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tv   [untitled]    August 6, 2022 11:30am-12:01pm EEST

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having your passport in order for the doctor to identify you and enter your data into the electronic health care system is actually an advantage and we now see that this is the positive that the transformation of the health care system gives us when patients can choose whether of a family doctor in any city in any region, they can often move, we now see what kind of migration there is in ukraine, but patients are not left without medical care because they move to another region ms. khrystyna and is it necessary to register as an internally displaced person because i, for example, know such a situation when one of the private clinics announced that they conduct admissions free of charge for internally displaced persons. the service under the medical guarantee program
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does not require such documents, the rules are the same for everyone, if the institution has signed a contract with the national health service, whether it is a private one or a fop doctor he must accept a patient who needs medical help and who has a referral, and in the case of dentistry, we know that a referral is not necessary to accept a patient without any additional documents, without any additional barriers, because the system now works according to this scheme, uniform rules for everyone so that the patient knows what the state guarantees them and the route to this service is as simple as possible and uncomplicated by such things as the place of registration, for example, the patient chooses which clinic suits him, and the national service goes to that clinic health is paying for the treatment of this patient, and ms. khrystyna, i want to thank you for contacting us today and for your advice. thank you . i wish you good health. the representative of the national health service of ukraine, khrystyna
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petryk , was in contact with us. indeed, the war has changed all areas of our lives, this applies in particular to dentistry and surgeons increasingly have to deal with unique cases, save patients with complex mine-explosive injuries of the jaws and face, extremely complex operations are performed the wounded are literally taken out of the other world and restore the function of the jaw and do it free of charge , and one of such surgeons is in touch with us, he is the president of the national union of dentists of ukraine, the honorary president of the association of implantologists of ukraine, an honored doctor of ukraine, a practicing dentist , an implantologist, a dentist-orthopedic doctor and a surgeon of the highest category myron in green and i want to tell you that myron green is not an ordinary doctor and is known not only for his medical practice because he actively helps servicemen in the war zone he goes to the front to carry out free
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operations. he hands over equipment for mobile dental offices, treats those released from captivity, and the ministry of defense even presented the doctor with a uniform with the semi-humorous title of marshal dentistry. and i thank you for your attention to such an important e-e topic because you reveal all of the e-e important components of this process and informativeness for our patients, this information is very important. so i thank you very much for this attention mr. myron glory to the heroes and please tell me how many wounded soldiers you have already operated on since the beginning of the war, and we are talking precisely since 2014, because i know that you also had a very large program there and treated the teeth
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of military personnel free of charge, so tell me about this is all, this period is divided into three parts, it is the events on the maidan, then there is the ato, and now it is a full-scale war, and each stage had its own tasks e-e own problems and e-e dentists as one of the most active parts of the medical community were actively involved in the work already starting from the maidan, and for example , my first small operation was at night in january 14th in the october palace near the hotel ukraine, so it is called this that
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's the name of this little palace, and practically, then it was simply providing emergency care and since the events were taking place in kyiv, it was easier to do because many dentists in kyiv actively joined and er there was not such a big er problem, but all those three periods er na unfortunately, they are happening against the background of general problems with the dental health of ukrainians in general, so that it is clear that according to nato standards, a maximum of 10% is allowed into the war zone, now they are reducing this percentage to 5 and not more than 5 10%, of people with dental problems, we currently have 95-98 percent
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of patients who are already fighting, this is affected by caries and the consequences of caries. rehabilitation was opened stomat offices for those who were mobilized for those who underwent training at the training grounds uh, uh, uh, this percentage uh, well, it was terrifying and it required a very big, very big effort. moreover, it was against the background of the outflow, and now even more, of the outflow of personnel from the combat zone and today there are many destroyed dental offices eh practices and in ato eh when we started work 15 years ago the famous eh project trident eh trident-2 and it eh started eh with
