[000:00:57;00] good evening, good evening, today, when an infinite number of wars and natural disasters are shaking , it becomes clearer than ever how precious and fragile human life is, not everyone can change the world, yes, we are now talking a lot about foreign political events , this topic has probably already started to clog the airwaves, but forgetting about yourself, about a person, yes, about your own health, that’s definitely not necessary, about the health of your loved ones first of all, let’s talk about it today: we’ll talk, we film very often republican oncology center, and we forget a little that in minsk, in the very center, practically, there is its own minsk clinical oncology center, yes, right, right, yes, which is almost 90 years old, next year, next year, a unique republican thyroid tumor center , today in 2023

, is cancer a death sentence or not? well, no, of course, cancer, i am a doctor myself, an oncologist myself , and for me cancer is, well, it’s a diagnostician, as for a general practitioner, as for a neurologist , some kind of neurology, for me this is my job and but i want to tell you, cancer can be treated, cancer can be treated, you just need to be able to treat it, you need to be able to diagnose it in a timely manner , observe the patient correctly, provide him with timely assistance, then everything will be fine, this is not... this is a stage of life that you just have to survive, courageously, well, you must admit, when you receive the news, god forbid, you have the feeling that everything in life, it is collapsing, in this life you are no longer interested in anything, neither wars, nor events, you are only interested in health, but for a person it's a disaster and i i want to tell you, these are the upcoming events that we had when we had covid, then there were turbulent situations for some

time in the country. our patients did not care about this, our patients were worried about their health and the opportunity to get rid of the cancerous tumor, and we gave them this opportunity, helped them in every possible way, and i just saw this, that our patients were most worried about the state of their health, not surrounded by cataclysms , well, i understand them, however, already in the 2000s they performed 200 operations a year, but there was such a thing, there was such a thing, come to you we went with everyone. republics, often your former patients publicly thank fate on social networks for meeting you, i read it myself, it’s nice, but a highly professional surgeon, in the end he became the boss, what’s more difficult, a scalpel or a document? well, you know, i didn’t part with the profession , i remained a surgeon, i’m operating now, that is, the profession of a surgeon is for

me, well, it’s sacred to me, i... but they’re not going to leave this profession, but as for what’s more difficult , chief physician or surgeon, here these are completely different two jobs, and i want to tell you which is more difficult, it’s hard to say here, because well, here’s a surgeon , you performed an operation, you immediately see the result, the patient got up, walked, he recovered, he got rid of the disease, he is alive, healthy, he comes to himself with words of gratitude, everything is fine, working as a chief physician, you may not even see the effect of saden. you retire, and the effect will only come then, so here you need to prepare yourself for the fact that working as a chief physician, you may not even see the results of your work, so here you need to be very sober about this, but you have a good base, in any case, you will always remain a surgeon, well, i hope, i hope , well, okay, viktor aleksanovich, maybe, yes, a little humor is not always appropriate here, and my

curiosity, but one way or another, since you already.. . came to me for an interview, let's get straight, now 200 operations a year - well , the head doctor, as they say, is impossible, unrealistic, one operation a day, one operation a day. but in this case, how to get to the head doctor’s desk is taken from the whole variety of patients, and this is some kind of unique case, or is it a queue or planning, how it happens, what exactly they come to you, i deal with the thyroid gland, we have a department that specializes in surgical treatment of patients with thyroid problems, the head of the department works there, he draws up a schedule for the operation. he draws up a schedule of operations for both ordinary employees and the chief physician, the only thing is that he and i agree on the time of the operation, when i can come for the operation, nothing more, well, that is, you are standard get acquainted with the history, absolutely, absolutely, there is no such thing that someone made an incision or

according to the oblate, that someone made an incision and a difficult stage came, no, in no case, but yes i, this is the norm, well good, but it happens that high-level specialists are specially called in cases where the patient’s cases are complex. is it possible? this is normal, this is how it should be, it’s normal , including to help the surgeon who is specifically doing this, and this also applies to me. look, this is a unique system. oncology service of belarus, that’s what it is, and how we managed it, well, let’s first create it, yes, and then preserve it, taking into account that your department, it has been operating at least since the nineties, and there are 400 more than four in belarus. oncology beds, that is, it is true, a very large number of oncology beds, and this is a legacy from the soviet union, that is, the structure of oncological care that exists in the republic, this is the legacy of the soviet union, when oncological

