what happened? as a matter of fact, with the coming of the bolsheviks to power, all experts agree with each other and i think no one has any expectations that the war in ukraine will end soon . over the past 12 months, the stakes have become too high for any of the parties to afford to show weakness. the future world is conquered on the battlefields, and therefore will end with a quote. all the same karl von, clausovitz battle is the only effective way to wage war. its goal is the destruction of enemy forces, as a means of ending the conflict. thank you. well, now sas is authorized to declare. its arms deliveries demonstrate the west's rejection of diplomacy

about people who, in spite of everything, go towards their goals. i do a lot of consulting for clients. i have a lot of people who want to lose weight, i am not a supporter of diets, because in each of them i will find a lot of pluses and a lot of minuses. i teach at the studio's culinary school. ah. well, it's still probably more of an option for those who just want to learn how to cook. i hope that soon , perhaps at school, we will open how some courses were already highly qualified for our thieves, they do what their heart tells them to do. uh, the main function of the sixth is to come up with dishes to train staff and watch, uh, so that the technology is not violated and the return of the dish was the same as it came up with something and i realized that i absolutely don’t know the fuck, and it seemed to me very insulting. and when i started to study. here are the first steps. i

realized that this is very interesting. watch belarusians in the project on our tv channel i will write 1,000 statements to the police organs. soc, you're going to have a lot of custody issues. let him call under the skirt, you don’t want to be a sissy. i interfered with your relationship. i agreed with andrey when i will become a wolf, where i will receive a passport as a wolf. you will become when you pass the test on the wolf. for god's sake, vanya, what happened. a

little more time and he will understand what a monster you are. you must go with us on charges of beating nadezhda semyonova, watch the series when the past returns this weekend on the tv channel. belarus 24 of our country each day. we learn something new and for ourselves a lot of projects. it is impossible without this, we will learn the history of the development of production in 1970 and invariably produce it by hand. hands, that is, try to reach the final, that is,

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belarus 24 tv channel. surgeon doctor of medical sciences, head of the surgical department of the emergency hospital today our conversation will be devoted to the problems of surgical treatment of chronic pancreatitis. oh hello , on the air, the program, say, do not be silent, studios victoria popova and svetlana smolonskaya, and visiting. today we have a surgeon doctor of medical sciences sergey roshinsky good afternoon. hello sergey markovich, how did

it happen that you are a practicing surgeon, who has about 50 successful operations per year, which last for 5-6 hours, suddenly get out of hand. uh, alexander lukashenko , you conditionally get a degree, from the research institute they are from the emergency hospital. what methodology did you propose ? why were you awarded this degree? i have been involved in the development of principles for the treatment of patients who suffer from complications of chronic pancreatitis. in the course of the most practical work, well, an idea or a desire arose to share the results that we succeeded in, something worked out, something didn’t, with our colleagues and in in the end. it's all somehow transformed and formed. uh, remote research actually. i was about 5 years old. to the doctors there of the department of surgical diseases of the belarusian lord my. uh, he was a scientific consultant. uh, at

the moment, he is an academician, doctor of medical sciences, professor tretyakov stanislav ivanovich, and somehow the support of all the ideas of thoughts made it possible to formulate all this in the form of scientific and practical work and defend, uh, remote research at cska not a scientific degree doctor. for about 10 years. yes, please tell us more about us to our viewers. what is the essence of your method of treating chronic pancreatitis, and what is the difference from other methods, when we are faced with the problem of growth of patients, uh, suffering from chronic pancreatitis, managing pain with jaundice, uh, some kind of gastrointestinal bleeding, seeing him . uh, that's it, the variety of clinical symptoms, the idea appeared that some kind of universal operation and not. although several decades

before us, colleagues from europe from america offered their own methods of surgical treatment, but they were aimed at eliminating a certain species more difficult. basically, it's common knowledge. and it is proved that the clinical course and morphological features of chronic pancreatitis in america, in europe, and even in europe pancreatic duct. and in germany, france, on the contrary, there is an increase in the inflammatory mass of the head of the pancreas in the united states, the whole poseur is formed. well here apparently plays certain areas of genetic features. e of those regions in this situation , mm, and, in my opinion, plays more of a combination of the original genetic fund, and

