SIRKO Paper Cut

00:00:00 [RUS-NEEDS] Я думаю, что нам четвертий нужно в нейрохирургии.

00:00:02 [RUS] I think we need a fourth one in neurosurgery. [RUS] Already the fourth. [RUS] The fourth in neurosurgery. [RUS] Well, then. [RUS] We'll go down now. [RUS] Everything's calm. [RUS] He stirred.

00:00:15 No. No. I'll put that on first. I'll put that on first.

00:00:30 Do you have a bench floor? No, you can just hold.

00:00:42 I'm going to say hello to Andre first. - He made a--

00:01:28 [RUS-NEEDS] Мы видим его на

00:01:54 [RUS] We see him on

00:02:00 Okay, okay.

00:02:00 Okay, okay. Yeah, we start waking him up. Stop sedation? Good. Good. I'm going to I remember every night I gave it that time zone. Yeah. I remember last time I was in the hospital and you guys asked me if I heard the explosions.

00:02:47 Yes, this is a set of weekend. It's not cool this time, isn't it? It's beautiful. Oh, it's cool.

00:03:00 It's nice to see me go without the rain. It's not cool. It's not cool. It's too warm. I usually have to pack a lot of very cold water clothes here. Is it colder? No, it's in the sun. No, the galaxy is still hot. 25. It's a little cooler now. Thank you.

00:03:28 [RUS] Good afternoon!

00:03:55 - Ne? - Nije se to - That's fine. - That's fine. - That's fine. - She's a good one. - Okay. - Hey, I'm done. - Okay. - Was she on duty last night? - Yes. - Oh. - All right. - Can you ask, was she busy last night? - Well, how do you work? - Um, absolutely not. - No, so busy. - Not so busy last night. - That's good. - Yeah.

00:04:53 So, dad, do you want to ask Colina anything? She's here last time? She's a neurosurgeon. Yes. Where are you from originally?

00:05:04 Are you from Nipro? Yeah. When did you decide you wanted to be a neurosurgeon? I was in the medical college.

00:05:24 Did it find you or did you start discovering that you worked well with the nervous system?

00:05:35 Look, now I stay just here.

00:05:38 [UKR] - Did the profession find you or did you see during your studies that you worked well with it and chose this profession?

00:05:50 [UKR] - Let's say, the opposite. I saw that I didn't really understand all of this, so I thought I needed to dive deeper and started studying it and I liked it.

00:06:05 [UKR] This is not the mind

00:06:35 How are the patients that we saw yesterday doing?

00:08:03 Yeah, I heard your mention, dislocation syndrome. Yeah, I heard your mention, dislocation syndrome. Yeah, that's what we call herniation in America, which is, yeah. Is the patient doing well? Is the patient doing well?

00:08:21 He's moving, he's trying to get to the tube and get to the tube. He's trying to get to the tube and get to the tube. He tries to move, he's tied up, but he tries to move on these tubes. He tries to move, he's tied up, but he tries to move on these tubes.

00:08:39 Okay, that's good. Do you see it over? Yeah. Okay. Did you say she was wrong here? Yeah. Yeah. So is Anastasia. Anastasia. Yep. I've got nothing. but how, talk about continuing to do your job

00:09:09 and staying here and doing it here through all of this. And you know, what, how is the hospital different now than it was 10 years ago in terms of the people?

00:09:22 And you know, do you ever get used to it?

00:09:40 [UKR] The work is very interesting, I like that our neurosurgical team is very powerful. [UKR] Our guys are improving and we're keeping up with the youth.

00:10:00 [UKR] Now with the military, with the war, these are certainly difficult shifts. [UKR] This specific week was more or less normal, but usually there are very many wounded. [UKR] Before, even 10 years ago, we examined ischemic strokes, now the neurologists have taken over that and handle ischemic strokes.

00:10:33 [UKR] Before we saw everyone, both comatose patients, and various pathology, and encephalitis, ischemic strokes. Well, something like that. Now the workload is less.

00:10:46 Dziękuję. before, for example, then we have to do some diseases, which now, for example, the neurologist,

00:11:32 Have you had to treat any Russian soldiers?

00:12:27 But you would take care of them if you had to. But you would take care of them if you had to.

00:12:32 If you had to, would you help them? I don't have a choice. I would help, but then...

00:12:43 This is our common fund. If you have a choice, then I would say... they are prisoners of war and then you can use them to

00:13:00 contain our man and being in common. What should the rest of the world know about what's it like here in Dnepro? Because I'll explain to you, in the US, it's almost, it's not in the news, like every day. Well, not in the sort of the major slay that comes up, but it feels like it's not as active as it was before, which is not the case.

00:13:38 But anyway.

00:13:40 [UKR] What, in your opinion, should the world know about Dnipro now? [UKR] About Dnipro. In many places, information is no longer being spread as actively about Ukraine, including in the USA.

00:13:54 [UKR] What, in your opinion, should you know now about the current situation? [UKR] [VO CANDIDATE] That it continues, that we provide assistance to our wounded. [UKR] [VO CANDIDATE] We work, we're also a front, but a medical one, and everything continues, and the shelling of Dnipro continues, and civilian wounded keep arriving.

00:14:21 [UKR] [VO CANDIDATE] But we're holding on and trying to support our wounded, our loved ones.

00:14:33 Thank you.

00:15:09 I'm so proud of

00:15:33 [UKR] What does it mean to you to be Ukrainian? [UKR] [VO CANDIDATE] I love my Ukraine, I love people, I love my profession, this is what I do, roughly speaking, this drives me.

00:15:59 [UKR] [VO CANDIDATE] I want the country to return to peaceful life, for everything to be restored.

00:16:07 [UKR] And what do you think it means now to be a Ukrainian, devoted in Ukraine? [UKR] [VO CANDIDATE] In my opinion, to be here, to support our guys and do your work that you do well.

00:16:30 [UKR] Yes, I think so. [UKR] Like a train that pulls everyone along.

00:16:55 [UKR] Such a powerful train, let's say.

00:16:58 It's like a train that pulls everyone up the king.

00:17:03 Very powerful train. What does it mean to you and to the staff that Alex comes, that Rocco comes, that other

00:17:13 people come from their homes here to volunteer? I'm going to ask Alex to go for a team.

00:17:21 [UKR] Our people who come from abroad, can come here to help you.

00:17:27 [UKR] What did this mean to you?

00:17:30 [UKR] This is also very powerful, because we feel that we're supported, [UKR] [VO CANDIDATE] that we're not alone in this fight after all, that we're open to the world,

00:17:45 [UKR] that we will do good work.

00:17:49 It's very powerful. So, of course, we believe that we have support. We are not alone now. And we are open to the world.

00:18:00 And it means that we are seeking to support them. I got one more. So, Andrei Sirko talked about something that made me feel like he has something to live up to to with his name being Sirko with Ivan Sirko. What can you have her to find who that is? And imagine thinking that you had to live up to something. And he didn't say those words. That's just what it felt like, OK?

00:18:32 [UKR] The question is a bit abstract. He's asking about Andrii Sirko. He had the impression that Andrii is supported and motivated by the Sirko legacy. [UKR] The Cossack, right? He had impressions of the general. [UKR] And do you have something like that which perhaps gives you strength,

00:19:00 [UKR] that supports you for us? [UKR] What gives me strength?

00:19:07 [RUS] Or someone?

00:19:10 [UKR] Probably our neurosurgical community, [UKR] specifically in my work. [UKR] Because our guys go to seminars abroad, and actively communicate, bring back something new. [UKR] And gradually following them, they don't let us, let's say, fall behind.

00:19:40 But in life, maybe my daughter. I was just filling time until we were ready to go. So I didn't realize we were already ready. So I'm sorry. It was very good. It was very good.

00:20:29 All right, we got to go. So then, what's the quickest way to get back up there? And how are we going to have time, Laura? I told Lord I need his honor's office. Okay. At 7:40. Awesome. So it's 7:40 over in. Exactly. Exactly. 7:42. Let's go. I like the train. It pulls us along. That was good. No, that was great. That was worth it. Yeah. You can do the AC thing in the other day. Come on up. You have? Come on up. I'm meaning Friday night, but this one. This Friday? I come twice a year but uh... Yeah, but that way I can come twice. Rocco only comes once but he stays longer so it all works. Yes, Rocco comes in January.

00:21:21 February. I'm just going to come to the United States. You can Yeah, he spends some time in New Orleans. He feels that way.

00:22:07 What is his role? He's an anesthesia resident. I think he's finishing this summer. And his mother is a... I think she's a neurologist.

00:22:24 You might be... Good one to spend a little time with. Yeah.

00:22:34 Good one. You'll be... I will have a big problem. If you will be... you will decide without my permission. Excuse us. If you would like to go to ICU, you need to say me two words.

00:22:55 Andrei, I hear you. I would like to go to ICU.

00:22:59 I've done that before, you know, my last visit. Just on my own. You go together with the filmmaker. General director said to me, Andrei, how Alex can go to ICU without me, without you, without...

00:23:18 Yeah, it's very good if you would like to think about patients, but...

00:23:24 Yeah, I'm sorry.

00:23:30 I would like to say, you're in the morning, today I will be kind man, kind man. I love you, but there are a lot of rules in our department, in our hospital.

00:23:43 I need to follow this rule.

00:23:47 I just thought that was on me. Yeah, my fault. Just at five minutes I go to your room and ask Laura, where is Alex? Alex, go. I see you.

00:24:00 I'm sorry. It's our Ukrainian reality. You need to understand this. Yes, I understand. I'm sorry. chief general director medical director administrator and general at the department I was in the 70s, 20s. Okay. Terry, how do you call it?

00:24:30 Perry, Terry Perry, right? There he is. Yes, there he is. Terry, no, no, no, no, no. I'll just tell you how to correct the name. It's very... about my location agreement. Terry? Oh Terry. I said to you, don't worry. I don't worry. I prepare in the right way because we don't have time. We are as a squirrel. together with Alex, together with filmmaker. Terry Perry, yeah? - Pinion, Terry Pinion. - Terry, uh, Pinion. - Pinion, Pinion, yeah. - The hedgehog, he...

00:25:24 - Oh, actually, there's, you know what he's farting. - A live, a live or not a live? - Let's see here.

00:25:30 - Still a live or is died? - There should be a live. - Yeah. - Yeah.

00:00:00 The other is these.

00:00:00 The other is these. They're sitting on the-- I can go get them. They're sitting-- They're actually making all of them. Sorry guys, we are rolling down here. Dad, so these are the things that Connor Berlund sent us from the University of Virginia.

00:00:21 Oh, oh wait, look at this. This is the most important thing. Yes. What is it? This is... he is from University of Virginia. This is... he is from University of Virginia. Sending warm thoughts and encouragement from UVA to Ukraine. Megan, so this is all the residents and faculty in the University of Virginia, Department of Neurosurgery.

00:00:53 I sent this to you. Cool, cool. Unfortunately, Conor Berlin couldn't have a possibility to reach Dnipro. No, but he will at some point. He's part of the team. He will prepare a long time. The Cavaliers is the name of the team. That is the university's name. Each university's team has a name. It's a sport? All sports, yeah. All sports. Football team with the Cavaliers. And these are the swords. Virginia is a very old state that goes back to the American Revolution.

00:01:25 Yeah. Yeah. That's very nice. And all these medicals. Oh yeah, here's a... Yeah, Tachosil. This is what we used yesterday in the operating room. Very useful, helpful.

00:01:41 Yesterday we used for soldiers. Yeah? It's very... We used yesterday for soldiers.

00:01:56 Soldier, it's very useful, and we plan to use maybe tomorrow. So this is a very nice little card that he said. So, dear Andrei, the University of Virginia was founded in 1819 by Thomas Jefferson, the primary author of the Declaration of Independence, secretary of state under george washington vice president under john adams john adams was president when metronica hospital was created in the third president united states his rotunda which is this building pictured on the front here still stands tall as a bullmark of liberty religious freedom and education i know that jefferson would have championed ukraine's fight for freedom your friend

00:02:40 counter berlin here's a quote from thomas jefferson i prefer dangerous freedom over quiet slavery that's the ukrainian people that's beautiful i sent you my best to corner thank you that's wonderful okay thank you Yeah, the foot plate. For a striker. A striker drill because we... A striker drill because we... Hold on one second. Let me come in here.

00:03:21 There we go. Oops. I want to look at the mic showing.

00:03:31 There we go. Yeah. For a striker here? Yes. Excellent. More tactics? It's an artificial Dura. Duragin, yes. Stuff you use everyday. Wow, look at all that. That's excellent. And then,

00:04:00 I'm going to put it in the previous way

00:04:30 No, not all vitricolos, it's vitricolos, peritoneal shunt. Yeah. These are stuff cracks and valves. Yeah, we can close this part.

00:04:42 Yeah, we saw several places yesterday here. Oh, it's for... Drainage banks. Yes.

00:05:00 Bags for CSF.

00:05:05 Bags and this for lumbar drain. Yeah. Yeah, that's a needle goes in. Yeah. For external lumbar drainage. Excellent. Oh wow, oh we can't see this too. I think it's for our spinal surgery. I think it's for our spinal surgery. There are some punches. This is excellent equipment.

00:05:46 We will be very happy.

00:06:00 We invite them.

00:06:08 Yeah, these are all part of the retractor system. Yes. Excellent. So angle here, right. Yeah, this is incredible. We have to ask Connor how he did this. Yeah. Different type of ranges. Retractor blades here, smooth blades. And here's the

00:06:45 Did you blaze the teeth on the edge? Yeah. Okay. Oh, and this.

00:07:44 Okay. Alright, time to do the morning with our... Kim?

00:00:00 [UKR] Marianna says: "Can you hug Maryana, Vadim Volodymyrovych? I give permission."

00:00:00 [UKR] Marianna says: "Can you hug Maryana, Vadim Volodymyrovych? I give permission."

00:00:06 [RUS] Yes? - Yes. [RUS] - And Maryana gives permission. - Yes, Maryana. [RUS] - Andrey will be filming about a friend. [RUS] Documentary.

00:00:19 [UKR] Vadim Vladimirovich. [UKR] - Yes, Vadim Volodymyrovych. [UKR] - So, tell the others. [UKR] - Okay, Vadim Volodymyrovych.

00:00:26 [RUS] 61 people are on the roster, 15 military. [RUS] 61 people are in the department.

00:00:35 [RUS] 61 people consist of 15 soldiers. [RUS] Temperature Pekhay, ward 10, 38.4.

00:00:47 [RUS] And Sapko also 38. [RUS] Otherwise are you doing everything normally? [RUS] He's reading. [RUS] exit, canal-canal and then the bubble attached in this place, only already intradural.

00:01:34 [RUS] So we'll need to seal it well with wax, and then also there.

00:01:41 [RUS] Next. [RUS] Petrov from ward 11.

00:02:19 [RUS] On 14 beds. [RUS] Cherkasy. [RUS] Sunday.

00:02:56 And the 20th.

00:03:25 [UKR] Tomorrow we have Vinnytsia-Lviv on evacuation, and what time?

00:03:30 [UKR] 14 years old. [UKR] 10-20 years old.

00:03:39 [RUS] Then in the other direction we evacuate our patients in 10-20 minutes.

00:03:51 [UKR] And to the clinic, to the clinic, we continue training and continue the training process.

00:04:06 [RUS] we have a run for the event tomorrow at 14:30, are you not participating? [RUS] here they'll even pick the visit, everyone takes it, I don't know, I see the visit on the trip, I see it on Instagram, [RUS] On Facebook Yulia with a dog outside the gym window, and he was squatting in the gym. [RUS] Did you see the flyer?

00:04:36 [UKR] Can I get ready?

00:04:38 [RUS] Signed up. [RUS] Signed up? [RUS] I won't come. [RUS] Why? [RUS] Why? [RUS] Why? [RUS] We're getting ready at 2 o'clock.

00:04:47 14:30.

00:04:48 [RUS] We'll be in surgery. [RUS] We'll be in surgery.

00:04:55 [UKR] Did you process their history?

00:04:59 [UKR] Processed, but sort of. [UKR] Good.

00:05:05 [RUS] So in that block two temperatures, and in that block the eleventh ward.

00:05:13 [UKR] We're not doing badly either. [UKR] And end of pathology for everyone. [UKR] And end of pathology for everyone.

00:05:23 [RUS] Pitcher of the Month.

00:00:00 [RUS] [Subtitles by DimaTorzok]

00:00:10 - They're talking about... - They're talking about... - They're talking about... - They're talking about... -...a champion

00:01:00 [RUS] Neurosurgeon, this is Gr

00:01:30 [UKR] What kind of operations? [UKR] Brain contusion, we pushed through with military materials, she recovered on her own and contusion. [UKR] And the timing after the injury? [UKR] It happened in the church area, I don't know exactly, but about 2 hours later they brought him to us.

00:01:48 [UKR] We did another check here, there was a bit of pressure, I can send it, much, but more.

00:01:57 [UKR] How many years old?

00:01:58 [RUS] I'll tell you now, 77.

00:02:01 77. 77. Yes.

00:02:05 [RUS] And the level of consciousness, what was it? [RUS] Super. [RUS] Super. [RUS] From Pavlohrad, patient born in 1977,

00:02:20 in Glasgow home-scale score maybe 9, 9, with hematoma and acusubdural gematoma, perform

00:02:32 cranioplastic preparation, and remove subdual and intracerebral gematoma. - This is a soldier Mil

00:03:13 [RUS] Vertebra, subvertebra. [RUS] Compression fraction, right? - Yes, compression fraction. [RUS] What's the price? [RUS] - I don't remember. [RUS] Isn't it written there?

00:03:26 No.

00:03:27 [RUS] - Look, okay, the most extreme one, of those that you do everything.

00:03:37 45,000, right? 45,000?

00:03:39 [RUS] - I'll tell you now.

00:03:51 And if you have a plus, more than 4,500 from 2014 to 2022, And if you have a plus, more than 4,500 from 2014 to 2022, this number will be more than 50,000. 50,000. 50,000. Severe wounded people, both civilian and soldiers,

00:04:30 admitted to the war. Because of the war. Combat military. Wartime related. Wartime related. From eastern of Ukraine. From eastern of Ukraine.

00:04:40 That's terrible.

00:04:45 [RUS] -Serviceman Sokolovsky, he has trauma from a car. [RUS] He was in a frontal collision, in a frontal collision.

00:05:05 and also he has fracture of transverses from lumbar bodies and also he has problem with his left leg in our department. Also performance CT control patient Alexiev, nothing special. Also we have patient Kavlenko, 72 years old. He had trauma five days ago and he came to us because yesterday he had some dysartia but nothing more. And when I saw him, it was not desertria, but his wife said it was.

00:05:56 And also he has big problem with heart. He had performed for him an operation, a vascular operation for her.

00:06:11 He takes the exam, and we decided to get a new support, no break now, and give him time to perform this in a super cute period, and change anti-agrogant therapy. Previously, he took what did you mention?

00:06:39 [RUS] Not Flexan. [RUS] I think there's antiplatelet therapy? Warfarin? Warfarin, maybe. [RUS] Warfarin, maybe. Warfarin, maybe. [RUS] Warfarin, maybe. We decided to switch him to Plex

00:07:11 [UKR] They also forgot. There was no progression. And the depressed fracture, it can be treated with primary plasty. [UKR] We received titanium plates, titanium screws, you can come get them from the senior nurse, who earlier used to write them off,

00:07:33 [RUS] individually [RUS] we'll order attachments for the screwdriver [RUS] because it's more specific there [RUS] cross-shaped [RUS] we have 1-2, but so that each of you would have [RUS] yellow plates, good plates [RUS] 0.6, 0.8 millimeters and screws of 5 millimeters

00:08:02 [UKR] We'll just order, I'll ask Rostyslav to get titanium, let us know how much it will cost, so that each of you has one or two screwdrivers in reserve, and the screws and plates are there. [UKR] This is after how many years, we've been writing for 3-4 years, and I've signed many of these letters here. [UKR] Serhiy Chudovych, Cherednychenko, Zorin, we are experts in this Ministry of Health matter. [UKR] You finally received yours today. [UKR] That's very good.

00:09:02 [RUS] I'm telling my colleague that you have the titanium mesh.

00:09:10 from our Ministry of Health of Ukraine. It's the first time from our period. I know because previously we paid our own money to get this mesh and screws. So you pay your own money?

00:09:30 Yes. Yes. Yes, yes. Previously we found volunteers in humanitarian organizations, but from one year to another year, a number of people who can have a possibility of helping us decrease, decrease, decrease is level zero. That's why we pay our money to buy.

00:09:57 We have tools to work. No one exactly. He had trauma one more time. Also he has temperature about 38-39. I tried to perform lumbar puncture. It was only blood on two levels.

00:10:46 He also has subacute subdural gematoma from another side.

00:10:55 It's about opposite, not opposite, counter side. Yeah, and I decided no operation for him because it's like 14 point GOSG, comma, scale. It's a main secondary. Repeat trauma, yeah? Yep, repeat trauma.

00:11:17 [RUS] Yes, yes, yes, he was a few days ago, he had signs

00:11:46 Conor Bair

00:12:16 [RUS] SBU, Connor covered the nights, drove to Warsaw, [RUS] left it in a stash, [RUS] and a week later Alex picked it up from that stash and delivered it to Ukraine.

00:12:30 [RUS] It's called a hideout. [RUS] Oh, a hideout? Like UPA, and he's UPA. [RUS] This was the first time, Connor, he was giving, [RUS] he's my Jewish horse, [RUS] he was sharing the whole history from his family. [RUS] And there was this Baba Yaga, right, Rostyslav? [RUS] Well, meaning his relatives were there, [RUS] somehow you don't know, all our Ukrainian stories will be kind. [RUS] The main thing is that he was already going, [RUS] to bring and preserve. [RUS] Report, maybe German, maybe English. [RUS] In this case, it's a woman, [RUS] with sequestered hernia L4, L5 on the right side.

00:13:09 [RUS] We plan to remove this hernia, [RUS] transligamentary, on the right side. [RUS] This is a military person with hemangioma L2.

00:13:23 [RUS] We plan to do transcutaneous vertebroplasty.

00:13:30 [RUS] What are the symptoms in this case? [RUS] It's local pain. [RUS] You see that it's more than half of the body. [RUS] - This is aggressive.

00:13:45 [UKR] - Kalankovich, your case.

00:00:00 [RUS-NEEDS] Возвращение в ухо и начало подтягивать через ухо из тахового трубок,

00:00:01 [RUS] Return to the ear and start pulling through the ear from the tube passages,

00:00:07 [UKR] into the half-open skull. So that's the situation.

00:00:10 [RUS] Next, Petovych.

00:00:12 [UKR] We present to your attention in our department,

00:00:16 [RUS] in this case, a young woman with an aneurysm,

00:00:23 [UKR] for microsurgical clipping.

00:00:28 [RUS] Show it in order. [RUS] Like, um, coils, right? [RUS] It looks like this.

00:00:35 [UKR] Will add more shifts.

00:00:37 [RUS] Nikita, right? [RUS] Looks like there already, um, the spine didn't fit.

00:00:41 [UKR] Micron.

00:00:43 Yes.

00:00:44 [RUS] Understood? [RUS] Understood. [RUS] Got it. [RUS] Understood.

00:00:49 Yes.

00:00:50 [RUS] This is a good case.

00:00:55 What approach will you use? What better, microsurgical or endoscler surgery?

00:01:04 You can go either way, but I think microsurgical is good for that, but that looks pretty wide. Looking difficult for the portal. Is there a new plan also for them? Yes. Alex, this is a micro surgical approach is better for quality of life, micro neurosurgeon. Endovascular approach is better quality of life, endovascular surgeon. Yeah. Yeah. That's a good case. Good case.

00:01:40 [RUS] Maybe trembling [RUS] In this situ [RUS] - These are two flow diverters. - What? There one will pull out. [RUS] - This is really a million. - One will pull out, how will it pull out? [RUS] - One closes the artery, and the other, then the deconstructive anterior descent.

00:02:19 [UKR] The artery and aneurysm. Maybe, also like that.

00:02:27 [RUS] We are being considered in production

00:02:55 But after he celebrated on Sunday, he needs to rest on Monday. That's why on Tuesday we can have possibility to save him with healthy wealth, a lot of money, a lot of children.

00:03:16 [RUS] Got it, no longer needed. [RUS] You wish, right? [RUS] And you, these little ones, not only in Novoizodhera,

00:03:25 [UKR] but together with family,

00:03:27 [RUS] you'll spend time in the Carpathian region [RUS] to find many of these mushrooms. [RUS] Marriott. [RUS] Marriott? [RUS] Marriott. [RUS] Marriott, this is Petrovsky. [RUS] Actually, greetings, I think today or tomorrow I'll deliver the gifts from Connor Merland.

00:03:59 Let's go!

00:04:00 Go!

00:04:10 [RUS] - Lenyn, can I, will I be able to [RUS] Uprising

00:05:09 [RUS] - I don't want to wait, wait.

00:05:41 - I'll just pretend I'm not here for a second. He'll take a moment. - Is that again? - If you need a champion, I'll take a moment.

00:00:00 Did you see the patient in the department?

00:01:01 Did you see the patient in the department? Did you see the patient? Did you see the patient? We were in the hallway and we saw Olina, the skydiver. We were in the hallway and we saw Olina, the skydiver. We started talking to her about surgery last night.

00:01:16 I guess the guy is a question. You remember you said Anatoly is the chief of ICU department

00:01:29 [RUS] Show on the patients.

00:01:57 [UKR] Answer to the decision, and I don't

00:02:43 [RUS] Together

00:02:57 [UKR] Possibilities to be preserved for storage.

00:03:07 [RUS] Good day! [RUS] Good day!

00:03:10 [UKR] People's Ukraine, very good, Ukrainian. [UKR] Thank you! [UKR] My wife? [UKR] My wife.

00:03:25 [RUS] - Peter, Pete

00:04:01 [UKR] Alex, good temperature after the procedures?

00:04:07 Yes, yes, very good. For this severe wound, yes? For this severe wound, it's, you know, For this severe wound, it's, you know, it's a third, fourth day after injury. It's a big for

00:04:26 [UKR] Inquiries on Smith [UKR] That's why we opened and revised the anterior cranial fossa from both sides and sealed it. [UKR] And then he also worked in the thorax. [UKR] Therefore, extremely severe wound, but we don't want to get ahead of ourselves yet. [UKR] Today stable condition, not worse, a little-little-little better.

00:05:15 [UKR] So we're working on it.

00:05:21 [RUS] Be well

00:05:25 [RUS] I think he will survive

00:05:30 [RUS] Thank you

00:06:01 [UKR] - Yes? - Yes? [UKR] Apparently to the department, to pick you up from resuscitation.

00:06:08 [RUS] To the fourth floor. [RUS] To the surgery ward.

00:06:12 Yes.

00:06:29 [RUS] I see. [RUS] I see. [RUS] I'm sitting here. [RUS] - I'll just say.

00:07:11 [UKR] If we transfer you from here to the department, where patients are already recovering.

00:07:16 I hear. - I hear.

00:07:20 [RUS] - We can. [RUS] To the ends. [RUS] - We can. [RUS] - We can. [RUS] - We can. [RUS] - We can.

00:07:31 [UKR] - I understood. [UKR] Good.

00:07:41 [RUS] I'm from Kyiv. [RUS] I'm from Kyiv. [RUS] Volodya. [RUS] Volodya.

00:08:01 [UKR] You don't mind being filmed on camera?

00:08:05 No.

00:08:07 [RUS] You don't mind?

00:08:09 No.

00:00:00 [RUS] And we asked our ophthalmologist so that the ophthalmologist would perform this enucleation, clean it and suture it again.

00:00:00 [RUS] And we asked our ophthalmologist so that the ophthalmologist would perform this enucleation, clean it and suture it again.

00:00:13 [UKR] Today there will be a CT control, I'll send you the CT control now.

00:00:20 Yes, we did not operative it, because there was a thrombocytopemia of 64-56.

00:00:30 On the weekday we were able to transfer the thrombocytics to 121. Then they fell from 90 to 80. We were able to transfer the thrombo-concentrate. Then we took it in operation and were able to transfer it.

00:00:49 [UKR] Cardiac contusion also emerged there, because the troponin test exceeds the norm by 10 times. [UKR] Given his chest contusions, of course there will be cardiac contusion. [UKR] So it's a severe trauma, but they did a pretty good job stabilizing him at that stage. [UKR] And we already re-operated, because the CSF was leaking. [UKR] It's a matter of time when there would have been bacterial encephalitis through the nasal CSF leak.

00:01:17 [RUS] Good. Yes. At 9:00 he comes, raises his hand, that I'm military. [RUS] And then we have a professor from America, Alex Volodko, not recording, who's in the center. [RUS] We'll lift him together.

00:01:59 Thank you. lay in the chair

00:02:32 [RUS] What's the callsign? [RUS] Velehura [RUS] Section days 50 injuries? [RUS] 16th day [RUS] 16th day [RUS] 16th day

00:02:47 Car accident Car accident

00:02:49 [RUS] Passenger, flew out through the windshield

00:02:54 [RUS] The panoramic window flew out? [RUS] Covered, they flipped 5 times and 4 [RUS] he flew out

00:03:00 [RUS] There were 4 people in the car, all the others weren't.

00:03:05 [RUS] All the others are fine.

00:03:29 [RUS] Knock-knock, did I miss it? [RUS] Yes, go ahead. [RUS] three signatures there [RUS] I'll put it now [RUS] rewriting the disc

00:04:04 * Musik * * Musik * It's easier to use. Thank you.

00:04:24 I guess they're ready now though.

00:04:36 [RUS] I'm showing you what he can't show. [RUS] - Won't even hide it.

00:05:01 [RUS] Did he tell you about the story with Olena Leonidovna?

00:05:06 [RUS] No, okay. [RUS] We went in the morning to see Ivanov, at 7 in the morning. [RUS] Were fighting in the field from Olena Leonidovna's wound. [RUS] And they filmed Olena Leonidovna for 20 minutes, and we didn't get to Ivanov. [RUS] And went to you.

00:05:23 [RUS] So with a new whole interview more.

00:06:10 [UKR] Tell him that I, like him, am sometimes attracted to the brightness of a forensic expert.

00:06:25 Judge cases? Yeah, with legal. Pre-legal cases. Yes, yeah. That's it. That's it.

00:06:38 . . Am I right? .

00:06:52 Hello?

00:06:55 [RUS] Hello, Lan Pavlov. [RUS] And I'll call the doctor now, your treating doctor will call and tell you more details. [RUS] Okay?

00:07:20 Yes.

00:07:22 [RUS] yes yes son and find out what ward Matchenko is in, who is treating Matchenko, the patient [RUS] was injured as a result of an explosion in Vasylkivka, who is treating, tell me the last name of just the treating doctor and the room [RUS] number

00:07:43 Thank you. *laughs*

00:09:05 Do you want me to place it?

00:09:24 [RUS] I signed the transfers, please.

00:09:43 I am not going to sit right now. So Logan correct me if I'm wrong. It should be somewhere over here. Like on the desk. Can I ask you to go over? I'm sorry. I see pretty far over. You see the skull. I'm going to put the camera on the camera with the, just one of the other cameras.

00:10:29 The one with the lens on it.

00:11:04 Do they have SWI sequences? No, it's a localizer. Yeah, but I mean a whole thing. We see now it's flare. That's how we get, no more sequences. You can see the left hemisphere, multiple hypotensical signals located near the nucleus

00:11:30 Yeah, it's a new internal yeah, this and this

00:11:53 Me? Oh no, I'm getting out of here. I'm just trying to...

00:12:00 Did he come to Bechelkog after injury? Yes.

00:12:18 [RUS] It's already visible that I'm not either. [RUS] Well, we need to say, who will record Grishin, need to record

00:12:49 [UKR] and the last computer, why to look, you can see here

00:12:57 fracturing the anterior wall of the frontal. Yeah, but what is that? The right...yeah. The right...yeah. This? No, no, no. No, no, no. This? This? Okay, this is just normal. Clavate. Here's the demon that had with the clavate in my lab.

00:13:20 - It's not like a diffuse axonal injury, it's more for - Contusions. - Contusions. - Yeah. - Yeah. - If you have GVI, it's maybe like a secondary. - Schemia. - Yeah, secondary ischemia. It's more, it's more for secondary ischemia than for Because the diffuse axonal injury is usually located in the

00:13:53 corpus callosum, yeah, semi-oval center.

00:13:57 And in the pines, also the brainstem.

00:14:00 Yes, and you can see subdural space right side, left side, maybe, maybe

00:14:08 Like clothes. Small or sublore clothes. - I can explain to you. - Yeah, what example are you doing? - He's sedated. We've been trying to leave him from sedation for 24 hours. We cancelled all the sedation. And the only thing that he's doing is trying to move his head.

00:15:01 That's why. He was very agitated, very aggressive in the first days.

00:15:06 [RUS] And we started titrating [RUS] Can this be brought up to my office, Viacheslavovych?

00:15:39 Yes.

00:15:41 [RUS] No-no, we loaded this on the big screen. [RUS] Yes, come over. [RUS] Do you have another headset? [RUS] Yes, I can give him mine. [RUS] Yes, because it's mine.

00:15:59 Since now we invite chief of ICU units, Nero ICU units, he asked us with Alex to see this patient yesterday. And now we will come here. Very difficult case, severe TBI injury patient with after car accident. It's severe TBI. Gotcha. So we got another person coming in. And after, when I go to the operation room, we can go together with Alex, with Alex and the chief of ICU units, write to patient.

00:16:49 [RUS] And Alex will be examining this patient with Viacheslav. [RUS] I think this is a good idea. [RUS] Now we'll check, analyze this patient. [RUS] After this...

00:17:13 [RUS] I'm pressing the button.

00:17:14 - No, no, no. - Does it work? - Yes, yes, it's working. - He can just put it in. - Okay, yeah. - Teddy, after consultation, I go to operation, and we go together with Alex in ICU.

00:17:33 - Gotcha. Okay, yes, okay, after operation, go with Alex to ICU for this one.

00:17:40 no no no it's another idea i go in operation room right uh you would go together with alex in icu unit gotcha in order to we use time more efficiently oh yes true tomorrow tomorrow we will go in

00:18:00 operation room together with alex tomorrow tomorrow yes but today we go together with slava

00:18:06 Resolution with Alex in ICU after we finish our consultation patients, right? When I see this patient should I call surgery? The bar which I'm sure J. The neurosurgeon or the

00:18:29 Sure, yeah, I'll call him okay.

00:18:36 [RUS] I think you'll say that after you examine the patient, after you see his analysis, you can invite Serhiy Hryhoruk and tell you everything about the patient. [RUS] Artem, I can't get through to Misha, he has problems with his phone. [RUS] Either you or Misha, I need you to record the CT control of the patient we operated on yesterday.

00:19:05 [RUS] Ivanov, with polytrauma.

00:19:11 [RUS] Better on a disc.

00:19:15 [RUS] Or at least video. [RUS] Better on a disc.

00:00:00 [RUS-NEEDS] В первую очередь, что он меня спросил, когда я ему все это показал, он сказал, что у него не было гипоксии, давление не падало.

00:00:05 [RUS] First of all, when I showed him all this, he asked me, he said he had no hypoxia, the pressure didn't drop.

00:00:12 [RUS] Maybe he was lying there. [RUS] On the first CT I was still showing him, and he says he had hypoxia. [RUS] Maybe you were lying there drunk out of your mind. [RUS] I would say.

00:00:28 Plus both sides of the subdenial clots. Yeah, it's true.

00:00:35 - When he was already here, the episodes of hypoxia and hypertension were not guaranteed. - In the hospital there was no... - Pre-hospital, pre-hospital, maybe.

00:00:47 Hypoxia, maybe, hypertension. And you can see hyperintensive signal

00:01:13 [RUS] Postyar [RUS] even on the MRI you can see a fracture of the anterior wall of the frontal sinus, we need to look at the posterior wall so that

00:01:31 [RUS] there are no problems with hidden CSF leak, there could be hidden CSF leak because you see how it's

00:01:40 [RUS] depressed, ENT looked twice, they puncture the sinuses, there's lysed blood there, and now [RUS] Look here, the anterior wall of the frontal sinus, how it's depressed. He may have problems with his left ear, because it looks like mastoiditis here. [RUS] Didn't they look at the left ear? [RUS] Well, they looked at everything, but if needed again, that is the ear, the left ear, because it lights up like mastoiditis.

00:02:14 Well, you know, they are very long, so it's all positional. I know, the dissertation of the Yitzv - You know it, both sides. You know it right and left side. - And you know, if also is there a mastoid too? - A mastoid? - Yeah. - Infection there. Yeah. - And the right side, there is, there are air, - And the right side, there is, there are air,

00:03:02 but left side, it's maybe totally, yeah? - Yes, it's sinusitis.

00:03:11 [RUS] Yes, that is we need to look at his frontal bone, how much

00:03:15 [RUS] the anterior and posterior walls are depressed and all the sinuses.

00:03:21 [RUS] Tomorrow morning we'll go up. [RUS] The maxillary sinus, bilateral ethmoid and sphenoid [RUS] bilaterally. [RUS] And who looked at ENT? [RUS] Do you have yesterday's pump? [RUS] We asked them twice, once they just examined. [RUS] asked to puncture, I think there's an infection. [RUS] And there's lysed blood there at the moment.

00:03:51 [UKR] So that's the situation.

00:03:53 [RUS] Okay, tomorrow we'll look at the CT. [RUS] Yes, we'll look at the CT for bones and sinuses, the latest CT.

00:04:01 [UKR] So that's the situation.

00:04:04 [RUS] Tell me, what does Alex think about [RUS] how long to ventilate him, and he comes out with pronounced psychomotor agitation

00:04:13 [RUS] we have difficulties, when Alex comes, we'll bring him to us now, now we'll consult the patients [RUS] anyway I'll come later for a small operation, Alex will come to you and together you'll look at the patient [RUS] the analysis and everything, that is he'll still be Alex, he pulls out about patients, but I said that you

00:04:30 will be a bit later in person, near the patient, together with Richislav, watch, analyze. And Richislav has two questions.

00:04:42 First of all, how need to duration for artificial ventilation?

00:04:49 Mechanical ventilation. Yes, mechanical ventilation. And after he decreased drugs for analgo sedation,

00:04:58 [RUS] from this sanction, this is this, take this, did you look at him on the computer at all

00:05:09 [RUS] well I'm not popular, they looked at this field for that is this [RUS] Svetlana Mykhailivna, because we're looking for Marchenko all over the hospital, we can't find him.

00:05:30 [RUS] What? Okay.

00:05:37 [UKR] Lyudmila Vasylivna?

00:05:44 [RUS] okay wait now

00:05:49 [RUS] Ryabchenko Marina I think ward 21 [RUS] ward, even yesterday after you wrote to me and move over, the pressure was already 140

00:06:00 [RUS] - He corrected it a bit and basically everything's fine. And in the morning?

00:06:04 [RUS] - In the morning, what are you upsetting me about, that his pressure is 155, and he couldn't urinate. [RUS] - And did you look at this small invasive blue reading, on the yellow monitor?

00:06:15 [RUS] - On the monitor. - No, it had to be blue. [RUS] - But anyway, Horyash, he's urinating a little. I think, why does he need this monitor. [RUS] - And how did you repeat? - Repeated, now Artem should bring the results.

00:06:24 [RUS] - Well then... - I'll tell you first. [RUS] - Is there urine? Is there saturation? [RUS] - Yes, and he said the sedation is starting... [RUS] - You only with Ativan.

00:06:38 [RUS] - Oh, yes, yes. [RUS] - My interns are bringing the CD disk, [RUS] and we see the CT control.

00:06:48 Yes?

00:06:49 [RUS] Until we meet again!

00:06:57 - Ots

00:07:01 [RUS] I'll bring it when I call you. [RUS] - Okay, yes. [RUS] - It's you, you can, I'm giving it to you here. [RUS] - I'll take it, I'll book the CT, tomorrow we'll see. [RUS] - And the chair.

00:07:13 [UKR] Andreyevych, we have a charity day tomorrow, there will be a run.

00:07:16 [RUS] - Maybe not there? [RUS] - No need. [RUS] - No need. [RUS] - We're going to the operating room, we're going to the operating room, [RUS] Add a patient, I'll transfer. [RUS] Add a patient, I'll transfer. [RUS] - The chair can be taken, I think. - The chair, yes, this one. [RUS] - Well, you're scared now, of course. - Ah, well, then they'll be clearing the equipment.

00:07:32 [RUS] - Yes, after the equipment. - Okay, there. [RUS] - Ah, Hryho, how are you. - Speak. [RUS] - And there's this guy, what was his name. [RUS] Guy, I think I'm forgetting. Tella is his name. [RUS] Yesterday you said he came by. [RUS] - Tella? - Yes, yes, yes. [RUS] - Is he in the ICU? - Here he is lying. [RUS] He's sitting here. Everything went well. [RUS] ambulance consultation needed, arrow there, already normal, he's sitting, pulmonary artery thromboembolism

00:08:00 [RUS] I can do it, no question, to consult, he's talking about that and so on, these are not stones, they're clots

00:08:05 [RUS] and for whom is this pulmonary artery thromboembolism, this is Sergey Oleg Alexandrovich, and where is this, on the 5th floor [RUS] I understood, yes. [RUS] I treat tumors and TBI. [RUS] Yes I know you work with the head. [RUS] Something stood out, I talked to you yesterday, and you say, [RUS] let him come tomorrow.

00:08:25 [UKR] Alright, I understood. Sergey Oleg Alexandrovich.

00:08:28 [RUS] Well, are you very?

00:08:30 [UKR] Andrey Hryhorovych, march to ward 21.

00:08:34 [RUS] Now.

00:08:48 [RUS-NEEDS] А звонит Мороз Светлана Михайловна по поводу больной Рябченко.

00:09:05 [UKR] Moroz Svetlana Mykhailivna is calling about patient Ryabchenko.

00:09:12 [RUS] Can you call her? I'll give you the phone number now if you're not here. [RUS] I'll send you on Telegram now... [RUS] I'll send you on Telegram now, okay? [RUS] Yes, thank you.

00:09:38 [UKR] Mikhail comes in, who's for consultation?

00:09:40 [RUS] - For consultation, that about father Tyuchins, that's me right?

00:09:44 [RUS] - For now these case histories can be returned.

00:09:47 Uh-huh.

00:00:00 - What kind of people?

00:00:00 - What kind of people? - I will not get out, but please come here. - With your best-known statements of Ukraine. - Please don't move. - Two words. It's Chief of Medical Service. Our Department of Defense. - Oh, wow. - Glory you to Ukraine. I'm gonna say something. I will honor anyone and my

00:01:02 [RUS] Humaniuk Konstantin Vitaliyovych, we will have a conference on Thursday, [RUS] there will be a meeting of military surgeons and anesthesiologists of Ukraine, [RUS] and Alex and I will give two presentations here. [RUS] And yesterday with Alex we operated on Ivanov, the patient. [RUS] They say he's somehow connected to your structures too. [RUS] Son, Andrey Hryhorovych, thank you very much. [RUS] Yes, glad to see you.

00:01:27 [UKR] This is information for tomorrow, are you requesting some meeting about Union 14 testament.

00:01:45 [UKR] I think so that you know in advance.

00:00:00 - It's good CT scan, Andre. - It's good CT scan, Andre. Another successful mission.

00:00:13 - We say what would you like, I will do in the best way. Okay? - And now I think we will talk with patient. - And now I think we will talk with patient. We are going to operate tomorrow. Logan, understand? And maybe a bit later, a bit later, yes, a bit later, we'll be friends, maybe relatives, patients.

00:00:35 We operate yesterday and come here and also we will talk with them.

00:00:42 Okay, great. You mean later in the week? Right. Okay. Okay. We say me, what would you like? I organize in the best way. I organize in the best way. Please. Yes. Yes.

00:00:54 [RUS] If we need to do Bohdan, then we have to wait for them a bit. [RUS] Yes, that's why we solved many problems.

00:01:02 [UKR] We'll talk with the patients, we'll talk with the relatives.

00:01:05 [RUS] And after that, we'll go with Alex to the hospital. [RUS] After that, you can go to Bohdan. [RUS] Bohdan, yes. [RUS] Good. [RUS] - What's the surname? [RUS] You don't mind being filmed? [RUS] You'll be in history on American television and Teslenko. [RUS] We already operated, and call Teslenko.

00:01:57 [RUS] Don't be afraid, they won't take you to America. [RUS] If they take you, only with me. [RUS] Yes, they don't mind. [RUS] I give permission... [RUS] I would like to show you... [RUS] Alex Valadka from Dallas... [RUS] I'm hoping... [RUS] the head of neurosurgery department in Dallas, Texas. [RUS] This is already the fourth time we come together with him and operate and treat patients.

00:02:37 [UKR] I just want to show difficult cases. [UKR] He says: "After the war I will send my residents, that is interns, so they can learn to operate from you."

00:02:52 I told you say the last time when we were in hospital, after the war, I will send my resident here to me in a study not only in their trauma cases, skull base, skull base, and their oncology cases.

00:03:13 [RUS] You can see that these patients were difficult cases, because this is the confluence, occipital. [RUS] Yes, torcular. [RUS] Torcular, and occipital, transverse sinus, and also occipital, rectosigmoid sinus. [RUS] Okay? [RUS] But, nevertheless, we do the combination. [RUS] And tell us, how did you change before and after the surgery.

00:03:43 [UKR] Tell the truth, purely the truth, coward. [UKR] Okay? - Super.

00:03:50 [UKR] Thank you. [UKR] - Thank you, the third day after surgery I feel very good. [UKR] Thank you. - Thank you. [UKR] - There are no additional problems at all, nothing. [UKR] - No. - No. [UKR] - Well, smile, because you look so worried, as if you're not going for surgery.

00:04:13 [RUS] What, did they call you? [RUS] No, no, we... [RUS] We're very careful, not rushing. [RUS] You're definitely doing the surgery, right? [RUS] I'm definitely doing it. [RUS] I came to surgery, I look, you had a bad haircut.

00:04:28 [UKR] I called Vadim Vladimirovich, I say, Vadim Vladimirovich, do the shave. [UKR] And I made him do the shave.

00:04:35 [RUS] Because I was set for surgery, I wasn't set to do shaving, I'm no barber.

00:04:40 [UKR] And he did the haircut, came after doing the case history. Mykhail Maksymovych, Artem Tretyakov and I did the approach. [UKR] And for the main stage, when we did the surgery under microscope, I called Vadim Vladimirovich again, and he assisted me. [UKR] So I did the surgery. We have it on video. We even have video recordings of operations. [UKR] There's video, if you want, I'll show you later.

00:05:08 [RUS] Okay, ask questions.

00:05:10 [UKR] We will remove the sutures on day 11 after surgery.

00:05:14 [UKR] - On day 11. - Yes, maybe you can see here. [UKR] - And on day 12. - Yes. [UKR] - And on day 12 we'll be discharged. [UKR] Where is it published? [UKR] - I showed you some DSA angiography.

00:05:30 [RUS] Vein of Labbe started the year.

00:06:02 [UKR] Come in, sit down. [UKR] Don't be afraid.

00:06:16 [RUS] Good morning.

00:06:17 [UKR] Good morning. You don't mind being filmed by our American colleagues? [UKR] Maybe in a year, in two years there will be a documentary film. [UKR] It will help Ukraine.

00:06:30 [UKR] - I myself don't really like it. People expressed a desire to show how we treat military personnel. [UKR] Yesterday we operated on a severely wounded soldier. Usually on Monday we don't have surgeries. [UKR] We operated on a severely wounded soldier.

00:06:57 [RUS] We also have a complex tumor in a woman. [RUS] And they, despite the war, continue to save civilians as well. [RUS] I got caught in the rain, got a little sick, so yesterday I didn't have, today I already feel better, and I think tomorrow even better, because for your surgery I need to be a strongman.

00:07:49 [RUS] I asked about permissions. [RUS] - Yes, she with the pati...

00:08:24 [UKR] Serhiy Hryhoruk, he asked us to look at a patient with severe trauma, so the professor could give his opinion.

00:08:43 [UKR] We say that Alex is Serhiy Hryhoruk's younger brother.

00:08:47 [RUS] Yes, yes. [RUS] Brother of Serhiy Hryhoruk, now I'll load your disk, and we'll go up together with the professor, and we'll chat with you about him.