care was allocated as a section in the healthcare system, this is absolutely correct, because when a patient comes to an oncological institution, he must receive all types of care, surgical, chemotic, radiological, all this is concentrated on the onological bed. therefore, we support this heritage in every possible way, we will improve it and will continue to improve it further, because it has proven its significance and its effectiveness. if we take other countries as an example, yes, let’s not go far, let’s take the russian federation. and our colleagues from the russian federation, they envy our system, our cancer care system, because it remains the same. in their minds they still remember what it was like for them, but now everything has changed , they have separate compulsory medical insurance, when the money follows the patient, and this in many ways complicates the diagnosis of patient treatment, from some positions it is simplified, but it becomes more difficult for the patient, we

do everything for the patient free of charge, absolutely, all stages of treatment are paid for by the state, so our help, oncological care, is in the republic, it is better, it is more efficient, that is, if it is necessary to do five karotos. it makes no difference whether the operation costs 100 rubles or it costs 100,000 dollars, we perform it, if in other countries, if the insurance company covers the cost of the operation, this operation is performed, if it does not cover the cost of the operation, this operation cannot be done, for us there is no such limit , we perform those operations that patients require, well, we have the concept of an oncologist surgeon in belarus, in europe there is no such concept, ordinary people operate there surgeons, as i understand it, yes, what is the best role, from your point of view? of course, of course, an oncologist surgeon, when he operates on a patient, when he removes a tumor, he must already imagine what types of treatment the patient will receive, what courses of chemotherapy,

what dvd radiation the patient will receive, having this knowledge, you will remove the tumor correctly , you will understand your patient’s reserves if you are an ordinary surgeon and do not have skills in onological practice. you won't do this, look, from ours fugitives, as i like to call them, we most often learn about what kind of propagandists we are, we are propagandists, yes, and what crazy prices in the west for cats, tests, tomography and other medical services, so-called, so you can make a comparative characterization of the price of expensive health, how much is it about belarusians, if we complete this message, that well, since there is no... medicine, the state provides everything. well, i just said that all types of help are provided free of charge. what if the patient requires this help? let's compare with

other countries, the same ones, as you call them fugitives, they can ask, contacting a medical institution in another country, asking how much it will cost, but there is some figure, at least approximate, that’s how much it could be, you you communicate there, well, in israel, i can’t say how much a cat costs, but i know that uh... we’re talking about when a patient comes from the same israel, having received surgical care there, we’re talking about tens of thousands of dollars. niktor aleksandrovich, over the last 10 years, if we take the period, in the world we get cancer. increased by 33%, the numbers that i found, and what type of cancer do belarusians most often suffer from, why? in your opinion? well, we can’t single out belarusians, russians, ukrainians, there are poles, because in principle we live in the same region and approximately , the incidence rate in our country, it applies to the male and female population to the same extent, that is, i mean to the same extent, in the same order, for the first place is prostate cancer, prostate cancer,

the highest incidence of this particular pathology, but this is understandable, because we have a screening program for prostate cancer, and every doctor who sits at an appointment will first of all send a man over 50 years old for a psa study, specifically a specific test for cancer of the representative gland, and accordingly, of course, we get sick because of this, including the aging of the population, in second place is lung cancer. colorectal cancer, colorectal cancer of the colon, rectum, occupies the third position in men and this is also a fact that occurs to be in neighboring countries, in the russian federation, in ukraine, there in poland , in lithuania, in latvia, because the nature of nutrition, the nature of nutrition in principle is also more typical for women,

breast cancer comes first, yeah, their second place is confidently occupied by colorectal cancer, for the same reasons that we eat basically the same thing, that is, we are what we eat, yes, yes, there is little fiber, we eat little fiber, respectively, cabbage, cabbage , no one canceled it, of course, cabbage, apples, now in third place there is cancer of the uterus, then of the ovaries and so on, so here for men and women , these are the types of tumors about the older a person is, the more likely he is to get some type of cancer, that is, this is primarily due to the duration itself development of cancer, including, say, for the cancerous prostate gland , 40 years pass from the birth of a tumor cell to clinical manifestations, for colon cancer 10 years, you see, accordingly, the longer a person lives, the more he has chances of getting cancer, although... over the years we have seen a significant rejuvenation of cancer, we have many young patients

