SIRKO Paper Cut

00:00:00 Can you move your bag here and make sure I've got everything?

00:00:06 Can you move your bag here and make sure I've got everything? Yeah, okay, good. Thank you.

00:00:14 [RUS] They don't pay. [RUS] Falcon. [RUS] Falcon. [RUS] Falcon. [RUS] I think. [RUS] Vologohol. [RUS] Star. [RUS] Star.

00:00:38 2,25. 0,25.

00:00:45 [RUS] - I need 1000 rubles. [RUS] From us, look, here's "Tolomora", "5-2-5 thousand",

00:01:20 [RUS] Well, that doesn't matter, okay, thanks. [RUS] - Are you on it? - Yes. [RUS] - Do we have this? - Yes. [RUS] - How much is this? - Isn't it somehow? [RUS] - That's not right. [RUS] You just don't understand...

00:01:39 - I thought you were trying to take over. - He's gonna be a big aneurysm. They line up the coil and they're gonna go well and not interrupt her. - That's gonna be like an in and out thing.

00:02:00 - That stuff gets stretched out in the amper. It's good, I guess, in that case where it's like You can see the patient on Monday. Yes. You're leaving Monday. So maybe Monday you could have that before so is the week. Of course. Hopefully he's getting better. Yeah. Yeah. I mean, we'll, Bohdan works on Monday. I mean, we'll, Bohdan works on Monday.

00:02:29 So we should probably just plan on doing a couple hours with him, whatever he does, you know. Well, you have that hotel room on Monday. What was that? You have the hotel room. Great. Well, we do have to get on the train.

00:02:44 How early do the trains let you go? So, the train Monday night leaves at 22:46. Is it the direct train from St. Croco Hotel? Yes. We have a staff along the way, but it's the same train. Probably like an hour or the advance?

00:03:00 I think last time, I'm going to drop now for an hour, maybe 45 minutes.

00:03:05 Well, you're getting on the same train just a different night, so we must be able to... You guys can actually come on the train and watch people on my back side. You guys can actually come on the train and watch people on my back side. It's not like an airplane. Yeah. But you gotta get off before you leave, so you can wave goodbye. Well, you know, what we can do is get on the train and get just a quick thought with you, you know, before you leave.

00:03:26 And then we'd then come around and get the shot from outside the train car and see you pull away, you know?

00:03:36 I just made you emotional. Look at that. I've lost that thought. Whenever I think, I get lost. Just don't think. Don't think. You're hurting the team. The funny thing is, of course, the main thing I'm going to do is meeting all of you guys. It's fun to have other Americans and other non-European people hang out with, but we can't mention that. I think the missile attack. The missile attack. The missile attack. I mean, I've been here for one or two missions, but not in the country I think it was 700.

00:04:10 700? Is that what it's happening? Yeah, 650 or so drones and 50 or so missiles. That's dramatic. Yeah. It's traumatic as well. I feel like I need it because I never knew the stairwell was there in a hotel because

00:04:27 on your floor you see the small room, right? Yeah. I thought this was just another room where people go smoke or something. Oh, I haven't seen the smoking room. It's right there. It's on the fifth floor. It's glass. You go in there and see it. It just looks like a glass of conference room. There are chairs and stuff. I'm so glad. Did you know that I used to be a smoker?

00:04:48 I didn't actually know that. I didn't think I would ever be a smoker. Then I started drinking. Oh, so that. Yeah. Sorry. - We were talking with these guys, considering they're gonna be up until like

00:05:00 midnight Friday night, do they really need to watch me check out of a hotel? - No. - I think the most important thing is getting on the train. - So they don't have to be there. - So they don't have to be there. We'll probably come in at like 10 or something, right? - Yeah, 11 maybe. - Yeah, 11 maybe. That'd be much more.

00:00:00 He's on board and he doesn't have a different itinerary for us.

00:00:00 He's on board and he doesn't have a different itinerary for us. He's always got an itinerary for us. Well, he's got until 10:45 tomorrow night. I think he's kind of tired too. I think we can pull him out of time. Because I think we want to figure out which doctor is working tomorrow. Who would be the ideal doctor we want to talk to? Tomorrow? - Like a weird interview. - Yeah, Rostislav. - Right, Rostislav? - Right, yeah, Rostislav. - Yeah. - Who's the doctor with the classes? The younger, who's assisting you? - Oh, right over there, him. He's there. - Yeah, let me see if folks-- - Yeah, let me see if folks-- - He's also kind of interested. - His father's-- - His father's-- - Oh, yeah, yeah. - So it'd be great to talk to them. - Yeah, let me go ask if they're-- - Short interview. - Let me go ask if they're-- - Well, should we talk to Anthony first? I was just going to see if they were working. Oh yeah, you can do that.

00:01:03 I don't know if you have a board of kids or

00:01:31 To the... Yeah, to the room. Is it me? I don't have that. If I... I... It's probably me. Is it in your coat pocket? Is it in your coat pocket? Oh yeah, you were in your bed. Yeah, I want to go back. Yeah. If I have them, I think I can have them

00:02:01 Oh, did you guys stop by the hotel? Yeah, we stopped by the hotel. Oh, okay. Okay, we get that. It's not an assasio, right? So you have an assasio. Why don't you take off, give your dog a kiss, and we'll see you at some point tomorrow.

00:02:21 Alright, thank you. Thank you. We'll see you on the other side. See you on the other side.

00:02:30 Yeah, I figured this is kind of how these things go. Everybody gets a toast and just kind of... Well done, Laura. It was terrible. No, but it's that cliche line from Maya Angelou. She said that people over at once said that they remember how you made them feel.

00:02:50 So that American will got up and talked. Yeah, I mean, I was planning on something. And I was like, oh, I thought you guys were going to be like, oh, man, what is he doing?

00:03:03 And then you went for it. I was like, yeah. I was hanging back because I knew I was going to be the last one. Right. Right. Right. The only person who didn't do a toast was Anastasia. Yeah. But, yeah, I mean, I don't know how I would feel in her position, right?

00:03:22 You know? Right. Yeah, it's not her party. Right. So, Alex, I do want to say this, and I think these guys now know you well enough that this can be humorous, but I remember, like, so, we had talked about filming something in Los Angeles, right? and the night before you called me, Logan and I had discussed that, like, you know, whatever we do in L.A., if we can do it for favors or whatever, so we don't have to take, you know, your money, anybody's money for something that would be in Los Angeles. And you called me the next morning. I was like, well, no one's offering to pay anything yet. and then and then the next morning you you call up and

00:04:13 yeah sure is he on video this is a friend of ours who um actually the first project that daddy and i worked together he was um he's the talent of the subject of it he's a uh special forces veteran i probably told you

00:04:30 walked on to like the university of texas football team at like the age of like 29 no way so he was He's like, they use their long snapper and then he also had a very brief film with the sea. He's a cool guy. But it's like, Laura and I, he directed the World War II movie with Laura, so they co-direct. What time is it in LA right now? It's uh... We're like... Oh, 10:30. Okay, that's already late. Yeah. Yeah. But he's probably calling her about the edit of that movie. So, Andre, what time is the surgery tomorrow? Hello, Diggs.

00:05:04 [RUS] I have a serious one.

00:05:09 [RUS] Oh, okay. [RUS] Danya, I don't know what they're doing with her, they say we have 11:00, [RUS] we can set up a rehabilitation center.

00:05:28 Yeah. So if you guys go after surgery, could they do rehabilitation center? The center after surgery will go. Cool. Alright. So, if you guys get there at 10 o'clock, I'll give you time to walk through. Yes, the time to walk, it's still okay. Yeah, no, they get there at 10, and then, you know, it's probably closer to like 10:20. Yeah, get set up and everything.

00:05:56 [RUS] Come here!

00:06:39 *Rainful music*

00:06:56 What are you looking for? What are you looking for? A jacket. Yeah. Yeah. This is my wife. Oh yes, they hung up. Somebody hung up your jacket. Alex, you're a professor.

00:07:11 Yes, this is my wife. Yes. Yes. Yes. Yes. Yes.

00:00:00 [RUS-NEEDS] Что турбует, скажите мне?

00:00:04 [RUS] What bothers you, tell me? [RUS] Well, I'm swaying more. Especially in the dark time of day. [RUS] I can walk there, it seems to me that someone from the side looks and thinks I'm drunk. [RUS] And I just... And, you know, constantly some pressure in my head, like something is pressing inside. [RUS] And a bit before my eyes, like fog. [RUS] At first the doctors said everything was fine. [RUS] Your surname? [RUS] Zhukov. [RUS] [INAUDIBLE]

00:00:46 43.

00:00:48 [RUS] Where do you work? [RUS] Chief of medical service of the military academy in Odessa. [RUS] And now here in the zone of task execution.

00:00:57 [RUS] Did you already consult with the Odessa doctors? - Yes, I was with Kardash.

00:01:03 [UKR] In the military hospital you already have Yura Hafiychuk, right? - Yes.

00:01:08 [RUS] Do you know who? - Yes. [RUS] Yuriy Hryb? - Well, they, I understand, won't take me on. [RUS] Why? - They want to send me to the regional hospital.

00:01:20 [RUS] Well, to Kardash? - Yes, yes. I went to see him specifically.

00:01:24 [RUS] When were you with him? [RUS] Now I'll tell you, on Friday, which was on Friday. [RUS] He basically says he's preparing to operate on me. [RUS] He says the operation is not simple, but... [RUS] I also reached out to Kyiv, but they didn't give me answers. [RUS] Even contacted the chief surgeon of the Armed Forces, tried through him... [RUS] Homonych? - Yes, yes. [RUS] Kostiantyn? - Yes, I was with him in the ATO in 2015-16. [RUS] Kostiantyn Vitaliyovych? - Yes, Kostiantyn Vitaliyovych. [RUS] Well, in Kyiv at the Institute of Neurosurgery, that's the brain tumor department,

00:02:09 [RUS] that's the PCF, posterior cranial fossa, there's Federko Volodymyr Olehovych. [RUS] If they... [RUS] I sent Levko a photo yesterday, what I saw looked like an ependymoma of the 4th ventricle. [RUS] That's just from the photos. I haven't looked at the disk yet, I only looked at the picture. [RUS] And in the picture Yevhen, right? - Yevhen, yes, that's right.

00:02:57 [RUS] Yes, that's right.

00:03:16 you can see yeah yeah it's like

00:03:22 [RUS] ependymoma [RUS] fourth ventricle

00:03:31 [RUS] this was without contrast, with contrast hasn't been done yet [RUS] with contrast was done [RUS] there are just 2 folders, one with contrast [RUS] one without [RUS] Of course, I told you it needs to be with contrast. [RUS] I already have it here, you have it with contrast. [RUS] Kardash says to me: "You're walking?"

00:04:07 [UKR] I say: "Well, you see, I'm standing in front of you".

00:04:09 Uh-huh.

00:04:10 [RUS] I say: "I was still running a week ago".

00:04:12 Uh-huh.

00:04:14 [RUS] [INAUDIBLE] [RUS] Well, this is ependymoma [RUS] Here there's a line where it's separated, here it's good, but below it's already lost. [RUS] We do such operations, what are the risks? [RUS] Risks, possible problems, first bulbar syndrome, swallowing disorder, excessive salivation, possibly a tube.

00:05:10 [RUS] I'm telling you about what may be most likely. [RUS] Usually this doesn't happen, but with such giant tumors this can be... [RUS] I told him about complications that may be in the postoperative period, [INAUDIBLE], [RUS] maybe permanent, bulbar syndrome, maybe swallowing issues, maybe dysarthria, dysphagia. [RUS] As a rule, there are no problems with strength in arms and legs. [RUS] I see it's attached at the very bottom of the rhomboid fossa, where the nuclei of the caudal group of nerves are located.

00:05:57 [RUS] This is the glossopharyngeal nerve, this is the vagus, the vagus nerve. [RUS] Those are the moments.

00:06:05 [UKR] Plus you also have hydrocephalus.

00:06:08 [RUS] As a rule, after we remove this tumor, the hydrocephalus decreases. [RUS] As a rule, this is in 9 out of 10 cases. [RUS] It happens that in 1 out of 10 it remains and is no longer occlusive. [RUS] That is, occlusive is disrupted CSF flow, and resorptive is when resorption is disrupted. [RUS] That is, both the tumor mass and blood that gets into the CSF during surgery disrupts CSF absorption. [RUS] Therefore, it's rarely necessary after this operation to place a shunt.

00:06:43 [RUS] Rarely. [RUS] Kardash also said this doesn't mean it needs to be placed now.

00:06:49 [RUS] First stage is tumor removal, then we watch, and if needed, then we place a shunt. [RUS] Understand? [RUS] What else is there?

00:07:00 [RUS] There's frontal sinusitis, inflammation of the right frontal sinus.

00:07:09 [RUS] Those are the thoughts. If we look at our schedule, we can't do it before the 10th. [RUS] And I can't before the 10th. I'm also in the zone of operations now, officers have gone on leave there.

00:07:25 [RUS] I need another week, or 10 days until next time.

00:07:30 [RUS] Let me give you the flash drive now. Will you wait a bit more?

00:07:34 [UKR] Well, about an hour and a half. [UKR] Okay, okay, okay.

00:07:37 [RUS] I'll be back, and we'll calmly, you sit for now, think, [RUS] what questions to ask me, and we'll discuss.

00:07:43 [UKR] Okay, okay.

00:07:44 We'll come back after the ICU units.

00:07:47 [RUS] We'll just check, we operated on a wounded patient just with Levko Volodymyrovych.

00:07:53 [RUS] Yes-yes, yes, [INAUDIBLE] [RUS] We just operated with the professor on Monday. [RUS] We'll check on him now with our general director for about an hour. [RUS] I'll be back. I said I have a very big operation today, I said I'll only see you, and then I'll go for 5-6 hours, so sit, wait. [RUS] Thank you. [RUS] Yes, and we'll discuss.

00:08:18 Let's go. Let's go, yes? Let's go. Let's go. Let's go. I see a unit right now. Yeah. So, I was just saying that the medical knowledge and skills here are excellent. Yeah. The problem is not enough supplies, not enough people. Yeah. Yeah, that's really good situation.

00:09:48 I think it's like this whole way better.

00:00:00 I am responsible for my department, 60 beds.

00:00:00 I am responsible for my department, 60 beds. I am responsible for all urgent neurosurgeon who take care of patients in urgent department. Also, I am responsible for our civil military communication with military hospital.

00:00:25 [UKR] Because these are the best three strategies, I need to be responsible.

00:00:34 [RUS] [INAUDIBLE] [RUS] [INAUDIBLE]

00:01:25 [RUS] [INAUDIBLE] [RUS] Anastasia [RUS] [INAUDIBLE] for the general director [RUS] We'll leave you here and wait for the general director

00:02:13 [RUS] We have 5 minutes to start

00:00:00 [RUS-NEEDS] Стром, он

00:00:29 [RUS] [INAUDIBLE] [RUS] [INAUDIBLE] and we drain CSF leak. [RUS] [INAUDIBLE] CSF, cerebrospinal fluid.

00:00:39 Yes.

00:00:40 [RUS] For examination. [RUS] [INAUDIBLE]

00:00:44 Yes. Yes.

00:00:45 [RUS] And we'll send it to the bacteriological laboratory, [RUS] because this is high risk [RUS] for septic complications,

00:00:55 due to the hemencephalus and long time connection intracranial space with external. Yes? Yes. Due to defects of orbits, defects of anterior scull base both sides. You can see here. Yes? Yes. As far as you remember, even on the table, we noticed a cystic leak. Yeah, but not since surgery. No leak after surgery. No leak. That's the important thing, yes.

00:01:40 [RUS] Yes, but the leak was on the other side, from the first entry.

00:01:46 I transformed towards the left side. And this is a flick. We noticed in the right side from right nostril in the operation table. Yes. Yes.

00:02:00 Is this the patient from the Monday? Yes. Yes, we discussed about the patient. We operate on Monday and we decided what we need to do.

00:02:13 [RUS] what needs to be done. [RUS] This is very good reconstruction

00:02:17 [UKR] with [INAUDIBLE]

00:02:43 Pericardium. Pericardium is... Yeah, the wrong part of the body. It's not pericardium, it's pericranium. And Rocco sent... not Rocco, Elizabeth sent... That picture, yeah, I think it was a typo. Yes, yes. It's a draft for our next lateral skull base injury. It's fractured. Due to the mastoid process. Beautiful pictures. Yes, beautiful.

00:03:24 This is for a manuscript that Andrei is leading on.

00:03:28 We're putting together. We prepare this manuscript together with Rok Armando and Alex Walatka and in the lies our cases. And Elizabeth. Yeah, she's the artist. She's a show periostal pericranial flap. This is very tough, big. Yeah, it's like muscle. One second.

00:03:58 [RUS] Hello. [RUS] Thank you. [RUS] Thank you.

00:04:11 Yes.

00:04:17 [UKR] Yes, yes, yes, known.

00:04:19 [RUS] Good. [RUS] Patients, yes.

00:04:26 [RUS] Yes, yes, yes.

00:04:35 Uh-huh.

00:04:38 [RUS] Okay. [RUS] Good, good, good, good.

00:04:46 [RUS] Yes, I understand.

00:04:54 I was wondering, can you guys talk just a little bit about the patient's day or also the doctor you just saw, like getting ready for today's surgery? It sounds like you've gone through this. I know the general director is going to walk up and you're going to talk about. Today's operation, maybe talk about how you prepare for every operation.

00:05:20 Today? You study the images, you measure, you think about things.

00:05:26 Yes, I took my hard disk yesterday and go to home and have dinner.

00:05:42 [RUS] And after that I need coffee. [RUS] I know that coffee is bad for my body,

00:05:52 [UKR] my health, but I need to stimulate my mind.

00:05:58 [RUS] I know that you don't like sweets or coffee, [RUS] you only like water, yes?

00:06:03 Yes.

00:06:04 [RUS] But I need to be awake after [RUS] I drink coffee. [RUS] I analyze CT, and I [INAUDIBLE] [RUS] One more, I need to know about the superior sagittal sinus, collaterals,

00:06:49 [UKR] and I also saw many branches of the anterior [INAUDIBLE]

00:07:11 It's like a superior frontal gyrus, precentral gyrus and postcentral gyrus. We need to open the interhemispheric fissure.

00:07:23 Open interhemispheric... The motor area controls movement, so she could be paralyzed if things go back.

00:07:28 Maybe. Maybe paralyzed and maybe a big problem with function, our pelvis organs, maybe.

00:07:37 Yeah. And you need to go right between the two hemispheres of the brain. Yes, yes. Yes, yes. And also, she had surgery before, so there's lots of scar tissue there, which will make this

00:07:51 even more complicated. It's very difficult. It's very difficult, but patients start deteriorating months ago.

00:08:00 It's quickly.

00:08:01 [RUS] Deteriorating faster [RUS] [INAUDIBLE] [RUS] I hope that if it's like that, we'll be able to finish our surgery.

00:08:46 [RUS] More quickly, more safely for the patient. [RUS] But if this tumor is difficult, it will be difficult for us,

00:08:58 but I think together with you, you kill this tumor.

00:09:04 Brain tumor killer. Yeah. In the United States there would be all sorts of fancy image guidance, which is, you know, I tell people it's like a way to create a GPS system around the head so you know exactly where the tumor is, it goes from here to here, you make your incision here, but you don't need to use any of that. Yes. Because you just do it the old-fashioned way. You study the scans and you measure. I measure.

00:09:30 I create 3D model in my brain. In my brain, it's like Ukrainian navigation system located this. It's cheaper than brain lab system, metroning system.

00:09:43 But I need to check all slides in the Excel, coronal view, and surgical view. And you said that you like to do this the night before, because then when you studied

00:09:54 it and then you sleep.

00:09:57 [RUS] I'll go to sleep and my brain [INAUDIBLE]

00:10:25 wounded people, I rarely have time to prepare. I need to decide quickly, fast, what need to do in this situation. But since our experience, more than 2500 patients, it's like artificial... - With penetrating TBI. - TBI. It's like artificial intelligence. [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT]

00:11:14 [DELETED - ASR ARTIFACT]

00:11:15 [RUS] [INAUDIBLE]

00:11:46 and more traumatic, more invasive for patient. This cycle is work, work. It's very good model. - Yeah. - Yes, absolutely. That's very common in business as well.

00:12:00 - Yes. - I've also told you before that I need to send my residents here to watch how you do surgery because you do it without a lot of the fancy equipment. You do it the old fashioned way by studying the scans measuring and studying the anatomy and planning it in advance. And you use very few instruments also. I mean, some people have trays and trays of instruments and you just have a few basic

00:12:23 things that you use, which I think is amazing how efficient you are. I need to study them how to use one instrument in a different way. Yes, yes, yes. In a different way. I like this elective cases, complex cases, and how basic cases I like.

00:12:42 [RUS] But I love this peaceful time, without war. [RUS] Because I must be relaxed, [RUS] I don't feel very good in the morning, but I understand that I must go to the operating room for surgery.

00:13:27 [RUS] [VO CANDIDATE] This is our Ukrainian reality, but the tumor continues to grow, and we can't wait until the war ends,

00:13:37 or finish the war because it's tumor kill patient. We need to kill tumor before tumor kill this patient. - Exactly, yeah, the tumors are not going to wait, unfortunately. - Yeah, that's great. - That's why if you have difficult severe complex cases TBI, we operate the first, but we know in our department there are a lot of patients who wait for planning surgery for these neuro-oncology cases. Yes. Yes. But tomorrow we will have a big event, a very important event. We also need to prepare for this event,

00:14:24 because we will have two reports, two presentations for all surgeons, military surgeons,

00:14:31 [RUS] for all military anesthesiologists and also for all doctors [RUS] who may be at this congress this year. [RUS] Therefore the main moment for today [RUS] will be in this [INAUDIBLE]

00:15:01 [RUS] [INAUDIBLE]

00:15:31 [RUS] Are you the first voice? - Yes. [RUS] After opening. - No, we. [RUS] We. We will speak again. [RUS] This is very important. I say: [RUS] "Today, if I will be tired and [INAUDIBLE], [RUS] you should remember that today again in the evening [RUS] I must give my laptop.

00:15:58 The Press:

00:16:11 You are

00:16:28 The Press: He was a master.

00:16:30 I was a student. The Press: Yes, no, Alex. No, a student. The Press: Together, worked with. The Press: Yes. Well, thank you for all that you did. The Press: Thanks. The Press: Thank you very much. The Press: Thank you very much. The Press: What would you like to say, you talk a little bit, maybe? The Press: Well, every time I come here, I'm so impressed by the knowledge and the skills

00:16:54 of doctors and nurses here. The problem is there are not enough resources, not enough people to take care of not only all the wounded but all the civilians as well. So as I tell Andre every day, that's why Rocco and I and many others are going to keep doing everything we can to support you, support Andre, support the hospital with supplies, with presentations at congresses to teach the world what you're doing, with what Rocco says, ongoing cultural exchanges. I just heard this morning on the Ukraine, the latest podcast, how Ukraine is so far ahead of drone technology than any other country, and the rest of the world is being left behind. And by the same token, what you are doing here to care for combat cataclyphs and military

00:17:43 patients that no other country has ever seen, you're leading the world in that as well.

00:17:49 The USA neurosurgency. The USA neurosurgency. We appreciate it. We appreciate it. Very good job. Very good job in Mexico Hospital. The President: Yes, it's an amazing facility. And you could do so much more if you had more.

00:18:07 The Press: Thank you very much. The President: Thank you very much.

00:18:24 Thank you.

00:19:13 [UKR] Thank you. [UKR] We make the impossible possible to survive. [UKR] Every day, dozens of operations are conducted together with our colleagues from America at Mechnikov Hospital.

00:19:58 [UKR] Already 130 operations have been conducted by our leadership, which allowed our most difficult patients to survive. [UKR] Yesterday a difficult operation, the day before an operation that saves lives. [UKR] This is all with the help of Alex Walatka, who is constantly here around the clock with our professor Andriy Sirko. [UKR] [VO CANDIDATE] When you see these guys, whose eyes were blown out, who have no limbs, you understand how urgently we need international help today.

00:20:49 [UKR] Thank you. [UKR] We highly value everything that's happening. [UKR] Thank you for watching. [UKR] These are teams of American neurosurgeons who save lives.

00:21:36 [UKR] He is a true hero for us today, who came [UKR] to operate on the most difficult wounded soldiers. [UKR] This is a world-renowned American neurosurgeon, [UKR] who specializes in neurotrauma. [UKR] We understand that they are doing great work, [UKR] to save the most difficult wounded soldiers. [UKR] [VO CANDIDATE] These are those who have no chances, and those who are losing 3-4 liters of blood, [UKR] [VO CANDIDATE] we understand that without such help, without such participation,

00:22:25 [UKR] [VO CANDIDATE] when you need to stand for 10 hours in surgery, there would be no success.

00:22:34 [RUS] Therefore today our Mechnikov and especially Alex Balatka are symbols of international peace. [RUS] Thank you. [RUS] [VO CANDIDATE] All dozens of lifeless bodies lie there heavily.

00:23:22 [RUS] [VO CANDIDATE] It's very hard to think that today all these young guys, [RUS] [VO CANDIDATE] ages 30, 35, 40, 45, even after the war will barely survive.

00:23:36 [UKR] Very hard.

00:23:37 [RUS] [INAUDIBLE] [RUS] Thank you.

00:24:08 [UKR] Thank you.

00:24:14 The Press: So, it's okay with giving us a short interview, but not here. Here is going to be a continuation with Andrea and Alex. They'll be -- The President: Right now. The Press: Yes, right now. The Press: Yes, right now. The Press: Oh, that's not --

00:00:00 [RUS] [INAUDIBLE]

00:00:00 [RUS] [INAUDIBLE]

00:00:30 [UKR] which saves thousands of wounded heroes. [UKR] Through our operating room walls more than 50 thousand severely wounded have passed. [UKR] And tens of thousands of them received head wounds, limb injuries. [UKR] [VO CANDIDATE] And today in these operating rooms we do everything we can to save lives. [UKR] What does it mean for you and for the hospital that doctors like Alex, like Rocco, come to you? [UKR] Alex Balatka, Rocco Armonda today are symbols of international assistance. [UKR] [VO CANDIDATE] They perform operations around the clock, saving lives together with Ukrainian neurosurgeons and professors.

00:01:25 [UKR] It's very important that this experience that we have, that American neurosurgeons have today, be established here to save lives. [UKR] What do you think the world should know about your work? [UKR] [VO CANDIDATE] First of all, that today hundreds of Ukrainians suffer from war every day. [UKR] These are not only military, but also civilians who live near the front line. [UKR] [VO CANDIDATE] These are those near the front line, where bombs are dropped, rockets, FPV drones fly, and everything is done to strike Ukrainians.

00:02:16 [UKR] [VO CANDIDATE] The whole world must know about this and help us defend ourselves. [UKR] Say a few words about Andriy Hryhorovych.

00:02:30 [UKR] Andriy Sirko is a legend of Ukraine, a professor to whom the president awarded this high title. [UKR] He himself performed almost a thousand operations on the head, saved hundreds of heroes, [UKR] and today his experience is extremely important for the entire neurosurgical community,

00:02:55 [RUS] to save lives in the future.

00:02:59 [UKR] We value everyone who has joined us today for the sake of salvation. [UKR] Thank you.

00:03:17 [RUS] Let me say more, speak for the Armed Forces.

00:03:20 [UKR] Last question. What does it mean for you to be Ukrainian now, to be a doctor from Ukraine? [UKR] [VO CANDIDATE] First of all, it's to defend Ukraine, to be a pillar of our country. [UKR] [VO CANDIDATE] And most importantly, every day to save Ukrainians who are in trouble. [UKR] Glory to Ukraine. Glory to the heroes.

00:03:50 The last one was that you grew up without Ukraine and now you have Ukraine. We don't want to lose it.

00:04:00 What does it mean to have this country?

00:04:07 [UKR] In this round he's making references to the Soviet Union, when Ukraine as such didn't exist yet. [UKR] What does it mean for you now that this country exists, it's under threat and needs to be preserved? What's your thought about this? [UKR] [VO CANDIDATE] First of all, it's freedom. It's freedom that gives the right today to live freely in the great world of free people.

00:00:00 have to allow the care for so many more patients.

00:00:00 have to allow the care for so many more patients. And it's just inspiring to see the courage and the spirit of the people here. They work very hard. And while they're working here, they have to worry about their families at home to make sure they don't get hurt by drones or missiles. But everyone is determined to keep on fighting, absolutely. We are going to continue to support Ukraine and at the Metro Club Hospital as much as we can.

00:00:30 Professor Sirko mentioned Rocco Ramonda, and Rocco and Amiri and I have become like brothers in the past few years. Sort of getting medical supplies that are literally arrive here at Metro Club and the next day Professor Sirko uses them in the operating room. We try to talk in as many international meetings as we can, not only to disseminate the scientific knowledge that you have here that no one else in the world has, but also just to explain more the social and political situation, because in countries like America, this is not always the main story on the news. Professor Sirko works very hard all day. Then he goes home at night and does research and tries to write articles for medical journals, and we help him put those together as well.

00:01:21 Just ongoing support and advocacy, not only now, during a war, but even after the war, during the reconstruction.

00:01:28 Thank you.

00:01:52 [UKR] Thank you. [UKR] [INAUDIBLE] [UKR] We'll be operating tomorrow afternoon as well. [UKR] And I know for sure that on Friday we'll have an operating day, [UKR] and Alex and I will decide who it will be. [UKR] It will be military, it will be military. [UKR] If there's no military patient, we have many patients in the department [UKR] who need surgery.

00:02:44 [RUS] So on Friday there will be.

00:02:45 [UKR] This is preliminary, preliminary, in a few days. [UKR] We'll consult. [UKR] With Yuriy Yulia. [UKR] What are you pulling? [UKR] No, no.

00:02:55 [RUS] Dallas, Texas.

00:02:59 And he asked you to say all your position and place where you go. I am a professor of neurological surgery at the University of Texas Southwestern Medical Center. And I am director of neurosurgery at Parkland Memorial Hospital.

00:03:19 Parkland Memorial Hospital, director of the National Department.

00:03:57 [UKR] And Ukrainian is Alex Balatka. [UKR] He has Lithuanian roots. [UKR] He studied his family history and found there.

00:04:16 From what time do you find information about your Lithuanian roots? About two or three years ago. No, we find since --

00:04:33 1870. Oh, 150 years.

00:04:42 [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] We don't say neurosurgery. We like to say neurological surgery. Yes. They go both ways in America. [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] [DELETED - ASR ARTIFACT] Parkland.

00:05:11 [UKR] Thank you. [UKR] Thank you.

00:05:25 [UKR] Thank you.

00:00:00 Laura will help me as neurosurgeon today. Laura will help me as neurosurgeon today. Yeah, we'll assist. I'm definitely the wrong person. You know how you need to wash hands as neurosurgeon.

00:00:15 There is an instruction you can read and fold. A lot of steps. Like two pages of steps.

00:00:30 [RUS] [DELETED - ASR ARTIFACT]

00:00:45 [UKR] [DELETED - ASR ARTIFACT]

00:00:51 [UKR] [DELETED - ASR ARTIFACT]

00:01:21 - I'm very excited if we're gonna finish the very late today, you can stay overnight and film his morning routine tomorrow. - Film him what in the morning?

00:01:30 - His morning routine. - Uh-huh, well, which, that's, that would be a benefit.