00:09:05 [RUS] Is it hard for you to stand? [RUS] No, no.

00:09:15 [UKR] The patient was already very worried.

00:09:18 [RUS] Why?

00:09:19 [UKR] Today the stomach has already stopped there. [UKR] The worry has already started. [UKR] As soon as she said it's tomorrow.

00:09:27 [RUS] Already, it all started.

00:09:29 [UKR] Why worry? [UKR] That's what I'm saying, it's all in our heads. [UKR] Why worry? [UKR] I'm telling you, you're in reliable hands. [UKR] Everything's fine.

00:09:48 [RUS] Now let's call our general director. [RUS] Serhiy Anatoliyovych, I'll be quick, three questions. [RUS] First, we did the CT scan of Ivanov from polytrauma. [RUS] It exists, right, Serhiy Anatoliyovych? [RUS] Everything's fine there. [RUS] Yes, everything's fine, Serhiy Anatoliyovych, they allocated scans, so everything's fine with the computer.

00:10:35 [UKR] Second question. Journalists are asking when they can interview you, tomorrow or Friday. [UKR] They wanted separately, Serhiy Anatoliyovych, to talk with you personally.

00:10:59 [RUS] They wanted with the general director, maybe then Friday in the morning. [RUS] What did you say? [RUS] No, no.

00:11:09 Uh-huh.

00:11:10 [RUS] And tomorrow at what time should I bring them? [RUS] I'm here. [RUS] At 9:30 at the reception, right? [RUS] Bring them there. [RUS] And at 9:30 tomorrow where then, Serhiy Anatoliyovych? [RUS] In polytrauma ICU. Oh, good. 9:30, tomorrow we are planning a complex surgery with Alex Valadka, possibly for 5-8 hours.

00:11:55 [RUS] How it goes? We'll try to finish by 2 o'clock, but if I don't finish, you won't scold me too much. [RUS] Alright, then at 9:30 tomorrow we with Alex Valadka will call Skrypets to say, right? [RUS] Yes, and call Skrypets to tell Yuriy Yuriyovych that... [RUS] Okay, okay, okay, and they'll come, yes, okay, okay, now. [RUS] Good, good, good. Alright, tomorrow at 9:30, near polytrauma, we meet.

00:12:36 [UKR] Thank you.

00:12:39 [RUS] You solved one issue, that tomorrow we with Serhiy Anatoliyovych meet with Alex, give an interview, and then he released us for the whole day, so we calmly, don't rush anywhere, because tomorrow there will be an event, stroke day, journalists at lunch, at 2 o'clock, then at 3 o'clock.

00:12:58 [RUS] And we were relieved. And Teddy, is he here? Teddy, here?

00:13:03 [RUS] Yes, yes.

00:13:05 [UKR] Khaymin I'll stop by, I can say a word.

00:13:06 [RUS] Who can, do you remember?

00:13:11 [RUS] Teddy, I agreed with our director.

00:13:15 [RUS] Interview time 9:30. [RUS] 9:30, close to the university at the first floor.

00:13:25 we will go together with alex with you we after that we can to speak alone with general director yeah i agree that's great yes and after that i receive permission we can go with alex in the

00:13:42 with this patient in operation and operate how neat we will operate wow yes that's excellent yes

00:13:49 Yes. Okay. All right. Yes. Okay. Okay. You're getting a producer credit too, it sounds like. Seriously. I am, uh, give, uh, take, uh, uh, Logan and Laura, Brett. Yeah. Brett and butter. Right. Yes. I like producer. Yes. Yes. Okay. Okay. Yeah. That's great. Thank you. Thank you. Yeah.

00:14:22 [RUS] - Two words. I spoke with Serhiy Anatoliyovych, he says that tomorrow at 9:15-9:30 on the 1st floor Serhiy Anatoliyovych will give an interview, connected with Alex Valadka. [RUS] I'm telling Yuriy Yuriyovych to have maximum attendance.

00:14:40 9:30.

00:14:43 [UKR] Ask Serhiy Anatoliyovych.

00:14:45 [RUS] Well, because we planned that these would be journalists, [RUS] And you clarify. [RUS] And you clarify.

00:14:51 [UKR] Maybe Serhiy Anatoliyovych wants to also...

00:14:53 [RUS] Yes, clarify, clarify, with the bosses. [RUS] I just know for sure that I'll be there, Alexey, [RUS] you'll be there as cinematographer.

00:15:00 [RUS] And he said to tell Yuriy Yuriyovych. [RUS] That's what I'm telling you. [RUS] Well, clarify, with Yuriy Illich. [RUS] Good. [RUS] Well, he just says: "Make sure to tell Yuriy Illich." [RUS] I'll call now.

00:15:12 [UKR] Alright. Thank you, Yuriy Illich.

00:15:17 [RUS] What's your name?

00:15:19 [UKR] Viktoria Alexandrovna.

00:15:20 [RUS] And how old are you?

00:15:22 71.

00:15:24 [RUS] Well, that's not much. [RUS] Not much. I operated on a patient, [RUS] who was... [RUS] what should I say?

00:15:33 90.

00:15:43 [UKR] I operated on a 91-year-old patient.

00:15:48 [RUS] And Rock Armonda asked: "What's the secret in your life?"

00:15:56 He answered, "Every day, a cup of wine, a cup of wine, a cup of wine, I like whiskey, but my relatives forgot me, it is forbidden to drink whiskey." - Wine. - Yeah. - Whiskey is good. What was that? What type of tumor was this? I think it's a meningioma.

00:16:30 Yeah. meningioma, uh, Fikes. meningioma, and both side grows, both side.

00:16:49 [UKR] so that's why I'm telling [UKR] tumor is big, tumor is complex, yes, but we have no other choice

00:17:09 [RUS] - I later understood that you were in surgery. Don't worry. [RUS] We have Artem, I asked Artem, and Artem recorded the CT control of Ivanov for me, whom we operated on yesterday with Alex.

00:17:21 [UKR] I said that Artem handled everything, he did well, and then I found out that you were in the operating room. [UKR] Okay, around 12, tell Rostyslav, we'll go to the operating room, a small operation with Chernenko. Okay? [UKR] Let's add more. - Yes, let's.

00:17:40 [UKR] We have no other option, it will slowly grow, press until it finishes you off. [UKR] In a month it started to press very hard.

00:17:57 [UKR] The leg isn't responding, movement coordination, turns. [UKR] The only guarantee is that we'll do it carefully, without rushing, under the microscope. [VO CANDIDATE] [UKR] - It's in your hands. - We do surgery under the microscope, under high magnification 12-14 times.

00:18:27 [RUS] We will see what density it is.

00:18:30 [UKR] If we're lucky, it won't be like that.

00:18:33 [RUS] Sometimes it's like cartilage - that's bad. [RUS] Sometimes it's cartilage, and fused with a vessel. [RUS] I'm showing this more to the daughters. [RUS] These vessels, you see? [RUS] You see here. [RUS] You see here. [RUS] Is this the superior sagittal sinus?

00:18:53 The superior system is here. I show the anterior cerebral artery.

00:19:00 It's good. This, this, this and this. If it's nice to be able to not be connected with the puchyna, then we will try to see the screen.

00:19:20 [RUS] If we see that they are heavily fused, then perhaps we'll leave part of the capsule. [RUS] Part of the capsule is 5-10, maximum 20% of the total volume. [RUS] But this can be a chance for your brain to breathe easier, that it's not pressing on it. [RUS] And for these pieces, if it's been growing for 20 years, we can monitor these pieces. [RUS] Even if they someday decide to grow, we can irradiate them. [RUS] Now there's already stereotactic radiosurgery, gamma knife, cyber knife, linear accelerator. [RUS] You don't need to worry about this.

00:20:00 [UKR] That is, we will, your life, your neurological condition, it's the priority, it's number one.

00:20:12 [RUS] Ask questions.

00:20:13 [UKR] What won't you ask?

00:20:14 [RUS] Whatever you want, ask.

00:20:17 [UKR] When will the anesthesiologist come? [UKR] Today. Today we have three small surgeries, after three surgeries she will definitely come to you. [UKR] In the evening, right?

00:20:25 [RUS] Well, after lunch it will be around three, three-four. [RUS] After 6 in the evening don't eat. [RUS] You know this, right? [RUS] And until ten you can drink water and drink as much as possible. [RUS] Until ten. [RUS] Until ten in the evening you can drink and drink up, because after ten you can't eat or drink at all. [RUS] And tomorrow you heard, around 9:30 you'll get an injection, it's called premedication, so you don't worry. [RUS] don't stress, and at 10 you'll go to surgery. [RUS] And before that time we'll go, give an interview, [RUS] and then calmly we'll have one plan for tomorrow - the surgery. [RUS] How many hours will it take?

00:21:10 4-5-6-7.

00:21:12 [RUS] - Shave everything. - Better all. [RUS] You know what? Because it will look like a cuckoo's nest. [RUS] If you cut like this, and here on the sides a little remains, it won't look good.

00:21:23 [UKR] The woman who just left, she had the tumor in the back. [UKR] We shaved here in the back, left everything here.

00:21:30 [UKR] But for you it's the opposite, here I call it cuckoo's nest.

00:21:35 [UKR] And that which I had, and that you'll have different work. [UKR] Look, your disks, I've already loaded the main one somewhere. [UKR] I have all your disks, I usually take them home. [UKR] In the evening, after I have dinner, I have such screens at home, I sit down and millimeter by millimeter make the markings.

00:22:00 [UKR] That is, I look at where the old surgery was and where the tumor is now, here, here, here, here, perhaps we'll need to use part of those previous craniotomies, perhaps additionally make another one. [UKR] Don't worry about this. [UKR] We'll do everything and all... [UKR] - Tell me, what do you think about this? [UKR] - Well, look, how can I tell you? [UKR] Sometimes patients, take a dictaphone and record. [UKR] The worrying you're doing, you're not helping yourself.

00:22:36 [UKR] On the contrary, you'll be getting worse, your pressure will rise. [UKR] - Already. [UKR] - You'll either have constipation, or diarrhea. [UKR] Everything is ready. [UKR] All the checkpoints have been passed.

00:00:00 [UKR] A question right away. This is our American colleague, a professor from Texas, head of the neurological department.

00:00:01 [UKR] - First, a question. This is our American colleague, a professor from Texas, head of the neurosurgical department. [UKR] The consultation costs 1 million dollars. [UKR] - Unfortunately, we don't have that kind of money. [UKR] You don't mind if it's filmed? This could be an American documentary.

00:00:19 [RUS] - No objections.

00:00:20 [UKR] - In your city, village, district they probably won't show it? But if you want, I'll give you the most.

00:00:27 [RUS] We have a referral...

00:00:28 [UKR] - Yes, the referral can allow that.

00:00:30 [UKR] - First show me the MRI conclusion, [UKR] because it might turn out that you came...

00:00:36 [RUS] - Here.

00:00:38 [UKR] - It might turn out you have back problems, and I don't treat backs. [UKR] - Not the back, we've already been to Kirpa, and we came to you with hope, [UKR] because really... [UKR] If needed...

00:00:52 [RUS] The disc...

00:00:53 [UKR] If needed, there's a disc...

00:00:57 [RUS] Igor Kirpa's. [RUS] Igor, yes.

00:01:00 [RUS] And what did he say? [RUS] What did he say? [RUS] Why didn't he operate? He's my student. [RUS] He told me to get tests done.

00:01:10 [UKR] Kirpa Igor Yuriyovych.

00:01:11 [RUS] He said to get tests done, but we also want to consult with you. [RUS] That's why we came. [RUS] The discs are dead.

00:01:25 [UKR] Yes, also the white lanyard. [UKR] White lanyard, Andriy, yes.

00:01:30 [UKR] Can I take this?

00:01:31 Yes.

00:01:33 [UKR] They also said there are some polyps in the nose, that it's a centimeter from the brain or something like that.

00:01:44 [RUS] Let me read it again.

00:02:06 [UKR] [Victoria subtitle]

00:02:40 [UKR] Two symptoms.

00:02:41 First of all, he had a complaint in the headache, two times per month, but sometimes he lost vision left eye.

00:02:58 10-15 seconds. About 20 minutes. 20 minutes? 20 minutes.

00:03:03 [RUS] - Completely? - No, partially, you know, it's visible from the side... [RUS] - Decrease, decrease... - Partially, like a grid over the eyes, you know, like...

00:03:22 Quality of vision of the left eye. 20 minutes, and how often?

00:03:29 [UKR] It was about twice a month. [UKR] Also which side of the head, right?

00:03:35 [RUS] At the same time as the head.

00:03:38 [UKR] Where do you live?

00:03:40 [RUS] The 12th district.

00:03:46 [UKR] Yesterday a girl was hit and killed near hospital 15 there. [UKR] Yes, we passed by, yes. [UKR] There, yesterday evening, I was at the 16th, while I was standing at the bus stop, there,

00:03:58 [RUS] they almost ran over several people on the ground.

00:04:02 [RUS] Do you have that cleft lip? [RUS] Yes, but no cleft palate, by the way, well, so everything is fine.

00:04:10 [RUS] I'm just saying that the chief of our cinematography group also had the same surgery. [RUS] Did you meet him in the corridor?

00:04:20 Yes. No?

00:04:23 [RUS] ENT, various stages. [RUS] Bilateral. [RUS] So I want to show him.

00:04:28 Our side, yeah.

00:04:30 Daddy, can you come inside? Did you understand the Ukrainian maybe? A little bit. A bit more than Alex. A bit more. Well, I also have Anastasia. Anastasia, yeah. Anastasia, there you go. But yes, I saw that. I've got a monitor out there. Yes. Is that what you want me coming for? I would like, especially when we consultate, we are going with brain tumor. It's neurocology cases, CVN-cology cases. Now when we upload CT MRI, I ask about anamnesis, about complaints.

00:05:23 And now we wait, relatives maybe, and friends, patients, we operate yesterday.

00:05:31 Yeah. Yeah. Yeah. All right. All right. Well, yes, definitely. Yeah. So, Logan, I don't know if this is a bit of interest, but see, this is what we're waiting for, is how long it takes to load up. So, four minutes, thirty seconds. day. Maybe in my life more than 50,000 patients. That's why I realized what this...

00:05:56 Yeah, no, I mean, and we wanted to get this. You're seeing, you know, you're seeing everybody

00:06:01 and everybody waiting to see you. Thank you. Thank you. Thank you. I upload this into a goal, into aim. First of all, I perform a scientific work. I need to analyze my cases, all cases. That's why I need to save all information about patient, first of all.

00:06:41 [RUS] And once more. If this patient comes to me for surgery, I don't want to do this again.

00:07:02 [RUS] Maybe they didn't come to you the next day?

00:07:15 I deleted it from my phone.

00:07:20 He also has the portable hard drive here.

00:07:24 He keeps all his data. Because he was saying, he goes home and does a lot of research on this, so you need all

00:07:32 [RUS] We just have a lot of work and it doesn't go without sacrifices, without delays. [RUS] Rounds in the ICU, rounds in the department. [RUS] So now we'll load it up and go up as soon as possible. Don't worry. [RUS] We even operate together with the professor. [RUS] Yesterday we operated on a wounded soldier, a severely wounded soldier who has no chance of survival. [RUS] Tomorrow we're planning a very complex surgery on a tumor as well. [RUS] So this is normal work. [RUS] Don't worry. [RUS] Do you have a runny nose, any discharge? [RUS] Well yes, there is, but we stood here, I took off my jacket,

00:08:10 [UKR] and within 20 minutes without my jacket I started...

00:08:14 [RUS] Is it because of those... [RUS] Is it because of those...

00:08:18 [RUS] Polyps. [RUS] Because of polyps or not. [RUS] Everything was fine, I took off my jacket, stood 20 minutes without it, [RUS] my nose started running, I put the jacket back on, but it was already sweating.

00:08:28 [RUS] - Same thing happened to me, only I got caught in the rain during the week. [RUS] Got caught in the rain during the week, I was meeting our American colleagues, [RUS] from 7:00 to 7:00 in the evening I spent an hour, it was hot, I took off my jacket, then put it on, [RUS] I sweated a bit, and then it also rained, and that's how it started. [RUS] It's okay, I'll manage, I specifically postponed a complex surgery to tomorrow, [RUS] I know that tomorrow I'll feel better. [RUS] Igor Yuriyovych worked with us for a long time, but then decided he needed to look for a more peaceful life.

00:09:10 [RUS] There aren't as many wounded there as here.

00:09:17 [RUS] - You can't do it hourly? - No. [RUS] Sometimes it shuts down. [RUS] But we have backup power for the ICU and operating rooms, there are large generators. [RUS] And every Friday at 9 o'clock they turn them on and check how they work. [RUS] So this was probably just a branch that came to me and turned it off. [RUS] These are gifts from patients I operate on, from their relatives. [RUS] And these are whole cartridges.

00:10:03 [RUS] So one day we operate on the wounded, [RUS] another day, if no wounded come in, [RUS] thank God, we operate on civilians. [RUS] Now 45 seconds left, we'll share. [RUS] And only 10 days after returning from Los Angeles, [RUS] there was a congress of American neurosurgeons, [RUS] a neuro-oncology congress, we just did

00:10:30 [RUS] additional ones, and now we met, yes,

00:10:35 [RUS] AITOLI, congress, CNS and LA.

00:10:39 Yeah. Do I understand that you're the star?

00:10:59 [UKR] Yes, that's a wrap.

00:11:16 [RUS] 21 discs, right? [RUS] Okay [RUS] Opening up.

00:11:37 [RUS] 15 pieces.

00:11:47 [RUS] Do you have an MRI? [RUS] MRI, I had a CT done, I can't do an MRI because I have claustrophobia. [RUS] I even went there and... [RUS] ...the attack was... [RUS] from fear.

00:12:07 [UKR] A panic attack.

00:12:10 [RUS] And uncontrollable. [RUS] I think even once at the military registration office they diagnosed it, [RUS] but I've lost track of that now, I don't know.

00:12:23 [UKR] I don't ride elevators, I don't take trains.

00:12:26 - I can compare with a patient I consulted yesterday. It's small, yeah? - Remember? - Remember? - So he only has. - David, you have a human, this is one of the year, and Levan, Nazir. - Can you stand over there, Logan?

00:13:00 [RUS] I would like to say that for me...

00:13:03 [UKR] Wait, one moment, Alexey.

00:13:07 [RUS] Tell me! [RUS] In school I was also diagnosed with vascular dystonia. [RUS] And like I'm telling you, [RUS] since school, twice a month, a grid over my eye and everything's fine. [RUS] And I sought help because I needed it for the military medical commission

00:13:23 [RUS] and that revealed everything... [RUS] And how's your sense of smell? [RUS] Smell? [RUS] Well, you know, obviously...

00:13:32 [RUS] Oh, I have a deviated [RUS] and all the time [RUS] and all the time [RUS] one side is blocked. [RUS] Well, in school, those [RUS] school examinations, deviated septum, [RUS] I didn't have it fixed, [RUS] but one side is always [RUS] blocked. Well, smell, [RUS] everything's fine with the sense of smell.

00:13:53 [RUS] Because it grows exactly where the olfactory tracts pass through. [RUS] Yesterday the professor and I consulted, we already scheduled the patient for surgery, he has a tumor. [RUS] If yours is 2 by 1, maybe yours is half a centimeter, then he has the same tumor, but it's pressing on the optic nerves.

00:14:22 [RUS] It's pressing on the optic nerves. Your optic nerves are not involved at all.

00:14:27 [RUS] So vision will be fine?

00:14:30 [RUS] It doesn't affect vision. It doesn't affect vision because there's still 1.5 cm to the optic nerve.

00:14:37 [RUS] But until it does affect it, right? [RUS] Until it does. [RUS] Let me look again. [RUS] If you hadn't been examined for headaches, you wouldn't even know you had this. [RUS] And would it get worse, or not?

00:14:57 [RUS] I'll be honest, if I had such a tumor, I would first observe it for a while, not rush into surgery.

00:15:05 [RUS] We came to you specifically for that reason, to get a second opinion from a good doctor.

00:15:14 [RUS] I would find an open-type MRI. [RUS] Well, there's one in Zaporizhzhia, they say.

00:15:21 [RUS] There's no urgency, it's been growing in you for 3-5 years already, at least, maybe more. [RUS] Go to Zaporizhzhia, get an MRI, then come to me with the MRI, and we'll review it together. [RUS] And based on the tumor characteristics on MRI, we can predict how fast it will grow.

00:15:42 [RUS] Either we need to remove it now, or maybe do a follow-up MRI in six months, a year. [RUS] - So, your recommendation... - My recommendation is to get an MRI.

00:15:56 [UKR] - And CT isn't enough, right? - Here's where it's located.

00:16:02 [RUS] Here, here, and here. [RUS] And here are the optic nerves. It doesn't reach the optic nerves. Your optic nerves are intact. [RUS] And if surgery is needed, we operate. [RUS] The old school, they go from the front, from the front they open the frontal sinuses, through the frontal sinuses,

00:16:30 [RUS] they do a large craniotomy. We've now learned to go from the side, here's a small craniotomy, [RUS] and we don't open these sinuses, and we go from the side here, and this allows in most cases

00:16:51 [RUS] to preserve the patient's sense of smell, because right in these places, here on the right and left, are the olfactory bulbs,

00:17:01 [RUS] so after the surgery I might lose my sense of smell? Yes, but not vision. No, smell. Completely? [RUS] There may be some difficulty sensing smells. [RUS] Risks. [RUS] There is a risk. [RUS] It's not certain that it will happen. [RUS] Because in one place your olfactory nerve is already gone. [RUS] It already crushed it. [RUS] And the left one, it pushed it aside. [RUS] And during surgery we preserve it. [RUS] We can see it, this nerve. [RUS] But it's not guaranteed that it will function as we'd like.

00:17:42 I told you about anasmia. Yes. Now he didn't have this problem, doesn't have this problem.

00:17:51 But after the surgery, it's maybe... He may have it after surgery, yes. Because it's... I see a surgical view. Right here. And.

00:18:34 hangs

00:18:38 [UKR] It extends into the middle of the skull, and at the top it looks like a hat put on a head. [UKR] Like a hat that's been put on. And the optic nerve is right here. [UKR] And the distance is here.

00:19:00 [RUS] - First, it doesn't affect vision, possibly problems with smell. [RUS] - Possibly. - Possibly, it's not 100%. [RUS] Well, there are complications, they occur in one-two cases per 100 people. [RUS] - What kind of complication? - Sometimes after surgery, the brain is lifted, lowered, [RUS] and where it grows, there's vessel damage

00:19:50 [RUS] CT scan, we did a CT scan, everything's good in the room, like on the first floor, if there's a large hematoma [RUS] possibly rarely but you'll need to go back for surgery, it's very rare, but just before you [RUS] a woman came in whom we'll operate on tomorrow, she's 71 years old, she has hypertensive disease [RUS] Recurrence of the disease, disease, pain

00:20:43 [RUS] - What do you have? [RUS] - Igor Yuriyovych said that if it hadn't been found, nobody would have known.

00:20:51 [RUS] - Yes, I say the same thing. [RUS] Left window, yesterday a patient came in, he has this tumor, here it's shown, I'll show you again, [RUS] his tumor is pressing on the optic nerve, and it's the same size as yours, but it's located... [RUS] it affects vision, it's right in the place where vision is [RUS] now I'll show you [RUS] I'll officially compile it for you [RUS] This one is dead. Your tumor is located here, and his tumor is located here.

00:21:42 [RUS] So it's that big, right? [RUS] Well, it's slightly bigger than yours, but it's exactly where the optic nerves are. [RUS] So your task is not to fall into depression, panic, find time and opportunity to go to Zaporizhzhia, get an MRI, definitely with contrast. [RUS] Any day, well basically Mondays, Monday is usually my non-surgery day if there are no wounded.

00:22:09 [RUS] Otherwise it's first come, first served, arrive earlier, get seen earlier, we'll load the MRI and decide what to do next.

00:22:15 [UKR] Andriy Hryhorovych, maybe a referral, so I can give it to them, so they know what I need done.

00:22:34 [UKR] In Zaporizhzhia it's open-type, right? [UKR] Yes. Such problems occur with that one.

00:22:43 [RUS] I'll say, I don't control it, maybe not entirely accurate, my correct one.

00:23:06 [RUS] And with this MRI come to you on Mondays, right?

00:23:10 [RUS] Well, maybe any day. Just on Monday I'm not in surgery, I can consult longer. [RUS] And what time? From 7? [RUS] From 7, they said, and at 5 you can start getting in line. [RUS] So, if from 7, you'll be first in line. [RUS] Oh, so we come at 7, and you start seeing patients...

00:23:26 At 9.

00:23:28 [RUS] You can come at 8, yes. [RUS] Well, in any case... [RUS] I don't give anyone special treatment. Today someone came, they said I want to be seen now. [RUS] I say: "Well, there's a queue. I can't take someone outside the queue [RUS] if that person isn't admitted to the department.

00:23:43 [UKR] If they're in the department, either post-op or preparing for surgery,

00:23:46 [RUS] they go without the queue. Everyone else is in order of the live queue. [RUS] Whoever made it before surgery got consulted. [RUS] Whoever didn't, after surgery. [RUS] And if I know I have a very complex surgery, [RUS] I'll come out alive, I say: "Better come another day." [RUS] But if you're from Dnipro, from the 12th district, then you can. [RUS] The tumor is benign, I'll say right away, it's not cancer, it's a benign tumor.

00:24:21 [RUS] It's called a meningioma, this is a thousand percent certain, even without histology, I'll say. [RUS] But it grows slowly.

00:24:36 [UKR] Or if it's benign, does it not grow?

00:24:40 [RUS] I'll give you an analogy with women. Women have fibroids, cysts, uterine, mammary glands. [RUS] They live with them, they don't always need surgery. [RUS] And usually, this is caused by hormonal imbalances. [RUS] In women it's even proven, they've even tried treating it with hormones. [RUS] And the polyps that are in the nose? [RUS] I'll write now, go up to the eighth floor. [RUS] Today? [RUS] ENT department. Not today, but now. [RUS] The somatic one. [RUS] If the doctor is not in surgery, they'll see you.

00:25:25 [RUS] And what office? [RUS] ENT somatic department.

00:25:28 [UKR] Ask for Sapronova Olena Viktorivna. [UKR] This is an ENT doctor with whom we operate on some tumors through the nose. [UKR] Your tumors can also be operated through the nose, but there are more complications with the nose after surgery. [UKR] If we go through the nose...

00:25:50 [RUS] You can call it trans-nasal approach, endoscopic, but I prefer the lateral supraorbital approach.

00:26:00 [RUS] You'll say Professor Sirko referred you.

00:26:05 [RUS] The disc. [RUS] Yes, you give them the disc. [RUS] Our disc, nothing else, and it has a white lanyard, that's all.

00:26:11 [RUS] I'll say, so you don't get confused. [RUS] Okay, we... and with the MRI we'll come to you. [RUS] Yes, yes, then...

00:26:20 [UKR] We agree with you, that's why we came. We're not questioning any diagnoses, but...

00:26:28 [UKR] Thank you, good thank you. [UKR] - I even say, when people come, not your case, but when there are much more complex tumors, [UKR] you have the opportunity to consult with one, another, another, and I tell them who I know does this.

00:26:43 [RUS] You understand? Not like you ended up with someone who's never done it in their life.

00:26:48 [RUS] And if a person went, sought a second opinion and chose where to have surgery, that's their right.

00:26:53 [RUS] Because I don't need anything special. [RUS] No, it's right that you said we were there, we consulted.

00:26:59 [RUS] You did everything right.

00:00:00 [RUS] and then they'll choose what they like.

00:00:00 [RUS] and then they'll choose what they like. [RUS] This is not a neurosurgical case, but since you're already here, [RUS] we'll consult together with the American professor.

00:00:49 [RUS-NEEDS] Это огромная разница между США и Украиной.

00:01:06 [RUS] This is a huge difference between the USA and Ukraine. [RUS] If your patient wants to get a consultation,

00:01:15 Yeah. We need to wait two, three, six months. Yeah, and there's a whole different building. Yes. Six months. Usually not six months, but sometimes you have to wait. Yeah, especially I know in European countries,

00:01:35 all countries also need to wait several months. It's bad in Europe, yeah. In America, the wait is not so bad.

00:01:44 [RUS] Not so good.

00:01:46 [UKR] But in other countries, European countries, I know Lithuania, Latvia, Yuriy Yuriyovych.

00:02:01 [RUS] - Wait while the disc loads.

00:02:06 [RUS] Here we have a group coming.

00:02:13 [RUS] - This is Ruslana. [RUS] - Ruslana, I already know. [RUS] You'll hurry. [RUS] - I understand that. [RUS] Alex, a gift from Ukraine, the soldiers sent it.

00:02:30 [RUS] - We need to show it. - Yes, we need to unpack it. [RUS] - Need to unpack it. [RUS] - And I'll show the CT control. [RUS] - Yes, we'll wait, where are you going. [RUS] - No, right away. [RUS] - I remember, wait for the picture, and we'll show you the CT control. [RUS] You know that Yuriy Yuriyovych didn't believe? [RUS] - In the past. - We've already met everyone. [RUS] Like in the past? [RUS] - I said it doesn't happen. [RUS] - There are no simple ones. [RUS] It happens. [RUS] - Don't leave, Ivan, come on, give it. [RUS] - There are no simple ones. [RUS] The Yuriyevskyis studied together at the institute, then did their internship, and then even worked in this facility.

00:03:15 [RUS] - And here, they hurried south.

00:03:48 [RUS-NEEDS] Он говорит, что это не было такой необходимостью, но он должен...

00:03:50 [RUS] He says it wasn't such a necessity, but he must... [RUS] No, but this is a gift, you'll be going home, it will be a memory. [RUS] This is incredible. [RUS] I've never seen this. [RUS] Oh, okay. [RUS] Thank you very much. [RUS] Thank you and thank you. [RUS] Thank you, Raia. [RUS] Thank you, and all your relatives, and your friends who are fighting for freedom. [RUS] This is your inspiration for the whole world. [RUS] - He says it's possible? [RUS] - No, this is very... [RUS] - Inspiration - this inspires freedom. [RUS] He's saying for freedom, for that...

00:04:30 [RUS] To our friendship. [RUS] Yes, to our friendship and to the freedom of Ukraine. [RUS] He's very precious. [RUS] I don't know.

00:04:40 Yes.

00:04:42 [RUS] - I'm very serious.

00:04:44 Yes.

00:04:55 [RUS] This image is made from metal from GRAD and other Russian missiles.

00:05:07 [UKR] Missiles, with weapons.

00:05:10 [RUS] This is made from Russian missiles?

00:05:12 Yes.

00:05:24 [UKR] - This is his computer. [UKR] Where it's black, that's air and material we used for skull reconstruction. [UKR] - I see.

00:05:41 [RUS] We removed the hematoma completely, but there's no blood there. [RUS] In 3D reconstruction it looks like this. [RUS] We did a craniotomy on both sides. [RUS] And when I was explaining, translating to Yuriy Yuriyovych, [RUS] I said, when we turned him, the left eye is gone, [RUS] the left eye is gone, the orbit is shattered, [RUS] all of this is shattered. [RUS] We first thought to approach from the left side here. [RUS] But when we turned him, we saw from the right nostril, [RUS] he had CSF leak. [RUS] So I had to open both sides, go in here,

00:06:41 [RUS] and we found that here, when there was this impact, [RUS] These bones, they bulged out like this and tore this membrane, there was a hole here. [RUS] And this hole is where the CSF leaked out. [RUS] So it leaks out, he breathes in, and this infection that's around, [RUS] it gets into the brain. [RUS] It gets into the brain, so we found this hole and closed it. [RUS] And then we added many layers, it's called many layers, one, two, three, four, [RUS] We even planned to put in, our American colleagues provide titanium plates, to do orbital reconstruction right away, but we didn't do it because his wound was very contaminated.

00:07:29 [UKR] Very contaminated wound.

00:07:54 [RUS] I showed you the best outcome after his first treatment. [RUS] So there's no need to put in artificial and foreign body, because there could be problems with healing. [RUS] God willing he survives, then we can do plastic surgery later. [RUS] - I'm not bringing the parents here. - No, no. [RUS] - They already arrived today in Koskana. - You need to understand that he could die anyway. [RUS] Well, we were saying today, 46,000 wounded have passed through, and we've done 2,500 brain surgeries, we can only say what happened over the past week, [RUS] better, better, better, or at the same level.

00:08:43 [RUS] We don't give any prognoses for the future. [RUS] Because since the operation, thank God, he's maintaining good blood pressure. [RUS] Blood pressure, it's even rising. [RUS] It was 130, 140, 150 blood pressure. [RUS] That's very good pressure, that's what it is. [RUS] - Does Yuriy Yuriyovych have 200 over 120, is that high blood pressure? [RUS] There were problems yesterday, why? [RUS] - I just have frequent blood pressure, but I'm quick. [RUS] - Yours is very high.

00:09:19 40 years old.

00:09:20 [RUS] - No, no, this isn't good, you need to take medication. [RUS] Because it will end with a heart attack or stroke. [RUS] His blood pressure was measured at 200 over 120, I said: [RUS] connect the arterial line at 130-150, his blood pressure is holding normally. [RUS] Today I said they did bronchoscopy on him, meaning his lungs were blocked, lots of mucus, and they cleaned his lungs. [RUS] His heart is damaged, I said on the first day, initially didn't make the diagnosis, but did the test, troponin test was 10 times higher. [RUS] So he has severe polytrauma, traumatic shock, hemorrhagic shock, platelet concentrate.

00:10:06 [RUS] Yesterday you also helped to bring him here, and we rightly waited, because during the week all his blood, even small wounds were bleeding.

00:10:17 [UKR] When we went to surgery, his blood was clotting very well. [UKR] I was talking about hemostasis, when we transfused platelets, this was good hemostasis. [UKR] This is a clot format. [UKR] We started working on this side, right?

00:10:41 [RUS] Yes, on the left side, after that we go to the right side, on the right side we close the defect, and when we return to the left side, this is a clot, this is a very good clot. [RUS] Yes, a clot. [RUS] Man, thank you so much.

00:11:00 [RUS] So all that's left is to pray to God. [RUS] This morning we spoke with the head of the ICU, [RUS] where he is now, and the head of the ICU came, [RUS] where he was before, and we coordinated the therapy. [RUS] So now the main thing is for his heart to function normally, [RUS] lungs, for coagulation to be normal, [RUS] we'll monitor these platelets, [RUS] if needed, they may add more platelets and antibiotics. [RUS] Why? Because there's high risk of infection here, meningitis, encephalitis, high risk. [RUS] We're planning to do a lumbar puncture on him tomorrow. [RUS] Today is still too early because there's brain swelling, but tomorrow we plan to do a lumbar puncture

00:11:45 [RUS] and send this fluid, CSF, for general analysis and culture,

00:11:51 [RUS] to see if there are bacteria, and if so, what they're sensitive to. [RUS] As for the blood pressure, you don't need to worry about that, because first of all, it's not bad that it's high. For him it's not bad, firstly. [RUS] Secondly, we don't account for the fact that he has two amputations, his leg and arm are gone now. And that's a quarter of body mass, at minimum. [RUS] We fully replenished his circulating blood volume, but the leg and arm are gone. So the heart is working as it is.

00:12:23 [UKR] And the distribution goes to the remaining parts, and he... [UKR] The other situation is when a person has lost blood, they're brought in, they have unstable hemodynamics, they need norepinephrine, vasotone, and when blood pressure doesn't hold, that's very bad.

00:12:40 [UKR] So I knock on wood, I can only say what has passed.

00:12:46 [UKR] You came out, what should we expect for recovery, how is he...

00:12:49 [RUS] At least 7-10 days. [RUS] Once 7-10 days pass... [RUS] No, no, I just... [RUS] The parents came, the parents brought his wife, they're here. [RUS] I'm not bringing them to the hospital then. [RUS] No need. [RUS] Believe me, anything can happen, but prognoses only for... [RUS] 7-10 days will pass. [RUS] Everything possible, right here, we closed for him. [RUS] I'll even show you, wait, what... [RUS] I'll even show you, wait, what... [RUS] What we cut open for him, this kind of incision.

00:13:17 [UKR] This kind of incision.

00:13:18 [RUS] What for? All this was folded back. [RUS] So we could take from here, [RUS] what's it called, the periosteum, these layers. [RUS] Tissue. [RUS] So this tissue could separate the brain from all these nasal sinuses. [RUS] So this tissue could separate the brain from all these nasal sinuses. [RUS] Plus we took a piece of this periosteum [RUS] and sutured it underneath the skin. [RUS] Because this skin is closed,

00:13:41 [UKR] but parts have necrosis.

00:13:43 [RUS] The upper layer of skin has died off, [RUS] but the inner layer is alive, just in case. [RUS] And it needs nourishment so there's no hole here. [RUS] So it heals. [RUS] So this process will be long. [RUS] First he needs to survive. [RUS] We heard, thank you so much again.

00:14:01 Yes.

00:14:02 [RUS] We'll stay in touch. [RUS] This is a gift. [RUS] I'll come by tomorrow. [RUS] Thank you so much. [RUS] Hang in there. [RUS] Thank you.

00:14:17 Thank you. Thank you.

00:14:24 Thank you. Can you give me permission? I give permission maybe he will come back tomorrow.

00:00:00 [RUS] You should contact the university.

00:00:00 [RUS] You should contact the university.

00:00:30 [RUS] [inaudible]

00:01:26 [RUS] [mediation]

00:01:39 MRI conclusion is cystic change in the epiphys epiphys but I think it's

00:02:00 [RUS] You should understand that the pineal gland is an endocrine gland. [RUS] Melatonin is responsible for normalizing the sleep-wake cycle. [RUS] Like ovaries in women can have a solid structure or have cysts. [RUS] The dimensions are normal, there's a cyst in the middle, but it's not a tumor cyst. [RUS] No, it's not a tumor cyst.

00:02:28 [RUS] And she will live long and happily. [RUS] - At first we just had it increasing in size, but now it's become a different matter,

00:02:37 [RUS] this is observation. [RUS] Here in another mode. [RUS] Here's the small cyst.

00:02:45 Everyone.

00:02:47 [RUS] Another gland, another gland, [RUS] it's called the pituitary. [RUS] Pituitary, pituitary. [RUS] Anastasia, [RUS] is she cutting? [RUS] Ninth.

00:03:20 [UKR] Look, I'll go. Your task is to nod your head at me.

00:03:24 [RUS] You come to Lyudmila Vasylivna here and she will take you and you need to feed yourselves. [RUS] - From 12 to 1 you'll be in ICU 2, I'll call the intern doctor who came to us, Nikita, the tall one, and he'll pick you up and take you directly to the ICU, and then bring you back. [RUS] Okay? So you don't go by yourselves, because I got a note from the administration that with me or other doctors you can go anywhere, [RUS] but you shouldn't go by yourselves, because I'll have problems.

00:04:12 [RUS] Is there a head nurse?

00:04:14 [UKR] Lyudmila Osina, if I'm in the operating room, the guys will come at 1, seat them, feed them. Leave one portion for me. [UKR] Lyudmila Osina, if I'm in the operating room, the guys will come at 1, seat them, feed them. Leave one portion for me.

00:04:25 [RUS] I didn't get up today, I can't take that one portion for myself and we're feeding our interns Mikhail and Artem, they help us. [RUS] And then who do we have today, Yaroslava and Vadim. This is the team that needs to be fed, those who were in the operating rooms and our interns.

00:04:47 [RUS] - They shouldn't eat. First of all, the film crew and Anastasia. [RUS] - They're so tiny that it's hard to feed them.

00:04:59 [RUS] - So, so you don't wait, they'll be in the ICU from 12 to 1, and then they'll come. [RUS] - So, so you don't wait, they'll be in the ICU from 12 to 1, and then they'll come.

00:05:09 It's a posterior part of the hypophysis, neurohypophysis, it's more hyper-intensive than other, but it's normal. But why did she get the MRI? Was she having headaches or something? Was she having headaches or something? What was the reason to do the MRI? The possible damage of the menstrual cycle, right? Yes, it was so. In the childhood age...

00:05:30 ...hormonal disturbances. And the endocrinologist prescribed maybe prolactin,

00:05:36 [UKR] - Yes, there was a microadenoma and also this cystic dilation was found. [UKR] She will live long and happily, tell her everything is fine.

00:05:50 [UKR] - I think once every two years you can do an MRI and even once every two years without contrast.

00:05:57 [RUS] - Without contrast, once every two years. And who should give the referral?

00:06:00 [RUS] - First it was observed and surgeon, but then he left and the referral was given to wives.

00:06:09 [RUS] - Let's do it anyway, you'll worry about it annually, but only without contrast.

00:06:14 [RUS] Good morning. [RUS] - Today is the 28th.

00:06:16 Yes.

00:07:27 [RUS-NEEDS] Тихо, убьёшь человека, заходи Антонина.

00:08:14 [RUS] Quiet, you'll kill someone, come in Antonina. [RUS] I have a patient in the ER, fell from 8.5 meters while repairing a roof. [RUS] Currently mild stupor. [RUS] I wanted to show you the image, this is an epidural hematoma, [RUS] skull vault involvement, [RUS] linear fractures of the anterior and posterior walls, [RUS] frontal sinus, pneumothorax, field and small swelling. [RUS] It's quiet, your area.

00:08:41 Yes.

00:08:42 [RUS] That's basically everything.

00:08:43 Yes.

00:08:49 [RUS] - I tried, I tried.

00:08:56 [RUS] - Why did he fall? [RUS] - They were repairing the roof. [RUS] He was helping someone, meaning it's not a work injury. [RUS] - Where is it, Petrova, where is it? [RUS] - On the right.

00:09:13 [RUS] and now the doctor will come out and call [RUS] I think in any case put him in ICU and a control scan in 6 hours

00:09:40 [RUS] do you agree with me? [RUS] good, yes, of course, I just without you

00:09:45 [UKR] everything's correct

00:09:47 [RUS] now once more [RUS] I think this is epidural, because exactly where the fracture is [RUS] it goes along the base on the first side

00:10:22 [RUS] - Further down there's a sanitary status and 3D.

00:10:30 You can see fracture. Onterior wall, posterior wall, and roof of orbit. Yeah, you can see? - Yeah, the sinuses are not that bad. - Clearly visible. Clearly visible frontal sinuses, left side, right side is fracture. - But they're not that bad though, the sinus fractures. What about his? Do you have a face, a nose? A nasal or?

00:10:54 [RUS] I don't know, I don't know.

00:11:00 [UKR] And hand grip? [UKR] Hand grip strength? [UKR] Yes, you suture it.

00:11:09 [UKR] Stronger grip.

00:11:15 [UKR] Hand grip strength? [UKR] No, I haven't done anything yet.

00:11:20 [RUS] wash it well and suture [RUS] hours control of epidural hematoma [RUS] as for nasal CSF leak we'll see [RUS] if there's a leak we'll operate [RUS] maybe there's a linear fracture there [RUS] there isn't [RUS] no hemostasis there? [RUS] Thank you!

00:11:40 [RUS] we can do it tomorrow [RUS] before the big surgery [RUS] schedule this for 8:30 to 9

00:11:46 at 20

00:11:48 [RUS] the soldier there ate something else otherwise I'll tomorrow and he won't take the train not this personalized [RUS] they haven't arrived yet there he has who wanted water who protest prosthetics [RUS] old ones and hit a nerve I'll look open it there no suturing needed and elbows well there

00:12:10 [UKR] - Well, about 20 minutes. - Natalya Sergeyevna doesn't mind?

00:12:13 [RUS] - No. She says: "Let's submit it in the morning, we'll do everything in 20 minutes."

00:12:18 [RUS] - Good. Then don't delay. - Okay, good.

00:12:23 [RUS] - Word, this is a planet. - Hello? [RUS] - Good. - Hello.

00:13:08 [RUS-NEEDS] Если не хотят, ждать-то завтра или к Ростиславу Малому.

00:13:10 [RUS] If they don't want, either wait until tomorrow or go to Rostyslav Maly. [RUS] Talk to them, because he already gave me the operating room. [RUS] Either they wait today, or tomorrow morning, or Rostyslav Maly. Three options.

00:13:28 [RUS] I have the impression that I've known you for a long time. You probably don't come regularly?

00:13:32 [RUS] No, not regularly. I just came to the basements three times for the first time.

00:13:39 [RUS] also we decided here

00:13:46 [RUS] March

00:14:01 [RUS] March [RUS] watt disc but everything to

00:14:15 [RUS] you know the American professor's consultation costs 1 million dollars

00:14:22 [RUS] or 2 or you give consent that you'll be shown on American television in two years

00:14:27 [RUS] Let them show it. [RUS] Yes? Agreed?

00:14:31 Everyone.

00:14:32 [RUS] You got permission, you can tell Anastasia and Ted:

00:14:36 "We have permission".

00:14:39 [RUS] I'm being honest, [RUS] you can pay 1 million dollars

00:14:44 or give permission.

00:14:48 [UKR] Now let's look,

00:14:49 [RUS] that was a joke, now seriously.

00:14:54 [UKR] so with that

00:14:57 [RUS] the nose [RUS] I said to do a fresh MRI [RUS] so we could share [RUS] that's it, let's review [RUS] the consultation

00:15:22 [RUS] over here

00:15:52 So the firm side is the vibration. First of all, first of all, we need to perform repeat CT after six hours. We never wait for deterioration. We perform after six hours. Yes, it's the first. And the second, we understand realize it is linear fracture don't to compression or diastasis between this we will expect it and to prevent csf leak if you have csf leak nasal csf leak first of all we put external

00:16:38 or if don't stop we perform surgery but we never perform surgery in this blast trauma with linear fracture in patients with gunshot wounds or

00:16:48 mind blast penetrating the wounds we perform yearly as possible yeah we would do the same thing we

00:16:55 would not operate on that

00:17:00 [RUS] What complaints did we have? [RUS] so my meningioma doesn't affect this, but I'd like to consult with you about it. [RUS] And also, Andriy Hryhorovych, I did them on different machines, unfortunately, [RUS] but I hope you can compare these measurements, [RUS] because these dimensions have changed a little.

00:18:05 [RUS] Stay calm, everything's falling apart on you. [RUS] No, I always keep myself together.

00:18:15 [RUS] I won't faint. [RUS] Alena? [RUS] Dima, I can't get through.

00:18:22 [UKR] Dibrova, you know Dibrova?

00:18:26 [RUS] Mykyta, if he's nearby, you have him nearby. [RUS] First, he needs to come and pick up Alex, [RUS] and to take him at one, no, to the MRI room, [RUS] to the MRI room and return him to the head nurse by one o'clock and hand him over [RUS] Let him go now, we'll finish the consultation and he'll come to you after, Vyacheslav Ivanovych, [RUS] I'll meet him, consult the other ward carefully and return him by one, [RUS] Okay? [RUS] Go, go

00:19:27 [UKR] You have this small one like this

00:19:30 [RUS] And tomorrow Alex and I will operate on one like this

00:19:35 It's the same localization but it's just a measurement very small.

00:19:48 Look, we can do two centimeters and we can be quiet and wait.

00:19:52 [RUS] - And once? - Every half year or every year? [RUS] - In a year, I think. - In a year, right? [RUS] - Do a follow-up in a year. [RUS] It doesn't affect those symptoms you have at all.

00:20:06 [RUS] When did you have your first MRI? [RUS] - In February. Half a year passed. I did one after six months. [RUS] Please tell me, Andriy Hryhorovych, what medications can I use?

00:20:19 [RUS] because I have some thyroid issues.

00:20:24 [RUS] Any. [RUS] Any? There are no restrictions? [RUS] Well, first of all, all these tumors, meningiomas, they're hormonally sensitive,

00:20:33 [RUS] and they arise as a result of hormonal imbalance, estrogen and progesterone disruption. [RUS] In women, this is the period before menopause or menopause itself. [RUS] Well, they tried treating with hormones, it didn't work.

00:20:48 [UKR] You just don't understand the origin. [UKR] The origin is that fibroids appear, uterine myomas, breast masses. [UKR] Meningiomas appear in the brain the same way. [UKR] After half a year we looked, if it changed 1-2 millimeters, that's nothing.

