tv Doktor Myasnikov RUSSIA1 April 22, 2023 11:40am-12:46pm MSK
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today in the clinic of dr. myasnikov there is a high temperature, what if the doctors cannot find its cause? what kind of reflexes can lead to such a persistent increase in temperature, but it is the melting of bones. if the elderly here, of course, arise it is important to determine, because what is the complication of blindness. you can then diuretics, who needs them to maintain health, and who can be harmed, that is, they are used to treat a condition that leads to these edema. here it is filtered and goes back to the blood stream heart. it may even stop, which is why it
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is very important to simply eat rice, how to use it to normalize blood cholesterol levels. just when you have a choice, it is better to choose a more useful product. is it possible to clean the joints with rice. if you eat the right rice, is it low-calorie enough that it is steamed? hello, i’m dr. myasnikov and in my clinic on belarusian channel russia 1 and today we have a lot of interesting things waiting for us, we’ll talk about whether it’s worth turning your right cheek if you were hit on your left, you see, we are talking about this and let's talk. who benefits from rice, and who does not? we will also talk about an interesting topic, by the way , we raise a rare fever of unknown origin, well, we will draw up instructions for the use of diuretics, so, as you can see
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, many, many interesting things await us? instructions for the use of diuretics this is important because we use diuretics for other purposes, we use them not as prescribed by a doctor and it is impossible to do something about it, you will still want to lose weight, all the same women will have swelling under the eyes. there will still be a ring removed, diuretics will still be taken. and if you look, every second woman in her purse must have a diuretic from the fact that, so to speak, there will always be. well, let's build uh, the application algorithm is also listening. so the first thing is that
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you won't like it. let's be like this , it will be m in this circle, diuretics are not used. at a locally wanted. this is the same thing, right here on my face, something i have one pooh's other leg. no, i don't wear a ring in the morning. diuretics are used to reduce weight or with a delay liquids are not local , but in general fluid retention in the body, which can be manifested by edema, edema of both legs, weight gain of water, that is, they are used to treat a condition that leads to these heart failure this is a liver disease.
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check and others, but diuretics are the most widely used among us all not for the treatment of edema even in such serious conditions, but for the treatment of hypertension hypertension, if, by the way, you think that you do not take diuretics look at the composition of those drugs that the doctor prescribed for you downgrades pressure there, the second or third component will definitely be a diuretic . so we decided when we take it. now the second point is important to understand that they are different. here is a nephron, yes, here is a glomerulus. here is approximately here is such a structure
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is a loop genes what happens to the kidneys? filter blood plasma. you see, there it fits. i drew a glomerulus of capillaries. and here they are in this ball further. all our blood that circulates with us many, many times passes through this membrane through this nephron, there are hundreds of thousands of them there. here she is filtered. and goes back to the top of the blood, because throughout everything. the course is reverse suction. that is, what was filtered out, what i poured back goes back. why is this important do you think that diuretics remove anything from the water , they remove electrolytes, they remove sodium. you remember, sodium, chlorine is
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salt, yes, and water always follows sodium, of course, also potassium and other electrolytes and diuretics, different diuretics acting on different ones. structures anyway? prevent sodium from being absorbed vice versa, that is, sodium itself is filtered in a natural way, but then it gets back into the vascular bed, and diuretics block sodium. oh does not disappear, respectively, water goes for sodium, we lose and here. powerful diuretics such as furosemide. well, then there was terrasemide, then there was bommetamide and long- acting drugs. that's how hypothiazide chloride or should and so on. what is the difference? the first group is a powerful diuretic the second thiazide
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these last two 6 hours. drives drives water , these act, 12-24, and chlorthaledone up to 48 hours. that is and now the rules. you must not exceed the diuretic dose. you must take the minimum effective dose because furosemide is acceptable. it starts working already at 10 mg. the maximum dose for a healthy person is usually 40 mg. if we transfer to terrasemide, then we must divide by 20, yes, that is, one to twenty. if you immediately take a large dose, you can lose a huge amount of fluid up to 4 liters.
