happy to watch and ask when the next release will be. i see it like it. i see that the guys are liberated. they notice what they noticed before, they talk about what , in principle, they didn’t think about before, that is, they are looking for some additional informational material city ​​and district level. new information from my colleagues at 15:00 on our air. all the best. in essence, today we will talk about national

medicine, and mind you, it’s not a problem, pills are starting to be advertised on tv channels. well, we say, if you want to join our conversation. this is where the qr-code of the mobile phone appeared. join traditionally, when preparing for our program, there is time to chat with guests in the studio. there is time to look through the news feeds. here are two news concerning the health sector. one of the belarusian doctors record the number of new cases of sars well seasonal history, the month of december, which means the belarusian doctors released a memo, and with a list of symptoms that should not be reacted, you should not ignore. and you should definitely go to the

doctor and the second news, and the nurses of britain are preparing for a strike and now they are just there, and they are considering the possibility of attracting medical care and even military personnel. two different countries, two different realities in this regard , before we start our discussion, i would like to thank the belarusian doctors who, despite no matter what the difficulties, despite uh, various pandemic diseases are not pandemics, infa pandemics continue to do their job and hmm take care of our health. even sometimes more than we ourselves so before, and than we start the discussion. uh, i propose to listen to the opinion of the belarusians, and to whom we asked one single question, what is it

? today it is necessary, probably, if we compare, as it is everywhere with us. well, very decent medicine. and maybe even better than anywhere else. because i know that abroad they come to us and treat their teeth there and everything is feminine. god bless our doctors. that's what young doctors say. well, it’s just excellent, i don’t know, or whether he wants it now in a new, modern way, here we have such surgeons and neurologists, young therapists, you know, well, the soul just pleases. you know you're happy. i had to here recently passed an mri bank dispensary, very good attitude. uh, no problem very very treats people well. here i am satisfied with a lot of patients. there aren't enough doctors. here the theater sang, not the

ceiling. oh, it's bad for us. in how many days will i get to you? i say, a week later he says, well, somewhere like that, of course, this is very bad. why because this is not for any specialists, but for a doctor who is led by a therapist. here before we had no problems. i had a very difficult situation, my life was connected with neurosurgery and the mogilev emergency hospital. they helped me in a very timely manner, and the disease and in a timely manner

sent to rnts. and not neurosurgery, neurosurgery in minsk, and there, in general, they helped me splendidly. i have only positive experience. i know that our medicine will always help me and i called . received numbers, asked for a free consultation, please, i love, respect, appreciated and know that always. i think it's help. if you go in the state, then, on the whole, the situation there is quite tense, but the doctors, as when they are treated, some are good, some are kind. well, but mostly i go paid. here you go i summarize our such a survey, we can conclude that one of these claims is a high workload of doctors, we spend a lot of time there getting coupons, but i will note for our viewers that this was a survey from the regions of the minsk middle of the region. that is, in

fact, the most critical stories were. excuse me to the extent that such an opinion essentially exists, which means in minsk they say everything is perfect in the regions somehow. and so-so, but as far as we know, in principle, belarus has created its own system, which is the level of medical care both in the regions and in the capital. well. the corrector does not differ significantly. i have a question for you: do you work as the head of the minsk regional hospital. here, how are you doing? how many patients are waiting for help in time the hospital is a little special different from other district hospitals. uh, probably because it's not here. as such, we have eight polyclinics, 23 outpatient clinics and six medical assistant obstetric stations, and the minsk region itself is located around minsk and has a length. uh, that's enough

a large kilometer, respectively, here north to south 90 km, almost e, also from west to east. e, therefore, this system of access to care is organized by the fact that we have outpatient clinics in different places, and there are general practitioners and pediatricians. e in clinics. e. formed by the provision of narrow so-called specialists and diagnostic studies. therefore, in principle, e-assistance can be obtained by applying for a coupon, as usual. it is possible on the internet it is possible by phone by appointment let's move on to such an example, and given that the minsk region is quite large, what you say is a scattered institution, then, well, let's say. i live in senitsa, i needed yandex's help to the hospital. bring closer than borovlyany understand? here is such a story, it can be proven, i can be taken away, both conditionally in the emergency hospitals that are

nearby, and in borovlyany , the territorial principle, of course, health care exists, probably, there is more emergency care. therefore, if you live all of them and yes, emergency hospitals only to move koltsevaya and you need emergency help, of course, you will be taken to the ambulance hospital, regardless of the fact that this is a different one. territorial unit of the city of minsk but if it is planned assistance, of course you are. well, or someone will come to the senitsky polyclinic. e will be treated on an outpatient basis and further. according to indications, if hospitalization is necessary, then it will be planned to be hospitalized in an institution in the minsk region, probably, well, such a kind of inconvenience for patients. well, i would say that these questions about regional accessibility are most often our extremist channels escalate. they also need to be told that medicine is bad, but let's ask your leader a lot, in fact, those problems that concern. well , maybe even all. tell me, when

