more than 50 were injured when two passenger trains collided in southeast india. the media reported that the disaster occurred due to human error. the driver did not see the green signal in time and did not set the train in motion, which is why another fast train following him crashed into him. upon impact, three cars derailed. about fifty people became victims of the hurricane in mexico, six. are listed as missing . otis became the region's strongest hurricane on record. speed winds 265 km/h. in the state of herero , houses, hospitals, airports, roads were damaged, the storm left more than half a million buildings and businesses without electricity. about 10,000 troops were sent to acapulca to provide assistance. sunny accord of october, comfortable autumn weather.

it is expected that in belarus this week there will be short-term rain in places, at night and in the morning there will be fog in some areas, at night the air temperature will vary from +4 to 11 °, and in the daytime from +9, in the north to 18 degrees in the south, on wednesday weather is expected conditions in the republic will be determined by the atmospheric front displacing western europe, so it is expected that short-term precipitation will occur over most of the country, the air temperature during... will be +7 +13. over the next two days, it is expected that the weather conditions of the republic will determine the area of ​​​​high atmospheric pressure, so significant precipitation is not expected; at night in the morning there will be light fog in some places and the roads will be icy in some areas. the air temperature at night will be -2-5, and during the day from 5 to northeast to +13 southwest. it will get a little cooler over the weekend with rain forecast for saturday and sunday. more information from my colleagues at 15. on our air,

all the best. victor alexander, good evening, good evening, today, when the world is shaken by an endless number of wars, and natural disasters more than ever, it becomes clear how precious and fragile human life is, not everyone can change the world, yes, we are now a lot.

forget about yourself, about a person, yes, about your own health, you definitely don’t need to, oh this topic has probably already started to clog the airwaves, but the health of your loved ones comes first , so let’s talk about this today, we very often film the republican oncology center, and we forget a little that in the very center of minsk there is practically its own minsk clinical oncology center, that’s right. almost 90 years, next year, next year, a unique republican center for thyroid tumors, today in 2023, cancer is a death sentence or not, well, no, of course, cancer, i am a doctor myself, an oncologist myself, and for me cancer - this, well, this is a diagnosis, as for a general practitioner, or as for a neurologist, some kind of neurology, for me this is... my job and i want

to tell you, cancer can be treated, cancer can be treated, you just have to be able to treat it, you have 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 a death sentence, this is a stage of life that you just have to survive, courageously, well, you must admit, when you receive the news, god forbid such a feeling that life is everything, it is crumbling, in this you are no longer interested in anything in life, not war, yes, for a person, this is a disaster , i want to tell you, these are the upcoming events that happened, we had covid, when it happened, then there were turbulent situations, for some time in the country, our patients , this didn’t bother us, our patients were worried about their health and the opportunity to get rid of a cancerous tumor, and we gave them this opportunity, helped them in every possible way, and i saw that this was what our patients were most worried about.

precisely the state of their health, not surrounding the cataclysm, well, i, i understand them, really, here already in the 2000s they performed 200 operations a year, but such a thing happened, it happened. people came to you from all over the republic, often your former patients publicly thank fate on social networks for meeting you, i myself thought it was very pleasant, but a highly professional surgeon, in the end he became the head doctor, 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 surgical profession is for me - well, it’s sacred to me, i ’m not going to leave this profession, and as for what is more difficult, the chief physician or the surgeon, here these are two completely different jobs, and i want to tell you which is more difficult, it’s difficult to say, because well , here’s a surgeon, you performed an operation, you immediately see

the result, the patient stood up, he went, 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, the effect of sadi... you may not even see, you will retire, but the effect is only then he will come, so here you need to prepare yourself for the fact that working as the main doctor, you may not even see the results of your work, so you need to be very sober about this, but you have a good base, in any case, you will always remain a surgeon, i hope, i hope, but okay, victor alexander, maybe a little here humor is not always appropriate and my curiosity is not always appropriate, but one way or another, since you have already come to me for an interview, let’s get straight, now there are 200 operations a year, this, well, the head doctor, as they say, is impossible, it is unrealistic to have one operation a day, one operation per day, but in this case, how to get the head doctor to the table, i mean

from all the variety of patients, and these are some unique cases, or is it a sequence or a plan, as it happens, what exactly is for you, yes, i deal with the thyroid gland, here 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 of operations, 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 else, well, that is, you get acquainted with the history as standard, absolutely, absolutely, there is no such thing that someone did... well, okay, but it happens such that high-level specialists are specially called in cases where the patient’s cases are complex, this is possible, this is normal, this should be, including helping the surgeon who

