all the developments around russia we've. covered. welcome back here with a look at the top stories in greece talks of forming a new government failed to reach agreement after last weekend's election when they allowed a serious condition some posed by the e.u. and i.m.f. for being too big a hurdle for the country's political parties athens fareed membership eurozone is now under threat. ongoing demonstrations in support of a mass hunger strike by palestinian prisoners pits use in the forefront of the brutal response from the israeli military clashes have been taking place almost daily since over fifteen hundred detainees started to refuse food over their detention without charge and treatment by israel. and the u.s. is partially resuming arms sales to bahrain despite human rights concerns weapons

shipments from washington have been frozen since the crackdown on popular at rest in the gulf state last year. next slide talks to a top russian cardiac surgeon about new hopes in the fight against hard to see. hello again though welcome to the spotlight. on r.t. i'm now you know and today my guest in the studio is. the world health

organization says about seventeen million people die every day have. had accounts for more than twenty percent. russian cardiologists have dramatically advanced the treatment i pod disease in recent years but what remains to be done today my guest is a prominent cardiac surgeon i recall interest a world famous doctor and medical researcher. professor reddy surely was the head of a group of scientists who developed a brand new method of disease diagnosis their computer programmer and does a three d. image of a heart highlighting damaged functioning so although it was just one of many medical breakthroughs in recent times it did little to advance the reputation of medicine and health care in russia foreign experts describe as quality is poor and many russians prefer getting treatment.

hello thank you for coming to our show let's start with this they say that it is in car accidents now there are aids nor any diseases that are the leading cause of death worldwide it is still hard diseases that claim more lives than anything else is that still correct and the discourse additional bodies. yes that is definitely true when i reach over fifty percent i will just search caused by cardiovascular diseases and what is tragic is that a fairly large share of fetal cases is caused by sodden cardiac arrest or three and a half million people die of sudden cardiac arrest worldwide every year but in russia alone it cleans two hundred fifty thousand lives a years assuming we healthy person can die within an hour without exhibiting any symptoms at the time prior to their death. what. recently hosted the sixty six international congress of the european society for cardiovascular and the

vascular surgery these are the people who actually deal with such cases and anybody see congress was held in moscow does this mean russia still maintains its reputation in this field is to get a bit of that and. that is absolutely true russian cardiac surgeons are proficiency in all of the existing methods so part surgery they are capable of performing any kind of operations little book area president of the russian cardiac surgeons association or chaired the congress of the senate in his opening lecture on professor the russian cardiac surgery has gone through all stages of development starting out from primitive open chest surgeries in the united to a fifty s and eventually mastering state of the yard operations such as cardiac arrhythmias surgery in from surgery so hard transplanting the torso artificial heart implantation. you are one of the most renowned cardiac surgeons not only in russia but also worldwide he was in the papers recently headed received an award

for developing a new diagnostic method. that the article said it was a group of mathematicians and engineers how did they let it to get involved in what exactly is the method it's a card examination method right up to them if they're absolutely wrong it was there you see having started out as a chord experience you know the eventually come to perform interventional surgery and solution free flowing catherine technology recent years we started and to teaming an idea of diagnostic patients using a new method the so-called heart mapping it involves setting up two hundred fifty electrodes on the patient's body still in the patient undergoes a c.t. scan and we map out the position of the electrodes on the patient's heart anatomy and then then our mathematicians physicists and programmers if you can establish an algorithm to calculate the difference in portentious between body surface and hard to do in this ship and in other words you attach electrodes to the patient's skin

through the chest are those like sensors that's what is the register electric current the electric filter generated by heart action is absolutely a good data from two hundred fifty electric cardiogram leads rather than the twelve that were noted a hundred years ago was we processed them into a colored three d. model of florida action this method is highly accurate and we hope that in the future we'll be able to treat certain cases so far with a man about only without a puncture but without touching the patient a told of their long distance radiation therapy neither x. rays or ultrasonics will doesn't call. this discovery effectively confirm is the theory that arrhythmia is essentially an election dysfunction within the hearts. is that correct. and we know dysfunction can never be isolated there house to be a so-called material substratum even if it is a single cell it will have changed its function for certain reasons the change may

