with clean meat. for the past 15-17 years. is it necessary to limit flour and sweets even to healthy people. from the first day of admission, the severity of the symptom of influenza and sars begins to decrease, regardless of the

type of virus, therefore kagocel is a higher antiviral measure. so, are we starting our program? that's why i already told you that a huge minus of the rules that exist for the circulation of drugs in russia is that we do not have the requirements of modern requirements for determining effectiveness medicines. these are the so-called principles of evidence-based medicine. and today we have entered the tour, when every drug that is on the market must go through all phases of clinical trials. and only then will we understand that this medicine is really effective, really safe. really. it can help, not hurt. all this requires very serious changes both in legislative acts and in by-laws that determine the circulation of medicines and vaccines in

russia, and to my great joy i can say that very many russian manufacturers. we began to understand the fact that you can’t just sell medicines, you still need to think about the safety of people and began to research your medicines according to the principles of evidence-based medicine. what it is? let's look at the screen globally, any drug, before it hits the counter, first, these experiments must be studied clinically in animals. only they give the right to move on to the next stage to start studying drugs in humans. but in humans there are already three phases of research. first phase and second phase carried out on healthy volunteers not on sick people. and as a rule, on volunteers in the first phase of the global and in the second phase, people are given the

drug and the testers look at the doctors look at the first one does it cause severe side effects, how does it affect or blood, how do people tolerate this medicine, in addition, in these first two phases of clinical trials are finally sorted out with dangerous and safe doses. so it is fundamentally important to go through these two phases. but here's the most important thing about the final phase, the third phase, which is carried out by tens of thousands of volunteers task. this phase proves that the drug is effective in this phase the drug is administered only to sick people and the observed effect does not help and often all the money spent on initial research can be spent. in vain, because it turns out that the medicine does not work on large groups. and it may turn out that it works. yes? just imagine, in the entire history of russia there was only one drug. this is the

sputnik v vaccine, which has been studied this way for all phases. how much, therefore, this vaccine began to be sold in the world only because 60,000 volunteers were recruited in moscow, the effectiveness of the vaccine was proven and they began to buy it abroad. i want to say that today such studies have begun and a drug that may be the most famous drug for the treatment of colds and a variety of respiratory infections and let's see what studies have already been undertaken both in animals and in humans. we at the gamaleya institute created the famous sputnik vaccine. here the largest immunological laboratories of the country are located and it is here that scientists

have studied interferon in detail for many decades. interferon is a very interesting story discovered more than 70 years ago and over the years it has been shown that it has a diverse effect. in particular. this is an antiviral effect. these are antitumor effects. it is the radio protective effect in this laboratory that created the interferon stimulator interferon in the end after the stage, the cascades. its stimulation helps other evolutionarily selected genetically fixed mechanism to destroy the infectious agent or tumor cell. in the twenty-first year, the mechanism of kagocel's work was finally studied and published in the famous frontier magazine. kagocel stimulates the release of interferon and makes our immune system work. the mechanism of the drug's work has been

deciphered up to the activation of interferon genes and immediately after the study, which was published in the world's largest journal frankfer. we are awaiting publication of safety efficacy data. these studies. held since 1992 while kagocel was shown to be safe for human use in volunteers. in addition, it is well tolerated . so the third phase is that phase. kagocel is now starting research will be carried out in moscow clinics. and i really hope that this drug will become not only the most famous, but also the second in the history of our country and the first among drugs, effectiveness which will be proved as it should be according to

international standards and ending this conversation. once again i want to return to the scheme of evidence-based medicine and once again say that only if the effectiveness of the drug is proven , it is worth using it, therefore, when you take drugs, the only question you have to answer. is the effectiveness and safety of the drug proven and i want to appeal to all russian companies, if your company has started this path or has already conducted a study, then we invite you to our program, because in the treatment of people there is a first principle, do no harm and medicines must be proven safe. and the second principle. help, therefore, the effectiveness of the drug must be proven for a short time, and then we continue, he

began to build his capital, where the city cannot be built, years will pass, and he will turn the life of the whole country upside down. yes, they were going to make her a pawn in someone else's game, but the russian princess believed when she returned to her homeland. she can take care of herself. whatever it costs anna ioannovna. her father peter i died without leaving a will, elizabeth's position at court was very precarious; she had to either take power into her own hands or wait for the execution elizaveta petrovna the formation of the

