you know, friends, we decided to start our program with a big event, because the 21st century is, of course, a breakthrough era, one of the global breakthroughs that occurred in the 21st century was the emergence of genetically engineered drugs. there are diseases that are associated with congenital almost blindness, that is, a child. only light and darkness. and so i want, before we tell you about the breakthrough, because in fact, the level of the breakthrough is the cure or treatment of blindness, that is , this is a colossal breakthrough in ophalmology, in people's lives. i want mikhail yegororoch kanavalov, professor and doctor of sciences, ophthalmologist-surgeon, told us one simple thing, mikhail grigorich, what is the meaning of vision from biochemistry. to an electrical

impulse and the perception of such a luxurious picture of the world that you see, i’m in a fuchs raft, a doctor in a white coat, how do we see? well, we are now talking, of course, about sechatka, about our nervous tissue, why do we need sechatka? it is needed so that those rays that enter our eyes are converted into an electrical signal that enters the brain. look, ours the retina is a nervous structure, these are rods and cones, inside them, our rods and cones are charged with a certain protein , rhodopsin, when light enters the eye, this rhodopsin is destroyed, a chemical reaction occurs, thus an electrical signal is formed, the information goes to the brain and is perceived by our brain... brain

, this is how we see, that is, the eye is the receiving object, the brain processes the data, so you see that i am in a fuchse dress, and mikhail egorovich is in a white coat, and here we have a chemical reaction, this transformation of a chemical signal into an electrical one is impossible without a special enzyme, this enzyme is encoded by a special gene. and in people with the disease, what about this gene? the fact is that if a child, a person, has a defective rpee 65 gene, it does not allow the production of a protein that already works in this mechanism, that is, the child, in principle, has eyes, he has a cornea, a retina, crystal, there is an eye, there is everything, and he... sees light and darkness,

that is, he is a blind child, to the great fortunately, a medicine has appeared that this mutant gent modifies, it is a genetically engineered drug, for the first time in the history of our country , a boy was treated at the eye microsurgery center, the eye microsurgery center is named after teacher mikhailch, svyatoslav nikolaev, it was there that this was first done. treatment right now i want to invite the doctor who did all this to us. anton igorevich kolesnik, research fellow, what is the essence of the treatment, doctor? the essence of the treatment is to deliver a healthy copy of the gene directly under the cut membrane to the area defeats. it’s delivered in medicine, in a syringe, that’s right, it’s delivered , that is, it’s not like there’s some kind of vehicle, there’s something like a syringe, a syringe with medicine, there’s medicine.

look, the medicine is made in the same way as the sputnik vaccine was made, inside the neutralized virus, there is, roughly speaking , a copy of the desired gene, that’s right, absolutely right, now i want to remove this virus , put the eye here, put it, mikhail egorovich, where it’s injected drug, and the drug is injected directly into the posterior pole eyes, that is, you open something up the shell , in order to... provide access , special ports are installed in parts of the sclera, microscopic holes through which we are able to enter the cavity of the eyeball, and where the medicine, medicine should go should get directly under the secundum, in the area between the secundum and the choroid of the eye. so, you receive a child who, well, roughly speaking, does not see anything, he distinguishes between light and darkness. what results can you expect? degree

lesions in our patients, it is different, some perceive and see at least something, some have more or less acceptable visual functions, some really see practically nothing. the main task of the drug is certainly to preserve those functions that are preserved and there is, to ensure an improvement, first of all, in the functional state of the visual analyzer, and this is an expansion of the field of vision, this is better adaptation in the dark, uh, the ability to find necessary objects in reduced lighting. i want to invite this boy and his dad to come to us. omarchik, hello, my dear, tell us honestly what has changed in your life, i see those objects that i could not see before in, well, for example, in our studio, you can somehow find your way, go to the bedside tables, where

she, you see her, you could have done this before, or you didn’t see anything at all, well, almost doesn’t see anything at all, what was before, dad, like we always looked at... the light, looked at the window, and when we gave him a toy, he went to the window where the sunlight fell, and looked there, and so the room light was not enough for him, that is, he didn’t even see anything in ordinary lighting , didn’t see, and what he needed, he could only feel with his hands and understand that you can now take the flashlight from my hand, right? i couldn’t do this, i couldn’t, we gave it to him right in his hands like that, or he held out everything like that, if someone from the side gave him something, he just went ahead, extended his hand, i understood you, my dear and good , how we wish you to see how old you are now, 12, he is already