is specifically doing this, it should be and this concerns me as well, look , a unique oncology service system belarus, what is it? and how did we manage to do it, well, let’s first create it, yes, and then preserve it, considering that your department, it has been operating since at least the nineties, and there are 4,000, more than 4,000, oncology beds in belarus, that is, it is so, very a 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 is a legacy of the soviet union, when it was allocated... oenological care as a section in the system health care, and this is absolutely correct, because when a patient comes to an oncological institution, he must receive all types of care, surgical , chemical, radiological, all this is concentrated on the onological bed,

so we support this heritage in every possible way, we are improving it and will to improve further, because it has proven its significance and its effectiveness, if you take... our colleagues from the russian federation, they envy our system, our system of onological assistance, because it has remained the same in their minds, they still remember what it was like for them, but now everything has changed, they have separate mandatory medical insurance, when the money follows the patient and this greatly complicates the diagnosis of patient treatment, from some positions this 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 effective, that is, if it is necessary to do 5 ct, they will do 5 k, roughly speaking, and it makes no difference to us 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 this operation does not cover the cost; 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 surgeons like me operate there... when he operates on a patient, when he removes a tumor, he must then imagine what types of treatment the patient will receive, what courses of chemotherapy, what kind of radiation the patient will receive, having this knowledge, you will remove the tumor correctly, you will understand your reserves, the patient’s reserves, if you are an ordinary surgeon and not... you won’t do this, look, from our fugitives, as i like

to call them, we most often learn about what kind of propagandists we are, we are propagandists, and what crazy prices in the west, on the cat , tests, tomography and other medical so-called services, here you can make a comparative description of prices, expensive health, this is so much about belarusians, if you want to complete this message. that, well, since there is no insurance medicine, the state provides everything. well, i just said that all types of help are provided free of charge. and, if the patient requires this help. let's compare with other countries, the same ones, as you call them fugitives, they can get through by contacting a medical institution in another country and ask how much it will cost. but there is some number at least approximately, that’s how much it could be, you communicate there, well, in israel , i can’t say how much it costs, i know that we are talking about when a patient comes from the same israel, having received surgical care there,

we are talking about tens of thousands of dollars, over the past 10 years, if we take the period, the incidence of cancer in the world has increased by 33%, all the figures that i found. what type of cancer do belarusians most often suffer from? why, in your opinion? well, we cannot single out belarusians, russians, ukrainians, there, poles, because in principle. we live in the same region and approximately the incidence rate in our country applies to the male and female population to the same extent, that is, i mean the same in the same order, and for men the first place is prostate cancer, prostate cancer, the highest incidence precisely this pathology, but here it is understandable, because we have a screening program for prostate cancer, and every doctor who sits at the appointment is, first of all, a man over 50 years old, a project for the study of pssa, namely

specific analysis for cancer of the representative gland, respectively, of course, its incidence is due to this, including the aging of the population, in second place is lung cancer, lung cancer, but there are many factors, including one of the factors is smoking abuse, of course, of course, colorectal cancer, colorectal cancer of the colon, rectum, occupies the third position in men and this is also a fact that, uh, occurs 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 the same for us, for women , breast cancer is in the first place, yeah, colorectal cancer confidently takes second place for them, for the same reasons that we eat in principle, the same thing, that is, we are what we eat, yes, yes, there is little fiber , we eat little fiber, accordingly , no one has canceled it, of course, cabbage, apples, but in third place there is already

uterine cancer, there then ovarian cancer and so on, so here for men and women, here these are the types of tumors, can we say that age is decisive, the older a person is, the more chances he has of getting some kind of cancer, that is, this is primarily due to the very duration of development of cancer, including, yes including, for example , prostate cancer. from the moment a cell tumor originates to clinical manifestations , it takes 40 years, for colon cancer 10 years, you see, accordingly, the longer a person lives, the greater his chances of getting cancer, although in recent years we we are seeing a significant rejuvenation of cancer, we have many young patients , thirty, forty years old, unfortunately, but somewhere nutrition, somewhere a hereditary factor, that is, all of them together play a role. you said that most of all, well, women’s problems are breast cancer, yes, recently the president promised

to ask tough questions in case of an increase in female cancer cases, but he doesn’t throw words to the wind, i know that the screening program, the programs, have already been implemented in our country, and what are the first results, then based on these programs and how to get voluntarily under such a program? in general , doctors have been doing screening in our country since 2011, let’s just tell the audience what screening is, what does it mean? screening is an examination. healthy category of the population for the purpose of early detection of tumor diseases, including healthy patients who have not yet applied, this is just such a planned work, and the purpose of screening is to reduce morbidity, most importantly mortality from cancer, so these are the programs we have in the country has been going on since the eleventh year, since 2011, they were of a local nature

