Doctor Mosquitoes biography of his life. School of Doctor Komarovsky - “Should we believe the advice of Doctor Komarovsky? Could they be dangerous? Why do they love doctors and why do they criticize them? Let's use common sense." What is he famous for

Pediatrician Evgeny Olegovich Komarovsky

It’s not for nothing that Evgeny Komarovsky is called the modern Spock. Who, if not him, a pediatrician with 30 years of experience, should write about raising and caring for a child?

Books by Komarovsky became bestsellers, and today hundreds of thousands of families follow Komarovsky’s advice, because he speaks about the difficulties of the first five years of life without drama and categoricalness, with light humor, simply and rationally.

How does the guru of Ukrainian pediatrics live? What does he breathe, what does he dream about, how does he relieve himself and what does he use to treat a cold? The famous pediatrician, candidate of medical sciences, doctor shared this and much more in this article highest category and TV presenter of the program “ School of Doctor Komarovsky“.

About habits

“I usually wake up at 7.30, take a cool shower - it tones me up. Already at the clinic I drink coffee with milk - this, in fact, is my breakfast. Every day I see many patients, answer dozens of letters, write books, so it’s almost impossible to find a couple of minutes for myself.

Although I still do something for my own health. For example, I quit smoking, despite the fact that this habit poisoned my lungs with nicotine for 20 years! And recently a corner appeared in my apartment in which there is a training complex. From time to time I go up to him and start working out intensely - I’m a public person, and I don’t need a belly at all.

Especially after one of my patients’ mothers gives a “compliment” like: “ Evgeniy Olegovich“You look so good, you’ve gained so much weight!” As for diets, I can only afford a carbohydrate-free one: in my deep conviction, a man cannot live without meat - “otherwise he begins to attack people.”

About vacation

“Only two times in my life have I attempted to relax with my family in civilized conditions on the seashore, and both ended in failure. Different ways those around me found out that I was a doctor, after which I had to save someone all the time. As a result, rest turned into continuous work. Since then, we only go on vacation to places where there are no people, no cars, no electric poles, no mobile communications. I haven’t been to Europe, and I’m not drawn to it, because I can’t relax in a museum or on the street, where endless streams of people move.

This Brownian motion irritates me. In my native Kharkov, I can no longer go into a store without encountering a patient who is eager to ask a question about a painful problem. In general, for me, relaxation is wild nature and kayaking. Over the past 30 years, we have rafted along the rivers of the Urals, Kazakhstan and, of course, Ukraine. They swam up and down the Bug, Psel, Vorskla and their native Seversky Donets. Moreover, the children have been swimming with us since they were three and a half years old. Today, 90% of four-year-old boys can tell a Mercedes from an Audi in a second, but will not find the difference between oak and maple. And my sons knew all this, because twice a week, even after night shifts, I took them with me to the forest, where we picked mushrooms.

We walked 20 kilometers each, and not a single one asked to be held. In our family there is no concept of “bad weather” - there are bad, wet clothes, but the weather is always good. It’s a pity that only a few parents understand this - most come to the appointment and ask: “Why do our children get sick so often? Maybe the local pediatrician is to blame? And I tell them: “It’s not the pediatrician, it’s the fact that your child only walks once a day!” I don’t understand why, when you bring a dog into your home, you know for sure that it needs to be taken outside twice a day, but a child can be kept within four walls for weeks.”

About raising your own children

“Reading Spock, the Nikitins, Arshavsky and Firsov, who taught to swim before walking, I realized that a recommendation is valuable only when it is actually feasible. The fact is that by nature every person is lazy, and no matter how eloquently you talk about the benefits of swimming in an ice hole with a newborn, only a few will follow you.

Therefore, I have never had anything to do with extremism. And today I offer parents something that anyone can implement - an algorithm of action, the effectiveness of which I have repeatedly seen both from the example of my own children and from the example of my numerous patients.

At the same time, I constantly repeat that Dr. Komarovsky does not treat children, but advises their parents. As an expert, I tell my patients what I would do in a similar situation. And I am very happy when fathers and mothers who have gone through the journey from the birth of a child to school (I recommend reading the article:) with me decide to repeat it again. So I have already made my contribution to improving the demographic situation.

When people ask me about techniques early development, I invariably repeat: a child should be taught not reading and counting, but eternal values. Call them whatever you like: the 10 commandments or the moral code of the builder of communism - the main thing is that the child knows: you can’t take someone else’s, you can’t raise your hand, you can’t whine and envy. If my son understood this at 3 years old, then for me he is precocious. You can raise an inveterate bastard who knows mathematics perfectly and can read from the age of two.

In addition, very often early development traumatizes the child himself. You can’t turn him into the center of the universe, because the family should be the center. Now imagine a situation where mom, dad, grandparents are running around a gifted child, repeating in unison: “How smart and gifted you are!” And then this child comes to school and gets a slap on the wrist from less gifted classmates - so as not to stick his head out. That’s when he begins to understand that school knowledge does not have as high a value as he previously thought.”

About stress

“I spent ten years in pediatric intensive care. Anyone who has had to tell parents about the death of their child knows what it's like. Neither the thought that you saved a hundred other lives, nor the phrases about the high purpose of a doctor calm you down. The death of one child overrides all arguments, and each such case passes through you, through your brains, through your heart.

Therefore, in order not to fall asleep or die from a heart attack or cancer, you need to be able to switch off. Man is fundamentally different from any animal in that the work of all his internal organs determined by the work of the cerebral cortex, that is, consciousness and emotions.

And if you live in harmony with your brains, bodily disorders will not threaten you. That is why it is important to have some kind of outlet, an activity that would restore peace of mind. For me, fishing has become such an outlet, which I go to every weekend. If you don't do this, the next week will be incredibly difficult.

Moreover, neither the size nor the quantity of fish caught is important to me, the main thing is that I managed to catch something. Fishing is a form of relaxation. It’s not for nothing that there is a saying: “Hours spent fishing do not count towards your life.”

About treatment methods

“Over the past 25 years, having regularly contracted acute respiratory infections from my patients, I have never taken antibiotics. And in general, I am convinced that in 90% of cases the prescription of antibiotics is unjustified - this is just a way to evade responsibility, from accusations that “You didn’t prescribe, now because of you we have...” The pediatrician must patiently explain, that the antibiotic does not act on viruses and does not have a preventive effect, but the doctor has neither the strength nor the desire to do this.

