The hospital where the butcher doctor works. Alexander Leonidovich Myasnikov is a representative of the fourth generation of an ancient medical dynasty. What do we expect from medicine?

Books about maintaining health written by Alexander Myasnikov, a famous cardiologist, television and radio presenter, are always popular among readers over 60. Our mothers and fathers value Dr. Myasnikov’s advice for its simplicity, accessibility and optimism. The book by his mother, gerontologist, candidate of medical sciences Olga Myasnikova, will also appeal to older readers - after all, she writes about what is familiar to everyone, using the example of her own life.

You know, in order to stay young longer, you need... not enough time! Yes, yes, that’s exactly how I lived my whole life. She worked three jobs and was so tired that when she came home, she would fall on the bed in her clothes and immediately fall asleep. I was constantly sewing and knitting something. I felt that I was always needed and had to, so there was no time to whine and be bored.

I developed the habit of constantly finding things to do and care for myself with early childhood. Since childhood, I loved to read and read voraciously. Reading has become a passion, a necessity. Probably thanks to this I graduated from school with a gold medal. And already when I was studying at the institute, with a small scholarship of 25 rubles, I first of all bought books. And now, when I am already 88 years old, I read constantly. I re-read my favorite authors - Bunin, Tolstoy. I love journalism. I always buy a lot of different newspapers and magazines. And I read, read, read. Because I want to stay up to date with everything that's happening in modern life. But I don’t want to forget what happened many years ago.

Why is it so important to maintain a keen interest in life? Because the aging process begins when the growth and development of the body ends. Thus, already at the age of 30-35 the intensity of biological processes decreases. The process of physiological aging does not begin in different tissues and organs simultaneously and proceeds with different intensities.

During the aging process, sensory functions are among the first to deteriorate. Hearing begins to decline at approximately 65 years of age. Vision also decreases - people over 60 rarely see well without glasses. This decline is usually caused by decreased function of the pupil, lens, retina, and optic nerve. Color perception getting worse.

The functions of smell and taste perception are also reduced. One reason for the deterioration of taste is a decrease in the number taste buds mouth by 36%, the performance of the remaining receptors also decreases. Due to changes in the perception of smell and taste old man gets easily upset about some things related to these functions. For example, he will complain that food has no taste.

An older person's speech is slower, the pauses are longer and more frequent, and pronunciation becomes slurred, often due to pathological changes in the brain.

In old age, homeostasis is less effective. Psychological adaptability also decreases with age. Wounds heal more slowly. Breathing and heartbeat become less frequent. Temperature losses are less recoverable. Sleep changes.

According to World Organization healthcare, a process called “population aging” is observed throughout the world, that is, an increase in the number of elderly and old age. Of course, in old age a person is overtaken by diseases, and many of them cannot be cured, but the quality of life and its duration can be improved. Living a long life while maintaining health and creative activity is the natural dream of every person. Therefore, an elderly person should be active!

Yes, an elderly person gets tired faster, but our research has revealed one interesting pattern: as soon as someone starts helping elderly people, they stop doing anything on their own, even the limited mobility they have decreases. Therefore, I advise: do everything that you can do yourself, do not resort to the help of loved ones!

An elderly person, a woman, must have a hobby, a passion, a constant activity that occupies her full attention. Reading, drawing, sewing, knitting. For example, I have been knitting all my life. Napkins, shawls, blouses, tablecloths. Both crocheted and knitted. I started knitting when I separated from my first husband. There was no alimony, three people had to be clothed and fed - mother, son and myself. When I was still the chief doctor in the village, I was given a German Singer sewing machine. So I sewed on it. I could only look once at a picture or at a model in some magazine - and immediately sewed it. Any pattern from memory! It took up my time outside of work.

Why is it important for an elderly person handmade? This is fine motor skills of the hands, which well supports speech, thought processes, imagination, memory, Creative skills. There are also biologically active points on the hands associated with the work of the brain, therefore, by massaging the hands of a child in childhood, we stimulate the work of the brain and all body systems.


Previously, when there was not so much technology, older people did a lot of knitting, embroidery, sewing, etc. And few of them suffered from senile dementia, sclerosis and other disorders. So fine motor skills It is better to continue to develop your hands throughout your life, then in old age you will have a young mind. You can choose something you like: for example, play musical instruments, collect various small models, do handicrafts. These activities will not only bring you benefits, but also a positive mood.

It's no secret that as we age, we forget a lot. We get distracted. For a long time it was believed that nothing could be done about memory loss in older people. But let us remember cardiologists and neurosurgeons who operate before old age, academicians making discoveries in old age. Have they been spared by the common share? Not at all. It’s just that the brain can be trained, just like muscles. Accordingly, if you don’t relax and give your brain a workout, then the symptoms of memory impairment in older people can be significantly reduced. The process of acquiring new knowledge, memorizing unfamiliar words and terms is a great workout. In order not to memorize meaningless information, you should try to study foreign languages.

It’s also useful to learn poetry or solve crossword puzzles. For example, I really love crosswords, every time I try to test myself: what do you remember? what do you know? And I am very happy when I manage to unravel many words and meanings.

