for treatment, it immediately goes directly to instagram, this is also one of our developments, which was made thanks to that so far, but how does it still work, the cure is in a matter of minutes, as it sometimes happens that life depends on this time, how do they manage to prove it, is aviation used? m they are provided with assistance at the level of regional hospitals and it goes further depending on the condition of the patient, they deliver it differently, it’s helicopters, it’s elite cars, it’s it and it’s trains, in principle, who can wait for this treatment there, then by their train there are 6-7 hours are taken from dnipropetrovsk, most often we were taken from kharkov. and how has the situation changed compared to the fourteenth year? what lessons have been learned from

the first years of the war, and now we can call it a successful experience . - firstly, we managed to teach a lot of military medics how to provide help. yes, there are some mistakes when providing this help, but the patient's life is saved, and then at a high specialized level, we further analyze what is, for example, in we have me there was such an example that the patient's heart was sewn up on the battlefield and sent to us to the institute. we begin to understand the patient's myocardial infarction , what is it? but at the same time, it’s just for development, we tried to

do it first endovascularly, when this coronary artery was blocked by a balloon and this seam was under a pressure of 30 atmospheres, we couldn’t straighten it, so we had to do an operation to open the chest to sew the cage, that is, to do this as a bypass sewer, but it saved the man's life, first of all, on the battlefield, that he did not die of bleeding, because if there is a wound in the heart, the bleeding ends badly, and secondly, thank god , they figured it out they provided timely and highly qualified help, so i want to show our viewers the video that you brought, it really impressed me and i would like you to comment on the video, how 24 pieces of debris get hearts to the military , which was brought to tell us how the human heart is in general

survived such a large number of fragments and how they were removed from there. well, that's how they were taken out. well, also, the results of our developments were that we now started developing, i will repeat, together with military doctors , this is the kharkiv hospital institute, the shalimo institute, the amosov institute, the methodology was developed of surgical work, the use of magnets in the work of a surgeon, and thanks to these magnets, we manage to collect almost all of these fragments in a very short time , even if they are inside the heart, and it is much easier for us to get them there many types of these magnets have been developed depending on the region of the body where we where we

use these magnets because they are in general surgery and orthopedics and in neurosurgery and cardiac surgery we also use it as our know-how, i.e. ukrainian development development of our specialists, our development, which appeared on the basis of that experience that was such in the 14th year, was applied and if earlier it took us 1.5-2 hours to find a fragment somewhere under the heart valve or inside the heart myocardium, now it is it takes 1.5-2 minutes and that's the end of the operation. in other words, this is innovative technology developed by ukrainian military and civilian doctors, and new innovative technologies have to be developed, how to replace

the lack of power supply in the event that it is turned off, how then many hours of operations take place now in such conditions, when the lights go out, i want to thank the kyiv city administration that uh, during this entire period, what are the difficulties, we have not faced this yet. but at the same time, we and not only us and the entire national academy of medical sciences i think that all other medical institutions are also working on this because, for example, we have two electricity contracts from different substations , they are the first, the second. this generator does not work, we still have a generator that works in the operating room and in the intensive care unit, the two most

bottlenecks that we need to provide if this is the case, and there is also a third option, is there a third option - these are batteries must be in all operating room lamps on artificial blood circulation machines on artificial lung ventilation machines well, we still haven't forgotten about those methods that were 30 years ago when the artificial circulation machine is turned by hand so that it works with the handle directly turn the handle or they breathe damn, you have to sit like that, the pen is spinning, some individual person does this for two or three hours, well , they change one after the other, not all of them can withstand the technologies that we tried to forget for many years, but they will become military time on that line, probably in the 19th century when it was the same device, the simplest things were needed. they work like

this. the very first device in the world was developed in 50-1954. amosov launched his device in 19508, and just then the spare part was this handle, which is turned and now continues the tradition of our founders of ukrainian cardiac surgery, i found some very interesting information that you should organize field trips to such operating rooms and help to perform operations on internally displaced persons, especially children, in regions throughout ukraine. in vinnytsia, 14 heart operations were performed on children and their lives were saved. how many such field projects have you implemented because we understand that there is a need to perform operations on military personnel, but the lives of ordinary people and civilians continue, and heart problems have not gone anywhere, we just started talking about them. less to say, but people need

