[000:00:00;00] which they saw from the bandera diagnostician bandera, premiere, today at the first, hey, long time no see, the dragon missed you, how are you, zhik, zhik, take away the little one, zhik, zhik, i want it to be a catfish,

but -i think i’m not sleeping, i’m sick of you. man, i want a son from you, i want a daughter from you, come on, all together, open your ears, it’s better in an amicable way, dig in the pressure, fantasy, the next level from october 27 to fridays on the first. give him a brief description, professional qualities, good reaction, brilliant command of german, i was born in a ural village, i am from a christian family, arrogantly, a colonel and a mayor, now

i will kill a colonel every day. character is rather weak, it seems to me that he is very willing to dobab, what’s the matter, the elimination of kokh is of great political importance, but is it worth risking such a valuable agent for the sake of eliminating kokh, based on real events, a real intelligence officer must be ready for anything, he’s like a cat you get pleasure, you can also ask you to turn in this direction, but it’s not hard for you with such an additional load, it’s normal, that is, you can, as they say, from your hands and lying down, as you wish, that is, it does not burden, no, but here it goes through the tape, that is,

the entire metal sleeve. yeah, okay, that’s what it looks like, that is, that’s it, the tape went into this backpack, and they’re already there too, yes, yes, but still, it’s worth pushing more, more reliably , the difference is significant, yes, to be precise, scorpio’s kit is 550 rounds , the weight of the equipped backpack is 21.5 kg and, most importantly, the machine gunner can fire continuously without wasting time... on reloading belts that hold 100 or a maximum of 200 ammunition, and here there are half a thousand rounds of ammunition at a time, a barrage of fire. the commander gives the order for battle. the first to move forward, as we have already said, are the copters and the crew of the uav. any combat work begins, of course, with reconnaissance of the area, and this is done by uav crews assigned to each assault

platoon, each assault company. the guys position themselves as close as possible to enemy positions, from where they can take off and scout out how the enemy’s defensive position works. with such a bird, fighters sneak up on the enemy almost close, at a distance of up to a kilometer. our main difficulty is not to be detected by the enemy, yup, that’s it, if we are discovered, we will be immediately destroyed. the goal is a priority, yeah. because these are the eyes, as they say, of the unit, so we can go up and see, not just the first line of the enemy, well, because, behind it, what is happening, the drone operator with the call sign thunder is a volunteer, at the front relatively recently, but already became an air reconnaissance officer. maximum secrecy,

guys have to learn everything practically on the fly, here they are modern... motorized rifles, assault units that can do almost everything, they have everything, heavy equipment, light armored vehicles, and small arms, but of course if small sabotage groups like this, in general, should be equipped with to the latest word in military science, all this, of course, is already the experience of a special military operation. the copter is in the sky, now you can see the training support point from the air. the task of the crew is to lead the assault group, suggest where the enemy is hiding, direct fire from mortars and grenade launchers to pockets of resistance, that's how it happens on the front lines. artyom. paratroopers storm enemy positions. in short, there are three of them there, one machine gunner, two machine gunners, they are pinned down, now, well, we are trying to knock them out. so, guys, machine gun, their machine gun is out, ammo, ammo is out, along the way, they threw a machine gun,

it fires back. the drone operator directs our attack aircraft. a direct hit from a grenade in okov , the detonation of ammunition and the enemy soldiers raise their hands and surrender. our uav crew is now doing approximately the same thing, only for training purposes, my role is now to carry out reconnaissance, identify some of their firing points, yeah, then we’ll build an artillery strike, line up our ags, throw it in order to call fire from the enemy’s hidden firing points in response, we’ll also aim artillery at them, hit virgin soil, then we’ll conduct an assault. infantry ags-17 flame - an automatic thirty-millimeter grenade launcher, which the copter operator talks about, attack aircraft use in a very unusual way, they installed it on an atv,

resulting in a nomadic weapon. left mobile, shot, drove in, more our sabotage mission is a very convenient thing, firstly, it is quiet, maneuverable, the enemy has time to react to such a dome. when we are already rolling back from the point , the enemy begins to wake up, starts working in squares, looking for us, well, we are already home, that is, it is already late, what is your call sign? my call sign is foundry worker, why is this? well, in civilian life, the metal was poured aluminum, now what about a more interesting job? well, the same , that is, with a twist, what is there, what is here, and steel is a flame, yes, steel is a flame, that is, too the best thing, come on, at least show us so that we have an idea of ​​how to use it, now let’s go out and work it out. the main task of the ags crew is to provoke the enemy, to cause an attack on themselves in order to force him to reveal his camouflaged

firing points, i’m working, that’s the work. guys from the ags, the shooter is covering, quickly made an injection, we leave, quickly leave the position back to the car before the enemy had time to come to his senses to return fire, well , it’s clear that if this had happened for real, we would not be here now this is just an exercise, but as close as possible to a real battle, after the attack of the swinging ags , large-caliber artillery would strike the enemy’s strong point , only then our fighters would launch an assault. the machine gunner is the first to take action. what is his task? don't let the enemy stick his head out. that is, in essence, he causes fire on

