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Medicine

Interview with Natalya Vladimirovna Fomchenkova about preventive medicine

- February 16, 2022 | April 22, 2022 - Kate

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

GEN87 preventive medicine: a recipe for health, beauty and longevity

Olga Redina

The spring lockdown forced us to rethink our attitude to life. The Universe reminded of the most important thing – health. Without it, there are no joys of life. But you can’t put an excellent state of body and spirit on a deposit in a bank. We need to somehow protect and multiply all this ourselves. The only question is how to do it? The modern answer is preventive medicine. We bet 80% of us have never even heard of this! Natalya Vladimirovna Fomchenkova, the head physician of the GEN87 clinic, helped to immerse herself in the topic. Our interlocutor is also one of the few certified doctors of preventive, functional anti-aging medicine.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

– Natalya Vladimirovna, you will have to start from scratch. The term is unfamiliar, new. What is preventive medicine?

Classical medicine divided people into two categories: the sick and the healthy. A person may come to the doctor with an acute problem, or may apply already at the stage when it remains only to diagnose a chronic disease. But there is no quantum leap. The path from one category to another takes a certain amount of time. Something precedes any acute process. Even appendicitis. In most cases, the path from health to illness takes years, even decades. And preventive medicine sees this transition. We can create conditions under which the patient will turn back to health.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

What about genetics and problematic inheritance? After all, there are errors in the program code of mother nature.

“Of course, all this affects us. But genetics matters by about 15%. The lion's share of genetic diseases are multifactorial. Not one gene is “responsible” for their occurrence, but immediately 20-30. And here comes into play epigenetics, that is, a combination of external factors. What do we eat? What do we drink? What time do we go to bed and wake up? Do we play sports? Are we thinking positively or are we in eternal depression? All these moments can either help us stay healthy, or push us towards one or another “breakdown”.

That is why genetic passports are compiled in our clinic. This is an opportunity to foresee and eliminate all possible risks in advance, to create the environment in which a person will maintain health. Only 15-20% of possible failures are programmed in us, and the remaining 80% are what we do for ourselves, loved ones. The genetic passport is a real book of life. It helps to choose the right direction of movement.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

I love to compare the human body with an expensive car. Imagine that you have bought a luxury car. Of course, we will take care of the car: wash, polish.This car is not “knocking” yet, it drives great, but we will never leave it without a scheduled inspection and maintenance. Paradoxically, we do not care about ourselves and our health with such scrupulousness! We wait until something “knocks” in our body, and the service employees say: “Alas, you came late, you won’t be able to recover.”

Preventive medicine is high-quality maintenance that allows you to avoid serious diseases and those failures that are "programmed" genetically. Yes, nature cannot be completely fooled. And you will say: “One way or another, I will live to be 80 years old, and then how lucky.” But you can spend these years sick, broken and unhappy. And you can – active, full of energy and healthy: travel, raise grandchildren, do interesting things. The question is how to live the time allotted to us. We are the masters of our destiny. Prevention helps to properly manage your potential.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

What else has conventional medicine faced? People have shifted the responsibility for themselves to doctors. Until the age of 60, I eat and drink what I want, I smoke. And then I go to the doctor with chronic diseases, and I need one pill for all ailments, preferably free. Paradox! The awareness of the lion's share of the population is zero.

– It turns out, it's in the head. We don't treat ourselves like that. But where does the course of treatment begin?

– Preventive medicine is the case when you need to come to the doctor mentally prepared, because there may be a break in the usual patterns and a 180-degree turn. After all, you need to change your lifestyle, and not wait for a prescription to buy a panacea. Not just “to drink vitamins”, no, everything is more serious and detailed. It all starts with a change in the daily routine. Nature cannot be fooled. Not a single bird flies when it's time for sleep, not a single insect works when it needs to rest. Therefore, the conversation should start with the seemingly obvious: what time to go to bed, what should be the room. And then reconsider the whole regime of the day. And also diet and habits, physical activity. Next, we need to understand where the patient is on the path from health to illness. He may already be on that path. As they say, there are no healthy ones, there are underexamined ones. The saying is not without truth.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

“It seems to me that the problem is that few people know about doctors of preventive medicine. Yet there are far fewer of them than, say, therapists. How does a person usually get an appointment?

— Yes, in Russia people talk about preventive medicine only for about 8 years. There are only about 700 certified preventive medicine doctors in our country. We have three of them in Vladimir, two of them work in the GEN87 clinic, this is me and Anna Anatolyevna Vtekhina. The fact is that the awareness of the importance of our profession is just emerging in the minds. And getting an education is not easy. There are two universities in Russia where specialists are trained. Anna Anatolyevna and I studied at the International Institute of Integral Preventive and Anti-Aging Medicine "PreventAge".Education is exclusively paid and costs so much that many of my colleagues from other cities took out loans to gain valuable knowledge!

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

So how do people come to preventive medicine doctors? Let's start from afar. GEN87 is an innovative cosmetology clinic and beauty salon. I will do without false modesty and admit that we set trends in medicine and the beauty industry. We have won the love and trust of people thanks to the professionalism of our experts and advanced equipment. Perhaps, such a complete collection of equipment and devices is nowhere else in the city. People come to us for beauty, youth and happiness.

