[000:00:00;00] in fact, it was the publicity that helped to close this case. and in general, it was a surprise, or maybe she warned the editors of the scheme about it, judging by the tone of the conversation when we took her comment about uh, how can she comment the fact that she has russian citizenship, how can she comment on the fact that she used her russian passport, how can she comment on her stay in crimea for 255 days over the past 5 years, it was clear that she would most likely be sued for a court order or 100% will contact er with such a message and of course we also found a message about er interference in her activities , as it were, due to the fact that i had a conversation with her, where in her opinion i was bragging about er awareness of

where she was when she was, as if i was behind her i was following, as it were, i cooperate with the bodies of the special services of the russian federation and with and of course we did not expect a possible reaction from the law enforcement agencies that they would open proceedings, but it so happened that they opened and of course when we went public with this uh this well this the case was closed a little more the investigation itself and how did you manage to find out the presence of russian citizenship in the court of the slavic district court after we published an investigation about the judge of the commercial court of cassation as part of the supreme court bohdan lviv who was removed from the staff of the court after our investigation we they began to check other courts , in particular district courts, and they checked the donetsk district administrative court simply according to the list, and one of the judges is on this list. it was

ludmila, she was arrested, according to the databases which are at the disposal of journalists, she received russian citizenship in crimea in 2014, acquired a russian individual tax number and in fact after that even used a russian passport in particular to fly to moscow , these data are in many databases that are used not only by ukrainian journalists but and american journalists. they are also at the disposal of american journalists , that is, in these databases there is clear information that on may 11, 2014, she flew to moscow, on may 14, she returned to she spent three days in simferopol in the crimea and in moscow in 2014 in may. accordingly, the question arises: what did the representative of ukrainian themis do in moscow for three days , who did she meet there, what did she discuss, and this also seems to me to be a separate story and we are waiting for an answer from the

security service of ukraine about the fact that they can really confirm her russian citizenship or vice versa well, what will be a surprise, they will say that no, she does not have it. well, maybe you were summoned for questioning on this matter , regarding the presence of russian citizenship in ukrainian judges, in general, you already had such precedents, e.e., i was not called for questioning in this case. i think that the security services of ukraine should have enough tools to independently check this information to understand whether it is true or not, because if you call a journalist to the questioning is already a matter of the secrecy of his journalistic sources, so i think that the sbu as an authorized body to deal with the security of the state, especially in the conditions of a war against russia, should receive such information should check this information and after all, then the supreme council of justice, which is authorized to either suspend

or dismiss judges, it has to receive this information and make the appropriate decision, which will be passed by the members of the supreme council of justice , george began. thank you very much for joining the broadcast. in direct contact, thank you we will put an end to this , let's hold on and see you as usual on the air svoboda life i am discounts on tempalgin tablets 20% in pharmacies traveller to you and save pain can become an obstacle on the stairs not with mine knees from pain in the knees try dolegit cream dolegit cream relieves pain, reduces swelling and improves joint mobility, you can also walk

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gerb in the former ambassador to the united states in ukraine thanks for the invitation, if you have a question, you will get answers, so it's an interesting question, how should you figure it out portnikov veresen that on friday at 21:15 on espresso there will be a big broadcast of vasyl winter two hours of air time two hours of your time 2 hours to find out about the war and how the world lives 2 hours to keep abreast of economic news and new sports, two hours in the company of favorite presenters, presenters who have become familiar to many, as well as distinguished guests of the studio, the events of the day in two hours , vasyl's big broadcast in winter, a project for intelligent and

those who don't care in the evening, nayspresso, the war in ukraine, the main topic for ukrainians, victory and loss, analysis and forecasts, politics and geopolitics, all this will be talked about by serhiy rudenko and the guests of his program, people who have information and shape public opinion, people who defend ukraine and create the future right now, the main and interesting thing in the verdict program by serhiy rudenko from monday to friday at 20:00, repeat at 12:10 so more than 280 million people in the world

suffer from visual impairment, this is the data of the world health organization ophthalmologists note that this figure is increasing every year. for example, if we take our country, in 2017, according to statistics , about one and a half million cases of eye diseases were registered, among them more than 300,000 cases were in children, but you and i have added more problems in connection with this, people need the help of ophthalmologists, and these people have only increased. i congratulate all viewers of the espresso channel. this is a program about health and i am iryna koval, so i think you have already guessed that today we will talk about our vision, how to preserve it, but not just in in the context of such daily problems, and the topic of our broadcast will be more important. today we will find out whether the eyesight of ukrainians really worsened during the war and talk about who provides ophthalmological surgical rehabilitation

