sergey roschinsky sergey markovich how often do patients from the regions of our department come to you in the department of our minsk hospital, if we take statistics for a year , about six percent, six 10 are patients who seek medical help from the regions, and, given the nature care provided by the hospital, soon medical care the number of patients who apply without referral. we reach 30%, but no one is denied assistance if there is a reason for this. they are citizens republic of belarus and in general. e, you have the right to count on the fact that in any institution of the republic they will be provided with qualified assistance, if this institution has such opportunities, according to the profiles of their illness, the disease must be understood that an emergency hospital. this is work in extreme situations and there is a video with hospital sites. performed by all known people in the world of operational niches

required for the treatment of patients with liver disease gallbladder bile products and pancreas is impressive, the most advanced question such. at me to you personal here with the development of science technology, surgically began to work. throw, no, that's for sure. it is impossible to answer this question. for the simple reason that in this situation the surgeon must be able to handle the equipment that we have and highly informative technologies for the method and examination of computed tomography mri, he must learn to be able to read not only the conclusion. m-m tissue trauma, but more likely the same thermal damage and burns. well, now let's get that mri machines for any headache those technologies that we own and many doctors. they say it's not very helpful.

this pleases me, in fact, well, only useful, how much it should be highly informative, because if you touch on that area of ​​​​ultrasound like screening urgana or what is completely computed tomography, which we do , i then specifically the billiard area. the nature of the diseases themselves in my opinion, my point perhaps, absolutely subjective, they were more classic now. uh, rheumatoid arthritis collagenosis disease, less no, more diseases of the cardiovascular system chronic has also become more oncological pathology hmm and patients. getting up a little more in the sense that oncologists are not needed, in general, they learned to treat better, they live longer. in my opinion, it turns out that sometimes it is now a combination of pathology cured of cancer, but

those with chronic pancreatitis 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 we take the same chronic pancreatitis of all technologies, that appeared with us, they are the beginning of the two thousandth. uh, but the technology that brought to europe in america is the seventies eighties, and then in the seventies eighties of europe america appeared due to certain of their lifestyle people patients had the problem of chronic pancreatitis. then they lived, perhaps, well more better stain let's say so associated with food with alcohol. we have this problem now for the simple reason that in some way we began to, uh, live better, well, eat more satisfyingly. perhaps they are not always helpful. yeah, one of the causes of chronic pancreatitis, which is put in

brackets. perhaps i am this is a combination of food that is rich in carbohydrates and protein. give examples of what is carbohydrate. dy troubles, and all. just with fatty meats, potatoes, in fact, depending on how it was cooked, are starch carbohydrates that are easily digested and provide a large energy load. a large number of kilocalories point is not harmful, i am not a nutritionist. i although now more fashionable specialty. is there such a thing as a nutritionist? the doctor who deals with the development of the diet shows. how much should a human eat? what kind of food you need to eat is a trendy trend, well, 30 tins uh-huh ah due to chronic pancreatitis. do you have in the department no specialists, but

scientific work, which they are right at the base. uh, patients were conducted on the basis of the department, and as an example, there are studies here that were conducted by a doctor. she herself is an employee of the department, hygiene of the belgosat. she developed. in principle, i counted kilocalories, and i was able to put all this on mathematical statistics. a form to prove that this ration is just the usual hospital food, plus something else. uh will bring to a reasonable improvement in the quality of life sometimes give. we are able 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 lead about 50 people, as you remember diagnoses of all and whether it is necessary to do this at all or for this there are medical records, like four resident doctors. uh, and everyone has a certain number of patients. i am in this situation. uh, i just control the work, well, somehow, together with the doctors , together with the staff of the department, the belgos , all this is. our vision is the base we're trying to come up with some intelligent solution, but in order to somehow keep it all in mind. now there is. uh, hmm computer technology this information. she is not only in paper, but sometimes electronic version, 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 surgeon of some set of surgical interventions for a license on which a young surgeon has a commercial center. uh, after the university bench, all this is not immediately he will do and gain experience in the state structure, and goes to the private ones with a long ruble. how long is the ruble. i do not own this information, but in this situation, taking into account the principles of indicating medical care and articles. uh, in the constitution health act. it's guaranteed there. uh, providing free assistance to citizens of the republic, belarus in general. in my opinion. she turns out to be on a high level all the same level, but if a person wants something unusual, but for god's sake, they can turn to some commercial structures, if they own these technologies, in your

opinion, the difference between the quality of e, the quality of service between paid and budget medicine. well, rather, it will be, uh, you correctly said the service in this situation in the system that provides paid medical care, first of all, more attention is paid to care in the service service quality level. well, it's hard for us to provide, i understand that, but, hmm, not 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 to conduct research. well, at a high level and some research that can be said that they have a private

medical institution. they have an emergency hospital, but i don’t know that, based on the profile of our medical institution, i understand, and you have a long wait for an operation or something. hmm , she provides assistance to the emergency hospital in an emergency, as such queue queue. what is an appointment for a planned operation? we provide emergency care on an emergency basis, but sometimes a patient with abdominal pain who comes to us with a clinic is already cholecystitis pancreatitis. e, when a full complex of research is carried out here, a decision is made, he is not discharged with us, the necessary surgical intervention is carried out, if this is necessary, these are the rules for providing assistance to the hospital, except for medical care, are there people with healthy liver? maybe there is. we will meet. these are the farewells of a person's health consists of two components and he

is always healthy as much as he feels psychologically healthy. after all , there is also a psycho-emotional, component component. health, sometimes lead a person. physically healthy to some other diseases and hyperpolization of the problems that he has, and sometimes it is very difficult to cope with the psycho-emotional component, and sometimes impossible. let's talk about prevention. how not to get caught in your office. give five golden tips to stay healthy as long as possible and keep your liver and pancreas in good condition. first of all, this is a reasonable attitude towards oneself and towards those to nutrition. uh, try not to take too much food, like carbohydrate-rich fats. uh, well, it is reasonable to treat the use of the same alcoholic beverages of various energy drinkers, they also

currently play an important role. how possible is the fact of the development of acute or chronic pancreatitis, but in my opinion. it's not only 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, ours will be so successful. the result is so much less likely to say get uh with chronic pancreatitis with liver rose to the doctor, but there is a way to follow up there. well, here, i know my endocrinologist has learned to monitor vitamin d and indeed it is, as it were, effective. i'm on the cleanliness of orc diseases, well, maybe, uh, you need to control bilirubin in order to give advice. a person always needs patients . look at it individually and after a physical examination, after a conversation with him,

prescribe some kind of complex examination of universal tests. no, yes, that is, no you can't. they drove to the general blood to say that there is no, unfortunately, no, maybe there are such doctors. i don't know what you say about hypodynamia in sedentary walking work. how does this affect the oven hypodynamia, well, a person who leads a sedentary lifestyle has the nature of work associated with working at the table, he always m-m in this situation has a tendency to overweight and as a priori the likelihood of developing diseases that are associated with the binary system of gallstone disease. well , dysfunction of the pancreas is more than a therapeutic plan, when glucose tolerance is impaired, and in this way it is hmm to say that it is this that will bring a

person who sits a lot to such a pathology of the gallbladder or pancreas. i do not find it difficult to answer, most likely it will be a cardiovascular disease. here we are talking about prevention, maybe an ultrasound should be done immediately at 2 years. and well, somehow, so as not to bring it to a surgical one, of course, it’s interesting, but if there are medical indications, there is a desire of patients at the request of patients, these studies. maybe that's why it exists.