will the problem with coupons disappear, because we, as journalists, of course, video, in some regional hospitals they open, for example, info kiosks where you can go to take a coupon or do something else and, in fact, for example , i'll take the child, returned from the grandmother, it was necessary to take him, and a certificate from a doctor in a polyclinic in minsk and for a whole month we were waiting for the rights. here's a ration coupon, uh, neurologist. this is minsk and what happens in the regions, when it ends, well, listen, we can order food via yandex, but we can’t make an appointment with a doctor. well, you know, i probably wouldn’t put the question so categorically that in the regions for some reason it’s worse than in corrugated, and in the regions of our regions a and b in district centers and regional centers there are enough examples where you will come and receive immediately

a ticket where the administrator will meet you at the entrance and ask why you have come and route and direct you so that you do not stand in line for a long time. if you, for example, only need to write out prescriptions or take a certificate to that particular office to the specialist that you need, and there is no such requirement in the ministry of health that there is a single requirement for the fact that a person has come and only vouchers or to a given polyclinic to a children's polyclinic only by phone. we just listened to the regional let's say so our leader and and it all depends on that initiative. and that organization, and that organization , first of all, from the creativity of the leader, as the organizer of health care, and from employees, how to do it so that it is convenient for each person, our requirements are the same, in order to minimize the time, she comes to the clinic exactly

here these auxiliary queues at the registry. at the same mm infa kiosk where you can get a ticket, look, i didn’t want to tell you in any way. here is an example of what well, when terrible belarusian medicine, because even communicating with their colleagues, who, for example, now live in poland, finland or relatives. they live there and face issues. well, for example, there were no acquaintances who told that he had injured his future parents in finland's hand. and so he spent 3 hours in line at the emergency hospital at the local manag, no one approached him at all, and he is a man who, well, as they say, in august of the twentieth year. it was very liberal. here he changed them precisely on this basis, because he says that, well, probably, after all, the soviet semashko system that helped. we will also go through a pandemic, it is not so bad already. well, well, yes, bad, she's better. believe it. so, excuse me, irina nikolaevna, for interrupting you, but

this is a confirmation of specialists from all over the world. hey, i want to tell you more. eh, here. uh, there was a report here, where a woman said, i went to the doctor on friday and could not take a ticket to him, only for monday. yes, this is against the background of social state, you know, it's on the other side. i understand that a person understands that the process of a disease is always a very unpleasant process for a person, because he leaves a state of some kind of comfort. something hurts him, that he worries about it, especially the elderly, when there is a sufficient number of chronic diseases . , but uh there is a world economy, according to these world canons for the patient from the moment of illness. if this is not an emergency, it gets to your doctor in this case to the district police officer within 7 days, if it is necessary to consult a narrow or specialized specialist, he gets to him within the next month. these

are, uh, european approaches - this is in principle, i'll interrupt. yes, again, how would you, uh, both of you question our patients are spoiled, because when you look or, for example, alena says , for example, england where they are on strike, there are half-breed nurses or the insurance system that appeared in ukraine and people really understand that it is better to go buy a pill engage in self-medication, and we really come and moan about the fact that on friday i didn’t take coupons. monday. i should be in by now. you see, let's, uh, ask each other not doctors. yes, we ask ourselves, and our patients are spoiled or not, by chance there is no wall, various cases. but what about being my job at the polyclinic, when i was in charge of 3/4 of the polyclinic. i was doing research when we had just all 40,000 of our population that were attached to our computer base. so, according to this statistic. we had 15 patients

, only 15 people who visited the polyclinic over 200 times a year. well, for a minute , complainers on television. there are such people, so, uh, there were about 800 people, about 800 people who visited the polyclinic more than 50 times a year. that is, you understand, we are not talking about the fact that it is very chronic. uh, sick patients who need constant care with us at that time, in any case, the state social minimum standards. uh, guaranteed 13 visits, because of this it turns out that there are those who abuse e. excuse me, dmitry evgeny, i asked you a little, you asked, yes, yes, who is ill, he needs to get there. well, i agree. here, elena nikolaevna, with your thesis, which, uh, you voiced, and before that, a lot depends on local leaders. here we are talking about the fact that we have an

excellent system, which we inherited from the time of the soviet union, yes, plus we are now, but have adapted it. in general, excellent, the whole device works. this is to implement the concept that the state offers, we all understand perfectly well that any wonderful idea is thought up, but badly implemented from above, implemented on the spot. but, most likely, it will have the opposite effect. here is vyacheslav vasilievich in connection with this question for you. e hmm and the head of state instructed to conduct a series of inspections of health facilities. and well, probably, the next meeting, which was about this to tell some, let's say, downright ugly unclean case. you know, there is, of course, because , probably, in any system. yes, which works, you can’t live in some negative moments back in the spring, uh, the president was yes, well , that’s it. such an instruction, and the prosecutor's office