, thirty, forty years old, unfortunately, but somewhere it’s nutrition, somewhere it’s a hereditary factor, that is, it’s all together, plays a role, aleksandrovich, you said that most of all, well, women’s problem is breast cancer, yes, recently the president promised to ask tough questions in the event of an increase in female cancer, but he doesn’t throw words to the wind: he doesn’t throw words, i know that the screening program, programs, yes, have already been implemented in our country, and what are the first results then, for these programs and how to get voluntarily under such a program, in general, screening in our country - doctors have been doing it since 2011, let's just tell the viewer what screening is, that's what it means, screening is an examination of healthy categories population, for the purpose

of early detection of tumor diseases, including healthy patients who have not yet applied, this is just such planned work, yes, the very purpose of screening is to reduce morbidity, and most importantly, mortality from cancer diseases, so these programs have been going on in our country since the eleventh year, since 2011, they were local in nature, in the city of minsk they were doing this, the soviet district, the pervomaisky district, individual clinics, but somehow the system in the city of minsk did not exist , only literally 2 years ago, 2 years ago - in the city of minsk, and screening activities involved more than half a million people, 527,000, we examined four localizations, it was breast cancer, cervical cancer, colorectal cancer and breast cancer glands. for 2 years we have been closely involved in four-four districts, but for the mammary gland - this is once every 2 years for older women to undergo mammography.

10 years 50-69 years, for men, prostate cancer is a test with subsequent stages of the case increased, this is 50-60 5 years , for colon cancer - this is the determination of stool for occult blood, the so-called fit tests - this 50-60 years, followed by colloscopy, as required, and screening of the cervix, cervical cancer - this is more than testing women, now 2 years have passed, more it’s too early to talk about such obvious results, in any case, these 2 years have shown us what we ourselves are ready for, what we are not ready for, i have a healthcare system, yes, we have faced many difficulties, what difficulties? informatization of the healthcare system, yes, there are gaps, here are the screening activities that we began to carry out, they showed us these gaps in informationization, and somewhere there are some problems with the equipment, maybe it would be right to redirect it, that is, they showed us these 2 years how to do it, and we

did, they saw a problem on the part of the patients, the patients, some willingly went to the screening event, some were reluctant, but they went , but the fact is that screening events are repeated, again for colon cancer, for screening for colon cancer intestines, first a fit test is done, if the result is positive, the patient must come for a coulonoscopy, so for a coulonoscopy, that is , only 30% came to the second stage of screening, despite the fact that there were indications for this, yes, yes, the same thing with elevated psa, it came no higher 30% for trypanan biopsy and prostate, but people are afraid, people are afraid, because this is a painful procedure, unpleasant procedures, but we understand. what to work on, that is, we need to convey to people the need to perform these procedures, well, in fact , this is what we are doing now, yes, yes, yes, and these are exactly these screening activities, all these screening programs that i spoke about, this means that they formed the basis, now not the basis, but, as it were, the structure of medical examination, which is the new resolution on medical examination, which with

new year, all these screening events, they will be included in the medical examination, all residents of the republic , including the city of minsk, will already be included in exactly these events that i spoke about for the four districts of the city of minsk. okay, here’s how this algorithm works, purely practically, that is, a person is assigned to a clinic, the clinic determines that everyone in this age category must go through a screening event, she calls and invites for an appointment, lists are created, patients are called patients, excuse me, healthy people call, invite, for some other type of study, they come, dates are set , they carry out this study, leave, and the person himself can, for example, if he does not qualify for this by age, ask, well, screening implies his targeted research to the contingents, well, if he falls under this contingent, he is not invited, this is the same dispensation