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the fact that it became very necessary to have mobile dental equipment offices, the second is the creation of a single medical space among the security forces, so that the security forces are united in the plan of providing dental care, and i even personally had a letter from the governor of luhansk and the civil-military administration of the luhansk region about the importance of mobile offices e-e especially in the luhansk oblast e especially for remote areas and not only along the demarcation line therefore e-e practically e-e we already have more than eight years of e-e experience of such work and through our project e-e came to order e-e 40,000 e-e fighters e-e well-being and fighters then joined groups of released from captivity then
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joined groups that are families e-e colleagues and practically all this was built exclusively almost on a volunteer basis on a volunteer basis the nature of aid changed according to nato rules, according to the rules, there will be a sphere and other eh, no one pulls up medical aid to zero on to zero eh on the demarcation line to the front line and the task eh to get these wounded eh where you can provide safe help but with eh defeated automatically by the disease well, to be clear, 98% - it is affected by carious disease, 52% needed tooth extractions, and what’s terrible is that 8% had
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removable prostheses, which is not allowed by any standards, so we practically had to bring specialized help to the front line. therefore, karlivtsi, donetsk region, is 17 km from at the donetsk airport, we created the famous trident e-e e-e project trident and in shirokino it was right at zero trident e-e two there e-e in the trident - this is igor yashchenko e-e manages this project and in trident-2 artem artem nodded if we provided an urgent one to zero help, what i am doing now and organizing now, i will tell you later what the specifics are today , uh, this and that, uh, on the trident, uh, karlivka, we were already able to provide high specialized assistance, attract narrow specialists, do
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implantation, do bone plastic, do complex prosthetics have a computer tomography have a laser scanner, it is possible with the possibility of scanning the oral cavity and making a prize with the help of 3d printers or 3d milling machines , making prosthetic structures during e-e to i.e. doing complex complex interventions, namely the main thing is that we have done something that has not been done so far. and we made a single electronic card of the patient, so no matter where the patient was, the wound was released . unfortunately, we still don't have a register of dentists because of today's war. unfortunately, the state ministry of health cannot say how many dentists left, how many left
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the war zone, how many left ukraine, where are they they work, how are they arranged, how can they be involved in helping refugees now, uh, well, we will talk about it later, that is, there are uh, these are three components , and uh, since you started with the nature of the injuries, then i would start with the most important component today with the third component, if you allow me. i'm just worried that we'll have enough for the whole time, because there isn't much of it, so let's use this third component to sum up what was the problem of understanding the first problem, the first problem is that everyone understood that these are the ones responsible for all the patients by your own health and for the health of your teeth, this is
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hygiene prevention or any specialized things, there are no groups of dentists who will do this, and the second thing is what is going on now, you know and everyone is watching television that today they practically fall asleep e rockets e e projectiles bombs and accordingly the nature of the wounds is practically a shot gran against the background of these wounds there is little that means today it means that 65% - these are wounds of arms and legs 35% - these are wounds of the head and neck because what is not protected by a bulletproof vest or a helmet and it's obvious this is what you see on the window, er, it means the nature of those injuries and what is needed for er, to put it all
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together, and that is why today, to this day, er, such a high percentage of those injuries has become a problem er- the first problem was the lack of good communication between the maxillofacial departments, both military and civil and cathedral. of course, in order to wrap up all those notes so that you don’t get used to it well. practically, at the beginning of the war, there was no such thing, there was no final, and thanks to international organizations, from lithuania, from
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poland, with a lithuanian woman, a famous surgeon, she is all a rake from a professor from poland, they helped to make the first deliveries of the firm of kvs martin and saa mma, there are thousands of items of these tools, this is 1000 screws, and we managed to create it behind my shoulders. i have a map where we managed to organize a team for the purpose in ukraine circles are entered, er, this is another front office where we deliver, that is, we covered the whole of ukraine, connected them together and created a so -called general warehouse where you can exchange those things and consult the second thing that is not available what is very important today and not in the due to the fact that
