Was born:

Dr. Myasnikov is a successful doctor, the author of many books, thanks to which he became popular in the Russian Federation, and his biography, facts about his family and the presence of a wife arouse curiosity among patients. It would seem that an outstanding doctor devotes his free time exclusively to work. But it is not so. Alexander Leonidovich has other hobbies, and the main value for a physician is family and children.

Alexander Leonidovich Myasnikov

Becoming a Medic

Alexander Leonidovich Myasnikov was born on September 15, 1953 in a family of medical scientists. Parents who held high positions were practicing doctors in Leningrad, and instilled in their son a love for the art of healing patients.

Having received a secondary education, young Leonid went to Moscow, where he entered the Russian National Research Medical University named after N.I. Pirogov. Then, from 1976 to 1981, he completed residency and postgraduate studies at the Institute of Clinical Cardiology named after his grandfather L. Ya. Myasnikov, where he defended his first candidate and doctoral thesis. The grandson of a famous Moscow therapist and academician of the USSR Academy of Medical Sciences, a specialist in cardiovascular pathology, a member of the presidium of the Academy of Medical Sciences, decided to follow in the footsteps of a relative.

Alexander Myasnikov in his youth

Wanting to gain practical experience, Alexander Leonidovich went to the People's Republic of Mozambique, where he worked as a physician among a group of geologists. The biography of Dr. Myasnikov developed quite successfully, and the family was proud that the dynasty of doctors continued before his wife appeared in his life. But a successful physician was lucky to meet a woman who managed to understand and support her husband in his endeavors, without hindering his career development.

Africa travel

Working in a country where healing is treated differently and medicine is developing at a slow pace, Myasnikov decided not to return to Russia. During this period of time, hostilities were going on in Mozambique, and the Russian doctor worked not only as a therapist, but also as a practicing surgeon. When the geological expedition came to an end, Alexander Leonidovich went to South Africa.

Dr. Myasnikov got a good experience while in Africa, as part of a scientific expedition

Since 1983 Myasnikov has been working as a general practitioner in Angola, while also helping patients in small towns. He also provides consultations for local doctors, acting as the head physician at the Prenda hospital. Alexander Leonidovich decided to return home only in 1989, taking the post of a leading specialist in the field of cardiology.

Career abroad

Having received an invitation to the National Medical Research Center for Cardiology under the Ministry of Health of the Russian Federation, Dr. Myasnikov holds the position of a cardiologist. From 1989 to 1993, the doctor worked in one of the leading centers in the country, gaining practical experience and researching complex diseases. This becomes a great incentive to create your own unique methods of treating difficult patients. Myasnikov also holds the position of a doctor in the Medical Migration Service.

Alexander Myasnikov practiced in African countries for a long time

Then, from 1993 to 1996, Alexander Leonidovich went to Paris, where he worked at the Russian Embassy, ​​gaining practical knowledge in cardiology in collaboration with leading specialists from a foreign country. Since 1996, Myasnikov moved to America, where he received a second diploma in general practice with the right to work abroad and remained in New York until 2000. By the end of his stay in the United States, Alexander Leonidovich takes exams and receives the title of doctor of the highest category. He also becomes a member of the AMA and the American College of Physicians.

Career in the capital of Russia

The return to Moscow became significant in the development of an experienced and successful specialist. Since 2000, Alexander Leonidovich has been the head physician in his own clinic "Intermedcenter", which provides an extensive range of services for patients under the compulsory medical insurance policy and on a paid basis.

Alexander Myasnikov opened his own clinic in Russia

In 2009, Dr. Myasnikov, whose biography is heard throughout Russia and abroad, and information about his family and the presence of a wife and son is in the public domain, was invited to the Main Medical Institution of the Russian Federation under the Kremlin. The leading cardiologist of the Russian Federation worked there until 2010, and then transferred to a regular clinic in Moscow.

Since 2010, Alexander Leonidovich has been working at the M.E. Zhadkevich №71, holding the position of chief physician. At the same time, he also continues his medical activities at the Intermedcenter.