be irreversible or irreversible. it can be brought about by to shoot change or the gene factory and so forth i'm convinced that there is always some material substratum to any of their guns ability of the heart you are known as a pioneer of ablation theory involves treating arrhythmia in specific spots. specific spots of the heart but it's simply you find an effect to the area but if you read with electricity and there with me it goes away it's nice in many cases what is the percentage of successful ablation these days it used to be about thirty percent when he started that has increased it was the first cardiac surgery emerged and he had a very high success rate up to ninety five percent but it required extensive surgery with want to fishel blood circulation so the lecturer physiologist decided to use katherine technologist eliminates areas affected by the disease those are small local spots which need to be detected accurately for certain types of

arithmetic produces a similar success rate of ninety five to ninety eight percent not with all types. or with mean for instance open heart surgery is more efficient than catherine technology it's now over electrophysiologist in international surgeons keep refining their methods trying to make open heart surgeries or forms just. so what is the current rate of a successful initial ablation can you give us the figures up with coke butts and this in terms of stable turkey cornea such as the wolf parkinson award syndrome a kentucky close saw your extra system it's about ninety five to ninety eight percent pretty high he said with so rare with me it's worse with only fifty percent but if a patient comes early within a year after the disease has started then treatment efficiency increases to ninety percent let's take a look at some of the most up to date methods russian carried the ologists used to save people's lives here's this report from spotlight. a breakthrough in courage deal with treatment in russia the country's first ever

successful implant of an article. hard last year attracted huge media attention a state of the art todo artificial heart that works for up to six years is a real hope for those waiting for a donor organ and they're receiving one in russia is problematic as the result lack of public support for donors until the general attitude changes scientists have to look for alternative solutions like this one an artificial valve made from a pig's heart invented by a russian surgeons it helps people with rare and life threatening heart defect russian scientists are also working on technology that would allow organs to be grown on demand by a printing technology is being developed by the federal scientific research center of transplant and by artificial organs in moscow it is working on coping cells to eventually pruning organs the technology is though ten to twenty years of what's

already at hand is this russian invented and scan which helps with the early diagnosis of the disease or have to do is clip it on to the and of a finger and get the data concerning the cardiovascular system the inventors of the technology say if it's available for domestic use they'll be much less of those in need of surgery the statistics say cardiovascular disease is responsible for fifty five percent of deaths in russia doctors blame it on stress unhealthy eating habits lack of prevention and as long as people are carefree with their house with ever sophisticated technology it may turn out how plus. what we do with it we have just looked at the state of the arctic knowledge technologies more according to your explanation elation therapy is a simple operation as compared to open heart surgery requires sophisticated

technologies what will these technologies. ever become available at least you know major cities of russia and when you like to say they will benefit the entire nation they so far the only dude in a couple of clinics and you know as a matter of fact this record describes something truly unique that's for everything we have one hundred centers working on russia one hundred already one hundred in the form this theory of the need to ablation sound so them z. ablation therapy in all conflicts stucky clarity cases and fifty of them to blish and cases of soul aretha man atrial fibrillation that's about it is that a lot or a little well it's four times less than it should be although we do you have plenty of specialists professionals but we still need more of these centuries like what we call new the ask look at linux or to be more precise international cardiology clinics the same goes for international air with mall a g eight is desirable that we have at least twenty more clinics so that contostavlos to russia within the next ten years should just get out it's what you

are a top notch surgeon who will do work to promote such clinics or do you rather stick to research in theory and then the health care ministries develop the trend you can with faith that i've seen no i don't merely stick to research and present some also president of the air with mall it is association which is my social commitment will see as just a few days ago we had our we should chillingworth convention with about a thousand participants including the most prominent experts from all over the world and we were discussing the issues related to our profession the globe is a full auto that will send our choir read to the health care minister to discuss things we have very good relations with the ministry for the first time and mean years he was a hope for a positive response to our president said recently during a presidential it wards hearing many on the medical professionals day he said it was or is that in the one nine hundred ninety s. there was no money available nowadays we do have the money for you is it true that does the government have more money to spend on health care yeah i think so for example this year we received one thousand. implantable car diverters leaders just

last year we. hundred five hundred our cities but so now we have a thousand more although we still wish we had the chance thousand niceties available take a lot of money working a lot of money but we definitely need to increase that amount because russia is still lagging behind in terms of preventing sudden cardiac deaths and blackouts that says i mean i literally surely as prominent cardiac surgeon and medical research spotlight will be back shortly after we take a break stay with us. there hasn't been anything good on t.v. . it is to get the maximum political impact.

