Google Cloud Speech-to-Text API (Chirp) + Gemini 2.5 Flash Non-Thinking. Treat it as a searchable index of what was broadcast, not a quotation record.
00:00:00maybe great, it doesn't
00:00:01hide anything.
00:00:05Vision is 80%
00:00:08of information about the world. In this way, for many, many
00:00:12years we can see well if we
00:00:15get a certain amount
00:00:18of lutein. Three superfoods for
00:00:22eyes.
00:00:24A woman's lot is to endure against her will. And
00:00:28the symptoms are different, but...
00:00:41What is pelvic organ prolapse?
00:00:44The chief gynecologist of Russia
00:00:47answers your questions.
00:00:50Weekend at the children's amusement park.
00:00:54If you came and chose this wonderful day to
00:00:57allow children what they want,
00:01:00they will eat it right
00:01:03away, what to allow and what
00:01:06to forbid a child in
00:01:08a cafe.
00:01:17So, friends, again not Professor Dowell's head, if
00:01:21anyone has read this famous science fiction novel - Professor
00:01:24Kanovalov's head, covered with pills.
00:01:28The medicines we take, today we will
00:01:32talk about statins, about drugs that lower
00:01:35cholesterol, which statin do you
00:01:39take? Rosuvastatin, rosuvastatin, Herman
00:01:43Shevich, what statin do you take? Atorvastatin,
00:01:46Andrey Petrovich, Rosuvastatin, and I also
00:01:49take atorvastatin.
00:01:52It's very interesting why they take rosuvastatin, and we
00:01:56take atorvastatin. Here is an ellipsis.
00:02:02One is a pediatrician, the other is an ophthalmologist, and who are we? We know everything, comrades. So,
00:02:06here are such drugs. I want to say that in our studio
00:02:09there are students of the new medical
00:02:12university of Moscow. This university is called
00:02:16Hemomed.
00:02:22Hemomed is our guest. So, guys, how
00:02:26do statins work, what do they do? It's a medicine.
00:03:00in the cholesterol shell, everywhere, without exception, we
00:03:04have cholesterol, so we increased the shell,
00:03:07this is cholesterol, our membranes consist of two layers
00:03:11of fat, these two layers of fat hold
00:03:14cholesterol like this, so our body synthesizes
00:03:17cholesterol constantly, itself, and
00:03:2085-90%
00:03:23of cholesterol we synthesize
00:03:26ourselves, the place where cholesterol is synthesized
00:03:30is the human liver, here it
00:03:33is, our liver, here it begins
00:03:37to synthesize cholesterol, and mostly this
00:03:39happens at night, mostly
00:03:43this happens at night. So there are
00:03:46people who have too much cholesterol,
00:03:49and moreover, a lot of bad
00:03:52cholesterol, so cholesterol
00:03:55needs to be lowered. This bombing is
00:03:59synthesis... What do
00:04:02statins do? They
00:04:03lower
00:04:06the synthesis of cholesterol by the liver, due to
00:04:09this, bad cholesterol and total cholesterol in our
00:04:13body decrease. And now the question again
00:04:17to the students of our new medical
00:04:20university, which
00:04:21is called,
00:04:26cholesterol is synthesized at night, when should you drink?
00:05:13extremities, and if cholesterol is synthesized at night,
00:05:17by morning the body will be overwhelmed with it.
00:05:20It is important to take cholesterol pills
00:05:23in the evening to block this
00:05:26bombing. Did you learn that?
00:05:29Good job! So, we
00:05:32drink statins, we all drink
00:05:35them in the evening, because it's right. Now
00:05:38look, it's very interesting, what is cholesterol?
00:05:45A transport molecule, it's an alcohol,
00:05:48many people think that it's an alcohol, cholesterol, ethanol is
00:05:51an alcohol, it's a transport molecule, what does it carry?
00:05:54It carries fats from
00:05:57the vascular wall or into the vascular wall, absolutely
00:06:00right, so if we have, please give us
00:06:04a marker, here sits a nasty and vile
00:06:07driver, he is so disgusting, such
00:06:11a bandit from the big road,
00:06:14that's how I drew him, terribly, but nevertheless,
00:06:18if he is a bandit from the big road, he is a so-called low-density
00:06:22lipoprotein, LDL, that's right, he
00:06:25will carry cholesterol into the vessel,
00:06:29leave it like
00:06:33this, and thus an atherosclerotic
00:06:37plaque is formed, repeat for the students, this is
00:06:40a low person, yes, low-density
00:06:44lipoprotein, low person, low-density lipoprotein,
00:06:47and if it's high-density,
00:06:51such a kind one, here he is, I depicted
00:06:54him as kind, he will, on the contrary, come here
00:06:58and take this fat away, understood?
