to keep the focus of attention supposedly on what is wrong with her something like this may be happening inside, for which you need to be ready to help immediately, but this is not an inquisitive interest - this is not a special intervention, this is not violent help, what we call catching up and doing good is the need for accompaniment if this need will become relevant, how to encourage both ourselves and the person if we notice such symptoms to consult a doctor, because unfortunately we still have such a concept that depression is something there about. because if you start such people with any disease , the truth is, either preventively, that is, to prevent prophylactically or to include treatment from the beginning , it will be faster and better, if it is prolonged, it will be more difficult and difficult, so i repeat once again

, it is about the fact that it is not just mood swings, it is not just that each of us has from time to time an emotion is generally a reaction to events. it has two main functions: signaling and regulatory; it, as it were, informs us about what happened and regulates our behavior depending on this. suddenly, this reaction to events becomes insufficiently adequate, i.e. joyful events have been in our time, there are also various joyful events, including that a person does not react joyfully to events of sadness, and a person also like this if he is quite indifferent or quite equal, this is already a marker so-called latent depression, so hidden, which is not obvious, is not so excited, but already means emotional inadequacy. thank you for these tips, i really hope that they will definitely be useful to someone. larisa didkovska psychotherapist joined our broadcast, we are now talking about the

health of both civilians and military, after a few years after the victory, the fighters and military medics may face a number of psychological problems, which will become a separate challenge for the state, it is necessary to prepare for this, says a military anesthesiologist and blogger andriy simyanky, who is known under the pseudonym med-goblin, he refers to the experience of all major military conflicts, how do doctors cope psychologically with the death of patients why should you not put everything in the first-aid kit my colleague yevgenia kharkova spoke exclusively about it, if you like, and not only with medoblyan . we will listen when the war ends, when we win , we will have to help each other cope with the psychological consequences, unfortunately, this is a fact, this is a problem that always arises. i welcome you to the first channel of public broadcasting. thank you for agreeing. well, let's start right away with the actual issues, we know that there is currently a counteroffensive

in some directions at the front and many victims a lot of injuries. please tell me if, in principle , there are enough tactical medics now, because in some units, the guys say they have two medics, but it seems that this is not enough. what do you think, that skills in tactical medicine are such a thing that there are never too many and very rarely when there is enough of it. all the more so because the medics in the units can also keep the wounded out of order for a while. well, the place itself can remain empty . in order to continue studying actual medicine for all fighters, they are very appropriate, and efforts in this direction cannot be stopped, and it is so impossible during the conduct of hostilities to expect that the method will end up in the exact place where it is needed . all the rescuers will come there, now the vast majority of

fighters as far as i i know that we are equipped with modern means of tourniquets, at least because the specific gravity and serious injuries are still a limb, and it is precisely with tourniquets that you can save life , so first of all, you have to be able to do it yourself to use these tourniquets correctly and it often depends on whether the figures will survive, they will now say that it is important to have, for example, more than one a2 tourniquet, or is it normal to have two tourniquets much better than one, because in the case of injury to more than one limb , sometimes in order to to stop the bleeding there without a leg, for example massive bleeding , two tourniquets may be necessary, so another big question is of course the quality of these crops, because now the whole world is helping us and there are a lot of volunteers who are down to earth, but sometimes

purchased turnstiles or received as humanitarian aid, even free of charge, they do not stand up to any criticism in terms of their technical characteristics. andriy and there is some kind of yardstick, you know, which will clearly tell us whether the turnstile is of high quality or not. we can say that the turnstiles are from well-known world manufacturers that are used in the armies of ukraine, nato, for example, these turnstiles will be of high quality, but the minimum requirements are that the turnstile should have a package that will be marked with who is the manufacturer, the date when it was produced and the date to which it can be used and the conditions of its storage, well, that is, when such information is applied to the turnstile, then at least conditionally it can be said that someone there has researched eh well, to what extent will this turnstile be suitable in different weather , for example, at different temperatures, because now

we are starting that the cold season has already begun well , accordingly, plastic and all polymer materials of priority, they can react differently considering the fact that it will be worn uh, well, over clothes and, accordingly, not hiding in a warm indoors, of course, the turnstiles must be of the highest quality andrii and if we talk about first-aid kits in general, well, very often volunteers and the soldiers themselves, they pack all the first-aid kits as much as possible so that you can recommend what is extra in the first-aid kits and what is really necessary already based on from my own experience if we talk about the first aid kit, of course , the minimum that should be there and the sufficient minimum is that there are tourniquets, the best ones are two tourniquets , a nasal strip, a tube that is inserted down, this is an occlusive dressing for when there are injuries of the chest, this is a bandage or bandages, they are also called an israeli bandage and are also

