i. don't come. from the heart of the russian capital where you have now. greece as a reconcilable differences. with the president now leading up final charge for unity. rallies in support of hundreds of palestinian prisoners on hunger strike in israeli jails face brutal crackdowns by the israeli military with the protesters . and the u.s. . debt facing a lifetime of. struggling to find jobs the true cost of their education.

now in half an hour's time bill dog will be here for the. program talking to a cardiac surgeon about the new hope in the fight against heart disease thank you for watching arts. hello again though welcome to the spotlight. on r.t. i 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 of hog disease in recent years but what remains to be done today my guest is a prominent cardiac surgeon i recall it was 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 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 discourse additional bodies there yes that is definitely true and 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 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 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 a fifty s and eventually mastering state of the yard operations such as cardiac arrhythmias surgery and from surgery so hard transplanting the torso artificial heart implantation going to do this 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 physicians mathematicians and engineers who did the letter to get

involved in what exactly is the method it's a cardiac examination method right up to the basics and then absolutely it was there you see having started out as a chord experience you know eventually come to perform interventional surgery in solution for employing catherine technology which recent years we started to entertain an idea of diagnosing patients using a new method the so-called heart mapping it involves setting up two hundred fifty electrodes on the patient's body still the patient undergoes a c.t. scan and we map out the position of the electrodes on the patient's heart anatomy and then our mathematicians physicists and programmers if you can now go to the difference in portentious between body surface and hard to do on this ship and in other words you attach electrodes to the patient's skin to the chest or those like sensors that's what do they register electric current the electric field generated by heart action absolutely 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 man not only without a puncture but without touching the patient at all of their long distance radiation therapy either x. rays or ultrasonics it will call. this discovery effectively confirms the theory that arrhythmia is essentially an election dysfunction within the hearts. is that correct. 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 convinced that there is always some material substratum

to anyone up there going to the military of the heart you are known as a pioneer of ablation theory involves treating arrhythmia in specific spots searing 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 and that has increased what was 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 a lecture of physiologist decided to use catherine technology is to eliminate the areas affected by the disease those are small local spots which need to be detected accurately for certain types of various me it 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 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 butts and in terms of stable turkey cornea such as the wolf parkinson award syndrome the kentucky close saw your extra system it's about ninety five to ninety eight percent pretty high he said with soaries 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 in want of a narrative. 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 there are see even 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 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 prove 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 may turn out how was. what we do with it we have just looked at the state of the arctic knowledges technologies more according to your explanation ablation 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

but 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 molly we have one hundred centers working on russia one hundred already one hundred in the form this therapy need to ablation sound so them z. ablation therapy in all complex stucky clardy cases and fifty of them to ablation in cases of siller a wreath me an 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 the ask for to be more precise international cardiology clinics the same goes for international air with mol a g eight is desirable that we have at least twenty more clinics so the contostavlos to russia within the next ten years should just get out to do what you are a top notch surgeon who will do your 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 go for your kind of thing because no i don't merely stick to research and press or 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 issue 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 they can all because of this they 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 defamer leaders just last year. hundred five hundred our cities but so now we have

a thousand more although we still wish we had it's an thousand niceties available take a lot of money will be 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. wealthy british style stock.

market why not come to. find out what's really happening to the global economy with max conjure for a no holds barred look at the global financial headlines tune in to kaiser report on our. line. would be so much brighter if you. sung from feinstein question. comes from stock totty dot com. 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 surely a prominent cardiac surgeon and medical researcher i. was kind i mean ron we you

have just told us about the present day capabilities of russian medicine in the war that you kill a cardiac surgery which is your specialization and 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 surgery abroad is considered three stooges it has. you come and matter of class at lake killing in broad indication you go to france for a holiday and you go to germany for surgery france in egypt why is it so. i saw the website of your eyelids and your to say the question 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 kala selves name is and there is hard transportation not for humans yet but as a matter of animal testing and it was done by professor deming who was mentor to christian barnard and. colossal distaste for what's been going on in the past decade first of all in every truck in our for going abroad on vacation so why not get a surgery in the meantime by sides it is a matter of procedure to say i spend holidays and get medical treatment abroad someone secondly 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 coming to their to go she says she 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 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. 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 will of 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 and if we provide quality here it proper professional level is down to rushing to health care or simply lacking advertising skills article i'm a senior. salute leak when an advertising should be able to compare the performance over russian surgeons to that over there 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 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 or all 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 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 talk to your morality and then there is our system called on me card. but our system software is much more capable. now already established serial production we are sewing those systems and soon will be market in them and europe to provide state of the art diagnostics and that's what i mean should have to do list. is on 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 is it 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 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 all with least the same scope and quality as the bulk of center watching. there's 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 year student 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 with 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 residence or whatever clinic going to 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 berlin 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 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 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 motivation is american citizen something that we need to work for. you say motivation which many people think that money of asian immense to money those american doctors will paid and that's their motivation or is there more to it going to look like it we 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 and 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 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

consciousness of our 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 that's. what is the reason for the current increase in mortality related to sudden cardiac arrest and heart disease in general. it would seem that there are increasingly sophisticated pharmaceuticals available. venting and more people can afford quality care why do heart disease remains. deadly of a way 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 in medicine is still art or than science storm

is that right with what we know those who survive certain according to his that eighty percent of them had had a previous mark already unfortunate still to get 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 is 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 sedentary lifestyle entertainment that doesn't involve any physical activity and on healthy food. look at what is going on in america for obesity is such

a problem junk food down to it is clear 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 i turn on the t.v. there's all the talk about scarlet 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 recognised even though curriculum was considered high quality just not good enough is that changing you know. enjoy better recognition internationally these days. to the domestic job market with the week i thought was i will do that with the opportunity to listen to say. any russian cardiac surgeon that has a russian diploma but no european certificate he's not authorized to perform surgery in any european hospital with spear 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 into resiliency that's true 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 significance with the european hearth with missile shisha along with uniform examinations but that shouldn't touch all russian surgeons to get jobs in the 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 sinister is done to other things on the field then work insurgents through thank you thank you very much for being with us and just a reminder that while us on the show today was on that 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 clear up someone in mind who you think i fit into the next guy.

who'll get back with more of those uncommon thought of what's going on in and out that russia until then stand and take a. lesson that. take it. clinician

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