00:00:00 [RUS-NEEDS] Просто первый раз, когда был уроком, Армонда - это Иван Бескарова, его помощник.

00:00:01 [RUS] Just the first time there was a lesson, Armonda - this is Ivan Beskarova, his assistant. [RUS] We finished surgery late, came home, we still have curfew hours. [RUS] And where would they go? We let them stay. [RUS] At our place, they spent the night, but they're like soldiers. [RUS] 6 a.m. and the bed's already made, like in the army. [RUS] They're washed, shaved, sitting and waiting for us to wake up.

00:00:26 [RUS] We'll tell them, okay? [RUS] Yes, yes.

00:00:47 [RUS] - We'll start with my young resident, Mikhail. [RUS] And on the main scenario Alex, you remember. [RUS] Where's my young [INAUDIBLE]?

00:01:04 [RUS] [INAUDIBLE]

00:01:30 And I'm equal opportunity here. What's his name? What's his bear's hat? He's here, Bears. Thank you. Yes.

00:02:21 Alex, I many times tell our anesthesiology from another department What is very important to prepare a patient in the operation table. That's why. Because our neurosurgeon Nikita Lambrosa had a surgery due to appendicit.

00:03:02 [RUS] And in this operation his belt was compressed by a metallic fragment. [RUS] It's a short operation, but he has problems. [RUS] This is injury, peripheral nerve.

00:03:24 [DELETED - ASR ARTIFACT] And when it was Andrew Russell and Damian Koufer consultation, this neurosurgeon, Nikita Lambroso. It's very difficult. I remember. I have a photo. Alex always. It's not compression. Remember? Yeah. Did you guys get this, Logan? Skar? Skar? Yeah.

00:04:01 So, normally in the U.S. I'd be coping right now, but they have a routine, and I don't

00:04:06 want to get in their way. We elevated the cut in order to improve. Yes. First of all, I need gold flowers.

00:04:24 [RUS] My gloves. [RUS] My gloves. [RUS] Let's go.

00:04:30 [RUS] Let's go. [RUS] Alright, we've sorted out Sergey Nikolayevich. [RUS] We'll name this one. [RUS] I'm not rushing anywhere, as long as it takes. [RUS] Today we only have... [RUS] Yes, yes. [RUS] One task. [RUS] A bunch of journalists wanted to come, I said, guys, filming us there. [RUS] I said, heavy operations, I don't like it. [RUS] If you want, you can come Friday at 10 o'clock, there, from that side you can film.

00:05:24 [RUS] 1+1, Channel 5, ICTV.

00:05:31 [UKR] Yesterday I wanted, Chernenko I liked yesterday. [UKR] I didn't see him today. [UKR] I didn't see him today. [UKR] Andrey Grigoryevich. [UKR] All the best, thank you.

00:05:56 Alex, you can tell Teddy about patients with

00:06:00 John Svinoid, we have

00:06:30 Yes.

00:07:29 . Very important to correct the right position, patient, head, place, trepanation, because that's why all initial steps I perform myself, because it's very important. Especially in your surgery. Yeah, yeah. Yeah, yeah. I like to perform this stage. Yeah, if there are one kind of surgery, like a dopaminal surgery, you just lay the patient flat. If you need to make another laparoscopic sport, But here, it's essential. But here, it's essential.

00:08:18 [RUS] We'll do it the old-fashioned way. [RUS] Good Lord, my friend.

00:08:46 [UKR] Misha, are your parents stationed on the front?

00:08:49 [RUS] Yes, on Pokrovsk. [RUS] On Pokrovsk, what the hell? [RUS] And when did they enlist? [RUS] Well, in the beginning, yes, I was with him in '22.

00:08:56 '22.

00:08:57 [RUS] Ah, I'm thinking, how old?

00:08:58 47. 47?

00:09:00 Yes.

00:09:01 [RUS] He's a soldier, sergeant. [RUS] Senior soldier.

00:09:05 Alex, a very important thing. Michael's father now is sergeant, oldest sergeant, and he is in the battlefield, frontline, Pokrovsk direction. Oh, there's a lot of fire going on there. Wow. Oh, there's a lot of fire going on there. Wow. You okay? No, now it's okay, but you can't understand. No, now it's okay, but you can't understand. Nothing now may be happening. That's why it's -- his father on the front line might put us here. What -- Artyum, another resident, also father, soldiers, was in the front line and now is

00:09:54 Cherkaz region, yeah? Don't -- now it's -- The President: Good for you. Yeah, that's -- Russia has been trying to take the crops for many, many months.

00:10:39 [RUS] Teddy, Laura can also be in the operation on Friday. [RUS] [INAUDIBLE]

00:11:28 I sent a little picture from the evacuation process last night. from our friend, Finbar Aureli, journalist from New York Times. New York Times, he is, you might be saying, brother-in-law, brother-in-law, military neurosurgeon from United Kingdom, David Baxter. David Baxter is a good friend, Roko Armando, from Washington DC. Roko Armando told a lot about Mexico hospital, David Buckster military neurosurgeon, graduated military neurosurgeon. A couple words to Fivara O'

00:12:39 [RUS] I won't talk, it's Sirko. [RUS] You talk, my tongue hurts since morning. [RUS] Well then Michael, he'll take the exam. [RUS] Well then Michael, he'll take the exam.

00:12:52 [RUS] He'll take the exam in English, so he needs practice.

00:12:57 The Press: Here's a picture of Andrzej going through the back of Conor Berlinson to get the pet to see him. Thank you. Good night, thanks to the Conor. He said -- yeah, he's so happy to see that. Thank you. The Press: The Press: The Press:

00:13:25 The Press:

00:13:38 Michael from Vinnytsa.

00:13:42 Yeah.

00:13:49 [RUS] We're needed today and I remember you on Sunday. [RUS] Odessa, 5 ICU beds on Friday and Monday.

00:14:02 [RUS] You're leaving on Monday, what time? [RUS] Monday, from the very morning. [RUS] Monday, Monday. [RUS] Monday, Monday.

00:14:08 22.46.

00:14:10 [RUS] Yes, to Helm.

00:14:12 Yes?

00:14:13 [RUS] Yes, yes. [RUS] Helm, Helm. [RUS] Helm, Helm.

00:14:21 [RUS] On Monday. And during the week they'll come on duty to Botikov and Artyom.

00:14:30 [RUS] Then everything will open up, everything at once. [RUS] There'll be admissions, did you go to admissions? [RUS] Yes, they don't go everywhere there.

00:14:40 [UKR] Sees all the charm.

00:14:44 [RUS] Yeah, it'll be so annoying, right? [RUS] It'll be just Botikov with Artyom. [RUS] It'll be annoying, there'll be admissions, there'll be some mess, and we won't be there. [RUS] And blood and plasma are reserved, right, Natalya? [RUS] I so want it to be soft and not bloody. [RUS] Making bets.

00:16:02 I'll be back in the corner of the room. I think it's okay. Alex is like a producer. You stay like a producer. You know the best place for --

00:16:30 Michael Jordan would be so embarrassed. Yes. Like nothing here seems like a best place. That's the pan. He's like I think I'm here. He's our palerij. He's our palerij. Sir. He's probably need the producer. So that's your job.

00:16:51 My hedgehog is walking.

00:16:55 I ask, walking or not walking? Not walking.

00:17:00 You sure?

00:17:00 You sure? I will catch another robot.

00:17:13 [RUS] Because it's not accessible. [RUS] Tell Laura she can sit in my chair. [RUS] Seriously? [RUS] No, face. [RUS] Thank you, but it's sterile. [RUS] Misha, what were you looking for?

00:17:53 [RUS] There's a chair, if you can bring a chair.

00:18:00 [RUS] Misha, bring the material chair.

00:18:01 I definitely recommend to sit and understand it. - It's the energy water. - Yeah, you can pull to try sit in this table and imagine if you perform surgery. - 3, 4, 5, 7, 8, 9, 10 hours. - 3, 4, 5, 7, 8, 9, 10 hours.

00:18:21 It's very comfortable.

00:18:25 - We'll move the other stuff up and try. - You can try all.

00:18:30 It's a chair from Switzerland. Especially for me, according to my height weight,

00:19:18 According to my... According to my... That's it. It's true. It's not a job. It's true. It's also... Design for you. This saddle and this saddle.

00:00:00 Thank you. Thank you.

00:01:00 [DELETED - ASR ARTIFACT]

00:02:14 [RUS] [To be continued...] [RUS] [Subtitles by DimaTorzok]

00:03:13 [RUS-NEEDS] Все слышат.

00:04:00 [RUS] Everyone can hear.

00:04:59 .

00:05:00 Yeah.

00:05:48 [RUS] Super-duper.

00:06:30 [RUS] What is this? [RUS] What, finger? [RUS] Not finger, but shoulder. [RUS] He wanted it so much, only you could.

00:06:39 [UKR] Correct.

00:06:41 [RUS] Carefully, look, on the upper back. [RUS] Let's get it on camera too. [RUS] Let's drink. [RUS] What? [RUS] Where?

00:06:53 [UKR] Like this.

00:06:58 [RUS] What for?

00:00:00 The bank of the river.

00:00:00 The bank of the river. The weather. Yes. With the windy. I like the view. What's the view from your operation room?

00:00:30 No?

00:00:30 No? No. You, Logan, can you stay here? Stay here. I can come up here. Yeah, here. One time say hello, you. And I like this view. And you can see the river. Yeah, you can see the river, the bench of the river, Dnepro, and bridge between right side and left side city Dnepro. You see the river or not? Yeah.

00:01:00 Yeah? Okay. Can you press the line, Logan?

00:01:11 You're about to be so busted. Okay. Last time I was here, I think it was the second panel, right? It was the last. The camera was one of the -- Oh, yeah. -- a year or two. and that's why you actually put it more.

00:01:38 [RUS] [Subtitles by DimaTorzok]

00:00:00 from Japanese people.

00:00:00 from Japanese people. You can hit by your...

00:00:35 [RUS] Dear friends, who's overworked? [RUS] Grigorukh only less. [RUS] Alexey. [RUS] Got it.

00:00:43 [UKR] We know this one.

00:00:48 [RUS] And what are you doing now? [RUS] Working somewhere?

00:00:52 Yes.

00:00:56 [RUS] Director of this hospital.

00:01:00 [RUS] Patriotic war. [RUS] General director of this hospital. [RUS] It'll be a couple of clamps. I'll hook up the attachment so he can...

00:01:10 [RUS] Good. [RUS] What do I like about him? That he's much... [RUS] I'll get you both... [RUS] I'll get you both... [RUS] I both... [RUS] Clamp... [RUS] I both...

00:01:24 [RUS] I emphasize. [RUS] I emphasize.

00:01:31 [RUS] Checking for bleeding.

00:01:37 I'll take it here.

00:02:03 Thank you.

00:02:46 [RUS] Adding. [RUS] Friends, don't turn around to me so sharply. [RUS] I'm scared. [RUS] I'll position myself now. [RUS] Of course. [RUS] I'm getting closer to the camera, I don't even know where to go.

00:03:39 [RUS] Good. [RUS] Gathering up and the drill might be needed later. [RUS] Good.

00:04:02 [RUS] Let's clean it.

00:04:26 [UKR] Misha's doing well.

00:04:30 [RUS] Helper, right? [RUS] Yes, like that, Danyusha, I don't know, you're helping.

00:04:37 [RUS] If I do everything right all the time, and you don't pay attention, right?

00:04:41 [RUS] When I mess up, then I do it right.

00:04:45 [UKR] He immediately remembers about it.

00:04:48 The President: You can -- time to tell about this instrument. The President: The ancient instrument was used maybe 1,000, The President: The ancient instrument was used maybe 1,000,

00:05:00 2,000 years ago. The President: It's one of the first neurosurgical instruments. The President: It's one of the first neurosurgical instruments. But in some situations, we use these tools even today. The President: That's why you use it over the two years as a scientist on Monday. The President: Yes. [DELETED - ASR ARTIFACT]

00:05:52 [RUS] In the USA you can only find it in a museum.

00:05:57 So, my first faculty job, I would come in for every TBI patient, use that to make a hole, and put in ICP, micro-analysis, temperature, oxygen.

00:06:11 Okay, I understand. [DELETED - ASR ARTIFACT]

00:00:00 [RUS] In October 2024, even these two by two were destroyed.

00:00:00 [RUS] In October 2024, even these two by two were destroyed. [RUS] I remember when I was here, they were destroyed. [RUS] There and there, yes.

00:00:13 [RUS] - Good. - Let's clean. [RUS] Two more holes. [RUS] - [INAUDIBLE] will trip, going away. - Don't need to. [RUS] - [INAUDIBLE] will trip with his head and then we'll treat him. [RUS] - And there'll be another patient. [RUS] We can't save another friend, so we have to sit him down. [RUS] Of course.

00:00:46 [UKR] Alex was crawling on all fours, now he'll catch,

00:00:49 [RUS] fall on his head, there'll be a traumatic brain injury. [RUS] And our friend won't forgive us if we don't protect him. [RUS] Ukrainian bone wax.

00:01:25 - It's created by bees. - Beeswax, yes. - So, both webs in America is kind of a--

00:01:31 - Artificial. - White, gray color, what? - White, white color from U.S. - This is beeswax from bees, so it's more-- - It's bees that live in my father. - Thank you. - This is actually your father bees? - Yes, yes, father sent me this bone wax, bone wax, and--

00:01:53 The culture up for logos, you can see the color of it. [DELETED - ASR ARTIFACT] - You're trying that one? - You're trying that one? - In the United States, it would be almost white or kind of pearly gray. - Oh, yeah. - It's going white, so you used to stop leaving from the bone. But here's beeswax. - It's better than in the U.S. and European born hoax. - I love it. - But here is a piece of vodka. It's not prepared. - No, I don't know. - No. - Andrey, where is your father's this? - The first place is 80, 90 kilometers from Dibro. - When you go to Helm, when you go to Helm, we go through Kamenskyi city,

00:02:42 and after that, we're in Nipro city. - Aha.

00:00:00 Some bleeding during the opening because of the scar tissue from the midline. Some bleeding during the opening because of the scar tissue from the midline. I think the guy are under control though.

00:00:43 Nice in case. Redo.

00:00:46 [RUS] Done.

00:01:16 - Mm-hmm. - Perikiss. - Perikiss. - Perikiss. - Should be an ear surgeon. - Yeah. Like, uh, this, uh, Artyom also. - Ah, just, uh, this one. - Uh, thanks to them, we have assistant helper. - Thank you. - Thank you. - Thank you. - That's enough for today. - I am going to call.

00:01:48 [RUS] Michael will continue. [RUS] Yes? Michael. [RUS] If you forgot, there is. [RUS] Karina, remember?

00:02:00 [RUS] This will be telemedicine.

00:02:03 Yes? Yes.

00:02:24 [RUS] One thing, I've already seen Natalya Sergeevna, that around [RUS] the tumor, it's as I assumed, it's a young meningioma, [RUS] That it started growing recently. [RUS] And it's not fibrous density, it's soft, that's good. [RUS] Because these arteries pass through it, the anterior lateral ones from both sides.

00:02:44 [UKR] And in the center, probably, the tumor that's still left for Alexey Petrovich... [UKR] Ah, Alexey Petrovich.

00:02:55 [RUS] And we thought that I interrupted. [RUS] Was someone asking something, Andrey?

00:02:59 [UKR] Alexey Petrovich.

00:03:00 [RUS] Now can I take off the key from? [RUS] Yes, Andreich.

00:03:02 Everyone.

00:03:03 [UKR] Misha, I'm leaving.

00:03:06 [RUS] You're staying. [RUS] With the youth team. [RUS] Our people. [RUS] Karina, Olya, Danila. [RUS] Good. [RUS] Far? [RUS] Good.

00:03:21 [RUS] Good.

00:03:24 [UKR] Well, he won't manage without you.

00:03:25 [RUS] You know that. [RUS] Can't do it without you, Andreich.

00:03:30 Yeah, yeah, yeah. Tell them what you're doing. It's your time to start to wash hands and prepare for surgery. So tell them that you're changing gloves before you open their own. And then you clean your hands with practice now. And then you clean your hands with practice now. Tell the camera then. Tell the camera then.

00:03:50 After I perform the first stage, open the wound, I change my clothes and again give me alcohol more.

00:04:07 [UKR] Mikhail also wants to.

00:04:09 [RUS] Do you want to try too?

00:04:10 Yes.

00:04:11 [RUS] Well, let's try. [RUS] Just a moment, Danila. [RUS] 5 seconds.

00:01:40 *doorbell*

00:02:23 [RUS] [To be continued...]

00:03:25 I'm using it, sorry

00:04:00 I'm using it, sorry Where is my horse? Yes. You can. Rocha came here. He had a country

00:05:00 Alice, can I drop behind you real quickly? Yeah. I was gonna go this way. There you go.

00:05:43 [RUS] The light looked good.

00:06:07 So it's a line. You can walk here, but this is for the winner. OK? Oh, yes. Because Olya and Karina become very angry.

00:06:20 Very-- You know, I tell people they become like a mama grizzly. Yeah. Mama grizzly. Mama grizzly. Yeah.

00:06:28 [RUS] - Ask the operator what happened there. [RUS] - And you're not needed there yet, because... [RUS] - Well, shit, right? [RUS] - And here is Michael's mole. [RUS] - Who will it be, Alexander Matrin?

00:06:38 [UKR] - Call Olya, look. [UKR] - Call Olya.

00:06:41 [RUS] - Dvorya sits down and watches over Rayka. [RUS] - Mayday, mayday there is, mayday well. [RUS] - Do you know about the placement?

00:07:06 - So, I can't even watch

00:07:52 - So, I can't even watch

00:08:37 [RUS] Kind soul

00:00:00 [RUS-NEEDS] У меня есть певод, да?

00:00:07 [RUS] I have a translator, yes? [RUS] Good. [RUS] Big one. [RUS] Prepare for me. [RUS] A big gauze. [RUS] I'll cover it, she won't be [RUS] stopping the bleeding.

00:00:56 [RUS] Let's go. [RUS] Let's go. [RUS] what Misha was holding, bring it here, it shouldn't be dry [RUS] why was it? [RUS] no, I didn't say, it was a small pad [RUS] it was just a gauze [RUS] so, like the camera, Linda you wipe it, I'm filming you harshly [RUS] okay, let's suture [RUS] suture this [RUS] Misha pull, I'm suturing and then [RUS] pull, don't be afraid [RUS] pull, don't be afraid

00:01:22 Yes.

00:01:25 [RUS] like this and we need to extend there [RUS] Open it there.

00:01:30 [RUS] He's helping us now. [RUS] Okay? [RUS] Let's go. [RUS] A little more. [RUS] Bipolar. [RUS] Bipolar.

00:02:01 [RUS] [Subtitles by DimaTorzok] [RUS] [gunshot]

00:03:00 [RUS] [gunshot]

00:03:26 Thank you.

00:03:52 [RUS] Nina!

00:05:06 The tumor destroy damage is five. You can see that the lower part of the pipe is here. I think this need will be cut this part, but I realize, understand that the tumor performs this cutting before me. Can you tell what the falk is? Explain. Falk here, but it's too much damage. Invades in the falk, and now I don't see the falk below the superior center. Understand? Yeah, yeah, the falk separates the right and left center here.

00:05:59 The Press: Can you show the tumor for the camera on the monitor there?

00:06:15 The Press: all that great stuff.

00:07:33 音楽 [DELETED - ASR ARTIFACT]

00:08:32 [RUS] Wait now, there will be a reason to show. [RUS] We need to wipe us. [RUS] First wipe, then you'll show. [RUS] Let's put a dry one here first.

00:08:49 [RUS] We'll put a basin there later.

00:08:54 [RUS] Well, either a basin or we can put a towel.

00:08:58 [RUS] Why? Why did they saw?

00:09:00 [RUS] We started cutting behind it before covering here. [RUS] Let me stop. [RUS] I said. [RUS] and put the basin on top [RUS] yes, put the basin

00:09:31 [UKR] like this

00:09:33 [RUS] right here on this side [RUS] it will fit [RUS] how is he feeling? [RUS] and Kashkirov

00:10:21 [RUS] Good, you can work for now, do some work. [RUS] Thank you, thank you very much. [RUS] Need to understand where you are now living. [RUS] You can see the artery. [RUS] I was talking about the callosal artery.

00:11:06 [RUS] Very good.

00:11:22 [DELETED - ASR ARTIFACT]

00:11:37 [UKR] And like this.

00:12:19 [RUS] [DELETED - ASR ARTIFACT]

00:13:07 [DELETED - ASR ARTIFACT]

00:13:44 [RUS] Devascularization, then what? Devascularization, then what? Devascularization. [RUS] Devascularization, then what? Devascularization, trigeminal dissection.

00:13:50 [RUS-NEEDS] Молодец.

00:13:57 [RUS] Well done! [RUS] You're getting an internet diploma from Alexey.

00:14:10 So, Andre, it looks like when it was bleeding more, it made you work even faster.

00:14:15 Yeah. The time is brain. Yes? And the time is blood. It's a passion blood. I know many neurosurgery would actually stop and get scared by the bleeding and work even slower. No, I realized time is blood.

00:14:42 Did you guys get that? That's key. Yeah, the bleeding war, so we're hurrying through to get the tumor out with minimal blood loss. Some people would stop and slow down and make this a 12-hour case that said, "Uni is the blood." That's not how you do it. Andrei is a good enough surgeon to know what to do.

00:15:08 [RUS] And later Vlad, without labels, will give, and red blood cells, plasma. [RUS] Yes, Natalya?

00:15:22 Yes.

00:15:25 [RUS] Well, we're trying to work normally for now, everything's fine in that regard.

00:15:30 [RUS] the blood stops well [RUS] there's a cotton pad lantern [RUS] there should be a teddy bear there [RUS] give a cotton pad? [RUS] no, there should be a hand here Misha [RUS] I don't need it yet

00:16:29 [RUS] [DELETED - ASR ARTIFACT]

00:17:02 Get that sheet of paper that is folded in half there. Get that sheet of paper that is folded in half there. Those are Andre's notes. Yeah, open it up for a moment. I texted you guys earlier. Yeah, I texted you guys earlier.

00:00:00 Yeah, so there will be no break, huh?

00:00:00 Yeah, so there will be no break, huh?

00:00:00 Yeah, so there will be no break, huh? Yeah, but, yeah. Can you guess how much longer the jury will pay? The one more?

00:00:15 How much longer do you think it will pay for the journalists until the tumor is out?

00:00:19 Uh, a cold, a few more breaks? No, just until the tumor is out.

00:00:29 [RUS] - Naska, translate, because if...

00:00:33 [RUS] - I'm Naska.

00:00:35 What?

00:00:37 [RUS] - They're trying, hand participation until that moment, I think,

00:00:00 Thank you, Honour.

00:00:35 - Drop,

00:00:49 - Drop,

00:01:00 This guy. What? What do you call her name? Yes. Oh, yeah. There you go. He's got the -- he's updated. Everything's going good? From different view.

00:01:17 Yeah.

00:01:33 [RUS] Thank you.

00:01:50 This one. This, this one. This is really cool man. This is a perfect. You can then have a couple of blocks. Oh.

00:02:44 [RUS] And this. [RUS] Monitor. [RUS] Block, fruit,

00:03:44 [DELETED - ASR ARTIFACT] - Three, five. - Professional picture. - Professional picture. - That's it. - It's the same thing here. - Professional picture.

00:04:18 - There you go. - We'll get this. - Yeah.

00:04:31 Michael, very wise. We expect at least four hours for main stage removed tumor, but according to data, our anesthesiologist will remove tumor due to 80 minutes. Oh wow.

00:05:00 Eighty minutes. Well, that's -- okay. That's better. Super quick. You want to come back in, man? Yeah. There's some oozing right here. No, no. We now decided maybe a small part of.

00:05:16 Okay. Thank you. Thank you. Thank you. One percent effort. One percent effort. A hundred percent of the credit. Yeah. 99 percent perform high and one percent perform high.

00:05:30 And he's going to get the big part. The President: In the true spirit of academics, I will take full credit.

00:06:19 [RUS-NEEDS] На пол убирай, а понеси на славяй оболочке.

00:06:38 [RUS] Clean up the floor, and carry it on the glorious membrane. [RUS] - I understood, give me a big situation. [RUS] - You decided that I don't know what there is, there's still more. [RUS] - You want to, and Misha participates there, right?

00:07:18 [UKR] Ah, of course, not with us.

00:07:20 [RUS] - Miko, come on. [RUS] - You see, who did this?

00:07:23 More.

00:07:26 [RUS] - It will lead me to consult with them and I give... [RUS] Go ahead, more.

00:07:34 [RUS] - Do you want to, mother?

00:08:32 Thank you.

00:00:00 [RUS] Good.

00:00:00 [RUS] Good.

00:00:39 Alex, please.

00:00:53 Alex, it's a flash, quickly. The President: Did you pick up the other microphone

00:01:23 from where you put your slides on? I think it's kind of a. Yes. I've seen it in the.

00:01:41 I'm

00:00:00 [RUS-NEEDS] Это не так.

00:00:25 [RUS] That's not so.

00:00:30 [RUS] Come on, come on. [RUS] Come on, across the galaxy.

00:00:35 [RUS] Come on, [RUS] What do we have there? [RUS] Dry. [RUS] Rest. [RUS] Rest.

00:01:25 [RUS] We'll ask you to make propellers first, definitely close on the forehead. [RUS] We'll look at CT control, but the main stage of the operation was 80 minutes.

00:01:47 Hour 20.

00:01:49 [RUS] The most interesting thing is that the tumor did the main work, it destroyed the falx, so I didn't have to cut it out, [RUS] we removed the left hemisphere tumor through the right block. [RUS] Understood? [RUS] Yes, I cleaned it, which is good, but that's all. [RUS] Well, in places, in places, there's a block cup that transitions into an arboreal block,

00:02:13 [RUS] and right under it these, middle cerebral, so we left a little bit there.

00:02:19 Focus on Mikhail's hands when he's tying. He's just a resident.

00:02:52 - You are going to

00:03:00 Yeah, Andre, hold that up for the camera. The President:

00:03:11 Yeah, from Rossos, hold that up for the camera. They want to see the bone. That's what's going back in. The President: He's going to put screws in there now on the back table. The President: Oh, like he did yesterday? The President: Okay.

00:03:30 The President: Yeah, I'll be here. The President: All right, I'll go.

00:03:38 The President: Watch it. The President: Sure.

00:03:49 I'm going to put it in They've got to stack perfectly in line. Right.

00:04:46 [RUS] before the story producers, mugs on consultants, not radio weapon. [RUS] And we take them on the radio weapon in these ways in these films. [RUS] And you have a consultant, international level professor Aikbalat. [RUS] Tell me.

00:05:03 - Okay. Yes.

00:05:33 [RUS] Real doctor and real blood.

00:05:49 [RUS] what, did these operettas fit? [RUS] yes, they fit [RUS] this is a person who does

00:06:02 [RUS] doesn't want to do? [RUS] What is it? [RUS] I'm saying, you have those, but no. [RUS] And if I send it to you? [RUS] I don't know, calculate or not.

00:06:15 [RUS] You're saying now, that money, and for free.

00:06:20 [RUS] Something else doesn't work. [RUS] Well, so what, what can you do. [RUS] I think, the model itself.

00:06:32 [RUS] Well, that's all.

00:06:43 Okay.

00:08:09 [RUS-NEEDS] - Я не знаю, да?

00:08:32 [RUS] - I don't know, right?

00:09:03 [UKR] Mine, Misha.

00:09:04 Mine.

00:09:05 [RUS] Mine though. [RUS] Now you'll drive around and won't do anything at all. [RUS] So they are. [RUS] Still driving. [RUS] I don't know what I can't. [RUS] I don't know what I can't.

00:09:30 [RUS] I don't know what I can't. [RUS] I don't know what I can't. [RUS] And couldn't you think that I'm washed?

00:09:36 [RUS] Oh no, we were waving now. [RUS] Ah, I'm not.

00:09:42 [RUS] I have it, missed it, if you called me. [RUS] But, you called me, Ollie, with a gap. [RUS] Well, try. [RUS] Understood. [RUS] Nina! [RUS] Nina!

00:10:11 Yes.

00:10:15 [RUS] Did you give there?

00:10:16 Yes.

00:10:19 [RUS] I need a sponge. [RUS] Even more.

00:11:12 [RUS] This is your responsibility.

00:11:20 There's a joke in America when you have residence, and the attendant always says IWBWIL.

00:11:28 It was dry when I left. So this patient has a post-aprofen. She can go across the spot. IWBWIL. in America when the attending leaves the surgery and residents closed, we use an abbreviation IWDWIL,

00:11:56 which means it was dry when I left.

00:00:00 [RUS] - So you mean you'll be the one to blame, right, Rus?

00:00:00 [RUS] - So you mean you'll be the one to blame, right, Rus? [RUS] - If you're backing out, what did he say? [RUS] - If you're backing out, what did he say? [RUS] - Well, it's like [INAUDIBLE].

00:00:11 [RUS] When I was there, when I went, it was dry. [RUS] It was dry, yes.

00:00:30 *sounds of air*

00:00:47 and then it's So what you're seeing there is that that's the two halves of the brain, covered in the

00:01:34 white material, the left hemisphere, and that's the big space in the middle where the tumor was, right between the two, where he's working now. And then to the right of that is the right hemisphere. What did you just put in? What was that in that one? That's Surgicel and gel foam. They're things that help stop the bleeding. Now, do they stay in there or do they come out? You can leave them in. A lot of people leave Surgicel and tumor beds or gel foam, but I think you usually have to take the gel foam out.

00:02:05 Copy that.

00:02:19 [RUS] We'll split it in two parts, and cut it [INAUDIBLE].

00:02:47 *phone rings Okay. Can you stand right here? Can you get a shot and kind of see the two halves of the brain? A little wide one right now. Let's see that.

00:03:22 I'm looking to be higher. - How would this land? - Yeah, we can get the 100.

00:00:00 Andrei, yep.

00:00:00 Andrei, yep. So we'll get again.

00:00:07 Here's the two halves of the brain and this -- Male Speaker: Sorry, I'll -- would you have to move the light off of it? The President: Oh, yeah. Male Speaker: Yeah. Male Speaker: Yeah. Male Speaker: Yeah, if you move the light off, like, next to see it. The President: Yeah. Male Speaker: I can't move. Yeah, sure. Yeah, sure. The President: Okay. So here's the left hemisphere, here's the right hemisphere. This is the area in the middle. The tumor destroyed a lot of the dura, so Andre is an expert at taking this, which is the

00:00:32 pericranium, which is the tissue that covers the bone. Most neurosurgeons just think this gets in the way, but Andre is a master at using it to reconstruct the dura, to cover the titanium mesh that we use to put the bone back, and to repair the inside of the scalp when the scalp is injured. It's always an educational experience for me to come watch him do this.

00:01:04 - Yes, thank you. Rostislav here, Mokaila here. Rostislav here, Mokaila here. Alex will be like expert.

00:01:16 [RUS] - What have you already done? [RUS] Let's wait now. [RUS] Nina! [RUS] Or not? [RUS] Or not?

00:02:11 [INAUDIBLE]

00:03:07 [RUS-NEEDS] - Пончик поломался, Миша говорит.

00:03:27 [UKR] - The donut broke, Misha says.

00:03:29 [RUS] - The donut? [RUS] - [INAUDIBLE].