surgical intervention to save lives, how about it now, yes. well, for starters, let us understand that even before the war, 70% of those people who died in ukraine and die are cardiovascular diseases they also include neuro-vascular diseases , i.e. if 500,000 die there, somewhere around 300,000, these are cardiovascular diseases. to date , in order to combat this, there are 49 cardiosurgical centers in ukraine, and 33 of them operate on the open heart, i.e. cardiac arrest and perform these operations, when the war started. of course, it is necessary to provide help to the people, but it is necessary to go to kyiv. well, only those who are going to not die , that's why the situation is that there are highly qualified specialists who were there, what to do, to go to different territories

of ukraine and decided that they should be used by these specialists of ours, so then our specialists began to receive tasks in order to organize the provision of cardiosurgical care in those regions where it was possible at that time. that is, we started working in vinnytsia, then it was uzhhorod lutsk-ivan -frankivsk and lviv, our specialists also worked and, er, children's cardiac surgery , for example, for the first time in vinnytsia, because before that children were not operated on in vinnytsia, adults were operated on, and children were not operated on, even some of our specialists who turned out to be abroad. they, er, traveled, operated , er, in uzbekistan, this is tashkent, urgench, there are two centers

of such cardiac surgery, and even as part of the cardiosurgical team there from the world health organization, our operations were performed in eh, libya, congo, eh, and somewhere else to forget a yes, the peacekeeping mission of the un is only within the framework of this pension, we have our own, and in just two months, from february 24 to the end of april, 253 interventions were carried out by our specialists, so that you understand that we perform about 450-480 per month of operations is uh in the existence of a peaceful uh peaceful situation now the situation has changed a little because we all these months uh there is a schedule we

can see that in february it decreased sharply in uh march there were few operational interventions and starting from the month of april to today, the number of surgical interventions performed at the institute is growing, and the national academy announced that all surgical operations are now being stopped from february 24, and then they began to be restored step by step, because it was the decision of the kyiv city state administration. which we had to perform because we are located in my territory. but at the same time, every operation on the heart is emergency and urgent, and a very small percentage of those operations can be postponed and not operated on, because if it is an aortic aneurysm, which the institute performs almost alone throughout the entire in ukraine , this is infectious endocarditis, that is, the benefit is that the heart is rotting from the middle, it is necessary to change the valves, and all

of ukraine is being taken to us. well, we are not talking about acute coronary, that is, heart attacks, there are congenital heart defects that can be performed endovascular, i.e., without incisions through the thigh , and inside the heart they are performed, operative intervention exaggeration the question of life or death for many people, here is another video that you also brought to him, now we will show it to the audience, how the heart is removed from the bullet, tell me what kind of case it was and eh- how was it, it was a patient who was brought to us somewhere approximately and uh, there uh, with computer tomography, it is difficult to verify clearly what it is, what is it, how is it located , but they brought us a patient after a high-explosive wounds. that is, there must be shrapnel. we were looking for a 2 mm shrapnel to the pulmonary artery, that is, if

this bullet had passed a little more, he would have died on the spot from a hemorrhage . this is a bullet - 5.45 uh, we asked the soldier already after the operation, thank god everything went well, the operation was performed, they took out uh, and we ask him, what did you do on the mine, why did you have a bullet, then this serviceman himself says that it means that he fired, that is, not enough someone else from the enemy decided that he blew it up to shoot just in case, so that such situations are likely to happen, but thank god, thanks to the doctors at the first stage and at the last stage, the patient is saved and lives until now, and the possibility of this story is an anti-scientific question because, well, it is difficult to call it anything other than a miracle, yes, because a person they tried to kill her twice and even before that she had

to get to the place where she would be helped and anything could happen on the way, however , as you say, he is still alive and here is the actual anti-scientific question that i wanted to ask you thanks to which patients survive who, by all parameters, should not have survived because there is such a medical theory. i know the theory that those who really want or those who keep someone in this world survive, act, act, some great love, some important work or something, people who just really want to live, do you have the same theory? is it possible that you hold a different opinion? there is no such thing as i still believe that the number of those who survive depends on medicine and the level of medical care, as we will discuss state itself of the patient, er, er, i am very pleasantly surprised by the fact that you know a person, er, a profound invalid, you can