And I study the Koran. Prayers for breakfast, for death, for birth. It's very difficult - Arabic. I am Crimean Tatar by origin. I have always loved the history and culture of my people. Since childhood, I heard my mother sing beautiful songs in the Tatar language and saw her dance. And she repeated everything after her.

But in first grade I decided to change my name. My parents named me Ulker, which means the North Star. I came to study at a Russian school in Simferopol and called myself by the Russian name Olga - I really liked this name and was a little consonant with my own. And so the teacher calls: “Olya Aliyeva who?” Everyone is silent, and I am silent too - I forgot that it is me. Then I remembered.

But let's return to our healthy and beautiful image life in old age. According to many scientists, bird voices have a healing effect on humans. The singing of birds calms, cheers, puts you in a romantic mood, heals the soul, and brings into balance all the processes occurring in the body. Scientists have noticed that among people living surrounded by birds, there are many long-livers. This is explained by the fact that all biological processes in the human body will in this case be synchronized with the singing of birds.

Therefore, I personally advise you to wake up early, especially in the countryside, in nature - and listen to the birds. But in the city you can also hear bird trills early in the morning. They create the right mood from the very morning. After the bird concert, you won’t want to whine and think about bad things!

Alexander Myasnikov – a famous person V professional activity doctor, and more. He is also a metropolitan showman, thanks to which the whole country knows him. During his life he gained many admirers of his, so to speak, “creativity”. The name of this popular doctor is always heard. The biography is very rich, but in matters of his personal life, Alexander Leonidovich Myasnikov belongs to that part of the celebrities who hide it. With what more people hides, the more journalists and fans want to know. They were always interested in who is Alexander Myasnikov’s wife?

Alexander’s family goes back a long way – a hereditary doctor – his dynasty of professional medicine has lasted for almost two hundred years. A professional in his field is known to many television viewers, as Myasnikov participates in a program called “About the Most Important Thing.”


Alexander, as a medical worker, is known not only in Russia - he is also known abroad. However, with such fame, he still manages to hide his personal life. Although we still managed to find out a little!

Alexander Myasnikov's wife photo

Alexander Myasnikov was married twice. The second marriage has lasted almost forty years. Doctors don’t have such a frantic life, even famous ones. That's why family life They are happy and calm. Alexander Myasnikov and his wife travel a lot for work. As they say, “in joy and in sorrow.” A photo of Alexander Myasnikov’s wife and son is presented below.


Myasnikov has two children. A son, who was named Leonid in honor of his grandfather, and a daughter, Polina. It is not known who Polina’s mother is, but Myasnikov’s wife warmly accepts the girl and does not interfere with her communication with her father.

Very little is known about Dr. Myasnikov’s children. Leonid was born late. During pregnancy, Alexander's wife experienced many problems, but the couple tried with all their might to save the child and they succeeded. Their desired child was born. According to the tradition of the Myasnikov dynasty, he was given the name of his grandfather.

Love and care reign in the family of a talented doctor. Although Alexander is busy with work, he still tries to devote a lot of time to his son and passes on to him his vast experience, accumulated over centuries. Now the son of Alexander Myasnikov has grown up to be a talented and versatile person: he reads a lot, is involved in tourism and the art of combat. He, like his ancestors, followed in the footsteps of his fathers - he studied in France to become a pharmacist.


Daughter Polina is growing up creative personality, which is not typical of the Myasnikov family. The girl draws beautifully and writes fairy tales. She has already published a few collections, which she composed and drew illustrations entirely on her own.

Nothing is known about the first wife of the talented doctor. She didn't appear in public, no joint photos, The media couldn't catch her. Alexander himself is “dumb as a fish” on this matter. Even your name ex-wife He doesn’t name the butchers. The doctor claims that his initial marriage failed because they did not get along in character and there were some disagreements in family life.


Alexander Myasnikov met his current wife, Natalya, at an event where he was with his first wife. By the way, Natalya was at this reception with her fiancé. But as fate would have it, the young people fell in love with each other from the first moment, after which they could not live separately.

Natalya’s profession is in no way related to medicine. She received her education at the Institute of History and Archives. After marriage, Myasnikov’s wife became a housewife. Alexander always finds support and warmth from his beloved wife. It creates incredible home comfort for all household members. The wife and children of Alexander Myasnikov live with the doctor as a happy family.

Books about maintaining health written by Alexander Myasnikov, a famous cardiologist, television and radio presenter, are always popular among readers over 60. Our mothers and fathers value Dr. Myasnikov’s advice for its simplicity, accessibility and optimism. The book by his mother, gerontologist, candidate of medical sciences Olga Myasnikova, will also appeal to older readers - after all, she writes about what is familiar to everyone, using the example of her own life.

You know, in order to stay young longer, you need... not enough time! Yes, yes, that’s exactly how I lived my whole life. She worked three jobs and was so tired that when she came home, she would fall on the bed in her clothes and immediately fall asleep. I was constantly sewing and knitting something. I felt that I was always needed and had to, so there was no time to whine and be bored.

