Conversation with Elena Malysheva. How to ask a question to Elena Malysheva. Projects of Elena Malysheva
She is the country's most famous TV doctor. She knows everything about health and the most advanced methods of treating diseases, and is aware of the achievements of world and domestic medicine. The host of the “Health” program Elena MALYSHEVA answered your questions. October 9 from 15.00 to 16.00 Moscow time on our website.
FROM THE DOSSIER:
MALYSHEVA Elena Vasilievna - doctor, candidate of medical sciences and host of a popular program - was born in Kemerovo into a medical family. After graduating from Kemerovo medical school, entered graduate school in Moscow.
Elena Malysheva began her journalistic activity on Kemerovo television, where she created the program “Recipe”.
For 10 years now, since 1997, Elena Malysheva has been the director and presenter of the popular program “Health” on Channel One, and the tenth anniversary of the program is celebrated in October 2007.
The program “Health with Elena Malysheva” airs on Channel One on Saturdays at 9:10 Moscow time.
DEAR READERS!
Answers to other questions will be later, during the week, but Elena Malysheva promised to answer everyone!
Elena Malysheva
The desire to lie down after dinner has nothing to do with liver disease, but is due to the fact that blood flows from the brain and flows to the stomach to ensure nutrition. The liver works great.
Elena Malysheva
If your joints are already cracking, then you have overlooked prevention. In fact, there may be nothing wrong with crunching if there is no pain or other discomfort. A the best remedy prevention of joint diseases - movement and absence excess weight, because the joints simply wear out from the enormous weight that they have to bear, just like the brake pads on a car wear out if the car is constantly carrying heavy loads.
Elena Malysheva
You can contact the Institute of Rheumatology, the Institute of Traumatology and Orthopedics, or simply a competent doctor.
Irina Galagan
Elena Malysheva
In treatment rheumatoid arthritis a revolution took place. A medicine, Maptera, has been created that stops the progression of the process. The medicine is very expensive, but very effective. One injection every six months.
Elena Malysheva
In my opinion, your doctor is right about everything. You are under observation and, apparently, there are no negative dynamics yet. The best thing a doctor can do is examine you every six months. Such examinations are a guarantee that no deterioration will be missed.
Elena Malysheva
Itsenko-Cushing syndrome is a truly serious disease. And, judging by the tests, your sister really has this disease. The main cause of the disease is a tumor. If the tumor is not treated, your sister will die. This is the opinion of the chief endocrinologist of Russia, director of the endocrinology center, Professor Melnichenko. Today the state fully pays all the costs of treatment for these people. By removing the tumor, the disease can be completely cured. Bodymarin is not a medicine at all; prescribing it to patients with tests like your sister’s is a real crime. I highly recommend contacting the endocrinology center on Dmitry Ulyanov Street, 11. 500-00-90
Elena Malysheva
We have talked about endometriosis many times. This is a mysterious disease, which, by the way, can be treated quite well today. If you have endometriosis, contact the obstetrics and gynecology center on Oparina Street, 6.
ASK A QUESTION TO A HEALTH CARE SPECIALIST
Natalia
Good evening! I have bilateral coxarthrosis hip joints. In July 2019, an operation was performed: total endoprosthetics of the right joint; the left hip joint had a borderline condition of grade 2-3. Polysegmental osteochondrosis of the lumbar spine After the operation, the doctor said that for now there is no need for surgery on the second joint. Before the operation, I had group 3 disability. Passed the ITU, the group was removed because 2nd degree is not a disability. Is the decision of the ITU doctors correct?
It is important to know about the course of the disease, the frequency of exacerbations, the severity and limitation of movements in the boy’s joints, whether the boy has been consulted by specialists in advisory regional and regional centers, whether the disease has progressed since the moment when you were already examined for medical examination. In any case, you can insist on an examination. Even if you are denied referral to ITU, you are required to provide a certificate of refusal, with which you can apply to ITU along with medical expert documents (all medical documents available on your disease) yourself, according to the post. dated February 20, 2006 No. 95 “Rules for recognizing a person as disabled.”
Nina
The child is 15 years old. I have had pauciarticular juvenile arthritis since the age of 7. In October 2019, a disease was identified: vegetative-vascular distance of the pubertal period, mixed type of autonomic dysfunction, cardiocerebral variant, permanent course. Can these diseases be cured? It is recommended to contact a medical commission. institutions for m/f about referral to ITU. We previously applied and were denied disability. Are they right?