For acute respiratory infections, the main thing is warm drinks, cool air in the room, warm, dry clothes and patient waiting. Don't be afraid of illness and don't look for a golden health pill that will put you back on your feet tomorrow. There is no such medicine. If a child with asthma is brought to me, I advise parents to completely change their lifestyle and environment. Remember: God gave the child huge reserves, therefore, if the baby does not get out of the sores, it is not the body that is to blame, but the environment.

In order for such a child to recover, parents must give up washing powders with bio-components, carpets and clothes made of wool, household chemicals, toys made of toxic plastic. You need to constantly ventilate the nursery, change your character, deal with the humidity and air temperature in the house and walk twice a day in any weather. Although, of course, you can not do any of this and spray with a hormonal spray. If people need an aerosol, they don’t come to me, since I’m sure that a person’s health is 90% determined by his lifestyle and only 10% by “.

About the benefits of civilization

“I constantly encounter the amazing, inexplicable protest of our women against progress. Disposable diapers, baby food, soups and purees in jars - everything that is designed to make a mother’s life easier in the first year of a child’s life, for some reason causes rejection among Ukrainians. If not from the mother herself, then from the nannies, grandmothers and aunts, who begin to repeat in unison: “What are you, a stepmother? Is it difficult for you to wash your child's romper once again? Will your arms fall off if you make soup?”

I was surprised by this for a long time, and then I realized: it’s all about mentality. In our minds there is an image of a woman-mother who does not get enough sleep at night, without straightening up, washes endless diapers, and does not see the white light behind the pots. Hence the attitude towards the birth of a child as a feat. However, I know from my own experience that children are not only parental torment, but also a holiday. The main thing is not to consider yourself a victim, not to give up on life, but to remember that with the arrival of a baby in the house, everything is just beginning!

We must understand what to grow healthy child not so difficult, but you need to learn this before a woman becomes a mother. I would teach the secrets of conscious parenting at school and give 15 thousand hryvnia for the birth of a child to those parents who would pass the exam on caring for the baby; After all, 100% of the country's adult population knows how to make babies, but 99.9% have no idea what to do with them then.

Why, before buying a car, a man thinks about where to put it, where to repair it, what to fill it with, but when preparing to become a father, he doesn’t care about where the crib will be, how much money will be used to buy diapers, what kind of doctor will see him? wife giving birth? It should not be".

About vaccinations

“I am in principle for vaccination, and this principle is confirmed by my experience working in an infectious diseases hospital. But the general strategy - “vaccinations are good” - should not distract from the three most important tactical parameters: the quality of a particular vaccine, the health of a particular child and the specific conditions under which the child’s body and the vaccine will meet. Systematic violations in so-called little things, in approaches, in organization give rise to small and large problems, and it is supposedly that vaccinations in general are to blame.

Imagine a three-month-old baby who is fed with mother's milk, does not go to visit, does not have contact with any strangers, because he the immune system too vulnerable. And such a child is brought to the clinic to be vaccinated. But before going to the manipulation room, the mother must show her child to all specialists: an orthopedist, a surgeon, an ophthalmologist, a pediatrician. The baby sits in long lines outside each office, encounters a lot of unfamiliar microorganisms, and after all this, on the same day, he is vaccinated!

Naturally, after such a load on the immune system, there is a very high probability of getting a viral infection, and then there’s vaccination! So why don’t we limit ourselves to contact with one person, for example, with a local pediatrician? Why all this consultation? And then, to relieve oneself of responsibility in the event of post-vaccination reactions. It’s one thing when the local pediatrician said that the child is healthy and can be vaccinated, and quite another when seven more specialists confirmed this.”

Oh happiness

“I cannot call myself absolutely happy man, because I feel how much I haven’t managed to do, how much I can’t change in this world. I am especially outraged by the education system, which ruins the health of schoolchildren. According to statistics, among first-graders 80% of children are healthy, and among graduates - only 20%. So why, with such numbers, do we add two additional classes to the required ten classes? It suits you? Why are we silent? It is also very unpleasant to observe the consumer attitude of our people towards doctors.

For 25 years now my phone has not stopped ringing, but for thousands of calls with complaints and requests, there are only a few with the words “Uncle Zhenya, thank you, it has become easier for us.” This call is one in ten thousand, and it’s sad. In general, happiness is the opportunity to realize your desires: I love, I want and I can. But the paradox is that the higher the level of intellectual development of a person, the more needs he has and the more difficult it is for him to achieve happiness and harmony with himself. This is mine philosophy of Evgeny Komarovsky“.

Our guest is the famous children's doctor Evgeny Olegovich Komarovsky.

Evgeny Olegovich, you are the author about how to raise healthy children. Today you are shown on TV, the book is being republished and sold out again, they write about you on the Internet... You, in turn, claim that you are just an ordinary children's doctor who graduated from an ordinary medical institute. But at the institute, you probably weren’t taught to keep your children in a cold room and bathe them in a large bathroom, and even in cold water? Where then did such unconventional ideas for our latitudes come from? Did you somehow take all this and come up with it yourself? Were you afraid to start?

The main paradox can be found in the question itself. Those. from the point of view of elementary logic, an air temperature of 18-19 degrees is certainly not a sign of a cold room, and water is 34 degrees... I’m not even talking about the fact that our large bath Only a Soviet person can call him “big”. I started with my own children. And after my children there were friends, relatives, neighbors. I had personal contacts with everyone, not limited to illnesses alone, so I acted not in the role of a doctor, but in the role of a neighbor, friend, relative who simply advised. What I mean is that there was no one to come and figure it out. And I didn’t come up with all this, there was a book called “Swimming before walking”, plus books by Arshavsky, plus Nikitin. It is clear that, taking into account special education, ideas were perceived and refracted. The main difficulty was different - to create an education system that would be accessible to everyone. For it is one thing to implement all this in your family, when you can control your wife, child, and grandmothers, and another thing to give advice and leave the parents alone with their problems. But when the number of such “our” half-patients exceeded several hundred, it became clear that such children get sick less, and it is easier for parents, and, most surprisingly, grandmothers change their position and begin to agree that “it should have been this way.” "! In our country, this is a powerful argument - if you manage to convince your grandmother, it means that you are most likely to be right.

