[000:00:00;00] he, well, it’s practically drugs. here you are getting addicted to the prospects, it seemed that there were no more prospects, relatives came to the rescue, they brought her from spain for organic fishing oil, and she began to drink and slowly, slowly, she especially did not sell the meaning, but gradually she did not appear to leave me at all left with a pain in the mouth, there are three steps in the ukrainian analgesia protocol, but there is not a word about medical cannabis; at the last stage , it is recommended to prescribe morphine. well, i have a certain stereotype that morphine is already the last, the last, if the step from life is further if if they prescribe morphine, the patient will die quickly, or the patient himself is afraid of these drugs because he is afraid of addiction, afraid of certain side effects, and that is why they choose cannabis because it is more herbal, it is even more medical cannabis, it does not have any side effects

, well, except for dry mouth, apparently, the department of origin experts have come to the conclusion that fin and other narcotic drugs are the main cause of accidental death. and in the states where medical cannabis is allowed, the death rate due to drug overdose has decreased almost by 25%." therefore, israel is the world leader in the research and prescription of medical cannabis. more than 123,000 patients currently have permission

to use cannabis on a doctor's prescription, and while in our country they are trying to prove that it is needed, israeli doctors have been prescribing it to patients since 1999, and israel also imports the most cannabis for of medical use than any other country in the world , but medical cannabis is not a panacea that will help from all diseases and is not a drug as some people think, so let's talk about what what is medical cannabis and who needs it and we are now in touch dmytro from kyrgyrko general practitioner mr. dmytro i congratulate you ms. iryna my congratulations to you and to all our ethologists for the audience well , unfortunately, although medical cannabis is being talked about quite actively it's been six years, but still a large part of ukrainians still believe that drugs based on it are the same as legalizing

drugs, so i want to ask you to tell me what the medical channel is and how it differs from the same medical marijuana cannabis and marijuana, of course, they are different why because it is medical economics that is medicine, medicine is controlled by the state, medicine uh -uh, the amount of the substance and the amount of active and active substances will of course be controlled by the ministry of health and other state structures, of course we will talk about the fact that the content of psychoactive substances in medical cannabis is less than 1%. why is it necessary to do this because as a general practitioner i see a lot of patients on a daily basis who theoretically can be helped by drugs based on

medical cannabis, of course we will talk about the fact that it is a medicine, medical science, the medical profession, it is very complicated. and of course, as doctors, we will first of all talk about how to make it better for a particular patient, we will talk about the fact that it is really not a panacea and er, we will prescribe the body medicine based on medical cannabis only after all, after weighing the risks or benefits specifically for this patient, that is, i will approach the patient with the right approach, as we already do today with other er zoology with other pathologies and of course we will conduct a thorough

analysis before prescribing drugs, mr. dmytro well, there are a lot of them. pain and it can be said that it affects and improves the well-being and physical condition of the human body , so which patients with which diagnosis need to take medical cannabis because people are again discussing which ones take part in the discussion very often you can find what everyone is writing anyone who wants to use the medical channel somewhere smoke this weed do something else breathe these vapors who are these people to whom it will be prescribed also i would like to note the symptom of anxiety as well so who are these people? as we already know and read in the official forms of the ministry of health from other , again, state structures that, before the full staff war, medicine on the basis of medical

economics potentially needed more than 2 million people, yes, more than two million ukrainians, after the start of the war, after each standard invasion, these, this number can reach a much larger number of people, who are these people , again, as a general practitioner, i see such people on a daily basis, these are also people with cancer, these are people who have symptoms of chronic pain. these are people with neurological diseases, for example , again, people living with hiv taking antiretroviral therapy. these are people who experience post-traumatic syndrome. and after the stress war, there are a lot of such people, and again, i want to emphasize that every doctor who will prescribe medicine based on medical cannabis, he will do

an analysis of whether this particular person needs this particular patient or will not harm, again, how in general we prescribe any treatment, whether it will be beneficial and what are the possible contraindications, which of any other drugs, we will determine to do an analysis and uh, in this way if we are in this way, when we will conclude that i can prescribe these drugs based on medical performance for this particular patient and that these drugs will have a positive effect on his psyche on his psycho and mental state will reduce pain symptoms or improve his vital activities of course i will do it i indications contraindications indications contraindications will and are again as for any medicine, there is