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back to spotlight i'm alba knob and just to remind you that my guest on the show today is i mean i'm going to surely a prominent cardiac surgeon and medical research i. was going on there on you have just told us about the present day capabilities of russian medicine to want to thank you kili cardiac surgery which is your specialization indeed it is common knowledge both in russia and abroad that russian cardiac surgeons are some of the best in the world then why do so many russians prefer being treated abroad invest effort to be treated abroad they're not afraid of being treated in a different country even if they don't know their language is not getting a series you abroad. it is considered three stooges and it has become a matter of class it like telling a broad indication that you go to france for a holiday and you go to germany for surgery in egypt so why is it. that you saw the website of your eyelids under to say the question surgeons i'm

a cardiac surgeons in particular have accomplished a lot in surgery on a global scale the so-called collar selfishness to most this method was the very first method for coronary artery bypass graft in a report at the world scale conference will mention professor kala self's name is on there is heart transplantation not for humans yet but as a matter of animal testing and it was done by professor demi who's mentor to christian barnard the chimps are colossal as well what's been going on in the past decade first of all in every trial you know afford going abroad on vacation so why not get a surgery in the meantime while space sites it is a matter of christie should just say i spend holidays and get medical treatment abroad some will want to circle a patient may wish to withhold certain details with regard to his or her health issues but there was more. patient confidentiality considered irrelevant in russia but some patients may prefer to keep it secret from people they know that might be part of the reason for getting surgery abroad but there is more to it what

a large share of the patients get treatment abroad so come to us to finalize their treatment up on coming back to russia or coming to their to go she says she means that russian doctors are not worse if they aren't. why then you mention several objective reasons that are not related to the quality of russian surgeons as such but if you were to be self-critical what do you think russian patients to go abroad so they do their confidence in russian doctors are they afraid or is it simply this somewhat parochial stewy said that we have that everything is better in europe. do they have a reason to ari. but you will you know we take national health care standards in general those patients are right there are better off your own brought to get medical. they smoke so what you're saying is that health care in moscow and health care throughout russia are not the same unfortunately it's true health care in moscow st petersburg and wants to be risk or tums or what different from the rest of the country of chicken people who come from other regions of russia if they can afford going to germany or france to get her surgery there's nothing wrong about it

such as collusion i'd love to say that in terms of technology is russia's major clinics are capable of performing any of those types of surgery are for one believe that in our field of international air with knowledge we don't know of any method or surgery that we wouldn't be able to perform and if we provide quality here it proper professional level is down to russian health care or simply lacking advertising skills article of a. decline absolutely went into advertising should be able to compare the performance over russian surgeons to that over their foreign country or its however i would agree that post-surgery kiran and her standards are different to broad we still lag behind the west in this area but with new shows up in inevitable i suppose they are better equipped to cut you have mentioned the one hundred clinics that russia has still but you've also said that you were supplied with five hundred cardiac implants last year two thousand this year but you really need ten thousand that's a minimum requirement which means you are under supplied by almost ninety percent

there's a shortage of high tech equipment and you know those people who travel abroad to get a surgery they pay a lot of money several times more than what they would pay to a russian hospital even as private patients would just then but it is great that they can afford this effectively supporting western medical institutions but which we still believe that the russian erith mall which is community may be proud of some of its achievements that i've already mentioned mapping of couple to see there are currently only two systems of the kind of worldwide interest one in the united states called party can side and pioneered by dr your maruti and then there is our system called ami card. but arses. some software is much more capable we have already established serial production we are selling those systems and soon will be market in them and europe to provide state of the yard diagnostics that's what i mean schmidt to do list. is in the way i read in the news that the battle of

medical center that you work for will launch and if you leave the clinic in iran asia as a true yes. it's at an upload provide exactly the same scope of services. yes they make a buck a professor a little bit kerry and myself have already launched an affiliated institution and perm which performs over three thousand open heart surgeries annually in what would this is tremendous intensity matched by only select clinics in europe and in may we decided to set up a clinic in miron issued will provide medical services all with least the same scope and quality as the bulk of center watching the work that i use a question that i've wanted to ask efficient specifically because i have interns coming to russia today. and i'm horrified to find out there are thirty years students of a language institute that does not actually speak english they study it but they don't really know it's a fourth you student we use in history and will get a degree in history may not know the year we'll do two ended is there