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you will lose. you will lose others electrolytes, and yours. maybe it’s just, well, roughly speaking, the heart doesn’t get to stop like that, but so to speak. uh causes, among other things, alkalization fluid loss leads to alkalization of the blood. which is very unfavorable for the body, the loss of potassium leads to the fact that the heart may even stop, so this is very important later even after 6 hours have passed. 6:00 o'clock removed sodium from the body, but then during the day, sodium no longer leaves. that is, if normally it is always filtered always after having given such a blow, the body is locked up for three does not lose, and therefore what happens if you continue to take salt, eat ordinary food, then the whole effect can go to zero, because you seem to be, yes, i have more salt , yes, you no longer eat, but eat, as
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usual, salt, namely the next day, and sodium is not absorbed. and this usual amount will all go to you plus it will not be lost, therefore, if you are already taking a diuretic, you must remember that you have a very, very relationship with salt complex one more differently act on electrolytes, for example. these powerful urinal calcium excrete. through the kidneys and thus can contribute to the formation of kidney stones hydrochlor, thiazide, and others. they, on the contrary, retain calcium. retention in the blood reduces the passage through the kidneys, thereby preventing the formation of kidney stones. ah, in our situation for hypertension. as a rule, we use these drugs, but calcium is also lost in the nephron. it
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also comes out and then is sucked back in changed to chlorine. there are diuretics, which not only do not lose potassium, but vice versa, they retain potassium. these include three. if there are other drugs that we give melorid along with diuretics, two diuretics, one, potassium is excreted, the other retains. well, that's how mash you understood everything, no well, are you in pencil? well, i think that even masha understood a lot about diuretics. be careful diuretic should be obtained only by prescription in our daily life. it is mainly found to treat high blood pressure hypertension everything, let's move on. well, now is the time to answer the questions? masha doesn't want to stay with us anymore. well, her time
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will come. and we'll see. hello , dear doctor myasnikov hello , chuvashia is calling you. my name is valentina. i am 67 years old. i have a question for you. my eyelids close randomly. i turned to neurologists. i'm given blephar spasm. they recommended treatment with injections of pills. i have done several courses. well, it's easier. no. for example, i go eyes closed and stop eyes open. i'm going further. it is very difficult for me to live with this, what else can you advise me, well, the situation you have, er, so to speak. e here's unsolvable like this once i understand that i'm hard enough. this is one of the varieties of dystonia. and this is not only so to say . this should be observed by a neurologist as the cause, perhaps
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, by the way, there may be various medications. and you also need to look at hypertension so that you take it, but there may be organic damage to the brain and other pathways holding. that is, these are quite serious neurological problems, and which require constant enthusiasm for constant observation, so give some kind of advice. if, of course, i give it to you, then it will pass for you . it is not. so here it is. sorry, they won't tell you otherwise. my name is tatyana. i'm from the city pluses of the ivanovo region. as a child, my parents gave me red fat, which i terribly disliked and had an unpleasant smell, and i had to stop being a mother a lot. i understand that it was necessary for health, i want to give it to my children. yesterday i come to the pharmacy and the pharmacist. asks me. what kind of fish do you want? fish oil, i didn’t even know that these exist and happen. what's the difference, she
