greetings to our viewers, this is the experience of war and i, iryna koval, today invited oksana vegovska, an infectious disease doctor, professor, dean of the bogomolets medical university, to our studio. oksana, i congratulate you, but probably not everyone knows that you are not only a doctor and a professor. dean, and also a volunteer, so today i want to talk with you about this experience of yours. greetings, i want to start our conversation from february 24, 2022, so that you remember where you were, what you were doing and did you think that everything would be exactly as it was? well i think that this day is remembered by everyone, and i am no exception, on this day... i ended up by the will

of fate in the city of vasylkiv, which was one of the first to be affected, where the houses of local residents, the airport were shelled and attacked, and after arriving there to pick up my mother my husband, i realized that i can't just be in this city, and i started asking how to be a doctor, how can i... give help, how can i 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 there , of course, doctors are needed, and such thus, on the first day of the war, i became a doctor, a volunteer of the territorial defense of vasylkov's shield, and this is how my volunteering journey began, how much? did you stay there in

vasylkiv? as of today, i remain a doctor of the territorial defense of the vasylkov shield, i visit there, at first we started and organized a medical center, where we also provided assistance to civilians, especially during attacks. my function was to provide assistance at the place where the person was waiting and to bring the person to the hospital, where the person was already operated on and qualified medical care was provided, and of course to help 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 lived there 24/7 for many days. and at this rate

i was there until october 2022, and then at the same time i worked at the medical university and commuted to work, then it became easier, there were more of us on duty, well, the hospital is still functioning, well, i know about that , that you started driving specifically to the de-occupied areas and provide medical assistance to people in the de-occupied territories, most often, where exactly are you going? well, it started with a trip to kharkiv, i will never forget june 22, when i got to this city, which i fell in love with and love, i was simply carrying medicine for the military, for my students, for example. combat medics who

were mobilized to different units and to different medical institutions, and on the way from kharkiv , my colleagues called me and asked how it is possible to provide assistance to people in kharkiv, conversation after conversation, i say, not only people in kharkiv needs help, vasylkov also needs help, but i forgot, the first experience was chernobyl. i completely forgot, yes, it was chernobyl, it was de-occupied, it was immediately kharkiv, it was the de-occupied kyiv region, it was our entire kyiv region de-occupied, it was the first experience when we were together with our guys from the territorial defense, but today was de-occupation, tomorrow we will visit boyarka, borodyanka, borodyanka, irpin, and the entire zhytomyr highway.

to chernobyl directly, and then there was kharkiv, and then kharkiv began region, zaporizhzhia region, donetsk region, well... this is how it went on, is it possible to somehow characterize all the cities, villages where you come with a group, and what you see there most often, it all depends on when it was, or it was, for example, the 22nd year, the 23rd year, or is it now the 24th year, and the situation was a little different, well, for me , what i saw immediately after the deoccupation of the entire kharkiv region had a great impact on me, so that we had such an opportunity, we, together with the military , were the first to arrive, that is, people had not seen it yet after the de-occupation of doctors, they didn't see

psychologists, they didn't see anyone to talk to, and now the reports of all these personnel were very impressed by the destroyed infrastructure. destroyed hospitals, all medical institutions, it doesn’t matter, dispensary, hospital, kindergartens and schools, well, of course they were destroyed, there were some cities that were destroyed by 90% of villages, well, very often they talk about the fact that literally hospitals were looted, so everything can be said that the equipment is exported , even the beds are absolutely exported. almost everything when we went in, the hospital, maybe it still had walls, but inside it was destroyed, it was burned, and you could see 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, he, as a photographer, a volunteer, he took photographs. of the first kotivos that became known in kharkiv oblast, and it was very binding, because it was not only the walls, everyone saw these photos, everyone understands what was inside, and at that time we did not talk about such things, but women, women who have been sexually assaulted, women who have been are pregnant as a result of this sexual violence, children who, in front of whom a family member died as a result of shelling or sniper fire, children who became adults, children who did not look their

age, both physically and mentally, and who were 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 we have already counted the siverska hospital, where it fell, eight or nine times, i was very impressed, because there is a cemetery on the territory of that hospital, this is a cemetery. medical workers who worked there, who died during one of the shellings. when i visit sivirski, i definitely go there so that i don't forget. it is very difficult, and for sure, we will never be able to forget it. most often,

what do you talk about with these people, what words do you choose, and what do they say? well, we come, first of all, as doctors. were as they are, because we have this tradition of going back to the place we've already been, so i already have my patients, and they're already waiting for the doctor to come back, they're telling how they're doing their appointments or how they're taking their medicine, just there are people here. take as prescribed and they are waiting for the doctor to come back, and i know, oksana, that after you probably saw everything, this is all the horror that you are talking about, you went to school and started studying at 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, these were children from the occupied territories, teenage children, in whom i, as a doctor, a pediatrician detected suicidal thoughts at the reception. bent over, it wasn't just one child, and that's why it had a huge impact on me, i took the news to a psychologist, but i thought that i didn't have enough knowledge, despite the fact that i've been working with children and their parents for many years of my life , in order to perhaps lack, yes, that i need more knowledge in order to help provide help specifically... psychological, both to children and adults, and it is probably worth giving some

