[000:00:00;00] family members and this period while the ring heals until all the operations are done if they are necessary to do it after the very primary a-a injury, then the person sits and cannot move normally and i , for my part, generally ask to do it so that it is the norm because if the person has reached the point where he is ready for the prosthesis to be made, i do it right away so that they arrive in a few hours, i take the measurement and i do it right away so that the test sleeve is installed and they leave because this is

such a moment for them. what kind of psychological help does it have for them return to life yes, i can max didn't have time to think about anything at this moment i just wanted him to say goodbye to his family there was nothing else to say goodbye i said goodbye you know, some kind of push just clicked in my head and i thought and i'm nowhere to say goodbye janitor and i have to do something and then i already did not get up, started to move and on one leg they will come and you jump so that she, well, evacuate , my friends helped me, they came with two ambulances, eh, since we were further away from them, eh, i had

a phone, he delivered, turned on the flashlight and started they waved, then they noticed me, the driver ran up to me, put a tourniquet on me, and the boys helped me quickly. when the injury already happened and your leg was amputated, who supported you more than your parents, to be relatives, or they to you? my parents thought that when i came home, i would have panic attacks. i will be all this upset very much, but i came on the contrary, i say well, why be upset, well , there is nothing wrong with it. yes, it does not grow back , but you can put me a new one, my relatives said . maybe you should talk to a psychologist. just to be joking, i say you want a psychologist to sit with a psychologist after talking with me, they started bombing and

the hospital of the hospital a-and they also started visiting the zastavl, uh, doctors and already there, well, there, too, they did a lot of operations there, i remember there were operations, but there were not very good conditions for conducting operations there. well, first of all, it was damp and dusty, and secondly, there were always a--but the arrivals, well, there were almost not enough. well, at first, there was enough, well, it was enough for some people, well, all of them had enough more precisely , medicines. well, later, over time. what ah the painkillers started and started to end, then, er, anesthesia, er, for people to do surgery, they also

started, well, ended, what motivated you ? well, what i find is that i am with my boyfriends, that at any time they will help me, if i need support, they will also provide it that is, well, we have such a thing, and the guys help each other, so i didn’t doubt anyone and i was there with each of the low ones. when i was at the azovstal . but before the evacuation, i saw an azov man. he had an amputation, and he told me, dude, brother. it's all bullshit, look, look at me, i have a tight fist. at first i didn't understand what he was showing me . he 's showing him his leg

. how is his real leg? the fact that we are not standing, here he was, with a bigus prosthesis, performed all the same tasks as the boys, your day was still parallel, at this time, the story was developing , that is, at the time when you were in the hospital and you were injured, your relatives were leaving mariupol, mom constantly well, then how? mom kept telling dad

to leave, because nothing will happen here." so what kind of person is this? well, of course his name is slavik, at first he was normal, he made friends with us, the russians helped us there, he changed his shoes, they gave him a bottle of vodka and he betrayed him to be slavik , i want to say something well, we will definitely return mariupol everyone who betrayed ukraine will flee to russia, and there, by god, nicholas of the month. well, almost from the first day of the war, literally

from the first day of the war. when it was already very it was dangerous for us to go. we weren’t at home because yours burned down. he was still there, but when we just left there, a plane flew in. we went to a house where, er, to a house where you can heat a stove, bring water, and

bathe in an apartment. in the apartment there was no way to heat and bathe on the fire ready for water kharkov on the hearth they cooked for water they went where there were deposits there they collected water there were also no shops there were no shops everyone broke up they went to acquaintances who would give what they shared at the same time, oh, there were many people with small children, a lot of ida, i was there so many children, and there were many teenagers, the more we were worried about everything, or the task after the tribute and the tribute and the grandmother, he said in the evening that he would call in the morning, but he did not call back. well, i understood that that - that happened he would have found a way out anyway he would have found a way out anyway somehow he would have called me grandma

reassured me that everything is fine probably he is busy there i say no something must have happened and then in the evening he called and told i don't remember, but he didn't remember anything. he was probably recovering from anesthesia. your father is georgian, your mother is belarusian, you are not quite an american, and you are now almost 100% occupied with the rehabilitation of ukrainians . how did it happen? first of all, the war cannot help but touch every person. that is, every adequate person must touch it, and it is simply impossible to just sit and look at it. moreover, i have been to ukraine many times and my friends are there , so we do what we can. that's how it turned out.

