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tv   [untitled]  BELARUSTV  October 31, 2023 2:05am-3:11am MSK

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from a bird's eye view it resembles a spaceship, and the performances here are fantastic; this is the second stationary circus in belarus. according to the same project, circuses were built in six cities of the soviet union, in krasnodar, nikolaev, grozny, stavropol and zaporozhye. the city also has its own puppet theater, but before heading to the ticket office, you can allow yourself to have some fun. show your nose to that same pinocchio, smile at the bronze and malvina, but it’s time for me, i’m back on the embankment, the lighthouse, like you see, it is shining, and i think this is a sign that i will definitely return to gomel, because i will also need to see the last one in belarus, karus, the forest institute, look into
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the church, visit the anti-cinema and the festival of asian culture. in general, somewhere here, in the desire to open our gomel, we will definitely meet with you, because if there is anything reliable in the world, it is the light of a car wash.
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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 valuable and fragile human life is, not everyone can change the world, yes, we are now talking a lot about foreign policy... this topic has probably already started to clog the airwaves, but forget about yourself, about the 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 this today, we very often take pictures of the republican oncology center, and we forget a little that in minsk, practically in the very center, there is its own minsk clinical oncology center, yes that's right, which is almost 90 years old, next year a unique
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republican center for thyroid tumors , 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, this is a diagnosis, as for a doctor, a general practitioner, as for a doctor, 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 need to be able to treat it, you need to be able to diagnose it in a timely manner, that’s right observe the patient, provide him with timely assistance, then everything will be fine, this is not a 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, it feels like life is everything, it collapses, in this life you are no longer interested in anything, neither wars, nor events, you are only interested in health. yes, for a person, this is a catastrophe, and
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i want to tell you, it’s a catastrophe, these are the upcoming events that happened, here we have covid, when it happened, 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 a cancerous tumor, and we gave them this opportunity, helped them in every possible way, and i just saw that our patients were most worried about their condition health. not surrounding a cataclysm , well, i understand them, however, already in the 2000s you 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 you on social networks fate for meeting you, i read it myself, it’s very pleasant, but a highly professional surgeon ended up becoming the head, that’s what’s more difficult with well
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, 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, she’s a saint to me, i’m not anywhere. leaving this profession, as for which 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, you’re a surgeon, you’ve done the operation, you can see right away 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 in order, working as a chief physician, you may not even see the effect of saden, you will leave. retirement, 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, well, you have a good base, in any case, as a surgeon you will
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always remain, well, i hope, i hope, well, okay, viktor aleksanovich, maybe, yes, a little bit here, humor is not always appropriate and my curiosity is not always, but one way or another, since you have already got to... for an interview, let's get straight, now there are 200 operations a year - this is, well, the chief physician, as they say , impossible, unrealistic, realistic, one operation a day, one operation a day, but in this case, how to get to the head doctor’s table, we mean from the whole variety of patients, and this is some kind of unique case, or is it a sequence or a plan , how does this happen, what exactly do they get to you, i deal with the 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 both for ordinary employees and for the chief physician, the only thing is
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we will agree on the time of the operation, when i can come for the operation, nothing more , well, that is, you introduce the standard, absolutely, absolutely, there is no such thing that someone made an incision, that someone made an incision and came difficult stage, no, under no circumstances, but yes i am, this is the norm. well, okay, but it happens that high-level specialists are specifically called in in cases where the patient’s cases are complicated, this is possible, this is normal, this should be so, including helping the surgeon who specifically does uh, and that’s me this also concerns, look, the unique system of oncological services in belarus, this is what it is and how we managed it... well, let’s just create it first, yes, and then save it, given that is your department active since at least 1990? yes, in belarus there are 4,000, more than 4,000 oncological beds, that is, this is a very large number of oncological beds, and
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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 help as a section... in the health care system, and this is absolutely correct, because when a patient comes to an onological institution, he should receive all types of help, both surgical, chemeraphthic, radiological, all this is concentrated on the onological bed. therefore, we support this heritage in every possible way, we are improving it and will continue to improve it, 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, our colleagues from russian federation, they envy our system, our system of oncological care, because it has remained the same, in their minds they still remember what it was like them, but now everything has changed, they have separate
