tele complain only about the bad internet, it seems to me that their conditions means they are satisfied with the good ones. andrew thank you very much. all the best. we have just seen with our own eyes that the builders in mariupol are doing well. therefore, if you want to invest in your contribution to the victory and the restoration of cities destroyed by the ukrainian nazis, please, we are waiting for construction and it seems to me that now it is not shameful. like this. where do you work? yes, at a construction site now, when you work at a construction site, i think it sounds proud, especially there, because your hands at the nearest our victory and contribute to the common cause it's nice. by the way, you can also contribute to the common cause. if you send us those news that you find doubtful and even more contribution. if you tell us about those exploits and about those good deeds that our people are doing now both at the front and in the rear , be sure to send us, we are always happy to tell about this and all the best to you. the first channel represents

the psa prostate specific antigen. is it always its increase means that a man has prostate cancer . we will answer this and other important questions in the living healthy program. so, dear friends, we will start our program not with the savior, but with amazing ophthalmologists, who have a holiday every month, they decided not to waste their energy on some days, for example, the day of a healthy prostate. this is me talking to a very famous urologist, professor dialect, with whom we will talk today about the dog. just a specific antigen. they just published a calendar in which every month something

dedicated to july, for example, the month of the fight against ultraviolet threats to the eyes. september has been declared healthy eye aging month. i must say that in general , strange as it may seem, our eyes all age according to exactly the same laws. it is so similar that sometimes even the men who visit us take our breath away. come to us, please, this is summer anatolyevich here. anatolich reached such a fabulous age when his eyesight began to deteriorate that it became difficult for 43 years it became worse to see up close for reading a book or a newspaper. i pushed back the text and had to buy a magnifying glass, that is, how far today do you push the text away to such a distance, what is this amazing state? michael is his

. let's show our mind that visit. in principle, every person after 40 years, and it is very interesting, at first a person does not understand what is happening to him and for a very long time resists this state called prezen biopsy. the fact is that in our eye there is a special mechanism that allows us and helps us to see at different distances, this mechanism is carried out due to the lens, which is located inside the eye called the lens , see here on this layout. this is a crystal lens. see, it's flat now. yes, now this eye looks into the distance and well. sees into the distance. but now he needs to see well up close. yes, and you see the lenses, they swelled up like that, and we see well, those

close up, and now, finally, the month of healthy aging of the eyes comes, or rather the age, yes, healthy aging of the eyes. this is a variant of the norm, because at this age moisture begins, and it starts to become more dense less elastic. that is, look. that's where he used to be. whom are convex flat you looked at the book to read there, and then he took some form one and hardened and that's it, and he no longer changes the curvature. and you start to change the curvature behind the crystals. as soon as i move it away , it’s actually installed or take a lens magnifying glass magnifying glass to enlarge the object yourself put on glasses plus glasses, and before shooting. he says i'm talking with glasses. in general, he says, no, i say,

you know, read, i don’t see my hand moved away, already i don't know exactly how long. i gave him my glasses, because everyone's glasses change, the same way as glasses change. with what speed 40-45 years plus one 50 years plus two 60 years plus three. it is clear to all people without exception. that's the thing, so go wear glasses, want not to wear, if you don't read books, you'll live and look into the distance. and if you read books, then you cannot live without glasses. well, we are glad that you are reading at home, let's go then time goes on the lens has become solid, like glue it has hardened, and now you have a question for backfilling. if the lens is hardened, it will become cloudy

or not, glue. here you dripped glue transparent drops. he is dry, he will turn white, then he thinks, he will become cloudy. this healthy aging vowel is called cataract cataract. it was liquid and transparent. he says the nightmare left solid and not transparent, but sooner or later, cataracts occur in all people to one degree or another. this is cool. again , the aging of the lens and the ideal treatment. therefore, in cataracts, we focus on visual acuity. if vision is impaired and the patient complains, then just need to. to change the lens, to remove this cloudy lens, you can put a lens like this ordinary one. or maybe such a multifocal one. you see, there are different tricks, then a person in general can see well both far and well near, as with normal. we solve the problem

