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"videoThumbnail О чём кричат нам наши болезни? Разговор с хирургом СКЛИФа. Елизавета Владимирова / Женский Клуб
Table of contents
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Table of contents

0:00
Интро
0:01
Правда, что зам главврача каталась на роликах по больнице?
0:03
О рабочем дне хирурга
0:07
Об отношении к пациенту
0:08
О взаимоотношениях хирурга с Богом
0:15
Об экстремальных видах спорта
0:17
О женщине в хирургии
0:19
О дистанции между врачом и пациентом
0:25
О чудесных исцелениях
0:26
О сложных случаях
0:33
О цинизме
0:39
Об ответственности перед пациентом
0:44
Об иконах в кабинете врача
0:46
О смирении
0:49
Об умении себя прощать
0:52
О любви к себе
0:53
О счастье, жизни после смерти и «сохранных» профессиях
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00:00:05
[music]
00:00:11
I only know that
00:00:13
when I shine on others, I burn out my principle itself,
00:00:16
so they say that you are always about the
00:00:19
person.
00:00:20
Yes, I treat the patient as I treat myself.
00:00:25
Such a principle is a test given to
00:00:27
a person so that he
00:00:29
changes something in the life of the disease. It’s not just that
00:00:32
it comes it comes because something needs to be
00:00:35
changed Boomerang works what you
00:00:38
highlighted then you get it everyone wants to
00:00:40
live and whoever wants to live gets better you
00:00:43
die along with the patient Everyone has a
00:00:46
small
00:00:47
cemetery when you suffer and
00:00:50
worry It
00:00:51
seems to me that everyone here has experiences Yes and
00:00:54
hair surgeons, of course, have a long life
00:01:00
[music]
00:01:02
so you understand it all like
00:01:06
this
00:01:09
[music]
00:01:20
[applause]
00:01:21
[music]
00:01:33
knit Semyonovna, it’s true that you
00:01:36
roller-skated along the cliff Well, in general, there
00:01:39
was a
00:01:41
temporary period there, but that was what it looked like, you
00:01:44
were there then doctor and on roller skates to roller skates
00:01:47
yes Well, as a child I went in for the sport
00:01:51
of figure skating, then roller skating
00:01:53
was not a problem for me, life forced me
00:01:56
to build Zone B and it was necessary to endlessly turn
00:02:00
it on to function there through the
00:02:03
basement. In general, through In general, pass a
00:02:06
large number of kilometers and but she
00:02:08
forced me to stand on roller skates, we didn’t
00:02:10
judge, we discussed how bad it was, but
00:02:14
nevertheless it had, in general, on the
00:02:17
one hand, how would I drive and
00:02:19
stay on until the end, someone there had
00:02:22
injuries, someone else something else but in general,
00:02:25
the videos played in my life at some
00:02:28
stage. In general, a significant role You had the
00:02:31
opportunity to get from the point quite quickly to
00:02:33
one of our doctors. In one of
00:02:37
our doctors, the husband somehow ended up in
00:02:39
intensive care and I when somehow Well, at night
00:02:41
in I mostly went on roller skates, I came to the
00:02:43
operating room, I took off the roller skates, I put them on. Well,
00:02:45
of course,
00:02:47
the backpack was left there in the corridor with the
00:02:49
roller skates and I went to the operating room. And when I
00:02:52
was in the intensive care unit, it means that our husband is a
00:02:54
doctor who came from the dacha, something like that.
00:02:56
I’m going on roller skates. He thought, God. my
00:03:00
phenomenon is some kind of thing. That is, he didn’t seem to
00:03:03
expect this situation. But it happened,
00:03:06
well, such a small stage,
00:03:09
on the one hand
00:03:13
it made it easier somehow,
00:03:15
you know, on the one hand it made it physically
00:03:19
easier, on the other hand, eating on
00:03:20
roller skates, especially at night, under
00:03:22
long corridors, what something internal, you
00:03:25
know, some kind of inner
00:03:28
joy, what can I say, but even at age
00:03:31
you experience
00:03:33
the joy of rollerblading
00:03:36
[music] it’s
00:03:41
very difficult for me to imagine, I’m a
00:03:44
very down-to-earth person. Sorry, I
00:03:46
can’t imagine myself having a journalistic education. This is the
00:03:50
day of a surgeon who several times over
00:03:55
day
00:03:56
is faced with the question of life and death,
00:03:59
well, you know how
00:04:01
you don’t think about it, it’s it, you understand
00:04:04
The process of formation begins from the cradle,
00:04:07
let’s say so, at the beginning you’re there
00:04:09
[music]
00:04:10
the student then adapts you to the
00:04:14
medical process, intern, residency, in
00:04:18
general, the process is so slow, but
00:04:21
it’s like -you know, consciousness goes unnoticed and
00:04:24
becomes involved in the situation as necessary. And
00:04:29
in the beginning, somehow, when you are young and have
00:04:33
little experience, you seem to
00:04:37
acutely understand when you need to tell the
00:04:39
patient that you have acute surgery, you
00:04:42
need to have an operation, some kind of
00:04:43
internal responsibility. Personally, for me
00:04:45
it was like I didn’t communicate with my colleagues,
00:04:46
but this is an internal situation,
00:04:48
it seemed to force me to be responsible
00:04:51
and all the time you are in a state of such
00:04:55
internal uplift, despite the
00:04:57
physical labor and this
00:04:59
emotional labor, you
00:05:01
are always in a state of Hmm inner
00:05:04
uplift something like that until a
00:05:07
certain moment until you get old,
00:05:09
this rise
00:05:11
affects physical disorders
00:05:15
Oddly enough, well, everyone has different ways
00:05:17
thanks to sports, I was lucky that I
00:05:21
still remained so active
00:05:23
throughout my life, but wear and tear
00:05:27
occurs, of course, against the background of such
00:05:29
emotional work But I must say
00:05:32
that with age, this is the situation. Yes,
00:05:35
you are responsible and with age
00:05:38
you treat the situation
00:05:41
as you would have acted from the position of not
00:05:45
only whether the patient needs surgery
00:05:47
or not. And what else will happen after
00:05:50
the operation? You understand, when there is an emergency
00:05:53
surgery this is clear life or death And
00:05:55
when elective surgery You must
00:05:57
weigh how useful this operation is for
00:06:00
this person, maybe even without
00:06:02
surgery it will be better and he
00:06:04
will live longer, that is, you see, this
00:06:06
moment does not exist And since the present
00:06:09
time dictates the need, it
00:06:13
kind of obliges the more operations a doctor has,
00:06:15
the more
00:06:16
I don’t know about making money,
00:06:19
doctors are
00:06:20
those who work in the state
00:06:23
system. The number of operations does
00:06:24
not significantly increase their salaries.
00:06:26
But the more you operate, the better.
00:06:29
That is, you are responsible for everything.
00:06:31
Or maybe even this
00:06:33
operation should not be performed on the patient
00:06:35
Oddly enough, you understand, and here it turns out
00:06:37
when you already have experience and understand.
00:06:40
You sometimes irritate the administration
00:06:43
because
00:06:44
you have
00:06:46
your own kind of consciousness, but
00:06:50
your inner essence goes against those
00:06:53
instructions that come from above Against the
00:06:56
system Yes, which are from above this one
00:07:00
the situation is of course
00:07:01
[music]
00:07:07
your colleagues say that you are always about the
00:07:10
person
00:07:12
Yes, I treat the patient How to myself
00:07:16
I have such a principle as this is possible
00:07:19
lick Semyonovna I understand when there are two
00:07:22
three four patients but you Well, there are a lot of them,
00:07:26
dozens of them, a lot of them but you understand that’s why not
00:07:29
I know in my head they seem to have resolved the situation
00:07:31
and it somehow goes away, you move on to the
00:07:34
next situation, it is resolved, you move
00:07:36
on, but there are
00:07:38
emotional moments when life is death,
00:07:41
when you understand, when you have done everything
00:07:44
And the patient has left, of course
00:07:48
it is not indifferent to the heart, the doctor is
00:07:52
not indifferent to anyone in my opinion so Well,
00:07:54
at least for me it was like that
00:07:57
you are also suffering Although your relatives
00:08:00
do not understand You are also worried
00:08:03
about the patient for your actions for some kind of
00:08:08
analysis of the situation because it
00:08:10
develops The
00:08:14
final result Yes, the hospital
00:08:17
stage of the nature of the provision of care beyond
00:08:19
the hospital stage resuscitation
00:08:22
surgery, that is, the result
00:08:25
comes from a complex of work, many
00:08:28
specialists, results, a
00:08:32
simple situation, a sick stomach came, an illness
00:08:34
or something else, and He came,
00:08:37
saw and conquered a
00:08:38
difficult situation
00:08:40
[music]
00:08:46
you are a believer.
00:08:49
In this
00:08:51
Christian system of meanings, from your
00:08:54
point of view, a surgeon
00:08:56
is generally doctor, let's take it more broadly, a doctor is
00:09:00
the hands of God on earth or a person who
00:09:06
argues with God and challenges his
00:09:09
intervention, I honestly don’t
00:09:11
think about it, I only know that
00:09:15
by shining to others I burn, my very principle of
00:09:18
such
00:09:20
intelligence said yes, Judging St. Luke
00:09:25
said I can only say one thing
00:09:27
if a suffering person asks for help, then you
00:09:30
can’t help him, you must provide him with this
00:09:33
help, and the test of a person or an illness
00:09:37
or a situation, they seem to come to
00:09:41
him based on his own life
00:09:42
because I once had an
00:09:46
interesting case, well, this is again
00:09:48
recently
00:09:49
four probably three of
00:09:52
one of ours
00:09:53
[music] a
00:09:57
nurse who graduated
00:09:59
[music]
00:10:02
