funnels from which we seized soil and e, striking elements, which will be sent for forensic examination in order to determine the characteristics and types of projectiles. despite the fact that the ambulance is forced to not work, calls here do not stop temporarily employees of the restored city hospital took themselves. in the near future, the necessary special equipment will arrive here. in the near future, we decided on the issue of transferring cadet ambulance to e-centre, with the help of this. so we compare that those that were here, they suffered, we carry out here. ah, very support to open the fish of monetary assistance yesterday. so we opened the conversation, the third center was sick, monitor assistance was also fired on the eve by the ukrainian military, the city of stakhanov was hit by three shells from a multiple launch rocket system. heim's fire. the bomb was destroyed in the garages of a driving school, the equipment of the city

dosaaf was burned down, hitting the territory of the dosaaf. it 's a pity, again the cars are damaged, but we will now deal with our issues, how to restore, but here. unfortunately, nothing can be restored in this area. here, it is only possible to build new ones, despite the shelling by ukrainian militants, peace in the republic is gradually recovering in the city of rubizhnaya, the electricity and gas supply systems will soon resume operation, repair work is underway and in other territories infrastructure and housing damaged by shelling are being restored, from all over russia igor pekhanov receives humanitarian aid. vladislav mirzoyan with the news, lugansk folk republic vladimir putin held a working meeting with ella pamfilova, the head of the cec told the president. how the preparations for the autumn elections are going on calls not to believe the fakes that the vote allegedly may not take place and

would like to thank the key parties for their patriotic attitude towards the special operation to protect donbass. to single out the most important thing within our parties, despite the political, ideological, socio-economic other differences between them. they are the exception. there may be the only one so insignificant vanquished, the only exception. all were in solidarity in one thing, first of all, support for a special military operation. in the desire to make a bed to contribute to our victory, i will inevitably go. uh, because the truth is behind us, justice is behind us. now, more than ever, the important unity of people is important in order to take us all into a fist. in order to defeat those who in general practically led into a human dead end, yes, well , practically, that is, but having solved it in general , the possibilities of natural development. that is , it turns out that uh, that is, humanity is left

they have only one way to guess. and it is clear that russia is itself. here is leading this process. still, the conclusions are given to a dead end, and all people, not only in russia, many understand this, therefore, i think that this is our strength in order to feel confident, first of all, you need to have a strong you, and this means a reliable developing democratic political system. so here we would have chosen patients, innovative research methods, as well as the stories of talented doctors who give people a chance to do everything. it's in why we don't go to the doctors on time? if you prick, and no matter how once you pay attention, the work of work there is not to the heart. how to diagnose those who missed the time, i could not help but breathe and walk. it was already such a

moment to live. it's just that patients really depend a lot, if a person feels unwell should seek medical help. how to accept a serious illness? so, when was the diagnosis? well, shock of course. real juice what modern diagnosticians are capable of none of i have not met our specialists before in routine practice. even among those who have been working for several decades, we have not seen such cases. and what the state is doing to be healthy is a very thoughtful and balanced project that closes most of the problems and at the same time in the healthy storage system, which certainly always have. this is a good start for moving forward. this is such a powerful launch pad, a giant startup. and that's what he said large-scale. a few years ago, lyudmila tsyrenova

found out that she had cancer fear despair years of selfless struggle with the disease in the face of death life with all her. seemingly unimportant little things take on a different meaning. every moment of her becomes priceless. i remember when, after chemo, i received chemotherapy for the first time and went out and saw the world with completely different eyes. the fact is that the trees seemed to be some other leaves , some other people, some others. the treatment of lyudmila helped the doctors recorded a stable remission. it was a victory over cancer lyudmila and her relatives were sure that all the worst was over, but a few years later

it worsened, cancer is very insidious. he. if the slack even she is farther. although, i held back for myself, but i couldn’t see, i provoked and something went better, and therefore our oncologists sent me to moscow vaughn she got to our laboratory for a screening study to search for breast cancer, a bath, she had in 2010 was operated on for breast cancer. ah, 10 years later. she is in the area postoperative scar. found a seal that grew rapidly however, when performed with skeletal intigraphy. we got a very amazing picture, from such a picture it was completely clear that these were not fractures, that these were not metastases, but something systemic and unknown, none of our specialists had ever seen such a thing in routine practice before. even among those who have been working for several decades, we have not seen such cases. at that moment, i closed myself and did