later on the application points. that is the nature of food. this is already secondary. after all , it is believed that in most of their cases, chronic pancreatitis in europe suffer patients who consume an excess amount of alcohol, but let's say their own genetic code was originally set. why does this happen? the morphological picture is different for everyone, but this is just a statement of fact, but in order to study the features there, a long study is needed, which is being carried out, but its results have not yet been published. i read such reviews that from doctors just e hepatologists and a hepatologist. yes , often pancreatitis is overdiagnosed, which means that a person has abdominal pain. and here they are immediately sent to the hospital for an operation and diagnosed as chronic. uh, pancreatitis you run into such misdiagnosis of your practice.

hospitals exist in order to clarify it is impossible. we have opposition to treatment tactics. uh, sometimes drug therapy. e, the surgeon also brings its result - this can be read the surgical manual - this is the last resort, uh, which should be resorted to and there are certain indications for performing various types of surgical interventions and taking into account the fact that the application points of the pancreas tissue , various complications of panic pancreatitis appear, so all those methods that have been invented have different application points have the right. uh, to our existence and hmm let's say. that's what the previous question was. why have we improved or, say, proposed our own method of surgical treatment. you notice that part of the patients is affected by the pancreatic duct. only in fabric. the heads of the isthmus of the pancreas and the essence

of this method lies in locally not anatomical resection of organs that preserve operations local anatomical resection without excessive trauma, which, with reasonable application points, will allow you to get the same result as more extensive surgical intervention sergey markovich and your diagnostic methods and your proposed methods for treating pancreatitis. they are available only in minsk or someone from colleagues in the country has already adopted them. these ways. e, surgical treatment and methods for diagnosing complications are available for all regions of the republic of belarus because, in principle, in order for hmm to somehow substantiate all this should be. uh, the practical implementation of practical health care of these methods. they. well, not only in minsk , other regions also use these methods. as by the same methods that were invented in vitebsk, anatoly is still there and

our other colleagues from minsk from grodno , we are trying to extract. from just some reasonable grain in any situation. the approach to surgical treatment should be individualized. well, that is , it means that you also use special methods of their colleagues, yes, not only from belarus but from russia and from abroad, what was previously invented can never be discarded rational grain in the early invented methods and methods of diagnosis. well, once upon a time, here you are. you understand that the patient only needs to be able to cope with the fact that only this head is cleaned, and sometimes you think that, well, as if the entire pancreas should already be injured here. from what percentage of what you are doing a less aggressive operation, well, everything depends on the point of application the main pathological process in chronic pancreatitis. if the main one is located in the head of the pancreas there, if in the village in the tail either a

simple duct is affected or cysts form after necrotic pancreatic pseudocysts, the points of application are completely different there and sometimes there is a minimally invasive technology that allows you to get the same, uh, result under museum controlled, uh endoscopic equipment. come on, don't say that it is without a modest risk of bleeding during surgery on this area. it always exists, most likely in this situation. we do not endorse the aggressiveness of the surgical. intervention, because in essence, but if we take our work as a surgeon, the surgeon may appear in general as an aggressor in this role during a surgical intervention, the anesthesiologist always acts as a protector. you yourself have already said that for a long time pancreatitis was considered a disease of alcoholics. well, or already older age people. today we are talking about the fact that he has become younger, what is the reason for this? i would

so he didn’t say that this is a disease of those who have people who can be classified as alcoholics, because, in fact. there is a study that claims to confirm that of those people who abuse alcohol. well, in different regions there are different numbers and doses, only three to five are given, a maximum of 10% have serious health problems and seek the help of doctors and someone else. uh, so not a pedagogical statement at all haha, but they, well, it's true, it's true, rejuvenated for the simple reason that in this situation initially. i think that after all in europe it plays alcohol, billiard pathology gallstones hmm as a cause of possible chronic pancreatitis. well , there are hmm 3-5% of cases, unlike china, china has the opposite statistics there