The habit of constantly finding things to do and care for myself was formed in me from early childhood. Since childhood, I loved to read and read voraciously. Reading has become a passion, a necessity. Probably thanks to this I graduated from school with a gold medal. And already when I was studying at the institute, with a small scholarship of 25 rubles, I first of all bought books. And now, when I am already 88 years old, I read constantly. I re-read my favorite authors - Bunin, Tolstoy. I love journalism. I always buy a lot of different newspapers and magazines. And I read, read, read. Because I want to stay updated with everything that happens in modern life. But I don’t want to forget what happened many years ago.

Why is it so important to maintain a keen interest in life? Because the aging process begins when the growth and development of the body ends. Thus, already at the age of 30-35 the intensity of biological processes decreases. The process of physiological aging does not begin in different tissues and organs simultaneously and proceeds with different intensities.

During the aging process, sensory functions are among the first to deteriorate. Hearing begins to decline at approximately 65 years of age. Vision also decreases - people over 60 rarely see well without glasses. This decline is usually caused by decreased function of the pupil, lens, retina, and optic nerve. Color perception deteriorates.

The functions of smell and taste perception are also reduced. One reason for the deterioration of taste is a decrease in the number of taste buds in the mouth by 36%, and the performance of the remaining receptors also decreases. Due to changes in the perception of smell and taste, the elderly person is easily upset about certain things related to these functions. For example, he will complain that food has no taste.

An older person's speech is slower, the pauses are longer and more frequent, and pronunciation becomes slurred, often due to pathological changes in the brain.

In old age, homeostasis is less effective. Psychological adaptability also decreases with age. Wounds heal more slowly. Breathing and heartbeat become less frequent. Temperature losses are less recoverable. Sleep changes.

According to the World Health Organization, a process called “population aging” is observed throughout the world, that is, an increase in the number of elderly and senile people. Of course, in old age a person is overtaken by diseases, and many of them cannot be cured, but the quality of life and its duration can be improved. Living a long life while maintaining health and creative activity is the natural dream of every person. Therefore, an elderly person should be active!

Yes, an elderly person gets tired faster, but our research has revealed one interesting pattern: as soon as someone starts helping elderly people, they stop doing anything on their own, even the limited mobility they have decreases. Therefore, I advise: do everything that you can do yourself, do not resort to the help of loved ones!

An elderly person, a woman, must have a hobby, a passion, a constant activity that occupies her full attention. Reading, drawing, sewing, knitting. For example, I have been knitting all my life. Napkins, shawls, blouses, tablecloths. Both crocheted and knitted. I started knitting when I separated from my first husband. There was no alimony, three people had to be clothed and fed - mother, son and myself. When I was still the chief doctor in the village, I was given a German Singer sewing machine. So I sewed on it. I could only look once at a picture or at a model in some magazine - and immediately sewed it. Any pattern from memory! It took up my time outside of work.

Why is manual work important for an elderly person? This is fine motor skills of the hands, which well supports speech, thought processes, imagination, memory, and creativity. There are also biologically active points on the hands associated with the work of the brain, therefore, by massaging the hands of a child in childhood, we stimulate the work of the brain and all body systems.


Previously, when there was not so much technology, older people did a lot of knitting, embroidery, sewing, etc. And few of them suffered from senile dementia, sclerosis and other disorders. So it’s better to continue to develop fine motor skills throughout your life, then in old age you will have a young mind. You can choose something you like: for example, play musical instruments, assemble various small models, do handicrafts. These activities will not only bring you benefits, but also a positive mood.

It's no secret that as we age, we forget a lot. We get distracted. For a long time it was believed that nothing could be done about memory loss in older people. But let us remember cardiologists and neurosurgeons who operate into old age, academicians who make discoveries in old age. Have they been spared by the common share? Not at all. It’s just that the brain can be trained, just like muscles. Accordingly, if you don’t relax and give your brain a workout, then the symptoms of memory impairment in older people can be significantly reduced. The process of acquiring new knowledge, memorizing unfamiliar words and terms is a great workout. In order not to memorize meaningless information, you should try to study foreign languages.

It’s also useful to learn poetry or solve crossword puzzles. For example, I really love crosswords, every time I try to test myself: what do you remember? what do you know? And I am very happy when I manage to unravel many words and meanings.

And I study the Koran. Prayers for breakfast, for death, for birth. Very difficult - in Arabic. I am Crimean Tatar by origin. I have always loved the history and culture of my people. Since childhood, I heard my mother sing beautiful songs in the Tatar language and saw her dance. And she repeated everything after her.

But in first grade I decided to change my name. My parents named me Ulker, which means the North Star. I came to study at a Russian school in Simferopol and called myself by the Russian name Olga - I really liked this name and was a little consonant with my own. And so the teacher calls: “Olya Aliyeva who?” Everyone is silent, and I am silent too - I forgot that it is me. Then I remembered.