00:04:44 So an interesting editorial comment is that you feel right at home in the OR and you know how things work around here and you're part of the team and then I break scrub, I go to the scrub sink and wash my hands and I realize you can't read the little signs about the sink

00:04:58 completely foreign

00:05:28 [RUS] And I know another one of you. [RUS] Katya. You know, so what? [RUS] Katya, now you'll sense here, like I said correctly.

00:05:51 [RUS] Dialects, basically, in every village they had their own. [RUS] Yesterday after surgery he was totally energetic.

00:06:06 [RUS] I came in, I don't have vegetables, who said that... [RUS] ...[INAUDIBLE].

00:06:10 Uh-huh.

00:06:12 [RUS] ...[INAUDIBLE]. [RUS] ...[INAUDIBLE]. [RUS] ...[INAUDIBLE].

00:00:11 [RUS-NEEDS] Карабика показывает.

00:00:31 [RUS] [INAUDIBLE] showing. [RUS] Alex,

00:00:47 remember.

00:01:18 [RUS] good, you're all ready [RUS] yes, right here [RUS] yes, let's go

00:01:40 [UKR] Misha [UKR] Leave it. [UKR] Leave it and punish.

00:01:54 [RUS] You can tie the salt.

00:02:38 [RUS-NEEDS] А типа рассказывали ещё такой прикол, что МОЗ говорила...

00:02:42 [RUS] And like they told another funny thing, that the MOH said... [RUS] Let's do this... [RUS] Oh, yes, on the leg. [RUS] The MOH said that submit the adjustments, we'll make more space. [RUS] Yes, yes.

00:03:00 [RUS] More. [RUS] Come on, with your finger. [RUS] That much will be enough for us. [RUS] With a finger gives it. [RUS] Well, I talked to the policeman, that it's been more than a month already,

00:03:08 [UKR] Prepare a letter.

00:03:10 [RUS] We'll tell this Muravsky. [RUS] By the way, did the documents get sent?

00:03:13 No.

00:03:15 [RUS] We need to call and send the documents. [RUS] Because our Monday already starts tomorrow.

00:03:24 [RUS] Natasha? [RUS] Natalie? [RUS] Natalie? [RUS] Over there on the paper?

00:03:30 [RUS] Where you write the surgery. [RUS] Time. [RUS] Write on the other side.

00:03:36 [UKR] I'll write to Rostyslav in big letters Muravsky Shupika.

00:03:44 [RUS] Muravsky Shupika. [RUS] With a capital letter on the back side. [RUS] Yes, Muravsky Shupik. [RUS] Wait no, where are you writing? [RUS] No no, on the paper, where you write the surgery time. [RUS] Pour the water. [RUS] And he said that you'll submit an application for us at the hospital, you'll give us MOH, and in principle we're ready to take these two rotations. [RUS] No, he doesn't hear English. [RUS] Yes, because Yura Pytachenko asks questions in English.

00:04:32 [RUS] - Pytachenko is good, and the women [RUS] - Did you get questions about the [INAUDIBLE] process? [RUS] - You can say that the [INAUDIBLE] process, [RUS] and you provided to have. [RUS] - Okay, leave it, and then when I finish, [RUS] hold it again. [RUS] Switch to the upper sector.

00:05:26 [RUS] Thank you. [RUS] Danila's father didn't have 10,000 dollars to pay.

00:05:32 [RUS] Well no, this, probably, you'll get up. [RUS] What, get up? [RUS] Well, like, whether there was a cost or not.

00:05:40 [RUS] 10,000 dollars?

00:05:42 Yes.

00:05:44 [RUS] The Ministry, how many thousand dollars? [RUS] Well, 20,000 dollars, 7,000. [RUS] 60,000 dollars?

00:05:51 Yes. And for 20,000? Yes.

00:05:54 [RUS] There needs to be something that [INAUDIBLE] seemed, [RUS] and here they proceed for them, and nothing [INAUDIBLE], [RUS] father for [INAUDIBLE]. [RUS] And here, in this, it seemed, this is [INAUDIBLE]. [RUS] Okay. [RUS] So, Danila, turn this off.

00:06:11 Him. Him.

00:06:24 [RUS] Just produce twice as many cheap ones, [RUS] and everything will be paid for. [RUS] I don't know. [RUS] Stove.

00:06:30 [RUS] To arrange I'm only putting it somewhere somehow... [RUS] What is it? [RUS] What is it? [RUS] What to do like this,

00:07:03 [RUS] Now I'll take a clip there and we'll remove something. [RUS] If there are any questions, operations are possible. [RUS] We're not yet [INAUDIBLE], somewhere, to tell about [INAUDIBLE].

00:07:15 [UKR] Misha is asking who I am, to them.

00:07:18 [RUS] We're beggars. [RUS] Good. [RUS] Misha is asking who he's operating on, we're beggars to him. [RUS] Well, of course, Misha, what are you talking about? [RUS] Of course.

00:07:42 [UKR] Thanks for watching!

00:08:10 [RUS] Yes, you won't make it.

00:08:29 [RUS] - Yes, you won't make it. [RUS] - You won't make it.

00:08:38 [UKR] - Alright, guys, thank you all.

00:08:39 [RUS] - Thank you. [RUS] Everyone did great. [RUS] Everyone did great. [RUS] - I will.

00:08:44 [UKR] - Alright, I'll start getting undressed right away.

00:08:47 [RUS] Give me the hedgehog, where it's needed for this.

00:08:49 Good luck.

00:09:46 [RUS-NEEDS] Я делаю больше 200 операций, когда я использую этот ковбой.

00:09:47 [RUS] I do more than 200 operations when I use this cowboy. [RUS] I love this "star".

00:10:00 [RUS] In this [INAUDIBLE]

00:10:20 I decided to work together with me. Come on. Come on.

00:10:30 I told you only if you film it. Only if what? I'll do the surgery and you can film it. Logan would be a better surgery.

00:00:00 I'll give you the phone number. I'll give you the phone number. I'll give you the phone number.

00:00:09 That's what this neurology team is here. 90s Chicago Bulls. Neuro surgery team. Neuro surgery. Yeah. Yeah, he's Michael Jordan.

00:00:28 [RUS] - I think that this is not so.

00:00:54 speaking of the tomorrow I think.

00:01:00 It's funny, so, we can do an emergency operation at night, and you tell the family to wait by the operating room or by the ICU, you could never find them after surgery. You spent half an hour trying to find them and talk to them. Yes, yes.

00:01:20 [RUS] I think that [INAUDIBLE] believes in our success. [RUS] I believe that it will be good. [RUS] Now. [RUS] From above.

00:00:00 [UKR] Success of a successful operation, that...

00:00:00 [UKR] Success of a successful operation, that... [UKR] I'll understand. [UKR] Well, we... [UKR] Yes, something... [UKR] Just came out of the operating room, together with Professor Alex Valadka. [UKR] Well, what can I say? [UKR] On one hand, very bloody tumor. [UKR] Very bloody, at first we started removing it, it bled very, very much, so we needed to remove it quickly, because there was a lot of blood loss. [UKR] In any case, we had to transfuse blood and plasma, but we were lucky that it wasn't so dense, it wasn't fibrous density,

00:00:51 [UKR] and we were able to remove it well using a suction device and curette dissector. [UKR] So we removed it completely, we were able to remove it completely, [UKR] and we were able to preserve all the vessels that needed to be preserved. [UKR] During the operation there were some problems with the pulse, [UKR] bradycardia, arrhythmia, pulse - 55, then 60, [UKR] But in any case, the arterial pressure was stable.

00:01:30 [UKR] Arterial pressure was stable and by the end of the operation the pulse and pressure evened out. [UKR] So we stood on hemostasis, waited to make sure there would be no bleeding. [UKR] After that we closed the wound. We hope that everything will be good.

00:01:46 The most important thing is that it is not to be blood-pulled

00:02:16 [UKR] with Professor [INAUDIBLE] Valadka, we'll look at her, if we like her condition, [UKR] meaning she's conscious, arms and legs are working, breathing on her own, [UKR] arterial pressure is normal, she's going for a CT scan. [UKR] If the CT scan looks good, the condition looks good, then we take her

00:02:31 [UKR] and someone needs to be with her for at least 3-4 days. [UKR] Good. [UKR] Good. [UKR] - We'll spend the night, we'll be with her. [UKR] Good.

00:02:47 [RUS] - Thank God, I'll be reading everything, I to myself, I want glory to Sirko and glory to the doctors.

00:02:55 [RUS] - Yes, we're in our team, because what we could do, we did, now we hope that the body is strong, that she won't have problems with breathing or heart, and the brain will respond normally to our operation.

00:03:12 [RUS] Hello. - Yes, thank you. [RUS] - Yes, then I wish nothing, we're keeping the situation under control, [RUS] if there are any changes they'll call me, or I'll call them, [RUS] they'll tell how she passed the evening, [RUS] and until early morning she'll be, of course, in the ICU.

00:03:35 [RUS] Hello, hello. - Goodbye. [RUS] Goodbye!

00:04:07 Hello

00:04:11 [RUS] Well, nothing terrible. [RUS] You think that... [RUS] No, don't rush. [RUS] Yes, yes, yes.

00:04:29 [UKR] Good. [UKR] Good. [UKR] Good.

00:04:34 [RUS] Yes, yes, you're saying everything correctly. [RUS] Agreed.

00:04:38 [UKR] Okay, thank you

00:04:47 Yes

00:04:49 [UKR] Nastya, let them come for consultations [UKR] We'll consult quickly

00:00:00 [RUS] Please sit down.

00:00:00 [RUS] Please sit down.

00:00:30 [UKR] You give consent to be filmed, shown on BBC, CNN, Fox News.

00:00:41 [UKR] You met with Alex, right? He's already registered here with us, lives and is coming for the fourth time already.

00:00:47 [UKR] We were just looking at your posts, you were [INAUDIBLE], recently they [INAUDIBLE] you like that.

00:00:54 We were in Wieden together with Rocco Armando, Washington DC.

00:01:00 Then I flew to Los Angeles, first visited America. And I met with Rocco Armando and Alex.

00:01:07 We were there very blessed. - Great, great. - Great, great.

00:01:15 Alex came here, I was waiting for a week.

00:01:19 [RUS] After I returned from Los Angeles, he also came.

00:01:25 [RUS] - Now I always keep [INAUDIBLE].

00:01:32 [RUS] - Mama, I remember that they brought me hand cream from the Dead Sea. [RUS] - We also brought some. - You brought some? [RUS] - We were there this year. Brought some to share with you.

00:01:44 [RUS] - Give it now. Otherwise you'll forget, take it home.

00:01:48 [RUS] This is from that zone. [RUS] Israel. [RUS] For hands [INAUDIBLE] and that one. [RUS] This is for me, for my hands.

00:02:05 [RUS] After surgery I'll need it. [RUS] - This is very beautiful. [RUS] - I felt that we shouldn't send you another day for a consultation.

00:02:56 [RUS] Yes? - Yes. [RUS] - Very good.

00:03:00 [RUS] - I remember. [RUS] - Thank God, memory is good. [RUS] the first time was 10 years ago, and I already started speaking English, the first surgery was 10 years ago, [RUS] and the second time was around [INAUDIBLE], 5 years ago, but I'm sure that today will be good. [RUS] Now we'll check.

00:03:48 [RUS] Nastya, you need to grease your hands. [RUS] Didn't operate?

00:03:53 [UKR] Not today?

00:03:55 No? Laura, Logan. If you need it. Yeah, yeah, yeah. Once we're done here, I'll put some on. It smells good. It smells good. Yeah. You only need a little bit though. A little goes a long way. I'm gonna be... Yeah. I would like to share. Oh, just a little bit. It's for hand. That's too much. That's too much. Here, I'll take some. Not too much. Yeah. Take a little... We're gonna need some paper. Come on now. We need some paper towels or something. We need some paper towels or something.

00:05:01 ago in second surgery five five five years ago in second surgery five five five years

00:05:22 you kiss car

00:05:26 [RUS] - For now she's on Finlepsin. [RUS] - Already started going a little to [INAUDIBLE] sauna with the wife. [RUS] - Well, with the wife - that's correct. [RUS] - Well, she really was afraid. [RUS] - I was [INAUDIBLE] until Andrey Grigorievich says that everything is good.

00:05:45 [RUS] - No, the wife can. And if there's a seizure, she'll immediately do breathing, mouth, mouth, nose.

00:05:51 [UKR] - I don't know, I don't know. - Correct.

00:05:55 - It's all great. - We'll get through the rhythm. - We'll get through the rhythm.

00:06:00 - Yes. I think I'll use it for the rhythm. - No, it's true. - Excellent. - Thank you. - Ambituriko is the best. - Thank you, Alex.

00:06:17 [DELETED - ASR ARTIFACT]

00:00:00 I'll get it right over there.

00:00:00 I'll get it right over there. Oops. Alright, so Andres, I asked some of my faculty if they had any extra copies of the Journal of Neurosurgery. This is the one from March 2025. This is the one from March 2025. This is your article on the cover. Yeah, thank you. You and Rocco and others wrote it. Yes, it's together with Conor Berlin. With Conor Berlin. Yes, who was important for today's surgery. And then this is from August 2025.

00:00:30 They have a section here on trauma and the first two articles are yours. One on early multimodal neuro-interventional neurosurgical management of penetrating injuries, One on early multimodal neuro-interventional neurosurgical management of penetrating injuries,

00:00:40 the wartime experience from Ukraine with Rako and Yuri Trenchenko and Nisand Dallady. I think tomorrow after our meeting with military surgeons, we are going to CAT lab

00:00:59 go to CAT lab and present this one of this journal, Yuri Chernychenko. Yeah, oh to Yuri, that would be great. Yeah, we'll go to the CAT lab, yeah, he would love that. And then the other one is your new classification scheme, surgical treatment of penetrating wounds after resuscitation, that's STOP WAR. A new classification system for penetrating injuries to the posterior fossa. Yes. With Rocco, Andre and me. Yes, it was my idea, but thanks to Alex and his team that created a beautiful statistical analysis. One is still in the wrapper. Yes, thank you. I love working and publishing with you and thank you for all you're doing to try to teach the world about the lessons you've learned.

00:01:47 We will continue. This is the beginning. We are continuing. I have several more on my computer. Yeah. So the ones you're working, yeah. Yeah. So the ones you're working, yeah. I remember. And the other, the high-Iceic. You tell me, when I will go to Dnepro, I spend time for two reasons.

00:02:02 First of all, I need to finish an erotrauma. An erotraumatic, according to intracranial hypertension? An erotraumatic, according to intracranial hypertension? Yes, yeah. And the second you promise to check and give some marks, some suggestions. With the lateral skull base. And Alexander Vlad, you promise after that, your suggestion, your addition, your corrects, he'll prepare for final submission. Yes. Exactly. Yeah. So I I will work on that on the train home. - It's beautiful, beautiful.

00:02:38 Yeah. - Yeah, do you want to get a close up of the cover there?

00:02:45 - It's like the patient we operate on Monday. We don't use titanium mesh, but this is a scheme. it's a bilateral skull base,

00:03:00 anterior skull base injury. It's the same. - Yeah. - Yes. - The same because it's the right side, left side will also damage. That's why it's like our-- - Perfect, yeah. - Can you just open it up one more time - Can you just open it up one more time as if, yeah, just as if you guys are reading it. - So let me go back here, there's always-- - Oh, first of all, I would like to show our friend, Ruka Arbonda, our friend.

00:03:26 And this is, yeah, on the cover is always a brief description. And that's going to be page 829. And that's going to be page 829.

00:03:48 And then open it to, so you can point out your name, so Alex can point out the name.

00:03:56 of the, we can get the name of the article. - The article, here it's 829. - Eight.

00:04:05 Almost, almost. - Oh, is it the other journal you were looking at? Is that what you were saying earlier? - There it is. Andres Sirko, Department of Surgery,

00:04:17 Nitopetrovsk Regional Clinical. - I can't see the light. - Hospital Dnipro, Ukraine. - Yeah, yeah. - It's a-- - Is that with the three of you, this one? No, I was not on this one.

00:04:29 Well, let's see one where you're on.

00:04:30 Yeah. So that was, this was March 25, so a while ago. This was August. And this was two months ago. I was saving some of my faculty gave me their copies. I told them I'd like them. In this article two, this is journal two article, first and second. Yeah, 431 and 443. yeah oops

00:05:03 aole multimodal neurointerventional neurosurgical management of penetrating cranio-cerebral injuries wartime experience from ukraine andre circo yuri chery nichen i will introduce him uh tomorrow except the lucky it's a doctor from washington dc

00:05:22 He works together with Rocco Armando. So the point of this article is that very early after injury,

00:05:30 get an angiogram if you think there's a vast... Yes, there are a lot of very interesting illustrations. Over time injury, brain vessels. It's a painting Elizabeth Weisbrot. it's my painting it's my i show this bullet and type of injury direct carotid carotid carotid fistula dural our fistula and traumatic intracranial aneurysm and a lot of cases our cases in this

00:06:06 journal one two three four and a lot of in supplementary so the point of this article is that instead of going straight to the operating room you may want to go to the cath lab so yuri could treat vascular diseases and the vascular disease so they don't blow up in your face during

00:06:27 open surgery yeah yeah they pioneered and also very important part is acknowledgments we acknowledge the military personnel in our study who gave their lives and the sounds of other soldiers and volunteers who died defending the freedom of Ukraine, and their families for their sacrifice and suffering. We acknowledge all the military doctors who provided medical assistance to the wounded on the battlefield in field hospitals and during evacuations. We acknowledge all the neurosurgeons of the Center of Cerebral Neurosurgery of the Mechnikov-Nypropetrovs Regional Clinical Hospital who performed surgeries and all anesthesiologists and resuscitations who provided care in the

00:07:18 intensive care unit we sent razon for ukraine for ukraine together charity organization rather for co-co-pilot project whose support was key to most of our endovascular interventions allow allowing allowing us to save many ukrainian lives we acknowledge elizabeth weisbrot for her

00:07:46 graphical contribution to this study and the next and the next to that page and open the page it is revealed so here you go

00:07:59 all right now you can go and then the next page say the next is the next surgical treatment of penetrating wound after a situation study it's if you use only the first letter it will be name it s-t-o-p-w-a-r yes i i need i need to find this stop war i created this uh article yes name of this study stop war stop war and the new classification system for penetrating injuries to the posterior

00:08:36 fossa and alex volatka was the man with his team and also i and roco armando and here's the classification scheme it's basically unilateral bilateral it gets more complicated and this is um the types of injuries if it's completely below the tentorium going below to above above to below over combined and people here tend to do pretty well people here don't and

00:09:02 statistical analysis can you just do the hand again people up here

00:09:07 people up here with relatively minimal injuries tend to do pretty well these that go through the brainstem and multifocal don't do well so outcomes

00:09:18 improve as you go from down here to up here and then go back one page and just

00:09:23 point out Alex Volatka's name as you did before, just point and then you can go to the page after. Have Andre do it. Yes, the main work performed by Alex Volatka. The main work was Andre. It was my material, my idea, but to create, perform statistical analysis in the modern update approach it's need to your help and help your team it's true that's why a lot of a lot of statistical analysis and i remember alex check two three four times each this number because it's your character your character yeah it's a behavior you need to be

00:10:15 precise, precise, you know. Oh, and also I would like to show. And also, if you do the contributions for that one as well, that's important.

00:10:29 So the acknowledgments here. We acknowledge the courageous Ukrainian warfighters, health care workers and civilians who died or sustained serious injury for the freedom of their country and also those who continue to confront danger as the war rages on. We also thank Mr. Corbin Beach for creating figure one.

00:10:51 He is in my department in Texas. And the very important article was published was published on October 2025. This month, this month, October 2025. Very important article is the first in the old history and history of Ukraine this article it's also Alex help to us to perform editing editing this article and submission this article history of tumor spine and trauma neurosurgery in Ukraine

00:11:39 growth and resilience growth and resilience it's very important article about history in Ukraine you can see our all friends Alexander Strelka Alex Volatka Luke Tomic rock armonda Jonathan Forbes Gregory Gavriluk James Rutka and I'm a three circle yes senior yeah yeah First of all, about Neurosurgical Institute, about Neurosurgical Institute, about Directors

00:12:27 of this institute it's my teacher my good friend it's a director neurosurgical institute to professor pedachinko who was leading this institute from 2017 to 2023 it's also neurotraumatologist he is a vice president of uh uh world association neurological neurosurgery world academy world academy neurosurgery is vice president also very important this picture because you can see the map of ukraine include crimea include donetsk lugansk region we publish this in october 2025 that's all around the world

00:13:23 so that it's really ukraine map include crimea this this it's temporarily occupied but we believe it will be Ukraine as it was before. Yes, and the next, you can see I told a lot about missile strike in October 25, 2024. You can see this, I show you this window. This window is to the urgent operation room where Bohdan performed surgery. It's a photo from this his team and patient lay in the table and windows totally destroyed. A fragment of

00:14:15 glasses covered everything of the operating room and the doors were broken. The ceiling was destroyed But Bohdan continued to perform the operation craniotomy for patients with acute traumatic subdural gematoma. And this beautiful picture. I operate together with Alex Volatka. Roko Armando operate together with Yuri Cherenichenko. It's our team, Mechnikov team. The first time When Roko was together with Ivan Beskaravani, Roko brought the flag of the USA and we gave

00:15:02 him our Ukrainian flag with Ukrainian trident.

00:15:06 And then do the circle around each one with your finger? The first photo is in our operation room. I operated together with Alex Volatka. We operated severe wounded soldiers. The next photo is Roko Armando operated together with Yuri Shrednichenko

00:15:30 and i was called endovascular center the name is cut lab and this is big photo match nico team doctors together with roko armando and the evan beskarawaney the first visit in 20 23 year on may as far as remember from first to five fifths and may of 2023 they brought the american flag

00:16:01 and we as gift our ukrainian flag with uh in the trident trident it's you can see here how do you how how do you feel that that these that these guys uh all they've said to me about you it's just been incredibly they really admire you how does that you know and you're your

00:16:28 your colleagues and you guys have published together and done surgeries together I feel that we are strong. All times we never give up. We will stand as much as possible, as much as needed, in order we will win this terrorist state, name it Russian Federation. Thanks to our guys, my colleagues, friends, professors from USA, Alex Volatka, Rokka, Armanda.

00:17:16 They help us in different ways. Consumers, tools, instruments, technologies published this article in the world famous Journal of Neurosurgery. There are only two neurosurgery journals, Journal of Neurosurgery and journal only one word, neurosurgery. It's a lot of people read this journal and now about our cooperation, our collaboration and how we try to treat our people. We try to use all modern technologies in order to save this life. It's, oh, one more, I noticed, it's Alex Walatka.

00:18:07 - No, no, we're still coming, don't worry. - No, no, you can say that, Alex, say that. - No, no, you can say that, Alex, say that. - It's a, was a gift from Alex Walatka, - It's a, was a gift from Alex Walatka, at least eight, or maybe 10, 10 books, six books, Alex sent for me and for my team, for neurosurgeon and anesthesiologist, and you can see editors. Alex Walatka, that's why Alex Walatka is a world-renowned, world-famous

00:18:41 neurotraumatologist around the world, and we are happy to work together with him shoulder to shoulder. It looked like you were leaning out of the way, Alex. I didn't want you to lean out of the way. I wanted you to be in the shot. Oh, I'm sorry. I'm just trying to get out of the shot. I wanted you to be in the shot because it makes it a scene. I wanted you to be in the shot because it makes it a scene. Okay. If you could just tell me. All right. All right. All right. All right. We're good. Anything else in there that you want to show us? That's plenty. That's plenty. Yeah. All right. All right.

00:00:00 Fresh air, Alex. Fresh air, Alex. Without pollution. It's time to walk in here, Alex.

00:00:19 It's time to walk in together with wife maybe.

00:00:26 This Logan is always working. He's always looking for the shot to take the picture.

00:00:34 I should have opened up the window to your office so you could see it in the back. Do you ever open up your blinds? One more? Do you ever open up the blinds in your

00:00:43 office to see the view? Yes. I thought about asking you because I saw the sunset

00:00:00 also

00:00:00 also you can also see the monument the woman with oh yeah yeah you can see yeah the first day i show it you and also you can see the another bridge another bridge

00:00:41 from one side to other side of our river nepro

00:00:50 what direction are we looking in right now is that the direction yeah is that north in the direction located the next region the indonesian region in the more western and the north

00:01:06 western and north of ukraine lora you can see also yeah well monument monument yeah

00:01:14 I don't want to be in the shop though. You gotta pretend it's just you.

00:01:21 I hope you wanna look while I change this lens.

00:00:00 Explain again the first floor right ahead is the window from our operation room and now our doctors

00:00:04 Explain again the first floor right ahead is the window from our operation room and now our doctors perform surgery remove hematoma. Logan when you guys left the other night or the first night when

00:00:25 When we drove past the makeshift morgue, were you? I don't think you could see that, or if I was rolling, I don't quite remember.

00:00:33 Okay. I think that like... I'll bring this window down if that's okay. I wonder... Oh, you can see it right in the back? Oh, up there, yeah. Ah, it's hard to see now. Yeah, we'll probably see it once we get close to it.

00:00:51 Now you can see it very well.

00:00:57 Yes? Yeah, looks great.

00:01:00 Oh yeah, you can see it a little bit. Oh, you're going to drive all the way past it? I think he's turning.

00:01:14 Are we turning left here? Are we turning left? Yeah. Oh yeah, we'll see it.

00:01:31 - Left, left, but a bit more.

00:01:35 - You're good, we still see it. - We can one round, yeah? - We'll see how we get, we'll see what it looks like. This is the largest one in Ukraine before the war.

00:02:07 Yeah, it's true.

00:02:12 They have a bigger one now in Kyiv? As far as I remember, yes, but I need to check this information. Before the war, it will be the highest flag in Ukraine.

00:02:37 We turn left about a bit later than we expect. That's okay. We'll see what we get. Maybe nothing. Oh, maybe from this direction. Yeah, that works. Now tell us it's the largest flag before the war. Yeah.

00:03:00 Wow. We got it. That was nice. you spent your whole life here in nephro or did you grow up where you know a little bit

00:03:25 away where your father has where you're talking about his bees his farm yes from 1975 i was born in 1975 i lived in working in probes together with my family until 1992. 1992 and i finished graduated my first school 10 years and i got gold medal gold medal

00:04:10 after finished my school and during my study i also helped my father to work in farm we have a lot of chicken and also have a lot of bees and i helped him since 1992 to 1998 i was studied in the new prostate medical university and i finished in 1998

00:04:55 and i had neurosurgical residency in machnikov hospital during two years during tears but since 2000 I started working as a neurosurgeon. That's why I now work as neurosurgeon a quarter of a century, 25 years. From 2005 I worked as the chief of first of all neurosurgery department and from 2009 chief of department cerebral neurosurgery that's why i 20 years as a head of

00:05:47 a neurosurgical department it is short but if i tell about my scientific career and 2005 the first my scientific degree was phd in medicine and our work was a named differential treatment of metastatic brain tumors after that after seven years i prepare another scientific work for receive scientific degree doctor in medicine it's named

00:06:35 intracranial hypertension in cv atbi patient diagnostic treatment and prognosis and i more than 20 years work first of all as assistant of profession and after that is profession in cassidra neurology and neurosurgery at the Papadro state medical university it's like alex he also work as a chief of neurosurgical department in memorial parkland clinic and also full profession of Texas University. It's a common practice when doctors and neurosurgeon,

00:07:29 not only practical doctors, it's also work as scientific as professor and prepare scientific work, study people students maybe I need to call Anastasia because we can too I can go... loose... sure...

00:07:54 Sure. Yeah, Laura was just calling me. I can call her back. Yes. Yes.

00:08:00 Uh, maybe, maybe. Hey. Hello. Did we lose you? We could, but I think we can just use the GPS to get there.

00:08:17 Yeah, did you hear that, Andre? I can just use the GPS. Just call me if they were correct. So keep going. How far from your home are you? How many minutes? 10. OK. OK. Well, we'll see you there soon, Laura. Well, we'll see you there soon, Laura. All right. Bye. Bye. Now he couldn't see us. Yeah, they couldn't see us, but they're going to be fine. They've got it mapped. So don't worry about them following.

00:09:13 I'm going to go to the so wait for them near my house in the

00:09:50 Raboche street in order to show where is the best place for parking here. Do you want to text him that? Thanks. Thanks.

00:10:00 We will wait for you on the street to show you where the best parking is. I am sharing my location just in case it helps.

00:00:00 So how do you feel about today's surgery or tell us about what the surgery was today?

00:00:04 So how do you feel about today's surgery or tell us about what the surgery was today? I expect it will be more difficult surgery for me, I expect because it's a huge even giant enormous tumor, located in the center of the human brain and spread in the right side, left side and the very hypervasculariside tumor, hypervasculariside tumor and involved include main arteries, cerebral

00:00:49 the arteries need in any way to preserve, don't damage the arteries because it leads to stroke in patients. It was a disability. will be with disabilities. That's why I expect the main stage of surgery when I work under the microscope it's at least four hours. I expect my work under microscope it's near four hours but first of all it's a tumor was high pervascularized tumor but it was soft tissue soft tissue it's not fibrosis

00:01:40 tissues that's why I can to aspiration most of time volume of this tumor that's why main stage under microscope it was only 80 minutes it's very fast even for me. Alex said in US it's usually this operation take place at least six eight hours and the people doctors stop go to the drink water coffee tea and come back and continue surgery that's why

00:02:27 I am satisfied because I achieved all my goals, my aim. I totally removed tumor and preserve normal anatomy, preserve damage arteries, veins.

00:02:48 [RUS] I hope that the woman should feel very good.

00:03:00 [RUS] I hope so.

00:03:04 In 2014, I was in Helsinki, Finland, studying one of the world famous vascular neurosurgery

00:03:22 [RUS] [INAUDIBLE] Juha Hernesniemi and Juha, who we now [INAUDIBLE]

00:03:51 work fast that's why I learn and study my students how need to work we need to work simply easy clean preserve normal anatomy and its results fast very very quickly very quickly work that's why another my opinion we don't need to use a lot of instruments a lot of tools i use small variants small number instruments i have my favorite microsurgical

00:04:37 instruments but i can possibility opportunity to work with one instrument but a different way like knife like this sector like spatula that's why rock armand and alexa latke was very amazing since the first time they see how i work quickly with minimal number of instruments but it's with beautiful functional results for my patients that's why i am happy i am a bit tired not exhausted a bit tired but i am happy that is how i spend time in my operation tomb together with

00:05:26 my dream team, operation dream team with Alex Walotka and thanks to my anesthesiologist team, the blood pressure was stable all the time. We had some problems with heart rate, patient bradycardia, bradyarhythmi, but thanks to anesthesiologist at the end of the operation it's all will be was okay that's why i expect patient need to recovery work wake up soon a bit later maybe one two hours i call my doctors who is on duty today and ask about the condition

00:06:13 neurological condition somatic condition this patient that's all for today yeah and then tell us uh you're heading home and you're gonna have alex

00:06:28 over for dinner or coffee or whatever it is that you're having alex over for yeah i would like to a cup of coffee to refresh my mind and i need to maybe check my two presentation for tomorrow and also i have hard disk and i will have time i can to prepare and study MRI a patient which we are going to operate together with Alex on Friday. Maybe you if you have a light electricity you can also film how I will prepare for Friday

00:07:17 operation maybe because tomorrow we are planning to spend time together with you with Alex our our neurosurgical anesthesiologist team in a beautiful place at 5 pm. Do you remember? Yes. It's usually the day before Alex's departure, we have this meeting together with our team, with operation nurses, with neurosurgeon, with anesthesiologist.

