to share experiences, so that, first of all, to be involved, that is, they feel a moral, moral necessity to be here, and again, when a dialogue is established, at the junction of these experiences, new ideas are born, different methods of treatment are born, because the trauma that occurs now on the battlefield, it is completely different, it seems that everyone has seen it, but now it is a new war with the use of other means of destruction, completely different terms of evacuation, other possibilities, those countries that waged war with superior forces and had the opportunity to conduct military operations in such a way as they were taught, as they are able to provide as necessary for this, they definitely had a different experience than the experience that... ukraine received. ostape,

please tell me, more precisely, not even to me, but to our listeners, our viewers, what exactly is the difference between such a combat injury, conventionally, from an injury in a road accident, what is the specificity of such a thing, because people often do not understand, well trauma and trauma, why is it treated so long in the military, is it difficult to rehabilitate, what is the specificity of that combat trauma? the specificity is that it is very complex lesion, complex. different systems, different organs, very often it is a combination of various thermal and mechanical factors, damage by various chemical, and prohibited means of damage, yes, and the combination of these factors has a very polystructural effect on the human body, and not only. physical, physiological, but also

mental, that is, at the end we have a combination of different factors and a combination of different injuries that complicate each other, due to the fact that if you take two patients with approximately the same set of fractures or injuries, but they will be completely different in terms of treatment, prognosis, recovery, social adaptation, and in general further life. today, we are talking with the traumatologist ostap zubach about the relationship and cooperation between civilian medicine and the wounded, between civilian friends of the wounded and the wounded themselves. today we are talking about understanding. while you are listening to this information, do not forget to press the bell, subscribe to our channel bez broni, do not forget to like, comment, we are ready to communicate. by the way you mentioned about social adaptation, no matter what, the doctor works not only.

directly in order to restore the integrity of bones, tendons, blood vessels and everything else, he works in general with a person, with a patient, ah, now i will ask from the other side, here we talked about the difference between a combat injury and an injury in everyday life, now i will ask about the mental state of a patient after a domestic injury and the difference between the mental state of a patient who received an injury in combat conditions, that is, a wounded serviceman. how and how is communication with the wounded different? this one communication is obviously different, but there is a phasing. eh, our hospital is big, and very often it is the fifth or sixth link in the chain of evacuation, that is, the patient who arrives at us, there is a large exposure of time, someone has already worked with him, there is treatment, those patients we receive, they are psychologically and mentally different. to whom it is completely different, this is

the first link, where there is an acute response to trauma, a person is in difficult conditions, and this is a completely different stage and completely different, other mentally ill patients, uh, we had such an experience when there was an attack on yavorivskyi landfill, and our hospital received 65 people one after the other and non-stop, and at that time we were... the first line of evacuation, so then these patients were again different than the ones that we receive now, that we treat now, regarding visits, as you note, you know, because many of my acquaintances, friends, would like to visit a wounded person in the hospital, but a civilian is what he is, let's say, he has his own certain stereotypes, maybe he is ashamed of a military person, and especially for... . military, how

the military themselves treat those moments when they are visited by civilian friends, not only brothers and sisters, well, there is a conventional family there, it goes without saying, it is wonderful, but how do they behave when they come... neighbors are visiting, there, acquaintances from the civilian world, are they angry, or on the contrary, it is pleasant for them? what i observe, uh, they respond very adequately to the manifestations of attention, in fact, it is lacking, society often does not know what to say to the military, especially people with loss of limbs or with such pronounced visual defects, sometimes ... they try somehow avoid communication, but these young people are fully conscious, they are adequate, they sometimes more adequate than many others there, who were injured somewhere, excuse me, under the influence of alcohol or in some such youth entertainment, they are quite normal, moreover,

they very often need such communication, this is an element of returning to such a more civil space. communication, tell me, about the doctors, about the hospital staff, there are no veterans of the type of reaction, and you will first go to the whore and then you will be, i had such a case, i have not had one, moreover, this happens, but this is a person again, who was kind before the injury, she becomes kinder, who was evil, sometimes she becomes more evil, who was stubborn, more stubborn, but there are also such acute reactions, i had such a case, i say, okay, look, i am a doctor, and my task is to treat, i do it, i had the experience of providing medical aid in the field, when there are many injured people and very limited resources, and you do what you were taught, again i was not good enough or unlucky or lucky,