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couldn't really explain, so the question is this. what is the difference between e, fish and fish oil and which is better to give to children? thank you, i understand. but you know only recently. i probably wouldn't answer either. what's the difference? although like you. well, you are four times younger than me. uh, i spent my entire childhood running from my grandma who was chasing me with a teaspoon. this bubble because it's taste. i will never forget. but so to speak, he always pumped out with my defeats. i was driven into a corner throws back. that's how they plugged their nose from the mouth, then you open to breathe and there this fish fats, no matter how i resisted. we call it fish oil. actually fish oil. it's fat derived from uh, the whole carcass. basically. this is the liver of a fish. it's guts, i'm sorry, and so on. it's one story, and fish oil is what is obtained from the heads and muscles from the chips, actually there is a difference
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. there is a difference, but, firstly, uh, much more. uh, omega 3. these polyunsaturated fatty acids are in the head and in the muscles. that is , this source is much richer, but even then there are no impurities, because, for example, in fish oil. there is also a vitamin. and let's say, which is not for everyone. so to speak , pregnant women are shown to have grown, so there must be fish oil. these are the polyunsaturated fatty acids that go into the composition. ah, omega-3s. they are for children. particularly important because they develop intelligence , memory, motor skills, strengthens the immune system, reduces the risk of viruses and diseases, and helps save your eyesight. well, in general, so to speak, there is no doubt that there is no benefit here. so this fish oil can be taken by children as early as three years old and beyond. you can also use a scissor, by the way, in kamchatka they now
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give free of charge in the queues of elementary schools and kindergartens. that's just this omega-3. uh, they have a whole program sponsored by free giveaways. here he receives courses for a month in autumn and spring. well, so that the children do not get sick and be healthy, and what about the children? previously , they didn’t drink that we ran, but now we don’t have to run. now these capsules are for children. they are there boring raspberry with coconut, orange. that's why children drink with pleasure, and i sincerely do it. i always advise. i advise. i've always stood for uh, omega-3 for these bullets and saturated fatty acids, but because it's a really effective remedy, especially for children. and you just need to understand. if you already use it, where do you get it from? and because to take, of course, it is necessary to use firmer fish from growing wild fish. they eat differently , they live differently, you know. how boring society and diseases are transmitted and so on, of course it is necessary. if there is an opportunity to buy, if there is a choice to buy from wild-growing
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salmon, wild-growing swims, which swims in the sea, oceans, feeds on plactom and is caught. yes, it is certainly much more difficult. so to say it is one thing to grow fish to score and survive on fish oil, it is quite another to catch the right one to recycle and so on. and one more thing, by the way, quite a lot of vegetarians, so to speak, are for sale. look at such a thing as gmp, i understand. foreign the letters are little understood, but this is a standard that applies specifically to pharmaceutical enterprises. e in the quality standard which says that everything is done according to the drug standards, so to speak. well, i would definitely take my children, uh, where there is a gmp standard and, accordingly, from wild salmon, for example, wild kamchatka salmon. you know from other programs, i have been there many times , i saw how he catches him just happy. this is a force in any case when you talk about
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children's health. taking one or the other? of course, you need to consult with a specialist. so what next. hello, my name is aleksey. i am 31 years old, and i live in the city of tula, uh, i have a question with dr. myasnikova. and in 2019, i fell off my bike. and i had a fracture of the radius on my right hand, my hand did not bend. and it was clear to me. e doctor operation. and after that i went to a wellness center , health, where i worked as a trainer and did this exercise, and the arm gradually began to unbend, but still there was contact, and i took the pills that the doctor prescribed for me, well, it's been 3 1/2 years now. and when the change of weather constantly hurts the bones. so i wanted to turn to you, as a specialist, to be advised. and you know why i will please you all, and contracture is already contracture.
