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DOCTOR'S JOURNEY


I was born in 1964 in Uruguay into a Jewish family. My parents miraculously survived in the crucible of the Second World War. Mother was taken out of Germany a few days after birth. My father was a prisoner of a concentration camp in Hungary and after the war he left for Uruguay in search of his sisters. He found them, and at the same time my mother.
Life in Montevideo and Punta del Este proceeded peacefully and slowly. We bought food at the local farmers market and almost always had lunch and dinner while sitting at a big table with the whole family. In our city it was perfectly safe, and the children played outside without any supervision.
Since childhood, I knew who I would be when I grew up. I wanted to become a doctor, alleviate the suffering of people and help them to be healthy and live happily ever after. Our family doctors regularly visited us and taught us various interesting things. I wanted to be like them. I entered medical school and fell in love with medicine.

After graduating from college, I decided to become a cardiologist. There was something in my heart that made me very interested. The need to think quickly, in a split second to solve the questions of life and death, the incomparable satisfaction from the realization that you now saved human life — all this left me in no doubt about the choice of a specialty.
I wanted to continue my education where textbooks were created for my medical school, and a week after graduation I received the post of intern in a hospital at New York University. My internship there lasted 3 years. When it ended, I was 26 years old.
The specialty of the doctor did not help me avoid the most common diseases today: allergies, intestinal upsets and insomnia, and my employment and lifestyle only made them worse.

Life in Manhattan was a key and very different from the measured Uruguayan reality. Learning was not easy. On duty for 3 days in a row and being constantly busy, I did not have a free minute, even to cook my own food. My diet consisted mainly of fast food, purchased in vending machines and hospital cafeteria. If I had a little free time, I went to the nearest supermarket, where my imagination was struck by innumerable bright packaging, extremely seductive aromas and the fact that having a microwave oven, you can make lunch in 10 minutes. I felt like a savage who happened to be in a magical modern city, and every time I thought, “Yes, these Americans really know how to make their lives easier.”
However, the intense rhythm of life in one of the most active business centers in the world soon began to affect my health. I started to gain weight, caught a cold at each change of the season and, tired to exhaustion, I suffered from insomnia. Nevertheless, I learned a lot from doctors, among whom were recognized authorities in my fields. As for health, I thought: “Here I’ll finish studying, and everything will go smoothly.”
Psychiatrists had no answers to my questions, like doctors of other specialties, sociologists, teachers and friends whom I referred to.