to receive patients from yavorivsky polygon, when the doors open in the morning and begin to transport patients, one by two, by three, according to the fourth, but this is a huge work of the whole team, everyone works, everyone is a doctor... and orderlies, nurses, i say, look, i have my traumatic experience behind my shoulders, and you have yours, to some extent we are similar, only that , that life pours into everyone's cup, a little differently, and usually such a conversation, that is, the story consists of openness, sincerity, if it is a sincere conversation, such sharp reactions, they usually disappear, he begins to see in you. a person too, not only a doctor, there's a dude in some kind of white or blue thing with a mask, he sees that you are the same person, also vulnerable, you are also made of meat, you are also uncomfortable, you also do not sleep, or you too, well in a word, he perceives you closer as his own, you you work here in

tmo-1, and the number one territorial medical association of the city of lviv, this entire ecosystem is unbroken, there are mostly civilian doctors, as far as i understand. there are civilian doctors, but many of our doctors have already gained military experience, many fought and returned, in particular the neurosurgeon, roman, savka, the guys of the non-osteological brigade, some of the other doctors, you notice that they have a different attitude, there is actually an understanding with the military among those who have already gone through this military path, you know this, it is as i will tell you, you have a dog and in i'm a dog, yes or no, it's enough, well, it's not even enough for one... a look or something, well, it's a short story, to feel your own from a distance, to feel that a person is the same, ugh, there is such a thing, absolutely there is, tell me to me, all the time, even my comrades say that there is a huge critical shortage of doctors at the front, or

do you understand, as a representative of the medical world, why doctors are so reluctant to adopt this experience and support the country, i understand that there are many. those who are afraid to go directly to the combat units, to the assault units, to the marines, because this is, well, work on the battlefield, on the verge of collision, the medics probably have doctors, this is, well, perhaps the only link in the war that has a clear position, because now there is no such thing as, you know, in general, i remember when i came in the 22nd, it doesn't matter if you're a doctor, not a doctor, you're going to be evacuated to the front, now already at least the wise brigades are trying... to concentrate the work of skilled doctors on stabilization points and so on, why are the doctors still pushing back, hiding and so on, because at least i understand that in my hospital, where i worked, people are also pushing back there , they don't want to, but they do everything not to go to work at the front, what's the story here,

i think it's a lack of communication, we need to talk more, we need to, obviously a lot of things are changing, in particular... recently a decree was passed so to provide doctors, who didn't have a primary military rank, didn't obviously go through a military department to give them... a primary officer rank, yes, that is, the person has the qualifications, the person has the experience, the person is a doctor, but they used to get to work, let's say, not their way profession, i could have become a paramedic or a combat medic, even i confess, i pulled such people out of the post of a grenade launcher of doctors, to whom they said: well, you don’t have any department, well , what difference does it make that you are a doctor, you will be a grenade launcher, i took them to my medical office paramedics, or even there... structors, just so that a person is in place and does his work. now, what you say about this decree is true, it still

provides that a person must take monthly courses, he will learn, but he understands that his fate, medical fate is professional, it is more or less predicted, and i expect that this will have a very positive impact. that's right, because even the junior officers of the medical unit, i will emphasize again, in a smart brigade, to their... my points of view are listened to, because everyone gets sick in the same way, and soldiers, and colonels, and generals, that is, from a lot depends on medicine in the brigade, at least in my 46th, our commander at the time made it clear that there would be no medicine in the brigade, in principle there would be no brigade, here that is, i agree with you that really, if a person has at least a minimal officer rank and influence on making some decisions, in particular at the stages of evacuation, in particular on work at the stop point, it is clear that it will... in principle, it will be like this, i think that the doctors will feel their subjectivity, so that