Alexander Myasnikov - Chief Physician of the City Clinical Hospital named after M.E. Zhadkevich №7

Media career

From 2009 to 2010, Dr. Myasnikov acts as a TV presenter in the program “Did you call the doctor?”, Which aired on TVC. Then he leads a medical column on the Vesti FM radio station in the program of Vladimir Rudolfovich Solovyov. After 2 years, he acts as a host in the Tell me doctor program, which lasted until 2014.

Parallel to his medical practice, butchers are pursuing a career in the media

Without taking a long break in the career of a TV presenter, since 2013 Alexander Leonidovich has appeared in his own program on the Russia 1 channel - “About the most important thing with Dr. Myasnikov”. A popular doctor is quickly gaining a large audience among various categories of citizens and is gaining popularity among patients.

Dr. Myasnikov is the host of the program "About the Most Important"

In the programs, he shows a number of preventive measures to prevent dangerous diseases of the cardiovascular system. Talking about how to improve health, Dr. Myasnikov does not forget to highlight such important points as gaps in the development of the Russian healthcare system. Not only ordinary citizens, but also officials listen to the recommendations of the leading doctor.

Alexander Leonidovich Myasnikov reveals many health-related problems in his literary creations. Currently, the cardiologist has 12 books to his credit, and other works of the medical writer are being prepared for publication. The doctor touches upon the topics of longevity, nutrition rules and the ability to take care of the body, leading a healthy lifestyle.

Personal life and children

Due to the fact that Alexander Leonidovich Myasnikov is a fairly well-known person, he prefers not to reveal all the secrets of his personal life. However, when giving interviews to popular magazines, the doctor talked about being married twice.

Alexander Myasnikov with his wife and son

The doctor met his second wife more than forty years ago and still lives with her in a happy marriage. The wife is not only an excellent housewife, but also an interesting companion in cases where Myasnikov goes abroad. In a happy marriage, the son Leonid was born, who decided to continue the medical business.

Read biographies of famous Russian athletes

Alexander Myasnikov is a famous doctor whose biography is interesting to many. This person really deserves attention, because it is he who is not only a doctor, but also the author of a large number of medical books, as well as a TV presenter. The personality is interesting to everyone, but first of all, to the clients whose lives Alexander saved.

The future doctor was born on September 15, 1953 in Leningrad, now known as St. Petersburg. Being small, the boy constantly dreamed of distant travels. Time passed, and the views of the young man changed. Now he did not think about fun adventures, he wanted to continue the work of his relatives.

Alexander Myasnikov with his mother

It is worth noting that Sasha was born into a family in which everyone adhered to strict principles. Parents also devoted their lives to the medical field, so for them the future of their son seemed obvious. After graduating from school, Alexander enters the State Medical Institute. Pirogov in Moscow. 1976 was marked by the successful graduation of a student with great prospects. Alexander devoted the next four years to work at the Institute of Clinical Cardiology named after his famous grandfather. There, the young man completed his residency and postgraduate studies.

Among the interesting facts of Myasnikov's biography, it is worth noting that the respected and famous dynasty of doctors originates in the 19th century. When the boy Sasha was six years old, his father left the family. But even this event did not violate the plans of the future hero and took away faith in himself.

Medical career

As mentioned above, Alexander successfully graduated from the institute, residency and graduate school. After a short period of time, he joins a group of geologists, with whom he goes to Mozambique. It is in the midst of a civil war, and those close to Sasha Myasnikov did not expect such a bold decision from him.

A young but incredibly talented specialist works in Mozambique as a military doctor. For six years of his work, regardless of nationality, he:

• saved hundreds of human lives;
• performed many operations;
• worked in the field;
• supported, provided psychological assistance.