, he can also offer, if the patient is over 50 years old, he is a man, that’s it, he is subject to the psr study in any case, he is not necessary ask him... this is a doctor. a screening event is precisely a contingent of people that we must examine, because we must get a result, we must get it, if we extend this to the entire population, we will not get a result. okay, the thought is clear, now i just want one thing , let’s, so that since we are already engaged in prevention with you and such propaganda, and in the good sense of the word, medical examinations, this is really the age at which... you definitely should go to the doctor voluntarily to be examined for the presence of possible cancer, for women and for men? look, for men, this is the threshold age of 50 years, 50, 50 years, and even for that , you have lived up to this time, well done, and be up to forward, forward, for women 30 years old, already 30

years old, she must understand that she should go to the gynecologist, because cervical cancer is now becoming very young and the woman is already over 30 years old. breast cancer, in general, according to screening tests , we take breast cancer from the age of 50, but if a woman comes to the gynecologist, a thirty-year-old woman came to the gynecologist, and the gynecologist is obliged to examine the mammary gland, if necessary, perform an ultrasound examination, if necessary, send for mammography , uh, there’s such a thing, a blood test to detect more than sixty types of cancer and tumors, all reagents are made in belarus, that’s what it sounds like fantasy or, out of habit, like many , i still, well, let’s say, underestimate what i have, a good technique, a good technique, and i think that it is a very promising technique, it is truly unique precisely because it is belarusian a technique, yes a technique, a technique using belarusian reagents that do not require, does not require large expenses, there

are some issues with the equipment that these reagents pass through, but i think this will be improved in the near future and there will also be no problems , but we have a laboratory in minsk that is already engaged in research , namely blood tests for 60 types of malignant tumors, so a blood test is taken, in general , in many, in my opinion, 15 laboratories take a blood test, bring it all together centrally in one laboratory, which already determines by cytometric method, yes or no, for the same study 3%, that is, three people must have a positive result, these three people... should already be subject to a detailed examination to identify a malignant tumor, even a mini or he will have anamaxe, the examination itself will show this, for now... it is done on a paid basis, it is done, that is , you understand how a healthy person pays for a sick person, that is, the normal principle, that is, everyone gets

tested, but only 3% are fully examined, yes, for this money, i believe that the technique is good and i think that in the near future it will be introduced into public health care, because it is promising, it’s cool, it’s really cool, but the only mechanism is this, yes, the person donated blood, a corresponding blood test for all these 60 types, and from this analysis we can already see what type of cancer it could be? no, according to the analysis we do not see the type of cancer, we just assume that there is a tumor cell, there is a tumor cell in the human blood, yes, we need to find the source of this based on this analysis you you’re just looking for why you need to be involved, that is, a full examination, i know that one of the operations in the world oncology, it bears the name of our city, minsk, koln, pouch, yes, for me personally this fact is a discovery,

as well as the fact that in in your center for several years now, without incisions or scars, even large tumors are removed with a laser, i’m not mistaken , no, you’re not mistaken, in our center there is such a technique, but this is not exactly the removal of a tumor, so to speak, local cauterization, that is, we use laser technologies, and we have a doctor who actively engaged in this with good results. and for this technique there are strict indications, a certain selection of patients, we mainly use it now for the treatment of benign neoplasms, here is the prospect for malignant tumors, but for now on benign ones, well, i want to tell you that in minsk there are again in our center and other methods that are quite remarkable and i want to tell you that probably our neighbors don’t do this everywhere either, let’s say, coming back again

to our thyroid tumor center, where citizens from all over the republic receive treatment annually, that is, this is not only the city of minsk, but the city budget dates back to the treatment of out-of-town patients, and more than 2,000 operations are performed annually, we have already for all the years, which, who have been dealing with thyroid cancer , as it is correct to note, since the nineties, and have treated , in my opinion, 34,000 patients suffering from thyroid cancer, i don’t consider benign processes, a lot of children, so - now we have developed a method of prophylactic removal of the thyroid gland for hereditary forms of cancer, that is, this is also a rather unique method, that is, what they say is that if your ancestors had cancer in your family , then there is a chance that you should look for malignant tumors that are inherited, for example breast cancer, in the same place 15% to 20%, according to some data, have