00:07:56 It's like Ukrainian tradition.

00:08:07 What do we know about the soldier that you guys operated on on Monday? First of all, his condition is stable during this time. Neurological condition, they even become a bit... Your level of consciousness is increased. That's why before surgery he was in comatose states. But now, without analgo sedation, he is actively moving in the bed.

00:09:01 But we again start analgo sedation because it's a need to... his brain his brain need to sleep now because it's severe injury severe damage this brain it's need sleep without agitation without moving at first of all the second temperature is normal there are no symptoms of periolaptic complications in this moment and also his laboratory analysis is because as far as you remember, we have blood transfusion, plasma transfusion, and platelets

00:09:51 in order to get normal coagulation. That's why for his severity of trauma, this condition, it's according to his severity trauma compared and according to the time from injury to fifth day today is fifth day after injury we plan tomorrow perform a lumbar punch in order to analyze analysis cerebrospinal fluid to exclude meningitis and another complication that's why is

00:10:39 we expect it's not will be a fast recovery due to this severe

00:10:48 and blast trauma whole body whole body and severe trauma of his brain So, the guy went through something. He went through a lot. Hopefully, I don't know.

00:11:14 I don't envy him waking up to find out what happened to himself. When I wake up? No, when he wakes up. He wakes up. Yeah. We don't expect what he will feel when he wakes up. The patient wakes up. The patient wakes up. Yeah. Yeah. It's a very difficult question, but I heard a lot of patients who lost his... eyes, even situation twice lost on the one I lost, but it's very useful helpful when

00:12:09 his family will support him. They usually say: "Don't worry about you lose one leg, one arm, one eye but you live and your brain work very well we will help you to continue live we will help you will help your live will um independent and you will be successful even this physiological problems disorders disability a lot of patients i operate

00:13:03 and even very famous patient in ukraine if you remember me i saw i i show you patient For example, Mustafa Naim now is a director, is a leader chief of a lawyer company in our capital of city, of country in Kyiv. lawyer company who helps, for example, soldiers to protect their lawyers. Yes, he was a soldier, was severe injured and lost one eye.

00:13:53 But after that, I operated him. I remember it was June 2023, maybe. Long time recovery, but now you couldn't imagine he had such severe injury.

00:14:13 He has a prosthesis instead of a eye, a prosthesis, and he looks very well, and his brain works like a computer, a modern computer.

00:14:38 I noticed that there's a doctor or at least someone who works at the hospital that you've interacted with that doesn't have legs, lower legs, walks on prosthetics.

00:14:53 You saw that? You watched people, soldiers without two legs, but he walked on two prostheses, yeah?

00:15:03 Yeah, yeah, but he's been wearing like, it looked like he was a doctor. No, no, it's not doctor. Our general director invited him. They helped to communicate with soldiers in ICU units and describe him the situation. He said, "I also, you can see, without two legs, but I am continuing to live. I try to explain to you what you need to do, what you need to think in order to return and come back to your life. I try to explain all stage we need, for example, when you get receive a prothesis, it's like volunteers.

00:15:56 I expect we work without light because it's our... You're in blackout? Maybe, maybe, but for some reasons we have one power for my home. That's not a problem. That's a real situation if we don't have light. But we, if I promise you possibility,

00:16:30 have possibility to show you our handmade underground shelter. It's my house. It's my home. Located right side, right hand. And I think we wait for Anastasia.

00:16:51 [RUS] And then, then, we go to...

00:16:57 ...like... the my entrance okay okay

00:00:00 Without key because there is no electricity, Alex. Without key because there is no electricity, Alex. Alex, I would like to show you our underground shelter. I show you a bit later where we say

00:00:30 hope to save our life during the attacks from Russian Federation. Okay? Let's go. Fourth floor. We saw him.

00:00:57 Andre, could you pull out your flashlight too?

00:01:00 Could you pull out your flashlight too, just so I can see you?

00:01:00 Could you pull out your flashlight too, just so I can see you? No, your phone, yeah. Okay. You just hold it out front. You'll hold it. Yeah, just like it forward. You just use it normally. Yeah. We'll hold it here so there's no sound. I'm going to have my

00:02:09 I expect my wife must be at home here. - Is it okay? - Yes. - Fall bones? - Yeah. Oops.

00:02:47 [RUS] Someone's home.

00:03:01 [RUS] It's us! Friendly!

00:03:07 [INAUDIBLE] Very kind and warm. Oh, yes. A beautiful home. Yes? Start. You can...

00:03:30 Yes. What is it? My bag is right there. Here? Okay. Okay. So, um... Can we interrupt the shooting? Can we help them carry stuff up? Yes. I think we need to help. I mean, I said there's no power we can bring the whole pipe light.

00:03:49 Fuck. What's that? I said fuck. What? I have to just carry it. Yeah, that's what I'm saying. You got decent help for it? Yeah. Yeah. Yeah.

00:00:00 "With electricity"

00:00:00 "With electricity" [INAUDIBLE]

00:00:48 [RUS] So Alex, let me help you with something. [RUS] [INAUDIBLE] kitchen

00:01:30 [RUS] And what else do we have? [RUS] If I can turn this on here... [RUS] Sit down.

00:01:37 Tatiana, can I help you with anything?

00:01:39 [RUS] Okay, okay, sit down. [RUS] I'm sitting.

00:00:00 today and plan for tomorrow and after that we will catch Tatiana in our dialogue.

00:00:00 today and plan for tomorrow and after that we will catch Tatiana in our dialogue.

00:00:09 Yeah, okay. Yeah, okay. Okay? All right. I need to, I need my help.

00:00:17 Oh, it's my phone, I think.

00:00:21 Alex, please take. Oh.

00:00:33 I see that the time has no light. Beautiful. From 4:00 PM, there are no light.

00:00:43 Was that planned? Did you know ahead of time? I planned with you. No, not all.

00:00:52 We don't expect this light for this time.

00:01:00 Usually we have a schedule for the switch on. I sent you. Remember? Yeah, I have a slide of that. Yeah, I use this slide in some of the conference. So how long are the lights off for usually? Last time, five days, when it was damaged near our home electricity station. But like our power bank, we have a possibility first of all for fridge. The power bank over there? Refrigerator to save our products, yes, to save our food.

00:01:50 What if electricity is out for five days again this time? But thanks to our power station, power station has a big volume.

00:02:00 Yeah. Yeah, it's a safe electricity for us. Okay. So, your computer is not working, right? There's no power. Computers not working, but from this, we can use computer, my laptop, but without Wi-Fi.

00:02:21 Okay. I know you do a lot of work at home. Yeah, yeah. I told you previously, if I have a serious, important event, conference, webinar, I need to go to my office.

00:02:37 In the hospital. In the hospital, because in the hospital we have all time electricity and stable internet connection. Do you remember last time when you were at home we see the, we watch TV? Yeah, yeah. What is your name? Nick. Nick.

00:03:00 Your favorite show. Nick, Nickerbocker. Yeah. Yeah. Hospital Nickerbocker from 1907. I've seen two episodes of that in my life. Both of them right here. Yeah. One year apart, I think. Do you still watch that? It's very interesting film because it's a very reality events and they I think will include many people who helped to create this very reality situation in social life. Yeah, sorry if you watch that tonight. Tonight maybe. Yeah, well maybe, maybe. If we get power back. If we get power back. Yes. I remember one situation when they would like to perform surgery, but I couldn't know what

00:03:54 is the best way to perform this surgery. One surgeon, he was Afro-American, said, "I can't help you. I can't describe it because I was in Great Britain and I studied in Great Surgeon and I I know what kind of surgery need to perform. No, we don't need your help. We find information about this operation without you. And they go to the library at the night and find the journal in French. And ask one woman, young girl, to translate this journal.

00:04:39 And this journal reads how to perform operation and try to perform operation, reality situation, but people died.

00:04:48 That's why I remember how difficult it was one century ago to get new knowledge, new experience.

00:05:00 Not even one century ago, even just before the internet. Yeah, one century ago, you need to, there are no internet, only you need to print it.

00:05:14 Well now we have a chat GPT and all these AI things, so I read that right now the internet is based on advertising, right? Google and all those things are kind of advertising. But people will stop searching in that because they can just get an AI answer. they don't have to click. And therefore people don't get money. Yeah, it's true. Yeah, I gave a talk at the Congress meeting, two talks a couple weeks ago. It actually used the chat GPT to draw me two pictures. And one was a graph, because I was talking about how in the last 50 years, CT scanning has become so fast. And I remember when I was a resident, we would take a patient from the emergency department

00:06:00 to the CT scanner. and you would sit there for 15 minutes, half an hour. It took forever. And now you just do the whole body in only a few seconds. It's true. Yeah, so very nice graph from ChatGPT. And the other, I just have to draw a picture of another talk. It was okay. I remember comparing two articles prepared by scientists

00:06:25 and two articles prepared by artificial intelligence. and then this article mixed and asked scientist decided what article was written by artificial intelligence by the scientist and also chat GPT asked find what article was prepared scientist and chat GPT. Both article and chat GPT very quickly find what was prepared by scientist and four was prepared by artificial intelligence.

00:07:00 - Now, did they do that by searching a literature? - Yes. - Yeah, yeah. - Well, that's a big problem. - Scientific surgical article, you need to prepare, ask two scientists and two Chuck GPT. - Yeah, they prepare, and after that, mixed, - Yeah, they prepare, and after that, mixed, and another.

00:07:24 [RUS] What do we have for dinner today? [RUS] Soul for potatoes.

00:07:28 Uh-huh.

00:07:30 [RUS] - Now they'll unwrap the duck. [RUS] - Oh, duck.

00:07:37 [RUS] - He's lying quietly, silent. [RUS] Because he was baked and wrapped up, because there's no electricity.

00:07:45 - Tatiana, can I help you with anything?

00:07:48 [RUS] Can I help you? - Something needs to be helped.

00:07:50 - No, well, thank you very much.

00:07:55 She reminds me of my mother. My mother came from Lithuania. She's always food at the table, a bike having lots of people in a house and children running around. Alex says that my mother is from Lithuania. When she came, she always prepared and invited a lot of people to sit down.

00:08:15 It was also a great pleasure. So around tomorrow we also need to go down to the polytrauma ICU. Check on the patient we saw Monday night. I'm sorry, we saw the patient Sunday night and updated on Monday. Yeah, very curious to see how he's doing. - Yeah, should we go? - Yes, yes, we perform all which we need to perform,

00:08:49 but I expect our anesthesiologist, our intensivist, also will do all which is necessary to come.

00:09:04 [RUS] But I understand that now this might be the fifth day. [RUS] This is the peak of edema, of intracranial hypertension, on the third day. [RUS] But I think that, first, the patient will be without any complications.

00:09:27 Yeah. Any complication? Any complication? If we, he will be without complication, I expect we will slowly recover.

00:09:38 I hope so. Yeah. Yeah. The CT scan did not look too bad. Yeah. We'll see. It's true. And yeah. So the lady we operated on today, you think, will she be excavated today or will she still

00:09:54 still have a breathing tube in tomorrow. - I think if you wake up, first wake up, extubate in the evening, this evening. - Yeah, that would be the best. - It's usually, it's usually. I came to Nicole, Natalia and ask who was on duty in ICU units.

00:10:26 [RUS] [INAUDIBLE] [RUS] And you should start the shift, I want to check, who is in the ICU now?

00:11:12 [UKR] Well, of course. What kind of car accident did you manage to create? [UKR] Well, it's okay. The main thing is that everyone's alive, then everything is possible. [UKR] Good, good. Well, no, that's not the point. Just if there's a possibility, either you or Dima Starozhenko, let me know, please. [UKR] Good, thank you, thank you, thank you.

00:11:40 Natalia now in ICU and then saved me and maybe 20 minutes a bit later she called me and tell about today women we applied together. Oops. It's like one century ago. Yes.

00:12:07 Without this people, people can't alive. Yeah.

00:12:14 So is this blackout caused by a Russian attack on electricity? Yes, yes, because a lot of energy station was damaged in this in order to give all patient possibility to continue their routine work it's a schedule but in some situation it's maybe happened

00:12:42 is up now suddenly without the don't expect this situation yeah you know you and I have talked about how Ukraine doesn't make the most commonly discussed news stories in the United States but I've listened to those podcasts and I

00:13:03 know that Russians have been attacking the yeah it was a natural gas system - Show me today all big news, channel BBC, CNN, Fox News, and scroll this and any information, any news from Ukraine. - Nothing. - Nothing.

00:13:29 - Well, that's what we're trying to change, right? - Trying to get articles published. - Trying to get articles published. - Trying to get articles published. Every day I check one channel named Deep State Map.

00:13:41 Yes, Deep State. Deep State channel and unfortunately the situation is not well. It's very, very bad. I try to find... Oh, Deep State. deep state

00:00:00 [RUS] Alex!

00:00:00 [RUS] Alex! [RUS] Sit down, please. [RUS] Sit down, please.

00:00:11 [RUS] We had a hard day, [RUS] hard surgeries, so we must [RUS] provide [RUS] this healthy [RUS] healthy. [RUS] Delicious. [RUS] Delicious.

00:00:26 Because my wife is the best cooker in the world. I know, because I have eaten her before. It's my idea. It's a lamp. Warm potato. Thank you very much. Cheers. What is it? It's Uzvar. It's... It's prepared from dry fruit. from dry fruit from our countryside house from our house yeah does your does your countryside house run out of electricity it's sometimes this is no electricity in contrast house there is electricity

00:01:14 It's a Ukrainian drink, traditional Ukrainian drinks, prepared from dried fruit. It's a small concentration of sugar. Without sugar. Thank you very much. You're a wonderful hostess. - Please, come on.

00:01:44 [RUS] This is very good. [RUS] This is pie. [RUS] This might be apple. [RUS] Pears, apples, cherries, there's even peach.

00:01:58 [UKR] Pears, apples, cherries, cherry, apple, pears, apples?

00:02:05 [RUS] I don't know. [RUS] I don't know. [RUS] And what else?

00:02:26 - What is strawberry?

00:02:39 - What is strawberry?

00:02:43 - Yeah, I just... - What is the largest number in Ukraine? Like a billion, a trillion? How do you say that? - How do you... - A million, trillion. - Well, that's what the raspberries cost. - Get back to work. You're not supposed to be here. - It's salt. - It's cucumbers. - It's tomato. - It's tomato. - It's the Contraside House. - It's from your house? - It's the real name of our country. - It's the real name of our country.

00:03:16 - Excellent. - It's from our Contraside House. My wife prepared.

00:03:24 On our garden. Yeah? - Oh, but of course I forgot to say, Patty says hello, my wife. - She's a good friend. - She enjoyed meeting you. - So.

00:03:35 [RUS] And Alex, of course, will tell his wife Patty.

00:03:39 [UKR] Okay, okay.

00:03:40 [RUS] How he was today. [RUS] Can we put it there? [RUS] Yes, yes, yes, yes.

00:03:45 [UKR] Okay, now, like this.

00:03:47 [RUS] And what's that over there? [RUS] That's the river. [RUS] The river?

00:03:50 [UKR] I don't really like it.

00:03:51 [RUS] Well, it's okay. [RUS] That's what you think. [RUS] Alex. [RUS] [INAUDIBLE]

00:03:57 Yes.

00:04:02 [RUS] Funny.

00:04:12 I'm okay thank you yeah it works for me enjoy that's very good one one of the kids we're gonna keep filming you guys until seven o'clock and if the power doesn't come on at seven we'll join you

00:04:30 to enjoy the hospitality so we you know we don't make you feel we're not uh you know all right so so if the power comes on we'll figure it out from there otherwise we'll

00:04:57 but then we'll figure it out If the energy comes back, we'll look at the situation

00:05:03 We'll film for a little bit, just because they'll figure out that the power is on

00:05:09 and then we'll film for like 15 minutes and then enjoy dinner

00:05:13 If the energy comes back, we'll take 10:15 to the next day

00:05:19 Oh, good. You can't wait, the friend has taught us all Don't worry. It's a good thing for everyone.

00:05:29 I'm not worried.

00:05:30 All right. Thank you. We're back to pretending you're not here? We're back to pretending you're not here?

00:05:36 Good. Good. Good. I have one more thing to ask you about. people from University of Chicago asked me to follow up on this email.

00:06:07 They need you to do something. Right. Here. So they sent this email a couple of weeks ago. This is from Hugh Flynn. Of blood collection kits. You know, that they can send for the biomarker study.

00:06:26 They can send everything you need. I mean I thought you might need a tourniquet, alcohol wipes, you know, needles, syringes, dressing, anything else you can think of?

00:06:39 Basic things. We need this supply but we have a lot of problem with a lot of problem because we couldn't find a solution how is best way to resolve this

00:00:00 payment payment workers system sit on the book and I prepare sent one time

00:00:00 payment payment workers system sit on the book and I prepare sent one time then refused. Reject. We change. Send. Reject. We send. Reject. I ask you, you need to give for us one person who can to help us to fill all these grafts, filled in this large document in order to our hospital receive get this number in your system payment worker system because without this registration we couldn't do create contract yeah it's the same situation was they promised me to

00:00:55 I have prepared about my tickets which I buy myself to Warsaw and again, I said I have a credit card, you can send no, you need to be in our payment broker system and I also prepare one example, send reject.

00:01:19 I spent a lot of time... I know what you mean because I have problems with their system also and it should be much easier for me.

00:01:26 So I will get back to him and explain what's going on. Yes, but I ask you, you need to give for us one people who help us.

00:01:35 Yeah, okay. Well, you know, there's always at least three sides to every story, right? My side, your side and the real truth. So I'll try to respond if I have time tomorrow. You keep me too busy. I'm falling behind on emails. yeah that's why we are ready to work with them but this problem in our intrascanal study

00:02:02 lena belay and baro bendor resolve all problem fast this day but but um you spent two three weeks after that he sent me answer and again again okay it's uh i even also add a email susan royal yes it's the last time when i have communication with um you you need to help us to finish these documents first of all and we decided many things without our

00:02:50 discussion they decided we will pay for our hospital one times a year no usually we perform some work and after two three months after that we receive money we don't have receive money one time per year because because our administration our general medical director couldn't understand how much this money you would like to receive but i understand we need to a lot of time take a biomarkers of blood uh it's a people need to earn some money because it's a lot of work

00:03:35 blood supply uh put all the documentation that are common and it's new to full and the city is safe and center a lot of it people need to work but our people is busy without this you can for this extra work we need to additional payment that's why i sent

00:04:00 all these equation to susan and all to you and say you can to have discussed inside your

00:04:10 team and after you decided this problem you can to organize the online meeting together with me

00:04:17 together with sleep London okay makes sense today yeah thank you how awesome okay so we're gonna we're gonna break for a second to eat before we we do that while the power is definitely on it'll be a later moment Alex if you could just be here and looking out and ask you know how they

00:04:43 decide you know where the rolling blackout starts and ends and how it's moving because we can see this wasn't a rolling blackout this was unplanned

00:04:52 this was unplanned yeah this blackout was not scheduled yeah the Russians attacked the power not scheduled okay this is this time not scheduled well okay I'll ask my wife and ask when we expect to light the answer in 7 p.m.

00:05:12 Yeah. So what I'm trying to say is we've already got what we need out of this. And you know. Yes, so eat. Yes. But also like while the power is out, at least if you can just look out the window. Okay. I look into the window. I am an actor.

00:05:30 Right. I am an actor. Yeah, I thought it'll be nice to have a Yeah, I thought it'll be nice to have a power over that way. So if we have it like You filming me walking over the window? Yep, we got it.

00:05:47 Right side. One more, one more, one more. One more, okay. Can you do it? Water. It is black out there. Nothing. It's all black. Far away there are lights but nothing here. Nothing. It's all black. Far away there are lights but nothing here.

00:06:10 So you hope this will stop soon?

00:06:14 You hope Dr. Sie will come back soon? Yeah, we can go and see what way. Watch in the... ...Bohdan? In the Vietnam? No? No? Okay. You can tell him again at like 7 o'clock. Oh, that's good. I like that. We expect that maybe at 7 o'clock, switch on and we will have electricity, maybe. Maybe, yeah. Well, in the meantime, this is wonderful. Yes, wonderful, but it's a bad situation during the winter because many people try to use their home with electricity

00:07:07 that's why it can be cold condition, cold environment maybe Yeah, but now it's not so cold outside. Not now, not today. Not today, but we even have own system for heating this house.

00:07:34 Oh, okay, that's why it's so warm in here. Yeah, that's why. Another flat is temperature is lower, much lower than this.

00:07:45 [RUS] - Okay, I'll see. [RUS] They haven't turned it on yet.

00:07:52 general system is done doesn't don't work now general system of heating don't know

00:08:00 if people would like they use system small heaters use oh space years yes people use small heaters but without electricity this don't work. Yeah I had some of those

00:08:22 I was in that temperature 16 maybe 18 degrees Celsius maybe. Yeah I had space heaters I'm at the medical school in Chicago. The winters are very cold so I had a little space heater in my room.

00:08:40 Where is Svetoslav doing? Is he at camp? Svetoslav is in the camp. He is very good. He has a little bit of a hole.

00:08:50 I will show you a photo of the camp. Svetoslav is very well.

00:09:03 Spent a lot of time outside and even have some problem with her through.

00:09:19 Did he like Los Angeles? Like.

00:09:22 [RUS] - And what

00:09:52 [UKR] Show a little more. [UKR] Just a moment, Andriy. [UKR] Just so you can see both Alisa and...

00:09:59 [RUS] Wait, because here...

00:10:02 [UKR] Logan could look.

00:10:04 [RUS] Wait, I want to find Sviatoslav.

00:10:09 [UKR] Well, the children are enjoying life, because they don't have this now.

00:10:16 [RUS] They're playing...

00:10:23 that's great so

00:10:29 yeah that's him right there right yeah there he is having

00:11:06 - Oh, they are playing. - Oh, they are playing. That's funny. It's like a cat. They're like, "Ball" Look, they're like, "Ball" Now, now, now, now, I want to go. They went to the hunt, here, on the nature. That's a good picture. Walking, right? Yes, yes. That's a beautiful forest. Yes, yes, it's very nice. I showed you a lot of deer. Yeah, you sent me the deer.

00:11:39 [RUS] Yes, yes. [RUS] There, there they were doing it in the hall. [RUS] They were making these cool things. [RUS] There, all the children were making them. [RUS] Then, then, then, then, then. [RUS] They were shooting.

00:12:00 [RUS] There, now these are hot things.

00:12:06 - He's a horse. - Horse. - Horse. - Zara Svatoslav. - Find it. - Yes. - I'm so glad he has a chance to do things like this. - Zara, Zara, it's Svatoslav. - It's perfect for a teenage boy. - Oh, look at that. - I'm sure you're going to have a horse. - Logan, come here.

00:12:30 - Alex, ask Andre here in the second few if you went to the same camp.

00:12:38 Did you go to the same camp when you were a boy? - No, I don't. Bohdan spent maybe four, five times in this camp. Bohdan spent. - Okay. - And first of all, he was a student. After that, he was in the chief of group of children.

00:13:03 [RUS] I don't even know, very many.

00:13:05 There.

00:13:07 [RUS] They're chopping watermelons. [RUS] Is that him? [RUS] Watermelon? [RUS] Watermelon? [RUS] Yes, yes. [RUS] [INAUDIBLE] [RUS] or chopping watermelons. [RUS] Need to remove this watermelon. [RUS] Maybe, [RUS] this is his first time [RUS] in this Cossack camp.

00:13:32 [RUS] Yes, they're shooting muskets. [RUS] I'll show you. [RUS] Sviatoslav, autumn.

00:13:42 [UKR] Like this. [UKR] Like this.

00:13:46 And, Andre, can you tell Alex that in the Soviet Union times that they were trying to suppress local groups and pride in one's part of the country? And so when Ukraine became a country again, they started these camps and all these things

00:14:09 to reclaim their heritage and whatnot.

00:14:15 Mm-hmm. Yeah. Can you explain that?

00:14:19 Yeah, yeah, yeah, yeah, yeah. I understand. I understand what you would like here, Teddy. Just Natalia. Oh, Natalia. Hello? So how much more time do you have? - It's good, it's good, it's good,

00:15:09 Our patient is extubated. Good. Clear consciousness. Excellent. Moving everything. Moving the reserve in the Olympics also. Yes, I expect. Yes, I expect. Another successful mission. Another successful mission. Yeah. I tried to explain one situation. I tried to explain one situation. From 1993,

00:15:37 [RUS] In 1993?

00:16:09 24 August 1991, it's a Ukraine-style sovereign, independent country, and escape from United

00:16:29 [RUS] Soviet Union.

00:16:30 [RUS] - Ukrainian SSR, yes.

00:16:30 [RUS] - Ukrainian SSR, yes. [RUS] But after that, Russia wanted [RUS] to continue [RUS] with the first [RUS] with the first

00:16:50 CIS.

00:16:51 [RUS] - No, first [RUS] Soviet Union. [RUS] - No, I'm talking about after that. [RUS] - Weren't we in the CIS?

00:17:00 [UKR] To explain it accurately with all the political terms, let me think how. [UKR] Teddy asked to discuss with Alex that at first there was the Soviet Union, everyone was together, everything was good.

00:17:19 [UKR] And then Ukraine became sovereign and Ukraine began to revive its identity. [UKR] At first Ukraine was an independent country, and then it was conquered by Tsarist Russia. [UKR] And, sort of, our warriors concluded a cooperation agreement, but this cooperation turned into Muscovy's hegemony. [UKR] And they decided that they have the right to decide our fate. [UKR] But in reality our history is much deeper, much earlier.

00:18:08 [UKR] We have a language, we have writing, and it was created much earlier than Moscow's. [UKR] The Russian Federation, Russia, said that Ukraine didn't even exist until 1991.

00:18:27 [RUS] This is not true.

00:18:28 [UKR] This is not true, because our history, Ukrainian history,

00:18:33 is more than Russia history and even if we will have a light I show you I have history of Ukraine large book like like your present yesterday this size oh yeah

00:18:53 [RUS] History. From ancient times to now.

00:18:57 [RUS] This is why Ukraine existed before Russia was created. [RUS] Because Russia's ambitions toward Ukraine have always been, [RUS] from ancient times. [RUS] And they constantly try, the people of Cyprus, [RUS] especially the Ukrainian people,

00:19:19 [UKR] To conquer us, because we have territory of fertile lands and people who are not warlike, people who are farmers, work the land, and it suits them to either make us slaves, or take our lands. [UKR] One of the two. [UKR] Well, since we don't want to be slaves, because in our code, [UKR] in our essence, in the code of our nation we cannot be slaves.

00:19:52 [UKR] [VO CANDIDATE] We are free people. [UKR] I can't say this in English. Nastya, translate briefly.

00:20:02 [RUS] Ukrainian people work very hard and work with the land, with farming. [RUS] They work very hard, which is very good and desirable for Russia. [RUS] And they want to take Ukraine and make Ukrainian people slaves.

00:20:28 [UKR] As you said, either slaves or what? [UKR] Either slaves or, you know, so that there's no nation at all.

00:20:34 [RUS] Well, to destroy.

00:20:47 [UKR] They inflicted endless famines on our nation. [UKR] My grandmother told me about how she was able to survive with her family when they took everything. [UKR] Soldiers of the Russian army came and swept out from the house, from the barn, from everything, swept out grain to the last kernel. [UKR] And they survived only because their relative threw a bag in the pit at the end of the gardens, there were small ponds, he threw a small sack of corn into that pond. [UKR] And that's how they survived, they pulled it out, dried it and ate it, and were able to survive. [UKR] [VO CANDIDATE] Everyone else died, because they forcibly took the bread, took the grain, and people died of hunger.

00:21:37 [UKR] That's how they treated us, tried to uproot us from our land.

00:21:44 [UKR] Holodomor and deportation to Siberia.

00:21:51 [UKR] Donetsk region, Luhansk region were completely deported to Siberia. [UKR] And Western Ukraine too.

00:22:00 [UKR] How do you say Holodomor?

00:22:02 [RUS] Holodomor. [RUS] Yes, this is a created solution, genocide of the Ukrainian nation. [RUS] Genocide. [RUS] Genocide. [RUS] And plus, many people from Luhansk, from Ukraine, were transported to Siberia. [RUS] Siberia, yes. [RUS] Yes, yes, many. [RUS] Yes, like my ancestors. [RUS] Yes, yes, yes, tell them. [RUS] You can tell about Siberia.

00:22:36 Would you like to tell me again about your family, which was transferred? Well, when I was getting the paperwork together a few years ago to become a citizen of Lithuania, my sister found this family history that goes back to the mid to late 1800s about my great-grandparents and all their siblings and what happened and so many of them were arrested by the russians and sent to prison some sent to kazakhstan siberia other places and some died there

00:23:20 yeah time to eat guys yes so so last thing just say that uh tell them so we didn't have the the the cossack camps and then was it was it um forbidden to try and teach the history of the ukrainian people even and that's why it's so important that bogdan and now uh uh sviatoslav i mean that's that's what you're fighting for and to survive to hold on to that and so that's why it's

00:23:46 i mean to me it's meaningful that your son is there right now like you know that's a it's a very cool thing personally it's very important now when my son first of all and now is set us love spend time is this kozak camp because people who work there it's

00:24:13 [RUS] and show the children all Ukrainian traditions. [RUS] First of all, they had uniforms, [RUS] Ukrainian sharavary, what's it called?

00:24:34 Shoes.

00:24:36 [RUS] Vyshyvanka. [RUS] Vyshyvanka, sharavary. [RUS] And they walk without shoes in the forest.

00:24:50 only the possible ground is there without without sure without Russian language many times, and a lot of activities which was where in the Cossack camp, for example, horses riding, riding, and biting to the sabers, and also kayaking, and then jumping, and hiking,

00:25:47 [RUS] And also, they taught their students to live in austere conditions, without water, enduring ice and cold.

00:26:04 and they taught how to prepare some medicine from nature trees, nature plants, nature... ...berries, prepare some medicine and treat themselves without official medicine. That's why they live in a condition, an environment that they are ancient... How would you say that? You understand? Ukrainian, you may be able to translate from Ukrainian to English. I live many many years ago.

00:26:51 That's why it's... Yeah. Whoa. Switch on. Hey! Hey hey. Let there be light. It's only eight minutes. That's why in any... Alright. Well why don't you guys still sit and eat? First of all I would like to show you the book of history Ukraine only show.

00:27:17 And they continue to eat, yeah?

00:00:00 [RUS] I would like to show you the history of Ukraine.

00:00:00 [RUS] I would like to show you the history of Ukraine. [RUS] Russia never has this history. [RUS] Wow, it's very heavy. [RUS] Ukraine is Cossack. [RUS] Ukraine is Cossack. [RUS] You see Cossack.

00:00:21 [VO CANDIDATE] This is why I'm proud to have the name Sirko.

00:00:26 [VO CANDIDATE] And I'm proud to have my children carry this name. Wow, this is amazing.

00:00:39 Here, Logan, did you get this? Sorry, one second. Sorry, one second.

00:00:49 Do you want to shoot this? I'll just shoot your face first. Okay. Ukraine, the Kozak state.

00:01:00 Tell them about Serko. You can let them look for a second. I really want to get the pride in the name.

00:01:09 This is a huge book. This is amazing. I need my glasses. I can't find information about my... Wow. It's gotta be 25 pounds.

