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life, calculate the price of the policy in one minute online, accept an application for an accident also online, send it for repairs in an hour, insurance applicants. for repairs in just an hour. kinkov, he’s the only one. we are back and continuing our fascinating conversation. i'm working now - with my couples, in a large team. naturally, i cross paths with singles skaters a lot, mostly with singles skaters. and with young people it’s quite the same such a concept as parents in figure skating. but you have always been for your own people.

students, and not only a coach, but also part-time, mother, mother, grandmother together , everything, i do everything that is necessary for the process to proceed, everything that is necessary, i need to stroke my feet, i will stroke it, i need an hour, i will an hour, it takes an hour and a half, i need, i need to learn how to massage properly, i’ll learn, i’ll massage when the massage therapist is not there. every day, well, it seems to me that now the approach is a little different, because the massage therapist had to be earned, naturally, to join your group, i deserved a massage, but that was later, and i needed it before that, i massaged all my people, but where to go, there’s no money to go ask someone, then someone, someone no good, you know what you need.

massage, you know that you need to put it in order, and that you are a fool not to learn how to do it for your own people, massage your body and brains for me, for example, well, probably, if you set yourself this goal, then you can try, i’m happy for you, that you have such a transmission, that’s how it is, thank you, but by the way, i watch it all the time, by the way, tatyanavna, this is big. thank you again, because it was you who brought me, yes, to television, yes, and to the first channel, it was you who told me that try to comment, taught me, yes, and i am very happy about it, and scolded me, yes, and your coaching genius turns out, appears , manifests itself not only on the ice, what difference does it make where, but it seems to me that you just see, maybe people in a special way? i see that

a person can, what he needs, well, you, here when you finish skating, well, something needs to be done, how to keep you occupied, i just care about this, i know this for myself, many people don’t like this about me, the fact that i seem to meddle in someone else’s, yes, but i i can’t, if i see, i definitely have to say or do something. in the current conditions for our figure skating, we not only survived the last season, but it seems to me that we even showed how much we are alive, we came up with new tournaments, held them, so tell us your emotions about each, for example, let's let's start the russian challenge, a tournament of show programs, it was interesting, it was very interesting, the new tournament is wonderful, a tournament of show programs , skating among professionals, who have long since left the sport, who are still on the team,

world, european, olympic champions games and more, the athletes are simply talented, everyone competes in their artistry, creativity, and charisma. and just like 20 years ago at the olympic games in sould lake city, your student wins le feu de l'ancien volcan qu'on croyait trop vieux, il est pas, des terres brulées donnant plus de bléis qu'un meilleur avril, le soir pour qu'un ciel flambois, rouge et noir.

welcomes alexei yagudin and his legendary coach, tatyana anatolyevna tarasova, with her phrase that every figure skating fan knows. and today we are convinced of this once again. lyosha, anything is possible. well, what can i do? what does this mean, our figure kotani has not moved anywhere these 20 years, or you are us, we are simply ahead. okay, well, in your opinion, everything is deserved. it wasn't me who assessed it. glory to you, lord. who assessed? people's artists? but not me, well, after all , ordinary viewers are also sitting in front of the tv, not coaches. honored ones, do you think it’s unfair that lyoshka is first? yes, i was sure, six months ago, as soon as we started discussing this tournament, who would win it, because well, it’s understandable, in principle, i have questions about competitions, duets and singles, in one competition and

i don’t really care i understand, i just don’t know how to compete with yagudin, i know how to compete with totmin, but i don’t know how to compete with yagudin or how compete with sherbakova, no one taught me this in my life, i don’t have the talent to compete with girls or with singles, boys, you don’t need to compete with girls, you need to have a number that would always lift up the whole room, which is always they would shout bravo, or a number on which no one shouts at all, bravo, and no one applauds, but everyone is just quiet, sitting there crying, you know, but i don’t want, for example, to play intentions where... they’re sitting crying, here i don’t like it, that’s not my style, but you, and you haven’t tried it, because you didn’t have such a number, but i had such numbers, so no one cried, well, i watched everyone, no, well, i didn’t have one, i shouldn’t watch, i should empathize