What if all the children got sick at once, and their moms and dads came running to sort it out? Could this happen?

Of course, it could, but on condition that the original logical constructions would not be correct. Then, probably, I would stop being smart and trying to give advice. But the concept turned out to be correct and allows, with minimal effort and money, to raise a healthy child and not just raise, but raise in the conditions of the surrounding reality. All this allowed the release of the first popular book. And after that, the number of “followers” ​​increased sharply and the evidence of correctness became many times greater. Now it can be said that the strategic, most fundamental issues have been resolved. But tactical details can never be completely resolved, i.e. There is still enough work for many, many years.

Your quote: “Our society, our leaders, our healthcare, our way of thinking and our family relationships gave birth to some special, specific science. In the recent past it was called “Soviet pediatrics,” but no one knows what it has become now. This science cannot be understood outside of practical medicine, namely ours, domestic practical medicine - let alone local ministers-academicians or the imported Doctor Spock." electronic version in your book this is the only place where Spock is mentioned; there is not a word at all about other pediatricians. Foreign authors did not and do not know our realities. What is the attitude of domestic pediatricians to your system of education? You are probably familiar with the opinions of your colleagues?

Let's start with the fact that in the concept of "attitude of our pediatricians" two aspects can be distinguished. The first is representatives of official health care - professors, departments, ministries of health, city health departments, etc. There is no relationship - I simply do not exist. Not a single letter, not a single response - neither positive nor negative; The second is practical pediatricians, i.e. those who are led, taught and controlled by the above-mentioned representatives. Here everything, in turn, is very ambiguous. In general, there are very, very few reviews, no, hundreds there will be two, but compared to the total number of letters, this is just a drop in the bucket. The reviews available are mostly positive, but here we must take into account the fact that the real everyday life and level of well-being of domestic pediatricians for the most part does not provide for the possibility of electronic communication, so it is difficult to assess the true picture. The main paradox is that in pediatrics the doctor is assessed mainly by parents. And when a certain doctor publishes books, when you can see him on TV 1-2 times a week, when you make an appointment with him 2-3 weeks in advance reception, then, due to the mentality of colleagues, all this causes irritation rather than a desire to find out why all this is happening. I never allow myself to criticize my colleagues, I try to treat any child as I would treat my own, but I am forced to cancel some previously prescribed medications and make other diagnoses (mostly correct). If a certain professor does this, this is understandable, but if not a professor... And if a certain doctor unsuccessfully treats with hormones bronchial asthma, and then at an appointment with Komarovsky it turns out that it is not asthma, but whooping cough, then the doctor is not at all happy that someone turned out to be more attentive and more professional. Moreover, this does not cause a desire to improve one’s own qualifications, but negativism towards the nasty “very smart” Komarovsky... Nothing can be done about it. Yes, I'm not trying to do anything. I’m not bored, there are enough patients, the treatment results seem to be quite good, so why complain? We only respect real power and real titles. I don’t have these titles, because any title and any power require an investment of time, effort, money and conscience. Don't want. A typical example is the book “Viral croup in children” - a 400-page monograph based on material from more than 5 thousand patients - this is a candidate’s dissertation. On the day when I had my defense, in front of me, on the material of 90 patients, a certain aunt defended her doctoral thesis... Well, which of the modern domestic pediatricians can afford to write a book? As a rule, these are representatives of “official health care” - professors, academicians. And in any such book everything will be smart and academic, and they (the books) are similar, like twins. And non-professionals also write - just parents who share their experience, here there is both independence and a system - a typical example is the Nikitins.

Have you met the systems of our modern pediatricians? Not retellings of foreign authors, but rather our own systems, integral, conceptual and focused on our realities?

Did not met. And if I had met him, I would have propagandized him left and right. And why, in this case, would I need to write all this and not sleep at night?

Last summer, on the Black Sea beach, I saw with my own eyes a mother who was bathing a six-month-old girl in the sea. The child not only swam to the best of his ability, but also dived quite deeply. There were always astonished mouths near my mother, and all the time someone was asking my mother something. I was interested in how long the child had been swimming. It turned out from birth. The Nikitins' books appeared quite a long time ago. Today there is your book. Even real examples Some unusual raising of children can be seen, like the one that amazed the whole beach. But for most parents, something prevents them from hearing any, even the most logical, arguments. It seems that both Komarovsky and Nikitin are all ideas for a small number of enthusiasts. How do you think?

I have always considered myself a person absolutely far from extremism. And everything I advocate is for the most part accessible, simple, easy to implement, not at all dangerous, economically profitable, and allows for fairly wide fluctuations. And if Komarovsky’s ideas even give you the impression that “these are ideas for a small number of enthusiasts,” then there is only one conclusion: I sadly overestimated the average level of common sense per parental unit. But I clearly see two global obstacles in the dissemination of ideas: 1. The detachment of the main carriers of common sense (male persons) from the processes of care and education. 2. The sad fact is that pediatricians, for the most part, stoop to the level of grandmothers and follow the opinion of the average person.

This is what happens... It turns out that dads have common sense, but moms don’t? Doctor, let's fight! Why do you offend young mothers?!

If we assume that the interview is being read by a person who is hearing the name “Komarovsky” for the first time, he may be offended. And if a person is already familiar with books and articles, he will take it for granted. For those who doubt it, read the chapter in the book “Family Members: Tactics of Rational Action.” The fact that a woman is a more emotional being and, in comparison with a man, less logical, is well known. There are exceptions, but this is the trend. Pregnancy and childbirth are not best time in order to reduce the influence of emotions on actions. And men, along with their common sense, often leave a woman alone with her problems, seeing their duty only as earning money for food and diapers... How to deal with this? There are two ways: 1. Convince them (men) that they should, are obliged to help, scold them - they say, shame on you, she can barely stand on her feet, etc. 2. Emphasize their wisdom and innate intelligence - guys, she will break the woods without you... Believe me, the second way is more effective. And if, after reading, several young mothers are offended by me, and several young fathers want to give the child a massage and take part in bathing, they will pay attention to how many blouses the child is wearing, they will ask why he eats every 20 minutes at night, they will get acquainted with the local police officer pediatrician, etc. - So in this situation, I will consider my mission completed.

