i realized that i couldn't just be in this city, and i began to ask, as a doctor, who i could help, how i would be useful, of course, the first thing that came to mind was to go donate blood, but through acquaintances i learned that there is a territorial defense, and doctors are needed there, of course, of course, and thus on the first day of the war i became... a doctor, a volunteer of the territorial defense shit vasylkova. this is how my volunteering journey began. how long did you stay there in vasylkiv? as of today, i'm staying doctor of territorial defense shit vasylkova. i visit there. first, we started and organized a medical point, where we also provided assistance to civilians, especially during and so my function was to provide assistance

at the place where the person was injured, and to bring the person to the hospital, where the person was already operated on and provided with qualified medical assistance, and of course to provide assistance to the boys and girls who were volunteers. literally a month later, a medical hospital with beds was organized and accordingly... from the first day we were on duty there, that is, we are there we lived 24/7 for a lot of days, and at this rate i was there until october 2022, and then at the same time i was still working at the medical university and commuting to work, then it became easier, there were more of us on duty. well, the hospital is still functioning

, and i know that you started going to the de-occupied territories and providing medical assistance to people in the de-occupied territories, where do you go most often? well, it started with a trip to kharkiv, i will never forget june 22, when i got to this city, which i extremely fell in love and i love it, it’s just that i was carrying medicine for the military, for my own, for example, students, combat medics who were mobilized to different units and to different medical institutions, and on the way from kharkov , my colleagues called me and asked, how can i provide help to people in kharkiv, talk after talk... not only people in

kharkiv need help, they also need help in vasylkiv, and i forgot, my first experience was chernobyl, i completely forgot, yes, it was chernobyl, it was de-occupied, that immediately kharkiv, it was de-occupied kyiv region, it was our entire kyiv region deoccupied, it was the first experience when we were together with our guys from the territorial defense, but today was deoccupation, tomorrow we... stopped by boyarka, borodyan, and borodyanka, and irpin, and all the zhytomyr highway, and then there was kharkiv, yes, to chernobyl, directly, and then there was already kharkiv, and then kharkiv region, zaporizhia region, donetsk region began, well , it went on like that, is it possible to somehow characterize all these cities, villages , where you... come with a group, so that you are there

you see most often, it all depends on when it was, whether it was, for example, the 22nd year, the 23rd year, or this, now the 24th year, the situation was a little different, well, for me , i was very influenced by the fact that i saw immediately after the deoccupation of the entire kharkiv region, because we had such a... we, together with the military , were the first to come in, that is , after the deoccupation, people had not yet seen doctors, psychologists, someone to talk to, we are now got used to all these shots, the destroyed infrastructure, destroyed hospitals, everything was very impressive medical institutions, it doesn’t matter, dispensary, hospital, children’s... daughters and schools, of course

, were destroyed, there were some cities that were destroyed, 90% of villages, well, they often talk about the fact that... almost everything was taken away , when we entered, the hospital may still have walls, but inside it was destroyed, it was burned, and it was obvious that it was all being taken away, well, plus, the first torture chambers, which no one has talked about yet, for example, i know.. . that my son, who also traveled with me, as a volunteer photographer, he took the first pictures death camps that became known in kharkiv oblast, and it was very impressive, because it

was not just the walls, everyone saw these photos, everyone understands what was inside, and back then we didn't talk about such things, women. women who have been sexually abused, women who have been pregnant as a result of this sexual abuse, children who have seen a family member die as a result of shelling or sniper fire, children who have become adults, children who do not look like themselves age and physique'. and mentally and who worried about their own grandparents, people who lived because the occupation was different, it was long, if we are talking about donetsk region, it was longer than kharkiv region, that is, people who

lived in dilapidated houses, people who lived and continue to live, for example, in the destroyed all-religious hospital, which we went to, we... didn't count eight or nine times, i was very impressed, because there is a cemetery on the territory of that hospital, this is the cemetery of medical workers who worked there, who died during one of the shellings, when i am in sivirsk, i i definitely go there in order not to forget, it is very difficult, and for sure we will never be able to forget it, most often, what is he talking about... with these people, what words do you choose, and what do they say? well, we come first of all as doctors, so we talk, yes, we talk about health, about what hurts, what bothers, how they were, how they are, since we have such