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there is no closed nerve today, there is a delay in the evacuation of the injured maxillofacial area, the nature of the injuries of another area, so that you understand , and everyone is the most difficult, the most difficult in appearance, the most difficult in treatment and the most difficult in the existence of these people after, after treatment, it was from the napoleonic war, it is the first world, the second world, and it is now. whom to send whom to be treated in ukraine to be sent abroad because a lot of our western colleagues are ready to help us, but there should only be a clear organization, as of today , all departments are provided, i got
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the feedback from these as i drove every week from the bell received received uh that practically they are providing uh with means but not yet providing sufficient uh enough with logistics and in order for the wounded uh for example uh with the dnipro did not go to kyiv or lviv or vinnytsia during the day, or in general to the branches that you are talking about, which are marked on your map, well , there are more than 20, there are more than 20 branches, but we will say unfortunately, there is no such connection between each other. we have now managed to establish such a... the liaison and consultant in this matter is the chief maxillofacial dentist of the ministry of defense and my student, former colonel fedirko
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, a colonel of the medical service who helps us coordinate it and gives us er manages to perform complex enough complex operations er, this guy added to the specificity what's more , these neurosurgeons joined us, those groups of surgeons, because they help you with head injuries, and now we have created two operating theaters, helped to create two additional operations on to our lviv hospital, where in one department there are wounded like in the head , arms, legs, and sometimes the head and neck are operated on the same table, and the hands, arms, legs are vaporized, because he has such combined combined injuries, look, we just don’t have much time now remains. therefore, i would like to talk with you about civilians, that is, i understand that
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we can already do these extremely complex mine-explosive operations on the jaw and face. that is, we can do them in ukraine and help our fighters and, in general, people who were wounded, but look, there is one more side of the coin about which you said at the beginning of our conversation that from the very beginning we already have ukrainians with sore teeth and even those soldiers who went to we need to prepare for the fact that almost our entire nation will be toothless because people are now in shelters in basements and pay very little attention to hygiene. this is a risk factor, but it’s not quite the case, sometimes
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such stressful situations, as they say, caries are sleeping, and this is obvious , but it’s obvious that this will not happen. organizations, and already this organization, it is obvious to private dentists and volunteers, has shown that we can cope even with direct intervention of the state, and it was written down in the development program that dentistry in ukraine developed only because there was no direct intervention intervention of the state in its development, we take care of refugees, for example, my clinic together with the neighboring orphanage, here, on lychakivska, we created an office and we took care of the children of mariupol
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, other dentists take to myself for the treatment of refugees a-a unfortunately, there is no such thing as the poles and i held a zoom-conference where, on the website in poland, you can go to the website of any city and, for example, see a list of offices that are ready for ukrainian refugees to provide help, we have the only such site, well, at least i don't i met, maybe i don’t have time to read in this, but it would be good. well, it was supposed to be a site, and the doctors and doctors were silent. what where can they take it, and it would be posted on the website in every city in every so that people would know where to contact dentists in lviv oblast a lot is being done for this, we are currently creating an additional, separate facility for two chairs, eh, exclusively for the treatment of refugees, but we have a lot of dentists, a lot of offices in lviv,
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communal clinics in us there is a powerful stomata faculty. that is, we can list everyone , but from my experience, when the first group of 100 people was released, almost at the time poroshenko was released from captivity, i want to tell you that i dealt with all these people personally. and from the state side, no one got dental these people need help, but these people have a place to get help, no matter where they go to a private clinic, we created such a scheme, if 10 people come to me, i cannot accept 10 people, then i know who to call and advise them which clinic should this person go to and warn the doctors that such a person will come to them, that is, a person should feel it from care, that's why we practically did it and continue to
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do it. not to allow such things that are uh today because this is a huge experience and the international organization, another facial surgeon together with me and together with siemens fisheries invited in the end of october in madrid to share the experience of the organization er, actually, er, it means to such, er, to such people, and er, i also want to say that these mobile offices that we will now make on the front line, now there are five offices in what are we in karlivka
