cribs in clinical departments never because you completely changed into sterile underwear and you had nothing in your hands. it's the same in life as a profession. you won’t look, you won’t tell, and if you’re standing in the operating room, then literally someone’s gesture depends on every millimeter of your movement. it was here near novosibirsk in the center of meshalkin that great medical discoveries were born. this is ice, the most famous hypothermia of a person was cooled, literally, falling at home, snow, a chilled heart tolerated the operation better, and the man survived during his work. the academician himself. meshalkin performed 33 operations that no one in the world had done before him. he began to operate on heart defects in newborns, and then it was in the meshalkin center that the treatment of babies with heart pathologies was put on stream and became

a routine. today the center wears and does not stirrer. it is no longer only cardiac surgery 8 research centers for children and adults. oncology and oncosurgery neurosurgery and of course supercardiac surgery in our own production of prosthetic valves, heart and great science, here they are ready to help everyone with siberian latitude and love, relying on the best achievements of international medicine. you know, we often think about how to tell about the great medical centers that are in russia it seemed to me that the best thing is, and doctors tell through your stories through your destinies through your questions. therefore, we have invited to our studio those people who write to our program, call and ask questions related to the life and

death of their loved ones, questions related to serious illnesses. here are the questions. you today you will ask us, and they will answer them. doctors of the research medical center named after academician meshalkin and we do this only so that you understand that not only in moscow they save and work according to the highest medical standards. but there are technologies that are not available in moscow, but in the center of meshalkin we start with questions. and you know, my child lived and suddenly began to suffocate. the examination showed that he had a heart defect. what does this mean? 'cause it's never happened before to this question. a cardiosurgeon, dr. khapaev, will answer you right now. so heart defects in children. here stands the heart of vices.

there are different cases of defects of clones, there is an open septum. are there any defects in the aorta, right? yes all operations are. that's what you can say to mom today medicine, at what stage of development are they now? we perform the entire range of heart surgeries in children. the examination is necessary for this. the first examination for a child is echocardiography, which can be performed on an outpatient basis in a polyclinic in any clinic, and there, if a congenital heart disease is suspected, then a more detailed examination begins; the patient sends the patient to a cardiologist, if necessary , a cardiovascular surgeon, who must firstly determine what kind of heart disease the child has, and secondly, determine, and enough whether the examination that has already been performed, if not enough, yes, uh,

the patient does not appear in the frame, the surgical hospital. for a more complete examination. there are inside the heart in the valves there is in the septum, which separates the department like this hearts. that's it, these are children's heart defects, but there are situations when the aorta is our main vessel with some defects and it needs to be changed right now. i invite you, here is operational. where does our wonderful doctor work? the operation is duty, so that the girl’s heart and brain survive , the heart-lung machine will work, and it will lower the temperature to almost thirty-two degrees, now snow and ice, as in the last century, are not needed, everything is done by machines. this aortic prosthesis is now being prepared for the root, so that there is something to sew on. here is the prosthesis. plus you

put the valve, yes or leave it to store your arterial valve leaflets in a girl from birth, located incorrectly , the surgeon will correct them surgically, and replace only the aorta with an artificial prosthesis, now lower the prosthesis into place. a synthetic prosthesis is put in place and sewn to the sides of the heart tissues. from the outside, it looks very simple, but it requires great skill of a cardiac surgeon. now angelina's heart will work like a clock measuring the minutes of life. you know, we specially show you operations so that you we realized how technologically everything is happening today, but angelina is our beautiful angelina is our guest today

. right? well, the worst thing was that the child began to feel unwell after the examination. and the doctor told us that surgery is indicated. tell me, please, that's the point . we filmed your operation. how do you feel? now at the moment? i already feel quite good. a better than was before. this is a frame, let's say huge. thank you for the health of our child. here's a story that was diagnosed with corruption, a child examined a child who had everything operated on. in order, these operations in the meshalkin center are done free of charge, of course, thank you, doctor, sit down, please , and we have the next question in the family