, in the city of minsk the soviet district, pervomaisky district, individual clinics were engaged in this, but there was no system as such in the city of minsk and only just literally 2 years ago, 2 years ago in in the city of minsk - screening events involved more than half a million population, 527,000. we examined four locations: breast cancer, cervical cancer, colorectal cancer and representative gland cancer. we've been working closely with four people for 2 years four districts, for the mammary gland, this is performed once every 2 years by the mother... for women over 50 years old, 50-69 years old, for men, cancer of the adventitious gland is performed by a dog from the subsequent stages of cases of increased disease - this is 50-60 5 years, for colon cancer - this is the determination of occult blood, the so-called fit tests, this is 50-60 years, followed by colloscopy, as required, and screening

of the cervix, uterine cancer - this is hpv testing of women, that’s 2 years it’s still a while... 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 mean the healthcare system, yes, we have encountered many difficulties, difficulties of what nature, informatization of the healthcare system, yes there are gaps and here are screening the events that we began to carry out, they showed us these gaps in information technology, some problems with equipment somewhere, maybe it would be right to redirect it, that is, these 2 years. they showed us how to do it, and we did it, we saw the problem from the outside patients, patients, yes, some willingly went to screening events, some were reluctant , but they went, but the fact is that screening events are repeated, again for colon cancer, when screening for colon cancer , first a fit is done

-test, in case of a positive result, the patient must come for a colonoscopy, so for a coulonoscopy, that is , only 30% came to the second stage of screening, despite the fact that yes, yes, the same with an elevated pssa, no higher came 30% for trypanan biopsy and prostate, yes, people are afraid, people are afraid, because that this is a painful procedure, unpleasant procedures, but we understood 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, these are exactly these screening activities , all these screening programs that i talked about, which means 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 will be released in the new year, here are all the screening events , they will be entered precisely in medical examination, all residents of the republic, including the city of minsk, will already be included in these very events that i spoke about for the four districts of the city of minsk. okay, viktorovich, here is a purely practical way of how

this algorithm works, that is, a person is assigned to a clinic and a clinic. this research is carried out, the person himself can, for example, if he does not fall under the age range, ask for this, but as it were, screening implies its own targeted research. well, if he falls under this contingent, he is not invited, it’s the same medical examination, he can also offer, if the patient is over 50 years old, he is a man, that’s it, he is subject to pssr examination in any case, he does not need to ask, the doctor will offer it to him, screening activities are precisely the contingent of people that we must examine,

because we have to get the result, we have to get it, if we extend this to the entire population, we won’t get the result, okay, thought, it’s clear, now i just want one thing, let’s, since we’ve already taken up prevention with you and such propaganda, and in the good sense of the word, of medical examinations, this is really the age at which you must go to the doctor voluntarily in order to be examined for possible cancer, yes, for women and for men, look, for men, this threshold age 50 years, 50, 50 years. and for forward, forward, for women 30 years old, already 30 years old, she must understand that she must go to the gynecologist, because cervical cancer is now becoming very young and... a woman is already over 30 years old, she must, also breast cancer, in general, according to screening measures, we take breast cancer from the age of 50, but if a woman came to a gynecologist, a thirty-year-old woman came to

a gynecologist, and the gynecologist is obliged to examine the breast, if necessary, perform an ultrasound examination, and if necessary, refer her for a mammogram , yeah, there is such a concept, a blood test to detect more than 60 types of cancer and tumors, all reagents are made in belarus. sounds fantastic or am i just out of habit, like many, before still, well, let’s say, i underestimate my own, a good technique, a good technique and i think that it is a very promising technique, because it is truly unique precisely because it is a belarusian technique, and the technique is a technique using belarusian reagents that do not require, does not require large costs, there are some issues with the equipment that these reagents pass through, but i think this is so that... time will be finalized and there will be no problems either, but we have a laboratory in minsk that is already working on