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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 for the patient it becomes more difficult, with us everything is done 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 ct, roughly speaking, 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 does not cover the cost of the operation, this operation will not be done, for us this limit. well, we have the concept of a surgeon-oncologist in belarus, in europe there is no such concept , ordinary surgeons operate there, as i understand it, yes, that’s what ’s better, why is this distinction, does it play something significant from your point of view the role, of course, of course, of an oncologist surgeon, when
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he operates on a patient, when he removes a tumor, he must further imagine what types of treatment the patient will receive, what courses of chemotherapy, what types 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 do not have skills in oncological practice, you... will not do this, look, from our fugitives, as i like to call them, we most often learn about about what kind of propagandists we are, we are propagandists, yes, and what crazy prices in the west for tests, tomography and other so-called medical services, so you can make a comparative description of the prices, expensive health, how much is this about belarusians, if to complete this message, well, because it’s not insurance medicine. the state provides everything, well, i just said that all types
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of assistance are provided free of charge, and if the patient requires this assistance, let’s compare with other countries, the same as you call them fugitives, they can inquire by contacting a medical institution in another country and ask how much it will cost, but there is some figure, at least approximate, that’s how much it could be, you communicate there, well, in israel, what does it cost? , i can’t say, but i know that we are talking... when a patient comes from the same israel, having received surgical care there, we are talking about tens of thousands of dollars, over the last 10 years, if we take the period, we have been getting cancer in the world grew by 33%, the numbers that i found, and how why is it that belarusians most often suffer from cancer? in your opinion? well, we cannot single out belarusians, russians, ukrainians, 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
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population to the same extent, that is, i mean to the same extent, in the same order, and for men in the first place is prostate cancer, cancer of the representative gland, the highest incidence of this particular pathology, but here it is understandable, because from our screening program they go by cancer prostate, and every doctor who sits at an appointment will first of all send a man over 50 years old for a psa test. namely, a specific analysis for cancer of the representative gland, accordingly, of course, its incidence is due , among other things, to 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, which... which takes place in neighboring
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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 it is more typical in the first breast cancer is in first place, yeah, second place is confidently taken by colorectal cancer, for the same reasons that we eat basically the same thing, that is, we are what we eat, yes, yes, we consume little fiber there is little fiber, therefore, that is , cabbage, that’s all we have, right? canceled, of course cabbage, apples, here, in third place is already cancer of the uterus, there, then ovarian cancer and so on, so here for men and women, these are the types of tumors, can we say that the determining factor is age, and the older the person, the he has a greater chance of getting some type of cancer, that is, this is primarily due to the very duration of the development of cancer, including, and including, for example, for the cancerous gland, from the moment the tumor cell originates. 40 years pass before clinical manifestations, for colon cancer
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intestines for 10 years, you see, and accordingly, the longer a person lives, the greater his chances of getting cancer, although in recent years we have seen a significant rejuvenation of cancer, we have many patients, namely young people of thirty, forty years old, unfortunately, but somewhere nutrition, somewhere a hereditary factor , that is, all of them together, play a role, so you said that most of all, well, women, this is a problem with breast cancer, yes, recently the president promised to ask tough questions in the case of female growth cancer, but he doesn’t waste words throws, i know that the screening program has 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?
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in general, doctors have been involved in screening in our country since 2011, let’s just tell the audience what screening is, that’s what it means, screening is an examination of a healthy category of the population for the purpose of early detection of tumor diseases, including healthy patients who have not yet contacted us, this is just planned work, but that’s exactly the goal screening is a reduction in morbidity, and most importantly, mortality from cancer, so we have these programs in our country... i have been going since 11, since 2011, they were local in nature, in the city of minsk they were doing this, sovetsky district, pervomaisky district , separate clinics, but there is no system as such in the city of minsk. it was just literally 2 years ago, 2 years ago, in the city of minsk, a screening event involved more than half a million people, 527,000, we examined four localizations, it was breast cancer, cervical cancer, colorectal cancer and representative gland cancer.