hereditary, and even if they are carriers, the gene bersei one, bersei 2, that is, a woman should think about that she might have namely a malignant tumor of the mammary gland, returning to tumors of the thyroid gland, there is such a malignant tumor of the thyroid gland as ... medullary cancer, 20% of medullary cancer is inherited, that is, if parents are sick, it is quite possible that children or nephews will get sick, so we have already developed a technique, that is, if a person falls ill with medullary cancer, we take a blood test from him to determine whether he is a carrier of this gene, we do this analysis, we perform it in the molecular genetic laboratory at the republican scientific and practical center of oncology, if a positive result comes, we call the patient’s relatives, closest relatives and invite them for a detailed examination, if they are also confirmed to be carriers of this gene,

depending on its specific structure from this gene, because there are different types of genotype, we offer either dynamic observation , or surgical intervention, now such preventive operations, specifically for a hereditary form of cancer, we performed 20 operations, of which on 10 children and on ten children. our youngest girl was 4 year, the oldest boy was 15, 15 years old, two out of 10 children had cancer confirmed , that is, well, i’m an oncologist, i can’t say at the zero stage, but at the initial stage, but in adults the situation is worse, in adults, out of ten eight adults have confirmed cancer, two have a precancerous tumor, so the technique works, it is quite unique for us, in the west it has already been performed, it

has been performed for several years. development of cancer, can we talk about stage zero. and is it required to be consolidated exactly as it is so formal, here is the patient’s zero is stage zero, if at all in medicine, now or is it just such a colloquial concept? no, this is a colloquial concept, because cancer either exists or it doesn’t, colloquially, stage zero is still no, no yes no, no, there is a disposition, there are precancerous diseases from which cancer will definitely develop, cancer will definitely develop if in time they will cure this pre-tumor disease, or there is. the outstanding meats of belarus with a shmatvekavy history, baronial doilitsa we can mostly obtain from the right-handed architecture, and all for at this time, round and round milestones of great character, they floated to the pharmaceutical

economic centers of the country and the lives of extraordinary people. some myastechki, garads, which were previously significant in magdybur, lost their significance in the attacks of the kali gypsum grass. geta was a sapravdnaya revaluation, the gygunka was bent on navakolle. cultural and svetnitskiy project architecture of belarus. gety kastsel does not end and ў savetskiy period, kali vyalіkaya kolkastsya temple stratsіla its percapachatkovaya meaning. i remember the whole thing the 50s are like that. knowledge of stalin's classicism. tell the belarusians that the geta is not falling out, for dastatkova come to our capital, the prices are on the praspektse, if you please, as if with a soul, what is the geta like. glyadzice, on our tv channel. we talk about the most fascinating things from the world of science. it is the most popular drink in the world, and also the most controversial. attitudes towards it change

every year, some studies confirm its benefits, others. they refute, the arabs in the 11th-12th centuries noticed exotic plants and began to grow them at home, so coffee became conquer the middle east. in italy, it is considered a drink that, without exaggeration, cures all diseases, although the church prohibited coffee. we share interesting facts: ashes, hoofs, eggshells and pumice, from which the very first tooth powder was made, the world saw the first second-containing toothpaste only... in 1914. we ask the most exciting questions and look for answers to them. we can determine slow or fast metabolism based on this, that is, we can then recommend a specific dose of caffeine to an individual person. per day. so what happens to our heart and our blood vessels when we drink a cup of coffee? watch the project

science nearby, on the belarus 24 tv channel. they are loyal. in my opinion, i understand that at some level i am navat inakam, so, because for me the museum is this past month, like a monastery, i will take care of exactly what is, first of all, dear to me, and secondly, in my opinion, dear and it’s important for other people, my childhood was spent in sailing, which grew into my youth, and now it turns out that i’ve been here in my sport for half a century, one day in one’s life, an important element of the museum’s work is not only the capture of material culture, artifacts, but also intangible culture, then the side made of folk sounds, abradau, and exactly this year we