with you and be with you, maybe you have an idea for some new tournament , you know, i didn’t think about it, i want to say this, i was happy that i was working at the first one, i was happy that i... was so busy, what am i doing, that thing, it seems, that they say that i can do it, and i tried to talk with one person, with a second, with a third, who comments, yes, i tried to gain some skill for myself to understand this profession, but i’m not working now, which means i’ll probably do something else, now i’ll figure out what i should... do, or maybe i’ll do nothing i won’t do it anymore, because i will be 77 years old this year. tatya anatorevna, what is 77. we have people like moskvina , mishin, there are, well done, where we all need to strive, well done, no,

i can’t live without blue hands, i walk all the time with a water-cutting wedge, i look, i help , there's something there because of the children, i... absolutely, absolutely cannot sit at home, at all, that is, i don’t even understand what i should do, where i should go, so i go, i go to where my place is, i know this place is - this is a skating rink, you can’t imagine your life without a skating rink, but at the same time you had great pleasure working there on the first channel, yes, but the fact is that here in this program we very often find something that gives a new impetus to what you say, and i can tell you that there are ideas in

which everyone would be happy, everyone would receive it’s a great pleasure that you say, i’m glad , let’s get away from figure skating a little, you have two wonderful grandchildren, one is 15, the other is 14, well, they have a mom and dad, i do. i do this in order to pamper them, to give them something, you are strict, no, how is grandma supposed to be, grandma is supposed to love, what is grandma supposed to be strict, is mom and dad supposed to be strict or whatever they like, and grandma it should be strict, we have a very warm, beautiful golden autumn this year, oh, what an autumn it is it’s never happened before, i don’t even feel like going to the beach, is it a dacha today or a city apartment in this weather? country house! dacha, like dad, i’m no longer used to living in a city apartment, in a dacha, i live in a dacha, but like tarasova, i

’m also used to living in a dacha, in a dacha, where you have a dacha, in the same place where your student’s house was, we were neighbors, but i wasn’t in their houses, well, i, alexey and i were neighbors, did he never invite you to his place, no, how does this happen, well, it happens like this, you’re all always at the dacha? i invite, i always invite everyone to my dacha, but he didn’t have one, honestly, i invite you to my dacha , i’m finishing the renovation right away with pleasure, and you come to me, everyone comes to me for tea, well, yes, you know, with pleasure to drink tea, yes, with the sandwich, you talk about it in such a way that i just wanted to finish our interview now and immediately went to drink tea, and straight away to drink tea. so delicious that it would be with varenitsa , with your own, that’s it, tatyana anatolyevna, with your

varenitsa, honestly, boiled, you know, i just saw in front of me that picture, you have your own studio, you are sitting in a comfortable chair, drinking tea with jam, yes, you have some guest, and you, for example, and you are discussing, for example, a tournament that you are watching, watching, let’s say a short one, the first warm-up passed there with the girls, turning on the studio tatyana anatolyevna is discussing with someone in a relaxed homely atmosphere, this kind , cozy, our beloved tatyana anatolyevna, tells the whole truth to the uterus, as usual, what she saw, well, you’ve already offered me a job, tatyana antonevna, thank you very much, it was very interesting, sincere, thank you for calling me, good show. it turns out when you put on a program, that’s when you can say this word, it turns out, then

it turns out, that’s what you do, thank you very much, watch all episodes of the free program podcast on the website of the first channel 1.ru. this is a podcast of the first persons and i and its host natalya loseveva, the person who is my guest today, has become an official or unofficial symbol of the pandemic, well, in any case, that’s what many journalists decided, his his face was on billboards, on the covers of newspapers and magazines, although he is a doctor, an anesthetologist-renimatologist, doctor of medical sciences, the chief physician of the most famous hospital in the commune.

hello, denis nikolaevich, hello, well, how was it for you, seeing yourself on billboards was probably unusual, it remains to be unusual, because somehow medicine, by and large, does not involve these stories, in fact, this feeling of unusualness, maybe there may even be some discomfort, it is preserved by people, how they reacted to you on the street, now, when when did you become recognizable? well, they reacted accordingly, that it was impossible to go anywhere, because they asked to take a selfie, i never refused photographs , but i can’t say that it gave me pleasure, that it gave me pleasure, now from time to time they probably find out, fortunately, less often, now it’s probably all- my colleagues will recognize me more, when you remember the pandemic now , this is what you have, you know, such a slight nostalgia for a time in which there was drama and... at the same time romance or haven't you gotten over the shaking yet?

