each one after the other. in the dead of night, the scouts were at an observation post when they noticed the movement of an enemy detachment of about 500 people with a large number of armored vehicles, a night vision device, that is, they discovered the movement of the enemy landing, respectively, at first some small groups and a little after there were large columns, that is, i go down below . an attempt to break through the fighters quickly and competently adjusted the artillery fire, the enemy retreated, having suffered significant losses. always returned in the same composition. who goes to task. good luck should always be on your side awards on the front line were received by military personnel of medical units

, it is the orderlies who are the first to come to the aid of the wounded, they fight for the lives of those who came under fire from ukrainian nationalists, determine the severity of the injury, provide first aid, we perform all the necessary manipulations, and we load the person and take them out. 24 hours to court. mitya is a volunteer. he says that there are a lot of people like him on the front line who have made a decision for themselves that i have a family of children, and if i am at home, then who help our country. the mobilized servicemen across the country are being awarded on the parade ground of the training center, the head of the tyumen higher military engineering command school presented the award to the fighters. it's very nice. very nice to give.

heroes are not born, but heroes are manifested and tempered in battles, not one by one, but together with comrades in arms, supporting and covering each other. we will definitely continue to tell you about the glorious deeds of our fighters. after all, the story of each of them this story is about fortitude, courage and love for the motherland. you watched the hourly program see you exactly in a week. endless passions wake up healthy in the morning

health is with you again, dear friends. good morning. you know there are a lot of people in white coats in our studio today. these are the doctors of the famous botkin moscow hospital and from this hospital. we are starting a new cycle of our program. it is called the best loopholes of our country hospital. botkin can hardly be called just a hospital, because it is one of the largest scientific and clinical centers in russia, a huge medical center, history, which began in 1901 in 1901, the moscow industrialist kozma soldierenkov

bequeathed 2 million rubles. on the construction in the city of a free hospital for all indifference to the ranks of classes and religion december 23, 910 , the official opening of the new hospital. at the beginning, there were only three departments in botkinskaya - infectious surgical and therapeutic , and then the hospital was called, soldierenkovskaya, 1914, the first world war. the hospital becomes a hospital. the hospital is visited by emperor nicholas ii himself with his august family people come to see. under what conditions will the doctor only after the revolution of 920, the hospital assign the unknown infectious disease specialist sergei botkin, it is here that vladimir ilyich lenin gets into the votkinsk hospital after being wounded, his vip ward , there is still a simple soldier's

bed, an armchair with a canvas cover and three volumes, documents o patient since then, 100 years have passed. today, the botkin hospital in moscow, the largest clinic in russia, is not just a hospital. this is a huge scientific center here. 10 specialized medical centers 21 scientific chambers here are trained by doctors in europe's largest immu- lation center, so that you understand the scale of the hospital's work. here are the figures every day ambulances bring 300 people here. another 300 are hospitalized by the plan. more than a thousand people every day come to the procedures, the hematology and oncology center and the diagnostic center of the botkin hospital, centuries-old traditions and the latest technologies. this is what a mini-botkin hospital is today in the 21st century. so dear friends of the hospital doctor

visiting us and they are ready to answer your questions. but before you start asking questions. i want to say that, according to tradition, for more than 100 years in 1910 to 1922 , truly the best doctors in russia have been gathering at the botkin hospital, so it is they who are next to us today, please ask a question. i know that the botkin hospital has a large hematology center. my husband has leukemia. he is not being treated by you, but now he was told that he needs a bone marrow transplant. tell me, this can only be done by federal centers. you know, i am inviting here the deputy chief physician for hematology at the botkin hospital, professor and doctor of medical sciences. vadim vadim ptushkina. i want to say right away that professor pushkin is one of

the most famous hematologists in our country, and in a way that vadim vadimovich does not like to brag about. i will say that the botkin hospital is one of the three leaders in russia in bone marrow transplantation, along with two federal centers, the federal center for hematology in moscow and the famous rais gorbachev institute of hematology in st. petersburg for hospitals. but this is an unheard of success, so i will repeat it again. this is a big science center. so bone marrow transplantation in one vadimovich and you can or not in principle, of course, we do such procedures practically. weekly and you need to contact the hematology center of the hospital, botkin, we will consider all the possibilities and try to help, and i just want to say that here is a patient of the hematology

