and from the unique physiological process of sleep. before that, i wanted to become a completely different person to engage in a different profession, but circumstances so developed that i nevertheless came to medicine. uh, i graduated from university and my, uh, first specialty was not related to somnology, was engaged in cardiology. as a matter of fact. ah. then, when i saw that there are vacancies for a somnologist and vacancies for a specialist who deals with the description of research conducted in a dream. well, i'm more interested in this. what is this survey? how does this happen? because it was new knowledge. outside of the curriculum that was taught at the medical university and went to the company, rather, came to the company that was engaged in the examination of sleep, and equipment for the treatment of sleep disorders, more and more began to study information courses. uh, direct practice related to this.

so i got into somnology and i wanted to get out of there . now it has become more popular, more neurologists come to the referral, and more narrow specialists such as cardiologists, therapist endocrinologists, refer patients somnologists previously this was something unknown since. uh, exactly. in my time there was no course in cosmology, there was no concept of the window syndrome at all. rather, there was a concept of the syndrome refers to thunder, stops breathing. this is the main syndrome, roughly speaking , of selfology, but no one talked about it, no one spoke about the methods of treating this direction, in principle, that is increasingly appearing in international communities. strictly speaking, and hmm collaborators to some already existing community of the european society of cardiology. available working groups on selfology, where e specialists. uh, narrowly focused discuss this this problem as well. and now it is planned to create a belarusian society of

somnologists, yes, that is, some kind of platform. e like-minded people of the same profession, let's say so, where can you have a platform that teaches e, conferences of some discussions, seminars, such on a regular basis. if i do not get enough sleep for 9-10 hours, then my morning will be very bad in the first half of the day. i work without patients. i have another specialty where you can drink coffee turn on the music and go about your work e not when patients do not come for a consultation. for me, this is a very big blessing. since, while i am rocked in the morning with lack of sleep, i am a very angry person and well, it is not always pleasant to make contact during this period, and then you have already become hot. you drank coffee, you entered the rhythm even then, mm, as if it were easier, if a large number of hours,

i work out a day, then definitely. this e over time leads to burnout and a plus. uh, patient. patient rosemary. to one patient you give you a little bit of energy. yes, it’s a fairly simple question to decide whether there are patients when you give all the best for the same half an hour three to four times more. and this, too, no matter how it is not taken into account anywhere, but this gives a certain load and already burnout. and i try to take a vacation several times a year. yes, let's say three times or four times for the next vacation. i understand that, uh, either people need to reduce the amount of work, or somehow lighten it, because the truth is, it's not easy. we see how much sound. what is the intensity of snoring, what numbers of oxygen concentration do we see a detailed program, then we generate a report that also has a graphic image, including

to illustrate the patient and what we saw when he was sleeping, where the body position is displayed, for example, from 10 to 23 people. standing was either vertical, when the thermal system understood that he was vertical, then our man turned his back on the marriage. like this next. i somehow had such an interest, more driven by some kind of respect for doctors. so i graduated from minsk medical university and i had a specialization in cardiology. i was in graduate school. e in cardiology assomnology - that's how i say hobby all the time. e, this is what is insanely interesting, insanely captivating and mine, and such a choice from a monologue is more due to psychotherapy, but radiation sociology is more concerned, of course, with respiratory disorders, that is, this is a

musical correction syndrome for the treatment of syndromic, because. it is highly comorbid with cardiac patients. when you you see, you can hide the whole question. yes, that is, to build a diagnostic strategy for the patient, and therapeutic support from cardiology plus compensate for the ap, but it’s true, it’s great . who experience sleep disturbance. this is insomnia here. this is all the whole somniy spectrum, including this is a very big problem of both modern society and modern belarusian society, including er, there are many patients with snoring, in fact, sleep medicine is always in demand. eh, were there will be on the brain, in general. uh, here is a very interesting history of the prosymographic system, glued by munt and maternal, these are neurophysiologists