Orthodox Jaws,
00:10:05
well, I kind of knew it by sight and then she turned
00:10:07
to me, she’s calling somehow, I
00:10:09
think it’s Saturday or Sunday, my husband
00:10:12
swallowed a bone
00:10:14
and that means some more in the esophagus and well,
00:10:17
come of course. So our doctors, I was
00:10:21
n’t on duty that day, our doctors
00:10:23
looked at him and let him go. Then she
00:10:25
calls me again, again at some
00:10:27
hospital where his sister worked,
00:10:30
radiologists, they also examined the
00:10:31
bones; they didn’t find them, then. So she
00:10:34
turns to us again. We he was already
00:10:36
hospitalized, they already accurately found a
00:10:38
bone in the esophagus, they managed to remove this bone.
00:10:42
Well, that is, you understand, these temptations
00:10:44
and trials that this man had were
00:10:47
unusual. I already told him before he was discharged, I
00:10:49
say, thank God, now everything
00:10:51
turned out well, everything went well without surgery, conservatively,
00:10:54
but keep in mind, you must
00:10:56
change something in your life because you have an
00:10:58
unusual course, that is, you see, there is a
00:11:00
standard course of the disease, there are
00:11:02
some unusual tests that Yes,
00:11:05
yes, of course, and here it means somehow
00:11:07
two or three years pass. I can’t
00:11:10
say for sure, suddenly he calls my wife is in pain, her
00:11:13
husband ends up in the Votkinsk hospital, in the
00:11:15
Votkinsk hospital they put on an
00:11:17
aortic dissection, my God, and in our conditions, it means they
00:11:20
transfer him to our institute because they are
00:11:22
soon providing help to patients, that is,
00:11:26
our institute is providing assistance to patients with
00:11:29
aortic dissection, they are now sent to
00:11:31
go Because there is cardiac surgery there is
00:11:33
angelography which can stent,
00:11:35
that is, there are conditions for providing assistance
00:11:37
to this group of patients and So he is brought
00:11:39
here to us. Strangely enough, Uda is coming.
00:11:42
Well, I’m not saying this, of course, has a high
00:11:45
mortality rate because the aorta is clear, the
00:11:47
arch is dissection and that means
00:11:52
something through two days later, I decided to
00:11:55
visit him. He was operated on, but she
00:11:57
called me, basically on
00:11:59
artificial ventilation when I went into the
00:12:01
intensive care unit, he was exploited. He
00:12:04
recognizes me. He recognizes me and says
00:12:06
Hello, I don’t even remember what
00:12:09
his name is, endless congratulations to me.
00:12:12
But that’s not what I’m talking about, he’s talking to me in my
00:12:14
consciousness After such a difficult operation, He
00:12:16
recognizes me and, as it were, You understand this,
00:12:19
with the course of the circumstances that
00:12:22
happened in this person’s life and that’s how
00:12:25
everything turned out, he was discharged and that’s all thank
00:12:27
God Well, this is the situation I’m kind of
00:12:30
telling an example when
00:12:32
tests are given to a person so that
00:12:35
he changes something in his life; illnesses don’t
00:12:38
just come, they come
00:12:40
because something needs to be changed so
00:12:42
that the body is compensated on the physical level
00:12:46
and naturally on the
00:12:48
spiritual level, but also something
00:12:50
has changed Maybe it’s not true there
00:12:52
Because there are some
00:12:54
people who, you know,
00:12:57
walk straight until they fall, but
00:13:01
sometimes you have to listen in order to
00:13:02
serve or do something like that, that is, to
00:13:06
continue your work, sometimes you have to
00:13:08
stop in time to look back in
00:13:11
order to to preserve his essence and
00:13:14
continue to be useful, that is,
00:13:17
all these things they are, as it were, maybe I didn’t
00:13:20
say so emotionally about this
00:13:23
situation, but what you see is this is the
00:13:26
most severe pathology that happened to him
00:13:28
And here is our next meeting
00:13:30
that I him after excursion in consciousness,
00:13:33
you know, because the patients and those who
00:13:35
have artificial circulation,
00:13:37
who have a lot of blood loss,
00:13:40
aortic replacement, you know, he
00:13:42
survived this operation, you know, and here he is
00:13:45
in consciousness, and that’s how everything went easily and
00:13:48
we meet again, that is, you understand,
00:13:50
these are the problems with this bone of
00:13:52
which there is only one on the other hand, this bone
00:13:54
must be the cause of death
00:13:56
in the esophagus because the esophagus is located
00:13:59
in the mediastinum next to the heart, next to both
00:14:03
pleural cavities, I kind of
00:14:04
say that this is a small
00:14:08
example of a
00:14:10
person who should have changed something in
00:14:12
his life but changed it
00:14:15
Well, his life illnesses have
00:14:18
stopped. I guess I just don’t communicate with him, as
00:14:20
they say, but Well,
00:14:23
this kind of situation would be unusual.
00:14:26
I think so. But some people don’t hear, there was
00:14:29
some kind of thing that’s also
00:14:31
fashionable now.
00:14:33
Hang gliding and back and forth and so on
00:14:35
means he fell there were severe injuries,
00:14:39
I don’t remember, we pulled him out. I tell him in your
00:14:41
life you need it, he doesn’t hear me, I
00:14:43
tell him you need to change something in your life, there are
00:14:45
people who hear you, your
00:14:48
recommendations. But I don’t hear, they just don’t
00:14:50
hear. Well, that’s why
00:14:52
what happens next
00:14:55
Well this is how life is, well,
00:14:58
it listens.
00:15:01
So this is how
00:15:02
[music]
00:15:08
in general, it seems to me that these extreme
00:15:12
sports are one of the types of
00:15:14
substitution for
00:15:17
acute experiences, the need for them
00:15:19
arises maybe in those cases, but not
00:15:22
always, but often when there
00:15:25
is some kind of emptiness inside a person and I really want
00:15:28
to fill the feeling with something, in this
00:15:32
sense, it’s easiest to fill it out, for example,
00:15:34
these motorcyclists
00:15:37
are a terrible thing, you know, it’s just that
00:15:41
some people realize it, there are
00:15:44
people that I’m sometimes interested in, they
00:15:47
are sporty, you know, very much so,
00:15:50
well, how to say people with intelligence not
00:15:54
only you know so go for a ride Well, they have
00:15:56
intelligence, they’ve been there for 10 years, but
00:15:59
the situation was unforeseen, as it were, and now
00:16:03
he couldn’t cope. In general, I must
00:16:07
say that the virus doesn’t hear, the amputation of
00:16:10
one leg, it’s still moving and
00:16:12
will go further, it’s necessary in the future not to stop it.
00:16:15
you
00:16:17
end up with motorcyclists Well, naturally, they
00:16:19
often end up in intensive care and naturally
00:16:21
Motorcycle injuries are the most severe
00:16:23
trauma because it is insecurity,
00:16:26
severe concussion, and Indeed, this is a
00:16:29
serious injury, these are patients who then end up in
00:16:32
multiple organ failure because,
00:16:34
well, in general, with a great loss with
00:16:37
multiple injuries, of course this is
00:16:38
in old age that’s why the injury
00:16:41
happens Well, it’s like this
00:16:44
and when it starts now we even
00:16:46
call them I don’t know, the ambulance, in
00:16:47
my opinion, calls them snowdrops, the snow is
00:16:49
just melting now, too, we were traveling by
00:16:51
taxi and the motorcyclists are already
00:16:55
starting their lives. Well, you see how
00:16:58
the youth cannot be stopped, we even have
00:17:00
two resuscitators, girls who are now
00:17:03
grown women, they rode a
00:17:06
motorcycle when they were resuscitators, but
00:17:09
since having given birth to a child is already a responsibility,
00:17:11
they are already kind of yes
00:17:14
[music]
00:17:21
surgery they say this is not a
00:17:24
woman’s profession at all.
00:17:26
Well, I don’t know. on the one hand, yes, when you are
00:17:29
young and you are brought up in certain
00:17:32
conditions and you are directed, then of course yes,
00:17:36
my parents, my father was a surgeon,
00:17:38
he worked for more than 50 years, and they always
00:17:41
told me that a woman should have surgery, there is nothing
00:17:43
to stop, but it was impossible to
00:17:45
stop me because in those days there was
00:17:47
still Amosov professor Kiev professor
00:17:49
who began to study
00:17:53
cardiac surgery and this
00:17:56
youthful perception of surgery, it
00:18:00
certainly affected the psyche and only
00:18:03
forward sports
00:18:05
surgery and desire Of course, this is all
00:18:10
it seems to me. I guess I’m not saying
00:18:15
that this upbringing doesn’t raise me,
00:18:16
I should be a surgeon No, on the contrary, they
00:18:19
dissuaded me, but this is an internal
00:18:20
obsession, I see now young
00:18:22
girls have also come to us. They want to
00:18:25
undergo surgery, I look at them as a pity
00:18:27
because
00:18:28
Well, if you do real surgery,
00:18:31
it’s a lot of time at work, then
00:18:35
day and night in order to take place
00:18:37
as a specialist, especially now there is a lot of
00:18:40
information, a lot of new technologies, other
00:18:44
approaches. Well, I don’t know. At least I feel
00:18:48
sorry for them because after all, a woman
00:18:50
should be a woman, she should have a
00:18:52
family, she should have
00:18:54
children, who also need to be paid attention to.
00:18:57
Well, here you need to make a career and write
00:19:00
articles to work day and night
00:19:03
in general, if the court were like there were more
00:19:05
hours, then this is probably acceptable, but also
00:19:09
plus good health, that is, you understand, there are a
00:19:11
lot of these factors, but also the heart of a
00:19:14
lion
00:19:16
[music]
00:19:21
I know about you, again, insider
00:19:24
information, you don’t care you,
00:19:29