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you are doing the right thing by working out that you have pains and you react to magnetic storms and so on, but this is a separate issue. here it is necessary to say so already to control. in your case , not anti-inflammatory drugs will be more suitable, but small doses of antidepressants of the first generations, like a reptilin stone, or small doses of anticonvulsants, which in small doses work precisely by relieving this nerve pain, there is no inflammation, but neurological pain. you just have the neurogy to do something else. i 'll tell you honestly that it's impossible not to be told. no matter what new pills promise opportunities and so on. it is the consequences of trauma that can go away forever. yes, maybe, maybe, this is actually a lifetime, right? maybe i don’t know how it will be for you, let’s move on. such question, do i need to take articles not 47 years old does not have bad habits in the form of
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blood pressure is normal six-year-old cholesterol total cholesterol. e low density four four high density separately seven. norms well, uh, the eternal question, do you need to take statins? no, you are young without the fact of being jewish. you don't smoke, you don't have pressure. eh, if you calculate your risks, which could say that there is a probability of some kind of vascular catastrophe, they are very extremely low. and they have you lower than the possibility of side effects. if you take statins for the purpose of postponing these vascular catastrophes, that is, you can take vascular ones, and so it will not be the next 20 years, and you can get satin complications precisely from this, based on. now we do not give a tripod , we give it only to those who already have a disease, atherosclerosis. there are no options here, or
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a lot of factors, a smoker, high blood pressure, high sugar, overweight, and so on you don’t need it, especially since you have very good cholesterol, high cholesterol density. 1.7 this is very good. by the way, when risk factors for angina pectoris are calculated, if such high good cholesterol, one factor is subtracted, well , let's say, heredity , high blood pressure, three risk factors, but high good cholesterol. we consider two factors one, how to say, you have removed. that's it with the questions, that's it, and we 're going to the branch. well, masha would immediately understand where she is on which branch she has her own branch. i have a horizontal bar. so you want to review us application decides look. .ru to support
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the immune system and enrich the diet can help the complex field of unsaturated omega-3 fatty acids , produced in kamchatka from wild salmon, thanks to modern technologies. take care of your health, even today, further simple eating rice, how to use it to normalize blood cholesterol levels. what to do if the high temperature has been going on for a long time, but the doctors can't find the cause? it's just that when you have a choice , it's better to choose a more useful product. can whether rice cleans the joints. if you eat the right rice, it is low-calorie enough , it is believed that in steamed this is a new technology. with this freezing and so on and so forth. how can you take your temperature? i have 37.2 37.3 normal human body temperature - there must always be some
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reason for fever, than, by the way, the patient is better oriented in this situation, the greater the success, because the grippferon drug is a recombinant alpha-2b interferon prevention and treatment of acute respiratory viral infections and flu even for expectant mothers and babies from the first days of life i love the moscow coffee house on shares and i will tell you why the moscow coffee house on shares is a combination of traditions and advanced technologies of the highest class, and the taste of the pleasure of the moscow coffee house on shares, i love recommend. i know that you don't love me. you are not even trying to build a prime minister's family on the russia channel, how much could you take any? and chose you. how many years before you they crawled lyudmila, and so i did not wait for me , i did not dream of such a life for my son. i wanted to say what happened now there will be three. on monday at 20:1 20 on channel,
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dinner. today we have a very correct one, because today we will talk. a lot of people love how i love rice, now just a second. i can't, because when i see pilaf, i feel dizzy. only pilaf is no longer rice, if you eat rice, why is the shell well, such polished rice, despite the fact that it is no more high-calorie than it is much faster. throws up blood sugar, which leads to
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insulin insensitivity, and this is the cornerstone for the development of obesity and diabetes. i understand that maybe it's not so tasty and not so common, but there is sometimes wild rice, brown rice, red rice. here is something very useful. you know me. here are the questions i opened. we will talk about them further. what is the difference between polished rice and troparis diet. here. they often say, and you doctor has said more than once that white rice is harmful, but for some reason it loves eastern countries like this and everyone lives well, it is not harmful. it's just that when you have a choice, it's better to choose more healthy foods, why do they eat white rice, they love it so much, and they have nothing else. no. this is the main food bowl, rice is all you need for the day, if there is a conclusion, then it is better to eat brown or wild risk. why? oh by the way,
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here we are talking about red rice is the perfect remedy for lowering cholesterol and preventing heart disease. it contains a substance structurally similar to statins, they act by blocking the very enzyme that is necessary for the synthesis of cholesterol, and it perfectly lowers cholesterol. and even if you eat a lot. you can get the side effects of statins on you, maybe even develop muscle weakness, but why? well, because if a medicine has, so to speak, positive effects, but has a negative one, so if you sit a lot of red rice, you can stumble upon this side effect, biologically active substances that are structurally low in calories. very tasty , okay, that's bad. this is fat meat, carrot onion. just take the rice, open it, it's
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very, very tasty. and what about rice is different, when will you go to buy it? you look there today is a very large selection. experiment what you like someone loves. rice overcooked, as it were, is good, of course, any products are better, that pasta, that and grains, and then you know better how alberta is because the more we boil. uh, the structure of the grain is destroyed and the glycemic index is out. this is where blood sugar begins to jump faster. so gaps and fig. i told you again. it's not harmful, thanks to white rice, and you're right. there would be no hunger, there would be no rice, now the majority of the earth's population is starving. why is it always advised to eat more rice in case of poisoning, but looking at some kind of poisoning, you mean if you have diarrhea, so to speak. na, well, first of all, uh, rice absorbs everything. it just
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hinders. uh, loose stool helps. locking up the situation helps to quietly prevent the loss of fluids and electrolytes along with the stool. well, the simple situation is you gas-30. at first, you can't eat anything. then he gives him a little bit of broth, then they pour over some kind of porridge, then they give him boiled rice. this is the standard approach for newspapers. is it possible to clean the joints with rice? well , you can, if you get dirty, the joint and take rice like this and polish it like this. i don't know any other way. how effective is the rice, by the way, rice diet? yes, it's quite effective. why i say this, because actually here, if you eat the right risk, it is quite low in calories so that if you sit, there is only rice about it, but you can lose weight pretty quickly on a pretty rigid diet. so any weight loss.