As soon as Alexander returned to the capital, he began working as a cardiologist in a scientific medical center. At the same time, the young man got a good position in the International Migration Service. A little time passed, and Alexander went abroad once again. The next seven years of Sasha's life were spent in New York. There he received an international qualification, having completed his residency at one of the local universities. It was also in America that Myasnikov received the long-awaited diploma of a doctor of general practice.

Upon returning to the capital of his native country, Alexander became the branch manager of a private American clinic. After a while, it was he who was appointed head physician of the hospital at the Kremlin - the main Russian medical institution.

The television

For the first time, viewers could see Alexander on their TV screens in the program "The Doctor Was Called" on Ren TV. The doctor was invited to this telecast as a medical expert. Myasnikov's oratorical skills, the right light, good shots and practical advice from a specialist did their job - the program became in demand and popular after just a few broadcasts. In it, the doctor talked about diseases, symptoms and how to treat them.

Immediately after the debut, other projects followed, in which Alexander gladly took part. 2013 was marked by the release of the program "About the most important thing", in which Myasnikov became the host. In it, the specialist talks about the importance of health, and strongly advises everyone to pay attention to their condition.

A unique feature of Alexander's work on television is that he takes part exclusively in useful shows and programs. Entertainment programs are not for him.

It is important to note that the doctor also had his own program on the radio. Moreover, Alexander is a successful author of books and medical reference books. Some of them he wrote in collaboration with his respected, and no less famous grandfather.

Personal life

Interestingly, Alexander Leonidovich prefers to communicate only on professional topics, ignoring news about his personal life. According to official figures, the doctor twice tied the knot. The biography of the doctor Alexander Myasnikov indicates that he met his second wife while in his first marriage. He first met Natalya at a social event.

Surprisingly, Natasha was not alone at that moment either. She came to the party in the company of a young man whom the girl planned to marry. But fate had its own way.

Very little time passed after they met, when Alexander realized that he could not live without Natalia. Moreover, he felt far unhappy with his wife, and he did not want to pretend that everything was fine. A talented doctor divorces his first wife, marrying Natalia. They have lived together for over thirty years. It is interesting that Alexander Myasnikov is devoted, faithful and constant.

The Myasnikov family couple have experienced many different situations, traveled half the world and remained true to their values, traditions and love.

Natalia and Sasha had wonderful children - a daughter and a son. The latter, like dad, intends to continue the work of his family. He is currently educated as a pharmacist in France.

Interestingly, the doctor was left-handed from birth, but eventually retrained. Lenya's son was also born left-handed, but his parents believe that this will in no way ruin his life.

The doctor admitted that he also has a second daughter, Polina, born out of wedlock. Natalya managed to forgive the betrayal, and has nothing against the communication of her husband and son with the girl.

Alexander Myasnikov now

Today, the country's leading doctor is the head of Clinical Hospital No. 71. In addition, he has been heading this institution for the eighth year. Alexander also has his own website where you can write a question to him and ask for advice. He regularly visits this resource, and tries to conduct active dialogues with users.

Sasha Myasnikov spends time actively and actively, preferring sports. He never gives up:

• gymnastics;
• exercises with a barbell;

• snowmobiling in winter;
• struggle;
• boxing.

On holidays and weekends, Alexander also loves to travel, visiting new places and countries. He constantly adheres to this motto - move, move and move again.

In Dr. Myasnikov's clinic, decisions are made not only on the basis of the doctor's personal experience, no matter how extensive it may be! Our recommendations are based on the collective experience of foreign and most adequate Russian medical communities, and the fact that many of our doctors have medical licenses from Western countries serve as a guarantee that we are responsible for every word we say.

We do not promise miracles, there are times when it is rather difficult to figure it out, but we guarantee that our opinion will be objective and justified! The initial examination will be carried out by a general practitioner, who will then introduce each patient to a senior doctor. These doctors are from those who have been working in the same team for more than 10 years. Many with diplomas and medical licenses from the United States and other Western countries. They are hosting a reception not in order to earn even more, they are in solidarity with the idea of ​​​​creating a "consultative center for a second opinion", a place where anyone can receive adequate advice on their problem, the center is so far the only one of its kind in our country!!! Today you can buy any equipment, but it is impossible to find a second such team of doctors! As a result, each case will be presented to the chief doctor, who will check the results of the examination and the logic of the decision, and will definitely inform each of you of his opinion.

