video for your media project free media. if you're just joining us a very warm welcome. here your headlines now in greece talks on forming a new government failed to reach agreement the last weekend's election with. conditions imposed by the e.u. and. for the country's political parties very. demonstrations in support of the. palestinian prison is in the forefront of the brutal response from the israeli military the clashes have been taking place almost daily since fifteen hundred detainees started to refuse food over the detention

without charge by israel. and the us. despite human rights. weapons. in the gulf state. well those are the headlines for the. spotlight and i'll go off talking to a top russian. about new hopes in the fight against. hello again though welcome to the spotlight. on r.t.

i'm now you know and today my guest in the studio is i mean. 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 of hard disease in recent years but what remains to be done today my guest is a prominent cardiac surgeon i recall just a world famous doctor and medical researcher. professor ready 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 the heart highlighting damage. 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 isn't car accidents now there are aids nor any diseases that are the leading cause of death worldwide but it's 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 of all deaths are caused by cardiovascular diseases and what is tragic is that a fairly large share of fetal cases it's caused by sodden cardiac arrest were three and a half million people die of sudden cardiac arrest worldwide every year in russia alone it claims 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 its reputation in this field is to get out of that. 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 for a little bit kiri a president of the russian cardiac surgeons association or chaired the congress of the senate and he's open 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 infant surgery hard transplanting 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 who did the letter to get involved in what exactly is the method is according examination method right up to the. absolutely it was there you see having started out as a cordic surgeon of eventually come to perform interventional surgery in solution for employing catherine technology recent years we started ranta teaming in ideal 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 stablish an

algorithm to calculate the difference in portentious between body surface and heart that you'll not see any other words you attach electrodes to the patient's skin or to the chest or those like sensors that's terrific what is the register electric current the electric field 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 at all of their long distance radiation therapy or x. rays or ultrasonics it will call. this discovery effectively confirm is the theory that arrhythmia is essentially an election dysfunction within the hearts. is that correct. dysfunction can never be isolated

their house to be a so-called material substratum even if it is a single cell it will have changed its function for certain reasons that change may be irreversible or irreversible. it can be brought about by to shoot change or the gene factor and so forth i'm convinced that there is always some material substratum to any and up to and stability of the heart you are known as a pioneer of ablation theory involves treating arrhythmia in specific spots by searing specific spots of the heart but it's simply you find an effect to the area but as you would with electricity and the arrhythmia 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 going to has it increased it was the first cardiac surgery merged and hit at a very high success rate up to ninety five percent but it required extensive surgery with want to fishel blood circulation so

a lecture of physiologist decided to use catherine technology is still in its areas affected by the disease those are small local spots which need to be detected accurately with certain types of various made produces a similar success rate of ninety five to ninety eight percent not with all types. or with me for instance open heart surgery is more efficient than katherine technology it's however electrophysiologist an 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 but i think in terms of stable turkey cornea such as the wolf parkinson award syndrome a talkie 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 cardiology treatment in russia the country's first ever successful implant of a narrative for. 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 pruned organs the technology is though ten to twenty years off what's already at hand is this russian and then to anger 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 was. 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 do it in a couple of clinics. as a matter of fact this record describes something truly unique and us who are with knowledge we have one hundred centers working on russia one hundred already one hundred in the form this therapy ablation sun so them see ablation therapy in all complex stucky clardy cases and fifty of them to ablation in cases of soul aretha manny 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 have plenty of specialist professionals but we still need more of these centuries like what we call new vascular clinics or to be more precise international cardiology clinics

the same goes for international air with mall or g. it is desirable that we have at least twenty more clinics of the current established in russia within the next ten years or she just ultimately you are a top notch surgeon would you work to promote such clinics or do you rather stick to research and therapy and then the health care ministries develop the trend you can with faith that i've seen here there's no i don't merely stick to research and practice 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 of this 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 in ward syria 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 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 that thousand more although we still wish we had the chance thousand niceties available take a lot of money 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. if