they are valuable, and this should change the relationship, because this way of rotation, which happened until recently and continues to happen in some places, it is absolutely unacceptable, it is simply impossible, that is, those doctors, those people who responded first, went to work first, who... work to this day, they are not an inexhaustible resource, they - they simply cannot pull out all the work for the whole country, they need support, they need replacement, and this, i think, is the most important point, which is now the weakest, that is, the provision has appeared, the ability to operate, it is coming, many things can be changed or pull, but the human resource is very, very sensitive, i will ask, or i ask that... every person who comes from the civilian world, you would be able to take part in this whole movement, that is,

if your time, your time, your summons comes, how do you you will treat it personally in that content, i bought myself all the junk that is necessary, it is packed and ready, er, it is the duty, it is the duty of every doctor, every citizen, every military man, and finally, you know, there is another very interesting topic, but it ends conditionally... the period of treatment, the period of rehabilitation in the hospital, in where do you work, and the guys return to their already post-military environment, this especially applies to people with disabilities, some return to lviv, some conditionally return to frankivsk, some return to a distant remote village, but how is it right to work there, let's say so , district medical services, how would you advise, how it should... be from your point of view, because that person really needs support, he needs support and

not only by the forces of patronage services, how should local medical services support that person services? it's a very difficult question because what's happening right now, it's called the trauma epidemic, a huge number of people, a huge number of people who will have some mobility limitations in... care facilities and so on, so it's obvious that over time to give birth to a system, a system of accompanying and caring for such people, this is what they are trying to do in america, with their resources and all their power, so there is the waltery center, a huge military center, to which the president also has the opportunity to turn to in case of any necessity, all the military, there are a lot of centers there, they... don't take that thing out, because part of it remains

overlooked anyway, that is, it is probably such a combination, yes, between the social sphere, the medical sphere, maybe even sometimes religious the actors also have a relationship in a good sense, without any pressure. different links, sports, rehabilitation, everything, that is , this thing, it cannot be linear, it cannot be like in the soviet union, they issued an order to visit there once every six months, someone must visit twice a day, someone is asking, don't touch me, let me recover, go there for fishing in a simple way, see the guys, discuss, this is a very sensitive story, and it comes from such sincerity, that is, there must be a military very, they have sharpened reflexes, sharpened sensations, how the hairs move against each other on the skin, they feel insincerity,

that is, if there is any pressure, let's say, the state will be there, we do this, or that, or if you don't do as we do. .they told you, it won't be like that again, but it's not will work, with such a number of veterans, with such a number of injured, again, this is not even a forecast, this is already a reality, there is no such family, whoever the situation is, this war has passed, that is, now everyone, some are military, some are veterans , someone is the mother of a military man, someone is the sister of a military man, someone, you know, society has changed completely, and there should be a completely... different answer to this question. so, i have said this more than once, and i will say it, we treat not only the body, we treat the soul, we make this connection, we make a connection between civil society and the military, we hug each other, because in fact this is what is called rescuing the one who

stomps, and the main thing is to understand in time who is stomping and how to help him, at the same time, not forgetting to save oneself. ostap zubach, a traumatologist from tmo-1 of the unbroken ecosystem, was my guest today. we will meet with doctors more than once, i hope that our conversation today will clearly and clearly make many people understand how this cooperation and understanding with the wounded takes place. visit your wounded, do not forget them. my name is andrii zholop. this is a project without armor on fm halychyna. we will definitely meet next week. there are discounts until independence day on citremon darnytsia 10% at psyllium bam and ochad pharmacies . there are discounts until independence day on esthesiphin 25% at psyllium bam and

ochad pharmacies. there are discounts until independence day on magne b6 10% at psyllium bam and ochad pharmacies. every week, the saturday political club helps to understand the processes taking place in ukraine and the world. vitaly portnikov, khrystyna yatskiv, andriy smoliy and invited experts based on facts give their assessment and forecast of the development of events. do you want understand how our... today will affect our tomorrow, see saturday politics club, every saturday on espresso. the verkhovna rada regularly passes new laws, but how do these changes affect our lives? we have analyzed new resolutions to inform you about the latest changes in ukrainian legislation, how legislative