a tradition of returning to a place we have already been to, so i already have my patients, and they are already waiting for the medicine to be returned. they tell how they fulfill the assignment, or how they take the medicine, just here people take the medicine as prescribed and they wait for the doctor to come back, and i know, oksana, that after you've probably seen everything, this is all the horror you're talking about you tell me, you went to school and started studying to be a psychologist, yes, yes, yes, well... i thought about this before, but somehow i didn't find time, but i was really impressed by the children, it was in zaporizhzhia, it was children from the occupied territories, teenage children in whom i, as a pediatrician, discovered

suicidal thoughts, inclinations, it was not just one child, and that is why it had a very extraordinary effect on me, before... i gave the message to a psychologist, but i thought that i did not have enough knowledge, despite the fact that many years of my life i work with children, with their parents, so that maybe there is not enough, yes, that i need more knowledge in order to help, to provide psychological help, both to children and adults, and it is definitely worth giving some advice, advise ... to all those people who are watching us now, who live in the de-occupied territories, and me i just remember one of our private conversations with you, when we talked about the fact that both adults and children have, let's say, not

very strong, yes, you can say health, and there are advanced diseases, and they can to be abandoned not only because of the war, but because earlier man did not care. about your health, it just so happened that there was a war and maybe there were some chronic diseases, there was no way to treat it, what can you advise, who after everything that you saw, to take words in order to address people, well, i want to say in the first thing you should do remember that you are not alone, that the whole country supports you, there are quite a lot of volunteer organizations, both ukrainian and international, that come to the de-occupied territories, to the front-line territories, and provide various types of medical assistance, yes, and at the same time it's done on a regular basis, huh. there are organizations in which there are ukrainian doctors, there are, for example, the type of our

organization, where doctors from israel, the united states, america, germany, from various countries volunteer and come and return with us, and this supports us and gives us inspiration, for example, yesterday one of my friends from the united states... who came to hold regular trainings in tactical medicine for free for our students and for volunteers and for applicants, for everyone who wants to, he tells me that do not forget that you are my family, i have known this person since the 22nd year, and this is really important, because i understand that this is real, but do not forget that ukraine is my one and only big... family, and that is why you are hurting, we are hurting, you are being shot at, we

are also being shot at, we are on the same wavelength if someone comes across, maybe with some other opinion, well, you're not supposed to tell you that people are in different psychological states, and that's why there can be such a reaction to stress, was there any such story in these de-occupied territories? where exactly did you come, who impressed you, and maybe she is standing in front of your eyes, you still remember her, and this is always, it is called, if you always have to find, it does not matter how many adult children you have seen in one visit, you should always find at least one person whom you really helped and saved, i.e. either it was not delivered. the diagnosis, it may not have been made before the war, because it was either

wrongly made, the same thing can happen, and you figured it out, made the correct diagnosis, accordingly correctly directed, if necessary for examination, correctly prescribed treatment, and the child or adult recovered, it can be, well, for example, tell me who, who it was, who is interesting to hear about it all the time, it is in every song. well, for example, in the kharkiv region, it was a boy who at the age of 12 weighed about 140 kg, yes, my mother is small, thin, fragile, and i am very glad that she was able to bring him after all, because he resisted, he did not want to, we were at the same time seeing a neurologist and a psychiatrist, we looked at him comprehensively together. i looked over all the documents that my mother brought, i explained to her that in general we

are talking about a disease, a violation of the metabolic cycle, i found an extract, i say, this is what the geneticist told you, well, i say, look, she says, frankly, i did not get there , because the diagnosis was made literally before the war, i'm talking in kharkiv excellent doctors of genetics, medical... my mother still got there, he began to receive the right treatment and began, well, to lose weight, that is, the quality of his life is much better, the main thing is that he is diagnosed and with treatment, how is it possible and where is it possible to get how much strength to work at several more jobs and... in free time, which, i understand, there is no, this is how i show free time, because i understand that there is no free time

at all, and to study, i know that you also study the german language at the same time on courses, and go to the de-occupied territories, as well as where you take all the time and the first inspiration for this, because i know that this is not enough now . what he knows best, i know how to treat best. therefore, this is how i approach our victory, that is, it gives you strength when you understand that you are doing what you love, this is my specific contribution, this is my specific help, and this is my clear conscience, my heart, my soul, and this that