Legal Specialist
According to the order of the Ministry of Labor of Russia dated December 17, 2015 “On classifications and criteria used when carrying out medical and social examination of citizens by federal government agencies medical and social examination" clause 13.2.4; Pathology of the lower extremities, you must be diagnosed with: restrictions on the movements of the hip joints of a pronounced degree, one-sided, i.e. restriction of movements in a non-prosthetic limb must be defined as severe (subclause 13.2.4.34 of the order) or if the frequency of exacerbations of lumbar osteochondrosis was at least three times during the intercommission year with treatment in a hospital with intractable pain syndrome! It is difficult to say with high certainty whether the specialists of the ITU bureau were mistaken due to the lack of objective data at the time of your examination: what are the limitations of movements in the hip joints, in the lumbar spine, is there any evidence of compression of the roots with motor dysfunction of the lower extremities, is there any strength disorders (paresis, paralysis).
yuliya28
I am 32 years old. Diagnosis: Adhesive disease, abdominal cavity. Invagination of the small intestine into the small intestine 02/13/2018. Enterolysis, resection of a section of the small intestine and side-to-side enteroanastomosis. Apoplexy of the right ovary in 2010. Caesarean section in 2011 and 2013. Intussusception of the small intestine with secretory resection in 2006. Enterolysis in 2007. Multiple tubular-villous adenomas with erosions of the small intestine. Peutz-Jeghers syndrome (based on surgical material) short bowel syndrome. Polypectomy in 2017. Chronic gastritis. Chronic iron deficiency anemia ya .I’ve already been on my 3rd month. The surgeon sent me to MTU, where they said that I was not very sick and that disability was not given. Is the decision of the MTU doctors correct? And how to treat Peutz-Jeghers syndrome, I read that it is inherited and I have 2 girls, I’m afraid for their health
Legal Specialist
In this case, disability may not have been established due to the fact that not all rehabilitation measures have yet been used by doctors at the treatment and prevention institution. Also, accordingly, persistent dysfunctions of the digestive system of the body did not develop, i.e. you were sent to a commission in early dates when establishing a disability group was difficult. There is always the opportunity to appeal the bureau's decision to a higher organization legally (within thirty days from the date of announcement of the decision to the bureau).
Tatiana
Hello! Please tell me whether it is possible to assign a disability group upon discharge from the hospital: Forestier ankylosing hyperstosis, NFP II-III, concomitant polysteoarthrosis, gonarthrosis RG II, CHRONIC synovitis, NFP II. CoxARTHROSIS RG II. NFS II flatfoot III Atrosis of the shoulder joints RG II NFS II. SUBACROMINAL impingement syndrome on 2 sides, NFS-II, hypertonic disease Stage 2, degree 3, risk 3 CHNO, DE 2 tbsp. complex genesis with vestibulopathy, cephalgia, partial external hydrocephalus. MRI spondylosis at the C4-C7 level, posterior median disc herniation C4-C5 up to 2.5 mm, posterior circular protrusions of discs C5-C6, posterior diffuse protrusions of intervertebral discs L1-2 up to 2.5, L2-3-3.7 mm, L3-4 to 3.5. L4-S1 up to 4 mm. I was in bed in July 2017, and now I have had pain-relieving injections. superficial gastritis, signs of duodeno-gastric reflux. Do you need recent images and an MRI for referral?
Legal Specialist
Quantitative assessment of the severity of persistent disturbances in the static-dynamic function of the human body caused by dorsopathies is based on several parameters. These include the severity and duration of the pain syndrome, the presence of restrictions on the mobility of the spine and the degree of dysfunction of the lungs and upper extremities caused by this pathology. The impossibility of surgical intervention on the spine for any reason, the negative dynamics of spinal dysfunction (progressive deformations and curvatures of the spine), and the frequency of exacerbations of pain syndrome are also taken into account. Unfortunately, you did not detail the expert medical data, and therefore it is difficult to assess the correctness of the decisions of the specialists of the ITU bureau.
Christina
Hello, I was diagnosed with systemic lupus erythematosus, subacute course, activity 2 with damage to the skin (butterfly on the face, rash on the body), skin appendages (diffuse alopecia), joints (polyarthralgia, fn 2), with immunological activity (anti-DNA- 28.8, ana-positive). Defiguration of joints due to the flow of practical phenomena in the hands and knee joints. Moderate epiphyseal osteoporosis, osteoporosis of the wrist bones in combination with the initial manifestations of deforming arthrosis in the distal interphalangeal joints. deforming arthrosis of the knee joints (1st stage) are determined. Please tell me if this diagnosis is a disability!? At their hospital they say it’s too early to observe. Thank you very much in advance.
