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hello. hello tell me please, where can we find dr. khlynin? well i'm a doctor khlynina, who asks karnebesny i ask you did not understand a colleague. i would like you and your colleagues to call the language do not turn around. we need to find out something, for example, we want to know about one of your challenges. what a challenge. do you know where we go ? how did you miss grace's disease and what kind of disease is hyperthyroidism also called heard about this heard there was no such call, because

you are a hack. what's the matter man, remember, the examination did not take an anamnesis. and steel diagnosis does not summarize the symptoms. so what are you talking about bug-eyed lee, learn to stare. this is one of the signs of graves' disease. just like the puffiness of the eyelid, the rare blinking of the moisture of the skin, and the bug-eyed, can be a national feature. you know how many i've seen. you understand that you left patients in a thyroid crisis. imagine your mistakes, there could have been a coma and death, but i see everything ended normally. that's all you leave, teach someone else. well, yes, it is logical. of course , it is useless to cut off your mouth, right. he is

a born idiot. yes, what did you say? repeat me i say you're an idiot, oops. still, i'm not the kindest, the manager is yes, but on the other hand, the most fair so i returned like that. i'm not at the easiest time, but today i want to inform you about an important event. as part of the optimization program for medical institutions, they want to

combine us with another substation. in these new circumstances, can you cure? excuse me . well, how do we go cleared?

it's you, apparently those employees about whom you asked, they are the most well, is everyone assembled? we can start thank you my name is averina marina leonidovna and how do you understand? i'm from the ministry of what happened, you need to fight with someone, i was appointed in charge but in order to connect you less painlessly to the seventieth substation, i'm sorry. which seventieth are you in the same area? so god himself ordered that we have a difficult job ahead of us, i will not hide the fact that one substation cannot support all

the employees, so there will be reductions, but insignificant ones. so priority will be given to young, but already experienced employees. that is, you put your whole life on your own an ambulance, and then someone comes with an optimization and knees you in the ass just because you're not young enough. well, why are you like this? and how are you? listen? for example, i also believe that young people should be taken into the brigade along with experienced employees. everyone here is like one big family. people worked together for years to get used to each other. after all, there are such important challenges, when you need it well , as they say, the shoulder is absolutely trust this, with

whom you work, and here are strangers. what makes you think that you cannot trust your colleagues 70th substation? i have a question she will be considered for the position of the head of his joint substation, only old candidates or new ones also definitely do not shine, i ask myself. i would like olga kirillovna to manage the united substation, please support me. the issue of leadership will be discussed separately; it will be considered by a special commission based on my report, and olga kirillovna and gennady sergeevich kovalkov are both worthy candidates. i apologize for the intrusion. hello sergeevich and how did you end up here too?

station manager i'm sorry, but just now in the yard of my substation there was a fight between unknown people in the form of ambulance doctors beat my doctors. i managed to take a picture of the number of the departing car and found out that this car belongs to 58 under the station please. i'm sure that there will be an explanation for what happened . kostya kostya propose to get straight

to the point. if you really were there and did what the comrade is talking about, then we all had it would be interesting to hear your explanations. in fact , everything was not quite as presented here. in general, pasha sasha was on call and saw that the previous team had treated the patient negligently , repeatedly visiting the same patient. they stubbornly ignored a whole bunch of symptoms and the patient almost died. but pasha was diagnosed correctly, and thus saved his life to say that they were my doctors. ol kirillovna, we are telling the truth, we have all the evidence of the record , our words are easy to verify, it would be a desire. yes, what kind of nonsense is this doctor khlynin, an experienced doctor,

he would not miss basset's disease. so i was also unpleasantly surprised, like you just suggested that colleagues go and clarify the situation , my performance of the collective bones. just helped. well, someone had to point out their mistake to colleagues to open their eyes so that this would never happen again in a fight. why did you have to arrange? the employees sorted it out, and then they came to us to swear, even if they were wrong, there are more civilized ways to solve questions like these your doctors should have come to me, i agree. with this situation

, kuvykin is also free. thank you just bye. we just wanted to figure it out among ourselves, so as not to be drawn into this guide, we wanted the best, but it turned out, as always. good afternoon. okay, no big deal, i'll tell you later.