center, a girl who had a bone marrow transplant. tell me what was the most terrible thing in your life, what is the most terrible that i had this monstrous weakness and bleeding, half a year ago i had a bone mask transplanted. now i feel great. i have a lot of strength. i can run, jump, walk. everything you need for life. here's what an intelligent and humble doctor won't say best patients say. it was not a related transplant. yes, it seems, that is, a donor was found, it was absolutely a dramatic situation. because, starting from an early age as a child, two attempts were made to avoid implantation. it was a combined immunosuppressive therapy, however, with moderate efficacy and

relapses of the disease occurred. and well, there was no way out, how to try to replace. non-working cells by strangers working by strangers working absolutely right. it's been done. we are just happy for you, just happy. thank you so much. vadim the next question, please, get to your oncology center. i want to invite here a person who is responsible for the oncological service of the botkin hospital - this is dmitry nikolaevich grekov and we are with you right now let's go to the outpatient cancer center of the votkin hospital the outpatient cancer center of the botkin hospital is the largest in the country. patients here are examined , they are given chemotherapy, not leaving the patients overnight. now you see how chemotherapy works - it's an infusion of anti-cancer drugs. the main method of treatment in oncology is dripping for several hours. all this

time, patients can sit or lie all the medicines. these are the latest advances in medicine. these are all modern types of treatment in addition to chemotherapist and immunotherapy and targeted therapy for all who are treated here, according to the best world protocols. the effectiveness of treatment is pre-calculated. many patients are treated and continue to work. how do you say on the phone such a good state of health on the background of treatment. you keep working, don't you? you know, i specifically finished. these small interviews and a big story were filmed about an outpatient cancer center. i'm here greetings dr. lebedev with whom we went on this tour people are treated and working. this looks like an absolute miracle. answer the question. how do you get in? but today it 's very easy to get in. if, uh, you have any complaints, come, uh, to your general practitioner in your

clinic and get it. if he has a suspicion of a malignant formation, he will refer you to the laboratory environmental care center, where you undergo the entire examination, if required from conducting e, specialized anti-clitherapy. this you can receive 90 hospital. we have daily. eh, about 100%. is undergoing such therapy, they came in the morning and left the speech after the procedure went home already further to continue their daily routine. i just want to say that in the outpatient diagnostic center, the patient was examined before. that the primary diagnosis is always made by a polyclinic doctor and before being examined and fully treated at the botkin hospital, the most modern protocols are used and the most important point is the availability of medicines. i really love the latest medicines. they are called monoclonal antibodies. they are also used in votkinskaya why people can be treated and work because the drug acts exactly on the diseased cell and nothing else.

this is how we tilt antibodies attach to a diseased cell, how accurately and only this cell is destroyed, therefore, of course, the fact that you can be treated , work, be examined, work is a great great happiness, and we have your patients here. what problems did you come up with? how are you? now a little over a year ago, i was practically dying. now i already had a confused mind to walk. i could not. i have the same stand up so we know that you are fine i am i’m already going there to you not by taxi, but by metro with a transfer. i understand, thank you very much and more, that i even have. well, how can i say

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in yourself be closer with your loved ones now unlimited instant messengers are available to all mts subscribers. even at zero, and the amount of the defender system, your communication will not be interrupted by calls. activate the defender option for 30 days for free exactly 5 years since mikhail zadornov, the satirist whom some fans put on a par with such legendary predictors as nastradamus vanga messing from the world, will not be with us. russia will undoubtedly help out mikhail nikolayevich. yes, scientists did not take him seriously. something not in each joke there was a surprising share of the truth. budut wanted the people who listened to him not just to laugh, but to think about the lists of who should not come to the usa europe drank firewood. it was said 10 years ago

today this is how it happens numerology. but why did he not trust the predictions concerning him personally. i now may be such a secret secret tomorrow at first attention health to you again dear friends. today we are starting a new cycle of programs better than hospitals in russia. our first guests were doctors from the moscow botkin hospital, this is the largest hospital in the country, the largest simulation center in europe for training doctors, located in the botkin hospital 10 research centers, 21 clinical departments. this is not just a city hospital.