How many children do you estimate are being raised following your advice? Well approximately?

I can’t even say approximately. Because many people do not implement the system in full, but apply in practice only certain provisions - both regarding care and regarding assistance in case of illness. Should we count such people? You can't rely on the circulation of books - not everyone who buys them will use them. Considering that the “advice” appeared not only in the form of books, but also in the form of newspaper and magazine articles, the listening audience is quite large. They published "Arguments and Facts", "Zerkalo Nedeli", "9 Months", "Liza. My Child", more than 2 dozen regional, city and district newspapers from Minsk to Yakutsk.

It often happens that people who have lived together for quite a long time become similar in some ways. This can often be seen in families. After some time, some traits of the spouses are gradually “borrowed.” You have been working with children for a long time. Did it change you in any way? What still pleases you about little children, what surprises and delights you?

I understand that within the framework of the question it would be necessary to say that many years of communication with children have made me spontaneous, cheerful, trusting, etc. - but what is not there is not there. You might be surprised, but my communication with children on a professional level is very pragmatic. There are no special surprises or admirations. There is no influence on me. An extremely realistic approach, without cooing and admiring. A certain set of professional skills - how not to scare, how not to hurt. I began my medical career in intensive care. There you cannot do without sorting and sifting through emotions. Otherwise, either drink vodka or go to a psychiatric hospital. The fact is that any emotional coloring interferes with making decisions. Well-mannered - ill-mannered, beautiful - nasty, boy - girl - all this is important only to the extent that it can influence treatment. It pleases, delights, and surprises the ability of children to recover; therapists can only dream of this. Yes, my patients bring me personally drawn pictures, read poems and sing songs - all this touches and pleases me, just like anyone normal person, but this has no connection with how I will treat, i.e. listening to poetry, etc. I am not a doctor. An ordinary man, middle aged...

Today there are many early child development. At least on the Internet, this topic is quite actively represented. What do you think about these methods? How important do you think this is for children and parents?

I am professional - i.e. exclusively as a pediatrician. For me personally, it is very important that the development of intelligence does not come at the expense of health, so that it is natural for the child. physical exercise on fresh air were not replaced by rearranging cubes in a confined space. The very methods of early development outside the scope of classical pediatrics are pedagogy, psychology, they often have a scientific physiological basis, but still this is clearly beyond my professional competence. I have a generally reserved attitude. From the point of view of a specific individual, I see advantages, but from the point of view of adaptation of this individual to an environment where not everyone is so developed, I see complete disadvantages. If to early learning counting, reading, etc. I would also like to add the art of adaptation... That would be great. The main conclusion that I made for myself is that the methods early development make parents of precocious children happy. In relation to the child himself, this is far from true. More often it’s the other way around.

You are talking about the difficult adaptation of developed and educated people to society. But the relationship between developed people and society has always been difficult. But is this a reason? In your opinion, there is no need to develop anything in children?! But you yourself are probably more pleased to see interesting, smart children who can get pleasure not only from overseas humor on the level of “how funny is your uncle’s butt plopped into a cake.” I saw a technique that describes, day by day, how to teach a child to read in one year old. It is not clear, however, why the child needs this so much. Well, what if you learn to read not by letters, but by syllables, and not be a fan, but find time for a walk and for the sun?... Evgeniy Olegovich, you are not an enemy of progressive humanity, are you?!

Not the enemy!! Definitely. And if you’re not a fan and find the time, I’m all for it! - There’s nothing to argue about here. I just wish that pedagogy didn’t focus on letters and numbers. 90% of 4-year-old boys can easily distinguish an Audi from a Mercedes, but cannot distinguish an oak from a poplar. Oh, how beautiful it would be - this is St. John's wort, this is wormwood, this is viburnum, this is a badger, this is a jay, this is a ravine, this is a lake, this is a spring, etc., so that from early childhood it can be tied to living things, to nature, to true values.

A lot of. Illustration - in July of this year (2003) I was out of town for 19 days (vacation). In 19 days - 412 letters... And this is July, when people get sick less often, and the holiday season - when many people try to stay away from computers. And in winter, 40-50 letters per day are not uncommon. It is very pleasant that the authors of the letters often go beyond purely medical problems. And topics related to fishing and tourism, and the lives of our compatriots abroad, and reports on the achievements of my virtual patients. For me, the archive of letters, especially the “good and different” section, gives an idea of ​​this.

You live and work in Kharkov. But thanks to the Internet, you are known far beyond your hometown. I saw letters from Russia, the USA, Japan. How long have you been using the Internet? What have you found for yourself on the World Wide Web, as a doctor and as a person?

Letters really come from anywhere - at first I was extremely surprised, but now I’m used to it. But! New Zealand, Australia, Venezuela, Ecuador, Argentina, Vietnam.... The Internet appeared at my home 5 years ago. Professionally, this is a unique opportunity to save time - I still remember dozens of hours spent in libraries, and now all latest information- without leaving home. Well, the website, or rather the mail, is a separate issue. I know for sure - thanks to the huge number of intelligent, competent, reasonable letters - I have become more optimistic about the future of our children - I am convinced that we have plenty of prudent and caring parents.

In turn, I can say that, having the opportunity to read an intelligent, competent and cheerful doctor, I become more optimistic about the health of children who grow up according to your methods. Thank you, doctor.

Evgeniy Olegovich Komarovsky(born October 15, Kharkov, Ukraine) - pediatrician, candidate of medical sciences, doctor of the highest category and TV presenter, hosts the program “Doctor Komarovsky’s School”.

Biography

Parents are native Kharkov residents. By nationality, her mother is Jewish, her father is Ukrainian. My parents are engineers by profession and have worked at a turbine plant all their lives.

The author of numerous scientific works, as well as popular science articles and books, the most famous of which is “The Health of the Child and the Common Sense of His Relatives” - has gone through more than 15 reprints in Russia and Ukraine.

Doctor Komarovsky lives and works in Kharkov. In practical healthcare - more than 25 years. Graduated from the Faculty of Pediatrics. Since 1983, he worked at the regional children's infectious diseases clinical hospital in Kharkov. Until 1991, he was a doctor in the intensive care unit, and over the next ten years, he was the head of the infectious diseases department. Since 2000, he conducted a pediatric consultation at a private medical center, and in 2006 he opened a private medical center - the Komarovsky Clinic “Klinicom”.