of press biopsy too. what do you think, is the operation to replace the lens difficult, how long does it take? what do you think, here it is necessary to get inside the eye, the operation lasts an hour thinks, our guest does not have surgery, i go in real mode time, how professor konovalov operates is an ingenious technology that was invented and developed and today is just everywhere. now you see the patient lying on the couch. meshal egorovich widens his eye and drips into it, she cools down. yes, contraindications on dripping eye drops, does not feel anything, then through a tiny puncture. 2 mm he gets there, the smallest vacuum cleaner this vacuum cleaner crushes crystals and aspirin with ultrasound and sucks it inside. and now you see a clean capsule, already without the old crunch, implanted into your native capsule

a new lens like this, and here it is, this is a lens. it is refilled into a cartridge such as a syringe, it starts up through the same miniature puncture. it opens inside and everything immediately after that the person sees the duration of the operation. here he lay down, dripped, lay down, tra-ta-ta, came out for about 10 minutes. i filmed our friend doctor with mikhailovich swearing mikhail mikhailovich i filmed on my phone. and since we were all talking there during the operation, this is our friend. and michael says everything. get up, he says, you when i start already finished. he says, i just thought. the cooks were getting ready. this is the duration of the operation, understandable, understandable once you understand everything. sit down so what we have told you is an inevitability. it's unavoidable. it happens to everyone, but there are problems that will happen to you and lead to blindness only

if they are man-made, i want to show you the vessels now, this is the fundus of the eye. how many vessels are there. well, almost the entire retina is covered with vessels of a larger caliber and a small caliber super dense vascular wall. now, if you destroy these vessels, and they can be destroyed by high blood pressure, high cholesterol and high sugar, the loss of vision will be irreversible. i want to invite natalya alekseevna to us, because natalya alekseevna, as they say, did everything. to go blind why? i speak so harshly, but i have type 2 diabetes, so through vision problems i went to an ophthalmologist and found out that i had cataracts and changes. uh, fundus cataract. once again, everyone will sooner or

later with her very simply flies appeared, guys. so you have high blood sugar, right? why do you think i think this is a man-made problem? because diabetes is a consequence of obesity. obesity is the personal will of everyone. obesity is not getting hit by a car, as they say, that's how i live. i eat. i know, but i can't help it. my blood sugar rises and so on. what's there to argue? i, too, am the same person as you agree, why are we so serious, especially about everything, especially about the garden, because sugar yes, because sugar destroys blood vessels and there is a so-called depetic angioratinopathy, and the number one cause of blindness in the world is the irreversibility of sugar. everything, well , on the eye day we see typical signs,

that is, according to the state of the fundus. you can make a diagnosis. our guest already has spots there, something like that, he is already out of sight. these are the pieces under which there was a hemorrhage. she broke away from the vascular wall and you understand everything. this is a very serious condition. what to do? well, you tell me, i'll tell you the doctor the first is to control, sugar is hard with the help of pills, the second is hard to lose weight, because sugar normalizes itself, the third is hard at physical education. just walking two steps sob second, because the muscles eat sugar, irrevocably engaged. i can see, i can see by the weight that you're sweating in the twisted gym just watching the pool i'm saying, and the reasons are man-made. anything you can say

anything, well, ophthalmologists, of course, what they can they must do. naturally they can they can do. uh, laser, how gulyaliation, if necessary , they can make specific injections that directly into the eyes of the formed vessels to reduce e, macular edema and very often. allows you to stabilize the process in the eye, if there is still a treatment for diabetes, it is also impossible to treat the task, so that one stage of the disease does not pass into another. become friends, dear to your health, and your eyesight is sincerely in your hands, nothing can be done. these are the natural laws of the new they didn’t shave everything off, but we all dream of drinking something like that a pill, but to be reborn as a young