a medicine, again, we also studied in medicine, we studied medicine and we understand that there are indications and contraindications, and of course it is impossible to treat the disease, it is necessary to treat it a person and we will comprehensively take into account all available additional concomitant diseases in each specific situation for each individual patient . that is, these are doctors who have passed a special training course, it cannot be any doctor who has a prescription, that is, they must clearly understand what they are doing, maybe

you know how it will be in our country, it will be family practice doctors, these will be narrow-profile specialists, that is, who are these doctors, who will be able to prescribe to a person in order to really how did you tell us that there are indications , there are contraindications, it is necessary not to make a mistake, how not to make a mistake, it is possible that we will also conduct some kind of training, i am sure that yes, when will i i sincerely believe that this bill will be adopted in our verkhovna rada, and once again, as a doctor, after completing my studies, i will be able to prescribe such drugs, write prescriptions, of course i understand about that to date of course, this issue has not been settled, there are no legislative acts , i cannot appoint it because it is not legal to date. i am sure that there will be additional clarification either from the ministry of health or from the cabinet of ministers, who exactly can appoint a channel

of course, these will be the principles of a multidisciplinary team , in which the patient will be in the center and several specialists will provide him with both medical assistance and social assistance, possibly and psychological assistance . we will understand that and well. probably, again, not all general practitioners can prescribe why because , again, we remember and know that the first rule of medicine is not to harm the patient in such a way, and necessarily after passing additional training, some specialists will prescribe will have the opportunity to prescribe these drugs p dmytro and one more question, can there be an addiction to such drugs in general , medical analysis, the medical analysis in its composition has the smallest amount of substances that can cause

addiction, can cause addiction, and marijuana which is, let's say, on sale and which causes psycho-emotional and psycho-psycho-emotional pleasure and the same drug can be addictive. of our ether, thank you and imagine 200 years ago, an irish chemist and surgeon, william brooke o'shaughnessy, during his studies in india, discovered that extracts of cannabis helped cholera patients to relieve pain in stomach and stop vomiting when he returned home he began to actively promote this method of treatment and already at the end of the 19th century hemp extract could be purchased at any pharmacy in europe or north

america medical cannabis is used in more than 50 countries of the world including the united states of america and canada these drugs have been officially prescribed by a doctor for more than 20 years , and the following is our expert dmytro samofalov , a military surgeon, candidate of medical sciences dmytro has a wide range of experience, he was a pediatric surgeon, he was involved in the organization of health care and was constantly faced with the problems of pain relief for patients, we asked his opinion about the effectiveness of medical cannabis for pain relief and whether he considers it necessary to legalize it in ukraine, so we look further, many countries now widely use medical analysis to help with chronic pain, for example, in the united states, marijuana it is used in those cases when ordinary painkillers no longer work and stronger narcotic

drugs are prescribed, of course, in case of a fracture or postoperative pain, drugs cannabis will be powerless, but for chronic pain. these are perfectly effective drugs. for many years, only injectable narcotic drugs were used to anesthetize cancer patients at home, which caused many problems in the case of pediatric oncology, that is , in order to provide analgesia to a child patient, the child had to scare him with a needle and also give an injection quite often painful for the patient, today, in the market , drugs, e.e., opioid plasters, which are much easier to tolerate by children, have appeared on the market , but it should be noted that they are quite expensive medical marijuana for children abroad is widely used in the form of candies in the form of jelly bags or some kind of bars, etc. and by the way

