ilya kovalchuk is happy, but we’ll see if we’ll be happy after the judge’s result is announced. while some were shouting about their championship, we created, launched and implemented, without being distracted by conversations, because in order to always be one step ahead, you cannot stop for a second, betting league, become yourself. so, what can we say here, in principle , alexander sadokov and i practically did not stop talking during this fight, but this is still thanks to the boxers who really put on a very decent fight, very decent, a long time ago there were no such fights performed by super heavyweights on television, i must say, i ’m also very glad that i had a chance

to be there today, watch and comment on everything else. well, he finished this fight great, murat gassiev made a series of brilliant attacks , of course, i would like there to be more of them, but murat gassiev’s opponent today was really worthy, and we talked about the fact that gasiev made, well, such an astronomical leap in his opposition in recent years, this is a fighter of a completely different caliber compared to those he fought murat earlier and therefore this is in any case a very useful experience for the russian boxer, whoever gets their hand raised after these wonderful twelve rounds, very good such a classic work, real old-school boxing, one goes forward, the second tries not to let himself get hit , now we’ll find out whose she took, listen, well, i want to add one more thing to all this... it happens that, of course

, any twelve-round fight, of course, is a whole story, this is another completed book written, unfortunately, this book is not only audio, not only written by hand, but this is also a video that you can use to study your opponent, so what i want to say is, even before the moment when it is now - i will allow myself a little freedom to be announced, i will have to work very hard, i will have to work on my multi-talent and feints, why? well, because if there are rivals in the future. in principle, the picture will

emerge of how to act clearly, here the headquarters and murat need to understand that they will definitely do this, so literally tomorrow we need to start this painstaking work.

115-13 valin, 117-112 gassiev, everything will be decided now, 115-13, wow. wow, 115-13, the third judge gives the victory to otto wallin, sensation, sensation, what i warned about and actually spoke about during the fight, markaev and otto valin gave an amazing fight, the winner of this fight was otto valin, his we congratulate, but we are also waiting for murat gasiev in the ring, and nikolaev worked for you today. this is ozone bank.

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, doctor of medical sciences, the chief physician of the most famous hospital in the commune, denis prodenko, hello, denis nikolaevich, hello, natalia, well, how was it for you to see yourself... it was probably on the billboards unusual remains to be unusual, because somehow medicine, by and large, does not involve these stories, in fact , it is... unfamiliarity, maybe even some kind of discomfort, but it remains, how people reacted to you on the street, and now, when, when you became recognizable, well, you reacted accordingly, that it was impossible to go anywhere because you asked for selfies to take photographs, i never refused, but i can’t say that it gave me pleasure, that i enjoyed it, now periodically maybe, fortunately, they recognize me less often, now they probably still recognize me more , my colleagues, when you now remember the pandemic, this is what you have, you know, such

a slight nostalgia for a time in which there was both drama and tragedy, at the same time, romance, or the shudder has not yet subsided, no, probably, if not with me, if not with us, some movie is so noticeable, like a nightmare, yes, you know, they say that the brain, all the negative aspects are trying forget, for example, an unconscious state, a coma. the brain also blocks some unpleasant emotions they don’t want to remember, probably the same with the story with covid, but was it scary? no, it’s probably not a feeling of fear, i don’t know how we’ll formulate it now, but you and i will definitely formulate it, no, it might be more of a feeling of confusion, because you, especially in the first wave, didn’t you know, you don’t understand, protocols change, world protocols change, such information chaos. with throwing to the sides, from side to side, i’m talking about drug therapy, about approaches to respiratory support, here