. he is very afraid that this operation will disfigure the face of the child. i would like to ask a question if modern methods are ways to solve this problem in order to do the operation and keep the face normal. i want to say that the meshalkin center actually began as a center for cardiac surgery. today it is a multidisciplinary center and neurosurgery. they are simply brilliant. i want to invite here the leading neurosurgeon of the center, please come here pavel alexandrovich semin pavel alexandrovich here, and operations when the tumor of the facial part of the skull bones is always a difficult operation, but you have done unique technologies. when this part is completely restored for children, and this implant is here, what is special about us, this implant is very light, and it starts well, but

outgrows the tissues, there is absolutely no rejection, and it completely repeats all the defects. if there are skulls, then we are planning. before the operation and after the removal of the tumor, we completely remove the bone defect , so we do it all at once. the implant will completely restore the bones, that is, there will be no hole where the tumor is removed, and you can see it all in the hole. it is made so that vessels sprouted so that the child could grow, so that life could continue absolutely normally , we go to the operating room, where our wonderful doctor works, his neurosurgical team performs similar operations. patients were always considered crippled, they were saved from death, and they had to live with a completely mutilated skull, but madina should remain a beauty, so it was for her that surgeons made special implants an exact copy

of the removed bones. skulls appearance of a girl. after the operation will not change the hand so no blind, even if even there you will be there. it takes a lot of time to blind a trapezoid with a hand, so everything was calculated and the computer made the absolutely exact shape and features of these holes with skulls. they are specifically designed to grow tissue there. yes, here she is for the fabric. this is what we have provided for fixation, everything is even that the girl's head will grow with her. so you bones must grow and move apart. see, we're fixing the cog right here, but not much. that's when it will grow, i will move. the operation lasted five hours right now mother is in touch with us and this is the girl madina and

nargiza, girls dear, you hear us. here we see that the girl’s skull , completely restored by nargiz, is crying all the time. she has a slightly closed eye. this swelling will pass. how many days after the operation in the order of two weeks, that is, little time has passed. about a month, the chirp is needed to completely restore the dargiz. so why cry now? hello why do you pay my dear next to us is your house doctor, what will you tell him? thanks kowtow what we to we are proud that we came to meshalkin's clinic . thank you all. thank you so much for your kind words. once again i want to show that this part is completely replaced. if the doctors had not done this, this part of the face would simply not have postoperative edema now, it

will pass and everything will be fine. meshalkin center novosibirsk russia we will take a break for a while, and then we will continue it is not worth waiting until the pain becomes too strong, nogin is not worth enduring. pain. how beautiful is she? take me to your philharmonic and get a musical education for a start. and there let's see if you don't have a guitarist. i can do it with us and cleaners no for my love to the ends of the world, i would go further, if i had to, i love you, marry me half an hour before spring. big premiere

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effects at once, the fight against viruses, the elimination of symptoms. arvi removal of inflammation, and also colds are suitable for children, viruses season, remember about ergoferon, love quickly. love for a long time. love sweet. we are talking about sleep. what did you and welson think? you can fall asleep in just 20 minutes, sleep soundly through the night and wake up easily. in the morning, order online with a discount of 50 rubles. sneakers only in magnet collect the entire collection and don't miss the pasta from 48-99 when it solves delicate problems, releasing heaviness in the stomach , allows you to remain light and live a full life for adults and children from birth. we are no longer the kind of readers who care about perseverance. we don't need to look at the same screen to be on the same wavelength.

feel like owners. smart doggie and the house we change technology like gloves and technology changes you like people no one knows how we will change again and what awaits us around the corner, but we are not the same anymore. mts creates an ecosystem of digital services that are constantly changing and changing habitually. what is this new logo?