not allow anyone to cry, but in such a way that they would not see relatives and tried, why did they already know that i had a slave, and so they worried everything , there was nothing harder than the unknown. anyone who has ever waited for the verdict of doctors knows how painful it is. this is the expectation, when the whole further fate depends on the correct diagnosis. in the literal sense of the word, it is in the hands of a diagnostician and there is little knowledge of accumulated experience, especially when it comes to atypical cases of the manifestation of the disease. well, so we have a puzzle here all the time. of course, this is all over the place. here, if you watched the series about dr. house, then this is very similar often happens, because many diseases. you know, they have ceased to be similar to their classical versions, what is taught

to students at the medical institute by all classical cases, they are already casuistic for the most part. that is, this is a certain norm, which is less common than variants and deviations from it, a diagnostic search from the point of view. here is a doctor who leads this creative process of diagnosis in the early stages, when the symptoms of the disease are not yet so obvious or contradictory, a particularly complex creative process, but it is precisely the early diagnosis that guarantees successful treatment, provided, of course, that the patients themselves do not waste time. it's often a history of a very long time since my second pregnancy and shortness of breath and all that. well, i lived with it. that's quite a long time. well, imagine in 2002, i gave birth to a child in 2007, they would have already delivered to me the body of my child, already 20 years younger. i used to go to the local polyclinic. and uh, different diagnoses,

which were then brushed aside, lay in various hospitals in the city of moscow, so far it has not reached. sudak. i could not breathe and walk. and it was already such a moment to live. it’s just that most of us consider only one diagnosis of cancer to be truly terrible. forgetting that cardiovascular diseases also often kill without any warning or even instantly, the proportion of circulatory system diseases that die has been the highest in russia for a year now, and blood clots are pulmonary embolism. one of those insidious ailments that regularly contributes to the growth of this sad statistics, as a rule, the disease manifests itself in rather harmless signs. great shortness of breath, rapid fatigue, few people with such symptoms begin to sound the alarm and consult a doctor. that is why for a long time the body was considered a rare disease. really. we encounter

situations where people fall short when it comes to diagnostics. why is a disease difficult to diagnose? well, because shortness of breath in itself is a very non-specific symptom. it can accompany a huge number of different disease, and above all. as you understand, not cardiovascular, but lung disease and in order to determine blockage. these pulmonary vessels need more high- tech diagnostic methods, the doctor, when he saw me, said to me already there on the operating table, we will cure you. well, we won't fix it right away. and this already gave me some hope after the first operation. i already breathed. i stopped thinking of different ways. uh, where can i get around the underpass, where can i find something else where less walking, where there are more elevators. well, that is , the state of health has become much better, despite

such a serious and neglected state of health of elena porsche, a massive lesion of the pulmonary artery with chronic blood clots and amenable to drug therapy, modern cardiology offers effective treatment even for such patients now appear, and devices that allow not only leading contrast to see how the vessels are filled and draw some conclusions. we can make 3d models. we can model like this that the angiographic picture is combined with computed tomography, yes, and we can have fewer contrasts in the water, like on a map, yes, we can move along this court. well, that is high technology. of course, they are now very rapidly developing. and it helps us a lot in the case of elena porsche doctors. we assessed the localization of blood clots and the degree of

vascular damage, and returned the patient the ability to breathe deeply. in the literal sense of the word, they breathed like that, yes, once again, do not breathe in, come on. oh, you see, it looks good. yes, he artery as it began to fill okay. so uh, what was your tooth? how to feel well , with lesions suitable for angioplasty, the prognosis is always favorable. in this case, we have a lot of lesions in our patients, but they are all technically suitable for a successful gyroplasty. therefore, i think that we will cure the patient and do one procedure after another . here, about 10 interventions in total will be required, so today we are doing the second break for about a month. well, definitely not