himself. well, yes, well, they hide when hit by a machine gun. it’s easier for an assault, it’s easier to approach them, but they’re trying to hit them right away, probably with a machine gun. with everything they can, well, for this they need to find it, yeah, identify it, machine guns you need to practice changing your position as quickly as possible, the machine gunner is the first to open fire, attracting attention , fires directly at the strong point, from here an infantry fighting vehicle jumps out, which is also support for the assault unit, which in turn must now go to storm the positions , i admit honestly, without the proper experience you get lost in the bustle of even this training battle, there is live fire everywhere, you can even come under friendly fire, but the stormtroopers on the contrary

act in their usual coordinated manner, in front of the trenches the enemy cannot hesitate, they will sweep away, here we have a conditionally wounded person who has been wounded, they drag him in... the guy is immediately pulled into the trench so that he is not in the open space, all actions must be practiced, including if one of his comrades is wounded, now... the troika has turned into a troika, first aid is being provided immediately, this is also important , the assault troikas disperse along the trench , stuffed targets are placed everywhere, control has begun , we are all working, we are working, commander, how the guys are acting now, they are working two, clearing out a trench, yeah. that is

, i work in such a way that there is no resistance, yeah, those in front, attackers, or defending, well, how does it generally work so far in terms of actions, clearly? well, for now, let’s say, now it’s good, yeah, now it’s as it should be, yes, of course, we did it, we’re not in a hurry, we’re not in a hurry, now we’ll go down, both of us are more difficult than this work in the trenches... i can’t probably think of something ... or it’s difficult, that is , you need to understand what kind of tension, the shot is not in a hurry, what kind of responsibility the guys have, they work with live ammunition, there’s no there is room for error, here you also have to act as competently and carefully as possible, everything you have learned, now all your skills are being applied here. the commander closely

monitors the actions of the fighters, gives advice , because in a real battle no one will tell you, even here the tension is at its limit, the adrenaline is off the charts, finally, the trench is cleared, the imaginary enemy is destroyed. so, assessment, good, good, but we’ll do better, guys, are you happy with yourself, what worked for you, what didn’t work? it seems like almost everything is working out, yeah, but why work, yes, a little control, control, yeah, why did you feel some kind of uncertainty, or now everything is more or less, well now it ’s more or less, before that there was like control, but when you look out, dive back in, it’s all control, and you don’t know what awaits you, or who, constant uncertainty, well, you’re already mentally prepared for the fact that you might, so to speak , face a real enemy, yes, of course, for sure,

we’re preparing for this, well how you are already loaded, ready, yes, but if it comes to hand-to-hand combat, let’s do hand-to-hand combat, why are you ready, fighters with poignant mongols cross have been participating in the special operation for several months, but they decided to become attack aircraft, undergo additional training , clearing out the excavation, this is the most important part of how we will enter the trenches, squeeze the opponents and smoke them, but this knowledge that is now it turns out, they are, let’s say, not superfluous compared to what you already knew how to do, you knew, uh, no , practice is always not superfluous, practice is always needed to feel the body, the body felt, it’s all a battle, it’s always needed, it essentials for fighter, so that the fighter is always in shape, confident in himself and, accordingly, real combat operations, at least an imitation of real combat operations, accordingly, it always helps, because of this, training is needed to

develop this, a feeling of fear to remove in front of the enemy, when meeting with enemy. the training is not over; all elements of combat are practiced, including evacuation of the wounded, on special nets, which almost everyone has, or on ordinary medical stretchers. if there are stretchers like this, of course there will be pull them out if you don’t have them, but any means are good there, up to the point that they can. this is important, every soldier should know that if he is wounded, he will not be left, he will be pulled out at any cost. of course, there is not that nerve here, there is not that tension that would be on the battlefield, because there is no real danger, yet these actions are no less important, because the guys practice them here so often, so much. that they don’t get lost where

bullets actually strike, shells explode , their comrades are wounded, everything is important here, the main thing is not to get confused, the rule of the golden hour is always relevant on the front line, the sooner the wounded person ends up in the hospital, the more likely the consequences of this injury will be minimal, the platoon of this assault... the unit is not a professional military man, he has never served in the army before, but here in russia already received the rank of lieutenant and says the stormtroopers went to poetically cover

the backs of young guys , because... like belasa, there is probably an instinct, he somehow called, to defend his homeland, that’s it, i was just on watch when started mobilization, that is, i called, i was told , come, at the end of the watch, the military registration and enlistment office arrived, that’s it, i’ve been here since then, we believe in everything, in god, in our comrades, in ourselves, in the whole platoon, everyone is confident in their own partner, that he is my brother, he is a hero for me and i will go into battle with him, well, perhaps i once chose the wrong profession, let’s say this came to mind, that is, perhaps i should have chosen a military profession a long time ago, now i i feel like i belong, all these

fighters have long become family to each other, combat, but they don’t forget for a minute about those they left at home and believe that... they will protect their loved ones from harm, it’s not for nothing that my mother told me to wear a humorous patch on a bulletproof vest or helmet, here they wear it through one person, including the platoon commander , however, there are other talismans, why did you choose this sign for yourself, it’s not me, it’s my wife, my wife gave it to me, protects, protects, and always and everywhere, how many years have i been married, oh 17, my beloved, i love you, i i'll be back soon, did you watch the hourly program, see you next

