that is, the consequences here - that is, amputation of the lower limb, that is, everything was so smeared due to the explosion, plus the amputation of several toes of the right foot and the patient temporarily lost her sight from the shock of the wave. tatyana is from the village of new camps on the left bank of the dnieper; that day she was returning home along the highway from novaya kokhovka. instantly there was such a flash as if i had a million oranges in my eyes. flew by, and i hear the driver scream: help, people, help, oh god, what is this, but with the driver nothing, he had a small fragment in his thigh, a man was sitting behind him, everything was fine, everything, everything fell on me. tatyana was conscious, heard how russian servicemen who were nearby came running to help, they came running and said: “oh

god, mother, hold on, hold on, they put me on some kind of equipment, i don’t know what kind of equipment they had.” , they gave me an injection and brought me to their place in the military , well, like a medical center, a center, a hospital, i don’t know, after providing first aid, tatyana was sent first to skadovsk, and then to genetic central district hospital, her attending traumatologist from ufa, who a month ago..."

in places and much closer to the line of combat contact, in the twenty-second year he went to donetsk to help in a military hospital, in principle it was not scary, because - if we are scared, what is it like for the people who are there, uh, who are directly under the bombing, under these daily bombings, that is , there was no question here, we need help, as if the brothers and sisters decided to go, everyone didn’t talk here for a long time, a genetic traumatologist. started work on the same day upon arrival, the first day we went to the operating room with the doctors, i don’t remember there, in my opinion, it was just a minor injury, in principle , we immediately worked together, on the operating table, everything became clear, how they were received, they were received well, that is, it’s calm, and the patients , the patients are also calm, that is, many are glad that an outside doctor has come, that is, many ask questions like... how is it with you

, how is it with us, what opportunities do you have there, and what don’t here? well, we communicate with them, we talk, that is, many are somehow warm, they always say with gratitude: thank you big, there, because you start talking, you seem to support the patient a little, he immediately begins to bloom in the good sense of the word. after the wounds heal, ismail’s patient, tatyana, will be sent to an ophthalmological institution, she will undergo surgery to restore her vision.

received small salaries, much rested solely on the professional responsibility of hospital clinic workers, the noble goal for which they came to medicine, it so happened that in recent years the surgical department, here 38 beds, urology, traumatology, gynecology were transferred here, it’s very difficult, even the beds in the corridor, which is why this was done, well, they began to shrink. situation? well, the medicines are very good, we saved everything, yeah, how things are changing now, the patients have almost everything, but of course we would like to expand the heap fund, well, we need specialists, we really need them, we have already purchased equipment. new, it was

necessary, most of the modern medical base remained in kherson after the evacuation of residents to the left bank of the dnieper. in plans for the construction of specialized medical centers. now the salary is still decent.

receive it only on a paid basis, and accordingly, both the quality and timeliness of care suffered from this, because well, the main segment of the population, as if it were insolvent, and accordingly , patients are admitted or have been admitted in extremely difficult cases already today due to the fact that they don’t yet know that they can get this free help, they are admitted to extremely difficult cases because they do not go to clinics. all last year in kherson areas. they are actively developing and implementing measures that should promptly raise the level of provision of medical services; leading centers of the russian ministry of health have taken patronage of the region’s medical institutions. in general, the health care system of the russian federation was different, different from the one that was here before, yes, that is, it is still more,

well, let’s say, socially, more person-oriented medicine, this equipment, accordingly, and our quality. the equipment of district hospitals is changing, this is new equipment, new diagnostic equipment, a new fleet of vehicles, repairs of facilities that have not been carried out here for, well , 30 years, probably, i think that these changes are already visible, and people feel it. the task set by president vladimir putin is to conduct preventive and medical examinations of all residents of the region, this way many diseases can be prevented in advance. i think they generally carried out a complete medical examination of children, which has never been done here, well, let’s just say, has never happened at all in the history of ukraine, this is the first medical examination, and accordingly, now a medical examination of the adult population is also being carried out, but i

don’t know how to do this when there was nothing, this is work at the level, let ’s say. well, the traditional work of the healthcare system of the russian federation is getting better here, of course, we doctors identify many chronic diseases, advanced forms, well , people are already starting in a timely manner, receiving diagnoses, receiving the necessary medical care, starting to be treated. thanks to the support of federal and regional authorities the fleet of ambulances has increased. 86 were provided by the russian ministry of health, three by the regional chief.