it will take us less than a year to put our patient in order completely, when a person feels that he is being helped. she happily rides again. moreover, all interventions we pass through the guilt of the upper limb. now it's no discomfort at all. delivered to the patient, and in general, it is even more pleasant, perhaps, for the patient than a visit to the dentist, for example, as far as the society of life is concerned. it is completely different now, when i got here 100 meters, i could not walk calmly, even after the first operation. everything is very good. therefore, after the second i don’t know, i’ll probably run around the floors now in russia this type of disease is qualified, yes, that is, it belongs to the list of diseases that can be treated with high-tech medical care. vtb is pretty fast. ah. we have a special department. yes, who do this

with patients. no need to do this to collect some certificates to go somewhere. he may not even sign out. in some cases, expect yours right there a few days rather quickly, we have already operated on about 150% in 7 years, how did we implement this method? we have several record holders who have had to complete, 14 angel plastics someone's record, while we have 14 interventions on average. this six angioplasty is really able to put on its feet, even those who have long forgotten. what is it like to stand on them confidently, however, one of the global ideas of the russian healthcare system, and in particular the national healthcare project, is precisely that patients should reach as little as possible operating rooms, after all, the diagnosis of early stages is the primary link in healthcare. and this improvement of the screening and clarification system is not possible at the second stage, but on top of that, a very important point is that medical examinations have become

much more massive and taking into account the factor of the mechanism of preventive examinations. it 's really actually, well, subtat coverage of the adult population, so the diagnostics, of course, stepped forward significantly. in terms of both purity and quality of detection, modern devices allow , e, to diagnose not only the fact of the presence, for example, an atherosclerotic plaque, but also to accurately determine its localization, the size of its structure, and even assess its likelihood. well, let's say instability or rupture. what is most often the cause of such dramatic complications as a stroke or myocardial infarction is all that is required today from a patient to seek medical help before it is too late, when all the symptoms are obvious, there are difficulties, especially in diagnosis no longer, already a problem treatment is

usually the process launched by our people are very patient. they endure to the last, when already unbearable. we, as always, go to the doctor, and we encounter situations where, according to all the signs of the disease, it has been going on for quite some time. if you prick, and no matter how once you pay attention, the work of the work, there is not up to the heart. i lived with what strong- willed sensations for 25 years. i live in nizhny tavdeya, tyumen region, by profession i am both a teacher and an economist with heart problems. i had them all the time throughout, as it were, the entire period. you are ready mentally physically well perfectly when the patient is in a good mood. the doctor doesn't say anything either. be afraid. now we will do local anesthesia. the most important thing here is to lie as

relaxed as possible, and now it will hurt a little. be patient , i spend the tube launched in april 2021, a hospital that replaces outpatient cardan geography technology, which makes it possible to perform this diagnostic study without hospitalizing patients. hospital of patients, in the morning comes e 16:00. he is already leaving the hospital with a diagnosis. the tyumen region allows, in fact, or to launch a system for providing care to patients with e- cardio-joint diseases, in particular, if at one time we in our clinic, the first regional clinical hospital in the city of tyumen, had doors to surgical operating rooms, then in 2020 there were already three, and now we will already have four

surgical operating rooms and, well, only the leading clinics in the world can boast of such a number of operating rooms. i think it's a very thoughtfully balanced project that e closes most of the problem and at the same time in a healthy storage system, which certainly always takes place, there is not a single process without emerging problems. something becomes obsolete , something fails, but at the same time. in general, this is a good basis for moving forward. this is such a powerful star e, a giant start-up platform, i would say, on a national scale. here we get the image of the inner bracelet. next, we change projections. now we're filming the right coronary artery. we see that she is beautiful. no constrictions everything is smooth exactly clean no

atherosclerotic plaques nothing and this is great news for the patient and for us like this, in just half an hour the doctors ruled out an atherosclerotic heart condition in valentina kulikova, despite the fact that this is really very good news, the diagnosis is ischemic, heart disease the patient can still be diagnosed valentina unfortunately, she missed the moment when the disease could be detected at an early stage and receive a much less serious medical opinion and blame for this, but herself no one herself okay, it will pass the heart. if you suppose earlier it was possible to apply, then maybe somehow it would have been fixable, but now we have what we have plans. after the examination , i turn to my immediate