In 1993, the monograph “Viral Croup in Children” was published, for which in 1996 the author received the scientific degree of Candidate of Sciences. “The Beginning of Your Child’s Life” (1996) is the first popular science book by E. O. Komarovsky, “The Health of a Child and the Common Sense of His Relatives” (2000) is its logical continuation. In 2002, the book “Disposable Diapers” was published. In 2007 - a new, expanded and completely revised edition of “Child Health...”

In 2008-2009, the following were published: “ORZ: a guide for sensible parents”, “Diary”, “Book for coughs”, “Book for runny nose”, “36 and 6 questions about temperature”, audiobook “The beginning of your child’s life”, and also the first part of the “Handbook of Sensible Parents,” which contains information relevant to all healthy children - growth and development, tests and examinations, nutrition, vaccinations.

2010 - the second part of the parental guide - “Emergency care”.

The doctor is also known to the parent audience for numerous television projects - as a participant in talk shows and a consultant for specialized programs.

In March 2010, the project “Doctor Komarovsky’s School” was launched on the central Ukrainian TV channel Inter.

Laureate "Most handsome man Ukraine 2010".

The doctor’s method of caring for and raising a child is distinguished by its simplicity, accessibility, effectiveness and adaptation to modern conditions and the national mentality, for which he is often called the “Ukrainian Spock”.

Bibliography

• Viral croup in children. Clinic, diagnosis, treatment tactics. Kharkov, 1993.
• The beginning of your child's life. Kharkov, 1996.
  • The beginning of your child's life. Audiobook. Kharkov, 2008.
    • Beginning of life. Your child from birth to one year. Book+DVD. Moscow, 2009.
• The health of the child and the common sense of his relatives. Kharkov, 2000.
  • The health of the child and the common sense of his relatives. Kharkov, 2007. Revised and expanded edition.
    • The health of the child and the common sense of his relatives. 2nd edition, revised. and additional Kharkov-Moscow, 2010.
• Disposable diapers. Popular user guide. Kharkov, 2002.
• ORZ: a guide for sensible parents. Kharkov-Moscow, 2008.
• Diary. Our notes about our child. Kharkov, 2008.
• A book for the runny nose: about children's runny nose for moms and dads. Kharkov-Moscow, 2008.
• Cough book: about children's cough for moms and dads. Kharkov-Moscow, 2008.
• 36 and 6 questions about temperature. How to help your child with fever. Kharkov-Moscow, 2008.
• A handbook for savvy parents. Part one. Growth and development. Analyzes and examinations. Nutrition. Vaccinations. Kharkov-Moscow, 2009.
• A handbook for savvy parents. Part two. Urgent Care. Kharkov-Moscow, 2010.
• Little tales about hedgehogs. Kharkov, 2012.
• A handbook for savvy parents. Part three. Medicines. Kharkov-Moscow, 2012.

The books “The Health of the Child and the Common Sense of His Relatives” and “CHI: A Guide for Reasonable Parents” have been translated into Ukrainian and Chinese.

Some simply adore this popular doctor, author of books and TV show host. Others consider it too harsh and harsh. Meanwhile, the book “The Health of a Child and the Common Sense of His Relatives” has been topping the bestseller lists for many years. The phrases below will give you the opportunity to understand how close the position of Evgeniy Olegovich Komarovsky is to you. And also, smile and think.

1. The child’s body and behavior are surprisingly purposeful. The child will never do anything harmful to himself (scream, for example). But if, as a result of shouting, he makes his existence more comfortable, the habit of solving problems with his voice can last a lifetime.
2. I wonder who was the first to come up with the idea that Nature could create a biological species for which a stream of air poses a formidable danger?
3. When there is nothing to adapt to, the adaptive systems simply turn off. If during the first two or three months of life you create comfortable conditions for the child, then in the future it will be very, very difficult for him to exist without such conditions.
4. Neither the quantity nor the quality of pediatricians can solve the problem of children's health. But it’s impossible, most likely because said health depends to a much greater extent on mom and dad than on all pediatricians combined.
5. After all, hundreds of books devoted to caring for and raising children are written in such a way that the very process of communicating with a child is perceived in isolation from real life. Such “little things” are not taken into account, such as a hungry dad coming home from work, shops and clinics, missing hot water, a broken iron, a wise mother-in-law, another pregnancy, the number of days until salary, etc.
6. Happy child- this is, first of all, a healthy child and only then able to read and play the violin. A happy child is a child who has both a mother and a father who find time not only to love this child, but also to love each other.
7. If you (and most often “you” is a young and nervous father) are going to the store for the first time, then it would be good to check with your wife what weight and gender your child is.
8. Treatment of chickenpox with green pox is so widespread that some young doctors are convinced that a spotted green rash is a characteristic sign of chickenpox.
9. Remaking (reeducating, retraining) is much more difficult than doing the right thing from the very beginning. Therefore, do not bring your child to a state where only the most decisive measures will allow you to overcome the difficulties that have arisen.
10. It is generally accepted that a man raising a child is able to achieve much greater success than a woman.
11. And nature, and human nature, and the laws of logic, and indeed elementary common sense are not able to explain why a pregnant woman should not get tired, sleep more, not lift more than one kilogram, etc. After all, this same woman several thousand years ago in a similar situation would have continued to live according to the laws of the tribe.

10 brilliant quotes from the best pediatrician of our generation. Dr. Komarovsky knows his stuff!

Note to moms!

Hello girls) I didn’t think that the problem of stretch marks would affect me too, and I’ll also write about it))) But there’s nowhere to go, so I’m writing here: How did I get rid of stretch marks after childbirth? I will be very glad if my method helps you too...

Dr. Komarovsky, the most popular pediatrician in Russia and Ukraine, the author of 13 books on child care, has released the third book in the “Handbook of Sensible Parents” trilogy, “Medicines.” To present the book, everyone’s favorite pediatrician visited Moscow and St. Petersburg. I took advantage of the situation and, over a leisurely lunch at JonJolie, asked Dr. Komarovsky all the most important questions.