- 30-50% of chronic billiard pancreatitis, and alcoholic there 20-25. but genetics also plays a role here, because, let's say, the region that we belong to the tropics. there are features of the fact that tropical pancreatitis takes place there. this combination of hereditary factors of nutritional deficiencies, which lead to the rapid development of the pain of chronic pancreatitis and diabetes mellitus. that is, you can never discount the factors of excess consumption, fats and intuitive proteins. please tell me, what complex of complaints, what set of complaints, and the patient allows you to determine without mistake that here is your patient and he needs surgical intervention, well, except for the case, as you said, that a person comes, says, i have a big bake. uh one of the symptoms that suggest the presence of a chronic

or acute pancreatitis is pain. and then there is a set of complaints. uh, and she to me for the disease and, above all, some instrumental research methods, uh, that can allow. e, to assume the presence of this diagnosis, as a screening, it is advisable to use ultrasound , which is highly informative . small invasive, practically safe in the subsequent, in order to determine the plan of examination. well, she plays to me with a history of the disease, the presence of the absence of the same diabetes mellitus. for the present moment the same chronic pancreatitis is understood, uh, and accepted, so that this is irreversible cell damage, which is responsible for the endocrine function of the pancreas, which inevitably leads to fibrosis and leads to a decrease in function and a deterioration in the quality of life. yeah, because at the moment the question is more about how

to improve the quality of life of people who suffer from a certain category, there is a nosological form, diseases of chronic pancreatitis cannot be cured by surgery and cannot be cured with medicines. you can only improve the quality of this person's life by giving him a chance to stay. he had a good nutritional status for as long as possible without pain, and everything with uh, what is given to him, how he uses it in his hands in the hands of his environment and also depends on what goals this patient sets, lived for himself, for the family, for society bring some benefit and still remain time for the ussr for society, probably to confirm your words. we'll listen to your colleague, a renowned surgeon. hello accordion. he was also with us studios. here is what he says about it. so sometimes i talk for a long time with relatives when they come, when it’s already well over and it’s clear that a person has driven himself into this

situation and in general, uh, what is called turned on the button to destroy his own body for five years, seven years before this operation and for 5-7 years he destroyed himself simply, in simple terms. and they say he understood everything. here he is, he is never again. i say, you understand, i have a diseased liver for health, i can change it. and i won’t change his head and i won’t change his brain i will change it, and as soon as it returns to the same state in which it was 5-7 years ago. well don't be fooled, and unfortunately transplants can make it impossible with that. i was surprised that your website says that you meet daily with relatives and patients. daily. this is

probably more difficult work. yes, i think yes, for the simple reason that there is an opinion that if you do the best to the patient and unfavorable results happen. he will forgive you and understand relatives, uh, who are not always understand the work of a surgeon and do not always understand what remains in the soul of a surgeon when he has an unfavorable result of treatment. uh, so they want to somehow get a positive result very quickly and to have a person somehow, but in the case of chronic pancreatitis, the ashes left are essentially their work. we only give a person a chance to use it, how he uses them is his business. will his relatives help him in this, that too. well, this is already purely social, this is the relationship of the relationship of the sociuses, but they don't always help. they always sometimes

want to find the extreme, that is, the situation in which their relative has fallen. i am no way. i do not remove myself from the responsibility and work of the surgeon. he is not sinless. uh, a person can not live to work and not make mistakes. an important factor in treatment is the desire of the patient himself to recover, maybe you need to put pressure and hope on this when talking with relatives with the same patient. well, if he, of course, he himself can not be put under pressure. it all depends on the final goals of his environment, if he has children there is some favorite goal, uh, favorite work, what is worth living for, uh, he provides 50% of success, the surgeon in his work, not just the surgeon. i mean any doctor. and when you see that a person in this situation has one goal to get rid of pain, and later return to the same way of life, then well, the

desire to help. yes, there is, but it is already working out, but it is such a belarusian word under krymus. operating room when you were tuned to the very top, gave a disappointing prognosis and suddenly there is an operation, like clockwork i have not met, because in this situation the hands of the surgeon work a miracle, and as there are efforts and forces of this, you will apply to this and try to help the person. yes, there was a hopeless situation, which initially. uh, the eve of the operation is evaluated. how hopeless, later on. uh, through some surgical actions managed to save a person's life. who should it be explain this to me, faith in yourself faith that you will win, climb, yes, confidence, what faith yes, maybe you believe in god in the