to soldiers of the armed forces of ukraine and also to civilians who were injured. and we will also talk about reconstructive surgical interventions and so i want to present to the guests who visited my studio today well, surely you all know my favorite ophthalmologist serhii rykov p serhii greetings, members , correspondent of the national academy of medicine of sciences of ukraine, professor, head of the department of postgraduate education of ophthalmology and optometry of the national medical academy of ukraine named after bogomolets and iryna galinska p iryno i welcome you to our studio today candidate of medical sciences assistant of the department of postgraduate education of ophthalmology and optometry of the national medical academy of ukraine named after bogomolets, practicing plastic ophthalmologist surgeon so, first of all, dear my guests what i want to ask you about today is whether

it is really true that during the war the eyesight of ukrainians deteriorated. is it still a myth that take children even like that. i often consult children, parents come and say that the eyesight of young children has deteriorated very often , they simply did not check their eyesight before the war, and sometimes we find deterioration of eyesight for the first time. had a coronavirus strain on the eyes with e.e. ipads then military situations when we are already working online you understand how big the visual load of the accommodation apparatus is because the scope is built in such a way that it must look into the past at a distance of more than 5 m and we all the time we find work from close range and the vision has really deteriorated, mainly this is a violation of accommodation, it is not catastrophic, the child will not

be blind from this, you just need to give the right recommendations and use the zympad according to certain rules, but the deterioration is felt , it is felt in the adult population, especially 40+, people started using it earlier with reading glasses earlier at the age of 45 and now at the age of 38-40 and so on. and they believe that this is, for example, a nervous and psychological situation, and neurologists and psychiatrists also they support us because when we say we show the statistics of vision deterioration, but it is important that there are no organic changes in the eye alone, you can get a reverse reaction and cure patients, this is very important, but realistically, because the president of ukraine said that he and his wife when it is difficult to see after these nervous stress and then we thank god the journalists paid attention yes, and the ophthalmologists are simply very satisfied because more patients came to us who

came for preventive examinations, this is very important for me among 15 patients on reception eh last week there were three children, just parents brought them for a preventive examination, they really have myopia, the children don’t have it yet and by the way, yes, we can give you advice ms. iryna , do you agree? i often see such pathology as glaucoma patients in connection with the war, due to the fact that they are forced to leave their homes and have lost contact with their ophthalmologist, their vision decreases, they do not regularly instill , for example, anti-glaucoma drops, they not regularly visit their doctors and thermologists, because as you know, a patient with glaucoma must have a comprehensive ophthalmological examination once every six months, and unfortunately, these patients are forced not

to follow the doctor's recommendations, and because of this, they have glaucoma a disabling disease, it leads to loss of vision. and this condition in others leads to the fact that these patients have progressive deterioration of vision, and this is also quite a difficult problem . will prescribe the necessary drugs that, for example, the necessary therapy was selected here, and this is also a very important component and cause of vision impairment, and i also want to add that there are diseases that require, for example , intraveterial administration of certain medical drugs inside the eye, and these drugs are designed so that it is necessary to follow clear the schedule of administration of these drugs and when the patient does not receive this dose of the drug at the appointed time, it even leads to irreversible changes in the visual in one and also

loss of vision, so there are many components why our unfortunately, patients really lose their vision with cataracts, for example, patients come already in advanced stages . that is, we operate using modern technology - they did not undergo an examination and do not know. they do not want to spend money on this, but there are some patients who pay such money and want to come and undergo surgery because the situation is unstable, maybe tomorrow we have to run somewhere, maybe to the basement, maybe somewhere else and here, uh, these patients are just at the very stage of cataracts, it turns from immature to mature well, it seems that it is good if it is mature, then to operate no, it is not good because the lens is then very dense and technologically bad for the surgeon. remove this lens and the patient's postoperative period is much longer because of that. i really want to appeal and say that our patients do not sit through a lot of ophthalmologists in all regions. there is a sufficient network, you

just need to contact them in a timely manner. did you see that it is cloudy in front of your eyes constantly, it is not cloudy there today, it may be from general pressure and then pass. it is necessary to go for surgical intervention, iryna said correctly about glaucoma, because the regimen of using drops is violated in 95% of patients, and glaucoma is the main cause of blindness. so, we are planning to have more blind people. well, in our country, there is a war, many soldiers and civilians will be injured of varying degrees of severity and it is very important that they receive timely, high-quality medical care . so, how are our wounded treated and who is involved in this