sunday, we start this morning in... from moscow in the city of gusev in the kalining region, once this city was called gumbinin, and historically, it was always created by settlers, the first, almost immediately after the plague, at the beginning of the 16th century, were the inhabitants of saalzburg, protestants who believed that the most important thing in life is work, pure religion, pure faith. and work from morning until night, then eras changed, but the people who come to the city and create its history have remained in this city to this day, now we are in the famous gusev hospital,

the best doctors in russia were also gathered here, they came from chelyabinsk, krasnoyarsk, domsk, novosibirsk, and the most important one, a vascular surgeon, came from... the capital st. petersburg. doctor agarkov saves limbs from amputations. how many people have you saved from amputation, maxim vasilyevich, more than 600 people. limb rescue center. so for a long time, the patients themselves call the vascular department, which is headed by dr. agarkov. who is at risk of amputation? the main symptom is pain in the legs, first when walking, and then in rest, the person limps and stops, the cause of atherosclerosis is a plaque that blocks almost the entire artery in the legs, because of this plaque gangrene occurs and the only way out is amputation, but today in the kaliningrad region it is forbidden to amputate until the patient is seen by dr.

agarkov. what you are about to see is the planning of a most complex operation, an operation that... will enable a person to completely restore blood flow in the legs and walk normally. maxim vasilyevich, we came to you, and i want you to show us this picture was created by a computer, right? yes, the patient’s blood flow is interrupted at the level of the femoral artery, there’s a break here, that’s right, you can lower it a little, you see, the vessel is actually pinched, and the length of this , that is, there’s a huge plaque there, yes, there’s a huge plaque there 25. so, the first stage of saving the leg is a computed tomography scan. the computer constructs the affected vessel and transmits the image to dr. agarkov’s operating room. and then. to your business. well, these absolutely

unique operations continue, doctors continue to save people’s legs, save them from amputations, it’s time for us to take a break for a while. at the very end of the program we will talk about this unique technology in detail, but for now we’ll just say that it’s a rescue center, of course. sclerosis of the blood vessels of the legs from amputations, watch the program to the end, the health program begins while in this harsh life endless passions are boiling, waking up healthy in the morning, eating real things. happiness, we need,

while sailing through the waters, to take care of both strength and nerves, if we put everything in its place, health will be on the first, health is with you again , dear friends, good morning, well, we started this morning far from moscow, in the kaliningrad region, in the city of gusev, where the limb rescue center actually operates. this name was unofficially coined by patients whose legs were saved by dr. agarkov and his colleagues from amputation. the problem is very serious, because we are talking about atherosclerosis, the arteries of the lower extremities, atherosclerosis, which we know well from the heart, but in the heart it is simpler, a small, small thrombus. blood clot in legs

these are the dimensions, here the stand easily passes, easily expands the vessel, in the legs you need to go 20 and 30 cm, calcified like concrete poured into a plaque pipe, and it was done so interestingly, by such wonderful doctors, who gathered from all over the country into a small goose, and they gave them apartments, helped them solve... everyday problems, and people save limbs, a limb rescue center. let's talk about this in detail and show you a huge story about the city of gusev and the wonderful gusev hospital, where excellent doctors work. for now i’ll just say one thing, no place colors a person, and a person paints a place. and only the best doctors work in the television clinic of the health program. countries , colds, when to stay at home, and when

you can’t do without a doctor, stars on your legs, do you need to get rid of them? now, if there is this constraint, then this situation definitely needs to be removed, if this constraint is not there, then you can live with it, and for those for whom this procedure is useless, don’t wash your nose, yes, here’s a spray can, one side on the other, everything works out great . how to quickly get rid of a runny nose? well, dear friends, our first the topic, of course, is dedicated to the mild panic that gripped us this fall, again , i say mild, because i hope that you did not fall into a severe panic, and of course we are talking about the fact that covid hospitals have been reopened, a reserve. hospitals again, all the media are writing that the incidence has increased, how

we doctors treat this is absolutely calm, new strains of coronavirus have not caused an increase in mortality, but have become one of the groups of viruses that cause acute respiratory infections, well, we suffer from acute respiratory infections, as were sick earlier, without panic, however, since we were taught to panic, in today's program , how to get sick at home, what to do if you think you need to call a doctor, in what cases you should ring the bell and call an ambulance. so, first, let's start with in what cases you need to stay at home and be treated at home. first installation, no need to call an ambulance, you need to be treated at home. really, let's do it. we look at the screen, if the temperature is up to 39, and you can lower it, that is, you take medicine, it

decreases for 4-6 hours if you are on your own. honestly speaking, we are tired of it worse than bitter radish, this is oxygen in the blood, these are pulse oximeters, which the whole country has now bought, and you have been hooking up this pulse oximeter to yourself since covid times, it says more than 94, but in principle for the older group of patients, for example, mine my mother is 90 years old, she has three defects... she has the usual pulmonary edema , she always has this indicator of 87, when during the pandemic we put a pulse oximeter on her finger, it just did that, it hummed, rattled, she took it off, to the doctor, so the best reference point is you went up to the second floor yourself and you yourself reduce the temperature, please, in these cases, stay at home,