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roared. we trust reval. we choose a rinival for the 90th anniversary of the people's artist, once you first came here you were considered handsome or, on the contrary, scary. do you remember what you gave a nickname, yes, gross and something thought that it means a beast, but in fact it meant a freak. and women like you. i don't know, you only had children with two women you were married to. at least i have not yet met anyone who would rush towards me with a cry. hello, i'm your brother in general. maybe i locked all the doors in the house so he couldn't come in, so he climbed on the roof and went down through the chimney.

you yourself understand what your grandmother was doing then, this guy always said, crazy belmondo through the eyes of belmondo today on the first and you agreed to all the commercials for absolutely everyone. i kept thinking it would end soon. health, dear friends, our program continues. doctors are sitting with us today, all the doctors came to us from siberia from novosibirsk and the famous scientific research medical center named after meshalkin. and people who are looking for a way out of the situation are sitting in the studio. and i am sure that all the best is only in moscow. but this is not so, russia is big. and generally speaking,

that in novosibirsk this is the center of russia geographically, because in all directions minus four hours plus four hours and in the geographical center of russia the highest class medicine, please, your question is my brother, and an intestinal tumor, but during the examination, they revealed a threshold, and natal valve, and one doctor refuses for a defect, while others refuse for an intestinal one. during the course of the most miserable situation you know in these cases, operations that are done are called hybrid, because you need a center of such a level where they can work with several teams of surgeons. i will now invite two doctors here at once, a doctor of peasants and a doctor. nikitin come to us, please, one of

them is a cardiac surgeon, and the second is an oncologist, and i must say that today this situation is frequent, when a patient begins to be examined, cancer is found due to bleeding from the rectum, and they are preparing for surgery, they find the threshold of the heart. right? it is not uncommon for medicine to become powerful. here is a very similar situation was in the center. here is your answer to this woman. can you help every abdominal surgeon surgeon? yes , of course we can help. for this , a team approach is needed, which is actually implemented in our center. now let's go back to the meshalkin center because we filmed a patient there who shocked me in their cheerfulness , we came to him, but he was just happy with the operation, although the glass of the rectum was bleeding, there were two operations, but now there are people with whom life is easy, we go to the meshalkin center and then after this operation you

you yourself can ask a question to this patient, he will be on skype in touch with us, the operating unit of the meshalkin center will operate on one patient at once . all would be great. yes, it's good when the patient is positive. this is what the valve process looks like. this is exactly how it will be in the human body, but it will be packaged in such a small tube right now. the fact is that the prosthesis is made of metal with shape memory in ice water. it can decrease several times, and in the warm heart it will take the required dimensions through a puncture in the thigh, the prosthesis leads to the heart.

but it’s not like that, you just need to prove that the valve works well, the quality of the work of surgeons is checked by an ultrasound doctor. that is, you are the people’s control, if you say you did it badly guys, then what then on the ultrasound diagnostic device you can see that the valve is good and reverse current there is no blood. we are glad. normally, it is possible to remove a cancerous tumor in the intestine in the operating room of the second team of surgeons, but there are no incisions either. there will only be punctures or a video camera in the abdomen by surgeons, endoscopists directing the cavity , instruments and tiny video cameras are introduced. we see the patient's tumors of distant metastases. in this patient, it is unprofitable for the surgeon

to cut off the cancerous tumor and sew together healthy tissues. intestinal operation. we are nearing the end of the tumor removed by the threat of life is no more. so, i don’t know if our viewers understood or not what the cuts were? i want you to ask this question to patient vladimir viktorovich vladimir viktorovich you are with us on connections. hello, i'm glad to see you, your doctors are standing next to me, as now the mood is excellent. we have guests here in the studio and in one family the same situation as you have bleeding from the rectum and the threshold of the heart was found during the examination there is a question. ask a question, please, could you show the cut. what size did they cut your sternum like this. no, you understand, the father is only lactoscopic holes. here's how

it was all done. and there are umbrellas. share probes. that's all. you understood the two most complex operations were performed without a single incision. right? i want to start a dominant surgeon who is modestly silent, because the laurels went to a cardiac surgeon. maxim konstantinovich, you worked endoscopically, yes, where a puncture is made in the navel, one puncture is made in phuka under an optical cockroach. let's show it right here. so it doesn't split. the sternum is not cut, the stomach is not shovels here, there is a video camera with a diameter of 10 mm, one puncture is made, on the right right suboccipital region 12 mm. one puncture five-millimeter hypochondrium on the right and one puncture to the left not beyond the touring area all