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, ruins of civilizations. suddenly, euphoria showed us her true colors. the storm has opened. i have one more secret. it's not easy to part with the good ones. do you know how much longer we will be presenting the new line book service from mts read books. listen podcasts and audiobooks in a handy app just in line mike omer's house of fear and other exclusives new bestsellers. and nothing will happen. why will i have a love story or a detective story? what about you yet? lines, where one good book follows, another with cystitis phytolysin scientific studies have shown that the drug in the form of a suspension is absorbed better than conventional tablets. phytolysin response to cystitis. neither is tarragon, chernogolovka is the voice of nature to treat a

cold. happy birthday, be careful, i'm dreaming here i perform a magnet on my birthday, buy from our card. play in the app or register checks in the chatbot and win millions to make your dream come true. this is masha she used to feel cramped and uncomfortable due to stool retention and bowel problems, but now with her modelax n he solves delicate problems at the right time and at the right pace, releasing heaviness in the stomach, allowing you to stay light and live a full life modelax n in. the right time in the right place. you are welcome, wow. that's cool. apiary

the life of bees from the inside is taken by carrots. and this is how our kostroma look like feeding. it's just magical, i understand. i also look to experiment. hey kostroma, fly into the porridge that you don’t have today on the first me, uh, on the set, visiting elena vasilievna, transmission of health and then a surprise. good morning they will take blood from a finger, but since this is dr. askold good morning, we will not distract the great trainers. and i am also a beautiful wife. it's good that the doctor was lucky. yes, thanks, click on the button. we all push the button. we take crowns. thanks scott. come on good morning.

have a nice day, hello. well, helen is the wife of a askold zapashny, they have two daughters. yes, one is already running. at the arena, the second one is preparing correctly , we are waiting for 12 years, because she will be able to travel for 12 years. yes, they have a favorite horse genre right now. oh, i didn't feel pain at all. this is how we can work. magic blood sugar exactly 6 seconds lasts analysis. and the professions still medicine remained in life or not? yes , of course, i work as a doctor in a clinic. i have reception days now do yourself what kind of doctor or cosmetologist zapashny doctor. that's why she's such a beauty. well, that's great. i'm very happy, because usually the wives of circus performers. they sacrifice themselves to travel to perform. in order to live the happiness of this most difficult working life, that heaven remains. i tried very hard. yes, they lose the profession to leave. i'm

still in the profession. and how interesting, how many are you called? helen is just, yes, rodnulechka is called the sun, this one is also good. our i'm in commercial break all the time. i'm coming here. now let's wait for the analysis. and i'm already waiting for you. on the site, everyone will see everything. health is with you again, dear friends, autumn, this time will be cold, and you know, here we have such a saying, bread is the head of everything. and if we talk about colds and cold complications, i would say the nose is the head of everything. here it is the nose of a man, why? because the nose is the entrance gate for infection, this is the first, and the second is the nose is connected to all the sinuses dry. and of course with a throat, because there is, nasopharynx, so the nose is the head of everything. today we

will talk about a runny nose, a runny nose is the main symptom of a cold, and it is the runny nose that you treat incorrectly that is the main cause of otitis media , sinusitis, when the maxillary sinus becomes inflamed. uncomfortable sinuses frontitis and severe conditions with a throat, so the profession is called a doctor ear throat nose, and i would call it a nose, so ear and throat so nose. let's start with the sinus. here are these colored beautiful formations inside a transparent head. these are the paranasal sinuses, here it is pinkish maxillary sinuses, these are the frontal sinuses. this is where the green ethmoid sinuses lie behind. they are like this, if applied to the nose, they lie, they

are like this again, but it connects to these sinuses. this is two times, the nose connects to the ear. through his eustachian tube. and so, if there is swelling in the nose, then the eustachian tube becomes inflamed and swells, and purulent inflammation occurs behind the eardrum. here is the entrance to the ear, closed by the eardrum. but from here, inflammation can develop from the nose in the middle ear behind the eardrum. in children, this channel is generally straight, so inflammation develops constantly in adults. it is a little flat. therefore, adults rarely have such and such after a cold, and in children, therefore, it is a very serious issue to treat a runny nose. i'll be back. here to this layout, because on this layout we showed the nose in a section, so look. here, approximately, exits into the maxillary