But let's return to our healthy and wonderful lifestyle in old age. According to many scientists, bird voices have a healing effect on humans. The singing of birds calms, cheers, puts you in a romantic mood, heals the soul, and brings into balance all the processes occurring in the body. Scientists have noticed that among people living surrounded by birds, there are many long-livers. This is explained by the fact that all biological processes in the human body will in this case be synchronized with the singing of birds.

Therefore, I personally advise you to wake up early, especially in the countryside, in nature - and listen to the birds. But in the city you can also hear bird trills early in the morning. They create the right mood from the very morning. After the bird concert, you won’t want to whine and think about bad things!

Official biography of Alexander Myasnikov

Alexander Leonidovich Myasnikov was born in 1953 in the city of Leningrad into a family of doctors. The medical dynasty of the Myasnikovs dates back to the 19th century (there is a museum of the dynasty in the city of Krasny Kholm, Tver Region).
In 1976, Alexander Leonidovich graduated from the 2nd Moscow Medical Institute. N.I. Pirogov. In 1976–1981 he completed residency and postgraduate studies at the Institute clinical cardiology them. A.L. Myasnikov, in 1981 he defended his Ph.D. thesis ahead of schedule. Soon he was sent to People's Republic Mozambique doctor of a group of geologists conducting exploration of deposits in hard-to-reach areas South Africa.
Due to the cessation of the group’s work as a result of hostilities, he continued to work as a doctor since 1983 general practice in the Zambezi province. A year after returning home, Alexander Leonidovich was sent to Angola as a senior group of Soviet medical consultants at the Prenda government hospital, where he served until 1989.
Upon his return, Myasnikov combined the work of a cardiologist at the All-Union Cardiology Research Center and an employee of the medical department International organization on migration. In 1993–1996, he worked as a doctor at the Russian Embassy in France and collaborated with leading medical centers in Paris.
Since 1996, he worked in the USA and confirmed his medical degree there. Completed residency at New York Medical Center state university specialty "general practitioner". In 2000, the American Board of Medicine awarded Alexander Leonidovich the title of doctor of the highest category. Member of the American Medical Association and the American College of Physicians.
Since 2000, Myasnikov began working in Moscow, first as the chief physician of the American Medical Center, then as the chief physician of the American Clinic he founded. From 2009 to 2010, he was the chief physician of the Kremlin Hospital of the Administration of the President of the Russian Federation.
From 2007 to 2012, Alexander Leonidovich hosted the program “Did you call the doctor?”, and since 2010, he hosted a medical column on the radio in V. Solovyov’s program “Vesti FM”. From 2010 to the present, Myasnikov is the chief physician of the Moscow City Clinical Hospital No. 71. Member of the Public Chamber of Moscow. Since 2013, he has been the host of the program “About the Most Important Thing with Doctor Myasnikov” on the Rossiya 1 TV channel.

Preface by the author

I. Medicine in questions and answers

1. What do we expect from medicine?

I am categorically against self-medication! I understand that people self-medicate not because they have a good life, but because medicine is either inaccessible or of poor quality. The patient needs health now, and he is not interested in explanations that for some reason something cannot be done.
If the patient does not receive adequate help, he will go to a shaman, a healer, a grandmother, an accessible doctor who is far from the ideal of literacy. The patient will watch TV, read a book, find information on the Internet and begin treatment. It is not right.
Why do I love treating foreigners? I tried to sneak away if I was called to see a Russian patient. All because our patient will pull the soul out of the doctor: how, why, why, and what? Americans are more loyal: they trust the doctor, but at the same time they are confident that if something goes wrong in the treatment, the lawyers will sort it out with the doctor.
The American patient reads about his problem and studies it. Of course, he asks the doctor questions. Doctors often don’t like such know-it-alls. But personally, it’s easier for me with such a patient: he will understand what I tell him about the need for treatment measures or examination. A person who is problem oriented makes contact easier.
A person must understand his condition in order to know how to behave in a given situation. By calling a doctor and an ambulance for any reason, we burden them with unnecessary work. At the same time, relying on the fact that the ailment will go away on its own, and, conversely, not turning to a doctor, people risk neglecting possible mortal danger. This is what my book will be about.
Here you can read more about the most frequently asked questions from patients and my answers to them. I tried to make the explanations as accessible and understandable as possible for you. I sincerely hope that this information will help you feel more confident in life!

1. What do we expect from medicine?

What do you think the average Russian expects from our medicine? His expectations are very simple: to receive quality products free of charge and on time. medical care.
Indeed, despite the fact that we live in this country and these conditions, we have the right to absolutely basic things. What if we call “ Ambulance", then she arrives within a reasonable time and takes her to the hospital where the patient can be treated needed help.
We have the right to expect that if a doctor prescribes a medicine, it will be at a minimum harmless, and at a maximum also help.
We hope that the doctor, when prescribing this or that drug, is guided not by concepts known to him alone, or even by material incentives, but by knowledge.
The patient expects that the doctor examining him will take into account all existing symptoms. That the cardiologist will not just measure the pressure and listen to the pulse, and the endocrinologist will not only feel the thyroid gland.
In a word, a person has the right to count on a competent medical examination, which consists of steps that must be followed - a certain algorithm. Unfortunately, in life everything often happens differently.
Sometimes you go to the doctor, and he doesn’t even examine you, but asks superficial questions and prescribes pills. The patient has the right to receive the entire necessary volume of instrumental and laboratory tests, and not to ask the doctor what he, the patient, still needs. Previously, doctors responded to many requests that the hospital did not have the necessary equipment, that “we don’t do this.” But many modern hospitals, at least in big cities equipped with everything necessary. The doctor is only required to follow a certain algorithm of actions.
But here it arises serious problem. To modernize medicine in last years A huge amount of money was spent, a huge amount of expensive equipment was purchased. We are proud to announce that we have already overtaken Switzerland in terms of the number of tomographs per capita, thereby demonstrating the “lack of clothes on the naked king.” After all, the level of medicine in our country was still low!