cardiologist. i bring her my data, they are recorded on a disk, and then we will continue treatment with her in nizhnyaya tada. hello i live in kalmykia, they live here, the city of elista, i have three children and six grandchildren. here is september 2 appeared. here in moscow is another granddaughter sixth. now you remember perfectly well according to the technology it accumulates in the bones, then we try to carry out the scanning procedure to see what happened for 2.5 years to compare, i need to

upload our previous pictures yesterday, we’ll see, it’s very interesting and we’ll make another cafe, let’s see what happens with light after a bullfight, right? a few years ago, the sirenova from lyudmila managed to defeat cancer, but i don’t know, the deterioration of her health again led her to the oncology center and not blokhin, and now the doctor, diagnostician alexander krylov, will have to. find answers to important life issues for the patient. what is her condition in remission or breast cancer and what processes caused the deterioration, the history of vilacirenova is indeed unique, first breast cancer, then the symptoms of a disease absolutely unknown to doctors. how to find something that no one has ever seen. the diagnostician detective is really a researcher who studies the diagnostician before first

having to make a clinical diagnosis with the question. examine him to confirm to prove the diagnosis should make him have the entire arsenal of modern examination methods diagnostics. the implementation of the national health project has made it possible over the past few years to re-equip the diagnostic park and supplement it with the missing methods, which, accordingly, comprehensively improves the quality of diagnostics and, accordingly, the provision of medical care. we have received subsidies. on equipping before equipping the re-equipment of our institute, which, in principle, before this national project, we already, well, there have not happened to our center for many years and last year before last we received unique technique new mri machines with the latest protocols for examining patients, which

allows us not only to do some routine tasks, but also to experiment with new examination protocols. well, how would, in principle, to invent. it took 4 months for sergey rylov and a whole team of experienced doctors and scientists from the blokhin center to diagnose lyudmilecerema on horseback. at the first stage, we assumed that these were some kind of systemic metabolic disorders. it may even be genetically associated with some syndromes, but of course, it is impossible to make a diagnosis from such a single picture, and we could not even make any assumptions, but we decided to wait for the histology. histology, that is, the study of tissue, is a key moment in the

morphological study of a tumor, and so to speak, the final diagnosis occurs just when we study tissues, that is, cut tissue found a substrate. well, at first it was incomprehensible, because it is really a non-specific substrate, so, of course, at the first stage, we say, they could only give a descriptive description of it , some assumptions, and only when the soft tissue component was taken for the third time, and already, as if we had clinical radiological information, then a suggestion was already made at the histological level. what can this correspond to disease sufferers? alfa-bank credit card is a whole year without interest and

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and also all kinds of free services by renaissance credit bank. juice was a real shock when they didn’t make a diagnosis. well , of course, the shock is surprising in terms of the fact that it is also rare. apparently there are a lot of such rare diseases. god forbid anyone endure this.

go here. when do you hear the diagnosis? yes you can cry, yes, throw out all this energy, but tune in immediately to battle. just bout forward to the treatment of recovery. somehow i immediately had such thoughts. i knew valentina as so many women came to us with breast induration . that is, she herself found some zone in herself that seemed new to her, these sensations were unexpected for her, and in this regard she did well , she did not wait for something to disappear itself , something to resolve itself and feeling a change in milk gland came to the doctor. thoughts and wait

i didn't have it because my mom passed. this is a fairly long way of treatment three times, a breast recurrence, plus there was another relapse in the ovary, my grandmothers were sick, so i immediately ran to the doctor. i knew that i had to run to be examined, because i want to live. fear often makes patients hide their heads in the sand and waste precious time, but valentina's determination in many ways saved her life . i will tell you more, fortunately more than half of oncological diseases. we are completely cured. she has the second b stage of marriage, mammary glands. yes, he demands. uh, enough of this aggressive treatment, but this aggressive treatment very often leads to significant positive results. let's take it all away, let's take it all away.