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must go without fanaticism. therefore if you you mean rice diet to lose weight, then it should not be exclusively rice, you know, now if you lose weight, we choose combination diets, you can not choose one product on it. as they say , sitting is a lean diet, and you will get more harm in the end for health. although you will probably lose polished rice from parboiled, in fact, it’s both that and polished, it is believed that in parboiled , the supposedly beneficial substance penetrates inside because of the shell and sits there and enjoys it, in fact, nonsense, uh, and, that and that e in terms of diet white rice, parboiled polished. here is the rice you should eat. we have another question about nutrition. i am also
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an experienced coffee lover. before, i always ground and brewed coffee, then i opened my own small business and time. i am catastrophically lacking, so i switched to soluble to taste. i like it, but my husband says that instant coffee is all chemistry, that there are a lot of additives. so i'm going to ruin my stomach. tell me, is instant coffee harmful? thank you, know the next coffee myths. that's how much i'm almost leading, so to speak, fighting in the field of propaganda, so to speak. coffee consumption is like a healthy lifestyle, almost like a medicine. i have to overcome. well, how is it, but if the pressure rises, but this is harm. i say people here drink coffee as if
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they are sinning. yes, you know how. here is such a sin. i'll allow myself coffee is useful. for many people, this is just a medicine, let's say people with a diseased liver, and so on and so on and the same myths. that's how long i live instant coffee myths, that it is chemistry, that it is diluted with gasoline. no seriously. you tell me so in all seriousness, it is bred with gasoline, then they evaporate it and collect everything left. this is instant coffee. i mean , i hear these myths all the time. i can professionally say that i now understand that stream coffee is why i was at the factory, i looked at how it is done. and actually. this coincided with those, so to speak, with my knowledge, which i always possessed. yes you are right. i drink a lot of coffee and you are right.