norms change our lives, what to prepare for? leading lawyers will answer these and other questions that concern ukrainians. aktum bar association. watch every tuesday at 7:55 in the legal expertise program on the espresso tv channel. the television premiere of a documentary film about the most difficult 10 years of our lives through the personal stories of extraordinary ukrainians. public activist roman ratushny, journalist and military officer tetyana chornovol, founder of the angels unit. yulia paevska, writer svitlana povalyaeva, about how we have changed, what lessons we have learned, and what we will never forget in the film 10 years of war. exclusively, on the espresso tv channel. there is a war going on, and not only for territories, it is also a war for minds. we are engaged in propaganda. russia millions

throws petrodollars to turn ukrainians into little russians. ukraine will become russia. we are watching the information attacks of the russians in the project of the chronicle of the information war with olga len tuesday thursday at 5:15 p.m. repeat tuesday friday at 10:00 p.m. congratulations! the real front program is on the air and i am taras merezovets with you. today in our program. the attack of ukrainian troops on the territory of the kursk region came as a complete surprise to the kremlin. the world's reaction to

russia's loss of equestrian territories. us senators urged the white house lift restrictions on ukraine's use of american weapons. the ratings of candidate kamala harris are increasing. and also the situation in... the middle east is getting worse. the commander-in-chief of the ukrainian armed forces, colonel-general oleksandr syrskyi informed the president of ukraine, volodymyr zelenskyi, that 74 settlements in the kursk region of russia are currently under the full control of the armed forces of ukraine. the army is working, we continue to move in kursk region. across ukraine. general syrsky wrote in his telegram channel. let me remind you that august 6 the offensive of ukrainian troops on the territory of the kursk region of the russian

federation began. and already on august 12, at the supreme commander-in-chief's position, chief oleksandr syrsky reported to the president that the armed forces of ukraine control 44 settlements and about 1,000 km of territory. of russia in response, the president of ukraine thanked all ukrainian soldiers and commanders for their steadfastness and determination in defending the country. more details about the situation at the front, further in our story. zsu controls 1,150 km in the kursk region of the russian federation. from the beginning of our operation the military advanced to the enemy's defense for... 35 km and liberated 82 settlements. a military commandant's office has already been established in the liberated territories of kurshchyna, with major general moskalyov appointed as its head.

on august 15, oleksandr syrskyi informed the president of ukraine about this during the regular meeting of the commander-in-chief of the armed forces of ukraine. the russian command is currently forced to transfer units not from the deep rear to the kurdish region, but from the temporarily occupied territories of ukraine, where hostilities are taking place, says a military officer. expert oleksandr kovalenko, so far they are transferring units in small batches, a small number of units from each bridgehead from each of the directions, the kharkiv direction, the kupinsky direction, from the pokrovsky direction, again siversky, as well as the composition of the dnipro and east troop groups, that is, a small number of battalions there, two battalions, for example, the west forces group sent two battalions for reinforcements from the kupyan direction. groups, but this is not enough, it will not be enough, and one way or another they will be forced to send even more resources,

therefore, they will have to choose which of the directions, which bridgehead they will weaken more, i think that it will still be the dnipro group of troops, since it is quantitatively one of the largest currently in the combat zone, among the entire group of russian occupation troops . and this will affect their ability in this case to control the left bank of the kherson region, as well as to conduct an operation on the pivna river, these are robotic performances and their plans to open the orichiv direction in general. russians are surrendering en masse to the armed forces, according to the information of the british publication za independent, the number of military arfolonenyh in the kursk region may reach more than 200, and these are mainly conscripts, who will be tried to be exchanged first of all, and this is very good for us, because there are still many ukrainians in polon... the territory of the russian federation, both military and and civilians, says oleksandr kovalenko. in addition, the zsu operation has other positive aspects. many moments, starting