no, probably, as if not with me, if not with us, some movie is so noticeable, like a headache, yes, you know, they say that the brain tries to forget all the negative moments, for example, an unconscious comatose state, the brain blocks it and some unpleasant emotions, they don’t want to remember , probably the story with covid, but it was scary, no, probably still... it’s not a feeling of fear, i don’t know how we’ll formulate it now, but you and i let's formulate precisely, no, it may be more of a feeling of confusion, because what are you, especially in the first wave. you don’t know, you don’t understand, protocols are changing, world protocols are changing, such information chaos, throwing to the sides, from side to side, i’m talking about drug therapy, about approaches to respiratory support, probably today ask me what i would like more of all, i would probably like most of all not to be asked a question about covid, well, so globally, well, i’ll ask

just a little bit, but did you, you know, have such a fear that you won’t save someone important, no ? by the way, there was no feeling of fear, probably for one simple reason, i wasn’t alone in this situation, there was a whole team, a commune team, a team of moscow chief doctors, this is the entire social bloc, and you felt support, attempts to solve problems, not one on one, everyone 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 were left with you after that period, someone left, grew up with someone, because we realized that you didn’t eat this path of salt together, but no, you know, the main core that came, it stayed, we parted ways 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 corporate there, this covid has really united the team, because well, there are always some therapists, surgeons, they are a little cooler, yes , there is someone there somewhere between stratification of specialties, it completely disappeared during covid, because traumatologists, surgeons, anesthetologists , resuscitation specialists, therapists, all did the same thing, this feeling of a team, it... has survived now and when i see it, of course, it’s a thrill. let's remind you that the commune became, uh, a hospital that came to the first front, in a 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 suddenly this is it, this is it

was it an annoyance for you, was it 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, it seems to me that this is a very important point for me, 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 i think it was not only the commune that experienced this, but the fact that it... brought the team together very much , the fact that we see it 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, we have such a whole direction, it is quite obvious that this has brought us together very much, today this hospital

is multidisciplinary, 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 oncology beds , we have it and it was reconstructed at the end of december, an outpatient oncology care center was launched , where oncology patients from the southern district, from the southwestern and from tinau are sent, we have it, this all happened in the covid period, 2 years ago we launched a children's infectious diseases building, non-covid, beds, a year ago we launched a large perinatal center, so the hospital is developing and what are the trends in changes in moscow healthcare, probably are also illustrated in our hospital, new walls, new technologies, completing the theme of covid and that period, what is the greatest gain, what is the greatest loss,

the greatest gain is, of course, people , the greatest loss is the people we could not almost, you have a reputation among doctors as 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’ve already formed a certain type of person, psychotype, i don’t know, there’s an anthropological type of person that you’re talking about, probably with you, my guy, those who lie professionally, our special one, and what is a professional lie, well, they’re lying when... you’re doing something you are discussing, the same is also considered, well, this is a very clear moment when i understand that, well, what are they doing, they are justifying their some mistakes, 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 relation to, i don’t really understand what tough means, because if we take the formal side, then the number

of disciplinary orders we have out of all personnel orders is some 0.0 0.0%, because from the moment of construction hospitals, corporate culture teams who said, we followed a completely clear path... history called gci is a management system, an incident control system, and we continue to do this, and what we, it seems to us, managed to achieve when the employee states this incident himself, in based, again, on this system of incidents, why it didn’t take off, because a person knows that if he declares his problem, including the one for 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 towards those who, to put it mildly, violate these behaviors and communication with patients, with their relatives, that you do not allow, i

raise my voice against a patient or relative, say something rude, i not strict, i just can't accept it, you know, when you you say that we are building a patient -centric story, that the patient is at the center of all processes, but how is this possible? rude, boorish, this, well this, but it was so that, just like that, they fired because , for example, a nurse was rude to someone or the doctor was unethical, let’s say, no, the first time, of course, no , but it’s true that in the commune there is prohibition, that even on your birthday you can’t drink champagne from the balkan, well, it seems to me that this is not in the commune, it’s in all medical institutions, before the jurassic, it’s prohibition in commune, i hope that this is de facto, but because drinking... it’s not a problem, but there are special places for this, at work we still come for a little something else, there is a saying among doctors, the worst is yours