sinuses and the court flows into the nose. the exit from the eustahivaet pipe. if the nasal mucosa etiquettes, then that 's it. entrances and exits are closed, which means developing inflammation. what to do how to properly treat the nose tips will be very simple and our today's guest and expert dmitry semyonovich gorin will give them to us in the office, which we will head right now. well, friends, we see dr. gorin examining the nasal cavity dmitry finish. well, i know that after such a banal inspection. you will definitely come to the examination with an endoscope. right. yes, of course, i wanted you to show us how the nose is connected dry to the maxillary sinus and to all other groins, uh, elena today is not in vain that our profession is called an otrhinolaryngologist, because all our organs are

closely interconnected with each other. and now we will show you how it is possible to do this with a flexible tube. this means that this is a tv camera now the doctor turns on the camera. point at me so that you can see it. here, let's look out the window. and we see me atmos. there she is. i'm standing in the window, this is a camera, and so this camera is flexible. now let's look at the nose. this is an examination by an ent doctor of the 21st century. so we're looking at this front of the nose, that's right in front of us is the middle nasal concha. we can in this case go beyond the middle turbinate. and if you were a patient, there would be sinusitis, we would see the exit of pus from this place. yes, just here, here it is, and here it is, here is the entrance to sinusitis.

if there is acute sinusitis, pus flows from there and we see it. and where is the entrance to eustachia. here we go to the hands of the nasopharynx. and here she is in front of us. here it is, this is the entrance. well, i’ll even show you closer, that is, this is the entrance to the ear already and see when the patient swallows. well, swallow again. pig - we see how the entrance of the auditory tube moves further. we have a nasopharynx. we go down, breathe deeply through the nose, and here is our epiglottis, our vocal cords. what assessment it is a pity not in sight. you at least squint your eyes. so beautifully seen, everything that you imagine. what examination, of course, by simply looking into the nose will not see this, on the other hand or in general of the patient, we see a pronounced curvature of the septum. here is our beautiful mushroom. here is its apex in the middle

section, so the patient may have frequent acute viral and start sieves, that is, sinusitis. well , now i must say, we see a calm, uninflamed nasal cavity. it's good, of course, it's good advice as well. well, firstly, for healthy people, who anyway we all entered the autumn season and advice for those who have a runny nose, you will start with your favorite procedure. well, at least the best ent doctors in russia are a banal nasal lavage, which, from the point of view of ent doctors, is done just as accurately as we brush our teeth in the morning or in the evening, what kind of procedure is there are two means that we we can do it all by washing it or spray that irrigate the nasal mucosa or washing with a large volume of solution of 200 or more milliliters

at a time. we have explained how to do it according to the assessment, so now we can demonstrate it together with the patient, hold the syringe and repeat. well, let's lean forward. the head is parallel to the ground, we open our mouth, we inhale through the mouth and we wash our nose for holding our breath, so we inhaled the syringe into one half of the nose, held our breath and washed it so that it flows out through the other half. little well done. something goes up to one half and something goes down to me, in my opinion, everything should pass you from one, yes, or look, we will do this, i will visit a little . inhale air through your mouth. here and here at a time, we wash the whole nose with the same thing from the

second. yes? what is the point of all these washings in the nose, we have swelling in the nose, we have inflammation on the nose, we have microbes, we need to wash everything in the right way, inflammation and microbes and viruses. here, i now want to show, we have amazing graphics computer animation. now you see the nasal cavity and you see that in the nose of our mucous membrane there is a villus, and viruses microbes lie right on the villi. and this is nasal lavage even in healthy people. it simply cleans all the nasal mucosa and just like we clean it is nasal hygiene. and if you learn, just do it twice a day, brush your teeth, but wash your face washed to work, it will show off. as courts and with the nose. it is correct and not to overdo it with the number of times a runny nose is the principles of treatment, if already