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for 2 years we have been closely engaged in four four areas, but for the mammary gland - this is once every 2 years of mammography for women over 50. 50-69 years old, for men, cancer of the representative gland - this is a dog with subsequent stages in the case of 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 is 50-60 years, followed by colloscopy, as required, and screening of the cervix, cervical cancer - this is hpv testing of women, 2 years have passed, 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 are faced with many difficulties, difficulties of what nature, informatization of the healthcare system, yes there are gaps, and here is the screening event that we started to carry out, they showed us these gaps in informationization, and somewhere there are some problems with
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the equipment, maybe it’s correct redirect, that is, these 2 years they showed us how to do this... to do it, and we did it, we saw the problem on the part of the patients, the patients, yes, some willingly went for screening, some were not willing, but they went on, but the fact is that screening events are repeated , again for colon cancer, for colon cancer screening, first a fit test is done, if it is positive, the patient must come for a coulonoscopy, so for a coulonoscopy, then only 30% came to the second stage of screening, despite that there were indications for this, yes, yes, too... with an elevated pssa itself, it came no higher than 30% for trypanan biopsy of the prostates, but people are afraid, people are afraid, because this is a painful procedure, an unpleasant procedure, so 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 precisely these screening activities, all these
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screening programs that i spoke about, which means they formed the basis, now not the basis, but, as it were, the structure of clinical examination, which is the new resolution on medical examination, which will be released in the 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 precisely these events, which i spoke about for four districts of the city of minsk, okay, viktorich, here’s purely practical how this algorithm works, that is, a person is assigned to a clinic, the clinic determines that everyone who is in this... age category, they must go through a screening event, she calls and invites for an appointment, lists are created, patients are called, not patients, excuse me, healthy people are called, invited for some other type of study, they come, dates are set, they carry out this study, they leave, the person himself can, for example, if he does not fall under this age requirement to ask, but as
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if screening implies its own targeted study of contingents, well , if he falls under this... he can also suggest that if the patient is over 50 years old, is a man, that’s it, he is subject to it in any case pssa study, he does not need to ask, the doctor will offer it to him. 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 idea is clear, now i just want one moment, here let us, since we have already started prevention with you and such propaganda, and in the good sense of the word, medical examinations, this is really the age from which you must must go to the doctor voluntarily in order to be examined for possible cancer, and for women and for men, look,
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for men this is the threshold age of 50 years, 50, 50 years, and for that time too , well done. yes, 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 should too, breast cancer, in general according to screening events, we take breast cancer from 50 years, 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 sixty types of cancer and tumors, all the reagents are made in belarus, it sounds fantastic. 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 it’s very promising
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technique, because it is truly unique, precisely because it is a belarusian technique, yes, 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 finalized in the near future and there will also be problems. there won’t be, but we have a laboratory in minsk that is already conducting research, specifically 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 centrally into one laboratory, which already determines yes or no using a cytometric method, for 100 studies 3%, that is, three people should have positive results, these three people should... already be subject to a detailed examination to identify a malignant tumor, even a mini one, or he will have one, this will be shown
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by the examination itself, while it is done on a paid basis, it is done, that is, you understand how the healthy pays for the sick, that is a normal principle, that is, everyone gets tested, but only 3% are fully examined , but for this money, i think 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 this is the only mechanism, yes, the person donated blood, the corresponding blood test for all these 60 types, and from this analysis it is already clear what type of cancer there could be? no, according to the analysis we do not see the type of cancer, we simply assume that there is a tumor cell, in there is a tumor in human blood, but we need to find the source of this tumor cell. that is, a full examination, i know that one of the operations in the world oncology, it bears the name of our city, minsk kel-pouch,
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this fact is a discovery for me personally, as well as the fact that in your center for several years, without incisions and scars, even large tumors are removed with a laser, i’m not mistaken, no, you’re not mistaken, our center has such a technique, but this is... not exactly tumor removal, so to speak, local cauterization, that is, using laser technologies, we have a doctor who is actively involved in this, 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, this is the prospect for malignant tumors, but so far on benign ones, so - but i want to tell you that in minsk there are, again in our center, other methods that, which, what, are quite wonderful and i want you
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to say that probably , uh, our neighbors don’t do this everywhere either, let’s say, returning again to our thyroid tumor center, where citizens from all over the republic receive treatment every year, that is, this is not only the city of minsk, but the city budget dates just the treatment of out-of-town patients, and more than 2,000 operations are performed annually, and in all the years that we have been dealing with thyroid cancer , as it is correct to note, since the nineties, i have operated on, in my opinion, 34,000 patients suffering from thyroid cancer glands, i don’t consider benign processes , there are a lot of children, so uh, 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 method. that is, what they say is that if your ancestors had cancer in your family, then you have a chance, yes, what you should, there are
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certain forms of malignant tumors that are inherited, for example breast cancer glands, in the same place 15% to 20%, according to some data they are hereditary, yes and if you carry the gene bersei 1, bersei 2, that is, a woman... it’s worth thinking about what she might develop, namely a malignant tumor of the mammary gland, so returning to thyroid tumors, 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 their children or nephews will get sick, we have already developed a technique, that is , if a person gets sick with medullary cancer, we take a blood test from him. to bear 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 call relatives.
