[000:00:00;00] to threaten life, that's it, then the ambulance is obliged to immediately call to come to this patient again . but we are talking about the fact that we receive calls at the central 103 when it is necessary, for example, to carry out a planned appointment of a doctor , well, for such calls, the ambulance is not obliged i have to leave but again, when there are some explanations, we communicated , and this was exactly the communication panel when we explained that there are urgent conditions or conditions or such signs that may indicate that something is wrong with the patient and that well and what the patient has symptoms of something or someone's disease that can cause negative consequences for health, then the ambulance must respond when we are talking about the planned fulfillment of the doctor's appointments. in order to receive a sick leave for such calls, the ambulance is not obliged to call

and enter accordingly the patient should contact his family doctor and decide how the patient should receive this appointment or open a sick leave that in general eh about from a week to eh to eh the emergency medical team performs more 11,000 visits to patients, in particular. accordingly, we are talking about a week, a week, and actually a day, that is more than 500 calls that come to the emergency medical care center , the ambulance processes accordingly, if necessary, makes calls. so this is not a peak load if we remember the period of the covid-19 there were more than 700 such calls, the main share is from 200 to 250, these were calls for 103 that were related to suspected covid or covid disease mr. oreste, did

it happen during the time of this full-scale invasion of more than a year of war in such a full-scale when a lot of internally displaced persons appeared to open new medical facilities or install some additional beds in hospitals, unfortunately , such a thing was not carried out in vinnytsia, because if you take the network of the lviv region, then in total we have more than 15 000 beds, and again , lviv oblast traditionally has, historically, has a sufficiently large hospital network, it is sufficiently equipped with medical personnel , therefore, the existing bed network was absolutely it is enough to respond to these challenges, if we take the structure of the entire bed fund

, then a third of about five thousand are surgical profile beds and 10,000 fresh therapeutic profile beds. the process of hospitalization and , accordingly, the order of the ministry of health and the implementation of the order and our local order, which regulates and nevertheless, we draw attention to the fact that no more than 70% of the excess occupancy in each hospital has be because we have to keep this 30% free because there is a war in our country we have to respond to any challenges thank the armed forces for calmness and we have the opportunity to work in a mixed mode to provide targeted assistance and treatment and carry out planned hospitalization but every day we we must remember that such a situation can happen when instantly we will have to release our reserves accordingly and be ready to provide medical assistance, therefore the figures of 70% occupancy are such a figure that we

monitor and demand that it be implemented if we talk about who we are, it is determined by the order to fill in. at most 50% is a corner of the surgical profile, that is, 50% of the beds each hospital is obliged to keep free , and also at most 60% of the beds are filled by the therapeutic one, that is, 40% of the beds should be in standby mode, mr. orest. well, the beds are it's good that they are there, but if there is a bed and no medicine, then we know that nothing will happen. i remember very well when we talked with doctors, it was the first months of the war, and we were told that in fact the medical facilities did not have enough medicine, there were only the medicines brought by the volunteers. and in general, there was a lack of medicines, especially if we are talking about medicines for cancer patients, for people with diabetes, well , that is. here are such specific medicines, so how is it now that patients have to buy medicines themselves? are medical facilities still

provided when we talk about medical institutions, all communal health care institutions work under the medical guarantee program, that is, they have concluded contracts with the national health service of ukraine, and it is the medical guarantee program that guarantees access to without high-quality free medical care, and in particular, if the institution subscribes to packages in certain directions, accordingly, it must provide medical care, including guaranteeing that free medicines are not available in all health care institutions, if we are talking about the present time, they are provided with medicines , again we must take into account the fact that lviv region is a border region and it is lviv region that received a large number of aided drugs and medical products, so the current situation is a sufficient number of medicines and the health care institution has the ability to provide all the bases with documents

; in addition, the program works; available medicines are a list of pharmacies that are contracted with the national health service ; such socially sensitive medicines can the patient have a paper prescription or an electronic prescription to go to the pharmacy and in fact, its products and under the program of affordable medicines, therefore, if we are talking about now , there is no such critical need. but again , when we are talking about the beginning of the war, probably we were talking about the first days when the situation was not clear when there were violations with the logistics of delivering certain drugs, particularly for cancer patients, but when we actually talk about the lviv region, our oncology center had a sufficient number of drugs from the first weeks, it provided e-e drugs to all patients who applied and a large number of displaced persons who applied to our oncology center had the opportunity to receive such medical care