runny nose you know how a runny nose is treated. most of the time i just wait for it to pass. this option can also be, if the runny nose is small, it can go away on its own, however, if you need to be treated, we always have a choice of vasoconstrictor drops , hormonal drops, which is better, well, i know that vasoconstrictor is used for no more than 5 days try to comply. and if it doesn't go away, well, i'm moving on. back, it already contains a hormone, and now the principles of international medicine. our patients were right what deserving drugs. they there may be a boomerang effect. habituation of which they can cause hormonal spray, if both patients have severe swelling in the nose, which prevents him from breathing, we can use this one, serving strictly no more than three to four days further. we add hormonal spray. it is usually a steroid in the nose, which is not

harmful, which does not cause. addictive and help relieve both inflammation and swelling in the nose. absolutely true international standards, vasoconstrictor drops do not contain only hormone-containing, because hormones are not absorbed anywhere from nasal drops, less than 0.02% is absorbed, so do not be afraid, but the effect will be immediate, the effect will be fast and addictive. no, you spray for a day, in the morning and all day. here it works immediately, because this is the place effect and this is the best effect, because steroid hormones are the best anti-inflammatory agents. i only use them because i'm allergic and i don't even understand. why is my nose stuffed up. drops with hormones will definitely help me. these are the facts of life. thank you very much dr. gorin nose around the head, therefore, if you learn nasal hygiene, just as you once learned how to brush your teeth, you will be a happy and healthy person without a

break. and then we'll continue. why didn’t i go with you now rafim, they are from a large large family anna is the eleventh child in the family. when do you sing such a performance to them? the fourth participant helped me, olya doesn’t have one voice here, because olechka went to give birth season premiere singing in the kitchen by the whole country

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with extraterrestrial landscapes, and archaeologists with ruins. civilizations. suddenly, euphoria showed us her true colors. the storm has opened. i have one more secret to part with. i know them. how many more will we be introducing a new book service line from mts read books. listen to podcasts and audiobooks in a convenient application only in the lines of mike omer's house of fear and other exclusives of new bestsellers. there will be nothing further. why will i have a love story and a detective story? what about you yet? lines, where one good book is followed by another like a burger for 159 rubles. coupon, 22, it looks like a cold, take paracetamol rinival citramon perival we trust roar we choose

roar. cinema 1 tv presents, well, congratulations on the appointment, the appointment was not yet grandfather in office. the head of the center service temporarily canceled your appointment, another waiter from moscow was appointed acting. i myself have to find out what kind of rat has wound up in our department, you yourself understand how he talked to someone from the center and asked to send an independent person. i'll kill both. why are you doing this circus? resort

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good? what is evil? for what purpose did you press the brake pedal we have problems with a surrogate mother? come to me or i'll kill him all right. but sometimes a person appears in our lives who makes us change, but i don’t and katya you will have to leave the new episodes alone tomorrow after programs time to follow. your heart is a complex mechanism and regular intake of cardiomagnyl helps to take care of its

heart health under control every day. health is with you again, dear friends. you know, a whole cycle in our program is dedicated to women, wives and mothers, because we are talking about the rules of nutrition in the family. and today, for the first time, probably for a long time, my interlocutor will be a doctor, who, of course , is a wonderful wife and mother, but a wife. she is a strong and incredibly courageous person, the famous trainer of askold zapashny. our guest today helen zapashnaya for the first time helen saw her future husband in the circus arena, so her acquaintance with the famous trainer

askold zapashny elena was conducted and grew up in israel, her parents were categorically against these relations. they were afraid that their daughter would be abandoned at the medical school. askold's mother was also not delighted. from the future of the bride, like a wise woman. she wanted the son to marry a circus girl, as it would always and everywhere be married, but the young did not succumb to any persuasion to askold's wedding. and helen passed in secret from prying eyes without publicity on television in the press on the eve of this event, the askold was appointed chief artistic director of the large moscow circus on vernadsky avenue many years have passed since then. and how many years they have been happy living together and raising two daughters eva and face helen zapashnaya dermatologist cosmetologist today my guest good morning girl wife to the doctor's

sons this happiness is very good for mom. helen did not part with the profession. she still works. she takes care of patients. she is a dermatologist and cosmetologist. it's just that elushka is very happy, but it's absolutely clear to ask questions to a jewish woman, who in the family is responsible for the food of the family, this is stupid, of course, that's what you answer, correctly. well, as i answer, i cook everything in the family in the kitchen. well, not to say even sports super sports. i saw girls in training. girls. they already make such pretzels in circus families, all the children work, so how food is organized in the family food in the family is organized with us in different ways, because, despite the fact that even the children grew up with the same rules and i brought them up. everyone has different addictions, so we usually have several side dishes in the refrigerator

