[000:00:00;00] he came with promises to boost the economy, we see what modern ukraine has become, torn apart by war, to which the americans obviously led it, because they persistently provoked a war in eastern europe, and the same situation, the same fate, most likely awaits argentina , because any pro-american politician is almost a 100% guarantee that the country will turn into another garbage dump, region. the argentine media write that both rivals really want to gain support, quote from a trump card that gives victory instantly, we are, of course, talking about the football player lionel messi, although the athlete has pointedly avoided any political movements throughout his career, but life is an unpredictable thing, because at the beginning of this year, 43% of argentines said that they want to see

the legendary athlete as the leader of the country, that, taking into account the political realities of buenos airos, does not look like something completely incredible. happily. just one chance to show your strength. this is a ball of thread, oriadic thread, oriadic thread, absolutely correct answer, as in latin translated by perpettum mobile, the last time i took latin was 2 years ago, this is an amazing revelation, to demonstrate your intellectual potential to the whole country, what are you going to do, well, absolutely at the same time our participants clicked, which english football club holds its home matches on

guggison park stadium, paul. everton , absolutely right, the smartest and bravest gather here , not only the east, it’s a delicate matter, building a tower from crooked elements, there’s also a subtle art, what gave you this idea, i i love ballet, alexander gleb, alexander gleb, absolutely, this is probably the correct answer, one of the best football players in the history of belarus, watch in the intellectual and entertainment shows, on the belarus 24 tv channel, the outstanding meats of belarus with shmatvekova... history. we can obtain abaronial doilitstva from the right-wing architecture. and all for this period of time round velvets are characteristic. they floated to the pharmaceutical economic centers of the country and a zillion extraordinary people. some myastechki, garads, which were previously significant magdyburskim, in attacks, the kali gypsum wasted away for a long time, ruined their significance. geta was a genuine

revaluation. the chagunka kneaded the navakol. cultural-asvetnitskiy project architecture of belarus. gety kastsel does not end and ў savetskiy period, kali vyalіkaya kolkastsya temple stratsіla its percapachatkovaya meaning. everyone remembers the 50s and has such an appreciation of stalinist classicism. tell the belarusians that you won’t get a chance, because dastatkova will come to our capital, the prices are on the right side, if you please, as if with your soul, what a geta is. glyadzice, on ours. my history, nature, culture, faith, people, wickedness, adzin once you adore and will not be forgotten for many more, it’s all

right here. we are pleased to continue to talk about the cities of belarus. the starting point of our route, like most tourists , is the station square. author's routes. it’s hard to believe, but once upon a time there were ancient forests on this land, and

the largest trade route from varyak to the greeks passed here. the most mysterious places. a unique timepiece in the heart of broadway. initially there were no arrows on them; later they appeared, but the clock never showed the correct time... interesting myths and legends, they say, here in the central square under the asphalt a unique paving stone has been preserved, it was brought here in soviet times from the krevsky castle, watch in the program of the city of belarus, on our tv channel, in each program has new heroes, we are all united by the fact that we study at the belarusian state medical university, so we all dream of becoming doctors bko - this is the belarusian committee of youth organizations. we unite 35 youth public associations of our countries. unpredictable questions. where andrey makayonok recommends putting the pill in his comedy, sublingual. under the tongue? it’s that simple, and there are unexpected answers to them, build

a tower. already three elements. three elements, unfortunately, for each wrong answer one element. you can ask him something again. yes, i could with you, in general, let it be lor, and this is the wrong answer. let it be lor, this is a completely wrong answer. watch in the intellectual show tower on

the belarus 24 tv channel . 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. and not everyone can change the world, yes, we are now talking a lot about foreign political events , this topic has probably become a topic of the airwaves, but you definitely don’t need to forget about yourself, about a person, your health and the health of your loved ones first of all . let's talk about this today. we photograph the republican cancer center very often. and we forget a little that in minsk, in the very center,