00:21:00 [UKR] We can do it in a year, or if things worsen, do it in half a year.

00:00:00 Kossak Mamai is one of the most famous characters in Ukrainian folklore.

00:00:00 Kossak Mamai is one of the most famous characters in Ukrainian folklore. He symbolizes the spirit of freedom, heroism, and the independent soul of the Ukrainian people. In art, he is often depicted sitting cross-legged, playing a kobza, which is a traditional stringed instrument, with a horse standing nearby, and a weapon, such as a saber, musket, or spear, beside him. His image combines the ideals of a warrior and a philosopher, brave in battle yet peaceful and wise in times of rest. The legend likely arose during the 17th and 18th centuries when the Ukrainian Cossacks were defending their freedom against foreign powers. The image of Cossack Lamai appears in paintings, songs, and poems,

00:00:48 serving as a symbol of national identity and resistance. That's perfect for what Ukraine is going through today. It's a gift for Alex. It needs to be a gift for the hospital. We will talk. That's a tough one. Before you take it down, do you want to get a shot closer of it?

00:01:18 I wouldn't want to have that weight with me.

00:01:22 Well, no, we have to ship it. Fortunately, we have Anastasia who can do anything.

00:00:00 Awesome.

00:00:00 Awesome. This one. Oh. They saw me. What was it?

00:00:32 [RUS] - I can't. [RUS] - Does it fit? [RUS] - Don't touch it. [RUS] - I don't know what we have. [RUS] - I don't know what we have.

00:00:54 [RUS] - I don't know what I have. [RUS] - I have this, I don't know what we have.

00:00:57 Yeah, this is an idea for my Ukrainian.

00:01:00 Oh, Ukrainian. Yeah, is he coming with us? Yes, yes, yes. Yeah. Hang on. Let's show you. Come on, come on, come on. We need to go to the mic now. Yeah, this is-- Well, I don't have a-- I don't have a-- Oh, no, thank you. Wait. National command of the. Do you mind if we put-- Do you mind if we put--

00:00:00 point to bring the Lord God to the camera.

00:00:00 point to bring the Lord God to the camera.

00:00:32 I'm going to find you. Mm-hmm.

00:00:47 Okay. Now you're running them out of paper towels, Alex. Huh? Now you're running them out of paper towels. What are you doing? Thank you.

00:01:30 So it's not 16. He is now getting remifentanil. How much? It's 2mg in the 50ml. And he is getting 4ml per hour. So it's like 160mg of remifentanil in an hour.

00:02:04 [RUS] Tell them propofol was given for 4 days, then liver enzymes went up.

00:02:39 So, midazolam went off like 4 hours ago.

00:02:45 Were you still getting the opiates? Yes, still opiates.

00:03:05 [RUS] Watch, he'll be deeply sedated.

00:03:19 How long ago did you get the tracheostomy? How long did you get the tracheostomy? I think we were just waiting for 7 or 8. I think it's like 8 or 9 days. 8 or 9 days. And we got bronchoscopy yesterday and changed the tracheostomy tube.

00:03:42 [RUS] We were checking the skin, if it would be okay.

00:03:49 [RUS] - Is he storming? - Yes, same as before. [RUS] It looks like... [RUS] No, no, no. [RUS] Sympathetic storming, maybe

00:04:23 and we started with anaprylin and Clonidine so he's receiving Clonidine and Apriline

00:04:29 So Clonidine and when he is already received...

00:04:33 200mcg per day 200mcg per day What? Clonidine? Yeah, 200mg A naprylin...

00:04:45 80mg per day Anaprylin...80mg per day And what? Anaprylin Does he seem to react at all when she talks? He reacted when he was in the same way? No.

00:05:00 No. But yesterday he's been opened at night. Oh, he does? Oh, okay. And sometimes he's following commands with his arm, left arm.

00:05:25 - Okay. Well, it's still very early in this process. - Okay. Well, it's still very early in this process. I mean, it's been 16 days, but recovery can take many, many months.

00:05:42 [RUS] And there are many different articles coming out now discussing these topics at meetings. [RUS] About not giving up too early, sometimes just waiting, and possibly exceeding all expectations.

00:06:09 because it seems like it's been a long time but if you look at recovery which can take years then 16 days is very short

00:06:25 so I think the most important thing to try now is to get him off the ventilator

00:06:31 for what? off the ventilator

00:06:35 [RUS] So the most important thing now is to get him off the ventilator as soon as possible, so he starts breathing on his own. [RUS] And the sooner he gets off it, the sooner he can move from ICU to rehabilitation. [RUS] Do you understand? [RUS] Yes, thank you. [RUS] If you have questions, ask. [RUS] This is a unique opportunity you'll never have again.

00:07:03 [RUS] I'm at a loss for what to ask. [RUS] Alex was president of the American Association of Neurosurgeons.

00:07:10 [UKR] The leading specialist in the world for neurotrauma.

00:07:14 [RUS] Okay, and the MRI showing his brain injuries, will they heal at all? [RUS] She's asking about his MRI. [RUS] Do you think his brain is getting better or not?

00:07:29 It sounds like it's getting better. The most important thing, more than any MRI scan, is how he is doing. I mean his clinical exam. And if he is opening his eye, that's a very good sign.

00:07:52 Yeah. It's important for us. The eye is important for us. The MRI does show some areas of the apocrylis.

00:08:02 There are some areas of the apocrylis. But just on one side, the brainstem.

00:08:39 [RUS] Let's go.

00:08:46 [RUS] didn't match this picture, so it doesn't always correlate everything.

00:08:51 [RUS] - So it still depends somewhat on his physical state? - On what we're seeing now.

00:08:57 [RUS] - So the most important thing to do now, what are they doing?

00:09:02 [RUS] - So the most important thing now is to continue what we're doing. [RUS] - So, keep monitoring him, maintain his blood pressure so it stays normal. [RUS] Blood, trachea, urine, and swelling will be in 6 days.

00:09:51 [RUS] Yes, we saw this CT scan, he may need surgery when he's more stable.

00:10:00 [RUS] Is there anything to expect? [RUS] Yes, expect. He said the sinuses are all shattered, but later he'll need surgery.

00:10:06 [RUS] He said they specifically looked at the ear. [RUS] He's saying they looked at the CT [RUS] that we did on Sunday, [RUS] and the fractured skull bones,

00:10:17 [UKR] where the sinuses are, above the eyebrows.

00:10:19 [RUS] And that this could be the cause [RUS] of fluid leaking from the skull cavity [RUS] and may require surgical intervention later,

00:10:26 [UKR] if that happens.

00:10:27 [RUS] This could be a source of infection.

00:10:30 [RUS] And they looked at this, [RUS] compared the MRI and CT, [RUS] and we asked him to look, [RUS] they literally just did it, [RUS] they just came from there. [RUS] So possibly, possibly more surgery may be needed.

00:10:50 [RUS] He's asking: it's been 16 days, how long will these stitches be on his face?

00:10:55 [RUS] Do you think they need to come out? [RUS] This is for me, Jimmy. [RUS] Yes, it's like a prolene, but it should dissolve.

00:11:05 Yeah, looks like they could all come out now. In the same way, we can shoot all of them. I'll ask you about the sedation. I need to take the sedation.

00:11:20 Can you ask him, is he still going to stay for a long time? What do you think about the prolonging and the sedation for him?

00:11:30 How long should he sedate him?

00:11:33 [RUS] I'm trying to stop it as much as we can. [RUS] Maybe we need to... [RUS] He shouldn't resist. So he doesn't resist, we need to sedate. [RUS] We want to remove sedation entirely, but he won't ventilate properly if we don't sedate. [RUS] And it's like a balancing act. [RUS] At what minimum level do we get normal ventilation. [RUS] And hold at that level, and reduce, reduce, reduce as fast as possible, ideally not sedating at all.

00:12:24 [RUS] As fast as possible so we don't keep reducing. [RUS] And slowly wean off. [RUS] - Can you ask this question?

00:12:30 [RUS] - Well, tell us, maybe there's no, what are the [RUS] chances he'll live a normal life afterwards?

00:12:36 - She's again asking about the chances for him to live the normal life

00:12:40 without the serious world, I think. - That's a very difficult question.

00:12:46 - Normal, probably not back to where he was.

00:12:49 [RUS] - Because, well, exactly as he was before, you'll never see him again.

00:12:52 - But he can still recover, you know,

00:12:54 [RUS] to some level that we can't determine today. [RUS] It's simply impossible to determine. [RUS] Reduce sedation as fast as possible, as early as possible. [RUS] What did paroxysm remind you of sympathetically? [RUS] Now he'll finish with the question. [RUS] Ma'am, I just answered your question.

00:13:11 Yes.

00:13:13 [RUS] As you say, it's impossible to predict. [RUS] But the more time you give, the better they'll recover.

00:13:20 [RUS] The more time we have, the better he'll be.

00:13:26 [UKR] Don't demand too much from him this early.

00:13:34 [RUS] Thank you, me too. [RUS] Thank you. [RUS] They asked me to have you confirm on camera that you don't mind being filmed. [RUS] I have a big problem with that. [RUS] No, just say on camera so it's recorded. [RUS] Good. [RUS] Wait, please. [RUS] You asked me to make sure she doesn't mind. [RUS] - You're not right

00:14:20 [RUS] When? [RUS] When? [RUS] Okay, Thursday, 5 o'clock, got it.

00:14:28 [RUS] Good, yes.

00:00:00 Have you tried other kind of Seroquel or things like that? Have you tried other kind of Seroquel or things like that? Seroquel, okay, okay. Yeah, so try it. Yeah, Seroquel is way to start. Yeah, yeah, Ketai-P. Yeah, so do that and get them off the... And so, doses. Yeah, yeah, there you go. Perfect. I've been preparing for you. What do you think about the doses? I would start low. 100? Yeah. You start low and then gradually go up. So what do you usually start with here? 100 times. 100 times. Yeah, that's probably a good way to start and see if you can get off the road. I think I can see what's on the sympathetic terms. Next question about the sympathetic terms. Yeah, I like comedy. Yeah. I think I sent you an article about that a long time ago.

00:00:54 Your previous come here.

00:00:56 [RUS] Yes, you can use whatever you want, there's no good literature.

00:01:00 [RUS] Good that some scientific bases have proven how to treat this. [RUS] So whoever likes what, treats it that way. Alex also likes clonidine. [RUS] And propranolol. [RUS] Propranolol. [RUS] Propranolol. [RUS] We call it anaprilin here.

00:01:14 Yes.

00:01:16 [RUS] Anaprilin is propranolol. [RUS] Oh, okay. [RUS] Propranolol. [RUS] And how much is he getting?

00:01:21 80 mg/day. Okay, that's a pretty good deal. 4 times per 20. Yeah, you can increase that too.

00:01:30 Yes, up to 60 million grams for 4 days. 4 times, yeah. So you can go up on that, you can try some Cerepil.

00:01:43 You also...

00:01:48 What is your general opinion about? I think what I told you, it's so very early. Especially getting up here. More than I shall see the new push-ups.

00:02:06 Okay, so we're going to try this. So we have three more days here. We're going to show him some results. I hope so. Make him better.

00:00:00 good stuff because they can feel the emotion.

00:00:00 good stuff because they can feel the emotion. But can you at some point make sure you talk about growing up in the Soviet Union, dreaming of a country of exon and what it was like to finally achieve that and the threat, you know, he knows what it was like otherwise.

00:00:22 [UKR] The director's question asks, what was it like for you to live during the Soviet Union and possibly think about Ukraine becoming a separate country? [UKR] I understand your question. When the Soviet Union existed, that was almost 30 years ago, and our thinking was still Soviet Union. [UKR] Now everything is different. Now we live in Ukraine, and our Ukraine is the best country in the world for us, for Ukraine. [UKR] I'm only for having everyone in Ukraine speak only Ukrainian.

00:01:09 [UKR] Only Ukrainian. [UKR] In Russia they have their own. [UKR] That's it, no more. [UKR] That's how it is. [UKR] Something like that. [UKR] Thank you. [UKR] Thank you.

00:01:30 people go about their lives and when things are far away, things are far away, why should people that aren't here care and what can we learn about what does what's happening here in Ukraine and what's happening in Europe have to do with the rest of the world what can we learn from you guys, and I'm going off a little bit, but just, you know I understand

00:01:58 [UKR] Question from those who live very far away. They came from America and are asking: [UKR] What do you think, why should people who aren't in the context, not in Ukraine, what should they know about Ukraine, about the war now and why? [UKR] I can't answer this question so globally, but they should still know that Ukraine is still their homeland. [UKR] Wherever they live, wherever they are, they still won't be completely their own people there. [UKR] They still, if their children will be there, then the children will speak English or American there,

00:02:43 [UKR] But they still, they should be Ukrainians and carry their motivation as Ukrainians. [UKR] And foreigners? Those who are not Ukrainians, foreigners, he's asking more, why is it important for them to know? [UKR] that Ukraine won't surrender so easily. [UKR] They, maybe there they think that at first, at the beginning of the full-scale war, [UKR] everyone thought Ukraine would fall. [UKR] See how? In three days, that Russians would be in Kyiv, on Khreshchatyk,

00:03:27 [RUS] presents, there'd be a parade.

00:03:29 [UKR] [VO CANDIDATE] No, that will never happen.

00:03:32 The Ukrainians are the most important thing in the body. We can't win. If we win, we will not win. But we can't win. We can't win. That's it. Last thing, I remember what happened in Budapest in the 90s, obviously he does as well. To ask him if he feels betrayed by the world because Ukraine did a brave thing in exchange for a better world. And there were promises made, and it doesn't feel like they've been kept.

00:04:18 Does he feel betrayed by that?

00:04:23 [UKR] Danasenko, say that I don't quite understand. [UKR] You film us, and then, when you finish, I'll ask one last question and we'll wrap up. [UKR] Yes, well that's it, I'll send this to my daughter, let her see. [UKR] The next time, when you were here, I told her about it, she got so excited, you know, when she came. [UKR] I thought you were from Africa. [UKR] But you're from America. [UKR] You're from America. [UKR] Well, if you're in Miami, come visit my son. [UKR] He'll receive you like family. [UKR] We just set up in Miami, [UKR] so I'm here very often. [UKR] They're only there in Bay, [UKR] they finished filming some movie. [UKR] Well, good, good. [UKR] Last question. [UKR] Budapest?

00:05:23 [UKR] He says, do you remember what happened in Budapest, [UKR] the Budapest Memorandum, when it was signed.

00:05:30 [UKR] Yes, in '91. [UKR] He says you probably remember this too. [UKR] [VO CANDIDATE] Do you feel that then Ukraine gave up its weapons in exchange for some security? [UKR] Do you feel they betrayed us? [UKR] Americans betrayed? [UKR] No, everyone. [UKR] No, everyone. [UKR] The world. [UKR] [VO CANDIDATE] Yes, I believe they betrayed us. [UKR] Because they promised us security. [UKR] [VO CANDIDATE] And see how, those signatures, they weren't worth the paper they were signed on. [UKR] [VO CANDIDATE] If we had nuclear weapons, none of this would have happened.

00:06:25 [UKR] So, I think, is it not offensive to you that I say this? [UKR] You know that a person produces, whatever... [UKR] And my generation, a bit older, they remember this, and it was very painful that we were so betrayed.

00:07:12 [UKR] Russians. I believe it's all their fault. [UKR] We've finished with the interview, but I wanted to show you some video on the phone, and we have his additional answer, additional information, [UKR] but he showed a video with a tractor. [UKR] They finished the video with the tractor.

00:07:46 [RUS] So we can film this grandfather now, give me a moment, moment [RUS] now now [RUS] Now now...

00:08:00 [UKR] My videos...

00:08:04 [RUS] Now... [RUS] Now...

00:08:13 Yes... I'm Taddeus...

00:08:27 [RUS] Taddeus...

00:08:30 [RUS] Anatoliy.

00:08:30 [RUS] Anatoliy.

00:08:32 [UKR] And you?

00:08:35 [RUS] Chudnovsky. [RUS] And I said at the beginning of the interview what my name is. [RUS] Chudnovsky. [RUS] Chudnovsky. [RUS] Anatoliy. [RUS] 66 years old.

00:08:49 66.

00:08:51 [RUS] Oh, wow. [RUS] Come on, come on. [RUS] Come on, come on.

00:08:59 Are wrestling? Alright, I'm going to lose. You got it. You still got it. I got nothing. That's never happened. You don't want to win, do you?

00:09:30 No, you don't want to win. There's the snow. There's the snow. Oh, me? Oh, it's... You want to... You want to... If he beat you, he's going to beat me. Well, I think you're stronger than me. You've got to carry that thing all day. I feel like if you're going around challenging people to arm wrestle, you don't lose all... No, you... I don't think that's... What's that?

00:09:55 [UKR] This is the excavator, they've already loaded it...

00:09:59 [RUS] Wait, wait, wait...

00:10:02 [UKR] Loaded on the trailer.

00:10:04 [RUS] Oh, oh, oh, oh...

00:10:05 [UKR] Trailer for transport, evacuation. [UKR] Here they loaded it.

00:10:12 Here.

00:10:13 [UKR] This is what it looks like.

00:10:16 Here.

00:10:17 [UKR] And this excavator was helping. [UKR] These are our guys. [UKR] Let's see something more interesting, because this one is just standing. [UKR] I just can't see without glasses. [UKR] Yes, yes, yes, yes, yes, yes.

00:10:36 [RUS] Let me send it to you.

00:10:38 [UKR] I'll send it to you, give me.

00:10:40 [RUS] I'll send you a lot of all this.

00:10:48 Yes.

00:11:00 [RUS] everyone stop-stop machines [RUS] Stop, what?

00:11:06 [UKR] Oh, an accident.

00:11:08 This. 1, 2, 3, 4, 5, 6.

00:11:11 [UKR] There's a lot of them here. [UKR] If you want, Tarius, let me send it to you. [UKR] And did you do it?

00:11:19 - Oh, me.

00:11:20 [UKR] You did it.

00:00:00 yeah yeah later but but right now we're just gonna get her just off the cup here yeah yeah later but but right now we're just gonna get her just off the cup here which you know okay just and for this so tell me again like how yeah tell me again like on for us

00:00:24 [RUS] That's what you're saying. [RUS] On the news you see, and it looks dangerous. [RUS] In English or in Ukrainian? [RUS] I'll do it in English. [RUS] But my English is not very good... [RUS] Just tell me, as you say.

00:00:42 [RUS] I always want to check if it's dangerous or not. [RUS] Because maybe several months ago there were missiles here, in the street, near us.

00:01:00 And now I watch every time and when they write "Dnipro red" I go in the parking.

00:01:11 But now it's purple, now everything is okay. We can stay here.

00:01:15 You're born in Crimea? Born, yeah, in Crimea. But your whole life here?

00:01:21 [RUS] Yes, I live in Dnipro, I think, thirty years.

00:01:26 [RUS] I have a home here, and I want to be here, now.

00:01:33 [RUS] Would you live somewhere else?

00:01:37 [RUS] I want to live in another country, but I want to go there on my own terms. [RUS] Tell me about Dnipro, and tell me about what you've been doing the last 10 years.

00:02:22 [RUS] Tell me about the city where you grew up. [RUS] I don't know what to say. [RUS] I love the city because all my family is here, and I know every street, and I know where I can

00:02:41 drink coffee or buy the good book or leave my friends so I know where is my school my university so every everything is here and here is very activity but since 2022 more I don't know how to say not so happy like it was before go ahead no I I don't know how to say it in English but we have where all the time the I don't know how to say it in English yeah yeah yeah and you can sleep

00:03:36 good because at night you can hear how it missiles or something else and it's

00:03:45 different to build your life. Let's do this.

00:03:52 How long have you done Bohdan?

00:03:58 two years and a half I think. At a cafe you worked at? Yeah, yeah. Tell me about that. I worked in cafe and then one day came Bohdan and I saw him and I...

00:04:16 Oh my god! So and then he started to came and we talked every day two or three hours And then we started to date and now we live together.

00:04:32 But it's a short story. He told it a little bit longer. He talked about how you would go and you would talk and be talking, talking, talking, and just so much that shared, you know, those talks.

00:04:53 So he said he came in after his night shifts or something. Yeah, and he was very funny because he didn't sleep all the night and he tried to be romantic

00:05:09 or to joke and I'm like, okay, you should sleep.

00:05:16 But he was still the guy it sounds like for you, you knew.

00:05:22 Yeah, so and I really like him and then one month we didn't saw each other and when he returned in

00:05:34 Dnipro we started to date and stayed together. Did he go off to work at the stabilization center? I don't know, maybe it's better when he tells you about this because I'm not sure that I can tell Don't worry about it. Yeah. Yeah. He feels safe. He feels strong. Just knowing him very briefly. Do you feel safer with him? Yeah. And at night it's for me it's safer when he is with me. Not in work.

00:06:19 [RUS] I feel safe with him. [RUS] Sorry, I need to check what happened.

00:06:31 [RUS] Everything is fine. [RUS] Anastasia stayed because she's not afraid when she's here. [RUS] Because all her family is here, and she doesn't need to leave.

00:06:45 [RUS] But, and this...

00:07:16 me. And when you were just early in your dating time or maybe right when you moved in together

00:07:24 whatever, rockets hit the hospital. Yeah, I was here and he was at work and I go to sleep and then I saw that Dnipro already

00:07:40 [RUS] I ran fast

00:08:09 near here and then he write me that everything is okay but all windows to him so but did you know

00:08:21 that the hospital had been hit before you go before no i know it's uh here near but i don't know where

00:08:30 i didn't know where exactly it was i mean it's probably better that you didn't know

00:08:38 I don't think so because I can imagine something bad before he answered.

00:08:46 Right. So it doesn't matter where it hit, just knowing that he wasn't here.

00:08:52 Yeah, and he wasn't here and he didn't answer me, so it's the worst. What does your family mean to you?

00:09:08 [RUS] - One more time? - Your family. Your family here. [RUS] My mom and sisters left, they're not here. [RUS] My father and grandfather are here. [RUS] - And do you see them? - Yes, I see them, but I miss my mother and sister,

00:09:30 [RUS] but I'm happy that they're safe.

00:09:33 It's more important than to see them every day.

00:09:41 Did they move after 20? Yeah, they moved in 2024. Where did they go? In Canada.

00:09:59 [RUS] They have a better level of English than I do now. [RUS] Because they live there. [RUS] - Have you visited? - No, no, I don't have a visa. [RUS] - Do you want to visit them? - I want to visit them, but I need to get a visa.

00:10:22 I do it right now. Like, so I need to go to Kiev to do, like, I don't know how to...

00:10:31 Biometria. - Paperwork. - Yeah, paper work. And then maybe, I hope I can go and visit them. - Look, you know what, I've done this whole thing, we haven't had a mic on, so it's only been that mic.

00:00:00 Let's get out of here.

00:00:00 Let's get out of here. Yeah, let's get out of here. You might want to move from here over here too. Thank you. Alex, let's get out of here. This side. Grab a chair or something.

00:00:16 [RUS] Thank you.

00:00:47 Alarm. Alarm. it's like just simple talking after yeah yeah exactly and in ukraine yeah you might steal this it's like just simple talking after yeah yeah exactly and in ukraine yeah you might steal this chair even though it would normally be here yeah it's okay all right i'm gonna just because i'm

00:01:30 just in ukrainian yes and i'll see it in the can pay attention and let let me know if uh i'm missing something important. And you will say "I'm" No, I mean we're already rolling, you just go. Just, just... Okay, I'll do it, I'll do it. Action. Okay. Action. You just need to wear a little bit of clothes. You just need to wear a little bit of clothes. You should wear a little bit of clothes.

00:02:07 [UKR] Just repeat to me what happened to you today.

00:02:12 [UKR] Tell it just as emotionally as you told me. [UKR] How was today? [UKR] Just without swearing, probably, or with swearing? [UKR] Just without swearing. [UKR] Today was a not particularly difficult day and not a difficult shift, [UKR] but actually I slept about 3-4 hours. [UKR] Because in the middle of the night there were many soldiers, [UKR] we didn't have any surgeries, [UKR] but still, every hour we were called, [UKR] and that was very hard. [UKR] Soon, there was time to go, the gift was mixed up,

00:02:58 [RUS] now the wave would hit us,

00:03:00 [RUS] our contingent was there too.

00:03:04 [UKR] And when I came to work, I finished a surgery for a wound,

00:03:11 [RUS] a severe wound.

00:03:12 [UKR] And toward the end, to finish the surgery, I met with Oleksiy. [UKR] And we finished the surgery together. [UKR] Very severe patient, unfortunately. [UKR] [VO CANDIDATE] It's very sad that for years now people have been losing their health and lives, really. [UKR] [VO CANDIDATE] And when you see a person who lost their sight, lost their limbs,

00:03:40 [UKR] it's very hard to understand that this is happening near you.

00:03:45 [UKR] Was this a soldier? [UKR] Yes, this was a soldier and, unfortunately, he has very severe injuries [UKR] and a very serious head injury. [UKR] So yes, we finished the surgery, after that there were a few free hours, [UKR] where you could have dinner, and after that there were constant calls to the emergency diagnostic department.

00:04:17 [UKR] That was the shift. [UKR] - You were working this morning. I wrote good night, did you sleep or did you go?

00:04:23 [UKR] - No, when I wrote you good night, I was hoping I'd lie down and be asleep by 10.

00:04:29 My work life dance will work.

00:04:34 [UKR] That didn't happen for me.

00:00:00 [UKR] They called me 30 minutes later, so until 4 in the morning I was guarding your sleep and watching the chat about rockets.

00:00:00 [UKR] They called me 30 minutes later, so until 4 in the morning I was guarding your sleep and watching the chat about rockets. [UKR] You were lucky because you slept well the whole time. [UKR] Because I knew that if something happened, you'd come in and I would know.

00:00:14 [UKR] Perfect. You see, while you think you're sleeping, I'm still protecting you. [UKR] So that's how we work. [UKR] And in the morning we met with the Americans who came.

00:00:26 [UKR] They filmed our morning round.

00:00:32 [UKR] What, everything? And the surgeries? [UKR] No, they only filmed the operative meeting, where they showed what happened overnight, [UKR] and what surgeries are planned for the day. [UKR] And after that we went through the ICUs, and they stayed behind.

00:00:52 [UKR] So that's how things are. [UKR] Did they finish filming? [UKR] Yes, they had a full day of filming, so they're pretty exhausted.

00:00:59 [UKR] But they didn't stay for my night shift yesterday, [UKR] so they didn't experience all the joy of working at night.

00:01:09 [UKR] I think they would find it interesting to feel those feelings in the morning, when you're like, thank God it's over.

00:01:16 [UKR] Meaning, soon the war sirens will start going off from their location. [UKR] Yeah, yeah, yeah. So after that I got ready and headed home. Stopped to buy us some sweets and came home to sleep.

00:01:32 [UKR] And how was your day yesterday? [UKR] The breakfast was delicious.

00:01:36 Breakfast was the best of the best. Eleven from ten.

00:01:40 [UKR] I tried hard, because. [UKR] I laughed with you, went to sleep, you slept peacefully, because as you can see, I felt that you wouldn't be sleeping. [UKR] When I picked up the phone at night, something was coming in about the air raid alerts.

00:01:53 [UKR] I saw that you were online 5 minutes ago, 8 minutes ago—Bohdanchyk isn't sleeping. [UKR] The sticker pack exchange went well, of course. [UKR] I felt that this is a new level of relationship, you know. [UKR] Just—who else can I spend time with? Stas, and now also with Oleksandra.

00:02:14 [UKR] Oh, that's a new level, because you're there exchanging sticker packs for 10 minutes.

00:02:20 [UKR] Well, that's what closeness is. [UKR] Well, yeah, I don't see it.

00:02:25 [RUS] I'll dig in here.

00:02:27 [UKR] I'm here, I'm here right now, I feel very calm.

00:02:35 [RUS] You see, I became a participant in the film 'Random'. [RUS] - What is "Random"? [RUS] - Well, if I knew, I'd be proud. [RUS] - Okay, great, I got it, I remembered, I was there. [RUS] - Well, anyway, I'll give it back. [RUS] You know, I was talking when they asked me how he got older there.

00:02:50 [UKR] My knowledge base is like this—tiny.

00:02:53 [RUS] I said, when I came in and saw him, aaaaaaaaaaaaaaaaaahhhhhh

00:03:03 [UKR] No, I said that you should tell this part.

00:03:05 [RUS] Ah, well then.

00:03:06 [UKR] It's your part of the story, why would I tell it. [UKR] Well, right. [UKR] Yeah, okay. [UKR] The shifts aren't long enough yet. [UKR] Because they were too short, probably, that's why. [UKR] So it just went by really fast somehow. [UKR] So there's nothing special to tell. [UKR] Relatively calm? [UKR] From one to ten, how tough was it?

00:03:30 [UKR] And considering the constant shelling overnight, it was probably a 6 out of 10, like a typical night shift. [UKR] It wasn't like I was completely exhausted, but still.

00:03:44 [UKR] It's a 6 out of 10, and in the morning it was a bit tough. [UKR] And when the rocket hit, was that a 10 out of 10? [UKR] That was 100 out of 10. [UKR] Yeah, that's a 6 out of 5 from that.

00:03:58 [UKR] Well, basically, next week is free for me. [UKR] Until next Monday.

00:04:03 [RUS] We'll be together.

00:04:04 [UKR] Yes, we'll be together picking out Halloween costumes.

00:04:12 [UKR] Should we keep going when I wake up?

00:04:14 [RUS] I don't know. [RUS] I don't know, there's no one to ask. [RUS] Maybe they'll say: "Stop, camera."

00:04:23 [UKR] Okay. What are we doing tomorrow?

00:04:25 [RUS] Tomorrow?

00:04:27 [UKR] I don't know, sleeping for example.

00:04:30 [RUS] Together.

00:04:31 [UKR] What do you mean? [UKR] Well, I don't think I'll go to training tomorrow morning. [UKR] I think if I go to training, it'll be in the evening.

00:04:40 [UKR] Maybe I'll go to surgical training, if there's something.

00:04:47 [UKR] Uh-huh, so what are you asking? [UKR] Yeah, if there's something, then overall nothing else much.

00:04:55 [UKR] When they asked me about our relationship development and all that, I said that we were communicating, [UKR] because we didn't see each other for a month, and then when I came back, the spark was crazy. [UKR] But I didn't know if I could tell them, so I said that the last month, he'll tell himself if he wants to.

00:05:16 [UKR] So I don't know, we didn't agree in advance what I can say and what not. [UKR] You think they'll want to and ask, and he'll tell them. [UKR] Yeah, so. [UKR] The most important thing to do this week is to change the clothes. [UKR] Find this, find... [UKR] A Halloween costume.

00:05:41 [RUS] That's it.

00:05:44 [UKR] Basic needs like that. [UKR] And write this thing of mine. [UKR] Did you sleep well, by the way? [UKR] Well, so-so. [UKR] Without yoga after sleep, it's not you. [UKR] No, I didn't even pour cold water on myself.

00:05:56 [RUS] You didn't?

00:05:57 [UKR] No, well I took a very cold shower, but the water from the faucet. [UKR] That doesn't count, with your level of cold water pouring. [UKR] But now the water is much colder in the country than usual. [UKR] Well, yeah, but it still doesn't reach our bottle level, you know?

00:06:10 [RUS] Well, they're getting close already.

00:06:12 [UKR] It'll take a few more days until you can see ice inside the bottle, and then it'll be just right.

00:06:26 It's okay? It's good. It's good.

00:06:30 Great. That was beautiful. You can keep going or... We just like, finish all about this day. Um, honestly, what would be good for them to discuss or to talk about? Hey, there we go. That was good. I like that. Glad we're still rolling.

00:07:16 [RUS] [laughter]

00:07:19 [UKR] And I was paying for it like that.

00:07:23 [RUS] Well, that's all going away. [RUS] So you were [RUS] Were you filming The Bachelorette or what?

00:07:59 [RUS] No need to play just to become famous.

00:08:03 [UKR] Well yeah, just become famous.

00:08:08 [RUS] No, well just, so it's not that. [RUS] - That's normal. [RUS] - I think you love me, and hold my leg and it's clear what you want in your jammies.

00:08:23 [RUS] And that's all. [RUS] - You're a showman, is that allowed? [RUS] - I also just wanted to wear something casual. [RUS] - And what, am I casual? This is the most purebred outfit. [RUS] - Well, I'll just say this was the most purebred outfit. [RUS] - Well yeah, should have worn Jesus pants and a t-shirt. [RUS] - Egyptian. [RUS] You know, a girl is doing something, she's hugging, sitting on the balcony. [RUS] I'll show today that I don't know, that I don't know, that I don't know.

00:08:51 Yes.

00:08:52 [RUS] That's why I'll have an evening routine.

00:08:55 Phew. Phew.

00:08:58 [RUS] I want more chocolate.

00:09:00 [RUS] Should I give you a piece of the pistachio one? [RUS] Yes. And what's the other one with? [RUS] Well, with walnut in general. [RUS] You probably want both. [RUS] And I'm somehow the most basic. [RUS] Well, their pistachio is more similar. [RUS] No, I want pistachio. [RUS] Well, let's bring this one here and try it. [RUS] What, you haven't tried it yet?

00:09:19 [UKR] Well, look.

00:09:24 [RUS] Should I give you a spoon? [RUS] No, the squirrel isn't kind. [RUS] Well, let's try. [RUS] Well, okay.

00:09:35 [RUS] Do you want tea? [RUS] You know what I need to know about tea?

00:09:42 - Welcome? - Yep. - Can you grab that plate and bring it back to her and just send it as you work?

00:09:48 - Right. - There you go. - Chayoc? - Chayoc? - No. - No. - No. - No.

00:10:14 [UKR] I'm really worried that they calculated it wrong for me.

00:10:22 [UKR] For some reason the receipt was only for one of them. [UKR] And so? Did you pay less or more than what there was?

00:10:29 [UKR] The receipt was only on this packaging, and there was nothing on this packaging. [UKR] But they're different. [UKR] I had a thought that they're just trying different prices. [UKR] Although pistachio is more expensive, pistachio is more expensive than walnut. [UKR] - I'm forgetting which pistachio.

00:10:47 [RUS] - I'm mumbling.

00:10:49 [UKR] - I'll do something. [UKR] Where are the stands? [UKR] - Well, on the dining table. [UKR] It should have little stands.

00:11:00 [UKR] That's why it's knocking on me and hanging.

00:11:00 [UKR] That's why it's knocking on me and hanging.

00:11:06 [UKR] I want pizza. [UKR] What what? [UKR] I want pizza.

00:11:10 And where?

00:11:12 [UKR] Something with sausage, cheese, or something light? [UKR] Homemade? [UKR] Homemade? [UKR] My muscles from joints, don't you want? [UKR] My muscles from joints, don't you want?

00:11:20 No?

00:11:23 [UKR] No, I would too, but I want something delicious. [UKR] Because what was last? [UKR] Wait, should I tell you about a place?

00:11:27 [RUS] Where to?

00:11:28 [UKR] - Everyday Pizza. - Where?

00:11:30 [UKR] - In Komi. - And where is Komi? [UKR] - It's where... [UKR] - Near the church. [UKR] - If I told you there that they're opening a restaurant patio, and they're making this sandwich.

00:11:44 [UKR] - No, no. - Well anyway, but it has to be delicious when the restaurant patio. [UKR] - Because I had something, every time any pizza, it was obviously not delicious at all. [UKR] - Well, well, sorry

00:12:28 [RUS] Well, and what about work? Normal. [RUS] No need to know.

00:12:30 [RUS] Can't we just go there and buy a ready-made set?

00:12:34 [UKR] We won't have that.

00:12:35 [RUS] Harry Potter. [RUS] We don't have that. [RUS] Harry Potter and nothing. [RUS] We need to invest minimal budget with my maximum creative idea.

00:12:46 [RUS] Well, I put it in the camp because I took children's things to the trash, [RUS] and by cutting these out, I got a costume.

00:12:53 [UKR] Don't like it.

00:12:55 [RUS] No, well for us, there were just kids, forgot a thing, and that's it. [RUS] And they didn't forget. [RUS] And what, whose costume is this? [RUS] A costume, well, whoever you want. [RUS] Aha, forgot at the dorm. [RUS] Well, you'll figure out who you want to be. [RUS] I have information for you. [RUS] How am I? [RUS] Pour me some stuff and I'll tell you. [RUS] Okay. [RUS] - This is very tast...

00:13:57 [RUS] - That's not a nuclear bomb, is it?

00:14:00 [RUS] - Okay, good.

00:14:00 [RUS] - Okay, good. [RUS] - Very beautiful.

00:14:09 [RUS] - I'll go out on the balcony, just be in the back. [RUS] - Bite it, let her not be filmed. [RUS] In short.

00:14:17 I thought it would be very easy to use. Do you

00:14:46 [RUS] - That's flour

00:15:16 [RUS] Light [RUS] - I want to say that

00:16:16 [UKR] I actually thought to myself that I'll go to the store once and give presents earlier, [UKR] meaning ours will be bad. [UKR] And then I realized that you won't even make it to Saturday.

00:16:27 [UKR] No big deal, no problem. [UKR] After Saturday I'm planning we won't be together. [UKR] How so? [UKR] What if I give something new? [UKR] No, it's just that it won't work out symbolically, you know.

00:16:37 [RUS] I heard something scary.

00:16:39 [UKR] Normal, no, there isn't. [UKR] Can I get a song, or not giving? [UKR] Saturday you're not giving anything?

00:16:44 [RUS] No, I'm giving, but just... [RUS] You're not thinking, I'm not honest. [RUS] Yours are unavailable. [RUS] Okay, let's go put things away.

00:17:00 [RUS] Oh, swift. [RUS] Well, wait.

00:17:16 [UKR] Thanks for watching!

00:17:36 [RUS] I just need to understand how they will be leaving. [RUS] If it's through pies I'll need to connect. [RUS] - Please. I think we'll finish the episode with eating during the hike.

00:17:53 [RUS] - You don't want any? - It's fine.

00:18:01 [RUS] - So what? - It's delicious. [RUS] - I'll try it. - Sugar bomb. [RUS] I don't know, [RUS] Oh, a secret.

00:18:48 [RUS] Yes, but that's it, [RUS] Okay.

00:19:12 [RUS] So tomorrow morning you're just sleeping.

00:19:16 [RUS] Something will join in.

00:19:17 [UKR] Even at 6 in the morning you're not starting to run somewhere. [UKR] No. You just didn't watch. [UKR] We didn't decide this morning. [UKR] We can watch a show episode.

00:19:28 [RUS] Oh, who's there?

00:19:29 [UKR] Watch an episode, find out who did what there.

00:19:35 Yes.

00:19:36 [RUS] - No need. - We can sleep like gold. [RUS] - Something, of course, like that. [RUS] - It's been a while since there was shelling. [RUS] - A drone hasn't hit in a while, you know, I'm saying this, thinking, damn. [RUS] - When you say it like that, then something happens later... [RUS] - I don't want to. - Uh-huh. [RUS] - Hitting at the park, but that's not fun for me anymore. [RUS] - Well, we'll sleep at the park, we'll set up a tent and sleep. [RUS] - Mmm, anyway, we once went down,

00:20:03 [UKR] Then we usually filmed the car, that I'm standing. [UKR] That was my point 119.

00:20:11 [RUS] I remembered.

00:20:21 [UKR] Nothing. [UKR] Right at two everything's great.

00:20:27 [UKR] This is hard for me. [UKR] You know that you'll be filmed anyway? [UKR] I didn't know, I thought I'd just sit and no one would film me.

00:20:35 [UKR] It turns out I'm a participant here. [UKR] Sanya, you understand that you're incredibly talented, that you just hopped right in.

00:20:44 [UKR] I just went to get stuff from the car, I come back, Sanya's already...

00:20:50 [RUS] Well, I'm just, how do you say, adaptive.

00:20:55 [RUS] You're ridiculously adaptive.

00:20:58 [UKR] I just, you understand, if they knew, I would have looked at what's more popular for me.

00:21:05 [UKR] Now, it seems to me, I'm not very attractive. [UKR] Very beautiful. [UKR] Well, look, this will just be such a big list of everything.

00:21:14 [UKR] We need Sri Lanka too, definitely, with turtles, and there'll be lentils. [UKR] If they paid there, then I need money. [UKR] Well, I really like traveling, but you need to earn somewhere.

00:21:26 [UKR] Because for six months I feel how I'm gradually sliding into this minus, and living isn't getting cheaper. [UKR] No, well what, it's all experience, well, moving turtles, that's...

00:21:40 [UKR] You can tell your kids about this later. [UKR] And for kids, it seems to me, there's already enough to tell. [UKR] Well, you were walking down the street in slippers, a rocket fell nearby. [UKR] That story seems enough, you understand? [UKR] [VO CANDIDATE] Some people have fun student years, and I in shock can distinguish by sound what's flying now.

00:21:56 [UKR] This, it seems to me, is much more useful life skills than just walking around.

00:22:07 [UKR] Student life. But you can learn. Oh, Shahed, Geran, also some others.

00:22:13 [UKR] Geran I don't understand what that is. [UKR] It's also, like, such. Shahed? Is it regular?

00:22:18 [UKR] It has approximately the same characteristics. [UKR] Ah, I saw something like that, I thought it was a scout drone.

00:22:28 [UKR] You need to study this topic so you're anxious to the maximum. [UKR] I think consuming such information only adds anxious thoughts.

00:22:39 [UKR] The more you read about it, the more you think about it. [UKR] I can imagine something much worse. [UKR] Either way, either way. [UKR] Show it, if so. [UKR] Ah, well yeah, well, it didn't show there, just a piece of metal, [UKR] you know, take it, go to the dump, piece of metal, [UKR] I'll say, this is a piece of Shahed, [UKR] No, well, it's honest, a piece of Shahed, [UKR] you understand? [UKR] That won't be bragging. [UKR] That won't be bragging.

00:23:00 [RUS] You won't?

00:23:01 No.

00:23:04 [UKR] If we had a cat, you'd have psychological support,

00:23:09 [UKR] it would sit on you and would sit on everyone, [UKR] That's already some happy super hour from a commercial, [UKR] That's already some happy super hour from a commercial, [UKR] just sauerkraut or some six o'clock thing.

00:23:19 I can play... A cat? I wanted to say I can play a happy one.

00:23:28 - Do you want to play? - No, don't you? - Please. - You know, I can, I can't. I know. I'm really quiet.

00:23:40 - It was funny, I was just... I was just about to... I was just sending you a WhatsApp figuring you that you might hear the buzz. because I was gonna tell you you just end this however you can get up and take the plate over and then I mean we've got the scene this is you guys you guys are awesome this has been really amazing like I I think you said something about you were worried about being on camera or you didn't think you were gonna be on camera You're great in this place. Amazing. And that sky. Yeah. So I think just to end it, just like, you know, let me clear and then, you know, you take the plate over or something like that.

00:24:24 And I know you've got a meeting, you've got an online meeting.

00:24:28 Just like prepare for cooking here.

00:24:30 What was that? You can just clear the table. Yeah, just clear the table.

00:24:36 [RUS] That's it, I can't anymore. [RUS] - Ukrainian material? [RUS] - Ukrainian material? [RUS] - No, just call it care for the partner.

00:24:45 [UKR] - Yes, that's right.

00:24:52 [RUS] - Throw on another one, I'll fall asleep again.

00:24:54 Yes?

00:24:56 [UKR] - Same thing.

00:24:57 [RUS] - I need you not to bring the computer, [RUS] so I can't turn it on to film this. [RUS] Good morning, hospital. [RUS] - You're on the lane [RUS] Not thinking of filming with Kyra? [RUS] How beautiful.

00:25:36 [UKR] Thank you.

00:25:38 [RUS] Figure it out, I think, also for New Year.

00:25:44 [RUS] How are you doing? [RUS] What options are there? Let me ask like this. [RUS] Batman.

00:25:52 Yes.

00:25:59 [RUS] I don't demand. [RUS] - That's all. - No, I'd also play Hobbit.

00:26:05 [RUS] Can I? Hobbit. [RUS] - Mmm, you can. But you didn't follow the actors. [RUS] - Maybe everyone who played Hobbits was small?

00:26:17 [RUS] - Well, yes. [RUS] - What, really small here? [RUS] - Well, don't squeeze in here. - No. [RUS] - And I think, yes, you can... [RUS] Well, let me say I would like to play. [RUS] Either in the new series [RUS] in Rings of Power, [RUS] or in Harry Potter,

00:26:37 or...

00:26:40 [RUS] So what? [RUS] More than that I'm not around. [RUS] No, or I would like [RUS] to play [RUS] a haircut

00:26:51 about

00:26:53 [RUS] Puhtik.

00:26:54 - Excuse me, you know, you can...

00:27:07 - Log on. As soon as you're done with that, - Log on. As soon as you're done with that, you keep doing what you're doing, finish it off, and then you're gonna walk out of the room, and then we're gonna hold on her reading the book. Okay? So just... - Okay. I just go, yep. - Yep, got it. - Yep, got it.

00:00:00 I mean and your day, you have a schedule.

00:00:00 I mean and your day, you have a schedule. How I start my day today? No, I mean like you said go to sleep by 10, not by 6 am every day. Just tell me about that. About schedule of my day? Yeah, yeah, like what you do when you wake up. Okay, if I wake up at home, it's probably will be at 6 am, and after this I will go to do some fitness, yoga, exercise, something like this for 15-30 minutes. After this I take a cold shower, go to cooking my breakfast. Before breakfast I go to perform some meditation a little bit. I write the goals for day. And after this I perform breakfast, eat breakfast and go to the job.

00:00:50 After job I will go to the crossfit gym, perform crossfit, go to the home, reading. cooking, sleep at 10 p.m. Something like this. Why is that important for you? I think thanks to this you can find yourself normally. You can improve something in your life if you have a basic line. It's like normal sleep, normal eating, normal minds, your thoughts okay, your body okay and then you can improve yourself. You can help yourself to change something in your own world.

00:01:37 Something like this. If you don't sleep enough, if you don't eat good or something like this, it will be impossible to improve something in your life, to improve yourself, something like this. And you cannot live all the time in like depression. Because if you don't use these rules, I think it will be very worse for you. And when I have night shifts or something like this, I feel on myself how it looks like. When you don't have strict schedules, it's like you cannot do nothing. And you cannot do exercise, reading or something like this.

00:02:25 That's why for everyone who work in like some special conditions or something like this without normal sleep or something like this, I think it's very important when you have time, good eating, good sleeping and good mindset to live in these conditions. And it's not just a cold shower, it's you refrigerate it. Yeah, yeah, it's like two bottles of water in my refrigerator for every morning.