? we are doctors, medics, we save them, we help their families. iryna galinska knows firsthand how our defenders sacrifice their health for the sake of a free land. at the beginning of the invasion, the doctor and her colleagues helped the defenders of zhytomyr oblast after the first battles, many wounded soldiers were taken to the clinic. it cooperates and does not provide assistance to the military and the wounded as a result of russian aggression, but unfortunately, after 2022, the number of these victims and those military personnel in need of medical assistance has increased sometimes the medical facility cooperates with the local hospital, soldiers with the most serious injuries get there. and to treat the illness of the soldiers, they are sent to the clinic , although it is private, but the defenders are treated here for free, which means that we examine

for free about 80 servicemen every day receive such free examinations as laboratory diagnostics, i.e. tests of blood, computer tomography , magnetic resonance tomography, x-ray of any department, as well as consultations of specialists, have recently increased of appeals from the military with ophthalmological problems, vadim kalinchuk turned to doctors. at the beginning of the invasion, the man volunteered for service and recently began to feel that his vision had deteriorated. ophthalmologist receives many patients such as vadim every day. ophthalmologist receives up to four military personnel. soldiers

with concussions often apply for all procedures related to the head from a kober injury and plus after a concussion, the vision is falling, the left side of hearing has partially disappeared from the mirner that is why i am currently undergoing an eye examination here for the time being, this is probably in the last four months, this is already the fourth concussion, sharp vision at the front is worth its weight in gold , says soldier mykola vuzhanov to the military hearing and eyes are the basis of all the basics. is everything you see all you hear? that's all the basis. thanks to modern equipment, the clinic can make accurate diagnoses and subsequently start the necessary treatment if it's just myopia or

er, that is, myopia or some kind of astigmatism. usually it is not corrected, only laser correction helps with this . if it is some kind of post-traumatic impression, it is usually so. they treat the children of fallen servicemen , the little one undergoes a medical examination until he comes of age, so the clinic calls on military personnel who need the help of specialized specialists, contact the institution directly or through your hospital. so we come back to you, our viewers. this is a program about health. i am iryna kovalyu. today i am visiting serhii rykov, a corresponding member of the national academy of medical sciences of ukraine , professor, head of the department of ophthalmology and optometry of the postgraduate education of the national bogomolets medical university and i want to introduce one more guest who is on our air. this is iryna galinska, candidate of medical

science, assistant of the department of ophthalmology and post-graduate optometry of the bogomolets national medical university , a practicing plastic ophthalmologist, a surgeon. our military is appealing. thank you for such a question. rehabilitation has been going on for a long time, more than a year, and these patients must be dealt with comprehensively from the point of view of ophthalmology, from the point of view of both of neurology and with the help of a psychologist and even with the help of a cosmetologist. as you know, in our country there is a lot of support from our foreign european e-e pharm pharmaceutical companies that help to do joint care because it is always reconstruction of the face reconstruction of only the eyelid e-e these are combined injuries and they

need not only surgical recovery , but also the recovery of work with scars, this is the administration of special drugs so that the products do not become hard, and they contribute to hard scars because, er, they violate the anatomy and the physiology of the eyelids and, accordingly, the eyeball itself suffers, this is how kalush and laser grinding methods are, and therefore i very sincerely thank everyone who participates in the comprehensive rehabilitation of our war wounded and even the civilian population by doctors of all specialties with symbiosis, that is, there is absolutely collegiality and support, this is the work of a plastic ophthalmologist a surgeon, a cosmetologist, and it gives then the best result, of course, there is one more point, this rehabilitation is really up to a year or more . for example, we have a powerful authorship

discussed the problem of eye prosthetics so well when one of the pegs just got into the eye, they removed the eye and there is a cavity. and when it needs to be formed, as oksana vasylivna petrenko says, it takes 3-4 stages, it can take more than two years, and much more is planned the number of prostheses of individual prosthetics, that is, rehabilitation is two-thirds of the work of the ophthalmologists of the polyclinic after the war, it will be the rehabilitation of primary patients, it will be less because the population is a little smaller and the treasure will be less, but rehabilitation must be comprehensive multidisciplinary professor kopchuk and i - this is the department of maxillofacial surgery, we restore , for example, the septum of the eye, the lower part, then we do special 3d against e-e modeling and so on, that is, the recovery is almost complete, but the main thing is that these patients are difficult, if there is no eye - it is a general