how he will be a top manager of an oligarch of
00:19:32
some kind before, Or for example, a person without
00:19:35
documents, homeless, the relationship is absolutely the
00:19:39
same, but how is it that
00:19:43
he just needs
00:19:51
human life very often When
00:19:55
someone finds out the status of the person in front of him,
00:19:58
a gasp begins, you know, I want to
00:20:01
say Boomerang works what you highlighted
00:20:04
then you will get understand I live by
00:20:07
this principle so for me it does not
00:20:10
exist I
00:20:11
treat everyone equally
00:20:14
but the distance should be the distance between the
00:20:16
patient and the doctor this is What distance
00:20:19
Tell me What distance
00:20:22
I can’t even say that is you
00:20:24
shouldn’t talk familiarly Well,
00:20:27
it’s understandable distance, that is, you understand,
00:20:29
too, like a sister, distance with a nurse,
00:20:31
so with a doctor and in general with all of me with
00:20:34
young people, if colleagues are my age, I
00:20:36
treat them like one of my own, but with young people I have
00:20:39
a distance, I call them only by their first
00:20:42
name and patronymic, only this way but it’s very
00:20:45
cool It seems to me that when a young
00:20:49
specialist is addressed by his first name and patronymic
00:20:51
because the awareness of one’s
00:20:53
own responsibility is activated. Perhaps I don’t
00:20:54
know, I say again, I’m not a psychologist.
00:20:57
Well, it seems so to me. Well, maybe I don’t
00:21:00
deny, of course, the distance allows you to
00:21:04
probably manage the
00:21:07
situation because, for example, seriously
00:21:11
ill people they begin to be capricious Yes, and
00:21:13
exhaustion is coming about him They are tired of the disease,
00:21:16
problems begin and here
00:21:19
you act harshly
00:21:22
either there or How to say You should You
00:21:25
should now it’s true that the relatives are
00:21:28
not allowed in by the sick, but when there
00:21:32
the relative is still an intermediary because the
00:21:34
service staff are now
00:21:35
nurses for him We have some that seem to
00:21:38
perform this function, but in any
00:21:40
case, this one is so tough. It’s like.
00:21:42
Now I come into contact with
00:21:44
intensive care patients, then in the department, but
00:21:46
still. Anyway, this distance is there, it
00:21:48
exists, that is, that
00:21:51
is, the official distance is not what do
00:21:54
you know how I don’t know I’m generally a dry
00:21:56
person by nature dry I don’t
00:21:59
know how to do it you know how to get emotional maybe like this well
00:22:04
clearly always explaining the situation I explain
00:22:08
you someone needs to do something at
00:22:11
least the patient should understand what are
00:22:13
they doing with him to realize and keep up
00:22:17
with thoughts
00:22:19
the direction that he needs,
00:22:22
many of us understand the patients don’t even know
00:22:25
what’s happening to him where is he there
00:22:27
you explain why this is needed Why this is
00:22:30
needed This is so that it is
00:22:32
like this and then it already exists the resultant, that
00:22:35
is, everything should be consciously and if
00:22:38
nothing good awaits the patient
00:22:41
despite your efforts, you will tell him it
00:22:44
means in a
00:22:46
soft, streamlined manner, I am not killing the patient, at
00:22:51
least if he, for example, has an
00:22:53
incurable disease, then all the same
00:22:56
Hope leaves that yes it is necessary,
00:22:59
some are needed - then there are also new events that
00:23:02
these things are
00:23:04
at this stage they matter, but
00:23:07
nevertheless
00:23:08
you still have prospects never
00:23:12
4 weeks there
00:23:15
never in your life Why does someone think
00:23:18
that on the contrary it is important
00:23:20
to prepare to realize no
00:23:22
prepare to realize I am the enemy you
00:23:24
can’t kill This kills a person.
00:23:29
I
00:23:31
can’t say it, we don’t even call it,
00:23:35
thank God, so I worked for a while
00:23:39
when I graduated from the Medical Institute, which means I
00:23:42
worked as an
00:23:43
oncologist for a year and I couldn’t lie to young
00:23:47
women, I left oncology. Although it would
00:23:50
seem to me that yes, we will solve the problem in
00:23:53
oncology.
00:23:56
Well, how can I say youth, you know how it
00:23:59
solves all problems, and I mean,
00:24:03
I worked for a year in the Podolsk hospital
00:24:06
as an oncologist, and when you see
00:24:08
these mutilating operations, removal of the mammary
00:24:11
gland, removal of the pelvic organs in
00:24:14
young women, I don’t know what the
00:24:16
setup is now in those days, it was like this The
00:24:18
mortality rate was high, especially for
00:24:19
young people, and this is all I also
00:24:22
suffered with them,
00:24:24
and therefore this is all, but somehow I left
00:24:28
oncology That’s because, well, how can I
00:24:31
say Deceive You can’t
00:24:34
deceive them, you have to dodge in order to
00:24:36
get her this woman don’t kill it,
00:24:39
then a law came out that sick people can
00:24:42
speak openly. And some patients,
00:24:44
for example, even they don’t have cancer, someone
00:24:47
said something and some of them are already
00:24:50
losing their lives so that
00:24:51
[music] they do
00:24:56
n’t live through this difficult period,
00:24:58
I don’t know. opponent
00:25:01
[music]
00:25:07
In the life of every oncologist, at
00:25:09
least one such case is an obvious
00:25:12
miracle and the intervention of the Lord God, when there
00:25:20
could be no expectations on the part of the doctor and
00:25:23
suddenly the person gets better.
00:25:26
I can only say that it is not in surgery that there is a
00:25:29
difficult situation, here are two patients with
00:25:33
the same pathological processes one
00:25:36
patient one woman there is getting better
00:25:38
has 5-6 ribs there or something else
00:25:40
there and the second one I’m not getting better I’m also here’s the
00:25:44
head Spirit also matters, fortitude
00:25:50
is of great importance Well, as for
00:25:53
oncological processes, but some are
00:25:57
radical and live and 10 and 20 years
00:26:01
I’m not saying that this is when everything
00:26:04
is done on time, I’m not again, everything depends on the
00:26:06
form of the degree of differentiation of the tumor, that
00:26:10
is, you see, there is an evil course, there are
00:26:13
highly differentiated ones, these are good but
00:26:15
not good, but in any case not so
00:26:16
fast, age matters That is
00:26:19
there is a lot here and how a person works on
00:26:21
himself, it’s not easy to be passive. Here
00:26:24
I have chemotherapy, they did radiation, they did
00:26:26
something else, but you also need to work with yourself,
00:26:35
what is most difficult for you in a relationship with a
00:26:39
patient is when, for example, you see
00:26:43
cooperation on the part of the patient, he is
00:26:45
ready
00:26:47
to fight with your illness it’s one
00:26:51
story But you have to Sorry if
00:26:53
the patient doesn’t eat, for example But there are such
00:26:55
capricious ones I don’t know Now they even transferred to
00:26:58
us from some hospital, which means
00:27:00
empyema of the pleura a skeleton arrived with only eyes
00:27:03
he’s not Russian I don’t know what
00:27:06
nationality there are black eyes here such
00:27:08
risks of years came who does not eat, they
00:27:11
put a central vein in him,
00:27:13
we drip a probe there, but he doesn’t want to eat, they decided to
00:27:17
let his wife in so that she could start
00:27:19
feeding him, that is, the doctor comes and
00:27:21
forces him to eat, you understand, there
00:27:24
are also such subjects
00:27:28
to work with the patient, he needs to It’s not just
00:27:31
about indoctrination. But you know, how would
00:27:33
this define you?
00:27:35
Everyone wants to live and who wants to live. As
00:27:39
I understand it, this is why we need that
00:27:41
distance between the doctor and the patients
00:27:43
that you said so that you maintain
00:27:45
your status. Absolutely
00:27:47
right. Yes, and did not at all did not walk on the same
00:27:50
line Oh my, I don’t know some of them
00:27:53
my dear ones here I understand the name and patronymic
00:27:56
I explain that you have suffered such a serious
00:27:58
injury you must be all right in order
00:28:01
for you to do this This is
00:28:04
this and this is all if a person understands you
00:28:07
No problem, but some people don’t understand
00:28:10
before, some sometimes there are
00:28:12
relatives who also put spokes in the wheels,
00:28:14
they start and the doctor didn’t come on time,
00:28:17
lunch was brought cold there, you understand,
00:28:20
this also happens, that’s how it often
00:28:24
happens with relatives, I most
00:28:27
often end up doing just that on the other
00:28:29
side of the Barricades. Thank God
00:28:31
no one in the family is particularly sick, but very
00:28:35
often I hear complaints
00:28:38
about doctors that they didn’t
00:28:40
examine something there, they made an incorrect
00:28:42
diagnosis, etc., please tell me
00:28:44
what’s happening at the same time, arm in arm
00:28:47
towards the Barricades and that maybe there is
00:28:49
no Barricade there at all. But there are
00:28:51
some
00:28:52
many things, for example, we have
00:28:57
some little things there. Well, for example, this is the
00:28:59
last time. So the patient is also
00:29:01
who many years ago, 25 years ago, as
00:29:04
it turned out, I operated on him there; there was a
00:29:06
severe chest injury and he lawyer there
00:29:08
was a narrowing violently a lot of things happened
00:29:11
In short, we hospitalized him;
00:29:13
he had another exacerbation against the background of
00:29:16
Broncho
00:29:18
broncatotic disease, which is the
00:29:21
most severe purulent to bronchitis, and that
00:29:23
means the situation means he was
00:29:27
brought food there at the wrong time, the food is cold,
00:29:32