. meat is cooked differently, because and how many one children they eat another container come on, tell us what kind of meat the trainers of a predator eat, since they only eat meat in its pure form, it should always be freshly cooked. that is, we do not have such that you prepare some kind of container, fold it and then warm it up. we have freshly prepared children can cook vegetables, you can cook, uh, cutlets, but how many prefer straight clean meat and it’s quite difficult to surprise your man with clean meat for 15-17 years, because i can’t cook. uh, goulash with vegetables stew. it should always be fried meat, but now the truth is, there are many housewives in the form of grilling at home homemade kitchen grills. it's already easier. here you can diversify a little. it is very interesting. why? because on the website of the health program we did,

amazing thing. let's show it. you are a person can go to our site called you are what you eat calculator, health, i wanted to write a life expectancy calculator, but they began to say that i intimidate people here. you can bring in all your eating habits and see if you lengthen your life or shorten it , think about oscolds like male sex. how old is askold 45 years old and red meat, what piece? you give him fresh meat 200 tenderloin. well, 200, probably, yes 200 that's imagined that every day he eats a piece meat 200 g and is reduced in his life by one year 7 months. and 16 days you can not eat red meat every day. that's what, that is, let him eat, but at least not every day, but if white meat, chicken, turkey is white meat, let's see 100 g of white meat per day, our man of 45 years will receive a life extension

for months. 3 days it pleases. and if we add vegetables, he eats red meat, let's add vegetables. let's add a spout to it 400. we'll add 200 it won't work. well, we gave him a little life, if we add whole grains, for example 200 g whole grains, then already we have eliminated the dramatic loss, and already 5 months 19 days. we have extended its life. and if we give oskol 200 g of fruit. okay, every day, but only in the days of changes. in general, this is a very interesting thing. if you look at how you eat good. give me a good thing. what has science come to that today we can calculate how food affects life expectancy. today our topic will be flour and sweet. i don't even know if your family has it, because i look at the elenushka. i have her there

smells, probably flour. yes, well, you have to hold back. i just think that the amount of training for askold is for girls and for you. the whole family is so super athletic. he is such that you, probably, burn all the glucose, because this table is the trouble. it's not for athletes. it is designed for those who that's how i live, as they say, eat this cake. and then i don’t go anywhere to my gym anywhere. well, let's see how this affects life expectancy, let's go. let's do it again. we've all got a hold of something. in how much yes? let's go woman. let's go woman. how old i am still in this tablet 30-44 our ellennushka. so let's see what refined carbohydrates give us, but let's 200 200 - 6 months. and three days. this is if every day and if you do not play sports, because you do

it because the muscles. eating sugar is a muscle load in diabetics. maybe even reduce sugar completely to a few values, up to loss, consciousness, hypoglycemia, muscles burn sugar, but for ordinary people. this is minus 6 months and 3 days. i will definitely use now in front of you. before i give everyone the dough, i will definitely develop points. red meat is not completely removed. we just have to understand that you can eat a piece of meat 200 g. if you train and so on. the only thing? yes, just please do not do this every day. although if he is so accustomed there is no fish, i just said meat. yes, it's not always. yes, fish, white, meat, protein plant products, such as it were, and so on. now, so we have depicted all the sweets here. well, at least there's something ellen eats a long loaf, you can call it a long loaf, because i am from belarus. previously, we had a long loaf

. yes? i really like the croissant for breakfast, but sometimes i also have to limit myself. and i just want len to tell everyone who's listening. everyone thinks that you can eat a long loaf, a croissant. how long is the workout in the gym? for the whole family, for girls , for you, for you, for girls, it’s every day, and for you , it’s just a crazy load every day. well how many hours that's how many hours, well, that's at least four hours a day a day for a week of four hours. if you live like this, please, you can go more especially anton eat, you are handsome, if 4 hours a day, you are in the hall, we allow the truth, as doctors, please, what i want to say is not elena, she knows this better than me. what's happening? the fact is that glucose and fat are energy. we were