this is a huge scientific clinical and medical center of the doctor of the botkin hospital today in our studio, but in the hall there are people who, as always, need help, please ask a question. hello now there are many medical centers where they do lens transplantation. in our family, another problem is corneal clouding, we need a corneal transplant. you can help with this. you know, i want to invite the head of the ophthalmological center of the botkin hospital, dr. arzhamatova, to us, and i invite you to the ophthalmological center. we in the ophthalmological center of the botkin hospital. all surgeries are performed on the eyes ; changes of lenses; deaf people are treated. acute eye injuries are treated here. and now you generally see a unique operation, the patient is transplanted the cornea, the eyes do not see, and we suggested that the

patient undergo a through transplantation of the cornea. and if you do not perform this operation, then the question will be about removing the eye. and so, in order to save vision and the eye itself, it is necessary to replace the cloudy cornea with a donor one, dr. arzhamatova operates, and this is the donor eye, from which the cornea will be taken for a transplant. transport is ready for transfer, it must be absolutely clean and absolutely transparent. the cloudy part of the patient's cornea is removed, and a transparent donor's cornea is transplanted in its place. the surgeon works under a microscope with a continuous stitch, without nodules, requires great skill. the operation ended well. i really look forward to good results postoperative surgery, lasted 45 minutes. the patient has a chance to normally see the happiness

of watching the master work, before the doctor answers your question, so that you understand essence of the answer. i want to give the floor to a person who had a cornea transplant, six months ago, i stopped seeing with my left eye, and i was taken by ambulance to the moscow ophthalmological center, where i had a successful operation. ah, and now i read 70%, i see 77 lines, and i want to say. thank you very much to the doctors, thanks to whom i can again see a few words with my restored vision. i want to talk about the bath, because uh, why did we take her to the operation at our center, because she was denied in the federal institution, where she applied, because anya had several serious illnesses, and therefore it was

dangerous to operate on her in an ophthalmological institution of physiology, and it was impossible. this is a multidisciplinary hospital. if something goes wrong with other diseases , doctors of any specialty will come to the rescue, and we needed a good anesthetic resuscitation service in order for them to perform an operation, because not only was there a purulent corneal ulcer, but anechka was in a very serious condition . condition. and therefore, to see her healthy and sighted is, of course, colossal. happiness. and you already understood the answer to the question. yes , the cornea is transplanted at the botkin hospital. i want to show, here's a cloudy cornea. and globally speaking, but everything is simple with us. this is how you change it to transparency. i want to emphasize that not everyone, far from everywhere, performs such operations, but here they do. you can come to us for a consultation and we will decide already then, because we are actually

the only institution in moscow where corneal transplants with severe comorbid conditions are performed. come to us. thank you great, next question please. they don't do gastroecolonoscopies under anesthesia anywhere, but they say it's impossible and, uh, or you have to go to the hospital. uh, but you do understand that u prepare a bowel cleansing - it's such a thing that i would like to do it at home and use yes, my own toilet is intense in one word a question. is it possible to do it right on an outpatient basis without hospitalization at home to prepare, and then come? i want to say that the largest endoscopic center in the country has been opened on the territory of the botkin hospital and the head this center of dr. korzhev. i invite you to our studio. and we are heading back to the botkin hospital. endoscopic center

of the botkin hospital to hundreds of people a day. here they make a gastric voice copy and what procedure did you come to, i came to gaz as you can see in full. what a clever girl, because everything hurts, i don’t understand anything. but tell me, will you do sedation, will you sleep or will you not sleep? sidaqi is a medical sleep. but the main thing is that while the patient is sleeping, he does not feel any discomfort and pain, but doctor can do his job with ease. now you can see how the colonoscopy procedure works. this is an examination of the large intestine through the rectum using a video camera endoscope endoscopes. here special they allow in special beams. light to see all abnormalities in the intestinal wall. here we are now seeing the green light, but let us

judge. green light allows you to see in detail the capillaries on the intestinal mucosa in the early stages of cancer, the capillaries change shape so the doctor can recognize the disease before as the tumor begins to grow, here the procedure ends normally and the patient. now they will be taken to the recovery room. here people wake up from drug-induced sleep, patients do not just lie on the bed. they are monitored by special devices, nurses and doctors are on duty, and all the information received during the examination enters the patient's unified medical record, 2 hours after the procedure. you can go home. so do you do sedation, meaning the person is asleep or not sedated? here a man is tormented, he does not know where find help and paid or free - this is