research, specifically blood tests for 60 types of malignant tumors, so a blood test is taken in general, in my opinion 15 laboratories take a blood test, bring it all centrally into one laboratory, which already determines by cytometric method, yes or no, for 100 studies 3%, that is, three people should have a positive one, these three people should already be subject to a detailed examination to identify a malignant tumor, even a mini one , or if he has an anus, this will show itself the examination is still being done on a paid basis, 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, but for this money, i believe that the technique is good and i think it will be in the future introduced into public health care because it is promising, this is cool, this is really cool, but this is the only mechanism, yes, a person

donated blood, a corresponding blood test for all these 60 types, and from this analysis it is clear what type of cancer can it 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 a person’s blood, but we need to find the source of this cancer, based on this analysis you are just looking for why, yes, 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, but for me personally this fact is a discovery, as well as the fact that in your center for several years even large neoplasms, 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 neoplasm, so to speak, local cauterization, that is, we use laser technologies, and we have a doctor who

is actively involved in this and has 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, yeah, there are prospects for malignant tumors, but so far benign. here, but i want to tell you that in minsk, again in our center, there are other methods that are quite remarkable and i want to tell you that probably our neighbors do not do this everywhere either, let’s say, returning again to to our thyroid tumor center, where citizens from all over the republic receive treatment annually, that is, it is not only the city of minsk, but the city budget is given. just the treatment of out-of-town patients, and more than 2,000 operations are performed annually and we are already behind everything

years, which we have been dealing with thyroid cancer, as it is correct to note, since the nineties , we have treated, in my opinion, 34,000 patients suffering from thyroid cancer , i do not count benign processes, a lot of children, and so, now we have developed a method for preventive removal of the thyroid gland for hereditary forms of cancer, that is... this is also a rather unique technique, that is, what they say is that if your ancestors had cancer in your family, then you have a chance, and what you should do is certain forms of malignant tumors , which are inherited, such as breast cancer, in the same place, 15% to 20%, according to some data, are hereditary, and even if they carry the bersey gene. that is, a woman should think about the fact that she may develop a malignant tumor of the mammary gland, but returning to thyroid tumors, there is something on

the formation of the thyroid gland, like medullary cancer, 20% of medullary cancer is inherited, that is, if the parents are sick , it is quite possible that children will get sick either there nephews, we have already developed a method, 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 onology, if a positive result comes, we. we call relatives , the patient’s closest relatives and invite them for a detailed examination, if they are also confirmed to be carriers of this gene , depending on its structure, specifically the structure of this gene, because there are different types of genotype, we offer either dynamic observation or surgical intervention, now preventive such operations, specifically for hereditary forms of cancer, we performed 20

operations, 10 of them on children. and now ten children, our youngest girl was 4 years old, the oldest boy was 15, 15 years old, out of ten children, two were confirmed to have cancer, that is, well, i’m an oncologist, i can’t say at stage zero, but at initial stage, but in adults the situation is worse, in adults, out of ten adults, eight were confirmed to have cancer, two a precancerous tumor, so the technique works, it is quite unique for us, in the west it already works. there is the concept of the first, second, third, fourth stages, and the development of cancer, is it possible to talk about the zero stage and is it required to be consolidated exactly as well as formal, here is the patient’s zero stage zero, is this even 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, stage zero - no, no,

no, there is a tumor location, there is pre-tumor diseases, from which cancer will definitely develop, cancer will definitely develop if this pre-tumor disease is not treated in time, or there is a tumor, people who have reached? success often seems ideal to us, but what is in the souls of these people? do they know the feeling of devotion, gratitude, the feeling of homeland, in the end, or is it something else and they decided that the homeland is bought and sold. i lost everything , yes, i was rich, and now we are performing, all the money goes to housing and food, but this is a trauma , immigration, this is a serious trauma, friends,

bottom, who wants to live in such a country, in a country where there is nowhere to work, in belarus without visas, belarus welcomes guests with love and friendliness, more and more people are coming to us from the european union who want to stay with us, the author’s project of ksenia lebedeva is other, watch new episodes on tv channel belarus 24. issued meats of belarus with shmatvekavoy history. we can obtain abaronial doilitstva from the right-wing architecture. and all for this period of time round velvets are characteristic. i'm sailing to the farm economic centers of the country and a lot of extraordinary people. some meats, garads, which were previously significant in magdeburg, lost their significance in the attacks of the kali gyrus. geta