taught this correctly at the medical institute. glucose is energy quickly. that's when the muscle load is some kind of muscle activity. glucose is needed. immediately eat the muscles glucose is sugar, and everything is fine, if you do not have muscle activity and eat sweet flour flour sweet for the finale. this is sugar, this is glucose that the body evolutionarily understands that sweets were not available before, it was necessary to stock up, roughly speaking, it converts glucose into fat from one molecule of glucose, two molecules of fat are obtained, therefore, if you do not move, if you do not have a four-hour workout, here you are, fat is produced in your body. the body wanted good things, it stores energy so that you have it he hopes that you live in a large muscle load, but you have a temporary pause,

therefore, if there is no muscle load, then that's it. that's what happens, it was such a science. i also had to make a statement that the more sugar, the dumber the brain - these are also facts of life, but i want to return to the life of your family. here. and how much, when i compare them two brothers, it seems to me that he is softer and more compliant than the older brother. is it so or does it seem to me, and how much more softly compliant, and endure for a long time, but if it explodes, and if it gets angry, even offended, then he bears it for a long time, he says a little different. he is very short-tempered and explodes, but he quickly departs, therefore, where where is better where? it's hard for me to say. here you are married. we all read that you are a secret from others, that we were worried about that family and a friend

hid their passports, and for a year we managed to keep this secret even from our parents. and how did the parents find out at the askold, in my opinion, they found a passport, bought some tickets somewhere, and there was already a hawk. and how was the scandal. well, there was no scandal, because the parents were all against us for a long time. uh, probably waved their hands worried. well, we were able to survive all this and now everyone is already in the family . good relations now. you have parents and mom. oskol of course, we never even really discussed what happened in the past. there is no point in discussing you, because, uh, now, maybe i can understand his mother somewhere, because i am already a mother too and i also look closely, who looks at my daughter and thinks that, probably, soon. i will have to deal with this too. and how do i will i react? i do not know, well, i will try

to behave adequately with my daughters. you regret everything dad has to. it must be admitted that the rest somehow experience helen zapashnaya. here is such a wonderful , beautiful, current doctor, dermatologist, cosmetologist , wife . i definitely yes, the doctor she understands everything, right. thank you so much. thanks to your family. thank you very much, let's take a break and then continue. strelkovo, i told you ever that i love you. he spoke in june of the fortieth half a million soldiers of officers, when they opened the second front, who would have fought, do you know what they called the rescue operation? to

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joint health. it is, of course, it is, of course, about these unique products. i have much more in the live healthy program. tomorrow on first with you health again, dear friends. i want to remind you how our morning started today, and it started with pain. do you know with what problem people most often come to the clinic and hospital? it is pain every second who comes to us comes with pain. the tragedy of the situation is that 80% of those who turned to doctors with pain will leave us with the pain they came with. how to change the situation the answer to this question is known. that is

why we start this morning in the pain management clinic. this is our medical archive. the patient in pain is so severe that they moan and scream even when they lie down on the couch. then dr. halperin injects the medicine and the pain goes away the whole procedure lasts 10 minutes at this moment it is impossible to believe that this pain will pass, but it will pass. after the procedure, the doctor comes to the patient at this moment he really seems like god who is the best doctor in the world in this they are the greatness of the doctor in the world. not well really, how are you? everything

is great. i did not expect such an effect for the fifth day i did not sleep. let's maybe ask patient stand up or show. wait wait don’t walk, because maybe it won’t be in your legs. no , how are you, of course, how did you come to the wheelchair ? , the main magnetic resonance tomography examination right now is being attended by dr. albert. so see when you need to. now it gives away the right side, relax,

relax. i support you. but little by little turns well, and now i'll show you, well, they didn’t make manti in vain, and not in vain. here is your look here, unfortunately, this is not this joint that would be much for you just to come, but this is a strangulated hook that goes out here between the fifth lumbar and the first christ call. and you have to make a lawyer called transformers find lawyers. come on, i'll accompany you , let's go carefully hold. hold me, you understand? and it is necessary from such i understand. so that you have already understood somewhere around five years, however, and no non-conservative treatment can do anything. come on slowly. what you're about to see is not just a

blockade, it's an interventional pain management procedure. the main difference is that everything is done strictly under x-ray control. that is why i will now put on an x-ray apron. i roughly know how and where i need to get in order to block the nerves. now i'm under x-ray control of my needle. here she appeared right here. so the injection is not given somewhere doctor must hit exactly the target. the position of the needle is controlled by x-ray equipment. this is how the spine looks like in a small hole between the vertebrae, the nerf hole is inflamed and the nerve is squeezed edematously, so the pain is very strong, to make sure that the doctor got to this place under the control of x-rays , contrast is introduced without x-rays. pain. it's impossible to block. you see, the black one is gone