human soul should always exist. and what will he believe? it is his right, that is, it is the right of every person that he believes he is in my opinion. if a person sees something bright, then a miracle always happens when he tries to turn to the dark forces, then nothing good comes of this, most often it turns against the one who believes knows everything. uh, past lifestyle past lifestyle and more, please, ah. here on your site we have read a lot of reviews. uh, what are you, uh, doctor, the golden hands of a doctor from god, as they say, every doctor has one. e mine the cemetery is part of these reviews. we see now,

but they are all the same. well, you said that you are personally worried. well, how to take it out now in a modern word, i’ll say all this, all this is a burden that everything will be fine and the future cannot be lived. in the past, you need to live in the present and in the future you need to believe that in the future you can help in the same situation or in another situation that is in no way less difficult than the previous one, if you did not believe there. or else you wouldn't be able to enter the next time you have an operation, well, without faith in its strength is not worth going to the operating room. faith of the patient or faith of the doctor i think that it is impossible to distinguish between two concepts, because i have met in my life, a situation where the same disease, the same hands shoulder it, but when there is no faith of the patient, most often you come to an unfavorable result

when there is faith of patients that you can help not a hopeless situation. this is a 50-60-70% success rate, if the patient believes it is easier to treat, it is easier for him to improve his quality of life. here you touched relatives. if relatives believe, then it is also even easier, but at the moment e has a lot of negativity, you meet, sometimes his patients and his relatives. why is it tied in all its troubles? uh, it's easier to blame the environment and the quiet, to go with the flow or to be in some sort of amorous state of blaming others, that is. eh, well, in fact, in fact, human health consists of physical psycho-emotional. not physically not to make any efforts in order to correct what happened, but psycho-emotionally psychologically to justify oneself in this inaction. so we may also need psychological help, which is provided directly in your department, because i know that immediately for those who have undergone such

operations, the most difficult thing is to give up their favorite sausage dishes. yes, there is a schedule of an emergency hospital, there are psychologists who work with patients. not only in our department, but in the way that patients there sometimes get from those situations that are unexpected for them there is a trauma. the same something else, they all need emotional support, a person walked, healthy thought about the good, and then some kind of injury happened to him and he has thoughts that nothing can be fixed. already a private matter, each patient of a person. let's break, i remind you, we have telegram channels. say don't be silent. subscribe give questions and suggest guests we are in touch. on the air say again, don't be

silent, and our guest is a surgeon, doctor of medical sciences sergey roshinsky sergey markovich how often in the department of our minsk hospital do you receive patients from the regions of our department, if you take the statistics for the year somewhere around 6 10 are patients who seek medical help from the regions, and, given the nature of the care provided by the hospital . coming soon medical care is the number of patients who are treated without a referral. we reach 30%, but no one is denied assistance if there is a reason for this. they are citizens of the republic of belarus and in general. right e count on the fact that in any institution of the republic they will be provided with qualified assistance, if this institution has such opportunities for the profile of their illness . i understand that this is an emergency hospital. this is work in extreme.

situations and everyone is delivered there from the wheels, and then we’ll figure it out, what’s called yes, let’s see a fragment of a small presentation video with the hospital’s websites, all famous people in the world perform operational niches necessary for the treatment of patients with diseases of the liver products and pancreas. the equipment impresses the most advanced the question is, i have a personal question for you. here with the development of science technology, it became easier for the surgeon to work. it is impossible to answer this question unequivocally. for the simple reason that in this situation the surgeon must be able to handle the equipment that we have, highly informative technologies for the method and examination of computed tomography mri, he must read not only the opinion of a specialist doctor. well, look

at the countries and understand what they depict, uh, using electrosurgical equipment is also not always safe, because it is less traumatic to tissues. it is more likely to have the same thermal damage and burns. well, here are the technologies that we own and have, they must use it first of all, safe for patients from the principle of safety of the last time. remained wonderful, because before as soon as these devices appeared. mri were any headaches. and a thousand times for ultrasound and everything in general, to do research as much as possible. now. uh, many doctors say it's not very helpful. this pleases me in fact, but only useful, how much it should be highly informative, because, uh, in medicine there is not a single research method