00:07:01Now look, so there is a low, vile, disgusting
00:07:05driver who drags fat into the vessel, and there is
00:07:08a car that carries fat, what is it important for us to monitor?
00:07:13To have fewer cars or to prevent
00:07:16a low, vile driver from getting
00:07:19behind the wheel? Answer me, to prevent the
00:07:23driver from getting in? Well done,
00:07:26well done, well done, and
00:07:29our driver is called low-density lipoprotein, because well,
00:07:32a car itself just stands there, and that's fine, yes, Herman Shevich,
00:07:36if a villain, the last low person,
00:07:39low-density lipoprotein, got in here, then things are bad. This is exactly the
00:07:43logic of the last revision
00:07:46of the treatment of elevated
00:07:49cholesterol. We were told, we no longer look
00:07:52at cholesterol itself, we don't look
00:07:55at the car, what do we look at? We look at the
00:07:59level of bad cholesterol or
00:08:03low-density cholesterol, that is, we look
00:08:07at how many of these villain-drivers, how much bad
00:08:09cholesterol there is. Now look, we are
00:08:13not just treating it like that anymore, medicine is mathematics, I am now addressing
00:08:17the TV viewers, you all get tests where it says
00:08:20total cholesterol, it says LDL - this is
00:08:24low-density lipoprotein, a bad driver, it says
00:08:27triglycerides, it says HDL, today we
00:08:30only focus on LDL.
00:08:34These guys are all young, for
00:08:36your group, that is, healthy, young, non-smokers,
00:08:40blood pressure is normal, everything is fine.
00:08:43The level of low-density lipoprotein should
00:08:46be like this, this is the so-called green
00:08:49zone, and so he is healthy,
00:08:52does not smoke, has no obesity, and his life
00:08:55is wonderful and his blood pressure is normal, lower than
00:08:58128, so for these people, low-density
00:09:02lipoprotein should be 2.6.
00:09:05Now let's move on
00:09:07to us, to people who have risk
00:09:11factors. So. Our group, what is
00:09:14special about it, the yellow group smokes and
00:09:18has hypertension,
00:09:21for all of us, the lipoprotein
00:09:24should be less than 1.8
00:09:27mm per liter, understood? That is, today
00:09:30we are guided by these figures, today we are not talking about taking statins,
00:09:34no, we see if it was possible to lower it, if it was not
00:09:37possible, if it didn't work, we add new
00:09:41medicine.
00:10:22use combined.
00:10:25In fact, this is our appeal to our
00:10:27viewers, if you are hypertensive, take medicine for
00:10:31hypertension, like us, then the low-density
00:10:34lipoprotein, bad cholesterol, should be lower than
00:10:371.8, but unfortunately, in your group,
00:10:40high cholesterol happens, for example, my youngest son
00:10:44had a low-density lipoprotein of four-something, he
00:10:48will be 35 in December, of course, something needs
00:10:51to be done now, of course, he needs to be treated, so today, statin.
00:12:11this is the situation with statins, and of course, we wanted to tell our viewers about this so that you know it, at the end of the conversation about cholesterol, and by the way, people with high cholesterol usually have obesity, and we
00:12:14now have a huge project to lose excess weight, so
00:12:18especially for you, the sponsor of our program, the leading
00:12:21pharmaceutical company of Russia,
00:12:25which produces a whole line of vital prescription drugs,
00:12:29including injections for weight loss.
00:12:32Promomed,
00:12:34we create new and foresee the future.
00:12:38We know how to make you
00:12:40slim.
00:12:44Vision is 80% of information about the
00:12:48world. Thus, for many, many years we can
00:12:52see well if we receive.
00:13:29weekend at the children's amusement park, if you
00:13:33came and chose this wonderful day to
00:13:36bring together, let the children have what
00:13:40they want, they will
00:13:42eat it, what to allow and what
00:13:45to forbid a child in
00:18:10So, friends, in our studio we have such a beautiful
00:18:13eye. The thing is, the eye must receive
00:18:16special food, because many substances
00:18:19necessary for the eye to function are not
00:18:22synthesized by the body, so today we will have three
00:18:26superfoods for the eyes, bring these
00:18:29championship products into
00:18:31the studio.