a similar trend with medical students many to quit those with unfortunately the race so once this new generation comes to replace you we should abandon all hope of getting proper treatment if i don't think so we select our staff a lot of people apply for internship or residency with our clinic and we do admin hundreds of insurance but some of the best get to become residents and i can tell you any generation has its own unique brilliant minds and it's your clinic that educates them absolutely right we don't do it at medical schools i would say that they also have tons of young people there and they speak good english and they could be nominated for an internship abroad and it definitely should be done because exchange is incredibly helpful i was fortunate to practise at some of the. best clinics in the u.s. in the 1980's i spent almost a year a duke university and then several months at the cleveland clinic it was a great opportunity to work and to research and then i returned to russia and stayed here because that is where i grew up and i wanted to apply all this technology and training here set up an identical surgical unit at our hospital

without any you know it didn't work out for the simple reason that the system of education and training there is difference over it is still my dream that we should have not as much as a replica of the us system but the same observation as american citizen thing that we need to work for. you say might evasion which many people think that money of asian immigrants to money those american doctors will paid and that's their motivation or is there mooted going to go out there are all practical people so let's face it there's no money you certainly essential in the united states if you're number one in your field you will definitely have the biggest salary and get the best promotions there is no other way you can't rely on your connections. that's why all those interns and residents in the us work twelve to sixteen shifts for a month misses and it takes them at least ten years of hard work to become a cardiac surgeon we should have a similar system in our country and that's where we should move it's in the worst of the on the other hand if ization of your qualification in russia may show up at

work two or three times a week for a couple of hours in the end of the week they would say oh i'm so tired he complained to the ethical fellow oh no that's not true it isn't i knew nothing of the economy are cardiac surgeons come to work at six am and they only go home after ten pm mostly however senate and sunday are family days it's a sacred rule we top surgeons may still be at the clinic on a weekend though they're still with us with the. what is the reason for the current increase in mortality related to certain cardiac arrest and heart disease in general. it would seem that there are increasingly sophisticated pharmaceuticals available. is inventing and more people can. for quality here why do heart disease remain so deadly again when first of all we don't actually know all the risk factors we knowingly thirty percent of all respecters that lead to sudden death which is stress smoking environment issues right along with previous heart attacks or kartik function such patients are on the thirty percent risk of sudden death

within two years and the remaining seventy percent the other seventy percent are supposedly healthy but the also die and we don't know why it's a medicine is still art or then science still has that right with what we know those who survive certain according to his that eighty percent of them have had a previous mark already unfortunate your ticket at the so it's still about atherosclerosis and three bosses therefore you need to steer clear of smoking in haifa thirds and avoid hard pretense of disease and diabetes in order to reduce the risk of sudden cardiac death on top of that in russia those are also critically important social factors that play more. to heart disease is increasingly affect younger demographics not only in russia but also worldwide which is so intense with hard defects why's that but you didn't date children have computer games cell phones surf the internet use god and so forth so all this information abundance has an enormous impact coupled with

a sudden to realize style entertainment that doesn't involve any physical activity and on healthy food. you look at what is going on in america where obesity is such a problem junk food. that's the problem there are dealing with now just look at how many healthy lifestyle shows they have on t.v. there were hardly any five years ago now every time i go there for a convention or turn on the t.v. there's all the talk about this kind of it it would there used to be a time when russian physicians with proper training and qualifications had an enormous difficulties finding a job abroad question diplomas were not recognized even though curriculum was considered high quality just not good enough is that you. changing you know. russian physicians enjoy better recognition internationally these days the only inflames to the domestic job market with the week i thought was i will do that with the opportunity to listen to. any russian cardiac surgeon that has a russian diploma but no european certificate and he's not authorized to perform

surgery in any european hospital with spare only allowed to do experimental research and so the guy experienced the same problem back in the one nine hundred eighty s. so you have to go through the whole sequence again get into medical school graduate interested in seeing that's through and it's indispensable for getting certified as that it will at the recent terrorist mall which is conventional we arranged to introduce uniform certificates with the european hearth with muscle she ation along with uniform examinations that shouldn't touch all russian surgeons to get jobs in european hospitals if it is so this issue does exist and if you're a russian cardiac surgeon who wants to work in america you need to brace yourself for twelve more years of training and it is circle which is twelve years yes that's why many of my friends who moved to the us including some world class surgeons have to work a sense to do other things on the field then work insurgents through a thank you thank you very much for being with us and just a reminder that like us on the show today was and they're on a leash really a prominent surgeon and medical research and that's it but out of all of us here if

you want to add your sales quad live or if someone in mongolia think i fit in to the next guy. who'll get back with more full time comment on one thing going on in and out that russia until then stand r.t. and take a. guess about. that.