was there. sapraudnaya revalutsyya, gygunka bent navakolle. cultural-asvetnitskiy project architecture of belarus. gety kastsel does not finish and ў savetsk period, kali vyalіkaya kolkastsya temple stratsіla its percapachatkovaya meaning. everyone remembers the 50s and has such an appreciation of stalinist classicism. please tell the belarusians that they are here don’t fall out, because dastatkova will come to our station, prices on praspektse, if you please. 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 had her breasts removed,

as i understand it, she had a preventive operation, that is, removal 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 it, yes it is done, phew, victor aleksanovich, however, the topic is such, in itself, well, since we have already started talking about famous people, i would like to move from an example 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 he took a container with special food with him everywhere, didn’t drink, didn’t smoke, went in for sports, really planned to live up to 120 years old, modern health workers compared to him, of course, relax, but in the end he died from exactly

what he was so afraid of, here’s a healthy man lifestyle, is it a panacea or not, and healthy food, panasea doesn’t exist at all. another question is that we can avoid many cancers that seem to be going around us, so 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, avoid or reduce the likelihood, well , in many ways, because there are, there are, there are, malignant tumors of the lung, which in no way. associated with smoking, well, we talked about hereditary forms, malignant tumors and other forms, here colon cancer, if the diet is correct, won’t we avoid it, reduce the likelihood, but as for savel

kramarov, yes, it’s in a healthy body, a healthy mind, in fact, one of two things, that’s what huberman said, in my opinion, well yes, well, let me ask a provocative question, do you smoke yourself, no? do you use fiber? i use, i use, a lot, a lot, yes, 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 you really scared the topic about intestinal cancer, so after all, besides apples and cabbage, what should we eat for belarusians? well, there is what we eat, just don’t forget that there is traditional belarusian cuisine, traditional cuisine, which includes apples, cabbage, and beets. potatoes, this is not necessarily a hot dog, this is not necessarily a bun with sausage , of course, it’s better to refuse 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 with

natural natural products, but this disease is also getting younger, yes, yes , it is largely because of nutrition that it manifests itself, you know, the latest research shows that in general 15-20% of malignant tumors have a genetic predisposition , you see, 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 it would not have developed in him yet, just in such a short period of time, the reason in another, but the majority, that is, i mean the contingent that is already older, yes, this is a violation, a violation of fast food, so much the better for you, but look, our soil is in belarus, and the water, well, they say that they are poor in iodine, not i know how true this is, but does this mean that belarusians need to take additional iodine in tablets, 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

odiated and odiated food all around, that is, our hygienists have developed a mass the standard, which, together with endocrinologists, is on adding food iodines to the diet, so no additional application is required. okay, well, maybe some vitamin supplements, we are talking about apples, apples, of course, this is the famous cancer vaccine for women, is this actually a working scheme, what is it anyway? yes, this is vaccination, vaccinating girls, vaccinating girls, specifically against the human papillomavirus, which will warn in the future, they will, to some extent, develop cervical cancer, but this vaccination must be carried out before sexual debut, that is, then it is a very effective vaccine, after sexual debut it is not as effective as in adolescents who

have not yet begun to engage in sexual activity, that is, this is a question for parents first of all, for parents, to the gynecologists who treat these patients, this is done, this is done in the republic, this is not a mandatory procedure, it is a wish, but this topic needs to be developed, because cervical cancer, it is gaining momentum in the republic, cancer treatment is neglected the uterus is quite high, that is , high enough for a civilized society. therefore, this topic cannot be postponed, it must be worked with, it must be developed, does promiscuity have anything to do with this? of course, of course, of course, i want this to be heard, a blood test for the dog, that’s how obligatory it is for men, i mean up to 50 years old, if there are any symptoms or complaints, then, as one from the examination stage, it makes sense to perform the psa, everything else, it’s over 50 years old every 2 of the year.