00:18:41Let's name these miracle products:
00:18:44first, second, cod
00:18:48liver and lamb liver,
00:18:51spinach, cod liver, lamb liver. I'll start cooking,
00:18:54dear doctors, and you, please go to our
00:18:57models. So, spinach, cod
00:19:00liver, and lamb liver. Mikhail Yegorovich, of
00:19:04course, you should start! Let's start with
00:19:08spinach, what does it contain? Let's start with spinach. Spinach
00:19:12contains lutein, which is a powerful antioxidant
00:19:15that protects our retina from
00:19:19destruction, from lipid peroxidation. This
00:19:22lutein, it is contained in the body
00:19:26in the blood 10,000 times less than in
00:19:29the eye. In the eye, almost all of it
00:19:33goes here to the central part of
00:19:35the retina, which is called
00:19:38the macula, because this part of the retina
00:19:41is responsible for high vision. This very
00:19:44lutein protects the retina from blue
00:19:48light spectrum,
00:19:50and thus, from ultraviolet, so we
00:19:54can see well for many, many years if we
00:19:57receive a certain amount
00:20:00of lutein, but most importantly, you said that
00:20:03there is lutein in the eye.
00:20:1770% here, look, this spot is
00:20:20called the yellow spot, it looks
00:20:23yellow in real life, this is
00:20:26the point of clear vision, its real
00:20:30size is less than a millimeter, and if you
00:20:32now look, for example, clearly at us, you
00:20:36will see that clearly...
00:20:50because only here are collected cells,
00:20:53cones, which are responsible for high vision, the
00:20:57further from the macula, the further from the central
00:21:00part, these cells no longer provide such visual
00:21:04acuity, even a millimeter from the macula,
00:21:06understood? That is, the eye specifically protects this millimeter, and
00:21:10spinach is the absolute champion with two daily
00:21:14norms per 100 grams, that is, it is an absolutely
00:21:17championship product for our eye. Happily
00:21:20eats
00:21:21spinach,
00:21:26well, we move on, Andrey Petrovich, what product do
00:21:30you have? I have cod liver, it is
00:21:33a record holder for vitamin A, more than
00:21:36thirty daily norms, to be precise, in 100 g,
00:21:4033 daily norms, why do we need vitamin
00:21:43A? We have an enzyme called rhodopsin, this
00:21:46rhodopsin is not formed, it contains.
00:22:20Rhodopsin is formed.
00:22:22We need rhodopsin every day, we use it up during the day, it must
00:22:26be restored at night when the eyes are closed, because when the eyes
00:22:29are open, it is used continuously, so
00:22:33for it to be there, vitamin A is needed, do we synthesize vitamin A?
00:22:37No, we do not synthesize vitamin A, we get it from outside,
00:22:40so every day we must get vitamin A,
00:22:44and if this process is disturbed, then naturally
00:22:47our central vision is disturbed.
00:23:21The last product is lamb
00:23:23liver, and we are talking about lamb liver,
00:23:27after the image has reached our
00:23:30retina, it must reach the brain, this is the optic
00:23:33nerve, and the functioning
00:23:37of the optic nerve is impossible without vitamin B12,
00:23:40B12 covers these nerve fibers,
00:23:44therefore we
00:23:46need it.
00:23:50Liver contains 37
00:23:52daily norms of vitamin B12 in 100
00:23:56g, that is, it is a colossal 3 g
00:23:59is enough, even less, for the
00:24:02optic nerve to work, so these are
00:24:05undoubtedly three superfoods, our eye is now happily
00:24:08eating lamb
00:24:10liver,
00:24:16and we, friends, once again name three superfoods:
00:24:20spinach, cod liver and
00:24:24lamb liver,
00:24:27what to say next, that's all about food, it's time for us to talk about
00:24:31medicine, we have a special women's topic and we have
00:24:35Apollo and his muses on the screen,
00:24:39all muses are beautiful, as all women
00:24:42are beautiful, but the trouble is, a woman's
00:24:45lot is to endure against her will, a whole
00:24:49spectrum.
00:25:03In our program, the chief gynecologist of Russia, academician and doctor
00:25:07of medical sciences, Leila Vladimirovna
00:25:10Adamyan.