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when there is so to speak the possibility of its time to brew is one situation. and when there is no impossibility time, and you only have a jar of coffee and boiling water, which is easier to take. poured a couple of spoons. and the coffee is ready. well, yes, doctor see. and how is it, maybe the coffee has dissolved? where are you? are you saying it's natural? what is the time coffee is taken coffee is grinded, but in no way are we, uh, in a coffee grinder huge such machines where bags of this coffee are ground, and then the coffee is simply brewed with one small exception that western coffee producers sometimes add here, and flavorings, but as a rule, only coffee and water are used in the production of anything more than a finished product. we have to somehow thicken and there is another
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question. how to thicken? why? and because for me, evaporated coffee is properly made. coffee is sublimation, that is, when the process of coffee concentration goes on, the chamber -50, which is gentle quickly and with the help of cold, where it all enters and remains clean here, there is nothing but coffee, and here he is most gentle. here is the preparation of a kilogram of such sublimated coffee. it takes 3 kg of grains. have you seen two cans here? right or left i took from this me coffee different it and different differently this and this and that, freeze-dried sublimation coffee. how is this sparing soblyulevatsiya modern. yes , a much more expensive technology that allows you to save just this delicate taste and aroma. here is the new technology. with this freezing, and so
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on and so forth, you can see with your eyes. yes, you see here sharp granules with sharp edges, then, as here it looks a little bit, it even looks different to the eye. here they are loose round, so if you want to drink , drink it, it's delicious. it's really tasty normal absolutely healthy absolutely no chemistry. for example, i would choose, uh, what i saw myself, and the coffee is sublimated, so the process and i repeat once again that coffee is, in principle, a healing drink of all boiled or soluble biological active substances useful for the body. no difference. no. well, chemistry is the same, uh, a myth, like many coffee myths in general, so we drink coffee, let's move on. good mood clarity of thought and vigorous
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well-being. that's what a cup of real delicious coffee can give - freeze-dried coffee from the moscow coffee house on shares. this is a unique taste, deep aroma and time-tested quality. try it too. let's talk about an increase in temperature, not in general about an increase in temperature, about such a concept as a fever of unknown origin. you will say, well , the doctor has a very interesting topic, because how can you not take your temperature? i have 37.2 37.3, no one finds i go to the doctors i go. nobody finds anything. right now, you can probably tell me everything. i'll tell you. so, first i will say one thing that does not require your consent, or disagreement, it is, so to speak, hmm an axiom. yes? in this case , you do not need to shout doctor. how so, because
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the normal temperature of the human body. when measured under the arm it is 30 7.5° when measured plus one degree genesis greater is 38.3 degrees. well, most of the day. in general, in hospitals, a temperature of up to 38 is not considered a temperature, and we even write that we only give the remedy for a fever if 38 or more anything less than 38 is not considered the second criterion for a fever in the hospital if you have had it more than a day
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for three weeks. and the third criterion if the person was in the hospital was examined in the hospital, but nothing was actually found for fever. there must always be some reason. well, look at a person's temperature and temperature temperature and temperature two weeks two weeks four weeks. he was given all sorts of tests, sowed, and we find nothing. well-being. what to do with it or what is behind it? where to look? because, as a rule, the more carefully you look at what, by the way, the patient is better oriented in this
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situation, the greater the success, because back in the nineties we did not find the cause in 60% of cases. reasons no, we did not diagnose then it began to fall fall fall. today we do not find the cause of 20 dashes in 50% of cases, but still, we have this reduction. in principle, all possible causes of fever of unknown origin, this elevated temperature. divided into several considerations is an infection. this is oncology. and the third is rheumatological diseases and vasculitis, now
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it remains easy to determine which ones, because we still find them. we are not just a person who came. my temperature is 38. i don't know what to do. here. go to the blood test , this is a patient who has already been to the doctors for a long time and lay in the hospital. well, what would i advise, let's say. you remember that the medicine may cause fever. let's get back to this. by the way, these are classic anticonvulsants, that we give to treat epilepsy and these are antibiotics, some antibiotics can cause hyperthermia, that is, an increase in temperature. in general, i will say that a fever, as the only symptom of drug intolerance, occurs in 5%. yes, but that is a fairly large
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percentage. this is what happens here, a patient lies, lord, i myself experienced this many times when i worked in the department, e with aids . here lies the patient's temperature. temperatures. yes , he has multiple, so to speak, and he also has pneumonia. it's not that these are brief it is not clear, brilliantly we know that only we cannot cure. we give one temperature antibiotic, i give the second antibiotic. temperatures give 3 antibiotic. i already think you have a temperature, that you will sometimes give some kind of pathogen, the fourth antibiotic. once everything fell. do you think yes? what did i influence? yes, the situation, but it happens, another situation you are hot with all antibiotics, what can you do because of the temperature it costs 39, what should the doctor do next to cancel all antibiotics and there is a big chance that the next the day our temperature returns to normal , this has already happened, so remember about the medicine. infection is clear that a banal
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infection. she left immediately. but there are many small effects, we'll talk about this a little later after i go to tighten up and advise you to pay attention to the platform , look at the application, look dot ru. well, by the way, yes, do it all with me. further, what infections can cause a persistent fever and when a high temperature indicates a possible oncological disease of resentment and betrayal forgive or revenge? which rails can lead to such a persistent increase in temperature, purulent fusion of bones, if the elderly, then, of course, it is important to determine, because what complication is blindness. you can follow them it's a kind of psychiatric disorder.