that has a 100% result. if we touch on the area that we are dealing with, i then the pancreat of the billiard area, computer ultrasound is like screening for ultrasound of the abdominal organs, computed tomography mri of the abdominal organs of the specificity of information content. it reaches ninety- four percent there. and what is asia for? screening someone next yeah do a ct mri asked you if it's easier for you to work with advances in technology. you have less work work has not become less, probably, uh, because more of the nature of the pathology. so, if we take the years when i graduated from the minsk state medical institute, it was the last century and now the pathology that we are starting to meet. they're quite, uh, different realities. it is more complex. it

sometimes has a combined or combined character. hmm the diseases themselves. on my sight. well, my point. maybe, absolutely subjective, they were more classic before, now a combination of several factors goes on, moreover, the significance of the same chronic pancreatitis would be affected by the same mosquito condition. uh, rheumatoid arthritis disease has become less no, more diseases of the chronic cardiovascular system have also become more oncological pathology. hmm, there are a little more patients in the sense that oncologists are not needed. in general, they learned to treat better and they live longer. in my opinion, it turns out that sometimes it is necessary now with a combination of pathology cured of cancer, but those with chronic pancreatitis to live longer, but we have become less strong, or something, i won’t say. so we began

to live better in some way, because if you take the same chronic pancreatitis, all the technologies that we have, they are the beginning of the 2000s. uh, but the technologies that bring europe to america are the seventies and eighties, and then in the seventies and eighties of europe, america appeared due to a certain image of them life of their people the patient developed the problem of chronic pancreatitis. then they lived perhaps well more. well, let's just say they were associated with food with alcohol. we have this problem now for the simple reason that in some sense we began to live better, well, more satisfying to eat. perhaps they are not always useful one of the causes of chronic pancreatitis, which is put in brackets, perhaps i this is a combination of food that is rich in carbohydrates and protein. protein carbohydrates, and what's the time with fatty

meats, potatoes - this is, in fact, b depending on how it's cooked, it's a starch carbohydrate that's easy to digest and provides a great energy load. a large number of kilocalories is not harmful. i am not a nutritionist. i though now more fashionable. uh, a specialty is such a concept as a nutritionist , a doctor who is engaged in, uh, the development of a diet shows. how much should a human eat? what kind of food to eat is a trendy trend, well, 3ciologist. in connection with chronic pancreatitis, do you have specialists in the department, but uh work us they were very right on the basis of patients on the basis of the department and as an example there is here, uh, the studies

that the doctor conducted, she herself is an employee of the department, hygiene, belgos, universities, she developed, in principle, the food counted kilocalories, and all this was able to put on a mathematical statistical form in order to prove that this such a diet of ordinary hospital food plus something else uh hmm will sometimes bring a reasonable improvement in the quality of life. we have the opportunity to do without surgical intervention to harmful products. i would also add carbonated drinks and various types of energy drinks that have become popular among young people. recently , there are about 20 wards in your department, and in each of them there are patients with complex diagnoses. that is, once. you are leading about 50 people, just like you memorize the diagnoses of all and you need to treat it, or there are medical records for this, there are four

resident doctors. uh, and everyone has a certain number of patients. i am in this situation. uh, i'm just supervising the work, well, somehow, together with the doctors together with the staff of the department, the belgos , all of whom are our departments are the base, we are trying some kind of reasonable solution, but in order to somehow keep it all in mind now we have. uh, hmm computer technology this information, they are not only in paper, but in electronic form, sometimes in electronic form, it is easier to extract and compare all this data from there. this is how young cadres come to you or prefer to work in private clinics young cadres go to study in order to work in private commercial structures. there must be a certain category of experience, if you take a license for a certain set of surgical interventions, on which a young surgeon has a commercial center. e, after