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welcome back to spotlight i'm not been just a reminder that my guest on the show today is i mean i'm going to be nearly a prominent cardiac surgeon and medical researcher i. was kind of there on you have just told us about the present day capabilities of russian medicine or the war the particularly cardiac surgery which is your specialization and indeed it is common knowledge both in russia and abroad their 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 surgery abroad is considered three stooges. it has become a matter of class it like telling a broad indication you go to france for a holiday and you go to germany for surgery france in egypt why is it that the

missiles i use on the website of the. sender to say that russian surgeons democratic 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 call itself name is and there is hard transportation not for humans yet but as a matter of animal testing and it was done by professor democrat who was mentor to a christian born ard and. lost to us for what's been going on in the past decade first of all in every trial you know or for going abroad on vacation so why not get a surgery in the meantime by sides 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 that 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 still come to us to finalize their treatment up on coming back to russia or coming to the century means that russian doctors are not worse they aren't what you were and 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. to go abroad so they do their confidence in russian doctors are they afraid or is it simply this some would parochial stewie's had 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 care. so what you're saying. is that healthcare 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 you love chicken people who come from other regions of russia if they can afford going to germany or france to get a 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 molly we don't know of any method or surgery that we wouldn't be able to perform when we provide quality to hear it proper professional level or someone who is down to russian health care or simply lacking advertising skills article i'm a senior. police and went advertising should be able to compare the performance over russian surgeons to that other 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 the inevitable i suppose they are better equipped to cut you have mentioned the one hundred clinics that russia already has the but you've also said that you were supplied with five hundred

cardiac implants last year one thousand this year but you need ten thousand that's a minimum requirement which means you are under supplied by almost ninety percent there is a shortage of high tech equipment and you know those people who travel abroad to get a surgery they pay a lot of money some real 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 with which we still believe that the russian erith mauler jewish community may be proud of some of its achievements that i've already mentioned mapping of couple of cigarette currently only two systems of the kind of worldwide every swan in the united states cold hearted can side and pioneered by doc to your morality and then there is our system called omni card with you on what we do but our system software is much more capable. we have already established serial production we are sewing build systems and soon will be market in them and europe in the future provide state of the art

diagnostics and that's what i mean should be able to do just. isn't 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 ish as a true yes. it's at an upload provide exactly the same scope of services. yes they make a buck a professor little book kiri and myself have already launched an affiliated institution and perm which performs over three thousand open heart surgeries annually this is tremendous intensity matched by only a select clinics in europe and in may we decided to set up a clinic in miron issued will provide medical services i would loose the same scope and quality as the bulk of center watching the work that i use a question that i wanted to ask efficient specifically because i have interns coming to russia today. and i am horrified to find out there are thirty years students of a language institute that does not actually speak english they study it they don't really know it's a fourth you student majors in history and will get

a degree in history may not know the year will go to ended is there a similar trend with medical students many to quit those unfortunately there is 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 admit hundreds of insurance but some of the best to get to become residents and i can tell you any generation has its own unique brew and mind and it's your clinic that educates them absolutely right we don't do it at medical schools i won't 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 us in the ninety. eighty's i spent almost a year a duke university and then several months at the cleveland clinic it was a great opportunity to work into 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 different over it is still my dream that we should have not as much as a replica of the us system but the same observation is american citizen thing that we need to work for we're going to look at scott and you say motivation which many people think that motivation amounts to money those american doctors are a well paid and that's their motivation or is there more to it 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 u.s. 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 some of 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 can't seem to get the ethical fell oh no that's not true it isn't i knew nothing of the carnage of our cardiac surgeons come to work at six am and they only go home after ten pm mostly however centered in sunday our family days it's a sacred rule we top surgeons may still be at the clinic on a weekend though that's. 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 afford quality care why do heart disease. remains so deadly a bit first of all we don't actually know all the risk factors we knowingly thirty percent of all respect hers 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 than science still means that right with what we know those who survive sudden cardiac death is that eighty percent of them had had a previous mark already own fortunes 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 but those are also critically important social factors that play. to heart disease increasingly affect younger demographics not only in russia but also worldwide which is so intense with hard defects why is that but you didn't date children have computer games cell phones

surf the internet use skype 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. look what is going on in america for obesity is such a problem junk food. that's the problem they were 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 what there used to be a time when russian physicians with proper training and qualifications enormous difficulties with finding a job abroad question diplomas were not recognized even though curriculum was considered high quality just not good enough is that changing no cookie dough to qualify. direction physicians enjoy better recognition internationally these days. going to planes to the domestic job market with wheat i thought was i will do that

with the opportunity to lead to say. in a 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 he said 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 in just bounce before 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 did it in a 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 sanest as you just done two other things on the field then work insurgents through it 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. medical research and that's it but out of all of us here if you want to add your sales quad live what if someone in mongolia think i fit into the next guy. who'll get back with more calls than comment on what's going on in and out that russia until then stand r.t. and take a. listen to. that.