carried out a set of supervisory measures, they dealt with the issues of priority, the availability of medical care, and issues. uh equipment use issues, including assistance in rural areas. this is a fapy dispensary. and, of course, of course, violations, many violations were revealed in this, uh, in this matter, of course, uh, such a significant service, let's say, was provided by citizens, because a direct hotline was organized. uh, direct line, telephone by the dozen. uh, calls from citizens came from some of them. eh, enu found its confirmation, such toads and complainers, about which dmitry evgenievich spoke , were completely different. of course, moreover, there were people who called absolutely for other issues not related to the provision of course. here is a part of such appeal was sent to the ministry of health well, because the

prosecutor is still not doctors, in order to understand whether the diagnosis was established correctly there or not, yes, but at the same time, uh, a significant proportion of these appeals and in the course of random checks, i only emphasized random checks of violations, of course, many were found. eh, we have already touched on the topic, let's say the order of coupons. uh, well, it's hard to imagine how there can be no complaints, yes, when in one district of the gomel region for 20,000 of the population is allocated for one of m-m procedures, ultrasound 10 coupons for a month. well, how can they listen, well, more, and our favorite phrase is just to ask, it has become a meme in general. well , understandable. i don't because you make excuses he's off seriously. well, it’s just that, in fact, with 20,000 people. here it is normal. maybe you really don’t need something more, you know, but i want to do this in no way removes their responsibility. to think that everything is so, because the

leaders are on the ground, and of course this is the responsibility of the ministry of health for regulatory support, but here we need to clearly divide. this is emergency help. ah, or is it the one that a person needs, here and now on which the outcome depends, or is it planned assistance. and you need to understand that for planned assistance, and waiting for also ultrasound a up to a week to two weeks. these are normal times. and the same appointment with a specialist during the week is a scheduled appointment, that is, european practice. well, what is it? this is normal if we say if a person came to him, and the signs of the disease he needs this help. he urgently needs an ultrasound, yes, then in any hospital, even if they don’t do it in the clinic, they will do it in the hospital. and as for the ultrasound machines, you are talking about the talo. all sorts of and that means the apparatus actually is,

again, the question is correctly raised with you and 10 coupons per 20,000 population per month are correctly affected. well, of course, this case yes is subject to analysis, why because most likely? just a plan. here it is necessary to take into account, you know, take into account also, of course, as in any system, this and the availability of equipment, somehow, this is the provision. eh, specialist. it all depends on the leadership. but this is absolutely calm in any field, not only in medicine. i'm sorry about the ultrasound examination. well, it's hard to install. some plan. uh, there's an indication for this diagnostic test. and this is decided by the doctor , not the patient wants to go for an ultrasound, but the doctor thinks that ultrasound. paul treat himself and do television.

it's delicious research ultrasound laboratory research, and there are no restrictions on staffing rates. there, the rates are determined according to the amount of assistance, you understand, and the number of devices is planned according to the volume of assistance. so, when they cope with us, state medicine is connected to private medicine. you checked private medicine. tell me please, here were closed, we have several e medical centers. here, including some are now closed and have not received. they have a work permit to zero. what is the reason, is it greed, or is it carelessness, as it were, due to the fact that professionals work for me. we have actually checked several private centers and i want to say that this is a business. that is, the relationship is such that if there is an opportunity to earn money, there is a demand, respectively, the price goes according to this demand in the ministry of health is regulated separate prices for services, these are services,

including diagnostic ones, but as control measures showed, prices have not increased for a long time and, accordingly, the clinic found ways to offer comprehensive services and include as many indications as possible in order to be cost-effective, but this method gave its plus and , accordingly, this practice began to scale. we are now, in addition to medical centers, for which, as it were, everything is clear, reasonable measures have been taken, prices have been settled. business has responded as well. adequately, prices were reduced by 30% even before the legislation changed, that is, the rules of the game were set, respectively. all participants respond to these rules. yes, we are looking at dental services. history repeats itself, if there is a price for some, for example, an examination by a doctor, well, the ministry of

health will set a tariff of 5 rubles for the oral cavity. accordingly, the service of a doctor's appointment will already be 29 rubles. well, i agree, maybe 5 rubles. not enough well, 29. this is not my half an hour, well, we are sitting at the reception. again, i kind of prepared for the program and tried it’s just from the point of view of an ordinary layman to look at how people react to these services of private centers, yes, when you come along the sungan, come on, you see one of the centers here often, which, well, i’m just not going to name and there on wall. here is such a healthy inscription mrt sorry, at the third hospital there is no mri ultrasound and an operation to remove appendicitis. this is no longer there, but, nevertheless, in the third hospital there is a fairly large number of services and equipment, which is currently competition from the private center. so i have a question here, business for health. and this is just health. after all. i understand that in every

polyclinic in every hospital there are now, well, paid services. yes, but they, as far as i understand, are not emergency services. yes, these are planned services in the same way as services in private centers, and now a pilot project has been operating in the republic for the past year, when state institutions provide services to us and so we provide services paid, yes, which you can get centers there. yes, we are participating in this project. that is, any patient can apply to us. we provide these services on weekends and holidays when our medical teams come out and operate on patients. someone has 5 days of work, he goes out on weekends. naturally for you. this is also a weekend you charge for this, right? we charge a fee for this, but still , uh, patients get the same services that they get in private centers, but this service. and i have nothing against private centers, but this service is at a very high level