probably, if you ask me what i would like most , i would probably most like not to be asked a question about covid, well, globally, well, i’ll ask just a little bit, but did you, you know, have any fear? such that you won’t save someone important? no, by the way, there was no feeling of fear, probably for one simple reason , i was not alone in this situation, there was a whole team, yes, the commune team, the team of moscow chief doctors, this is the entire social bloc, and you felt support , attempts to solve problems, not one on one, everything together, and i think it’s this feeling of comradeship, that sense of team, it largely determined the absence of this fear, it’s probably scary when you can do something and don’t do it, then it’s probably scary, a lot of people stayed with you after that that period, anyone? you broke up with someone because you realized that you didn’t eat this chain of salt together, no, you know, the main

core that came, it stayed, you broke up with the guys, with the doctors, with the nurses, with the medical brothers with whom we had an emergency contract for a temporary hospital, the main team remained the other way around, so if he talks about some stories within the corporate, this one... really united the team, because well, there are always some therapists, surgeons, they are a little cooler, yes , there is someone there, there is some kind of stratification between specialties, it completely disappeared during the time of covid, because the traumatologist, surgeons, anesthetologists, intensivists, therapists, all did the same thing, this feeling of a team, it has survived now, and when it is observed, of course, it’s a thrill, let’s remember that the commune became the one that came to the first front, during the pandemic, in general, contrary to its

original purpose, yes, because you were just preparing to open the fortieth hospital as a leading clinic, and there were completely different expectations, then all of a sudden, just like that, it was all an annoyance, for you it was some kind of timelessness, or do you now understand that in the end, that for its main purpose, the fortieth hospital , on the contrary, went through some kind of hardening there, well, to me seems to be very important for me, the moment is that there is no need to pull the blanket only on the commune, the fifty-second hospital changed its profile , the fifteenth hospital changed its profile and a number of other hospitals, they reformatted their work and became covid hospitals, so i think not only commune, but what brought this team together is that we can see this objectively, as if doing research work. on corporate culture, assessing there once every 6 months the values ​​by which the team lives with the help

special questionnaires, and we have such a whole direction, it is quite obvious that this has brought us together very much, today this is a multidisciplinary hospital with a fairly large oncology unit, as far as i understand , yes, it is a large hospital, more than a thousand beds, we have 300 inpatient beds oncology profile, we have it... was reconstructed, at the end of december an outpatient oncology care center was launched, where oncology patients from the southern district, the southwestern district and iztin are sent. we have, it all happened in the covid period, 2 years ago we launched a children's infectious diseases building, non-covid with 100 beds, a year ago we launched a large perinatal center, so the hospital is developing, and as if those trends in changes in moscow healthcare, they are probably illustrated, among other things, in our hospital,

new walls, new technologies, completing the topic of covid and that period to the biggest gain, what is the biggest loss, the biggest gain is of course people, the biggest loss is the people we couldn’t save, you have a reputation among the doctors there is a rather tough boss, a rather merciless and uncompromising boss, but at the same time they adore you, that’s the paradox, who doesn’t work with you, now you have already formed a certain type of person, a psychotype, an anthropological type of person that you say, with you, probably, my guy, those who lie professionally, ours are special, and what is professionally, well, they tell lies when you discuss something, the same is also considered, but this is a very clear moment when i understand , what are they lying about? they, they justify their some mistakes, medical ones, of course, of course , some, well, some mistakes, some kind of laziness maybe, but

why do you think they are lying, maybe they are afraid that you will be very tough in your attitude, i don’t understand what tough is, because if we take the formal side, then the number of disciplinary orders we have for all personnel orders is some kind of 0.0 0.0%, because from the moment the hospital was built , the corporate culture team, who said, we were following the path completely a clear, understandable story called gci, this is a management system, an incident control system, and we continue to do this , and what, it seems to me, we managed to achieve, when an employee declares this incident himself, is again based on this system of incidents, why it got worse because a person knows that if he declares his problem, including which he is to blame, no punitive and repressive stories will follow, and we correct mistakes through training, and i heard that you are very strict with