After completing the internship, I began working at the Cardiology Department at Lenox Hill Hospital. The management of the intensive care unit, visiting patients in the intensive care unit and consultations throughout the hospital - all this weighed the burden of responsibility on my shoulders and added to it the weight of bagels in my stomach. Over the next three years, I developed such a severe allergy that I had to resort to using antihistamines and even use steroid inhalers for a while. The digestion process has become a real nightmare for me. I was constantly puffed up, and I was experiencing discomfort in my stomach. Periods of diarrhea alternated with constipation.
I decided to seek help from our gastroenterologist. After a few minutes of listening to my story, he told me to undergo upper and lower endoscopy, an ultrasound examination of the abdominal cavity, and to do a complete blood count. All tests gave absolutely normal results. The specialist's diagnosis was: "Irritable bowel syndrome." According to him, the only thing that could be done in this situation was to try to relieve the unpleasant symptoms with the help of antispasmodic pills, activated carbon, painkillers and drugs against diarrhea, alternating with laxative. He did not even take an interest in my daily diet, which is not surprising - I, too, did not take a course on healthy eating.
Then I started waking up in the morning with pain in my chest. If I had studied cardiology myself, I would certainly have turned to a cardiologist, but it was clear to me that the heart muscle and its arteries had nothing to do with it. The problem that arose was rooted in another aspect of cardiac activity, which I had never heard of in all my years of study. I got depressed.
It seemed incredible to me. My parents have never had anything like it, and I have not heard from them that any of our ancestors or relatives suffer from depression. My life was extremely tense, but I loved my job, and she got along with me. Something went wrong, because I did not leave the feeling of an impending catastrophe, the cause of which could not be explained by the difficulties that I was experiencing at that time.
Soon I paid attention to an even more alarming phenomenon: from the moment of awakening to the moment of going to bed, I was persistently pursued by various thoughts. If I had my way, I would not have considered the 90% of the thoughts that came to me during the day. I noticed that there was only one difference between me and the madmen talking to myself in the subway: they were speaking out loud.
Then thoughts began to haunt me at night. I suffered from insomnia, and the flow of thoughts increased. If I do not choose all these thoughts, then who does it for me? Where do they come from? Am I not going crazy?
At some point, I fell into despair and asked for help from a leading psychiatrist in New York. Asking me a series of questions, he solemnly announced: "You are depressed due to chemical imbalance." He explained that my brain does not produce enough serotonin, and prescribed me a Prozac.
Standing in the elevator on the way back to my office, I thought: “Why did my cells forget how chemical reactions are produced? Why did they stop working properly? ”
I was not at all attracted by the prospect of taking medicine for the rest of my life, and therefore I decided to go to another psychiatrist. After two conversations with me, he uttered: “Your brain is in a state of chemical imbalance,” after which he prescribed me zoloft - a relative of Prozac. This doctor was more talkative and told me that a chemical called serotonin, a neurotransmitter, is responsible for a feeling of well-being, happiness. He said that I have a low level of serotonin. Zoloft will eventually lift it, and unpleasant symptoms will disappear. When I asked what was the reason for the decline in serotonin, he replied that this question was not fully understood and that I was far from alone. According to him, depression has recently taken the scale of the epidemic.
Nevertheless, I could not accept the thought that I would have to take medicine for the rest of my life. Psychiatrists had no answers to my questions, as well as doctors of other specialties, sociologists, teachers and friends whom I referred to. “Really no one is able to explain to me what is happening to me?” - I thought. I started to go to bookstores, which unexpectedly for me were in New York just amazing (even more impressive than supermarkets). There one could read books for hours without buying them. I took full advantage of this opportunity, studying the works on psychiatry and psychology. Thinking ... Thought ... Consciousness. I looked through all the books that came to my hand that could contain answers to the questions that tormented me. Where do my thoughts come from? How do they affect my feelings, driving me to despair? How can you stop this madness?
Finding references to other books in the book, I immediately went to read them. Thus, over time, I moved from the psychiatry section to the self-help section, and from there to the “Newest methods” section. Once another link led me to the section of Eastern philosophy. I began to rummage on the shelves, and suddenly one book slipped from my hands and fell to the floor, opening up on the page entitled "Meditation: silence of consciousness." After reading a few paragraphs, I experienced the amazing feeling that the sky had opened for me. The book said that with the help of meditation you can slow down and even stop the usual continuous thought process. Our consciousness, which constantly jumps from one thought to another, was called in it the "monkey mind"; some compare it to talking radio. That was exactly what I was looking for.
Yoga, herbal medicine, acupuncture, dietology, chiropractic and manual therapy identify and eradicate the causes of imbalance in the patient’s body and mind, and not just eliminate the disturbing symptoms.
My "monkey mind" immediately told me what I should do. I needed to master the art of meditation.
Finding a specialist in the field of meditation turned out to be very difficult. After several unsuccessful attempts, my friend Fernando undertook to take me to the right person. On the same day we went to the meditation school. It was a kind of monastery headed by an Indian who was a master of meditation. After meeting her, I have no doubt that she knows the answers to some of my questions. She always maintained her presence of mind and was distinguished by such inner peace that others almost physically felt it. I got an incomparable experience, just being next to her, and my mind was completely silent for a while. When it turned into a “talking radio” again, the situation was different: I remembered the experience of silence. I decided to learn to calm my mind. It was a turning point that changed my whole future life.
I read all the books written by this Indian teacher, and then all the books written by her teacher, and each weekend attended her meditation courses. At one of the classes, she announced that a meditation school in India required a volunteer doctor. After some thought, I made a firm decision to go to India. To the amazement of my colleagues and family, I rejected all the offers to do an extremely profitable medical practice, packed my bags and left.