also a question, but this is a unique project of the government of moscow and you can do gastroscolonoscopy under anesthesia for free within the framework of compulsory medical insurance in one of the diagnostic centers and, above all, of course, in our center at the botkin hospital, because we were the first and mastered this technique and offer different possibilities, taking into account the equipment that we have, that is, it is comfortable, first of all, for doctors, because you sleep, you don’t feel anything. you don't interfere with the doctor. just the value of the procedure rises when the lord, the doctor is not in a hurry, he calmly looks at you and so on. you know, i want to show you something else. this is very important, because today people still do not understand that a colonoscopy should be done in full health if you are over 40 years old. here you are healthy nothing is safe for you. koit go to this diagnostic examination, and here the dear doctor did not accidentally put such a model, which we call the life cycle of a polyp, here is a polyp that the doctor sees on a

colonoscopy and remove. maybe right away correctly absolutely vernoscopic center, if the polyp does not exceed large sizes, when there are threats of some kind of complications, therefore we removed the endoscopic centers right during the procedure during the procedure. here comes the water. and the polyp grows, sprouts the wall and turns into cancer, such a world standard. how often people should come for a colonoscopy it all depends on the first finding, that is, their first fulloscopy, if a person does not have any complaints, he should do, uh, over the age of 45 years, because the person who already seems to have some kind of predisposition. he still doesn’t know if he has some kind of problem inside or not, therefore, as you said, it’s comfortable to sign up at home completely calmly, including running to the toilet and cleansing the intestines. come to the endoscopic centers, again under anesthesia for free within the framework of compulsory medical insurance. and then, if something happens that may have

fallen out and immediately at the same time at the moment, of course, the endoscopic center will be performed. like this. and i want to say that we have a patient of the endoscopy center with the hardest fate. ksenia has crohn's disease - this is an ulcerative lesion of the intestines and thin and thick ksenia is observed all the time the disease of the declarer - it's hard that she is already operated on, but with this disease there is a huge risk of developing cancer, so ksenia must go for a colonoscopy every year, it's definitely true for ksenia, how do you feel in the endoscopic center of the botkin hospital ? i feel great. i liked it so much that i will come again next year, it's not scary, it's painless and you sleep. yes, during the procedure, right here like this is better. thank you so much. thank you. repeat the endoscopy center again. this is the moscow endoscopy center on

the territory of the botkin hospital, all procedures will be free of charge for a short time, and then we will continue. thoughtful concentrated indignant happy excited passionate surprised calm satisfied romantic can you be anything if you remain yourself all the richness of emotions at the

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little kolya, so let's move on. let's move on to the sixtieth birthday of igor golonov today at the first. health is with you again, dear friends. today we are visiting the largest hospital in russia, the moscow botkin hospital and wonderful doctors in white coats. here in front of you today, our patients, our viewers are asking questions to the doctors of the botkin hospital, please, next question. how much hmm, a person with a stroke has time to hmm get to the hospital, where you will save him. your questions will be answered by the person who heads the entire vascular center

of the botkin hospital. and this is the treatment of both heart attacks and strokes. every day, about 300 ambulances arrive at the botkin hospital, among them the majority of those who have a heart attack or stroke, all the most difficult patients immediately go to the x-ray operating room, and there the doctors really work. here, stents are placed in the heart and blood clots are removed directly from the brain, of course, in vascular center of botkinskaya in the literal sense of the word, right at the moment they return life to a person. you know, i put the layout here. eh, unique, we will return to it. this is the brain - this is the vessel with a strobe - this is the situation of the stroke. how much time does a person have in case of a heart attack or a stroke, when he should have time to get there, because the main problem is that such hospitals as the botkin hospitals are equipped with ultra-modern, if only you