used to stop bleeding, these are bandages for there, scissors, a marker , gloves, etc. it should be in first-aid kits, uh, you need to understand what odessa should have. what he knows how to use, he is afraid, on the contrary, a fighter should be able to use everything that is in his first-aid kit, so adding something else may be superfluous, because the first-aid kit gets cluttered, it is necessary understand that it is usually used in those cases when it hurts terribly or is unclear or noisy or it is all together and the more there are some extra things, the more they will distract attention and extend the time for which help will be provided. if we talk about e-e medicines that can be used, we have an uneven situation

in different departments, some of them are also used as painkillers, which have become widespread there since 2014. in particular, i am talking about nalbuphine, and i want to say this a large audience because it is not necessary to use malbufin and fighters should not have it at all painkillers that are advisable to use non-steroidal anti-inflammatory only we know that paracetamol - this is meloxicam, this is an international name - it is not a trademark of any manufacturer . there is an approved e-e format of a life hack first aid kit, and if you look at what western protocols are recommended to use, those of the ussr tactical kombatke razors, then there are just these drugs and there should be no ordinary fighter something so extra-linear, it’s time

to talk about the soldiers of the units, and about the medics, i’m sorry, the units, there may be some stock of drugs or stronger painkillers if there are such people trained in how to use them or, uh, well, some various drugs to treat exar digestive disorders systems that are also very often all kinds of others, you said that a fighter should be able to use what he has in his first-aid kit, if we compare it to the 14th year, you mentioned and now we have learned to use what we have of course, even during the time of the ato, there were public organizations that involved western specialists in order to train our soldiers, and i think that in 2017, if i am not mistaken, we had 50,000 e-e soldiers of first-aid kits of reflection and soldiers, respectively, were trained to use them thematically and now of course, this educational process continues and the situation is not comparable, we can just look at

the very striking contrast between the medical care of the invaders to look at those er, the counts of the photographs of the dead, er, they have first-aid kits still of the soviet union model, they are issued some yellow bandages made there in the fifties, that is, everything that was in the warehouse can be seen, because until the 14th year, let's say, tactical medicine in ukraine was plus or minus at the same level as we now see our opponent, but it is important not to stop, because there is no limit to self-improvement, precisely those moments when the units are directly at zero, when they approach the traffic police, they go on rotations, rest for a while, because one of the tasks, in principle, is of the medical service in the unit to

deal with the m. is very necessary and in the future we are now in such a very good symbiosis when well, indeed, a lot of things are supplied to us through official and state sources, but volunteers help in a lot of ways and none of these links can be to exclude uh, the only thing is that, well, let's say a call to volunteers when they receive some kind of request, some medical need from the fighters . to determine whether this is really what is necessary, because unfortunately i often encounter volunteer meetings for

drugs for fighters that have absolutely no effectiveness and are expensive. they do not give an effect, but now every penny in the account and every hundred thousand hryvnias spent on some flamycins are hundred thousand hryvnias that were not used to buy good horizontal bars or perineums or fairy tales or drones or whatever. i would also like to talk to you about, you know, those remnants of military medicine soviet remnants is there now a protocol that, on the contrary, can harm the military or maybe you know there are mistakes in the issue of saving the military you know a lot let’s say from those who provide help because of course now talent a lot of people from the armed forces came , including doctors, and they all have their own relevant

programs, work experience, their own beliefs, because one problem is the treatment of patients with e- contusions, because the modern school that operated in ukraine does not really withstand any criticism , because the prevailing again, most of the drugs listed there are not used anywhere in the world for this purpose and also do not have proven effectiveness, this is partially explained by the fact that there are no specific drugs for concussion in order to alleviate the condition and the greatest benefit gives just peace and distance from explosions and prevention of further competitions but at the same time, a lot of money turns out to be spent on ineffective treatment. and tell me, what do you know that is most annoying now and what should be changed in terms of military medicine in your opinion? i can't say that something is bothering me. to be honest, things look much better in reality than anyone can imagine. you just have to take steps to use them in the military as a basis for evidence.

