Современное лечение - от геморроя до колоректального рака. Колопроктология, повернувшаяся к человеку лицом. Врач-колопроктолог, онколог, хирург. К.м.н., доцент кафедры факультетской хирургии 1 Сеченовского университета.
SubscribersHow many subscribers the channel has now. The wave shows subscribers at each point of the period. The change is against the start of the period.837▲ 0.4 %+3 for the period
ViewsHow many views the posts published in the period have now. These are not views per day: MAX does not report how many views there were yesterday. The percentage is the change in the daily average: the current period is still running (today is not over yet), so it is compared with the previous one by pace rather than by total. “Was” is the whole previous period of the same length.0was 0
ReactionsHow many reactions the posts published in the period have. The percentage is the change in the daily average: the current period is still running (today is not over yet), so it is compared with the previous one by pace rather than by total. “Was” is the whole previous period of the same length.0was 0
MentionsHow many times other channels mentioned the channel: links and reposts, excluding advertising posts. The bigger the circle, the more mentions at that point of the period. The percentage is the change in the daily average: the current period is still running (today is not over yet), so it is compared with the previous one by pace rather than by total. “Was” is the whole previous period of the same length.61▼ 17.2 %was 76with a subscription
RepostsHow many times other channels reposted this channel's posts (excluding advertising posts). Reposts are also counted as mentions. The percentage is the change in the daily average: the current period is still running (today is not over yet), so it is compared with the previous one by pace rather than by total. “Was” is the whole previous period of the same length.28▲ 15.5 %was 25after signing in
Average post reachHow many views one post gets on average. Only posts older than two days are counted: views of fresh posts are still growing. Points with fresh posts are dashed with hollow dots: the reach of all posts right now, it will still grow.5 478▲ 1.0 %was 5 421after signing in
ERRWhat share of subscribers sees an average post: average reach ÷ subscribers × 100 %. The line shows ERR at each point of the period, the dashed line — ERR of the previous period of the same length. Points with posts younger than two days are hollow dots on the dashed end of the line.28.9 %▼ 0.2 ppdashed line — was 29.0 %after signing in
Engagement ERHow often readers react to posts: reactions ÷ views × 100 %. The tick on the bar is the previous period.2.84 %▼ 0.2 pp
Posts per dayHow many posts are published per day on average. Each cell is a point of the period: the darker, the more posts per day. The percentage is the change in the daily average: the current period is still running (today is not over yet), so it is compared with the previous one by pace rather than by total. “Was” is the whole previous period of the same length.4.3▼ 8.2 %was 4.8after signing in
Ad shareWhat share of the period's posts looks like advertising: erid labeling, ad links and other signs. The scale shows the ad load by the quality index thresholds: up to 10 % — low, up to 25 % — moderate, up to 50 % — high, above — very high. A growing share is marked red.3.1 %▲ 0.3 pp
TrendTop — subscribers at the end of each point of the period; bottom — growth per point: green means more subscribers, red means fewer. Above the growth chart — the biggest gain and the biggest loss. MAX does not report how many people subscribed and unsubscribed separately.
Audience growth
+3subscribers in the period
+3 biggest gain · 26 Oct 2026−2 biggest loss · 27 Oct 2026
Channel scoreA channel score from 0 to 100 made of five parts: audience, growth integrity, ad load, trust and calculation reliability. Each bar shows how many points the part earned out of its maximum. The index is recalculated every night; channels are compared with similar ones of the same category and size.
ReachHow many views the posts published at each point of the period have now (not views per day). The record is labeled; the point with today is paler — the day is not over yet. Average post reach — posts older than two days.
Views and reach
702 763views in the period▼ 7.8 %
Average post reach — 5 478 views (posts older than two days).
EngagementER — reactions divided by views, in percent — for the posts of each point of the period. The dashed line is ER for the whole period. The change is in percentage points against the previous period of the same length.
CitationsThe citation index (CI) shows how often and by which channels this channel is mentioned over the last 30 days, excluding advertising posts. The level is its place among similar channels. The line shows CI at each point of the period (for a week or month — the average over its days).
The citation index has not been calculated yet: it will appear after the nightly calculation once other channels mention the channel.
RhythmHow many posts are published on average in each hour of each weekday, Moscow time: the darker the cell, the more posts. “Best time” — the hours when posts older than two days have the highest average reach.
When and how much it posts
MonTueWedThuFriSatSun
036912151821
Best time:09:0018:00hours when posts get the highest average reach
FormatsWhat the feed is made of. Each post has one format, by priority: repost, video, photo, link, text. The bar and percentages show the share of posts of each format; on the right — average reach of one post of the format (posts older than two days), the small bar compares it with the most viewed format.
Post formats
100 posts
Reposts99 %6 168
Video2121 %7 513
Photos3838 %5 699
Links1212 %5 239
Text2020 %7 626
On the right — average reach of one post of the format.
PostsEach dot is a post in the period: horizontally — publication date, vertically — views, dot size — reactions, color — format. This shows hits, flops and how reach changes. For large channels, the 100 most viewed posts and an even sample of the rest are shown — no more than 1,500 dots.
Every post is a dot
Higher means more views, bigger means more reactions. Click a dot to open the post.