00:25:14Prolapse of internal organs, as I understand it, prolapses
00:25:18like this, through the vagina, right? That's right,
00:25:22it's called prolapse or
00:25:25descent of pelvic organs, because the uterus
00:25:28itself doesn't fall out alone, it pulls
00:25:32the bladder and
00:25:34intestine with it, this is our rectum,
00:25:37this is the bladder, as it descends,
00:25:41it pulls this entire ligamentous complex, and
00:25:44these are supporting, fixing, and
00:25:48suspending adhesions. Ligaments, all these
00:25:51ligaments go, go, go, because the pelvic
00:25:55floor doesn't hold, it relaxes, this uterus,
00:25:59when it descends, it can partially reach
00:26:02here, and complete prolapse is when it
00:26:05all goes down and ends up outside
00:26:09the vagina. You had patients like
00:26:12yesterday, she didn't come today, her
00:26:15uterus was at the level of the middle of her thigh, how long had
00:26:19she been walking around like this? She had been walking, I can't show it on myself, but roughly
00:26:23hiding it like this. How long had she been walking? She
00:26:26said she was scared, everyone scared her, because
00:26:30she was no longer 20 years old, but
00:26:33about 63 or 64, suddenly there would be some complications, she
00:26:37was embarrassed, she told no one, she said,
00:26:40Vladimirovna, well, operate on me, I can't even
00:26:44go to the theater, I say, what about the theater? Well, she
00:26:47says she wants to pee, then her
00:26:50intestines don't hold, well, help me, I
00:26:54operated on her the day before yesterday, I really wanted to bring her to you,
00:26:58and thus there can be partial prolapse of the pelvic
00:27:01organs. And complete, when the entire uterus goes
00:27:05outside the pelvis. I want to say that the operation
00:27:09performed by Academician Adamyan is the height
00:27:12of elegance. Because, well, it would seem that to put everything back
00:27:16inside, you need to cut everything there, sew something somewhere,
00:27:20in fact, a special polypropylene
00:27:23mesh is used, which
00:27:25becomes the basis of the pelvic floor
00:27:28instead of those muscles that do not work.
00:28:02prolapse, put it in place, fix it at the top,
00:28:06perform plastic surgery on the muscles of the bladder, pelvic floor,
00:28:10fix it completely at the top, do I understand correctly that the mesh lies
00:28:14approximately here, no, no, the mesh cannot lie
00:28:17here, it should lie a little higher to hold
00:28:21it here, that is, the mesh passes approximately
00:28:24like this, plus you stitch the ligaments, everything
00:28:28so that this mesh does not hang in the air, it must.
00:29:02uterus, mm-hmm, and the same with defecation, with
00:29:06stool, pain in the lower abdomen in the pelvis,
00:29:10because the uterus pulls down all this heaviness
00:29:13tends to go there, to the
00:29:17vaginal area, it should already be there, then in this
00:29:20situation, a minimally invasive operation can be
00:29:23performed, a little stitching, hanging, and so
00:29:26on, from the very beginning, impaired bladder
00:29:30and rectal function,
00:29:32a feeling of pressure in the lower abdomen,
00:29:35a feeling of a foreign
00:29:38body in the vagina
00:29:42or outside the vagina,
00:29:45everything in general, I understand that at these stages, when there is already
00:29:48a sensation of a foreign body, a woman can already feel
00:29:52with her finger the prolapsed part in her
00:29:55vagina,
00:29:57so the question of how one can live with this is, of course, a
00:30:01question. The task, we have already
00:30:04accustomed people to endometriosis, infertility, fibroids,
00:30:08not to give birth to a fibroid,
00:30:12one must take prolapse very seriously, because
00:30:15our women now live longer, and
00:30:19they need to maintain quality of life, so that old age is also a joy,
00:30:23and we will provide this joy, this is what
00:30:26Academician Adamyan says, and I will repeat the symptoms, so
00:30:28women, heaviness in the lower abdomen.
00:30:32God forbid, a sensation of a foreign body
00:30:35in the vagina, impaired bladder function,
00:30:38when you cannot urinate immediately, exactly
00:30:42the same way you cannot poop, this is impaired
00:30:45rectal function, all this is a
00:30:47reason to rush to the gynecologist, because
00:30:51prolapse is visible to the naked eye during a regular
00:30:55gynecological exam, and I personally invite you, I am a master
00:30:59of sports in this matter, this is not
00:31:01a master of... This is a great Olympic champion.
00:31:05Every Thursday from 9 AM, Academician
00:31:08Adamyan has been seeing patients for more than half a century at the Center
00:31:11for Obstetrics, Gynecology, and Perinatology named after
00:31:14Kulakov. Therefore, this person, being
00:31:17a superstar of medicine in our country and
00:31:21of world medicine, is absolutely
00:31:24accessible to any person. Many thanks
00:31:27to Academician Adamyan. Before we finish, I must
00:31:31mention our sponsor, slimmert. That's
00:31:34what it's called, a free app for
00:31:37everyone who wants to lose weight, nutrition and
00:31:40exercise tips for those who are losing weight themselves or with injections for
00:31:43obesity. Energy
00:31:46of movement, yes, your changes,
00:31:49yes, lightness, joy closer to you, with the app,
00:31:53Geropharm,
00:31:58weekend at the children's amusement park, if you
00:32:01came and chose this wonderful day to
00:32:05bring together, allow the children what
00:32:08they want, they will
00:32:10eat it, what to allow and what
00:32:14to forbid? A child in
00:32:16a cafe.