The patient has the right to receive the entire necessary volume of instrumental and laboratory tests, and not to ask the doctor what he, the patient, still needs.
It’s not enough to buy and install equipment, you need to teach doctors how to use it. Abroad, a brain specialist is trained for seven years so that he can work on a tomograph, but here they get away with three-month courses! And there aren’t even enough emergency doctors.
We are keen on purchasing heavy and complex equipment; we install a tomograph in every hospital, without eliminating the huge queues for ultrasound or regular x-rays. But the saddest thing is the lack of “investment” in doctors. It is absolutely wrong to think that equipment can do everything.
The concept of “algorithm” has already been mentioned above. With the limited funds available for the development of medicine, we must determine priorities - where to spend this money first. They need to be invested in students, medical schools, doctors, who need to be taught an algorithm of actions and certain standards.
But not quite to the standards you often hear about on TV, there we're talking about about medical and economic standards. That is, if a patient has inflammation of the lungs, then he should have an x-ray taken, a blood test taken, and an antibiotic prescribed. A medical-economic standard is a certain scheme, a list of what should be included in an examination or treatment in a very general outline. At the same time, the doctor is free to choose an antibiotic; he may or may not prescribe oxygen. He will be guided by his subjective feelings due to the lack of a clear algorithm of actions!
How does this happen in life? The patient has pneumonia. He is hospitalized and placed in a general ward for two to three weeks. Everyone in this ward is given the same antibiotic, IVs are given, vitamins are distributed... But it is not always necessary to hospitalize a patient with pneumonia; most cases are perfectly treated at home. For some symptoms, hospitalization is indicated, for others it is not. For some, one antibiotic is enough, for others, two or even three are needed. With some parameters, the patient can be placed in a regular ward, and with others, he can be placed directly in intensive care.
Remember the situation from the film “Two Soldiers”, when one of the heroes, having taken possession of a captured Mauser, boasts about how he shot from it. To which another hero asks: “How did you shoot a weapon when the most important part is missing?” “What is the most important part?” M. Bernes, who played Arkady Dzyubin, replied: “ main part any weapon has the head of its owner! And this is correct, because no matter what equipment is used, there is still a doctor behind it; he interprets the result obtained, decides on the need for research and what information these studies can provide.
All over the world, doctors are guided by clearly defined algorithms. A control x-ray is done not after two days, but at least after four weeks. Because residual effects can be visible for quite a long time, even if the pneumonia has already passed. There is no point in doing an X-ray earlier, unless the patient is in intensive care, which is why it is called the “intensive observation ward.”
When I talk about standards, I mean exactly the algorithm of the doctor’s actions, and not the set of this medical and economic “business lunch”.
According to current standards, if a patient with a stroke is brought by an ambulance, he should not be examined by a doctor in the emergency department. The time factor is so important that the patient is immediately taken to a computed tomography scanner, bypassing all registration procedures, in order to determine whether he has thrombosis or bleeding. The reason is that the medicine that can dissolve the clot is only administered for a very short period of time.
Therefore, if the ambulance hesitates, if it tries to find out over the phone where to take this patient, if in the emergency room they ask for a long time who this old lady is and what her last name is, when she became ill, then that’s it - the patient can be lost!
The money that the state spends on medicine should go, first of all, to the proper training of doctors, so that we can receive qualified care free of charge and on time.
Today in major cities the doctor earns quite a lot of money. According to official data from the Moscow Department of Health, the average salary of a nurse is 46 thousand rubles; The average salary of a doctor is 78 thousand rubles. This money is comparable to what a European doctor receives in a hospital. And this is good!
The bad thing is that “from above” they demand to support high level salaries for all medical workers to avoid complaints. Doctors have no incentive to study. They are already accustomed to receiving, not earning. Therefore, it makes no sense to increase doctors’ salaries even more! Equalization leads to a certain indifference among doctors: “They’ll give it to us anyway! If not, we will write a complaint!”
You will say that every doctor must undergo recertification once every five years. Yes, only some undergo this procedure honestly, and some do it for money. But, even if a doctor wants to undergo recertification with high quality, he is taught using outdated manuals.
For example, our doctors are instructed to use drugs that have been used for more than 40 years. See for yourself: the once approved but still valid standards include the drug dibazol. My grandfather also used it.
One day one of the leaders of our state calls and says: “I don’t feel well, I want to drink papazole, can I?!” I wonder where he found this papazole?! I think they stopped producing it back in the 70s. But it turns out that it is not only produced, but also used! This is not a joke, this is the truth of life. Therefore, in order to send doctors for recertification, it is necessary to understand who, how and what will retrain them.
We need to start with medical schools. I have repeatedly said that the modernization of medicine will begin five years after we change the conditions for admission to medical universities and the teaching model in them. Five years will pass, completely different doctors will graduate from institutes, and only then will changes begin.
Universal recertification of doctors and strict examinations for knowledge of internationally recognized algorithms and standards of medical care are vitally necessary. Based on the exam results, I would determine the size of the salary and, in general, the right to work as a doctor. Those who successfully pass this “sieve” will be leading specialists with a decent salary.
Of course, most doctors will not immediately undergo such recertification. I would limit the retraining period to five years. Let uncertified doctors work, let them treat, but under the guidance and control of doctors who have passed recertification, and for a completely different salary, less than that of those doctors. Five years later - re-certification again; fail again - get out of the profession! This is the only way to save our medicine from non-professionals.
Medicine has no nationality. All people are built the same inside, and medicine is the same throughout globe. If your doctor is African and does the right thing, then you have nothing to worry about.
Individual licensing of doctors must be introduced. Then the doctor will be personally responsible to the patient and the insurance company. And one more thing: for centuries, doctors had their own language - Latin. Replaced it today English language, therefore any doctor must own it, otherwise he will be hopelessly behind!
I will answer those who have the habit of saying: “We’ve come in large numbers here!” I believe that medicine has no nationality. It doesn’t matter what nationality you are, what color your eyes and skin are, what accent you speak with; It's how you heal that matters. All people are built the same inside, and medicine is the same throughout the globe. If a Tajik, Ukrainian or African doctor comes to you, but does the right things, then you have nothing to worry about. But if a more conventional-looking doctor comes and says: “I have a special approach” (for example, Russian or Zimbabwean), then you need to look for another specialist!
In America, most doctors are Indians. Yes, they speak with an accent, but they are competent specialists who provide the most qualified and timely assistance!
In France, medical education is generally approached differently. My son is enrolling there now. There is no entrance exam to medical school. They accept everyone with the results of the unified state exams. Everyone is given a chance to obtain a medical specialty. But at the end of the first year, a very strict selection takes place.
According to statistics, only 9% of those initially admitted pass the second year of study. For example, the state needs 340 doctors. 3.5–4 thousand students are accepted. Each student has a certain score. Based on how he studies, takes exams and attends classes, this score changes: it rises or falls.
The process is monitored weekly. Based on the results of the year, the first 340 people are transferred to the second year. Everyone else remains “overboard.” After this, they can make only one attempt (and not all of them: poor students and outright quitters are expelled immediately). If they again did not hit 340, then more rights to medical education they don't have any at all.
I think that this is a correct and reasonable system that should be introduced here too.