In India, I studied yoga.
It turned out that the complexes of physical exercises that started to come into fashion in America are just one of the aspects of yoga. There are 8 branches:
Yama - a personal relationship to the world and other people;
niyama - attitude towards oneself;
asanas - postures of the body;
pranayama - breathing exercises;
pratyahara - control of the senses;
dharana - concentration;
dhyana - meditation;
Samadhi - enlightenment, hardness at any given moment. This expansion of knowledge and disclosure of consciousness. And that was exactly what was happening to me.
I was in charge of a group of volunteer doctors who had gathered from all over the world. Among them were Ayurvedic practitioners, doctors of Chinese medicine, chiropractors, nurses, massage therapists, chiropractors, meditation instructors, and many other specialists in different fields of medicine who profess different philosophical convictions and use different treatment methods. The task of the group was to treat students of the meditation school, as well as trips on a school bus converted into a mobile hospital in the surrounding villages, where some of the poorest inhabitants of the planet lived. We acted as a team, and each of us expressed our views on the patient’s condition. It was truly an integrated approach. I have never heard of integrative medicine before, but now I myself practiced it.
From these discussions, I learned a lot of useful knowledge in such areas as herbal medicine, acupuncture, nutrition, chiropractic and manual therapy. All these techniques were used more subtly than Western medicine provides for, and were aimed at identifying and eradicating the cause of imbalance in the patient’s body and mind, and not the trivial elimination of the disturbing symptoms. It dawned on me: what we did could not be attributed to alternative or traditional medicine. We are simply guided by common sense. Occasionally, a Western medical approach was absolutely necessary, with medication and surgery; the use of progressive technologies has sometimes saved the lives of patients. But this rarely happened. The body, having received the necessary support and proper conditions, restored its natural ability to self-healing without any drugs. My professional views, limited by the principles of modern medicine, have expanded considerably, going beyond them. And at the same time, my mental and physical health has clearly improved, although it was still far from the optimal level.
Having worked for a year in the school of meditation, I excluded from my professional classification many categories of medicine: alternative, traditional, western, allopathic, eastern, ayurvedic, Chinese. All these medical traditions and practices have merged for me into a single category, which I have called a comprehensive medicine. I came to the conclusion that it is necessary to take all the best from Eastern and Western medicine and treat each patient as a unique individual.
By the time I returned to the United States, I was already determined to introduce a new style of medical practice into the hospital system, that is, to change this system from the inside. I returned to America and received the position of cardiologist and resident in four hospitals in the city of Palm Springs, California.
Unbeknownst to myself, I once again engaged in the typically American rat race, both personally and professionally. It was much harder to maintain mental and physical health than in a meditation school in India. Infinite patrols on the car, electrocardiogram removal, installation of pacemakers became my everyday reality. To work brought a good income, had to spin like a squirrel in a wheel. From the side of my position seemed quite enviable. If I survived this race, then in 3 years I would become a partner of a famous doctor who had an extremely successful and very profitable practice. But this style of treatment has become absolutely unacceptable for me. I did not have time to listen to patients telling about the symptoms of their ailments. On average, each of them was given 7 minutes, and the system considered them only as a source of profit: more analyzes and research, more recipes, more procedures and operations - therefore, more money. Often, patients who came to me took 5 or more prescribed medications. Neither I nor they fully understood how these chemicals interact with each other in the body. The current system provided for me to prescribe more medicines to them in addition to the already impressive arsenal. I dreamed not of such help to people.
Not surprisingly, in a short time, stress, food from the cafeteria and late dinners provoked irritable bowel syndrome and clouding of consciousness that had previously caused me so much anxiety and discomfort. Sometimes I wondered if my health was much better than the health of my patients.
The situation again changed dramatically with the visit of an unexpected guest. Once, an old friend Eric, a serene and carefree film producer, appeared in my house in Palm Springs. Seeing him, I almost lost feelings. Just 10 days ago, he was a rather overweight guy with a puffy face and yellowish skin. Now, another person stood in front of me: glowing with beautiful skin of the face, thinner by 5 kg and with whites of eyes, whiter than which I had never seen before. He radiated peace and joy that were not peculiar to him before. Noticing my amazement, he said that he had conducted a detoxification program in the holistic center, which was within walking distance of my home. He gave up his lifestyle, which included meals at the restaurant, alcohol and nightly movie watching, for fresh juices, intestinal lavage, massage, sunbathing, yoga and meditation. The result was an update of the appearance and internal content.
For me, this was the moment of truth. These are the results I wanted to achieve in the treatment of patients. Taking the address of the center from Eric, I signed up for a detoxification program.
My friend, who had passed the detox program, had lost 5 kg in just 10 days, had acquired a beautiful skin color and completely white whites of the eyes. These are the results I wanted to achieve in the treatment of patients
Because of the busy schedule, I had to improvise. Instead of settling there as a patient, I came there during the lunch break, drank fresh juices and took natural supplements. Every day I underwent a hydrocolonotherapy procedure, thanks to which toxins deposited in its tissues were washed out of the body, after which I returned to my official duties. Так я провел интенсивную двухнедельную программу голодания. Она далась мне нелегко, поскольку, хотя я и был привычен к лишениям и на протяжении нескольких месяцев питался простой и здоровой пищей в Индии, этот опыт отличался от всего того, что когда-либо выпадало на мою долю.
К третьему дню программы у меня исчезли усталость, чувство голода и головная боль. К седьмому дню полностью прекратились проявления синдрома раздраженного кишечника, которые с тех пор угрожали вернуться, только если бы я начал пренебрегать полученными уроками. По истечении двух недель ничего не осталось и от моей депрессии. Кроме того, я потерял 5 кг — точно так же, как и мой друг. Так хорошо я не чувствовал себя со времен юности.