practically, there is a minsk clinical oncology center, right? which is almost 90 years old, next year. next year. and a unique republican thyroid tumor center housing. 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 general practitioner, as for a neurologist, some kind of neurology, for me this is my job and, i want 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 treat it diagnose in a timely manner. it’s right to 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, you have the feeling that life is everything,

it is collapsing, in this life you are no longer interested in anything , neither wars, nor events, you are only interested in health, but for a person this is a disaster, and i want to tell you, these are the upcoming events that we had... covid when was, then there were turbulent situations in the country for some time, our patients did not care, our patients were concerned about their health and it was possible. get rid of a cancerous tumor, and we gave them this opportunity, helped them in every possible way, and i just saw this , that our patients were most worried about the state of their health, not surrounded by cataclysms, well, i understand them, however, already in 2000 they were doing 200 operations a year, yes it happened, it happened, people came to you from all over the republic, often your former patients publicly on social networks thanking fate for meeting you, himself? very nice, but

a highly professional surgeon, in the end he became the head physician, so what’s more difficult, a scalpel or a document? well, you know, i didn’t part with the profession, i remained a surgeon, i’m operating now, that is, the profession of a surgeon is for me, well, it’s sacred to me, i’m not going to leave this profession anywhere, as for what’s more difficult, the chief physician or surgeon. here these are two completely different jobs, and i want to tell you which is more difficult, it’s hard to say, because well, here’s a surgeon, you performed an operation, you immediately see the result, the patient got up, walked, he recovered, he got rid of the disease, he is alive, healthy, he comes to himself with his gratitude, everything is in order, working as a chief physician, you may not even see the effect of sadeen, you will retire, and the effect will only come then , so here you need to prepare yourself for the fact that working as a chief... doctor, 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, you are a surgeon you will always remain, well, i hope, i hope, ok, victor alexander, maybe a little bit of humor is not always appropriate here and my curiosity, 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, for the head doctor, as they say, it is impossible, unrealistic, one operation a day, one operation a day, but in this case, how to get the head doctor on the table, we mean from the whole variety of patients, and this some kind of unique case, or is it a sequence or a plan, how does this happen, what they come to you specifically, i deal with the thyroid gland, we have a department that specializes in treatment for...

the department, it draws up a schedule of operations, it draws up a schedule of operations, both for the editorial staff and for the chief physician, the only thing is that he and i agree on the time of the operation, when i can come for the operation, nothing more, that is, you get acquainted with the history as standard, absolutely, absolutely, there is no such thing that someone made the incision or through pull, that someone made a cut and came difficult stage, no, in no case, but yes i, this is the norm, well, okay, but it happens that high-level specialists are specially called in cases when the patient’s cases are complex, this is possible, this is normal, this should be, including helping the surgeon who specifically does this be and this concerns me, among other things, look, the unique system of oncological service in belarus, that’s what it is and how we managed to do it, well, let’s create it first, yes, and then save considering that your department. it

has been operating since at least the nineties, and there are 4,000 more than 4,000 medical beds in belarus. that is, this is a very large number of oncological beds, and this is a legacy from the soviet union , that is, the structure of oncological care that exists in the republic, this is the legacy of the soviet union, when oncological care was allocated as a section in the healthcare system, and this is absolutely right, because a patient coming... to an onological institution, he must receive all types of assistance, both surgical, chemiotic, radiological, all this is concentrated on the onological bed, so 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, let’s not go far, let's take the russian federation, 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 them, but now everything has changed, they have separate compulsory medical insurance, when the money follows the patient, and this in many ways complicates the diagnosis of patient treatment, from some points of view it simplifies, 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 is purely natural. help, specifically in the republic, it is better, it is more effective, that is, if it is necessary to make five cats, they will make five cats, rudely 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 cannot be done, for us there is no such limit, we perform those operations that patients require, okay, we 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 selection, does it play some kind of role? a significant role from your point of view, of course, of course, the surgeon, when 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 kind of radiation the patient will receive, having this knowledge, you are correct you will remove a tumor, 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... we are propagandists, we are propagandists, yes, and what crazy prices in the west, for ct scans, tests, tomography, and other medical services, so-called, so you can make a comparative analysis of prices, expensive health, this