beauty. yes, we would marry a prince on a white horse and go to the palace with him, and not to our hateful apartment. in fairy tales there is in life there is not. that's what we wanted to tell you. about a month of healthy eye aging, what will it be for everyone? this is well corrected, something may turn out to be irrevocable. if you don't care about your eyesight. thank you very much mikhail yegorych and we will break for a while, and then we will continue the sturgeon itself is not a friend. there is a chef's secret when you gut him and to give him a shape leave either potatoes inside or beets or onions, how to cook royal fish to get a black mark, the worst day was when i got a psa test, e, it was written in the conclusion. uh, it's possible that

a cancer marker is used for early diagnosis of prostate cancer. what he is talking about at someone else's expense , the mother-in-law sold her house, money, put it at interest, and she herself moved. bride's apartment season premiere voice no longer children tomorrow after the program time it's my national lottery we have a birthday we cooked up something big in september. we are doubling winnings online october 1st. sportmaster up to 50% discount on all children's products, when

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different qualities of sturgeon or sturgeon make fish of the sturgeon breed, because they are actually in fact, a lot of this is one of the most ancient fish in the world lived 170 million years ago, in general , the same age as dinosaurs and long-lived fish that live 90 years, but never exactly, because it is old and weighs as much as one and a half tons, maybe tatars, because we will bring a sturgeon or a sturgeon breed into the studio.

here is such a beautiful rybina, a beautiful sturgeon, a healthy fish, i am kept, though not a kosher system with scales. uh, because there's no scale without scale, no. almost half of the daily allowance is not fathers, aha, no, son - this is a substance that in principle, interferes with the exchange of cholesterol in the body. see cholesterol or cholesterol. this is alcohol. this transport molecule cholesterol is only one thing, maybe it holds fat. this is a machine. here she is loaded with fat. and then the question. where will she take the vessel or vessels? now, if the driver

is a low person is bad, it is either a low-density protein lp he drags him. and we develop atherosclerosis if the driver is a good, tall, noble person with a high spirit and high relations. he's coming. loads here, this fat in the car and takes it out of the vessels. and here about something, so neocin, which is contained in sturgeon , it increases the amount of these high densities and reduces the low ones, so they drag fat and zhaetsya globally with it, in general, three

is contained twice as much as in meat. that is, in beef and pigs, half the price of me is less than three times the protein, when compared with pork. beef 17 g of protein in sturgeon a little more in dates and in beef sturgeon excellent fish tsarskaya in the very many good things three questions, how to choose? how store and how to eat properly let's start from the first how to choose and we have expert head of a farm in the moscow region where sturgeon is bred? pavel sergeevich come out to us, please. first of all, we choose in appearance, according to the condition of the fish, we pay attention to the skin, the condition of the eyes , the gill gills are pink to crimson further,

how to properly store in the morning. naturally, it is advisable to immediately cook fresh fish, the most delicious to store. if you want it for a short time, then, respectively, in the refrigerator. if you want to keep it for more than one week, then it is, of course, necessary to freeze the fish. i recommend freezing only once. otherwise, it completely loses its speed and the last question, how to eat the sturgeon correctly , our cook is moving towards us. and i baked it. i, respectively, gutted it, there is a secret of povarskaya. when you gut it, and to give it a shape, you leave either a potato inside or a beetroot or an onion and , accordingly, right here, and so , open it perfectly for everyone. she doesn’t have a spine, he also has vika edible. and so neat chord. come on, chorda, we are the most important thing, ah

, the sturgeon, what’s good, it doesn’t need to be cleaned of scales , only these cloves or dogs they call their cooks - we remove it and everything is completely completely cool and serve it together here, and the juice from roasting sturgeon and some lemon juice, please, pieces, so that we can elegantly try there in israel, by the way, they also grow and produce black boots, yes. the most delicate fish the most delicate fish our program continues and right now we are waiting for a conversation about medicine. you know, these walnuts, apricots, apples on the table here are not accidental. the fact is that the size of the normal prostate gland, as they say, is the second heart of a man.