do not call an ambulance, do not call, do not call a doctor from the clinic. spare the medicine, which is overloaded, remember before covid times, at a temperature of 38-39, we took pills at home, drank plenty of water, if you want to drink with cranberries, if you want with raspberries - with raspberries, lie down, and in 3 days you will come to full health normal. now, why are we so calm about new strains of coronavirus? it’s all very simple, the fact is that the first strains caused lung damage, unfortunately, when the first strains of coronavirus affected the lungs, they caused pneumonia, all new strains, amicron, all varieties, pyrola, this is also a variety of amicron, they do not affect the lungs, but the influenza virus can affect the lungs, the main

risk group is children, the mortality rate of children from influenza is 67 times higher than the mortality rate of adults, this must be well understood, well understood, what is the best means of protection against influenza? vaccination, the best remedy for the flu, vaccination, the flu shot is given to children from six months and beyond for all age groups , so vaccination must be done without fail, and for children from six months and pregnant women and adults, now further, when to call a doctor at home, not an ambulance, a doctor at home. let's look at the screen again. so, the main reason for calling a doctor at home is because you have shortness of breath. a sign of shortness of breath, you cannot walk to the second floor, you are out of breath and stop to

rest. second, you can't... lower your temperature, you take medicine for an hour after taking the medicine, the temperature does not decrease, if the temperature decreases, and after 4-6 hours it rises, this is normal , it means it is decreasing, you need to repeat the medication, but if you drank it did not decrease, then this is a serious indicator, in memory of covid we they left you with blood oxygen saturation, but i repeat once again, we don’t like... this indicator when patients present it to us. so, shortness of breath: you can't go up to the second floor, again, and you can't lower your temperature. this is a reason to call a doctor, because shortness of breath appears, when lung damage occurs. and finally, third, when you ring the bells, you realize that there is no time to wait for the doctor, you need to call

an ambulance, you not only cannot get up to the second floor, but you are short of breath. at rest, that is, if you speak, you speak like a breathless person, you say, i want to call an ambulance, because it sounds as if i was running and now i can’t catch my breath, this is shortness of breath at rest, this is the most serious symptom, that’s for sure you need to call an ambulance, your blood oxygen saturation is less than 90, this is it’s clear, perhaps you have such a temperature that... confusion, it doesn’t matter , in these cases you need to understand that emergency help is required, and there is no time to wait for the doctor to come to you, these are the rules,

let’s take a short break, and then let's continue, in the morning you will get up, here is an absolutely magnificent duet , i can’t understand something, yes, the problem is that i’m shoo, look what i did, i beat the star, the season premiere, today on the first, cnop gin, a product of the stellar group. what is the russian terminator capable of? this is a special car in the world, in principle i have never seen anything like this, it was a specific hunt for a specific terminator. at that moment , four drones flew in, they

returned to their unit on a smoking bmpt, an exclusive from our guys, now we are participating in a battle, terrorizing the enemy. and we caught the us national security council in a lie. there is no indication that corruption has occurred in ukraine. the aid is indeed being stolen, but they cannot talk about it. meet the color and pride of the capital of our soviet homeland, we have big things planned, you don’t understand the hints, you climb where you don’t need to, okay, guys, i’ll go, i have a lot to do. you have this investigator, i need him, bye, where did your husband get the rings with diamonds, the rings came through some lumieux, i hope you understand, if

without dreams he finds out something about me, they will immediately kill him, and they will kill you, papers yourself, there will be a girl, bottles of paper, sergei bezrukov in the serial film valeria: bison, the work of a fashion model, tomorrow after the program time, good morning, elina vasilievna, so glad to see you, like this, a real man, always with flowers, and i, too, with gifts, but before i put a robe on viktor vasiliev, a few words about the life of an actor. well, the life of an actor is good, yes, it all begins, every working day begins with such a table, and tell me about your daughter, how old is she now, her daughter is 10 years old, veronica

looked at mom and dad, said, i’ll be an actress, we said, daughter , maybe you’ll think about it, he says, no, that’s it, i watched all the series with my mom and dad, then i went to auditions, he says, i want to act in films, i went... i passed the auditions, and did them very cool, they took her to the movies, she’s now starring in a full-length film, a children’s movie, very kind, good , the year sixty-five there, a pioneer, she’s in galstyk, it’s all just nostalgia, dad has nostalgia, i just want to say that it’s really for the children modern ones have nothing to show from children's films, i watch old films with my grandchildren, why, because they are simple. there are truths, there are enemies, there are friends, there are enemies, there are decent people, brave heroes, and there are bad ones, and this is

important, yes, but i will hope that after all there will be a lot of good, kind children's films in cinemas, what roles are you playing now, who, different roles, i actually realized that i probably once came to the stage because i wanted to try on... different images, so now i take on any roles if they offer serious ones, well, let’s say, there are a lot of them now i play different businessmen, bosses who are good, good in the end it turns out that they are not very good, scoundrel? yes, of course, i had a role with a doctor, yes, i had a role with a doctor, so, but it was also not very good, as it seemed, it seemed to be prestigious, elite, but in general there was something going on there somewhere, everything