plus the furnishing of institutions, these are surgical tables, operating lamps, instruments, some of the equipment was purchased in the field of thoracic surgery, because as such in the field, it is just beginning to be revived. an acute problem is the lack of specialized specialists; many have left the shelled areas. yes, today we have an acute shortage of specialists. surgeons, traumatologists, because there are a lot patients are admitted with mine explosion injuries, and so, accordingly, these are anesthesiologists, resuscitators to provide emergency medical care, we have therapists, we have cardiologists,

pulmonologists and so on, the acting minister of health of the kherson region has been in office for almost year, a dentist by training, over the past decade and a half he has shown himself... as a responsible leader in various positions, previously headed the ministry of health of tuva, now he is the new a challenge to complete the staffing of medical institutions in a troubled region, we interacted with the russian ministry of health. working groups to provide practical medical assistance specifically to our population, what they are are the specialists that we need, just... they form groups throughout the year for a month or for 2 months, and then they send us

specialists and we distribute to medical institutions according to need, so we are now planning to go to the intensive care unit in the skadovsk central district. for that, to communicate with visiting doctors and anesthetologists from kabardin, bulgaria. skadovsk is another city in the south of the kherson region, far from the contact line, but it is still a combat zone. in november , a missile strike was carried out on the city in the sssu, but this did not affect barat kamutaev’s determination to come here to work. a resuscitator from kabardin balkaria has been on a business trip here for three months now. there is a family waiting at home, children, wife, grandson, granddaughter. how did they react to the fact that you were leaving for kadovsk? well, of course, another one

once, when he went out, for the third time, they thought that everything was over on those two business trips, he says, again, but we say, yes, to send him here, he asked himself, went to the kherson region on january 1, the morning after the new year, to stay here for 2 months as a medical worker, well, first of all, it’s for... for pain, which is something to help here, when they explained that there are no anesthesiologists here, surgeons cannot perform major operations, naturally we wanted to come here right away, help people so that at least someone can be pulled out of this trouble, it’s not just, say, mine explosions, usually it’s... all this is also present, the same

heart attacks, strokes, they also need to be treated, help people, the same children who are treated with the same pathology, we need to somehow deal with to cope with this, but given that we still have an auxiliary service, naturally, we expressed all our wishes, went to... a young guy came to us at the beginning of january, after being wounded in simfepol, he

was operated on for an intracranial hematoma, after which he was transported to us for further treatment state of extreme severe coma. carry out treatment is necessary, that he had shrapnel, yes, he had shrapnel against the background of a shrapnel wound to the head, there was a cerebral hematoma inside, bleeding, that is, this also happened near novaya kokhovka, also an ordinary civilian, he was traveling by transport, came under fire, such patients without observation in the intensive care unit, without constant monitoring. of course, you can’t leave the doctor’s office, so you have to stay

here all the time. anesthesiologist, rheumatologist, vyacheslav babaev does not give forecasts, he says, they will do everything possible to save life, like his colleague, he is a full-time specialist at the kabardino-balkarian center for disaster medicine. this is our job , it’s like this is, well, not, not our first business trip , we’ve traveled around... the north caucasus before, these are areas where the military carries out all sorts of manipulations, that is, i’ve already been to beslan, back from school. capture was by south ossetian militants, we traveled around the north caucasus , we always have some kind of business trips like this, the first time we came here, as such there was no resuscitation anesthesiology service at all, that is, not a single one the doctor was not here, we arrived and

started the surgery, in the maternity hospital, all this began to function with us. uh, we met, well, everyone was different, naturally, that is , some with wariness, some immediately greeted us kindly, well, little by little they got used to us and we already kind of know who we are working with, what doctors are capable of , they began, as it were... to work in commonwealth, to provide assistance to both the wounded and somatic patients, very large flows are coming, the patients are very neglected with many concomitant pathologies, so everyone must be treated individually; a set of measures

