[000:00:00;00] to the mountain in order to call to call an ambulance, they can be picked up and sent to the basement in luhansk. well, because they suspect that they called the armed forces of ukraine. from 2019 to the 23rd year, he was in touch with us, but now yehor has a short break , his fellow journalists will work with him. i congratulate my colleagues. in this issue, in particular, i will tell about the situation at the front, about the losses in the rashi army and about the reaction of the european union to the transfer of nuclear weapons of russia to belarus be with us strike on the dnipro in search and rescue

work and analysis the rubble of the three -story building of the medical institution was completed , the state emergency service was informed about the currently known identities of the two people whose lives were taken by this attack, the body fragments found were handed over for the examination , 32 more people were wounded, the head of the regional military administration, serhiy lysak, said. buildings are destroyed in the stadium, and in three schools and three kindergartens in germany, a lyceum in the city today is the day of mourning, one person died as a result of russian shelling in the kherson region, the head of the region oleksandr prokudin reported, during the day, the enemy hit the region 45 times, the invaders fired 193 shells from hail artillery mortars tanks, drones and aviation, in particular , muscovites were in kherson twice, the attackers

targeted residential areas and the territory of the elevator in the boryslav district , damaged private houses, owned cars buildings and economic structures of private enterprises, prosecutors have started a pre-trial investigation, there is a victim of russian terror and in zaporizhzhia, a woman died in her own yard, a tragic incident happened in novo danylivka , the head of the region yuriy malashko said, in total, rioters struck more than 100 blows in the region. yansky , 15 more civilian objects were destroyed , a rocket attack was carried out at night in the kharkiv region , enemy shells flew into the village of liptsi

of the kharkiv district, a private house was damaged a residential building and farm buildings were uninjured, informed the head of the regional military administration, oleg sinogubov. and in vilch of chuguyiv district, four residential buildings and a power line, two private houses each, were damaged in vovchanska of chuguyiv district and basovo of bogoduhiv district in the vicinity of the village of mysyutivka. the occupiers once again tried to enter attack, but were repulsed and retreated , it was time to return their the invasion of 206-200 attackers already in don- in dominy, the defenders destroyed 22 art systems, 11 cars and tank trucks , all armored combat vehicles, three tanks, the same number of units of special equipment, two rocket salvo fire systems and one means of enemy air defense, in addition, they destroyed 31 mzokovite drones in the general staff adds that

the data are indicative and also to protect our sky , germany will transfer additional air defense systems of airisti mountain missiles to ukraine to them , the ambassador of ukraine to germany, oleksiy makeev, said according to him, in mid-may, berlin started work on a package of military aid for the armed forces, the complexes will soon appear in ukraine, the diplomat emphasized, on the website of the german government, it is indicated that berlin is preparing to transfer the 4th medium -range missiles and missiles to them, the complex is designed to destroy cruise and ballistic missiles as well as aircraft, helicopters and drones, the threat of dangerous escalation the european union condemns the transfer of russian nuclear weapons to belarus

, eu high representative jose borel said, according to him, this the decision contradicts the obligations that russia undertook in the budapest memorandum according to which belarus eliminated all nuclear weapons from its territory, and this agreement also contradicts the joint statement of the leaders of the five nuclear powers from january 3 of last year , but what about the fact that nuclear war is not can be won and should never be carried out , the judge's accident reminded the barrel . today, the supreme council of justice plans to consider an application for permission to arrest the head of the makarov district court, oleksiy tandyr, who hit a soldier to death with a car the national guard in kyiv, the judges have already announced the suspicion of committing a fatal road accident, not the last of which is alcohol intoxication, he faces imprisonment for a period of 5 to 10 years with deprivation of the right to drive

a vehicle for the same period. a few minutes before the start of the curfew, he flew into a roadblock and shot down 23-year-old national guard soldier vadym bondarenko , the soldier died at vadym bondarenko's place , three children were left as orphans, a father and a brother national guardsmen are protecting ukraine at the front . the counteroffensive of the ukrainian armed forces will be successful. such hopes were expressed by the ex-commander of the us central command, general david petraeus, during the kyiv security forum. to re-equip and ensure a disciplined military force , petraeus added that further assistance to ukraine and the prospect

of joining nato will depend on the success of the armed forces, let me remind you that kyiv expects a clear the signal regarding euro-atlantic integration from the alliance summit in july is what it says to you. see you at 11 o'clock and read more about important things on our website espresso tv subscribe to our channels on social networks stay close more than 30% of ukrainian territories are now dangerous for life all because of landmines but unexploded ammunition during the war ukraine broke the world record and became the most mined country however, our rival groups of armed forces are already ready to liberate our native land