it's about a walnut, if it increases it can increase for various reasons, either benign when you have an adenoma, or malignant when cancer grows there, then the prostate can increase to the size of an apricot and even to the size of an apple there it is a marker for prostate cancer . it's called dog, i want to say that before our program, we conducted an express diagnosis for prostate cancer with a rapid test for psa, this is a test on a drop of blood, which is sold in a pharmacy and you can do it with all of our experimental nine, and i want you to take your strips in your hands now and look, who has two stripes. press the red screen, who has one press the green one. well, this is what we got. a story of

eight people testing negative and one person testing positive right now. i want to invite us a doctor who is a well-known expert, urologist, professor and doctor of medical sciences alexander viktorovich govorov and of course, let's invite the patient michael the children to us too. qualitative test it does not say how many dogs. well, it says that the dog is promoted. he is what happened. have you already examined, or we first learned that you have a taller dog. yes, i had already been examined. the worst day was when i got a psa test, and in conclusion , very high results were written. here and uh, it is possible that i was glad to have an ultrasound biopsy. now i am waiting for the result, he is a urologist, so

let's start. this is why it is fundamentally considered an oncomarcure. he mosquitoes are substances that are released into the blood when cancer cells appear. these are general positions. we're talking about the prostate here. you know where the prostate gland is located. i know approximately, of course, where it is located in the groin. i correctly give you a pointer, where the prostate gland is located in the small pelvis, it is located under the bladder. so i show it and through it through the prostate gland passes the urethra of the dog now. profix antigen, what is it? well, this is a marker that reveals that just these antibodies are right, yes, or which. that's just evidence

that it is possible that a specific incident is normal in some amount. in any prostate gland, right? that's right, but i wanted to draw the attention of our patient once again, that in oncology there are a lot of different markers, but the dog probably, if it is not the most valuable, then one of the most valuable predictive ability predictive value. and, in principle, many people, because you tell them a tumor marker, not always all patients understand what a marker is, we tell patients that a marker is a substance or an analysis that means something, respectively, when the patient passed the dog’s tumor marker and when the dog is elevated this means that the patient has an increased risk of having some kind of prostate disease. like we, of course, together with the patients. how did you

worry we always worry because one of the possible reasons for the rise of the dog is just a happy prostate gland. why does the prostate need a dog? the prostate gland works. and the main task of the dog is the main function of the dog is to liquefy the sperm in such a way that the spermatozoa can move correctly and more easily. here are the views of the boat. we have depicted a spermatozoon. here , normally, the prostate gland produces a dog and the dog makes the sperm liquid and now our boat sailed in the right direction. it's clear. it's clear. this is so, but the dog rises for what reasons. let's look at the screen. it is not only happy, inflammation of the prostate adenoma, prostate, microint, prostate urinary retention, catalysis of the bladder, cancer and its recurrences are not one correct

not one, of course, we were not surprised that our patient was frightened, because the most formidable reason is this prostate cancer, but we will say again for our patients, if they passed the dog, if the dog is elevated, this does not mean 100% that there is an enemy of the prostate gland, further examination is necessary, what was recommended to our patient and only this examination a specialist in a urologist, which includes other tests and ultrasound sometimes magnetic resonance, but tomography in some cases a biopsy. the prostate, which we will probably also talk about today, and only this examination will finally allow us to understand whether the dog is elevated due to prostate cancer or there is some other more desirable benign reason for us, for example, the dog is raised after riding a moth bike after a prostate massage and if you have had strong eruptions in the last 24

hours, so even preparing for this analysis requires that for some time there should be no non-sexual contact carrying eruptions. really clear now. both ultrasound and mri with contrast are done, but the most important thing is that this is done, a biopsy of the prostate gland, and the biopsy is special. but the doctor brought us this gun with which the biopsy is done, firstly, i wanted to say that we call this device a gun, because when we take a piece of tissue, this device clicks loudly. and it really is. looks like a gunshot, biopsy. taken through the rectum through the wall rectum. well, because it's nearby, because it's nearby. it's close and the second way of a biopsy, which is also possible and which is also used is a biopsy. through the crotch to the crotch. there should be a perineum - this is the place that is located between the anus and the mouse. now the doctor