Legal Specialist
In accordance with the Order of the Ministry of Labor and social protection RF dated December 17, 2015 No. 1024, clause 5.5 and note to clause 5.5, the quantitative assessment of the degree of persistent dysfunction of the musculoskeletal system and connective tissue of the human body caused by inflammatory arthropathy is based primarily on the severity of clinical and functional manifestations. That is, clinical dysfunction of the joints, the X-ray stage of changes in the joints, clinical and laboratory indicators of the activity of the inflammatory process, the nature of the course, the frequency of exacerbations and severity of the disease, dysfunction of the systems internal organs. According to clause 5.5.2.1; clause 5.5.3.1; clause 5.5.4.1, a slight degree of dysfunction of organs and systems (10-30%) in patients with systemic lupus erythematosus is determined by a slight impairment of the functions of organs and body systems caused by a disease with process activity of stage 1 against the background of adequate therapy. Impaired renal function, locomotor system, central nervous system, cardiovascular system and other body systems involved in the process are minimal or absent. At the same time, patients can take care of themselves, move independently and work in non-contraindicated working conditions. The medical commission can give recommendations on rational employment. There are no grounds for establishing a disability group.
Elena
Hello! In August 2016, I underwent surgery to remove my right breast. The diagnosis of cancer T4N1M0, III A st was confirmed, she underwent 3 chemotherapy sessions before surgery, 12 sessions of radiation therapy, 7 courses of chemotherapy after surgery. Now on the disability group (second). In December 2017, the group was renewed, but they made it clear that this was the last time. The patient was allowed to remain in remission for 5 years after the operation. I’m taking hormonal medication (anastrozole), and I’m not feeling very well. Constant pain in the hip and ankle joints. I had to quit my job because I was in constant pain. What to do if the disability group is removed during the next examination?
Legal Specialist
According to the order of the Ministry of Labor and Social Protection of the Russian Federation “On Classifications and criteria used in the implementation of medical and social examination of citizens by state federal institutions medical and social examination" dated December 17, 2015. No. 1024n clause 14.7.2.3, “during the first 5 years after removal at higher stages” is the basis for establishing disability group 2. This is true if the so-called formula of your disease has not changed - T4N1M0 3st.
Galina Germanovna
Hello! My son was born in 1995, after an injury in kindergarten At the age of five, a tumor formed in the conus of the spinal cord, in the thoracic region. The diagnosis was made in Yekaterinburg, after a month and a half of examinations in Noyabrsk, when the motor functions of the lower extremities and pelvic organs were already clearly expressed. Two operations and radiation therapy were performed in Yekaterinburg, but the tumor continued to grow. In 2003, the tumor was removed, but the consequences were pronounced. Severe spasticity of the lower extremities, impaired sensitivity and function of the pelvic organs. In 2006, an operation was performed, rhizotomy of the nerve endings of the spinal cord, since with severe spasticity, disorders began, contractures of the joints in lower limbs and in the right hip joint, subluxation. In 2011, in Tyumen, after another examination, on the recommendation of neurosurgeons, transpedicular fixation with a length of Th 11-TH-12, L1-L3 was performed. After this there were several more operations. Now there is no sensitivity in the right leg, from hip to knee, when moving the right leg drags, the knees do not bend, there is mixed sensitivity in the feet, equinovalgus deformation of the feet. Tethered spinal cord syndrome. Spinal arachnoiditis. Lumbosacral hyperlordosis. Walks short distances and requires support when going up and down stairs. Mobility of the back, only in the cervical region. Chronic pyelonephritis, urinary and stool retention. Chronic back pain, very sensitive to weather changes. When examining the knee and hip joints, the images revealed grade 2 osteoarthritis, osteoporosis, and small osteosclerotic lesions in the femoral head and tibia on the right. In 2016, at the Noyabrsk clinic, a blockade of the right knee joint. There was terrible pain, I couldn’t even lean on my leg. At the next examination at MSEC, minor violations were recognized and assigned to the third group. But when Nikita got a job as a bookbinder for two hours, the commission exhausted him and me, since I was forced to accompany him. Explain to me where and how I can protest the disability group. A year and a half has passed since its assignment. Sincerely, Galina Germanovna.
Today, Elena Malysheva’s program with the self-explanatory title “Live Healthy” is extremely popular. Russians will learn from it about the characteristics of the human body, proper care behind yourself and many others important facts about your body. The program provides the most accessible and adequate information, which, thanks to the playful form of presentation, is easily perceived not only by adults, but also by children.