from the enemy ironclad and help our kyivstar, together with the come back alive fund, have taken on the military. we have a very ambitious goal to collect, together with kyivstar and people, together with other organizations, uah 175 million, which will go to the humanitarian demining project. the company has already made its contribution of uah 20 million. in general , within the scope of the project, they plan to purchase the most necessary things for us to live here for the demining of ukraine , pickup trucks provide mobility for the transportation of personnel and property with bags , sappers, searchers, probes , and the necessary means of communication will be directly demined for coordination where demining is taking place, a quadcopter for aerial photography, fixation of copper fields, as well as determination of coordinates . the come back alive fund assures the entire list of necessary equipment has been agreed with the command of the support forces and the military. therefore , all ukrainians are invited to the meeting, and you can join by signing up for a monthly donation or making an individual contribution for any

amount on the website of the project let us live here from a tourist attraction to an american center of knowledge architectural pearl of kyiv rychport became an educational hub for ukrainian youth within the walls of the restored building on postova square, the flagship building of the american university kyiv was solemnly opened, the educational institution will become the home of two thousand students . all of them will be able to get an international standard of education. in russia , we had no doubts whether to continue building the

university during the war. we strive to build the future and invest in ukraine, the opening of the university also took place on a special occasion, the first inauguration ceremony of the new president of the american university in kyiv was held in the building, where such an event was seen for the first time in ukraine . minister of education oksan lisovyi and mayor of kyiv vitaliy klitschko came to the opening in particular strengthening, it is a great honor and responsibility to be the president of the american university of kyiv now under these conditions, when we are building a university in the midst of war, but with this we are only moving forward the team has already created a wonderful strong institution and combines american educational traditions with ukrainian values ​​to strengthen relations between our two countries challenge despite the war missile attacks plekouts we continue to implement the mission of the university and this is the training of future leaders of ukraine we remain committed to it and our goal

is to provide ukrainian students with the best education currently available in the world, for this we cooperate with arizona state university, one of the largest and most innovative universities in the usa already this year the american university will increase the number of educational programs from five to nine in various directions from classical software to the latest artificial intelligence programs pain can become an obstacle walking stairs not with my knees from knee pain try dolgit cream pain reliever reduces swelling and improves the mobility of the joints, you can also walk the only yellow cream for joint pain and what do you think about lacalut fix

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may 31 at 22:00 exclusively on megogo for at the time of the full-scale invasion, lviv oblast became a kind of hub for many displaced persons, and hundreds of thousands of internally displaced persons found their second home here, the streets of the city of leva are literally overflowing, here you can meet ukrainians from of different regions and corners of our country, and now one in five can be said to be a local resident, of course, this hospitality of the city of leva has its downside, such as the load on the infrastructure, which has increased many times , and health care has felt it the most, so i congratulate iryna koval and this is a program about health, today we will talk about the medicine of lviv oblast, what it has become during the war and whether it copes with the increase in workload and what problems it has

to deal with. and we will also learn about how actually receive medical care in the city of leva and does it matter, for example, your registration and other bureaucratic circumstances, and we will talk about all of this today with the director of the health care department of the lviv regional military administration , orest chemerys, mr. oresta. congratulations , mr. oresta. so, first of all what i want to ask you about is: has something changed in medicine ? how do you feel about medicine in lviv oblast during the full-scale invasion on february 24 , when we woke up after the beginning of the aggression? of the russian federation, of course, we were ready for the challenges that stood before us. in the morning, we met a huge number of people who left their homes and homes, and a significant number of forcibly displaced people remained in the city of lviv. accordingly, as we played, we understood that this entails

, according to the load of the system of health care because there are a large number of women and a large number of children who were forced to stay in lviv oblast. in fact, we predicted somewhere that sooner or later they will also start to apply for medical help because in fact, even considering that we lived in covid conditions before the start of a full-scale invasion, we had the opportunity to prepare somewhere and the system itself was ready to respond to those challenges, understanding that it would be a large number of appeals before the first line to the primary link or would it be a large number of referrals to the hospital but we mobilized and each health care institution, understanding this responsible niche and the tasks at hand, was ready to accept , help, treat, advise , provide all the necessary medical assistance, that is it can be said that the burden on the medical system of the city of leva is colossal, but is it possible to state in numbers approximately