00:03:00 It's like to break your board, something like this. Did that get significantly brighter, Logan? Is that what you were looking at the light? What's that? Oh, I thought you were looking at the light. Two bottles of water is like the big jugs of water? Yeah, it's like about six liters, each one. That's a lot of cold water. Yeah, it's about 10-12 liters of cold water. also i like to swim in dnipro river dnipro but i don't like it to move to go there in the summer i perform swimming when it's cold autumn the beginning of the spring and winter i very like to swim in the river because it's very refresh your mindset it's very helpful to you and i very like

00:03:50 to do in the morning you know no one is there everybody sleeping now and you just came in the beach like sitting and you're hearing the songs of the world and after this you go to swim in the cold river like i don't know like wikin or something like this and after this swimming your body is hot like fire and you can just go by your day and it's very cool i very like it i very like cold water it's like my i i don't know how to say the amazing uh the coolest thing in life which you can

00:04:36 find everywhere just cold water and it will be something amazing you don't need any drugs or something like this, just cold water, swimming some minutes and you will be fine. Invigorating. Yeah. Where were you when the invasion started and then tell me about that night? Oh, I was living with my friend in other apartments and it was like we think, we thought that something will be because all news was about this like thousands of russian soldiers right now near border of ukraine something like this and everyone knows that something will be wrong

00:05:27 and it was about 5 or 4 a.m and my like the best friend called me and say bogdan it's start okay it's start and i what's going on i i just sleeping what what's good what's start big war i say it it will be so it started and i what's mean big war and my friend say the russians everywhere and i woke up with my friend his name ilia he's of termology surgeon he worked in the other hospital and he for all these four years treated the soldiers with problems with ice after injured eyes he performed operation in this i we live together and we just i take all my

00:06:19 stuff like all documents everything we perform photo i have this photo near our apartments because we really didn't know what's going on and i i realized that i understand it i probably will not come back to home because you you you didn't know what's going on so we just uh scraps together wrapped together i don't i don't know how to say exactly and uh go to the go to the job and it was like i very uh good in remember what's going on in those morning it was a lot of people who try to take money from uh the atm you know it was about 20 30 persons near

00:07:13 every atm it was first time i heard alarm you know first bombing first it was like firstly in my life i understand oh my god and i remember i first day only what i have of protection

00:07:30 of myself it's like the glasses from protection from armor you know and i really i don't know what i have to do and i just like put on my eyes and go to the job and i saw a lot of people near atm near gas stations and it's like something horrible begin it's uh you feel it everyone you see like eyes you understand it's fear something wrong a lot of a lot of cars go fast go so and we meet together in the job and everyone was in like cherry ground canals or like news or something like this and we all time reading what's going on and it it was awful because we really don't understand

00:08:21 what's going on something like this you said something about being with your professor that that night or the guy who's your teacher no this guy was my friend we live together yeah but but when we were outside you were talking about like or maybe it was just a conversation after the invasion It was after the first night of this invasion, I had a night shift as a resident of neurosurgery and his name Stanislav and we had this night shift together. He was as my mentor, as my chef of this night and after some operations it was first wounded people after full-scale invasion,

00:09:07 first civilians first soldiers with brain trauma related to the war and we performed the surgeries i never saw the soldiers before and he teach me and in the morning we we were like on the near the hospital outside and we have we had small talk and he said okay i was as a resident of neurosurgeon in 2013 when start war this is other because we think in uh we thought in 2013 it's horrible it's a lot of number of soldiers but and everyone say who was in hospital in this year

00:09:57 that was, oh, you don't know what's meant to be like neurosurgeon in the condition of war when I came to residency because it was like actually finished. But when it started one more time, it was like 10 more soldiers than in 2013. And he said to me, okay, I think time in 2013 was awful and it was like horrible times in my life but now i understand the horrible now the horrible times start now because it's more bigger more uh bigger number of casualties of soldiers it's like we never we never saw this before something like this and when when it started we

00:10:50 soldiers which came not like now by evacuation the soldiers which take uh some kind for from his platoon you know from the their command to our hospital and they uh come to our hospital in with weapons with everything you know just because someone of his uh command has injured and they like take off from from the hell and go with them in our hospital also i remember the civilians from mariupoli when it's be possible to civilians to go out from mariupoli and i never forget the

00:11:36 one guy it was like older guy about 50 years old with his young daughter or maybe something like this and they came from mario and they don't they didn't have like severe trauma just little some but in his car was his daughter dead and he just asked okay we just have a little little like And it's everything okay, but what I have to do with my daughter. And his car near our hospital and in his car his daughter is not alive. And also it was a situation when it will be possible evacuation from other stall by helicopters.

00:12:27 And it was like hundreds of soldiers in our hospital per one hour or something like this. It's everywhere where you can sit, there were soldiers, seated soldiers, wounded soldiers, it's like real heroes which protect Mariupol for these days, like without connections with our country you know and you see in in their eyes and the sense they came back from the hell because they come to our hospital in all stuff they had like weather like carry plate everything like for protection you know only without

00:13:17 weapon but how they look in azov style they was they were in our hospital something like this wow you were at the other hospital in in dnepro then right sorry you were at a different hospital in dnepro than not mechnikov right or were you already in mention you studied elsewhere is what I'm saying? I started in Menchniko Hospital. Oh you did? Yeah. Okay. All four years I am in Menchniko Hospital. Oh so then you did a year at the other one, is that what you're saying? No. No. You never? Okay. No. I just was like uh go in other hospitals for experience but actually all my study and job in

00:14:03 in this hospital. Did you grow up wanting to do this? Sorry? Did you grow up wanting to do neurosurgery? I don't understand. It's like very difficult question to answer. Because, you know, when you grow up with something, it becomes a part of your life. And if you see from the early years all this stuff, you understand this stuff, you become a part of this stuff. Something like this.

00:14:50 Now, you know, at the end of your day, near the beginning of ours today, you were in that staff meeting with your father. Do you, did you ever, like as a kid, do you remember going around those halls that you now work in, in those rooms? Did you have an experience as a child? Yes, of course. The biggest experience I had that I actually didn't see my father. Because he all time performed studying, working at his room.

00:15:30 So it doesn't matter which time is it, which day is it. He was all time in his work. So from my childhood, I remember that in the biggest part of my time, no father near me. That made you angry? Oh, it's not made me angry. It's made me sad. I don't have envy for them because he performed all of this to have possibility to live in our country. It's very hard to live in our country and to find place to become someone.

00:16:19 So he just performed his job. Tell me why it's hard to live in your country and become someone.

00:16:30 to what you just said. What do you mean by that? What do I not know? Okay, let's start. You have to understand that your country and my country have the biggest difference. We don't have institutions. Like, if you wanted to become someone in the United States, you understand strict way. Like, go to college, medical school, study hard, pass some exams,

00:17:00 go somewhere and after the finishing of some some like specialization you will have some experience knowledge and you will have normal salary or something like this and you can live for this salary it's like um you know the rules of this game previously you start just doesn't matter what you wanted to do if we say about ukraine it's not like very strict way and very understandable rules how is how it's going on and doesn't matter you wanted to become it's like not about only surgeries surgeons or something

00:17:51 something like this or you wanted to become maybe journalist or something like this and you okay i will go to university and study journalism or psychology or something but after this it will not be like okay you have degree of journalist you will have job and this job will give you money like to buy you foods i don't tell like uh buy a car or something like this and it's really impossible in in the biggest situation to find the job or to find the way it's all about

00:18:30 the rules you don't understand in the school or something like this you have to you have to find this experience does your father go ahead i i think it will be enough yeah yeah you know you got it Does your father inspire you? It's also a difficult question because I don't think it will be so hard. Of course, when you saw the guy who found own way and had achieved goals, had achieved reputation, different achievements which give him a lot of possibilities, you see and oh, it's cool, I want to perform the same.

00:19:30 I'm ready to study, I'm ready to do everything. I want to have the same. I want to just be the guy who has the same achievements. Something like this. It's not like the strict, like the same achievements. I just say it's very good example how to do, you know? Something like this. So my father was a college professor.

00:20:00 He's now retired. He's about to be 88. And he was always at work. And I felt like his grad students were almost more of his kids than we were. Did you experience anything like that with the people that worked under your father?

00:20:54 this film with my father yes of course because you know when you child it doesn't matter which this film with my father yes of course because you know when you child it doesn't matter which car your father have or which you like in which apartments you live first of all what do you want to have it's like the people who love you and near you it's like the first what what do you need And I think it doesn't matter where you're from. It's the same rules. And of course, if you understand that someone has more attention than you, it's like a little bit you. Something like this.

00:21:43 What's it like working with him now? For him? Working for him? Working with him? I think it's hard Because It's so It's so hard Interview It's like I'm in therapist Psychologist Psychologist I just say It's hard And It Not only about You have to perform good job It's like the two person in one. It's like chef of everybody and it's your father. And you have to redirection.

00:22:30 Like your father, your chef. And if you have chef and you don't like he say you something. Okay, I don't worry about this. But if it's your chef and after the job is your father, it's very hard to make cut of the job. When you go out from your hospital, cut the job and go to the family, it's very hard. Yeah, something like this.

00:23:00 Is more expected of you? I don't understand. i think yes but uh probably for my younger brother more because i i'm not very you know good guy like i don't i don't know how to say in english exactly how you say when you know the son of uh your your best uh friend of your mother you know that your mother say okay uh the son of my best friend like your mother has best friend you know other mother this other guy and he all time say you oh it's got this guy had degree it's a guy had

00:23:51 a very cool achievements and what about you so i'm not the guy of this mother you understand are you are you saying you and your brother have different mothers no no no it's like saying when you know your parents can compare you with the children of their friends and say that oh look my friend's kid achieved this and that and what about you so i'm trying to say that i'm not that kid who is like always an example that like all parents tell their kids but she got this lob is is that what you're saying yeah i think uh he probably will perform

00:24:40 this one this achievement no it's the right But like you're, I mean, now being at the hospital, though, you're at Mechnikov, your name is Sirko, you work for Sirko, who has a legendary, or, you know, he has, he's known what he does, right? and what i'm saying is like is it more pressure simply because he's your father also like do you do you um do you need to do you feel like you need to perform that much better um just because

00:25:30 people are are judging you or actually for myself i find that i don't want to perform more achievements because it's like not your life when you're thinking only about to become better than someone you know and for me sometime it was like a goal you know i i wanted to be the example i wanted to to perform something very well to be the good son but actually i need some experience i have to uh i have to have like my frontal frontal lobes is uh performative 25 years to understand a lot

00:26:16 of things you know so it's not about i wanted to become better i just wanted to become good of myself and it doesn't matter i have to become cool neurosurgeon or something like this it's about to find my own way and i think especially when it's like your life is like finished you understand that the best decision what you have to do is follow your way if your way it's just become better than someone it's not you like you you don't want to become the better of yourself you want to take

00:27:01 [RUS] I understand that this is not my goal. [RUS] I just understand that people have many expectations of me, how do you say it correctly.

00:27:13 Expectations. - Expectations about yourself.

00:27:17 [RUS] And sometimes I died.

00:27:21 expectations and It doesn't matter really our life is We'll finished my life your life everybody and it will be finished and what's what's cost of their things? nothing What's cost like expectation nothing? only what you have it's your life and It's you need time to understand this you need experience to understand this and And I hope that it will understand all my like, uh, realities, something like this.

00:28:00 So, I haven't known you guys that long. I met your father a couple of weeks ago, um, in person. We've had some exchanges on WhatsApp, but, uh, and I just met you a little over 24 hours ago. Yep. Do you know that your father is very proud of you? I think yes, in his way. I can tell. Thank you. So tell me about Metricon Hospital. And tell me about first the whole, like what it is and what it means to the region, but then what it means now with the war effort etc.

00:28:47 Okay, I wanted to start firstly because a lot of people just use words like medical front line or something like this. You know about like it's our front line, economic front line or something like this. Maybe you heard it before and sometimes say about like medical front line or something like this. And first of all, what I wanted to say, we have only one front line. It's where the people fight, where the soldiers were real heroes. Only one heroes we have, it's like our soldiers. And before our hospital, if we say about wounded people, we have a lot of steps, a lot of points.

00:29:30 When soldier has wound, firstly he has help from combat medic. It's a guy without medical degree. He helped this soldier. After this, they go to stabilization point. It's so near to the front line. All time bombing, everything. And there work real surgeon, real anesthesiologist, military, and this guy heroes. After this, this soldier go to the mobile hospital or frontline surgical group. There, real soldiers, real anesthesiologist, nurses, a lot of stuff which helps them.

00:30:18 They're heroes because they live in the war. And only after this, this soldier came to us. We are a level 3 hospital. It's very important to understand because I wanted to say when it's good education for surgeons to try to be in the skin of the combat medic, not like in the front line. Just try to pick someone 10 meters on yourself in your protection, like in your helmet, in your carriage in everything take someone and go with him with him 10 10 meters no more and you will do all your body sweating you cannot to breathe thanks to this you understand all steps

00:31:07 of jobs and i wanna to show this important type of important steps of america medical care for wounded civilian and soldiers from frontline by steps by step by steps to say them thank you and

00:31:30 our appreciated for this military guys military surgeons military combat medics everyone who is military now because they are real heroes for these four years and a lot of people who came in the army before 2022 and they still here now still still there now and it's so hard way and i sometimes try to describe these things about how many people have to help and perform some deals with one wounded soldier before he came in our hospital. Just imagine, it's like one or two combat medical, medical evacuation, tactical evacuation, mobile hospital.

00:32:20 After this, evacuation to our hospital, and only after these steps we have this soldier in our room, emergency room in Michinical hospital.

00:32:30 So I wanna firstly say the guys who worked previously to me, I very thanks to them. They are real heroes. This medical, this stuff, all who is in army or is volunteer work, they are real heroes. If about our hospital, we level 3 hospital and we perform definitive surgery in the biggest part, if we say about surgeries, like general surgery, acute trauma surgery. And if we say about neurosurgery, we perform about 80% of primary surgeries of cranial. Because before us, we have military neurosurgeons which work as me, but they live near the front line

00:33:17 for a lot of years and perform operation, doesn't matter where, and it's very horrible. It's like, and they perform operation to some wounded soldiers who will not be alive for these three hours of evacuation. Okay, so our hospital, we take all these soldiers from all directions of Donbass region and it's like we have more opportunities for investigations like CT scans, a lot of different stuff, a lot of different investigations like MRI, CT scans, a lot of different analysis or something like this.

00:34:05 and we have a lot of different specialized, like not only like one surgeon, it's like ENT surgeon, eye surgeon, cardiac surgeon, thoracic surgeon, abdomen surgeon, vascular surgeon. So, if say about our hospital, it's more about to continue this treatment, you know, we not start this treatment we just continue this treatment and after our help we perform evacuation to other hospitals after us it's like level four hospitals in other cities and they perform like finishing finish of treatment rehabilitation and something like this so it's like like that because i wanted

00:34:54 to say thank you one more time for these guys they're really cool i know i know some of them i work with them for very short period of time and thanks to this i understand how how hard is it to be there it's not only about your fear about be dead by shrapnel or something like this it's about your schedule about your life in this in this situation you say that they're the real heroes does that mean you don't think what like you you're you're not a hero no no it's uh just job it's

00:35:45 It's nothing for like heroes to perform your job. It's like the same like engineer, journalist, psychologist, doesn't matter. Everyone performs his own job. And if someone thinks I'm a god, I perform very, I'm a hero. It's like, not trust, you just decide to be in this specialty and perform this job, nothing more. So something like this. But if you perform this job and you have, you don't have possibility to be in protection, you are not in the safe position, you don't have possibilities to see your families for a long period of times and you perform this decision by yourself to go out from

00:36:37 your family go out from your own city and go to the front line you're hero if you're civilians who perform just your job you just perform your job it's not hero you are not hero something like this in my mind but you did you you work for what a month uh in a stabilization point or something like that or do you want to not want to talk about it it's like it's like something like this yeah it's not like stabilization point it's about mobile hospital it's uh more far from front line it's more safer more safe place than stabilization point because stabilization point it's

00:37:23 it's very very very unsafe it's it's near to front line and they don't have possibilities to relocated very fast so it's like cannot be like okay we have information that something will be happened with this like place or this house so go out they don't have possibilities to take their like all stuff for 30 minutes and go out they live there so it's a lot of uh surgeons a lot of medical stuff that because they work in stabilization points because russians uh hunting for this type of people and they hunt for stabilization point medical evacuation

00:00:00 I think it's a very important point to understand because someone can think that he

00:00:00 I think it's a very important point to understand because someone can think that he okay I'm a hero something like this but actually I don't I don't think this job is heroes when you just perform simple job like not like simple just like common job nothing hero is here you know you you don't go somewhere where someone wanna kill you or hunt for you or something like this you don't live with a fear of your like everyday life it's like you have to understand this because the guy who on the

00:00:55 war on the front line they live with these feelings of the fear you like animal you understand that you am the hunting someone wanna kill you and yeah they are heroes because they perform decision go to the army so i think the guys who just perform civilian job cannot to say i'm a hero in the country reaching the war my thought if you wanted to be a hero you have to go to the army

00:01:30 to say i'm a hero because i cannot to say i'm a hero it's like for me it's bullshit well it's not for you to say that you are a hero you know it's for others that's if you're saying I don't think most actual heroes would tell you that they're heroes. I sleep at home, I can have vacation, I can have possibilities to continue my relationship with my girlfriend. It's like in Ukraine it costs so much. It costs very big amount of money. Like, not like real money you know it's it's so a big amount of this big cost to have possibility just to be at home tell me about your girlfriend how did you meet her it was very funny not very funny

00:02:26 stories it's just real life and after my night shifts sometimes i went to the coffee shop and drink some coffee it was like for me for fast dopamine something sweet coffee and go to my apartment sleep and one time i saw her and it was like you know um the bit the beating of electrician you know something like beat you like uh i never i never like feel it before and i said oh my god what's going on something's wrong it's like uh i'm i'm not broken something and we start just talking and if said firstly i can't say this now because i'm actually not resident i'm a doctor uh when i

00:03:18 have night shifts i ask my chef of residency and say oh i i need one hour to take go in post card or something like this in some store but i go i went to the to her just to have small talk one hours and after this i i uh back to the job and i it was like uh i really want to be near her and i understand it's like my um not it's like uh children my human something like this and i'm very happy that uh i i meet met here in my life in my life

00:04:03 tell me about you were saying something in the car about like uh these you know long conversations was it i mean after that moment you you felt like you were bitten did did did there come a time very quickly or immediately where you felt like you always knew her like like you can't imagine your life no it's it was it it was like uh understanding that i wanted to be near and then go ahead yeah after some months then you went away to the mobile hospital yeah and uh you came back and yeah and and we just continue our speaking and after

00:04:56 the one month i think i uh break her border you know something like this you you you cross the kill zone yeah yeah yeah yeah something like this what's uh i mean uh it's what does it mean to have found someone especially you know in you know this place where you uh you have there's so much uncertainty there there are air raid sirens you know there's uh i need translation I don't know, I was just like, he's found someone.

00:05:44 And what is, like, he has a home to come home to that really, it's not just his apartment, you know, it's something real. And I just ask him to reflect on that because he has this. I don't know. I just feel like what you have is beautiful and special and especially meaningful to me in your life that I've barely gotten to know that you have this. And to me it would provide, I don't know, I mean, a lot of comfort, a lot of, you know, it's, I don't know, you found something special.

00:06:42 And that's kind of what I want you to talk about. I say thanks to God for this. Yeah, it is a proof that God exists in your life. You can see that. So, we got to town this week. A couple of, I mean, two days ago. We met you, but, like, you came in on this case. Tell me about this wounded soldier that you walked in and you closed up on the surgery that your father just performed.

00:07:30 You wanted to know more about this soldier? Yeah, just tell me about him and tell me what you did when you came. Like nuts and bolts. Like this is what the situation was, is with him and this is what I did. This soldier had so severe trauma related to the war. Unfortunately, his leg and arm is crushed and he left his leg and arm and he had very, very difficult wound of his frontal bone.

00:08:15 of his face, of his eyes and he needed operation to perform primary reconstruction of his bone, of his frontal bone because it's connected with big and high risk of infection. And after this infection it will be meningitis and it's probably death after this. So our operation is going to give a chance these heroes to have rehabilitation and stay alive.

00:09:01 Because it's not like, you know, it's not operation when you stop big bleeding and you say, oh, everything's okay, this guy will be alive after your surgery. It's surgery which you perform for future to reduce risks of infections. It's very important because if you say about brain, about neurosurgery, you understand that possibilities of infection is very, very important. Because when it starts infection, you cannot do anything It's like a very horrible situation You have to think previously to perform this operation

00:09:52 And protect this brain from infection Something like this So it's like the type of specialization of this surgery sometimes You didn't see and you will not see like something amazing cooperation and a lot of blood, stopped blood and everything is okay. It's about the future sometimes. You have to understand that if we will not fix it now, it will be infection. After infection, it will be death and we will not fix the infection. Something like this.

00:10:30 So, especially when I came to operation room, Alex and Andrei just finished the biggest part of operation, and I just came to help with close the wound, and close the area where they work, something like this. This is the second or third time I've heard you refer to your father as Andrei. Do you call him that mode when you're talking about him rather than my father or is this when in work mode you call him that?

00:11:17 uh especially in our language we have you like uh when you say to someone who higher than you in graduate like your chef we say you but in your language it can be the boss like uh to the friend and to the chef but we have in our language the you like for the higher someone and if you say with someone this polite we use this word and i use like his full name no father or something like this no honey nothing so you're actually doing out of respect then is that what am i understanding yeah because it's like rules of the job it's like cannot to be like hello father how are you doing

00:12:07 it's like you have to build in the like uh board of your like life as a child your life as a surgeon it's like no connections have been i think so um when i met alex well first of all tell me who is alex pelage who is he the best of the best of neuro trauma here he like you know real professor here wrote a lot of books here like a big brain and you have to understand this actually other type of people they're generators you know they're living for the science they're living for the neurosurgery

00:12:57 the living force books or write books you understand like write books of neurosurgery it's like it's like i don't know how is it it's like very cool but you have to saw a lot of efforts for this it's very hard and i understand the uh people like him it's like i don't know they live in other like stratosphere or something like this for for myself because actually if not war i never will have possibilities to have to talk face to face because i'm just little neurosurgeon from ukraine this is professor for like of american neurosurgery no it's like okay man understand where are you if i uh somewhere on the conference say him hello it's for me will

00:13:48 be oh my god i will have conversation with the professor of neurosurgery and from for me it's now like oh my god it's like possibilities to have a small talk with the professor of neurosurgery you know american because for ukrainian it's like american neurosurgeon it's like oh my god it's god you know it's i i don't know you even actually saw the videos in some tv series and the guys say everyone i am neurosurgeon and they like have a party and say hello i'm neurosurgeon and someone say i'm engineer i'm neurosurgeon and it was like a lot of people and in the end they come in the

00:14:30 guy and say hello how are you what are you doing and he say i am uh i uh the driver of ir space and after this oh i am neurosurgeon and understand what this like neurosurgeon in america it's like the coolest guy it's like near president i think because you know it's like some types of god yeah Yeah, well, we, like, being called a brain surgeon in English or in America is like someone who's really smart. Like, or if something's really difficult, or if something's not very difficult, it's not like it's brain surgery. Like, or if something's really difficult, or if something's not very difficult, it's not like it's brain surgery. Or it's not like it's rocket science, is what we'd also say. That's interesting. And when you walked in, though, he was assisting you in closing it up.

00:15:17 It's like, you know, I'm so nervous about this because professor of like American neurosurgeon assists you and oh my god, it's like all time when Rokka came or something like this and the guys like them assist you and you think oh my god, they probably think that I am so stupid because you understand the guy who had experience of a lot of years and he assists you. It's like it's very very nervous yeah and sometimes I remember when I operate together with Roka and it was our in urgent operation and we don't have a lot of stuffs like in

00:16:00 American neurosurgery room you know we have like more forms like caveman what's left it you know so and uh and he assist assisted me and i think oh my god this guy will see him here like take part in museum you know something like this you could have fooled me you seem pretty cool you seem like you had it you did not look nervous that's right well you pulled it off and i forgot where i was going with this but when i when i when i started down the uh um what is it well what does it mean to just just in general that like these people come to to

00:16:49 match my club i don't understand like it clearly following alex around and seeing the people greet

00:17:00 him um you you could you could you you i i felt everybody was was was happy he was here and it meant something more than just like you know uh like that i don't know that people come from far away to to uh work with you um so what i mean is like it seemed to lift people's spirits just by by seeing him. About Alex? Yeah, I mean, just, yeah. Yeah, I think, yes, because when you saw these people in your hospital and understand, and they say, "I learn from your job," and I think, "What do you learn?"

00:17:48 "I'm just neurosurgeon from Ukraine." And you think, "Maybe I know something, maybe I can something." After this, they all time help us in other ways each they can, like supplements, a lot of stuff, all time they wanted to be here together with us. and you understand you are not alone in this world and the biggest like i don't know how to say elephant of neurosurgery came to ukraine to be near you so it's like incredible and you think that it's like very very you you're you're feeling like oh it's so cool these guys near us and

00:18:40 they help us they wanted to talk with us and you like uh spirit is higher you think oh i caused something this guy coming to work with us it's cool and also it's like you can see the other culture of neurosurgeon as a culture of people its connection it's it's very cool because if not war I think no American neurosurgeon will came in Dnepro, you know. I think probably no. So it was it was it will be one one possibility to go in the United States. But now the American neurosurgeon came to us. American journalists came to us and I'm at home in Dnepro, you know, it's something incredible. I mean Alex is sitting on your floor over here.

00:19:31 yeah yeah yeah he's in the house yeah yeah um so boy i wish i would i i i stopped to ask you about alex and you gave me such a great answer made you forget where i was where i was going with that um um let's uh let's go back for a second though um you know i've asked you a lot of things that you've said you know you feel like that you're in a therapy session or you know a psychologist or uh has there been any of this that you you'd like to answer again in ukrainian um you know you've been doing a great job so i'm all right um

00:20:19 oh yeah well i have to ask you about when the hospital got hit it's like bombing or yeah and the rocket you got knocked over during surgery um it was you know it was very funny i will start why because for me now uh we we had window in our operation room and i just for in for two or three minutes before bombing i just say anesthesiologist group okay when this window will like crush it after bombing maybe uh we'll like no window in our operation room because it's so it's so it's so

00:21:06 fear to operate in the night when we have our just not alarm if a lot of drones in dnipro a lot of rockets and you cannot to just okay alarm i go to the shelter uh anesthesiologist contain the medication and after the alarm is stopped i will continue my surgery you cannot and you just staying near this this window perform operation and this one and for me sometimes i wrote read the book name it's the war surgeon uh it's like one of the important book about the surgeries performed uh

00:21:52 surgeon in different countries like syria or something like this and he wrote about this in the book when he operated people wounded people in syria and everywhere was bombing and when i was reading this book i think oh it's like uh something about uh heroism you know it's not about heroism it's like you when you read books about the i don't know soldiers of navy seals or something like this and you think oh it's cool guy it's like about uh romantism like little romantism and

00:22:30 you save lives when bombing near you and you think oh cool guys and then after this you understand you in the same situation bombing your city you perform surgeries and i say our anesthesiologist group okay when it's like will be bombing near our hospital it's window will be crushed and maybe it will not be able will not window into the future and after two or three minutes like big bomb boom no window and i think oh i will never in future say something because it's like uh not funny and anesthesiologist same is the same and ask me not saying about future anything in this way

00:23:18 something will crush it or big bomb and they think it's like will not be happy so when it's when it's

00:23:30 coming like bombing i didn't hear the whistle you know like some drones or some rockets it just was like big bomb and first what i feeling it's like the air which go with the speed i don't know like from the helicopter or like plane near you and you like just sit i stay just staying and like you hear the flow of this air like near you some airplanes go and it's like you just stand you you cannot to just stand you have to uh take efforts uh to just stand and you hear this

00:24:21 and you don't understand what's going on and after this I open my eyes everything in gray you know you cannot to see anything because it's like a lot of a lot of dust so I think okay maybe I am still a leaf and okay everything's crushed my nurse on the floor a lot of like the stuff from the window in operation field everywhere everything in dust okay and then okay i will check oh i'm alive i have my arms my legs oh my my neck is okay i don't have like severe breathing oh everything's okay and i

00:25:07 Firstly, one thing I think after this, I know that Russians use techniques double, triple kill. What does this mean? You like bomb one time, some place, after this a lot of staff go there to help, and after 10-20 minutes another bomb, and another bomb. And thanks to this they can kill a lot of people. And I understand. Okay, if it was like first bombing, we don't have a lot of time to think what we have to do. And I ask my operation comment. I thank everybody of them. Because I was one guy in the operation room. Other was a girlfriend, like a woman.

00:25:55 Like anesthesiologist, anesthesist, nurse. and you, one man in the operation room, and I say, "Okay, everybody is okay, no one is severely wounded, we just fast finished operation and go out from this operation room and go to the shelter." Something like this. - So, it was your first thought, if you had to check if you were alive, your first thought might have been, maybe I'm dead. - Yeah, yeah. And I open my eyes and, oh, I'm alive, maybe. Oh, yes, I'm alive, everything is okay. Thanks, God, I just ask anesthesiologist, just check my back, because you have a lot of adrenaline, and you sometimes will not feel the pain, you know.

00:26:46 If something bombing or something near you is so crazy, you have a lot of adrenaline, and you will not probably understand something wrong with you. It's really, that's why I asked anesthesiologist to check my back where everything's okay so we continue. But actually I think it will be, it's like thanks God I'm alive and not wounded because it's like very very very crazy. Yeah something like this. so yeah then you the the patient's brain was exposed right it's what it's

00:27:30 thanks god it was not like big brain operation it was like uh like we perform uh puncture of subacute hematoma and i perform like little hole in the skull and perform drainage in the drainage of this gematoma and thanks god it was like the on the finish of this operation i just have five minutes to close the skin go out this patient and we leave the operation room thank god because if it's like open open brain like big brain brain operation it will be not very good because you you will need more time to close and that you said there was a lot of dust yeah yeah just i i just

00:28:20 say my nurse she is free because i understand that your hands was like something like this you know and i understand uh she's already not soldier to perform any like uh operation or something like this and they say okay since okay i will finish by myself you're just free just keep calm relax Everything's okay, we're still alive. We just keep going. Everything's okay. So just use some spirit or something like this and just close the wound. I understand the one thing, we have to finish it very, very fast because we don't know exactly what's going on. If it will be the second one, third one, we have to be in the shelter. Would you guys get to the shelter? No, we just go to clean our operation room because it was like turn off alarm.

00:29:14 It was safety for us and we just keep like cleaning all this dust to help each other.

00:29:30 Was the operating room the same one we were in today, this morning? No, no, no, it's on the first floor. It was on the second floor. It's like for planning surgeries. We have also urgent neurosurgery operation room and all operations which we perform at night in the biggest situation there in the first floor. So when I met Alex the other week, it's been very brief. I met him with a Ukrainian woman who's a professor at the same... I was telling you about how I met him. And she said that after her students said going to see him speak,

00:30:16 they talked to her and said they didn't realize that the war was still going on here. How does that make you feel? Actually, I think it's our war, you know? We don't have to have Suspectations That someone will help us Really because it's like Big world And everyone will perform The greatest thing Firstly for someone's self Not if We will think about

00:31:00 this everybody have to help us like United States Europe have to help us it's like no it's our war first of all and yes it's very important that United States Europe have to be stand with us help us because really if say about all of this thanks to our soldiers our territory our country Europe don't Europe

00:31:30 have war now in their territory because if like ukraine uh will was finished this uh war and we like don't have like victory didn't have we didn't have victory the next country is uh litua litvina Poland, other countries. And this country, all Europe, have to understand. Thanks to the lives of our soldiers, they have possibilities to travel around the world, drink coffee, and spend their time in peace cities.

00:32:18 And I understand for Americans, people, it's very hard to understand how it is, because before this war, I don't understand too how to live in the city of the country reaching the war. I understand that somewhere in Iraq Syria war, but if you never feel it before, you cannot understand really. And I wonder that people don't know how to live in conditions like this. And also I think nothing changes, you know, war for years, nothing changing.

00:33:06 That's why for people who live in other countries, like war, like in Syria, like in East, somewhere, doesn't matter, just war, nothing special, I think. just war because they don't they don't have strict connection to this you know they don't just war because they don't they don't have strict connection to this you know they don't feel this that's why i think it's normal possibilities for the mindset to the people who live somewhere in like i don't know canada iceland to not feel about uh and think about war of ukraine because it's like not their real problems now you know because you can just uh

00:33:55 think about this first year oh my god something bad but you have your own life that's why i don't like scared on the people who don't think about the war i understand why they yes i very thankful to the people who wanted to help us understand us but if the people don't understand what's going on it's only because they don't feel it what does it mean to be ukrainian what do you like as an identity i think first of all it's all about freedom you know

00:34:42 our country was all time the land of the blood and the fire we like a border of the europe for the hundred years doesn't matter which time we take all time here the border of civilizations i think by myself and ukrainians they become nation of freedom i think we are not people who wanna to war with someone to kill with to kill someone to take someone tertiary only one thing we wanna to just peace living but thanks to the history the people who fight for our freedom

00:35:33 before my generation like in u u ssr in like uh russian imperial or something like this all time was the like points of freedom in our country in the land of our country like kossacks uh how to say

00:36:03 [UKR] Ukrainian Insurgent Army. [UKR] Ukrainian Army. [UKR] Ukrainian Army.

00:36:10 [RUS] It's also both Kholodnoyarsk. [RUS] It's like the Cossack Republic in 1920, which fought against the Soviets.

00:36:27 soldiers it's like we all time fight with them for them we like you know something in this road they cannot to eat us but they cannot to forget about us because for these people i think we like they don't like us ukrainian insurgent army yeah maybe you know about this no say you say ukrainian insurgent army yeah you know you know what is this no no no and say it so i can hear it in your voice uh ukrainian insurgent army ukrainian insurgent army it's the army which fight with soviet union in the world too from ukrainian side it's like the soldiers who fight for freedom of ukraine

00:37:18 it's like all time we have the feelings of freedom we don't want to take someone territories we don't want to fight with someone we just wanted to this life nothing more but i think the first what you will have in analysis of dna of ukrainian it will be freedom i think yes we don't we don't like to have someone other us under us i think it's to be ukrainian what does it mean to you to be ukrainian to carry that legacy i think the same it's very cool to be ukrainian because a lot of people

00:38:11 and their life for our for our freedom in this war in the previous war just to become ukrainian just to become as a part of this culture to use ukrainian language to use our culture

00:38:30 just because of this the russians kill us because we are problem for them and i understand that be ukrainian it's to be freedom your father told us that you guys have a famous surname and that there's a you know a famous general ivan circo yeah can you tell me about that yeah it's the one of the coolest guy um his uh last name sirko use it by turkish to name it all dogs everywhere just to be unpolite for him because for his history he never failed battle with anyone and they named this type of the soldier cossacks

00:39:27 and also it's other type they named them i don't know how to say it's like berserk you know in scandinavian mythology the same we have in kazakh's uh history is not like soldiers it's like i don't know the guys who can meditation who can uh use not only on the strains but also mindset it's like something about they and they name it character we don't know actually it's trust or no but it's very cool myth you know about this that i they're charactering but the trust that circo was the one of the famous uh soldier one of the famous generalist and after his death the cossacks

00:40:20 take his arm with them in other missions you know they just cut his arm and go in other missions

00:40:30 because they wanted to have the part of circo when they have a battle something like this so are you saying that there are some fighters that are called circo as in berserker or are you saying like tell me what you were meaning by that that they like is is there is there a group now that they've given a name to or no circle it's the last name of the last one of the generalist yeah okay so of one of those people okay of a like one person it was one one person even so yeah yeah yeah that's what i'm understanding now okay so but he was he was a a great member of that yeah yeah

00:41:18 yeah okay i got you um is it a is it a name to live up to i mean are there expectations uh i i hope we have connections but i uh didn't perform like research no and it's not whether you have connections or not it's just it's just like um are there expectations of someone named circo in this country - Characternik

00:42:16 the cops are it's like bible of ukraine um but let's uh i'm i'm done are there other questions that i missed is there anything like logan did you have anything you're good you're that was awesome i'm i we're here much later than i alex is clapping for you famous uh professor of neurosurgery american who's snoring on your cell phone yeah well you were that was excellent that will thank you i mean you told me that but it seems like that's so much material for documentary

00:43:00 the two of you together i mean this has been a great evening well we're going to get her just to answer some stuff in ukrainian and then we're going to see the shelter and get out of here you're on a roll it was very cool thank you yeah it's very cool for us a little a little harder but cool hey it was easy it wouldn't be as cool thank you thank you so much

00:00:00 [RUS-NEEDS] Як з моменту де зупинилися, щось початку?

00:00:02 [UKR] From the moment where we stopped, where to start? [UKR] As for what inspires, it's activity, it's a feeling of being, probably, important in any of your manifestations, whether you actually somehow physically help people, or it's through conversation, or in some other way. [UKR] And I don't know, probably, it's also daily routine, that is, as banal as it may sound, but to have the opportunity to sleep properly, eat, exercise, this is really what keeps you and what can somehow keep you afloat at this time. [UKR] You mentioned that Bohdan is among the people, [UKR] who inspire me.

00:00:48 [RUS] When people ask you about him,

00:00:50 [UKR] you talk about his profession, about his work, [UKR] what he does, what do you feel at that moment?

00:00:56 [RUS] Well, I don't know.

00:00:59 [UKR] Actually, honestly, when people ask me about Bohdan, [UKR] I don't immediately talk about his profession. [UKR] First, I just tell them what kind of person he is, [UKR] because profession for me is like a component of personality, [UKR] and there's so much more. [UKR] because there are many more facts that I can tell about him. [UKR] That is, profession is not the first priority. [UKR] Well, and when I tell them, then I, probably, feel some kind of, I don't know, pride. [UKR] Well, it's cool just to share with someone what he does. [UKR] But usually it's more about like, oh, and he also jokes in a cool way, [UKR] and he, in general, is energetic, that is, more somehow like about other traits as well. [UKR] What do you hope for in the future?

00:01:41 [RUS] For our victory.

00:01:44 [UKR] I don't hope for others, not others. I'm only waiting for this. [UKR] Any personal hopes we missed? [UKR] To see our victory, to stay alive and healthy until this time, for everything to be well with close loved ones. [UKR] Did you also ask if she misses anyone who is not here, close and loved ones?

00:02:18 Thank you.

00:03:07 .

00:03:25 [RUS] Two questions. [RUS] First, did you grow up in Dnipro?

00:03:30 [RUS] Yes, I wasn't born here, but from my conscious memories I grew up in Dnipro.

00:03:35 [UKR] Tell me a little about what your childhood was like and the time when you were growing up in Dnipro. How was it? [UKR] It was good. I remember it only with some warmth, but I think I owe it to my parents, who created such an environment, [UKR] primarily in the family, where it was good for me as a child. [UKR] Because when you're a child, you don't analyze the political situation,

00:04:00 [UKR] or how much money you have left, or what, [UKR] what your parents work as, their presence is important to you, [UKR] how they play with you, tell you something and so on. [UKR] Plus I had an interesting school, unusual. [UKR] And it all generally influenced me, gave me such a creative influence, so I remember it well. [UKR] And childhood for me was happy.

00:04:30 [UKR] What, in your opinion, should the world know about Dnipro, about Ukraine now? [UKR] What would you not want them to not know, to remember? [UKR] It's difficult, to be honest, to answer like that, but probably about what kind of people are here, about how much we do every day, to just have a home or have a place where you can see your family, or where to go, or such simple things and about the fact that people are constantly losing this now. [UKR] [VO CANDIDATE] That is, that Russia, it doesn't stop and won't stop.

00:05:15 [UKR] And I would really like the world to see and know how strong we are, [UKR] and how much we do just to live our ordinary life, [UKR] which people abroad have the opportunity to live and not think about, for example.

00:05:51 [UKR-NEEDS] бути українкою?

00:06:03 [UKR] to be Ukrainian? [UKR] In general, what feeling? [UKR] And what does it mean now to be [UKR] a Ukrainian from Ukraine? [UKR] Well, for me it's [UKR] to say it with pride. [UKR] And to carry this [UKR] inside, that I'm Ukrainian, I belong [UKR] to this nation, and for me [UKR] it's something about, I don't know, some kind of [UKR] like inner strength, [UKR] which you feel, like, [UKR] I don't know, maybe from your ancestors,

00:06:30 [UKR] or from someone, but it's something like [UKR] something fundamental, that [UKR] kind of awakened in each of us. [UKR] And for me it's really

00:06:39 [RUS] about what I want to be proud of

00:00:00 [RUS] - Something like...

00:00:00 [RUS] - Something like...

00:00:30 all night, just on the parking, because we don't have any specific shelter for the safety place, where we have knowledge and news that a lot of rockets and a lot of drones go to the Dnipro, and we sit just here. I like these places, like one.

00:00:55 [RUS] And now I'm in jeans, in flip-flops, but if they're used in some chats, [RUS] in which our city alert, then it will be a bomb, [RUS] after 2-3 minutes, when we need to be faster, it's like at home. [RUS] Actually, sometimes I forgot to leave my flip-flops

00:01:48 [RUS] Thank God that we got this shelter, because most of Ukraine doesn't have this possibility, [RUS] they don't have a place to shelter. [RUS] It's horrible, it's horrible, because, if we talk about my relatives, about Sasha's,

00:02:10 they don't have possibility to go in some type of shelter or something like this. Okay, I think they want to probably... I think they probably wanted to go there. No, no, no, no, no.

00:02:30 He will go back. Okay, let's go. Where are we going? Where are we doing? Oh, he's going there. Yeah, so something like this. Yeah, so something like this.

00:02:40 [RUS] Yes, and I'm happy that I can feel safe here, because if you don't have a parking structure in the building, you have to stay in the apartment.

00:02:53 [RUS] And just wait for what happens. [RUS] And we don't have many shelters in Dnipro, basements or something like that, so it's horrible.

00:03:04 [RUS] And something like that. This is our shelter. This is protection, and this can help to stay safe.

00:03:16 [RUS] - Did you come here when he was at the hospital? [RUS] - No, it was, like, I don't know, a ballistic missile. I don't know how to say it in English. [RUS] - It's a very fast rocket.

00:03:29 It's a very fast rocket and you don't have time to go to shelter. I just saw, for example, that Dnipro Red and... Up to one minute. It's all, and it's explosion. And what I can do, just go away from windows, and that's all.

00:03:47 Well, I think that's all we needed. I mean, we can follow you back up, but that's about it.

00:03:56 But yeah, you wouldn't get it with some more light, is that what you're thinking?

00:04:00 I think we're past that point. Yeah. But I think I would have gone far far. Maybe we should just have them like walk into this frame. Yeah. To see, you know, this face a little bit. Yeah. So, where you are right now, we're going to have you walk out and just, you walk into that spot.

00:04:22 And we'll use the voices that you've been, the words you've said before, we'll cut under this or over this.

00:04:30 So just walk out and then walk to that spot. Okay, now. Okay, now. This is where you would be. The little guy was interesting.

00:00:00 C'est rare, je veux dire, si je n'ai plus de questions?

00:00:00 C'est rare, je veux dire, si je n'ai plus de questions? Je ne suis pas. Je pense que nous sommes bien. Ou est-ce que nous allons juste aller avec eux sur les bouts?

00:00:12 Oui, nous sommes tous les gens, mais nous allons retourner. Je pense que nous allons attendre cette famille.

00:00:22 Oui, je suis en agree. This can be just like you guys coming back from anything, whatever, we'll follow you. Hold, hold, hold. We don't need a card to get back up, right? We'll let you go up on what floor?

00:01:00 Ten. So you guys go up and we'll come back. So you guys go up and we'll come back. So you guys go up and we'll come back. We'll go after you, okay? I'll go with you in case I need to direct them. - Go for it. - I'm just saying.

00:00:00 I need to record the last computer.

00:00:00 I need to record the last computer. I want to see. Here is a failure. The front wall of the front wall.

00:00:14 I know the... What is that? Where? This? This is the grey area. This is just normal. - Okay, where's the edema and the heterotic carbonate?

00:00:30 - I think this is not like diffuse axonal injury, it's more for... - Contusions? - Contusions, yeah. - If you have DVI, it's maybe like secondary... - If you have DVI, it's maybe like secondary... - Schemia, yeah. - Secondary schemia, it's more... more character for secondary scheme than for diffuse axonal injury.

00:01:00 Because diffuse axonal injury is usually located in the corpus callosum, here, semi-oval center. - Yeah, in the pines, also, for instance. - Yes, and you can see a subduroal space, right side, left side, maybe, maybe,

00:01:20 - Yeah, clothes. Small, sub-boreal clothes.

00:01:51 - What was the idea of

00:02:31 [UKR] - Can you hear, Viacheslavovych?

00:02:37 [RUS] Yes, you can speak. [RUS] We just got the MRI discs, picked up Nikita, and now we're reviewing with Alex. [RUS] Veligura, to my office, can Viacheslavovych come up? [RUS] Yes, no-no, we loaded it on the big screen, yes, come over.

00:03:03 You have one more Hitchcock? I can give him mine, because he's mine. Now we invite the chief of ICU units, he asked us to see this patient yesterday. And now we will come here. And now we will come here.

00:03:31 Very difficult case, a severe TBI injury patient with after car accident. It's severe TBI. Gotcha. So we got another person coming in. Gotcha. And after, when I go to the operation room, we can go together with Alex, with Alex and the chief of ICU units, write to patient.

00:04:01 And Alex will examine this patient with what you... - Analyze. - Yes. Together with Vecislava, okay? I think it's a good idea. Now we check, analyze MRI, this patient.

00:04:16 After that, after... I push the button.

00:04:28 Does it work? Yes, yes, it's working. He can just put it in. Okay. After consultation, I go to operation, and we go together with Alex in ICU.

00:04:44 Gotcha. Okay. Yes. Okay. After operation, go with Alex to ICU for this one. No. No, no. It's another idea. I go in operation room. You go with Alex in ICU units. Gotcha. In order to use time more efficiently. Oh, that's true. Tomorrow we will go in operation room together with Alex. Tomorrow. But today we go together with Slava, in ICU. After we finish our consultation patients.

00:05:22 Right. When I see this patient, should I call surgery?

00:05:30 Surgery, yeah. The neurosurgeon or the general?

00:05:41 I will call him. I think you tell you after you examine the patient, after you see his analysis, you can invite the group to tell you all about this patient.

00:06:04 [RUS] Artem, I can't reach Misha, he has phone problems. [RUS] Either you or Misha, I need you to record the CT follow-up of the patient we operated on yesterday. [RUS] Ivanov, Ivanov, with polytrauma. [RUS] Better on a disc, of course. [RUS] Yes. Or at least video.

00:06:30 [RUS] Better on disc. [RUS] Already called. Misha might have gone to the operating room with Vasyslav. [RUS] 14 days after injury. [RUS] Yes, please record it. [RUS] What did we see? [RUS] Multiple foci, you could say like contusions, bruises, but in places it looks the same as foci of secondary ischemia. [RUS] Don't move to say, but in the right hemisphere, up here these foci, [RUS] In the caudate nucleus area, in the internal capsule area.

00:07:18 [RUS] The brain suffered significantly, periventricular changes. [RUS] There are small subdural... [RUS] Clots, clots. [RUS] With narrow blood, right and left subdural.

00:07:34 [RUS] Very, very severe. [RUS] Did you tell everyone the mechanism of injury?

00:07:39 Yes. Is this DWI?

00:07:44 DWI.

00:07:45 [RUS] This is the quality.

00:07:48 [UKR] But you can see

00:07:49 [RUS] Doppler signal [RUS] here. [RUS] Doppler signal [RUS] here [RUS] and here. [RUS] This could be [RUS] [INAUDIBLE] he has problems with his palate, hypoxia and hunger press. [RUS] The first thing he asked me,

00:08:50 [RUS] And you see that [RUS] [INAUDIBLE] [RUS] Because we did the CT on Sunday on disc, I just wanted to say that even by MRI [RUS] It's visible. Fracture of the anterior wall of the frontal sinus, need to look at the posterior wall, so there are no problems with occult liquorrhea.

00:09:37 [RUS] There may be occult liquorrhea, because see how it's depressed.

00:09:43 [RUS] - ENT looked twice, got sinuses, there's blood visible. [RUS] - We'll get to the sinuses now. So look, the anterior wall of the frontal sinus, how it's depressed. [RUS] He may have problems with his left ear, because it looks like mastoiditis here.

00:10:05 [RUS] Did ENT look at the ear? [RUS] Well, they did everything, but if needed, they'll look again. [RUS] Left ear, because it's lighting up like mastoiditis.

00:10:16 [RUS] Well, you know they supposedly hold for a long time, those positional...

00:10:21 [UKR] Zaitsev's dissertations.

00:10:24 [RUS] And indeed, both his maxillary sinuses, [RUS] both maxillary sinuses are totally filled. [RUS] On the right side.

00:10:33 [UKR] So, cerebellopontine.

00:10:34 [RUS] Hemosinus maximum, [RUS] cavitary, both sides.

00:10:38 Yes. Yes.

00:10:39 [RUS] - Also, in the ethmoid, [RUS] and in the ethmoid, [RUS] and in the ethmoid, [RUS] and in the ethmoid,

00:10:52 [RUS] in the ethmoid. [RUS] - Remove it? - Yes.

00:10:58 [RUS] And on the right side, he has [RUS] Maxillary, ethmoid on both sides and sphenoid [RUS] on both sides. [RUS] And who looked at the word? [RUS] Vasyl punctured yesterday. [RUS] You asked them twice, once they just examined, [RUS] but I asked to puncture, I think there's infection. [RUS] And there's lysed blood at the moment.

00:11:52 [UKR] That's the situation.