Often acquaintance with us begins with a visit to a beautician. Usually, an almost healthy person comes to beauty procedures. If there are serious health problems, then most often there is neither the strength nor the time to maintain beauty. Cosmetologists meet with that category of people who are no longer completely healthy, but they are still far from a chronic illness. These are the patients who are still easy to return to a state of health.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

That's why the doctor says, "Take off your clothes." A detailed examination, and then a long list of tests that need to be passed. For a person who has come for beauty, this causes a shock. They were expecting something completely different.

Yes, an unexpected twist!

– For some reason, it seems as if our face and skin live some kind of separate life and the processes taking place in the rest of the body do not affect them. A strange misconception, but it exists. The skin is one of the largest organs. It is given to us as an intermediary for communication with the external environment. By and large, I, as a doctor, can assess your condition even before examinations. Including your appearance. See deviations before they develop into a serious form.

Accordingly, the cosmetologist understands that if the patient does not improve metabolism, does not make up for the deficiency of vitamins and minerals, does not improve his lifestyle, the procedures will not give the desired effect. Without health there is no beauty and happiness.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

According to the rules, any doctor should begin a patient's appointment with a detailed examination and questioning. Specialty doesn't matter! But, alas, our medicine is now built in such a way that a doctor in an ordinary hospital has to make an appointment in 12 minutes (!), see five people in an hour. Fill out a lot of paperwork, listen to complaints, collect a detailed history, make a diagnosis and prescribe treatment. That, by the way, is why doctors have such incomprehensible handwriting. Excuse me, they would like to find at least a second to examine the patient. Where can you do calligraphy?

In such conditions, we must, alas, admit that prevention will remain paid for a long time, and perhaps always. Because the reception of such a specialist lasts at least 1.5-2 hours. And the doctor needs to spend this time on the patient in order to understand his lifestyle, collect an anamnesis and explain in detail further actions.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

In addition, a person receives a referral for laboratory research of the biomaterial.Thus, GEN87 cooperates with a reputable laboratory that conducts a very wide range of studies, many of which are, if not unique, then extremely rare for Vladimir. With the results of a detailed examination, the patient returns to the doctor of preventive medicine. And you need to understand that we are talking, most likely, about a practically healthy person. Most of the results will be within acceptable, reference values. The boundaries of the norm are rather arbitrary and wide. Here's an example for clarity: ferritin, which speaks of the iron content in the human body. The limits of the norm in the analyzes are from 4 to 120. And the question is: where are the normal values? The task of a preventive medicine doctor is to find in advance, in reference values, the prerequisites for the development of deviations. If ferritin is already at the lower limit, it's time to act, not waiting for it to fall even lower.

And you need to give a person detailed recommendations, explain everything. How to sleep, where to start the morning, how to spend the day, what should be in the diet, and so on. If you change the approach to your own health, then it is complex. Usually my recommendations and appointments are 8-10 A4 sheets. It happens that both chronic diseases and serious deviations are detected, with them a person goes to an appointment with a specialized specialist.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

– And then, for sure, the most interesting thing begins: the restructuring of one's own life. How does this happen?

— I have derived the 5P formula, it can be called my own method and patented. The first stage is Understanding. The patient came to the doctor of preventive medicine, he talked to him, collected an anamnesis. The task of the doctor is to give the person an understanding of the situation. Yes, I can stuff you with drugs, apply all the most modern methods of cosmetology, but everything will be in vain if we do not create the necessary conditions. And health is the foundation of everything.

When there is understanding, we move on to the second stage – “Acceptance”. Yes, you listened to me and understood. But did they accept it? Or, after leaving the office, will you return to your previous way of life and will not change anything? A preventive medicine doctor is also a bit of a psychologist. His task is to help a person and change on a mental level.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown.But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

Only after a person has accepted the new information, he can proceed to the third stage – "Application". And here the collaboration between the doctor and the patient will play a huge role. If all responsibility for health is shifted to the doctor, nothing will work. But if the doctor also withdraws from the process, entrusting everything to the patient, the process can also turn in the wrong direction. You need to maintain constant contact. How much is needed for the sustainable formation of new habits? About 9 months. After this period, a person will not even remember how his day was built before starting work with a preventologist.

And, yes, we will come to the fourth stage – "Getting the result." In fact, this could be the end of it.But there is a fifth stage, aerobatics – "Share experience." You need to tell your loved ones about your new lifestyle and help them become healthier, more beautiful and happier.

Health is the most important thing. Everyone realized this simple truth during the spring lockdown. But how to keep it and return it? Few people know more about this than a preventive medicine doctor.

So, is there a recipe for happiness?

– Certainly. Health gives us strength for our favorite work, for the joy of communication, for knowing the world and ourselves. Health is not only physiology. Mentality, way of thinking and philosophy. When a person heals from the inside, external beauty also comes. No wonder GEN87 has such a warm, positive atmosphere. Here you meet like-minded people who have come to this special lifestyle. We create beauty, health and thus help to become happier!