everything. that's why i was ready was set. i was ready for my hair to fall out. i cut my hair short. although i know that many women do not cut their hair to the last. well, i was ready for this, of course, the sooner we we diagnose, uh, any cancer , breast jelly cancer in particular, the more chances we have for a better outcome of the disease. in the first stage of breast cancer, about ninety-eight percent recover completely, yes, that is, if a patient comes to us from the first stage, she will most likely be treated completely. it will be forgotten forever. uh, about this disease and yet every new study. this is the unknown and scary just like the first time lyudmila tserenova was diagnosed with edheim's disease. chester she is

did not realize. what does it mean? doctors performed a miracle in recognizing an extremely rare pathology in the entire history of observations of sbatch patients. they are conducted from the beginning of the twentieth century, only about 600 cases have been described so far, scientists have not been able to establish the true origin of this disease of life, i would not believe that it happened to me. i even asked this question once i was diagnosed with cancer. i also asked this question too, but in order to have to ask the same question a second time. why is this with me at all? it is not clear to accept this, it is really not easy for doctors to understand now. what is the dynamics of the process. now the results of the first study of lyudmila tsyrenova since the rare diagnosis was made on the screen are already ready. i withdrew from the

integram, which were received in the nineteenth year, which we received now in the patient did not increase. the area affected by the level of accumulation for the sake of the flooded indicator. it hasn't changed either. there is a suspicion that she has damage to the internal organs. good diseases in stable form is what concerns the bones of more than 90% of cases you have this disease. this is bone loss. well, in general, cytosis has everything, which includes this disease and loves this is a favorite. damage to the bones and skin is relatively safe. such a scenario of the development of events, and here is another group that does not have damage to the bones, but there is damage to the internal organs, and there is a completely different development of events and it can end quite tragically within

just a few months, as a rule, from complications such patients die, unfortunately. the badge is proceeding with lyudmila tsyrenova, the second and decisive study of beta or positron emission tomography, perhaps the most informative diagnostic method for patients with erheimaster's disease. lyudmila tsyrenova has another day of uncertainty ahead, despite the fact that today the once-aggressive cancerous valentines of the canine mission. she regularly undergoes mammographic screening, and it is recommended to undergo such a diagnostic examination. in general, every woman, after 40 years once every two years, lymph nodules in

the axillary areas of the subclavian and supraclavicular examination. about the authorities is very important, because even after treatment there is a risk of metastases and timely detection of metastases is a guarantee of the correct choice of treatment and a good prognosis. i really hope, every time i worry. hmm i hope everything is fine. lymphatic metastatic there are no nodules that are good reactive without pathological changes. thanks, i'm very happy. if there are any complaints, then, of course, women you need to run to the doctor to the mammologist to the oncologist gynecologist. it doesn't matter how the doctor who is closest is, and in order to understand what kind of complaints they are, because, of course, often. basically , these are benign changes, but the doctor

must make sure of this. with the advent of the national project, this is the task of the national project. that is, we now understand that even in chukotka or other remote regions in siberia, russia, we have certain diagnostic equipment that allows everyone to undergo a screening examination, approved yes by the screening program that was approved by our state and they are precisely aimed at those zoological groups of oncological diseases that are most common and from which people die most often within the framework of the national project, tasks were set, and also, so that we inform how - in a way for the population to know what oncology is and how to deal with it. such a project called cancer is afraid of the brave. it performs several tasks at once, this is not an open door, which, in principle, are now very fashionable and popular. in all such institutions of the

fourth third level and we can accept e patients who want to be examined in our oncology center in the healthy russian federation , an information portal on collage was also created, where anyone can find out information about clinics , modern methods of treatment, malignant tumors possible side effects. in a word, today cancer patients have not only advanced methods of diagnostics and therapy, but also a huge amount of open and verified information, having studied which is much easier to realize that cancer is really not a sentence. attitude to life, you can’t even imagine how it has changed. i just enjoy every day. i rejoice in the slush , the cold wind, i am glad that i woke up. i speak every day. thank you for the happiness that made

me all absolutely happy absolutely. i think that this expression cancer is afraid of the bold uh. a very correct person must fight and not lose heart. lyudmila tsyrenova many times could succumb to despair accept the circumstances and no longer look for a meeting with doctors. however, she continues to believe in the best. today she has to find out the results to hell and hear the final verdict of the diagnosticians. now i will turn on the contrast for you, when we introduce contrast, i will then see you when the contrast is introduced. feel the warmth all over your body, the taste of it can only appear in the lower abdomen, it will become warm, do not be afraid. it