00:01:30 Just, I find it quickly.

00:01:36 [UKR] It's 1,214 pages. [UKR] That's not it. [UKR] Ukraine [INAUDIBLE] Cossacks.

00:02:26 [UKR] List of abbreviations.

00:02:30 [UKR] Now we need to find it. Take the glasses and help me. [UKR] Ivan Mazepa I found.

00:02:48 [UKR] Legendary Koshovy Ataman Ivan Sirko.

00:02:53 Page 136. 136. Or 154. 4.

00:03:05 [RUS] We'll find it now.

00:03:40 Oh, very fine.

00:03:50 Is that Ivan Sirko? Yeah, yeah. This portrait sculpture. Ivan Dmitriy Sirko. Koshyaviy Ataman, Zapolishka Siege.

00:04:05 [RUS] and his ammunition. [RUS] Sword. [RUS] From the armor of Crimean Tatars, no. [RUS] That's right.

00:04:20 [UKR] I'll come back and see.

00:04:24 [RUS] We also have it. [RUS] We also have it.

00:04:30 [RUS] I'll show you.

00:04:44 he was born near 16 10 years 16 10 years i

00:04:55 perform photo and send to GPT chat and thus translate all in English and send you okay because it's a small yes yeah

00:05:11 Alex asked him about why he has some of the name Sirko. Yeah, but he's tied and then he just...

00:05:22 So you're very proud of the name Sirko. Why is that? So you're very proud of the name Sirko. Why is that?

00:05:28 Because it's...

00:05:31 [RUS] Our name was Ukrainian, who was a defender [RUS] many years ago for our independence, [RUS] maybe in Ukraine, for sovereignty. [RUS] Maybe he was in the year 1610, [RUS] maybe 400 years ago.

00:05:58 ago and he was one of the from other who never lost any battle never lost maybe

00:06:11 [RUS] And he won more than 60 great battles, together with his Cossacks. [RUS] It's like this. [RUS] You can also make this one, this one, this one.

00:06:32 Yes. Yes. And...

00:06:34 [RUS] Alex, can you help me. [RUS] Please, it's very...

00:06:38 It's very heavy. It's sharp. You need to eat more. I'm trying to be careful. I'm trying to be careful. I hurt myself.

00:07:00 Ah, there you go.

00:07:01 [RUS] [INAUDIBLE]

00:07:32 It's an orthopedic night.

00:07:36 All right, here, let's put it back before we hurt ourselves. I don't know if you would like to cut my leg. I'll take a cut off your right arm. I got it like Ivan Silko. I can't get it to go back. I told you you need to eat a bit more.

00:00:00 [RUS] we

00:00:07 we we we

00:00:26 There you go. If you don't have time to find a phone, we run very quickly.

00:00:57 We run very quickly to the first floor and to the underground. Yeah, I can tell whenever I get an email from you at 10 o'clock in the morning,

00:01:10 it's actually starting out of the years to show. Yeah, it's true.

00:01:27 [RUS] One of the last times, Sviatoslav was at the entrance and left, and this door was closed,

00:01:38 [UKR] Lost connection. [UKR] The door.

00:01:45 [UKR] The door.

00:01:54 [RUS] Look. [RUS] Look.

00:02:10 This is all where the lamp is working.

00:02:43 This is not very big though. I think I spoke. It's in my... Is this for... I would like to show you the place. Okay.

00:02:54 Where I usually sleep. In this place.

00:03:00 I asked Tania, would you like to sleep? Tania, answer, no. Tzatoslav, no. And I lay here and sleep here. Is this the only shelter for the entire building?

00:03:24 This is our form of this. This is... Oh, okay. Oh, it's fine. Okay, so just for... Okay, just for this one, I see.

00:03:40 First of all, I start to see this and this It's a poor Wi-Fi connection, but we check information about how many shahats, how many ballistics, and the direction how this ballistics rocket goes. And you can see this was the way to from inside to the outside. If the damage of entrance, we couldn't possibly go to the entrance.

00:04:24 [RUS] We can go like this, and in the house, in the house

00:04:54 in my work and continue to treat patients. Oh, okay, I'm still here. You're gonna fall asleep right now, okay? You had a very long day. Sleep. Sleep. Oh, yeah, yeah. I'm not lying back now. I know you'll get up in one second. I would like also to... You can get up now. Wake up.

00:05:30 Rocket attack is finished. And I am going to my home. I need to wash my head, wash my body,

00:05:42 and prepare some teeth and go to the work. Alright, let's go.

00:00:39 [RUS] Thank you.

00:01:36 [RUS] Speaker 1: Levko, Levko, I saw the photo, what I saw looked like an ependymoma, ependymoma of the 4th ventricle, based on the photographs, I haven't looked at the disk yet, I only looked at the image, and on the image Yevhen, right?

00:01:55 [UKR] Speaker 1: Yevhen, right.

00:01:56 [RUS] Speaker 1: Yes, that's correct.

00:02:14 Speaker 1: You can see here, it's like ependymoma for cylindrical.

00:02:30 [UKR] Speaker 1: This was without contrast, you haven't done it with contrast yet, right? [UKR] Speaker 2: We did it with contrast. There are just two folders, one with contrast, one without.

00:02:46 [UKR] Speaker 2: I did the regular one first, they told me I needed it with contrast. I did the contrast one here in Dnipro at your place.

00:02:57 Speaker 3: Hydrocephalus.

00:03:08 [RUS] Speaker 2: I'm saying, I ran back three times. [RUS] Speaker 1: Well, this is category 5 difficulty. [RUS] Speaker 1: There are even five percent more complex than yours, but this is the fifth category of complexity, because here it's 100 percent sure. [RUS] Speaker 1: There's a strip here where it's separated, here it's good, but below it's already disappearing.

00:03:55 [RUS] Speaker 1: We do such operations, what are the risks? [RUS] Speaker 1: Risks, possible problems, first of all bulbar syndrome, [RUS] Speaker 1: disorders, swallowing, excessive salivation, possibly a feeding tube, [RUS] Speaker 1: this is what I'm telling you about what might be most likely. [RUS] Speaker 1: As a rule, this doesn't happen, but with such giant tumors,

00:04:16 [UKR] Speaker 1: this can happen, I've seen diseases, possibly, in a certain period, postoperative period, after surgery, possibly permanent bulbar syndrome, possibly swallowing problems, possibly dysarthria, speech disorders.

00:04:41 [RUS] Speaker 1: As a rule, there are no problems with strength in the arms and legs. [RUS] Speaker 1: Here I see it's attached at the very bottom of the rhomboid fossa, where the nuclei are located, [RUS] Speaker 1: the caudal groups of nerves, this is the glossopharyngeal nerve, this is the vagus nerve. [RUS] Speaker 1: Those are the issues. Plus you also have hydrocephalus. [RUS] Speaker 1: As a rule, after we remove this tumor, the hydrocephalus decreases. [RUS] Speaker 1: Usually in 9 out of 10 cases. [RUS] Speaker 1: Sometimes in 1 out of 10 it remains. [RUS] Speaker 1: And then it's no longer obstructive. [RUS] Speaker 1: That is, obstructive means impaired CSF flow. [RUS] Speaker 1: And resorptive is when resorption is impaired.

00:05:30 [RUS] Speaker 1: That is, both the tumor mass and the blood that gets into the CSF during surgery,

00:05:34 [UKR] Speaker 1: impair CSF absorption. [UKR] Speaker 1: So it's rare that a shunt is necessary after this operation.

00:05:41 [UKR] Speaker 1: A shunt. Rarely.

00:05:42 [RUS] Speaker 2: Kardash said the same thing.

00:05:45 [UKR] Speaker 1: This doesn't mean it needs to be placed now.

00:05:47 [RUS] Speaker 1: The first stage is tumor removal.

00:05:50 [UKR] Speaker 1: Then we'll see. [UKR] Speaker 1: And if necessary, then we'll place a shunt. [UKR] Speaker 1: Understood? - Yes. [UKR] Speaker 1: What else is there? [UKR] Speaker 1: There's frontal sinusitis, inflammation of the right...

00:06:07 [RUS] Speaker 1: These are the considerations. [RUS] Speaker 1: If we look at our schedule, we won't be able to do it before the 10th.

00:06:17 [RUS] Speaker 2: And I won't be able to before the 10th either. I'm also currently in the zone on duty, and there the officer went on leave.

00:06:23 [RUS] Speaker 2: I need at least another week, we have 10 days until the future. [RUS] Speaker 1: Let me give you the flash drive right now.

00:06:31 [UKR] Speaker 1: You'll wait a bit more, about half an hour. [UKR] Speaker 1: I'll come back, and we'll calmly, you sit for now, think about what questions to ask me, and we'll discuss. [UKR] Speaker 1: I'll come back, and we'll calmly, you sit for now, think about what questions to ask me, and we'll discuss. [UKR] Speaker 1: Okay, okay. Thank you very much. [UKR] Speaker 1: We'll come back after the ICU, we'll just check, we operated on a wounded soldier.

00:06:47 [RUS] Speaker 1: Alright, alright, I understand.

00:06:49 [UKR] Speaker 1: Just Levko Lubomyrovych yesterday. [UKR] Speaker 2: Yes, he was talking to you about him, I heard. [UKR] Speaker 1: This is exactly who the professor and I operated on Monday. We'll go check on him right now with our general director.

00:07:01 [UKR] Speaker 1: I'll be back. I just said today that I have a very big operation today, said that I'll only see you, and then I'll be gone for 5-6 hours. [UKR] Speaker 1: So sit, wait. Okay? Thank you. And we'll talk more.

00:07:17 Speaker 1: Let's go. Speaker 1: Let's go, right? Speaker 1: All right.

00:12:46 Speaker 1: Thank you.

00:18:16 Speaker 1: Thank you.

00:00:00 Let's see, two of Roswell-Voleta and Havisio, is that correct?

00:11:34 Speaker 1: Let's see, two of Roswell-Voleta and Havisio, is that correct?

00:11:41 Speaker 2: A little bit. Speaker 1: Oh, okay.

00:12:59 Speaker 1: Thank you very much.

00:14:55 [RUS-NEEDS] Это мой план для сегодня.

00:15:39 [RUS] Speaker 3: This is my plan for today. [RUS] Speaker 3: This is the plan for the operation, just the main stages. [RUS] Speaker 3: What was going on yesterday. [RUS] Speaker 3: I was looking at this carefully.

00:15:56 [RUS] Speaker 1: And this is Mr. Terries. [RUS] Speaker 4: Depression.

00:16:08 [RUS] Speaker 4: Our glorious journalists are coming. [RUS] Speaker 3: They're with Mykhailo. [RUS] Speaker 3: They went with Mykhailo to film the patient, [RUS] Speaker 3: the wounded one. [RUS] Speaker 3: So, I'll show you later what you're doing. [RUS] Speaker 4: Show me quietly, and then something. I still don't know what to do there. [RUS] Speaker 3: Hemostatic cotton.

00:16:28 [RUS] Speaker 4: And what else? Sponge, or something?

00:16:31 [UKR] Speaker 4: What kind is it?

00:16:33 [RUS] Speaker 3: It's not my title. [RUS] Speaker 3: It says hemostatic cotton,

00:16:37 [UKR] Speaker 3: made from regenerated cellulose. [UKR] Speaker 3: This is Surgicel made from regenerated cellulose.

00:16:47 [UKR] Speaker 3: And also hemostatic fabric. [UKR] Speaker 4: Are there different sizes?

00:16:52 [RUS] Speaker 3: Here is hemostatic fabric, and here is hemostatic cotton.

00:16:57 [UKR] Speaker 3: If you hold the Surgicel, it translates.

00:17:04 [RUS] Speaker 3: He got a deep wound with acidic stuff [RUS] Speaker 3: deep and dark collar he's got [RUS] Speaker 3: And who will have to go to the office? [RUS] Speaker 3: Here the vessel of the neck and the vessel of Moscow are sick

00:17:31 [UKR] Speaker 3: They'll bring food and call Artem, because Mykhailo will be in the operating room. [UKR] Speaker 3: So he finds them, I think, at that moment they'll already be out of the operating room, because our operation is about five hours, they won't be filming for five hours. [UKR] Speaker 3: They'll come out of the operating room and we'll feed them. [UKR] Speaker 3: And the last thing is that Saryk will leave us alone when we finish the operation and go to the break room.

00:17:56 [RUS] Speaker 4: Artem is in charge.

00:18:57 [UKR] Speaker 3: I repeat, the tumor is benign, it's called ependymoma, it's a complex tumor, complications can happen at our place, in Odesa, in the neurosurgery institute, anywhere. [UKR] Speaker 3: It's your right, I'll write that the operation is indicated, you choose where you want to be operated.

00:19:16 [UKR] Speaker 3: If you decide on us, you'll tell me, Andriy Hryhorovych, I want to be operated by you, I'll say that for us it's no earlier than the 10th or 17th for hospitalization.

00:19:26 [UKR] Speaker 2: Tell me please, what timeframe, for example, if I agree, what timeframe would I need to come to you?

00:19:34 [UKR] Speaker 3: For example, you're admitted on the 10th, operation on the 11th-12th. [UKR] Speaker 2: And the post-operative period? [UKR] Speaker 2: 10-11 days. [UKR] Speaker 2: About two weeks. [UKR] Speaker 2: And tell me please, they also said that possibly part of it will need to be left.

00:19:48 [UKR] Speaker 2: Or is that unknown? [UKR] Speaker 3: We always try to remove it all.

00:19:54 [RUS] Speaker 3: We try to remove it all, but it will depend on its density.

00:19:59 [RUS] Speaker 2: Yes, how it adheres to the trunk. [RUS] Speaker 3: And secondly, here this artery, this is the posterior inferior cerebellar artery. [RUS] Speaker 3: If it separates well from it, because we need to preserve this artery, then good, if not, then it depends on the case.

00:20:16 [UKR] Speaker 3: So during the operation we balance between risk and benefit. [UKR] Speaker 3: We try to remove it completely. [UKR] Speaker 3: We send it to histology. [UKR] Speaker 3: On the images it looks about grade two-three. [UKR] Speaker 3: That is, grade two, three - this is, possibly, two is benign, three is a transitional form, from benign to malignant.

00:20:36 [RUS] Speaker 3: It doesn't look malignant.

00:20:37 [UKR] Speaker 2: I understand. [UKR] Speaker 2: That's already good. [UKR] Speaker 2: And is it true that this is more of a pediatric pathology or not? [UKR] Speaker 3: Ependymomas. There is pediatric pathology, that's medulloblastoma.

00:20:53 [UKR] Speaker 2: They're malignant, as I know. - Medulloblastomas are malignant. [UKR] Speaker 3: This looks like an ependymoma.

00:21:01 [UKR] Speaker 3: Let me tentatively register you, write my conclusion, my phone number there, and you'll call me and tell me.

00:21:08 [RUS] Speaker 2: Or maybe I'll call you through Levko.

00:21:12 [UKR] Speaker 3: Let me say one thing, so you don't delay. - Oh, I wanted to ask about the timing. [UKR] Speaker 3: Let me say one thing, so you don't delay. - Oh, I wanted to ask about the timing. [UKR] Speaker 3: The 10th is the earliest I can do. - Understood, understood. [UKR] Speaker 3: The 17th is even later, I wouldn't operate, because around the 29th-30th I'm going to the World Congress for a week, I won't be here.

00:21:29 [UKR] Speaker 3: I don't like to operate on a patient and then leave. I need at least a week to observe him, see that everything is good, only then will I leave. [VO CANDIDATE] [UKR] Speaker 2: Thank you, again [UKR] Speaker 2: I just, so you understand, I need to orient myself. [UKR] Speaker 3: I'm telling you. - Yes, yes, yes. [UKR] Speaker 2: I see your thank-you notes. - Yes, I see, I've already heard a lot about you.

00:22:17 [UKR] Speaker 3: Those are thanks from patients and their relatives, and he, Aliks, earned a thank-you yesterday. [UKR] Speaker 3: We operated together on a soldier, the relatives already say: [UKR] Speaker 3: "I'm not used to you bringing thanks on the second day. He could still die. [UKR] Speaker 3: No arm, no leg, lung contusion, heart contusion." [UKR] Speaker 3: They already brought that one, whose jaw has a bunch of fragments.

00:22:36 Speaker 3: I told you about your young one. Speaker 3: Yeah, you and I talked about it. What am I going to do with that? Speaker 3: It's amazing. Speaker 3: "Listopad", right? Speaker 3: I write for "Jukov" and "Jugeni". Speaker 3: "Sarhievich".

00:23:11 [RUS] Speaker 3: Phone number?

00:23:12 Speaker 2: 097 922 17 92

00:23:19 [UKR] Speaker 3: Did I write it correctly, yes?

00:23:20 Speaker 3: Yes

00:23:21 [UKR] Speaker 3: I'm writing a question so that you call me around the 3rd

00:23:26 [UKR] Speaker 2: Yes, okay [UKR] Speaker 3: Next Monday, next week call preferably before 10 in the morning, before I go into surgery.

00:23:35 [UKR] Speaker 3: You say, Andriy Hryhorovych, let's start with your position. Who is the head of this medical unit? [UKR] Speaker 2: Head of medical service of the military academy of the city of Odesa. [UKR] Speaker 2: Head of medical service of the military academy of the city of Odesa.

00:23:54 [RUS] Speaker 3: We had our neurosurgeon there, who is Dmytro Cherepkov, at Hafychuk's. [RUS] Speaker 3: Now I'll write you the conclusion and write the phone number.

00:24:10 [RUS] Speaker 3: Let me see now.

00:24:13 [UKR] Speaker 5: Halytskyi, something like that. [UKR] Speaker 5: There is.

00:24:26 [UKR] Speaker 3: "Let me see". [UKR] Speaker 3: "Let me see".

00:24:30 [UKR] Speaker 3: See? - Yes.

00:24:32 [RUS] Speaker 3: I won't forget.

00:24:33 [UKR] Speaker 2: Tell me please, Hryhorovych, should I support myself somehow now?

00:24:38 [UKR] Speaker 3: If your head hurts badly, maybe dexamethasone? [UKR] Speaker 2: Well, I'm already used to it, it's a bit heavy.

00:24:58 [UKR] Speaker 3: I explained that usually hydrocephalus goes away,

00:25:03 [RUS] Speaker 3: but sometimes it's not occlusive, but residual, and then we think what might need to be done, what to install. [RUS] Speaker 3: But it's not... [RUS] Speaker 3: Well, we're 100%! [RUS] Speaker 3: You must understand that we must talk about everything before the operation. [RUS] Speaker 5: Well, of course, of course. [RUS] Speaker 3: And everything, like, the worst thing, mortality. [RUS] Speaker 3: Well, I'll say this, that I've done 168-175 tumor operations.

00:25:25 [UKR] Speaker 3: One, two, three people die out of the whole case, 168-173.

00:25:30 [RUS] Speaker 3: Well, usually all cases come here.

00:25:33 [UKR] Speaker 3: Coronavirus is also counted, thrombosis, pulmonary embolism, pulmonary artery, pneumonia, heart attacks. [UKR] Speaker 3: Very rarely when it's related to brain surgery itself, that is bleeding into the bed of the removed tumor, sometimes the tumor is highly vascularized, sometimes there's bleeding. [UKR] Speaker 3: For this, we have two neurosurgeons on duty around the clock. [UKR] Speaker 3: Strong neuroanesthesia. [UKR] Speaker 3: In the evening I always check. [UKR] Speaker 5: Did the patient wake up, didn't wake up, how is he feeling. [UKR] Speaker 3: If something doesn't look right, we go to the CT scanner.

00:26:08 [RUS] Speaker 3: We do another CT scan in the evening.

00:26:10 [UKR] Speaker 3: Yes, of course, we do a CT scan the next day in the morning, [UKR] Speaker 3: we always do a control CT scan. [UKR] Speaker 3: That is, the guarantee, the guarantee that we will do. [UKR] Speaker 5: This is medicine, we understand. [UKR] Speaker 3: Carefully, without rushing, under the microscope, and in intensive care, carefully, there will be supervision. This is the guarantee. And everything else. [VO CANDIDATE] [UKR] Speaker 2: Tell me, on what day are visits possible? [UKR] Speaker 3: Well, we usually say that at least for 2-3 days someone can be with you. [UKR] Speaker 3: Well, yes, I'm from Odesa, but I think, of course, yes. [UKR] Speaker 3: While it's a strict regime for 2-3 days. If you need it, we might allocate 2 beds in the room, one for you, one with you.

00:26:58 [RUS] Speaker 3: I understand, understand, understand. - Levko was lying with us all that time, with pancreatitis.

00:27:05 [UKR] Speaker 2: He didn't say, but he was very honest with me somehow.

00:27:09 [UKR] Speaker 2: I mean, not many doctors now treat people like that, well you know, that... [UKR] Speaker 3: He's like that by nature. - Yes, he's very pleasant.

00:27:15 [RUS] Speaker 3: When he had problems, he was afraid to say that he had very bad treatment, I'll say honestly, from medical staff. [RUS] Speaker 3: When he got pancreatitis, that's how they treated him. [RUS] Speaker 3: And my son Bohdan, also a neurosurgeon, 27 years old, and he wanted to go there to the mobile hospital, he went many times, when Pokrov, to stabilization points. [RUS] Speaker 3: He tells me: "Dad, the situation is such that I feel sorry for him, but he himself is afraid to raise the question. [RUS] Speaker 3: I say: "Okay, I'll coordinate, let's bring him here, put him in our surgery, treat him, then he'll go in stages to Lviv."

00:27:56 [RUS] Speaker 3: So he's that kind of person by nature. [RUS] Speaker 2: Yes, he's so kind. [RUS] Speaker 2: He's good and decent. [RUS] Speaker 2: Yes, he goes the extra mile. [RUS] Speaker 3: Good.

00:28:12 [UKR] Speaker 3: He's decent? [UKR] Speaker 2: I, in fact, was supposed to go not to him, but to the 59th. [UKR] Speaker 2: And then somehow at the last moment our head of medical says: [UKR] Speaker 2: "I've already arranged it, go to Shakhtarska." [UKR] Speaker 2: There's a neurosurgeon there, he needs to take a look.

00:29:13 [RUS] Speaker 3: I have a list of tests there, if there's a possibility to do them, if not, we'll do them at our place.

00:29:19 [RUS] Speaker 3: no problem

00:29:57 [RUS] Speaker 2: Around 3-4 in the morning.

00:29:59 [UKR] Speaker 3: Thank you. [UKR] Speaker 3: What you can do, what you can't. [UKR] Speaker 3: We're holding on. [UKR] Speaker 3: We're finishing our coffee and waiting for them to call us.

00:30:20 [RUS] Speaker 3: I said today that Levko will come, I'm only seeing him, because we have a very serious operation.

00:30:29 [RUS] Speaker 2: Yes, I understood, I would say that...

00:30:30 [RUS] Speaker 3: Thank you.

00:00:00 Speaker 1: he and go took here and go to Germany because no one in Ukraine don't like to perform this surgery.

00:00:00 Speaker 1: he and go took here and go to Germany because no one in Ukraine don't like to perform this surgery. Speaker 1: During his first surgery, remove the meningioma synoid ring was damaged middle cerebral artery. Speaker 1: German neurosurgeon wrote in his protocol, it was aneurysm, middle cerebral artery, but I understand it's only damaged. It happened. But he received a histological examination, two grade, malignancy, two grade, but I don't understand they don't prescribe the radiotherapy.

00:00:54 Speaker 1: After three years after surgery, meningioma started to grow again. Speaker 1: And when he came in our hospital, it was enormous, huge, giant meningioma. Speaker 1: I saw real this part of this part, and second small nodules is this. Speaker 1: This is huge. Speaker 1: And now, he starts after our surgery, we removed totally. Speaker 1: After surgery he starts radiotherapy. Speaker 1: And her mother gave me her MRI control.

00:01:44 Speaker 1: That's why we have time to check MRI control. Speaker 1: Return my hard disk. Speaker 1: I'm going to pull up something to show you here.

00:02:13 Speaker 2: So I did not realize that this whole documentary thing, Speaker 2: They needed some money to come here and get started, so I said, "I'll give you a gift." Speaker 2: But then it became a whole legal thing with the contract, and my attorney told me that I should create a company. Speaker 2: So, think of a name for a company that no other company in Texas has. Speaker 2: I thought, "Okay, we're going to make a documentary about Andre Sirko. Speaker 2: Andre likes the skull base. So what's a good name for a company about a skull base? Speaker 2: So the name of my company is Spinoid Wing Enterprises. Speaker 2: Yeah. Speaker 2: And I think I'm going to try, if I get any money from this, I'll just try to donate it to Razum or something.

00:02:58 Speaker 2: But I've learned so much just from doing this. Speaker 2: Now I can't... Speaker 2: It's not indicated here. Speaker 2: I thought you would like that name.

00:03:40 Speaker 2: Thank you. Speaker 1: Here, here, here. Speaker 1: A few time for interviews, that's why I think it was as much as possible today, because I asked him to leave and give an interview outside the ICU.

00:04:25 Speaker 2: So, it's the Sphenoid Wing Enterprises, the Lividal Ibility Corporation. Speaker 2: Oh, that's funny. Speaker 2: If they actually do this documentary, there's going to be credits at the end. Speaker 2: It's phenome organophysia going to be listed as something. Speaker 2: This would be very funny if this thing actually... Speaker 1: This patient lay in our department, and every day he goes to another hospital,

00:04:54 Speaker 1: oncology hospital, to receive radiotherapy. Speaker 1: That's why it's huge. Speaker 1: I find you and show his MRI preparation. Speaker 1: I realize why previously I didn't see this patient before, but he had consultation in multiple department, neurosurgical department in Ukraine. Speaker 1: include our neurosurgery institute ramadana neurosurgery in kiev i was rejected we we couldn't Speaker 1: perform this surgery that's why she started to find volunteers volunteers help go to the germany

00:05:41 Speaker 1: in germany neurosurgery performed surgery but due to surgery damage middle cerebral artery and they

00:05:48 [RUS] Speaker 1: damaged it

00:08:18 [RUS] Speaker 3: Balaklava.

00:08:19 I find. I find, find, find, find. Speaker 3: I find. I find, find, find, find. Speaker 3: I'm still not losing this. Speaker 3: I'll show you.

00:09:07 Speaker 1: He was quickly deteriorated with Gemi Paré.

00:09:13 Speaker 1: So it's our operation, the last chance for him to be a young man. Speaker 3: It's a very interesting case. Speaker 3: Just this one and this one.

00:09:52 Speaker 1: Eclipse after the first surgery in Germany.

00:10:00 Speaker 1: And after that, tumor is all this. Speaker 1: All this part. Speaker 1: How many years ago was the surgery in Germany? Speaker 1: Three or four years ago. Speaker 1: Wow, that's a very aggressive tumor. Speaker 1: From this, you can see it. Speaker 1: It's like a glioma, glioblastoma, but it's anoplastic meningioma. Speaker 1: It's huge. Speaker 1: It's huge. Speaker 1: Oh, with enhancement. Speaker 1: Cateris enhancement. Speaker 1: You can see. Speaker 1: Oh. Speaker 1: This. Speaker 1: It's also tumor. Speaker 1: Located in the middle fossa. Speaker 1: And after that. Speaker 1: And this, this, this. Speaker 1: I told you. Speaker 1: Like snowman. Speaker 1: Large and small. Speaker 1: This is the passion.

00:10:57 Speaker 1: It's before second operation.

00:11:01 Speaker 1: And now... Speaker 3: We see...

00:11:37 it's after germany was

00:12:33 Speaker 1: it's after germany was Speaker 1: trepanation you can see here it's after my i need to perform more size more large size

00:12:51 Speaker 3: also also we can Speaker 3: cut Speaker 3: and i show you

00:13:05 Speaker 3: clips Speaker 1: is this um Speaker 1: like um signal signal from metallic fragment is this located clips after uh clipping the Speaker 1: middle cerebral artery in Germany. Speaker 1: Is the patient hemiplegic in the left arm? Speaker 1: Before my surgery, yes. But after surgery, he started to recover. Speaker 1: Oh really? Yeah. Speaker 1: You can, if you remember me, Speaker 1: you can see this patient tomorrow. Speaker 1: Okay? Yeah. Speaker 1: Because he didn't have any chance to continue to live. [VO CANDIDATE]

00:13:55 Speaker 1: He is very young.

00:14:00 Speaker 1: Very young people. Speaker 1: Oh, wow. Speaker 1: He's 37 years old. Speaker 1: Yeah. Speaker 1: 37 years old. Speaker 1: Is it a man or a woman? Speaker 3: Man, man, man. Speaker 1: Oh, that's very straight. Speaker 1: We need to refresh our... Speaker 1: So, Andre, what do we do with this thing? Speaker 1: Go to Texas Dallas.

00:14:36 Speaker 1: I save your... Speaker 2: I can't take that with me on the train. Speaker 2: it's too big we'll have to ship it or something I can't even carry that thing Speaker 2: I mean can I just give it to the hospital it should go to Mexico hospital Speaker 2: because the whole team took care of this patient not just me I played a very

00:14:59 Speaker 2: very small role Speaker 1: well you can think I think it's need to go to Texas dollars but if you would like Speaker 1: to live here it's maybe it's maybe it's one from money variant would need to do Speaker 1: with this Speaker 1: it's your choice well think about it it's your choice I don't know I don't think Speaker 1: I could I can take it back. You need to buy a big suitcase and the suitcase. Speaker 1: I guess we could have that. Yes you can buy a suitcase and lots of bubble wrap.

00:15:47 Speaker 1: Yeah yeah yeah. I think it's more appropriate here though. Speaker 1: It's my problem with this, this, uh, Speaker 1: It's a colosomarginal artery. Speaker 1: Colosomarginal artery. Speaker 1: That's why it can be included in the tumor. Speaker 1: It's a big problem, maybe. Speaker 1: And this is pericolosal artery. Speaker 1: I think it starts from the right side. Speaker 1: From the right side, because this is convex.

00:16:33 Speaker 1: Convex, you can start from this. Speaker 1: Would you like coffee or tea? Speaker 1: Thank you. Is the superior sagittal sinus still painting? Speaker 1: I don't think it's not neat because some supply will be from the... Speaker 1: on this part, yes, anterior part. Speaker 1: This part. You can see some drainage. Speaker 1: I don't think we need to cut sagittal sinus Speaker 1: because it's need to cut the margin between the anterior Speaker 1: and middle and middle and posterior

00:17:21 Speaker 1: is going to be very difficult for the patient. Speaker 1: Collateral the nose pathway. Speaker 1: Yeah, that's why I preserve integrity. Speaker 1: It's a project of the total sinus. Speaker 1: It's my goal. Speaker 1: My goal... Speaker 1: My goal is save. Speaker 1: First you know the trigger on the N-C-A. Speaker 1: That's why we need to save branches and anterior cerebral artery.

00:18:00 Speaker 3: Stokes, stokes, stokes, stokes, stokes.