the endoscopist is late, which means he doesn’t eat there
00:29:35
half a day the endoscopist was released late, you
00:29:38
understand
00:29:39
But this does
00:29:40
not depend on us because the
00:29:43
endoscopists also have some kind of plan, we
00:29:45
have planned this And there are these
00:29:47
layers that sometimes do not depend on us
00:29:49
Well, Well, it happens or for
00:29:52
example, one operation was planned in
00:29:54
a row there is no anesthesiologist either
00:29:57
again, it depends on us or the operating rooms are
00:29:59
busy, you are standing in line in the operating room,
00:30:02
you understand the operation was postponed, this is also
00:30:05
the patient did not drink, did not eat, these are
00:30:07
the nuances that begin, or, for example, with
00:30:11
histology, too, there are not two or one and a half
00:30:13
you have to consult or
00:30:15
send somewhere else in order understand what it is and a
00:30:18
person, for example, serves as a service to the esophagus, what
00:30:21
happens to him, well, administer parenteral nutrition
00:30:24
into a vein, well, in general, you understand
00:30:25
these nuances
00:30:28
that we don’t pay
00:30:30
attention to, but for the patient it’s
00:30:32
stress,
00:30:35
and how
00:30:38
can a doctor protect himself from this very
00:30:42
flow of negativity which is inevitable in
00:30:44
such situations on the part of close
00:30:47
patients means the only thing
00:30:49
I can say is to treat the patient
00:30:50
with respect, if the patient feels that
00:30:53
he is being treated with respect,
00:30:56
then
00:30:57
complaints are not born. Well, maybe if there are
00:31:00
only isolated ones there.
00:31:03
It’s clear. If you are disrespectful to the patient.
00:31:06
Well, for example. Well, such a situation happened there.
00:31:08
You apologized or came over. Well, you
00:31:11
just understand, we talked like a human being,
00:31:13
that is, he saw this
00:31:15
sympathy, as if human, now
00:31:18
you understand the coldness of the coldness of the coldness
00:31:20
Flow Flow and there is nothing
00:31:24
of humanity too
00:31:26
apparently too really
00:31:29
systematized has become
00:31:31
standardized and he has a doctor there’s not
00:31:34
enough for everything, that’s just enough
00:31:36
human attitude, this resource will be taken
00:31:38
if it’s not the person in front of it
00:31:42
because it’s set by the conditions of the patagonka,
00:31:45
now computerization is going on, but I
00:31:47
mean these computers while you’re going to
00:31:49
remove the paper medical history and while you’ve
00:31:52
turned on this computer
00:31:54
now same if you have We have a system. I
00:31:57
mean, well, how are you, there are
00:32:02
still cats? Well, of course, a medical CT scan,
00:32:05
which is also here on the computer. You
00:32:07
have to look at this and in order to
00:32:12
evaluate all this, it takes you a lot of time.
00:32:14
must print You must print
00:32:16
because you also have
00:32:18
consultation standards, some minus points you
00:32:21
get if something is not paid there,
00:32:23
written, it is not completed sometimes not for
00:32:26
your reason. For example, for a hotel and ultrasound,
00:32:29
they forgot to write something there or did not
00:32:31
write but they didn’t delete it from Well,
00:32:34
you see, all this, it takes up a lot of
00:32:37
time, of course, we do
00:32:38
n’t have any time left for patients. You have to Now,
00:32:41
if earlier you could write and decide for yourself
00:32:44
Which antibiotic you can’t decide,
00:32:46
now the doctor has introduced a
00:32:48
chemotherapist who
00:32:52
prescribes antibiotics But you know that, that’s
00:32:55
why you understand all this,
00:32:58
well, that’s the bed the day before
00:33:02
the patient was treated there for 2-3 weeks. And now
00:33:05
we don’t spend a maximum of 7 days, but what
00:33:09
if the patient was admitted with a
00:33:11
lung abscess with empyum And pleura, how can we
00:33:13
cure it in 7 days? And she we have a turnover we have
00:33:16
a turnover we have to
00:33:18
discharge 15 patients per day according to history
00:33:21
now the manager who to discharge how much
00:33:24
to discharge we reported all this Oh this is
00:33:26
all every step is now controlled
00:33:29
[music]
00:33:35
is there
00:33:37
professional cynicism among doctors?
00:33:41
Is it medical cynicism
00:33:44
or is it a myth
00:33:46
cynicism You have what do you mean by the
00:33:48
concept of cynicism? Well, you know those
00:33:51
pictures like a
00:33:53
doctor
00:33:55
opening the body of a dead person
00:33:57
who maybe I don’t know smoke
00:34:00
there shake off the ashes
00:34:02
students can allow no such thing there is no
00:34:05
cynicism towards the patient No I don’t know, at
00:34:09
least in our department there is a
00:34:10
cynical attitude but I don’t know the doctor
00:34:13
never the laws did not treat the person, do not harm
00:34:16
anyone, there may be some kind of mistake, but to
00:34:19
harm on purpose, I have not
00:34:21
heard such a thing, believe me No no, not to harm on purpose
00:34:23
But it’s like cutting off
00:34:26
everything human inside yourself And what can be
00:34:29
reversed is it being formed This is
00:34:32
Slowly, responsibility is gradually being formed in you
00:34:34
it increases
00:34:36
the responsibility you are responsible for the patient
00:34:38
You should Well, don’t go
00:34:41
home if, for example, the patient you have there is
00:34:42
not drained pneumothora to the essence of the
00:34:45
patient and you Well, I just don’t know how I have
00:34:48
n’t met this and as for
00:34:51
our profession as for others I
00:34:54
I can’t speak, but as for the
00:34:57
zone where I, as they say, function,
00:34:59
it’s as if I don’t see it, no
00:35:02
You may not sleep at night because of one of the
00:35:05
patients,
00:35:06
situations like this don’t happen every day,
00:35:09
you suffer,
00:35:12
you die with the patient. Everyone has a
00:35:14
small cemetery when you suffer and
00:35:19
worry,
00:35:21
maybe those cases of cynicism that
00:35:22
they talk about when Well,
00:35:26
doctors try not to get too involved, not to feel,
00:35:28
not to sympathize with the soul, maybe
00:35:32
this is such a defensive reaction To
00:35:33
avoid this pain that you
00:35:35
just talked about when you die, I don’t know
00:35:37
It seems to me that I can only say.
00:35:40
When I read it, remember
00:35:42
Bernard, who transplanted a heart for the first time
00:35:44
means a heart transplant in the world.
00:35:49
By the way, he was with Demikhov
00:35:51
and
00:35:54
no one even paid attention to him
00:35:56
when he was here,
00:35:58
Demikhov studied philosophical principles, these are the principles I’m
00:36:02
talking about I read the book he, I don’t know,
00:36:04
he wrote or someone wrote his words
00:36:08
when he wrote that he operated on his
00:36:11
son there, it means a doctor with whom he once
00:36:15
studied at the university. And there was
00:36:18
some kind of major congenital
00:36:20
heart pathology and he was so worried there I don’t
00:36:23
remember what happened to the child after that, but
00:36:26
he was so worried that his daughter was a divorce,
00:36:29
there was something else, he even, well, for him, it
00:36:31
seemed to pass by, you know, well, he passed by his
00:36:34
own problems at home,
00:36:37
which, as it were, yes, he was all in this
00:36:39
situation because he was so
00:36:41
worried about this situation, which is a
00:36:43
child, this is what he didn’t even
00:36:47
notice that his daughter was separated, his wife was putting pressure on
00:36:49
him, you know, that is, this is
00:36:54
all me too. And I had such a situation, my
00:36:56
son entered the Institute. It would seem like
00:36:59
joy there - Some doctor was admitted here, the
00:37:01
chief physician turned out to have
00:37:04
destructive appendicitis and, uh,
00:37:07
bacterial shock developed against this background. Well, you
00:37:09
know, with doctors, everything is not the same as with people,
00:37:11
some pathological processes
00:37:15
develop in an unconventional way. Why don’t I know, this is how it
00:37:18
happens,
00:37:20
doctors don’t agree - humanly and you
00:37:23
couldn’t be happy for your son and
00:37:25
imagine I would have done the same thing, I
00:37:27
rushed over. He studied at an aviation
00:37:29
institute, something like that, but for me it
00:37:31
was I was all there, you know, because the
00:37:34
patient suffered bacterial shock and they
00:37:36
removed the
00:37:37
purulent empyema of the vermiform
00:37:40
appendix against the background of peritonitis Well, somehow I’m
00:37:42
like you know here and at the
00:37:46
same time I had this
00:37:48
separation so much that I’m this
00:37:50
situation it
00:37:54
outweighs so to speak a Is this correct what do you
00:37:57
think Well you know what And what this is
00:37:59
correct, you don’t, you understand here
00:38:02
Correctly Wrong,
00:38:03
you need to answer for your actions before God and the law and your
00:38:06
own conscience, this is the highest court, that’s
00:38:09
all You just understand, this situation was not
00:38:12
fatal, thank God
00:38:13
you understand, but but you’re not here You see,
00:38:17
Bernard is getting a divorce from him he is his daughter at this
00:38:20
moment
00:38:21
and then after some time his
00:38:24
daughter dad comes up to him I needed you so much
00:38:26
Why didn’t you support me Where are you
00:38:29
because you understand her health How to
00:38:32
say Health is here Life and
00:38:35
death And here health you understand
00:38:39
it turns out It’s not like
00:38:41
you’re weighing this situation, that it’s
00:38:45
impossible, I’m saying it again here and that’s why
00:38:47
you have to come on Saturday and Sunday
00:38:49
because your soul hurts, you need to
00:38:53
go look or there’s something else there, not
00:38:55
because you were obliged to go at the beginning
00:38:57
that you have to go. Yes, everything should be