how about belarusians, if we 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, if the patient needs this help, let's compare with other countries , the same as you call them fugitives, they can contact a medical institution in another country and ask how much it will cost, but there is some figure , at least approximately, that’s how much it could be, you communicate there, well, in israel, how much does it cost, i can’t say, but i know that when a patient comes from israel, having received surgical care there, we are talking about tens of thousands of dollars. viktorovich, over the past 10 years, if we take the period, the incidence of cancer in the world has increased by 33%, the numbers that i found. and what why is it that belarusians most often suffer from cancer? in your opinion? well, we cannot single out belarusians, russians, ukrainians, and even poles,

because in principle we live in the same region and, approximately, the incidence rate in our country, it affects the male and female population is the same. degree, that is, i mean in the same way, in the same order , for men in the first place is prostate cancer, prostate cancer, the highest incidence of this particular pathology, but here it is understandable, because we have screening programs are being carried out for prostate cancer, and every doctor who sits at the reception, he will first of all send a man over 50 years old for a pss study, specifically a specific test for cancer of the representative gland, accordingly, of course, this 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, ranks third position among men, and this is also a fact that, which takes place in neighboring countries, in the russian federation, in ukraine, 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 more common in the first place, yeah, but the second place for them is confidently occupied by colrectal cancer, for the same reasons that we are basically the same thing with kush, that is , we are what we eat, yes ? yes, there is little fiber, we eat little fiber, accordingly, cabbage, no one canceled it, of course, cabbage, apples, in third place there is already a teloma track, then there are ovaries and so on. so on, so here for men and women, these are the types of swelling , can we say that age is the determining factor? the older a person is, the more likely he is to get some type of cancer, that is, this is primarily due to the very duration of development of cancer, including, and including, for example, for the cancerous gland, from the moment

the tumor cell originates to clinical manifestations take 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 have seen a significant rejuvenation of cancer, we have many patients of the young age of thirty, forty-year-olds, unfortunately, but somewhere it’s nutrition, somewhere it’s a hereditary factor, that is, all of it together plays a role, so you said that most of all, well, women’s problems are breast cancer, and recently the president he promised to sternly... ask if there is 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 for these programs and how to get voluntarily under

such a program? in general , doctors in our country have been doing screening since 2011, let’s just tell the audience what screening is, what does it mean? screening is an examination of healthy categories of the population for the purpose of early detection of tumor diseases, including targeted ones. yes, the purpose of screening is to reduce morbidity, and most importantly, mortality from cancer. so, these programs have been going on in our country since the eleventh year, since 2011, they were local in nature, in the city and minsk the soviet district, pervomaisky district, individual clinics were involved in this, but there was no system as such in the city of minsk, and only now literally 2 years ago, 2 years ago, in the city of minsk, screening events involved more than half a million population of 527,000, we examined four localizations,

these were breast cancer, cervical cancer, colorectal cancer and prostate cancer. for 2 years we have been closely engaged in four four areas, for the mammary gland, this is once every 2 years , mammography is performed, for women over 50 years old, 50-69 years old, for men, prostate cancer is a dog performed with subsequent already and stages in the case of elevated ones, 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 cervix, uterine cancer - this is mfp 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. why aren't we ready? i mean the healthcare system, yes, we have encountered many difficulties, what kind of difficulties, informatization

of the healthcare system, yes there are gaps, here is the screening event that we began to carry out, they showed us these gaps in informatization, and somewhere problems with equipment, 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 a problem on the part of patients, patients, yes, some willingly went for screening, some did not, but they went, but the fact is that the screening measures are repeated, again for colon cancer, when screening for colon cancer, first a fit test is done, if the result is positive, the patient must come for a coulonoscopy, and so on culonoscopy, that is, to the second stage screening only 30% came, despite the fact that there were indications for this, yes, yes, the same thing, with elevated psa, no more than 30% came for trypanbiopsy of the prostate, but people are afraid. people are afraid because this is a painful procedure, unpleasant procedures , so we understand what to work on, that is, we need to convey to people the need to perform these