00:11:56 [RUS] - Tomorrow we'll look at CT. - We'll look at CT for bones and sinuses.

00:12:00 [UKR] Last CT. That's the situation.

00:12:07 [RUS] - Tell me what Alex thinks about how long to ventilate him, [RUS] and he's coming out of sedation with pronounced psychomotor agitation.

00:12:16 [RUS] - He'll come, Alex. - We'll bring him to us now. [RUS] - We're consulting patients now, I'll come later for a small operation, [RUS] Alex will come to you and you'll look together at what will happen. [RUS] Alex asks you to tell about the patient, but I said you'll be in person a bit later, [RUS] with Viacheslav, the doctor, analyze.

00:12:42 [RUS] Viacheslav has two questions.

00:13:05 [RUS] - This is his new...

00:13:20 [UKR] Svitlana Mykhailivna?

00:13:26 [RUS] Because we're looking for Marchenko all over the hospital, [RUS] can't find him.

00:13:33 How?

00:13:35 [RUS] Good.

00:13:39 [UKR] Liudmyla Vasylivna?

00:13:46 [RUS] [INAUDIBLE] [RUS] Yesterday, after you wrote me, I moved him, pressure was already 140. [RUS] He corrected a bit, basically everything is normal. [RUS] What was it in the morning? [RUS] In the morning, they're telling me the pressure is 155, and they could bronchitis. [RUS] Did you look at that small invasive, blue one, on the monitor, the hard one? [RUS] On the monitor. [RUS] No, needed the blue one. [RUS] He says the bronchial is going a bit. [RUS] And how did you repeat? [RUS] Repeated, now, and who will do this not strongly?

00:14:28 I can tell you. Is there a mace? Is there a saturation? Yes, and he said that the insidation starts to...

00:14:37 You just have a few kHz. You want to be able to use it? Yes. Now my internet is going to be a CDD.

00:14:48 I'll be using the CDD. See you later.

00:15:03 [RUS] I'll bring when you're ready. [RUS] Okay, yes. [RUS] You can do this, I'll take it here and I'm asking when

00:15:13 [RUS] and we'll see tomorrow [RUS] and the chair

00:15:15 [UKR] Andriiovych, we're missing a day tomorrow

00:15:17 [RUS] there will be a race there [RUS] maybe not there? [RUS] Why? - Is it not needed? [RUS] - We're going to transfer him. - We're going to transfer him, a severe one. [RUS] - All done? - Come on, patient, I'll... [RUS] - Can we take the chair or not? - Yes, yes.

00:15:30 [RUS] - He'll catch on it, of course. - Oh, then don't. [RUS] - Then they'll be clearing the equipment. - Yes, patient. [RUS] Good afternoon, I'm here to see you. - Go ahead.

00:15:39 [RUS] - And there's this boy, just like mine. [RUS] - Boy. - Oops. [RUS] - I think I'm catching on. He has PE. [RUS] Yesterday you said he came. [RUS] He has PE. Yes, yes, yes. [RUS] Is he lying there receiving treatment? [RUS] There he is lying. He's sitting. [RUS] Everything went well. [RUS] Emergency help. [RUS] Consultation needed. [RUS] PE? Yes, already normal. [RUS] He's sitting.

00:16:00 [RUS] Pulmonary embolism, pulmonary artery. [RUS] And with yours will I be doing PE? [RUS] No, just to consult. [RUS] PE is not for me. [RUS] Oh, not for me. Then who is this for? [RUS] Pulmonary embolism, pulmonary artery. [RUS] This is Serhii Valyk Oleksandrovych. [RUS] And where is this? [RUS] On the fifth floor. [RUS] This is the sixth. [RUS] Sixth, yes. [RUS] I understand, yes. [RUS] I understand, yes. [RUS] I treat tumors and TBI. [RUS] Yes, I know you deal with the head. [RUS] Something stood out. [RUS] I spoke with you yesterday, and you say, [RUS] Okay, I understand. Serhii. [RUS] Okay, I understand. Serhii.

00:16:29 [UKR] Serhii Oleh Oleksandrovych.

00:16:30 [RUS] So, Vasyl.

00:16:32 [UKR] Andrii Hryhorovych, Marchyn, KVD, ward 21.

00:16:36 [RUS] Now.

00:17:07 [UKR] And Moroz Svitlana Mykhailivna is calling about patient Liabchenko.

00:17:15 [RUS] Can you call her? [RUS] I'll give you the phone number now if you don't have it. [RUS] I'll Telegram you now... [RUS] I'll send it to you on Telegram now, okay? [RUS] Yes, thank you.

00:17:40 [UKR] Mykhailo is coming in, who's for consultation?

00:17:42 [RUS] - Let me remind you that the work with veins is done, that's me.

00:00:00 It's great. It's great. Great, great, great. Slow and stop slowdown. So that's our graft. Yeah, yeah, yeah. It's our graft. And we totally remove intracerebral gematoma and brain And we totally remove intracerebral gematoma and brain

00:00:29 and confusion. Great results. Yeah, this is the scan and the patient we did yesterday.

00:00:37 Post-tops, CT control post-tops. Start. I can remove. You can see here. There are no subdural gematomas, there are no intracerebral gematomas here?

00:00:57 Yeah, and that's just all the packing material there. Yeah, the texasio, which is just edema. It's very good. Very good. Let's see if he breaks out. Very good. I even to create a video and send to military neurosurgeon.

00:01:17 They asked me for CT control, because all patients we analyze together.

00:00:00 it to the military guy who referred him. So, Andre doesn't waste time.

00:00:00 it to the military guy who referred him. So, Andre doesn't waste time. It's amazing. Notice what this guy looked like yesterday.

00:00:27 It's much better now.

00:00:56 [RUS] I'll forget later. Evacuated hematomas, did skull base plasty.

00:01:05 [UKR] We examined him this morning together with our Professor Volodko and with Serhii Anatoliiovych.

00:01:12 [RUS] This morning they already did a bronchoscopy, this morning they already did dressings on his legs, on [RUS] that is, his condition is severe, but slightly, slightly, I can say, there's a small,

00:01:27 [UKR] there's still even some positive dynamics in...

00:01:30 [RUS] Well, yes. Now tell me what you wanted to say. [RUS] When do you want? [RUS] No, well tell me, tell me... [RUS] Now I'll think about how best to do it, how best to do it. [RUS] Let me call you now, I'll find out about...

00:02:05 hmmm

00:02:44 [RUS] A few words so I understand what stage it's at... [RUS] Uh-huh, well don't rush, we're still consulting with Alex, so... [RUS] This, don't rus... [RUS] Well, so how do you feel about around one o'clock?

00:03:11 [RUS] And when should I be there with you?

00:00:00 [UKR-NEEDS] Я тут сам, чесно сказати, не дуже люблю. Люди виявили бажання показати, як ми лікуємо військових.

00:00:03 [UKR] Honestly, I don't really like it myself here. People expressed a desire to show how we treat military personnel. [UKR] Yesterday we operated on a severely wounded soldier. Usually, we don't have operations on Mondays. [UKR] We have so many rounds. But we operated on a wounded soldier. [UKR] And, I say, we also have a complex tumor in a woman. [UKR] And despite the war, you continue to save civilians too.

00:01:02 [RUS] I got caught in the rain, got a bit sick, so yesterday I had no strength. [RUS] Today I feel better, and I think tomorrow will be even better. [RUS] Because for your operation I need to be a strongman. [RUS] I asked you that she was a patient, and her daughter... [RUS] 20 years ago...

00:01:38 Yes, 21 years ago, this is my woman was

00:02:08 [RUS] I showed my opinion.

00:02:16 [RUS] - And I...

00:02:38 [UKR] Okay. Is it hard for you to stand? [UKR] No, thank you. [UKR] The patient is already very worried. [UKR] Today her stomach has already stopped. [UKR] The worry has already set in. [UKR] As they said, everything starts tomorrow. [UKR] Why worry? [UKR] That's what I'm saying, it's all in our heads, why worry?

00:03:09 [UKR] I'm telling you, you're in good hands, everything's fine. [UKR] - Now, in the presence of our general director,

00:03:51 [RUS] Serhii Anatoliiovych, quickly, three questions. [RUS] First, we did a CT scan on Ivanov with polytrauma.

00:04:00 [RUS] You hear, Serhii? Everything's fine there. [RUS] Everything's fine, they evacuated hematomas, so according to the CT everything's good.

00:04:44 [RUS-NEEDS] На 9:30 послуховаться на приймальному, да?

00:04:48 [RUS] At 9:30 to check in at the reception, yes? [RUS] Bring them there.

00:05:11 [UKR] So at 9:30 tomorrow then, Serhii Anatoliiovych?

00:05:14 [RUS] In the ICU? Polytrauma. Oh, good. 9:30, then tomorrow they, um, [RUS] Serhii Truchev, tomorrow we're planning a complex operation with Alex Volodko, [RUS] maybe 5-8 hours. As it goes? We'll try to finish by 2 o'clock, [RUS] to finish, but if I don't finish, you won't scold me too much. [RUS] Okay, then 9:30, tomorrow me and Alex Volodko, and call Skrypets to let him know, right? [RUS] Yes, and from the entrance call Yurii Yuriiovych to tell him to... [RUS] Good, good, good. And they'll come. Yes, good, good. [RUS] Now.

00:06:02 [RUS] Good, good, good. Okay, tomorrow 9:30, by the polytrauma unit, we meet.

00:06:09 [UKR] Thank you. We resolved one issue, that we'll meet with Serhii Anatoliiovych tomorrow, give an interview, and then he released us for the whole day, so we can calmly, never rush, because tomorrow there will be an event, the stroke day, journalists at noon, at two o'clock, then at three o'clock, and they released us.

00:06:33 [RUS] And Teddy? Teddy, are you here? [RUS] Yes, yes. [RUS] Khaikin is looking in, I'll say a few words. [RUS] Who wants to recommend? [RUS] Teddy, I agree with our general director. [RUS] Together at 9:30.

00:06:51 At 9:30.

00:06:53 [RUS] At 9:30, near the ICU, on the first floor.

00:06:58 We will go together with Alex, with you. After that, we can speak alone with the general director.

00:07:08 Yeah? That's great. Yes. And after that, I receive permission. We can go with Alex in this patient in operation and operate how we need we will operate.

00:07:21 Wow. That's excellent. Okay. All right. Yes. You're getting a producing credit too, it sounds like. Okay. All right. Yes. You're getting a producing credit too, it sounds like.

00:07:30 Seriously. I take Logan and Laura bread. Yeah? Bread and butter.

00:07:41 Right. Yes. I like a producer. Yes. Yes. Yes. Okay. Yeah. That's great. Thank you. Thank you.

00:07:55 [UKR] A few words. I'm telling Serhii Anatoliiovych to warn Yurii Yuriiovych that tomorrow at 9:15-9:30 on the first floor Serhii Anatoliiovych will be giving an interview,

00:08:07 [RUS] and this with Alex Volodko will happen, I will, he says tell Yurii Yuriiovych in advance, so there's maximum attendance.

00:08:14 9-30.

00:08:17 [RUS] Ask Serhii Anatoliiovych, because we planned that these would be journalists, cinematographers from America, so you clarify. [RUS] Maybe Serhii Anatoliiovych wants and... Yes, clarify, clarify, clarify, chauffeur. [RUS] I just know exactly that it will be me, Alexei, cinematographers, and he said to tell Yurii Yuriiovych something, that's what I'm telling you. [RUS] Well, Yurii Yuriiovych will clarify, fine. Well, he just says, definitely tell Yurii Yuriiovych, I'll call now.

00:08:46 [UKR] Okay, thank you Yurii Yuriiovych.

00:08:50 [RUS] What's your name?

00:08:51 [UKR] Viktoriia Oleksandrivna.

00:08:53 [RUS] Oleksandrivna. And how many years are you?

00:08:56 71.

00:08:57 [RUS] 71. Well, that's not much. [RUS] Not much?

00:09:00 I was trained with a patient

00:09:30 [RUS] I can't say that I drink wine every day.

00:09:38 I like whiskey, but my relatives forgot me to drink whiskey. Wine.

00:10:02 [RUS] I think this is meningioma falx.

00:10:09 [UKR] Meningioma falx.

00:10:13 [RUS] And two-sided.

00:10:23 [UKR] Yes, I'm saying.

00:10:28 [RUS] A tumor, a large tumor, complex, but we have no other option. [RUS] Mykhailo, I later understood that you were in surgery. Don't worry. [RUS] I asked Artem, and Artem recorded the CT control of Ivanov for me, the one we operated on with Alex yesterday. [RUS] So Artem managed everything, he's great, and I later asked where you were in surgery. [RUS] Good. Somewhere around 12, tell Rostyslav, we'll go into surgery with this small operation with Chernenko.

00:11:08 [UKR] Good.

00:11:13 [UKR] We have no other option. It will slowly grow, press, until, roughly speaking, it overwhelms you.

00:11:27 [UKR] In a month it started to press very hard. The leg won't lift, coordination of movement, it's impaired, turns. [UKR] The only guarantee is that we will do this carefully, without rushing, under the microscope. [UKR] As they say, in your hands. [UKR] We do the operation under the microscope, with high magnification 12-14 times.

00:12:01 [RUS] We will see what it's like in reality.

00:12:04 [UKR] If we're lucky, it won't be so...

00:12:07 [RUS] Sometimes it's cartilaginous, that's bad. [RUS] Sometimes it's cartilaginous and fused with vessels. [RUS] I'm showing this more to the daughters. [RUS] See these vessels? [RUS] How can you here?

00:12:24 The superior cyberspace is If we see that they are strongly absorbed, then we will leave the capsule. The capsule is 5-10% or 20% from the overall volume. But it gives you the possibility to feel the strength of the body that it has not been given to you.

00:13:15 And if it has grown for 20 years, we can be careful.

00:13:20 [RUS] Even if they ever start to grow again, we can irradiate them. [RUS] Now there's already stereotactic radiosurgery, gamma knife, cyber knife, linear accelerator. [RUS] No need to worry about this. [RUS] Your life, your neurological condition, it's the priority, it's number one.

00:13:45 [RUS] And ask questions. [RUS] - Why aren't you asking?

00:13:49 [UKR] - Ask whatever you want. - When will the anesthesiologist come? [UKR] - Today. Today we have three small operations. After three operations she will definitely come to you. [UKR] - In the evening, right? - It's after lunch, around three o'clock. [UKR] - Three, four. - Don't eat for some hours before evening. You know this, right? [UKR] - Now we know. - And until ten you can drink water and drink as much as possible.

00:14:13 - Till 10:00. - Till 10:00 can you eat and drink, because after 10:00 you can eat and drink. And tomorrow you heard, at 9:30 you will make a shot, it's called "premedication", so you don't worry.

00:14:30 And at 10:00 you will go to the operation. And until that time we go and give an interview,

00:14:36 [UKR] And then calmly, there's one plan for tomorrow, that's the operation. [UKR] How long will it take? [UKR] Four hours, five hours, six, seven. [UKR] Better all. You know why? [UKR] Because it will be like a cuckoo's nest. [UKR] If you shave it like this, a little will remain on the sides,

00:14:55 [RUS] but it won't look nice.

00:14:57 [UKR] The woman who came out before you, she had localization in the back.

00:15:00 [UKR] We removed it here from behind, here.

00:15:03 [RUS] But for you, on the contrary, here I say cuckoo's nest. [RUS] Good morning. [RUS] This is what I had.

00:15:13 [RUS] And what, you'll have different work. [RUS] - Look, your discs, I'm loading these main days. [RUS] I have all your discs, I'm not talking geography. [RUS] I usually take them home, and in the evening, after I have dinner, [RUS] I have the same screens at home, I sit down,

00:15:30 [UKR] Millimeter by millimeter I do the markup. [UKR] That is, I look where the old operation was and where the tumor is now, here, here, here, here. [UKR] Possibly, we'll need to partially use those previous craniotomies, possibly make an additional one, another one. [UKR] Don't worry about this.

00:15:52 Yes.

00:15:53 [UKR] - Tell me, what does she think about this? [UKR] - Tell me, what does she think about this?

00:15:58 [UKR] - Well, look.

00:16:00 [UKR] How to tell you, sometimes they tell patients: "Take a dictaphone and record." [UKR] What you're worrying about, you're not helping yourself. [UKR] On the contrary, you'll worry, your blood pressure will rise.

00:16:13 [UKR] You'll have either constipation or diarrhea.

00:16:17 [UKR] It's all already happened, all the checkpoints have come.

00:16:23 [RUS] - That's our fate, physically I explained, we've communicated with your daughter more than once, I explained, we've already done everything possible. [RUS] We did angiography and everything to have maximum information. [RUS] You know, it's like a minefield map for us.

00:16:47 I'm going to go here and I'm not going here.

00:16:53 Let me say something. I have said this before, that I told my residents that they need to come study with Andres Sirko, because he is the best skull-based surgeon I've ever seen.

00:17:15 [UKR] And if I need interesting cases, then I will try to come here and do them. [UKR] This is a very important surgical case, but no one is demanding, as if he is.

00:17:24 [UKR] I'll translate, I'll translate, Alex Valadka says, I tell my residents that they need to study skull base surgery with me. [UKR] [VO CANDIDATE] If, God forbid, I had a brain tumor, I would come here for the operation. [UKR] Thank you for the trust. This doesn't make it easier for me, it makes it even harder. [UKR] Believe me, I go to the operating room every day, so I know what needs to be done. [UKR] And from what's possible, we'll do everything best. [UKR] And I always say three factors: medicine, tumor, and patient.

00:18:07 [RUS] Of these three factors - the best factor is medicine. [RUS] Why? Because we have equipment, we have experience, I already have more than 5000 operations, of which 3000 tumors. [RUS] Here everything's good. As for the patient, of course, we'd prefer you not to be 71, but 17. [RUS] so that your weight, so that you would be so slim, thin,

00:18:30 [RUS] like Loral, thin, she drags such heavy suitcases of 50 kg. [RUS] Slender, thin and slender. And the tumor. [RUS] We'd want it to be so small, located there on the side,

00:18:46 [UKR] on the side, not in the center and in the depths.

00:18:49 We have to do what we have. We are ready to do this. I am not sure if I know that I need to be able to get out of time.

00:19:00 It's worse than all. You start to rush and you do it wrong. The operation is getting tired. You are nervous. I know that we will answer all the questions tomorrow and then we will go to the operation.

00:19:14 [UKR] Again, I'll say this for you. We will do all preventive measures for thromboembolic complications.

00:19:21 [UKR] That is, we do a CT after the operation, if there's no hemorrhage, no problems,

00:19:25 [RUS] Legs hurt, legs hurt a lot, we can't mobilize.

00:19:28 [UKR] We prescribe anticoagulants. We'll control blood pressure. [UKR] We know all this and we will try to prevent it.

00:19:44 [RUS] Let me shake your hand.

00:19:46 [UKR] Thank you for the conversation. [UKR] Thank you. [UKR] Take my hand. [UKR] There, she smiled first. [UKR] Well, finally. [UKR] This is what the meeting should have been. [UKR] She liked Alik.

00:19:59 [RUS] She liked the professor.

00:20:02 [UKR] [VO CANDIDATE] - What a measured life. They know what will happen in a year, in two, in ten. We don't know what will happen tomorrow. [UKR] - I don't know. - Yes. That's it. [UKR] - Let's go to the ward. - All the best. [UKR] - Get ready. If you believe in God, go to church and pray for all the doctors.

00:20:19 [RUS] All done. - All done.

00:20:21 [UKR] Alex is also coming, he goes to church. [UKR] I saw that you see...

00:20:54 [UKR] So we resolved the issue so that your body doesn't strain, so that the pressure is normal.

00:00:00 [RUS] Maybe, this is part of it, and

00:00:00 [RUS] Maybe, this is part of it, and

00:00:30 [RUS] Yes, well okay, I'm still thinking so that the information doesn't get out. [RUS] One thing, remind me that tomorrow at 9:30 we go with Alex to the meeting with Ivanov. [RUS] Good. [RUS] Good afternoon! [RUS] Good afternoon!

00:01:04 [UKR] Support group, right? [UKR] Who's the patient? [UKR] I'm the patient, but my wife heard everything. [UKR] Immediately a question. This is our American colleague, [UKR] professor from Texas, head of the neurosurgical department. [UKR] The consultation costs 1 million dollars. [UKR] Do you have questions?

00:01:25 Yes?

00:01:27 [UKR] Do you mind if they film? [UKR] This might be an American documentary. [UKR] - In your city, village, region they probably won't show it?

00:01:36 [UKR] If you want, I'll send it to you.

00:01:39 [RUS] - We have a referral. - You can put away the referral.

00:01:42 [UKR] - Yes. - Show me the MRI conclusion first, [UKR] because it may turn out that you came to the wrong place.

00:01:50 [UKR] It may turn out that you have back problems, and we don't treat back here. [UKR] - We're not back, we were already at Kyrpa's and we came to you with hope,

00:01:59 [UKR] Because very... If needed, there's risk. [UKR] At Ihor Kyrpa's. [UKR] Ihor, yes. [UKR] What did he say? [UKR] What did he say? He's my student.

00:02:19 [UKR] He said it's being analyzed, but we still want to consult with you.

00:02:29 [RUS] Ten meters.

00:02:30 [RUS] Ten meters.

00:02:39 [RUS] White eyebrow. [RUS] White eyebrow. [RUS] - Can I take this?

00:02:43 Yes.

00:02:46 [RUS] - And they also said there are some polyps in the nose, [RUS] that it's a centimeter from the nose,

00:02:55 [RUS] - Something like that. [RUS] Let me start again.

00:03:04 [RUS] Sphenoid ridge, I entered one more from the sinus. [RUS] - I have such a main pain, I've had it since childhood, I wouldn't have gone, [RUS] but I needed to pass the medical board, I went to the doctors and they discovered this disease.

00:03:38 [RUS] I said that my head hurts twice a month, and for about 20 minutes in my left eye, I practically can't see anything.

00:03:52 [RUS] - Two symptoms, first, including, in the head, twice a month, but sometimes he lost vision in the left eye.

00:04:10 [UKR] Ten minutes. - Twenty minutes. [UKR] Twenty minutes. - Completely? [UKR] No, no, no. Partially, you know, it's visible from the side.

00:04:24 [RUS] Probably, apparently, this is...

00:04:28 [RUS] Grid on the eye. You know, how?

00:04:35 Sharp pains in the vision of the left eye.

00:04:39 [RUS] 20 minutes. And how often? [RUS] About twice a month. [RUS] Same as the main pain, right?

00:04:48 [RUS] They were at the same time.

00:04:51 [UKR] Where do you live?

00:04:52 [RUS] 12th district.

00:04:58 [UKR] There the day before yesterday at hospital 15, we almost hit a girl. [UKR] Yes, we were driving, yes. [UKR] There the girl... [UKR] I was at the 16th yesterday, while I was standing at the bus stop, there almost... [UKR] They were also sawing at the junction several people. [UKR] Blackouts are wild here.

00:05:16 [RUS] Do you have a cleft lip?

00:05:17 [UKR] Yes, but no cleft palate. This, if you're aware. [UKR] That is, the chief of our cinematographic group was also operated on with the same thing. [UKR] Didn't you meet him in the corridor?

00:05:32 Yes.

00:05:36 [UKR] Come back then.

00:05:37 [RUS] Two-sided.

00:05:38 [UKR] Yes, you just showed it.

00:05:42 [RUS] Ted, do you remember? [RUS] Ted, do you understand Ukrainian? [RUS] Well, a little.

00:06:00 [RUS] More than Alexei? [RUS] Well, I also have Anastasia. [RUS] Anastasia.

00:06:07 Yeah, but yes, I but I saw that I've got a monitor out there. So yeah

00:06:13 So what you want me coming for I would like especially because we are going with a brain tumor It's another case is CVA oncology cases. Now when we upload CEMRI, I ask about the analysis about the complaints And now we wait relatives maybe and friends, patient, we operate yesterday. Yeah. Yeah. All right. Well, yes, definitely. Yeah. Doctor must be attentive.

00:06:58 I see a lot of patients every day.

00:07:00 I know. Maybe in my life more than 50,000 patients.

00:07:05 That's why I realized. Yeah, no, I mean, and we wanted to get this. You're seeing everybody and everybody waiting to see you. Thank you. Thank you. Thank you. That wouldn't happen to you, I was right, when you like your own scans, like, do you want to bring that in?

00:07:24 Yeah. Well, sometimes you still do. I will load this into a goal, into aim.

00:07:36 First of all, I perform a scientific work. I need to analyze my cases, all cases. That's why I need to save all information about the patient, first of all. and another, if this patient comes to me for operation, I not need to save this again. - It's all right. If you think that you have to work, I will every day 10-15 people.

00:08:26 - I can tell you, you can just be honest.

00:08:45 [UKR] We have a lot of work and without jokes, nothing passes here. [UKR] Both rounds in the ICU and rounds in the department. [UKR] So now we'll load it up and look at it as best we can. Don't worry. [UKR] We even operate together with the professor. [UKR] Yesterday we operated on a wounded soldier, a severely wounded soldier, [UKR] who has no chance of survival. [UKR] Tomorrow we're planning to operate together on a very complex tumor. [UKR] So this is normal work. Don't worry.

00:09:15 [RUS] - Do you have any discharge? - Yes, there is, but we stopped here, I took my jacket and in 20 minutes without the jacket it started... [RUS] - Is this because of those... - I don't know, because of the polyp or not. Everything was fine, took off my jacket, stood 20 minutes without it, started running from the nose.

00:09:38 [RUS] I already put my jacket back on. [RUS] Same here, only I got caught in the rain this week. [RUS] Got caught in the rain this week. [RUS] I was meeting our American colleagues. [RUS] From 7 in the evening spent an hour. [RUS] Hot, took the jacket, put it on, it was a bit sweaty, and then rain too.

00:10:00 [RUS] Well, never mind, I'll recover. [RUS] I specially postponed a special operation for tomorrow. [RUS] I know that tomorrow I'll feel better. [RUS] Good. [RUS] Ihor Yuriiovych worked with us for a long time, but then decided he needed to look for more peaceful [RUS] life. There aren't such numbers of wounded there as here. [RUS] Sometimes the lights go out. [RUS] But we have backup power for the ICU and operating rooms, there are big generators.

00:10:48 [UKR] Every Friday at 9 in the morning they turn them on and check how they work. [UKR] It's possible that just the branch going to me switched off. [UKR] See, I have a little trophy of juice. [UKR] These are gifts from patients I operate on from their relatives.

00:11:11 There are the whole fight. I told you about the Congress in LA.

00:11:52 Yes. Did you tell me you were the star?

00:12:28 [RUS] You have one disc, right?

00:12:30 [RUS] It.

00:12:30 [RUS] It.

00:12:33 [UKR] Contrast start.

00:12:59 MRI

00:13:01 [RUS] MRI, I couldn't do the MRI, because I have claustrophobia, [RUS] and I already got there and there was an attack, a panic attack, and it was uncontrollable.

00:13:28 I think even when I put a diagnosis in my in-comat, I don't know how to do it.

00:13:36 Yes.

00:14:04 [RUS] But it doesn't affect vision. [RUS] I wanted to tell you that in school they diagnosed me with vascular dystonia. [RUS] And I've had it like I'm telling you, since school twice a month, a flutter in my eye, everything's fine. [RUS] I went because I needed for the medical board and discovered

00:14:36 [RUS] this... [RUS] - And how's your smell? [RUS] Everything is fine. [RUS] Well, obviously it's stuffed... [RUS] Oh, I have a deviated septum and one side is always stuffed.

00:14:51 [RUS] Well, this is from school, those school fights. [RUS] Deviated septum, I didn't get it fixed. [RUS] But one side is always stuffed.

00:15:00 [RUS] - Well, smell is fine, with sense of smell. [RUS] - For sure? [RUS] - Probably. [RUS] - Because it's growing exactly in the place where the olfactory tracts pass. [RUS] Well, yesterday we consulted with the professor, scheduled a patient for surgery, he has a tumor. [RUS] If yours is 2 by 1, maybe 2.5 by 1 cm, he has the same tumor, but his is pressing on the optic nerves.

00:15:34 [RUS] It's pressing on the optic nerves. It has nothing to do with your optic nerves.

00:15:39 [RUS] So vision will be fine? [RUS] It doesn't affect vision. It doesn't affect vision because there's still 1.5 cm to the optic. [RUS] But it doesn't affect it for now, right? [RUS] For now it doesn't affect. [RUS] Now I'll also look. [RUS] If you hadn't been examined for headaches, you wouldn't even know you have this. [RUS] And would it get worse later, or not?

00:16:09 [RUS] I'll be honest, if I had such a tumor, I would first even be cautious, wouldn't rush to surgery.

00:16:17 [RUS] - And we came to you exactly because we didn't want to come to just one doctor. [RUS] - I would know that there's an open-type MRI. [RUS] - Well, Zaporizhzhia has one, they say. [RUS] - Yes, there's no urgency, it's been growing in you for 3-5 years already, no less, possibly more.

00:16:40 go to Zaporozhye, make MRT and then come to me with MRT and we will see it again. And according to the characteristics of the MRT we can tell the forecast how it will quickly grow. Or we need to cut it or maybe through half a year to make a control MRT.

00:17:04 My recommendation is to make MRT. MRT is not enough, right?

00:17:11 It is here, here and here. Here are the zero nerves. To the nervous nerves it does not come. If it needs to operate, we operate with the old school. They go forward, hide the necklaces and make big trepanation.

00:17:43 We now learned that we go from the side, here is a big trichotomy, we don't even hide these paces,

00:18:16 [RUS] - As a consequence of surgery, could it be, Dad, I'll lose my sense of smell? [RUS] Yes, yes. [RUS] - But not vision? [RUS] - No, smell. [RUS] - We won't lose it completely. [RUS] - Well, maybe there won't be smell risks. [RUS] But there are risks, it's not guaranteed that it will happen. [RUS] Because in one place your olfactory nerve on the right is already gone,

00:18:38 He has it, he has it, he has it. He has it. And the left one, he has it pulled. And we are in operation, we are keeping him. We see this nerve, but it's not a fact that he will work like we wanted. But to Zoro, this relationship is not to Zoro. I told you about Anas Mier. Yes. Now he doesn't have this problem, but after the surgery, it's maybe...

00:19:07 [RUS] It can happen after surgery.

00:19:37 [UKR] The height is 7 mm, that's even less than a centimeter. [UKR] You see, you just have this anatomy, here you have a bone protruding inside the skull, [UKR] you were born with it, and on top of this, it looks like a cap put on a head.

00:19:59 [RUS] That is, it's like a cap put on, and behind it they are located right here, right here. [RUS] And here's the distance. [RUS] First of all, it doesn't affect vision, possibly problems with smell. [RUS] - Possibly. - Possibly, it's not 100%. [RUS] Well, there are some complications, they occur in one or two cases per 100 people. [RUS] What kind of complications? [RUS] After surgery, the brain is lifted, lowered, [RUS] they stop the bleeding and there, where it was growing, [RUS] there's vessel healing there. [RUS] We specifically coagulate them, stop the bleeding, [RUS] but sometimes after surgery there's bleeding in the bed [RUS] of the removed tumor. [RUS] Where the tumor was, there can be,

00:20:48 [UKR] hemorrhage occurs.

00:20:49 [RUS] In half the cases, it resolves on its own [RUS] without surgical intervention. [RUS] - That's only when

00:21:53 [RUS] You didn't even know you had it.

00:21:57 [RUS] And when you mentioned the left eye... [RUS] - Ihor Yuriyovych said that if he hadn't looked closely, [RUS] no one would have known. [RUS] - Yes, I'm saying the same thing. [RUS] Left eye, yesterday a patient came, [RUS] he has this tumor, here it is located, [RUS] I'll show you again now, [RUS] his tumor is pressing right on the optic nerve,

00:22:17 [RUS] and it's the same size as yours, [RUS] But it's localized on the vision. [RUS] It's exactly in the place where I... [RUS] I'll enlarge it specially for you.

00:22:45 [RUS] This is his MRI. Your tumor is located right here, and his tumor is located right here.

00:22:55 [RUS] See how big it is? [RUS] Well, it's a bit bigger than yours, but it's exactly in the place where the optic nerves are. [RUS] So your task is not to give in to depression or panic, find the time and opportunity to go to Zaporizhzhia, get an MRI, definitely with contrast. [RUS] And any day, well okay, Mondays work, Mondays for me usually have no wounded, it's a non-operating day.

00:23:21 [RUS] And in order of live queue, the earlier you arrive, the earlier you get in, we'll upload the MRI and decide what to do next. [RUS] Andrii Hryhorovych, maybe a referral, so I can give it to them and they already know what I need to do.

00:23:45 [RUS] And in Zaporizhzhia it's open-type, right?

00:23:49 [RUS] Yes. Well, that doesn't cause the kind of problems that can occur.

00:23:56 [UKR] I'm saying, I don't control it, maybe it's not entirely my fault.

00:24:18 [UKR] And with this MRI to you on Monday, right?

00:24:23 [RUS] Well, maybe some day. Just on Monday I'm not in surgery, I can consult for a long time.

00:24:27 [RUS] And from what time? From 7, I said, or from 5, you can get in line.

00:24:31 [RUS] So if from 7, you'll be first in line. [RUS] And we come at 7, and you start seeing patients...

00:24:38 [RUS] At 9. You can come at 8, yes. [RUS] In any case, I don't turn anyone away.

00:24:46 "I want to go now, I have a number,

00:25:28 [RUS] The tumor is benign, I'll say right away so you know this is not cancer, it's a benign tumor.

00:25:34 [RUS] It's called a meningioma, I'm a thousand percent sure, I'll say even without histology.

00:25:44 But the pain.

00:25:49 Or if it's properly high-quality, it is not... Well, I will tell you an analogy with women. You have fibromy, myome, mother, milk, the alazinone, they live with them, never always need to operate and, as a rule, it's the reason why what? The violation of hormone hormone. This is not even added to women, even tried to treat them with help.

00:26:17 [RUS] And the polyp that's in the nose?

00:26:21 [UKR] I'll write now, here for you, go up to the eighth floor.

00:26:28 [UKR] Today? [UKR] Not today, but right now.

00:26:32 [RUS] Somatic.

00:26:33 [UKR] If the doctor isn't in surgery, he'll see you.

00:26:37 [RUS] And which floor?

00:26:38 The Lox-S

00:27:12 [UKR] Tell them, Professor Sirko referred you.

00:27:17 [RUS] The disc. [RUS] Our disc.

00:27:21 [UKR] Bilobrovka, that's all.

00:27:23 [RUS] Let's say, so as not to confuse.

00:27:25 [UKR] And with the MRI to you. [UKR] We agree with you, that's why we came.

00:27:34 [RUS] We're not questioning anyone's diagnosis, but... [RUS] - I'm done. [RUS] - I, on the contrary.

00:28:04 [RUS] That's her right. [RUS] - Well, also, there's nothing wrong with that. [RUS] - That's not necessary, it's right that you said we were there, we got a consultation.

00:28:11 [RUS] You did everything right.

00:28:13 [UKR] All done, have a good day. Goodbye.

00:00:00 No.

00:00:00 No. You can see it on the screen, right? They can shoot for the documentary American film. They take a lot of thousands of hours, and then they can take something that they like.

00:00:25 [UKR] It's been established that this is not a neurosurgical case, but since you've been waiting so long, we'll consult together with the professor.

00:01:09 Thank you. It's a huge difference between USA and Ukraine. If your patient would like to receive that consultation, yeah? We need to wait 2, 3, 6 months. Yeah, and there's a whole different building. 6 months. Usually not 6 months, but sometimes you have to wait.

00:01:50 [RUS] Especially I know that in European countries, many countries also have to wait several months. [RUS] That's bad in Europe, yes. In America, not so bad.

00:02:02 [UKR] Not so bad. [UKR] But in other countries, European countries, I know, Lithuania, Latvia, Yuriy Yuriyovych.

00:02:16 [RUS] - Allow me, oh, he's thickening.

00:02:18 Yes?

00:02:19 [RUS] - Wait while your scan is loading. [RUS] Here our group is being captured on film. [RUS] Hello. [RUS] - Ruslana.

00:00:00 [RUS] and other drones and other Russian weapons.

00:00:00 [RUS] and other drones and other Russian weapons.

00:00:05 [UKR] - Missiles, weapons, weapons.

00:00:07 [RUS] - Is this made from Russian weapons? [RUS] Yes, it's a weapon. [RUS] Excellent. [RUS] Climb in. [RUS] Computer.

00:00:28 [UKR] Where it's black, that's air and the material we used for skull plastic surgery. [UKR] We completely removed the hematoma. [UKR] There's no blood there. That's very good. [UKR] In 3D reconstruction it looks like this.

00:01:07 We did a trap on two sides. When I said, you said to him, there is no left eye, there is a all-out orbit, we started thinking to go on the left side, and when we were placed,

00:01:30 we were looking at the right eye, he was the one who was coming. Then it was discovered on two sides, we found that when there was such a hit, these bones were out of the hole and there was a hole. This hole was just running out of the liquid. It was running out of the water and this infection is around the corner. - She falls in the brain. She falls in the brain.

00:02:00 So we found this hole, we closed it. And then we closed it here. It's called "Bangato Sharoa", it's called "Bangato Sharoa", 1, 2, 3, 4, closed it here. We even planned to set up, American colleagues give us titanium plates, to make them immediately, but we didn't do this, because it's very bad.

00:02:25 [RUS] Very sad wound. [RUS] I showed you the picture. [RUS] I showed you the best option after the patriotic ones treated us. [RUS] Therefore, putting artificial and foreign body is not needed, because there may be problems with infection. [RUS] God willing he survives, then we can do plastic surgeries. [RUS] - Don't ruin it, I'm not bringing him here. - No, no, no.

00:03:12 [RUS] You already came with Ivan. [RUS] You must understand that he may die in any case. [VO CANDIDATE] [RUS] Today they said 46,000 wounded have passed through. [RUS] And we did 2,500 brain surgeries.

00:03:30 [RUS] We can only say what happened in the past week.

00:03:34 [UKR] - Better, worse, wait Mykhailovych, better, worse, or at the same level.

00:03:41 [RUS] We won't give any prognosis in advance. [RUS] That's because since the operation, thank God, he's holding arterial pressure well. [RUS] His arterial pressure rises to 130, 140, 150. That's very good. [RUS] Arterial pressure. [RUS] - This is access to the arterial.

00:04:32 [UKR] So they connected 130-150, he holds the pressure normally. [UKR] Today I said, they did a bronchoscopy, meaning he has a lung contusion, a lot of sputum, they cleaned his lungs. [UKR] He has a heart contusion, I said on the first day, initially they didn't diagnose, but did tests, troponin test 10 times higher.

00:00:00 Thank you.

00:00:00 Thank you. Did you? Oh, you did. I was asking if, uh, we already asked if she was okay if you filmed. But she was here earlier. I think she said yes. I'm not sure we got that on film.

00:00:48 [you...] MRI conclusion is cystic change in the epiphys.

00:01:29 [UKR] You must understand that the pineal gland is an endocrine gland.

00:01:34 [RUS] Melatonin corresponds to normalization of sleep and wakefulness cycles. [RUS] Like ovaries in women, sometimes it's a solid structure, sometimes with cysts. [RUS] The sizes are normal, there's a cyst in the middle, but it's not a tumor cyst. [RUS] No, it's not a tumor cyst.

00:01:56 [RUS] And she will live long and happily.

00:01:59 [UKR] It was increasing in size, and now it became second to choose this examination. [UKR] In another mode a small bone. [UKR] The second hall we'll look at, another hall, which is called, hypophysis.

00:02:27 Anastasia, is there a risk?

00:02:30 She's out here. I need to change. Change. Change? My head cock is exhausted.

00:02:42 Exhausted, tired, but I am... Hold on, the magnet.

00:02:48 I come, your task is to answer my head.

00:02:53 [UKR] At one o'clock come to Liudmyra Vasyliivna, and she'll take you, and you must feed.

00:03:04 [UKR] And yourself.

00:00:00 [UKR-NEEDS] - Хормональні дистурбанцію.

00:00:01 [UKR] - Hormonal disturbances. [UKR] And the endocrinologist. [UKR] - Endocrinologist, prescribed, maybe, prolactin test, [UKR] - Yes, yes, there was a microadenoma. [UKR] And also the test showed, pineal gland.

00:00:13 [RUS] Now the second one.

00:00:14 [UKR] She will live long and happily, tell her everything is fine.

00:00:17 Yes.

00:00:18 [UKR] Thank you, thank you. [UKR] - And tell me, please, the timeline. [UKR] - I think once every two years you can do an MRI, [UKR] and even once every two years without contrast.

00:00:27 [RUS] Without contrast. [RUS] And from whom to get a referral?

00:00:30 [RUS] We initially observed with the sonographer, and then [RUS] and the other referrals satisfied the wife.

00:00:39 [RUS] Further, you will worry. [RUS] Through the reef I'll write, not only without contrast. [RUS] Good. [RUS] Good. [RUS] Today is the 28th.

00:00:46 Yes.

00:01:59 [RUS-NEEDS] Тихо

00:02:44 [RUS] Quiet! [RUS] You'll kill a person, step away from him.

00:02:51 [RUS] We have a patient in the emergency room who fell. [RUS] From 5 meters and hit the roof. [RUS] Currently mild stunning. [RUS] Wanted to show you the image. [RUS] Federal animator. [RUS] Multiple fractures of the entire skull bone. [RUS] Linear fractures of the anterior and posterior walls of the frontal sinus. [RUS] There's a small company with Koley. [RUS] Quiet, you have a flash.

00:03:11 Yes.

00:03:19 [RUS] - I'm ready, ready.

00:03:26 [RUS] - And what's his injection? [RUS] - Invited.

00:03:30 [RUS] - He was helping someone, meaning this isn't an occupational injury?

00:03:35 [RUS] - People, some still can't see. [RUS] - Became. [RUS] - Do you agree with him? - Good, yes, of course. I'm just without you. [RUS] - Well, we're all correct. Now let's look again.

00:04:25 [RUS] - I think this is dural, because it's right along the fracture line. [RUS] - Yes, it's linear. - Yes, yes.

00:04:52 [RUS] - I have

00:05:00 You can see fracture. Antenior wall, posterior wall, and roof of orbit.

00:05:06 Yeah, you can see? Yeah, the sinuses are not that bad. Clearly visible. Clearly visible. Front of the sinuses, left side, right side, it's fracture. But they're not that bad, though, the sinus fractures. What about this? Do you have a face, a nose? A nasal or anointing?

00:05:30 [RUS] And local?

00:05:31 Yes?

00:05:32 [RUS] Did you do the local status? [RUS] Yes, yes.

00:05:39 [RUS] Local status.

00:05:45 [RUS] Did you suture already? [RUS] No, I didn't do anything, I was thinking.

00:05:51 [RUS] Wash well, suture. [RUS] - And in 6 hours a check for epidural hematoma. [RUS] As for nasal liquorrhea, we'll see if there's liquorrhea, we'll operate.

00:06:01 [RUS] If there's no liquorrhea, maybe it'll bring it. There's a linear fracture there, not that. [RUS] No diastasis there? - Yes. [RUS] - Thank you. - Sergey Viktorovych, tomorrow we can

00:06:12 [RUS] schedule the big operation somewhere around 8:30 for 9 minutes to 20 minutes. [RUS] - Thank you for operating. [RUS] He ate there and now only otherwise. I'm tomorrow. And he won't eat, not this personalization.

00:06:30 [RUS] He has the one where they put prosthetics and touched: "I'll look, open it, I don't need to suture there and elbows here."

00:06:39 [UKR] Well, about 20 minutes.

00:06:41 [RUS] - Natalia Sergeevna doesn't mind? - No. She says: "Let's schedule it in the morning, we'll do everything in 20 minutes."

00:06:48 [RUS] - Good. Then don't delay. - Good, kind.

00:07:06 [RUS] - Sorry that very... [RUS] I was already in the operating room, you'll be somewhere in an hour-and-a-half, [RUS] if they want, they wait. [RUS] If you want, wait until tomorrow or for Rostislav Malyi. [RUS] talk to him because they've already called me to the operating room. [RUS] Good. [RUS] - Yes, either wait today, or tomorrow morning, or Rostislav Malyi.

00:07:54 [RUS] Three options. [RUS] Good. [RUS] - I have the impression that I've known you for a long time.

00:08:00 [RUS] You probably come to me for results. [RUS] - No, not true. [RUS] It's just my first time, and another way twice.

00:08:05 Ah.

00:08:09 [RUS] - What did we decide here? [RUS] You regarding me on the repeat MRI

00:08:19 [RUS] Wanted to compare Rostov and Irina's Rostov [RUS] Did we decide about her?

00:08:24 Yes.

00:08:25 [RUS] You said that it's located in the middle [RUS] in one hemisphere, and in the other hemisphere

00:08:30 [RUS] Aha, I understand, let's do it here [RUS] And like the second disc

00:08:38 [RUS] but centro

00:08:45 [RUS] You know that a consultation with an American professor costs 1 million dollars?

00:08:50 [RUS] Well, if... [RUS] Or second, or do you give consent that you'll be shown on American television in two years? [RUS] Yes, do you agree? [RUS] Yes, do you agree?

00:08:59 [UKR] Minna-car is popular.

00:09:01 That's all.

00:09:02 [RUS] You got permission, you can tell Anastasia and Ted,

00:09:06 We have permission. Okay, thank you. I chose you can pay one million dollars or give a wish.

00:09:18 [RUS] Now let's see, that was a joke, and now seriously. [RUS] Like the goal, it's, it's, it's, a nose. [RUS] I said we'll do a fresh MRI, to share, right? [RUS] All, understood. [RUS] All, understood. [RUS] Consultation, all, yes.

00:10:07 *thunder* First of all, we need to perform repeat CT after 6 hours. We never wait for deterioration. We perform after six hours. Yes, it's the first. And the second, we understand, realize it is a linear fracture. Don't do compression or diastasis between this. We will expect it and to prevent CSF leak.

00:11:00 If you have CSF leak, first of all we put external lumbar drainage. Or if it's on-stop, we perform surgery. But we never perform surgery in this blood trauma with linear fracture. In patients with gunshot wounds or mind blood penetrating wounds, we perform as possible. Yeah, we would do the same thing. We were not operating on the right.

00:11:30 [RUS] what speeds will we have [RUS] I had dizziness [RUS] now of course [RUS] what changes [RUS] I feel in myself [RUS] very strong fatigue [RUS] very strong fatigue [RUS] and with memory [RUS] a big problem [RUS] but you said that this absolutely doesn't affect memory [RUS] there you had some, I had [RUS] doors of inclusion [RUS] or the substance of innovation, or whatever to call it correctly. [RUS] Therefore my miniology doesn't affect this, [RUS] but I would like to consult with you about this decline. [RUS] And more. [RUS] Igor Ilyich, I did on different declines, unfortunately. [RUS] But I hope that you can combine these distances, [RUS] because they changed a little for me, these sizes.

00:12:35 [RUS] Hold your hand, everything's falling apart.

00:12:39 [RUS] - I'm not holding myself [RUS] No, in my office. And to return it by one o'clock to the senior nurses and hand it over. [RUS] Let him go now, we'll finish the consultation, and then he goes to you, Viacheslav Ivanovych, and meets him, consults another ward respectfully. And return by one.

00:13:35 [RUS] Good? [RUS] Come on, come on. [RUS] You have this little plump one, and tomorrow we'll operate with Alex on one like this.

00:14:05 It's the same localization, but it's... ...I... ...measurement. Look, we can be quiet and watch. After a half a year or after a year? After a year, I think. After a year, we can do the test.

00:14:31 [RUS] It doesn't affect the symptoms you have in any case.

00:14:35 [RUS] When did you first get the MRI? [RUS] In February. Half a year has passed, in half a year I did it. [RUS] Tell me please, what medications can be used?

00:14:49 [RUS] Because I have a small problem with my thyroid, and I don't have...

00:14:54 [RUS] Any. [RUS] Any, yes? There's no... [RUS] Well, first, all these tumors, they're hormone-sensitive, and they arise as a result of hormonal imbalance, estrogen, progesterone.

00:15:09 [RUS] In women, this is exactly the period of premenopause, menopause. [RUS] Well, they tried to treat with hormone medications, it didn't work.