a patient is a doctor and a criminal, how do you treat colleagues and how do you treat celebrities, just like everyone else, this is probably also such a pride of our team that we do not differentiate, an unknown patient brought from somewhere on the street will receive the same medical care , like... from loseva, for example, well, stories like the one with roman kostamarov, it’s still a test, we probably need to fight the leakage of information from the staff, or even the issue is no longer raised that way, with the staff it’s not worth it, judging by the monitoring that our press service conducts , then in fact there was no leak, and when they probably call you and offer to send some patient abroad, this is a decision, the decision of relatives and patients, we are always open... to a second opinion and if the relative or the patient himself accepts this the solution, i mean are you letting go easily or are you trying to convince me, tell me that the protocol is the same, for example, no, i will convince you only in

one case if i understand professionally as an anesthesiologist, resuscitator, that the risk of transportation exceeds, uh, 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 in a communal apartment, which, as far as i know, is equipped... i don’t know with germany, israel, where there, china, where else are they being taken? well i don't think so, i'm sure absolutely, which is comparable, not only in the commune, it is also in a large number of moscow hospitals, i, as the chief anesthesiologist, just know the approaches that exist, how emergency medical care is now set up, how much money the moscow government has invested in in various areas in general, in particular in anesthetology, resuscitation, so we follow modern literature, and the possibilities of access

to it, they are in principle limitless, absolutely, and you can find access to any modern studies, meta-analyses, clinical recommendations in russian, in non-russian languages, and in fact, one of the tasks of our department is precisely the implementation of all these technologies. in the service in the commune in anesthesiology resuscitation, the department of surgery, which is based in our oncologists, is doing the same thing, so the resources and knowledge, i think, they are largely comparable, and the opportunities are comparable, okay, but you, as the chief anesthesiologist, in at the same time , you understand that in many countries, a resuscitator is a rich person who can afford everything, this is the elite... these are people who receive more than lawyers, lawyers, their children have been provided for for many generations, why is it not like that with us? what needs to happen to our

brilliant doctors. capable of competing in terms of their professional knowledge with any doctor in the world were also well provided for? probably not my question, after all, i 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 this will, of course, lead to an increase in the wage fund. two oscars and four golden globes. do you want to pay for three billboards on a road where only lost idiots drive? you better not be smart. so, mildred hayes, why did you rent these billboards? my daughter angela was kidnapped, raped and killed 7 months ago not far from this very road. i would do anything to catch the culprit. and this is not fair to me. during the time you were driving

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presenter natalya. today our guest is a doctor, resuscitator, anesthesiologist, hero of labor, doctor of medical sciences, chief physician the most famous hospital in the commune, denis nikolaevich protsenko. we’re talking about a profession, come on, i like it better, but when you look at a patient in intensive care, you understand whether he will survive or not, is there such observation, intuition? no, probably not , probably an external examination tells me about the prognosis, about the current status, we still predict outcomes, we are not based on a subjective view, experience, or some other things, but there is a whole system of approaches, mathematically validated various scales for assessing the condition and forecasting outcomes for these are absolutely technocratic, absolutely, of course, you are generally a supporter of technology, i assume that

the artificial intelligence algorithm is also probably used in one way or another in the 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 very... our specialists in radiation diagnostic methods actively use them when processing computed tomography images and they train these systems to identify certain changes, but in order to still introduce this into clinical practice , like for example any new drug , we didn’t invent a pill right away tomorrow, the patient doesn’t go through the first phase of clinical trials, the second, the third, after it , permission is obtained, after even receiving permission, it still conducts the so-called post-clinical research, i believe that the story with various applications using artificial intelligence, including clinical decision making, before launching a vertinous clinical

practice, they must go the same way, and by and large, the purpose of these studies is exactly two: the first is to evaluate safety, the second is to evaluate effectiveness, and launching this without conducting it, without validating it and without saying that it is safe, we are still in in any case, the specialties of anesthesiology and resuscitation did not approach this, but you know, when there are discussions, various conferences at which the ethics of artificial intelligence are discussed, one of the most striking examples that is usually given, well, by the ordinary listeners, not doctors, but in order to make them think a little in the direction of, let’s say, ethical complications, an example is this , a resuscitation specialist comes to his patient and the artificial intelligence algorithm gives him a conclusion, analyzed all the indicators at that moment for all the so-called known symptoms of to all intents and purposes