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is it worth it for us to put the left cheek, if we hit on the right one, forgiveness is impossible to take revenge, where is the comma? we will put these things. for me , it’s still impossible to lower, by the way, lovers send three letters and offend work. i can substitute the husband has changed now against forgiveness. is it worth it to forgive? omega-3 right in kamchatka take everything omega -3 from wild kamchatka salmon from the ulovsky fish processing plant i love the moscow coffee house and i will tell you why the moscow coffee house on shares is a combination of traditions and advanced technologies of the highest class, and the taste is pleasure. i love recommending the moscow coffee house on shares. i'll say movies on weekends.
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a recombinant alpha-2b. interferon prevention and treatment of acute respiratory viral infections and influenza even for future mothers and babies from the first days of life. thank you for staying with us. thank you for watching russia 1, and we stopped at what kind of reflexes can lead to such a persistent increase in temperature and why we cannot determine them. so right off the bat, well, the first of them is tuberculosis syndrome. this is just an illustration of that. that it can simply be missed in my practice already, uh,
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there have been repeated cases when we found tuberculosis of the internal organs in non-pulmonary tuberculosis. second oddly enough, this is a sharp milita. what's happened stabilizes this purulent melting of the bones, and so on and so forth, it is not necessary to have the location of the bone in the leg. there's a thigh and an arm when it's noticeable, when this one hurts, and so on. it could be calls. and i always tell you, your back hurts. it's okay, you do it and so on, but sometimes it happens that you say, i have osteochondrosis, i have a hernia, i have a back, but in fact this is a purulent process of the bone , pustules begin to melt, and you can’t see it there, and the pain is generally a list. well, what a pain fighting you hernia. if we still have infections, oncology
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is mainly blood ecology. lymphoma leukemia, but classically and so it was with my dad. and colon cancer and so was my test. here there is a temperature and a temperature. these temperatures can’t find anything . the temperature was a colonoscopy for a long time, poor preparation. well, it seems like everyone looked, except for the farthest corner there, like nothing, then they found it, but it was already too late. 20% of kidney cancer can appear at the beginning only at a temperature of 38, so the oncological train the age should be very hard, if a young person is one thing, if an elderly person is here , of course, there may be questions, and here is the same temperamental arteritis, which
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manifests itself mainly by tension and high temperature, it is important to determine, because what complication of blindness can you therefore, especially if you have to think with age, and all these vasculitis are logical problems, look very carefully. and here is the reason number four to nine percent. patients who are in the hospital with fever syndrome of obscure genesis of munchausen's syndrome if so, it is quite rare, then here every tenth person deliberately raises the temperature, resembling munchausen's symptoms are different. it's just the simulations the simulants are doing for something. i want sick leave. i want to get away from the army. i want something in there that's one thing they're a kind of
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psychiatric disorder. these are people who unwittingly try to raise the temperature. they smoke their urine under their skin, they howl, infectious agents inject themselves with insulin to lower their sugar levels, and so on and so forth. it is further believed that these are people who thus involuntarily attract attention. well, we are now talking about munchausen. well, just about that. that when a doctor deals with this problem, he must understand that every tenth of your patients does it artificially . this is itself so a rather rare syndrome, if we follow these criteria for at least three weeks and have already been examined in the hospital, but there are such patients. i want to comfort you. what is once again the fact that your
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temperature rises to 37.5, 37. well, 38 periodically back and forth, does not find anything. this is not a fever of unknown origin. ah, so remember, after all, that the normal temperature of the human body when measuring the armpit is 37.4-37.5. that when measuring rectal it is plus one degree oral is also above a and what is up to thirty-eight degrees? we usually take no action. well, here we go. interferon for the prevention and treatment of acute respiratory viral infections and influenza, even for expectant mothers and babies from the first days of life here is the traditional heading for body and soul and
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let's talk today. should we deliver? left cheek, if hit on the right, how to treat offenders to take revenge, forgive us this masha on one of the gears. she took my phone and i took it from him. and now she doesn’t love me. since then , she’s been trying to bite me and hiss at me all the time, right? play for now. see how you don't take revenge. and remember how she came right at me. see, it's written there. forgive you can not take revenge, where will we put a comma. always revenge having