contusion - it is a patient with brain problems, problems, problems that require e-e care for this patient and here they are already acting at the next stage, these are long-term rehabilitation centers where patients can be and as you said, not only there, let's say two or three days, but several months ago, ask mr. serhiy where this rehabilitation takes place in ukraine. it's some private hospitals . it's a specialty sanatorium . it's a state hospital . what kind of institution is it? of hospitals from the mbd, from the military, border guards, and so on, yes, they are state-owned , of course, because private institutions take for a certain period, for example, i know one clinic, a private clinic in kyiv. she

takes from a military hospital, so she takes one the patient was rehabilitated in a week, what is necessary and is given for long-term rehabilitation, you know, private individuals are trying to do some kind of high-tech surgical intervention, and after all, this is a state matter, not the rehabilitation of soldiers, and here the training of personnel, especially rehabilitators , takes the first place, you know, in all specialties in ophthalmology, maxillofacial dentistry, let's say ent because these are combined injuries and our national medical university and the institute of postgraduate education deal with this because we we work with post-graduate doctors, and it is important that today there is a good, powerful team of the institute, which is practically satisfied with the doctors. they write now wherever you take fights, we love them and we are afraid that they will write a nice review, you understand, and here is an incentive to work even better something to report something new. just saw something immediately to the doctors immediately to the doctors because the patients are injured, they

come where they go to their mother's house or to the woman's house because of that. so it should be regional . in fact, it is very important because the war is still has not ended and we understand that these problems will be long and the post-war period is therefore important that these doctors , ophthalmologists, rehabilitators, should be in our country, mr. sergiu well, how many are there now, at the moment , you say that there are, but how many are there? well, according to calculations yes, these are european calculations because we have statistics. now there is a bit of a problem because there is a shortage. so, about 30 percent of rehabilitators will be needed , that is, doctors, and about 50 percent of the middle level, that is, those who will do massages and carry out various procedures, etc. ms. irina, and i want to hear what you still see if it concerns both military and civilians , mainly what kind of injuries are these injuries? i

would like to thank you for raising such an important topic, because if a military person falls into the hospital and the doctors are already rehabilitating him, the patient is a civilian he does not know who to turn to and maybe this transfer will help and give the post to turn to doctors because there are such complex injuries that the patients of their civilian relatives are omitted hands, these injuries are related to the fact that they not only cause a decrease in vision, but also deform the face, and first of all, this is a psychological , significant, significant injury, because it is the absence of an aesthetic cosmetological effect. yes, it is a defect, and you rightly said serhii oleksandrovych that now cooperation in thermol of maxillofacial plastic surgeons has quite a lot of possibilities and it is very good that our ukrainian patients knew that they have hope to return to

a healthy life thanks to the fact that 3d plates are actually being produced now. they are completely are integrated into the skull, the skull is the bone base of our beautiful visual face, and already from this it is possible to build up soft tissues and the results with long-term and rehabilitation are usually more than a year, it is necessary to have patience for the patient, first of all, not for the doctors, doctors have patience and for the patient, for his family, it is to bring this result to the maximum desired. and when the patient already sees the first positive steps , then it is easier to cooperate with him, but regarding the nature of these injuries, unfortunately for most cases, these are shrapnel injuries, shrapnel injuries, this is also shrapnel injuries of the eyelids, orbits of the eyeball itself. shrapnel, they usually carry pollution in addition to themselves. yes, these are infectious complications. that is, it is a severe combined trauma

of burns. less, it is more work, after all , surgical, such links, rehabilitation. i wanted the best thing to say is after the surgical stage - this is the family. why do patients come to me like this? an almost blind warrior is almost blind , but the family has already adapted to this . do you understand? they understand what to expect. what are the stages? submissions and i tell them that there is a future, that there is a young person, there are special technologies, er, there is an experiment now, for example, this is the growth of neuroepithelial cells themselves on the eye, if a person has atrophy of the optic nerve, yes , there are already such molecules, there is no such drug yet , but it will be in 5 years you understand and they come, they do not demand anything from the doctor. they are waiting for this information in the future. at home, they also treat

psychologically. it is very important. by the way, for example, technology novices are quite it is good that even if it is impossible to restore, for example, some parts of the whore, parts of the skull, there are special silicone overlays that completely imitate how it is even with the use of makeup. so when a person applies it, it completely imitates the second half of the face. if you communicate like this from afar, you will not even understand that the person has a defect because that a person really needs social adaptation. she should not be afraid to go to the store and talk with friends, so it is important to convey information that not everything is lost, now there are a lot of opportunities the main thing is to find a specialist who will guide you along this path of rehabilitation, then please tell me how expensive it is in general, that the state covers it all, maybe some sponsors are donors , there is no question. if a military man comes