can look at each other, tests the standard of the wind radial from - under a meter, eight segments of 2 minutes each, watch on the tv channel belarus 24. well, here’s the situation, here’s the same situation with angelina zhali, yes, which once shocked all our women, a style icon, a beauty icon there, and when she deleted... breast, as i understand it, on a preventive basis, but we are doing this, she was a carrier, a carrier of bersei 1, bersei 2, based on this, taking into account her family history, that her close relatives had breast cancer, she went for preventive surgery, then there is a plan to remove both mammary glands, so that she does not develop breast cancer in the future , that is, such things should not be shocking and women should not be afraid of this, yes, this

is done, it’s like that in itself, well, since we’re already talking about famous people, from example i would like to move on to specific practical things. not so long ago i read the story of savely kramurov, beloved by many. all his life he was afraid of dying from cancer, he carried a container with special food with him everywhere, he didn’t drink, didn’t smoke, went in for sports, realistically planned to live up to 120 years, modern health practitioners, of course, relax in comparison with him, but in the end he died. from what i was so afraid of, here’s a healthy lifestyle, is it a panacea or not, and a healthy diet? there is no panacea at all, another question is that we can avoid many cancers that

as if they walk around us like this, that’s a healthy lifestyle, of course, this is, well, this is great, this is great, because it helps to avoid the development of the disease, the fact that we don’t smoke, won’t we avoid lung cancer, will we avoid or reduce the likelihood, well, we will reduce it in many ways, because there are, there are, there are, malignant tumors of the lung, which are in no way related to smoking, but we talked about hereditary forms, malignant tumors and other forms, for example , colon cancer, if the diet is right, won't we avoid it, let’s reduce the likelihood, but as for savil kramarov, yes, it’s in a healthy body, a healthy mind, in fact, one of two, that’s what huberman said, in my opinion, well, yes, well, let me ask. provocative question, do you smoke yourself, no, do you use ticks? i use, i use, a lot, a lot, yes, but still, yes, a shoemaker should have boots, well, i try, i try to stay in

shape, okay, if we have already touched on this topic, about intestinal cancer, you really scared , so after all, besides apples and cabbage, what do we do belarusians eat? well, there is what we eat, just don’t forget that there is traditional belarusian cuisine, traditional cuisine, which... including apples, cabbage, beets, potatoes, this is not necessarily a hot dog, this is not necessarily a bun with sausage , of course, it’s better to give up altogether, we need to return to the origins of our belarusian cuisine, and before there wasn’t so much cancer of the colon, why because we ate, ate natural natural products, but this disease is also getting younger, yes, yes, precisely because of the diet in a lot because of the food again appear, you know, the latest research so far... that in general 15-20% of malignant tumors in general have a genetic predisposition, you know, so, yes, of course, if a young person gets colon cancer, if we are already talking about the colon, of course

not from the nature of the diet, because he would not have had time to develop it yet, just in such a short period of time, the reason is different, but the majority, that is, i mean the contingent that is already older, yes, this is a violation, a violation, that is, the less if you go to fast food, the better for you, yes, look. our soil in belarus and water, well, they say that they are low in iodine , i don’t know how true this is, but does this mean that belarusians need to take additional iodine in tablets there, but in order to maintain some level, no , it’s no longer necessary, it’s no longer necessary, it’s not necessary for a long time, because salt is iodized, food is iodized all around, that is, our hygienists have developed a lot of standards, which, together with endocrinologists, are about adding iodines to the diet, with you about apples we say, apples, cabbage - this is

the famous cancer vaccine for women, this is actually a working scheme, what is it anyway? yes, this is vaccination, vaccinating girls, vaccinating against girls, specifically against the human papilloma virus, which... in the future , they will develop cervical cancer to some extent, but this vaccination must be carried out before sexual debut, that is, then she the vaccine is very effective, after sexual debut it is not as effective as in adolescents who have not yet begun to engage in sexual activity, then there is a question for parents first of all, for parents, for gynecologists who treat these patients, this is being done, this is being done in the republic, this is not a mandatory procedure . for now, not yet necessary, not yet necessary, but this topic needs to be developed, because cancer cervix, it is gaining momentum in the republic, the incidence of cervical cancer is quite high, that is, for a targeted society it is quite