it gives me the right to look into the eyes of our defenders, my students who are fighting, who are returning, so this, i think, is what inspires me. doctors in order to make such trips, well, the more doctors there are, the more it will be accordingly, but not only doctors, yes, here... you also need to bring medicines, that is, not only to examine a person, you need to give medicine to a person , you need to make sure that the person understands how to take medicines, she will take them and let the medicine be calculated so that it will be available until the next visit, therefore, according to the doctors, the more doctors, the more territories will

be under supervision, the more ugh, accordingly. people can receive qualified, because doctors of various specialties are already traveling, they are specialists of very high levels, qualified medical assistance. i know that your students drive, yes, it's for them too, as such, let's say, the experience they get, and what they say, but i understand that these are very young people, they can be... there are students first, second, third years, and most often, what they say after these trips is very important, because they see, well, first of all, it educates them, a citizen, yes, a person with an active position in life,

a patriot, heroes , boys and girls who... protect with weapons, heroes are also those who provide help of various kinds, well, in my understanding, heroes are people who donate money, that is, we are all heroes, they see realities, they see , how important the doctor's profession is, how difficult it is, how many skills you need to have, well now it is called such a modern word of competences. yes, that is, how professional you need to be in order to still be able to look like this and make a diagnosis, that is, for them it is a huge professional experience, for them it is a communication experience, they communicate perfectly with people, and people need it, especially if there are grandmothers , grandfathers, they are often treated like their grandchildren or

great-grandchildren, that is, psychological help also comes here, they learn. in a team, that is, to be a physician's assistant, to be an administrator who will receive a large number of people, people do not always come with a positive attitude, many may come with a negative attitude, because something hurts, the medicine has run out, there is a long queue, they don’t want to stand, they can’t, they don’t have the strength, it all teaches sociability, flexibility, it teaches the so- called hard and rocky. that is, it teaches first of all to be a good specialist, and if you ride together, or teachers ride together, it forms a culture of respect for each other in general otaku, i know that there are such stories when you found people who needed

an operation there, so who needed help which you can't provide there in the... city, and you transported this person with your group, you helped to get settled, you can tell about such stories, enough, we have almost every departure, it is one or two cases when a person needed surgical intervention right on this day, we, since we always have an express car, we drove then, it was to different places, it was to kharkiv, it was to kuping. in kramatorsk, in medical institutions, where there were doctors who could provide one or another type of operation, very often our patients, well, for example, i arranged and they they came to ahmadyt, to the national children's specialized hospital, because they needed high-quality help there, and the operation

was difficult, and quite a few children were operated on during this time, precisely in buhmaditti, which are the main health problems faced by people in the de-occupied territories, that most often you meet, what diseases are they, if they are adults, first of all arterial hypertension, i.e. high blood pressure. in second place is neuralgia, we understand why these are all the consequences of stress, very often it goes, goes type 2 diabetes, and unfortunately, part of it, it's the first time it's been discovered, it's related to stress, plus the specifics of nutrition, because... especially in the beginning, we remember what people ate, what was, is , if we are talking about adults, what else can it be, i

have seen quite a lot of varicose veins in the lower extremities, there can be peat ulcers, and if we are talking about children, and if we are talking about children, then in children, if we are talking about acute diseases, no, well... yes, seasonally there are simple diseases, even scabies were diagnosed, there was even a case when measles was diagnosed as infectious mononucleosis, but not often, that is , in children, in most cases, it is either diabetes, first detected, yes, against the background of the same stress and nutrition, or, for example, more often it is the articular-bone system, it is or scoliosis. various, well, different disorders, postures, or such pain syndromes, that is, they have pain, pain in the hands, pain in

the muscles, pain in the joints, that is, myalgia arthralgia, well, does it mean that most people have de-occupied territories they need a psychologist, maybe a doctor, yes, who will work with them, they need psychological support. because these are people who are in such a zone of constant shelling, a constant threat to their immediate life, the life of their relatives, loss of home, loss of loved ones, this is chronic stress, and not only is the stress so equal, but every shelling, every arrival, it is very difficult is perceived, so yes, absolutely, yes, they studied on... but they learned about the need, sleep disturbances, i.e. about such things, cognitive disorders, primarily sleep disorders, this and