the university bench, he doesn’t do all this right away and gains experience in the state structure, and for a long ruble he goes to a private structure. i don’t know how long the ruble is, but in this situation, taking into account the principles of providing medical care and the article, uh, in the constitution, the health law. it's guaranteed there. uh, providing free assistance to citizens of the republic, belarus, which, in general. in my opinion, she turns out to be highly qualified. level, but if a person wants something unusual, well, for god's sake, they can turn to some commercial structures, if they own these technologies. between quality, uh, as a service between paid and budgetary medicine, well, rather, it will be, uh, you correctly said the service in this

situation in the system that provides paid medical care is primarily given more attention to care service. uh-huh, and the way we work, having a certain staffing table for junior nursing staff , such a level of quality, it turns out to be a service. well, it's hard for us to provide. i understand this, but not a service, if we take it, but really medical care, there is equipment for operating rooms, that's all i can judge only in a hospital, except for medical care. we have everything, the equipment that helps, uh, do research. well, at a high level and some research that can be said that they have now. the medical institution does not have an emergency hospital , but i do not know this, based on the profile of our medical institution. do you have to wait a long time for surgery or something else? me

ambulance she assists in an emergency, as such queue queue. what is an appointment for a planned operation? we provide assistance, in an emergency, on an emergency basis, but sometimes a patient with abdominal pain, who comes to us with the clinic of the same cholecystitis, pancreatitis. uh, when the full complex is carried out here, the study is accepted decision and he is not discharged from the hospital. he undergoes the necessary surgical intervention, if this is necessary. rules for the provision of emergency hospital care. and are there people with a healthy liver, probably, there is a person’s health consists of two components and he is always healthy as much as he feels psychologically healthy, there is also a psycho-emotional component. health brings

a person. uh, physically healthy to some other diseases and hyperpolization of those the problems that he has and the psycho-emotional component is sometimes very difficult to cope with, and sometimes impossible. let's talk about prevention. how not to get caught in your office. give me five golden tips stay healthy as long as possible and keep your liver and pancreas in good condition. but above all, this is a reasonable attitude towards yourself and those about nutrition. uh, try not to take too much food, like carbohydrate-rich fats. uh, well it's wise to treat drinking the same alcoholic drinks of various energy drinks, they also currently play an important role. as a possible factor in the development of the island and chronic pancreatitis. mm, well, in my

opinion, this is not only a doctor's problem. this is a social problem of the society itself, as far as the promotion of a healthy lifestyle will be carried out, our result will be so successful. so much less likely. let's say hit. e with chronic pancreatitis with pink liver to the doctor, but there is a way to follow up there. well, here, i know me as an endocrinologist, i learned to follow the vitamin d and indeed, this is, as it were, effective. i'm on the cleanliness of ari diseases yet, well, maybe , uh, you need to control your bilirubin in order to give advice. a person needs to always look at his patients to come up to india individually and after a physical examination. after a conversation with him, it means some kind of complex examination of universal analyzes. no, no, yes, that is, you cannot general. to say that i'm here, unfortunately, no. maybe

there are such doctors, i don't. what about hypodynamia? and that i'm a walking job, how is it affects the liver and why hypodynamia, well , a person who leads a sedentary lifestyle or has the nature of work is associated, uh, with work at the table, he always mmm in this situation has a tendency to overweight and how a priori the likelihood of developing diseases that are associated with binary system hard stone disease. well, dysfunction of the pancreas is more than a therapeutic plan, when tolerance to glucose is impaired, and in this way it is hmm to say what exactly this will lead to such a pathology of the gallbladder, or gastric gland of a person who sits a leg, i do not i do not hesitate to answer, most likely it will be a cardiovascular disease. even now we are talking about prevention, maybe an ultrasound scan needs to be done

once every 2 years and well, somehow, so as not to bring it to surgery, if there are medical indications, the patient desires these studies at the request of the patients. maybe that's why there are private commercial centers that offer a wide range of diagnostics. there is. mostly. it goes a wide range of diagnostics in patients, who suffer from chronic pancreatitis. uh, pain appears and initially they always develop diabetes mellitus, because, in principle, diabetes mellitus is a specific type of diabetes mellitus, in chronic pancreatitis it appears like this is a person all a person, less than 40% of the tissue remains, functionally the gastric gland for those form under creatitis which are characteristic. in our regions, a specific form of diabetes mellitus for atrophic pancreatitis will initially appear. it all at the same time turns out that they are generally leaving hand in hand. diabetes