's literally a minute. well then on command. it will be necessary to take a breath and no breathe. we have opened this very building in which we are located is a nuclear center, which houses the largest, the largest in the center in our country. here, right here, there are two cyclotrons, that is, two nuclear reactors. they are under us, just do not be afraid of him. here, and not well, they are completely safe and protected. we manufacture a huge number of radiopharmaceuticals. including we are now inventing new dynastic radiopharmaceuticals. this is essentially the global pinnacle of diagnostics, then we can immediately evaluate both the lungs and see what

is located behind the peritoneal space, where the kidneys evaluate other structures and see changes in the bone marrow, and often we see changes in the bone marrow among the first. the top row is a study that was done today. well , in addition to physiological accumulation, there is an active accumulation in the brain, bladder, along the loops of the intestines and intestines and in the kidneys, in the bone marrow of the long tubular bones of the lower extremities. and this accumulation is significantly greater than in the previous study. that is, uh cloth, takes on more. uh, radio that is, she eats more and faster, so the patient should still develop. unfortunately, it is this dry cleaning that gets a little worse for her main primary oncological diagnosis, which she has, except for an honest one. without data on progression, it indicates that the

mammary gland has added something else. there is no surgical treatment for ordhim chester. this will gradually lead to the inhibition of the function that we carry on ourselves with the bone marrow, that is, it is the production of blood elements. well , kind of one? yes, if with the function of a simple brain, and it will gradually progress steadily. yesterday it was more so that i was calmer still, to be honest , i didn’t realize it didn’t reach the end. that's exactly what i need to be alone in principle, i can't go to upset. i want to be alone, i want to ask everyone to say, thank you very much. oh,

gratitude from my family well, from myself, of course, because they made such a diagnosis, which, sorry, they couldn’t give me anywhere. thank you very much for everything. of course, it is difficult to manage such patients, it is always difficult to manage people who do not fall under the clinical protocols selected by the ministry of health, there is simply no such protocol, not only in our world in general. no. these are unique cases, piecemeal, it was possible to formally exclude the risk of recurrence of the mammary gland, which, in general, was done and the patient could be allowed to go home, she is still not being treated, at the moment. she is not receiving treatment, but she is

aware of her condition. she knows what she's through passed. it seems to me that it is extremely important that a person knows about his disease and knows his prognosis. i liked that they did not leave this topic. and it happens. what's happened? well doubt. yes , some were amazed that they did it thoroughly. yes , something is not there, it's possible to do the operation? i say, of course, i can go, that's what i always went in medicine, i need help. and how else will they understand, because nothing is impossible talented doctors have already managed to find the invisible to diagnose a unique disease. and now what they have learned will help doctors around the world better understand the origins of this mysterious disease. find a cure and save people's

lives. none of us, including those who believe in interviews and give interviews, can be sure that we do not have an oncological disease. you're all right. this is an occasion to go to the doctor and make sure that the body does not give any failures. if suddenly, god forbid, some problems arise, you must not wait, do not hide your head in the sand, but you must immediately go to the doctor in order to carry out a full diagnosis and today, in general, such opportunities exist. you have to put yourself in the hands of no choice. let's be patient and try to do something. let's think of something to do, cancer and cardiovascular

pathologies are leaders in the list of the most dangerous, even risk factors; they largely coincide with obesity, smoking, a sedentary lifestyle, and with age, the likelihood of these diseases only increases. however, this does not mean that most of us are doomed. on the contrary, modern medicine diagnoses, early before are capable of fundamentally changing the state of affairs. and for this we already have talented doctors, innovative methods, research and treatment, and, of course, government support. everything that requires us to be indifferent to the signals that the body sends and remember early diagnosis. really. can save a life.