00:37:49a professor, a pediatrician, and together with a children's doctor, we
00:37:52are going right now to an amusement
00:37:55park. Why? Because when you go to the park with
00:37:59a child, you need to prepare for this trip, you need to
00:38:02know how to behave, it should be safe, interesting
00:38:06and wonderful, let it be
00:38:08so.
00:38:18This is all beautiful too,
00:38:19incomparable.
00:38:37Meanwhile, Andrey Petrovich and I
00:38:39have arrived at a restaurant. So, you went to a big
00:38:42amusement park with your children, and you, of course,
00:38:46came to eat with them. We
00:38:49have a question. Can we talk to you? What's
00:38:53your name? Vitya. Vitya. Tell me please.
00:38:58What do you want to order?
00:39:01I would like to order a boat in
00:39:03Adjarian. Yes. And what will mom
00:39:06allow, what won't she allow? Mom would like him to eat a Korean soup
00:39:10with noodles, of course. Well, we'll find a compromise, apparently,
00:39:14what kind of soup, and a boat in Adjarian. Both
00:39:17of them. So soup first, I understand. So
00:39:21you will be in a battle for
00:39:24try. And what will you have? Me. Yes, I'm still
00:39:28looking at pasta, you pasta, and he
00:39:31soup, and he soup with
00:39:34halfway, we'll ask here,
00:39:38we have how many parents and children here,
00:39:41parents, what will you allow your children
00:39:44to eat here in the cafe, in the amusement
00:39:48park, there were amusements, you were on the
00:39:50rides, yes, you asked your mom for something, why are you so
00:39:54unhappy, what will you allow them to eat?
00:40:57asked, all parents there, only soup, only soup, and what about you, and I
00:41:01noodles, pasta, only soup, only soup, and what about yourselves,
00:41:05pizza, that's not allowed, this day, this is a holiday
00:41:08day, this is a day of transgressions, and it's a day
00:41:12of entertainment, so go ahead, fight as much as you
00:41:15want for healthy eating. On this day,
00:41:18pizza, pasta, French fries, French
00:41:22fries, everything, everything you don't want them to eat on
00:41:26this day, let them eat. But we'll also say this, the thing is,
00:41:30if you compare how many calories you, for example,
00:41:33adults, or us, or you spend and children,
00:41:37just when we sit, we still spend.
00:42:40It's bone growth, their muscles grow, skin,
00:42:43everything, so don't be afraid. Now we want to
00:42:47say two good words about nuggets,
00:42:50about nuggets. These girls here, they are our singers,
00:42:54girls, wait, are you without adults, what
00:42:57will you
00:42:59order? Macaroni,
00:43:03macaroni, Margherita, and pizza, Margherita. On
00:43:06our tab, please, girl, macaroni. This
00:43:10is us addressing our, our waiter
00:43:13for the girls, macaroni please, and Margherita pizza and
00:43:17Margherita pizza for everyone, girls, today anything
00:43:20goes, especially since you're so beautiful, so made up,
00:43:24thank you, oh nuggets, nobody eats nuggets,
00:43:27nuggets no, and we'll also go to the models, because in fact,
00:43:31even though the children's menu looks like deeply
00:43:35unhealthy food, right, because in the children's menu we have
00:43:38what, pizza.
00:43:52This is protein, this is chicken protein, cheese in pizza is also
00:43:56protein. Why do we need protein? Protein
00:44:00is the basis of building,
00:44:02building material of our body. Look,
00:44:06blood proteins, that's protein, of course,
00:44:10bones, as we showed you, that's also protein, all
00:44:14digestive enzymes are protein enzymes, of course
00:44:17all muscles are protein,
00:44:21of course, all hormones and all immunity are
00:44:24protein, all antibodies are protein, so without protein
00:44:28life is impossible, nuggets are not
00:44:31the most harmful thing there is, it's chicken
00:44:34meat, not nuggets, it's actually chicken meat in
00:44:38batter and well...
00:45:23His activity is huge, he'll go on rides
00:45:27here and there, you'll sit down and wait for him,
00:45:30so when you came here together
00:45:33to a huge amusement park, both in a good
00:45:36mood together.
00:45:40Let him ask for everything he wishes,
00:45:43soup, if you wish, you eat it
00:45:47alone, because for you it's important to keep
00:45:51track of the day's calories, for him today it's not important
00:45:55at all, okay, understood, ask for whatever you wish, while we're
00:45:58here...