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we invite them for a detailed examination, if they are also confirmed to be carriers of this gene, depending on it, namely the structure of this gene, because there are different types of genotype, we offer either dynamic observation or surgical intervention, now preventive such operations, namely for investigative forms of cancer , we performed 20 operations, 10 of them on children, here are ten children who are the youngest. our girl was 4 years old, the oldest boy was 15, he was 15 years old, out of 10 children, two were confirmed to have cancer, that is, but i’m an onologist, 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 adults, eight were confirmed to have cancer, two had a precancerous tumor, so the technique works, it is quite unique for us, in the west it is already being performed, it
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has been performed for several years. well, here it is gaining momentum, i think there is something should we brag already, aleksandrovich, there is a concept , 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 how is it so formal, here is the patient’s zero stage zero, is there is this even in medicine now or is it just a colloquial concept? no, this is a colloquial concept, because cancer either exists or it doesn’t, conversation, stage zero is still no, no, yes no, no. there are precancerous diseases from which they will definitely develop cancer, cancer will definitely develop if this pre-tumor disease is not cured in time, or there is a tumor,
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eight teams from four countries, and all participants are chosen. our arena is a witness to spectacular battles and unbending fortitude, because this is a chance to express themselves and prove that they are even stronger than they were before. i love extreme sports, i really like it, i don’t have any fears. they ended up in a computer game where everything is real. who will win the main crystal and the title of heroes? the game will show. well, the game has begun. one minute. real emotions and serious tests, the race for survival is not a child's game, be careful, come on, come on, come on, wow, hang on, i'm here, i almost cried at the end, look, sports and entertainment show "heroes on our
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tv channel." we will introduce you to belarusians who deliberately exchanged the city for the village. at that time, we already had two horses of our own, they were standing in a stable near minsk, we had an idea, that is , first of all, moving from the city to the village, and then try to do something of our own. they believed into themselves, their strengths and achieved results in their favorite business. we have a plot of land of 100 g, rent of 50. 3:55 of a fruit-bearing garden and 45 hectares of currants, the presenter from the capital will have to experience all the delights of rural life, she eats a rope, this is normal, it happens, here he is playing around, grisha, be a man, come on , let's go to the apple farm, they said, everything is modern there, almost nothing needs to be done, it will be, they said, you know, i was joking, but
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he took everything seriously, i am a project from the village, watch on the tv channel belarus 24, what belarus in the eyes of those who once left it. belarusians have more of this active life position. i really love belarusian nature, i can come to the forest, just stop, stand, look at the sky, admire this beauty. true patriots are ready to share theirs. they told their countries and their ancestors about this with their example of serving the homeland, as if they showed that it can be done, that it must be done, historical memory is the strength of the people. memory
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of your roots, of your ancestors, of those who lived on this land, beautiful, clean, clean, clean, watch the project look at belarus on the belarus 24 tv channel , well, here’s the situation, here’s the same situation with angelina zhali, yes, which once shocked all our women, style icon, there an icon of beauty, and when she... lactated her breasts, as i understand it, as a preventive measure, but we are doing this, she was a carrier, carrier 1, bersei 2, based on this , taking into account her family history, that she has close relatives suffered from breast cancer, she went for preventive surgery,
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that is, to remove both mammary glands , so that she does not develop breast cancer in the future, that is, such things should not be scary and women should not be afraid of it, but it is being done, right? 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 kramarov, beloved by many, all his life he was afraid of dying from cancer, he carried a container with special food with him everywhere, did not drink, did not smoke, played sports, really planned to live up to 120 years, modern zodniks, in comparison with him, of course, are resting. but in the end he died from exactly what he was so afraid of, here is a healthy lifestyle, is it a panacea or not, and a healthy diet, a panacea does not exist at all, another question is that we can