studying at school, yes, you go to a special school, yes, is this the only injection for life, or does this treatment need to be added. the drug is administered once, we have only one attempt for this, that is, to repeat the drug, even if something went wrong , it is impossible to administer, there will be no point in making any sense, i want to say that this is a super expensive treatment, a super expensive treatment, how much approximately the cost of this injection, injection of the drug into both eyes cost about $8,500, consider it, but fortunately in russia a special fund appeared in russia, which is called the circle of goodness, we just let us thank the heavens for the fact that this exists, for the fact that our children not only have hope, but have the opportunity to introduce

the most modern genetic engineering medicines, what are you dreaming about, my dear, i dream of thanking the president personally, shaking his hand . you know, you will shake hands, for sure, 100%. andrey petrovich, you are with gifts, my dear, take it, thank you, so that your dreams come true, thank you, please sit down, my dear, and i know, thank you very much, come here, here we have two ophthalmologists, what year of graduation, graduation me if in residency in the eighty-ninth year, eighty-seven, in 2010, you are in the eighty-seventh, 23 years after you, that is, this is your professional son mikhail egorovich, the man came to another medicine, now a new generation has grown up, in particular at the institute where we everyone started,

they no longer knew svyatoslav fedoro, they live in this atmosphere, they are charged by the fact that svyatoslav nikola. he once laid down for us the rules that he told us about: you need to work a lot to live well, but this is one of the phrases that i remember well. you work a lot a lot, it means everything will be fine, let’s take a break for a while and then continue. amazing vegetables, how to turn simple vegetables into a masterpiece. eating hummus in israel is a ritual, you sometimes eat at... where they make delicious hummus , you say, we are going to eat hummus, look how beetroot hummus is made, tumor markers, alpha-fetoprotein goes up and does two very bad things when it starts

to be produced, are you at risk of liver cancer, what test will help you find out, real measurement, knocking begins, this means upper pressure, knocking ends, lower pressure, pounding, how interesting, i’ve never heard that heart sounds are called pounding, how correct. john kirby, speaker of the us national security council, should not mislead anyone, this pre-army appearance of kirby. the national security council is a structure that coordinates all security agencies in the united states. his official rank is rear admiral. anorexia has completely taken control of my life. how has all of this affected you as a father? white man with family problems, american. very interested in such stories the main functionality is to launder the reputation

of the united states. we have appropriations and corresponding powers for both ukraine and israel. the main beneficiaries we must see are the american military-industrial complex. an extremely useful lobbyist who really pushes through very serious matters. the delivery of the most dangerous, most destabilizing weapons lies ahead. john kirby, dolls of the heir tutti, today on the first, bourbon btirman, a product of the stellar group, why are ukrainians again being convinced that russia has allegedly run out the ukrainians have ammunition, well, first of all, they cut it, the consumption is 500, we actually shoot 3,000 , 2,000 in our pocket. ukrainian scientists claim that there was some kind of ukrainian-persian war. they really want

to take credit for legendary victories. we are great because we are ancient, this is now ukraine’s approach to this history. and his tail with a pistol, like the fighting cat barmaley helps our scouts. antifey premiere, tomorrow on the first. give him a brief description. professional quality. smart, good reaction, brilliant skills in german, i’m from a village, i’m from a christian family, i’m arrogant, i killed a colonel and a mayor, now i’ll kill a colonel every day, i’m rather weak in character, it seems to me that i really want women.

eliminating kokh is of great political importance , is it worth risking such a valuable agent for the sake of eliminating kokh, is based on real events, a real intelligence officer must be ready for anything, on the razor's edge, the premiere of a serial film, soon on the first. enemy, and you fell in love with him like a cat, pleasure you see, a fluffy gentleman with aristocratic manners, zaya bro, got into the project straight from the looking glass, fantasy, the next level, on friday, on the first.