what what was that mistake? that this will never happen again. and that it's not about me, this is such an excuse. it's not about you, it means. don't you like it anymore? drop everything for now. well, no, maxim all the girls are different, for someone, of course, this is exactly what it means, and someone else has a completely different good i wonder what it means, if i knew her, i would be able to answer this question. and so.

on the street what was that? what

did he want for you? it's irrelevant, what the heck do i know what you were talking about? well, don't tell me what happened between you, i can't. only women's

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in my substation to doubt professionalism brigade khlynin. and now what is it like to convene a medical commission on your own? and now i'll tell you what i think about it. and i know that the boys sometimes fight and it’s right that they talked to each other and found out the relationship. no, i mean, yes, i fully support you. i also completely agree. very well. well, everything seems to be quiet there.

yes , of course. heartbeat well, when there is no calling, you know? hello why did they miss the diagnosis three times? when i told you in a burst, my hair stood on end with you. imagine a person with many years of problems with the thyroid gland goes for an x-ray

using iodine contrast. okay, iodine. it could also cause severe intoxication, the whole body flew. he started calling an ambulance first for an intestinal infection, then for pressure then for more of the heart, and they came and treated the symptoms every time, completely ignored the cause of this or not, because they did not collect an anamnesis and each time they treated the stupid ones mediocrely from what they were called to, of course, boiled up to a person. well, what did he want? they call me, who is he? yes,

mom, well, where are you? i had already packed dinner and cooked it. soon we will be a difficult challenge. bruises are fresh. speak louder hard to hear. i say the patient got intractable. i will try to be. heartbeat is not rhythmic rapid blood pressure 160 to 80 working pressure what is yours?

i often do an ecg as a job, well, once a week, or even two, when i grab an ambulance, i call this week for the second time at the cardiologist. watch polyclinics for sure. we have been with my cardiologist for five years. with my atrial fibrillation, we did not think about the operation. come on, what kind of operation at my age in my condition will put me to sleep on steel, they won’t be able to wake me up. i'll still live valentine's for me at the dacha. need help is my neighbor filing. my roof started leaking. so we agreed with him. he will repair my roof.

atrial fibrillation at an average rate of 80 per minute axis deviated to the left uh-huh well, as usual, no changes. what we will be ready to do, you don’t know what we will do with your experience. such sensible guys can be changed to the nine, we would be happy, but there are standard algorithms. come choose my path. oh-oh-oh, just not having respect for you. if you give me amiodarone, it will end badly. for us for everyone. you will leave me under observation to come again and see the same picture, then you will tell me to collect to the intensive care unit.

electrical impulse therapy is used in cardiac arrest. well, does it make it easier? i don't i want to go to intensive care, okay? what are the suggestions? how once at the dacha i had an attack, their regional ambulance arrived and instead of amiodoron they gave me about kainamite and the attack, as if it had never happened. then i was in shock 2 months later. i again had an attack in the country. i again asked for a hand inomite and again everything, as if by hand, was taken

off instantly. there are records on the nightstand. you can see, and how many of our townspeople did they ask for koinamite? they say no, only amiodorone can do it twice started. look at the road moment. i didn't help. let's not fool each other . i can no longer endure these torments in intensive care, please, in principle, no one forbids us. i have one drug, another will act in them identical to us. there are such side effects, yes, well, look, she endured it well twice. so he is helping her . oh, i don’t know, so pash, let’s decide what we are, we are treating a disease or the patient said he was very sick, so we will be him. so i can

go to valentine's tonight. listen to during an attack of atrial fibrillation, blood clots form. they can come off to get into the heart in the brain anywhere. here's to making sure that doesn't happen. heparin is definitely needed, i know, but in this sense i control my blood drinking very well. barbarin. you are taking warfarin. yes, well, and the guy is canceled. let's fryn and oh-oh-oh, but not strength. crap. well, i understand that i got you already. well, you understand me too, from this phenyl was taken. i have a whole day. the head is cracking. i

can't get out of bed with procainamide to avoid a sharp drop in pressure, my pressure does not drop any phenyl irina how hard it is with you. i just know my disease very well. i have lived with her for many years. i know myself what shall we do? no, i just returned and such a case is not a standard consultation is needed. a woman with atrial fibrillation diagnosed with medaron does not help her. have you ever done procaenamit instead of amedon. listen well, according to the algorithms you need to do amino replacement of these

drugs the only side effect of procainamide mad so i'm telling you, there was no barrel and the attack stopped immediately. well, logically, if they give it no effect, i see no reason not to replace it. consult covid-19 can take away more than just favorite flavors? get a dispensary. don't cancel your life now. the ministry of health says you are stronger. philip

