I have been fortunate to lecture all over the former Soviet Union: our country many times from edge to edge and neighboring countries. And more and more often, when I talk to doctors, I try to bring them a new way of looking at the patient. Somehow we are now taught by standards and clinical recommendations that after a certain age a person becomes a “bag of many diseases”. And such a “bag” is called a polymorbid patient.

And pharma companies swoop in on such a patient... How could they?! There's a lot of diseases! So, give them a sartan for hypertension, a statin for dyslipidemia, an allopurinol for hyperuricemia, and a vinpocetine for cognitive decline. And the attending physician hesitates between “taking into account polymorbidity” and “inadmissibility of polypragmasy”. And even the unforgettable Kozma Prutkov wrote: “Look at the root!” And they do not see the root. And it is much more important than all external manifestations! And if we cannot influence genes, we can not only influence other causal factors, but we must!

This is what this issue will be about. I think it turned out to be special at all. I hope you will feel it too!

Prof. I.V. Egorov