procedures, well, in fact, this is what we are doing now, yes, yes, these are exactly these screenings, all these screening programs that i talked about, which means they formed the basis, now, not the basis, but sort of the structure of medical examination, which is the new resolution on medical examination, which will be released in the new year, here is all the screening. they will be included in the medical examination; all residents of the republic, including the city of minsk, will already be included in these events that i spoke about for the four districts of the city of minsk. okay, viktor savich, here is a purely practical way of how this algorithm works, that is, a person is assigned to a clinic, the clinic determines that everyone in this age category must go through a screening event, she calls and invites you to an appointment, that’s right. they come, a date is set,

they complete this research and leave. and the person himself can, for example, if he does not fall under this age group, ask for this, but as if screening implies its own targeted study of contingents, well, if he falls under this continent, this is the same medical examination, he can also offer if the patient is older. 50 years old, this is a man, that’s it, he is subject to pssa research in any case, he doesn’t need to ask, he will be offered this is a doctor. a screening event is precisely a contingent of people that we must examine, because we must get a result, we must get it, if we extend this to the entire population, we will not get a result, okay, the idea is clear, now i have just one moment, i want come on, since we are already engaged in prevention with you and such propaganda, but in a good way? this word of medical examinations, this is really the age at which you must

go to the doctor voluntarily in order to be examined for presence. possible cancer, yes, for women and men, look, for men, this is the threshold age of 50 years, 50, 50 years, and even for that, i have lived up to this time, well done, 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, as i understand it, breast cancer, in general, according to screening tests, we take breast cancer from 50 years old, but came to the gynecologist, a thirty-year-old woman came to the gynecologist, and the gynecologist is obliged to examine the mammary gland, if necessary, perform an ultrasound examination, if necessary, send for mammography, yeah, there is such a thing, a blood test to detect more than 60 types of cancer and tumors, all reagents are made in belarus, it sounds fantastic, or , out of habit, like many,

i still, well, let’s say, underestimate my own. it’s a good technique, a good technique, and i think it’s a very promising technique, it truly unique precisely because it is belarusian, 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 that in the near future will be finalized and there won’t be any problems either, but we have a laboratory in minsk that is already conducting research, namely blood tests. for 60 types of malignant tumors, a blood test is taken in general , in many, in my opinion, 15 laboratories take a blood test brings it all together centrally in one laboratory, which determines by cytometric method, yes or no, 3% of 100 studies, 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... he will have a mini or a maxi , the examination itself will show this, while it is done on a paid basis, it is done, that is, you understand how a healthy person pays for a sick person, that is, the normal principle, that is, everyone is taken tests, but only 3%, 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 - here 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 just assume that there is a tumor cell, there is a tumor cell in a person’s blood, yes we

we need to find the source of this tumor, based on this analysis you are just looking for why, yes, that is, a complete examination , that one of... in the world onology, it bears the name of our city, minsk-pouch, for me personally to discover this fact, how and the fact that in your center for several years now, even large tumors have been removed with laser without incisions and sharama, i am not mistaken, no, you are not mistaken, in our center there is such a technique, but this is not exactly the removal of a tumor, so to speak, local cauterization , that is, using laser... technology, 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, yeah, here is the prospect for malignant ones tumors, but so far on benign ones, uh, but

i want to tell you that in minsk there are, again in our center, other methods that... which are quite wonderful and i want to tell you that probably, uh, our neighbors not this is also done everywhere, for example, returning again to our thyroid tumor center , in which citizens from all over the republic receive treatment annually, that is, it is not only the city of minsk, but the city budget dates back to the treatment of out-of-town patients, and more than 2,000 operations are performed annually and in all the years that... that 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 , do not consider benign processes, a lot of children, so now we have developed a method of 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 in your family had cancer... malignant tumors that are inherited, for example breast cancer, 15% there. up to 20%, according to some data, is hereditary and even if you are a carrier of generalsey one bersey 2, that is, a woman should think about the fact that she may have a malignant breast tumor, returning to thyroid tumors, there is such a malignant formation of the thyroid gland as medullary cancer, 20% of medullary cancer is inherited, that is, if the parents are sick. it is quite possible that children or nephews will get sick, we have already developed a technique, that is, if a person gets medullary cancer, we take a blood test from him to determine whether he is a carrier of this gene, we do