2. What does medicine expect from us?

You probably think that now I will talk about giving up bad habits, about the benefits of sports, etc. Yes, of course, you can’t do without it.
Look at many of our compatriots, what is happening to them?! The man is only 30 years old, but he already looks flabby, has a bulging belly, and won’t let a cigarette out of his mouth. The woman is not even 40 years old, but her figure is shapeless, her complexion is stale, and she smokes! They have never been to a doctor and have no idea about their blood pressure.
Naturally, doctors encourage a healthy lifestyle. People first age themselves prematurely, and then begin to heal themselves, relying on “knowledge” obtained from advertising.
Advertising medicines on television is a disgrace for the country! Actively advertised drugs are either pointless or literally harmful. Those that are harmful have long been banned from markets developed countries due to side effects. They successfully migrated to our territory and continue to exist. Among them are medications for allergies and weight loss, hepatoprotectors and immunostimulants. The best decision is not to buy advertised drugs! This is the only way to combat this phenomenon.
Many senior government officials agree. But they all say that a special law is needed, that the Duma should deal with this, and everything goes into continuous talk. The pharmacological lobby is much stronger. I’ll say it roughly, but essentially: “money” conquers everything.
Without disputing the importance of leading healthy image life, I want to say a little about something else. Today it so happens that a sufficient number of sane people have come to the leadership of the capital’s medicine. Many of them understand what needs to be done and how to do it. But they all face the same situation that I came across when I came to work at city ​​hospital. It quickly became clear that everything here, although somehow, was working. And if you pull a brick, the whole building will fall apart. If I fire someone I should, the hospital will shut down, since there will be no one on duty. If I change something, it will cause resistance from many segments of the population.
So what does medicine really want from us?
People come who are trying to change something in our medicine. For example, they are trying to reduce inpatient beds, the number of which is incredibly inflated. Many patients have nothing to do in hospitals! In other countries, there are two to three times fewer hospitals, and this is correct. Even after heart surgery, a person is discharged after five days, and he recovers at home.

