which is grown on the territory of russia every day we experience millions of emotions. we can be happy, angry, surprised, sad, sometimes our emotions. we are not subject to, and music expresses our emotions much more strongly. this emotional force literally takes back, and has already hit us. it becomes an integral puzzle of life, because

the secret of music is that it finds an inexhaustible source of expression, where speech stops music instead of a thousand. the footage you see on your screens

was filmed as part of the medical mystery program. plus on the night of february 11-12, 2009 at the republican scientific and practical center of cardiology in minsk it was the first heart transplant in belarus, the best cardiologists and cardiac surgeons, anesthesiologists of the country went to her for several years that day, who did not sleep the second night, nor who were going to meeting. there were long telephone consultations with the organ harvesting team, the operation lasted more than 5 hours and ended successfully without a donor heart. the life of the patient went literally on the days of tens of thousands waiting for a new donor heart all over the world, to. unfortunately, not everyone will wait for a new heart. a heart transplant is a complex operation, involving dozens of people, and postoperative rehabilitation takes more than one month for modern medicine. there is a solution. not an easy task, but first things first france

lithuania hungary united states of america and everyone to visit us with a master class on new techniques and if possible. tell us about the methods that our colleagues came with. well, i would even argue with the word master class, because a master class is when experts come and teach techniques. yes, in this case, our center is a leading world center that uses this technique and teaches others this technique. e is a development of anchor by an american california company, which is intended for the treatment of patients with heart failure. the technique has been developed for the past five years. even more years and

about a year ago. we joined this series of studies and gave a very serious impulse. heart failure, oh, which says dr. oleg polonetsky - this is a condition when the heart does not work well. as a pump, it ejects less blood and does it more slowly than the body needs. as a result, the most important organs. such as the brain list, the kidneys and the heart itself receive less blood than necessary, which leads to the gradual extinction of all organs and systems and, without proper treatment, may result in myocardial infarction or death. cardiac surgery today is at the top of its capabilities and donor heart transplantation. this is confirmation, but the solution to the problem of choice between major surgery and supportive care between pills and heart transplantation, as such has not yet been the case to date. uh, there are new drugs that we use in the treatment of these patients, but, unfortunately, sometimes they come.

uh, that situation where the drugs are drugs are fully titrated, the patient is taking all the drugs, but still. then the symptoms of heart failure remain, and then new technologies come that help us fight this evil enemy of heart failure just for such patients for whom the maximum tolerated doses of drugs cease to have an effect, and it is too early to do transplantation, and a technique has been developed that we will introduce you to today, because the future is near the future is today. a new technology, how to help patients from the so-called gray zone, who are not helped by drugs by american colleagues, for this, it is necessary to deliver and fix a special device through the vessels to the heart, over time it will help the heart decrease in size and improve the quality of its work, the ability to

shrink the company that manufactures this system operates in the famous silicon valley however travel to the ends of the earth to learn the details of the technique. we didn’t have to, because the system that was invented by american specialists. our doctors put it into practice, and therefore the americans came to minsk to share their experience in treating seriously ill patients and learn the news from our doctors. can i get a divorce without the consent of my spouse? i changed my mind, i don’t want to get married at all, especially. i heard some bad news today one woman. natalia podlesos. are you familiar with her? no, i think my dad has

an affair on the side. mistress, i don't know, you think you're a maniac after all. yes, i'm sure, look strangulation in a wasteland and all the victims fit the same type. if you want to be with leroy, fight for her. dad like why didn't you tell me that your father was present at the crime scene? watch the series fatal song this weekend on belarus 24 tv channel they live in the south of belarus in the morning the sun rises at dawn, a sonorous cry of cranes is heard dear quickly embrace and meet no better than the villages get tremendous pleasure. from every passing day, coaxing a dude to himself

on the chairs, such a good reception to me, but i stayed to lie down. i was asleep. eh, good, unacceptable. i’m not going to come to these sodas, but i also chewed some wild ones and instilled this love for life in their families and friends 10 daughters and three sons. can you imagine how many cousins ​​it is. family woman. these are people who are already close to me, watch the draft policy on belarus 24 tv channel. patients with heart failure, which is now the pandemic has so far been treated with medication , some have had devices transplanted, such as a pacemaker. after that only transplants, thanks to the latest technology. it is possible to either save the patient from the need for surgical correction in the future or to delay it for years, this technology is designed to

complement medical treatment to reduce symptoms and improve quality of life. what doctors are doing today is an international clinical trial. the methodology has already been verified and such no more than 70 leading centers in the usa and europe performed surgeries in the world, this is the very case when belarusian doctors are next to the best . the best is their professionalism by far. i stand by my words. in fact, we work with many clinics and centers, we have been cooperating with various specialists for many years. and as a result of this cooperation. i can safely say that belarusian cardiologists and cardiac surgeons stand out for the better that is why in the midst of the coronavirus epidemic. my team and i

are here at npc cardiology to share the experience gained by both parties. it is a pleasure to hear such kind words about our specialists, however. for me, it is rather a confirmation of my own beliefs, when some of my acquaintances and strangers, having heard a disappointing diagnosis, buy tickets to israel or the united states of america , these actions always puzzle me. do we really not talk enough about our best doctors. is there really no access to them? does the location of the doctor determine his professionalism?