all of you, now students of a special purpose school, education in the higher engineering faculty of the agricultural academy, management experience, organizer, actor and director, for the next 8 months you will be here, intelligence is looking for friends, counterintelligence of enemies, you will be looking for friends, every mistake you make can give rise to suspicions as to whether you are the person you you are giving yourself away, if you were wrong even for one day, from now on only three people know about this operation, and where are everyone working in this office located here, i have to believe that each of them is a traitor and a spy, the management does not trust us stories , so you, new employees, better stay away from us, your documents, did you deliver the parcel? i had a direct order. how many reports have you already sent upstairs that the germans will soon attack us? i don’t know, i don’t think so, from today you and

the new intelligence leaders, chief reconnaissance on november 4, 5 and 6, on the first. so, dear friends, we are in the kitchen, we are again in the kitchen with anna rey, anna rey is an amazing person, anna. he helps me so much, i can’t name it, we are already such a team that just, by the way, mikhail togorovich, a great ophthalmologist, but he is a god, a god, he is a god of the kitchen, and you can immediately feel it. anna ray, a famous professional chef, culinary specialist, she not only comes up with interesting recipes, she’s been around for 16 years, she has her own blog, she’s popular on social networks, so i made a lot of effort, found anna, called her myself, yes anya, yes, she said that i was delighted with

what she was doing, and anya and i agreed in the fall to talk about it in general, i called her in the summer and... asked her to answer my questions. so, today we have beets, what is the recipe, what is in the ingredients, look, we have hummus today, everyone has probably tried hummus, yes, a classic dish, the jews answer, yes, look, so we are making almost classic hummus, but we will add it contains beets and a little spices, hummus made from beets, which is included in the composition, beets, and the first thing is beets, baked or boiled, next, nud peas or chick peas, they are called differently, we have them here, they are quite large, they are boiled too, and then there must be this paste, it is called tahini or tahini, or you can replace urbich from sesame seeds, this raw sesame seeds, ground, and then spices, a little lemon juice, olive spices, and all the spices to taste, and then there are nuts, nuts are a must, a must, we just add it in the finale, let's go cook, start with

beets, mikhail egorovich chopped, already chopped , look, beets. and what next, cut it, added to the chickpeas, the chickpeas should be either boiled or canned in their own juice, then we take it here, add tahini here and add tahini, and in the meantime, while she took the reins from the ophthalmologist professor, he reached for the eye, the point is that we should probably talk about the benefits of beets, come on, we conducted research in america, looked at more than 700 people and found out that... people who eat beets, beets contain substances called nitrates, and they noticed that people who are constantly they eat, eat beets, they suffer less from diseases such as age-related macular degeneration and geographic dystrophy of the central part of the retina, the fact

is that look, you see the vessels, in short, these nitrites and nitrates in your? about all the stories about how we will die from them, we have already proven that we will not die, because hydrochloric acid destroys them to nitric oxide , and nitric oxide expands, nitrogen dilates blood vessels, accordingly, the retina receives more oxygen and these diseases develop much less frequently, therefore now after the scientific part, mikhail egorovich stops being so serious, annechka, you can give it to him and we’ll check how he works with other equipment, these kitchen ones, let ’s do that, great, and meanwhile dr. gandelman is broadcasting, look, we love him, in including for the sufficient content of folic acid, which is necessary for a sufficient number of red blood cells in our

body, look, this is an erythrocyte and its main function is to deliver: oxygen to the tissues, look how it carries oxygen, both, both, it was the oxygen that came to us, anechka, anechka, the professor is coping, in general you saw, yes, not the first time, he did it, the next component is pine nuts, anyut, and pine nuts, why, why are they do you like as a cook? i love them, of course, for the taste, they have a unique aroma. yes - you need to fry them a little in a dry frying pan , then dry them, yes they will have a bright aroma , this is without oil, they don’t fry the oil, they just throw in the nuts and dry them, then they get such a very bright taste complements we will grind them no we just strip them fresh and whole look at the professors of prodeus here there are only professors

in my god oh my god andrey petrovich kind word about pine nuts this is not a pine nut this is a cell an immune cell, a macrophak, which is toothy, you see what it is like toothy, she has teeth, it turns out that pine nuts contain a large amount of a microelement called zinc, and the coronavirus pandemic has intensified research in these, in our antiviral defense, it turned out that people with low levels of zinc those who have... less zinc are more susceptible to colds, they have a longer period of illness and recovery is worse, and by 2/3. hydric oryakhs have zinc, zinc, of course, friends, now you have... already realized that the product is good, approved by the professors, the full recipe from anna rey is on our screen, let's go, take canned mud and boiled beets,