, this is one of the arguments used by the opponent of marijuana. what exactly is marijuana in this form ? it can be dangerous for those at home can carry the risks of endangering the child if the medicine is not stored correctly, it is not stored properly we all know the story about children who were poisoned by drugs for high blood pressure, and the same paracetamol is today the number one reason for hospitalization of children in the intensive care unit is in the case of accidental poisoning, so it makes no sense to say that marijuana will somehow stand there separately. you just need to store all medicines so that the child cannot get them, and in addition, there is a large group of patients who experience

pain of various kinds associated with various neurological diseases, patients with multiple sclerosis who have pain, and here cannabis drugs also have certain advantages, and in fact, other painkillers used for these pathologies have pronounced sedative effect and can affect the quality of life, which is not observed in marijuana preparations in general, it has been shown that cannabinoids are less addictive than drugs that have the same analgesic or therapeutic effect. well, in my opinion, one of the main issues in the debate is the concept of medical marijuana usually when we say medical marijuana, we mean not only the plant itself or the plant drug, but also drugs obtained from the plant due to extraction,

as well as semi-synthetic cannabinoids. drugs are widely used for symptomatic treatment, for example, they relieve nausea and vomiting in patients after chemotherapy. now , as a result of military operations, as a result of injuries, a very large number of patients will appear who will have various chronic pain caused by nerve damage , phantom pain. with the question of analgesia for these people , what to choose, of course, there are drugs paracetamol dexalgin will not, er, help , it will not be enough to give them narcotic drugs and thus lead them to a complete incapacity, slyness, maladjustment in society, in my opinion, everything that is happening regarding the legalization of marijuana is rather superstition, because, for example, a large number of opium derivatives are widely used in medicine not only for anesthesia or pain relief , but also as anti-coughing antidiarrheal

drugs, at the same time, marijuana is a severe taboo topic and for me this does not have any logical explanation, therefore i fully believe that medicinal cannabis preparations should be legalized in ukraine well, here is another opinion one doctor and another important aspect, precisely during the war, they began to talk even more about the need to legalize medical cannabis in our country, because what the military and civilians experienced and saw does not pass without a trace , and we are already predicted a pandemic according to tsn, and this is a serious psychological condition that is difficult to deal with and it is almost impossible to cope on your own, so people suffering from post-traumatic stress disorder will be helped by drugs based on cannabis, and this is what scientific research says, contact us now on the director

director of the state institution center for psychological health and rehabilitation of veterans lisova pisnia lisova polyana something is already mixed up in me lisova polyana ministry of health of ukraine doctor-neurologist ksenia voznitsyna ms. ksenia i congratulate you i congratulate you good morning ms. ksenia well, you probably heard today from the beginning, and until this moment, until we have connected you to all the conversations of all the doctors and all the experts, and for you today it is such a rather important mission in all this to explain precisely during the war and after the war who will be these people who will need medical cannabis, thank you very much for the invitation and just about me . it's very good that you first said about the epidemic of ptsr .

with people who survived the trauma of the war and my colleagues whom i trust very much, who are experts , it's a bit confusing when they say that people from the ptsr will be total in ukraine, and they even say about 50%, 70%. this catastrophe is such a stigma that needs to be enlightened and it is a myth that we are constantly trying to debunk of course, the traumatic events that are happening today in ukraine, they say with a capital t. that is, they are major traumatic events in ukraine. well, they are simply catastrophically traumatic events, but ukrainians have certain prerequisites so that this cursed ptsr does not become an epidemic, and this is absolutely a study for the world about that how much can i develop post-traumatic syndrome, it is from 10 to 30% depending on the situation, well, it

depends on many factors, and part of those 30% can cope with the turmoil, a large part of these people can cope with this symptom, and only me a small number of people will have such permanent and serious consequences, and there is no need for execution - i am asking everyone, i urge you not to catastrophize those huge numbers, these numbers of 50-70%, i am asking that all people will have btsr - this is not for our benefit at the moment and there are absolutely clear prerequisites, i will repeat once again, first of all, ukraine is fighting for absolute right, for absolute light, and ukraine has been at war for 9 years, the veteran community itself already has a certain psychotherapeutic psychological support, and it is among the veteran community that there is a stigma to turn to

a psychologist or a psychotherapist, she is very well overcome , in contrast to the civilian e-e population that was affected today, which we still think was. ours is already accustomed to this, and for this , lesya ukrainka invested a lot in specialists and public organizations that helped in this, and that is why this is the first question that i would like to define in this way, yes, about this catastrophization epidemic ptssler no, it is not so absolutely and not so, and many people do not need to manipulate on this. so, what will we talk about next , this is the first blog, but ms. ksenia, if there is no need to manipulate, then it turns out that here are all the data of the ministry of health about what four millions of people who will need it in addition to those two million who were as a result of the war will need this medical cannabis. it turns out that this is also not

