Give Doctors The Opportunity To Be Doctors

Give Doctors The Opportunity To Be Doctors
Give Doctors The Opportunity To Be Doctors

Video: Give Doctors The Opportunity To Be Doctors

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Video: How to become a doctor in the UK as an international medical graduate I The Junior Doctor 2023, January
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There is a new scandal on Channel One. Elena Malysheva questioned the official technology for obtaining immunity against coronavirus. At the same time, there are practically no doctors in the antique headquarters of Tatyana Golikova. And the chief physician of the famous "Kommunarka" Denis Nikolaevich Protsenko publicly spoke about the state of affairs with patients in this clinic. This is what the editor-in-chief of "Arguments of the Week" Andrey UGLANOV had a conversation about with Doctor of Medical Sciences, Professor Igor Gundarov. Watch the full version of the video interview between the editor-in-chief of Argumenty Nedeli Andrey UGLANOV and Doctor of Medical Sciences, Professor Igor Gundarov on Youtube channel AROUND THE CORNER Checking Golikova - Igor Alekseevich, a few days ago I watched Elena Malysheva's program and realized that a scandal was brewing. Malysheva said that nothing needs to be done to create antibodies in the body to fight the coronavirus. That there are people who do not have antibodies to it, but have immunity. This is completely contrary to what they say about vaccination, which is done so that everyone has antibodies. - I told you about this last time - social schizoid psychosis is growing. There is no logic at all. Some say that it is necessary to develop population immunity in 60% of the population. Others answer - immunity is not needed, because there will be a cytokine storm and the body will kill itself. Among the drugs that we prescribe, there are even those that suppress immune activity! - It turns out that we are having something like a headquarters exercise. The coronavirus headquarters, which is headed by Golikova, every day draws an increase in incidence, an increase in beds. Is there any sense from this headquarters? - The headquarters exercises are not conducted by Golikova. These teachings test her own abilities. They have been going on for almost a year, and the assessment of the activities of the headquarters is a solid two. The deplorable state of health care and management in a crisis situation has been fully identified. In fact, SARS-CoV 2 is a very weak virus. That is, a low pathogenicity test system was used for the headquarters exercises. And yet it caused panic around the world. Conclusion - we are completely unprepared for such a danger. I analyzed and isolated three or four gross errors and would like to dwell on them. First mistake. Medical scientists were removed from decision making. Who entered the epidemic control headquarters? Chairman Golikov. Does she know virology, epidemiology? - She was the Minister of Health. - And destroyed this system. Who is in the headquarters of 12 people? Chairman Golikov. Popova is a sanitary doctor. Next - the Deputy Minister of Internal Affairs. Representatives of the following departments: Veterinary Inspectorate, Ministry of Transport, Ministry of Civil Defense, Deputy Minister of Foreign Affairs, Deputy Director of the Foreign Intelligence Service, General Director of Aeroflot … Why all this? Where are the virologists? Where are the epidemiologists? There is none. Imagine - military action, and there is not a single soldier in the General Staff. Towers of Death - Before the interview, you said that you have some statistics on your hands that could change our understanding of the causes of death from covid. - I have mortality statistics by day around the world. I compared it with the data for Russia. Amazing data. High death rates from Tuesday to Saturday, like towers, alternate with sinkholes on Sunday and Monday. The decline is about a third. And so - constantly all covid time. - And, judging by the schedule, on Monday the mortality rate is even lower than on Sunday? - My version is the result of erroneous treatment. We begin to treat with drugs that you do not need to take.A man would have done it himself. The largest pulmonologist, director of the Pulmonology Center of the Federal Medical and Biological Agency, Averyanov, says that 80% of ARVI patients do not need treatment. The body has the most powerful protective capabilities and is able to overcome the disease itself. "In the majority of patients - this is about 80% of patients - after the introduction of SARS-CoV-2 in the body, the immune system, by its natural action, overcomes the infection, the person recovers without our intervention or in spite of it." Do not touch the sick, let the body's defenses work by themselves. He is even surprised that with such an abundance of unnecessary drugs, patients are still alive despite our treatment. - That is, the "towers of death" on the graph are the result of treatment? - Yes! On weekdays, patients are treated by all means, and on weekends, the pressure with deadly drugs is reduced. - Do you give less medicine on weekends? - No, just the appointments are weaker, fewer procedures, less emotional pressure. - Why is there no failure on Saturday? - Because the drugs have a latency period for the onset of action. What is scheduled for Friday will be most active on Saturday. - Monday is the best day to survive. - Yes, because the blood is washed from the rubbish that we force a person to take. - And what drugs should you watch out for? - How do we treat covid? Hydroxychloroquine. This is an antimalarial drug, it has an extremely negative effect, suppresses the immune system. It is actually required from the strength of 3-5% of patients in whom a cytokine storm has begun, that is, the body is too actively producing immunity. The remaining 95–97% of patients we kill with this drug. The second of the recommendations of the Ministry of Health is azithromycin. The strongest drug with a wide spectrum of action. Why appoint it in the first step? It has a ton of side effects! We Kill Every Third - I was on a TV program recently. The leading, educated, erudite person, in response to my words that scientists should be involved in the fight against covid, replied: "With you scientists, one trouble, where there are five scientists, there are seven opinions." Another