by the way, both now you can buy it in the store, add a little garlic, tahini, this is sesame paste and cilantro stems, leave the leaves for decoration, zera, hot pepper, salt, a little sugar, squeeze, beauty, fry the pine nuts in a dry frying pan, start assembling the dish, make a beautiful thing out of hummus, then sprinkle a little black pepper and if you have sumac, pour in lemon juice, olive oil, decorate the pine nuts with leaves cilantro, incredibly beautiful, super serve this with flatbread or pita bread, it’s very tasty, mikhaila egorovich, without bread i think it’s hardly possible, try, try, i have a hummus connoisseur here on the left, you and him, he’s a connoisseur hummus, you and he come from siberia, you where i come from kazakhstan, eating hummus in israel is a ritual, sometimes you go to a place

where they prepare delicious hummus, you say, we are going to eat hummus, usually it is laid out on a plate, and you take a piece of pita, grab the hummus and the boy ophthalmologist looks at us , 23 years later than us, he graduated from medical school, he thinks what it is, and they told me that in that antediluvian generation, they knew what friendship and hospitality were, the boy must be treated, of course, to all the spectators too, i thought you would say, when he becomes a professor, too will come here and also cook and try, i know what i want, i want to take spoons, because we are here, as it were, everything is for beauty. covered, but we mixed this hummus right here , just so you can try it, because hummus is pea paste, i don’t like it, but with sleklo it’s a miracle, anh, and

it’s beautiful, yes, better, better, better , and it helps against colds, it will also attract children, of course, because the color is very beautiful, our jar of beetroot hummus will become popular, well , that’s it, guys, but in the meantime, anton igorevich is trying ours, how’s it going? how is anton igorevich? great, here’s anton igorevich, we wanted to tell you, your generation has grown up , it seems to me that you are united by true friendship and love, we’re all close friends, we graduated from medical school with this man, we’ve been friends with this man for 100 million years ad, with this 200 million years bc and for us these are very important feelings, to share, treat, do something kind for the people you love, respect, this is not a sexual feeling at all, but it is the best feeling

that there is , well, how do you like hummus, beetroot, beauty, dear friends, everything about food, it’s time for us to talk about medicine. so , dear friends, we are on the medical site, right now a person is taking a blood test, this is an analysis for tumor markers, and tumor markers are substances that increase in the blood during cancer. today we have a special tumor marker. its name is so big that it took up our entire studio, because that’s exactly how it’s spelled in the analysis, without any abbreviations. so, this is alphafetoprotein, alphafetoprotein, andrey petrovich, what is alphafetoprotein, then

it is elevated, alpha-fetoprotein is a protein that should be minimal in adults, and it increases in oncological lesions, that is, cancerous lesions most often of the liver, sometimes of the testicles, we have spectators sitting in the hall now, and i want you to tell me answered one simple question: we took a blood test from all of you for alpha-fetoprotein, this is a simple test, it is done in all hospitals and clinics. the alpha-fetoprotein norm will now appear on the screen. so, alpha-fetoprotein is normal from 0 to 7.29 international units per milliliter those who have alpha-fetoprotein above the norm, please press red, those who... are normal, green, please! so one person pressed red. we will definitely

invite you. you to us, but for now let’s start our story, alpha-fetoprotein in the emryon, in the fetus, it normally exists that it will even be high, because this is one of the most important proteins for the emryon, it is a transport protein in order to bring various types of microelements and building material for the construction of organs, especially parenkematous liver, kidneys, this is the main building supply for the emryon, and in adults this function is performed by other proteins and it is not needed, so it turns off, which means look, the fetus is still very small, but from the eighth 12th week, the fetus needs blood vessels in order to grow and develop, and alphafetoprotein as a construction assistant helps with this when we become adults.

we don’t need it, that’s why the numbers and values ​​start from zero, it may not exist at all, suddenly a person’s alpha fetoprotein has increased, please come to us, we will deal with this big, big tumor marker, alpha-fetoprotein. so, it ’s increased, what are your numbers, do you remember or not, 20-21, something like that, 20-20. one, well , since we randomly took the analysis, do you know anything about alphafetoprotein? uh, you know, i’ve never heard of it, i haven’t heard of it, so, if it had increased in your blood test, and god bless him, yes, well, i just found out only by contacting you, it’s clear, well, look, so, globally, in general, what is our rule, if the tumor marker is increased, what