00:18:16 Speaker 1: We wait when Natalia called. Speaker 2: Well, thank you for being so patient with the film crew. Speaker 2: I know they take a long time to decide, and it's last minute. It's very different from how you operate. You like to go. Speaker 2: Yeah, yeah. They are all over the place. Speaker 2: Yeah. Speaker 2: But I really think this is going to be a very important project for Ukraine. Speaker 1: Yeah, yeah, yeah. That's the whole reason I need to do it. Speaker 1: I think too, and my wife thinks also, this, I will, all which is needed, in order to help filmmaker group to create the film about Ukraine,

00:18:56 Speaker 1: We think about different ways how we can help Ukrainian people, Ukraine. [VO CANDIDATE]

00:19:07 Speaker 1: That's why I try to share our experience. Speaker 2: So look, here's Fox News, okay? Speaker 2: Yeah. Speaker 2: These are the stories on Fox News. Speaker 2: Trump in South Korea. Speaker 2: So Fox News is a conservative website. So they complain about Blue City, 12 people getting shot. They don't like some German activist, you know, Antigrida. They don't like the other California. You know, blah, blah, nothing about Ukraine. Speaker 2: Yeah. Speaker 2: And then you look at CNN. Speaker 2: They have their silly stories.

00:19:47 Speaker 2: CNN is very slow. Speaker 1: I would like to show, if you remember your last meeting. Speaker 1: So. Speaker 1: Ask me about, can the possibility go to the front line for journalists? Speaker 1: That's what they asked me.

00:20:02 [RUS] Speaker 1: It's not very dangerous. [RUS] Speaker 1: And this confirms my words.

00:20:14 [UKR] Speaker 1: I showed you, yesterday I saw information about a German journalist.

00:20:28 Speaker 4: The Germans.

00:20:52 Speaker 2: That's the front line.

00:21:01 Speaker 1: and the translation about this Speaker 2: Targeting journalists. Speaker 2: Yeah, yeah, yeah. Speaker 2: Here, yeah, here's the man. Speaker 2: The point is nothing about Ukraine.

00:21:30 Speaker 2: You played? Speaker 2: Yeah, yeah. Speaker 3: I know, I know. Speaker 5: The next question is... Speaker 5: I'm going to ask you. Speaker 5: I'm going to ask you. Speaker 5: Yes.

00:21:52 [RUS] Speaker 5: I'll tell everyone, Anthony. [RUS] Speaker 5: The earrings looked, Anthony, there's more spinal. [RUS] Speaker 5: Well, we'll put him, do a cervical MRI, show the volume. [RUS] Speaker 5: And in the form, like, consequences of trauma there.

00:22:11 Speaker 5: If needed, I'll hook up the whole ward, there's just a tap that's not working, I'll tell you that you can't touch anything. Okay. Speaker 5: Okay.

00:23:12 Speaker 1: Hello? Speaker 1: Hello?

00:23:15 [UKR] Speaker 1: Hello, Misha, Mikhail, Misha, Misha, Misha.

00:23:27 [RUS] Speaker 1: Hello.

00:23:30 [RUS] Speaker 1: Good afternoon, let's go.

00:23:30 [RUS] Speaker 1: Good afternoon, let's go.

00:26:52 Speaker 1: I think I also prepare one stachosylt maybe. Speaker 1: Maybe need or maybe not need. Speaker 1: Yeah. Speaker 1: And then, Mikhailov, invite us to the operation room.

00:27:09 Speaker 1: After that we will go in this one.

00:27:16 Speaker 2: Wait, wait, wait, a good picture for time. Speaker 1: Yeah. Speaker 1: Yeah, good picture. Speaker 1: And I think tomorrow I invite... Speaker 1: I invite all spinal neurosurgeon and give him a spot in the spinal instrument, okay?

00:27:52 Speaker 1: Yeah. And we also invite the filmmaker. Okay? Speaker 2: Oh yeah, that would be good. Speaker 2: Let's go.

00:00:00 Speaker 1: Our plan for today, a cup of coffee, we finish consultation, a military doctor with a very complex tumor, and wait when we ask to operation.

00:00:00 Speaker 1: Our plan for today, a cup of coffee, we finish consultation, a military doctor with a very complex tumor, and wait when we ask to operation. Speaker 2: And you're going to meet with the military doctor again later, right? Speaker 2: Right now. Speaker 2: Right now. Speaker 1: Yes. Speaker 1: Yes. Speaker 1: Yes. Speaker 1: We are going to continue to finish the talk. Speaker 2: I couldn't understand what you guys were saying, Speaker 2: but when you were telling him what was going on, Speaker 2: his face looked pretty ashen, pretty white.

00:00:40 Speaker 2: So it's not great news, right? Speaker 3: Five from five. Speaker 3: Five out of five complication levels. Speaker 2: Oh, man, we got to get more of that. Speaker 2: Okay, let's go. Speaker 2: Yes, let's go.

00:01:20 Speaker 2: Please, I need to give sound fully over to both you and more.

00:01:35 [UKR] Speaker 1: when we finish the operation.

00:01:36 [RUS] Speaker 1: Tell us.

00:01:37 Speaker 3: So now we go with coffee and then consultation and then if you have enough of energy and want to, we can also go to the operating room for the beginning if you'd like and film the surgery and to Andrei's home we'll go whenever we finish with the surgery.

00:02:06 [UKR] Speaker 3: What's now with this woman who will be operated on, at the stage of premedication? [UKR] Speaker 3: You said, 9:30 she will start.

00:02:16 [RUS] Speaker 3: 9:30 premedication should begin? [RUS] Speaker 3: I'll ask now. [RUS] Speaker 3: I'll ask now. [RUS] Speaker 3: I'll ask now. [RUS] Speaker 4: I'll ask now. [RUS] Speaker 4: I'll ask now. [RUS] Speaker 3: Apparently they said that they gave her some medicines, [RUS] Speaker 3: so she will come to us for the operation. [RUS] Speaker 3: This was, what Andrei... [RUS] Speaker 3: They give her medicines, [RUS] Speaker 3: so she feels somehow...

00:02:41 Speaker 4: Okay, so usually you have to do that first. Speaker 4: It's just like you're a little bit of a... Speaker 4: Yeah, it's

00:03:11 Speaker 1: Okay, so the operation room and our anesthesiologist start to work with her.

00:03:16 Speaker 2: So she'll be awake into the operation room?

00:03:24 Speaker 3: - - Speaker 2: Okay, so I want both something with her awake and them talking to the doctor.

00:03:35 Speaker 2: - - What? Speaker 3: - - The has the... Speaker 3: And how are we gonna do that? Speaker 2: I'm just like if we can stop by and see her now or...

00:03:48 Speaker 3: Stop by... Speaker 2: If we can see her... Speaker 2: Okay. Speaker 4: Okay.

00:04:10 Speaker 4: I just want to because I we didn't have any of that translated. Speaker 4: I just want to because I we didn't have any of that translated.

00:04:25 Speaker 2: I mean, he didn't have the mic on.

00:04:30 Speaker 3: So when he was asking him, what are your symptoms, I couldn't hear it because there was no mic.

00:04:38 Speaker 3: Yes, and Andrei said that he has like complicated tumor.

00:04:44 Speaker 1: Five out of five. Speaker 3: He said that they perform such operations, right?

00:04:54 Speaker 3: That's what he told him. Speaker 1: Did he tell you? Speaker 1: And he told the man that they operate this. Speaker 3: He had such tumors as the military man has.

00:05:05 Speaker 3: And he also, the military man mentioned that I think he is, like, fighting from 2015 or something.

00:05:13 Speaker 3: So he is doing the war for a long time, and now he has a tumor. Speaker 4: Yeah, he's probably going to have to stop fighting. Speaker 4: Probably has what? Speaker 4: Probably going to have to stop fighting. Speaker 4: It's going to be a big surgery. Speaker 4: He'll have to recover. Speaker 4: Right. Speaker 4: Maybe he'll be able to recover. Speaker 4: It's not going to be overnight. Speaker 4: It's not going to be overnight.

00:05:36 Speaker 2: So, but they can, they, they, he will be able to operate. Speaker 2: It's not like a, okay, all right. Speaker 2: Okay, so it's not, all right. Speaker 2: Well, then I guess we can focus on today. Speaker 2: It's just like the, the way, how, how his face went white.

00:05:50 Speaker 2: You know, when he was being explained, it was like, it was like.

00:05:57 Speaker 1: So, you look very tired. Speaker 3: What did we do to you? Speaker 3: What's that? Speaker 3: Andresa. Speaker 3: What did you look very tired?

00:06:11 Speaker 4: We had a dog that sounds very late yesterday. Speaker 4: We stayed much out of the planet. Speaker 4: Then they had to stay up late to do well. Speaker 1: If you will spend at least one month only together with me,

00:06:22 Speaker 1: walking with me, eat with me, and sleep with me. Speaker 1: You will be Iron Man. Speaker 1: All right, all right. Speaker 1: Iron Man, not one. Speaker 1: There are some competition. Speaker 1: Iron Man duration, seven days. Speaker 1: Seven days. Speaker 1: Seven days Iron Man. Speaker 1: This is true. Speaker 1: Because I am pitied to see this very exhausted man. Speaker 1: That's why you can start filming this woman and go to sleep in 15, 16 rooms to prepare this evening.

00:06:59 [UKR] Speaker 1: There's no need to stay the whole operation. [UKR] Speaker 3: They don't want the whole operation. They want to film her a bit while she's still conscious. [UKR] Speaker 3: Maybe, if possible, before they bring her into the operating room, just literally a minute of filming. [UKR] Speaker 3: If not, then already the operation.

00:07:18 Speaker 3: So if you want to catch her before the operating room, we need to go now close to that room,

00:07:27 Speaker 3: operating room, and she'll be incoming in 10 minutes.

00:07:32 Speaker 4: But we need to get put in paper scrubs and stuff again, so it's got to make us some time.

00:07:38 [RUS] Speaker 1: Yes, we can start getting ready.

00:08:07 Speaker 2: Because that could be Speaker 2: Because that could be Speaker 4: I mean, even the opening Speaker 4: I mean, even the opening Speaker 4: is going to be a little Speaker 4: because the scarred Speaker 4: because the scarred Speaker 4: issues are going to be there. Speaker 4: So once things are scarred in, Speaker 4: all the version of the anime Speaker 4: is trashed Speaker 4: and it's a nightmare. Speaker 4: So. Speaker 4: Like, is that something Speaker 4: where, like, Speaker 4: because I mean, Speaker 4: I don't think it's Speaker 4: I don't think it's Speaker 4: realistic for us to fill Speaker 4: in five hours of Speaker 4: you guys looking Speaker 4: at the microscope Speaker 4: we kind of want you guys Speaker 4: we kind of want you guys Speaker 4: to discover Speaker 4: what happened.

00:08:30 Speaker 4: should we come back

00:08:30 Speaker 4: should we come back Speaker 4: and you explain Speaker 4: Be different at the beginning Speaker 4: Be different at the beginning Speaker 4: and that kind of thing Speaker 4: and then once we get Speaker 4: an idea of what's going on, Speaker 4: - You're right, we're gonna be there for hours, Speaker 4: we're gonna wait. Speaker 4: - But you can just bring it up for half an hour. Speaker 5: Trust me, I'm trying to only sleep with the drive. Speaker 5: I took a quick back-up. Speaker 4: - I just thought I was going to be too loud. Speaker 4: - No. Speaker 4: - But, um... Speaker 4: - Yeah, that's an evening. Speaker 1: - Okay, we're going to go to the next stage.

00:09:00 Speaker 1: - We're going to go to the next stage. Speaker 4: - We're going to go to the next stage. Speaker 1: You can film all operations from start to finish, but I'm afraid after the end you will be a little alive, mostly part of your body, brain. Speaker 1: Yeah. Speaker 4: That's what I'm saying. Speaker 5: Because in the end of operation, it would be two minutes. Speaker 5: I say that... Speaker 4: You know, we need to be the right two minutes. Speaker 4: Five hours. Speaker 5: I think it's a good point.

00:09:43 Speaker 1: I say it's forbidden. Speaker 1: I say it's very difficult operation. Speaker 1: I don't like if you will see even through window. Speaker 1: So if you would like to close the window, I say no. Speaker 1: If you would like, maybe on Friday. Speaker 1: Not today, because I know you are the first. Speaker 1: You are the first. Speaker 1: If you will be filmed behind the window, a lot of journalists, it's not perfect.

00:10:16 Speaker 2: Yeah, so Logan, he told all the journalists not to film the surgery that we have.

00:10:23 Speaker 2: We're special. Speaker 4: Yeah, we have it clean. Speaker 4: Oh, they want to come in? Speaker 4: Oh, yeah, they wanted to film it. Speaker 4: They wanted to film it through the window.

00:10:48 [UKR] Speaker 1: Tomorrow the main event is the conference. [UKR] Speaker 1: We can also place them, seat them, because if we place them, [UKR] Speaker 1: I close the door to my office and the senior closes the door to this corridor. [UKR] Speaker 1: For about an hour, hour and a half. [UKR] Speaker 1: Whoever is there, we'll lock them in, they'll be there. [UKR] Speaker 1: Alex and I sit at the table, if they want to film. [UKR] Speaker 1: This is a very important conference once a year for all surgeons, anesthesiologists, military and civilians.

00:11:21 Speaker 1: After this, we can go to the endoscopy center where we are doing endoscopy operations. Speaker 1: I told you...

00:11:30 Speaker 1: Can I tell you? Speaker 1: Yes. Speaker 1: And tomorrow, tomorrow at 5:00, we will go to surgery, all of you.

00:11:38 Speaker 1: You are anesthesiologist, neurosurgeon, and it's called a pre-op meeting. Speaker 2: They can, like, when we're done in the beginning, they could come in if they wanted to, if they wanted to get the two of you operating. Speaker 2: I'm just throwing it out there. Speaker 2: Like, we're going to go in, we're going to get to the beginning, but it might make it more confusing. Speaker 3: I think it.

00:12:00 Speaker 2: Okay, there you go. Speaker 3: There you go.

00:12:12 Speaker 1: I understand. Speaker 1: I understand. Speaker 1: Only you. Speaker 1: Mahalo, Speaker 1: take this.

00:12:43 Speaker 3: Operational Speaker 4: Yeah, I think we should.

00:12:51 Speaker 4: Yeah, I think we should wear a charger down too.

00:12:57 [UKR] Speaker 3: Mykhailo, wait, because they still need to take

00:13:00 [UKR] Speaker 3: and she will appear in our shock.

00:13:04 [RUS] Speaker 5: Where were we?

00:13:05 [UKR] Speaker 5: You know? [UKR] Speaker 5: Thank you.

00:13:22 [UKR] Speaker 3: Because we wait for elevators for a long time, because they choose intestines.

00:13:52 [UKR] Speaker 4: I got scared, as I understand, they will now finish one more consultation or something like that? [UKR] Speaker 3: It's already 10:15, did we make it in time?

00:14:46 Speaker 3: So we have just a bit of time. Speaker 3: If we want to film the patient before she comes into the operating room. Speaker 4: If we want to film her before she comes? Speaker 3: Where is she now? Speaker 3: Where is she now? Speaker 3: Like the... Speaker 3: He will call someone and ask where is she now. Speaker 3: But she is not here. Speaker 3: She is at another... Speaker 3: How to say it? Speaker 3: Wing of the building. Speaker 3: So I'm going to jump to this. Speaker 5: No, I'm different now. Speaker 5: No, I'm different now. Speaker 3: Do you want to turn this off for a moment?

00:00:00 [UKR] Speaker 1: Given the nature of the wound, which may be contaminated with development of purulent-infectious complications,

00:00:00 [UKR] Speaker 1: Given the nature of the wound, which may be contaminated with development of purulent-infectious complications, [UKR] Speaker 1: in this case, at the first stage, performing transfacial manipulations was not performed. [UKR] Speaker 1: Point entry wound, penetrating injury at the level of C2 vertebra, [UKR] Speaker 1: A metal fragment passes inside the spine with damage to the dural sac and presence of minor liquorrhea.

00:00:36 [UKR] Speaker 1: The insidiousness of the injury is that one may not pay attention to a small wound, minor discharge, but this all leads to development.

00:00:48 [RUS] Speaker 2: We can proceed with further measures. [RUS] Speaker 2: We have two wards occupied now in the American [RUS] Speaker 2: Two wards. [RUS] Speaker 2: Two wards. [RUS] Speaker 2: In those wards where others are lying, whom

00:01:00 [RUS] Speaker 2: we cannot discharge. [RUS] Speaker 2: In the general ward we can give a place. [RUS] Speaker 2: We can say, today he'll lie in the general ward [RUS] Speaker 2: of the surgical center, and tomorrow we'll transfer [RUS] Speaker 2: to a single ward of vascular neurology.

00:01:14 [UKR] Speaker 1: obligatory before surgery to plan the patient's position, which will allow full access for intervention.

00:01:24 [UKR] Speaker 2: You won't terrorize us with a single ward, you'll terrorize Tetyana Alexandrovna. [UKR] Speaker 1: Can you not hear? [UKR] Speaker 1: We hear you, Sergiy Ivanovych, stick to the schedule. [UKR] Speaker 1: That is, treatment of the surgical field, all of them are dirty, they must be adequately treated. [UKR] Speaker 1: Minimization of bone access, not doing excessively large decompression without necessity. [UKR] Speaker 1: During surgery this is prevention of damage to the dural membrane,

00:02:00 [UKR] Speaker 1: In drainage during spinal operations, drainage of the surgical wound for prevention of early liquorrhea, primary closure of wounds on the back and neck. [UKR] Speaker 1: Surgical interventions should be performed only in specialized hospitals. [UKR] Speaker 1: Surgical interventions, in the shortest possible time, surgical treatment must be differentiated depending on the severity of the patient and type of injury. [UKR] Speaker 1: The main task in spinal and spinal cord injuries is elimination of liquorrhea, removal of foreign bodies and necrotic tissues.

00:02:33 [UKR] Speaker 1: Thank you for your attention. [UKR] Speaker 3: Sergiy Ivanovych, thank you also for the professional report. [UKR] Speaker 3: And before we proceed to the next session on combat surgical trauma of the maxillofacial region, [UKR] Speaker 3: I want to emphasize for all speakers, please stick to the designated schedule.

00:02:50 [UKR] Speaker 3: And I want to invite for the next presentation on the topic of features of specialized treatment of modern combat trauma of the maxillofacial region Kozlovskyi Sergiy Mykolayovych and a group of authors from the National Military Medical Clinical Center of Kyiv and the Ukrainian Military Medical Academy. [UKR] Speaker 4: Good afternoon, dear colleagues. Can you hear me well? [UKR] Speaker 4: Yes, everything is heard. [UKR] Speaker 4: Good afternoon, dear colleagues, on behalf of our team we want to congratulate you on the start of our congress, wish you productive work, [UKR] Speaker 4: further professional development, we wish you health, well-being and our soonest victory. [UKR] Speaker 4: For your attention is presented a report prepared based on the experience of the clinic,

00:03:36 [UKR] Speaker 4: maxillofacial surgery of the National Military Medical Clinical Center, [UKR] Speaker 4: in which we will show our work, including show the difficulties we face during this. [UKR] Speaker 4: First, some brief statistical data. [UKR] Speaker 4: In the general structure of sanitary losses, maxillofacial injuries we estimate at the level of 4-4.5%. [UKR] Speaker 4: It should be noted that in the realities of full-scale war taking into account the nature of combat operations [UKR] Speaker 4: we have a significant increase in the percentage of severe combined explosive trauma with a maxillofacial component.

00:04:24 [UKR] Speaker 4: According to our data, according to the data of our clinic, the cause of injury has such statistics, [UKR] Speaker 4: that explosive trauma comprises 60%, shrapnel injuries 31%, bullet wounds 8.5% and non-gunshot combat trauma 2.5%. [UKR] Speaker 4: Of these, combined injuries of the maxillofacial region - this is 84%, bullet 11% and combined 5%. [UKR] Speaker 4: The structure of combat trauma, this is according to our clinic's data, of course, the data will be adjusted after the war ends, when we approach this.

00:05:17 [UKR] Speaker 4: Upper orbital complex 36%, lower jaw injuries 14%, multiple, that is both upper and lower jaw 11.5%, soft tissues 31%. [UKR] Speaker 4: Let's briefly focus on the features of the maxillofacial region. [UKR] Speaker 4: First, this is a branched vascular network. [UKR] Speaker 4: As a plus this gives us quite high good regeneration, as a minus this is of course significant bleeding.

00:06:00 [UKR] Speaker 4: The presence of initial sections of the upper respiratory tract - this is a threat of asphyxiation. [UKR] Speaker 4: Considering the modern course of combat operations, the nature and impossibility of timely provision of aid directly on the front, [UKR] Speaker 4: this leads to the fact that, unfortunately, not all wounded with maxillofacial trauma reach medical care stages. [UKR] Speaker 4: The proximity of important organs - this includes the brain, spinal cord, major vessels, ENT organs, eyes. [UKR] Speaker 4: This leads to the fact that in most cases maxillofacial injuries are combined, [UKR] Speaker 4: which further complicates the course of treatment and requires involvement of related specialists in treatment.

00:06:50 [UKR] Speaker 4: The presence of powerful masticatory muscles - this leads to displacement of fragments, imitation of defects. [UKR] Speaker 4: We can say that a considerable number of soft tissue defects we can cover with local tissues, [UKR] Speaker 4: and that during primary surgical treatment. [UKR] Speaker 4: Next - this is teeth and dental prostheses. [UKR] Speaker 4: In our opinion, performing only metal osteosynthesis in multi-fragment gunshot fractures of the jaws is insufficient for fixation and stabilization of fragments, therefore whenever possible we must perform fixation with the help of dental splints. [UKR] Speaker 4: But here we need to consider the generally unsatisfactory level of sanitation of the Ukrainian population, sanitation of the oral cavity, hence the infection of wounds with damaged teeth that get into surrounding tissues during injury.

00:07:46 [UKR] Speaker 4: And a significant number of our injuries have communication with the oral cavity, which leads to secondary infection of wounds, well and requires tight isolation of the oral cavity from wounds during surgical treatment. [UKR] Speaker 4: Features of specialized treatment - this is a comprehensive approach to treatment with involvement of specialists from related fields. [UKR] Speaker 4: This is otolaryngologist, ophthalmologist, neurosurgeon, vascular surgeon, thoracic surgeon. [UKR] Speaker 4: This still needs to be done at the stages of conducting diagnostics and making a surgical intervention plan. [UKR] Speaker 4: Next, very important, this is thorough early surgical treatment of wounds with primary plastic repair, [UKR] Speaker 4: of soft tissues, rigid fixation of bone fragments, adequate drainage of wounds and surrounding spaces.

00:08:37 [UKR] Speaker 4: In our opinion, the most optimal time for performing surgical treatment, [UKR] Speaker 4: namely thorough early treatment, is the first to fifth day after receiving the injury. [UKR] Speaker 4: Intensive therapy, comprehensive treatment and, which is even more important, providing full nutritional care, [UKR] Speaker 4: treatment and psychological support for such wounded. [UKR] Speaker 4: In the following slides we will show examples of maxillofacial region injuries that were operated on by us. [UKR] Speaker 4: appearance of patient on admission, here explosive trauma, shrapnel injury [UKR] Speaker 4: of the lower and middle zones of the face with multi-fragment fracture

00:09:26 [UKR] Speaker 4: of the chin section of the lower jaw and with the presence of a large fragment

00:09:30 [UKR] Speaker 4: in the floor of the mouth cavity which completely fills this zone.

00:09:36 [RUS] Speaker 4: Removal of this fragment was performed, secondary wound treatment

00:09:41 [UKR] Speaker 4: and fixation with the help of reconstructive plates and the appearance of the patient after surgery. [UKR] Speaker 4: Lower jaw injury - this is explosive injury, shrapnel injury with comminuted fracture of the lower jaw, [UKR] Speaker 4: with the presence of massive soft tissue defects, external nose, lips, cheek regions. [UKR] Speaker 4: Surgical treatment was performed, fixed with metal plates, managed to achieve stabilization of fragments, isolation from the oral cavity with careful suturing of the mucosa was performed. [UKR] Speaker 4: And the patient was subsequently transferred to the next stage of treatment for performing reconstructive interventions in the future.

00:10:28 [UKR] Speaker 4: This is a patient who, this patient with explosive injury, shrapnel, with comminuted fracture of the lower jaw body on both sides, of the chin section. [UKR] Speaker 4: The problem here was that the patient could not be evacuated from the position for 6 days. [UKR] Speaker 4: Therefore subsequently on admission here we had pronounced purulent complications in the form of diffuse inflammatory process.

00:11:04 [UKR] Speaker 4: Tissues of the floor of the oral cavity, presence of tissue defect of the floor of the oral cavity.

00:11:12 Speaker 2: We are going to go here. How are you? Good. I heard it went well. Speaker 2: Yes, it's a usual situation. It's at least one or two times per week. We are going to underground shelter. Speaker 2: I sleep today from 4 to 6 a.m. but I am ready to go. Speaker 2: You can see a photo from Kozak camp. Speaker 2: I am very happy because Sviatoslav is now in Kozak camp.

00:11:49 Speaker 2: It is most difficult for him to go to shelter.

00:11:53 Speaker 4: He is a child, he is worried about, afraid of the death. It's a huge problem. I am happy that now he spent his time in Kazakh camp. Speaker 2: Because if he was together with me, he was be not exhausted, scared, scared, worried about and afraid that he is younger than we.

00:12:31 Speaker 2: And we know the attack is finished, and I wake up and go to work. Speaker 4: And you get some sleep, that's it? Speaker 4: I'm impressed that you can sleep there. Speaker 4: Oh, Rokko just sent something. Speaker 4: Oh, you sent that. Speaker 4: sent information about our congress to roca and translate to english Speaker 4: i am happy i am very happy that's why is Speaker 4: you can see Speaker 4: where we moved it further.

00:13:16 Speaker 4: It's about 5 months after the death of us. Speaker 4: -

00:14:18 Speaker 4: So, for some reason, Speaker 5: and I thought it would take you longer, Speaker 5: so they went back to the hotel. Speaker 4: But I think Logan and Laura can,

00:14:30 Speaker 5: we can go to the vascular center, okay.

00:14:32 [UKR] Speaker 4: I would like to return to the previous stages. [UKR] Speaker 4: There will be slides next. This is from the last month and a half that we have. [UKR] Speaker 4: Patient was treated at the third level for 12 days. [UKR] Speaker 4: Patient underwent metal osteosynthesis, with an intraoral approach.

00:15:00 [UKR] Speaker 4: On admission to us he has such an appearance, already forming practically phlegmon of the submandibular region, suppurating wounds, you see in the photograph, what purulent discharge in the oral cavity, in the retromolar region. [UKR] Speaker 4: Osteosynthesis, in our opinion, was done incorrectly in the sense that the jaw angle is displaced forward, anatomically not in place and the joint is dislocated.

00:15:30 [UKR] Speaker 4: After resolving the acute inflammatory process, removal was performed, repeat osteosynthesis, [UKR] Speaker 4: a fixed joint was installed, the joint was fixed. [UKR] Speaker 4: The patient is still continuing treatment in our clinic. [UKR] Speaker 4: Next patient - eight days of treatment at the 3rd level. [UKR] Speaker 4: Appearance of patient on admission, the wound, entry opening not treated, present purulent discharge from the tissues of the retromolar region. [UKR] Speaker 4: Computed tomography, in lateral projection on this image present, we can pay attention to the presence of these fragments of the jaw angle, which, in our opinion, if this had been done during the first five days from the moment of receiving the injury, these fragments could have been preserved, the jaw restored and within two-three months we could have returned this servicemember to duty.

00:16:35 [UKR] Speaker 4: But during surgery, after resolving the inflammatory process, it was not possible to preserve these fragments, they were all very significantly infected, therefore we already have formation of a bone defect, which in the future, unfortunately, will lead to, let's say, a B and A category. [UKR] Speaker 4: And this servicemember possibly will no longer be able to continue performing his service. [UKR] Speaker 4: Six days of treatment at the third level. Here no surgical treatments were performed at all, [UKR] Speaker 4: but with this irrational antibacterial therapy from the first day of admission to the previous treatment level

00:17:21 [UKR] Speaker 4: both Tienam and Meropenem, which subsequently caused us certain problems [UKR] Speaker 4: in conducting antibacterial therapy in the postoperative period.

00:17:35 [RUS] Speaker 4: Therefore currently, unfortunately, we have to perform,

00:17:41 [UKR] Speaker 4: summarizing this, I would like to say that currently we are forced [UKR] Speaker 4: to perform a large number of surgical interventions that should have been performed at the previous stage. [UKR] Speaker 4: Which, unfortunately, is an irrational use. [UKR] Speaker 4: Among those problems that arise in our work, to which I would still like to draw attention, [UKR] Speaker 4: this is still difficult adequate communication with some medical institutions, [UKR] Speaker 4: namely the Ministry of Health, with military medical institutions, [UKR] Speaker 4: we have no such problem at all. [UKR] Speaker 4: As a consequence of this, untimely evacuation to the next stage,

00:18:29 [UKR] Speaker 4: non-compliance with treatment principles, not performing timely surgical treatment, [UKR] Speaker 4: which could significantly reduce the treatment period for patients. [UKR] Speaker 4: And those problems that concern the provision of maxillofacial surgery clinics, this is still today the absence of such centralized provision of metal plates, screws for performing osteosynthesis, [UKR] Speaker 4: which for maxillofacial surgery is fundamental, without which we cannot try.

00:19:04 [UKR] Speaker 4: Thank you for your attention. [UKR] Speaker 3: Sergiy Mykolayovych, thank you for your attention, thank you for the wonderful professional report.

00:19:13 [UKR] Speaker 3: Actually, Sergiy Smojen. [UKR] Speaker 6: Thank you Sergiy Mykolayovych for your high-tech, highly specialized report.

00:19:30 [UKR] Speaker 6: Dear colleagues, the next report is treatment of gunshot wounds of the upper and lower lips.

00:19:37 [UKR] Speaker 6: Vrabie Vadym Ivanovych. Please, Vadym Ivanovych. [UKR] Speaker 7: I wish everyone good health. [UKR] Speaker 7: I want to present to you, if you can hear and see me. [UKR] Speaker 7: We can hear and see you. Very good. Please. [UKR] Speaker 7: Thank you very much. I just want to demonstrate, to analyze.

00:20:07 Speaker 7: is

00:20:08 [UKR] Speaker 7: screen is [UKR] Speaker 7: slide is [UKR] Speaker 7: treatment of gunshot wounds [UKR] Speaker 7: of the upper and lower lips

00:20:18 [RUS] Speaker 7: on this I want [RUS] Speaker 7: to stop a bit

00:20:21 [UKR] Speaker 7: as Sergiy Nikolai said

00:20:22 Speaker 7: 4.5%

00:20:25 [UKR] Speaker 7: injuries of the maxillofacial region

00:20:32 Speaker 7: 5%

00:20:35 [UKR] Speaker 7: And these injuries to the maxillofacial region, yes, differ in that they disfigure the faces of servicemembers, which they react to. [UKR] Speaker 7: Yes, moreover, yes.

00:20:50 [RUS] Speaker 7: Please.

00:20:51 [UKR] Speaker 6: We ask you to display your presentation on screen in full-screen format. It's not visible at all, please.

00:20:59 [UKR] Speaker 6: No presentation, Vadym Ivanovych. [UKR] Speaker 7: No, I don't know. [UKR] Speaker 7: No presentation.

00:21:09 [RUS] Speaker 7: Now.

00:21:12 [UKR] Speaker 7: Now is it?

00:21:14 Speaker 7: Is.

00:21:15 [UKR] Speaker 6: Yes, super, is. [UKR] Speaker 6: Appeared. [UKR] Speaker 6: Both hear and see your presentation. [UKR] Speaker 7: Please. [UKR] Speaker 7: Thank you, Taver Volodymyr. [UKR] Speaker 7: Once again I wish everyone good health. [UKR] Speaker 7: I want to present treatment of gunshot wounds of the upper and lower lips.