00:38:59
fine but some operations You
00:39:01
understand that if you don’t go and
00:39:03
wash the drainage and you definitely, even
00:39:05
if you called, it will still wash it wrong,
00:39:07
well, I’m saying this purely and still you
00:39:10
go and because this is it and the more the
00:39:14
further the more you are responsible
00:39:16
in front of the patient, oddly enough,
00:39:19
before it was somehow easier
00:39:22
[music]
00:39:29
and what does responsibility to the
00:39:31
patient mean, is it the Hippocratic Oath or what? Yes,
00:39:34
I don’t know how much this is not an oath, it’s just
00:39:36
that you are responsible for your actions.
00:39:40
This is more
00:39:41
responsibility for your actions
00:39:45
you see, that’s why I don’t know,
00:39:49
you’re worried, you’re worried, I’m emotional
00:39:52
about this, of course, yes, there is a certain
00:39:55
percentage, and the same cardiac surgeons may
00:39:59
not have such experiences in cardiac surgery, but it
00:40:01
seems to me that there are also experiences
00:40:03
because there, it’s clear that you will miss the heart,
00:40:05
you won’t miss some peculiarities In general, it
00:40:07
seems to me that the experience here is gray
00:40:09
hair, surgeons, of course, for a long time
00:40:12
[music]
00:40:13
in life
00:40:17
No, I’m serious, because
00:40:21
for this you need, of course, I understand,
00:40:23
to discharge yourself somehow
00:40:25
Well, who discharges the same thing, shining on
00:40:28
others, I burn myself Yes, but of course yes to me That’s
00:40:32
all I am - somewhere around the age of 35, probably,
00:40:35
I became very tough at 30 before in order
00:40:40
to endure, that is, endure
00:40:42
heavy loads, I was starving on the beach there,
00:40:47
in general, that’s all Plus Sports, which
00:40:50
was there from my youth, all this, all
00:40:53
taken together, gave me how I wish
00:40:56
I had some kind of endurance in order
00:40:59
to
00:41:00
withstand all this, but there is no other way out,
00:41:04
either you succeeded or you didn’t
00:41:07
succeed, no, you give something, oh, so
00:41:09
of course I always say a woman is a
00:41:12
man’s friend, of course a woman. Growing
00:41:15
up in surgery is very difficult,
00:41:19
very difficult, listen, but there is an instinct
00:41:22
of self-preservation, there is this feminine
00:41:25
principle connected with the family, you are a son, you have
00:41:29
grandchildren. Well, that is, you have someone
00:41:31
to take care of, someone to devote yourself to, but
00:41:33
you know, and in a different way, not because there
00:41:35
you know, you have already formed as a
00:41:38
person and are very it’s difficult Well, how can I say, it’s
00:41:41
very difficult, it’s
00:41:43
probably possible
00:41:46
to split into two, it’s impossible either there or here,
00:41:49
or you’ve made it and you’re living in surgery. And
00:41:52
you used to have
00:41:55
women there at our Sklifosovsky Institute who
00:41:57
had
00:41:58
big husbands, who were housekeepers, this is still
00:42:01
there in the 60s. And of course it all seemed to
00:42:06
make it easier later, our generation lived
00:42:09
freely in such worse conditions. That’s the
00:42:13
only way, either it’s good that you come
00:42:17
home
00:42:19
and everything is as it should be, of course the children, the
00:42:23
children suffer, or someone should
00:42:25
take care of the children, someone should
00:42:28
take care of everyday life And then Then you need to
00:42:30
prepare dinner, and then in general, in
00:42:32
short, all this is not easy, and even more so
00:42:34
Children get sick, I’ve never
00:42:36
had a single sick leave in my life at all, I don’t feel bad about the
00:42:39
child, when my son was sick,
00:42:42
what happened Well, thank God he wasn’t sick
00:42:45
Wow
00:42:47
Wow, even this is necessary here. Either this or there
00:42:51
should be a housekeeper to get married.
00:42:54
Some of us here got divorced because
00:42:56
either the women are at home or there,
00:43:00
so I don’t understand. No, he should be, he should
00:43:03
also be either a surgeon or a
00:43:05
physician so that he understands what kind of work this is
00:43:10
because that there is no other way or there should
00:43:13
be a housekeeper who must
00:43:15
do so
00:43:17
that there are more cutlets at home, probably that’s why
00:43:22
all this is not easy, and then there
00:43:26
must also be growth, not only do you
00:43:29
work there day and night, you still have to
00:43:31
grow, you have to go to the library now, it’s
00:43:33
true life has become simpler computer You
00:43:35
can order translations there and there
00:43:38
but still [music]
00:43:40
But it takes time and you have to have a head
00:43:43
and you also need some kind of force
00:43:46
that should guide you in the
00:43:47
right direction the environment is
00:43:50
also of great importance and then
00:43:53
a lot depends on if you
00:43:55
type I always walked straight ahead
00:43:58
without turning anywhere This is also bad
00:44:02
on the one hand you do
00:44:05
n’t mean walking on your feet now but the fact that you are a
00:44:08
straightforward person yes it’s absolutely
00:44:10
true and
00:44:12
some women see their height
00:44:15
differently
00:44:17
[music]
00:44:23
Semyonovna was not in your office at the
00:44:27
institute, thank you thank you very much With
00:44:30
pleasure in general I just wanted to
00:44:33
ask, I heard about it and read that
00:44:36
you have a
00:44:38
very large iconostasis and there are icons there that
00:44:43
turned out to be Solovkov
00:44:47
Yes, and Solovkov has, in general, different
00:44:49
rooms here Tell us about those that
00:44:51
Solovkov also some wonderful
00:44:53
story is connected with them. One of your
00:44:55
colleagues had a grandfather who was shot and
00:44:58
died. Well, we had a gynecologist who was
00:45:02
deceased, too. She means her
00:45:05
grandfather was a priest, they were
00:45:08
repressed, and they had an icon of God so
00:45:11
you know double like how to say I do
00:45:14
n’t even know how to say correctly when
00:45:16
Jesus Christ and the Mother of God this is a
00:45:18
wild warehouse Yes, probably a warehouse and it was
00:45:21
dark I wanted it too some
00:45:23
Orthodox woman she offered me
00:45:25
Well no I wanted to restore it and ask
00:45:28
her imagine there he was in
00:45:31
such a silver case and he suddenly began
00:45:33
to shine and everything and everything appeared she
00:45:36
stood as if on my closet When there
00:45:38
was no iconostasis she never came to
00:45:40
Orthodoxy so she then passed away
00:45:44
somehow everything somehow everything
00:45:46
they weren’t human in life, but she didn’t admit it,
00:45:49
she was such an atheist, just like that. That
00:45:52
is, she gave you my grandfather’s icon
00:45:54
as if it were a real person that I wasn’t
00:45:56
absolutely right, but many and some
00:45:59
patients were who were there too, they were so
00:46:03
ancient to me, too, when Well somehow I don’t know,
00:46:06
in general, they gave it to me, they are there. Well, you
00:46:10
see, she became enlightened and
00:46:13
Come look, just like that, you
00:46:15
didn’t do anything, not absolutely. Here
00:46:18
she stands and that’s it. And even she even seems to
00:46:21
know this Silver iconostasis, it’s
00:46:23
like it even shines I don’t even know I do
00:46:26
n’t even wipe anything, it shines
00:46:31
Come look
00:46:34
like this
00:46:35
[music]
00:46:42
I read in an article about you
00:46:46
about a case that was connected with the St.
00:46:51
Demetrius
00:46:52
Sisterhood of Mercy it was taught by
00:46:55
you taught there you gave a course of
00:46:58
lectures there I know people who have heard your
00:47:00
Brilliant lectures. I know people who
00:47:02
have seen how you operate, they
00:47:04
admire you, they say that these are
00:47:06
incredible hands, besides the fact that the surgeon is from
00:47:09
God. And also these hands, which are
00:47:11
colossal, self-disciplined, and there is
00:47:14
no one like you.
00:47:17
I’m telling it as it is, sorry. insider
00:47:20
information is all that I have collected and here you are, that
00:47:23
is, surgeons are so white bones in the
00:47:25
medical medical environment, as they
00:47:27
say Elite doctors
00:47:31
Behave decently
00:47:34
and everyone is cutting these hair Mercy is
00:47:36
asking you to help somewhere Clean the floors of
00:47:38
someone Shave your leg
00:47:42
You are not can you tell us what was happening to you then
00:47:44
at that moment, here at
00:47:47
that moment you are a candidate of sciences, now you are a doctor of
00:47:50
sciences, you are a professor, you are honored on all
00:47:53
fronts then you were a candidate of sciences Yes,
00:47:55
just a little bit, so to speak Well, I’m okay, I
00:47:58
resigned myself, I went and by the way
00:48:00
Orthodoxy humbled me very much
00:48:02
very much humbled me I was like that, not only did
00:48:05
I become softer from behind Well, how can I
00:48:08
say surgeons They are generally
00:48:09
a little like that yes But in general I became softer more
00:48:13
generous but I humbled myself humility
00:48:16
came to me
00:48:18
in a number of cases it is sometimes not necessary this is
00:48:21
humility Sometimes you have to show your teeth,
00:48:23
well, I’m not in the world, maybe those who
00:48:28
understand you don’t need teeth But for some
00:48:30
they are just yes
00:48:32
But as for Well,
00:48:34
yes, I washed all the corners, I even shaved my
00:48:38
leg,
00:48:40
I prepared the patient for surgery, but I
00:48:43
resigned myself, you said I later
00:48:45
I spoke out on this matter,
00:48:51
I spoke out later when I was given
00:48:53
the task, I then spoke out and I was once again
00:48:56
made to understand that humility is
00:48:59
[music]
00:49:06
after all, the status of a surgeon Yes, a person on
00:49:09
whom a lot depends on both in the
00:49:12
life of the patient and in the department, if we are talking