necessary? in this case, we accept it as a fact that we may have cancer and do not calm down until we exclude this situation, we must check everything, we must make sure that there are no risks right now, then we can move on, we have here stands a huge liver, the liver is generally a completely unique organ, it is a plant for the decontamination of everything bad in the body, which means the first organ that... of course , this is the liver, because it is the hepatocyte cells that are the main producers of alpha-fetoprotein, and if cancer occurs liver and there is a fast, fast, fast division of these cancer cells, alpha-fetoprotein goes up and does two very bad things when it starts to be produced, the first thing is elena vasilievna, we can show here, it

helps the cancer in the tumor to surround itself with a blood supply of blood vessels, this is for cancer very important, because without nutrition, they cannot , he cancer tumor cannot live, remember, in the baby, when he lived in his mother’s body, we said cancer embryonic antigen helps the formation of blood vessels and for a baby to grow, this is a good thing, here we have, this is our body, here a tumor originated , it cannot grow without blood vessels, so the cancerous embryonic... the antigen begins to grow blood vessels, look, what will happen now, but this is not harmful for the body, yes, so harmful, of course, harmful, the cancer will grow, the cancerous tumor begins to be supplied with blood, yeah, this is the first bad thing that alphafetoprotein does, the second bad thing is that when its level increases, the activity of monocytes and macrophages is suppressed, that is, these are immune cells who are responsible for

fight, against foreign cells with cancer with infections, that is, it essentially suppresses the immune defense, which again is an excellent situation for a tumor, it grows, of course, so it seemed to be beneficial, it begins to cause harm, well, yes, somewhere benefit, somewhere harmful, yes, but in adults there is only harm, which means the situation is simple, until it is proven that it is not cancer, consider it cancer, thank you, no, wait, more, thank you early, what kind of examinations. need to be carried out, can you guess? you know, i have no medical education, i, liver is sick, so there is a simple examination, which one? ultrasound examination of the liver and abdominal organs, ultrasound will largely detect even small changes in the inclusion in the liver. is there anything else that needs to be done?

well, it’s imperative to do it, anyway, it’s imperative to do an ultrasound... studies and scrotum, i already said that a man’s testicles can be affected, alpha-fetoprotein, because of this, can be increased, and i would recommend, as a doctor, too examine other organs of the system, for example, lungs and kidneys, why? because metastases to the liver are a fairly common event , and because of metastases, alpha-fetoprotein can also increase; everything is interconnected, right? yes, well, the liver can be both a carrier of a cancer tumor and a carrier of metastases, so the alpha-fetoprotein will increase, and if this is a primary liver tumor, if it is a liver metastasis, and even then the alpha-fetoprotein will increase, so the test is big, but it’s easy, an ultrasound is done after one pass of everything, the abdominal cavity, and the scrotum, everything you want, and this must be done, because in

otherwise, this disease is quite serious, could it be that it is not cancer? yes, maybe, usually an increase in alpha-fetoprotein in cancer is in the hundreds, it’s above 300. you have 25, but we never know, maybe these are some microscopic doses, you still need to get checked, so the tumor marker is elevated, the principle is simple, consider it cancer, if it is not proven, back, well, there is hope, i understand, there is a lot of hope, you have 25, we would say it is 90% cancer, if it was 325, and you have 25, so there is a lot of hope, but get examined . need it now a small bell ding-ding-ding rang, but maybe a hammer on the head, i understood you, i will gladly use your advice, thank you very much, you are too

happy, lyumya, our time has come stepan speech, don’t cry, i’ll think of something . i don’t want to upset you, old man, but there are no clinics there, and such an operation will cost, well, it does, it really costs half a million, bison, the fashion model’s case, the final episodes, today tomorrow, after the program time, hello, light, business with me, where are we meeting? rum castro product stellar group, what kind of idiot even wrote this letter, and what a cool , cool kostya kinch, they could have actually been imprisoned,

because rock musicians were imprisoned, if roman kostomarov had not been a famous legendary athlete, you would have fought for him exactly like that same volume, any celebrity entering the shock hall will end up on the same bed, on the same car. the same apparatus of evla and we do not have any division, consideration of the case of kamilla valieva, of course, they want geniuses like her, because she is truly a genius, they want, so that this is 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, now they don’t ask, it was you who flew into space, now they say , it was you who starred in the film challenge, but to me it’s different, they tell me, well, were you the one who flew? i say, no, it’s strange, it looks like it, i say, you flew it by plane. i know that you recently had a very difficult accident, i flew from the back seat to the front, i have a concussion