People are already accustomed to going to a neurologist with chronic back pain, to a gastroenterologist with belching, etc. We distract specialists with trivial complaints. Understand that in order to change something, we must give up something ourselves.
A hospital is a kind of factory in which huge amounts of money are invested: complex equipment is installed; operating rooms and laboratories are equipped. Therefore, a hospital bed is literally “golden”. A person should stay on it for a maximum of three to four days and give way to another patient. The patient can complete his treatment at home or in a hospital of a different level, simpler, where there is no super equipment, but good conditions for rehabilitation, because he already needs care, not treatment.
Now they are trying to “unload” our clinics. There are crowds of people there, and normal person won't stand in line. It is necessary to create first-level clinics, where primary and chronic patients will go, and second-level, for more complex patients requiring in-depth examination. A first-level clinic should have only the essentials. The second level is already well-equipped outpatient diagnostic centers with a full range of specialists.
But even this perfectly sound idea is met with resistance from the population. People are already accustomed to going to a neurologist with chronic back pain, to a gastroenterologist with belching, etc. We distract specialists with trivial complaints, and they steal bread from therapists and cut time for patients who really need help. specialized assistance.
Clearly, fundamental changes in healthcare are necessary, but they will not be painless. In the example with clinics, it turned out that simply dividing them into levels is not enough. This only added to the confusion and lengthened the lines.
It is necessary to create a dense network of primary medical offices with a staff of two to three doctors, four to six nurses, several medical registrars, and with equipment for drawing blood and taking an electrocardiogram.
I'll tell you one case. I was then running a private clinic. I pass by the register and hear phone conversation employee with a patient: “Which doctor do you want to see? Neuropathologist? Traumatologist? I couldn’t stand it and answered the phone myself. It turned out that the woman’s hand was sore and swollen, and she was literally wondering which specialist to go to. I ended up examining her myself and discovered deep vein thrombosis in the arm. And just in time: at any second the blood clot could break off and “shoot” into the lungs!

Myasnikov Alexander Leonidovich is the chief physician of one of the Moscow clinics, a physician with an impressive work history. He is known far beyond the capital and even Russia as the author of books about illness and health written in accessible language, as well as as a frequent guest and host of popular television programs.

Doctor Alexander Myasnikov

Biography

Alexander Leonidovich Myasnikov (junior) was born in 1953, on September 15. He became the representative of the 4th generation of doctors in the family and was named after the famous grandfather. The dynasty began in the 19th century; our hero’s great-grandfather was a zemstvo doctor in the Tver province, who financed the opening of a clinic for the poor. His wife trained as an ophthalmologist. Grandfather-academician Soviet times stood at the origins of Russian cardiology, headed the All-Russian Society of Therapists. Alexander’s father also followed in the footsteps of his ancestors, although in his youth he dreamed of serving in navy. He lived only 45 years, died of kidney cancer, but managed to become a professor. His wife, Olga Khalilovna, a Crimean Tatar by nationality, began her studies in aviation, but then transferred to medical school. She specialized in gerontology (issues of longevity, age-related diseases).

Alexander was born into a family of doctors and made a brilliant career

So Myasnikov Alexander Leonidovich is the chief physician of the series medical institutions It was no coincidence that the biography of a person who grew up in such a family was predetermined. Although his parents divorced when Sasha was only 6 years old, his mother and father instilled in him a love and interest in medicine. After graduating from school, the young man left his native Leningrad for the capital and entered the Pirogov Institute. His studies at medical school, which ended in 1976, were followed by a 5-year residency.

Alexander has few photographs of his family

Attention! The aspiring physician completed his residency at the cardiology research center named after his grandfather. (He headed the National Medical Research Center of Cardiology for 17 years, until his death in 1965).

Medical career

After completing his residency, the young doctor defended his PhD thesis and went to Mozambique to provide medical assistance to Soviet geologists. He then continued to work in the Zambezi, Angola. Returning from Africa to Russia in 1989, he became a cardiologist at the center, where he trained before leaving. After working in Africa, Myasnikov took the problems of migrants to heart, so at the same time he got a job in the medical department of the IOM, an organization that deals with these problems.

Alexander Myasnikov in his youth

From 1993 to 2000, the doctor again worked abroad:

  • in France, as a doctor at the Russian embassy;
  • in the USA, where he undergoes residency and improves his qualifications, confirming them at the international level.

Work and study in the States, as well as obtain membership in a number of American organizations of the corresponding profile had an impact on Myasnikov’s future career. Returning to the capital, he became the chief physician of the American Medical Center, and a few years later he himself created and headed a clinic that met the standards accepted in the United States.

Alexander Myasnikov has extensive experience working abroad

In 2009, he was invited to the position of chief physician at the most prestigious healthcare institution in the country - the Kremlin Hospital. And starting next year, Myasnikov heads the capital’s clinical hospital No. 71. He combines his work as a doctor with social activities, holds one of the leading positions in the public council under the Ministry of Health and is a member of the Moscow Public Chamber. About 9 years ago, Dr. Myasnikov began regular appearances on TV.