this analysis, we perform it in the molecular genetic laboratory at the republican scientific and practical center of oncology, if a positive result comes, we we will call the patient’s relatives and closest relatives and invite them for a detailed examination if they are also confirmed to be carriers. gene, depending on its structure from 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, of which 10 children, here we have ten children, our youngest girl was 4 years old, the oldest boy was 15, he was 15 years old, out of 10 children, two have cancer, that is, well, i, an oncologist, i can’t say at the zero stage , but at the initial stage, here, in adults the situation is worse, in adults, out of ten adults , eight had cancer confirmed, two had

precancerous tumor, so the technique works, for us it is quite unique, in the west it is already being implemented , it has been carried out for several years, well, here it is gaining momentum, i think there is something to brag about, there is a concept: first , second, third, fourth stages, and the development of cancer, can we talk about stage zero and is it required to be consolidated, just like it’s so formal, the patient’s zero stage is zero, does this even exist in medicine now or is it just such a colloquial concept? no, this is a colloquial concept, because cancer either exists or it doesn’t, colloquially, stage zero is still no, no, yes no, no, there is a tumor location, there are pre-tumor diseases from which cancer will definitely develop. yes. or there is

a tumor. we follow the sporting life of our country. egor gerasimov entered the second round of the tournament in chinese wife with a prize fund of almost $100,000. it’s clear that we didn’t cook. so yes, win 10 matches in a row there at once. cooperation with the russian fencing team allows our athletes to significantly progress. we review the most interesting event. 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. players of dynamo minsk, alexey kolosov and vitaly pinchuk according to the results of spectator voting will go to the zvezdkal match. we are confident that this year the league will be no less interesting than last year. is slowly gaining momentum, we listen to the opinions of competent specialists, for me it’s generally an indicator of how the team feels after the next game: victory brings confidence, psychological relief, all this in

sports projects on the belarus 24 tv channel, shows where they fight not with the help of physical strength, as you know , before the competition you need to warm up thoroughly and warm up all your muscles, by the way, the same applies to and heads. how exactly, one french figure noted, one can yield to force, but robotically they submit only to reason. a show where the main weapon is intelligence. the main thing now is to concentrate, gather all your thoughts together and be attentive. all of these medals were awarded for victory at the summer olympics, except one. what medal are we talking about? sochi? sochi, absolutely right, this is the correct answer. however, activity. will also play a role? whoever scores the most points by the end of the game will be the winner, how many belarusian clubs traditionally play in the champions league qualifications, alexey, one, one club, absolutely right, watch

the intellectual and competitive show, heading the game on our tv channel. 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, as a preventative measure, well , we’re doing it , she was a carrier, a carrier of bersei 1, bersei 2, based on this, taking into account her family history, that she has close relatives suffered from breast cancer, she underwent preventive surgery, that is, to remove both mammary glands so that she would not develop breast cancer in the future, that is, such things should not be shocking and

women should not... should not be afraid of this, this is being done, wow, victor alexander, really, the topic is such, in itself, well, since we have already started talking about famous people, from the example i would like to move on to private, practical things, not so long ago i read the story of savely kramurov, beloved by many, he was afraid all his life die of cancer, took a container with special food with him everywhere, didn’t drink, didn’t smoke, went in for sports, really planned to live until he was 120 years old, modern zodniks, compared to him, of course, are resting, but in the end he died from exactly what i was so afraid, is a healthy lifestyle a panacea or not, and a healthy diet, a panacea does not exist at all, and another question is that we can avoid many cancers that seem to be going around us, with a healthy