brain, a man got into a traffic accident at a speed of 110, he didn’t brake at all. podcast lab, all nights with you. the time has come for the russian revolution. be men, impregnate her, long live purification through the blood. i had to stop being myself, in the name of the great one, fear is the basis of any order,

you have no mercy, you are incapable of love, what could be more terrible and stronger than the feeling of approaching death. to attack, i will make you the most influential revolutionary of our time, you are confusing trotsky, which one of you... you are a jew. exactly i'm waiting, you want to sacrifice our children for the sake of these bastards, the world that we will build is worth this price, the peace of bresse, if we concluded this alliance, it would mean that the new world we are building is not able to exist without traditional supports.

of the old world, what about my son, is he buried, smugglers, revolutions, haven’t you realized yet that the revolution is me, the laborer, on november 1, on the first, the europeans, several... months ago, began to say, that it is super important that africa is on our side, the maximum that ukraine can do in africa is this give me, ask for money, denmark is not the largest country in the world, we cannot make important decisions, we want to provide maximum support to ukraine, we cannot make important decisions, so we support ukraine. i’ll be honest with you, we’re talking about tunisia, for example, it didn’t even receive one euro. they squeezed it, everything went to ukraine. doesn’t understand at all who was talking to her, she thought, banderras, this

is such an actor, they say that we will take what belongs to us, this is programmed chaos on the streets of europe, how to force hundreds millions of people to commit suicide, the americans succeeded, the vavan and lexus show , the premiere, on wednesday on the first, he began to build his capital where a city could not be built, years will pass and he will turn the life of an entire country upside down. peter ii. yes, they were going to make her a pawn in someone else’s game, but the russian princess believed that once she returned to her homeland, she would be able to stand up for herself, no matter what the cost. anna ioannovna. her father, peter ii. he died without leaving a will. elizabeth's position at court was very precarious. she could either take power into her own hands.

elizaveta petrovna: the formation of the russian state in the historical cycle of the empire on the fourth, fifth and sixth of november, on the first. will say yes, and we are one forever, like the sun, air and water. i’m all together, the most russian hit will wash away the sad soul, and let the heart be afraid of those whom i’m not kidding, breathe and believe the wounded heart, this is my fight, until the last bus, my pain, even if it’s bad , my pain, until not everyone beats like that heart.

i'm going to the end, shaman, i'm russian, premiere on november 4, on the first. so, dear friends, here you go on our table there is a million tonometer, in our studio anna rey treats everyone to hummus, beetroot, which turned out to be better than your pea germanshach, a national , as they say, jewish dish, so try it, enjoy, but the question is serious, how to choose the right tonometer, how to choose the right one, this is first of all , which tonometer is the most accurate, we have a group of girls who came with tonometers, who will come out first? let's

wear a red scarf, come here, you brought us your tone, yes, what kind of tanometer do you have, on what basis did you choose it? this is a mechanical tanometer, with an inflatable weight, right, is it easy to use or difficult? use it, that is, you hear short tones, you are so good, a knocking begins, this means upper pressure, the knocking ends, lower pressure. knocking, how interesting, i've never heard that heart sounds are called a pounding, but there is something in it, the pounding begins, hermann, here come on, wait a second, so let's start by choosing which blood pressure monitor is considered the gold standard, you measured your blood pressure, what your blood pressure varies, well, today, well , approximately, for example, 145, but what, in what

units, 145 millimeters, millimeters? column of mercury, so here is the very first, actually the gold standard, this is a mercury tanometer, which we measure pressure, in fact, everything started with a column of mercury, but unfortunately, it can break, mercury is a toxic substance, so the world is in order to to install this tanumer at home, i started looking for safer options, at the moment there are several types. the first is that it is actually mechanical. a tonometer, which replaced a torometer, and then progress cannot be stopped, so-called electronic tonometers have appeared