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avoid many cancers that seem to be walking around us, so and a healthy lifestyle, of course, this, 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? we will avoid or reduce the probability, well, in many ways, because that there are, there are, there are, malignant tumors of the lung, which are in no way connected with smoking, so we talked about hereditary forms, malignant tumors and other forms, for example , colon cancer, if the diet is correct, we will not avoid it, let's reduce the likelihood. but as for savil kramarov, yes, this is in a healthy body, a healthy mind, in fact, one of two things, that ’s what guberman said, in my opinion, well, yes, well, let me ask a provocative question, do you smoke yourself, no, but
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you use fiber, i use i use, a lot, a lot, yes, yes, but still, yes, a shoemaker should have boots, but i try, i try to stay in shape, okay, if we have already touched on this topic, you really scared me of 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, among other things, apples, cabbage, beets, potatoes, this is not necessarily a hot dog, this is not necessarily a bun with sausage, but certainly, it’s better to give up altogether, we need to return to the roots of our belarusian cuisine, and before there wasn’t so much colon cancer because we ate, ate natural, natural products, but this disease is also getting younger, yes, yes, precisely because of your nutrition, nutrition , again appear , you know, the latest research shows that in general 15-20% of generally malignant tumors have
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a genetic predisposition, you know, so yes, of course, if a young person gets colon cancer, if we already we are talking about the large intestine, of course not from the nature of the diet, because it would not have had time to develop in him yet, just in such a short period. the reason is different, but the majority, that is, i mean the contingent that is already older, yes, this is a violation, a violation, if you go to fast food, the better for you, yes, look, our soil is 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, so that some maintain the level, no, it’s no longer necessary, it’s no longer necessary, it’s not necessary for a long time, because... and iodized salt, iodized food all around, that is, our hygienists have developed a lot of standards, which, together with endocrinologists, on adding iodines to food
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food ration, so no additional use of iodine is required, this problem has been solved for belarusians, well, well, maybe some vitamin supplements, we are talking about apples, apples, cabbage - of course, of course, this is the famous vaccine against cancer for women? this is generally working circuit? actually, what is this? yes, this is vaccination, vaccinating girls, vaccinating girls, specifically against the human papilloma virus, which a ... will prevent the development of cervical cancer in them to some extent in the future , but this vaccination must be carried out before sexual debut, that is, then it is a very effective vaccine, after puberty 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, for gynecologists who treat these patients, this is done, this is done in the republic, is this not a mandatory procedure?
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not yet necessary, not yet necessary, but this topic needs to be developed, because cervical cancer , it is gaining momentum in the republic, the neglect of cervical cancer is quite high, that is, for a civilized society it is quite high, so this topic cannot be postponed, it we need to work with it , we need to develop it, promiscuity has something to do with this, of course, of course, of course, i want this to be heard, analysis blood on a dog, that’s how mandatory it is for men, 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 the dog, everything else is over 50 years old times in 2 years 50 - 65 years old, once every 2 years the dog is performed, but on the other hand, you know, how at 65 years old we complete the program, no, someone at 70 years old, he is a strong, healthy person, someone at 60 years old collapsed, so no one canceled it in 70 years. well, you
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ask such a question, let them get 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, this is what we were talking about, a blood test for a genetic predisposition to breast cancer, frequency and reliability. well, the reliability is quite high, but periodicity there is no such concept of periodicity, there is a concept of one- time execution according to indications, yeah, if you have a relative with breast cancer, a woman has a relative with breast cancer , she is a carrier of the b2 gene, but it makes sense to perform this analysis for yourself, if everything is negative, it is not there, well , look, the population of developed countries, and of developing countries.