Services of the clinic of Dr. Myasnikov:

• Phlebology
• Gynecology
• Dermatology
• Diagnostics
• Cardiology
• Mammalogy
• Neurology
• Nephrology
• Psychiatry
• Rheumatology
• Dentistry
• Therapeutic reception
• Urology

Myasnikov Alexander Leonidovich is an authoritative fourth-generation cardiologist, an extraordinary person, head of the Moscow City Clinical Hospital. Zhadkevich. On one of the federal channels, Dr. Myasnikov hosts the program “On the Most Important Thing”, thanks to which viewers can learn about the achievements and missed methods of treating a particular disease. Not only professional qualities, but also personal life is of interest to fans of the show. Dr. Myasnikov Alexander Leonidovich - family, children, wife: we'll talk about this today.

Dr. Myasnikov - biography

Dr. Myasnikov represents the oldest family of zemstvo doctors, after whom the museum in the city of Krasny Kholm and the Institute of Clinical Cardiology in Moscow are named. It was at this institute that Alexander Leonidovich received his second higher education.

He began his medical career in difficult conditions. He worked for 8 years in Mozambique during the civil war and Angola, where Myasnikov gained invaluable experience in surgery. In 1989, he returned to Russia and continued his medical practice at the Scientific All-Union Center, as well as at the International Migration Service. For the next 7 years he lived and worked abroad. First in France, and then in America, where the cardiologist had to go through a difficult path with great difficulty and prove his medical knowledge. After working as an intern in New York, Myasnikov qualified as a general practitioner and worked at the Ambulance Medical Center. Here, in the USA, he is awarded the highest medical category, which allowed him to take part in the work of the American Medical Association "Medicine against aging."

High earnings and success abroad did not affect his decision to return to Russia. In Moscow, he heads one of the American medical centers, then opens an American clinic, and then he takes on the duties of the chief physician of the Kremlin hospital.

The book is a doctor's revelation

Alexander Myasnikov was able to publish more than one popular science book, including the book-revelation "How to live longer than 50 years: a truthful conversation with a doctor about medicine and drugs." In his “revelation”, the doctor tells his readers how to live longer than 50 years in the conditions of modern medicine. After all, he managed to calculate the formula for how to survive in our country.

Personal life of Alexander Leonidovich

Dr. Myasnikov Alexander Leonidovich: his family, children, wife do not often appear in the press. Despite the fame of the doctor himself, little can be said about his personal life. It is known that the doctor has more than one marriage behind him, but he has been together with his last wife for more than 30 years. Their acquaintance took place at one of the secular receptions, where Alexander Leonidovich came with his wife, and she with her fiancé. Their acquaintance grew into a stormy romance, and a few months later he realizes that he simply cannot live without his new lover. The doctor decides to leave his wife for his new chosen one, with whom he has been happy for over 30 years.

Who is his wife, her photo, biography is not known. We only know that the wife supports her husband in everything, helps him in his work, accompanies him on trips, even in hot spots. Together they raise their son Leonid. The boy now lives and goes to school in France. Lenya also dreams of becoming an outstanding doctor, just like his father.

Dr. Myasnikov Alexander Leonidovich: his family, children and wife always support him and help him in his work. Its goal in life is to increase the medical competence and awareness of Russians and help them achieve health and longevity.