to integrate the healthcare system includes management and quality control of medical services. we serve narrow specialists, during which doctors of the kherson region can both learn from experience and share it. at the moment we are half of this territory, these are six districts, these are large areas, these are lyoshkovsky, yagloprisonsky, kokhovsky, novokakhovsky, kolonchatsky, skadovsky districts. basically, in our country it is an urgent pathology, which is also crossed with mine blast injuries, say so, obtained from various types, either attack drones or artillery shelling. surgeon sharak matsikanyan, originally from armenia, but since 2010 he lived and

worked in alyoshki, kherson region, he is a forced migrant, i would like peace faster. this is probably the only thing that everyone would like, and i always say that everyone should go home, each their own house, because i have a house in alyoshki, which is no longer there, unfortunately, it was destroyed, well, practically yes, so i’ll go i won’t be able to go there anymore, but still in my dreams i will still return to those lands, where i lived, where i worked and where i want, i would like to continue working and living.

which operates in such full mode for as many as six large districts of the kherson region. we are going to the same oleshki, a long-suffering city that is constantly under fire from the ukrainian armed forces, and last summer it was almost completely flooded after the destruction of the kokhovskaya gas station. oleshkinskoe district hospital, the city itself is located within a five-kilometer zone from kherson and is considered a suburban area. kherson and lyoshka and kherson are connected by the antonovsky bridge. now we let's talk to the head doctor of this hospital. there is no water, the sewage system does not work, and mobile communications are disabled. doctors who work in emergency situations are actually on the front line, risking their lives every day. cars with a red cross are often targeted. they are hitting them purposefully, and right in residential areas. one of these cases occurred in

may: the hospital building also came under fire. unhappy people who have passed. experienced drowning and fire, and all this had to be seen to understand these people to help them, so it somehow it merged into a single whole, i can’t tear it apart somehow, tell some concepts, we’re all working. vladimir kharlan is from kherson, but at the time of evacuation he was already working in neighboring alyoshki in a hospital; now he doesn’t know about his housing, but it’s his choice. he doesn’t regret living in russia, they joke that he has, quote, a burdened heredity, his father, a pilot, fought in the great patriotic war, there is a monument to his regiment in kerch.

local doctors who work in this dangerous fifteen-kilometer shelling zone instructions were given to raise wages, and mobile diagnostic systems are also being sent here to provide medical care to all residents, especially...

there is a field church here, the guys and i constantly visit it, i also pray not only for myself, but for my comrades, i repent, we , they listen to sermons very carefully, they don’t have enough of this, they need this word of god, they definitely need to pray with them. now she will appear, come on! so what's there?

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dream work, traditions and innovations, only here, in a country on which the sun never sets. tinkov, 40 million clients in the largest country in the world. highest point german fortifications, here was the headquarters and main command post of the sixth army of the wehrmacht. it was here that the key to donbass was located. we are stronger because we fight for our land. nobody wanted to believe it, that it would come to such a point that again our tanks with

crosses would be burning here. 80 years later, this region found itself then, now, at the center of historical events, the same names, obdeevka, donetsk, artyomovsk, the ukrainian soldiers who were here set fire to the museum and did not escape, i think, what are you guys talking about, history cannot be reset.

nato, they set up a training ground from ukraine , they dragged us into this war, i think that they need to be taught a lesson, behind us are our families and the memory of our ancestors, we all don’t want to let this war into our country, to our people, we have everything here in the idea , we don’t have any non-ideological people here, whoever is new comes, we train them, they quickly catch on, serve under a contract. welcome to asia, where the heart of the continent beats.

this is russia 24. news hour, we begin a message from the press service of the head of state. issues of socio-economic development the chechen republic and its contribution to the special military operation. vladimir putin discussed with ramzan kadyrov. a message about the working meeting between the president and the head of the region was published on the kremlin website. russian troops took it over the past week.