00:49:15
about this is some other position
00:49:18
Well, and so on. All this, in principle,
00:49:21
encourages you to,
00:49:25
well, how can I say this, to such a
00:49:27
feeling of peace when you are Well, not exactly the Center of the
00:49:30
world Yes, but this is not at all about humility, that
00:49:34
is, not Awareness of one’s measure,
00:49:37
that’s what I really like I would like to hear your
00:49:41
thoughts, maybe
00:49:43
share your experience of being a
00:49:46
surgeon and going through these I don’t know
00:49:52
temptations, maybe, so to speak, in
00:49:54
human terms,
00:49:56
ultimately returning to that state
00:50:00
that is called humility, to be
00:50:03
honest, this all happens
00:50:06
unconsciously, that is, you, on the one hand,
00:50:10
you Media Well, how humble you are, you don’t go into
00:50:13
conflict, you’re more generous, you’re not so
00:50:16
principled, although there are things that
00:50:18
are principled, but when it comes to professions
00:50:21
and when it comes to human relationships,
00:50:23
there you are somehow.
00:50:26
Well, what should we do with
00:50:28
emotions? Although emotions don’t rule the world.
00:50:32
Well, that’s how
00:50:38
I deal with myself No, somehow I didn’t even
00:50:42
think about it, I don’t forgive myself No, it shouldn’t
00:50:44
be I’m suffering, it’s just
00:50:47
like that But I don’t express it in
00:50:52
anything You know, there are people who say it emotionally,
00:50:54
they say it’s all in themselves
00:50:57
Well, what to do And what to do therefore
00:51:02
in your own time, my late father
00:51:06
told me women without any That a flower
00:51:08
has no scent,
00:51:10
you know, in a woman there should be how to
00:51:13
say then and it’s easier to live, you know, but you
00:51:16
have to play it, but this profession
00:51:18
takes away all these emotions from you and
00:51:21
you just don’t care not interesting I don’t
00:51:23
know, it doesn’t work, I
00:51:24
can’t, to play you need strength,
00:51:27
you know, you need strength and it makes a
00:51:31
woman’s life easier, but
00:51:34
[music] it
00:51:36
turns out that you walk straight
00:51:41
You try, you try not to offend anyone,
00:51:44
but strangely enough
00:51:46
I’m just now coming back,
00:51:50
I’m trying not to offend people to be
00:51:53
generous but only I know Boomerang
00:51:56
he works
00:51:59
that he singled out that and received it therefore Be
00:52:02
generous Goodbye
00:52:06
in spite of everything I sometimes look
00:52:09
at
00:52:10
some people there The
00:52:13
time will come
00:52:16
[music]
00:52:21
and how do you understand the Gospel commandment
00:52:24
about loving yourself, love your neighbor as yourself?
00:52:28
it means that in the idea of ​​love, I
00:52:32
honestly don’t think about it, I
00:52:34
never loved myself, the only thing I
00:52:38
had was sports for me, I had such
00:52:42
moments when I got joy when
00:52:45
you swim, you spread the water, when you are in
00:52:47
good shape, you swim,
00:52:50
cut through the shape when you are in good
00:52:52
condition behind the wheel, you drive and take some turns, you
00:52:55
allow yourself
00:52:58
to figure skating. I haven’t skated for a long time,
00:53:00
but nevertheless, even on roller skates. This is
00:53:03
during the night period. Here you are driving, you
00:53:06
get pleasure from it,
00:53:08
well, such moments, but what concerns the surgery of
00:53:12
pleasure, you know Well, I don’t know, maybe
00:53:14
someone gets
00:53:15
some, you know, there is a standard
00:53:18
operation, there are non-standard ones, I got it
00:53:20
all for a moment Fold Elk a moment of
00:53:23
some kind of internal thing,
00:53:25
I don’t want to say satisfaction for a
00:53:27
moment then it passed Give God
00:53:29
for the patient to get better Well, he got better and forgot,
00:53:31
it all goes away and is
00:53:35
washed away Well, at least in my
00:53:39
perception
00:53:44
[music]
00:53:46
and you are a happy person, to be honest,
00:53:48
it wasn’t intended probably thank
00:53:51
God Probably since I lived with interest and worked on
00:53:57
some scientific research were Well,
00:54:00
probably yes it happened, as Like a mother, like a
00:54:04
grandmother, this is probably happiness. Although by
00:54:07
the way, I don’t think about it. Thank God
00:54:09
that my arms and legs work. It’s still in my right
00:54:12
mind,
00:54:14
but you’re already starting to think about it because
00:54:16
sometimes you look at this age-related character
00:54:19
at women who act
00:54:22
your age I noticed that the
00:54:25
safest people are
00:54:28
accountants,
00:54:31
artists who have a range of emotions, but
00:54:34
not those who accept. So
00:54:37
translators,
00:54:41
translators because all the time work
00:54:44
work work here. Wait Let’s
00:54:46
figure it out accountant Why accountant I do
00:54:49
n’t know the numbers we’ll save otherwise it’s a
00:54:51
brilliant intellectual form but
00:54:54
sometimes you know long-livers, so I also
00:54:56
paid attention to people with physical labor.
00:54:58
I don’t think it’s
00:55:00
genetic. Maybe I mean, let’s
00:55:03
preserve the intellect. Sometimes
00:55:05
very tall women come in. I’m interested in what you were
00:55:08
doing there,
00:55:10
and that’s what I noticed, that the range of
00:55:13
emotions, these emotions when a person is everything
00:55:16
time in emotions, this is the work of the brain,
00:55:20
this is the category of people who
00:55:22
have such preservation of
00:55:25
writers, I don’t know, although they
00:55:28
all also have
00:55:29
all sorts of characteristics, and writers are especially
00:55:32
emotional poets, writers, they
00:55:36
took some to extremes. So there
00:55:40
may be very different options,
00:55:41
this is more copper But about the artist, that
00:55:44
is, it turns out that they throw it out of themselves, they do
00:55:46
n’t hold on to this
00:55:47
range of emotions, this range of
00:55:50
emotions from a tear of laughter, you know, they
00:55:54
live all the time and secrete this Adrenaline, you
00:55:57
know, they live on
00:55:59
adrenaline, let’s say so Of course,
00:56:01
they also have specifics But of course, women are
00:56:04
actresses. I somehow came into contact with
00:56:06
several, this is generally a
00:56:08
very difficult
00:56:11
psycho-emotional category - I don’t know, I do
00:56:14
n’t seem to communicate with them, but as with
00:56:16
patients, this is not an easy public,
00:56:20
so with patients it’s better better,
00:56:23
but you’re in brilliant shape, although you not a
00:56:27
translator, not an accountant, not an actress, you are a
00:56:31
surgeon, you are the same
00:56:33
professional whose work is
00:56:35
toxic, as they say now, that
00:56:38
is, complex and with consequences for the
00:56:43
soul and heart, you constantly carry
00:56:48
within you the pain of other people for them, this pain
00:56:51
lives with them, and you are in
00:56:54
in excellent form, I think that after all,
00:56:56
this is probably given
00:56:58
if you behave accordingly, it is probably
00:57:00
given to you. I think so what
00:57:04
thoughts are such actions and what you highlight is what you
00:57:06
get because it’s
00:57:09
all so interconnected, especially since life
00:57:12
after death exists as a couple world and
00:57:14
I live in this I believe deeply I believe I’m
00:57:17
even trying to convey to the consciousness of our people I
00:57:20
tried But here I don’t know now somehow the
00:57:22
person stopped, the Energy
00:57:25
machine but not only of course it has its own
00:57:27
field if a healthy energy field is a healthy one and a
00:57:30
sick person is in
00:57:32
pain it needs to be corrected by the question of how
00:57:34
these healthy people can also be influenced and a
00:57:38
person can get better. But this is still
00:57:40
the future
00:57:42
and life after death, you
00:57:45
talk about it with such confidence. For many,
00:57:47
this is an open question and, in general, the moment of
00:57:49
passing the place of death. I think why I
00:57:52
sometimes draw conclusions like this. For example I have a
00:57:54
son more in life How to say
00:57:57
he is more mature than me he is more, as they
00:58:01
say, he reasons soberly I for example,
00:58:03
well, like a child, sometimes you know,
00:58:06
rash, not like rash
00:58:08
actions, I decide everything Questions to ask in two
00:58:10
minutes or due to the fact that I am used to
00:58:12
deciding everything quickly You need to think, you need to think about
00:58:15
it, but what you need to think about is that everything is
00:58:16
clear. That is, you see, he is more, he is more
00:58:19
practical than me. I am very unpractical in life
00:58:22
and I just see that my
00:58:24
soul is
00:58:25
probably less mature than his, so it
00:58:29
seems to me because that he is more
00:58:31
practical in life
00:58:33
and I am the
00:58:34
same, my brother is also more me, although I used to put
00:58:37
pressure on everyone, now
00:58:39
I have become more generous, I retreated and,
00:58:42
as it were, yes
00:58:45
Well, what to do, times are changing
00:58:48
Maybe, thank God I don’t know the strength in women,
00:58:52
her weaknesses
00:58:54
than weaker themes stronger but probably but
00:58:58
I’ve never used it Probably
00:59:00
this should be brought up in a child for a girl
00:59:04
these characteristics need to be brought up I
00:59:07
won’t finish three years old she’s already a
00:59:09
female person she already understands although we were brought
00:59:12
up in different conditions
00:59:14
somehow this is asceticism of
00:59:17
our time, post-war children
00:59:19
were, as it were, after the military, and this asceticism
00:59:22
seemed to be welcomed now, on the contrary.
00:59:25
Well, you see how times change,
00:59:28
but children need to be raised. This is what I came to the
00:59:31
conclusion that throughout everything you sing
00:59:33
[music]
00:59:40
[applause]
00:59:41
[music]