, to see what modern medicine is, that’s why this is important, i’ll give you a robe so you can try it on, you need a jacket take it off, doctors don’t put gowns on their jackets, and we ’ve run out of advertising for now, i’ll continue the program, then together with you we’ll go to big medicine, come on with a big one. see you, uh-huh, health is back with you, dear friends, our program continues, and our whole cycle is called vessels, let me remind you that we have two type of vessels in the body, who knows what types of vessels are in the body, please take the microphone, i’m not prepared, yes, she will get ready, okay, give it to the neighbor, arteries, that’s right, and also, vein, that’s right,

arteries. and veins, let me remind you that the main difference between these vessels is that the arteries seem to push blood into the heart into the arteries and the arteries hold this blow and send blood everywhere. veins, here they are, are complex vessels, they need to pump blood from bottom to top, that’s why veins have valves, they close, the blood is pumped, the valves are closed so that the blood does not flow down. and veins are globally more complex than arteries, but veins have one minus: arteries have a powerful muscular wall, so the artery can expand, but return to its previous state, thanks to the muscles, veins hold our muscles, for example, deep veins, but if the vein is superficial, it expanded , but can no longer narrow back, so on our feet we begin to see

what? asterisks, exactly, today we will talk about spider veins, let's let's look at the screen to see what these same stars look like, these are the visible venous patterns on the veins, like this or like this, or now we'll show you, in a word, there are a lot of variations, who has already discovered such stars on their legs, that's it, everyone has it , because such vessels. everything has stretched out, this big project about veins, we are doing in two programs at once, in health and in living healthy, largely because i met an amazing doctor, as for spider veins, he amazed me, sergey nikolaevich yakushkin, please come to us, nikolaevich, for some reason i was sure that spider veins are

a sign of what disease? all the women in the world shouted this word, varicose veins, so i meet with sergei nikolaevich and say, here are spider veins, he says, this is not varicose veins, i say, if not varicose veins, but what is it in the international classification of the disease, i asked sternly, he said: “this is another vein disease, we have these names: another vein disease, i say, okay, but the asterisks must be removed, what did you answer me, sergey no? there are no medical indications for removing asterisks, only... aesthetically, it completely amazed me, because these stars, in my opinion, completely remove everything, and before the summer, in my opinion, everyone goes straight in formation, here is an asterisk, here there is all sorts of things, it turns out that they don’t need to be removed, they are no threat to our life and health they can’t imagine, you have just taken away your bread, it’s true, dear women, but i love such doctors even more, because the interests of the patient are higher than mercantile interests, i’ll tell you now what

that is. it's dangerous, everyone will come to me, they will removing stars is honesty, in medicine it is like gold, because it is a profession, so after all, remove it only if the passion, as you want, is correct, remove it, if so, indeed, it brings very strong aesthetic discomfort and changes the quality of life in the form aesthetics, when the patient is embarrassed to just go to the beach, put on a skirt, put on shorts, but if this embarrassment exists, then in this situation it is definitely removed. it is necessary, if this embarrassment is not there, then you can live with it, sergei nikolaevich brought us this a living model, the veins are visible here, very good, now right here he will show us what he is doing, that these are also small wreaths, a method that is used to sclerosis these veins, they are clearly visible here, well, on the legs we have about the same ones, doctors are trained on such models, what are you doing? one of the effective methods

for eliminating spider veins is sclerotapy. the method is that we take a special solution, draw it into a syringe, draw air into another syringe , mix the solution with air, and get foam. and already using a thin needle, we inject this foam into each wreath, regardless of diameter. here, i think, we’ll prick now, heart, vein with a heart, poke, let’s try , bang, bang-bang, here it goes, you see, foam displaces small... blood vessels, displaces blood interacts with the wall of the vein, the vein wall then sticks together, and the vein is gradually dissolving, right now we’ll show you what it looks like in real life, but all this is preceded by an ultrasound examination. sergei nikolaevich is wonderful because

he performs ultrasounds on his patients himself, we go to the treatment room of dr. yakushkina, under ultrasound control. the doctor carefully examines the condition of the patient’s vessels, determines the condition of the valve apparatus, we press on the gastrocnemius muscles, blood flow appears, we release no blood flow. the blood flow is clearly visible on the monitor. we don’t have any problems with main wreaths, everything is fine with us, all the wreaths work, which means we have a purely aesthetic problem. to bring beauty back to. the patient will not even need local anesthesia. we are now recruiting sparate, which we will introduce into lumen of the vein. we will not administer the pure drug, but the drug in the form of fine

foam. well, now, taking a thin needle, the doctor pierces the vein and injects a drug inside that will glue its walls, blood flow, therefore. the vessel is missing, right now we see how the medicine before our eyes glues the walls of the vein and the vein disappears from the surface of the skin. laris, how do you feel? the mosquito bites , the mosquito bites, the procedure lasts 20 minutes, well , of course it looks, this procedure is simply wonderful, correct, easy, wonderful, but why do an ultrasound, we do ultrasound for everyone why patients, in order to determine... is it really just aesthetics, or is there already a problem with the main veins, because if we find a problem already with the main veins, then here the tactics of a friend, the tactics completely change, and here already other methods are used, how quickly after this you return to normal life, 15-20 minutes

of the procedure is all and patients usually come home from work, come for lunch, come for the procedure instead of lunch, return to work these are women, only women, if only this was man. if my job had been given up, his wife would have come with him, in general men are not very interested in aesthetics, unless she finds a wife somewhere that she doesn’t like, then she brings him, then the work day is definitely cancelled, and after the procedure everyone lies at home, so what, looks beautiful, doesn’t pose a threat to life, it’s in the way, we need to clean it up, it’s not in the way, we’ll walk around with our scary legs, too, we’ll take a break for a while, and then we’ll continue, what, where, when, autumn series of games, finals, look