blogger spoke out there - you are, they say, talkers, and we need to save people. But in order to save, you need to know what to do! This is the attitude towards scientists now. At the same time, they giggle arrogantly, and they themselves demonstrate cave ignorance. The screen shows a doctor, a State Duma deputy, with a jar of leeches. And immediately - hee-hee, we have azithromycin, and you have Duremar with leeches. There is not enough intelligence to understand the meaning - she gives the wisest advice! One of the variants of the course of coronavirus infection is characterized by an effect on blood clotting, when blood clots form in the vessels. So there is no better drug than hirudin, which leeches secrete. Averyanov clearly says: “Today there is not a single drug or method that could stop the virus, its progression and destructive effect. A week after taking lopinavir and ritonavir, every second patient experiences severe toxic reactions. " - Let's go back to the mortality graph. - To put it roughly, but honestly, we kill every third. We are to blame for the death of every third survivor in the first three days of the disease. - Is it the fault of the Ministry of Health and Minister Murashko? - Murashko well done, he quickly changes his opinions. In an interview with Posner immediately after taking the seat of minister, he said a wise and beautiful phrase: "A vaccine is a weapon of a lost war." In some ways he is right. The epidemic has passed, we have made a vaccine. But the next epidemic will be different, and this vaccine is already late. And a little later, he already said that it was urgent to make a vaccine and it would be ready in 3-4 months.- Is he a doctor at all? - Yes, as far as I know, he is an obstetrician-gynecologist, was involved in the organization of health care and is the head of one of the departments at the First Moscow State Medical University named after Sechenov. A very respected worthy person, but who has come under political pressure, and here it is difficult to resist. Do not try to think - you spoke about three mistakes. - The second gross mistake - we, doctors, were turned into waiters "what you please". We were forbidden to think. I remember a few years ago Veronika Skvortsova proudly reported - we have developed 20 thousand standards! What a wonderful achievement! Why think? A patient comes to you, you open the standards, everything is written there, point your finger and prescribe a treatment. I remember when I worked in residency and our professor, the excellent therapist Rafalovich, said: “In difficult cases, invite consultant professors, but their opinion is just their opinion. You can ignore everything they said and do as you see fit. " In medicine, the attending physician is the first pilot in an airliner. He alone is responsible for everything, for the life and health of the patient. To force him to do what the Ministry of Health thinks, and not himself, is a crime. And we have now been put into such a framework that if I do not do what I was ordered, I will lose my place. At first, individual rebels were noisy. And when the authors of the methods realized that they could not cope with the rebels, they introduced a rule according to which, because of the rebel, the entire team is deprived of the prize. And it's harder to go against the collective than against the bosses. And people broke down. - And the third mistake? - This is a health care organization. Covid drew a line under the era of "effective managers." They know how to count money. Nothing more. And here you need to know the subject. And as soon as you entered the directive "extended criteria for hospitalization" at the start - that's it. You blocked the work of the ambulance, overloaded all hospitals, there are not enough beds, because of this, hospitals are being opened, in which the infection is walking. And an epidemic started, launched by your own hands, launched by the notorious "optimization". Now Golikova is running an anti-wing headquarters. But under her leadership, under the beautiful word "optimization", 60% of the infectious bed fund was reduced. - It happened more than ten years ago. - Yes. Backfired now. What arguments did she have? Expensive land in Moscow, so you need to close the bed fund. Healthcare must enter the market and be competitive. That is, to cut everything that does not bring money. These are the arguments of a market trader, not a minister. And in the Soviet years there was a supply of epidemiological beds. Then they realized that building an anti-epidemic hospital is much more difficult than an ordinary one - the factor of infection and the nosocomial spread of pathogenic microbes is included. Therefore, special Meltzer boxes are being built so that there is no mixing of infections. - But now there are new construction and medical technologies, so they build faster? - Streptococci remained the same! Where did more than 20 thousand beds come from overnight? Where will they send you, God forbid, what happens? Here is a list of places where these same beds appeared. You will be directed to the State Scientific Center of Coloproctology, where sigmoidoscopy is done well and your rectum is examined. But how to treat pneumonia - they are not specialists. Patients with respiratory diseases came to them in a stream. Or the Federal Bureau of Medical and Social Expertise of the Ministry of Labor is waiting for you. Yes, they are busy with papers! Or the Federal Medical Biophysical Center - there are no specialists there, no one there remembers how to insert a phonendoscope into the ear. Research Institute of Occupational Medicine. National Medical Research Center of Obstetrics, Gynecology and Perinatology. Scientific Center for Children's Health. Federal Research Center for Nutrition, Food Safety Biotechnology. - That is, they freed up the spaces in the institutes, where they put the beds, called it the "red zone", but the doctors who were there remained, there are no others. And now they bring the sick there? - Yes.And what did it lead to? I shouted about it from the first days during all these seven or eight months. There is a mixed infection. After all, we send there both the sick and the non-sick in one stream. There is a mixing of infectious processes, a gross violation of the requirements of epidemiology. The classic example is Kommunarka. A multidisciplinary center has been created and built