say that after heart surgery, they become disabled for at least six months, so that 1.5-2 months - that's all rehabilitation goes - 90 percent of those who ask the first question say to me that the doctor will be able to go and fight again, i say, at least you survived. you only opened your eyes because he was operated on, there is no half skull, neurosurgeons performed an operation, we performed an operation on the heart in which and says no says i will go to fight next i still have some business to do with the guys over there, so this is, uh, uh, what is the mood like? i read only in books, you know, during the second world war, when we were fighting, there was practically no pneumonia, then there were no antibiotics, nothing. but that was uh- this is the mood, the internal state of the internal

mobilization, the immunity was such that there was practically no overgrowth, the same situation, people are in a combative mood and rush to fight again. i returned again due to the experience of the great world war and world war ii. 92% of those who took berlin were those who were wounded and recovered . drive the enemy out of the borders of our state. that is, you are referring to the statistics of our military that will take moscow. yes, i understand that, well, i

wish that it was on the borders of 91, that's all but ukraine, e.e., donetsk and luhansk - this is ukraine and it is the only one important question, i wanted to touch on this too the question of psychological rehabilitation. is enough attention being paid to him now, because i know that in the 14th year there were such problems as post-traumatic syndrome in tsr. and the military actually had no specialists who deal with this and people were lying in these hospitals. yes, their lives were saved, but they they lay with their faces against the walls and did not react to external stimuli, you know , being in such a place where everyone did not rush to the front, but simply did not know how to be in general, this especially applies to those people who understood that their physical activity will never be the same as it was before this injury, is it enough that now attention is paid to the issue of psychological rehabilitation of such devils, it is an extremely important question that stood and

will stand er-er it always was er-er and after the second world war it was after the vietnam war in the united states of america, where for 40 years they were unable to stop the vietnam war, well, it was in chechnya, it was in afghanistan, and we have this issue here, and now there are works that are carried out in the national academy of sciences together with doctors at today, it is more difficult for our soldiers with disabilities, in whom psychological rehabilitation should be in the first place, in

principle, and here it is a job not for one year, not for two years, it is a job for tens of years, we will have to work with these patients and not only those who are wounded, who have uh psychological traumas of one or another. this is extremely important work, this is uh, i, it is solved at the state level and should be solved and will be solved. well, this is not a question of heart surgery, but a question it is extremely important because what restores people's health and they still need to be adjusted to normal life, return them to normal, but that will be after the victory. and now it is important for those who are injured or disabled, who have

to become as full-fledged citizens, i imagined it in this way that in the hospital, where direct help is provided, where a person from the front goes to the operating room, after coming to his senses, he has to explain to her that her life is actually broken, that it will never be again the same as before a-a and i understand that in hospitals in such and such hospitals there should be specialists who work at this or that. they have already appeared, uh, specialists should be like that, but we try to do it in a completely different way , we surround ourselves with attention these patients have friends, military personnel come to them, if there are relatives, they come to visit them, and all this so that they feel that they are not lost for their relatives, for their relatives, for society, in the end, we should have psychologists, they even left because the department of psychologists rehabilitation was created in

institute of occupational medicine, where it seems to be a completely different profile. but at the same time, it recruits 30-40 e-e military personnel who need psychological help with them e-e. something that cannot be restored and that the experience we have is unique in the world and our military already predicts that it will be the most powerful army in the world, which has practical experience of such a war in the field of medicine , as far as we have gained here in these months a unique experience that we will be able to share with the world and how much the world is currently helping ukraine on the medical front because we receive humanitarian aid there, weapons in the question of your profile, how do the world respond to our

doctors ? everything and now our doctors are going to training , they are accepted there, they provide accommodation, provide food , everything, everything is said in dark times, bright people can be seen very clearly, and just now, these are trials. gave us the opportunity to see who our real friends are. and who are those people who uh? well, i remember. you were in many professional fields. there were times when russians were considered advanced in all practically possible fields in science and medicine. everyone studied in them and tried . to attract their top managers in order to manage ukrainian enterprises, they invited their specialists for big fees for big money, and now everyone looks like this and understands that we have nothing more to talk about with those russians, the truth is doctors are the same, if i speak correctly , russians were not in the first roles in heart and surgery