after the program for the time, cognac , montechoca, product of stellar group, see you, dragon i missed you, how are you, si ready, zhik, zhik, zhik, who is new, who is new, liebelly, i want it to be, but in my opinion i’m not sleeping, i’m rooting for you. god,

what a man, i want a son from you, i want a daughter from you, but all together. better in a good way, fantasy, the next level from the twenty-seventh of october, on fridays on the first. health is with you again, dear friends, our program continues, well, we have begun. this program starts with when to call an ambulance, when to get treatment at home, and we will also continue with the autumn theme, the theme of a runny nose, but everyone knows the saying well that if a runny nose is treated. then you will be sick for a week, and if you do not treat for 7 days, in general

, the saying is true, because our body has enough strength to cope with a runny nose, there is only one important detail, let's look at this model, here is our nose, and now so, i ’ll open our nose and show you what this nasal cavity is, how does swelling occur? it’s very simple, this is how the blood vessels dilate. in the literal sense of the word, our mucous membrane swells, everything would be fine, but because of this edema, the mucous membrane, very important things are violated, let's look here at this poster , here we showed two things: the nasal cavity is connected, firstly, to the ear, and from the inner ear comes the eustachian tube, which opens into the nose

and this exit should be open when the nose swells, this outlet closes, this is where suppuration begins, this is the eardrum, this is where pus accumulates , tititis is the most severe complication of a runny nose, especially in children, but that’s not all, this model shows that the nasal cavity is also associated with the sinus sinus , here she is is located, and not only... with her with the frontal sinus with others, but here the maxillary sinus is clearly visible and in the same way the lumen of the maxillary sinus opens into the nose, so that there is an outflow when the nose flows, as i showed, it all closes, which means there is no outflow here, but there are microbes , purulent inflammation begins, so no matter how mild a runny nose may seem to us, we must understand that swelling but... we must fight so that

these complications do not arise, and now in our program new veins, today i want to go to an appointment with an ent doctor, not alone, but with famous actor, famous kvn player , viktor vasiliev, there is also economy class, please, i'm afraid to imagine what economy looks like, dogs don't need much, ours do, they are smart. they say that viktor vasiliev broke many girls’ hearts, but not one, even the most experienced man hunter, failed to break his family. for many years now , the actor has been living in a happy marriage with his wife, also a famous actress, anna snatkina. sympathy arose between colleagues, at first it was their little secret. his parents were engaged in business. as a child, vitya dreamed of becoming a football player, and

after school he entered the st. petersburg academy of engineering and economics. he was preparing to become a financier, but it was here, within the walls of the university, that his acting talent was revealed. everyone knows the buddhist figurine. i don’t see anything, i don’t hear anything, i won’t say anything. our archaeologists have found something new. i don't want anything. i don’t drink anything and nothing, nothing, as part of the team of the club of cheerful resourceful people, the st. petersburg team, he performed for as many as 7 years and turned from an ordinary guy into a real humorous star. he led television projects, followed by film roles. that is, if i agree to move to moscow, at the suggestion of your brother, to do the so-called business, then 'with love, and so love suddenly came into the life of a successful actor, on a television show victor

met actress anna snatkina, a whirlwind romance led to a closed one, but a very magnificent wedding, the couple is raising a daughter, olga aleksanrovna, good afternoon, we came to you with the chief doctor, feel the manners, hello, what do we have here, yeah, patients are already early in the morning, good. vitya played the head doctor in one of the films, well , in fact, we came to the ent doctor’s office, have you ever seen such an examination? i saw such an examination, once, yes, my child was given such a camera, it’s just that this is generally the only modern examination that is worth conducting, why olga alexandrovna, now olga aleksanna is in the nose, but show how deep the camera can go down in a patient, here we are we go through completely. nose, we we’ve reached the nasopharynx, we have it, we can go further, let’s see the vocal

cords, just like that, we’re breathing a little unpleasantly, inhale, exhale, inhale. exhale, this is the larynx, yes, the epiglottis, sing and, and these are the vocal cords, and take a deep breath, that is , the endoscope sees not only the nose, not only the mouth, it comes here, here, here, here, you can examine everything, of course, if we do it the old fashioned way, look with a nasal dilator, we really don’t see anything, without me they’ve already bought a lot here, now we’re talking about a runny nose, what’s your name, i’m nastya, nastenka, a question for nastenka and the chief doctor, how to treat a runny nose, viktor, well, by rinsing, my first name is viktor promylov

, seriously, he was rinsing, actually correct, yes, and she said how everything is connected, this is the nose, if so attach, here we have the frontal sinuses that open into the nose, these are the maxillary sinuses that open into the nose, there are green ethmoid sinuses in the back, they also open into the nose, so rinsing the nose, i don’t know if you knew this or no, this is the best procedure, by the way, actors should know this , because it is to preserve their voice, of course, but they are not all the same color, no, they are the same as ours, like our body. all our internal organs, nasal rinsing, do you know how to rinse your nose? well, i usually rinse with ready-made products, like this, well, it’s not a rinse, it’s just like that, i dropped it in, but the way you rinse it is in one nostril on the side, here it goes, aleksanna, we’ll instruct victor to do what