00:21:29 [RUS] Speaker 7: stop briefly on the main stages and features.

00:21:34 [UKR] Speaker 7: First aid, this is primary wound treatment, stopping bleeding with the help of a pressure bandage or hemostatic agents. [UKR] Speaker 7: Disinfection of the wound with antiseptics, such as hydrogen peroxide or chlorhexidine, what is available, Decasan, what is available at the primary stages. [UKR] Speaker 7: removal of foreign bodies, if they are present, in gunshot wounds, if possible minimally, let's say, [UKR] Speaker 7: if there are large fragments of some kind, shrapnel, they are visible, remove them, and remove local tissues minimally, [UKR] Speaker 7: and preserve maximally, so that at subsequent stages it will be possible to work with these local tissues.

00:22:21 [UKR] Speaker 7: assessment and diagnostics, degree of damage to muscles, nerves, vessels. [UKR] Speaker 7: It is also important to determine whether there are deep damages, defects of the lips,

00:22:30 [UKR] Speaker 7: which require further surgical interventions and plastic surgery. [UKR] Speaker 7: In case of lip damage with soft tissue defects, plastic surgery with local tissues is indicated [UKR] Speaker 7: for proper function and aesthetics of the lips, if possible. [UKR] Speaker 7: Suture material is used, either absorbable or non-absorbable, [UKR] Speaker 7: depending on the type of injury and depth of lip defect. [UKR] Speaker 7: Also antibiotic therapy for prevention of infection, often prescribe antibiotics [UKR] Speaker 7: of broad spectrum of action, since the oral cavity is considered microbially contaminated, [UKR] Speaker 7: as Sergiy Mykolayovych also noted in the previous report. [UKR] Speaker 7: In the presence of infected lip wounds and according to the military medical doctrine, [UKR] Speaker 7: when gunshot wounds are considered primarily microbially contaminated, [UKR] Speaker 7: appropriate treatment is carried out, taking into account the sensitivity of pathogens,

00:23:22 [UKR] Speaker 7: also wound care with washing and treating the wound. [UKR] Speaker 7: Thromboprophylaxis in wounded servicemembers is associated with the risk of developing thromboembolic complications, [UKR] Speaker 7: what is at hand is heparin, aspirin, Xarelto. [UKR] Speaker 7: When servicemembers are wounded, primarily their life is saved, vital functions. [UKR] Speaker 7: Of course, there they stop bleeding, they evacuate, but subsequently they may, I don't know, stop that blood, [UKR] Speaker 7: but thrombi form in the lower extremities, in the upper extremities, which then leads to possible complications of thromboembolism. [UKR] Speaker 7: Patient nutrition should be carried out with the help of a nasogastric tube, to also isolate the oral cavity.

00:24:14 [UKR] Speaker 7: Pain relief, local anesthetics can be used for pain relief during primary treatment and suturing of patients' wounds. [UKR] Speaker 7: Analgesics, anti-inflammatory desensitizing therapy are prescribed after surgery. [UKR] Speaker 7: Important is regular wound examination to prevent infection and evaluate the healing process. [UKR] Speaker 7: Here there can be one-two dressing changes per day. [UKR] Speaker 7: If necessary, correction of scars that form as a result of healing can be performed. [UKR] Speaker 7: Further rehabilitation. [UKR] Speaker 7: In some cases physiotherapeutic treatment may be needed, [UKR] Speaker 7: mechanotherapy, physical therapy measures for restoration of lip function, [UKR] Speaker 7: and psychological support.

00:25:00 [UKR] Speaker 7: Combat traumas and facial injuries have psychological consequences, [UKR] Speaker 7: therefore it is important to provide the patient with support. [UKR] Speaker 7: These measures help ensure proper treatment of combat traumas and lip injuries, minimizing the risk of complications and better final result. [UKR] Speaker 7: Complications are possible in lip treatment due to the presence of saliva and high concentrations of bacteria in the oral cavity, [UKR] Speaker 7: and also poorly sanitized or untreated teeth, caries, periodontitis, pulpitis, development of hypertrophic scars, malignization, development of microstomia or macrostomia. [UKR] Speaker 7: I want to present examples of facial injuries, particularly of the upper and lower lips. A patient came to us at this stage, primary surgical treatment of the lower lip was performed.

00:25:46 [UKR] Speaker 7: Further our stage of correction of this combat trauma, alignment of the vermilion border of the lower lip. [UKR] Speaker 7: Further you see sutures removed. The next patient also was wounded in the middle zone of the face. [UKR] Speaker 7: as such he came to us with a disfigured face,

00:26:16 [RUS] Speaker 7: a series of surgical interventions were performed, [RUS] Speaker 7: received a quite decent positive result.

00:26:23 [UKR] Speaker 7: This is after a certain time the patient also came back to us.

00:26:30 [UKR] Speaker 7: Next patient - injury of the upper lip with defect of the upper lip [UKR] Speaker 7: and absence in the oral cavity of teeth, frontal group of teeth. [UKR] Speaker 7: What did we propose? We cleaned the wound first, to maximally reveal our own tissues, so there would be granulation. [UKR] Speaker 7: received a defect already less terrible than initially, [UKR] Speaker 7: decided to make a base for the upper jaw, on which we relied, [UKR] Speaker 7: and the defect is already defined, initially there was a parallel stage, [UKR] Speaker 7: both primary surgical treatment, healing, and prosthetics.

00:27:18 [UKR] Speaker 7: Then with the help of our foreign colleagues who helped us, we sutured the upper lip to the lower lip, talked with the patient, you see on the screen endonasal feeding. [UKR] Speaker 7: We explained to the patient that for about two weeks one cannot speak, only eat through the nasogastric tube. [UKR] Speaker 7: He agreed to this, realized, so as not to tear our sutures, our work. [UKR] Speaker 7: He endured this. [UKR] Speaker 7: The next stage, when the upper, excuse me, when it took to the upper lip, was the next stage already. [UKR] Speaker 7: Well here, we departed, you see, we did plastic surgery and obtained closure of the defect with local tissues from the lower to the upper lip.

00:28:12 [UKR] Speaker 7: Well here, you see, photos before and after. Quite a decent result. [UKR] Speaker 7: Next patient similarly injury of the upper lip and nose, as Sergiy Mykolayovych also said, that these are combined injuries, there are no isolated injuries. [UKR] Speaker 7: patients [UKR] Speaker 7: with such disfiguring [UKR] Speaker 7: and with microstomia. [UKR] Speaker 7: Very much needed [UKR] Speaker 7: the patient help. [UKR] Speaker 7: Went for correction [UKR] Speaker 7: for plastic surgery with local tissues. [UKR] Speaker 7: Further you see [UKR] Speaker 7: with positive dynamics, [UKR] Speaker 7: with positive dynamics, [UKR] Speaker 7: that we worked a bit on the nose. [UKR] Speaker 7: And with the next [UKR] Speaker 7: his after [UKR] Speaker 7: lip plasty

00:29:00 [RUS] Speaker 7: prosthetics of the oral cavity. [RUS] Speaker 7: You see,

00:29:05 [UKR] Speaker 7: before the patient [UKR] Speaker 7: and after a decent

00:29:09 [RUS] Speaker 7: result.

00:29:10 [UKR] Speaker 7: This patient [UKR] Speaker 7: also came back to us

00:29:15 [RUS] Speaker 7: with a disfigured face, [RUS] Speaker 7: needed plastic surgery,

00:29:19 [UKR] Speaker 7: we took the patient

00:29:21 [RUS] Speaker 7: for the plastic surgery stage

00:29:23 [UKR] Speaker 7: with local tissues. [UKR] Speaker 7: This patient came to us after a year already. [UKR] Speaker 7: Now he is in our clinic. [UKR] Speaker 7: We took the next stage of prosthetics of the oral cavity of this patient. [UKR] Speaker 7: You see, upper and lower teeth are missing. [UKR] Speaker 7: All crushed teeth, in previous times we sanitized the oral cavity. [UKR] Speaker 7: The oral cavity is prepared. [UKR] Speaker 7: The upper jaw we decided to do prosthetics on dental implants, on a platform. Quite difficult, labor-intensive work.

00:30:09 [UKR] Speaker 7: we connected our volunteer colleagues, [UKR] Speaker 7: in order to make a platform for this patient. [UKR] Speaker 7: After, you see, on the screen the conquering, [UKR] Speaker 7: and you see the model, and ready on the model the platform, [UKR] Speaker 7: we fixed the oral cavity, the patient already has teeth. [UKR] Speaker 7: And some examples of our work, [UKR] Speaker 7: that patients come in with communication with the nasal cavity, [UKR] Speaker 7: plastic surgery of the palate with local tissues,

00:00:00 [UKR-NEEDS] Дякую за вашу доповідь

00:00:02 [UKR] Speaker 1: Thank you for your report

00:00:30 Speaker 2: yes

00:00:33 [UKR] Speaker 2: please launch the video [UKR] Speaker 3: no connection [UKR] Speaker 3: exit

00:00:54 [UKR] Speaker 2: can you hear me [UKR] Speaker 2: Hearing you well, please turn on your presentation. [UKR] Speaker 2: The presentation is on your side, please launch it. [UKR] Speaker 2: Technical support is with us. [UKR] Speaker 2: I just called them and they said they would launch the presentation.

00:01:15 [RUS] Speaker 2: It's already recorded, it's already ready.

00:01:18 [UKR] Speaker 2: Okay, then we'll wait.

00:01:37 [RUS] Speaker 2: there is sound

00:01:39 [UKR] Speaker 2: yes there is sound, please you can begin

00:01:42 [RUS] Speaker 2: but it's already recorded with sound

00:01:58 [UKR] Speaker 3: No, it's running, but without sound now, maybe it's on YouTube. [UKR] Speaker 2: It's also on YouTube, there's a link to it as well. [UKR] Speaker 2: The moderators said they launched it and everything works.

00:02:27 [UKR] Speaker 2: We just have problems with connection, with mobile, with internet, so we recorded it in advance. [UKR] Speaker 4: Can technical support hear, to somehow skip it forward?

00:03:03 [UKR] Speaker 4: Because I see... [UKR] Speaker 1: A few seconds of footage, a few sandy maneuvers,

00:03:08 [UKR] Speaker 1: and then the presentation continues.

00:03:12 [RUS] Speaker 5: Well, I understand. [RUS] Speaker 5: Behind the shaking, Shepninsky lantern, [RUS] Speaker 5: behind the shaking, behind the shaking, [RUS] Speaker 5: behind the shaking, behind the shaking, [RUS] Speaker 5: and then, let's say, the presentation will continue. [RUS] Speaker 5: Bilon. [RUS] Speaker 5: Well, I understand.

00:03:23 [RUS-NEEDS] Есть посылание на YouTube.

00:04:11 [RUS] Speaker 2: There's a link to YouTube. [RUS] Speaker 2: You can launch it through YouTube. [RUS] Speaker 2: as we sent it [RUS] Speaker 2: yes, Igorevich [RUS] Speaker 2: yes, the video is running on the recording, yes [RUS] Speaker 2: yes, there's also a link to YouTube, I can send it to you [RUS] Speaker 2: everything's there, I played it safe [RUS] Speaker 2: This is the language. [RUS] Speaker 2: Even trouble

00:05:16 Speaker 2: So... Speaker 2: So...

00:05:33 [UKR] Speaker 2: And how do I... who do I tell? [UKR] Speaker 2: Ah... Igor Igorevich, Igor Igorevich, launch the presentation, it's running normally on YouTube.

00:05:48 [RUS] Speaker 2: Just need to switch to YouTube.

00:05:54 [UKR] Speaker 2: Yes, I understood, I'll call them now. [UKR] Speaker 2: Okay. [UKR] Speaker 2: I don't interfere, just called on the literal one. [UKR] Speaker 2: Now I'll tell him. Okay. [UKR] Speaker 2: Thank you.

00:06:15 [RUS] Speaker 5: Turn off the sound.

00:08:51 [RUS] Speaker 5: I'm here [RUS] Speaker 5: just now

00:08:54 Speaker 5: with the colleagues of the...

00:16:50 [RUS] [To be continued...]

00:22:52 [RUS] Speaker 5: To be continued...

00:00:00 [UKR] Speaker 1: severity and has a combined character. According to the Birmingham classification,

00:00:00 [UKR] Speaker 1: severity and has a combined character. According to the Birmingham classification, [UKR] Speaker 1: in the structure of open eye trauma, the predominant number of wounds, about 83%, were [UKR] Speaker 1: of penetrating character. In 10% these were through-and-through wounds and ruptures of the eyeball. [UKR] Speaker 1: Open eye trauma with intraocular foreign bodies reached about 50%. [UKR] Speaker 1: In the structure of combat injuries, closed eye trauma accounts for about 30%. [UKR] Speaker 1: In about 30% of cases, eye damage is combined with craniocerebral wounds and trauma,

00:00:46 [UKR] Speaker 1: damage to soft facial tissues and facial skeleton. [UKR] Speaker 1: Bilateral injury accounts for up to 10% of the total number of patients with eye wounds. [UKR] Speaker 1: Regarding the localization of foreign bodies, due to their high kinetic energy during injury, [UKR] Speaker 1: in 71% of cases they are localized in the posterior segment of the eye with development of various complications [UKR] Speaker 1: which accordingly affect visual functions. [UKR] Speaker 1: Regarding the evacuation system, the medical evacuation system in Ukraine is standardized according to the principles [UKR] Speaker 1: of NATO member countries, it is built on the echelon principle from providing aid on the battlefield to highly specialized surgical care and rehabilitation.

00:01:33 [UKR] Speaker 1: For the sake of saving time, allow me not to dwell on this slide. [UKR] Speaker 1: Conditionally, all directions for preserving vision in combat trauma can be combined into four interconnected strategies. [UKR] Speaker 1: The first is organizational and the main goal is to ensure the fastest possible evacuation of the wounded and a unified system of actions between all levels of medical care. [UKR] Speaker 1: The second is aimed at staged functional preservation of vision, first seal the eyeball, then perform reconstruction. [UKR] Speaker 1: The third is the infectious strategy, which provides for prevention of infectious complications, in particular, endophthalmitis. [UKR] Speaker 1: And the fourth is the educational-systemic strategy, which includes training, development of unified protocols, equipping medical units.

00:02:25 [UKR] Speaker 1: The experience of the Armed Forces of Ukraine and our NATO partners shows that effective vision preservation is only possible when the time from the moment of injury to providing specialized care does not exceed 24 hours.

00:02:38 Speaker 1: At the first stages, ROL1-2, the biggest difference has the stabilization of life functions, Speaker 1: the treatment of life-threatening conditions, the protection of the eye, and the coordination of evacuation.

00:02:50 Speaker 1: In systems...

00:02:56 Speaker 2: Hey, does it look ok?

00:03:01 [RUS] Speaker 3: She has three relatives

00:03:31 [UKR] Speaker 4: For me, everything is still the same for now. [UKR] Speaker 4: We looked at a few things, [UKR] Speaker 4: to take T-shirts, that's Andriy, [UKR] Speaker 4: and can you take off your microphone, please? [UKR] Speaker 4: It's about to disconnect now. [UKR] Speaker 4: And this is for you, Alex, where are you? [UKR] Speaker 4: Thank you. What should I say so they come in? [UKR] Speaker 3: For consultation, yes, they will be filming, right? [UKR] Speaker 4: Now I'll figure out whether they will [UKR] Speaker 4: or won't, because they went to get the camera. [UKR] Speaker 3: Okay. [UKR] Speaker 3: Well, I'm just ready. We'll now briefly

00:03:59 [RUS] Speaker 3: consult two people.

00:04:16 [RUS] Speaker 2: Two people now, and then can we wait more or in general, can we fly today?

00:04:28 [UKR] Speaker 3: Right now. Two people, I'll be busy, and then I'll continue consulting.

00:04:48 [RUS] Speaker 3: Are you being observed by me? [RUS] Speaker 3: And in what year was the first time this was observed? [RUS] Speaker 3: And in what year was the first time this was observed? [RUS] Speaker 5: In '24, turns out, basically at the beginning of the year. [RUS] Speaker 5: With contrast, the last one you have, the beginning is regular. [RUS] Speaker 5: With contrast, the last one you have, the beginning is regular. [RUS] Speaker 3: Well, this is, I think, October 28th, 2025, right? [RUS] Speaker 5: Yes, yes.

00:05:46 Speaker 3: Busy day, every day busy day and full different type of activities. Speaker 3: Yes, yes, very long days is good.

00:05:58 [RUS] Speaker 3: Even the Cath Lab and Endo-vascular Center, they may have opportunities to watch American flag, Humanitarian Kits, Yuriy and Tim Volk, and your presentation, gift, journal. [RUS] Speaker 3: These are many activities that were in one time. [RUS] Speaker 3: How are you feeling? [RUS] Speaker 3: Almost normal. Yes?

00:06:28 [UKR] Speaker 3: This is Professor Alex Valetka from Texas. Dallas, Texas, department head. I head the department here, the same way he heads the department in Texas. [UKR] Speaker 3: We operate on patients together, both military and civilian. We first visited the military patient because we operated on Monday, then went to visit the woman we operated on yesterday.

00:07:13 [RUS] Speaker 3: It's called an incidental finding.

00:07:16 Speaker 5: Yes. Speaker 3: Incidental lesion in the vermis cerebelli. It was diagnosed first time in the spring of 2024. Speaker 3: Oh, you can see here. Speaker 3: Yeah, that's a better picture.

00:07:39 Speaker 3: But we decided to watch and see. Speaker 2: Can you split the screen? Click on that. Speaker 2: We have it side by side. Speaker 2: Yeah. Speaker 2: Yeah. Speaker 2: Where's the axial that goes with that? Speaker 2: Okay, right there.

00:08:09 Speaker 2: Yeah.

00:08:36 [RUS] Speaker 3: We can operate [RUS] Speaker 3: And in this place we will operate in this place. [RUS] Speaker 3: In this place we will operate. [RUS] Speaker 3: But in this situation it's small. [RUS] Speaker 3: And without growth in size, in this period, [RUS] Speaker 3: we decided to repeat the examination [RUS] Speaker 3: every 6 months. [RUS] Speaker 6: Moooo [RUS] Speaker 3: shrimp, I need to hide, I love shrimp, need to hide it somewhere, yes, and cover it with straw

00:09:33 [RUS] Speaker 3: stable, this time 6 months, we're still observing because it slightly

00:09:42 [RUS] Speaker 3: accumulates contrast, it needs close eye-to-eye observation [RUS] Speaker 5: What is contrast? [RUS] Speaker 3: Well, this is what they inject, contrast. [RUS] Speaker 3: Ah, okay.

00:09:48 Speaker 5: Yes.

00:09:50 [RUS] Speaker 3: This here is a tumor. [RUS] Speaker 3: It's not malignant, it's benign. [RUS] Speaker 3: But we need to watch it. [RUS] Speaker 5: For now there's nothing to it. [RUS] Speaker 3: We're watching it, yes.

00:10:00 [RUS] Speaker 3: We don't know how long you've had it already. [RUS] Speaker 3: And how long it's been growing in you. [RUS] Speaker 3: I'll write two words here. [RUS] Speaker 3: MRI picture is stable. [RUS] Speaker 3: Continue observation, MRI control every 6 months.

00:11:26 [RUS] Speaker 3: Thank you.

00:11:43 [UKR] Speaker 5: You'll show me.

00:12:13 [UKR] Speaker 4: We want to set up the camera, light here. [UKR] Speaker 3: And what, do you want them to be hungry? [UKR] Speaker 4: No, they just need to be in the room here, in the office, to set up.

00:12:22 [UKR] Speaker 3: Well, maybe now let them have a snack. [UKR] Speaker 4: And they're still inflating and setting everything up.

00:12:27 [RUS] Speaker 4: Inflating, inflating.

00:12:30 [UKR] Speaker 4: And they need to be able to be in the room.

00:12:34 [UKR] Speaker 4: Okay. [UKR] Speaker 3: Tell them we'll leave them food. [UKR] Speaker 3: They won't be hungry. [UKR] Speaker 3: Just one moment now. [UKR] Speaker 3: This is Maltsev, right? [UKR] Speaker 7: Yes, this is Maltsev, that's where it was needed. [UKR] Speaker 7: And there's the island. [UKR] Speaker 3: And who is Savchuk? [UKR] Speaker 7: Well, that's just, it's possible earlier.

00:13:03 [UKR] Speaker 7: Savchuk is his own. [UKR] Speaker 7: Savchuk will be discharged as his own. [UKR] Speaker 7: Savchuk will be discharged as his own.

00:13:37 [UKR] Speaker 3: You didn't find it?

00:13:40 [RUS] Speaker 3: Who? How much? [RUS] Speaker 7: Well, maybe left in the suction, you see. There just wasn't a simple operation, that's how it goes.

00:13:54 [RUS] Speaker 7: And there, our task was, there was a cyst, for compression to deal with, so they removed it.

00:14:04 [UKR] Speaker 3: We'll eat now, then feed him with Artem. [UKR] Speaker 3: That's it, thank you.

00:14:21 [RUS] Speaker 3: Come in.

00:14:42 [RUS] Speaker 8: Do I have?

00:14:54 [RUS] Speaker 3: And what required treatment?

00:14:58 [RUS] Speaker 8: Tuberculosis. [RUS] Speaker 3: Tuberculosis?

00:15:00 Speaker 8: Yes.

00:15:04 [RUS] Speaker 3: And how did you treat it? [RUS] Speaker 8: Well, with a discharge, I was treated.

00:15:13 Speaker 8: Yes.

00:15:14 [RUS] Speaker 8: Yes, with... [RUS] Speaker 8: I don't know where... [RUS] Speaker 8: Chi-cha-chi-cha.

00:15:42 Speaker 3: Thank you.

00:16:20 [UKR] Speaker 3: And also...

00:16:54 [UKR] Speaker 3: And how did they find this tumor? Did you have seizures, convulsions?

00:16:58 [UKR] Speaker 8: No, I didn't have a stroke. And they put me in the hospital and sent me for an MRI.

00:17:07 [UKR] Speaker 3: And when was this? When did they put you in the hospital?

00:17:12 Speaker 8: '24. Speaker 2: '24?

00:17:33 [UKR] Speaker 3: And what do they write? Is it growing in size or not? [UKR] Speaker 8: They said that I did it again, that it grew a bit.

00:17:40 Speaker 8: Yes. Speaker 8: Yes.

00:17:41 [UKR] Speaker 3: Because at such sizes it's not big yet, I'll measure it now. [UKR] Speaker 3: Two and a half by two centimeters.

00:17:59 [UKR] Speaker 3: You did this last time at the end of June?

00:18:04 [UKR] Speaker 8: Well, yes, I did it in summer. [UKR] Speaker 3: Who are you?

00:18:08 [RUS] Speaker 8: Tkachova. [RUS] Speaker 8: Daughter. [RUS] Speaker 8: Daughter. [RUS] Speaker 3: Well, here, look here, at the picture. [RUS] Speaker 3: Many problems in the brain, you see, such holes. [RUS] Speaker 3: Here, here, here, on all sides. [RUS] Speaker 3: This is vascular damage, this is vascular damage to the brain. [RUS] Speaker 3: You hear? [RUS] Speaker 3: The tumor is here, small. [RUS] Speaker 3: The tumor is here, small.

00:18:31 Speaker 3: Here.

00:18:32 [RUS] Speaker 3: My opinion, I'll write that, first of all, did they examine your vessels here?

00:18:38 [RUS] Speaker 8: No. [RUS] Speaker 3: No?

00:18:41 [UKR] Speaker 8: And our doctors didn't pass, they examined me.

00:18:49 [UKR] Speaker 8: Ultrasound, yes?

00:18:50 [RUS] Speaker 3: What's there? [RUS] Speaker 2: What's there?

00:19:00 [UKR] Speaker 2: Nothing.

00:19:01 [RUS] Speaker 2: Frozen.

00:19:07 [UKR] Speaker 3: My opinion is that you'll need to do an MRI with contrast at the end of January and come to me. [UKR] Speaker 3: And we'll look. If it's really growing, then we'll operate.

00:19:17 [RUS] Speaker 3: October 30th, 2025.

00:19:52 Speaker 2: So what are you recommending? Speaker 3: MRI control with enhancement after six months and come back to me and after that, because Speaker 3: now he don't have any symptoms with this. Speaker 3: He has symptoms including this vascular. Speaker 3: You can see a lot of them.

00:21:25 [UKR] Speaker 3: What examinations do you have now?

00:21:27 [RUS] Speaker 3: Now, now.

00:21:29 [UKR] Speaker 3: Now, what examinations do you have in your hands right now? [UKR] Speaker 3: CT, CT with enhancement and Monday there will be MRI. [UKR] Speaker 3: On Tuesday then with the results, with the child, let them come to me. If it's Tuesday, if not, then Wednesday morning at 8 o'clock. [UKR] Speaker 3: Eight in the morning, no, half past seven, at eight, so they take the queue, so they're first. Fourth floor.

00:22:38 [RUS] Speaker 3: Good

00:22:40 Speaker 3: Yes Speaker 3: Yes

00:22:43 [RUS] Speaker 3: Yes, good job

00:23:14 [UKR] Speaker 3: Do it with contrast in January, then come.

00:23:24 Speaker 3: Let's go.

00:23:26 [UKR] Speaker 3: Just need to eat. [UKR] Speaker 3: Just need to eat.

00:23:29 Speaker 3: We have a lot of activity, need to eat.

00:23:48 [RUS] Speaker 6: Thank you.

00:24:03 [RUS] Speaker 6: Will you do the moldings, or only when there's renovation? [RUS] Speaker 3: I think when there's renovation.

00:24:11 [RUS] Speaker 3: We'll renovate, and then we'll do everything. [RUS] Speaker 6: Don't need to do anything, right? I'll tell them that. [RUS] Speaker 3: Now. [RUS] Speaker 6: I remember we talked with you, and you said that this...

00:24:26 [UKR] Speaker 6: Good, I'll tell them that.

00:24:27 [RUS] Speaker 3: Now wait. [RUS] Speaker 3: the highway

00:24:40 [RUS] Speaker 3: I don't know, honestly.

00:24:45 [UKR] Speaker 6: Well, something's working, reserve plus, so it's with a barcode, things like that.

00:24:49 [RUS] Speaker 6: I'll print it.

00:24:50 [UKR] Speaker 3: Yes, and what else? [UKR] Speaker 6: And I then, now, Lilya left, you fill out two papers. [UKR] Speaker 6: There's some new resolution, that we met, described the rules. [UKR] Speaker 6: And the second I don't know what. [UKR] Speaker 6: Well, in short, I didn't see her yesterday. [UKR] Speaker 3: Now, something, they'll leave, I'll get old, I'll open here,

00:00:00 This has been more than once for you? Speaker 1: This has been more than once for you? Speaker 1: With this Guatemalan village? Speaker 2: I'm curious as well. Speaker 2: You guys are horrible. Speaker 2: I can get them out. Speaker 2: I can get them out.

00:00:13 Speaker 2: I can get them out. Speaker 2: I can get them out. Speaker 2: I can

00:00:30 Speaker 2: A little bit. Speaker 3: It seems like you could just do like whatever concert it is, you can send that out for Speaker 3: Based on the video that I've got.

00:00:50 Speaker 3: Yeah. Speaker 4: So we can send Alex to the DPI Mike.

00:00:56 Speaker 3: Yeah, that's what I would say. Speaker 2: And then, and then. Speaker 2: I was wondering what Andre's dad is.

00:01:00 Speaker 2: Is he getting emails from his mobile military hospital? Speaker 2: Can I tell you? Speaker 2: Oh, it's Sergei. Speaker 2: It's great. Speaker 2: Remember I told you about him earlier on? Speaker 2: Remember I told you about him earlier on? Speaker 2: Like, we struggled? Speaker 2: Wow, he's awesome. Speaker 2: Wow, he's awesome. Speaker 1: okay so that was his wife that was surgery with the wife yeah Speaker 1: and uh i guess alex demoted himself because i'm up here with you this time so Speaker 2: You're the leader of our little band here. Speaker 2: I'm just alone for common belief. Speaker 2: There are a few questions about, hey, how do you make a movie?

00:01:51 Speaker 1: Very carefully. Speaker 1: Or, as one of my friends said before recommending me for a documentary directing gig, Speaker 1: a friend of his called him up and said, hey, would this make a good documentary? Speaker 1: And he's like, well, with enough money, everything would. Speaker 1: Almost everything would. Speaker 1: But, you know, there are things we've been working on. Speaker 1: The challenge right now is creating a full arc.

00:02:34 Speaker 1: but I don't think you know, that's just something to work for.

00:03:21 Speaker 2: Oh, Andre. Speaker 2: So when we were in Los Angeles at the president's reception at that CNS meeting, I met a resident

00:03:30 Speaker 2: who was a medical student of mine and now she is a fifth year resident at the University of Florida. Speaker 2: She's one year younger than Connor Burrell. Speaker 2: And she said she's very interested in coming to Ukraine.

00:03:44 Speaker 2: So, I'll talk to her. If she wants to come with Rocco or me, would that be okay? Speaker 5: I'll talk to her. Speaker 5: I'll talk to her. Speaker 5: I think you and the local community, I think,

00:04:23 Speaker 2: I was joking with Laura earlier, Speaker 2: I was joking with Laura earlier, Speaker 2: Chad and Logan, now you guys can add a line to recognize the survivor.

00:04:30 Speaker 2: Oh, yeah. Speaker 1: So, so this uh, this uh, this uh, this uh, this is your medical residence. Speaker 2: Uh, you're a person. Speaker 1: Yeah, this, this, this, this, this, this, this,

00:04:53 Speaker 1: uh

00:05:23 Speaker 6: So I'm never gonna get bigger.

00:06:05 Speaker 1: Thank you. Speaker 5: Fall. Speaker 5: ...

00:07:30 Speaker 2: My daughter, she was hypervigilant. Speaker 2: I mean, we told that they were hypervigilant. Speaker 2: You start hearing the locust sounds. Speaker 2: Have you guys noticed that you were traveling outside the window? Speaker 2: You know, I just wanted to start out just kind of a locust hum. Speaker 2: And to me, it sounds just like these sirens started. Speaker 2: I'm going to pause.

00:08:24 Speaker 5: I can see also from my department from wounded persons, Speaker 5: Hold on.

00:09:24 Speaker 5: Thank you.

00:09:58 Speaker 6: Thank you.

00:10:15 Speaker 5: Have a good rest. Speaker 2: Okay, are these all your things, Andre?

00:10:30 Speaker 2: These are all mine. Speaker 2: All that is yours? Speaker 2: Yes. Speaker 2: Alright, thank you. Speaker 2: Thank you. Get some rest. Speaker 2: Yes. Speaker 2: Yeah, that last one was right, just kind of close, wasn't it? Speaker 2: Huh? Speaker 2: Well, that's a good point. Speaker 2: Yeah, it may have been there, but I think it's not.

00:11:05 Speaker 1: Oh, okay. Speaker 1: Can we just cancel breakfast for tomorrow? Speaker 4: Yeah. Speaker 1: Can we take some of the stuff that you're not... Speaker 1: Well, I need to go up and get the keys. Speaker 1: Oh, yeah. Speaker 1: Oh, oh, oh, okay. Speaker 1: That's right. Speaker 1: Yeah, let me get your... Speaker 1: Let me take it one at a time. Speaker 1: It's totally shocking, actually. Speaker 1: It doesn't make way strong. Speaker 1: I'm taking it back. Speaker 1: And here, I'll take it back there. Speaker 1: And here, I'll take it back there. Speaker 1: Come back there. Speaker 1: You're not walking around as bad as press.