A television

Myasnikov hosted a number of television programs on different channels; his debut was the program “Did you call the doctor?” This is a television program in the “doctor’s appointment in the studio” format, where a specialist gives answers to questions regarding diseases, recommends appropriate treatment and warns against mistakes. Also during the program, problems and prospects for Russian healthcare in general were discussed. Around the same time, Alexander Leonidovich began appearing on radio in the mornings, in joint project Vladimir Solovyov and Anna Shafran. He is a regular presenter of the medical section of the radio show “Full Contact”. Solovyov often invites him to his television program “Evening with Vladimir Solovyov.”

Alexander Myasnikov in the program “About the Most Important Thing”

Then came information project medical orientation “Tell me, doctor!” with the participation of the best metropolitan doctors who live answered questions from viewers. And Alexander Myasnikov’s most famous television project is the program “About the Most Important Thing,” which airs on the Rossiya-1 channel. Its slogan: “Everything that matters most is about your health.”

Alexander Myasnikov, practicing doctor

Chronology of A. L. Myasnikov’s work on television:

  • 2009 – presenter, expert of the program “Did you call the doctor?”;
  • 2012-14 – host of “Tell Me, Doctor!”;
  • from 2013 to the present day - co-host of “About the Most Important Thing.”

This morning show airs every weekday at 9:55 am. The program is based on the idea: if you devote just one hour every day to taking care of your health, you can extend your life by one and a half to two decades. The program teaches you how to properly take care of your health. Practicing doctors with extensive experience take part in it and discuss the most different topics: treatment and prevention of diseases, proper nutrition and safe weight control practices.

Are you watching the program "About the Most Important Thing"?

  • Dr. Myasnikov acts as a cardiologist, a specialist in anti-aging therapy, and also covers more common topics as a family doctor. In particular, programs devoted to influenza and vaccination, Alzheimer's disease, varicose veins, and joint health were released.

    Alexander Myasnikov appeared in other television projects as an expert

    Recordings of various programs with Myasnikov’s participation, as well as video interviews, can be found and viewed on his official website. Many of the topics that the doctor discussed in the television program are also covered in the book “About the Most Important Thing with Doctor Myasnikov.”

    Books

    Alexander Leonidovich for a long time believed that he did not have the talent of a writer, but succumbed to the persistent persuasion of the publisher and put his thoughts into words, creating the book “How to Live Longer than 50 Years.” It was published in March 2013, the circulation of 300 thousand copies was almost completely sold out and the success of the work forced the doctor to continue what he started. He believes that the level of awareness of the Russian population about issues related to health and disease is catastrophically low. Therefore, educational activities, presentation of information about the causes of diseases, measures for their prevention, and possible complications in simple, accessible language are extremely important. It is in this language that Alexander Myasnikov’s books are written.

    Preamble to one of Alexander Myasnikov’s books

    It is interesting that the doctor did not write his first book, but dictated it while traveling on trains. Then his notes were deciphered and recorded. Over time, he mastered computer typing and typed subsequent books himself.

    Alexander at the book presentation

    Here are some of them:

    • The two-volume encyclopedia “About the Most Important Thing,” which includes 9 books in the series with a self-explanatory title;
    • “Russian Roulette” is a book that teaches you to fight for your health despite the imperfections of the healthcare system, to consciously approach the choice of medications and follow doctors’ orders;
    • "Vector of fear. How to stop being afraid of cancer and protect yourself from it” - about the basic principles of preventing various cancers;
    • “How to live longer than 50 years” - a comparison of treatment principles in Russia and foreign countries, recommendations on how to avoid serious diseases in old age, taking into account Russian realities;
    • “Rust” – all about cardiovascular diseases, hypertension, atherosclerosis, causes of heart pain, life after a heart attack;
    • “The Esophagus” - about the optimal nutrition system, reducing the risk of obesity and other diseases, a selection of recipes from Dr. Myasnikov;
    • “Ghosts” is about an illness that occurs “out of the blue” and does not manifest itself with objective symptoms. Analyzes do not reveal abnormalities, examination does not allow us to establish the causes of this condition, and performance is significantly reduced. In scientific language, this mysterious illness is called somatoform disorder;
    • “Infections” (“Friend or Foe”) - about the real reason many dangerous diseases, the functioning of the immune system, methods of preventing and combating infections.

    Books by Alexander Myasnikov

    Alexander Leonidovich created 3 more books based on the notes of his grandfather. A special place among Myasnikov’s books is occupied by the work “Genealogy. Letters to his son Lena,” illustrated with numerous photographs from family archives. The history of the Myasnikov dynasty and other ancestors of the author, as well as his wife, is described here in detail. In it, Alexander Myasnikov shares some details own biography and personal life.

    Personal life

    Now Alexander Leonidovich is married for the second time; nothing is known about his first wife except the very fact of her existence. The second wife, Natalya Aleksandrovna Kolpakchi, is from Lvov. Her father was at one time the secretary of the Sochi City Party Committee, and then he was transferred to the capital, to the Ministry of Food and Industry. Here Natalya graduated from the Department of History and Archives and met her husband, and traveled with him to many countries.



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