, this can be for the shoulder, it can be for the wrist, but in principle, the brain, which is located in this device, measures the pressure and gives give you a number. you must not do anything other than press a button, which means which is the most accurate, in your opinion, of them, i think that it is still a mechanical, no, the most accurate, an electronic tachometer, an electronic tanometer, because, why, because what he exactly, someone didn’t hear the tones enough, someone started to let out air very quickly, it’s all disrupted by noise, but you can hear them, you can’t hear them at all, when there’s noise in the room, you can’t hear them at all, globally, globally, this tonometer was removed , many errors in measuring blood pressure due to standardization are understandable, so if we talk about how to choose a tonometer, we

still conduct clinical studies in international medicine using mercury, but this does... in hospitals, in everyday life the best electronic tonometer, it is superior definitely this tonometer, because people have difficulty hearing tones or knocking, as you say, and this is critical for hypertension, because if a person has high blood pressure, but he did not hear, did not hear and thinks that it is low, he may develop a stroke, these tonometers have become the best tonometers, noisy, quiet, quiet, can you hear, you are deaf, you are not you at all, the sensors measure everything and the result is displayed on the screen, you know everything, this is the first, second, which tonometer is better to choose for the arm, for the shoulder , for the wrist, yes even on the fingers, we have this question, but we still have one guest, and you sit down

, please come to us, girls, someone alone, hello, hello. you measure on your wrist, yes, why? let's try it on, well, for this, well, it's better on the left, of course, why, you are more people on the left, why? well, closer to the heart, that’s how patients usually answer, why do you measure on the forearms, why on the wrist? yes, in general, i like this device, because you can always take it with you, in your bag, on the road, to the dacha. v travel, it’s compact, very simple, i like simple devices, i put it on, yes, it worked on its own, then i looked and i know everything that i have and how, germanch, the measurement location is critical

or not, when choosing or not critical, i don’t recommend it to my patients use rear pressure measurement. but because the percentage of error can reach 20%, in principle this is quite critical, so you need to measure the pressure on the shoulder, by the way, it can’t measure it in your case and raises higher and higher, now i measured it, quietly, quietly 236 on 132, yeah, let's measure the pressure now as expected. please, give us a chair, please, this is a tanometer, i measured 200, i sometimes three times, or 23, give us a chair, please, german she. so you brought it, sit down, sit down, sit down, that means we will now measure it as it should be, our guest will sit down, lean back, and we will measure it

on the shoulder as it should be, the gold standard for measuring blood pressure - this is what german shaich will put on now, look how elegant he is on one knee, we put it on the level, yeah, you wanted on heart level, well, basically, i ’m holding it, calm down, and german sheich began to measure the pressure, but for now i want to say a very important thing. so, point one - only electronic, point two, only on the shoulder, point three, cuff, a huge number of people have a small cuff, they hold it and measure, or a large one, which they put three times around themselves... there are clear recommendations, wait, the cuff has sizes, and you have to buy your size,

what clear recommendations do we have, uh, that is, there are four types of sizes, in depending on the shoulder circumference, you choose the sizes, small, medium, large, very large, sizes, look, we have numbers on the screens that are small, medium. this is the circumference of the shoulder, so take a photo with your phone from the screen, buy yourself cuffs of the correct size, why is this important, if you use a small pad, it means your pressure will be artificially high, but on the contrary, a large pad may not trust you, well, they’ve already removed 20 mm the mulberry column was 137, we removed 40 mm from the large column, measuring the pressure on the shoulders.

a little bit, wait, this is a nightmare, why, because this is a nightmare, because blood pressure is taking medication every day - this is hard treatment for blood pressure, hard daily work. you take the pills prescribed to you every day, then this won’t happen, and if you take one day, one day you don’t take it, there is such a jump, this increases the risk of a stroke even more, wait, then look, no one has ever prescribed anything to me, wait, so who can prescribe something for you, if no one can see you, go out with this tonometer, it will measure you 232, as you say, well, i ’ll measure it several times, and it will go down. so look, you live in moscow, in moscow, comrades, there is a free medical examination , in moscow they invite you to a medical

examination, they say: come, for god’s sake, we will examine you for free, i will never believe that at the moscow clinic they measured your blood pressure, they said, well, it’s okay, go with it, just be careful, this can’t happen, so the principle, the goal of treatment is to prevent a rise in pressure, why? during ascent, a stroke may occur, a stroke - this is not death, it paralyzed you, but you are alive, your hellish life begins, a decade ahead, so if you don’t treat hypertension, well, that means first of all, well , some, some, i don’t even know what word find out which woman is, to put it mildly, strange, high blood pressure, tonometer? not exactly, not exactly, now, well, if you want, we ’ll call an ambulance now, you don’t feel the pressure.