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yes, it is much more aging, now, the more history develops, yes, the longer life, naturally, the number of elderly people increases, yes the percentage, but is this only due to a decrease in the birth rate, or is it the development of diagnostics, medicine, this is also no less 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 characteristic not only of our country, it is such a trend for all developed countries, it is like a normal phenomenon, and of course, of course, in addition to the decline in the birth rate, quality plays a big role here life, quality of life, because no one goes hungry, no one dies of hunger, everyone receives affordable medical care, moreover, older people, older people, receive this help, they adjust this help, that is,
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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 a role in life expectancy , despite the fact that, again, the incidence of cancer is growing from year to year, despite all our conversations, 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 related to the development including medicine, that morbidity, that an aging population is taking place, that is, in any case, the longer a person lives, the more often this will be detected, a priori, yes, yes, i can’t help but ask, a complex, probably ethical question , i remember how in soviet times, well, you and i grew up in the soviet union, in our medicine, there was no unspoken rule not to inform
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the patient about his diagnosis, or at least right away, yes, they told relatives, but they seemed to take care of the patient , well , they took care of it, maybe it’s psychological condition, while western doctors almost gave a date for how long you have left, but here’s the film reaching heaven ’s knocking, many watched, yes, when the doctor says in response to the patient’s question, how long do i have left, not at all, not at all, that’s how they have changed now. ..we have ethical approaches and what approach do you favor in this matter? i found you times when the truth was completely hidden from the patient, that is... the doctor did not have the right to tell him, however, this was not stated anywhere in the regulatory documents, but it was considered the norm, not to tell the patient about his diagnosis, and for the most part we whispered with the 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,
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i ask the relatives to leave first, or i ask the patient’s permission for a relative to be present during the conversation, but you understand, you can just like this, as you just gave an example, say that you have nothing left, or you have 3 days left, you can simply explain to the person, yes, you have an illness, you have a big problem , you, you have a catastrophe, but it is solvable, yes, let you understand in your soul, you understand that you won’t save this person, that the ending will still be there. 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 you need to speak very carefully, but we must speak, but we must speak in a balanced manner and speak correctly to the person, without deceiving there may be something left unfinished
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, you don’t have to tell him everything, that’s all the prospects, but unless he asks, as a rule, not everyone asks, not everyone asks. 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, and you teach them this, well, we have psychologists working for us, there are training seminars, there are classes at the medical university, therefore, but most of all it comes with practice, it the older generation must convey to the younger generation how to work with the patient, how to explain it to him, show it. that’s it, this is mentoring, this is mentoring, you know, there is another topic that is probably relevant for belarus now, as well as for our neighbors, the russians, the export of medical services under sanctions, is it possible for foreigners to have surgery today? you, i remember, yes, how
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russians were predicted to die from cancer, also in the context of sanctions, due to the cessation of supplies of medicines and equipment, just like now are you coping with this? how critical is this? yes, we are coping well, now there is definitely no problem, and 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 it’s a long process to fly to us or come to us the way, it turns out, that is, with their sanctions they actually destroy. by and large, yes, because basically who came there? our compatriots came, those who left us, have dual citizenship or do not have dual citizenship, but for some reason they still had more faith in domestic medicine, they came, this is really true, they came here to be treated here with us, in my life, i still remember a case when a woman living in
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the united states america, i 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. yes, for the first time, for the first time, we’re talking about the second year, yes, for the first time, when sanctions began, massive sanctions began, 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 the same western european companies that began to build logistics hubs, 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 equipment comes with some delay, there is such a thing, yes, because whole third countries pass through, whole there, through the whole world this goes in detail, it has become longer, more expensive, but there is no problem, but it still remains, the same in the russian
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federation, that’s because we now we are very actively cooperating with st. petersburg, with moscow, i’ve been to murmansk, what about the aggressors, well, all these ships are standing in the port, do you think that they are having such an interesting conversation for me that i will say this phrase now with some regret, the last semi-philosophical question , cancer has long been found allegorical meaning, 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 like that, i have something to compare with in my life, i’m not exactly a young man, so a lot... a lot has already faded, of course, the most important problem, in my opinion, now is - this is consumerism, a consumer attitude towards
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everything, a consumer attitude towards life, a consumer attitude towards each other, a consumer attitude towards one’s health, you know, towards state institutions, friend friend, in order to get something, a person must do something , we have raised a society of consumers, so we need to force people, and how to explain to them that in order to get something, you need to do something, take off your clothes and go to work , great, thank you, thank you, we follow the sports life of our country, egor gerasimov reached the second round of a tournament in china with a prize fund of almost $100,000. it’s clear that we didn’t prepare like that, but to win 10 matches in a row there at once. cooperation with the russian national team allows pofiktovaniya
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for our athletes to progress significantly. we review the most interesting events. a doubles tennis tournament was held in the capital. parents at the competition acted as partners of their children, although everyone won in this situation. dynamo minsk players alexey kolosov and vitliy pinchuk, based on the results of spectator voting, will go to the khl stars match. we are confident this year. will be no less interesting than in the past, every year the league is slowly gaining momentum, we listen to the opinions of competent specialists, for me it’s generally an indicator of how i feel the team next game: winning now brings confidence, psychological relief, all this in sports projects on the belarus 24 tv channel. the west and the united states have taken seriously the cultivation of such a tool as radical nationalism, and of course the incitement of national conflicts. here's what we got
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for our investment: we didn't lose a single american soldier, we reduced the russian military's combat power by 50%, and not a single one of us died in the process. this is the best america could do. all international the conflicts that we had after the collapse of the ussr, after years of analysis. those who are involved in this, historians, have all proven the external factor, we are precisely in the zone of contact, the conditionally collective west and the collective east, it is fundamentally important for us that this confrontation on our territory does not turn into a heated military confrontation. the project is objective, do not miss new episodes on the belarus 24 tv channel . commonwealth of independent states. integration, which unites over 230 million people, the leaders of the countries discussed how everyone to be stronger together, a red thread, in the theses
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of the belarusian president there is one thought, in response to unfair restrictions, the world is big, the light has definitely not converged like a wedge only on europe and america. developing cooperation with russian regions is an absolute priority for us. literally every week the head of state holds negotiations with governors who are aligned to the right or who is inspired by the third reich these days, from the nazis in the canadian parliament to the fascists in the european union. russians are becoming the new jews. belarusians, by the way, also fall into this category. for persecution of infringement of rights , a linguistic criterion is sufficient. main topics on the main broadcast.