after all, there are several types and diabetes is always tied to the cells that produce e, and the cells that produce insulin, they are located where the pancreas. here, with one type , this is immunity to this insulin, and in another case, the first type, when these insulin-processing cells are perceived as foreign in diabetes in chronic pancreatitis, they simply are not enough. let's take a short pause on our telegram channel. say don't be silent. subscribe suggest guests and ask us your questions. we are in touch. pwm we wanted to do tikav, a little bit, well,

to transform our past life in the countryside. and here are the real ones, so we tried, to make it beautiful next to us, so that we would enjoy our present life in the village. i know that in the future, about 10-20 years, our carriage will be a large object on the territory of belarus, and that here the buddha is not two streets again, i live from victory with those who i ate on the very right and kicked them here the thief. today we have many masters. antonina yakushek. we have zoe valera is ours, and here i am, master jasmine. we have a folk trial with a house about the king, beloved. my dear little piece, baby, you are such an unobtrusive land dussmoke on the wings, look at the poleshki

project on belarus tv channel 20 tents their technologies are our comfort and safety today for any specialist who works regardless of which sector he should have the skills of energy-efficient technologies that save energy every time he comes to work . this is my chess game, because i have to plan and organize work. so all this equipment worked. they tell complex things in simple language. here comes the imitation of the sun 's rays and the light that imitates the sun heats the panel, and converts the energy of the sun into the energy of heating water for the house. now it is at -20 mark. this is the lowest point of our career. if we compare it with the level of the baltic sea, then we will say 20 m under water and share the intricacies

of his work, which he simply loves to drive a car. yes, it looks like a toy will carry 90 tons of rock into the future concern for the state and its education. watch project one day on belarus 24 tv channel. on the air say again, don’t be silent, and we have a doctor from god in our studio as grateful patients call him sergey roschinsky and another representative of the dynasty, your mother was not on timofeevna for a long time, the head of the same the third branch from the emergency hospital. how good is your e your hospital.

tell mom, mom is still operating, mom is still working and she helps in this second operating system. uh studying belarusian statehood medical university in the specialty. so far , let’s say, the nestezion has not chosen his further path, junior hmm, he is a student of the gymnasium, but it turns out that he will choose a slightly different path. he likes social studies. history of foreign languages. that is, he is more of a humanist, so to speak. well, this does not mean that all hope will be interrupted by the dynasty. yes, yes, one well-known pancreatologist. uh, professor banks

was talking about the treatment of chronic pancreatitis. can sometimes cause feelings of pessimism only patients, but even among doctors, do you consider fair this expresses fairly, in part, because if you perceive the word pessimism. uh, no way to help. well, hopefully some help. hope must be the last to leave us. well, in the first part, we discussed that you never give up on you. after all , they go down even before all the patients who give up, and they lose faith, but how do you cope with some of your negative ones with your negative state, for sure this happens, and some kind of despondency visits you, what is your way there is such a way of a universal way. no. i'm always trying, uh, to switch from one activity to another physical mental mental physical work in the operating room er. well, uh, let's say some kind of analysis of some scientific

information, when the physical mentally combines reasonably, then pessimism does not visit. there is another question. in our country, when we talk with our hand about organ transplantation from pigs to humans, we believe in miracles. come on, we begin to believe in a breakthrough in some scientific knowledge. so, in your opinion. will there be a magic pill a drink that a person like the terminator will be healthy again even if i think it never appears since the last century there was such a belief in the kremlin pill that helped with old age from everything that continued to give the possibility of life endlessly . this did not happen universal remedy. no, there must be a desire for a person's desire to somehow improve himself his life is a wreck. and it will help him in life. and how much to whom it is measured rather from god, there is no feeling that a person is becoming weaker

in the state no no. i think that in this situation, a person meets with more complex diseases. e squeal, which not so long ago was this viral disease that hits the immune system such before with such specific situations. humanity has not met before. yeah, a malfunction in the immune system can be likened to cancer as a cancer . this is one of the principles of a viral disease used to be something like a cold , an effect on cells, an epithelium on something else. this is what scares me. why are we like this before even viruses become defenseless. we were able to, uh, get out of these extreme situations. yes, with some loss. yes, it took some time, but if a person does not leave the belief that you will win, you can always win. uh, well, go on, yes, with