Description:

ПОДПИШИСЬ на канал, чтобы не пропустить новые видео Женский клуб – это подкаст про женщин, женскую природу и её особенности, про реализацию себя в профессии, семье и социальной жизни. К нам приходят героини, которые многого достигли и готовы делиться опытом: как быть в согласии с собой; как раскрывать свои таланты; как найти то, что в тебя заложено Богом, и умножить этот дар. Мы говорим об отношениях с мужчинами, с детьми, со всеми, кого призваны считать ближними. Мы говорим о нас – женщинах, которые в сумасшедшем мире умеют создавать пространство любви и красоты! Выпуск снят в рамках проекта «Гости из настоящего» Сегодня в гостях Елизавета Владимирова, доктор медицинских наук, научный консультант отделения неотложной хирургии, эндоскопии и интенсивной терапии НИИ скорой помощи им. Н.В. Склифосовского Тайм-коды: 00:00 - Интро 01:34 - Правда, что зам главврача каталась на роликах по больнице? 03:40 - О рабочем дне хирурга 07:06 - Об отношении к пациенту 08:45 - О взаимоотношениях хирурга с Богом 15:08 - Об экстремальных видах спорта 17:20 - О женщине в хирургии 19:21 - О дистанции между врачом и пациентом 25:06 - О чудесных исцелениях 26:35 - О сложных случаях 33:35 - О цинизме 39:28 - Об ответственности перед пациентом 44:23 - Об иконах в кабинете врача 46:42 - О смирении 49:06 - Об умении себя прощать 52:21 - О любви к себе 53:45 - О счастье, жизни после смерти и «сохранных» профессиях «Фома» https://www.foma.ru/ в соцсетях: ВКонтакте: https://vk.com/foma_magazine Telegram: https://t.me/foma_ru_glavnoe TikTok: https://www.tiktok.com/explore Яндекс. Дзен: https://dzen.ru/foma.ru Rutube: https://rutube.ru/channel/23652186/ Поддержать журнал «Фома»: https://lp.foma.ru/donate/