00:15:17 [UKR] So you just have to understand that the same genesis - this is how fibroids, myomas arise, breast tissue, the same way meningiomas of the brain arise. [UKR] Half a year we looked, if 1-2 mm changed, that's nothing.

00:15:30 [UKR] We can do it after a year, if you're worried, do it in half a year.

00:15:39 [UKR] If something appears, do it earlier.

00:15:42 [RUS] - So, no special medications, there won't be questions. [RUS] Are there physical loads, please tell me. [RUS] Now, when I bend over, my head starts [RUS] to hurt. [RUS] This just started recently. [RUS] - Do you have a neurologist, did someone see you? [RUS] - He first sent me to you, so after you I'll go to the neurologist. [RUS] - All these questions, resolve them with him. [RUS] - Tell me please, these white spots, so-called... [RUS] This is called foci of leukoaraiosis, or it's also called vascular foci, genesis, female gender, before menopause, arterial hypertension.

00:16:25 [RUS] Tell me, what makes it different, or is that all? [RUS] Blood pressure control is recommended. [RUS] Only prevention. [RUS] You have a doctor, a local neurologist, right? [RUS] Yes, there's a local one. [RUS] Well, what I'll request, I think, the coordinates, I can't.

00:16:48 Give.

00:16:50 [RUS] Something for me, I'll prescribe...

00:17:16 I think it does that. It doesn't help when it does.

00:17:27 How long is that?

00:17:33 What would cuts on the fence when the battery gets too low? But it doesn't. - It doesn't flash a warning.

00:18:18 [RUS] Anastasia, you're nearby.

00:18:30 [UKR] You can now gather your things, maybe they're still planning to film tomorrow, ask. [UKR] If not, they can take their equipment. [UKR] You're going now with Nikita, as we planned to the ICU,

00:18:46 [UKR] in an hour you return, eat, what do they plan to do next? [UKR] - I don't know yet, probably waiting for Bohdan and until then,

00:18:57 [UKR] do something else, maybe do an interview with the man for the tractor. [UKR] - I think that's a good plan. [UKR] Good plan, while you eat and talk with this man, I give you full freedom. If you need someone to bring you, representative Mykhailo or Artem, you can wait for them to come to you and lead you.

00:19:57 [RUS] - That's all for today!

00:00:00 Yeah.

00:00:06 Speaker 1: Hold on one second. Speaker 2: Let me come in here.

00:00:13 Speaker 1: Oops. Speaker 1: I want the mic showing.

00:00:22 Speaker 1: There we go. Speaker 2: Okay. Speaker 2: Yeah. Speaker 2: For Stryker, yeah? Speaker 2: Yes. Speaker 2: Excellent. More tapasio. It's an artificial Dura. Dura-gen, yes. Speaker 3: Stuff you use every day. Wow, look at all that. Yeah. It's excellent. Speaker 2: Oh, no, no. This is safe. Speaker 2: The previous way is here. Speaker 2: it's maybe some... Speaker 2: Oh, the drill pieces.

00:01:02 Speaker 2: Yeah, yeah. Speaker 3: Bits in titanium mesh. Speaker 2: Yeah, yeah, small. Speaker 3: Small, but... Speaker 2: It's for vipershunt. Speaker 2: Yeah. Speaker 2: Ventricular peritoneal shunt. Speaker 3: Ventricolastomies, Speaker 3: no, no, no ventricolastomies. Speaker 2: It's ventricoloperitoneal shunt. Speaker 3: Yeah, these are stock packs and they are all of a stuff. Speaker 2: Yeah, we can close this.

00:01:33 Speaker 3: Yeah, we saw some replacements yesterday here.

00:01:47 Speaker 2: or it's for yes yeah backs for CSF leak

00:01:55 Speaker 3: and this for lumbar drain yeah yeah that's a needle goes in

00:02:04 Speaker 2: for external lumbar drainage. Speaker 3: Excellent. Speaker 3: Oh, wow. Speaker 3: I think it's for Speaker 2: our spinal neurosurgeon.

00:02:29 Speaker 3: There are some punches. Speaker 2: Yeah. Speaker 3: This is excellent equipment. Speaker 2: Our spinal cord surgeon Dmitry Ocherenko with Nikola Zorin asked Nikonor Berlin for this instrument. Speaker 2: We will be very happy. Speaker 2: Yes, we invite them and we...

00:03:06 Speaker 3: Yeah, these are all part of the retractor system. Speaker 3: Yes, yes. Speaker 3: Yeah, this is incredible. Speaker 3: We have to ask Connor how he did this. Speaker 2: Different type of rangers. Speaker 3: Retractor blades here.

00:03:30 Speaker 3: Smooth blades. Speaker 3: And here's the... Speaker 3: Here's the blades that keep any edge. Speaker 3: Yeah. Speaker 3: Okay. Wonderful. Speaker 3: Super.

00:04:19 Speaker 2: oh and this after that I Speaker 2: okay time to do the morning with our team Speaker 2: let's go Alex yes Alex let's go

00:05:21 Speaker 2: You need to save me a cup of wood,

00:05:23 [RUS] Speaker 2: Andrey, I'm here, I want to go to ICU. [RUS] Speaker 2: In 5 minutes we're here, we'll sit together.

00:05:36 [RUS] Speaker 2: Good morning.

00:05:41 [UKR] Speaker 1: He went to change clothes, Vadim Vladimirovich, Alex. [UKR] Speaker 2: Anatoliy, close the blinds. [UKR] Speaker 2: Anatoliy, Alex. [UKR] Speaker 2: Anatoliy, Alex.

00:06:02 Speaker 2: Yes.

00:06:04 [RUS] Speaker 2: Vasilivna, please calculate the hours...

00:06:15 [UKR] Speaker 2: Hourly duty, and we will complete the schedule. [UKR] Speaker 2: Sit next to Maryana, you can hug Maryana, Vadim Volodymyrovych.

00:06:28 [RUS] Speaker 2: I allow it.

00:06:30 Speaker 2: Yes.

00:06:42 [RUS] Speaker 2: Lera will object. [RUS] Speaker 2: Okay, Yana will please us with something.

00:06:54 Speaker 2: 61 passion in our department and this morning 61 and from this number is 15 soldiers

00:07:13 [RUS] Speaker 2: And so he behaved and everything is normal and Chernenko prepared this operation and then ready

00:07:21 [UKR] Speaker 2: Another shunt, and Vadim Vadymovych, will they tighten the nerves? [UKR] Speaker 2: One nerve, one shunt and Chernenko. [UKR] Speaker 2: I looked, there on thin slices you can see where the air bubble [UKR] Speaker 2: comes out from the mastoid process. You can clearly see where it comes out.

00:07:43 [RUS] Speaker 2: It's better to see this exit through the canal, the canal and then the bubble in this exact place [RUS] Speaker 2: attached only already intro intro durally we will need to seal it well with wax and then there [RUS] Speaker 2: which room are they in [RUS] Speaker 2: They'll seal it. Next. [RUS] Speaker 1: Anyone?

00:08:39 [RUS] Speaker 2: Today on evacuation who do we have? [RUS] Speaker 2: Ward 11, who do we have?

00:08:56 [UKR] Speaker 2: Vadim Vladimirovich.

00:09:11 [RUS] Speaker 2: To ward 14, who?

00:09:16 [UKR] Speaker 2: Alexander Anatolyevich.

00:09:21 Speaker 2: And 20.

00:09:32 [RUS] Speaker 2: Sure?

00:09:48 [UKR] Speaker 2: Tomorrow we have directions Vinnytsia-Lviv, and at time 10 Vinnytsia.

00:10:03 Speaker 2: tomorrow two directions will be evacuated our patients in 10:20 to Vinice and 2:00 pm to

00:10:17 [RUS] Speaker 2: It's continent and continent and deb

00:10:47 [UKR] Speaker 2: I saw, either on Instagram or on Facebook, Yulia with a dog outside the gym window, and he was squatting with weights in the gym.

00:10:58 [RUS] Speaker 2: Did you see, Rostyslav?

00:11:00 [UKR] Speaker 2: Maybe he's getting ready? [UKR] Speaker 2: Ran ahead. [UKR] Speaker 1: I won't go. [UKR] Speaker 1: I won't go. [UKR] Speaker 2: He'll be just in the operating room.

00:11:15 [RUS] Speaker 2: He'll be just in the operating room. [RUS] Speaker 2: Probably Lera, so that, right? Or they've already processed the history. [RUS] Speaker 2: Good. So in that block two have fever, right? [RUS] Speaker 2: And in this block, ward 11, yeah, distinguished themselves? [RUS] Speaker 2: Well, that's not bad either.

00:11:40 [RUS] Speaker 2: Good. What questions do we have?

00:11:46 [RUS] Speaker 4: To throw months

00:12:00 [RUS] Speaker 2: But they handed in the history

00:12:22 Speaker 2: Good, you can prepare some cup of coffee tea of water I quickly go to the general director Speaker 2: Meeting and come back we will be meeting with our neurosurgical department ok good so

00:12:40 [UKR] Speaker 2: Alex, don't be offended, I'm going now to the operational meeting with the general, I'll listen to what he tells us. [UKR] Speaker 2: Okay?

00:12:49 [RUS] Speaker 2: Okay. [RUS] Speaker 2: Galina Vasilyevna, open, don't wash, now start, so they can adjust their equipment. Okay?

00:13:38 [UKR] Speaker 2: Because now we can film the operational meeting, and then there will be time to adjust. [UKR] Speaker 2: And here it will be with doctors. [UKR] Speaker 2: At these operational meetings the duty shift will report and we will review the operations for today.

00:13:57 [RUS] Speaker 2: There will be time.

00:14:02 [UKR] Speaker 2: If not, then they'll really adjust.

00:14:53 Speaker 2: Good.

00:15:10 [UKR] Speaker 2: So come in, you're already standing at the door holding it, good.

00:15:28 [RUS] Speaker 2: Everyone's good.

00:15:33 [RUS] Speaker 2: Something came from Kran.

00:15:42 [RUS] Speaker 1: 8 years already.

00:16:35 [RUS] Speaker 2: Good.

00:17:27 [RUS] Speaker 2: Good afternoon.

00:18:18 [RUS] Speaker 2: To be continued...

00:19:19 [UKR] Speaker 4: Thank you.

00:19:44 [RUS] Speaker 4: Ukrainian garden. [RUS] Speaker 4: I'll take from your elders, because we don't see Russian security terms there, but there is coagulation. [RUS] Speaker 4: Further, they have accelerated, on webinar, on webinar campuses and public lunches on rights, in their way, for you.

00:20:32 [RUS] Speaker 4: But it's not worth it, not for food.

00:20:37 [RUS] Speaker 4: I remember carrying out the coagulation.

00:21:51 [RUS-NEEDS] Будем это делать.

00:22:10 [RUS] Speaker 2: We'll do it.

00:23:31 Speaker 2: Thank you.

00:23:59 [RUS] Speaker 2: Yaroslavovych, well, what about the patient? [RUS] Speaker 1: Normal. [RUS] Speaker 1: Now I ordered the scan, we'll do it, because there are complaints of heartbeat.

00:24:09 [RUS] Speaker 1: Pressure 130-150 limits invasive, such more is shown. [RUS] Speaker 2: Well, we'll visit you, to Tamarov, as I said, we'll record, we'll take you.

00:24:21 [RUS] Speaker 2: Yes, definitely. And tomorrow, probably, we'll still puncture, sow, because it's good.

00:25:06 [RUS] Speaker 1: Hello.

00:26:14 [RUS] Speaker 2: Good. [RUS] Speaker 2: Good.

00:26:22 Speaker 2: Well Speaker 2: Well Speaker 2: Thank you for watching.

00:27:33 [RUS] Speaker 2: And we'll find Alex, he got a little lost in the operational meeting and [RUS] Speaker 2: Good. [RUS] Speaker 2: They say we went with some doctor, who did they go with?

00:28:29 [UKR] Speaker 2: With Vasily someone.

00:28:36 [RUS] Speaker 2: Vasily or Dudin?

00:28:42 [UKR] Speaker 2: Denis Petrovich Dudin.

00:29:07 [RUS] Speaker 2: Quiet, quiet. [RUS] Speaker 2: Rostyslav, you've read it, right? [RUS] Speaker 2: Yes, Natalia Seredina, this Romance, they'll delay the shunt right away, then Chernenko, and then Vadim will make it to this [RUS] Speaker 2: Water we'll make it, you still want this, yes this Nastya still wants rotation, good Logan will come, well let's

00:30:02 [UKR] Speaker 2: Let's wait. Let's wait. Two-three minutes. [UKR] Speaker 2: Nikita, look at yourself, I'm on the line down. Closer. Take it like this and closer to yourself. [UKR] Speaker 2: Because Misha will now seat the berries for Vadim Volodymyrovych. [UKR] Speaker 2: Rostyslav, move closer to Lenin.

00:30:34 [RUS] Speaker 2: Don't be afraid. [RUS] Speaker 2: Alexander Ivanovich, move closer to Lena. [RUS] Speaker 2: Well, why are you so afraid? [RUS] Speaker 2: If you sit close, you won't start jumping with a parachute.

00:00:00 brain in Ukraine in Ukraine and also here's a world champion jumping

00:00:30 Speaker 1: brain in Ukraine in Ukraine and also here's a world champion jumping

00:00:43 [UKR] Speaker 1: Skydiving, yes.

00:00:45 [RUS] Speaker 1: Here's the path.

00:01:11 [UKR] Speaker 1: Didn't quite get it. Understood. [UKR] Speaker 1: For Olena Lidova, participated in... [UKR] Speaker 1: Setting a Guinness record or something, right?

00:01:20 [RUS] Speaker 1: Simultaneous jump and figures...

00:01:22 [UKR] Speaker 2: Guinness. [UKR] Speaker 1: Well, don't interrupt, seriously. Was that the case?

00:01:29 [RUS] Speaker 1: I'll ask to double-check. [RUS] Speaker 1: Wasn't it?

00:01:33 [UKR] Speaker 1: World championships, yes?

00:01:43 Speaker 1: - Speaker 1: - 1,500 sky jumping, successful. Speaker 1: - Really, really, 1,500. Speaker 1: - Really, really, 1,500.

00:01:56 Speaker 1: And mother, sick children? Speaker 2: - They were talking about...

00:02:00 Speaker 1: - So how did they? Speaker 2: - The champion skydive? Speaker 1: - Yeah. Speaker 2: - 1,500 jumps. Speaker 1: - 1,500 jumps, successful.

00:02:14 [RUS] Speaker 1: is it true [RUS] Speaker 3: is it true [RUS] Speaker 3: is it true [RUS] Speaker 3: it must be [RUS] Speaker 3: it's unexpected

00:02:21 Speaker 1: neurosurgeon Speaker 1: great mother Speaker 1: great mother Speaker 1: and world champion Speaker 1: in one Speaker 1: in one Speaker 1: in one

00:02:29 [RUS] Speaker 1: we'll tell [RUS] Speaker 1: we'll tell

00:02:50 [UKR] Speaker 1: what volume of operation

00:02:57 [RUS] Speaker 1: by time after trauma [RUS] Speaker 1: There was a drill.

00:03:31 Speaker 1: from Pavlograd patient 1977 years was born in 1977 in Glasgow Coma Scale score maybe nine nine Speaker 1: with hemorrhagic contusion and acute subdural hematoma from cranioplastic trepanation and

00:03:53 [RUS] Speaker 1: and removal subdural and intracerebral hematoma.

00:04:00 [RUS] Speaker 1: Next. [RUS] Speaker 4: Sviatoslav Milinchuk, 54 years old, he was on September 1st,

00:04:08 [RUS] Speaker 4: and he was not in the hospital, he was in vertebral neurology.

00:04:22 [UKR] Speaker 1: What diagnosis did you make?

00:04:28 [UKR] Speaker 1: - Fracture.

00:04:32 [UKR] Speaker 4: - Fracture. [UKR] Speaker 1: - Fracture. [UKR] Speaker 1: - Which one? [UKR] Speaker 1: - Which one.

00:04:44 [RUS] Speaker 1: - And it's not written there?

00:04:46 [UKR] Speaker 1: Well, take a look, and which are the most extreme of those you looked at, here with patients. [UKR] Speaker 1: There's 45 thousand, right? 45.

00:05:08 Speaker 1: from the start full-scale military invasion russia in ukraine from 24 february 2022 Speaker 1: We admitted now 46,009 patients. [VO CANDIDATE]

00:05:26 Speaker 1: 46,009. Speaker 2: That's just since 2022, February.

00:05:31 Speaker 1: And if you plus more than 4,500 from 2014 to 2022, Speaker 1: And if you plus more than 4,500 from 2014 to 2022,

00:05:39 [RUS] Speaker 1: In 2022, this number

00:06:09 Speaker 4: trauma due to car accident, the fracture of the frontal Speaker 4: frontal sinus, the frontal border and also he has fracture of Speaker 4: transverse processes from the lumbar body and also he has a problem with his blood in our department. Speaker 4: Also performance if you control the patient is very safe, nothing special. Speaker 4: also you have patient Kalemka 72 years old he had stroke a few days ago and he came to us because

00:07:02 Speaker 4: he had some Speaker 4: bleeding but nothing more and when I told him it was no Speaker 4: and also he has a big problem with heart Speaker 4: he has performed four operations Speaker 4: in the last operation for heart

00:07:30 Speaker 4: and he takes the stent Speaker 4: and we decide to use conservative approach

00:07:40 Speaker 4: to wait right now and give him time to perform this in two to three periods and change Speaker 1: previously he took what you mentioned

00:08:00 Speaker 1: no not Clexane I think an anti-platelet yes warfarin warfarin maybe

00:08:05 [UKR] Speaker 1: Warfarin, maybe, we tried to switch to Clexane. [UKR] Speaker 1: Show the control. [UKR] Speaker 1: This is probably what he was taking, right?

00:08:19 [UKR] Speaker 1: And where is he lying now? [UKR] Speaker 4: In intensive care. [UKR] Speaker 1: We made this decision to look at the control.

00:08:27 [UKR] Speaker 1: If there's progression, we'll have to remove the hemorrhagic focus. [UKR] Speaker 1: If there's no progression, and the depressed fracture, it can be operated on with primary plasty. [UKR] Speaker 1: We received titanium plates, titanium screws, you can come get them from the senior nurse, [UKR] Speaker 1: as before with signatures to write them off, made in China, Chinese.

00:08:55 [RUS] Speaker 1: Chinese, we'll also order bits for the screwdriver because there are specific ones [RUS] Speaker 1: Phillips head number 1, 2, we have, but so that each of you has one and [RUS] Speaker 1: yellow plates, good plates 0.6-0.8 millimeters and screws 5 millimeters

00:09:20 [UKR] Speaker 1: So we'll just order, I'll ask Sviatoslav to get titanium, let him download it, if it costs something, so that everyone has one or two screwdrivers in reserve, and the screws and plates are here. [UKR] Speaker 1: This is after how many years, we've been writing for 3-4 years, and I also signed many of these letters, as did Sergey Petrovich, and Cherednichenko, and Zorin. [UKR] Speaker 1: We are experts in this Department of Health, but they finally came, so this is very good.

00:10:21 Speaker 1: I tell my colleagues we got Speaker 1: titanium mesh and titanium screws from our Ministry of Health of Ukraine. Speaker 1: It's the first time from all period I know because previously we paid our own money to

00:10:44 Speaker 1: get this mesh and screws. [VO CANDIDATE]

00:10:48 Speaker 2: So you would pay your own money? Speaker 1: Yes. Speaker 2: Yes, yes. Speaker 1: Previously, we find the volunteers, a humanitarian organization, but from one year to another Speaker 1: year, the number of people who can possibly help us is decrease, decrease, decrease is Speaker 1: level zero that's why we are paying all money to buy tools to work. [VO CANDIDATE]

00:11:24 Speaker 1: Okay. Speaker 4: He was operated in this summer in our hospital because of trauma. Speaker 4: And some days ago, no one exactly, he had trauma one more time. Speaker 4: and also temperature was 38, 39 and I tried to perform

00:12:02 Speaker 4: lumbar puncture, it was only blocked on two wells, he also had a Speaker 1: opposite opposite counter side

00:12:17 Speaker 1: yeah Speaker 4: no operation 14 because it's like 14 points for the

00:12:26 Speaker 1: performance it's maybe a secondary repeat trauma yeah Speaker 1: because it's a long period from the first first trauma

00:12:54 [UKR] Speaker 1: Did he fall or was he hit, right? [UKR] Speaker 1: Well, there are fresh signs of trauma, right?

00:13:00 [UKR] Speaker 1: Good, operation.

00:13:03 [RUS] Speaker 1: by the way I want to say that Conor Berlin sent equipment

00:13:08 Speaker 1: for spinal neurosurgery I got the visa on time and invite Speaker 1: Dmytro and you and we are used to prepare some rangers some retractor

00:13:24 [RUS] Speaker 1: systems we will request and ceremoniously Alex will hand over I'll take photos and send to Conor [RUS] Speaker 1: it was a special operation by the way, Conor under cover of night brought it to Warsaw left it in a stash and through [RUS] Speaker 1: Ah, a cache? Like UPA? Like UPA? [RUS] Speaker 1: Although, when Conor was here the first time, he has Jewish roots, [RUS] Speaker 1: he studied this history of his, and there's Babyn Yar, right, Sviatoslav? [RUS] Speaker 1: He had relatives there, so he knows all our Ukrainian

00:14:11 [UKR] Speaker 1: histories very well. [UKR] Speaker 1: But most importantly, it arrived [UKR] Speaker 1: safe and sound. [UKR] Speaker 1: Report, Kolya, you can in German, you can in English.

00:14:20 Speaker 5: This is

00:14:50 Speaker 1: What symptoms in this case? Speaker 5: It's local pain. Speaker 1: Local pain. Speaker 1: You can see it's more than half of the body.

00:14:59 Speaker 1: It's...

00:15:00 Speaker 1: Yeah. Speaker 1: Mm-hmm. Speaker 1: as a member of European and the World Spinal Society can to describe this case in English. Speaker 1: -

00:16:03 [RUS] Speaker 1: Today we are preparing for stabilization

00:16:29 Speaker 1: without Speaker 1: We can see it with a pituitary matter, with a brain stem, with a basilar artery, and maybe it

00:17:18 Speaker 1: will be fibrous consistency of this tumor that's why we expect we couldn't to remove Speaker 1: totally totally remove this tumor you can see spread and growth to the cavernous sinus left side Speaker 1: around the internal carotid artery. That's why we expect increased brain edema and brain stem edema and Speaker 1: maybe occlusive hydrocephalus in acute postoperative period. That's why the first stage we decide to

00:18:08 Speaker 1: put ventricular peritoneal shunt to prepare for the second stage remove this huge maybe Speaker 1: for this location enormous giant petroclival meningioma Speaker 1: another patient with a very interesting patient maybe 11 years ago professor Zorin Nikolai together Speaker 1: with me we remove epidermoid cyst in this patient through the lateral uh trans temporal sub temporal Speaker 1: approach and after 10 years patient has regrowth and located epidermoid cyst in ventricle system in the

00:19:02 Speaker 1: ventricle, lateral ventricle. That's why first stage we remove this tumor from lateral third Speaker 1: ventricle and connection third ventricle with aqueductus cerebri and we perform like not Speaker 1: endoscopic and microscopic ventriculocisternostomy. Patient start to improve this neurological Speaker 1: condition recovery but after the coronavirus disease he start to slowly deterioration we Speaker 1: perform CT control and realize understand this are restorative to non-occlusive Speaker 1: hydrocephalus Sviatoslav perform ventricular peritoneal shunt but when we perform CT control

00:19:53 Speaker 1: we noticed a lot of air in the ventricular system. Speaker 1: We start to find two reasons for this pneumocephalus, Speaker 1: and find the place of the first operation we performed with Professor Zorin. Speaker 1: We open the mastoid cells. Speaker 1: And after the intracranial pressure decreases, the air fills the intracranial space. Speaker 1: That's why we today perform only plastic surgery for a place where open air cells of mastoid cells and pyramids of the temporal bone.

00:20:43 [UKR] Speaker 1: That's the situation. [UKR] Speaker 1: So we couldn't understand at first where the air came from after the shunt, and then we noticed that there were very hidden cells. [UKR] Speaker 1: And he had, besides coronavirus, after the shunt placement, another illness. [UKR] Speaker 1: So he had both ARVI, ARI, and possibly ear inflammation.

00:21:03 [UKR] Speaker 1: And, in short, it started pulling air through the ear and eustachian tube into the skull.

00:21:10 [RUS] Speaker 6: next situation ah don't show like coils I

00:21:34 [RUS] Speaker 1: looks like yes Nikita yes looks like as if there's already these spirals placed

00:21:45 Speaker 6: but

00:21:46 [RUS] Speaker 6: - No, not ruptured. - Ruptured, without any symptoms.

00:21:50 [RUS] Speaker 6: - Yes, it's a good case. [RUS] Speaker 1: - Middle cerebral artery? - Yes. [RUS] Speaker 1: - Yes? - Yes. [RUS] Speaker 1: - Here's the approach. [RUS] Speaker 6: - Which is better? Microsurgery or endovascular surgery?

00:22:05 [RUS] Speaker 2: - You can go different ways, but I think microsurgery will be for this, [RUS] Speaker 2: and this will be for me.

00:22:13 [RUS] Speaker 2: - Are you also planning?

00:22:14 Speaker 1: yes yes I'll let's say

00:22:44 [RUS] Speaker 1: trapping in this case [RUS] Speaker 1: and these techniques be you see these baby seals so then to insert two sections cost

00:23:00 [RUS] Speaker 1: a million dollars but twenty and these so kissing to place these [RUS] Speaker 1: baby seals or how two photos one to pull out I pull out

00:23:24 [UKR] Speaker 1: No. [UKR] Speaker 1: We are calculating that in the process of microsurgery to preserve two diverticulae. [UKR] Speaker 1: Next, Dmytro Vitaliyovych. [UKR] Speaker 1: Well, you want to say something here. [UKR] Speaker 1: Well, we congratulate. Dmytro Vitaliyovych, he had his birthday.

00:23:52 Speaker 1: happy birthday on Sunday but after he celebrated on Sunday he need to rest on Speaker 1: Monday that's why on Tuesday we can possibility to save him be healthy

00:24:12 [RUS] Speaker 1: applause

00:24:40 [RUS] Speaker 6: Married. [RUS] Speaker 1: Ah, Married?

00:24:42 Speaker 1: Next.

00:24:43 [RUS] Speaker 1: Ah, Next, Married. [RUS] Speaker 1: Sergey Petrovich is joking here. [RUS] Speaker 1: Actually, congratulations, I think today or tomorrow we'll hand over gifts from Conor Berlin.

00:25:00 Speaker 1: Let's go. Speaker 7: Go.

00:25:18 [RUS] Speaker 1: can Sviatoslav ah where's Sviatoslav if if there's Sviatoslav positive ah you read what's advertised on the website [RUS] Speaker 1: you'll correct because [RUS] Speaker 1: sit we'll now go to intensive care then with the professor will consult

00:26:06 [UKR] Speaker 1: Hello. Have I seen you before?

00:26:08 [RUS] Speaker 1: There's something familiar about your face?

00:26:10 [UKR] Speaker 1: Yes, Dmytro Vitaliyovych for now wait, wait.

00:26:21 [RUS] Speaker 1: Close it, Sasha, you're going to give me a cold here now.

00:26:26 [RUS] Speaker 1: Well then go into this second room and freeze. [RUS] Speaker 2: - You plan

00:27:02 [RUS] Speaker 4: I'm just saying that she looks normal

00:27:06 [RUS] Speaker 4: I'm just doing paperwork

00:27:10 [RUS] Speaker 1: I think that [RUS] Speaker 3: look

00:27:17 Speaker 3: Do you have a quick second to talk about the one over here? Speaker 3: Yeah, that would be great. Speaker 3: Yeah, and it's just that you can be, do you live with your significant other or just you alone? Speaker 4: How do you call me and find you here and go to me? Speaker 3: Yeah, sounds good. Speaker 3: Yeah, and we'll just go and just, all I want is to get you in your home. Speaker 3: Yeah, and we'll just go and just, all I want is to get you in your home. Speaker 3: I mean, obviously, the connection here is your father and us.

00:28:06 Speaker 3: Like, we want to get you as your own person. Speaker 3: Okay. Speaker 3: Yeah. Speaker 3: Can you give me your phone number? Speaker 3: Yes. Speaker 7: So, by that, what time?

00:28:20 Speaker 7: By that. Speaker 7: What time? Speaker 7: 3:00 PM. Speaker 7: Okay. Speaker 7: Okay. Speaker 7: Yeah. Speaker 7: Yeah. Speaker 7: So at 3:00 p.m. we will meet in Bohdan's house?

00:28:30 Speaker 1: No, no, no, without me.

00:28:34 Speaker 1: Only Bohdan. Speaker 3: Alex, you don't have to come with us. Speaker 3: You're just interested in coming with us? Speaker 3: Yeah, I think it might be helpful. Speaker 3: Okay? Speaker 3: Alright. Speaker 3: But it'll just be you. Speaker 3: You'll just be there as a producer. Speaker 3: Right. Plus one. Five, one, two.

00:29:00 Speaker 3: One, two. One, two. Three, six, three. Speaker 3: Eight, three, six, five. Speaker 3: Yeah. Speaker 3: Okay.

00:29:17 Speaker 4: I can take you and take you for the company.

00:29:22 Speaker 4: Do you have enough for all the company?

00:29:26 Speaker 3: Yeah. We have a second car. Speaker 4: Okay. Speaker 4: Yeah.

00:29:37 Speaker 3: Yeah.

00:30:18 [RUS] Speaker 1: Going now. [RUS] Speaker 1: Now we'll meet at the operating block, Vadim. [RUS] Speaker 1: look I think that look Ryzhenko can't sign twice

00:00:00 [UKR-NEEDS] Олександр Великими буквами Толубаєм, ну як ось це.

00:00:04 [UKR] Speaker 1: Oleksandr in capital letters Tolubaiev, well, like this. [UKR] Speaker 1: Here it says head of the neurosurgery center DMN Professor, and here it says Andriy in capital letters Serko. [UKR] Speaker 2: And here it says Tolubaiev and Serko. [UKR] Speaker 1: Well, yes. [UKR] Speaker 1: So first the position is written, then the surname, here, the name, well, yes, in small font the name, and in large font the surname.

00:00:28 [RUS] Speaker 1: It's the same, head of the center, church professor, and here Andriy Serfov, and this is the first and second for me. [RUS] Speaker 1: It seems to me that at the top it should be on the Mechnikov hospital letterhead, I'm trying to find this letterhead for you now. [RUS] Speaker 1: Mechnikov hospital header. [RUS] Speaker 1: You understand? [RUS] Speaker 1: And who will I sign it?

00:01:00 [RUS] Speaker 1: Let me call Kitova and ask. [RUS] Speaker 1: Maybe you could come and she could give this electronic one.

00:01:30 [UKR] Speaker 1: Okay. Iryna Volodymyrivna, are you in the nine-story building now?

00:01:30 [UKR] Speaker 1: Okay. Iryna Volodymyrivna, are you in the nine-story building now? [UKR] Speaker 1: And where are you, at the signatures, downstairs? [UKR] Speaker 1: In the reception? Look, maybe Bohdan Andreyevych can come show two letters, [UKR] Speaker 1: and you'll say whether the form is suitable, or whether the letterhead form needs to be changed. Okay?

00:01:53 [RUS] Speaker 1: Yes, yes. Go, show her. [RUS] Speaker 1: So we don't do it twice. [RUS] Speaker 1: She's at the emergency room. Say, it'll work.

00:02:00 [RUS] Speaker 3: If not, yes. [RUS] Speaker 1: Andriy Hrunchenko checked everything, he'll sign everything. [RUS] Speaker 3: Andriy, what will we allow to be done in your office?

00:02:07 [RUS] Speaker 3: We want to put lights in the toilet, [RUS] Speaker 3: so the light for... [RUS] Speaker 3: And today we have a good day, [RUS] Speaker 3: to get a consultation. [RUS] Speaker 3: Is there a better consultation?

00:02:20 Speaker 1: Every day, every day, every day, every day, I have consultations every day, every day. Speaker 1: Now we are going to ICU units. Speaker 1: If you would like to go with us, we can go ICU units around not only the ICU where we were yesterday.

00:02:39 Speaker 1: We go to another ICU units.

00:02:45 Speaker 3: So the important things for us to get for the film would be are you going to see yesterday's patients on your rounds?

00:02:55 Speaker 4: Yeah, yeah, yeah. Speaker 3: And then are you going to see tomorrow's patients?

00:03:02 Speaker 1: Yeah, yeah, yeah. First of all we are going to the ICU units and see all patients, Speaker 1: include the patients we operate yesterday. Speaker 1: It's the first. Speaker 1: It's the first. Speaker 1: After that, we come back in my office. Speaker 1: You can stay all your equipment, what we would like. Speaker 1: How many, where you would like it. Speaker 1: We will consult a patient with Alex.

00:03:30 Speaker 1: Okay? Speaker 1: After that, I will go to the short operation today. Speaker 1: When I come back, I will talk, have talk with a patient,

00:03:41 Speaker 1: which are going to operate tomorrow.

00:03:45 Speaker 3: Okay. - Tomorrow, yes. Speaker 1: And we asked me about an interview with me. Speaker 1: Thursday. - Thursday. Speaker 1: First of all, we will have to take part in the Congress, Speaker 1: military surgeon and military anesthesiologist. Speaker 1: We also came to film this process Speaker 1: when we sit together with Alex and online. Speaker 1: The military congress is very helpful. [VO CANDIDATE] Speaker 1: Because it's one annual congress and all military surgeons, Speaker 1: military anesthesiologists take part in this congress. Speaker 1: After that we'll have time to Speaker 1: interview for you. Speaker 1: Yes?

00:04:30 Speaker 3: Logan, so we can put up, I think we only have two lights with us, right? Speaker 3: We can put up something in his office. Speaker 3: How much time do we need in there? Speaker 3: Okay, so we're gonna go with Bohdan at 3 o'clock, but when do you think your surgery will be

00:04:51 Speaker 3: over? Speaker 1: I think my surgery finished until 1 p.m. Speaker 1: Okay.

00:05:00 Speaker 1: After 1 p.m., we will have recorded my talk with the patient which I'm going to operate tomorrow.

00:05:08 Speaker 3: So, we can go with you now and we'll see yesterday's patient as you go. Speaker 3: So, we can go with you now and we'll see yesterday's patient as you go. Speaker 3: As soon as we do, we'll break off and go back to your office. Speaker 3: And we'll start getting set up. Speaker 3: And we'll start getting set up. Speaker 3: Yes. Speaker 3: Yes. Speaker 3: Does that work, everybody? Speaker 3: Right. Speaker 3: Break. Speaker 3: Break.

00:05:34 [RUS] Speaker 1: Wait there by my office, wait for Bitva, also show him, I'll consult, but after [RUS] Speaker 1: rounds in the ICU, we're now going with the professor to the emergency room, after [RUS] Speaker 1: this we'll come back, I'll be consulting, how we take, take this, wait. [RUS] Speaker 1: Is someone going with us so we don't lose anyone? Is Logan going or not?

00:06:02 Speaker 3: Yes. Speaker 3: Yes.

00:06:13 [UKR] Speaker 1: So, we'll start with the patient we operated on yesterday. [UKR] Speaker 1: And after this we can go to my office to prepare for consultations. [UKR] Speaker 1: And after this we can go to my office to prepare for consultations.

00:06:25 Speaker 1: Yes?

00:06:27 [UKR] Speaker 1: They want us to look at the patient we operated on yesterday first,

00:06:30 [UKR] Speaker 1: and after that they'll go set up the equipment. [UKR] Speaker 1: They haven't set up anything yet. [UKR] Speaker 4: They looked around a bit to see what can be put where.

00:06:45 Speaker 1: What? Speaker 1: Let's go.

00:06:52 [UKR] Speaker 1: In 5-7 minutes we'll be at the combat block.

00:06:55 [RUS] Speaker 1: Alex.

00:07:15 [RUS] Speaker 5: Well, this is much better.

00:07:17 Speaker 1: My battalion is in the i-a.

00:07:52 [RUS] Speaker 1: Good.

00:08:22 Speaker 1: Did you see a patient in the morning? Speaker 1: Did you see this patient? Speaker 5: We were in the hallway and we saw Alina, the skydiver. Speaker 5: We were in the hallway and we saw Alina, the skydiver. Speaker 5: We started talking to her about surgery last night. Speaker 1: You remember, it's Anatoly is the chief of Speaker 1: ICU department named ICU for polytrauma patient.

00:08:50 [RUS] Speaker 1: Show us the patient. [RUS] Speaker 1: Good. [RUS] Speaker 1: Nothing terrible. [RUS] Speaker 1: Nothing terrible.

00:09:13 [UKR] Speaker 4: You did everything well, the pressure responded, the drainage is standing, [UKR] Speaker 4: measuring the pressure. [UKR] Speaker 4: Now, as for which ones were transferred to the department. [UKR] Speaker 1: And how did they respond? [UKR] Speaker 1: Finally.

00:09:28 Speaker 1: Yes?

00:09:30 [UKR] Speaker 4: Then not high, not long.

00:09:32 [RUS] Speaker 1: Not long? [RUS] Speaker 4: Not long, absolutely.

00:09:34 [UKR] Speaker 1: And what about sedation? [UKR] Speaker 4: Sedation, it's such an experiment.

00:09:38 Speaker 1: Yes? Speaker 1: Anatoly said he performed bronchoscopy early in the morning with sedation, bronchoscopy, Speaker 1: because he has a lung contusion on both sides. [VO CANDIDATE] Speaker 1: After that perform one treatment on the leg you can see here and due to Speaker 1: didn't have possibility perform non-invasive measurement blood pressure Speaker 1: to continue to invasive measurement blood pressure today blood pressure is

00:10:20 [UKR] Speaker 1: lowered.

00:11:27 Speaker 6: -

00:11:30 Speaker 1: For this severe wound, yeah? Speaker 1: For this severe wound, it's now the third, Speaker 1: For this severe wound, it's now the third, Speaker 1: fourth day after injury. Speaker 1: It's a peak for intracranial hypertension. [VO CANDIDATE]

00:11:59 [UKR] Speaker 1: There's no cerebrospinal fluid from the nose, because yesterday Anatoliy Roslavovych brought him to the operating room, cerebrospinal fluid was running from the right nostril. [UKR] Speaker 1: Although we thought to open only the left half, but we saw something running from the right, so we opened and revised the anterior cranial fossa on both sides and sealed it on both sides, and then the ophthalmologists still worked. [VO CANDIDATE] [UKR] Speaker 1: So it's an extremely severe wound, but I don't want to get ahead of myself, [UKR] Speaker 1: for today the condition is stable, not worse, a little-little-little better. [UKR] Speaker 1: So we're working, treating. [VO CANDIDATE]

00:12:54 [UKR] Speaker 1: Thank you, Serhiy Anatoliyovych. At 9 o'clock there will be a CT scan control, I'll write or call you then with the tomography results. [UKR] Speaker 1: Okay, okay. [UKR] Speaker 1: How are you feeling, Volodymyr? Volodymyr, how are you feeling? Honestly. How? Yes? As you said, not bad. We'll go to the ward, they'll take you from the ICU. To the 4th floor. To neurosurgery. Yes.

00:13:41 [RUS] Speaker 1: Don't undress completely.

00:13:49 [RUS] Speaker 1: I see, I see.

00:13:59 Speaker 4: Uh-huh.

00:14:31 [UKR] Speaker 1: I'm just saying, you don't mind if we transfer you from here to the ward, where patients are already recovering.

00:14:38 [RUS] Speaker 1: Well, I hear.

00:14:51 Speaker 1: I

00:14:52 [UKR] Speaker 1: I understood. Okay, okay.

00:14:55 Speaker 1: Alex, let's go.

00:15:11 [RUS] Speaker 1: I'll ask now. [RUS] Speaker 1: Volodya. [RUS] Speaker 1: Volod.

00:15:21 [UKR] Speaker 1: You don't mind that they're filming you on camera?

00:15:26 Speaker 1: Huh? Speaker 1: Huh?

00:15:28 [RUS] Speaker 1: You don't mind?

00:15:29 Speaker 1: No. Speaker 1: No.

00:15:30 [UKR] Speaker 1: Okay, good. [UKR] Speaker 1: Okay, let's go. [UKR] Speaker 1: Now you can go set up in the office, and we'll go to another ICU. [UKR] Speaker 1: You know, where you filmed yesterday. [UKR] Speaker 1: Okay? [UKR] Speaker 1: Okay? If we coordinate everything, everything will be great. Okay? I'm just for not having any objections. [UKR] Speaker 1: Well, how can I? Maybe they want to film something that interests them. You'll have time to set up there, don't worry.

00:16:23 [RUS] Speaker 1: Okay, let's go, they... Anatoliy, Anatoliy, heart without pain.

00:16:30 [RUS] Speaker 1: Anatoliy, he's not very adequate. [RUS] Speaker 1: Yes, what you showed me. [RUS] Speaker 1: Yes, he's getting agitated there. [RUS] Speaker 1: Yes, he's getting agitated there. [RUS] Speaker 4: There's no more adequate than this. [RUS] Speaker 1: Seriously? [RUS] Speaker 4: Well, look, if not, let him stay. [RUS] Speaker 1: Let me take him tomorrow. [RUS] Speaker 4: Good, let him. [RUS] Speaker 1: Because he started telling me such things that... [RUS] Speaker 4: Generally better to tell there.

00:16:51 [UKR] Speaker 1: Is that what it is?

00:16:52 [RUS] Speaker 4: Yes, that's it. [RUS] Speaker 1: I say, do you want to go to the ward on the fourth floor? [RUS] Speaker 1: And I'm from Kursk. You still don't understand, I need to remove this, remove this so that [RUS] Speaker 1: I can breathe, go check and that's it, nothing more is needed, that's all.

00:17:17 [RUS] Speaker 1: No, I understood. And is it already written in the chart? Is there a form? Yes, computer. Then write me a text that the computer.

00:17:31 [RUS] Speaker 4: Done well, Alex. [RUS] Speaker 1: And I won't give it to anyone, I'll show you.

00:18:12 Speaker 1: Thank you.

00:18:15 [RUS] Speaker 1: You already know the fourth floor, right? [RUS] Speaker 1: Good. [RUS] Speaker 1: Okay, you've done it, you're ready.

00:18:47 [RUS] Speaker 1: Good, well done, well done. [RUS] Speaker 6: One moment.

00:18:56 [UKR] Speaker 6: Alex, I have my friends in the second room. [UKR] Speaker 1: We'll look at the MRI today too, Hryshyn said yesterday. [UKR] Speaker 1: Talked with Hryshch, Serhiy Petrovych.

00:19:50 [RUS] Speaker 1: To be continued... [RUS] Speaker 4: Stupor, yes? [RUS] Speaker 4: Yes, stupor. [RUS] Speaker 4: Stupor, coma, elongated, just stupor. [RUS] Speaker 4: Transferred to a single group, [RUS] Speaker 4: sur, closing, and smaller than that, aneurysm, [RUS] Speaker 4: into the bladder. [RUS] Speaker 4: Mykola, we'll repeat today, [RUS] Speaker 4: we'll order this puncture.

00:20:40 [RUS] Speaker 1: What does it all require? [RUS] Speaker 1: What does it all require to repeat? [RUS] Speaker 4: Well, it was extremely high, like Cargo 200. [RUS] Speaker 1: No, what needs to be repeated? [RUS] Speaker 4: Well, I'll repeat it. [RUS] Speaker 1: Yes, yes.

00:20:52 Speaker 1: 100%.

00:20:54 [RUS] Speaker 1: What was the last one?

00:20:56 Speaker 4: 248. Speaker 4: 248.

00:20:59 [RUS] Speaker 4: And where's Daryna? [RUS] Speaker 1: And how much accumulated? [RUS] Speaker 1: How much accumulated in quantity? [RUS] Speaker 4: Cargo 300 by level. [RUS] Speaker 1: Let's do a general analysis today and tomorrow for the tomograph. [RUS] Speaker 1: Good.

00:21:56 Speaker 1: SAH.

00:22:01 Speaker 4: Already.

00:22:07 [RUS] Speaker 1: Well, it emerged, it emerged and ischemia. [RUS] Speaker 1: Thank you.

00:22:45 Speaker 1: Good.

00:23:10 [UKR] Speaker 1: What-what?

00:23:11 [RUS] Speaker 4: They took him for a CT scan yesterday.

00:23:13 [UKR] Speaker 1: Well, yes, it's passable there, but he caught pneumonia. [UKR] Speaker 4: Yes, unfortunately, yes. [UKR] Speaker 4: Yesterday a little pneumonia. [UKR] Speaker 4: For now, unfortunately, Smusar remains an open question. [UKR] Speaker 4: Because he needs to be operated on from here, but maybe he doesn't need to be operated on anymore.

00:23:36 [UKR] Speaker 4: Waiting for him to be brought. [UKR] Speaker 1: Need administration.

00:23:44 Speaker 1: 4

00:24:06 [RUS] Speaker 4: To give IVAC or withdraw? [RUS] Speaker 4: Maybe it's not necessary. [RUS] Speaker 4: To be continued...

00:25:09 [RUS] Speaker 4: Well done. [RUS] Speaker 1: Good, well done.

00:25:27 [UKR] Speaker 1: I know there's a vascular neurosurgery center on the 4th floor.

00:25:32 [RUS] Speaker 1: He can wait there while the parents negotiate. [RUS] Speaker 1: In such cases, of course, you have free beds.

00:25:47 [UKR] Speaker 1: We need to involve Vyacheslav Ivanovych.

00:25:49 [RUS] Speaker 1: You understand, Vyacheslav Ivanovych doesn't want to waste nerve cells. [VO CANDIDATE] [RUS] Speaker 1: Saving them, yes. [RUS] Speaker 1: Okay. [RUS] Speaker 1: How's the right side? [RUS] Speaker 1: Excellent. [RUS] Speaker 1: Good. [RUS] Speaker 4: Thank you.

00:27:17 [RUS] Speaker 4: To be continued... [RUS] Speaker 1: Opens eyes, 9 points and that's a stretch. [RUS] Speaker 1: Well, that's right, I'm teaching you, it's better to tell the administration and everyone else [VO CANDIDATE] [RUS] Speaker 1: 7 points. [RUS] Speaker 1: Than to say that he's [RUS] Speaker 1: Than to say that he's [RUS] Speaker 1: clearly better, 12 points.

00:27:53 Speaker 1: And he's

00:27:55 [RUS] Speaker 1: Okay, let's go.

00:28:51 [RUS] Speaker 1: And what did you tell him?

00:28:57 [RUS] Speaker 2: Murat and Maxi, how to do it, not now, I'd better do it on the right letterhead. [RUS] Speaker 1: From him there is this, yes, his coordinates, Timur's, well, what, well, so you don't redo it three times. [RUS] Speaker 1: Alona, Alona, Alona, come on, daughter. [RUS] Speaker 1: Quick. [RUS] Speaker 1: Well, the fact that we reclassified his brain contusion to second degree.

00:29:46 [RUS] Speaker 1: If he lies like this, maybe he'll get a third one sometime, right?

00:29:50 [RUS] Speaker 1: He doesn't quite reach the third yet.

00:29:56 [RUS] Speaker 4: Bombarchuk is a stable patient. [RUS] Speaker 1: Thromboembolism.

00:30:05 [RUS] Speaker 4: Babanin. [RUS] Speaker 4: Yesterday's operated patient.

00:30:08 [UKR] Speaker 4: In the evening.

00:30:10 [RUS] Speaker 4: Schedule for tomography.

00:30:12 [UKR] Speaker 1: Misha, schedule for tomography.

00:30:15 [RUS] Speaker 1: Babanin, the other ICU, and Ivanov, polytrauma.

00:30:24 [RUS] Speaker 4: Stroke?

00:30:34 [RUS] Speaker 1: Yeah, we'll come with Alex to him. [RUS] Speaker 4: Yes, we need to be there long. [RUS] Speaker 4: We need to see him for a long time. [RUS] Speaker 4: We need to see him for a long time. [RUS] Speaker 1: And what's so long?