will show us, using the example of an apple, how is a biopsy done? here is the needle. first we inject the biopsy gun. then we take it off the safety, press the safety, and then we shoot and tell the patient that now there will be a loud click, do not be alarmed. we take out the needle. we open the needle. well, on a glass slide. we can fit a piece of the resulting biopsy, quite a lot. note. it's a lot. we deliberately take a lot and this piece looks like a small worm to a small caterpillar, because the doctors are morphologists, who then study the piece under a microscope. they say that it is much easier for them to appreciate this fabric when the zita fabric is through. that

is, all over everything, and the doctors will look at the entire depth of the prostate, what do you have there clearly and they will, as it were, determine in the entire volume of the prostate whether there is a track or not. and if there is, then where it is, now e must be told what's next. well, first, there may or may not be a fight. yes , we always hope so, maybe he is. well it's true that prostate cancer. i do not want to say that this is one of the best crayfish. well, it's like cancer, which today is very seriously controlled and treated, and operations are performed, and so on. this is true. this is exactly the case with another cut of our man. if everything happened, so as the case with our patient. after all, we must remember that the normal value of a dog depends on the age of a man.

it can be two and a half three four nanograms per million measured in special units called nanograms per milliliter and it is believed that the older the man and the larger his prostate , the higher this normal dog value may be, but it is still considered that on average it should not exceed about four and a half grams per milliliter. therefore , if our patient had a psa test that was moderately elevated he was, if i'm not mistaken, six, he was not 16, he was not 26 , he was not 60. accordingly, we think that if this increase in the dog is associated with prostate cancer, then we can take a biopsy in a timely manner and find the disease on that stages when it is possible to completely cure a person once and for all, it is clear. so there is nothing so pessimistic. today we will not talk about treatment, we have talked many times about the operations i am a robot assisted by simple ectomy and about the tour

of the dance-or-thral resection of the prostate and endoscopic methods today that are just not available in order to have your prostate removed will rid you of cancer and let you live in peace. so everything should be good globally. thank you very much, please sit down. and of course, thanks to dr. govorov , we’ll take it for a while, and then we’ll continue at someone else’s expense. the mother-in-law sold her house, put the money at interest, and she herself moved to the daughter-in-law's apartment. childhood is about fantasy. and where did she not start so? well, what a strong handshake? wow, there are so many of you here maybe there is someone who wants to help me with relaxation. it's me matryoshka we have such a completely magical wallpaper with a retro toy. again, our favorite trick,

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, this means a person came to us with some human problems. initially, he wanted us to live together with his mother, when i first heard about this, i flatly refused. i said that we don't have our own apartment yet. we can rent during this time , save up for our own and that's how we rented a one-room apartment for 5 years in 5 years. we saved up for a one-room apartment and, in general, the time has come for us to buy, but then my husband tells me, and you know, you can sell my mother’s two-room car for another car, and then we

will have enough for a three-ruble note for repairs and in heaven, but then we we will live together all three of us with my mother. i refused again. and that mother-in-law went the other way. she said she dreamed of buying her own house and had already sold hers. two-room apartment. but as it turned out the house, she had not looked after herself yet and said that while i was looking after the house i would live with you and so she moved to us in a one-room apartment. here you are imagine a one-room apartment. mother-in-law, moved immediately with her everything was filled. got it in the closet. all the shelves are everything, no matter what i do. everything is wrong with her, in general, i could not stand it. i said that i can’t do this anymore, and they put me in front of the fact that, it turns out, my husband’s mother, and the money from the sale of her apartment

placed on deposit. i decided to earn on interest. she put them on for a year. i moved in with my parents. and the husband came very apologetic and said that in general, well, he can’t , he will drive his own mother out into the street. well, in general, i do not know what i have now to do in this situation. i came to you for advice to return or well, let them live alone , the question is worth it, right? or live with them. yes , your advice. the first mother is wrong. your husband has one, the solution is very simple. if you invite him to live with your parents, then everything is quickly in the law. wait i haven't finished. everything will end quickly. you will rent another room apartment and everything will be all right, in my opinion, this advice