. i think you will agree with me and i want to pay attention to it in today's broadcast as well. it is a unique method of freezing. cryo-preservation is available now in the city of leva . it is for military personnel and military personnel. all military personnel who want to can ask for help and freezing of sperm and eggs will be carried out for free , and then in vitro fertilization is also free, thanks to this , you can postpone pregnancy, save the biological material, respectively, in the state in which it was at the time of freezing and simple in other words, it allows you to conceive a child from a soldier who, for example, has lost reproductive function or, unfortunately, if a soldier died in the war, i would like to know if there is a demand for such services and

how many people have already used them, and now we will talk about it and contact us director of the lviv regional clinical perinatal center maria malachynska ms. maria i welcome you on our broadcast good day please tell us how many people already today, how many servicemen and servicemen have actually used here is this method, well. first of all, i would like to say that from year to year in ukraine there is a steady trend towards a decrease in the birth rate, and we can see that over the last three years, the trend, in particular in the lviv region , is growing at a very high percentage value, and this is -20% of all births in previous years, the importance of providing every couple who needs it with the opportunity , including if we are now talking about cryo-preservation of biological material, it

increases our fertility rates in the future as of today the lviv perinatal center has such an opportunity, and on february 16, 2023, for the first time among all municipal institutions in the lviv perinatal center in ukraine, we opened a department of assisted reproductive technologies, because before that , only private institutions were engaged in the field of assistance in this direction, therefore, such an opportunity is created in the municipal non-profit enterprise on our base and everyone who wants or can use this service , cryopreservation is carried out free of charge of biological material for military personnel, as well as freezing moreover, today the region operates a comprehensive health care support program that allows

every infertile couple in the country, regardless of the causes of infertility, to receive free of charge the first stage of super ovulation stimulation. and this is half the cost of the program, which can be obtained only today day in private centers, therefore, all women, men, married couples who have such problems. with age, health loses its ability to promote fertilization with one's own eggs, so it is important to use this age and get the desired pregnancy. marie, i still want to ask you one more time, what is the number? do

you already have any definite data the first intermediate ones , how many people have already applied for this unique method of servicemen and servicemen? of pregnancies that are separated, there are more than 13 couples who have received a positive result with us. they are already registered according to our e-e register and the registry that started under the comprehensive program of more than 150 in one e-e married couples because there is an opportunity to register this about 40 to married couples and to receive this help for free. we are always happy to provide any consultation in that

direction and help every couple to get the joy of motherhood mrs. maria freezing sperm and eggs please tell me here is this storage, it is also absolutely free. is it still here when they are stored that you need to make at least a small payment for military personnel? absolutely free , tell me everything. corners of ukraine, or again , are we talking only about residents of the city of leva? we are working to attract other regions as much as possible to create

such opportunities and the health care department of the lviv regional military administration , we are already talking with other regions to help other regions as much as possible in this direction, especially to servicemen in the storage of cryo-biological of the material, it is necessary for the man to come to the clinic , of course we can consult over the phone on how to prepare, but the biological material must be correctly presented to the clinic and it will be carried out quickly vitrification of freezing therefore it is important that this happens in the cell because there is a delivery time from another, let's say, even uh, uh, street and kilometers, the quality of the geobiological material itself is lost, so it is important uh, uh , from 15 to 20 minutes for this uh, uh, material

to reach the embryo and it was processed as correctly as possible ms. maria well, we understand that this is a very sensitive topic, and tell me, maybe there is some legal support when using frozen material, how do you consult with specialists , legal specialists, of course each male couple signs the documents for cryopreservation, all the conditions of storage. that is, the clinic is fully provided with legal support. i want to thank you for being in touch with us today, ms. maria malachynska, director of the lviv regional clinical perinatal center, mr. orest . well, we are with you we also understand how important this topic is, how did such an idea come about in the first place. this is exactly such a program in the lviv region . again, we analyzed demographic

indicators. and exactly what maria said that in compared with 2020, with 2020, when more than 20,000 were born in lviv oblast, during the 22nd year, almost 17,000 were born, respectively, during the 22nd year, the percentage of births in the e-e region decreased by almost 12%. uh, again there are realities and the realities of war, we saw that on the basis of our regional clinical perinatal center , a large number of women who were forcibly displaced, who gave birth in total , according to statistics, this is more than 2,000 fortunes from women who temporarily found shelter in lviv region, gave birth to lviv perinatal center and actually came up with an idea in order to create a full cycle to close the cycle of providing medical care from the moment of family planning

, the introduction of pregnancy, birth, and also we understood that the challenge is war when it is big, when women will lose men, when we will have different situations, stressful diseases, and when the problem of pregnancy in many couples will become a problem. unfortunately , there are such trends and they are enough. in fact , the idea arose to create a branch on the basis of the regional perinatal center at the expense of the regional budget auxiliary productive technology, this is the first branch on the basis of a communal health care facility, and after its creation, the opening was a joint idea of ​​the regional administration and the chairman, who initiated us, let's create a program , because the support of defenders will be extremely important, and we jointly developed such a program for residents of lviv oblast allocated

a certain financial resource in order to become an opportunity for all couples a who have been struggling with infertility for a long time had the opportunity to come and use the opportunities assisted reproductive technology and get the opportunity to go through this stage for free on the basis of the regional perinatal center, and again, taking into account that the war is now that a large number of men are at the front , to give them a chance to save and leave the material in order to in various situations that may arise after return to feel the joy and fatherhood, that is why such an idea arose and actually we are calling on other regions, there is an opportunity, in particular, the western regions , to use the facilities of the perinatal