that we have an opportunity and we use it the doctor took on the responsibilities regarding prosthetics. and i, as a businessman, took on the organizational responsibilities and you just posted an announcement on the social network. place the information for you. people directly from ukraine started writing. we created our internal questionnaire so that everyone could come in and fill it out. come in and fill it out and we all see how this scheme works because medicine in america is generally very expensive if you don't have medical insurance it's practically unreal very expensive to get help here well, one plus is that we have one plus the doctor himself i.e he provides medical services because the work costs a lot of money. let's clarify, that is, the doctor does not actually charge for his services for his work. he does not charge at all, but the materials themselves are prostheses. all this costs the same. prosthetics itself costs 60% of the cost. that the doctor does not take money for his work, that is, it turns out that the doctor does not take

any money for his work, and we will only buy the cost of the prosthesis. that is, we only buy prostheses. if we talk about the cost of a prosthesis , it is clear that they are different, but from and to how much does it cost, well, if you take the cost per se, if you take the cost of the prosthesis, it is of course difficult to say, because it is the lower limbs above the knee or below, or the arm above the elbow or below, well, on average, we calculated that, on average, we calculated that it is somewhere around 15,000 per person just for the materials, this is without work , there is still a plane ticket, i.e. the cost of delivery here. where do you get this money? well, at the moment, as of now, we had three months of preparation, there were international negotiations , it was necessary for the military to be released for the border, and the american side also gave permission to enter because it is a kind of bureaucracy

. for three months, while the preparation was going on, people donated to us, hmm, we are just organizations , friends, small organizations, i would say. yes , as soon as we started, we opened gofarmi, we did not advertise it. on social networks, the first 3,000 donations were only from ukrainians because, well, without a doctor, they were so surprised because prosthetics are expensive . ukrainians who are in ukraine do not have so much finances. we had a night when it was day in ukraine and i received notifications of $5, 2, 3, and that was it. wow, because the ukrainians do not give up and this is very gratifying. it seems that what is two dollars or do they play a role, but no , they wanted to be a part of this, they donated , as of now, americans and

small companies are joining, donating 5,000 each this is the first girlfriend of yours to go abroad, so they are very impressed . in the fifth grade, my class and i went to the czech republic for 10 days, but he can't go anywhere on a plane. well, he only

flew abroad on a military plane from the moment when we took him from the rehabilitation centers in ukraine. with vera, well, he asked where you are, what are you doing there there, how are things with us and when we flew in, we literally already flew to america , i found a connection and wrote to him that yura is there after a certain certain period of time, we will sit down and he said that it will be fine, you will get off the plane , they will come for you last, he scored said that there would be a certain number of people, er, and maybe someone from television would be there. well, we didn't think that how many people would be there. i think that the guys and i were talking, we thought that since we were settled in ukrainian families, that they would come , the doctor would come, yura would come and everyone

will come to take us home when we leave with the airports were in shock, they started shouting thank you, they sang the national anthem of ukraine, we are tired of the flight after more than a day, didn't you sleep takoe obrabo eto i-y i would rewind and fly every time again to get such emotions

, we have such a golden period, it's 30 days, and it applies to more of the upper limb because we call it muscle memory when a person still remembers how she used her limb and she does not compensate with another limb , does not take away the functions performed by the affected limb, but we understand why it is difficult for these period, for us, this golden period does not work very well, but we try to do it as much as possible. we are all five men in front of the clinic, and yura says guys so and so. today , the doctor has a day off, and all those who

help him with prostheses also have a day off, but they saw that you came, they wanted to do as much as possible today so that you could already be in the further state of the prosthesis . and so it was planned that we would start the process in about a week. by the end of the week we will get you back on your feet, i say we will get up sooner, it didn't heal for a long time and then the doctors this uh after how many months yes yes, surely let's sew it up amen very quickly we left, well, even this , no one expected that everything would be so fast, we

got up to the clinic. we already had data made from a mold, then maksym was made after maxim, vlad was made for me, then denys was made casts, they went down twice to get coffee, got up, data was already on his feet , got up and gave it to maksym we sat down

10 minutes they gave me an unusual , very unusual if, well, i have a leg . on something at least on my legs on prostheses on my own at least on something quiet at least on something there and i said absolutely normal as in childhood i probably went the first time poshёl это