50-65 years, once every 2 years the dog is performed, but on the other hand, you know, how we complete the program at 65 years old, no, someone at 70 years old, he is a strong, healthy person, and someone at 60 years old is a wreck, therefore, no one canceled the idea of ​​giving a dog preventative treatment at the age of 70, so, well, according to the indications, this goes without saying, well , the activity of men, the sexual activity of men, it has something to do with, let’s say, the prevention of this disease, well, you ask such a question, let if they are active, let them be active. that is, the connection is not established yes and you don’t need to install it, you don’t need to install it, that’s what we were talking about, a blood test for a genetic predisposition to breast cancer, yes, periodicity and reliability , well, the reliability is quite high, but periodicity, there is no such concept; periodicity is the concept of a one-time execution according to indications, yeah, if your relatives are sick a woman has a cancerous gland; a relative has breast cancer; she is a carrier of the bersei 1,

bersei 2 gene, but it makes sense to perform this test on yourself, if it’s all negative, it’s not there, well look, the population of developed countries, and of developing countries, yes, it is much more aging now, the more history develops, yes, the longer life, naturally, the number of older people increases, yes the percentage, but is this only 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 oncological diseases in the future. this is a good question, you are right, population aging is typical not only for our country, this is such a trend, for all developed countries, this is a normal phenomenon, and of course, of course, in addition to reducing the birth rate,

the quality of life plays a big role here, the quality of life, because no one is starving, no one is dying from hunger, everyone receives accessible 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 this all plays into longevity, despite the fact that we again get cancer, it grows from year to year, despite all our conversations, all our calls, but this is also a normal phenomenon , this is a pattern, it is growing, the incidence rate is growing 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, including the incidence rate, that as the population ages, it takes place, that is, in any case , the longer a person lives, the more often... this will be revealed a priori, yes, yes, aleksanovich, i can’t

help but ask, it’s probably a complex ethical question, i i remember how in soviet times, well, you and i grew up in the soviet union , in our medicine there was an unspoken rule not to inform the patient about his diagnosis, or at least right away, yes, they told relatives, and the patients seemed to take care, well took care of it, maybe it’s psychological condition, while the west almost gave a date for how long you have left, here’s the movie knocking on heaven’s door, many watched, yes, when the doctor says: to the patient’s question, how long do i have left, not at all, not at all, that’s how things have changed with us now ethical approaches, what is your approach in this matter, i found those times when i was absolutely hiding from the patient, however, that is, the doctor had no right to tell him. this was not stated anywhere in the regulatory documents, but it

was considered the norm, 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, when i talk to a patient, i ask the relatives to come out first, or i ask the patient permission for a relative to be present during the conversation, but you understand, to report the diagnosis of a malignant tumor, for the diagnosis... you can just like this, as you just gave an example, say that you have nothing left, or you only have 3 days left, you can simply explain to the person that you have an illness. you have a big problem; 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 speak very carefully, but it is necessary to speak, but it is necessary. speak to a person in a balanced and correct manner, without deceiving him, there may be something left unsaid, it is not necessary to tell him everything, here are all the prospects, but unless he asks, as a rule, not everyone asks, not everyone asks, they ask carefully, carefully answering, but it is necessary to speak, it is necessary to speak, well , that is, it turns out that the doctor must have certain skills as a psychologist, clearly, for an oncologist this is paramount, and you teach them this, well, with us? we have training seminars at the medical university, therefore, but most of all it 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 it all, this is mentoring, this is mentoring, you know, there is another topic that is probably relevant for belarus

now, just like for our neighbors, the russians, the export of medical services under sanctions, there is an opportunity... today to carry out the operation of sanctions due to the cessation of supplies of medicines, they predicted death from cancer, also in the context i remember how the russians have equipment, maintenance of this equipment, and the problems we are facing now, this is how you are coping with it now and how critical it is, yes we are coping normally, now there is definitely no problem, yes has decreased... the number of patients who come to us from abroad, 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, they have their own sanctions they also destroy their own, 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 who for some reason still had more faith in russian medicine, they came, this is really so, they came to be treated here with us, at the car wash, i also i remember a case when a woman, living in the united states of america, came here for a control examination, flew in because she said: it’s cheaper and easier for me, how to undergo a control examination in the united states, there were such times, ah, yes, the first, the first time, we are talking about the twenty-second year, yes, yes, ah, the first time, when sanctions began, huge sanctions, we felt some, problems with the supply of medicines. with the supply of equipment, you know, a holy place is never empty, other companies also came who were ready to replace western european ones, this spurred 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 chemical drugs, we do not experience a shortage of equipment, some spare parts

of equipment arrive with some delays, there is such a thing, yes, because whole, whole ones pass through third countries. but it still remains, the same thing in the russian federation , because we are now very actively cooperating with st. petersburg, with moscow, i visited murmansk, well, what about aggression, well, all these ships are standing in the port, you think that they they brought us what is under sanctions, that’s all, therefore, everything is, however, such an interesting conversation for me that i will now say this phrase with some regret , the last question about the philosopher, 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,