. with excellent equipment, patients are all satisfied. we have quite a lot of patients who come. and this e stimulates the development and public service. here's a similar plan. you know, when we were here there was the minister of education. i asked him a question. tell me, please, why do people go to rehearsals, because we have an education system, well, in theory , it should, as it were, push this profession aside here. same story, mind you. many people who are. if anything, i go in particular. and why is the mri hanging on the entire wall. probably because mri and this is something that is missing. well, no, you know, i think that this is the point of view of the medic, i say it again, from the point of view of the layman , i think it is from the point of view of the layman. every person has the right to choose. and he must have this choice. it is impossible to build everything on the state system in the same way as on the private one, but in the

end everyone chooses what is closer to him and you understand, even, uh, checking private centers. she is shows that not everything is so smooth. there is business there. there are certain people who value their time, there is and it is written. sorry if it says mri let's find out the first thing, when they hung they hung about five years ago yes, yes, well, yes or or more, of course, when the problem with the view arose much earlier, right? probably much earlier. you see, when a small number of mris and there is some tension in this, then, of course, it is very good to post that we have an mri. yes , there is something to brag about, right? when we don't have only in every clinic, but also in polyclinics, there are already mri machines, then, well, it makes no sense to hang them up, that here private medicine, no matter how it is, is a help for

the state healthcare system. this is still a business, so they sell their services, so there is an understanding that it is conditional in a private center. you'll get to the doctor faster there. by the way, here are the questions from our chat. yes, when the bike ticket service starts working, here's a question for you. salon buy, then your brand belts. and what about the ticket fight? you know, i went to she today works, but i must say that this is a service developed by one of the companies, it is quite in demand and working service. well, it’s clear that it’s completely guaranteed, given that this is a private service and guaranteeing work, and the ideal one is quite difficult, but the good news is that this is one of the possibilities, and the new recording, which is in demand among the population and it complements the opportunities that are with us, that is, it gives the right to

younger more progressive it is younger to more progressive, but it is obvious that medical services. well, most often used by people, just the same old age and not all of us far say, the receptionist has his talent, yes, and poor girls cannot break 10 telephone handsets. for this there is. it is brand new. uh, the technique is to create a call center that is absolutely not based on the registry. and by the way, in a number of polyclinics not in the city of minsk and in a number of polyclinics in the regions, it has already been introduced, but a single number. he them yes yes this is your number, but multi-line phones. that is, where several girls work. yes, at the same time who only answer calls and take notes, thus the registrar who works directly with the patient in the clinic. he doesn't get

distracted. this is probably all of them very strong. especially those who come with an illness to the clinic are very difficult to irritate. here i am standing in line. and here you are talking on the phone. how to find it in the polyclinic, your phone number, uh, and it is posted in generally accessible places on websites, and in various directories, if we are talking about people more old age, that is, ah hmm well, it's not some kind of universal number. yes, which you get, yes, this is a help, but it is expensive for the healthcare system to maintain such call centers, and you know the maintenance of such call centers, uh, of course, of course, more than one or two registrars work in clinic, but it justifies justified, and in the meantime, and which a to reduce the time spent by patients and satisfaction, because patient satisfaction is one of

components of health care efficiency. but the state control carried out an analysis for drugs. here we have, for example, some violations in this too. well, some medicines have disappeared , some have risen in price. for example, on a personal example, i will say again that belarusian medicines. the quality is no worse, although they tell me for a long time that it's not right, well, it seems to me that they don't work for me. that's all. it is most important. that from the point of view of financial financial audit in relation to valuable medicines, we are constantly working on if we take the latest results of this work, yes, prices are definitely rising, and moreover, you probably heard the information that after an increase in the exchange rate, as a rule, prices were raised to this level at the proposals of the committee, and it was decided that the legislation worked in both directions with an increase in the rate, respectively, the price increases when it decreases, it decreases. this gave a good result. and