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watch on tv channel belarus 24. minsk and bishkek are capable of increasing trade turnover, alexander lukashenko stated this at a meeting with the ambassador of kyrgyzstan ermek
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ibraimov is completing his diplomatic mission in our country, this is a good reason to sum up: the results of bilateral cooperation. a lot has been done over the past 4 years. they expect that the diplomat will promote the interests of countries in his new job. alexander lukashenko is confident that there is a need to define a clear roadmap for interaction, and not only with kyrgyzstan. i very often think about the interaction of belarus with the post-soviet republics. and using the example of kyrgyzstan, i usually come to the conclusion that we cooperate with the republics, as god will... well, something remains from the soviet period, well , let’s say, we bought sugar beet seeds from you, and we probably continue to do so , because we are satisfied with the quality and so on, but in order to develop a permanent plan, a roadmap, as it is fashionable to say now, cooperation between belarus and the republics of the former soviet union, well, those that
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want to cooperate with us, we have not come close to this. with other countries, the distant arc and so on, we do this, we make a separate decision for individual countries , for example, a presidential decree on russia, china and so on, and these republics, well, on the one hand, they are already ours, we are always with we will establish relations with them, on the other hand, because such a plan is needed, in mid-october the president of belarus was in kyrgyzstan, the leaders countries communicated on the sidelines of the... cis summit, as for bilateral cooperation, now there is a good chance to intensify it even more. last year, total trade was in the region of $170 million. there is a growth trend in this; belarus and kyrgyzstan are working on a number of promising joint projects in different sectors of the economy. the ministry of agriculture of belarus is actively working to expand markets for dairy products. in the next 5 years, it is planned
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to increase exports by more than 10%. supplies to china, indonesia, saudi arabia are growing arabia, a pilot batch of dairy products was successfully shipped to cuba, 100 tons of skimmed milk powder, each market has its own new product. new types of products are relevant for us, well, first of all, probably today, these are protein products , these are lactose-free products that will be produced for athletes, people and older people, youth, lactose-free products, which in turn have their own consumer, therefore the range is even increasing, expanding new product lines, starting with blue cheeses, very big. exports are growing throughout the year; for example, we began to sell 20% more butter. the ministry of economics notes the active interest of investors in the creation of cc production facilities.