, uh, in europe, even in the soviet union, in fact, further than mykola mykhailovych amosov, who came out and always said, i performed so many operations with such and such a result. and what you had nothing to show. but in our kitchen, the gas works in moscow , yes, yes, and now, in principle, in recent years, cardiac surgery in our country has been at a much higher level than, in russia, it is even now because he can even give you examples of what when the russians occupied the crimea, donetsk and luhansk , there was practically no heart surgery there. and if it was performed, it was performed at the lowest level , and every citizen who was there with a ukrainian passport tried to come to the amosov institute

on this operation also applies to crimea and donetsk and luhansk, our return to this temporarily occupied territory will return there not only peaceful life will return there and the opportunity to conduct such operations and we had 5 beautiful centers there, and one in crimea served donetsk and two in luhansk were from donetsk, he was moved to kramatorsk, by the way , there is military action going on there, i also wanted to say that we are helping our colleagues and today the cardiosurgical center from kramatorsk, that is, by and large, the cardiosurgical center has moved to donetsk, the national cardiovascular institute, the amosov national institute of cardiovascular surgery, where are they perform their work hours for those e-e citizens from their territories and with a displaced person who also need cardiosurgical assistance, of course we help with personnel and

medicines and everything, but this tells us that not only foreigners should help us, but we ourselves should help our colleagues so that they have the opportunity to provide this help , and in the near future, as soon as they are released from the territory, they will move, but they they did not stand still for a year, they worked professionally, they are ready and continue to work. well, before the broadcast, you talked about the fact that a large number of young specialists are now joining the work at the institute and their training continues very i would also like to thank every doctor who saves the lives of our boys, you told incredible stories , the audience saw incredible footage and you separately. thank you very much for coming to our broadcast, and successful operations to you and your specialists and young doctors who want to learn how to save ukraine. thank you, mr. yevhen thank you, ms. maria, i want to wish

all our viewers good health, first of all, peace and victory, our common victory with you, which should be as soon as possible, 100% vasyl vasyliovych lazoryshnets, we were a guest of ukrainians cardiac surgeon director of the national institute of cardiovascular surgery named after mykola amosov thank you very much night watch see you in the cockpits of the airplanes behind the monitors of the radar stations at the control points of the anti-aircraft missile systems at thousands of combat positions throughout the territory of our country they bring victory closer every day kudos to the air force of the armed forces of ukraine about so that ukrainians don't think about, so that they don't talk in the first place , war, war, and our victory will still come out, seven

days a week from monday to monday, seven different spheres of human activity sports culture politics eight presenters espresso journalists experts opinion leaders in real time about the most relevant events through the prism of war every day author's projects on espresso see this week in the program judicial control with tetyana shustrova judge bereginya pyanits why the candidate for the supreme council of justice canceled sentence and dozens of drunken drivers, prosecution of drivers who get behind the wheel while drunk and glue together the actual traffic accident of the competition anthropologist as an unscrupulous a candidate for the vrp entered the competition for the higher qualification commission of judges with one of the members of this colleague and an incredible judicial intuition. how to find yourself

abroad on the first day of a full-scale war . on thursday, november 3, at 4:40 p.m., watch the judicial control program with tatyana shustrova on espresso tv channel. from ukraine, vasyl zima's big broadcast my name is actually zima, two hours of air time and my colleagues are with you until 9:00 p.m., two hours of your time, so about the most important thing, two hours to learn about the war, it turns out our air serhiy zhoretska military results of the day and what is the world like? what in the world will yury the physicist tell about two hours to be aware of economic news , oleksandr marchenko protested he tells us about the economy during the war and new sports yevhen pastukhov is ready to talk about sports for two hours in the company of his favorite presenters lina is ready to talk about culture during the war, or something else that many have become like, maybe the weather will give us some optimism, ms. natalka didenko is ready to tell us, as well as the distinguished guests of the studio

we will have volodymyr gryshko today, if all goes well, the events of the day in two hours, vasyl's big broadcast in winter, a project for smart and caring people in the evening , naispresso good evening we are from ukraine, mother, wife, presenter of the espresso tv channel, and i am also a volunteer, our soldiers at the front need a lot of things every day, namely therefore, part of my life today is helping the armed forces of ukraine and i am very grateful to my colleagues for supporting me in this, the war has become a part of each of us, i am trying to find the strength in myself not to despair and continue to help our soldiers, in the end, the strength to wake up every morning is given by the tireless work of volunteers, their favorite work and the closest people are near, but

the most inspiring to live are our defenders, i thank our defenders for the opportunity to feel alive and support them financially, each of you can help even a small contribution to support the troops saves lives our soldiers and brings our victory closer to your attention news on espresso in the studio angelika sesunko works russians attacked kryvyi rih drone mikadze hit an energy facility at night oleksandr vilkul, the head of the city's military administration, said there was considerable destruction there