00:30:42 [UKR] Speaker 4: Just that it was long, there are many prescriptions, [UKR] Speaker 4: not those, such CT, MRI.

00:00:00 Thank you. Grazie.

00:00:43 [RUS] Thank you.

00:01:05 he has a long

00:01:30 Speaker 2: he has a long Speaker 2: treatment both sides Speaker 2: after that Speaker 2: performed wound treatment Speaker 2: on the leg Speaker 2: you can see here Speaker 2: and due to Speaker 2: he didn't have possibility Speaker 2: to perform non-invasive measurement Speaker 2: blood pressure Speaker 2: continue to invasive Speaker 2: today blood pressure is higher Speaker 2: today blood pressure is higher

00:02:18 [RUS-NEEDS] Давай.

00:02:32 Yes. Speaker 2: Yes. Speaker 2: Yes. Speaker 2: Very good. Speaker 2: For this severe wound, yes? [VO CANDIDATE] Speaker 2: For this severe wound, it's now sort of possibly [VO CANDIDATE] Speaker 2: For this severe wound, it's now sort of possibly [VO CANDIDATE]

00:03:18 [UKR-NEEDS] Ми думали відкривати середину, що ми говорили, що виріву-половину,

00:03:48 [UKR] Speaker 2: We were thinking to open the middle, what we said, that we'd remove half, [UKR] Speaker 2: but we saw the situation, we opened, and the anterior cranial fossa, [UKR] Speaker 2: they were collecting from two sides, and sealing from two sides. [VO CANDIDATE] [UKR] Speaker 2: And then he worked on the soft tissue too. [UKR] Speaker 2: So it's an extremely severe injury, but for now we don't want to take it ahead, [VO CANDIDATE] [UKR] Speaker 2: but today his condition is stable, we're improving little by little by little by little.

00:04:13 [UKR] Speaker 2: Little by little better, so we're working on it.

00:05:30 [RUS] Thank you.

00:05:55 [RUS-NEEDS] Ну, чую.

00:06:15 [RUS] Speaker 2: Well, I hear you.

00:06:22 Speaker 2: What?

00:06:30 [UKR] Speaker 2: I understand.

00:06:32 [RUS] Speaker 2: Good, good.

00:06:39 [RUS-NEEDS] Я не буду.

00:07:11 Yeah, but it's got one.

00:07:33 Speaker 3: Yeah, but it's got one. Obrigado. Okay.

00:08:36 Okay. So we can go to Andre's office now.

00:08:53 Speaker 4: So we can go to Andre's office now. Speaker 4: I think they're going to move.

00:09:11 I know.

00:09:28 Pay attention. Just walk.

00:09:34 Speaker 1: Just walk. Speaker 3: Good job.

00:09:48 Speaker 1: But if we're around them, let me go first.

00:00:00 [RUS-NEEDS] я пойду в операционную плановую и в этот момент тебя наберу ты придешь заберешь алекса и вы с

00:00:05 [RUS] Speaker 1: I'll go to the scheduled operating room and at that moment I'll call you, you'll come pick up Alex and you with [RUS] Speaker 1: we'll check the second ward together [RUS] Speaker 1: in, in, in, in, and swamp parashroom today and I'll call Nikita, Nikita [RUS] Speaker 1: Do you have the MRI disc? [RUS] Speaker 1: Is it loaded? [RUS] Speaker 1: Loaded? [RUS] Speaker 1: Loaded on the computer, the MRI disc? [RUS] Speaker 1: I just asked to look at the MRI, I'll say

00:00:52 [RUS] Speaker 1: based on the tests, the condition, then he'll come

00:01:00 [UKR] Speaker 2: Patient with microbus trauma injuries.

00:01:29 [RUS] Speaker 2: Okay. [RUS] Speaker 1: Nikita, load it quickly. [RUS] Speaker 2: Nikita. [RUS] Speaker 1: We don't have time. [RUS] Speaker 2: Bring this patient. [RUS] Speaker 2: Today we won't do it for you, [RUS] Speaker 2: because I don't know what I was doing. [RUS] Speaker 2: Tomorrow her sister will come, [RUS] Speaker 2: whose sister, the stars. [RUS] Speaker 2: We'll be able to give it to you tomorrow. [RUS] Speaker 2: They'll be unstable. [RUS] Speaker 2: Okay.

00:02:15 [RUS] Speaker 2: Artem, is there Artem? [RUS] Speaker 1: Nikita, Nikita, Nikita, we'll take you now together with the disc, we'll look at it in my office [RUS] Speaker 1: Artem, we found work for you, Alena will show you the patient, and Artem is our best specialist in [RUS] Speaker 1: removing staples, he can't do well at putting them in, but he's even better at removing them on the spot

00:02:59 [UKR] Speaker 1: So Artem, don't learn, don't learn from Botikov, hands in pockets, and who operated, I didn't

00:03:06 [RUS] Speaker 1: understand, that is, it's too early, it's promised too early, early, early, to imitate Botikov, hands [RUS] Speaker 1: in pockets, or Jafta operated, but the tired ones won't, then you'll say everything was decided [RUS] Speaker 1: the staples will be removed, relatives will appear, all of this from these, first ICU, I'm asking you [RUS] Speaker 1: say hello to him, let's go get the disc and where's the disc, almost with us, come on, almost with [RUS] Speaker 1: us, we'll attach this little hedgehog to ourselves, you see

00:03:55 [RUS] Speaker 1: Hancock

00:04:01 [UKR] Speaker 1: tell me your last name, Debrova

00:04:11 [RUS] Speaker 1: say "my name is Debrova," my sons, they, my, in name see Nikita, "my name is Debrova" [RUS] Speaker 1: Starozhenko doesn't even say hello anymore, well yes, yes, athletes look, this Gulinin will lead away his [RUS] Speaker 1: Katya, he jumps with those weights better than even looking at something, somehow, why [RUS] Speaker 1: no, old Rych, here's a young one, just say "yulechka," only you do, yulechka [RUS] Speaker 1: you're doing with your dog, say

00:05:05 Speaker 1: I think we will watch together in my big screen, in my cabinet, together with you and young but Speaker 1: smart anesthesiologist Nikita

00:06:05 [UKR] Speaker 1: Don't rush like that.

00:06:07 [RUS] Speaker 1: I have a ton of work. [VO CANDIDATE] [RUS] Speaker 1: I'll consult, but that doesn't mean I should [RUS] Speaker 1: take the first one past these [RUS] Speaker 1: specialists. [RUS] Speaker 1: If you want to be first, tomorrow at 7 in the morning [RUS] Speaker 1: come, and you'll be the very first. [RUS] Speaker 1: you were waiting in line, but you see, but I can't now just say sit [RUS] Speaker 1: wait, I'll see you after two hours, so I brought this Hitchcock and when we now talk with [RUS] Speaker 1: the anesthesiologist, you can, if he's alive, hook him up. I'll go now, just take this.

00:07:03 [RUS] Speaker 1: I have to make this. Now I have to make coffee. Where's the coffee? Where's my cup? Here's my cup. [RUS] Speaker 1: and one, and one, and one chair, we still need one for Nikita, there's still a small table [RUS] Speaker 1: I'll make coffee, we're consulting [RUS] Speaker 1: okay yes say not quite yet, so Nikita carefully set yourself up

00:08:05 Speaker 1: Thank you.

00:09:48 [RUS] Speaker 1: Hello.

00:10:09 Speaker 3: I don't know. Speaker 3: I can be here.

00:10:15 Speaker 4: I think it makes you stay in your area. Speaker 4: Just how soon you're going. Speaker 4: So, here's the first. Speaker 4: This is one mission.

00:10:30 [RUS] Speaker 4: Hello. [RUS] Speaker 1: I'm listening. [RUS] Speaker 1: Hello, I'm listening. [RUS] Speaker 1: nevertheless, I just

00:11:11 [UKR] Speaker 1: I wanted you to talk a little quieter. [UKR] Speaker 1: And look, where is he located?

00:11:22 [RUS] Speaker 1: In Shakhtarsk.

00:11:25 [UKR] Speaker 1: I already understood.

00:11:34 [UKR] Speaker 1: Can he do it tomorrow morning?

00:11:37 [RUS] Speaker 4: Yes. And the MRI... Now I'll look at the MRI, I'll call you.

00:11:51 [UKR] Speaker 1: So, now I'll look at the MRI.

00:11:58 [RUS] Speaker 1: Hello.

00:12:00 Speaker 3: Yes. Speaker 3: Yes.

00:12:06 [RUS] Speaker 1: Come on, let Sviatoslav come.

00:12:11 [UKR] Speaker 4: 10 minutes.

00:12:13 Speaker 4: Also, also, tomorrow we have an international.

00:12:19 Speaker 4: And we're gonna have a run from. Speaker 3: It's gonna be like a small run. Speaker 3: We can do some different cases tomorrow. Speaker 3: Oh, yeah. Speaker 3: A run? Speaker 3: Yeah. Speaker 3: I think you can get the picture of it. Speaker 3: He's a runner, yeah. Speaker 4: Thank you.

00:13:30 [UKR] Speaker 1: Friends, I'll tell you, tomorrow you can go with the frames, right? [UKR] Speaker 1: When he comes for consultation, we'll talk with him about everything, we'll look at everything. [UKR] Speaker 1: He has the disc in his hands, right? [UKR] Speaker 1: He has the disc in his hands, he sent the link.

00:13:52 Speaker 1: Yes.

00:14:12 [UKR] Speaker 1: Can you give me a referral for a consultation to me, a referral for consultation?

00:14:20 Speaker 1: Yes.

00:14:47 [RUS] Speaker 3: At 9 in the morning.

00:14:54 [UKR] Speaker 1: Mechnikov Hospital.

00:14:57 [RUS] Speaker 1: Fourth floor.

00:15:00 [UKR] Speaker 1: Center of Cerebral Neurosurgery. [UKR] Speaker 1: Office of the Head, Professor Sirko. [UKR] Speaker 1: 9:00, tell me the last name. [UKR] Speaker 1: Yevgeniy Sergeyevich, what year?

00:15:28 [UKR] Speaker 1: Okay, okay, 9:00 then.

00:15:30 [UKR] Speaker 3: Yes, he'll raise his hand if there's a line at the office.

00:15:41 [UKR] Speaker 3: we operated on him yesterday, he had cerebrospinal fluid running from his right nostril, we looked, there's pneumocephalus [VO CANDIDATE] [UKR] Speaker 1: broken roof of the orbit and ethmoid bone.

00:16:10 [RUS] Speaker 1: So the main task yesterday was, first, to remove the contusion focus,

00:16:16 [UKR] Speaker 1: it was already organized. [UKR] Speaker 1: That's the first thing, and second, to do plastic surgery of the skull base, [UKR] Speaker 1: and we did plastic surgery both on the left and on the right. [UKR] Speaker 1: Because on the right we went in, and there was such a fracture, [UKR] Speaker 1: and a fragment tore the dura mater in the area of the cribriform plate and the defect is about 6 by 8 mm.

00:16:43 [RUS] Speaker 1: So we removed the hematoma, did plastic surgery on both sides.

00:16:50 [UKR] Speaker 1: Wait, I'm talking with a military neurosurgeon. [VO CANDIDATE] [UKR] Speaker 1: Five minutes.

00:17:00 [UKR] Speaker 1: and we sutured everything, sutured a patch of temporal bone on a vascular pedicle under that wound and invited our ophthalmologist [UKR] Speaker 1: so the ophthalmologist could finish that enucleation, clean it and suture it again. [UKR] Speaker 1: Yes, today there will be a CT control, I'll send the CT control then. [UKR] Speaker 1: Yes, we didn't operate on him right away because there was thrombocytopenia, 64, 56, on Sunday we transfused platelets, [UKR] Speaker 1: they rose to 121, then they fell to 90, to 80 and we transfused again yesterday.

00:17:48 [UKR] Speaker 1: And after we transfused platelet concentrate yesterday, then we took him to the operating room and operated. [UKR] Speaker 1: A cardiac contusion also appeared, because the troponin test is 10 times above the norm. [UKR] Speaker 1: with his lung contusions, of course there will be a cardiac contusion. [UKR] Speaker 1: So severe trauma, but they assembled quite well what was possible at that stage. [VO CANDIDATE] [UKR] Speaker 1: Well, we finished the operation, because cerebrospinal fluid was running and it was a matter of time when there would be meningoencephalitis, [UKR] Speaker 1: through nasal CSF leak. [UKR] Speaker 1: Good. [UKR] Speaker 1: Very good operation. [UKR] Speaker 1: Yes, at 9:00 he raises his hand that he's military, and take him then.

00:18:36 [UKR] Speaker 1: Just then we have a professor from America, Alex Volodko, neurosurgeon, head of the center, so we'll look at him together.

00:18:44 Speaker 1: yes Speaker 1: I think it's yours and I think this history can lay in the chair.

00:19:41 [RUS] Speaker 1: What's the last name? [RUS] Speaker 4: Vdenne. [RUS] Speaker 1: How many days after injury?

00:19:48 Speaker 4: 16.

00:19:51 [RUS] Speaker 1: 16 days.

00:19:52 Speaker 1: 16. Speaker 1: 16.

00:19:56 Speaker 1: Traffic accident.

00:19:57 [RUS] Speaker 4: passenger of what, day, panoramic window, flew out [RUS] Speaker 4: passenger of what, day, panoramic window, flew out

00:20:41 [RUS] Speaker 1: yes, go ahead

00:20:50 [RUS] Speaker 1: now I'll set up here to copy the disc

00:21:11 Speaker 3: Thank you.

00:21:52 [RUS] Speaker 1: I called Nikita so you'd get into history, you'll show mom, kids, grandchildren

00:22:15 [RUS] Speaker 4: not good

00:23:18 [UKR] Speaker 1: Tell him that me too, like him sometimes, they attract as a forensic medical expert.

00:24:03 [RUS] Speaker 1: Hello, Svetlana Khalmar. [RUS] Speaker 1: I'll call now [RUS] Speaker 1: The doctor [RUS] Speaker 1: Your attending physician will call [RUS] Speaker 1: Will tell you in more detail [RUS] Speaker 1: Okay? [RUS] Speaker 1: Yes, likewise [RUS] Speaker 1: Goodbye

00:24:35 [UKR] Speaker 1: Lyudmila Vasilievna

00:24:36 [RUS] Speaker 1: Find out what ward Marchenko is in [RUS] Speaker 1: Who's treating her [RUS] Speaker 1: Marchenko is a patient injured as a result of an explosion from Vasilkovka. [VO CANDIDATE] [RUS] Speaker 1: Who's treating her, just tell me the attending physician's last name and ward number.

00:25:13 Speaker 1: Thank you.

00:26:34 [RUS] Speaker 1: I signed. [RUS] Speaker 1: Please pass it on.

00:26:40 Speaker 1: Yes.

00:26:41 [RUS] Speaker 1: See you.

00:26:52 [UKR] Speaker 1: no, Marchenko isn't there, Marchenko isn't there now, you don't have such a last name

00:27:08 [RUS] Speaker 1: Mochenka not Mayda Lasin

00:27:57 Speaker 1: Thank you.

00:28:00 [RUS] Speaker 1: Tesla.

00:28:12 Speaker 5: Do they have DWI sequences? Speaker 1: No, it's a localizer.

00:28:20 Speaker 1: We see now it's FLAIR.

00:28:25 Speaker 5: That's all we get, no more sequences. Speaker 1: You can see left hemisphere multiple hypointense signals located near the nucleus caudatus. Speaker 1: It's near the internal capsule. Speaker 1: This and this.

00:28:47 Speaker 1: This and this. Speaker 5: Is that the CT?

00:28:57 [RUS] Speaker 5: Is there bone mode? [RUS] Speaker 1: You can already see these foci too.

00:29:52 [RUS] Speaker 1: Need to tell, let Grishin write down, need to write down and the last computer.

00:30:00 [RUS] Speaker 1: Why look?

00:30:03 [UKR] Speaker 1: Look, here you can see the fracture.

00:30:06 [RUS] Speaker 1: Fracture, anterior wall, frontal. [RUS] Speaker 5: I know what this is.

00:30:14 Speaker 5: Where? Speaker 5: Yes.

00:30:17 [RUS] Speaker 5: No, no, that's dirty.

00:30:19 Speaker 5: This? Speaker 5: That's just normal caudate.

00:30:27 Speaker 1: I think this is not like a diffuse axonal injury. Speaker 1: It's more for... Speaker 1: Contusions? Speaker 1: Contusions. Speaker 3: Yeah. Speaker 3: Yeah. Speaker 1: If you have DAI, it's maybe like secondary...

00:30:46 Speaker 3: Yeah, secondary ischemia.

00:00:00 Speaker 1: It's more characteristic for secondary scheme than for diffuse axonal injury, because diffuse

00:00:00 Speaker 1: It's more characteristic for secondary scheme than for diffuse axonal injury, because diffuse

00:00:09 Speaker 1: axonal injury is usually located in the corpus callosum, yeah, semi-oval center.

00:00:16 Speaker 2: And in the pons, also the brainstem. Speaker 1: Yes, and you can see subdural space right side, left side, maybe, maybe, clots. Speaker 1: Small subdural clots of... Speaker 1: Small subdural clots of... Speaker 2: Go back to the brainstem.

00:01:02 Speaker 2: ... Speaker 3: We've been trying to leave for 24 hours to cancel all the situations. Speaker 3: And the only thing that we've been doing is the counter.

00:01:22 Speaker 3: It was very aggressive to the circuit.

00:01:39 [RUS] Speaker 1: Can you hear me, Sanych? Yes, you can speak. We just picked up the MRI disks, picked up Nikita, and now [RUS] Speaker 1: Alex and I are looking at the big screen in my office. Can you come up to the office? Or no, no, we loaded it [RUS] Speaker 1: on the big screen, will that work?

00:02:10 Speaker 1: You have one more case. Speaker 1: It's now we invite a chief of ICU units. Speaker 1: He asked us to see this patient yesterday. Speaker 1: And now we will come here. Very difficult case, severe TBI injury patient with Speaker 1: after car accident. It's severe TBI, and after when I go, when I go operation room, we can go together

00:03:01 Speaker 1: with Alex, with Alex and the chief of ICU units write to patient and Alex will Speaker 1: examine this patient with what you analyze this. Yes, together with Vyacheslav. Speaker 1: Okay, I think it's a good idea. Now we check, analyze MRI this patient. After that, Speaker 1: after consultation, I go to operation and we go together with Alex in ICU.

00:04:00 Speaker 1: No, no, no, it's another idea. I go in operation room, you go together with Alex in ICU units, Speaker 1: in order to we use time more. It's true. Tomorrow, tomorrow we will go in Speaker 1: operation room together with Alex. Tomorrow, tomorrow. But today we go Speaker 1: together with Slava reaching with Alex in ICU after we finish our consultation

00:04:30 Speaker 1: patients. Speaker 2: When I see this patient, should I call Sergei Grigorovich? Speaker 2: Sergei...

00:04:49 Speaker 2: Yeah, I will call him, okay. Speaker 1: I think you tell you after you examine patient, after you see his analysis,

00:05:02 [RUS] Speaker 1: you can call Sergei Grigorovich and tell him about what he found. [RUS] Speaker 1: Yes, or at least, well, or at least video. Better on disk. Better, better on disk. Already [RUS] Speaker 1: brought? Maybe Misha went to the operating room with Rostyslav. Yes, record it please, quickly. Good.

00:05:59 [RUS] Speaker 1: We looked at multiple foci, you can say like contusions or bruises, but they sometimes look [RUS] Speaker 1: even like foci of secondary ischemia. Hard to say here, but in the right hemisphere from the top, [RUS] Speaker 1: these little foci in the left hemisphere, multiple. [RUS] Speaker 1: In the area of the caudate nucleus, in the area of the internal capsule. [RUS] Speaker 1: This is visible, yes? [RUS] Speaker 1: So the brain was severely damaged, there are periventricular changes.

00:06:30 [RUS] Speaker 1: And there are small subdural clots, they say.

00:06:37 [UKR] Speaker 1: With traces of blood on the right, on the left, subdural.

00:06:42 [RUS] Speaker 1: Very severe. [RUS] Speaker 1: Although

00:06:46 Speaker 4: This Speaker 4: DWI Speaker 1: Yes. Speaker 1: DWI.

00:06:54 [RUS] Speaker 1: but you can see [RUS] Speaker 1: but you can see [RUS] Speaker 1: hyperintense [RUS] Speaker 1: hyperintense [RUS] Speaker 1: and hyperintense [RUS] Speaker 1: and hyperintense [RUS] Speaker 1: and here

00:07:08 Speaker 1: due to problems with maybe hypoxia, low blood pressure, maybe.

00:07:15 Speaker 3: He told about this, it's like secondary ischemia. Speaker 1: Yes, plus both sides subdural clots. Yes, it's true. Speaker 1: Pre-hospital, pre-hospital stage, maybe hypoxia, maybe hypotension. And you can see hyperintense

00:08:01 [RUS] Speaker 1: signal. And in the posterior, not posterior, here in the corpus callosum and optic radiations. And one [RUS] Speaker 1: thing that needs to be written down - he still needs to have a CT to look, because [RUS] Speaker 1: is it on disk? I just wanted to say that even on the MRI you can see a fracture of the anterior wall of the frontal [RUS] Speaker 1: sinus. Need to look at the posterior wall so there are no problems with hidden CSF leak, and maybe

00:08:47 [RUS] Speaker 1: hidden CSF leak, because you see how it's depressed.

00:08:52 [RUS] Speaker 4: We looked at the sinuses twice, there's coagulated blood there. [RUS] Speaker 1: Now we'll get to the sinus. So, look, the anterior wall of the frontal sinus, how it's depressed. [RUS] Speaker 1: He may have problems with his left ear because here it looks like mastoiditis. [RUS] Speaker 1: See the ear? Didn't look at the ear? The left ear, because it's lighting up like, like [RUS] Speaker 1: mastoiditis. Zaitsev's dissertation. And indeed he has both maxillary sinuses, [RUS] Speaker 1: both maxillary sinuses totally filled on both sides. Hemosinus, maxillary cavities, both sides.

00:09:46 Speaker 1: Yes, yes. Also in ethmoid cells and also sphenoid, both sides. Speaker 2: Sphenoid right and left sides. And go back also, is there a mastoid too to see earlier?

00:10:02 Speaker 2: A mastoid, yeah, infection there. Yeah, yeah. And the right side.

00:10:21 [RUS] Speaker 1: He needs to have the frontal bone looked at, depressed anterior [RUS] Speaker 1: posterior wall.

00:10:29 Speaker 1: All.

00:10:36 [UKR] Speaker 1: Maxillary, both sides, ethmoid and sphenoid on both sides.

00:10:45 [RUS] Speaker 1: And who looked, Slava? [RUS] Speaker 4: They all checked yesterday. [RUS] Speaker 4: We asked them twice. First time they just looked, but I asked them to puncture, thought there was infection. [RUS] Speaker 4: We asked them twice. First time they just looked, but I asked them to puncture, thought there was infection.

00:10:54 [RUS] Speaker 4: And there's coagulated blood at the moment.

00:10:56 Speaker 1: Uh-huh.

00:11:01 [UKR] Speaker 1: Well, that's the situation.

00:11:03 [RUS] Speaker 4: Well, okay, we'll look again tomorrow. [RUS] Speaker 1: Yes, though let's look at the CT of facial bones and sinuses, the last CT.

00:11:11 [UKR] Speaker 1: That's the situation.

00:11:15 [RUS] Speaker 4: Tell me, what did Alex think about how long to ventilate him,

00:11:19 [RUS] Speaker 4: because he comes out of sedation with pronounced psychomotor agitation.

00:11:24 [RUS] Speaker 1: Alex will come to you. [RUS] Speaker 3: Well, not now. [RUS] Speaker 1: Now we'll consult on patients, then I'll go to a small operation,

00:11:32 [RUS] Speaker 1: Alex will come to you and together you'll look at the patient's analysis, everything. So he'll still come.

00:11:38 Speaker 1: Alex asked to tell about patients, but I said you will be a bit later in person near the patient, Speaker 1: together with Vyacheslav, watch, analyze, and Vyacheslav has two questions. Speaker 1: First of all, how need to duration for artificial ventilation,

00:12:00 Speaker 1: mechanical ventilation, and after he decrease drugs for Speaker 1: analog sedation, this patient, what is better variant?

00:12:12 Speaker 1: Yeah.

00:12:14 [RUS] Speaker 4: Is this from his new CT? [RUS] Speaker 1: CT. [RUS] Speaker 1: Sergei, is it that now, if it's Moroz Svetlana Mikhailovna, because Marchenko, [RUS] Speaker 1: we're looking for him all over the hospital, can't find him. So, good. [RUS] Speaker 1: Lvova. Very good. Now check on. Five, Kholin. Riabchenko Marina, I think.

00:13:02 [RUS] Speaker 1: Ward 21. Even this morning they told me that his pressure rose to 155 and they're giving him Ebrantil IV drip. [RUS] Speaker 1: On the monitor. [RUS] Speaker 1: But still he says that Ebrantil is barely working. I'm thinking why does he need this Ebrantil? They repeated [RUS] Speaker 1: now. Artem should bring the disk. I'll call you and tell you. [RUS] Speaker 1: There is, and he says that in days of sedation it starts.

00:13:44 Speaker 1: The patient we operated yesterday.

00:13:48 Speaker 4: Oh, yes. Speaker 1: Now my intern prepare CD disk,

00:13:56 Speaker 1: and we see the CT control. Speaker 2: Okay. Speaker 2: All right.

00:14:00 Speaker 1: All right.

00:14:16 [RUS] Speaker 1: Can you? I'll give you here, and this one, and the chair. [RUS] Speaker 1: Why?

00:14:30 [RUS] Speaker 1: We're going to the operating room for a difficult patient. [RUS] Speaker 1: The chair can be taken, I think. [RUS] Speaker 1: Carefully. [RUS] Speaker 1: This one. [RUS] Speaker 1: Ah, well then don't need it. [RUS] Speaker 1: Then we won't be removing equipment and we'll take it.

00:14:43 [UKR] Speaker 5: Andrei Georgievich, I called.

00:14:46 [RUS] Speaker 1: Speak. [RUS] Speaker 5: Then there's that cold guy I have. [RUS] Speaker 5: The guy. [RUS] Speaker 5: I'll tell you, I'll fill it out. [RUS] Speaker 5: Pulmonary embolism he has. [RUS] Speaker 5: Yesterday. [RUS] Speaker 5: They said he approached. [RUS] Speaker 5: Yes, yes, yes. [RUS] Speaker 5: Yes, yes, yes. [RUS] Speaker 1: Is he lying down taking it? [RUS] Speaker 5: He's lying there.

00:15:00 [RUS] Speaker 5: He's sitting. [RUS] Speaker 5: Everything went successfully. [RUS] Speaker 5: Ambulance. [RUS] Speaker 5: Consultation needed. [RUS] Speaker 1: For pulmonary embolism? [RUS] Speaker 5: Yes, he's already sitting normally. [RUS] Speaker 1: Pulmonary embolism? [RUS] Speaker 1: What am I going to do with pulmonary embolism? [RUS] Speaker 5: No, well, just consult. [RUS] Speaker 1: So pulmonary embolism is not for me. [RUS] Speaker 1: So pulmonary embolism is not for me. [RUS] Speaker 5: Ah, not for you. [RUS] Speaker 5: Then who? [RUS] Speaker 1: Pulmonary embolism is Sergeev Oleg Alexandrovich on the fifth floor. 6-6. It's Sergeev.

00:15:26 [UKR] Speaker 6: I treat tumors and injuries. Sergeev Oleg Alexandrovich. Well, to Vasylyno now.

00:15:55 Speaker 7: Subtitle M.K.

00:16:15 [UKR] Speaker 1: Moroz Svetlana Mikhailovna is calling about patient Riabchenko.

00:16:22 [RUS] Speaker 1: Can you call her? I'll give you the phone number now if you don't have it. [RUS] Speaker 1: I'll send you on Telegram now. [RUS] Speaker 1: I'll send you on Telegram now, okay? [RUS] Speaker 1: Yes, thank you.

00:16:48 [RUS] Speaker 1: Misha, come in. Who's on consultation? For now, these histories can be returned back for seniors.

00:17:07 Speaker 2: So now people are coming in.

00:17:28 Speaker 7: Yeah.

00:17:42 [RUS] Speaker 1: Well done, Artem, well done. [RUS] Speaker 1: Faster, faster, faster, faster. Nobody would have done it faster than you. [RUS] Speaker 1: Oh, what people. I, I won't get out. Well, come in, please, this one.

00:18:11 Speaker 1: Wait, don't run away. Two words. It's a chief of medical service, our Department of Defense.

00:18:23 [RUS] Speaker 2: Oh, wow.

00:18:25 [UKR] Speaker 1: So, so, so.

00:18:29 [RUS] Speaker 1: Konstantin Yulich, brings the flag,

00:18:36 [UKR] Speaker 1: the honor is unnecessary, [UKR] Speaker 1: and my life to Mazeland. [UKR] Speaker 1: Do you remember? [UKR] Speaker 1: We handed it to him indirectly in America, [UKR] Speaker 1: on stage to our friend Rock Armondo. [UKR] Speaker 1: Rock Armondo. Chief Surgeon Humeniuk. Humeniuk Konstantin Vitaliyovich. We will have a conference on Thursday. There will be a congress of military surgeons and anesthesiologists of Ukraine. [UKR] Speaker 1: And Alex and I will be giving two presentations there. [UKR] Speaker 1: And yesterday Alex and I operated on Ivanov's patient. [UKR] Speaker 1: He says that he's also somehow connected to your structures.

00:19:26 [RUS] Speaker 1: Glad to see you.

00:19:43 [UKR] Speaker 1: I think I've rested.

00:19:58 [RUS] Speaker 1: Yes, I'll take it.

00:21:18 Speaker 1: It's CT control patient we operated yesterday.

00:21:29 Speaker 2: Will they stop his sedation and see if he wakes up? Speaker 1: This patient? Speaker 1: Yes. Speaker 1: Yes. Speaker 1: In order to check his neurological exam.

00:22:00 Speaker 2: Thank you. Speaker 1: It's his primary.

00:23:02 Speaker 1: Thank you.

00:23:34 Speaker 1: Thank you. Speaker 2: It's great. Speaker 2: Great. Speaker 2: Great.

00:23:51 Speaker 2: That's our graft. Speaker 1: Yeah, yeah, yeah. Speaker 1: It's our graft. Speaker 1: Yeah, and totally remove Speaker 1: intracerebral hematoma and brain Speaker 1: contusion.

00:24:40 Speaker 1: Yeah, very good, very good, very good. I even want to create a video and send to military neurosurgeon. Speaker 1: Yeah, very good, very good, very good. I even want to create a video and send to military neurosurgeon. Speaker 1: They asked me for CT control because all patients we analyze together. Speaker 1: No.

00:25:13 [RUS] Speaker 1: Now.

00:25:15 Speaker 1: And Speaker 1: And Speaker 1: And Speaker 1: Teddy, we decided with Alex maybe the next, we will talk with the patient we will operate tomorrow. Speaker 1: In order to get the possibility to pick up all your equipment. Speaker 1: In order to get the possibility to pick up all your equipment.

00:25:54 Speaker 2: Yes. Speaker 2: Yes. Speaker 1: What about this patient's family? Speaker 1: The patients may be not today, not today,

00:26:01 Speaker 1: maybe tomorrow or... Speaker 1: I, now I call his friend and say to

00:26:24 Speaker 1: to inform about the situation now. Speaker 2: We look at the scans and, um, you know it's very important I think he follows up. Like you said, he

00:26:59 Speaker 2: was doing a video setting with the military guy who referred in. So I know doesn't waste time.

00:27:31 [UKR] Speaker 1: Two words. Thank you for not calling. Believe me, if I have any information, I'll call you myself and tell you. [UKR] Speaker 1: [VO CANDIDATE] Well, we just did a CT scan on him. Well, I liked everything, knock on wood, I liked everything. That is, we removed all the hematomas. Don't interrupt, don't interrupt, I'll finish my thought because then I'll forget. [UKR] Speaker 1: We removed the hematomas. Do you hear? We removed the hematomas. We did the skull base reconstruction. We looked at him this morning together [UKR] Speaker 1: with our Professor Avaladze and together with Sergei Anatolievich. This morning they did a bronchoscopy on him.

00:28:16 [RUS] Speaker 1: This morning they did dressings on his legs, on everything. That is, his condition is serious, but little by little I can

00:28:27 [UKR] Speaker 1: [VO CANDIDATE] say that there is still even a small positive dynamic. Now tell me what you wanted to say. [UKR] Speaker 1: When do you want to? Well, no, you tell me. [UKR] Speaker 1: Now I'll think about how to do this better.

00:29:03 [RUS] Speaker 1: Let me call you now. I'll find out now.

00:29:06 Speaker 1: Mm-hmm.

00:29:46 [RUS] Speaker 1: Two words so I understand what stage we're at. Well, don't rush, we're still consulting with Alex. So [RUS] Speaker 1: this downstairs. Well, how do you look at in an hour? [RUS] Speaker 1: When should I be at yours? [RUS] Speaker 1: What time is it now? Half past ten. Now I'll tell you. Well, roughly speaking, let's say now it's half past ten.

00:00:00 [RUS] Speaker 1: Yes, today without journalists, so, if anything, they'll come tomorrow.

00:00:00 [RUS] Speaker 1: Yes, today without journalists, so, if anything, they'll come tomorrow. [RUS] Speaker 1: And today, okay? [RUS] Speaker 1: Alright, thank you. [RUS] Speaker 1: Thank you. [RUS] Speaker 1: Look, at 12 I have to be in the operating room already. [RUS] Speaker 1: Will you make it before 12? [RUS] Speaker 1: Yes, let's do it. [RUS] Speaker 1: Then don't delay. [RUS] Speaker 1: I'm in my office. [RUS] Speaker 1: Alex and I are consulting patients right now. [RUS] Speaker 1: And you'll come. [RUS] Speaker 1: Okay? [RUS] Speaker 1: Fourth floor. [RUS] Speaker 1: Fourth floor to the right. [RUS] Speaker 1: Office of the head of the cerebral neurosurgery center.

00:00:50 [RUS] Speaker 1: Please. [RUS] Speaker 1: Vasylyna, can you invite Yushchenko, the woman who's having surgery tomorrow? [RUS] Speaker 1: If she's alone, just her.

00:01:15 [UKR] Speaker 1: If with relatives, with relatives.

00:01:18 [RUS] Speaker 1: And then we'll continue consulting. [RUS] Speaker 1: And then we'll continue consulting.

00:01:28 Speaker 2: Another successful mission. Speaker 1: We say what would you like, I will do in the best way. Speaker 1: Okay? Speaker 1: Now, I think we will talk with patient. Speaker 1: We are going to operate tomorrow. Speaker 1: Logan, understand? Speaker 1: And maybe a bit later, a bit later, yes, a bit later, we'll be, maybe relatives, patients.

00:01:57 Speaker 1: We operated yesterday and came here and also we will talk with them. Speaker 2: You mean later in the week? Speaker 2: You mean later in the week? Speaker 2: Today. Speaker 1: Today. Speaker 1: You tell me, what would you like? Speaker 1: You tell me, what would you like? Speaker 1: I organize in the best way. Speaker 1: I organize in the best way. Speaker 1: Yes. Speaker 1: Yes. Speaker 1: Yes.

00:02:15 [RUS] Speaker 3: If we should be ready, then we'll wait a bit. [RUS] Speaker 1: Yes, so we solved many problems.

00:02:23 [UKR] Speaker 1: We'll talk with patients, we'll talk with parents.

00:02:27 [RUS] Speaker 1: And after that, we'll go with Alex to ICU. [RUS] Speaker 1: After that, you can go to Bohdan. [RUS] Speaker 1: Bohdan, yes. [RUS] Speaker 1: Okay. [RUS] Speaker 1: so I wanted to see the surgery, come in, don't be afraid, like before [RUS] Speaker 1: Vasylyna, Yushchenko, we'll film too, and then you Slenka or news Rima

00:03:00 [UKR] Speaker 1: Are you okay with being filmed? You'll go down in history on American television and Teslenko. [UKR] Speaker 1: This woman we already operated on, and call Teslenko.

00:03:18 [RUS] Speaker 1: Don't be afraid, they won't take you to America.

00:03:23 [UKR] Speaker 1: If they take you, it'll only be with me.

00:03:30 [UKR] Speaker 1: So, they don't mind.

00:03:36 Speaker 1: I would like to show you.

00:03:37 [UKR] Speaker 1: Alex Valadka, head of neurosurgery department in Dallas, Texas. [UKR] Speaker 1: And this is the fourth time we're coming together with him and operating and treating patients. [UKR] Speaker 1: I just want to show difficult cases. [UKR] Speaker 1: And he says: "After the war I will send my residents, that is, interns, so they can study how to operate with you."

00:04:14 Speaker 1: I told you, you said last time when we were in hospital, after the war I will send my residents to study not only their trauma cases, Speaker 1: skull base and neuro oncology cases. You can see this patient was a difficult Speaker 1: case because it's a confluence occlusion and occlusion of transverse sinus and Speaker 1: also occlusion of the straight sinus, okay, but nevertheless we performed surgery

00:04:59 [UKR] Speaker 1: and tell us how your condition changed before surgery and after surgery. [UKR] Speaker 1: Tell the truth, the whole truth, come on, come on.

00:05:08 [UKR] Speaker 4: The very next day, I felt great. [UKR] Speaker 4: The very next day, I felt great.

00:05:14 [UKR] Speaker 1: Thank you, on the third day, they say, it started to get much better. [UKR] Speaker 1: Thank you, on the third day, they say, it started to get much better. [UKR] Speaker 1: Thank you. [UKR] Speaker 1: No additional problems, vision, nothing? [UKR] Speaker 1: Well, smile, because you look so upset, as if you're not going for surgery.

00:05:35 [UKR] Speaker 1: What, they called you? [UKR] Speaker 4: No, no, we didn't break through. [UKR] Speaker 1: We're very careful, not rushing.

00:05:42 [RUS] Speaker 4: I definitely did. [RUS] Speaker 1: I definitely did.

00:05:46 [UKR] Speaker 1: I came to surgery, I look, you have a bad haircut. [UKR] Speaker 1: I called Vadym Vladymyrovych, I say, Vadym Vladymyrovych, you do the haircut. [UKR] Speaker 1: And I made him do the haircut. [UKR] Speaker 1: I'm not set up to do haircuts, I'm no hairdresser. [UKR] Speaker 1: And he did the haircut, went on to what he did with the prep. [UKR] Speaker 1: Mykhailo Maksymovych, Artem Tretyakov and I made the approach, [UKR] Speaker 1: and at the main stage, when we did the surgery under the microscope, [UKR] Speaker 1: I again called Vadym Vladymyrovych, and he assisted me. [UKR] Speaker 1: So I did the surgery.

00:06:20 [RUS] Speaker 1: Difficult?

00:06:21 [UKR] Speaker 1: Difficult, we even have video of the surgery. [UKR] Speaker 1: There's video, if you want, I'll show you later. Okay, ask questions.

00:06:32 [UKR] Speaker 1: We'll remove the stitches on the 11th day after surgery.

00:06:36 [RUS] Speaker 4: On the 11th day.

00:06:37 Speaker 1: Yes, you can see here.

00:06:40 [UKR] Speaker 1: And this is the transverse. And on the 12th we'll be discharging. [UKR] Speaker 1: I showed you yesterday the angiography of the venous system.

00:06:53 [RUS] Speaker 1: Venous system started.

00:06:56 [UKR] Speaker 4: I'll tell you everything later.

00:07:00 [UKR] Speaker 4: Thank you. [UKR] Speaker 4: Thank you. [UKR] Speaker 4: Thank you.

00:07:24 [RUS] Speaker 1: Come in, sit down. [RUS] Speaker 1: Come in, don't be afraid. [RUS] Speaker 4: Good morning. [RUS] Speaker 1: Good morning. [RUS] Speaker 1: Good morning. [RUS] Speaker 1: Good morning.

00:07:46 [UKR] Speaker 1: Will help Ukraine. [UKR] Speaker 1: I myself, honestly, don't really like this. [UKR] Speaker 1: Well, people expressed a desire to show how we treat soldiers. [UKR] Speaker 1: Yesterday we operated on a seriously wounded fighter. [UKR] Speaker 1: Usually on Monday we don't have surgery. [UKR] Speaker 1: Monday we only have rounds. [UKR] Speaker 1: But we operated on a seriously wounded fighter. [UKR] Speaker 1: And, I say, we also have a complex tumor in a woman.

00:08:32 [UKR] Speaker 1: And they, despite the war, you continue to save civilians too. [UKR] Speaker 1: I got caught in the rain, got a bit sick, so yesterday I had no strength. [UKR] Speaker 1: And today I already feel better, and I think tomorrow even better. [UKR] Speaker 1: Because for your surgery I need to be a strongman.

00:09:10 Speaker 1: I asked about permission. She is a patient and her daughter.

00:09:24 [RUS] Speaker 1: 21 years ago, surgery. [RUS] Speaker 1: 21 years ago, [RUS] Speaker 1: this woman had surgery [RUS] Speaker 1: by Alexey Grigoruk, [RUS] Speaker 1: Alexey Grigoruk and brother Sergey Grigoruk. [RUS] Speaker 1: Brother, brother, brother Sergey Grigoruk. [RUS] Speaker 1: We just spoke with Sergey Grigoruk today.

00:09:47 [UKR] Speaker 1: He asked us to look at a patient with severe trauma, so the professor could give his opinion.

00:10:01 [RUS] Speaker 1: Now I'll upload it.

00:10:05 [UKR] Speaker 1: We're saying that Alexey is the younger brother of Sergey Grigoruk.

00:10:16 [UKR] Speaker 1: Brother Sergey Grigoruk, now I'll load your disk, and we'll look at the disk together with the professor, and we'll talk with you. Okay? Is it hard for you to stand?

00:10:28 Speaker 4: No.

00:10:36 [UKR] Speaker 4: This patient already got nervous.

00:10:39 [RUS] Speaker 5: What?

00:10:41 [UKR] Speaker 4: Today my stomach already got anxious, the worrying started.

00:10:47 [UKR] Speaker 4: I said that it's not just going away.

00:10:51 [UKR] Speaker 1: But why worry? [UKR] Speaker 4: Here I'm saying, you haven't been in my head, why worry.

00:10:57 [UKR] Speaker 4: Or they say it won't turn out that somewhere.

00:11:10 [RUS] Speaker 1: Now I'll call our general director.

00:11:39 [UKR] Speaker 1: Sergey Anatolyevich, quickly. Three questions. [UKR] Speaker 1: First, we did CT of Ivanov with multiple trauma. [UKR] Speaker 1: Do you hear, Sergey Anatolyevich? Everything's fine there. [UKR] Speaker 1: Yes, everything's fine, Sergey Anatolyevich. [UKR] Speaker 1: We highlighted it there, so by CT everything's fine. [UKR] Speaker 1: Second question. Journalists are asking when they can interview you tomorrow or Friday. [UKR] Speaker 1: They have two days, which day do you... [UKR] Speaker 1: No-no-no, they wanted separately, Sergey Anatolyevich, to talk with you personally. [UKR] Speaker 1: They wanted with the general director, perhaps then Friday morning.

00:12:25 [UKR] Speaker 1: What did you say? Mini?

00:12:30 [UKR] Speaker 1: Uh-huh. And tomorrow at what time should I bring them? [UKR] Speaker 1: at 9:30 to talk in reception, yes? [UKR] Speaker 1: Bring them there.

00:12:57 [RUS] Speaker 1: Uh-huh, uh-huh, uh-huh.

00:12:59 [UKR] Speaker 1: And at 9:30 tomorrow then where, Sergey Anatolyevich? [UKR] Speaker 1: In intensive care multiple trauma. Oh, good. 9:30 tomorrow then they... [UKR] Speaker 1: Sergey Anatolyevich, tomorrow we're planning a complex surgery with Alex Valadka, possibly 5-8 hours. [UKR] Speaker 1: If it works out, we'll try to finish by 2, but if we don't finish, you won't scold me too much.

00:13:23 [RUS] Speaker 1: Okay, then at 9:30 tomorrow Alex Valadka and I, and call Skrypets to tell him, yes? [RUS] Speaker 1: Yes, and call Skrypets Yuriy Yuriyovych to tell him, so that... [RUS] Speaker 1: Okay, okay, okay, and will come, yes, okay, okay, now.

00:13:50 [UKR] Speaker 1: Okay, okay, okay, okay. So, tomorrow 9:30, at multiple trauma we meet. [UKR] Speaker 1: Thank you. [UKR] Speaker 1: We solved one issue, that Sergey Anatolyevich, Alex and I meet tomorrow morning, [UKR] Speaker 1: give an interview, and then he released us for the whole day, so we can calmly, not rush anywhere, [UKR] Speaker 1: because tomorrow there will be an event, there, stroke day, journalists at noon, at two o'clock, then at three o'clock.

00:14:19 [RUS] Speaker 1: And he released us. [RUS] Speaker 1: Is Teddy there? [RUS] Speaker 1: Teddy, here?

00:14:25 Speaker 1: Yes.

00:14:26 [UKR] Speaker 1: Let me look in, I'll tell him two words.

00:14:33 [RUS] Speaker 1: Teddy, I agreed with our director. [RUS] Speaker 1: Interview time 9:30.

00:14:41 Speaker 1: 9:30. Speaker 1: At the ICU units

00:14:45 [RUS] Speaker 1: on the first floor.

00:14:46 Speaker 1: We will go together with Alex, with you. Speaker 1: After that, we can speak Speaker 1: alone with the general director. Speaker 1: Agree? Speaker 1: Agree? Speaker 1: And after that, I received permission. Speaker 1: And after that, I received permission.

00:15:00 Speaker 1: We can go with Alex Speaker 1: with this patient Speaker 1: to the operation and operate Speaker 1: how carefully we will operate. Speaker 1: Wow. Speaker 1: That's excellent. Speaker 1: That's excellent. Speaker 1: Yes. Speaker 1: Okay? Speaker 1: Okay. Speaker 1: Okay. Speaker 1: Okay. Speaker 1: Okay. Speaker 3: You're getting a producing credit too.

00:15:22 [RUS] Speaker 1: I take Logan and Laura, Brad and Brad. [RUS] Speaker 1: I love producer. [RUS] Speaker 1: Yes, yes. [RUS] Speaker 3: Yes, yes, yes. [RUS] Speaker 1: Two words.

00:15:45 [UKR] Speaker 1: I spoke with Sergey Anatolyevich, he says: "Warn Yuriy Yuriyovych that tomorrow 9:15-9:30 on the first floor Sergey Anatolyevich will give an interview, [UKR] Speaker 1: together with Alex Valadka, I'll be there, he says Yuriy Yuriyovych, so there's maximum presence. 9:30. [UKR] Speaker 1: Ask Sergey Anatolyevich, because we planned that these will be journalists, filmmakers from America, and you clarify further. [UKR] Speaker 1: Maybe Sergey Anatolyevich wants and... Yes, clarify, clarify with the boss. [UKR] Speaker 1: I just know for sure that I'll be there, and Alex will be with the filmmakers. [UKR] Speaker 1: And he said for some reason to tell Yuriy Yuriyovych. So I'm telling you. [UKR] Speaker 1: Well, clarify, Yuriy Yuriyovych. Okay.

00:16:30 [UKR] Speaker 1: Well, he just says: "Definitely tell Yuriy Yuriyovych. [UKR] Speaker 1: I'll call now." That's it. Thank you, Yuriyovych.

00:16:38 [UKR] Speaker 1: What's your name? [UKR] Speaker 4: Viktoria Alexandrovna. [UKR] Speaker 1: Alexandrovna, and how old are you?

00:16:44 Speaker 4: 71.

00:16:45 [UKR] Speaker 1: 71. Well that's not much.

00:16:47 [RUS] Speaker 4: Not much?

00:16:48 [UKR] Speaker 1: Not much. I operated on a patient who was... [UKR] Speaker 1: What should I say... 90.

00:16:55 Speaker 1: 90. Speaker 1: 91 years old.