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over the past 9 months, the composition of residents has been replenished with eighteen new companies, the total volume of investments is 130. among the main areas of investment are logistics, food industry, furniture production, metalworking and mechanical engineering. in general, today more than 420 residents work in ccc, which form a fifth of the main republican indicators, investments, exports and production. gomel and moscow were connected by a direct route from belavia, three flights per week were provided on tuesdays, fridays and sundays, and if it takes 7-8 hours to travel by land, then the flight will take... a little less than an hour and a half, they will land in vnukovo, convenient logistics, airport just 19 km from the russian capital, aeroexpress runs, and recently the metro, more than 500 tickets have already been bought for the coming months, this flight, this is our attempt to revive
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flights from regional airports of the republic of belarus to the capital of the russian federation and not only, we will watch this flight closely, it is clear that this is already a success, further in our plans, and if we talk about regular flights from gomel, this is st. petersburg, in the summer the time is most likely sochi, in the spring to antalya, another air route from gomel is being resumed, charter flights to sharmalsheikh, egypt, it is planned that the first plane with tourists will fly in on january 21, preliminary plans include flights once every 10 days. more than 2,000 wellness camps will be organized... during the autumn holidays, over 67,000 schoolchildren will rest in belarus; they will be offered labor campaigns, patriotic marathons, sportsland , all kinds of festivals, art shows and excursions. the institution of additional education will present innovative exhibitions, as well as summing up the results of international and republican competitions; search, timurov, pioneer and military-patriotic clubs will continue their work. the
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pomegranate holiday was celebrated at the center of the azerbaijani language of culture in belarusian. university, poems, paintings and songs, guests were presented with a musical and poetic program. one could learn about the significance of this fruit in azerbaijan and taste the national treat. in 2009, azerbaijan’s initiative for the pomegranate holiday was included in the representative list of unesco’s intangible cultural heritage, and naturally, from that time on, we were able to convey and provide information about the wonderful traditions of our people to the whole world. within the framework of this center of the azerbaijani language of culture, which was created here. and thanks to the support embassy, ​​it will develop, a weekend school is planned for children, citizens from azerbaijan who live in the republic of belarus,
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a number of other events are planned, representatives of the azerbaijani diaspora of belarus, students and teachers, were present at the holidays. fertile land in caring hands. our main wealth. when you feel joy from what you have achieved, you want to share, create and develop, carefully preserving traditions. in the name of a successful happy future. where everyone’s contribution to the total is significant business, but living with others in unity and
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love is true happiness. it’s always warm here from soulful moments and familiar looks. belarus 24, what unites us, we will tell you how faith in god helps you find peace and mental balance. the most important healing of the human soul is taking place, a person comes with his pain, leaves it here and goes out into the world completely different. let's learn how to pray correctly and turn to god, from the heart of faith, from the weak roof and from the deep doors, the need to seek god's ceramics and aids cycles and insistent knocking and the door
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of god's mercy and blessing. let us think about when help comes to a person from above, because if we seek god’s help, the intercession of the most pure virgin, then we ourselves must give the lord our love and faith. make efforts to fulfill the gospel commandments. together with you we will try to find answers to various questions of spiritual life. what is my spiritual homeland? yes, based on what premises, i analyze certain religious phenomena and what is it? secularism? yes, this is secularism, this is spirituality, this is opportunity for spiritual growth. watch spiritual and educational projects on the belarus 24 tv channel. club of editors, an ordinary european man in the street, he sits under the threat of war, he is frightened by the terrible putin, the terrible lukashenko, the migration crisis,
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and at the same time he has terrible economic problems, he does not understand where to go, people, instead of fighting for their rights, they are losing these ideological guidelines, americans, they have the task of pitting europeans against each other, they do this methodically, with the help of the british, sacred economic with... the european union is slowly turning into a chamber pot with stars on the rim, europe will not get anything from this war except the destruction of the economy, the loss of sovereignty is already underway, and the third socio-political problems that will come is what europe will get from the ukrainian crisis. we should not look at anyone when we build order in our home. don’t miss it on the belarus 24 tv channel. the most tragic thing in the history of our civilization in general happened, the soviet union collapsed. connivance with evil leads
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to the fact that evil is growing in full bloom, they were going to build anti -russia out of us, according to the ukrainian scenario, arming belarus with nato weapons, instructors, bases, probably only in the unity of those three countries, we will have a very strong future, the west simply does not want to give to... unite three nations or one whole. we live in a state of war all the time, informational, yes, it exists, it is a very strong, zombifying war, because any physical then war must be... prepared ideologically, our opponents were too are naive, believing that the departure of coca-cola from tv screens will collapse state television broadcasting in an independent, sovereign country, with a strong-willed president, with a sufficiently developed economy, no matter what they say, say the project, don’t be silent, don’t miss new episodes on the belarus 24 tv channel
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. as a child i was a hooligan, a terrible hooligan , i liked to test this world ’s strength, it was interesting to learn new sports, and this, of course, is a gym - this is a martial arts, at some point in time yoga comes and another awareness, another understanding, you understand all this depth, an idea is born, and... why not
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combine it all? at some point, knowledge of our - our native culture, youth fun, men 's circles, men's ardor came, after i... with the practices of these our native slavic, yes, the revival of our native culture, miracles began to happen in life , and it is impossible not to notice them, you can write a whole book about this , and this is not only connected with me, this happens to every person with whom i communicate, who also touched this, and these miracles are signs that you are on the right path, so that our people, our people and especially our youth,

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