of medicine, do not use unnecessary drugs, make sure that all the means that are transferred are really high-quality certified and try to find a common language for doctors from different positions. such a personal emotional issue is quite personal, not everyone can be saved at the front. how do you personally deal with the presence of death? i have a certain resistance to this probably already exists because, well , actually, in a previous life, all people who worked in inclusive medicine, they see death. they know the functions of buying sometimes here of course it is it is difficult because there are some uh-uh personal impressions of the experience, but you will be able to answer you in a few years after we win, when there will be peace in ukraine, just then , most likely, not only me, many military medics and soldiers will start to have various

psychological problems and this will be a separate challenge that we will all have to deal with, and i would like to draw attention to the fact that it is already necessary to engage at the state level and once again root all possible international volunteer organizations for in order to provide psychological rehabilitation and psychological help for all participants because when the war ends, when we win, we will have to help each other cope with the psychological consequences, unfortunately, this is a fact, it does not speak of our extraordinary vulnerability as ukrainians or any soft-bodied we can look at the experience of all major conflicts and this is a problem that always emerges. it will always be relevant to start and solve because with the mass of people who will seek help or who will not even know that they need help and will simply suffer quietly

in order to help them all. we must already train specialists, and most importantly, we must train a system that will be very fast and fargo will respond for the whole day. in the soul in the memory and you are ready to share them, you know the difficulty of answering such a question because, again, in military medicine, you cannot know whether you saved someone or not. i don't know how fate unfolded and how did the treatment end for the vast majority of 90+% of all fighters who passed through us and survived at our stage, i have no idea what happened to them . a very massive injury to the elbow joint and there were many recommendations from the consultants that this hand should be amputated in order to

save his life because without it he will not recover in any way, actually our medical nurse the brigade for which i work took a certain risk and tried to save this hand, and well, now it has been several weeks, the fighter is alive and they continue to fight for his hand, that is, there is hope that it will remain and retain certain functions, well, such things are probably inspiring when you see them that there is some effect of the fact that you did something in 2019, you promised yourself to leave medicine, but then you came back . what was the reason? the reason was the morning of february 24. because when i took my family out, i actually didn't have any questions. what do i need ? the only thing that i didn't really want to be in medicine was that i just went to the military commissariat, but since i had a military department, e. there was a specialty of medicine, well, a military burn specialty, that's why they didn't ask you, you just mobilized me into the medical forces, so i had to

do it. well, because military plan i ca n't do anything more than a trampoline and i don't know how to be useful to me and here i am busy as much as possible with books, that's the reason why you decided to leave medicine, but now you 're producing a thriller, dancing with bones, that's not medical literature, well, it was closed by the meds, so you can partially say that it is medical literature, the first book i published, it was generally about evidence-based medicine, where i tried to just somehow tell people what it is, how to distinguish which treatment methods are evidence-based and which are not. i would say that rather books were written because i decided to go with medicine because at the same time being a doctor and writing hmm it is not very possible to say i think that like many millions of ukrainians when now and some questions that you would like and how do you see there in the future due to the generation of years, uh, probably no one

will be able to formulate well or little about because my horizon of planning events is a pipe i roughly imagine what i will do until the evening approximately tomorrow morning i will think about what to do tomorrow the question that is now on hearing - this is a question of the zaporizhzhia nuclear power plant and the risks it carries, because some people start to panic, they start by occupying iodine pills in pharmacies there, they are looking for a bunch of recipes on the internet. what is the current protocol of the military, what are they preparing for, iodine, which will have to be taken in the event of an accident at a nuclear power plant, it is anatolyte, which is sold in jars in the pharmacy, and it is not a supplement, there is one for marina. this is another iodine that can be toxic if taken in such a way as long as it is needed, iodine is taken only when there is a notification about it, that it really needs to be done. no, it is

much easier to imagine the situation when there will be another arrival of rockets, an explosion, then there is the usual bipod, will there be information on the network ? they don't tell us that the reactor will blow up. the truth is, people started drinking the iodine that got into it, people will start to flee and die from it. many, many more people, so if it weren't difficult, i would recommend everyone to keep calm. if you want to somehow plan your actions there, contact to your family doctor, you can find out if there is this iodine in it, where you can get it, because it is impossible to buy it mainly in pharmacies or on the territory of ukraine, how will it be issued? you can solve this issue at home, don't panic , just contact the nssu system of the national health service of ukraine, your family doctors

, the heads of the administration, the deputies, and find out what the order will be regarding the coronavirus, hmm, how is it in the army, now in the army, and is it possible for you do you think he died or not, but tell me your opinion about this. of course, he did not die in the army. there is covid , that is, now it is possible that there will be more, because the season is still coming. what there is from the fall without morbidity, i can say that in ukraine it is a very false impression that a war has come that he went because it was still in the spring, i could be wrong . of codes for the period from february 24 to there was some april and this must be remembered yes. what were the conditions that there were a lot of patients, they were not accounted for in any way at all and many hospitals did not submit statistics and in general there was

a huge number of internally displaced persons therefore, the advice remains to be vaccinated against it, you need a booster, you need to work now in the army, they are also starting well, we are starting, rather , vaccination is already underway, revaccination from the video , therefore, if possible, there is, and still you need to look for clusters of people, you must say yes hygiene well, in general, the possibility of the formation of collective immunity , including the number of people who will be sick with covid, it is difficult to predict now how significantly it will be less, but the number of people who will be seriously ill from each of them of course, it decreases every year, where it becomes less and less, we actually see confirmation that vaccines work through statistics, the number of severe forms