turns out to be a gold medal, first place under petrovich i would like my husband to be a man and not only a son, my mother really deserves whatever she wants live in this apartment, please, but the family must live separately. so my advice. uh, if the husband does not want to live separately, you live with your parents , invite your husband to your apartment. better yet, separately in a rented apartment yegorovich it often happens that there was no separation from the mother of the son. and these sons are very strongly attached to their mother and very often . so long as mom is nearby or mom is alive, fu, in this family there are always problems, this is often. by the way, italians sometimes they are so friendly with their mother. every day they visit their mother. and this makes my wife very angry. although

everything is in order with their apartments, well, it’s clear that mom should live alone, and the family. should be separate. i know what i want to say, i have adult sons. they are both married, but in principle, when you look at sides and you see how they quarrel, and mother-in-law and son-in-law about this have a lot of anecdotes of their blood. and daughter-in-law, you think with horror, lord, suddenly this will happen to you, when suddenly your children get married. you realize that the only thing you want in life is not to ruin their lives. in general, it doesn’t even matter how you feel about the girl who came to your family. if you are a mentally healthy woman and love your son, then globally you want him to be happy if your adult son lives with a woman in one-room apartment, where they sleep together. you live with them. well, you actually sleep with them.

well, it means that somehow you set out to ruin their life, so i don’t want to give this girl any weapons , i just want to say that this is a super-strange situation when a mother wants to prevent her son from living with all her might, that is, she deprives him of his male sexual life life with all life, but it does not deprive him of his supper, made by his hands. mom, well, as they say, of course, the way to a man's heart probably lies through the stomach, but this is somehow strange, therefore for me the country is a mother who poisons the life of her son. it is necessary to have some kind of inflamed brain for this to be and, of course, you must understand for your part, if this young man today does not matter that you lived with him , were somewhere he wants to be with mom, then maybe he doesn’t want to be with mom so much as

he doesn’t want to be with you. it is too. maybe it can be, that's why you have the moment of truth. i think it's easy to talk and say. decide to mom, respect honor love, a separate apartment, whatever. well, then either you and i are husband and wife, or you and your mother are a teenage boy, and i will come if my mother allows for 2 hours when she goes to the cinema, i think this is an adult conversation, because this is strange behavior. my mother, when we got married and got married at the beginning, my sister, then my brother, then i , she clearly told us one thing. i will never live with any of you, and even now our children have grown up. my husband and i are having a hard time with my mom. she walks hard and talked 100 times move to us. well, please, move to us is not enough for me you are 90 years old. she

speaks to me in a clear voice, no way. although we have an amazing relationship. she loves my husband just loves, therefore. well, your apartment is not one-room, it is also one-room. she could live in peace, there and so on. the children have left. we have a three-room apartment. if i may say so. in general, this is how the story is strange, true, here i am addressing women to women, if you are poisoning your life for children like this. something is wrong with you, go to a consultation with a psychiatrist sincerely you have a simple situation, you came to your parents. you did the right thing, decide. how do you live on, because the story is a strange mother, apparently, she will not move out, even if you have a room apartment, and a room in a communal apartment you will live in it. and if the boy wants to live with his mother, well, let him live. this is

good too. it's all good. here we are, this is what we could tell you, this is our simple everyday experience, because, although i am absolutely convinced that you need to have some kind of inflamed brain in order to spoil the life of your children, yours is completely different, because children need to be loved and helped, and nothing more , the moment of truth comes to you. you can tell us what decision you make, because there were funny decisions, like inviting your husband to your parents' house as well. do you have a dad who will tell him to behave like a man. there are options, what did you decide? but at first i thought that, probably, i would insist that my husband rent an apartment for my mother after all and that she somehow moved away from us, but

now i listened to everything that you say and decided that i still need to him to leave. better right now there are no children, because then it will be much more difficult. he does nothing to protect me from his mother. she attacks me constantly, she does not give us any life, and i see that not only she wants to live with him, but he wants to live with her. well, well, mothers and son, you live. why not? so everything is possible in this life? let nothing surprise you. do not even add anything, except for one mother, try not to spoil the life of your children.