lifestyle, of course, this, well this is great, this is great because it helps to avoid development of the disease, the fact that we don’t smoke, won’t we avoid lung cancer, avoid or reduce the likelihood, well, we will reduce it in many ways, because there are, there are, there are malignant lung tumors that are in no way related to smoking, here we are talked about hereditary forms, malignant tumors and other forms, what if colon cancer? nutrition will be correct, shouldn’t we avoid it, reduce the likelihood, but as for savil kramarov, yes, it’s in a healthy body, a healthy mind, that’s really one thing of the two, that’s what gubermanman said, in my opinion, well , yes, well, let me ask a provocative question, do you smoke yourself, no, do you use ticks? i use, i use, a lot, a lot, yes, but still, yes, a shoemaker should

have boots. so, besides cabbage apples, what should we eat as belarusians? well, there is what we eat, just don’t forget that there is traditional belarusian cuisine, traditional cuisine, which includes apples, cabbage, beets, potatoes, this is not necessarily a hot dog, this is not necessary bun with sausage, of course, it’s better to give up altogether, we need to go back to the basics, the kitchen, and there weren’t so many colon cancers before, why? because they ate, ate natural natural products, but this disease also gets younger, yes, yes, it is precisely because of nutrition that, in large part due to nutrition, they again manifest themselves, you know, the latest research shows that in general 15-20% of malignant tumors in general have a genetic predisposition, you know, so yes, of course, if a young person gets colon cancer, if we are already talking about the colon, of course, not from the nature

of the diet, because it would not have had time to develop in him yet, just in such a short period of time, the reason is different, but the majority, that is, i have a contingent that is already older, yes, this violation, violation, well, that is, the less you go to fast food, the better it is for you , yes, look, our soil is in belarus, and our water, well, they say that they are poor in iodine, i don’t know how real this is, but does it mean is that belarusians need to additionally take iodine in tablets, but in order to so that it maintains at some level, no, it’s no longer necessary, it’s no longer necessary, it’s not necessary for a long time, because salt is iodized, food is iodized all around, that is, our hygienists have developed a lot of standards, which, together with endocrinologists, are for adding iodines to food in the diet, therefore no additional use of iodine is required, this problem has been solved for belarusians, well, but maybe some vitamin supplements, we are talking about apples, apples are a vitamin supplement, right? of course, this is

the famous cancer vaccine for women, this in general, a working scheme, what is it anyway? yes, this is vaccination, vaccinating girls, vaccinating girls, specifically against the human papilloma virus, which will prevent them in the future from developing, to some extent, the development of cervical cancer , but this vaccination must be carried out before sexual debut, that is, then it is very effective. already 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, for gynecologists, who treat... these patients, this is being done, this is being done in the republic , this is an optional procedure, it is not mandatory yet, not yet mandatory, but this topic needs to be developed, because cervical cancer, it is gaining momentum in the republic, cancer is neglected

the cervix is ​​quite high, that is, for television society it is high enough, so this topic cannot be postponed, it must be worked with, it must be developed, promiscuity has something to do with this, of course, of course, of course, i want this.. . blood test for pssa, that’s how obligatory it is for men, i mean up to 50 years old , if there are any symptoms or complaints, while as one of the stages of the examination, it makes sense to perform the test, everything else is over 50 years old at 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 doing the dog prophylactically at 70 years old, but according to the indications, this it goes without saying, well, the activity of men, the sexual activity of men, it has to do, let’s say, with the prevention of this disease, well, you ask this question, let

them be active, let them be active, let them be active, that is, the connection has not been established, and there is no need to establish it, this is what we talked about, a blood test, a genetic predisposition to crack. mammary glands, yes, frequency and reliability? well, the reliability is quite high, here is periodicity, there is no such concept of periodicity, there is a concept of one-time performed according to indications, 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 test for yourself, if it is negative, it’s all... no, 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 elderly people increases, yes the percentage, but is this only

due to a decrease in the birth rate, or so the development of diagnostics, medicine, this is also an equally important factor , we will have to live with it, and we can absolutely... this is a good question, you are right, the aging of the population, it is characteristic not only of our country, this is such a trend for all developed countries, this seems to be 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 goes hungry, no one dies of hunger, everyone receives... affordable medical care, more moreover, elderly people, elderly people, they receive this help in a timely manner, they correct this help, that is, diseases are diagnosed in a timely manner, including onological diseases, they are treated in a timely manner with good results, and of course, all this plays into a long life, despite the fact that, again,