- Name five myths about children's health.
- It’s hard to choose five, there are dozens of times more. The first two: vitamins and immunostimulants affect the incidence of disease. There are extremely dangerous myths, for example, about the benefits of rubbing children with alcohol or vodka when high temperature. Fourth: necessity is the first, second and third. Well, the fifth myth: you need to go to the sea in order not to get sick - at the sea you are more likely to get poisoned than to get well.

- Perinatal matrices: myth or reality?
- This is beyond my understanding. What I like most is the specialty “perinatal psychologist”. These are the people who know what the fetus is thinking. They know what kind of torment a child experiences when he was put alone in a crib, when he was deprived of his breast at the age of one and a half years...

- Attention deficit disorder: myth or reality?
- Reality, definitely. Previously child was left to its own devices without attention. And it is less dangerous than when it is provided to the TV or the Internet. This is a tragedy of society when a mother ties her child to the TV, because she is calmer when he is nearby, in the next room, than when he is running down the street. 20 years ago, all the fun was in the yard. Now everything is the best interesting at home. This is where physical inactivity and the obesity epidemic comes from.

- How does growing up on artificial nutrition affect a baby’s health?
- Naturally, modern formula allows you to minimize risks if the mother knows how to handle it. At the same time, it has been proven that there is a lower risk of getting sick (for example, diabetes) if the child is breastfed. Better than mom there can be nothing.

Bloggers ask: is a pneumococcal vaccination required for a child who, in principle, gets sick infrequently and has never had pneumonia?
- As a rule, no. The vaccine is expensive, not everyone can afford it. Now, if the state provides it to all of us at its own expense, then why not.

- Should children be treated with antibiotics?
- When they have bacterial infections that are sensitive to antibiotics, it’s worth it. What you should not do is treat children for viral infections with antibiotics prophylactically. Antibiotics have saved millions of lives, but they must be used as directed.
The main rule of using medications: take them for a reason, not just for the sake of it. This “about” is described in any instructions in the “Instructions for use” section. Any medication that is not indicated is contraindicated. If you have the flu and you don’t find the word “flu” in the instructions for ampicillin, then it’s time to doubt the doctor who prescribed it.

- Is it better to get chickenpox or get vaccinated?
- Definitely, vaccinate. Chickenpox is usually a mild illness, but often it is not easy.
I worked for many years in pediatric intensive care, and saw both chickenpox encephalitis and death from chickenpox. The head doctor says in the morning: “There is chickenpox in hematology.” To an ordinary person this phrase doesn't say anything. But we understand: there are children with leukemia, without immunity; one windmill means half of them will die. And these children were brought to us to die. In nephrology, chickenpox - half of those on hemodialysis will die.
A random girl suffered a severe case of chickenpox - her entire face is covered in scars.
It’s good to get over a mild form of chickenpox in ideal age, and when you are healthy. Vaccination against chickenpox - as well as against influenza - is not a matter of expediency, but of material possibility.
The statistics on complications of chickenpox could be significantly improved if children were vaccinated. And here’s the question: will you be able to gather people in Bolotnaya Square with the slogans “Protect our children from the disease for which protection has been developed”, “A country with a multi-billion dollar budget can afford to vaccinate every child”? The attitude towards children - towards pediatric medicine, towards kindergartens, towards schools - is a criterion of the maturity of a nation. If one hundred thousand people come out in defense of some political force, but do not come out in defense of their own children, excuse me, for such a nation this is a catastrophic situation.

- Is there a future for Russian medicine in this case?
- I have already raised my children. I will not send my grandchildren to the healthcare system. If, God forbid, something happens to them, I will take them to the country where I believe in medicine - to Germany, to Israel... - where I can control the quality of drugs, where I can influence something.
Here I don’t trust the quality of medicines, I don’t trust those people who should control the quality of medicines, I see advertisements for medicines on TV, and I’m ashamed of the country. I am afraid that when civilized insurance medicine finally comes to us, they will not pay for civilized medicines, but for those produced by a relative of the director of the insurance company.

- What is the stumbling block for Russian healthcare?
- Soloukhin in one of his stories described the transition that each of us faces - from this life to that. It can be scary, it can be easy. You can beg in agony for three years for an ampoule of morphine, or you can calmly leave. And this depends on the health care system in the country. And the problem is this: at the age when we can change this system, we are interested in completely different things.
An indicative case was in Ukraine. Ukrainian torrent closed. This protest movement has arisen! A bunch of men organized hacker attacks and crashed the websites of the Ministry of Internal Affairs and the President. It got to the point that the president’s son stood up for them, and the site was opened. That is, when men were deprived of the right to watch free stolen movies, they were ready to tear anyone apart.
But before that, there was no vaccine in Ukraine for almost two years. In a European country in the 21st century, children were not vaccinated for two years. Do you think any of these men lifted a finger for the sake of their children? I wrote a post about this on my blog: .

Komarovsky's books are translated into the most different languages peace. Here is a fresh translation into Chinese.

In books you write that children, starting from the maternity hospital and throughout life, are overheated, while the child does not suffer from the cold, but, on the contrary, is hardened. When and how should we work with the health care system and parents to protect new members of society from overheating?
- For many years I was sure that the main thing was patient explanatory work. However, our society, unfortunately, is not ready for this. Since 1917, both the Russian and Ukrainian Ministries of Health have been communicating with their doctors using the so-called. orders.
Here, too, it is necessary to issue an order on the inadmissibility of preventive antibiotic therapy for viral infections, an order on the categorical inadmissibility in children's institutions of exceeding the temperature and humidity standards prescribed by the law on sanitary and hygienic norms and rules.
In the papers approved by the chief sanitary doctor, everything is well and correctly spelled out. In SanPiNakh (Sanitary and Hygienic Rules and Norms. - M.I.) it is said, for example, that in the bedrooms of a kindergarten the transoms must be open at all times. They close five minutes before children go to bed and open five minutes after children go to bed. Humidity 40-60%, temperature not higher than +22°C. If you go to a typical kindergarten, you will see that the humidity is 20% and the temperature is +28°C. Educators must comply with these SanPiNs, but they do not consider it a crime to deviate from the rules so as not to get involved with some Klusha, who just immediately shouts: “What are you doing, you’re going to give my child a cold!”