arrive correctly? yes, it really is, uh, a heart attack, a stroke, and this is an emergency. and emergency and the faster the patient gets into the hands of professionals, the higher the probability, success and our treatment there is a rule of the golden window. this is from four and a half to 6 hours from the beginning of the wedge. tomatoes for patients with a stroke, of course, that is, if your arm is weak, you don’t have to think that you separated it, you have to call an ambulance to go to the hospital and decide what to think that it won’t pass in a day. i want to say that we have a patient of the votkinsk hospital nikolai borisovich nikolai borisovich was both paralyzed and could not speak. tell me how you passed out at work. well, the worst thing is not at work, because at work. i practically didn't feel anything. this is thanks to my colleagues who saw it all. but when i came to my senses, i

realized that my left side is not an arm, not a leg does not work. and i can't explain to the doctors, well, answer their questions, because i'm practically speechless. but the doctors somehow manage and without my answers they know their business and in intensive resuscitation i was so quickly, but during the first day, and i got into the hospital to the botkinskaya for, probably, 3:00, because i managed to work not far from it in the golden window. yes, by the end of the day. at the very least, i could talk to him from the intensive care unit. they brought me. well, in the usual normal resuscitation, where within three days, we practically put me on my feet. well, the truth is not quite speak there is no need to explain. you are cheerful and cheerful to tell us everything. here's how you move. raise both hands. so before they kind of get up sit down, please, you know, i want to

say that today we are not talking about technologies, but the botkin hospital has absolutely everything, but one of the first doctors of botkin steel. so, here is the throne, they began to physically extract the blood clot from the vessels. what level of skill do you have? i just want to say that this happiness is great for you vascular center. one of the oldest in our country. there are still some such young doctors, smart, efficient, who know their business, are in charge of such a serious issue. thank you very much. sit down to know, the next question. i've been diagnosed chronic kidney failure, uh, put on a kidney donation waiting list, and i need hemodialysis. and uh, please tell me how long i live on hemodia for and will i be able to work? here it is a small kidney, which does one thing - it cleanses the blood of

everything unnecessary and removes it with urine, if the kidney does not work, then without artificial cleaning of the kidney, and this dialysis can not do anything . i want to invite one of the most famous nephrologists, evgeny viktorovich shutov, to us, but i invite my friends about you again to the votkinsk hospital to the nephrology center. here it is one of the first devices for hemodialysis, despite its impressive size half a century ago, this device saved the lives of patients with kidney failure. today, the device is stored in the museum of the botkin hospital, and the hemodialysis room in the nephrology center is equipped with the latest technology and science. well, in my hands now, actually, the heart can be said, hemodialysis, this is an idealizer, here, which

now allows you to purify the blood with the help of diffusion. here they receive procedures every other day and they cleanse the blood well. viktor vasilievich has been on hemodialysis for the third year now . every other day, he spends 4-5 hours in the hall. see. now, if you lie down for 4 hours, you can keep up with life in the field of television. there are all channels, including the internet, each patient has his own cartridge here, this card contains all the information about the patient, his diagnosis and treatment regimen. before the procedure, the patient takes his card and, by attaching it to the reader , independently measures his pressure and all data is weighed and entered into the information-analytical system. and if the indicators are normal, you can immediately go to the procedure. and if there are deviations, for example, increased pressure, then at the beginning the patient will come

for an examination to the doctor, and then for hemodialysis. it is the most modern hemodialis center in the country. evgenievich well answer. is it possible to live on heme dialysis, and is it possible to live and work ? this is an old success, so to speak. we had patients who even the guinness book of records for the duration life has been listed more than 40 years hoped, that is, people who continue to work, that is, the quality of treatment is so good that actually. these people live the same way as people without diseases of the flesh, as, of course, success. that's modern medicine. here is the equipment that we have today, and you know today professor shutov brought a patient of this center to us. and were you just one of those who live in a bra. yes

, we didn’t do the legs and she had a peretalial diagnosis. these are types of blood purification. tell how you live and what you have at home, and i will ask that they bring it here for us, you know the worst thing. for me when i was announced to get mine stopped working. this is uniquely tied to dialysis. and this greatly limits the ability to live and work. and for me it was very important and i am extremely grateful to the doctors of the botkin hospital, who personally provided me with such a device, and with which i can be treated at home in the evening, including it works at night and purifies the blood, and in the morning i turn it off and go to work. it works. i run a small medical center and this is very important for me, because a lot of people and patients' doctors depend on my health. yes, i'm a liver specialist. here is such an irony of fate. let's show this device, because this device, this suitcase