high, so this topic cannot be postponed, it must be worked with, it must be developed, promiscuity has a bearing on this relationship, of course, of course, of course, i want you to hear this, a blood test, that’s how obligatory it is? for a man, i mean up to 50 years old, if there are any symptoms or complaints, then one of the stages of the examination makes sense to perform a pssa, over 50 years old once every 2 years 50 -65 years old once every 2 years dog, but on the other hand, you understand how at 65 years old we complete the program, no, someone at 70 years old is a strong healthy person, someone at 60 years old is a wreck, so no one canceled the 70-year-old psa preventatively, well, according to the indications, this goes without saying, well, the activity of men, the sexual activity of men, it is related, let’s say, to the prevention of this

disease, well, you are asking this question. let them be active, let them be active, let them be active, that is, the connection has not been established, and there is no need to establish it, there is no need to establish it, that’s what we were talking about, a blood test for a genetic predisposition to breast cancer, and frequency and reliability, well, reliability high enough, that's it periodicity there is no such concept periodicity, there is a concept of one-time execution according to indications, yeah , if you have a cancer... relatives of breast cancer, a woman has a relative with breast cancer, she is a carrier of the gene bersia 1, bersia 2, but it makes sense to perform this analysis and to yourself, if it’s all negative, it’s not there, well, look, the population of developed countries , and of developing countries, yes, they are much more aging now, the more history develops, yes, the longer life, naturally, the number of older people

yes, the percentage increases, but only that? is this due to a decrease in the birth rate, or the development of diagnostics, medicine, this is also an equally important factor, we will have to live with it, and it is quite natural to predict the growth of cancer in the future and further, this is a good question, you are right, the aging of the population, it is typical not only for our country, this is a trend for all developed countries, this is a normal phenomenon, and of course, of course, in addition to reducing the birth rate, there is a big role here the quality of life plays a role, the quality of life, because no one goes hungry, no one dies of hunger, everyone receives affordable medical care, moreover, older people, older people, they receive this help in a timely manner, they adjust this help, that is, diseases are diagnosed in a timely manner, including onological diseases, they are treated in a timely manner with good results, and of course all this plays into a long life, despite the fact that, again

, the incidence of cancer is growing from year to year, despite all our conversations, to all our calls, but this is also a normal phenomenon, this is a pattern; the incidence rate is increasing all over the world , because the population is aging, the incidence rate is growing, and so it’s a vicious circle, so of course, of course, this is connected with the development of medicine, among other things , that the incidence, that with the old population, it takes place, that is, in any case , the longer ... a person is, the more often this will be detected a priori, yes, yes, aleksanovich, so i can’t help but ask, complex, probably an ethical question, i remember how in the soviet time, well, you and i grew up in the soviet union, in our medicine there was an unspoken rule, often not to inform the patient about his diagnosis, or at least right away, yes, they told the relatives, and they seemed to take care of the patient, well, they took care, maybe

psychological... condition, while western doctors almost named the date of how much you have left, but the film reaching heaven's door, many watched, yes, when the doctor says, when the patient asks, how long do i have left, not at all, not at all, that’s how our ethical standards have changed now approaches, what is your approach in this matter, i found those times when i was hiding absolutely from the patient - the truth, that is...' the doctor had no right to tell him, the truth was not stated anywhere in the regulatory documents, but it was considered the norm is not to tell the patient about his diagnosis, for the most part we whispered with relatives, there we explained to them the prospects of this patient and nothing more, now everything has changed, now everything has changed, and moreover, i myself, when i talk with the patient, i i ask my relatives to come out first, or i ask the patient has permission for a relative to be present during the conversation, so, but you understand, let me know... the diagnosis

of a malignant tumor, the diagnosis of cancer can be different for the patient, you can say, like you just gave an example, that you have nothing left nothing, or you only have 3 days left, can you just explain to the person, yes, you have an illness, you have a big problem, you, you have a catastrophe, but it can be solved, let you understand in your heart, you understand, that you can’t save this person, that’s all there will be a finale. but you will do everything to help this person, and most importantly, the person must believe in it, if he believes in it, then there will be success, even if it won’t be for a long time, but it will be, that’s why we need to say very... ... in a balanced way, but you have to speak, but you have to speak in a balanced way and tell the person correctly, without deceiving him, there may be something left unsaid, you don’t have to tell him everything, these are all the prospects, but unless he asks, as a rule, not everything not everyone asks