how much people have increased in the seeding, if you have, for example, figures for the region and are you coping? load on primary lanka in general during the entire wartime , more than 370,000 forcibly displaced persons, of whom about 90,000 were children, sought medical help from family doctors, again apart from of referrals to the outpatient department to family doctors, etc. we also monitored and are monitoring the number of referrals to the hospital, and in particular, there were more than 7,47,000 people who have already been treated in the hospital, and of them , more than 12,000 are children, so we as an industry are ready and we are ready to provide

ready to respond ready to carry out all the knowledge that falls on medicine is related to full-scale aggression if we talk about medical personnel, we know that in various regions of our country a lot has been written about this and said in mass media information about doctors and nurses who have gone abroad if we talk about the city of leva and about the lviv region, since the situation here is there enough medical personnel, and perhaps you have found yourself a new medical staff from immigrants, from doctors who moved from new regions, lviv region is historically very good provided with medical personnel. and actually, at the beginning of the war, i want to highlight the high consciousness of the doctors of the lviv region, because in fact there was no outflow of medical workers, in particular those who worked in

our institutions abroad, again, there were isolated cases and no longer related to the average medical staff. as a rule, these were young children who did not understand what was going to happen, naturally went abroad in order to protect their children, but on the other hand, at the beginning of the war, a large number of people migrated, including emigrating and medical workers, they applied to us to department a-a each of them believed believed to be useful wanted to provide medical aid to save our residents residents of ukraine who suffered from the war aa and most of all the load was greatest during the period when people who wanted to work in medical institutions reported. it was march and april. in fact, these were the periods when the troops were on the approach to the capital somewhere. it is natural that these central regions also migrated, but

from the imprint - first of all, the imprint of whiskey from the capital when kyiv returned to normal life therefore, a large number of medical personnel returned to their homes and started working in their institutions, speaking now, there is a small number of doctors who actually work in our health care institutions health, but these are definitely not such mass cases, these are actually isolated cases, you called this number 370,000 adults and 90,000 children - these are quite large numbers, then you can say, for example, which is the largest medical unit that may be suffering or do you feel that it is cannot withstand this increase in workload, again we cannot say that we do not have a sufficient number of personnel in front of the emergency department , the biggest workload is naturally borne by the primary link because the people who have moved

, who you can be, live in lviv oblast they are also sick, they need consultations, consultations of a doctor, and in fact they applied for medical help to the nearest medical institution. is it a medical clinic ? such a patient was subject to outpatient treatment, did you receive treatment at the outpatient stage of the polyclinic, if such a patient again required hospitalization the treatment of such patients is hospitalized and all patients received medical care, so it is natural that the primary link is the most burdened, but it is absolutely not critical for the health care system itself, so let's start here with the primary link in more detail. please tell me how, for example, people can apply, we say now about primary appeals as adults

of such children, for example, people have moved because we know that now active hostilities are taking place again in the donetsk, luhansk , kherson, and zaporizhia regions dnipropetrovsk, i.e. at any time, internally displaced persons can come to lviv, how can they apply for this primary care, no matter which family outpatient clinic. is it still possible that there are some hotlines where to call , know this application algorithm, first of all , how do we the department developed a radio algorithm for forcibly displaced persons . i could see which institutions were closest to her actual place of residence. there were many myths. one of the myths i could find was that the person who was displaced does not have a declaration made

by a family doctor who is in the region , that he will suffer and that medical assistance will not be provided. this is absolutely not wrong. incorrect, regardless of who signed the declaration, anyone who needs medical assistance, regardless of whether he is a permanent resident or a forcibly displaced person, can contact the nearest institution of health care, such medical assistance will be provided to him again, when we talk about assistance to children, you can also apply, you can get a consultation, you can get all the vaccinations that a child should receive according to the calendar, because the state guarantees basic provision, the level of medical assistance guarantees e.e. access to vaccines to all segments of the population and about vaccination. this is also quite an interesting question, because we know that sometimes it happens that some vaccines are not enough and whether

all vaccines are currently enough in the city of leva for children and adults because, again, there are more people, do you have to ask someone for help or, for example, send your parents so that they go to private hospitals, are there currently no problems with this, all the vaccines that are available and the vaccinations that are included in the national congress of vaccinations are it is necessary that the guarantor state of the vaccine has a sufficient quantity, again, at the beginning of the war, when the trend of immigration processes was understood, the ministry of health took into account the needs of the population, and precisely in the rear areas in which, according to official data there were the largest number of people who migrated and who were forced to find a house in another region. medicines are being redistributed. there is also a large part of the humanitarian aid that was opened and received thanks to international donors. therefore, there is no shortage of vaccines in our country, that is, everyone who wants to be vaccinated can contact his family the doctor, if we are talking about the car