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mobile menu iconWhich format of "О чём кричат нам наши болезни? Разговор с хирургом СКЛИФа. Елизавета Владимирова / Женский Клуб" video should I choose?mobile menu icon

  • The best quality formats are FullHD (1080p), 2K (1440p), 4K (2160p) and 8K (4320p). The higher the resolution of your screen, the higher the video quality should be. However, there are other factors to consider: download speed, amount of free space, and device performance during playback.

mobile menu iconWhy does my computer freeze when loading a "О чём кричат нам наши болезни? Разговор с хирургом СКЛИФа. Елизавета Владимирова / Женский Клуб" video?mobile menu icon

  • The browser/computer should not freeze completely! If this happens, please report it with a link to the video. Sometimes videos cannot be downloaded directly in a suitable format, so we have added the ability to convert the file to the desired format. In some cases, this process may actively use computer resources.

mobile menu iconHow can I download "О чём кричат нам наши болезни? Разговор с хирургом СКЛИФа. Елизавета Владимирова / Женский Клуб" video to my phone?mobile menu icon

  • You can download a video to your smartphone using the website or the PWA application UDL Lite. It is also possible to send a download link via QR code using the UDL Helper extension.

mobile menu iconHow can I download an audio track (music) to MP3 "О чём кричат нам наши болезни? Разговор с хирургом СКЛИФа. Елизавета Владимирова / Женский Клуб"?mobile menu icon

  • The most convenient way is to use the UDL Client program, which supports converting video to MP3 format. In some cases, MP3 can also be downloaded through the UDL Helper extension.

mobile menu iconHow can I save a frame from a video "О чём кричат нам наши болезни? Разговор с хирургом СКЛИФа. Елизавета Владимирова / Женский Клуб"?mobile menu icon

  • This feature is available in the UDL Helper extension. Make sure that "Show the video snapshot button" is checked in the settings. A camera icon should appear in the lower right corner of the player to the left of the "Settings" icon. When you click on it, the current frame from the video will be saved to your computer in JPEG format.

mobile menu iconWhat's the price of all this stuff?mobile menu icon

  • It costs nothing. Our services are absolutely free for all users. There are no PRO subscriptions, no restrictions on the number or maximum length of downloaded videos.