The 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 of Clinical Cardiology named after A.I. A.L. Myasnikov, in 1981 he defended his Ph.D. thesis ahead of schedule. Soon he was sent to the People's Republic of Mozambique as a doctor of a group of geologists conducting exploration of deposits in remote areas of South Africa.
In connection with the termination of the work of the group as a result of hostilities, since 1983 he continued to work as a general practitioner in the province of Zambezi. A year after returning to his homeland, 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 of the International Organization for 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 United States, where he confirmed his medical degree. He completed his residency at the New York State University Medical Center with a degree in General Practitioner. In 2000, the American Committee on 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 organized by him. 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 has been a medical column on the radio in V. Solovyov’s Vesti FM program. 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 Dr. Myasnikov” on the Russia 1 TV channel.

Author's Preface

I. Medicine in questions and answers

1. What do we expect from medicine?

I am categorically against self-treatment! I understand that people self-medicate not because of a good life, but because medicine is either unavailable 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, healer, grandmother, an accessible doctor, far from the ideal of literacy. The patient will watch TV, read a book, find information on the Internet and begin to be treated. It is not right.
Why do I like to treat foreigners? I tried to slip away if I was called to see a Russian patient. All because our patient will draw his whole 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 sure that if something goes wrong in the treatment, lawyers will deal with the doctor.
An American patient reads about his problem, studies it. Of course, he asks questions to the doctor. Physicians often do not like such know-it-alls. But personally, it is easier for me with such a patient: he will understand what I tell him about the need for treatment or examination. A person who is focused on the problem makes contact easier.
A person must understand his condition in order to know how to behave in a given situation. Calling a doctor and an ambulance for any reason, we load them with unnecessary work. At the same time, relying on the fact that the ailment will pass by itself, and, conversely, not going to the doctor, people run the risk of neglecting a possibly mortal danger. This is what my book will be about.
Below you can find the most frequently asked questions by 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 free and timely quality medical care.
Indeed, despite the fact that we live in this country and these conditions, we have the right to absolutely elementary things. The fact that if we call an ambulance, then it arrives within a reasonable time and takes it to the hospital where the patient can receive the necessary assistance.
We have the right to expect that if a doctor prescribes a medicine, then it will be at least harmless, and at most also help.
We hope that the doctor, prescribing this or that drug, is guided not only by the concepts he knows, but even by material incentives, but by knowledge.
The patient expects that the doctor examining him will take into account all the symptoms. That the cardiologist will not only 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 completed - a certain algorithm. Unfortunately, life often happens differently.
Sometimes you come to the doctor, and he does not even examine you, but superficially asks and prescribes pills. The patient has the right to receive all the necessary volume of instrumental and laboratory tests, and not to ask the doctor what else he, the patient, needs. Previously, doctors answered many requests that the hospital did not have the necessary equipment, that "we do not do this." But many modern hospitals, at least in large cities, are equipped with everything you need. The doctor is only required to follow a certain algorithm of actions.
But here a serious problem arises. In recent years, a huge amount of money has been spent on the modernization of medicine, a huge amount of expensive equipment has been purchased. We are proud to say that we have already overtaken Switzerland in terms of the number of tomographs per capita, thus showing the "lack of clothes on the naked king." After all, the level of medicine in our country, as it was low, has remained!

The patient has the right to receive all the necessary volume of instrumental and laboratory tests, and not to ask the doctor what else he, the patient, needs.

It is not enough to buy and install equipment; doctors must be taught how to use it. Abroad, a specialist in the brain is trained for seven years so that he can work on a tomograph, but here they get off with three-month courses! And even these "short-learned" doctors are not enough.
We are fond of buying heavy and complex equipment, we put a tomograph in each hospital, without eliminating huge queues for ultrasound or conventional x-rays. But the saddest thing is the lack of “investment” in doctors. It is absolutely wrong to think that the equipment can do everything.
The concept of "algorithm" has already been mentioned above. With the limited funds at our disposal for the development of medicine, we must prioritize where to spend this money in the first place. They need to be invested in students, medical schools, doctors, who need to be taught the algorithm of actions, certain standards.
But not exactly the standards that you often hear about on TV, where we are talking about medical and economic standards. That is, if a patient has inflammation of the lungs, then an x-ray should be taken, a blood test taken, and an antibiotic prescribed. The medico-economic standard is a kind of scheme, a list of what should be included in the examination or treatment in very general terms. At the same time, the doctor is free to choose an antibiotic, he can prescribe oxygen, or maybe not. He will be guided by his subjective feelings due to the lack of a clear algorithm of actions!
How does it 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, droppers are put in, vitamins are distributed ... But it is far from always that a patient with pneumonia needs to be hospitalized, most cases are perfectly treated at home. For some symptoms, hospitalization is indicated, for others not. One antibiotic is enough for someone, two or even three are needed for someone. With some parameters, the patient can be placed in a regular ward, and with others - immediately in intensive care.