the valve here in the heart is also made through a puncture. is it really one puncture? here , approximately in the groin and along the vessels, they rise up, the valve itself is, of course, just an amazing thing. here is the valve. it is large and, of course, you cannot put it through a puncture in this form. but it's a special shape memory metal, right? what makes it special is that being in a cold environment it is capable, it is able to shrink and decrease in size, which allows it to fix the delivery system in the form of a tube and bring it into projection human arterial valve. you know, even he will tell. you can see that it has become smaller. that's it. that's how his doctors reduce reduce reduce reduce reduces. so

it turned into a tube, this tube was packed and delivered to the heart, and in the heart it was warm. it reveals itself, of course. it is a shape memory metal. these are the miracles of the most complicated operations. they do it for free too, right? absolutely siberia comrades there do not take money there they save from death. thank you guys. we have the next question. please sit down, my daughter was born heart disease and not with one. and we are simply already tired of traveling from one regional center to another from one hospital. in the other, the girl does not have a permanent doctor, there is no constant supervision by the same doctors, you could take her under full supervision of us. and if any operations are required, so that everything is done at your place. i want to invite a doctor, soinov, he is a cardiovascular surgeon. and this is a serious question, especially for children

living in the provinces, when they are diagnosed with heart defects, and then they travel from one place to another from one regional hospital to another, the center of meshalkin is historically famous for the fact that you do not leave children, you take them from birth and repair them. heart according to standards step by step, this is how the family asked a direct question. you can take a child under your wing. can you? yes, of course, well, ilya aleksandrovich is a wonderful surgeon. and now, and i want to show you, and one of the heart defects, because this wonderful girl is sitting with us where you are, my dear world, she is the world miroslava here she is beauty miroslava miroslava has already undergone three surgeries. look at the condition of the child. let's look at the screen. see. here is the heart. now we will cut the heart and show you the pulmonary

artery. yes, it's the pulmonary artery, where does it go? here it means that miroslava miroslav had a lack of a valve at the first stage, that is, there was no valve, that is, the blood went forward and returned back and there was a defect. artery valve defect, let's say, here is a valve defect in the pulmonary artery, two operations, when we were in the novosibirsk center, it was already third operation. and you know, here, we have here all kinds of 3d copies of different parts of the heart, they are made in the meshalkin center before the operation. why do you need them. here are these bizarre copies of children's heart vessels in order to see how to evaluate the pulmonary artery and the possibility of performing any surgical intervention, for example, in some cases, we can perform stenting of the pulmonary valve by this stenting. that is, as much as

they told through the vessel to rise to the heart and replace it once you need to change the vessel. here some girls. she needed a pulmonary artery replacement, that's all. this was done and the valve was installed three times and the correct pulmonary artery implant was selected. miroslava well, you will say at least two words to us or you will smile with all your wonderful toothy mouth. well, while miroslava smiles. let's go to the meshalkin center miroslava is 5 years old, she was born with a severe heart defect, the tissues have grown together and the blood from the heart did not enter the pulmonary artery. well , such a terrible moment, this is when when the child was born, and there was no clarity, will survive she or not, but the girls were lucky, because the doctors of the meshalkin center came to the aid of miroslava, her heart is being corrected step by step by children's cardiac surgery. girls. we have already performed two surgeries, removed

the heart tissue that had grown together from birth, and put in a prosthesis so that blood could freely pass into the pulmonary artery. and now we have another operation. the girls will fix a broken pulmonary valve and replace the mortar with a new valve that allows blood and heart to flow into the pulmonary artery into the lungs and then closes to the blood did not return back to the heart until the operation was performed 3d modeling. that is, the prosthesis that will replace the pulmonary artery is first created on a computer, and then printed on a 3d printer. why is it important that the surgeon can see? what size prosthesis do you need? like a child or an adult? it doesn't matter to whom but this is another thing. look, here's a whole heart, but the doctors will work. here on this blue part