VideoPhotosOthersize — reactionsZoom with the + and − buttons, a pinch or Ctrl + mouse wheel; drag a zoomed chart to move it
SummaryTotals for the selected period: how many posts were published, how many views and reactions they have now and the average post reach. Views are the current views of posts published on those days, not views per day. The change is against the same span before the period, if statistics cover it.
Period totals
Click a metric to see it across the period below
Viewstoday — the day is not over yetPoints with posts younger than two days are pale and dashed: their views are still growing.
AdsWhat share of the period's posts looks like advertising: erid labeling, ad links and other signs. The detector is cautious, so the real share is usually higher. The scale shows the ad load by the quality index thresholds. Below — the average reach of an ad post and a regular post, and who the channel advertises (sites that ad links lead to).
What worksPosts of the period with the most views. The bar shows views relative to first place. The preview is the post's image; for a post without an image — the channel avatar. Views are the post's current count.
RhythmHow many posts were published each day of the period (pale bars) and the 7-day average (line): you can see whether the channel is speeding up or slowing down. Today is not over yet, so its average is calculated up to yesterday.
Posts by day
Pale bars are days, the line is the 7-day average: you can see whether the channel is speeding up or slowing down
Posts per day7-day average
Data updated at 02:08 Moscow time. Views are the current counts of posts published on those days; average reach counts posts older than two days.
How the quality index is calculated
Как выглядит хроническая анальная трещина - это не столь сложно найти. Поэтому оставлю шикарную удаленную анальную трещину - удалось высечь её целиком, без повреждений, с наружным и внутренним бугорком. Дама долго болела попной болью, после операции дело пошло на лад. Надеюсь, вы же не будете так долго смущаться и начнете вовремя лечиться? 😉
Я уже рассказывал про чудесные истории, когда мы героически спасали попы. К сожалению, так бывает не всегда. Вчера устраняли рецидив рака прямой кишки, который поселился в анастомозе. Ранее была попытка сохранить сфинктер, всё было сделано коллегами из другого учреждения правильно, но, к сожалению, со временем там также проросли злокачественные клетки. Тактика лечения при рецидиве: при возможности удалить его полностью - удалять. Зато пациентка будет жить. Вот так выглядит удаленная попа (фото далее)
Образовательный цикл для врачей-эндоскопистов (а я уверен, что такие тут есть). У нас новый образовательный курс. Теперь для тех эндоскопистов, которые хотят стать ещё более крутыми специалистами. ЭндоУЗИ, пункции кистозных образований под контролем ЭУЗ и рентгена. Почему без дат? Потому что работаем с небольшими группами, возможно поэтому сделать под конкретный заказ (6-8 человек, чтобы все хорошо поработали). Всё обсуждаемо.
Самый показательный случай. Молодая (менее 50 лет!), практически девушка, с опухолью прямой кишки и на границе зубчатой линии. Отличный ответ на химиолучевую терапию, но опухоль всё равно очень близко от края ануса, и в ней всё равно оставались единичные клетки рака. По месту жительства предложили отрезать попу начисто. Мы предложили попытаться. Сделана лапароскопическая низкая передняя резекция с анастомозом и превентивной стомой. Сейчас прошла неделя, в целом обсуждали, сегодня или в понедельник поедет домой. Лучше в понедельник, нам будет спокойнее) А самое главное - гистологическое заключение. Полный патоморфоз. Опухоли нет. Остался только рубец. Из-за этого рубца человека хотели лишить попы. Фото рубца наверху
А за две недели многое произошло. Но есть старая истина "это полдня ты бегал, чтобы сфотографировать, а теперь полдня бегать будешь, чтобы фотографию отдать". На прошлой неделе было 5 операционных дней из 5. Времени рассказать не было, выхаживали и выходили всех. Завтра начну рассказывать про интересное ) и с фотками, конечно!
Дорогие друзья! Пациенты, которых посмотрел в пятницу, хороши и поправляются по плану. И абдоминальные тоже меня радуют. А я же пока вас покинул, поехал на Тайвань за новой технологией лечения геморроя. И знаете... Впечатления уже как на первой картинке ;-) самое главное - это всё возможно и у нас проводить!
Пошли первые операции. Начали с интересной ситуации - пациент с аденомой толстой кишки, 1.5 см. Но удалить эндоскопически нельзя, потому что у пациента установлен постоянный кардиостимулятор, а он плохо совместим с монополярной коагуляцией. Поэтому пришлось идти по классике и хайтеку - разрез скальпелем, ножницами и ультразвуковым скальпелем. А чтобы найти такую штучку, эндоскописты её заранее отметили стойкими чернилами. Препарат с отмеченной аденомой на фото
Иногда за эту неделю так и хотелось сказать - хватит, довольно! Нашей бригадой совместно сделано 1. Геморроидэктомия 2. HAL-RAR 3. Эндоскопическая диссекция с трансанальным этапом 4. Низкая передняя резекция прямой кишки с расширенной лимфодиссекцией 5. Устранение одноствольной колостомы 6. Резекция сигмовидной кишки с лимфодиссекцией И прочие вмешательства мелкие россыпью, а также помощь коллегам в их вмешательствах. Финализируем результаты, июль - отдыхаем, в августе продолжим.
Сегодня у нас важный день. Сегодня у ординатора Максима Дмитриевича Булкина последняя ассистенция. Далее госэкзамен и аккредитация. Его уже ждут во Владимире.
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