losses, but this is life. let's take a look at your experience. you have repeatedly visited us for internships in germany and how would you rate the belarusian healthcare system against the background of the german one. these two health systems it is difficult to compare, because, in principle, we have the principle of free healthcare and the provision of and, that a person has the right to equal opportunities to receive medical care, and the european healthcare system is insurance insurance medicine and many questions. well, there are other principles of rendering, so to speak, helping medicine and insurance medicine. but it can make a person more responsible for their health. insurance medicine. yes, because in this situation, health will be borne not only, but the patient himself, who has insured himself, and

then he begins to treat himself more, so to speak, reasonably or prudently. e, knowing that in this situation there may be some unfavorable results and will have to do it all the same. uh, but in order to move from one system of health care system to another , there must be a certain level of consciousness, the mentality of society. in my opinion. our society is not ready for the transition to insurance medicine, because in society we have uh hmm population hmm that is, they are people a little accustomed to the fact that they are accustomed to the fact that if you came to the doctor, then he owes you he owes you. yes, he should treat himself, if he asked for medical help, then in uh, literally now and right now, he should be examined from head to toe, give him recommendations to give a result,

give some kind of pill or do some kind of surgical intervention, which we will allow e to live without thinking about his future in the future. well, that is, he wants to get a quick result about what is not always, perhaps not always wisely, he doesn't think about it. and now you have more and more opportunities. i know it's in the emergency room. there is such a department, pre-acceleration, where can you measure pressure from taking an x-ray ? well, what else can you expect, but this is a therapeutic emergency of neurology therapy where it is explicated by patients who have, uh, hypertensive crisis. uh, some kind of disturbance of consciousness, that is, there are suspicions old ladies who said, well, take us to the daughter's hospital. well, put it, well, it happens. probably because they are,

say, in a medical institution. hmm, it’s somehow kinder calmer than at home for a lonely person , leaving with there, too, the absence of any problems, a person ends up in a hospital. he has the problem of feeding food, where to sleep, uh, it disappears automatically when a person lonely on one is at home, there are questions of where to get what food what to cook, and here you can still look for what not he cooks very well, at the same time there is an opportunity to communicate and the person knows that he will always look after him. hmm, i didn’t hear anything with him. i still don’t understand your personal attitude to this free medicine, so called good attitude, i’m all in this situation, as an employee, that is, there is a system that exists, but it seems to you that this system has a plus and before the

capitalist system there are different in america europe has its own in europe this is insurance medicine. in america, there are slightly different principles for providing medical care . the american system is somewhat different, it loses to the european ones. our i do not think nothing loses. we are trying to somehow take revenge on the patient with the soul to the person in order to move on to another, to some other way of indicating medical care , there must be a certain level of consciousness, maybe these first attempts of our organizations to have these insurance policies will lead citizens to what they are used to. e to another service to another attitude towards ourselves first of all. yes, maybe me too it seems that well, before that it is compulsory insurance, there is insurance for employers and different systems of insurance companies in different ways, that is, it perceives the same amount at the same time. there are insurance

companies to offer different service packages. well what, working with insurance companies. i have my own point of view on how they work and what types of services they offer, like an all inclusive package, but one day. did you say such a phrase? intuition is what allows you to take the shortest path come to the right decision still trust your intuition and only intuition experience, uh, experience helps, and experience and intuition is what i trust, but no matter what, always. i try somehow. uh, everything, almost everything is questioned and hmm from a comparison of points of view, making some certain decision, when based on experience, when based on intuition, when based on this and that, big to you. thank you for this conversation, for coming to our studio lived more thanks to happy patients outcomes of your operating room, we svetlana

smolonskaya victoria popova say goodbye to you today. goodbye. goodbye. and now sergei rakhinsky is speaking, dear viewers. take care of yourself and those around you. and we will try to help you to be happy and live. long

live you watch the main news at noon with you pavel zovik. hello, in this issue, the president presented the diplomas of doctor of science and the certificates of the professor.