who put, uh, electrodes on the cat’s head and noticed that she had different brain activity in different phases of sleep and began to study based on the fact that this is how it was discovered brain activity when we say that slow wave and fast wave sleep, yes, that is, it started from uh, neurophysiologists, who already composed the activity of these very waves, that it was not bad to see how relaxed the muscles were in order to understand what phase of sleep it was, how the eyeballs moved, in order to understand again. in what phase of sleep a person is and from this, in fact, chris started somnology, as a science, as a branch of medicine, the salon has been studied very little. yes, all new new discoveries appear, they will appear due to the fact that visualization abilities. we are improving. that is, we have an emotional mri. yes, we we can look at the activity in certain areas of the brain in a wakeful state. during

sleep, neurobiology is studied , genetics and epigenetics are studied, that is, everything that is being developed. it's all very practical. due to the fact that new neurotransmitters are being discovered, that is, those substances in the brain that regulate the interaction of certain zones and types of neurons, and the more these molecules are opened, the more the functional activity of certain areas, structurally some areas are studied the limbic system of the brain, including, and the more new we will learn in the theory of the onset of sleep in theory, for example, why does sleep change wakefulness. here. recently it is. recently, probably five years ago, the nobel prize was given to those geneticists

who discovered the gene that encodes a protein that changes cyclically in the drosophila fly during the day, that is, they looked into the biological clock. as we say, in general, the onset of sleep occurs under the influence of three factors, three components. the first is the temperature component, the second is the level of melatonin and the third is the level of cortisol. that is, cortisol is on the decline . melatonin begins to start the synthesis. reaches its peak going on the offensive. as if the completion of the phase of wakefulness, the onset of the phase of sleep and the temperature also drops along with cortisol. that is, these three curves change cyclically and determine that a person falls asleep, a person must sleep in the cold. this is, uh, the most adapted conditions, when, with a decrease environmental temperature, exacerbated by the decrease in our body temperature. and this contributes to the fact that the phase of sleep will come

faster and more fully, we will say so, that is, temperature is one of the three curves that i spoke about when falling asleep occurs. this is the cooling of the frontal, or it contributes to the fact that sleep will come faster, so they recommend a ventilated room. uh, the room is dark shaded. yes, that is, so that there are no sources of noise, light and heat, respectively, when we talk about problems with monologue. what problems are solved by many, then we certainly fall into several headings one of the headings. uh, the most common one is sleep breathing disorder. this is snoring and what follows, stop. noah suas structural sleep apnea syndrome. uh, obstructive - it's mechanical, when the pharynx s pops for a while. and if this time is more than 10 seconds. this is already recognized as a stop and if these stops are more than five per hour. we

say that this syndrome already refers to the syndrome of apnea during sleep and most common problems that many work with, well, the percentage is 70 times, well, again, depending on the specialization of the tax itself. there are a lot of these settings, and 40-60 per hour, that is, every minute a person holds his breath, and his oxygen concentration drops. it is probably the smallest that i have seen - 42%. that is, uh, with a decrease in concentration to 80 people can already turn blue. well, if it’s him during the day and a sudden state, but when a person lies in a dream, he doesn’t sharply begins to snore and, roughly speaking, stops breathing there, because he goes to this through his accumulation of excess body weight ( anatomical features in some). so uh, the airway is so anatomy that it's prone to this excess collapse delayed by this kind of

collapse, uh, that's all. it happens gradually, but it gets worse. plus, it gets worse, and alcohol at night, the muscles are positionally relaxed as much as possible, when a person lies on the back of the tongue behind the muscles as relaxed as possible the pharynx collapses is a very big problem. this is indeed a problem that increases mortality. with the same set of factors. uh, the cardiovascular system, for example, dozens of times in the last century, studies were carried out, the largest studies on suas on apnea syndrome, which results showed that these patients die on the truth, they die not because they do not forget to breathe they die because life does not happen threatening arrhythmias, fatal heart attacks and violations of cerebral circulation, because each episode of a decrease in oxygen concentration leads to the fact that the body

does not wake up. they do not jump up with these stops of the patient's breathing. they are awakened from deep sleep into superficial sleep; this is enough to open the airways, and then the body tries to compensate for the lack of acid. this is because it increases the pulse, increases the pressure, it is poor in oxygen, the blood is washed, the myocardium is aggravated ischemia, that is oxygen starvation of the heart muscle itself, so this is a problem. e extremely common percentage of prevalence in the adult population is more than 12. this, for example , is more than type 2 diabetes mellitus or more than bronchial asthma. this is what exacerbates this. uh, the course of cardiovascular pathology of neurological pathology, including when we say that if a patient has arterial hypertension, is obese and has apno syndrome, then this is already from the x-syndrome from the metabolic syndrome goes into the back syndrome, that is, cardiovascular risk is