, it's the pulmonary artery. right now, uh, our radiologist will isolate only these pulmonary arteries, there will be nothing else, and then the engineers will print it on a 3d printer. this is how a 3d model of the pulmonary artery looks like with it , doctors will select a suitable prosthesis. but the donor organ in the operating room is a pulmonary one, and the artery, let's say, was taken from the donor. here is uh man. yes, this tubular part is here with us. valve this is going to be sewn in now, yes, absolutely, so the valve and the new pulmonary artery. it's all wonderful, surgeon. ilya soinov will be sewing for almost 2 hours, but miroslava

will start a new life. tell me how are you are you feeling good or bad right now? fine? what are you dreaming about, my dear. what would you like to give? here you will take such a bear with pink bows. do you remember this doctor or not? remember, well , how good he is, and you read the fairy tale dr. aibolit so say. you are me in the end. yes, yes, people will think that you are not talking. with miroslava, sit down. well, now, i just wanted to show the child the valve was replaced along with part of the pulmonary artery. everything is pre-calculated everything is selected. done perfect. can you help this family, of course, one more question. you

do these operations in the center of meshalkin for free. wait or russia now comrades. this is siberia for a while, and then we continue your heart with a complex mechanism and regular intake of cardiomagnyl helps to take care of his heart health under control every day. yellow eyes shoulder to make it just impossible to sit still and just listen to the sound. and now i can say for sure that nature does not rest on children. we don't need a special reason to get together with families two stars fathers and sons watch the new season after the evening news wave.

we change technologies like gloves. and technology is changing you like people no one knows how we will change again and what awaits us around the corner, but we are not the same mts creates an ecosystem of digital services that

are constantly changing and changing habitually. what is this new logo?

where can i find it? i stopped. how are you here, before judging others, you need to deal with yourself. this pear is here to be beaten this morning according to the horoscope peace of mind under any circumstances.

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we do such things 10 atmosphere on the planet. it's just perfect conditions for stargazing. cleaner life of others premiered today at the first and a serious test for the back arthroxicam cream, a modern pain reliever in maximum concentration contributes to the relief of pain with ateroxicam for accelerated penetration into the hearth. health is with you again, dear friends. our program continues in our studio today men in white coats. these are my colleagues, amazing doctors who came to us

from siberia from a scientific research medical center. meshalkin this famous medical center of academician meshalkin himself has long been dead, but i belong to that generation of people who studied from meshalkin's books and knew that in novosibirsk in akademgorodok and absolutely incredible medicine scale. today we introduce you to the best medical centers in russia our guests from novosibirsk answer your questions, please, the following questions a grandson was born. uh, during the examination, they found a brain aneurysm. uh, the baby is healthy, but the doctors told him to have an operation urgently. what to do? i'm in shock. i would like to invite dr. pavel, a brilliant vascular surgeon and neurosurgeon, to join us. selezneva come to us. i want our camera to show this

just absolutely adorable baby, who was still sleeping slept before filming started, and we thought he would sleep like that, but he woke up next to mom and dad. what is your boy's name konstantin this is konstantin what does it mean calm balanced and we see that the child lives up to his name? how long is it back there? he underwent, in fact, a neurosurgical operation. the operation was carried out. well, almost a month ago , almost a month ago, he was operated on. how does he feel? fine? fine? what would dad say. everything is fine. everything is fine. answer the question to the family. pavel olegovich an aneurysm was found in a child, it turns out that in maternity hospitals all children are looked through the fontanelle. everyone is checked, at least. this is done in siberia found aneurysms. it is necessary

to operate on this and why onivism is dangerous, in general , any vascular pathology found in the neonatal period must be operated on, or the established deadlines for surgical procedures are important. what are the threats to the child, the biggest threat is a gap, and neurosms are a gap. well, any vascular pathology can rupture and form a hemorrhage in the head. this a stroke is a hemorrhage in the brain. see here is the layout of the brain. this is how the hemorrhage from this anna is formed - it is a pathologically dilated thin vessel that can break just for no reason. i invite you to the operating room where this wonderful doctor works, because once again these unique , amazing, ultra-modern operations are done without ruin, just like through a puncture.