we managed to reduce prices by almost 20%. now we are working on a new e such innovation. this is the old new reference price of education. in order for the prices to be set on a certain list of them in demand or a vital ceiling of this price and within this maximum price already, pharmacy chains could compete to offer medicines and manufacturers at lower prices. but you think that's the question. so i think too, probably, most likely, i say again, let's remove the emotion. he's just looking at the essence. that's irresponsibility in medicine. the most important thing is to run in circles. here, in general, this concept chasing in a circle with us it still exists such a concept still exists. we have recently completed monitoring and compared the tests that are given to patients in polyclinics during planned hospitalization. and it is necessary to come several times to give, well, all kinds of these small

analyzes. well, having been hospitalized, the doctor still prescribes almost the same thing. why and , firstly, the troubles of people, the costs of the budget. well, here is elena nikola. you know, but in fact the current situation in both the clinic and hospitals is completely already rare laboratory researches are practically equipped. if we are talking about them, which are made manually, there are probably practically none of them, yes, but there are analyzers equipped with semi-automatic machines, yes, that is, automatic systems, therefore, of course, but repeat these studies. and how was it before? no, let's double-check, we don't trust. yes, it doesn't make any sense. why because they are all attorneys of these devices, because they pass all internal quality control external quality control, but then yes, the technique is standardized, when is it better to go through the tests here at the hospitalization house

or considering that it’s all the same everything is a fairly quick question, and i will answer it so of course, what can be done before hospitalization , you need to go through this hospitalization, thereby. having reduced the stay in the hospital, there are a number of moments here, and the first moment, and staying in the hospital is quite an expensive pleasure - this is the most resource shooting. a-a part of healthcare costs. well, if we take an average of country, then one bed day today, it costs 227 rubles. that is, it will depend on the level. you know that we have a multi-level system of assistance, including stationary at the district level, it will be about the order of the day, and 179 rubles. at the republican level. it will be more than 300 rubles. and also it depends on the division. well, i told you the average. well, for example, in intensive care today, one day stay is more than a

thousand. that is, this is the most expensive, if we are talking about outpatient care. yes, but outpatient help. it is six times cheaper. it is clear, well, the claim of people is such that he would like to prepare for hospitalization in 3 days. our people are sometimes very spoiled. here i say again, i can in no way judge someone else's health, but sometimes still. let's ask our viewers to digest the information that elena nikolaevna voiced to go to the hospital. yes, here the doctor is clearly put and says that you can come to the clinic to undergo some kind of examination. there is physiotherapy, they put injections there, then you can do it and not to go to the hospital absolutely, because to pass and that's it. yes, this is the same, nice practice. you see, i imagine that even if the insurance medicine, which is now proud of its ass,

if i came with a conditional runny nose and, well, how would i now demand to go to the hospital, because i have to warm up to receive injections of something else and me in theory. we well, provide a bed no matter where and i would have been put up for this even this brush, which is now, uh, i'm nikoline, said, then, probably, i thought, i would probably i thought, yes, and i would go to breathe over potatoes, as you rightly said. here in the west in general, in principle, there are such rules. i'm going to go to the hospital. well, 2 weeks planned for me, why not, there is no such thing, no, uh, at the request of the patient, there is no such thing. a priori, there is no such thing as brushes with another. uh, the testimony of a doctor, moreover, in order to get to the hospital. you have to have it , believe me, it’s not like we need to have you know reinforced concrete readings in order to get there. this is the price, because a hospital bed costs colossal money. not like ours, there are tens of thousands of euros, or dollars, and an animation

bed costs. and not because they do some tricks. it's just that the cost is very high. the health care system costs a lot of money. we have patients in the first place, well, prices are understandable. belarusian yes, if we say the same paid services uh in institutions that we expose this price. yes, an inadequate price, it is incommensurable with the prices that are paid there, so they are, in principle, when you see a medical tourism for belarus is, in principle, so relevant. it is so relevant that the state earns tens of millions of dollars, because dentists come there. forgive me for any other illness and organ transplant treatment is one thing when our foreign friends really come to visit us. they pay for these services. yes, and another point that we know very many of our compatriots. they have a belarusian passport

and live there in another country. ah, they are moving to belarus how to conduct some kind of technological operations with medical care for free well, that is, we give such an opportunity to any citizen of belarus elena nikolaevna, that is, we give such an opportunity to any citizen of belarus well, maybe it's time to close this shop. you know, and we have repeatedly approached this topic, but given that we have a social, as you noted the state. it is at the moment, just something is being worked out of those types of medical care, but which is still supposed to fellow citizens who do not participate in taxation on parasites, which it was, but it, in principle, it, well, takes place as how to separate a here, but of course, of course, the issue of access to medical institutions is being worked out, but to the database, and this is for persons who

are not involved in the labor process, let's say so and uh, those types of assistance that are planned, that is, emergency assistance in any situation. she will she will provide for free, and that's what dentists are about. yeah, like the same planned hospitalizations in my opinion - this is quite true, because, and today we are a lot we say, but we have no idea how much money health care costs and this amounts to about 4.5% of gdp for the next year with growth in the twenty-second year. and but you need to remember that health care costs are growing not only in our country all over the world and will grow in order for our viewers to at least approximately understand the cost of any operation you just open. how much does it cost