- Is the situation the same in maternity hospitals?
- It’s one thing if a newborn is not full-term: he has an inadequate thermoregulation system, he does not absorb vitamins - such a baby is put in an incubator and fed what he lacks. A full-term baby is a completely different matter; he should not experience discomfort in a room where it is +28°C and there is nothing to breathe; it is better to wrap him in the skin of a killed bear and continue to breastfeed.
Sometimes mothers say that in the maternity hospital the midwife does not allow them to open the window. Oh, she's a great expert! She doesn’t care at all about all the SanPiNs, about Onishchenko, about doctors, about the wishes of this mother. She is the queen there, she has in her hands the only vessel in the entire department, and without five rubles in her pocket she won’t give it to you, go ahead. And this same Marfa Ivanovna determines in the maternity hospital who to let in and who not to let in, it doesn’t matter to her whether you want to be near your wife or not.

How do you feel about modern medical reforms? In particular, what position do you take on health care financing?
“I believe that the money that is allocated is absolutely enough to make every resident of the country proud of the healthcare system. Another thing is that they are spent irrationally. This applies to both Russia and Ukraine.
There was a great Semashko healthcare system. It was simply impossible to think of anything better in terms of price-quality ratio. This Soviet system had to be “polished” a little: remove unnecessary bureaucracy, remove the light forms of corruption that existed then, close those medical research institutes that were of no use, and then we would be proud of this updated system. But it didn't happen.
After all, what could be more reasonable! One hundred And t, for example, a hospital in the center of Moscow. This is the building O and billions. Offer any company to build a luxurious modern clinic outside the city, in the forest - in exchange for this building. Everyone is interested in this. Why isn't this happening?

- What is the Komarik project named after you?
- Five or six years ago I figured out how to prevent a kindergarten from killing a child - I developed a package of requirements “Komarik”. This is a legally registered franchise that can be used by any kindergarten.
In normal kindergarten there are, for example, 30 children in a group. 28 mothers want the transom to be open, and two want it to be closed. Only those parents who have passed the test for knowledge of Dr. Komarovsky’s system and agree with this system can take children to Komarik. Only those who agree that children can walk in any weather, that they cannot be forced to eat, that temperature and humidity must be maintained, etc., etc.

- Has this project already been implemented somewhere?
- The first “Komarik” was opened not in Russia or Ukraine - there is no prophet in his own country - but in Almaty, then there was Krasnodar and now, finally, Moscow.
After the kindergarten there should be a school, whose task is to raise not a smart child, but a happy, healthy, physically developed one, prepared for the realities of life. The first five years will reveal his inclinations, and the next five years he will be trained with others like him.
For the first three years in Almaty, the project developed quietly, but now there is no end to those interested: they shove money just to get in - they saw that the incidence there is 10 times lower than the city average.

How do you feel about the idea of ​​individual schools, where children would be divided not by age, but by temperament, psychological development, night owls and early risers, etc.?
- I don’t believe that this is feasible on a national scale. For your money they will give you everything you want. I myself have a negative attitude towards this idea. I believe that school should still teach a person to live in society. Let's say you're a morning person. So what, your employers will adapt to this all your life? If you are required to get up at 8 in the morning, and not at 5, adapt your inclinations to society, learn to get up at 8.
I am extremely skeptical about early development methods because they do not make a person happy. It makes his life much more difficult when the child finds himself in a society of precocious people. The more we develop a person, the more needs he has and the more difficult it is to satisfy them. We don't make him any happier. But, in fact, this is precisely the main thing. In the end, we create people who invent needs for themselves and go over corpses to realize them. We see them every single day.

It is true that during pregnancy you need to try as much as possible large quantity classes, how do these skills translate into the child’s potential?
- This is unscientific.

- As well as art therapy, hippotherapy, etc.?
- All these are types of psychotherapy. Go wherever you want, pay a lot of money - then horses, and dolphins, and fairy tales, and anything else will help you.

In the first year of life, children are examined at the clinic every month. Are monthly examinations with a pediatrician necessary if there are no complaints?
- Not sure. The doctor should examine the newborn; it would be good to examine him at one month of age, at three months, at six months and at one year. By the way, a qualified nurse is able to do this without a doctor.
The main risk is the very fact of visiting the clinic. If one year old child has to wait for the doctor in the corridor of the clinic, where other children are coughing and sneezing, this situation is definitely wrong, we must fight it. If you want the doctor to see your child often, adjust the system in such a way that if you are told to come at 15:00, then at exactly that time Marya Ivanovna is already waiting for you. If a child falls ill in the corridor of a clinic, the state pays for treatment. Logically, the state is interested in making sure that the child does not sit in the corridor.

- When will the time come when there will be no hour-long queues in children's clinics?
- I have already said that the reason for this is the absolute isolation of men from everything that concerns children. It is obvious. When men begin to take care of their offspring, then the situation will change. When a family decides to buy a car, the man starts surfing the Internet six months in advance, finding out the details and terms of purchase. And when they decide to have a child, in only 1% of cases you will meet a dad looking for information about parenting. If your car was filled with low-quality gasoline, you would destroy the gas station. And when the hospital provides poor quality care for your baby, you don’t care. A man has always had two main functions: to protect and feed his family.
To keep children healthy, you need much less money. It’s more important to get the process right, and then the state will save even more. But no one is interested in children getting sick less.

Personnel issue. As far as I know, there is a terrible shortage of specialists. How to attract personnel to the industry and why is it not possible to do this now, despite huge cash injections?
- The deficit will increase exponentially. This issue cannot be resolved as long as you cannot survive on a doctor’s salary unless you violate God’s commandments.
There is not a single Ukrainian university in the ranking of the 600 best universities. And there are only a few Russians. Go to any research institute and ask how many drugs they have developed over the past 20 years have received international recognition. Answer: zero. Question: why should I maintain this research institute with a hundred professors and three hundred associate professors? What a shortage! We have God knows how many of these personnel, but they are arranged in such a way that they do not approach the sick.
The most adequate, most competent doctors work as representatives of pharmaceutical companies. Nobody wants to run around the site for $120. The rest have too low competencies. 90% of doctors believe that homeopathy is herbal treatment. Well, what to do with them?