much aggravated by their, unfortunately, mortality. we continue to discover new cities and neighborhoods from this hill. orsha begins its report on its almost thousand-year history, breathtaking views and amazing energy, we show the author's routes and the most mysterious places of pilgrims, inexhaustible and miracles really happen numerous facts of healing those who suffer directly, confirmation of the main attractions and unique monuments, the architecture of monuments to lenin in the city there are even such a riddle. what do you think, where is it warmer in polotsk in the city center or at the train station, look at

the program of the city of belarus on our tv channel in this show, participants and viewers are waiting for tricky questions fermented milk drink from mare's milk, what is it called? and why are you whispering, you are hiding something from me about your answer. nobody watched the simpsons, very cool. then. come up with a city and call it intuition, the main erudition. it will definitely come in handy here. so it's the rape of europe like this it looks like you. well, in some pictures, it certainly looks better. but what we have is amazing. this is the correct answer. in case of an incorrect answer. we have to go to the construction site. think well before you say it, and one more element. this is a tower at 99.9, how the dna

test will not work, watch the intellectual entertainment project tower on belarus 24 tv channel. relatively. uh, coffee nep that is, when coffee sandman yes, that is, how coffee works on these inhibitory adenosine receptors , it blocks them and they are inhibited then more active recipes. and when we drink coffee in an unprofitable way, trying to compensate for lack of sleep, when we violate our basic sleep hygiene.

more and more of these receptors appear, and then you need to take breaks, and coffee holds are exactly what, when a person gives himself, there are 20-25 minutes, rests in complete silence, without bright light, after drinking coffee before that, to know that through in 20 minutes, she will begin to actively act, and the rested cop on this one, on this wave, supposedly wakes up, but in fact the person does not sleep. well, when we are talking about napping, he does not sleep. he just rests in this, it is very important to set an alarm clock so as not to fall asleep there for 2-3 hours, and this will be aggravated by a departure. well, that is, he will not be able to fall asleep already at 11 o'clock, that is, he has two and again. what are we doing? we are reducing our e, the amount of sleep we need chronotypes. we speak from a monologue with rcd and larks on in fact, only 10 percent are genetically determined. this is more than what is passed down to us by inheritance. this is a family tradition, that is, roughly

speaking, if the parents are owls, then the child, well, it is unlikely to be a lark rather, he will, uh, absorb and integrate. e that system, and ideas, e, of the universe, this system of such a regimen of the day and rest, what his parents and he will also be himself. most likely, yes, this is about the fact that people are really different, but people can adapt if a person is an owl, but he needs to get up early here adapts. yes, he will be without pleasure, for example, going to bed there at nine, but if he correctly organizes his working day in his rest, then he will still have the number of hours of sleep in order to live adequately normally and, well, work roughly speaking, but now, when he goes on vacation, he will be himself anyway. for example, here i like to work in the evening at 2-3 o'clock in the morning. it's more productive for me. than let's be eight and write an article there up to ten. well no. well, i know about

myself. i'm not trying to rebuild myself into this. well, taxes themselves, in my opinion, are a very, uh, grateful profession when you can tell a person, especially a person who is in a neurosis. that your main problems lie in your psychic reality and give a start to the fact that a person sits in a psychotherapist's chair, this brings maximum pleasure when you are that figure the person knows about it, as a rule 90% of patients perfectly understand where insomnia comes from yes they looking for some magic pill. i say, well, i do n't have a magic wand again, and you'll be fine sleep. you didn’t instantly, but lost e, are able to fall asleep quickly, or sleep well. this is what you have come to and you are the one who confirms it and directs to it, but i mean psychotherapeutic correction because i am from psychotherapy.