they ask, they ask carefully, answering carefully, but they must speak, they must speak, well, that is, it turns out that the doctor must have certain skills as a psychologist, yes, definitely, for an oncologist this is paramount. do you teach them this? well, we have psychologists, we have training seminars, there are classes at the medical university, therefore, but most of all this comes with practice, the older generation must pass it on to the younger generation, how to work with the patient, how to explain to him, show all this, this mentoring, this is mentoring, you know, there is another topic that is probably relevant for belarus now, as well as for our russian neighbors, the export of medical services under sanctions? is it possible for foreigners today to have an operation with you? i remember how russians were predicted to die from cancer, also in the context of sanctions due to the cessation of supplies of medicines, equipment, maintenance of this very equipment, and the

problems we are now facing, how are you dealing with this now and how critical is it? yeah we're coping fine now ... there is definitely no problem, yes, the number of patients who come to us from abroad has decreased, there are actually fewer of them, but i think these are more logistical problems, because now flying to us or coming to us is, well, it’s a long way, it turns out , that is, with their sanctions they are actually destroying, well, by and large, yes, by and large, yes, because basically who came, our compatriots came, those who left us, have dual citizenship or do not have dual citizenship, but for some reason the faith remained more than the time. medicine, they came, it’s really true, they came here to be treated here with us, in my case, i still remember a case when a woman living in the united states of america came here for a control examination, flew in, because she says: it’s cheaper and easier for me , than to undergo a control examination

in the united states, there were such times, and yes, the first, the first time, we are talking about the twenty-second year, yes, yes, and the first time, when sanctions began, massive sanctions, we felt some - problems with the supply of medicines, with the supply of equipment, but you know, a holy place is never empty, other companies immediately came who were ready to replace western european ones, this spurred on the same western european companies that began to build supply chains, everything has now improved, by and large, we do not experience a shortage of chemicals, we do not experience a shortage of equipment, some spare parts for equipment arrive with some delay, there is such a thing, yes, because after a third

countries about... cancer has long acquired an allegorical meaning, but what do you personally consider a cancerous tumor of modern society, and how to cure it? such a difficult question, i want to tell you, well, it’s already so, i have something to compare with in my life, i’m not exactly a young man, so a lot... a lot has already faded away, of course, the most important problem, in my opinion now - this is consumerism, a consumer attitude towards everything, a consumer attitude towards life, a consumer attitude towards each other, a consumer attitude towards health

to one’s own, you know, to a state institution, to each other, a person , in order to get, must do something, we have raised a society of consumers, so we need to force people, not force... but how to explain to them that in order , get something, you need to do something, take off your clothes and go to work, great, thank you, thank you, we will tell you how faith in god helps you find peace and mental balance, the most important healing of the human soul takes place, a person comes with his pain, leaves it here enters the world completely different. let's learn how to pray and turn to god correctly. we

need to ask and try. together with you we will try to find answers to various questions of spiritual life, what is my spiritual homeland, right? based on what premises do i analyze certain religious phenomena, and what is secularism? yes, this is secularism, this is spirituality, this is an opportunity for spiritual growth. watch spiritual prayer projects on tv channel belarus 24. lack of

discipline is failure, failure is war, it all starts with the economy, the same applies to international politics, for some it may seem strange that while the whole world is in the fires of military conflicts, the president speaks not about war, but about the economy, but he does this precisely in order to to stop the war, with regards to exports, which lukashenko personally did in recent years, that is, after the sanctions , he agreed... with putin that part of the production for products critically needed by russia will be organized in belarus, moreover, russia will finance this, and the produced product guaranteed to buy at a high price. alexander grigorievich calls for learning from the mistakes of others, and not making mistakes on your own, and the future of the countries in our unions, and therefore the future of belarus, depends on how well his partners hear him. propaganda project, watch on the