- Isn't the workload of a modern schoolchild excessive?
- Ideally, the issue of out-of-school time needs to be resolved. If, in addition to school, the child spends three more hours doing homework, and the rest of the time he stupidly watches TV, there’s nothing good about that. Our problem is the lack of free public school sports. It is impossible to imagine a school in Canada that does not have a skating rink or a school swimming pool. We only dream about it. But making volleyball courts is inexpensive: string a rope between two posts and let the children play.
It is necessary for the child to have intense physical activity for one and a half hours a day. If we organize this hour and a half, then no workload at school will be excessive. Then we will keep him healthy.

- How is the benefit of an hour and a half exercise explained?
- This is human physiology: the heart should not beat smoothly, but respond to loads, which ensures the normal functioning of blood vessels and muscles. We need to motivate children to run faster, jump higher, walk without acne, etc. Then they won’t even start smoking in the 8th grade. It is necessary to develop a cult of a healthy attitude towards oneself. Because a person who systematically kills himself is a person who has little brains. Being stupid is a shame. A person who smokes is stupid because he goes against instinct, he deliberately kills his health. There are no living beings that deliberately kill themselves.

- Is it enough for the child? school holidays or maybe you need more? Perhaps they need to be divided into periods differently?
- It’s not the fact of the holidays that is important, what’s important is how the child spent them. How many children can afford to go swimming at sea during the autumn holidays, and skiing during the winter holidays?

- Computer: for or against, from a medical point of view?
- Yes, of course! What would it be like without him? You just need to know how to use it. It is quite obvious that it needs to be dosed. If a child jumps around for an hour and a half a day, then let him sit quietly and stare at the computer.

- Vegetarian food children: is it possible?
- By and large, this is unnatural for humans. What mom and dad believe in, the child usually believes in too. If parents want to pass on their beliefs to their child, I have a technique that allows you to stay healthy while being a complete vegetarian. I myself believe that a child has the right to eat what he wants. But if I, as a doctor, don’t see an opportunity to convince my mother, then I’m forced not to relax, but to offer a technique: what to eat, what vitamin complex drink so that you can do without prohibited products.
There are shops for vegetarians all over the world, but are there many of them in Russia? There are one or two in Moscow.

- How harmful or beneficial are seasonal vitamin tablets? They are said to cause cancer.
- It is not true. Only a manufacturer of non-tablet vitamins can say this. The question needs to be framed differently. Vitamins are therapeutic and prophylactic agents that are taken according to strict indications. If a person can afford a harmonious, varied diet, he does not need any vitamins. With the exception of certain situations, and then more often we are talking about microelements: increased need for iodine in pregnant and lactating women, folic acid in preparation for pregnancy, vitamin D - if you live in the Arctic Circle.

- Are there crisis years from 7 to 18 years old - or is it one continuous crisis?
- It seems to me that the mentioned range is stretched. The riot of sex hormones, without a doubt, changes life priorities. Peers, usually of the opposite sex, become authorities for the child; The opinion of your desk neighbor becomes more important than the opinion of mom or dad. It is important to have time to become an authority for a girl before she turns 10, and a boy before he turns 12 (all this is approximate, of course). If you failed to do this, then, unfortunately, you are too late - you will not be able to influence the situation.

- New standards for caring for premature babiesconsidered bornvery young - from 500 g. Do such children have any prospects? Do they need to be dealt with?
- This topic causes me great skepticism and pain. Give society an analysis: over the past five years in our country, s One hundred children weighing from 600 g to a kilogram walked. Give society statistics about what happened to them in the first five years, what it cost their parents, how many families broke up, how happy, healthy, and functional these children are now, and how their eyesight is. Give society answers to these questions.
I was in Frankfurt in a department for such children and heard such pain in the words of those who care for them - and this is at their level! 90% of these children are blind, they have problems with their skin and intelligence.
If we decided that we care for premature babies because this is the European standard, let's start with something else: with European standards vaccinations, European school standards... If we bring children into this world, let's start with something else.

- What self-help measures does a child need to know?
- I wrote a book about this. It's practically ready script 50-episode film about emergency care. It needs to be filmed and shown in all schools: what a child should do when he has a high temperature, when a friend is electrocuted, when someone is pulled out of the water... Our posters demonstrating help for drowned people - when the poor thing is being pressed through the knee, as if the lungs are a washcloth, from which water can be squeezed is a national disgrace. I am ashamed for the country when they start discussing the benefits of a tourniquet. A correctly applied tourniquet is tantamount to the loss of a limb; it is needed if, for example, an arm is torn off. At the same time, there is a tourniquet in every first aid kit.
But almost no one here knows what an Epipen* is. Do you remember in the movie “The Social Network” the police break into the house where the guys are using cocaine? From one of them, the policeman takes out a syringe and asks what is in it. The guy says, “Epipen,” and they leave him behind. Every dog ​​knows what epinephrine is and why it is needed. If we put an EpiPen in our car first aid kit instead of a tourniquet, we could save several thousand lives in a year.

- Evgeniy, how can one find you on the Internet?
- The real Komarovsky lives on. For today only here.

About the new book by Dr. Komarovsky
Previously, specialists could not afford to write about medications; this topic was always taboo for both doctors and parents: if you tell the truth about some medications, they will replace them with others; if you tell others, they will stop buying them... And this is a matter of personal interest.
“Handbook of Sensible Parents: Medicines” Evgeny Komarovsky wrote for two years, but the preparation took, according to the author, 35 years. Textbooks about medicines are written not by doctors, but by pharmacologists. But the paradox is that it is with doctors that parents talk about medications. Therefore, one of the primary goals of Dr. Komarovsky’s new book is to become a Russian-pharmacological phrasebook. When the instructions, which are theoretically intended for the average person, say that “this drug inhibits the C-450 enzyme,” it hardly becomes clearer why this medicine is needed.
The book consists of three parts: 1. Pharmacological ABC, where the basics of pharmacology are given: how a medicine differs from a drug, and a pill from a lozenge. 2. Stories about medicines - about the main groups of medicines, with an emphasis on childhood. 3. Specific situations: medications and pregnancy, medications and breastfeeding, medications and allergies, what is 20 mg in 5 ml, etc.
Many pharmaceutical companies would give a lot to keep this impressively voluminous book (the Index alone took 40 pages) from being published. “One of my acquaintances, a chemist,” comments Komarovsky, “having looked at the contents, he bought three copies at once with the words: it will quickly become a bibliographic rarity, such a book will not be allowed to be published twice.” For the same reason, the publishing house released a circulation six times larger than usual.