today, in the endovascular operating room of the republican scientific and practical center of cardiology, a large international team of doctors from the united states of america, france, lithuania , belarus, belarus, three surgeons, three sonographers and nurses have gathered. in total about 15 people, x-ray endovascular surgery doctors anesthesiologists nurses anesthetist-operating nurse x-ray laboratory assistant in russia ultrasound diagnostics on the monitors, you can see how the patient's vessels are filled with a contrast agent. thanks to him, under the x-ray, doctors can see where to move the catheter and how to implant the system . the catheter technique, which is designed to treat heart failure, will tell in more detail about this. it allows you to reduce the swollen ventricle of the heart from the inside, the device

is wound inside. the heart and an anchor is inserted into the wall of the heart from the inside. connected by a thread with a cord, they are pulled together, thereby the swollen ventricle decreases and takes its the optimal size and begins to work better, because the larger the ventricle, the more difficult it is for it to contract according to the laws. physics. the technique is to bring the device through the arteries to the heart and place it inside exactly where it is needed. invasive, but complex, and our american colleagues have created a graphic that will explain how this technique of the future works. so, doctors make an incision on the thigh and insert it into the femoral vessels. it all comes from x-ray and ultrasound monitoring when it reaches the ventricle. of the heart begins purely the technical task is to place a thinner catheter around the circumference of the heart so that it takes the desired position, then nityalon anchors are inserted every centimeter, which are later

tightened. the fundamental difference of this technique is that it is a catheter technology, that is, it does not require large incisions. we just need to get into the femoral vessel and already through the femoral vessel. we reach the ventricle of the heart and do, uh, the operation from inside the ventricle of the heart is the essence of this operation. uh, the operation is for patients suffering from heart failure, in which the volume of the e cavity of the heart, the volume of the left ventricle of the heart significantly increased the heart from e, the cone turns into a spherical one. and this is ineffective and these patients begin to suffer from symptoms associated with heart failure. this is the shortness of breath of this fatigue. it is the inability to perform physical activities. our task in this situation is to return the shape of the size of the heart

towards normal towards the original. specialists of the republican scientific and practical center for cardiology representatives of an american company met 1.5 years ago when they attended a specialized congress to get acquainted with the latest technologies for their further implementation into practice after the inspection. the republican scientific and practical center for cardiology was approved and included in this multicenter research technology

developed over 15 years. a multicenter clinical trial is currently underway in the us and europe in several countries. including in germany, france, the czech republic and the uk, operations have already been carried out with using a unique system for left ventricular remodeling. in patients with chronic heart failure , the beginning of our cooperation with belarusian colleagues turned out to be extremely successful. it is expected that at least 30 belarusians diagnosed with heart failure will be operated on using this technology. before performing their first operation , belarusian doctors underwent serious training , first theoretical behind the scenes, dr. polonetsky admitted that he had to re-read more than one hundred pages of protocols and instructions further, belarusian cardiac surgeons underwent practice in france. there they trained on anatomical sheep and in size their heart is as close as possible to a human one, and

immediately before the operation. it took place in october surgeons. once again , all the steps on the 3d models of the heart were fully worked out, which were made on the basis of the patient's computed tomography, the device was implanted into the model, the action was worked out in order to develop muscle memory, and only after that the doctors. what is called took the patient to the operating table. future cardiosurgery for minimally invasive methods , today you witnessed how, without large incisions, they helped a patient with heart failure to restore the quality of life before this intervention. he experienced terrible shortness of breath, constant fatigue, and literally after a few days. he will return to normal life without all these symptoms. this is the future medicine, which may not even be a decade away today, and such minimally invasive operations will help increase the life expectancy of people

with cardiovascular diseases and improve the quality of this life - interventional medicine, interventional technologies, attraction and structural pathologies of the heart - this is very promising. we have just begun to understand how to interfere with the structure of the heart and have already achieved good results along the way. and this knowledge that we have. now, in the very near future, they will help us to slightly open the doors that were before yesterday. have been closed to cardiac surgeons until recently, the main method of treating the supreme insufficiency was drug therapy, then there was quite a big pause. e, after which they connected to work with cardiac surgeons with their circulatory support systems or with heart transplantation. here is this technique, well, absolutely traumatic technique, uh, and here it is between pills and the gold standard of surgery. uh, a huge gap

that an innovative company is now actively filling with its catheter technology. that's why we can say that this is the absolute future and can modern medicine make homo sapiens a long-liver? yes, because the future is the future here today? we always cook tasty from the soul, bro. well , of course, you know what we will cook today. i don’t just know what we will cook, but i also know how we will cook, share

recipes, dishes that your whole family will definitely like. today we will have a fish on the table for tomorrow. we're having salmon, and besides fish, we're going to have chips, and this recipe. they cook what will turn out very tasty here, strong male hands are definitely needed. in the mouth, we will analyze all the subtleties of their preparation cabbage on a steak. need to cut back sides of the stalk, so that, uh, you cut into steaks to the stalk, and throw out the stalk and tell. how to choose the right vegetables and fruits signs of good apples fruit without damage and no traces of parasites on apples no dark spots aroma can be felt even through the skin watch culinary programs on our tv channel.

good morning. everyone tatiana matusevich ekaterina antonova is seeing you off with you today . yes, on the calendar we have friday and the sixteenth. and i would say that we are celebrating a new beautiful day and the current friday. this is cano.