Remember the situation from the movie "Two Soldiers", when one of the heroes, having taken possession of a captured Mauser, boasts of how he fired from it. To which another hero asks: “But how did you shoot a weapon when it lacks the most important part?”. "What is the most important part?" M. Bernes, who played Arkady Dzyubin, replied: "The main part of any weapon is the head of its owner!" And this is right, because no matter what equipment is used, there is still a doctor behind it; he interprets the result, decides on the need for research and what information these studies can provide.

All over the world, doctors are guided by well-defined algorithms. The control X-ray is done not after two days, but at least after four weeks. Because the residual effects can be seen for quite a long time, even if the pneumonia has already passed. It is pointless to take x-rays earlier, unless the patient is in intensive care, which is why it is called “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".
Under current standards, if an ambulance brings a patient with a stroke, 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 CT scanner, bypassing all the registration procedures, in order to determine whether he has thrombosis or bleeding. The reason is that the drug, which can dissolve the clot, is administered only in a very short time period.
Therefore, if the ambulance hesitates, if it asks by phone where to take this patient, if in the emergency room they ask for a long time what kind of old woman she is and what her last name is, when she became ill, then everything - the patient can be lost!
The money that the state spends on medicine should go primarily to properly educate doctors so that we can receive qualified help free of charge and on time.
Today, in large cities, a doctor earns quite a lot of money. According to official data from the Moscow Department of Health, the average salary of a nurse is 46,000 rubles; The average salary of a doctor is 78 thousand rubles. This money is comparable to those received by a European doctor in a hospital. And this is good!
The bad thing is that “from above” they are required to maintain a high level of salaries for all medical workers in order to avoid complaints. Doctors have no incentive to learn. They are already accustomed to receiving, not earning. Therefore, it makes no sense to increase the salaries of doctors even more! Leveling entails a certain indifference of physicians: “They will give us anyway! If not, we will file a complaint!”
You will say that every doctor must undergo recertification once every five years. Yes, only some go through this procedure honestly, and some - for money. But, even if the doctor wants to pass a quality recertification, he is taught from outdated manuals.
For example, our doctors are oriented to use drugs that have been used for more than 40 years. See for yourself: in the once approved, but still valid standards, there is the drug dibazol. It was also used by my grandfather.

Somehow one of the leaders of our state calls and says: “I don’t feel well, I want to drink papazol, can I ?!”. I wonder where he found this papazol?! I think it was discontinued in the 70s. And it turns out that it is not only produced, but also applied! 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.
The universal re-certification of doctors, the strictest examinations for knowledge of internationally recognized algorithms and standards for the provision of medical care are vital. Based on the results of the exams, I would set the salary and, in general, the right to work as a doctor. Those who successfully passed such a “sieve” will be leading specialists with a decent salary.
Of course, most doctors will not pass such recertification right away. I would limit the retraining period to five years. Let non-certified doctors work, let them treat, but under the guidance and control of doctors who have passed re-certification, and for a completely different, lower salary than those. Five years later - recertification again; failed again - get out of the profession! This is the only way to save our medicine from non-professionals.

Medicine has no nationality. All people inside are arranged in the same way, and medicine is the same all over the globe. If an African doctor comes to you, but does the right thing, then you have nothing to worry about.