the incidence of cancer, it is growing from year to year, despite all our conversations and all our calls, but this is also a normal phenomenon, this is a pattern; we are getting sick all over the world, because that the population is aging, the morbidity rate is growing, and so it’s a vicious circle, so of course, of course, this is connected with the development of medicine, that the morbidity rate, that the aging population is taking place, that is, in any case, the longer it takes a person lives, the more often this will be revealed a priori, yes, dalesanovich , so i can’t help but ask, it’s probably a complex ethical question, i remember how in soviet times... you and i grew up in the soviet union, our medicine was present unspoken rule, no often inform the patient about his diagnosis, or at least right away, yes, they told relatives, and the patients seemed to take care of, well , take care of, perhaps, his psychological

state, while western doctors almost gave a date, how much time you have left, but here's the movie reaching heaven's door, many watched it, yes, when the doctor says in response to the patient's question, how much do i have left? not at all, not at all, this is how our ethical approaches have changed now, what is your approach to this issue? i caught those times when i was hiding absolutely from the patient, however, that is, the doctor did not have the right to tell him the truth, 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 with patients, i ask the relatives to leave first, or i ask the patient’s permission to...

be present during the conversation, but you you see, you can inform a patient about a diagnosis of a malignant tumor, a diagnosis of cancer can be done in different ways, like you just gave an example, you can 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 have a catastrophe, but it is solvable , let you understand in your heart, you understand, you can’t save this person, that there will still be an ending, but you will do everything for in order to help this person, and most importantly, a person must believe in this, if he believes in this, then there will be success , even if it will not be for a long time, but it will be , that’s why we must speak very carefully, but we must speak, but we must speak in a balanced manner and tell the person correctly, without deceiving him , there may be something left unsaid, it’s not necessary to tell him everything, that’s all the prospects, but if then... he won’t ask, as a rule, not everyone asks, not everyone asks, they ask carefully,

answering carefully, but you have to talk, need to talk, well, that is, it turns out that a doctor must have certain skills; a psychologist, yes, definitely, for an oncologist this is paramount , and you teach them this, well, we have psychologists, we have training seminars, there are classes at the medical university, therefore, but most of all it comes with practice, this should be the elder... convey 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, well, how and for our neighbors, the russians, the export of medical services under sanctions, is it possible for foreigners today to have surgery with you, i remember, yes, how russians were predicted to die from cancer, also in the context of... sanctions due to the cessation of supplies of medicines, equipment, maintenance of this very equipment

, and what 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, but 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 to fly to us or come to us is, well, this... it ’s a long way, it turns out, that is, with their sanctions they are also ruining their own , well, by and large yes, by and large yes, because basically who came, came our compatriots, those who left us, have dual citizenship or do not have dual citizenship, but for some reason they still had more faith in russian medicine , they came, it’s really like that, they they came to us for treatment here, at the car wash, i still remember a case when a woman, living in the united states of america , came here for control examinations, flew here, because he says it’s cheaper and easier for me than to undergo a control examination in the united states, there were such times

, and yes, the first, the first time, we are talking about the twenty-second year, yes, the first time, when sanctions began, huge sanctions, we felt some problems with the supply of medicines, with the supply of equipment, you know, the holy place is not empty it happens that other companies have already arrived and were ready to replace western european ones, these are... the same western european companies that began to build supply chains, everything has now improved, by and large we do not experience a shortage of chemicals, we do not experience a shortage of equipment, some spare parts for equipment arrive with some delay, there is such a thing, yes, because a whole one goes through a third country, a whole one, this part goes through the whole world longer, more expensive, but it’s not a problem, but it’s still there remains the same in the russian federation, because we are now very actively cooperating with st. petersburg and moscow. been all over murmansk, but what about the aggressors, well , everyone is standing at the ship’s desk, do you think that they