from the buffer zone, continuing with the exchange of prisoners and ending even with the fact that it was cut, by the way, there is one of the rock railways through suja that was used all this time for improvement, well, shorter, more effective. connections for the transportation of material and technical support and personnel, now only the railway to kursk works there, and then, and then everything by road, and this is not the best option for logistics, that is, in principle, there are many such options, starting from the exchange of territories, exchange prisoners and ending even with situational moments related to logistics. despite the successes of the armed forces of ukraine in the korsk region, the situation in the east and south of ukraine remains difficult. but controlled. a defensive operation is underway. the main efforts are focused on preventing the enemy from advancing in the direction of toretsk and pokrovsk, the commander-in-chief said. oleksandr

kovalenko says that in some... directions, the russian federation was forced to reduce the intensity of hostilities, but it is too early to relax, it will become easier only when the war ends, but we can say that the russians had problems primarily in kharkiv region, in the north of kharkiv region, because from the composition of the belgorod group, they took away the largest number of units now, they are spending there regrouping because of that, they 're grouping together and i think we're going to be able to see weakened in the near future. their positions in the area of ​​the villages of hlyboke and vovchanskyi. in general, it is still too early to say that it has become easier, that some intensity has decreased. yes, there are such trends in some directions, although we must understand. turkish-pokrov direction, they will not reduce the intensity of hostilities at all. he is a priority for them. they can reduce the intensity of hostilities there in only one way

the case when ukrainian troops will stand. near moscow, in the kul region, in bryansk, bilhorodsk, and voronezh, if there are ukrainian troops there, it’s like that for them , the main thing for them is to capture pokrovsk and toretsk, on the other hand, in other directions there will be a decrease, but later, again , now they are taking small batches from each direction, but the number will increase and after some time, in a week, two weeks, it will start to affect more, well, let's say, not globally. yet, but essentially, so that we have the opportunity not only to strengthen our defense capabilities, but even to come in some direction towards the world's reaction to the military operation of the armed forces of ukraine in the kursk region of russia. thus, the spokesperson of the european commission and foreign policy affairs, peter stano, stated that ukraine has the right to self-defense, in particular, to strikes on...

russian territory. in turn, the pentagon explained that the advance of the armed forces of ukraine in the kursk region is consistent with the policy of the united states. and the official beijing reported that it is closely watching and called on all parties to de-escalate the conflict. this is how the russian-ukrainian war is called in china. more details about the statement of world leaders, further in our story. the operation of the armed forces of ukraine on the territory of the russian federation in the kursk region, which began on august 6 and is still ongoing, came as a surprise not only to the leadership of the russian federation, but also to western partners. this is the largest ukrainian offensive on the territory of the occupiers since the beginning of the war. the armed forces of ukraine continue to advance in kursk oblast every day, capturing new settlements, capturing enemies and capturing their equipment.

putin is visibly nervous during the meeting. on the situation in the kurt region, he stated that everything is now clear to him. ukraine allegedly broke into the kurtsk region of russia in order to improve its negotiating position, so now moscow has no desire to negotiate with kyiv. western partners are also monitoring the operation of the armed forces. in particular, the pentagon stated that ukraine's actions in the kursk region correspond to the us policy regarding the use of provided weapons. also, the spokesman of the us state department, matthew miller, said during the briefing. that the usa did not receive from ukraine any warnings about such attacks, but there is nothing unusual about this. it's a war they're fighting, we're giving them the tools and we're advising them, but when it comes to day-to-day tactics, when it comes to day-to-day strikes, sometimes we talk to them, sometimes we don't, and it's up to them to make their own decisions. and us president joe biden said

that the corresponding military actions put russia at risk. dictator putin is faced with a real dilemma. i 've been talking to my team regularly, maybe every 4-5 hours for the past few six to eight days, and this creates a real dilemma for putin. the head of the defense committee of the bundestag, markus fabre , said on social media that what ukraine is doing in kursk is completely legal and justified from a military point of view. this one. ukraine is proving its ability to act, it also shows the russian population that their dictator's war of aggression affects them and not only ukrainians. it is in the interests of russia and russians to end the war of aggression. it remains only to wish the ukrainian defenders good luck, including near kursk. china first reacted to hostilities on the territory of the russian federation on august 12. in the message of the ministry of foreign affairs of china, beijing asked not to...