It is necessary to introduce individual licensing of doctors. 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. Today it has been replaced by English, so any doctor is obliged to speak it, otherwise he will hopelessly fall behind!
I will answer those who have a habit of saying: “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; what matters is how you heal. All people inside are arranged in the same way, and medicine is the same all over the globe. If a Tajik, Ukrainian or African doctor comes to you, but does the right thing, then you have nothing to worry about. But if a more familiar 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 very qualified and timely assistance!
In France, medical education is generally approached differently. My son is currently attending there. 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 get a medical specialty. But at the end of the first year there is a tough selection.
According to statistics, only 9% of those initially admitted to the second year of study pass. For example, the state needs 340 doctors. 3.5-4 thousand students are accepted. Each student has a certain score. According to how he studies, passes exams and attends classes, this score changes: it rises or falls.
The process is monitored weekly. According to the results of the year, the first 340 people are transferred to the second course. All the rest remain "overboard". After that, they can make only one attempt (and not all of them: losers and outright loafers are expelled immediately). If they again did not get into 340, then they no longer have the right to a medical education at all.
I think that this is a correct and reasonable system, which should be introduced in our country as well.

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, and he already has a flabby appearance, bulging belly, does not let a cigarette out of his mouth. The woman is not even 40 years old, and her figure is shapeless, her complexion is stale, and she smokes there too! They have never been to the doctor, they have no idea about their pressure.
Naturally, doctors call for a healthy lifestyle. People first age themselves ahead of time, and then they begin to heal themselves, relying on the “knowledge” obtained from advertising.
Advertising drugs on television is a shame for the country! Actively advertised drugs are either meaningless or downright harmful. Those that are harmful have long been banned in the markets of developed countries due to side effects. They successfully migrated to our territory and continue to exist. Among them are allergy and weight loss drugs, hepatoprotectors and immunostimulants. The most correct decision is not to buy advertised drugs! This is the only way to deal with this phenomenon.
Many senior government officials agree with this. But they all say that a special law is needed, that the Duma should deal with this, and everything turns into continuous talk. The pharmacological lobby is much stronger. I will say roughly, but to the point: “loot” wins everything.
Without disputing the importance of maintaining a healthy lifestyle, I want to say a little about something else. Today it so happened 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 encountered when I came to work in the city hospital. It quickly became clear that everything here, though somehow, but works. And if you pull a brick, the whole building will fall apart. If I fire someone I should, the hospital will stop, because 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 rightly so. Even after a heart operation, a person is discharged after five days, and he is recovering at home.

People are already accustomed to going to a neurologist with chronic back pain, to a gastroenterologist with belching, etc. We distract narrow specialists with banal 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: sophisticated equipment is installed; operating rooms and laboratories are equipped. Therefore, the bed in the hospital 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 be treated 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 we are trying to “unload” polyclinics. There are crowds of people there, and a normal person will not stand in line. It is necessary to create polyclinics of the first level, where primary and chronic patients will go, and the second level, for more complex patients requiring in-depth examination. A first-level clinic should have only the bare necessities. 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 neuropathologist with chronic back pain, to a gastroenterologist with belching, etc. We distract narrow specialists with banal complaints, and they beat off the bread from therapists and cut time for patients who really need specialized help.
Definitely, fundamental changes in healthcare are necessary, but they will not be painless. In the example of polyclinics, it turned out that simply dividing them into levels was not enough. This only increased the confusion and lengthened the queues.
A dense network of primary medical offices with a staff of two to three doctors, four to six nurses, several medical registrars, and equipment for blood sampling and electrocardiogram is needed.

I'll tell you one case. I ran a private clinic at the time. I pass by the reception desk and hear a telephone conversation between an employee and a patient: “Which doctor do you want to see? Neurologist? Traumatologist? I couldn't resist and picked up the phone myself. It turned out that the woman's hand got sick and swollen, and she literally wonders which specialist to go to. In the end, I examined her myself and found a deep vein thrombosis of the arm. And just in time: at any second, a blood clot could come off and “shoot” into the lungs!