center and give the opportunity to the residents of their regions to actually experience the joy of parenthood and, in the event of such a situation, to give a chance by using assisted reproductive technologies, but as far as i understand, this is the storage of biological material, it is quite such an expensive pleasure, at the expense of which all this will happen in the future, this cost of the regional program, in particular, is actually about comprehensive program support of the health care sector and you have foreseen the financial resources - 8 million hryvnias, which have so far been directed to this program, and it is these funds that will be directed in order to all residents of lviv oblast, as well as a forcibly displaced person who received a temporary residence permit in lviv oblast , also have the opportunity to use this opportunity, if necessary, had the opportunity to contact the perinatal center to receive this service for free. and also about what programs are in place for servicemen and their families, how

they are served. maybe you have some separate medical programs for them they are served in general hospitals. is it still in some medical towers when we talk about the actions of this serviceman, such a counterparty of patients is served in health care facilities of the ministry of defense and information about the continent, the nature of which is dependent access, again, such a patient is such a category of patients can provide - apply for medical assistance in civilian institutions if they follow certain procedures, this should be according to the direction of the unit commander or the direction of the military medical clinic of the center of the western region, as well as in the case when a serviceman is on a thirty-day leave, when we talk about support for servicemen. of course, there are a number of programs, including regional ones, and there are also city programs, and within the city of lviv there is a community program, which are directed in order to

maximally support servicemen , members of their families, as of today, we are also working out a number of action plans regarding the concept of supporting the defender, e-e. therefore , military personnel are military personnel , this is a priority; health care institution and i can say that every manager in the case of a serviceman's application to a health care institution, that member of their families is ready to provide this support and in particular, er , i will repeat myself again, local programs allow you to get various programs, including if we are talking about some chronic diseases, including if endoprosthetics are needed, you asked. what is the most requested by one of such a large number of requests, people ask if they can . is it possible to get a free additional prosthetics when it is mainly about replacing the hip joint and such programs are available therefore all information and we post on the website of the department

of health therefore if such questions arise or we encourage you to contact the department of health follow the sites are open and we are ready to consult and refer the patient accordingly in the event of another situation, mr. orest. well , tell me what the current situation is, you mentioned covid-19 several times today, what is the current situation with covid in general, is he on in lviv oblast, does he not exist when he did not disappear anywhere, again during the 22nd year we had, well, another challenge, the aggression of the russian federation, of course, all the forces, means and the entire system were oriented in order to provide medical assistance to our defenders, and the situation today during in the last week, during the last semyons, only 27 cases were recorded, and this is 50% less compared to the same period in accordance with

the logical period, therefore, as of today , we can state that covid is one of the periodic cases and when it will live with us and if we talk about the load on the industry itself, the system is when we talk about the loading of tubs. there are only 50 patients who are receiving inpatient treatment in the region, because it exists and we actually react to it as if it were already a banal disease, and we understand that exactly the percentage of vaccination, more than 50% of the adult population has already been vaccinated, so it is at this level of vaccination, which is desirable, a large number of people have fallen ill, but we urge you to get vaccinated because covid will not disappear anywhere . and actually in such an evaluation period, when will growth

, the season of diseases, we will always come back to poreste. well, i actually want to thank you for visiting our studio today. with that flow of people with those overloads on medical facilities and could provide timely medical assistance well, we will help you inform the population about what is happening in lviv oblast and about such wonderful programs as you have created for so that all military personnel and military personnel who want to have children cannot or want to save their biological material in the future can use it for free. thank you, we are ready, we are open . from the first day, all medical workers were ready

to respond, ready to provide, in fact, we understand the challenges that exist and it is the consciousness of the responsibility of every medical worker who legally works today regardless of whether er, this is anxiety. is it a calm time, but we are ready, we are open, we are ready to respond to all the challenges that will be presented to us, this is our task, the metal area and it is here that we must give the opportunity to receive treatment first of all to the families of those fighters who, as of today the studios themselves give us the opportunity to communicate so calmly and freely yes we thank our military thank you mr. orest today in our studio was the director of the department of health protection of the lviv regional military administration orest chemerys i only have to add one thing today you learned how the medical system works in lviv oblast and if you might have any complaints, you now know

who to turn to, you know who to write to, but i hope that everything will be fine and that lviv oblast will cope with the flow of people that it currently has, it was a health program i and i iryna koval take care it's hard to get up and climb the stairs old injuries and sprains constantly remind you of yourself with sharp pain you need help knee brace moves easily reliable assistant for joints order now with a discount for only uah 199, it will fix tightly, reduce stress and tension and significantly improve blood flow, the knee brace moves easily, gives incredible lightness and comfort of movement, the secret is in three-dimensional fixation of the knee joint and reliable support of the muscle skeleton . see how easy it is to use , put the knee brace on your leg and fix it tightly with straps velcro everything, the knee pad will provide you with maximum comfort and

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