advice to all those people who are watching us now, who live in the de-occupied territories, and i remember just one our private conversation with you, when we talked about the fact that both adults and children have, let's say, not very strong health. and there are neglected diseases, and they can be neglected not only because of the war, but because previously a person did not take care of his health, it just so happened that there was a war and maybe there were some chronic diseases, there was no possibility to treat, what can you advise, what after everything that you saw, how to choose the words to address people, well , i want to say first of all that you should remember that you are not alone. that you are supported by the whole country, 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, and at the same time this is done on a regular basis, there is there are organizations that have ukrainian doctors, for example, like our organization, where a volunteer is with us... and doctors from israel, the united states of america, germany, and other countries come and return. and it supports us and gives us inspiration. for example, yesterday, one of my friends from the united states of america, who came to hold regular trainings in tactical medicine for free for our students and volunteers and graduates. for all who wish, he tells me that do not forget that you are my family, me

i have known this person since i was 22, and this is really important, because i understand that this is real, but don't forget that ukraine is my one big family, and that's why you are hurting, we are hurting, you are being shot, we are too shoot, we are on the same page. if someone comes across, maybe with some other opinion, well, you can tell you that people are in a different psychological state, and therefore there can be such a reaction to stress, was there any such story in these de-occupied territories, where exactly did you come, who bound you, and maybe she stands before your eyes, you still remember her, and that's always. eh it's called eh, if you always have to find her, it doesn't matter how many

adult children you look at in one visit, you always have to find at least one person whom you really helped and saved, that is, or it was an undiagnosed , he might not have been deployed to the war yet, because he was either deployed by mistake, the same could be the case, and you figured it out. made the correct diagnosis, accordingly correctly referred, if necessary for examination, correctly prescribed treatment, and the child or an adult has recovered, it can be, well, for example, tell me who, who it was, who is interesting to hear, but this is constant, it is on every trip, well, for example, in the kharkiv region it was a boy who at the age of 12 weighed somewhere 140 kg, boy yes. my mother is small, thin, fragile, and i am very glad that she was still

able to bring him, because he resisted, he did not want to, we were just at the same time at the appointment of 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 what the language was all about it's about... a disease, a violation of the metabolic cycle, i found an extract, i'm telling you, that's what the geneticist doctor told you, well , i'm telling you, look, she says, frankly , i didn't get there. because the diagnosis was made literally before the war, i am talking about the wonderful doctors of genetics in the medical center in kharkiv, my mother still got there, he began to receive the correct treatment and began to lose weight, that is, the quality of his life is much

better, the main thing is that he has a diagnosis and with treatment how is it possible and where is it possible to take how much strength in order to work on several jobs and also in my 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 are also studying the german language at the same time on courses, and to travel to the de-occupied territories, where do you find all the time and the first inspiration for this, because i know that... this is not enough for many ukrainians now, they give up when we read the news, when we understand that the forces are running out, i just think everyone should do what they do best, me i know how to treat the best, so this is how i

bring our victory closer, that is, it gives you strength when you understand what you are for... this is mine, this is my specific contribution, this is my specific help, and this is my clear conscience, my heart , my soul, and this is what gives me the right to look into the eyes of our defenders and defenders, my students who are fighting, who are returning, so this, i think, is what inspires. do we need more doctors who would, well, what, let's put it this way, correctly, do we need more doctors in order to make such trips? well, what will happen more doctors, because the more the more, it will be appropriate, but not only doctors, yes, here you also need to transfer medicines, that is, not

only to examine the person, you need to give the person medicine, you need to... make sure that the person understands how to take the medicine, she will take them and let the medicine be calculated so that it will be before the next visit, therefore , according to the doctors, the more doctors, the more territories will be under supervision, the more people can receive a qualified one, because doctors of various specialties are already traveling, these are specialists... these are very high levels of qualified medical care, i know that your students are driving, so it is 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 of the first, second,

third years, and most often, those who speak after these. it is very important for them, because they see, well, first of all, it educates them, a citizen, yes, a person with an active position in life, patriots, heroes, boys and girls who protect with weapons, heroes are also those who who provide assistance of various kinds, well, in my understanding, these are people who donate money, that is, we are all heroes, they see the realities, they see how important the profession of a doctor is, how difficult it is, how many skills you need to have, well, now it is called in such a modern word of competences, yes, that is, how professional do 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 well with people, and people need it, especially if there are grandparents there, they often treat them like their grandchildren or great-grandchildren, that is, psychological help is also involved here, they learn to work in a team, that is, to be a doctor's assistant, to be an administrator who will receive a large number of people, people do not always come from positive'. many can come with a negative message, 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, this is all taught by the communique. flexibility, it teaches the so -called hard and skills, that is, it teaches