the hip doctor brings the conductor to the bridge of the child. let's see what's going on there. this baby will be today to save from a stroke, neurosurgeons must block the pathological vessel, which can burst; they will do this without a single incision. the child will sleep. i want to ask you how an anesthesiologist threatens intelligence. whether the child has it or not, through a tiny puncture in the thigh through the vessels and vera, the neurosurgeon approaches the brain to the site of the pathological vessel, the conductor is inserted with the thinnest spiral. a spiral is placed right there in order to create a frame, this is a special thrombosing of a dangerous vessel. then

a special embolizer solution is injected into this place. he glue behind each action of the dot - it is literally before our eyes that the blood flow of the pathological vessel stops, in order to check whether everything is done well? we introduce a contrast agent. oh beauty, how complete? yes, everything was closed, this is how the vessel was before the operation, and this is how everything looks after the threat of a stroke, the baby no longer has. you are happy. yes , i am satisfied with the result, in an hour the baby will be awakened and nothing will threaten his life. well, you have already understood that the baby has passed an hour, you woke up

almost a month after the operation. here he is our wonderful konstantin does not cry without a pacifier, but looks at us with interest and yawns, and in the hands of the doctor. the same spring that twists in the brain. here it is. what a long length. yes, she is very soft. yes, it was easier. so definitely soft. you see, here she comes out and she fills this pathological expansion and everything is eliminated the threat of a stroke, i see. that's how everything fell apart for me. keep a special soft, so as not to damage the vessel picture before and after what happened and what happened to this very brain. here it was, here it is, it's such a huge ball, who threatened the child. and that's all, you can see it was blocked. yes, of course, it all looks like a miracle, but it's just a profession in

the hands of a doctor from a doctor of the highest class. thank you very much, and we are listening. the next question is my husband, while visiting a doctor at the clinic , he suddenly lost consciousness. the doctors said that it was a severe attack of arrhythmia, they treated it with pills, but the attacks are constantly repeated, and now we live in constant fear. tell us what to do so, attacks of atrial fibrillation alexander borisovich romanov is a hero, in general, our trips to novosibirsk because arrhythmias are treated there, of course, so amazing that we are even going to devote a separate topic of the program to the treatment of arrhythmias. let's look at the screen. i will ask alexander borisovich to tell us how a healthy heart works when it directs its activities? a pacemaker called the sinus node so

, the sinus node, and above the nasal node , which is, say, our main pacemaker, which causes the heart to contract and from it it gives information and transmits information to other chambers of the heart. they contract synchronously with this. this allows you to eject blood into the aorta and deliver it to all organs and tissues. here, with arrhythmias , this well-coordinated work is disrupted. unfortunately. why can consciousness lose a person, because there is no such outburst, when the muscles contracted and threw everything into the bloodstream, and the heart beats so chaotically and nothing contracts, of course, what we saw here is a magnetic miracle, and dr. romanov can magnetize. here we showed you how conductors are introduced into the heart. i'll attach a magnet to myself like this on the dress. here imagine that it is in my heart right now a magnet and i can enter this little thing at least where such magnets

are in the doctor's operating room. romanov in the center of meshalkin, only they are not like that, miniature huge ones go to the operating room, where arrhythmia can be magnetized and do it dr. romanov, this operation begins, like many others, without incisions through a tiny puncture in the thigh to the patient’s heart, a guide is brought in, it is he who must detect and destroy the foci arrhythmias. well, next is the magic secret, operating room uneasy in it there are two huge magnets. and now i want to show what it is. look, it's a magnet. see, the keys are attracted. right now, two such magnets, this magnet will be brought to the heart here too. so i move the magnets, the doctor really moves the magnets and the patient stays in operating room 1, and the doctor goes to the next room, where the

control panel is located and with the help of a regular mouse controls the magnets. here, look now you can observe this electrode. yes, you see him. for example, i am moving, and it moves in the direction in which i direct it. so, with the help of an ordinary mouse and two giant magnets, the surgeon moves the electrode inside the heart and when he finds the focus of arrhythmia, he simply destroys it with high temperature. that's all. here we have applied an impact, that is, we have applied cauterization, this is a high frequency. yes, yes, frequency energy, high, let's say power , we see how a normal heart rhythm is restored before the eyes of the patient . the procedure lasts only 30 minutes. well, to be honest, we're right in the operating room. we talked with a patient of such patients in