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already lived a life. i began to look at it is not what differently, but you know how, but there is a nuance. i am sure that it is impossible to forgive that situation , hit on the right cheek, put the left one. you have to fight to the end, or god forbid they brutally insult you or your family, your woman, your child, your homeland, and-and these things. here for me it’s still impossible to let go, but in life you we meet not so direct that someone attacked, there is no court for you, somehow it doesn’t belong accidentally pushed. yes, you fell on you, you were hit, you were insulted, you were left. come on, by the way, you are a fan of sending three letters. i have close friend. served 15 years in prison it is because of this him. three people of one he killed two did not catch up with his hands and then
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spent a long, long time only because he could not let it go, therefore, if a certain category of people who are killing insults for this and i can’t give him my lectures to grace, what you have to ask, you can’t take revenge , i’ll never explain it, therefore, always watch how they talk outside the bazaar. so here's a rare situation. mostly. we meet a situation where work is like and offend. it's not that they didn't give an award. they can set you up, they can get around you, they can offend you, that's not how it is. right there, you're an idiot. so you will feel offended by how to behave in this situation? to be like them. it's disgusting not to respect yourself. sorry to forget. it's a shame, though when
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does some time pass? and you really let it go. here's a thing that makes you feel better. and then you are proud that you let go. and here again there is, when a year later, you find out that the boss was removed. and the wife who left you was cast out in disgrace from the second family you think? we asked god to know how it is no longer us, this is also fate. do you know about any of these things? are these emotions forgive or revenge? well, let's say, like military conflicts. yes, you know, as they say, one scottish knight will always defeat one english knight and even 10 scottish knights will always defeat 10 english knights, or maybe 100 scottish lynxes, or defeat that english but c thousand english
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knights will always defeat thousands of scots. why because there plays a role not individual courage, and order and organization? and if in such situations we are guided by some emotions, in this one, stim is now there for everyone or vice versa, well, or something they snap back strongly, then we will throw it. this is where it seems that you cannot be guided by emotions in such things, because there should be exactly organization and order. so mash you asked me, now we'll see. well, well, the child does not hold evil. do you know what this means that try to
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restrain yourself in the first minute, even if you were offended breathe in breathe out, because at first you want, like masha with a hiss, but time passes. do you remember? she didn't remember that. it's a very individual decision each one you can forgive. and then you will bite yourself, what you did. can you take revenge and then suffer all your life? i personally have such situations, there were, and most importantly, the person said he had already died, and i can’t change anything. where shall we put a comma? you know? myself i believe that it is always necessary to forgive, except in those
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cases that i said. because otherwise life will turn into hell. here look here my husband changed all sorts of situations. now he asks for forgiveness. is it worth it to forgive, if you love there, the husband raises his hand to me, and then asks for forgiveness. i love to forgive. whether it is necessary decide for yourself whether you like it when she raises her hand. give him one place with your knee and then see how the parents bequeathed the apartment to the younger sister. i'm very sorry, i can't say what to do, these are your parents. they know better, of course, forgive the girlfriend led the man on parted forgiveness. do you want to be friends again stand in such a situation. everyone decides for himself, but i will say one thing, betrayer once and betray and the second time is 100%. here's a colleague at work put for the sake of promotion. you know, as he said, al capone the lord will punish, and organize our business. their meeting. you know a lot of situations. and if you compare, of course, that's all that we said here, here. of course
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, one must think of a country of resentment. but i came out evil and turn life into wretchedness. it’s so worth doing it, think, well, dr. myasnikov was with you. i wish everyone to live in good health until our next meeting. bye. goodbye. masha opened the bananas herself, what are you doing? i'm not taking your banana. finish it.
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