those who, to put it mildly, violate these behavior and communication with the patient. with their relatives, that you don’t allow me to yell at a patient or relative , say something rude, i’m not strict, i just can’t accept it, you know, when you talk about how we’re building a patient-centric story, that the patient is at the center of all processes, but how can one be rude, boorish ? no, the first time, of course not, but it’s true that in the commune there is a dry law, that you can’t even drink champagne on your birthday, it seems to me that this is not in the commune, it’s in all medical institutions, dayura, it’s a dry law in the commune, i hope that this is de facto, well because what to drink is not a problem, but

there are special places for this; at work, after all, we come for a little something else. there is a saying among doctors: your worst patient is the doctor and the criminal. how do you treat colleagues and how do you treat celebrities? just like everyone else, this is probably also like this the pride of our team is that we do not differentiate, and an unknown patient brought from somewhere on the street will receive the same medical care as a patient from loseva, for example, well, there are stories like with roman kostomarov, it’s still a test, we probably need to fight with information leakage. from the staff or is the question not even worth it? it’s not worth it with the staff , judging by the monitoring that our press service conducts, there was virtually no leak, and when they probably call you and offer to send someone patient abroad?

the decision of relatives and patients, we are always open to a second opinion, and if a relative or the patient himself makes such a decision, that is , you let go easily or try... to tell you that the protocol is the same, for example, no, i will convince you only of one thing case, if i understand professionally as an anesthesiologist and resuscitator, that the risk of transportation exceeds the possible, and possible benefits of treatment in another hospital, well, that is , in most cases today we can say that the quality of treatment is in a communal apartment, which, as far as i know , is simply brilliantly equipped, comparable to, for example, i don’t know with germany, israel, where in china, where else are they being taken? i think, i don’t think , i’m absolutely sure that they are comparable, not only in the communal apartment, it is also in a large number of moscow hospitals, i, as the chief anesthesiologist, resuscitator, i just know. those approaches that exist, the way emergency medical care is now set up, how much money the moscow government has invested in medicine, in various

areas, in general and in particular anestheology, resuscitation, so we monitor modern literature, and the possibilities of access to it, they are, in principle , absolutely unlimited, and you can find access to any modern studies there, meta-analyses, recommendations in russian, in non-russian languages, and in fact, one of the tasks of our department are precisely the introduction of all these technologies into the service in the commune in anesthesiology, resuscitation , the department of surgery that is based here, our oncologists, are doing the same thing, so the resources and knowledge, i think, are largely comparable, and the possibilities are comparable, good. but you, as the chief anesthetologist-resuscitator, at the same time understand that if in many countries a resuscitator is such a rich person who can afford everything, this is the elite of the elite, these are the people who earn

more than lawyers, lawyers, children they have been provided for for many generations, why is it not so with us, what must happen in our country so that our brilliant doctors, who can compete in the level of their professional knowledge with any doctor in the world, are also well provided for. maybe, it’s not my question, i still have the competence to answer why one way or another, i think this will happen when spending in the healthcare sector, global, will be an order of magnitude more than it is now, this will entail, of course, increase in the wage fund, may you be lucky, the first channel, with the support of roscosmos, held a unique ... the action was played among the audience of the film with a challenge, a visit to the cosmonaut training center and a trip to baikonor, the dream is still to

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artmasters - award ceremony in the big theater. tomorrow on the first. this is a podcast of the first persons, me and its host natalya losyeva. today our guest is a doctor, resuscitator, anesthesiologist, hero of labor, doctor of medical sciences, chief physician of the famous hospital in komunarka, denis nikolaevich protsenko. let's talk about the profession. come on, i like it better. and when you look at the intensive care unit. you understand whether he will survive or no? is there such insight, intuition? no, probably not, probably an external examination does not speak about the prognosis, about the current status, but still we predict outcomes not on the basis of a subjective view, experience, or some other things, but there is a whole systematic approach, mathematically validated