For consultation, Malysheva invites outstanding professionals to her programs, which makes “Live Healthy” a real clinic.
Today on Russian television, Elena Malysheva’s program “Live Healthy” is one of the most popular television programs, which examines a wide range of issues on health, hygiene and prevention various diseases. During four blocks of the program, talking about home, food, and, viewers from the studio receive an exclusive opportunity to be examined for free using the most modern equipment and helpful advice from qualified Russian specialists.
How to contact Elena Malysheva
Since the program “Live Healthy” examines specific issues in each episode, many viewers cannot get the necessary information on a particular diagnosis. Elena Malysheva also has an official website, however, all the materials posted on it are rather for informational purposes, so the ideal solution is a personal letter to the TV presenter herself.
For many people, communication by email is more comfortable - after all, anonymity allows you to voice your problems without hiding intimate details.
In order to ask Elena Malysheva a question about health, you need to fill out a special form on the website of the Live Healthy program, where you are asked to describe your problem in the form of a text message. To receive professional advice personally from Malysheva, a letter should be sent to [email protected]. After receiving the letter, Elena Malysheva will either personally examine the problem or refer the patient to an experienced doctor who specializes in the question asked. If the answer does not come instantly, do not be upset - thousands of people write to Elena Malysheva, she is physically unable to answer all the questions quickly.
It is also possible to send a letter to the address: 127427, Russia, Moscow, Akademika Koroleva St., 12, indicating “Elena Malysheva” or “For the program “Live Healthy”.
Question answer.
The Living Healthy program often recommends getting an MRI if your back hurts. But the examination is very expensive for me. Is it possible to take an x-ray? Will everything be visible on it?
An MRI examination can be done as part of the Compulsory Medical Insurance Program (mandatory health insurance), for this you need to take a referral from your attending physician at the clinic. Of course, you can take an x-ray, but it is not so informative for back pain, since x-rays do not show disc herniations, nerve roots, or other soft tissue pathologies. Currently, the “gold standard” for determining the causes of spinal pain is MRI.
What is the difference between CT and MRI? And which of these examinations can I do in your clinic? I want to look at my spine because I’m in pain.
MRI is a study that is based on exposure to humans magnetic field, CT – using x-rays. This is about the difference between MRI and CT in very in brief. In our Medical Center you can undergo an MRI examination of the entire spine. It will show the presence or absence of changes in its structure, and you will understand the cause of the pain.
I am 45 years old. Please tell me what kind of breast examination should be done at my age?
Of course, it is better to carry out all studies systematically and as prescribed by a doctor. Our Medical Center employs several gynecologists. These are doctors of the highest level who will prescribe the research that is necessary in your case, based on the clinical picture. In our Medical Center you can do an ultrasound of the mammary glands or an MRI examination using a contrast agent.
I have been suffering from headaches for many years. good treatment I never picked it up. A friend said that we need to do an MRI of the head. Does your clinic carry out such examinations? Isn't this harmful?
We will answer first of all last question. No, an MRI examination is absolutely harmless, since it is based on the effect of a magnetic field on a person, and not x-ray radiation. We perform MRI of the brain (head). Also at our Medical Center there is an experienced neurologist who will help you choose the right treatment.
Is it possible to do MRI on children? And if possible, how can you make sure that the child does not move in the device for 40 minutes?
MRI can be done for children. For very young children, for whom it is difficult to explain that they need to lie still, MRI is performed under anesthesia in specialized institutions, but in this case, the benefit of diagnosis should exceed the potential risk of using anesthesia. Average duration examination in our device is 15 minutes, the child can be accompanied by a loved one during the examination.
The doctor sends me for an ultrasound about varicose veins. I have only small capillaries on the surface of my legs; the rest of the veins do not bother me. Do I need to undergo examination, or is this unnecessary?
It is inappropriate to discuss treatment and diagnostic tactics proposed by the attending physician. Because the clinical picture the attending physician sees in full, you must follow his recommendations. If you want to get a second opinion, contact our Medical Center: we employ high-level specialists, incl. We have a specialist phlebologist.
I have a complex fracture of my arm, there is a plate. What examination is best to do to see what condition the bone is in now?
An MRI examination will be ineffective in your case, since it is impossible to assess the condition of the bone with the presence of a fixing metal structure. It is advisable to check with your doctor what is best for you: a CT or X-ray examination to assess the consolidation (healing) of the bone and surrounding tissues.