, a person, in general, a professor can travel with it correctly. it is this device that purifies the blood correctly? yes , i want to say absolutely correctly that we are like an idealist in our country. started with botkin. here is the peritoneum. the first patient was taken claim. alice hospital blocks, she is in russia in the ninety-fifth year and here are the perfect instruments. this has led to the fact that now patients can receive this in front of the patient with the help of this device, which stands next to the patient, when he sleeps at night the device works, and the patient is free all day long. he can learn to work. as a matter of fact, i do not know any quieter country. actually the world can ride the journey now to live as a life. here is the most. the main thing is that it's a bit of a demon. i am a peretanial idealist of historical origins. exactly at the botkin hospital is correct, so this, of course, is an absolutely unusual

place located in moscow in the famous second botkin passage. thank you very much, we will break for a short while, and then we will continue the attention of the vacuum cleaner, always with you, poisoning, allergies, a hangover, it's time to drink polysorb

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for 999 rubles. therefore, new subscribers every month as a gift look, when connected, your gigabytes will constantly wait for doubling. you also want to hurry to tele2 salons, someone on january 17 will become our opponent. we will double the gigabytes of the internet. every month tele2 other rules the year of the rabbit comes and let it be cute white and fluffy, how not to get sick on new year's eve, what to tell the children who will celebrate the new year without parents, the live healthy program enlightens and helps. for the first with you again health,

dear friends. our program continues. and you know today the health program is starting a cycle a new cycle in our program, which we have named the best hospitals in russia next to me, doctors of the moscow botkin hospital and i want to say that the botkin hospitals are absolutely unique place in russian medicine and in the history of russia, not only because they once treated there. and vladimir ilyich lenin and other famous people, but above all, because the botkin hospital this is the largest hospital complex in the country. this is a huge scientific and clinical center and this is the place where all the most famous changes in medicine and new technologies historically began. all

new methods, and it is in the botkin hospital that the best doctors in russia traditionally gather and work today, doctors are sitting in front of you, and spectators are sitting in the studio. and you you know, we doctors like to say that medicine divides everyone into patients and doctors, so since we are here, and you are there today, we are answering your questions, please, the next question is how to get to you for arthroplasty and which prostheses to throw away and who chooses a doctor or a patient with arthroplasty, dear friends, your question will be answered by the person who heads this service at the botkin hospital valery yuryevich muravyov professor doctor of sciences. i invite you here, and we are going to the botkin hospital in endoprosthesis center. so, the endoprosthetics center at the botkin hospital

is one of the largest in our country; any joint can be replaced here ; moreover, the unique technologies that have been created here allow you to make individual designs. for each patient, doctors will calculate these designs on a special computer, make 3d models, and then print them on a special printer. today , the most famous orthopedic traumatologists have been assembled at the botkin hospital and this group is headed by professor murlev, and so. well, answer the question. whoever chooses endoprostheses, the patient or the doctor has a lot of prostheses, there are ceramic ones, there are metal ones, that’s how this release is carried out together, the thing is that there is a certain position from the patient and medical indications . he wants, uh, as always, that the prosthesis lasts a

long time, that is did not wear out and it also depends on the quality of the bone and on the anatomy, so we select there and listen, so to speak, the desire of the patient. we do an x-ray examination, sometimes a computer tomogram, because in sometimes it is impossible to find out the intricacies simply by a radiograph and on this basis we select, because it must correspond to the anatomy, for example, of the femoral canal. let's show something so beautiful. yes implant stem, cup patients exist with standard declension anatomy certainly. here i also want a knee one here - this is a hip one, these very individual implants that are made under the patient. yes , this is actually the doctor who brought us absolutely real implants, which will be tomorrow. he same his team will be implanted implanted in the patient is done. the 3d model is according to the computer and the tomogram and