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no-no back. here's nothing you can't hide. well , let's tell us where they give out something like that? well, one difficult patient got caught. we must be more careful. your olga kirillovna should give bonuses for such work. mom, do not worry, they will write out more. how is the meeting? normal

pulse 70 pressure 100/70. you said your pressure does not fall on procainite. it's better than washing your head.

now while you have 120 to 80 will not. without sharp movements, we will now submit everything. don't worry.

not a word about pressure. valya stop torturing the doctors. you see, i'm fine. that's all for now, i'll pick it up later. good your neighbor is good, only he is very restless to take care of you. let's measure the pressure again, yes, if it turns out to be lower, then i will also be angry, how is your neighbor? valentine 120 to 80 i have a wife. so

tomorrow i will send you a doctor from the clinic. let control your condition. you are my heroes. how many times in moscow called an ambulance for the first time come towards me. so you know what, if suddenly you feel bad again or the pressure drops. please don't be patient. call us we will definitely come. okay? yes, i’m listening, i’ll obey , i won’t see you off, otherwise you will again swear that i’m moving. thank you too.

okay. well, that’s how it is, of course, yes, but suddenly she doesn’t take her anti-clot drug, or suddenly procaenoid, showed a good result twice, the third time it won’t work. yes, you will never guess the drug. well, no, it's not fate.

do you even understand what kind of things we can disband to hell, and whose employees are where, but don’t think for yourself you will regret others. what's the difference now just an excuse. let them find something to complain about. on the first day that we have

employees, it looks like not on medical workers she is gopniks. hello san sanych, you need to replenish aminophylline, you

used to be, but now you cannot distinguish aminophylline from magnesia. install

and then the changers of bronchial asthma, treated should be replaced. it's oxygen. yes, i can’t get used to oxygen after a changer or that there’s nothing san sanych get used to it. now everything is back in place. again on you. she asked him for a mask for inhalation, and instead of aminophylline, she checked you well for me.

bone she put together today. prisoners on death row always bring a delicious dinner, and then i'll call. pasha i'll go and ask. thank you

for putting us with him. thank you so much. you don't know what to say. hello, good.

we have a woman 65 years old condition after fainting. and by the way, our repeated call yesterday, she already had a heart rhythm disorder, but the prefix today. i didn't feel myself. after choosing we are now going to re-call the patient you visited yesterday. alexander sergeevna morozova 65 years old, you still called me. yeah well, i don't know. i wanted to know

the details, look, well, she's had a history of proximal atrial fibrillation for 5 years. equivalent that's right, but her pressure hasn't collapsed. after that i collapsed. he then recovered, maybe they controlled it? yeah , here we are now going to the state after a dip, you can five pressure from yesterday's attack. i will do

so, as we go, and so thank you. ok hello what happened to you? this is me fainting. let's

and then it just jumped out of my chest. and such a strong weakness i can’t raise my hand. i wanted to get up and take pills. how will my head spin? and it's so bad i can't convey this. i called you. somehow she made it to the door. did not go back. and i realized that it was falling. tell me, now my heart

hurts. yeah good guys asked to follow you to be more attentive. this time it's atrial, and the ventricular rate is 200

minutes. come on sine well, with the return of alexandra

sergeevna really, dear, they scared us the door is open. sasha

arteriy is a good doctor, i didn’t like yesterday’s doctors. what didn't you like? i didn’t say if you need to take her to the hospital too lazy here, please, the result the next day, but when i left yesterday. today

what do you have we have ventricular tachycardia, i will have a request for you. will you please follow the patient and let us know how she is, because after resuscitation, the tape recorded a complete blockade of the left leg, bundle, hys wow yes, yesterday, that's atrial fibrillation, and today ventricular. come on, than they shot yesterday, i remember.

she tolerated satisfactorily, the only complication was only a decrease in pressure, which, in principle, well, is permissible. if it were, you would not have brought her ventricular propinamit. we shot yesterday, and you are kyrgyzstan today, which means that it’s not necessary for you, but for your colleagues. i don’t see any fault for my colleagues, okay? that you generally brought her alive, otherwise we would have continued discuss. i see that you love it only with the involvement of a medical commission. and here it is? become a winner