for foreigners. just a rough idea of ​​how much foreigners pay and what you get is free? this is in order to understand at least here, well, at least some size, then you can understand, and what kind of paid business do you have. we perform absolutely all operations on the platform, and what to do in the clinic is surgical gynecological ophthalmological operations, a very large number of foreign citizens come for ophthalmic operations, because the republic is probably one of the few not only in the post-soviet space, but in principle in europe and in the world. uh, has such an ophthalmic service, as the republic of belarus has , the most complex operations are carried out here - these are corneal transplants - this is the replacement of the lens by any means, therefore the operations are quite expensive for foreigners indeed, but uh, now foreigners are back to us. let's go, because

there are a lot of latvian citizens because there are not even because they don't have views, because they can't afford to do the surgery themselves. well , never. we're talking about exports. uh, in any field, be it agriculture, i don't know industry even. the president often raises this question. and what do we have, what do we have for ourselves , is it not to the detriment of us, our compatriots? no, of course, it's not to the detriment, because well, if you take ophthalmology, yes, which we have, uh, the sequence is what we talked about in order to do a cataract operation, yes, a person should just be an elective operation. he just needs to have a package of tests that the clinic gives. this is 10 days, maximum three weeks. this is what the patient expects get to us for surgical treatment, what

the prosecutor's office will say. you know that god forbid that it be in all branches of medicine they have help, because if you take, for example, one of the uh, those checks. yes , it was very helpful in arthroplasty of large joints. knee hip joints. eh, there are more than 26,000 people waiting for this operation in the country today. so, uh, it is clear that during this check they found a lot of criticism from the point of view. accounting, somewhere it was not kept, people were not notified, and so then there were people who had already died, people who had already received this help, but had already been provided, but m-m. uh, the most important question that was fairness and fairness to a person, if, for example, in one of the regions the queue for a free joint replacement surgery lasts for years, but on the condition that if you buy,

that is, you have money , you are buying secured. the prosthesis imported to you, the operation is done out of turn, almost most of the out of turn operations. this is the area i'm talking about. it was carried out using imported prostheses that people buy on their own. therefore, in such cases, of course, the question of guaranteed assistance is that people are in equal conditions or not. here is one of them, dear colleagues, dear leaders, you need to understand that it is not a single country in the world. i have already said that it cannot satisfy all the needs of not the population, but healthcare and arthroplasty - this is a high-tech expensive type of medical care. and we have this pride of our country there are social standards and within the framework of the same social standards ,

volumes are planned within the framework of high-tech assistance. that is, for example, 5,500 arthroplasty surgeries are planned for this year. wind joint free of charge and 1,500 knee joint surgeries free of charge, respectively, the average queue for the hip joint is well in different regions. as you said different, but on average up to 2.5 years per knee composition is slightly higher than three. yes, yes, four years, that is, for the average - it's somewhere around 3-4 of the year. and here you need to understand, you understand, and the provision is on a paid basis. this does not mean that, uh. hmm but that 's all, that is, it's a queue, naturally the state takes on the responsibility. we are ready to stop 5 1/2.000 joints and today, according to the pace of this year, 90% of the plan has already been fulfilled both in terms of knee and energy. i am not mistaken or not, but it seems to me that

covid certainly played its role in the fact that the queues were somewhat stretched and increased, because the doctors were busy. life saving and more let's say so urgent no false. yes, including. tell me. in fact , yes, the president also voiced this terrible word. tell me, please, yes to us yes, they say that covid, in principle, everything was canceled. and it's not a pandemic anymore. this is a seasonal disease. in china, see lockdowns from change. everything, as if the covid had left or what? well, in fact, china is not so completely canceled. in fact, they move around a little. yes, they are softened a little, but not canceled, but nonetheless. actually covid. didn't go anywhere, just like other viruses, in fact, and quite rightly, that now we are really entering our standard season of rising respiratory morbidity from, of course, so

the whole question is that dmitry leontyevich is absolutely fair shares are sick, so i understand you, he absolutely rightly said that this 3d miya is true, and uh, actually talking. not only about covid. now, including now, the conversation is about the neck, and in fact. we are now returning to the flu mainly, which was in 2009, that is, this is the fungus, which is so with the light hand of your fellow journalists, they called it pig yes, and there are quite a lot of it. now it is clear that the return of swine flu. congratulations, ah, to some extent, yes, on the other hand, actually answering the question is scary. it is very ambiguous for one simple reason, because if there is a severe case, yes there is, is there a treatment in this situation and do we understand how to treat it? yes, we understand, and in fact the conversation now sounds like this, that most of the severe cases are related to, or the fact that a person seeks medical help late. and it's not a secret that i actually hit