, you see, a genius is working. here is the contrast along the nerve, i will show you directly how to inject it. you see, like this this nerve goes down, so the heat contrast went down along the nerves of the leg and the patient gave pain to the leg. the pain disappears immediately, but since the nerf is blocked, the leg is not shallow, so the woman is now taken to the ward and will be allowed to lie down. and you and i must figure out what pain is, the source of pain is always there. nerve endings are irritated by inflammation and edema, squeezed by domestic tissues. nerf screams for help, this signal goes to the brain, and we feel pain. therefore, in order to block the pain, it is necessary block. nerf and swelling around the nerves. it is necessary to remove it from that one. and where did this edema squeeze?

nerf repeated once again without x-ray control this can not be done. now you see how dr. protsenko works as a source of pain in one of the narrowest joints, the junction of the sacrum and the pelvic ilium. so, look here, dr. wez contrast inside the joint, uh-huh, here is the thinnest, which is not visible iliac cross, there is evidence that it is inside your pain. and now here he will inject home the medicine, you already know for sure that he got into the church. today, i believe that he is on the territory of the russian federation. well, if not the best, then one of the best doctors who do this. this has been proven both by time and by the fact that patients come back to him. he is a big guy. in fact, this is not done in italy. that's how it's not

so easy to get into a joint, dr. protsenko sometimes reminds me of a kind giant with golden hands, huge and very modest. he works wonders the duration of the procedure is 10 minutes and dr. protsenko and the doctor. carperine anesthetic is the essence of their profession, pain relief has become leveled off. show vitaly viktorovich on the patient. what movements do you test before conducting a person is a stress test, that is, we ask the patient to bend over what was painful to normally bend over this area. everything back. everything is fine. a couple of steps back, if everything is fine, then the medicine is needed together. why there

are no such centers in every city of our country, i ask myself this question all the time. why are our anesthesiologists not taught this professionally, but dr. galperin does not ask questions, he teaches anesthesiologists the theory and practice of pain management . that is, as if everything is done super. i believe that these guys will return to their cities and open pain clinics there, in the meantime , people from all over russia come to dr. galperin because it will be impossible to endure. lean forward. oh and you could do that before, well, no, no, he sings exactly, and the doctor studied. yes, when i saw

you on tv, i decided for myself this one shaman i need it because i'm not a shaman no, i've been suffering for four years, and it's like i'm leaving, without pain, and so to sum up, if you have back pain, then first do an mri second. remember that professionals treat pain only by x-rays. if by eye we were back, look for professionals. it is very important. now let's go back to that first patient. remember, she just couldn't go out. well, how do you feel? wonderful i myself thank you very much. i'm so happy, i'm just like a new born. wait kiss at the wrong address, and i'm back and forth, because you invited me to the transfer. we

saw how we went out of this office into the treatment room. barely. bending over, now straightened up to bend over to eat so move your hip. i 'm dancing lambada for you now. and you don't have to ask. well, here's the marketer, he's really an outstanding doctor . we call him among ourselves. pain, well, you know, there are no words, that's how much i e emotions right now overwhelm me. i am so grateful to you for your golden hands for your e, the practice that you have already developed and give to us sick. and you know, what i want to say is that this is the kind of help people should receive in any polyclinic in our country, doctors can be trained. this should be introduced into all medical standards - this should become a mandatory part of compulsory

health insurance. yes, and happiness when such doctors come to work, that we have you and god grant you many more years of life joyfully. i'm just so glad. here's the word of honor. you got me right. on the color again health to all friends, because this is the most important thing, i am very afraid when they take blood, especially from a finger, but i want to say that it was the most painless taking. today, elena vasilievna talked to me about a blood test from a finger. i didn’t even feel the stake, which i’ve been afraid of since childhood. i will definitely write all this now, thanks elena. to you. it was the most painless blood draw ever. i have emoticons all sorts of hearts. good luck with your transfer.