, it makes sense to disconnect this patient from life support now because the chances of survival are scanty, keeping him in this status is very expensive for the clinics and health care, and you as a doctor, well, 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 artificial intelligence offers in this situation is called euthanasia, which is prohibited in our country, and this is, by and large , murder, we have not come close to that, in fact, in the west there is such a concept as the end of life decision, in those countries where this is allowed, but this is also a serious question, serious a matter of conversation 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, mathematically validated, that we use, they tell us that the risk.. . fatal outcome 98%, yeah, then again, our patient survives, and today we recalled one of these patients, 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, it is heterogeneous not only in race, nationality, some other age, concomitant diseases, so inserting one algorithm for everyone, at the moment it seems to me, is

it’s impossible, it’s very risky, and another thing is that probably then some subgroups of patients of the same age, the same disease , here, here, probably, something can be validated, but i don’t know, we should understand perfectly well that uh pneumonia... an eighty-year-old elderly patient with diabetes mellitus, with two heart attacks, with the consequences of a stroke, pneumonia in a young athlete with the same severity will occur completely. outcome in different ways, not an ethical question, i’ll ask, if the patient, roman kostomarov, were not a famous legendary athlete, roman kostamarov, you would fight for him in exactly the same volume, just like that on some transcendental, on incredible, or would it still be, well, let’s say, such an honestly executed protocol? i answered you mine question, maybe about five minutes ago, that i hope that i’m not mistaken, the message that i convey to my team, and we

go together with this, what doesn’t matter to us, again, thank you for this or or doesn’t matter , but in fact, you know from the work of our mutual friend in the shock hall 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 ecmo machine on... ventilator and we don’t have any kind of separation, i’ll just explain, dis and i we have known nikolaevich 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 maybe some of the backside is more than others, so why did i allow myself to switch to on the personal side, but because you know the inside out, you understand perfectly well that i am absolutely not lying about the podcasts or the first channel and i really hope that we will be able to preserve this,

god forbid, what kind of tattoos do you have on your fingers? tattoo, with certain meanings for me, tell me, but no, it’s personal, well, well, at least what it’s about, well, it’s just completely about personally, about women, and what’s personal is just a woman , isn’t it, no, it seems to me that a normal person personally is both a hobby and something else something, but there are simply things that, by the way, are connected , it seems to me, including the status of culture, that it is not customary to designate and talk about the signs that you inflict on yourself, and when did you inflict all this? listen, well, this story has probably been going on for five years already, this is not the only tattoo that exists, well, we don’t now , of course, we will ask denis nikolaevich to undress in the studio, although i think that many would like to see now denis nikolaevich, so to speak, in all his tattoos, but this is not our program. why did you buy a motorcycle? please tell me, already

as an adult? and moreover, not just an adult guy, but those specialists who sometimes see the consequences of these hobbies for motorcycles, yes, he collects the bones, the pieces of crashed motorcyclists, this person who, uh, sees all the unsightly the underside of bikerism, suddenly buys himself a bike, what. this was the story, well, look, life doesn’t end only with some professional stories, this is the first , second, if you follow the logic of my professional deviation, working there as an anesthetologist, resuscitator and seeing this wrong side, i’ll tell you honestly, then you need to stop going on the streets, because there are quite a lot of pedestrians hit by cars, we need to stop using cars, because we also accept victims after road accidents, well, and so there are a lot of restrictions, it turned out

this was completely accidental, i understood that you need, yes, here is medicine, medicine , you need you need something else so as not to burn out, not to suffocate, you need some kind of thing to appear in life that would switch you from all this, which turned you off, a very close friend of mine, we are 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, somewhere there , i say, listen, well, i ’ll be passing by in 3 minutes, it just so happened that we we went with him to this store, 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 each other a helmet, on the helmet, and i noticed that motorcycle that was there -