first of all to be a good specialist, and if you you ride together, or the teachers ride together, it creates a culture of respect for each other in general, i know there are stories where you found... people who needed surgery there, yes, who needed help, which you didn't you can provide there on the spot, and you transported this person with your group, you helped to get settled, you can say more about such, enough, we have almost every departure, it is one or two cases when a person needed surgical intervention right on that day, we ... as we always have ambulance, we drove to different places, including kharkiv, kuping, kramatorsk,

medical institutions, where there were doctors who could provide one or another type of surgery, very often our patients, well , for example, i made an arrangement, and they came to ahmadyt, to the national children's specialized hospital, because there was a need... the care was of high quality and the operation was difficult, and not enough children were operated on during that time in ohmedyt. what are the main problems faced by people in the de-occupied areas territories with health, what diseases do you most often encounter, so is it? if it is adults, first of all, arterial hypertension, i.e. high blood pressure. in second place is neuralgia. we understand why these are all the effects of stress. very often it goes, diabetes of the second

type goes, and unfortunately, part of it is the first time it is detected, it is related to stress, plus the peculiarities of nutrition, because especially at the beginning we remember what people ate, what was, that is, if we are talking about adults. what else can be, i have enough i have seen varicocele enlargement of the lower extremities, there may be trophic 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, acute, yes, seasonally there are simple diseases, even scarlet fever was diagnosed, there was even a case when measles was called infectious nucleosis, but not often. that is, in children , in most cases, it is either diabetes mellitus, first detected, yes, against the background of the same stress and nutrition, or, for example,

more often it is the joint and bone system, it is either scoliosis, various, well different disorders, postures, or such pain syndromes, that is, they have pain, pain in... pain in the muscles, pain in the joints, that is , myalgia of hyperalgia, and does this mean that most people in the de-occupied territories need a psychologist, maybe a doctor, yes, who will be with them, the zans need psychological support, because these are people who are in such a zone of constant shelling, a constant threat. and their immediate life, the life of relatives, loss of home, loss of loved ones, this is chronic stress, and not just stress is so equal, but each

shelling, every arrival, it is very difficult to perceive, so yes, absolutely, yes, they learned, but they learned the need, sleep disorders, that is, about such things, cognitive disorders, disorders in... first of all sleep, this is also 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 a feeling, such sounds: mom thinks that the nose, or cough, cold , it turns out that it is of a nervous nature, ah, i even saw it in children and showed it to my students... a boy with tourette's syndrome, these are such generalized tics, both motor and vocal, and with the whole body, moreover, i also saw them in

adults, in adults... due to constant seizures, that is, the consequences of acobarotrauma, yes, that is, contusions, to put it more clearly, this is a headache, so constant, periodically it gets even worse, this is ringing in the ears, dizziness, such a feeling of pressure on the head, this, by the way, also happens in teenagers, that is, a neurologist is needed here, or a family doctor doctor, huh. the support of a psychologist is definitely needed here. what is possible advise such people? such people should not sit at home, they must, they know, the awareness that doctors are coming is very good, it doesn't matter what organization, they must be told, there is a doctor, there is a psychologist, 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 elements themselves. funny things, the doctor will listen to you, examine you, no, they will provide you with help, plus, even if there is no psychologist in this outing, if there is such an acute problem, you they will definitely find a psychologist, you can be online with a psychologist, they come, psychologists also hold individual sessions, and group sessions are held, but as far as i understand, this is a must... because we are talking about the fact that it is first a psychological state, and then after that , a physical one is also involved, that is, other diseases are added, combined, yes. oksana, i have one more question for you, maybe it will be difficult for you, but i still want us to hear and for you to voice what experience you got during the war, what would you never wanted to receive? ah... well, this

is a difficult question for everyone, i would, well, first of all, i lost two of my relatives, and this is my dad, who died on february 26, because in the city of kyiv, where we lived, at that intersection were street fights saboteurs broke through, and the apartment, the window looked out onto this alley, and he witnessed these events, and he got scared, he had a stroke, i took him to vasylkov, but unfortunately, i didn’t even have time to take him to the hospital, literally because year 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 cut, my grandmother had covid with pneumonia and she needed oxygen, and i brought an oxygen concentrator, she was on an oxygen concentrator, but then there were blackouts for four days, even longer, according to which none, of course we bought generator. and there was a generator, but the generator could not withstand such long-term outages, and therefore the grandmother, she died from the fact that there was no access to oxygen, for a certain period of time, and it turns out that the loss of loved ones is directly related to the consequences and to the war, well this first, second, well, for sure, i wouldn't want

to be disappointed in those people, acquaintances, in whom i was disappointed, that is, war, it reveals the inside of a person, his essence, and not everyone always has the best of it. oksana, i thank you for your openness, for finding time to come to us today. and chat, thank you, 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 veguvska, an infectious disease doctor, professor and dean of the department of the institute of bogomoratsa, there are discounts until the day. independence on

gelta cream lasts up to 3