novosibirsk a lot, and dr. romanov even has a special award between the people , which is given to people who have crossed a certain threshold of the operation. how many operations must be done in one clinic on magnets to receive this award more than a thousand more than 1,000 operations and today we have one of this magnetized thousand patients. dima, you understand. what technology was used to cure you of autorhythms is not earthly extraordinary technology. you didn't know yeah that they were magnets, that everything was supposed to be so before this operation, can you imagine? the most interesting , even more interesting, is that today the doctor will put an electrode in the heart. many people can do it right. because this technology exists and well , almost all cardiac surgeons that we showed today. they inject electricity into the heart through marriages in the thigh, and so the doctor who stops daryarrhythmia can sit at all

10,000 km away. and in the coming days, the chinese will carry out this operation in novosibirsk , like this, our wonderful professor romanov and treat arrhythmia at the center in china, you understand, so this, of course, is an amazing technology. well, what will you answer the patient will help? yes, of course , it will help not only this technology, but also the masses of many others. yes, with all the world's technologies that exist, we all have them. guys, the truth sounds something amazing, we will dedicate a whole program to this. in the meantime, let's take a short break, and then we will continue a serious test for the back . arthroxicam modern pain reliever cream in maximum concentration contributes to bolixiram relief for accelerated penetration never.

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distract. vita simply restores the work of the prostate. they just eliminate the symptoms of vibroprost, because it works, dear friends. doctors are sitting in our studio today. all of them came from siberia from my huge amazing homeland where there is a white winter with a blue sky, and we were shocked in novosibirsk. today you are the sky and i generally remembered my childhood. youth is spring with thawed patches, there is a beautiful hot summer. there are 80 there, all seasons. and, of course, there are absolutely amazing doctors, the best medical centers in russia, all doctors, who always work in the studio at the federal research medical center named after academician meshalkin near novosibirsk, this center is located in

akademgorodok today you ask us questions, and doctors of an absolutely outstanding level answer them, please, my wife’s next question is varicose veins the doctor told her that blood clots began to form. one day she began to choke and was taken to the hospital. and there they determined that blood clots in the lungs, then everything was fine. and now she is suffocating again and the doctor says that this is all because of varicose veins. although she does not care about varicose veins at all. why is she suffocating and what does varicose veins have to do with it, how dangerous is it all? well, the most important thing is what to do. you know , the director of the meshalkin center will answer your question, and i want to say that it is, of course, a separate happiness when the center is led by a doctor of the highest level and a surgeon of the highest class. i would like to invite professors and doctors of medical sciences to join us. director of the center alexander mikhailovich chernyavsky, let's start with

the answer to the question of varicose clots, i specially prepared such a layout and here here i have a varicose vein. and then a small little trombik came off. what is shortness of breath associated with. unfortunately, it happens that with me, with varicose veins, blood clots form in these varicose veins, and then they come off and fly off the pulmonary artery due to blocking the pulmonary artery. in connection with this, a problem arises. uh, oxygenated blood can't get to the lung in order for us to have oxygen from this, shortness of breath occurs and this is also a disease that requires e this patient who has developed shortness of breath, which has a predisposition to thromboembolism. he is sent necessarily to a specialist who must look with the help of an ultrasound machine.

how it works how does the right side of the heart work, which just pumps blood to the lungs and if there is high resistance, if there is high pressure, this is the basis for a more detailed examination to identify these tubes and further determine the tactics of treatment and either conservatively, and dissolve blood clots, or surgically these thrombi are removed and the blood flow in the lungs is restored again, i see well, nothing good in this symptom. no. this disease is called a thrombus of the ballet pulmonary artery, the cause can really be varicose veins and blood clots that have formed in varicose veins, so point one is varicose veins. it is necessary to treat the point, the second, if a woman with varicose veins has shortness of breath. with the help of her husband, she must run headlong for an examination, of course. i want to invite you to the operating room, where the wonderful surgeon alexander mikhailovich chernyavsky works in the early morning alexander mikhailovich