various scales for assessing the condition. and forecasting the outcomes of these mouths, you are absolutely technocratic, absolutely, of course, you are generally a supporter of technology, and i assume that artificial intelligence algorithms are also probably used one way or another in commune, well, we are approaching them, i am very, very cautious about the technologies of artificial intelligence at the moment, not because i deny them, we use them, they are very actively used by our specialists in radiation diagnostic methods when processing computed tomography images and they these systems are trained to identify certain changes there in order to still introduce it into clinical practice, like , for example, any new drug, we didn’t take the pill right away to the patient tomorrow, take it, no, the first phase is passing clinical trials, the second, the third, after which permission is obtained, after even obtaining permission they still conduct so-called post-clinical studies, i believe that the story is with... various

applications using artificial intelligence, including clinical decision making, before launching in routine clinical practice, they must go the same way, and by and large, the purpose of these studies is exactly twofold: the first is to evaluate safety, the second is to evaluate effectiveness, and launch this without having conducted it, without validating and without saying that it is safe, this is understandable, in any case, the specialties of anesthesiology and resuscitation have not approached this, you know, when there are discussions, various conferences at which issues of the ethics of artificial intelligence are discussed. one of the most striking examples that is usually given to, well, ordinary listeners, not doctors, yes, in order to make them think a little aside - let's say, ethical complications. an example is this: a resuscitator comes, uh, to his patient. and the artificial

intelligence algorithm gives him a conclusion. having analyzed all the indicators at this moment for all, so to speak, known symptoms , for all, in totality, this patient has... it makes sense to disconnect him from life support now, because the chances of survival are scanty, and his maintenance, in this status, is very expensive costs clinics and health care, and you, as a doctor, or the doctor who comes up, that’s what is called feeling with the heart, yes, what else can be overcome, in general i look at this plane differently, what is offered in this situations, artificial intelligence, this is called euthanasia, which is prohibited in our country, and this is, by and large, murder, but we have not come close to that, in fact, in the west there is such a concept of end of life decision, in those countries where this is allowed,

but this is also a serious question, a serious question of conversations with relatives with the final decision-making, am i ready for such a decision-making, most likely not, because we have quite a lot of clinical observations when, according to all prognostic scales , we have mathematically we use it, they tell us that the risk of death is 98%, yeah, then again , our patient survives, and today we recalled one of these patients with you, roman kostamarov, in particular, in fact, this is where i started why i am very cautious about artificial intelligence, because there are very different patients and different patients, in general, people , humanity is heterogeneous there, not only by race, nationality, some other

age, concomitant diseases, so insert one algorithm for everyone, for now moment it seems to me that this is impossible, it is very risky, but another thing is that probably then some... subgroup of patients of the same age, identical in disease, here, here, probably, something can be validated, but i don’t i know, we must understand perfectly well that the pneumonia of an eighty-year-old elderly patient with diabetes mellitus, with two heart attacks , with the consequences of a stroke, pneumonia there in a young athlete with the same severity will proceed completely differently in terms of outcome, i would not ask an ethical question, if patient... roman kostomarov would not have been the famous legendary athlete roman kostamarov, you would have fought for him to exactly the same extent, also to some extreme, incredible level, or still it would have been, well, let’s say this , an honestly

executed protocol? i answered your question, maybe five minutes ago, that i hope that i’m not mistaken, and this is the message that i convey to my team and we are moving towards this together, which does not matter to us, thank you again for this either or does not have, but in fact, you are in our work a mutual acquaintance in the shock hall, you know that the patient is not identified without a specific place of residence, that any celebrity entering the shock hall will end up on the same bed, on the same machine, on the same machine, and we don’t have any kind of separation, i i'll just explain. denis nikolaevich and i have known each other for many years, and it so happened, almost by accident, that my son , a resuscitator, works for denis nikolaevich , for which i am, of course, eternally grateful to him, so i know that there may be some side more than others,