of the course and the number of deaths among people who have been vaccinated are many times, many times less than among people who have not been vaccinated natural immunity is good, but this does not mean that it is always necessary to get sick with some disease in order to not have enough of it later. andriy and the last question, how do you see the victory of ukraine? i see this victory for sure , at least for our year and to win at a very heavy price . thank you for the interview. thank you for taking the time to save yourself. time of war, what threatens us, what threatens our body and how to prevent these threats, we will talk with ruslan, a volunteer family doctor, we are joining our broadcast, er, right now, literally for a second, and we will talk about the

threats that war brings to us, it is clear what to care about we always need our health, but now we need a strong body. all the more so, a hard winter is coming. and we understand all this as being able to strengthen our immunity, how to take care of our body, so that at least on this front, on the front of our health, the victory was already ours and not there were no threats. please let me know. can we include our doctor in the conversation? i am told that we are now setting up a connection. unfortunately , there is not much time. understand how can we now fight against those enemies who are waiting for us on this front, because it can be colds and not only because we live in stressful conditions, we live in the conditions that

the war put us in, that the full-scale invasion of russia put us in and here it is important to understand where to wait for a potential blow and how this blow is repelled, i will remind you that we have already talked with you about mental health and here it is important not only to notice in yourself some symptoms that were not inherent before, but also to notice, in particular, that on why emphasized psychologists who joined our broadcast to notice changes in the behavior of their loved ones, one of such tips is that if there is any emotional difference, a person begins to react to the same situation, eh, then this is already a certain signal to turn to a doctor or at least pay attention to your

health if there is a specific situation standard and we react to it differently than we reacted before, which means that some changes are already taking place in the body, here it is important not to miss these changes because in fact with psychological or with psychological health, everything works in the same way as with physical problems, if i detect problems earlier, it is easier to solve them if you do not delay , and accordingly, catastrophic consequences can usually be avoided, this is what we talked about in particular on our broadcast, and i hope that now we will be able to after all, we will talk about our physical health, so i am told that after all, unfortunately, we did not succeed in re-establishing contact with our lee, we really wanted to hear it, but then i think that we must discuss this topic we will definitely raise it on the air or later today or then next time because just the physical aspect is also extremely important when we talk about our health and when we talk about how we a-a protect ourselves in this

area er-er after a short pause there will be news on social media how this day begins for ukraine and what we have on the information front, so to speak, vyacheslava futin will tell you, wait, watch the project to find your kateryna osadchai from the search for the missing every monday at 21, after two rounds , the carpathians are in the leaders of the tournament table for currently lviv residents did not concede a single goal, will the carpathians be able to keep their goal impregnable in the match against chernivtsi bukovyna, or will they be able to defeat the bukovyna team and will be late already this sunday , september 11, watch football together with the title sponsor of the karpaty football club and the sponsor was shown

by the fumb bank, a live broadcast of the karpaty match lviv bukovyna chernivtsi on youtube channel expresso pre-match studio starts at 16:30 match starts at 17:00 forced eviction deportation in 1945-1951 hundreds of thousands of ukrainians lost our own homes, our own property, our own land, we are not emigrants, we are exiles, i remember an autumn september morning in 1945, a large group of polish soldiers entered our village on the way to horchani, and we sent a command for a few minutes. if only you weren't here in the village, there was a cry, a cry, a cry, who had those who did not have horses took the horses on the shoulders of the children, the cow on a string and drove to the station on foot, leaving everything in the hut in the barn and

in the field. of the agreement signed on september 9 in lublin between the communist regimes of the ussr and poland, almost 700,000 ukrainians were forcibly extrajudicially resettled to the ukrainian ssr, resettled with the help of terror, reprisals , resettled, deprived of property, corrected all human rights, we were taken out of villages, places, mother collected the most necessary, came, took us out of the house where we were left to live for years, good and escorted to the railway station in 1945-1951, hundreds of thousands of ukrainians lost their homeland and did not lose their memory, how to register as internally displaced persons if you left your home but did not cross

the state border of ukraine register as an internally displaced person at the new place of residence contact the social protection body or an authorized person in the executive committee of the local council or the center for the provision of administrative services of the center for the provision of administrative services you can also submit an application online through the application action prepare an identity document and confirm citizenship of ukraine or a special status in the absence of a passport, you can register for vpo on the basis of a digital document or certificate from the state migration service of ukraine you can get a vpu certificate even in case of moving within the boundaries of one settlement of the district of the region