in children, in adults, anxiety, depression, yes, or increased crying, also in children in adults, and in children tics have returned, that is , such twitching, or for example, such sensations, such sounds, mom thinks that the nose, or cough. just yes, it turns out that it is of a nervous nature, ah, in children, i even saw and showed my students a boy with tourette syndrome, these are such generalized tics, they are motor, vocal, and whole body, moreover, i also saw and in adults, in adults, due to constant arrivals, that is, the consequences of accobarotrauma, yes, that is , contusions, if well... to be more clear, this is a headache, such a constant periodically becomes even worse, this is tinnitus, dizziness, such a feeling of pressure on the head, this, by the way,

also happens to teenagers , that is , a neurologist or a family doctor is needed here, and the support of a psychologist is definitely needed here, what can be advised to such people, such people do not... children at home, they must, they know, it is very good to raise awareness about that doctors come, it doesn't matter which one organization, they must be told, there is a doctor, there is a psychologist, there are doctors of what specialties, be sure to come, come, you will be looked at, your blood pressure will be measured, your sugar level will be checked, the most elementary things, the doctor will listen to you, examine you, no, you will provide help, plus on... if there is no psychologist in this departure, if such a problem is acute, they will definitely find a psychologist for you, you can

be with a psychologist... online, psychologists come, psychologists also conduct individual sessions, and conduct group sessions sessions, but as far as i i understand, this is mandatory, because we are talking about the fact that it is first a psychological condition, and then after that a physical one is also involved, that is, other diseases are added, combined, yes, oksana, i have another question for you , maybe it will be difficult for you, but... i still want us to hear and for you to voice, what experience did you get during the war, which you would never want to get? well, this question is difficult for everyone, i would, well, first of all, i lost two of my relatives, and this is my dad, who died on the 26th. february, because in the city

in kyiv, where we lived, there were street fights at that intersection, saboteurs broke through, and the window of the apartment looked right onto this alley, and he witnessed these events, and he got scared, he had a stroke, i took him away to vasylkov, but... unfortunately, i didn't even have time to take him to the hospital, literally a year later, in the same year, at the end of the month, at the end of the year, i lost my grandmother, why? because there was a power outage my grandmother had covid with pneumonia and she needed oxygen and i brought an oxygen concentrator she was on

oxygen concentrator. but then there were outages for four days, even longer, accordingly, that none, of course, we bought a generator, and there was a generator, but the generator could not withstand such long outages, and therefore the grandmother, she died from the fact that there was no access to oxygen, some period of time, and it turns out that the loss was which is directly connected with the consequences and with the war, well, this is the first, the second, well, for sure, i would not want to be disappointed in those people, acquaintances, ah, in whom i was disappointed, that is, the war, it opens the inside of a person. its essence, and not

everyone always has the best of it. oksana, i thank you for your openness, for finding the time to come and talk to us today. thank you for the invitation. and thank you to all the viewers who were with us today, it was an experience of war, and today our guest was oksana vygovska, an infectious disease doctor, professor and dean of the department of the bogomolets institute. there are discounts until independence day on detoxyl 15% tablets at psyllanyk bam and oskad pharmacies. national you on megogo - too many channels, well, too many channels, and also movies, cartoons, series and favorite shows. turn on mego on different devices, without any wires

and antennas, and it's all from. uah 49 per month until independence day. there are 10% discounts on dologsen stronich gel at psylshynic bam and oskad pharmacies. there are discounts until independence day on gelta cream dolgit up to 30% at psylshynic bam and oskad pharmacies. vasyl zima's big broadcast. my name is vasyl zima, this is a big broadcast on the espresso tv channel. two hours of broadcast. time two hours of your time, my colleagues and i will talk about the most important thing, two hours to to learn about the war, about the military, front-line, component, serhiy zurets, and what the world is like, yuriy fizar, is already in front of me, and it's time to talk about what was happening outside of ukraine, yuriy dobrecher, two hours to be aware of the economic news, it's time to talk about money, during the war oleksandr morchyvka was next to me, and news.