of a mixed person, it is to the doctor’s to the nearest medical institution, respectively, where to get a consultation and get here clutch, mr. orest, if we are talking about specialist doctors, specialist specialists, are there problems and workloads, because now with the new system that is in place, you first need to consult a family doctor, and then you can wait there for a week, two, three, and sometimes even a month. - is there a problem here since the number of people has increased again and do you have, for example, complaints due to the fact that a person cannot get to one or another doctor for a long time, so in fact we have come to a model of work with the national health service and in the end we switched to a new format, we are reforming , we are changing, we are improving, and the health care system is starting to work as it works

, similar to all the health care systems of civilized countries, and for that from the patient in order to receive advice from the military the specialist initially consults the family doctor, the family doctor conducts certain examinations and, if the need for a consultation really arises, then gives an electronic referral in order to receive a consultation from a related specialist again here it depends on the specialist to whom the consultation is given. and again, the wishes of a certain patient are taken into account, whether he is ready to go or whether he is ready to wait for a consultation with a certain doctor, but considering that this doctor is a specialist and a large number of people want to see him for a consultation. therefore, he can a certain queue should be created. but again, we now have a universal electronic queue tool, accordingly, if we are not talking about urgent conditions, then if the patient wants to receive a consultation, he can to make an appointment with a certain doctor at a certain convenient time and it actually does not

cause any inconvenience for such and such a patient for the patient and for the doctor regarding whether there are complaints, for example i personally know i invited your gastroenterologist to our air and she said i'm sorry i can't pass because i have appointments scheduled for two months in advance and that is, i work constantly even on weekends because it says such a very large colossal workload and a lot of patients regarding complaints, most often complaints that come to the hotline of the department. and this is actually not that you should expect a long consultation , this is because there was a certain period, somewhere within a certain six months ago, when there were a large number of complaints that the emergency medical service does not respond and does not respond to calls, this is due to what was approved and the order of departure

of the ambulance, and we as a department tried to clarify the work and emphasize on which calls the ambulance should leave, which calls the ambulance has the right not to leave and the second in terms of the number of complaints this is exactly when we talk about the queue, this is the queue for a free mri examination again. if we talk about the lviv region, we have a-a one mri in a communal facility - this is the lviv regional diagnostic center, actually this is a center in which indeed, there is a long queue and waiting for a certain examination, the queue can reach two places, but this is actually due to the fact that it is in this institution, the patient can undergo it for free under the guidance of a family doctor, and again, when we are talking about thanks to the gift of the government of poland in ukraine, we have an mri examination on the basis of a separate unit of the territorial medical

association number one. the first lady of poland , ms. duda, presented an mri machine, which is why it is such an expensive diagnostic examination. but again, lviv region has the opportunity to provide them for free on the basis of these two institutions, but taking into account the fact that the demand for this examination is large enough, therefore, it is necessary to stand in line and it is necessary to spend a certain time for the standby mode, but you said it is very important, we have developed such a phrase we know such an algorithm and told everyone when an ambulance should go to a call and when not . maybe you can announce it for our viewers so that they know when and under what conditions an ambulance goes to a call and when not by the ministry of health

i have developed a protocol and suggestions regarding and recommendations for emergency medical assistance regarding response to the call and deliver it to the dispatch room on the central 103 and again we must understand that emergency medical assistance should leave only in delayed cases because even in the context of idps, there are a number of people whose number of calls is high enough that we are talking about lviv oblast, and it is precisely that emergency medical assistance upon receiving a call to the dispatcher on line 103 must ask the patient what exactly caused the fact that he is calling line 103, what exactly is the situation with the patient to whom this medical assistance is called, and again there are a number of criteria to which the ambulance must respond, leave immediately, this is when we say that the patient has pain behind the sternum , when we say that the patient has some kind of injury

short-term due to loss of consciousness . for example, to carry out the planned appointment of doctor anu for such calls, the ambulance is not obliged to leave. but again, when there are any clarifications, we communicated, and this was exactly such a communication panel when we explained that there are emergencies or will are there any signs that may indicate that something is wrong with the patient and that the patient has symptoms of something and someone's disease that can cause negative health consequences, then the ambulance should respond when we are talking about the planned fulfillment of the doctor's appointment or in order to