as a matter of fact, i switched to selfology and began to do this. and it really brings results. a modern doctor, in my opinion, should have a lot of empathy and a desire to help a person and his neighbor unconditionally. here is a modern doctor who has an extremely high scientific potential. he is good, but perhaps not for an applied character, because when you come to a doctor who is archi-smart and has literally all modern knowledge, but he cannot get in touch with you and adequately ask and identify a person’s need, then this is not quite a practitioner a doctor in my opinion, yes, but a practicing doctor who must, who knows how to build contact. with

the patient, if necessary, redirect to a more highly qualified narrow specialist, because the doctor cannot know all industries are equally good, but to find your bearings in time, what is happening? and if this is not your narrow specialty, then redirect colleagues to ask colleagues for help to get a second opinion from colleagues. the same specialty. in my opinion. it is extremely important that the doctor does not have the right not to develop. if you stop here you can do more harm than good as the current trend. they are extremely intensively changing their approaches and views, even some pathogenetic moments are being revised. it should be all the time. well on the wave, as soon as you stop it do, then everything, you roll back. and you can even do harm, because this approach may no longer be applicable. here is an opportunity to help. she is very important. because to consume something like. we all

consume, but there's also the need to excrete, yes, and when you realize that you can help this person, uh, then you have to do it, but it's already some kind of satisfaction. for me, the dream is probably to work in a non-working schedule, that is, uh, at the time when you get the amount of work and, well, the period for which you have to complete it, without being attached. here to this routine schedule there from 8:00 to two or from two to eight. you have to be willing or not, but you your physical body will sit in this office. this is kind of hard for me to deal with. i would like, well, more freedom of speech points vary is always in my head until victory that is, if you understand something that you want, then please, i will make it very difficult to decide what you want, in fact it’s hard to do alone understand this authentic need. you

understand what you want, that there is no problem do but find that need. here is the problem. in my opinion. well, for me personally. each of them has his own story of acquaintance with belarus. i’m at the railway station and i hear that in 30 minutes the krasnodar-minsk train, warsaw immediately remembered my uncle in minsk and i don’t think about anything, i immediately order a ticket and get to the republic of

belarus, this is where they revealed their potential after moving, when they started work, but i decided, because they gave me a lot of opportunities, but they say a lot to dance and was not. fuck here opportunity gain experience and grow as an artist once they were foreigners, but now belarus is the second homeland of belarus for them to become a successful businessman. in the lush business - this is the most. the main thing is the name of the desire, when dancing on such scenes feel that it is a great success, watch the project look at belarus on our tv channel.

come on, i'll buy any medicine i need, i'll

bring it from abroad. just tell the cure to you. what is it like? well, we put the pills in our mouth, then they spit it out. your doctors can make sure that the child drank the medicine in time, drank and sometimes ate. sadness to talk to my daughter again, a cultured person.

the best doctors work here, believe me. baby what's going on with you? mom? i'm dying? i'm katyusha stop. you have a closed form, they don't die from it. the doctor will never say that the patient is hopeless. katya, how can i take you home. you need a doctor at your side all the time. you do not need me. katya , my dear, we are all doing everything possible so that you return home as soon as possible. why are you so cruel? explain to me i'm doing my best more katya again she had a fight with her mother , it's none of your business, polite girl,

my advice to you. drop this tactic. you deliberately bring your may to the handle so that she takes pity on you, but you achieve the opposite effect, i do not achieve anything like that. see, i have nothing to lose. will you lose? katya ekaterina is already almost an adult and should understand what you are doing is called self-mutilation. i understand, then explain to me. why don't you eat. why don't you take your pills? this is where you heal up a bit .

it's very bad for me. this is the day before yesterday day. it sucks. what doesn't suck? yes, please enlighten us. well, go to a whole new level. basically, i wrote everything. olezha, you have intrigued us so much. well, let's show at least something that you wrote there, i'll get better there and that's it. bye. i did not understand who is warming their ears there. i got it here, let's sign it, right? come on, sign it on your forehead

katya by the way, who was singing now? well i'm for you. what for? tell me, from your ears wither the evil girl.

am i dead? katya will now bypass this pigsty. do you have something left? fu, friends are called. so what's going on here, what are you doing here? this is not my master of the bird, this is the anibar hospital.

here i said, by the way, the girl is to blame. urgently what are you doing you'll catch yourself. and eat.

you are very cool. and can you read? yes, then take the magazines, read about me, my love. business oleg pytkin, the leader of the semargl group, is currently in a hospital and is being treated for alcoholism, the soloist of the group, in a state of intoxication, fled the scene of the accident.