to treat patients of different directions. Of course, there was also an individual epidemiological department. And now the order was given to completely transfer him to covid patients. What does repurpose mean? All other hospitals are not designed for infection control. And one of the most important features of the requirements of infectious diseases hospitals is the control of nosocomial infections. - What is nosocomial infection? - This is an infection that occurs as a result of insufficiently careful anti-epidemic control. As a result, different infections from different carriers are mixed. Meltzer boxes allow hospitalizing patients so that they do not contact each other. And if this is an institute of coloproctology, which has been converted into an infectious diseases hospital in two days, then there are no conditions there to resist the mixing of infections. One will be brought with coronavirus, another - with Klebsiella, the third - with Staphylococcus aureus. And two days later they have a common infection. That's what a nosocomial infection is. Example "Kommunarka" - Let's go back to "Kommunarka". - Kommunarka is a standard. The chief physician Denis Protsenko was given a Hero of Labor for a reason. - He is a very brave man. - Very brave. He recently had a videoconference and made a presentation. I will quote his words and figures from that report. On the graphs, he shows mortality - this is the number of deaths from the number of hospitalized. From March to November, the growth is almost 20 times! How can this catastrophe be explained? He explains it like this. At first, everyone was transported there, including the lungs, therefore the mortality rate is low. And now the lungs are treated at home, only seriously ill patients are admitted to the hospital, who, unfortunately, die more often. But I suppose that the increase in mortality also occurs due to what we talked about at the very beginning - excessive treatment according to directive guidelines from above. Protsenko gives interesting observations. In the first 72 hours, they die mainly from coronavirus - hypoxia, pulmonary failure, thrombus formation. And in the following days - this is more than 70% of deaths - from sepsis. - What does death from sepsis mean? - There are two options. The first is that a weak organism cannot cope with monoinfection, it enters the bloodstream, and all organs are seeded. Renal failure, liver failure, and infectious metastases immediately begins, the person dies. The second variant of sepsis is when a person is initially more or less normal, but he gets into conditions where one neighbor has one infection - Staphylococcus aureus, for example. Another has pneumococcus, a third has a rhinovirus, and a fourth has something else. The body can cope with each infection separately, but with all together it is no longer able to. I really respect Denis Protsenko. He says terrible things. He says - an infection is raging in my hospital. We look at the graph he presented - and what do we see? More than forty percent of the dangerous infection walking on Kommunarka is not a coronavirus. This is Klebsiella! And it is inherently antibiotic resistant in nature. Another 8% is Escherichia coli. Hands after the toilet do not wash well! So it turns out that people are dying - and Protsenko talks about it - from sepsis. And this sepsis is from nosocomial hyperinfection. They are dying not from what they were taken to the hospital with, but from what they already picked up there from the neighbors. I appeal to the mayor of Moscow S.S. Sobyanin and President V.V. Putin - according to the laws of epidemiology, something urgently needs to be done with Kommunarka! First of all, to carry out powerful anti-epidemic measures there. In practice, there were cases when the breeding ground for infection had to be burned.- I know that the hospital was burned because of Staphylococcus aureus. He does not disappear, it is impossible to erase him. - Yes. And in order not to infect newborn children with Staphylococcus aureus if it was impossible to carry out appropriate anti-epidemic measures, this institution was burned. Protsenko is not to blame. He is a brave and honest man, he does not hide anything. The one who put the resuscitator at the forefront of the fight against the virus is to blame. - And what about other hospitals? From proctology and maxillary surgery? - If in the specialized "Kommunarka" such a picture, then in all other institutions where infectious patients are now hospitalized, the same thing happens. Doctors in the Death Zone - Over the past few years, half a thousand doctors have died from covid. This is some kind of quiet horror! - And this is the fourth terrible mistake. Where is the state commission analyzing the causes of death of so many health workers? - This is a whole issue, a whole course of a huge medical institute! - I remember the Soviet years, when I was a district doctor. We did not wear masks and did not get sick. Who put these suits on us? - Is it the costumes? - In what conditions does the doctor work? Imagine - they put on a rubber suit in which you walk for 14 hours. No heat exchange, no ventilation. You have a mask on your face that causes pressure sores. - I know what is it. He was a tester. We tested aviation masks. This is the most sophisticated equipment for a masked pilot to carry out his tasks. The doctor's job is not easier, but they were given some kind of primitive protective equipment. - 14 hours of work! They urinate in diapers, because there is only one suit to change and you cannot take it off. They caught up with the fear of the doctors. Introduced the concept of "red zone". - So what to do? - Let the scientists go to work! Create a scientific department at the headquarters. Create an independent scientific expert council at the ministry. - Better to create a headquarters of doctors. And those who are now at the headquarters must follow the recommendations of this medical headquarters. Those who sit in the headquarters of Golikova understand the work of transport, supply, logistics. But they must follow the orders of doctors, and not vice versa. - The Ministry of Health should recommend, not order. And the doctor must make his own decisions. But also to be responsible for them. Give doctors the opportunity to be doctors! A cloud of fear covered planet earth

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