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? go to e-e in the village or to the school and do primary sanitation obviously, we can't provide specialized care, but what nato says is to remove the pain, remove the tooth, treat the canal, put a filling, this is part of the duty of the task so that after 12 months against or within 12 months after this treatment some complication could develop. and i have one more question for you: how do you think we can improve this situation and make sure that ukrainians have healthy teeth? well, the answer is simple enough, simple enough, and complicated. canada is a country. -e answered very simply and
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america, for example, canada said that the only slogan that should be given by the president is that until the age of 18 , everyone must be covered by dental care, and there is already a distribution of who pays and who does not pay, but everyone must comply with this rule . e documents e-e americans think about it e-e slogan absence of one tooth is a threat to the national security of the united states of america, you all understand the responsibility that everyone, as a patient , as a doctor, and all institutions bear such responsibility unfortunately, there are none, that is, missing teeth makes us smile. you understand, we sympathize. when a finger is lost, but when a young person without teeth makes us smile, this mentality must be changed, and when there will be such a general instruction or
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such a slogan of the state, then obviously this is not the case. will be and we will do everything at the dentists to fulfill this uh-uh, this, this slogan, i want to thank you, mr. miron, for being in touch with us today, and in fact, we understand how important it is, and even talking about hygiene now is very important so that people do not forgot about that that dental disease, in fact, you as a doctor know better than anyone, it is caused not only there, for example, the fact that a person does not brush his teeth, but also many different diseases and chronic diseases in the body , yes. therefore, you need to take care of your body in general, take care of your health well, you know , i'll say that robert burns is a famous scottish poet, and his clothes are made of one piece of pain , writing, command the enemies of my country with
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one bill, how important it is , and on the other hand i want to say what we spent these eight years there, that church is such a waiting er soldier, we also hold lectures there and i will tell you that the best photos sent to me by the coolest fighters from the front are with a toothbrush or toothbrushes and they say myron, we do not clean this is what i thought this is what i understand about the influence on each other. on this positive note, mirono, we will say goodbye to you and i hope to see you. what about you in our next broadcasts? i think that you are doing very important work and thank you very much for inviting us. there is something to say dental the community has something to advise and let our people not
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worry . let our fighters not worry. the contact was one of the most famous ukrainian surgeons today, the president of the national union of dentists of ukraine, the honorary president of the association of implantologists of ukraine and an honored doctor of ukraine, a practicing dentist , an implantologist, a dentist-orthopedic doctor and a surgeon of higher categories myron in green so, i hope that today we made you understand that you really need to take care of your teeth. despite the fact that the war is now in our country, but the war will end especially with our victory, and our teeth should be healthy, so go to the doctors on time and you know that even dentists can accept you free of charge iryna koval was with you and the health program take care of yourself , it is very important in this difficult time to be aware of
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what is happening, we tell you the news and we help to understand the events, however, the war can make its corrections in case the broadcast signal is lost, watch espresso on the satellite now espresso has become available on two satellites at once viewers who watch our channel on the astra satellite should readjust the tuner to the new parameters, because under the old parameters espresso will soon stop broadcasting ukrainian view. thank you for watching . they say that you cannot understand what freedom is until you lose it. it reminds me very much of a movie about hostages from the house they came from. they just cut the door of the castle with a bulgarian. that's how
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they stole it. come on, they tie your hand and knead it by the head, too, how they boil for a boa constrictor. i don't know what's better. when a rocket flies into your house, or when you are put against the walls in some basement, what happens in kherson it is very difficult to show with footage because all the horrors and all that quiet terror all happen in the basements some creatures are surprised by the toilet in the house and we from ukraine can insure cars even if
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you are in the toilet hotline finance insurance of course online greetings dear tv viewers, the team is working novoespresso about the most important thing i will tell yana yavomelnyk zaporizhzhia nuclear power plant operates with the risk of violating radiation safety standards, this was announced by energoatom the night before, the russian nazis fired twice at the nuclear plant with rocket launchers, as a result of which the nitrogen-oxygen plant and the combined auxiliary corps were seriously damaged, risks remain leakage of hydrogen and sputtering of radioactive substances is also high and is

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