наверно это well как есть exactly as in childhood one of the problems that arises when healing passes, they walk more on one limb and shift their pelvis and they put more load on the limb that is not affected and then when they start walking with a prosthesis , their weight and body mass should be evenly distributed and also at first when they start walking, they walk more like a small child's legs are wider, we are more hooked and rolls over. yes, but over time, our movement becomes more energetically appropriate and they

bring their legs closer together, and this changes in general how the settings of the prosthesis are and this is what happens. yes, and when they trust more prosthesis, in general, it is larger, they walk more comfortably, then it all takes time at the beginning to prepare for this , to trust the prosthesis, so that they can feel the earth through the prosthesis generally below the knee by an average of 120-130%, and the energy consumption is, that is, more than in you and i. that is, they need more energy to walk than

people who do not have living limbs. well , what about the knee? all that remains is the knee. the result of the fact that the nerve had to be cut and it heals at the end of the neuroma and this neuroma as the healing of this nerve occurs and it gives it sends signals but the signals have nowhere to go and it is er our er central nervous system it reads them and perceives like phantom pains like

phantom pains good evening people words are forever so it seems to me that there is only one person you are a doctor treating but still, did you give them any advice on how to psychologically adapt to the prosthesis how to accept and love it if yes, you can say uh, in general, from the very beginning, i asked them to say this your life depends on it, you can't be angry with the prosthesis, you have to accept it, that it will be a part of your life until the end , you should have, if there is something, you have to tell me, you you have to find a solution to the problem and then the association of some problem with the prosthesis will not be you with the prosthesis itself, but you will solve the problem yourself and this helps a lot for people to be

successful in their life with a prosthesis. and now there are 414 people on the waiting list for prosthetics what are your possibilities? i know that the next group is coming in september, but how quickly can you help these people because these are also big expectations for them? you will be able to help, i say so, ask putin how much he will injure how long will this war last, we will do everything we can to the best of our ability now we are forming a more focused program so that we have more volunteers

came so that we would have a place where we could receive these people more regularly and more so that the visits would be more frequent in general. i have such a dream that we would reach the level that we would have 5-10 people come and every week it is normal during the war and after the war it is clear that there will be many people with amputations, both civilians and military, and how would you like to be treated when you are seen on the street by ordinary people, when

they see you with a prosthesis, is it nice when they thank you , for example, or when they simply do not pay attention , of course it is nice when people thank you because they understand what the state of ukraine is. there are people who can generally go and laugh like that, well, what do i not have about gays, people like that, too , there are people like that, too, i have met with such people many times , seriously, and they poked their fingers, well, this is a repeated such case. well, you have encountered because people somehow want to show you some kind of attention, thank you, well, it would be kind of embarrassing, that is, i, for example, even my wife walks in here and there, it's embarrassing, for example, when a woman walks into a store and there are stairs. i sit at the entrance and wait , and people start throwing money because i'm on a cart

i say no, thank you. i have everything. i'm waiting, that's what they thought. they thought that i was sitting for what kind of money? i immediately explained that i'm not asking for money, but i'm waiting for my wife. she went to the store, i just physically can't get there. there are people in the city who buy prostheses . but they walk all the time in pants and that's all that's needed. he walks like a normal person, like on his feet. is he ashamed or just, well, i don't even know, some people are ashamed of this. he told his parents to send me a protest. i won't hide it. there is no nothing. well, that's cool. what would you like to do next? i won't answer. it's not a secret. so you made yourself a ball-receiver with a logo . so you could choose any design , you could choose any picture, but i, uh,

chose the landers of my regiment. i have to ask because i served there. i am proud of them. they are the best military men who do not communicate . you can go on a mission and not serve. you didn’t even come up when i came to my comrades in a part. when i had a vacation, i said to them. i say - guys, i will return to you. i will continue to serve and comment. he said to me come on, we will wait for you. what are you dreaming about now? i dream of having my own girls, having my own children, and the most important thing is that this war is over . no one died. well, the war is over and no one dies because there is so much.

people die and my close friends and relatives are alive, you try not to remember it, but here i remembered once my brother died, it's your first anniversary, so tomorrow will be thinking when you got married that you have come an incredibly long way together this year, i'm already thinking now sometimes i sit and think it's just such a path we've gone through just unreal as they say and above and in joy next to me all the time i told my husband from the very beginning let whatever happens don't worry everything will be fine i won't leave you he says i didn't particularly believe in it now i'm asking do you believe

he says yes , the guest of this column is the actress maryna koshkina. she has more than 40 roles, but one of the main ones is the role of the leader of the volunteer art movement. maryna koshkina, a ukrainian theater and film actress , graduated from kyiv national university named after karpenko-kary played in the kyiv young theater since 2018, works in the ivan