’s convenient, we have different options , we have a teapot like this, we have a syringe for washing, that is, i’ll be there now. rinse, yes, as you want, but unfortunately i don’t have time , now, excuse me, there’s a patient waiting for me in the operating room, come on, let the girl show you, if vitya is embarrassed, well, you can prepare your own solution, which one, olga aleksanna, teaspoon of sea salt, level, per liter, boiled water, 36°, mix with a syringe, like this, right, mix, right, right, like that, that's enough, dial, right, dial now. while our girl is typing, how are you being treated? for you, loss of voice, nasal voice, this prov problem, we are faced with nasal congestion, i rinse, yes, here is a spray bottle, in one nostril on the side with the other everything comes out perfectly and clears, and this is the best way, i have already tried

everything possible, this is the absolute truth on how to behave, victor vasiliev gives advice, like this, here, here , it’s really not necessary, you can just lean forward, point one half of your nose and carefully, but if he was on his side, then he would just drained there, but why don’t we recommend it on the side, because children, of course, children can pour it into their ears, that’s why adults have this kind of behavior, that is, it’s difficult for us to get there. a person must do on his own, what happens at this moment? at this moment, viruses, microbes and wear dust are directly washed away, yes, everything that should not be there, it’s true, this is the number one remedy, what else, victor, vasoconstrictor drops and vasoconstrictor drops, well , it’s possible, but it seems to me not for long, literally

there, if you need to immediately remove it, that is, you come and remove it, you say, you say how frenchman. and what drops are excellent vasoconstrictor drops that are not included, you are a person who is only busy with this, the answer is wrong , hormonal sprays are considered the best drops, why olga aleksanna, what effect do we instantly achieve, the nose, the salustier opens, the sinuses, absolutely right, outflow, we provide a skein from everywhere , simply instantly removing the swelling, so here they are, hormone-containing sprays have been included in all international standards, vasoconstrictor drops

have been removed from all standards because they cause complications, a rise in blood pressure in the older woman groups of people and... overgrowth is mucous, so people on vasoconstrictor drops , they develop an addictive tazin addiction, absolutely true, in the end there comes a moment when not a single drug... helps, forget for life, forget for life , a hormone containing to have and rinse the nose, and how do you evaluate the work of our doctor, ent doctor, dear chief, it seems to me that the salary needs to be raised, this is wise advice, you will raise it, yes, definitely, thank you very much, olga alexandrovna, jokes jokes, but salary all doctors need to be raised, thank god, this issue has been resolved in moscow, you see, well, wishes. everyone, well, watch the movie with me, of course, you won’t get sick, of course, come to us more often, and ask me here, in general

, the head physician and i will always tell you, if anything will raise the salaries of all your doctors, thank you very much to viktor vasiliev, like this cheerfully and cheerfully, we talked about the runny nose, look at the camera already, victor, we were being filmed, we were being filmed all this time, friends, don’t get sick, take care of your children, of course your parents and love your friends friend, if you have love, then you do not have any diseases. you are vaccinated against the flu, you need to call the director, everyone should be vaccinated against the flu, friends, this is really very , well, of course, good, it is necessary, especially since you have so many contacts, and rinse your nose, let’s take a short break, and then continue. in an udmurd wedding they always brought

honey. the main decoration of the udmurd table is the goose, a symbol of prosperity. if you find the ring, then you will be the bride. let's choose. we have the chest, but we won’t just give it to you. well, are you ready for a real rokonlu , oh, that it was possible, and then the producer will tell you, we’re playing a wedding, and you’re still in augurt, svantvay, we’re playing a wedding, our premiere, today on the first.

vodka veda is a product of stetellar group, what kind of idiot wrote this letter, and how cool, cool kostya kinchy is, they really could have imprisoned him, because rock musicians were imprisoned, if roman kostomarov had not been a famous legendary athlete, you would have fought for him in exactly the same volume, any celebrity entering the shock hall will end up on the same bed, on the same the same machine... the same apparatus and we don’t have any kind of division, consideration of the case of kamilla valieva, of course, they want geniuses like her, because she is truly a genius, they want this to be born in their countries , because if we have it in our country, we will always defeat them, any person who wants to adequately assess the present, of course , must know history, they don’t ask, it was you who flew into space, now they say, it was you who starred in the film challenge, but for me it’s different, they tell me, well, were you the one who flew suli? i say no, it’s strange, it looks like she’s with me, i say. i know that you recently had a very

difficult accident, i flew from the back seat forward, i have a concussion, a man got into a standing accident at a speed of 110, he did not brake at all. podcast lab is with you all nights. dear friends, our program continues and i want to remind you where our program began, it began in the morning in a stunning place, this is the hospital in the city of gusevo, kaliningrad region, it would seem that where fate has brought us, it is in this hospital, doctors from all over the country were gathered, one of the doctors, maxim vasilyevich agarkov. saves people's legs from amputation. we start

this morning far from moscow, in the city of gusev, in the kalining region. this city was once called gumbinin, and historically it was always created by immigrants. the first, almost immediately after the plague, at the beginning of the 16th century, were. residents of saalzburg, protestants, who believed that the most important thing in life is work, pure religion, pure faith and work from morning to night, then eras changed, but people, who come to the city and create its history, have remained in this city to this day, now we are in the famous gusev hospital, the best doctors in russia have also gathered here, they came from chelyabinsk, krasnoyarsk, tomsk, novosibirsk, and the most important,