true. how do you understand? now we will talk specifically about ptsd - this is a serious psychiatrist of course, the data that the ministry of health says about, yes, these data that the ministry of health says about are thousands of thousands of million conditions that a person can apply for, and it is not necessarily ptsr, it can cause sleep disorders , some disturbing certain symptoms, certain certain symptoms, depressive certain symptoms , grief, there are a million of such things simply now they equate it with in general that this is the only name for a psychological disorder, but no, it is one of a large number of psychological psychotherapeutic groups, uh, we don't have much time. let's talk then. who is it?

after the war, medical cannabis will be needed . yes, it is a very good topic and thank you for inviting me. today they talked about many problems and analgesia and er signs of epileptic disease from the disease and oncological problems and chronic pain and other things, i.e. ptsr there are still no such rainbow euphoric data for today, for example, a large instance is very authoritative national the ptsd center of the us department of veterans affairs at the nation center currently does not recommend the use of cannabis for the treatment of ptsd because there are certain concerns about the long-term use of such

drugs. there are so many studies and good studies and why it is necessary to continue, including in ukraine , they are talking about the fact that they are cannabis-based drugs that can relieve certain symptoms of anxiety, sleep disorders that accompany ptsd, but classic randomized placebo-controlled research on the fact that cannabis should be included in the list of evidence -based treatment methods for tsn does not exist today, and ukraine could enter this and that stage of research with the number of people, veterans of military servicemen who will return. and this is more than a million. as you know, a million 200 people eh and what is important is that even in our center we receive a lot of foreign specialists of our colleagues , psychiatrists, psychotherapists, israelis and americans, and they emphasize the fact that

the situation in ukraine is truly unique regarding the of extreme trauma that people take upon themselves and receive, and you are advised to use it for treatment maximum er and that the arsenal er if the options for using treatment were very large and this is one of the mechanisms one of the list in the doctor's arsenal which should be and just we we could conduct very cool research today, but usually this is an expensive thing, it requires a very large material and human resource to conduct cool research , and this bill is real. we hope it will allow including conducting research on this topic, which is extremely important ms. ksenia well, as far as i understand, medical cannabis is needed by people who were in the war not only after the war , but also at the present time. since we understand that

there are very complex injuries and there is pain that they live with military personnel and i know that you personally see these military personnel because they are undergoing rehabilitation with you and you can also tell me about this absolutely accurately, pain syndrome is now a very serious problem accompanied by many injuries and chronic pain syndrome it is very common among military personnel, uh, and another interesting topic about what we were talking about. by the way, about drugs, as such , there are not so many real drugs, for example, there are idiolex and sativex - these are drugs that are already recognized as drugs, and many others. cannabiol mass oil cbd is a food additive in the world. it is not yet a drug , it is a food additive that is added like this, these drugs

are also about the pain syndrome. i would like to say one more important problem about the fact that now the number of craniocerebral injuries, and craniocerebral injury is the leading one among all wars, and the remote consequences of craniocerebral injuries can also be accompanied by the occurrence of epileptic seizures, and these are precisely the long-term consequences. in lanka, a lot of research has already been done, and this will also be needed by our veterans , of course, many people with damaged limbs who feel pain, both physical and psychological. what is our huge trauma and the multi-functional injuries that our defenders are getting now, they need us

to have, you know, a big, big baggage of drugs that can be used because what will work for one person will not work for another and when we have such a huge arsenal of tools and methods , we are more flexible and it gives the doctor a greater ability to help, and in canada, unfortunately, i have to say goodbye to you because this is a live broadcast, but we have a lot more to talk about. therefore, already i want to invite you and me to talk about the military, about their rehabilitation , about their need, and we will definitely do it, because this is an important topic. i thank you, ms. ksenia, for your work, for all that you do with us, the director was in contact state institution center for social psychological and health and rehabilitation of veterans lisova polyana of the ministry of health of ukraine neurologist ksenia voznitsyna and it was a program about health today we talked about the importance of using

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