and now the doctors will say in a paradoxical situation. they say that until 38 happens do not call. but this is a favorite male 37.2. this is where to call something, but now you have asked a very interesting question. and let me answer it. very uninteresting, for one simple reason, temperatures up to 37.2:00 pm from five to nine pm this option is normal. excellent here already a few actually at this time the highest human body temperature and vice versa, from 5:00 to 9:00 am, the lowest temperature of the human body, when it just is not a variant of the norm, so the man's favorite, the temperature is 37.2. this is the norm, if this temperature occurs against the background of one gram of paracetamol, yes, and it keeps against the background of this one gram of paracetamol, then it is probably clear that in reality it is a little higher. and i would say the word a little here in quotation marks. yes, and if this temperature arises in her you feel you

feel, well, excuse me, it's such a commonplace phrase, agul lyavose, blasphemy, even the situation is an absolutely common phrase, of course. yes please but this is not an emergency and definitely. and probably, from deep childhood we know how it is treated, because it is connected with the most accustomed to happiness, but at the same time, 37.5 also comes to you and from 302. and when 35.3 prostration too, well, not really work. they are more likely to come when there is pneumonia and have not been treated for a long time or somehow not treated. that's but along with what you can say, that's how a doctor in a practitioner now, uh, the situation is complex, normal, not as terrible as 2 years ago and how difficult it is, as her yuri lenividovich. said the rise in respiratory diseases. that is, this is also noted in our department of therapeutic profile. we just stopped seeing masked people on the street. yes, and it seems to be calmer. now this is such a

serious story. that is, nothing has become easier, yes, or there is nothing easier yet, here is 3d. so we still notice pathogens, and given that the coronavirus has weakened, there is no virus, respectively. can e is not an occupation. this is the site of respiratory viruses for children. this is a respiratory systemic virus, and adenovirus and a number of other viruses. they are also already gaining strength and growth in and it is difficult to differentiate, but here i want to reassure our population that it is not worth it to follow exactly the measures that are described in our memos published by the ministry of health. as for hospitals, uh, well, including with the help of covid. we are well equipped with uh, oxygen uh, and we have oxygen reserves and there is enough the number of ventilators and uh, there are uh, oxygen plants, that is, uh, the oxygen

economy is in full order of medication. we have been well vaccinated and this year it must be said that the population, but relatively calmly and with the experience of covid, reacted to this , more than 40% of the population was active about being vaccinated against influenza. and it is precisely in the structure of this vaccine that there are those varieties that are no longer useful to us. doctors are enough for us here. we talk a lot about young doctors not enough doctors. but in general, people come. well, that is, if we now ask the first to score, well, the deputy minister, she will say, well, of course, she should say so. it's normal people who come in profile. what they come with. here you come. well, with what, with what, for what purpose? yes, well, i liked medicine, and i wanted to treat and understand this further, including not only the theoretical part, but also, uh, practically. well, here you can be forced to give up

your dream, probably, medicine was your dream. well, i i didn’t think about salary, for example, lack of free time. at the moment. everything suits me. and the team and salary and time is not enough. that is, i manage to find time for some personal meetings and for work and for my hobbies. well , what do you think, as a young specialist? here's what's missing today. uh, in order for young people to stay fixed or go into medicine even more, a bunch of leaders chose medicine. you can say anything. i hope they don't get fired. kidding. mm, here what can be, really, how would it be, after all, maybe, as systemic things. yes , i don’t know there, for example, we don’t have enough apartments. but it is actually in many stories that there are not enough apartments. here's to fix it. especially, perhaps, in rural areas. this is such a problem. yes, yes, we meet with young people and with

students and young people. personally, i why because we are also interested in this issue. and i want to tell you how the most intelligent, the most talented, go into medicine in general. they are just wonderful. ah. we, of course, i understand that this is our future and theirs our health is already you in their hands. it's not just the future, it's already a reality. and you can guess by the answers of young professionals. eh, make such a gradation. everything is trite, you yourself said everything, and wages are in the first place, housing is in the second place. you can understand, because these are young people, they need to arrange their lives in third place is professional growth, because self-development is an opportunity for self-development, and in fourth place is for you. yes, everything you need to start right at the university used to go by vocation. now get an education.