chernyavsky is preparing for an operation in the profession. for 35 years now, alexander mikhailovich has never told you that you look like dr. aibolit. no, they never said that you look like dr. aibolit . he must clearly see all the smallest details. there is also a lamp here, which i point at the center of the surgical field. so, on the operating table , there is a patient who has blood clots in the pulmonary artery in her lungs. this is a consequence of varicose veins, the doctor must remove blood clots in order to it went well, the patient's body will be cooled almost twice, even the head is covered with ice, but a special machine is working behind the heart , an artificial apparatus. forgiveness is a conditional thread, how artificial circulation differs from our usual one, but here, firstly,

it turns out. we have more blood flow. there is no pulse, that is, there are no beats. and this machine also allows you to cool both the human body and the heart, because before the work of the left artery. you will have to turn off not only the heart, but also the heart-lung device professor chernyavsky, only 20 minutes to work in the pulmonary artery. a lot of them literally grew into the wall of blood vessels. in just 20 minutes, the surgeon extracts several blood clots so that the brain does not die , the blood flow must be restored again. everything let's thank you all. start the blood flow for 10 minutes , this time is enough for the brain

to recover completely when the blood flow returns to normal. again stops the surgeon for another 20 minutes to work. during this time, you need to remove all remaining blood clots. we have removed everything and now the suturing stage is underway, when all the blood clots are removed on the table of the cardiac surgeon chernyavsky, they look like a precious collection , each in its place. how she lived with so many clogged vessels, about 70% of the pulmonary surface area of ​​the pulmonary artery was clogged head due to that 30%, so she went through this operation like this. this is how we read and read these door inscriptions only by pressing the valves in the huge operating block of the meshalkin center and, of course, a serious question to extract

blood clots from the lungs must first be cooled by the body, therefore, through a heart-lung machine. all this is cooled, the brain is cooled, so that in the absence of blood flow. he did not suffer, and then the blood flow stops so that the doctor can see blood clots on dry vessels. could extract them. this is exactly the patient who had their blood flow stopped several times, and whose entire head was literally covered with ice. olga mikhailovna how are you? so far wonderful thanks to our beloved doctor. how did the intellect not suffer? whoever i am a nail technician by profession . work great. not yet. after the operation, it’s only been 20 days yet, another 18 are recovering in excellent shape, the patient, then you let her go to work

alexander mikhailovich, she herself will decide when they said to go to work, go work well , for now, she’s resting, too, an option alexander mikhailovich well bitch was fine to the doctors. we stood here and saw you, the whole country. i, of course, consider the meshalkin center absolutely outstanding, or than an institution that you as the leaders of this center. can you tell? start with whether you work for free or not, because here are miroslav's patients at last. i began to talk aloud with my mother. to say that, of course, all these operations, all the procedures that we perform, they are free for patients. in fact, all the same, in order to perform these procedures, expensive consumables require expensive equipment. and this, of course, comes at the expense of the state. is that true?

our institution alone has approximately 20.000 operations for a year at the expense of the compulsory medical insurance fund or a special task that the ministry of health gives us when performing these very operations, and only about 3-4% is paid operations. these are patients who come to us from kyrgyzstan to kazakhstan and central asia from different countries later, well, quite a lot of foreigners work, including, uh, in novosibirsk there, if something happens, of course they come to us, and we we provide assistance for residents of russia center named after the stirrer to work and free of charge. yes, indeed , heart surgery of the highest class of surgery on the brain, vascular operations stagger the imagination, incredible hybrid operations by several teams at once, absolutely amazing,

therefore, in siberia, you just know. excellent doctors work in academgorodok near novosibirsk. here they are, all men, thank you. god, it's time for women to get into the frame, but men are expensive women, though they are worth their weight in gold and surgeons are leafy and doctors are good, even though alexander mikhailovich told me that they call him lenin, but agree on dr. aibolit, the director of the name center came out you look like ours. i want to thank you very much, because it was a human pleasure to watch your work professionally. just a huge pride in what you do. here is a team that can currently work at such a high level. siberia will increase the power of russia and the seas

of northern health.