the component is planned, which is in the operating room and before the operation. we imagine how it should be and the anatomy lies in front of us for the operation. there is only bone here, and there are also tissues, so it is very important to make the right access and place it correctly, but this is according to preoperative planning, and then such a manufactured individual titanium component is restored. and uh, given just the big difficulties of the patient, then it will fit there in the same way, right here. yes, right here. here, taking into account the processing, now for a second, into a simply porous, pomorous one for fixation, so that it grows here, so that it grows with its own tissues and blood vessels precisely in the bone. here the pores are sized for the best ingrowth. we have now done a study according to grant, which is ideal for the patient

for kostya, which looks like a melting. and now , exactly what should be growing quickly and for a long time, let's say so, is being produced. i just want to emphasize. it looks like a city hospital. and this is not just a hospital where you will be transplanted with an endoprosthesis from among those that exist, but the entire structure will be created specifically for you, calculating in microns with incredible accuracy. everything that will give you the opportunity to live in peace. i want to say that today we have a patient with a difficult fate, because ivan anatolyevich is a young man, but he got into a car accident, after which he lost his arm and his knee joint did not bend, because there were adhesions and so on you were operated on in the center botkin hospital. right? tell us how you are now and stand up we need to make sure

that the knees bend. well sit- sit down after getting up after the wrong urgently after the accident, he practically did not bend and walk for long distances. i could not, in connection with everything, to have strong pains both in the back and in the leg, and so i turned. for this prosthetics , after that, literally, the rehabilitation was literally a month, probably, and a month later i was already able to walk without crutches and perfectly. let a man tell from his experience how you got there, i turned to the local clinic at the place of residence, and they gave me a referral directly to the botanical street. everything is free, everything is free, of course, basically, that's all, how long will your prostheses last, well, given that here we did it under computer navigation. uh, according to the terms of survival of the knee on average in the world

15 years, but computer navigation. it allows you to set an implant individually for patients, especially in such a difficult situation. there is no standard solution here. uh, because the joint was smashed hmm, the anatomy is completely broken, and therefore we planned with x-rays using computed tomography, and performed it under computer navigation, that is, individually. under this patient, all axes were exposed, so the implants work like their own knee for life and, perhaps, we congratulate you that you know, i just want to say that these are outstanding world technologies that everyone has at their disposal. here are such wonderful doctors at the botkin hospital. next question, please, my husband was diagnosed with cancer. pancreas. we are shocked. you can save him. you know, what i mean to say is that we have a brilliant team of surgeons in the studio.

here mikhail mikhalych was brought up by vladimir vladimirovich belin, this is all professors and unique surgeons, the entire team is led by academician professor doctor of medical sciences alexei vasilievich alexei vasilyevich chief physician of the botkin hospital brilliant operating surgeon, chief surgeon of moscow and, of course, in the hospital other bosses there are all surgical technologies . but before we go with you to the operating room. i want to say that the hospital has opened a liver and pancreas surgery center. why the pancreas is such a terrible organ aleksey vasilievich the pancreas performs two very important functions. the first produces a secret for the digestion of food, which is secreted into the duodenum. that

's it, i'm showing. here these balls stood out, this is food and dissolved the balls exactly inside the kishera. this is to maintain blood sugar levels, but when the pancreas becomes inflamed. uh, sure there's a sugar disorder blood. but it can be how to react, but the whole drama of this situation, that pancreatic enzymes go into the surrounding tissues and digest these biologically aggressive organs and interventions on it, of course, are coupled. e a number of negative consequences of the intervention require a huge. mastery of great skill and technology and technology and dr. shabunina is his team. here they are. these people are in the hands of those who have

colossal professionalism and the best technologies. from all over the country, the most severe patients with acute pancreatitis, cancer of the pancreas and liver with diseases from which they used to die. now he is being assisted by a robotic assistant. almost no one in the world operates on the liver and pancreas with a robot , but the shabunin team can do it, look. here are the hands of the assistant's robot. and this is how the surgeon doctor, shabunin, controls them. the human hand can only twist and end. this is how dr. shabunin owns all operations on the liver, pancreas and abdominal cavity, when i came there were only extensive abdominal interventions traumatic. these large incisions are

traumatic manipulations, and the next step that has befallen my surgical life. than himself at the beginning is laparoscopy this operation is called the second french revolution, because the first french performed laparoscopic cholesterol. now you see how the doctor. shabunin operates with the help of an endoscope, minnow or and controlled incisions. there are no stitches left on the patient’s body, and rubtsov removes the gallbladder , the stomach affected by cancer, severe tumors of the abdominal cavity, he has in surgeons. everything from open surgery with large incisions to surgery with a robot assistant , the advent of robotics is also a revolutionary step. it seems to me that robotic surgery, when the surgeon controls it, but the robot increases its