vascular surgeon, came from the capital. doctor agarkov saves limbs from amputations. how many people have you saved from amputation, maxim vasil, more than 600 people. limb rescue center. this is what patients themselves have long called the vascular department, which is headed by dr. agarkov. who should threatens amputees. the main symptom is pain in the legs, first when walking, and then at rest. a person limps and stops, the reason is atherosclerosis - a plaque that blocks almost the entire artery in the legs, because of this plaque gangrene occurs and the only way out is amputation, but today in the kaliningrad region it is forbidden to amputate until the patient is seen by dr. agarkov. what you are about to see is the planning of a most complex operation, an operation that will

enable... a person to completely restore blood flow in the legs and to normal walk. maxim vasilyevich, we came to you, and i want you to show us, this picture was built by a computer, right? yes, the patient’s blood flow is interrupted at the level of the femoral artery, there is a break here, that’s right, you can lower it a little , you see, the vessel is actually pinched, and the length of this, that is, there is a huge plaque there, yes, there is a huge plaque there for 25 see so, the first stage of saving the leg is computed tomography. the computer constructs the affected vessel and transmits the image to dr. agarkov’s operating room, and then brilliant work by a professional who is passionate about his work. i looked at maxim vasilyevich and involuntarily remembered the gusev museum. doctors have always been on the front line. for example, this is

a plague doctor. and the mask on him is not ours, the face is completely covered, this nose is a special device filled with moss , this is how doctors of the 16th century tried to protect themselves from infection, unfortunately, even such masks did not help, and plague doctors died like mere mortals, so nevertheless, they worked and saved people, and these are doctors of the first era... world war ii, then amputation was the most common operation, the reason being wound infections and war injuries. today the main reason for amputation is atherosclerosis. for 20-30 cm, the vessel is covered by a plaque, it is calcified, like a pipe filled with cement; a passage must be made in this pipe and an opening for blood flow should be opened. the operation begins

with the fact that, under ultrasound control, the doctor looks for a passage into the affected artery. which vessel to remove, the anterior tibial artery, we will now try to isolate it and place it tool there. let me remind you once again that we are not in moscow or st. petersburg, we are in the city of gusevis with a population of 30,000 people, but the equipment in the operating room is such that an american hospital would envy, the patient does not sleep, he is not in pain, since a special anesthesia was given , and your legs don’t feel anything, total atherosclerosis of the lower extremity vessels, you don’t sleep, how many years have you been suffering, how many years has it been painful for you to walk, how many years has it lasted, well , about 20 years, how old are you, 72, 72, the patient knows that amputation was inevitable, the leg hurts all the time, in medical language,

this is critical ischemia, dr. agarkov gives a chance to save the leg. but if we look, we see a very calcified plaque. can i come here and point my finger, i understand correctly that here it is, yes, a break, here it is, yes, yes, here it is the stump of a vessel, like the stump of an amputated leg, but the vessel is there, it’s just clogged with a calcified plaque, in the operating room x-rays work all the time, everything... suits protect against radiation, but you can’t put them on the surgeon’s hands, you see on the screen the surgeon’s hands, which are catheterizing the vessel, that is... it is irradiated continuously, do you have any restrictions on working under x-rays, maxim vasilyevich, because everything is protected, but the hands are not protected, as if there were such direct restrictions no, they entered

, yes they entered, this is how maxim vasilyevich agarkov works, irradiating his hands to save the sick, the vessel has already been introduced with a conductor, this is a thin wire, it must drill a huge path. below is completely closed, when i see this, i can’t understand how people lived, now we’ve come, yes, now we’re just trying to get through these 25 cm of a closed vessel, the doctor needs to go a long way, this is not such a plaque as in the heart, for example, but this is 25 cm, through these 25 cm of atherosclerosis you need ... seep through with a metal conductor , so that you can then insert a balloon along it and inflate this entire closed vessel, yeah, how much have you already gone through, maxim, about 10-15 centimeters, well

, half, yes, a few more minutes pass, it’s quiet in the operating room calmly, but i can’t believe that this 25 cm path is even possible pass, it is closed, there are probably different methods of passing there with a loop or this is how we passed, we all passed a completely closed artery, now we will take a balloon, well, you are a genius, what can i tell you, doctor, this is truly the savior of the limb, now our task is - perform balloon lifts , what he did, he made his way through a tunnel clogged with atherosclerosis, simply clogged, he went through all 25. we have such specialists, are you from kaliningrad? no, where are you from, we are next to guseevsky soviet, well, also the kalining

region, you’re lucky, this is definitely not the place makes a person, and a person is a place, dr. agarkov left the capital st. petersburg with his wife in a small town, made this city a unique center for saving limbs, this is a new generation of young doctors that you can be proud of, a generation of enthusiasts, he was never a pioneer or a komsomol member, i i thought about this late at night in the gusev museum, remembering one day with dr. agarkov. my uniform was like this, i want to tell you, these dresses were brown, and there were badges like this, with the inscription be ready. i remembered my childhood, i am also one of the former pioneers. and be ready with a badge, in fact, i had one too, and i had a red tie, and the pioneer is an example for all the guys, i also said,