so, actually, that’s why i allowed myself to go personal, but because you, knowing the inside out, understand perfectly well that i am absolutely not lying about podcasts or the first channel, and i really hope that we will be able to maintain this, god willing, so you have for... on the pins on your fingers, tattoos, with certain meanings for me, and what will you tell me there , but no, it’s personal, well, well, at least what it’s about, well, it’s just completely about personally, right about a woman or about, and what is personal - it’s only a woman, isn’t it, it seems to me, personal a normal person, this is a hobby and something else, but there are simply things that, by the way , are connected, it seems to me, including the status of culture, which is not customary to designate and talk about the signs that you inflict on yourself, but when did you get all this? listen, well, this story has probably been going on for five years already, this is not the only tattoo that exists, well, of course, we won’t now ask denis nikolaevich to take off

his clothes and go to the studio, although i think that many would like to see denis nikolaevich now, so to speak, in all his tattoos, but this is not our program, but why did you buy a motorcycle, please tell me, already as an adult, uncle. and moreover, not just an adult, but a specialist who sometimes sees the consequences of these motorcycle hobbies, right? collects the bones, the pieces of crashed motorcyclists, this man, who, uh, sees the whole unsightly underside of bikerism , suddenly buys himself a bike, what kind of story was that, well, look, life doesn’t end only with some professional stories, this is the first thing, secondly, if you follow the logic of my professional deviation, working there as an anesthetologist, resuscitator, and seeing this wrong side, i will tell you honestly, because

we also accept victims after an accident, well , and so a bunch of restrictions happened completely by accident, i understood that you need, yes, medicine, medicine, you need, you need something else, so as not to burn out, not to suffocate, you need some... some kind of thing to appear in life, which would switch you from all this, which turned off, very close friend of mine, we we’re on our way home from work, he calls me, where are you, i say, i’m on my way home from work, he says, and i’m on my way to buy a motorcycle, i say, where is it, i say, listen, well, i ’ll be passing by in 3 minutes, it just so happened that we went into this store with him, at that time , he had some minimal experience riding a motorcycle, i had experience driving a scooter,

all this was already in the fall, well, in general, we left there, having bought a friend a friend by helmet, by helmet, and i noticed the motorcycle that was being sold there, a secondary one, in fact, all winter, as a hobby, we studied indoors three times a week in the evening from 9 to 11, and that is, so directly in detail, and of course, strictly speaking, always in detail with a very cool instructor, and in fact, i continue to maintain these skills out of season in winter in a closed room, working on something, firstly, in the end it turned out to be very convenient when we completely moved to a communal apartment, in the summer - this is a very convenient form of transport, because today i’m coming to you do you live in a communal apartment now? no, no, i don’t live in a communal apartment, it’s convenient.

because well, i drove here from the commune for an hour: 38, but if i had arrived on a bike in 36 minutes, so this is also a temporary saving, secondly, it cleans your brain a lot, because during the period when you got on a motorcycle , and why? you are concentrated, you understand that you are having fun, first of all, you are concentrated and you reboot, because sitting in the car, you are still constantly thinking about something, reacting to the phone, you start answering. for some messages , calls, and then, in general, excuse me, these 40 minutes, i’m with myself, and do you turn on music when you’re riding a bike? ah, outside the city, outside the city, but because in the city now on a big bike with music - it’s quite difficult to move around, a small city sporter, for me it just doesn’t mean music, and such a question is a provocation, they treat it differently. but in many ways there is a saying

among bikers that a loud sound saves lives, and this is one of the events that may not be the most true cultural in relation to interference in yes , yes to outsiders, on the other hand, as in the joke, yes, i say, i envy says to my neighbors, they are forced to listen to good music, yes something like that, but in reality, if you look at it from security position, then thunder... sound, it can be not only from music, if you noticed, the exhausts on motorcycles are quite loud, they are a lot, of course, we pay attention, they are a source of special joy, they are in many ways aimed at passive safety, it seems to me that this is what it is here is an excuse, no, no, this is not an excuse, this is a fact, but what music to listen to, listen, i listen to absolutely different music, but it’s probably still the case, these are some things that i grew up with from the beatles, the purple .