capabilities. surgery on the liver and pancreas is very long, they last 6-8-12 hours, but life is worth it. people don’t get tired of fighting and surgery and in this sense they are reliable robots. here comes, this is a brilliant team of surgeons at the botkin hospital and i wanted to say directly. stand up and you want to applaud the guys, really, because they are really outstanding people. alexey vasilyevich let's answer the question of how the pancreas pancreas. this is a fairly common disease in oncology, and uh, unfortunately, this is a rather malignant process. here it is necessary and above all precisely the diagnosis and chemotherapeutic treatment together. e with

surgical intervention surgery. it is also complicated by the fact that this is an operation that is performed on a biologically aggressive organ and these enzymes that i talked about, they interfere with them and the patient. but today there is, uh, a whole range of technologies, a whole range of surgical techniques in order to eliminate these negative ones. these moments should be leveled and, first of all, early diagnosis is necessary. i want to say that, of course, pancreatic cancer is a severe aggressive cancer, of course, in most cases the prognosis is severe earlier. we believed that people simply do not live for more than two years, but today we are in the studio among numerous patients. uh, botkin hospital and a patient who

survived pancreatic cancer was operated on at the botkin hospital aleksey gennadievich kiselev aleksey genovich. our colleague. he is the doctor here, the second doctor. willy judge was among the patients. tell us what was the worst thing for you. and how many years have already passed with the very operation that the doctor, shabunin, performed for you. well, the worst thing that happened in my life. it was 2014 when i was diagnosed with a malignant tumor of the pancreas. well, well, fortunately, i did not raise the question of where to operate. i knew, that's because with alexei vasilyevich e we are familiar with the student bench. that's right, trust your life. i could only have a person whom i trust 100%, this is a wonderful doctor, a talented surgeon. here it is, thank you. here

is what he agreed. uh, take me as a patient. and now 9 years have already passed, as i live a normal life, and that is, i have no restrictions. that's why many thanks to you aleksey vasilievich health safes to the team that's to the whole team of botkinskaya hospitals that put me on my feet. well , they gave a second life. to say the hardest case, er, and in fact the defeat was great in general. we have in surgery, uh, we don’t operate on the rules of close people of relatives, but here, having weighed this whole situation , i decided that we formed a powerful team to operate, the intervention was very long. there were damaged vessels. it's about eight o'clock, that is, the whole

day and he gave him what he was lying, but, but we worked at this time, but we are also happy alexey vasilyevich the whole program today dedicated to the botkin hospital. you have been the head of this hospital for many years and it has been transformed under your supervision. the largest research clinical center , put an end to our program, two words, i still want to return to history, and uh, because the botkin hospital has always united great doctors and scientists, and uh, several names are professor gettier. the first leader is professor rozanov dailin vasilievna, this is the same rozanov who operated on lenin and stalin,

who was friends with bulgakov and was the prototype professor preobrazhensky from a dog's heart. this is professor negovsky. the first resuscitation in the country is a professor. damir was the first anesthesia in the country, and so on and so forth, but he spoke about them because he was thanks to them. a foundation has been created on which we are today taking these breakthrough steps of the obodkin hospital. today, these are all areas from emergency surgery to open heart surgery, from robotic interventions at the da vinci complex to order transplants, we, today, carry out hundreds of transplantations annually and include

in the top three in russia in organ transplantation along with transplant institutions for the hospital - this is not audible at all, the result and the point is not that we have a lot of things, uh, with operational resuscitation, although i will say two numbers. this is about 100,000 inpatient accidents. every year and more than a million outpatients every year, the experience is unthinkable. every day we hospitalize and discharge 400,500 patients every day every day, but the main thing is the strength of the botkin hospital - it is the most powerful. e staffing today. that's more professors - that's five full members of the russian academy

of sciences and only a part of these professors are present here, therefore the botkin hospital is a modern, powerful, scientific, educational and medical institution in russia, and preferably. i want everyone and