difficult cases when we are some we create combined complex teams from another center from the oleg gregory rumothe cardiology center, when it is necessary to accept some kind of, well, take some kind of... responsibility in this, but where is responsibility accepted easier at the operating table or in the office in the chair, well, these are different things, i will tell you this, that in general the work of a surgeon is constant decision-making, everything that you do in the operating room, you make some kind of decision every moment, even if you do it almost automatically, well, almost, let's say some moments, you still have to make a decision, to do exactly yes, exactly this and as if the skill of the surgeon, it is manifested in many cases. not in some standard situations, when the situation is non-standard, but decision-making in the office, as you say, well, it is not easy there either, firstly, well , the team is, these are people, this is... maybe you can't say that, but i admit, sometimes you go to the vibration ward to rest, because you rest, well, not in all operations of course, but