00:16:59 [UKR] Speaker 1: And I still asked him... [UKR] Speaker 1: Then they say, there was also an American, only from Carmondo. [UKR] Speaker 1: I operated on a patient 91 years old.

00:17:09 Speaker 1: 91 years old and Dr. Carmondo asked, what is the secret of your long lifetime? Speaker 1: What secret? Speaker 1: He answered Speaker 1: Every day Speaker 1: A cup of wine, a cup of wine, a cup of wine. I like whiskey, but my relatives

00:17:29 Speaker 1: Forbid me, it is forbidden to drink whiskey

00:17:35 Speaker 2: Whiskey is good. Yeah

00:17:47 Speaker 6: What type of tumor was this? Speaker 1: I think it's meningioma. Speaker 1: Meningioma, and both sides grow. Speaker 1: Both sides.

00:18:11 [UKR] Speaker 1: So I'm telling you the tumor is big, the tumor is complex, but we have no other option. [UKR] Speaker 1: Now I'll answer. Mykhailo, I later understood that you're in the operating room. Don't worry, thankfully we have Artem, I asked Artem, and Artem recorded the CT control of Ivanov for me, the one we operated on with Alex yesterday. [UKR] Speaker 1: So Artem handled everything, he's great, and I later saw that you're in the operating room. Okay. [UKR] Speaker 1: At about 12, Sviatoslav, tell him, we'll go to the operating room for this small surgery with Chernenko. Okay?

00:18:58 [RUS] Speaker 1: Yes, let's go.

00:19:01 [UKR] Speaker 1: We have no other option. It will slowly grow, press until, roughly speaking, it finishes you off. [UKR] Speaker 4: In a month it started to press more strongly. Pressing.

00:19:19 [UKR] Speaker 4: For guarantee, and we, coordination of movements, we can violate, turns. [UKR] Speaker 1: Everyone asks for guarantees. What guarantees? [UKR] Speaker 1: The only guarantee is that we'll do this [UKR] Speaker 1: carefully, not rushing, under the microscope. [UKR] Speaker 1: That's the guarantee. [VO CANDIDATE] [UKR] Speaker 1: Under the microscope, yes. [UKR] Speaker 1: We do surgery under the microscope, [UKR] Speaker 1: under high magnification [UKR] Speaker 1: 12-14 times magnification. [UKR] Speaker 1: We'll see what density it has. [UKR] Speaker 1: If we're lucky, [UKR] Speaker 1: Sometimes it's like cartilage, that's bad. It's even worse when it's cartilage and fused with blood vessels. [UKR] Speaker 1: I'm showing this more to the daughter. These vessels, you see?

00:20:27 [UKR] Speaker 1: If we're lucky, so they're not fused with the tumor, then we'll try to remove it completely. [UKR] Speaker 1: Completely. If we see that they're strongly fused, then possibly we'll leave part of the capsule. [UKR] Speaker 1: Part of the capsule is 5-10, maximum 20% of the total volume. [UKR] Speaker 1: But this will allow your brain to breathe with relief, that it's not pressing on it like this. [UKR] Speaker 1: And for these pieces, if it grew in you for 20 years, for these pieces we can monitor. [UKR] Speaker 1: Even if someday they decide to grow, we can irradiate them.

00:21:12 [UKR] Speaker 1: Now there's already stereotactic radiosurgery, gamma knife, cyber knife, linear accelerator. [UKR] Speaker 1: So there's no need to worry about that. [UKR] Speaker 1: So we'll... Your life, your neurological condition, it's the priority, it's number one. [VO CANDIDATE]

00:21:33 [RUS] Speaker 1: Ask questions. [RUS] Speaker 4: And what, not to ask? [RUS] Speaker 1: Well whatever you want, ask.

00:21:38 [UKR] Speaker 4: And when will the anesthesiologist come? [UKR] Speaker 1: Today. Today we have three small surgeries. [UKR] Speaker 1: After three surgeries she'll definitely come to you. [UKR] Speaker 1: Well that'll be after lunch, around three, four. [UKR] Speaker 1: Nothing to eat after six in the evening. You know this, yes? [UKR] Speaker 1: And until ten you can drink water and drink as much as possible. [UKR] Speaker 1: Until 10 in the evening you can drink and drink plenty, because after 10 you can't eat or drink. [UKR] Speaker 1: And tomorrow you heard, around 9:30 they'll give you an injection, called premedication, so you don't worry, don't stress. [UKR] Speaker 1: And at 10 you'll go to the operating room. And by that time we'll go, give an interview and then calmly,

00:22:25 [UKR] Speaker 1: One plan will be for tomorrow - it's surgery. [UKR] Speaker 1: How much time will it take? [UKR] Speaker 1: Four hours, five hours, six hours, seven...

00:22:34 [RUS] Speaker 1: Shave everything. Better everything.

00:22:36 [UKR] Speaker 1: You know why? Because it'll be like a cuckoo's nest. [UKR] Speaker 1: If you shave it like this, a little will remain on the sides,

00:22:43 [RUS] Speaker 1: but it won't look good.

00:22:45 [UKR] Speaker 1: The woman who left before you, she had localization in the back. [UKR] Speaker 1: We removed hers in the back here, here. [UKR] Speaker 1: And we left this. [UKR] Speaker 1: And for you it's the opposite, here, I say, a cuckoo's nest. [UKR] Speaker 1: Look, your disks, this one I uploaded. I have all your disks, angiography. [UKR] Speaker 1: I usually take them home, and in the evening, after I have dinner, I have such screens at home too, [UKR] Speaker 1: I sit down and millimeter by millimeter I do, it's called planning. [UKR] Speaker 1: That is, I look where the old surgery was and where the tumor is now, here, here, here, here. [UKR] Speaker 1: Possibly, we'll need to partially use those previous craniotomies,

00:23:36 [RUS] Speaker 1: possibly, additionally make another one.

00:23:38 [UKR] Speaker 1: Don't worry about that. [UKR] Speaker 1: We'll do everything. [UKR] Speaker 4: Well, what do you think about this? [UKR] Speaker 1: Well, look. [UKR] Speaker 1: How to tell you? Sometimes I tell patients: "Take a recorder and record." [UKR] Speaker 1: That you're worrying, you won't help yourself. [UKR] Speaker 1: On the contrary you'll worry more, your pressure will rise.

00:24:02 [UKR] Speaker 1: You'll have either constipation, or diarrhea. [UKR] Speaker 4: Already had everything, already went through all the points.

00:24:11 [UKR] Speaker 1: This is our fate. Physically, we're not talking for the first time with your daughter, [UKR] Speaker 1: I told you, we already did everything we could, we did angiography too, and everything to have maximum information.

00:24:30 [UKR] Speaker 1: You know, it's like a map of a minefield for us. Go here, but don't go there. [VO CANDIDATE]

00:24:48 Speaker 2: Let me say something. Speaker 2: So I have said this before that I tell my residents that they need to come study with Speaker 2: Andriy Sirko because he is the best skull base surgeon I've ever seen. Speaker 2: And if I needed surgery I would try to come here and have him do it.

00:25:05 [UKR] Speaker 2: This is a very big, complex operative, but nobody is better than he is. [UKR] Speaker 1: I'll translate, Alex Valadka says: "I tell my residents that they need to study skull base surgery with me. [UKR] Speaker 1: If, God forbid, I had a brain tumor, I would come here for surgery." [UKR] Speaker 1: Thank you, Alex. Thank you for the trust. [UKR] Speaker 1: It doesn't make it easier for me, it makes it harder for me. [UKR] Speaker 1: Believe me, I go to the operating room every day, so I know what needs to be done. [VO CANDIDATE] [UKR] Speaker 1: And believe me, from what's possible, we'll do everything best. [UKR] Speaker 1: And I always say three factors: medicine, tumor, and patient.

00:25:55 [UKR] Speaker 1: Of these three factors the best factor is medicine. Why? Because we have equipment, we have experience, I have more than five thousand surgeries, of them three thousand tumors. [UKR] Speaker 1: Everything's good there. Patient, of course, I'd prefer you weren't 71, but 17. That your weight, that you were so slim, thin, yes, like Laura, so skinny, she drags such a heavy suitcase of 50 kg. [UKR] Speaker 1: Yes, yes, strong, yes, thin and strong. Well and the tumor. I'd prefer it to be so small, and somewhere over there, on the side, not in the center and in the depth. [UKR] Speaker 1: We have what we have. Well, we're ready for this. I'm saying that I specifically asked for time off. I don't like when I know I need to be free by some time, to leave.

00:26:47 [UKR] Speaker 1: You start to rush, and you do it wrong, surgery drags on, you get nervous again. [UKR] Speaker 1: And when I already know that tomorrow we'll solve all questions, and then we'll go with you calmly to the operating room. [UKR] Speaker 1: Again I'll tell you this. We'll do all means of prevention, thromboembolic complications. [UKR] Speaker 1: We do CT after surgery, if there's no hemorrhage, no problems, we prescribe anticoagulants. [UKR] Speaker 1: We'll control blood pressure, so there's no heart attacks, strokes. [UKR] Speaker 1: We know all this and we'll try to prevent it.

00:27:31 [RUS] Speaker 1: Okay, let me shake your hand. [RUS] Speaker 1: Okay, see you tomorrow.

00:27:34 [UKR] Speaker 4: Thank you for the conversation. [UKR] Speaker 4: Thank you. [UKR] Speaker 1: Shake his hand. She was the first to smile.

00:27:43 [UKR] Speaker 1: You liked him. [UKR] Speaker 1: You liked Alex. [UKR] Speaker 1: You liked the professor, yes? [UKR] Speaker 1: They have such a life, you know, measured. [UKR] Speaker 1: They know what will be in a year, in two, in ten. [UKR] Speaker 1: We don't know what will be tomorrow. [VO CANDIDATE] [UKR] Speaker 1: Okay, go to the ward. [UKR] Speaker 1: Prepare yourself, yes. [UKR] Speaker 1: If you believe in God, go to church, order prayers for the whole team. [UKR] Speaker 1: Did everything. Alex also, when he comes, he goes to church. He was in church on Sunday. When he goes to his priest in USA, Greek Catholic church,

00:28:28 [UKR] Speaker 1: He receives blessing from him.

00:28:30 [UKR] Speaker 1: Received blessing, he says: "I'm going, I don't worry about rockets, about drones, about Shaheds.

00:28:35 [UKR] Speaker 1: I know that everything will be fine." [UKR] Speaker 4: Everything will be fine with us. Yes. [UKR] Speaker 4: Everything will be best with us. Yes. [UKR] Speaker 1: So the issue is resolved, so your body won't let us down. [UKR] Speaker 1: So the pressure is normal. [UKR] Speaker 4: And can I take pressure medication?

00:28:55 [UKR] Speaker 1: Today drink everything you need, and tomorrow the anesthesiologist will tell you,

00:29:00 [UKR] Speaker 1: he'll say which medications you can, at what time, how much you can, a sip, two sips of water.

00:29:05 [UKR] Speaker 1: Today everything is allowed. [UKR] Speaker 4: And coffee. Huh? [UKR] Speaker 1: And coffee. I can't finish drinking mine, and you can. [UKR] Speaker 4: I thought, and you can, great.

00:29:15 [UKR] Speaker 1: The professor said you can. [UKR] Speaker 1: And then you're joking. You can. [UKR] Speaker 1: And why limit yourself? [UKR] Speaker 1: Yes. Well, of course, our task is to preserve your quality of life.

00:29:24 [RUS] Speaker 1: Okay? [RUS] Speaker 1: Okay, we agreed.

00:29:35 Speaker 2: I don't know how you guys are going to do the Ukrainian part to get translated, but Speaker 2: Andriy told them what I mentioned, that every trip I make here, I'm Catholic, I go to Mass every Speaker 2: week. Speaker 2: I asked the priest for special blessing before coming. Speaker 2: He was mentioning it to them. Speaker 1: keep you safe. We consult a lot of patients. I would like to show the patient I will operate

00:30:08 Speaker 1: today. We perform CT with thin slice scan. One millimeter. And after that I find the place where

00:00:00 You can see here, it's intracranial space, it's a small "r".

00:00:09 Speaker 1: You can see here, it's intracranial space, it's a small "r". Speaker 2: Oh, yeah, that's great. Speaker 2: Yeah, that is so cool. Speaker 2: That's a great picture. Speaker 2: yeah yeah there you go

00:00:41 Speaker 2: so keep Speaker 1: So it's right here. Speaker 1: Right here. Speaker 1: It's the first time operation. Speaker 1: The second time we operate here. Speaker 1: Transventricular approach. Speaker 1: In this situation, I think it's maybe not need to remove all bone, Speaker 1: because it was 10, 14 years ago, but maybe this part

00:01:35 [RUS] Speaker 1: we can invite for consultation, let them come in [RUS] Speaker 1: I asked for Poselin or something [RUS] Speaker 1: one thing, remind me that tomorrow at 9:30 we're going with Alex to meet Sergey Anatolievich

00:02:07 [RUS] Speaker 1: seal

00:02:19 [RUS] Speaker 3: Good afternoon.

00:02:22 [UKR] Speaker 1: Support group, right? [UKR] Speaker 1: Who's the patient? [UKR] Speaker 3: I'm the patient, but my wife heard everything.

00:02:30 [UKR] Speaker 1: I have a question for you right away. This is our American colleague, a professor from Texas, head of the neurosurgical department. [UKR] Speaker 1: The consultation costs 1 million dollars. Do you have that? [UKR] Speaker 1: Do you? No. You don't mind if we film? This might be an American documentary. [UKR] Speaker 1: In your city, village, district, you probably won't show it? But if you want, I'll send you a copy.

00:02:58 [RUS] Speaker 1: So you can hide the referral.

00:03:01 [UKR] Speaker 1: Show me the MRI conclusion first, because it might turn out you came to the wrong place.

00:03:09 [UKR] Speaker 1: It might turn out you have back problems, and I don't treat backs. [UKR] Speaker 3: We were already at Kirpa's and we came to you with hope, because we really, if necessary, have life, what's needed.

00:03:27 [UKR] Speaker 1: At Igor Kirpa's. And what did he say?

00:03:34 [UKR] Speaker 1: No, what did he say? Why didn't he operate? He's my student.

00:03:38 [UKR] Speaker 3: He said to get tests done, but we still want to consult with you.

00:03:47 [RUS] Speaker 1: MRI discs.

00:03:55 [UKR] Speaker 1: So, Bilobrovka region. [UKR] Speaker 3: Bilobrovka, yes. Can I take this?

00:04:02 Speaker 3: Yes.

00:04:04 [UKR] Speaker 3: And they also said there are some polyps in the nose, that it's a centimeter to the brain or something like that.

00:04:15 [RUS] Speaker 1: Let me read it again.

00:04:23 [UKR] Speaker 1: Sphenoid sinus. [UKR] Speaker 3: What started bothering me is headache or vision. I have this headache since childhood. [UKR] Speaker 3: I wouldn't have gone, but I needed to pass the military medical commission, I went to doctors and they discovered this disease.

00:04:56 [UKR] Speaker 3: I said that I have headaches twice a month and when it happens for 20 minutes, my left eye, I practically couldn't see anything.

00:05:11 [RUS] Speaker 1: Two symptoms. [RUS] Speaker 1: First is headache, twice a month. [RUS] Speaker 1: But sometimes he lost vision on the side, on the side.

00:05:28 [RUS] Speaker 1: 10-15 seconds.

00:05:30 [UKR] Speaker 3: - 20 minutes. [UKR] Speaker 1: 20 minutes? [UKR] Speaker 3: - 20 minutes.

00:05:34 [RUS] Speaker 1: - You remember?

00:05:38 [UKR] Speaker 3: Partially, yes you know, visible from the side.

00:05:45 [UKR] Speaker 3: Debris, mesh on the eye.

00:05:53 Speaker 1: Quality of vision of the left eye.

00:05:57 Speaker 1: 20 minutes, how often?

00:06:00 [UKR] Speaker 3: About 2 times a month. [UKR] Speaker 1: Same as the headache, yes? [UKR] Speaker 1: Simultaneously with the headache. [UKR] Speaker 3: - Where do you live? - 12th block.

00:06:17 [UKR] Speaker 1: - The day before yesterday, across from the 15th hospital, they hit our boy and girl. [UKR] Speaker 3: - Yes, we drove by, yes. [UKR] Speaker 3: There really, yesterday I was at the 16th, while I was standing at the bus stop,

00:06:29 [UKR] Speaker 3: they almost hit several people on the crosswalk too.

00:06:33 [RUS] Speaker 1: Did you have a cleft lip?

00:06:36 [UKR] Speaker 3: Yes, but no cleft palate, so there were courses too. [UKR] Speaker 1: Well, it's just that the head of our craniomaxillofacial group was operated on for the same thing.

00:06:49 [UKR] Speaker 1: Did you meet him in the corridor? [UKR] Speaker 3: No.

00:06:52 Speaker 1: No?

00:06:54 [UKR] Speaker 1: ENT, Veri and Stadi. [UKR] Speaker 3: Bilateral, yes do you want to show him? [UKR] Speaker 1: Is there a website?

00:07:09 Speaker 1: yeah like like Speaker 1: like our, did you understand Ukrainian maybe? Speaker 1: - A little bit. - A little bit. Speaker 1: - A bit more than Alex. - A bit more. Speaker 1: Well, I also have Anastasia. - Anastasia, yeah.

00:07:25 Speaker 1: - Anastasia. - Anastasia. Speaker 4: - Yes, but I saw that, I've got a monitor out there.

00:07:30 Speaker 4: - Yes. - Is that what you want me coming for? Speaker 1: - I would like, especially when we consultate, Speaker 1: we are going with a brain tumor it's another college cases cvn college cases now when we Speaker 1: upload c mri i ask about an amnesis about complaints and now we wait

00:07:56 Speaker 1: relatives maybe and friends patient we operate yesterday yeah

00:08:05 Speaker 4: okay all right yeah yeah definitely yeah Speaker 1: uh doctor uh must be attentive must be attentive and i see a lot of patients every day

00:08:20 Speaker 1: maybe in my life more than 50 000 patients that's why i realize what is

00:08:26 Speaker 4: yeah no i i mean and we want to get this Speaker 1: yeah thank you thank you thank you Speaker 1: i i upload this into goal into aim first of all i perform a scientific work i need to analyze my Speaker 1: cases all cases that's why is i need to save in all information about patient first of all

00:09:12 Speaker 1: and another if this patient come to me for operation i not to need to save this again

00:09:24 [UKR] Speaker 1: Attention!

00:09:25 [RUS] Speaker 1: Air raid alert! [RUS] Speaker 3: Please sit tight

00:09:54 [RUS] Speaker 1: Two professors. Free of charge, by the way. Seriously.

00:10:02 [UKR] Speaker 1: We just have a lot of work and without jokes, without jokes we don't get through. [UKR] Speaker 1: And rounds in ICU, and rounds in the department. So now we'll upload and take a look as best we can. [UKR] Speaker 1: Don't worry. We even operate together with the professor. [UKR] Speaker 1: Yesterday we operated on a wounded soldier, a critically wounded soldier who had no chance at life. [VO CANDIDATE] [UKR] Speaker 1: Tomorrow we're planning to operate on a very complex tumor together too. [UKR] Speaker 1: So this is normal work, don't worry.

00:10:34 [UKR] Speaker 1: Do you blow your nose, is there discharge from the nose? [UKR] Speaker 3: - Well yes, there is, but we got up here, I took off my jacket and in 20 minutes without a jacket it started...

00:10:57 [UKR] Speaker 1: Same thing with me, except I got caught in the rain on Sunday. I got caught in the rain on Sunday when I was meeting our American colleagues. [UKR] Speaker 1: And from 7 in the morning until 7 in the evening I spent time, it was hot, took off my jacket, put it on, and it got a bit sweaty, and then it rained. [UKR] Speaker 1: Well, nothing, I'm recovering. I specifically moved a complex operation to tomorrow. I know that tomorrow I'll feel better. [UKR] Speaker 1: Igor Yuryevich worked with us for a long time, but then he decided he needed to look for a more peaceful life. [UKR] Speaker 1: There aren't as many wounded there as here. [VO CANDIDATE]

00:11:58 [UKR] Speaker 1: Sometimes the power goes out. But we have backup power for ICU and operating rooms, large generators are installed. [UKR] Speaker 1: Every Friday at 9 in the morning they turn them on and check how they work. [UKR] Speaker 1: So this may just be a branch that went to me, cut out. [UKR] Speaker 1: You see I have trophies of everything. [UKR] Speaker 1: Well what's this, here's these. These are gifts from patients I operate on, from their relatives. [UKR] Speaker 1: These are whole cartridges there. [UKR] Speaker 1: So one day we operate on wounded, the next day, if wounded don't arrive, thank God, [UKR] Speaker 1: we operate on complex tumors. Now 45 seconds left, your disc will load and we'll take a look.

00:12:49 [UKR] Speaker 1: I only returned from Los Angeles 10 days ago, there was a congress of American neurosurgeons, neurological congress, we were giving presentations, and met with Alex.

00:13:30 [RUS] Speaker 1: so Bilobrovka [RUS] Speaker 1: 21 discs yes

00:14:18 [UKR] Speaker 1: And do you have the MRI? [UKR] Speaker 3: MRI, I did a CT, I couldn't do the MRI because I have, well, claustrophobia.

00:14:30 [UKR] Speaker 3: And I already came there, and had an attack.

00:14:36 [RUS] Speaker 1: Of fear?

00:14:38 [UKR] Speaker 3: Panic attack. [UKR] Speaker 1: Panic attack, yes.

00:14:41 [RUS] Speaker 3: And uncontrollable. [RUS] Speaker 3: In my opinion, even when I'm in a coma I could diagnose,

00:14:50 [RUS] Speaker 3: but I couldn't force myself.

00:14:56 [UKR] Speaker 1: Compared to patients I consulted yesterday.

00:15:01 [RUS] Speaker 1: This is small.

00:15:02 Speaker 1: Yes?

00:15:03 [RUS] Speaker 1: Remember? [RUS] Speaker 1: Remember? [RUS] Speaker 1: I'm telling you, I'm telling you, I'm telling you...

00:15:19 [UKR] Speaker 1: Look, you do have this meningioma, but it doesn't affect your vision.

00:15:28 [UKR] Speaker 1: It doesn't affect your vision. [UKR] Speaker 3: I wanted to tell you... [UKR] Speaker 1: Wait, one moment, Alexey. [UKR] Speaker 1: Go ahead. [UKR] Speaker 3: in school they also diagnosed me

00:15:41 [RUS] Speaker 3: with vascular dystonia [RUS] Speaker 3: and I have this, as I'm telling you [RUS] Speaker 3: since school twice a month mesh on the eye [RUS] Speaker 3: everything's fine, but I contacted about that, [RUS] Speaker 3: because I needed it for the military medical commission [RUS] Speaker 3: and they discovered

00:15:55 Speaker 3: all this...

00:15:57 [RUS] Speaker 1: What about smell? [RUS] Speaker 3: Everything's fine, well like, well [RUS] Speaker 3: obviously that... [RUS] Speaker 3: Oh, I have a deviated [RUS] Speaker 3: septum [RUS] Speaker 3: one side is blocked. Well this is from school, these school fights, deviated septum, I didn't get it straightened.

00:16:16 [RUS] Speaker 3: One side is always blocked. With smell everything's normal. With smell. [RUS] Speaker 1: Are you sure? Because it's growing exactly in the place where the olfactory tracts pass.

00:16:34 [UKR] Speaker 1: Yesterday we consulted with the professor, we already scheduled the patient for surgery, he has a tumor, [UKR] Speaker 1: if yours is two by one, maybe yours is one and a half by one centimeter, well he has the same tumor, [UKR] Speaker 1: but his is pressing on the optic nerves, it's pressing on the optic nerves.

00:16:55 [UKR] Speaker 1: Yours has no relation to the optic nerves at all. [UKR] Speaker 3: So with vision everything will be fine? [UKR] Speaker 1: It doesn't affect vision because it's still 1.5 cm away from vision.

00:17:08 [UKR] Speaker 3: But it's not affecting it yet, right? [UKR] Speaker 1: Not affecting it yet.

00:17:12 [RUS] Speaker 1: Now I'll look again.

00:17:16 [UKR] Speaker 1: If you hadn't been examined for headaches, you wouldn't even know you have this. [UKR] Speaker 3: And it would get worse?

00:17:25 [RUS] Speaker 3: Or not?

00:17:27 [UKR] Speaker 1: I'll be honest, if I had such a tumor, I'd probably even observe it first, I wouldn't rush to the operating room.

00:17:35 [UKR] Speaker 3: But we came to you precisely to not come to just one doctor.

00:17:44 [UKR] Speaker 1: I would find an open-type MRI.

00:17:48 [UKR] Speaker 3: In Zaporizhzhia they say, I'm in... [UKR] Speaker 1: There's no urgency, it's been growing for at least 3-5 years, possibly more. [UKR] Speaker 1: Go to Zaporizhzhia, get an MRI, and then come to me with that MRI, and we'll upload it, look again. [UKR] Speaker 1: And by the characteristics of the tumor on MRI we can tell the prognosis, how fast it will grow. [UKR] Speaker 1: Whether we need to cut it now, or maybe in six months, in a year, do a control MRI. [UKR] Speaker 1: My recommendation is to do an MRI. [UKR] Speaker 1: MRI then from... [UKR] Speaker 1: Here it's localized here.

00:18:33 [UKR] Speaker 1: Here, here and here. [UKR] Speaker 1: Like this. [UKR] Speaker 1: And here are the optic nerves. [UKR] Speaker 1: It doesn't reach the optic nerves. [UKR] Speaker 1: Your optic nerves are intact. [UKR] Speaker 1: And do an MRI. If we need to operate, we'll operate, well, old school, they go from the front. [UKR] Speaker 1: From the front they open the frontal sinuses, through the frontal sinuses they do a large craniotomy. [UKR] Speaker 1: We've now learned that we go from the side, here's a small craniotomy, and we don't even open these sinuses, [UKR] Speaker 1: And we go from the side here. And this allows in most cases to preserve the patient's sense of smell. [VO CANDIDATE]

00:19:25 [UKR] Speaker 1: Because exactly in these places, here on the right and left, are located the olfactory bulbs. It's growing exactly in that place. [UKR] Speaker 1: - No, smell. - Well, maybe not, you'll feel some strong smells, strong ones. [UKR] Speaker 1: There is a risk, it's not guaranteed that it will happen. Because in one place of your olfactory nerve on the right is already gone, it's already crushed it.

00:20:00 [UKR] Speaker 1: and the left one it pushed aside and during surgery we preserve it, we see this nerve, but it's not certain that it will [UKR] Speaker 1: work as we would like but to vision this has no relation at all anosmia anosmia

00:20:17 Speaker 1: now he didn't have this problem don't have doesn't have this problem but after the surgery it's maybe Speaker 1: because it's a Speaker 1: surgical view

00:20:55 [UKR] Speaker 1: height and 7 mm height, that's even less than a centimeter, 7 mm height and you see [UKR] Speaker 1: You just have this anatomy, you have bone protruding inside the skull here, [UKR] Speaker 1: you were born with this, and on top of this it looks like someone put a hat on your head. [UKR] Speaker 1: So it's like a hat put on, and the optic nerves are located here, here they are located. [UKR] Speaker 1: And the distance is here.

00:21:30 [UKR] Speaker 1: First, it doesn't affect vision, possibly problems with smell.

00:21:35 [RUS] Speaker 1: Possibly.

00:21:36 [UKR] Speaker 1: Possibly, it's not 100%. [UKR] Speaker 1: Well, like any complications they occur, about one or two cases per 100 people. [UKR] Speaker 1: What complications? [UKR] Speaker 1: Sometimes after surgery the brain is lifted, lowered, bleeding is stopped, [UKR] Speaker 1: and where it grew from, that's where the blood vessels supply. [UKR] Speaker 1: We specifically coagulate them, stop the bleeding, [UKR] Speaker 1: but sometimes after surgery there's bleeding in the bed of the removed tumor. [UKR] Speaker 1: Where the tumor was, there it happens, occurs, well, like, hemorrhage. [UKR] Speaker 1: In half the cases it resolves on its own, without surgical intervention. [UKR] Speaker 1: Rarely when it's needed that repeat surgery, [UKR] Speaker 1: so in any case the day after surgery [UKR] Speaker 1: all patients go for a CT scan. [UKR] Speaker 1: We did a CT scan, everything's fine, to the ward. [UKR] Speaker 1: Yes, cafeteria on the first floor. [UKR] Speaker 1: If it's a large hematoma, possibly, rarely,

00:22:31 [UKR] Speaker 1: we'll need to go back to surgery. [UKR] Speaker 1: This is very rare. [UKR] Speaker 1: Well, the woman who came in before you, [UKR] Speaker 1: we're operating on her tomorrow, she's 71 years old. [UKR] Speaker 1: She has hypertension, she's overweight. [UKR] Speaker 1: There are more problems, we always say, [UKR] Speaker 1: possible related to somatic diseases. [UKR] Speaker 1: heart attacks, strokes, thrombosis of lower extremities, veins, pulmonary embolism. [UKR] Speaker 1: We talk about more complex things there, because that's age. [UKR] Speaker 1: You're 43 years old, young, healthy. [UKR] Speaker 1: So this has been with you for several years. [UKR] Speaker 1: If not for your headaches and the military medical commission, you wouldn't even know you have it.

00:23:15 [UKR] Speaker 1: And when you said about the left eye... [UKR] Speaker 3: - Yuriy said that if I hadn't discovered it, no one would know.

00:23:22 [UKR] Speaker 1: - Yes, I'm saying the same thing. Left eye, yesterday a patient came, he has this tumor, [UKR] Speaker 1: here it's located, I'll show you again, his is compressing the optic nerve, [UKR] Speaker 1: and it's the same size as yours, but it's localized... [UKR] Speaker 1: - On vision? - It's exactly in the place where vision is. [UKR] Speaker 1: I'll show you something. [UKR] Speaker 1: Oh, I'll officially enlarge it for you. [UKR] Speaker 1: This is his MRI. Your tumor is located here.

00:24:09 [RUS] Speaker 1: And his tumor is located here.

00:24:13 Speaker 1: Here.

00:24:15 [UKR] Speaker 1: It's a bit larger than yours, but it's exactly in the place where the optic nerves are. [UKR] Speaker 1: So your task is not to fall into depression, panic, find time and opportunity to go to Zaporizhzhia, do an MRI, definitely with contrast. [UKR] Speaker 1: And any day, well basically, on Mondays, Monday I usually, if there are no wounded, it's a non-operating day.

00:24:40 [UKR] Speaker 1: But otherwise in order of the live queue, the earlier you come, the earlier you get in, we'll upload the MRI and decide what to do next.

00:24:45 [UKR] Speaker 3: Andriy, maybe there's a referral so I can give them, so they already know that...

00:24:52 [UKR] Speaker 1: Thank you, I'll write two words. [UKR] Speaker 3: What do I need to do? [UKR] Speaker 1: These unfortunate, such, such problems occur.

00:25:36 [UKR] Speaker 3: And with this MRI to you on Mondays, right?

00:25:41 [UKR] Speaker 1: Well, maybe any day. Just on Monday I'm not in the operating room, I can consult longer.

00:25:45 [UKR] Speaker 3: And from what time? They said from seven or from five you can start lining up?

00:25:50 [UKR] Speaker 1: Well if from seven, you'll be first in line. [UKR] Speaker 3: - And we come from 7, and you receive from 9.

00:25:58 [UKR] Speaker 1: You can come at 8, in any case. [UKR] Speaker 1: I don't refuse anyone, today a man came, I want it now. [UKR] Speaker 1: I say, there's a queue, I can't, out of turn, take a person if this person isn't lying in the department. [UKR] Speaker 1: If they're in the department or operated on, or preparing for surgery, they go without a queue. [UKR] Speaker 1: everyone else in order of the live queue. [UKR] Speaker 1: Whoever I managed to consult before surgery, [UKR] Speaker 1: whoever I didn't manage after surgery, or if I know [UKR] Speaker 1: that I have a very complex surgery there, I'll come out, I'm alive, [UKR] Speaker 1: I say, better come another day.

00:26:30 [UKR] Speaker 1: If you're from Dnipro, from 12th block, then you can. [UKR] Speaker 1: Benign tumor, I'll say right away, this is not cancer, it's a benign tumor. [VO CANDIDATE]

00:26:52 [UKR] Speaker 1: It's called meningioma, that's a thousand percent, even without histology I'll say.

00:27:03 [RUS] Speaker 3: - There's a tumor.

00:27:07 [UKR] Speaker 3: Or if it's benign, it doesn't develop? [UKR] Speaker 1: - I'll tell you an analogy with women. [UKR] Speaker 1: Women have fibromas, myomas, uterine, mammary, with them they live, they don't always need to be operated on, [UKR] Speaker 1: and, as a rule, the cause is what? Hormonal imbalance.

00:27:25 [UKR] Speaker 1: In women it's even proven, they even tried to treat it with hormones.

00:27:36 [UKR] Speaker 3: And the polyps in the nose?

00:27:40 [UKR] Speaker 1: I'll write here for you now, go up to the eighth floor.

00:27:46 [UKR] Speaker 3: Today? [UKR] Speaker 1: ENT department. Not today, right now. [UKR] Speaker 1: Department. If the doctor's not in surgery, she'll examine you. [UKR] Speaker 3: What floor? [UKR] Speaker 1: ENT department, ask for Sapronova Olena Viktorivna. [UKR] Speaker 1: She's an ENT doctor with whom we operate some tumors through the nose. [UKR] Speaker 1: Your tumor can also be operated through the nose, [UKR] Speaker 1: but there will be more complications specifically with the nose afterwards after surgery. [UKR] Speaker 1: If we go through the nose, [UKR] Speaker 1: I said you can remove it transnasal approach, [UKR] Speaker 1: but I work with lateral supraorbital approach.

00:28:31 [RUS] Speaker 1: you say professor Sirko referred you

00:28:35 Speaker 1: to

00:28:46 [RUS] Speaker 1: measure seven times, cut once

00:28:51 [UKR] Speaker 3: We agree with you, that's why we came. [UKR] Speaker 3: We don't doubt any diagnoses, but...

00:29:01 [UKR] Speaker 1: On the contrary, I always say when people come, well not your case, but when there are much more complex tumors, [UKR] Speaker 1: I say, you have the opportunity to consult with this one, that one, that one. [UKR] Speaker 1: And I tell those who I know do this. [UKR] Speaker 1: Understand? Not that you ended up with a person who, possibly, has never done this in their life. [UKR] Speaker 1: And if a person went and asked opinions and chose where they'll be operated, that's their right. [UKR] Speaker 1: No, it's correct that you said we were there, we consulted.

00:29:30 [UKR] Speaker 1: You did everything right. [UKR] Speaker 1: And there should be someone coming for the patient from ICU, surname Ivanov. Ask, is he there?

00:29:57 [UKR] Speaker 1: I'll receive them, ask, is Ivanov there? Acquaintances, relatives?

00:30:14 Speaker 2: What was the plan for that last patient? Speaker 2: - Smart planner?

00:30:22 Speaker 1: - MRI. Perform MRI. Speaker 1: MRI, he didn't perform because he is afraid it's claustrophobia. Speaker 1: - Yes, and he find open MRI in Zaporizhzhia. Speaker 1: - Yes, and he find open MRI in Zaporizhzhia. Speaker 1: - Okay, near Dnipro and after that comeback. Speaker 1: - Okay, near Dnipro and after that comeback.

00:00:00 [RUS-NEEDS] А ви у мене це перший раз?

00:00:10 [UKR] Speaker 1: Is this your first time with me?

00:00:13 Speaker 1: No?

00:00:18 [UKR] Speaker 1: Do you mind if they film you, possibly for a documentary American film? [UKR] Speaker 1: They film a lot, hundreds of thousands of hours, and then they'll choose what they like. [UKR] Speaker 1: Usually, this is not a neurosurgical case, but since you're already sitting here, we'll consult together with the professor, the American professor. [UKR] Speaker 1: surnames

00:01:37 Speaker 1: It's a huge difference between USA and Ukraine. Speaker 1: If your patient would like to receive that consultation, we need to wait 2, 3, 6 months. Speaker 1: there's a whole different building six months i i i i remember usually not six months but sometimes

00:02:02 Speaker 1: yeah especially i know in european country all countries also need to wait several several months

00:02:12 Speaker 2: it's bad in europe yeah in america the way it is not so bad not so bad no not so bad but in another Speaker 1: country European country I know Lithuania yes Latvia yes Yuriy Yuryevich yes

00:02:30 [UKR] Speaker 1: Yes? Wait while the disk loads. Here we have the capture group.

00:02:43 [UKR] Speaker 1: Here you... Ruslan, I already know. Ruslan, I know. Well, guys, you're in a hurry, Yuriy Yuryevich.

00:02:52 [RUS] Speaker 2: Did you tell them? I'll start.

00:02:57 [RUS] Speaker 2: Alex, president from Ukraine. [RUS] Speaker 1: Here's the picture, yes. Yes, we need to print it. [RUS] Speaker 1: Yes, yes. And then I'll show the CT control. [RUS] Speaker 1: We were just looking at it. Yes, we'll wait when there... [RUS] Speaker 1: No, now you present the picture, and we'll show you the CT control. [RUS] Speaker 1: You know that Yuriy Yuryevich is a neurosurgeon? [RUS] Speaker 1: Yes, I know. You know?

00:03:21 [UKR] Speaker 1: Maybe we met. Well, how about in the past? There are no exes. [UKR] Speaker 1: There are. There are no exes. [UKR] Speaker 1: Yuriy Yuryevich, we studied together at the institute, then did our internship, and then even worked in the same department. [VO CANDIDATE]

00:03:47 [RUS] Speaker 1: Alex, this is especially for you. [RUS] Speaker 1: For you, yes. [RUS] Speaker 1: For you, yes. [RUS] Speaker 2: There's metal, that's what remains. [RUS] Speaker 1: From the Orcs, yes? [RUS] Speaker 2: Yes, yes. [RUS] Speaker 2: This is amazing.

00:04:13 [UKR] Speaker 1: Ruslan, sit closer so you can see the screen. [UKR] Speaker 1: And one of you? [UKR] Speaker 1: He says it wasn't such a necessity, but he really... [UKR] Speaker 1: I didn't see this gift.

00:04:40 [UKR] Speaker 1: Ruslan, sit closer. [UKR] Speaker 2: Thank you to all my friends. [UKR] Speaker 2: Thank you to all my friends.

00:04:51 [UKR] Speaker 2: You're exaggerating. [UKR] Speaker 1: No, this...

00:04:55 Speaker 1: Well...

00:04:57 [UKR] Speaker 1: Inspiration, it inspires... [UKR] Speaker 1: Freedom, he says: for freedom, for the fact that... [UKR] Speaker 1: For our friendship, and for Ukraine's freedom. [VO CANDIDATE] [UKR] Speaker 1: He values this very much.

00:05:09 [RUS] Speaker 1: I'm trembling now [RUS] Speaker 1: Moved, seriously [RUS] Speaker 1: Sit closer [RUS] Speaker 1: Ivanov, Ivanov, Ivanov [RUS] Speaker 1: Ivanov [RUS] Speaker 1: Ivanov [RUS] Speaker 3: This is a photograph from Metallgrad, drones and other Russian military equipment.

00:05:38 [UKR] Speaker 1: Places, cases, this is from Russia. [UKR] Speaker 1: Yes, this is Alex's photo. [UKR] Speaker 1: Look, this is his... [UKR] Speaker 1: Where it's black, that's air and the material we used to do the skull reconstruction. [VO CANDIDATE] [UKR] Speaker 1: We completely removed the hematoma. [UKR] Speaker 1: There's no blood there, this is very good.

00:06:26 [UKR] Speaker 1: In the 3D reconstruction it looks like this. [UKR] Speaker 1: We did a craniotomy on two sides. [UKR] Speaker 1: And when I was telling, translating for Yuriy Yuryevich, [UKR] Speaker 1: I was telling him, translating for him, his left eye is gone, the orbital bone is shattered, all of this is destroyed.

00:07:00 [UKR] Speaker 1: We initially thought to go from the left side here, but when we repositioned him, we looked, [UKR] Speaker 1: and from his right nostril, cerebrospinal fluid started leaking. [UKR] Speaker 1: Then we had to open on two sides, go in here, and we found that when there was such a blow, [UKR] Speaker 1: these bones exploded like this and tore this membrane, there was a hole here. [UKR] Speaker 1: And through this hole the cerebrospinal fluid was leaking. [UKR] Speaker 1: It leaks outward, he breathes in air, and all the infection that's around gets into the brain. [VO CANDIDATE] [UKR] Speaker 1: It gets into the brain, so we found this hole, we closed it. [UKR] Speaker 1: And then we did multi-layer, it's called multi-layer, one, two, three, four, we closed it here. [UKR] Speaker 1: We even planned to put, our American colleagues give us titanium plates, to do orbital reconstruction right away,

00:07:56 [UKR] Speaker 1: But we didn't do it, because his wound is very contaminated.

00:08:00 [UKR] Speaker 1: Very contaminated wound.

00:08:06 [RUS] Speaker 1: I showed you the picture.

00:08:13 Speaker 1: But...

00:08:20 [UKR] Speaker 1: I won't show it again, you should understand. [UKR] Speaker 1: I showed you the best version after they first treated him. [UKR] Speaker 1: So putting in an artificial foreign body isn't needed, because there could be problems with healing. [UKR] Speaker 1: God willing, if he survives, then we can do plastic surgery. [UKR] Speaker 1: I'm not bringing the parents here. [UKR] Speaker 1: No, no, no. [UKR] Speaker 1: You must understand that he can... [UKR] Speaker 1: Die at any moment. [VO CANDIDATE]

00:08:54 Speaker 1: Well, I...

00:08:57 [UKR] Speaker 1: We said today, 46 thousand wounded have passed through.

00:09:00 [UKR] Speaker 1: And we've done 2.5 thousand brain operations. [VO CANDIDATE] [UKR] Speaker 1: We can only say what happened in the last 24 hours. [UKR] Speaker 1: Better, worse... [UKR] Speaker 1: Wait, Mykhailo. Better, worse, or at the same level. [UKR] Speaker 1: We don't give any forecasts ahead of time. [VO CANDIDATE] [UKR] Speaker 1: Because from the moment of surgery, thank God, he's holding pressure well. [UKR] Speaker 1: His arterial pressure is even rising. [UKR] Speaker 1: It was 130, 140, 150 arterial pressure. This is very good.

00:09:35 [UKR] Speaker 1: Blood pressure. [UKR] Speaker 2: So why were there problems yesterday? [UKR] Speaker 1: Because he... Oh, with you? [UKR] Speaker 2: Yours is very high.

00:09:51 [UKR] Speaker 1: No, no, you don't need that, you need to take medication. [UKR] Speaker 1: Because it will end in a heart attack or stroke. [UKR] Speaker 1: They measured his pressure at Cargo 200 over 120, I said: let's connect the line... [UKR] Speaker 1: They connected the arterial line, 130-150, he's holding pressure normally. [UKR] Speaker 1: Today I said, they did a bronchoscopy on him, meaning he has a lung contusion, a lot of secretions, they cleaned his lungs. [UKR] Speaker 1: He has a cardiac contusion, I said on the first day, although they didn't make that diagnosis, but they did tests, the troponin test is 10 times higher. [UKR] Speaker 1: So he has severe, and what I told you, remember, in the evening, on Sunday, severe polytrauma, meaning traumatic shock, hemorrhagic shock, platelet concentrate, yesterday you also participated in having it delivered, and we were right to wait, because on Sunday everything was bleeding, even small wounds were bleeding, but yesterday when we went to surgery, his blood clotted very well.

00:10:52 Speaker 1: I tell about this hemostasis after transfusion thrombocytes, platelets. Speaker 1: It's a good hemostasis. Speaker 1: Yeah. Speaker 1: It's closed quickly, formation quickly. Speaker 1: We start to work this side. Speaker 1: Yes, the left side. Speaker 1: After that, we go to the right side. Speaker 1: Right side, we close the defect.

00:11:17 [RUS] Speaker 1: And when we return to the left side, there's a very good [RUS] Speaker 1: Clot. [RUS] Speaker 1: Yes, clot. [RUS] Speaker 1: So we can only pray to God. [VO CANDIDATE] [RUS] Speaker 1: This morning we talked with the head of that ICU, [RUS] Speaker 1: where he is now, and the head of the ICU approached, [RUS] Speaker 1: where he was before, and we coordinated the therapy. [RUS] Speaker 1: So now the main thing is that his heart works normally, lungs, that clotting is normal. [RUS] Speaker 1: We'll monitor these platelets, if needed, possibly they'll transfuse more platelets and antibiotics.

00:12:00 [RUS] Speaker 1: Why? Because it's infected and here there's a high risk of meningitis, encephalitis, big risk. [RUS] Speaker 1: Tomorrow we plan to do a lumbar puncture on him.

00:12:11 [UKR] Speaker 1: Today it's still early, because there's brain edema, but tomorrow we plan to do a lumbar puncture [UKR] Speaker 1: and send that fluid, cerebrospinal fluid, for general analysis and bacterial culture,

00:12:22 [UKR] Speaker 1: meaning to culture, if there are bacteria, and if there are, what they're sensitive to.

00:12:29 [UKR] Speaker 3: And with blood pressure, really, you don't need to worry about it, because, first of all, isn't it bad?

00:12:34 [UKR] Speaker 1: For him, yes. [UKR] Speaker 3: It's not bad, first of all. [UKR] Speaker 3: We take into account that he has 2 amputations: leg and arm. Now they're gone. And that's a quarter of body mass. [UKR] Speaker 3: We fully replenished his circulating blood volume, but the leg and arm are gone. So the heart works as if they were there.

00:12:54 [UKR] Speaker 3: And we're telling, that in parts... [UKR] Speaker 1: There are other situations, when a person has lost blood, they're brought in, they have unstable hemodynamics, they need to be on noradrenaline, on mezaton, and when they can't hold pressure, that's very bad. [VO CANDIDATE]

00:13:11 [RUS] Speaker 1: so I'll knock on wood yes well you can show what has passed what [RUS] Speaker 1: well at least 7 10 days if 7 10 days pass it's not not just then we can [RUS] Speaker 1: make some forecasts no need believe me everything breaks down [RUS] Speaker 1: possibly well only forecasts after 7-10 days pass everything that's possible here we [RUS] Speaker 1: closed we made for him we took apart such an incision such an incision for what [RUS] Speaker 1: all of this was turned back so that here it was possible to take what's called periosteum such layers

00:13:57 [RUS] Speaker 1: so that these tissues could separate the brain from all these nasal sinuses. [RUS] Speaker 1: And plus we took a piece of this periosteum and sutured it under the skin. [RUS] Speaker 1: Because this skin, it's closed, but in parts there's necrosis. [RUS] Speaker 1: Meaning the upper part of the skin, it's dead, but the inner layer, it's alive. [RUS] Speaker 1: And it needs to be given nutrition, so there won't be a hole here. [RUS] Speaker 1: Yes, yes, yes. So the process will be lengthy, but first he must survive. [VO CANDIDATE] [RUS] Speaker 1: Yes, we, this, thank him for the gift, yes, for the gift, yes. [RUS] Speaker 1: So, yes, stay strong, yes, and that's all, yes.

00:14:51 [UKR] Speaker 1: Yes, Yuriy Ilyich, and thank you.

00:15:02 Speaker 1: I give permission Speaker 1: come back Speaker 1: come back Speaker 1: tomorrow Speaker 2: I give permission Speaker 1: because now Speaker 1: because now Speaker 1: it's a lot of emotion Speaker 1: a lot of Speaker 1: yes

00:15:19 [UKR] Speaker 1: speak Mykhailo

00:15:22 Speaker 1: tomorrow

00:15:23 [RUS] Speaker 1: I'll give permission.

00:15:53 [RUS] Speaker 1: they made such a painting called Cossack Mamay they already

00:16:03 [RUS] Speaker 2: how much money speak wait [RUS] Speaker 1: now Michael wait a second

00:16:27 Speaker 1: 4

00:16:50 [RUS] Speaker 1: who else there and for consultation come in come in you see the fear [RUS] Speaker 2: For consultation.