our young specialist also said. this is the psychological climate in the team. that is, if the computer is the head, then well, not only from the head, in general , from the team as a whole, how did they accept the young specialist, how did they treat him. what conditions have been created? well , somehow he rallied it so that in our country, in the twenty- third year, students will already act in a new way; there the norms have changed. and uh, again, the minister of health said that this is not said happy. and here is yuri leonidovich. remember how did you do it and compare it with the innovations that will be now. our view is , uh, a qualitative step forward in order for the guys to be more selected again, this will guarantee us that they are actually going more purposefully. uh, the answer to this question is very interesting for one simple reason, because from the moment i acted, the requirements and rules have already changed twice, because i

did not act according to the ct yes, i did exactly the same many remember this story, as we acted also acted in uh, those exams that passed internal actually on one side. there is in this. pros. there are downsides. the upside is always that you go where you want to go, not where you can go. yes, yes, in fact, because in fact, e, even taking into account the fact that now they were going, uh, where they could go in a good way, all the same, the institute's medical staff kept huge competitions always just that. e, in principle, this shows the prestige of the specialty, including, although on the other hand. i always talk about what prestigious specialties. on in fact, there are many, and there is no desire to get a prestigious specialty. e, as if only not zero economists - this was also a prestigious specialty. here's a synonym somewhere. yes , dmitry evgenievich not always. oh, you know, i probably agree with you. yes, prestigious highly paid - this is most likely a synonym. but

u understand, after all, uh, when not even a student, but a senior student who is about to graduate from the institute, even the sixth year, when we already have subordination there. we understand what kind of doctor we are we will become. just ask the students. how many of you want to become chief physician deputy minister of health. yes, the head of the board of health. yes, no one is red, though in order to work in the fields, you know, and you know, so i strongly disagree with the fact that now it's just a tribute to the profession, yes, to get some. well, this is the opinion of our viewer. everything can be, but the opinion of our viewer. i always, uh, sometimes say. when even they tell me that we do not have enough doctors, we do not have enough. uh, qualified and left. you know, i sometimes suggest. here, uh, do you have a family, do you have a child? and let's

teach your child, send him to a medical school. let him be on a starvation diet for 7 years with bones under his arm, and i exaggerate, but it ’s not like seeing the light of god to learn, then it bears a colossal responsibility for the life and health of this person. but you understand, and guess you are in the profession or not, the vast majority. yes, but how many sensible guys were there , but they are so bright, literate, sensible, who, after the second year, left the medical institute, because it’s not theirs, they broke down somewhere, looked at some more suffering and realized that i can’t, although there is every chance of becoming a great and somewhere a c student, who then becomes an outstanding surgeon , issuing. all the surgeon who wakes up something and he does things that oh, here you can’t guess. the only thing i would say is still. e in medicine, probably,

ct is the least needed. i may say unpopular things, but why does a doctor need logic for cytology? we will not see, because a robot is sitting opposite. and when you have a teacher with a huge experience talking and you swim between the four five three four, but he sees potential in you, because he feels himself, or logically. you can explain what you did not give a direct answer and this becomes the main thing. this is very important in medicine, because a paste and a diagnosis out of a thousand diagnoses. maybe only one that has iron logic. we're just yes, i'm just like this to me absolutely my personal opinion is that doctors are like actors. yes , there must be a workshop of some person, because here you can teach, for example. well, i'm serious about the fans in medicine, but, for example, everyone can probably be taught to treat some kind of disease. well,

speaking at a theoretical level. but when you do an internship with someone. it's like. for example, i finished everything in the acting workshop. here's a workshop. well, maybe i'm wrong, maybe, or that the new ones are absolutely right. well, unlike us here, present with exceptions, a we all studied the young doctor and only saw the patient from the fourth year. yes, with a real student sees patients from the first year. he already has an introductory practice. and then after not only that you have an internship , it is obligatory after the completion of the academic year. do you have a current practice. and this is what distinguishes ours, i guess. and medical education from the education of a number of countries, including abroad , is that we have the opportunity to communicate with the patient, unfortunately, not in all of these talks about the possibility of communication with the doctor. yes

, the natalians are now very, in principle, it used to be this mentoring. yes, and here we lack institutions. now, uh, young professionals are coming. first of all, i would like to say that the education system has really changed and doctors are coming who have completely different views. they are already nailed. not only theoretically. yes, they have a very rich practice, and they come. they know why they go and when we give to everyone we give to every perfectly young a mentor specialist, a doctor who has already come a long way has a lot of experience, but again, this is not only medical practice. yes , we try to keep the mentors as close as possible . with our specialist, your hospital was really famous for the fact that during the pandemic it worked a lot and with high quality. yes, at that moment a lot of young doctors came. we had young doctors then and a lot now. i don't know

why, maybe because our clinic is one of the oldest, maybe like elena nikolaevna the team says. you understand that, we have a lot of people who have been working for 35-40 years. they have something to pass on to young professionals and these young professionals are quite good. with us, they are fixed, they go on maternity leave, they return. this suggests that, after all, this mentoring is very important. and if we can convey what we can do, how can we do it? well , besides being at work. i always say to my mentor, please. you must teach to live not only to work, but also to live, but i think that it is worth reminding once again that, of course, we have excellent doctors, we have a good one. strong healthcare system yes, they are flawless, but nonetheless. and most importantly, remember that we are responsible for our own health, no matter how trite it may sound. if we don’t feel ourselves, we don’t hear, then they won’t

save us in time.

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