Я был потрясен. Организм отрегулировал все свои системы, восстановил баланс и залечил раны. Подавленное настроение, хроническая усталость, аллергия, расстройство пищеварения —все эти признаки поражения токсинами исчезли. Мои клетки вспомнили, как производятся химические реакции. Мой кишечник восстановил свое нормальное функционирование без всяких лекарств, и количество серотонина в моем мозге выросло до оптимального уровня. Никто из представителей современной медицины, с кем я консультировался, даже не мог предположить, что все эти отдельные симптомы связаны между собой, и не сказал, что я мог бы исцелить себя сам. Судя по всему, ни одна медицинская школа этого не знала. Эта тема, как и здоровое питание, отсутствовала в учебных планах моей медицинской школы.
Подавленное настроение, хроническая усталость, аллергия, расстройство пищеварения — все эти признаки поражения токсинами исчезли

Это был поворотный пункт. Наконец-то я ясно увидел перед собой свой путь. Я уволился с работы и перебрался в Лос-Анджелес. Хоть это один из самых загрязненных городов в мире, но наряду с этим это еще и пристанище некоторых наиболее прогрессивных медицинских теоретиков и практиков, а также множества продвинутых, широко мыслящих пациентов. Я начал читать о детоксикации все, что только мог достать, от древних текстов до современных научных исследований, где подробно объяснялась биохимия этого процесса. Я погрузился в изучение основ только еще зарождавшейся функциональной медицины, которая переводит восточную парадигму здоровья на язык западной медицины и добивается невероятно успешных результатов. Каждую неделю я приезжал на два дня в холистический центр и выполнял функции медицинского консультанта при ее основательнице и владелице Сюзанне Белен. Я консультировал множество самых разных людей, проходивших программу, и делился с Сюзанной и пациентами своими открытиями в отношении природы процесса детоксикации.
Со временем я начал лечить пациентов как врач общей практики и кардиолог, используя расширенный арсенал средств. Он все еще включал лабораторные анализы, лекарства и хирургическое вмешательство, но также и детоксикацию, некоторые средства китайской медицины, и большой упор в нем делался на изменении рациона, способствующего оздоровлению изнутри. Таково было мое видение новой, прогрессивной медицины, и при лечении других я использовал свой личный опыт пациента.
В те далекие дни я направил многих своих лос-анджелесских пациентов в холистический центр и наблюдал за превращениями, которые они претерпевали в результате программы детоксикации, иногда возвращаясь к нормальной жизни после длительных физических и душевных страданий. Но далеко не все, нуждавшиеся в очищении организма, могли позволить себе полностью выключиться на 2 недели из привычной рутины, уединившись в центре детоксикации. Поэтому я приступил к разработке метода, с помощью которого можно было бы достигать тех же результатов без необходимости уединения — его мог бы позволить себе каждый. И я представляю своим пациентам и вам этот метод.
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  18. Абуталипов Р.Н., Остапчук А.Н.. ПК для ветеринарного врача, 2007

  19. ANATOMO-TOPOGRAPHIC BASES IN THE PRACTICE OF THE DOCTOR OF THE DEPARTMENT OF INTENSIVE THERAPY AND REANIMATION
    The physician of the intensive care unit should improve knowledge not only in the field of physiology, pathophysiology, pharmacology, but also in the field of anatomy. Knowledge of anatomical and topographic bases is essential. This section provides data on normal and topographic anatomy that are necessary for the physician of the intensive care unit. A doctor who knows the topography of the most important anatomical
  20. ANATOMO-TOPOGRAPHIC BASES IN THE PRACTICE OF THE DOCTOR OF THE DEPARTMENT OF INTENSIVE THERAPY AND REANIMATION
    The physician of the intensive care unit should improve knowledge not only in the field of physiology, pathophysiology, pharmacology, but also in the field of anatomy. Knowledge of anatomical and topographic bases is essential. This section provides data on normal and topographic anatomy that are necessary for the physician of the intensive care unit. A doctor who knows the topography of the most important anatomical areas,
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