00:12:08 Speaker 1: Thank you. Speaker 1: Okay. Speaker 1: Wait, we will

00:13:01 Speaker 4: before they have to leave the surgery at 11. Speaker 4: Yeah, even at 11. Speaker 1: What do you think that's kind of late? Speaker 1: That's hard to say. Speaker 1: But rehab is just D-roll? Speaker 2: Uh, yeah. Speaker 1: I mean, is it worth, like, with... Speaker 1: There could be some guys... Speaker 2: There could be some guys in there. Speaker 2: I'm just going to talk to them. Speaker 1: Okay, I got it. Speaker 1: Yeah.

00:14:23 Speaker 4: - Speaker 4: I'm trying to hold the...

00:15:11 Speaker 2: Thank you.

00:15:24 Speaker 4: Eu gosto de ir com o meu lado. Speaker 2: I catch myself doing it. Speaker 2: I can't talk to walk into one of the colleges Speaker 2: without I've heard.

00:16:09 Speaker 4: Yeah, well... Speaker 4: Every time the air raid sirens Speaker 4: come off, it's gonna hit. Speaker 4: Yeah. Speaker 4: I mean, that's never happened. Speaker 4: We've been here. Speaker 4: We've never heard a boom.

00:16:25 Speaker 4: I don't know the details, but the way it works is that those alarms are very hypersensitive. Speaker 2: anything in the whole teacher part of the room.

00:17:45 Speaker 2: Good night. Speaker 1: Good night. Speaker 1: Do we have anything to go over?

00:17:54 Speaker 1: I can drop my bag and come right back. Speaker 4: I think we're pretty sure on the schedule, I guess. Speaker 4: We just need to get on board with what we need to do.

00:18:11 Speaker 1: No, I haven't. Speaker 1: No one's spoken about that at all. Speaker 1: Let me drop this, I'll be right back.

00:01:41 Thank you. Speaker 1: And I'm going to activate your mic. Speaker 1: You drop your mic down. Speaker 1: So I can hear her. Speaker 2: Is she inside? Speaker 2: Is the doctor inside? Speaker 1: Not yet, no.

00:02:19 [RUS] Speaker 1: To be continued...

00:05:08 [RUS] Speaker 1: To be continued...

00:07:19 Speaker 1: Thank you.

00:07:29 CNN and Fox News. Speaker 3: CNN and Fox News.

00:07:59 [UKR] Speaker 3: Did you meet with Alex? [UKR] Speaker 3: He's already registered here with us, lives here and this is his fourth visit. [UKR] Speaker 2: - We only had your post 1, you were in Vienna recently, so you weren't born for us. [UKR] Speaker 3: - We were in Vienna together with Rocco Armonda, from Washington DC, and then I flew to Los Angeles, [UKR] Speaker 3: First time I was in America and there I already met with Rocco Armonda, with Alex. [UKR] Speaker 3: We performed there very dignifiedly. [UKR] Speaker 3: Alex Kushev, not waiting long, a week after I returned to Los Angeles, he also came. [UKR] Speaker 3: Now I keep the battle wheelchairs.

00:08:50 [UKR] Speaker 3: Mom or whoever remembers that she brought me hand cream from the Dead Sea. [UKR] Speaker 2: We also brought some. [UKR] Speaker 2: We were there this year, but we brought you a continuation. [UKR] Speaker 3: Come on, so you don't forget, take it home. [UKR] Speaker 3: From under the salt, measure...

00:09:10 [RUS] Speaker 2: Somewhere salt? [RUS] Speaker 2: This is Israel. [RUS] Speaker 2: For hands, for example. [RUS] Speaker 3: This is a present for me, for my

00:09:22 [RUS] Speaker 3: finger. [RUS] Speaker 3: After the operation I need... [RUS] Speaker 2: I don't understand what. [RUS] Speaker 2: Different aromas.

00:09:30 [RUS] Speaker 2: Everything is packaged. [RUS] Speaker 2: We won't try it there. [RUS] Speaker 3: We're not going to sell it. [RUS] Speaker 3: We'll try it now. [RUS] Speaker 3: Samaris was also with me at the autotoxin, so I didn't earn anything.

00:09:44 [RUS] Speaker 2: Different aromas, different warehouses. [RUS] Speaker 3: This is especially for... [RUS] Speaker 3: Very beautiful.

00:09:52 [UKR] Speaker 3: Very good. [UKR] Speaker 2: Great. For Andrey Govorovich the shortest.

00:09:59 [RUS] Speaker 3: After antiseptic.

00:10:03 [RUS] Speaker 3: Dogs. [RUS] Speaker 2: Great. [RUS] Speaker 3: I felt that we shouldn't send you to the other one.

00:10:20 [RUS] Speaker 3: Thank God the memory is good.

00:11:06 [RUS] Speaker 3: Nastya, do you need to wash your hands?

00:11:08 Speaker 2: No, thank you. Speaker 3: Have you been here? Speaker 2: No, I'm sitting here. Speaker 3: No? Speaker 3: I'm Laura, Logan. Speaker 3: If you need... Speaker 3: I'm not going to get it. Speaker 3: I can smell it. It smells good. Speaker 4: Laura, I would like to share.

00:11:35 Speaker 3: Just a little bit. Speaker 4: This is for Ken. Speaker 3: That's too much. Speaker 4: I'll take a little. Speaker 4: Come on now. Speaker 4: We need some paper towels. Speaker 4: We need some paper towels. Speaker 4: Yeah. Speaker 4: Yeah.

00:12:14 Speaker 3: Thank you.

00:12:35 [RUS] Speaker 3: To be continued...

00:12:59 [UKR] Speaker 2: - I fantasized, while I'm in reality I can, she didn't say that everything is good. [UKR] Speaker 3: - If it's necessary, she'll immediately do mouth-to-mouth resuscitation, mouth-to-nose. [UKR] Speaker 3: - Everything is good.

00:13:14 [UKR] Speaker 3: - Everything is good. [UKR] Speaker 2: - In a year we'll come to you.

00:13:19 Speaker 3: Thank you. Speaker 2: Thank you. Speaker 2: Thank you. Speaker 2: See you next week. Speaker 3: Good luck.

00:14:09 Speaker 4: Alright, Logan. Speaker 4: Yeah. Speaker 1: So what is it you're trying to present now? Speaker 4: Yes. Speaker 4: The thing right here. Speaker 4: Here we go. Speaker 4: Yeah. Speaker 4: Oh! Speaker 4: Oh!

00:14:30 Speaker 4: Alright, so I've lost your glass. Speaker 4: I asked some of my faculty if they had any extra copies of the Journal of Neurosurgery. Speaker 4: This is the one from March 2025. This is your article on the cover. Speaker 4: This is the one from March 2025. This is your article on the cover. Speaker 4: Yes, thank you. Speaker 4: You and Rocco and others wrote it. Speaker 3: It's together with Connor Berlin. Speaker 4: Connor Berlin. Yes, it was important for today's surgery. Speaker 4: And this is from August 2025. Speaker 4: They have a section here on trauma, and the first two articles are yours.

00:15:00 Speaker 4: Yes. Speaker 4: One on early multimodal neurointensical neurosurgical management of penetrating injuries.

00:15:06 Speaker 4: wartime experience from Ukraine with Draco and Yuri Trenchenko and Nisandlady. Speaker 3: So that's... Speaker 3: I think tomorrow, after our meeting with military surgeon and the CZO, we are going to Katlaq Speaker 3: and present one of these journals, Yuri Trenchenko. Speaker 3: Yeah, to Yuri, that would be great. Speaker 3: Yeah, to Yuri. Speaker 4: Yeah, he would love that. And then the other one is your new classification scheme, surgical treatment of penetrating wounds after resuscitation, that's stock war. A new classification system for penetrating injuries to the posterior fossa.

00:15:52 Speaker 3: Yes, it was my idea, but thanks to Alex and his team that created beautiful statistical analysis. Speaker 4: One is still in the wrapper. Speaker 4: Yes, thank you. Speaker 4: I love working and publishing with you, and thank you for all you're doing to try to teach the world what the money will be worth. Speaker 4: We are contending. I have several more of my computer on you think. Speaker 4: Yeah? Speaker 4: So what's your work you got? Speaker 4: So what's your work you got? Speaker 3: I remember you tell me when I will go to Dnipro, I spend time for two reasons.

00:16:28 Speaker 3: First of all, I need to finish a neurotrauma. Speaker 3: A neurotrauma article according to intracranial hypertension. Speaker 3: A neurotrauma article according to intracranial hypertension. Speaker 3: Yes, yeah. Speaker 3: And the second, you promised to check and give some marks, some suggestions. Speaker 3: And, like, you promised you after

00:17:14 Speaker 3: on Monday, we don't use a titanium mesh, but this is a scheme, it's a bilateral skull Speaker 3: base, anterior skull base injury. Speaker 3: It's the same.

00:17:30 Speaker 3: The same, because it's the right side, left side, also damaged. Speaker 3: That's why it's like our... Speaker 3: Perfect, yeah. Speaker 4: Can you open it one more time, just as if you guys are reading it?

00:17:45 Speaker 3: First of all, I would like to show our friend, Rocco Armonda, our friend. Speaker 4: And this is on the cover, it's always a brief description. Speaker 4: And that's gonna be page 829.

00:17:59 Speaker 3: Reproducer from Sir Paul, Berlin, Kanketov, Warthamper, and Traitling, traumatic brain injury,

00:18:06 Speaker 3: of the Ontario's power base Speaker 1: Is that what you were saying earlier? Speaker 1: There it is. Speaker 4: Andresirgo. Speaker 4: Department of Surgery. Speaker 4: Regional Clinical. Speaker 4: Hospital Dnepro, Ukraine. Speaker 4: Is that with the 3D? Speaker 4: No. Speaker 4: I was not on this one. Speaker 4: Let's see one where you're on. Speaker 4: So that was Speaker 4: this was March 25th. Speaker 4: So a while ago. Speaker 4: August. And this was two months ago. I was saving some of my faculty. Speaker 4: He gave me their contribution. Speaker 3: In this article 2, this is journal 2 article.

00:19:15 Speaker 3: First and second. Speaker 3: I am a multi-model intervention neurosurgical management of penetrating cranioscerebral injuries Speaker 3: for time experience from Ukraine. Speaker 3: And this is Koyurich Ritnishienkai. Speaker 3: We'll introduce him tomorrow. Speaker 3: Except for lucky, it's a doctor from Washington, D.C.

00:19:49 Speaker 3: who works together with Rocco Armonda.

00:19:54 Speaker 4: So the point of this article is that very early after you get an angiogram, Speaker 3: Yes, there are a lot of very interesting illustrations, over time injury, brain vessels. Speaker 3: It's a painting by Elizabeth Wollisbrodt. Speaker 3: It's my painting. Speaker 3: It's my... I show this bullet and type of injury. Speaker 3: Direct peritoneus fistula, dural-aware fistula, and traumatic intracranial aneurysm. Speaker 3: And a lot of cases.

00:20:30 Speaker 3: Our cases in this journal. Speaker 3: One, two, three, four. Speaker 3: And a lot of... Speaker 3: And then the next article. Speaker 3: Supplementary... Speaker 4: The point of this article is that instead of going straight to the operating room,

00:20:46 Speaker 4: You may want to go to the cath lab so Yuri can treat vascular diseases and the vascular disease so they don't blow up in your face during open surgery.

00:20:54 Speaker 4: And also a very important part is acknowledgments. Speaker 3: We acknowledge the military personnel in our study who gave their lives and the sounds of other soldiers and volunteers who died defending the freedom of Ukraine. [VO CANDIDATE] Speaker 3: and their families for their sacrifice and suffering. Speaker 3: We acknowledge all the military doctors who provided medical assistance to the wounded on the battlefield in field hospitals and during evacuations. [VO CANDIDATE] Speaker 3: We acknowledge all the neurosurgeons of the Center of Cerebral Neurosurgery of the Mechnikov-Nepropetrovs Regional Clinical Hospital who performed surgeries and all anesthesiologists and resuscitations who provided care in the intensive care unit.

00:21:45 Speaker 3: We sent Razum for Ukraine together, charity organization Razum for Copilot project, whose support was gave to most of our endovascular interventions, allowing us to save many Ukrainian lives. [VO CANDIDATE] Speaker 3: We acknowledge Elizabeth Wiesbrock for her graphical contribution to this study.

00:22:15 Speaker 3: And the next... Speaker 1: Go back to that page and open the page. Speaker 1: It says "reveal". Speaker 1: So, there you go. Speaker 1: Alright, now you can go. Speaker 1: And the next page, same. Speaker 3: The next...

00:22:30 Speaker 3: Surgical treatment of penetrating wound after the citation study. Speaker 3: It's, if you use only the first letter, it will be, name it, S-D-O-P-W-A-R. Speaker 3: I need to find this. Speaker 3: Stop War. [VO CANDIDATE] Speaker 3: I created this article, yes, name of this study. Speaker 3: Stop War. [VO CANDIDATE] Speaker 3: Stop War, and new classification system for penetrating injuries to the posterior fossa. Speaker 3: And Alex Volatka was the man with his team, and also I and Rokar Mondo.

00:23:10 Speaker 3: And here's the classification scheme. Speaker 4: It's basically unilateral, bilateral. Speaker 4: It's more complicated. Speaker 4: And this is the type of injuries. Speaker 4: If it's completely below the tentorium, going below to above, above to below, or combined. Speaker 4: And people here tend to do pretty well. Speaker 4: People here don't. Speaker 4: And statistical analysis for that.

00:23:30 Speaker 1: Can you just give the hand again? Speaker 4: people up here with relatively minimal injuries tend to do pretty well Speaker 4: these that go through the brainstem and multi focal don't do well so

00:23:44 Speaker 4: outcomes improve as you go from down here to up here Speaker 1: and then go back one page and just point out Alex Milodica's name as he did before Speaker 1: just point and then you can go to the page after Speaker 1: have Andre do it Speaker 3: the main work performed by Alex Velasca.

00:24:04 Speaker 3: The main work was Andre said. Speaker 3: It was my material, my idea, but to create, perform statistical analysis in the modern Speaker 3: update approach, it's in need of your help, it helps your team. Speaker 3: It's true. Speaker 3: That's why a lot of statistical analysis. Speaker 3: And I remember, Alex, check 2, 3, 4 times each this number, because it's your character. Speaker 3: Your character, yeah, it's a behavior, you need to be precise. Speaker 3: Precise, you know. Speaker 3: And also, I would like to show...

00:24:49 Speaker 4: Contributions we have as well, that's important. Speaker 4: So the acknowledgments here. Speaker 4: We acknowledge the courageous Ukrainian warfighters, healthcare workers, and civilians who died or sustained serious injury for the freedom of their country, and also those who continue to confront danger as the war rages on. [VO CANDIDATE]

00:25:14 Speaker 4: We also thank Mr. Corbin Beach for creating Figure 1. Speaker 3: He is in my department in Texas.

00:25:21 [RUS] Speaker 3: And a very important article was in October 2025. [RUS] Speaker 3: This month, October 2025. [RUS] Speaker 3: A very important article. [RUS] Speaker 3: This is the first in the history of the history of Ukraine.

00:25:43 Speaker 3: This article also helped us to edit this article and submission this article. Speaker 3: "History of Humor, Spine and Trauminary Surgery in Ukraine: Growth and Resilience".

00:00:00 Oh, let's give it a pure vibe.

00:00:00 Oh, let's give it a pure vibe. Sounds. Just an extra. That's the best I can do in terms of anything else.

00:00:12 And don't worry, just an extra mic.

00:00:17 Oh, do you have water on here or did you bring that? Well, I thought we had a lot of water on there. Oh, okay. Oh, no, you have to pump it. Yeah, that's how you see it. - This shit doesn't look good.

00:00:30 - No, I know. - Yeah, so you pump it up. - It looked good in there, yeah. Might as well just get the bad audio.

00:00:44 - I feel so bad for you guys 'cause everyone's so sleep deprived already.

00:00:49 - I think you can do it. What was that? - What do you wanna do? - Let's do it in there. - Okay. - Oh, go back in here? The sound is bad in there but it looks like... Looks more like what we wanted in there. Really bad or... I mean this looks pretty smart. Should I be sitting by that cabinet behind you there? No, we don't want you to like, lock in the...

00:01:31 Yeah. Yeah. Is that better?

00:01:38 I didn't see the other one. Yeah, that's better than over there. You wanna do that? Or you wanna go back into the room? Let's do it in both places. I mean, we got nothing else to do, right? What do we call, you know, a BS or a mess?

00:01:53 I think we get it... You have that alarm alarm on your phone, but it's not getting well.

00:02:03 There's no one else down here. I know, I think we just record this in both spots and then call it a day.

00:02:09 I was gonna say, I think it's Tullian. I was gonna say, I think it's Tullian. Nobody else can. There's a special... ...zwi-fi. Oh. This is not for the team. Hmm. I think it's for the team. Whatever. I'll figure it out later. We'll get to... Will you guys get back to the station? Oh yeah. No problem.

00:02:30 Well, I know you can. I'm worried about that. We'll see. We'll see. Alright, so should I be looking at Laura right over there? Yeah, you can look over here. Yeah, just the camera left. Okay, camera left. I'll direct my gaze right towards the corner of that space theater.

00:02:48 You want me to move over there? Help you? I'd be good.

00:02:56 So just over there? Yeah, look at that at the time. So I actually just got up early about 4 o'clock or so to start getting some work done since we're so busy. So I just got up early about 4 o'clock or so since I'm so busy running around all day with no time to do all the work and catch up on emails. And I was just stepping in the shower and I heard this huge bang outside the window and I thought, "Oh crap, here we go." I said, "I'm going to hurry up, get my stuff done." And then Andrei texted and he said, "Peliminary launch of Kalimor cruise missiles has been carried out from the shockwave cave. We expect the cruise missiles to enter Ukrainian airspace within the next 30 minutes.

00:03:45 There has already been one explosion in the U-Know. It's better to go down to the shelter." So, this is a shelter. I haven't had to do this before on my previous three trips. I'm not really sure how long to stay down here because there's a time to do the Wi-Fi and cell service. And Wi-Fi and cell service are down up in the room. But I think there's a special different Wi-Fi network out here to try to log into.

00:04:17 go on one of the apps and see if it can affect the progress of what's happening. I don't know, I think that's all, well do you want to open up your phone and just show the

00:04:36 written message from Andre? Yeah, we got the one that's been here for a short. Okay, so, and I just read it's all in the app. I was trying to figure out how to disable the alarm. Oh, I need to enable messaging. Do you have the app on your phone, Laura? Yeah, if you want to open it, maybe we can hold that up to the camera. Oh, is it not working then? Oh, is it not working then? I think controlling this has like enough... I mean, this is a full of the black microphone here. Oh, this one here. Yeah, correct.

00:05:22 It's the tsunami. Oh, yeah, there's no service. What is the tsunami G's password? Oh, it's the same one, right? What is the password? What is the password? Is it tsunami 12? Or something like that? It sort of stays by memory.

00:05:41 NPR or something like that, right? - No, it's not a. - Oh, okay. Yeah, no, that's what I'm saying. It's up there. Dzień dobry.

00:06:37 [RUS] [Subtitles by DimaTorzok]

00:07:05 So it's now 5, I think it was 4, 4, 1, 1, 1. So it's now 5, I think it was 4, 4, 1, 1, 1. Andre said that. Andre said that. I think, like, if you can text in there, in the shelter, heading back.

00:07:50 Oh yeah. Yeah, so like you can... Let him know we are here. Yeah, just... And send it once as like only I, and then send it again as we. Oh, yeah. So I'm in the shelter. It's now an hour and ten minutes into message heading back to the room. Thank you for something like that. All right, let's start. Thank you. There's that. Sure. Thank you.

00:08:48 Okay, just try to finish it. Oh. Here we go. Russia just doing what Russia does. Red means the regions of Ukraine that are under attack by Russia missiles.

00:09:07 It's the entire country. If you zoom in, somebody could see the missiles on this one. I don't know how accurate this is.

00:09:20 It's not scary. I think that's how long they're new. Where they came from. Look at the X's on the planes on the right hand side of the screen. Zoom in like so.

00:09:45 You got zoom on those? I think it's on the note side. Yeah, it's on the note side. I got the color. They're over the point.

00:09:56 Oh, that's pretty fun. Yeah, you can see the exit on the...

00:10:00 So that's Bella Rose. Oh, okay, so I don't know what the note is here. These look like Shaheeds. Or Shaheds. Shaheds. How perfect. Here it is. Yeah, yeah.

00:10:26 Are we done? Yeah. Alright. Ready to go up? Yeah. Well, we, we, uh, starting out here since we, but this is two parts of the hotel I've

00:11:20 I guess you have to still be leaving.

00:11:26 Alright, so here. What do they call the B roll? Okay, so it's like, just if you imagine A-Roll, what the meaning of that would be, would be the primary stuff of you, right? Or of what we're trying to get. Anything that's just like an additional edit cut to, it's B-Roll. So like he's he's getting the and you don't nobody uses the term not nobody but the term a role just isn't often mentioned.

00:12:13 So like right now this is b-roll but then like when you're walking back just the shots of you walking back it's not necessarily b-roll because we've got a scene you know. But like if you randomly got you walking around the town, that would be beautiful.

00:12:30 But there's an intentionality to the...

00:12:36 Okay. This is an African country. There's a sound meter that tells you how loud the sound is. The longer it goes, the higher it goes. It's actually, I would think it would be a lot louder than this. Yeah.

00:12:56 So you should get you saying we've been in blackout all night but the hotel generator kicked in, you know? Something like that. Yeah. Yeah.

00:13:20 Okay. Yeah.

00:13:28 What's on that? Oh, we've been in black.

00:13:33 So we've been blanked out all night. So we've been blanked out all night. The area was probably back to the... Yep. And it's real perspective. So we've been blanked out all night. The neighborhood is dark. But this place has some huge generators that keep it going.

00:14:32 And of course it came back out about 15 seconds later and was fine online. It's more like three minutes in my room, but that's...

00:14:42 Maybe you're closer to the generator. LOL. Yeah, you can't get out of the poor, but we're going to take care of the people in a lot of your space. Alright, so... We're thinking of your house camped out here. Can you just give me back out of my stuff here? I've been down here for a while and, uh, I've been down here for a while and, uh, I've been saying much of this is going on, so I think, uh, I've been back upstairs and trying to connect to, uh, cell service to better Wi-Fi and take any updates. I would say, I'm sorry, I would say, um, you know, uh, if I couldn't tell Andre

00:15:26 that I didn't come down to the shelter, he'd be pissed so... That's a good point.

00:15:30 Yeah, just say that. Well, I've been down here for a while and doesn't see how much is going on. At least this way I can honestly tell I'm going to be... I did take your advice, but I did go to the shelter. Alright.

00:15:52 Yeah, it's really telling. I think that this place is like, preserving.

00:16:06 Ok. So maybe there's other blasts that way farther away. We heard the air raid alarm. I heard the explosion.

00:17:01 *Gruppern*

00:17:20 You guys okay? Oh, alright, I'm trying. Oh, alright, I'm trying. Can you walk again? You walk again, sure. You guys have something in there.

00:17:30 No, we're just making a scene. But I'm not. I didn't mean it. - Okay, there you go. - Nice lens flare.

00:00:00 Here it is, it's rolling. Speaker 1: Here it is, it's rolling. Speaker 1: It just rolls when you pull it out. Speaker 2: You can just drop it in your pocket or wherever.

00:00:09 Speaker 2: Alright. Speaker 2: So any verdict yet? Speaker 2: The grass is still growing? Speaker 1: Still growing. Speaker 1: I haven't seen them blink in a while. Speaker 3: Yeah. Thank you.

00:01:30 Speaker 3: Thank you.

00:02:36 Speaker 3: So, let's go. Speaker 3: I'm going to go.

00:03:38 Speaker 3: *sad music*

00:04:46 [RUS] Speaker 3: To be continued...

00:05:32 Hello.

00:06:17 Speaker 2: Hello. Speaker 1: Hello. Speaker 2: Can I wear the same scrubs? Speaker 2: Okay.

00:06:26 Speaker 2: But the... Speaker 2: Yeah, here's the... Speaker 2: The journalists. Speaker 2: So I will leave it right here. Speaker 2: Thank you. Speaker 2: The journalists will find it. Speaker 2: Thank you.

00:07:14 Speaker 2: Thank you.

00:08:58 Speaker 2: I closed it with my head. Speaker 2: I took my glove off and then I said, "Go eat lunch." Speaker 2: Do you want a cup of tea? Speaker 2: I'm okay, thank you. Speaker 2: Yeah, my wife is very disappointed in me, mad at me.

00:09:39 Speaker 2: No coffee, no tea. Speaker 4: Maybe water?

00:09:46 Speaker 2: Maybe you can help me with this, so it needs to go here, somewhere inside like that. Speaker 2: Alright. Yeah, fix the flat. Speaker 2: Okay, got you. Speaker 2: Alright.

00:10:57 Speaker 2: ... Speaker 2: Let's go.

00:11:45 Speaker 2: Hey. Speaker 2: Hey. Speaker 2: How was that? Speaker 2: Blood? Speaker 2: Thank you very much. Speaker 2: So, Sviatoslav, is that how it usually works? Speaker 2: So you have to go to the blood bank and pick up the blood?

00:12:33 Speaker 5: Nurse pick up the blood. Speaker 5: I compare. Speaker 2: Okay, so you check. Speaker 2: Yeah, I check. Speaker 2: I check and... Speaker 2: Then you ring it in. Speaker 2: Okay. Speaker 5: Interesting. Thank you. Speaker 5: It's not me like the doctor of this patient, but we have duty for each week. Speaker 5: We have duty person for this. Speaker 5: Yeah. Speaker 2: Yeah, so the way it works for us is that the blood goes straight to the anesthesiologist

00:13:05 Speaker 2: and it's the person who gives the blood must check. Speaker 2: So, yeah. Speaker 2: So, yeah. Speaker 2: You have one extra step. Speaker 5: For papers, I do. Speaker 2: Oh, I see. Speaker 2: I see. Speaker 2: Thank you. Speaker 2: Okay, sure.

00:13:50 Speaker 2: That would be fine. Speaker 2: You know what, I may ask you to call the journalists because they all want to be here for the closing.

00:14:06 Speaker 2: This would be the one to call.

00:14:19 Speaker 4: Do you want me to call the operator and the director? Speaker 2: No, no, just when the tumor is out, the journalists want to come. Speaker 2: So... Speaker 2: Yeah, that would be the one that caught. Speaker 4: I will call it Sviatoslav. Speaker 4: I will call Sviatoslav. Speaker 4: Sviatoslav will find you. Speaker 4: Sviatoslav will find you. Speaker 2: Yeah, okay, that's better. Speaker 2: Okay.

00:15:21 Speaker 1: Hey.

00:17:17 Speaker 1: - Speaker 2: Ah, here we go. Speaker 2: Okay.

00:18:34 Speaker 2: Nina Speaker 3: I ask you to sit at my chair and perform a stage of operation, because it is Michael

00:19:23 Speaker 3: And I, okay, okay?

00:19:32 Speaker 2: So, yes, I tell people that you do 99% of the work, but just like, just like, but one very important, but just like in the research world, I will take all the credit.

00:19:48 [RUS] Speaker 3: No, this is police.

00:20:16 Speaker 3: Remove the tumor from the left side Speaker 3: due to the defect on the... Speaker 2: Yeah. Speaker 2: Oh, the tumor's out, yeah. Speaker 2: He had service though, okay. Speaker 2: Yeah, can you call Sviatoslav Speaker 2: and tell the journalist the tumor is out? Speaker 4: I have John. Speaker 4: I have John from behind you. Speaker 4: I have John from behind you.

00:20:47 Speaker 1: -

00:20:57 Speaker 2: That's very fast, Andrei.

00:21:00 [RUS] Speaker 3: How much time do we have there, for the main stage, Natasha?

00:21:07 [UKR] Speaker 3: 80 minutes.

00:21:09 Speaker 3: The main stage.

00:21:11 [UKR] Speaker 3: 80 minutes.

00:21:14 Speaker 3: Send to my dream team. Speaker 2: Andrei, you are the sun. Speaker 2: We are the moon.

00:21:24 [UKR] Speaker 3: Give me some more here.

00:21:26 [RUS] Speaker 3: Give me which one. [RUS] Speaker 3: Give me which one.

00:21:36 [UKR] Speaker 3: Supposed to, way, yes, Natalya? [UKR] Speaker 3: Way, supposed to? [UKR] Speaker 3: I thought, having 4-5 hours. [UKR] Speaker 3: If this tumor will be fibrosis.

00:21:50 [RUS] Speaker 3: Consistency

00:21:52 Speaker 3: but Speaker 3: and

00:21:59 [RUS] Speaker 3: carpenter

00:22:16 [RUS-NEEDS] Водички.

00:22:47 [RUS] Speaker 2: Some water. [RUS] Speaker 3: Big syringe. [RUS] Speaker 3: One more. [RUS] Speaker 3: Look, as soon as they appear on the horizon,

00:23:32 [RUS] Speaker 3: Big water. [RUS] Speaker 3: Big water. [RUS] Speaker 1: Someone doesn't suit us. You have an experiment, and we have everything they're paying now. [RUS] Speaker 3: I can survive. I'll just remind tomorrow, so I come, so I come rewrite. [RUS] Speaker 3: Again, and there you need to clean, so it won't be.

00:23:55 Speaker 3: Thank you. Speaker 3: I need to have together with you talk with your daughter. Speaker 3: My daughter? Speaker 3: Yeah. Speaker 3: After this operation, we need to have a short talk with her.

00:24:40 Speaker 3: Oh, yes. Speaker 3: Oh, yes. Speaker 3: And describe what we perform.

00:24:47 Speaker 3: It's usually, I think, in US also, yeah?

00:24:51 Speaker 2: Oh, yes. Speaker 3: And after that I quickly print the protocol of operation.

00:25:03 Speaker 3: And today is enough. Speaker 2: I think there were some patients sitting outside your office though.

00:25:09 Speaker 2: Do you have more consultations today?

00:25:13 Speaker 3: One more? Speaker 2: Do you have consultations today? Speaker 2: No, I saw some patients outside your office.

00:25:20 Speaker 3: But I say my nurse, Ludmila, I don't perform consultation today, maybe tomorrow after 11. Speaker 3: or you're in the morning on Friday. Speaker 3: But today I don't wish and I don't want

00:25:51 Speaker 3: to consult a patient.

00:26:00 Speaker 2: I'm tired. Speaker 2: When do you, after surgery, Speaker 2: When do you take the breathing tube out? Speaker 4: Take what? Speaker 2: The endotracheal tube. Speaker 2: When do you extubate the patient? Speaker 4: When we extubate our patients, we don't have a recovery room.

00:26:16 Speaker 4: We extubate in intensive care. Speaker 4: And in intensive care, they wake up during two hours.

00:26:24 Speaker 4: Between one hour and two hours after operation. Speaker 2: Okay. All right.

00:26:54 [RUS] Speaker 4: Vashenka tells me nothing.

00:26:59 Speaker 3: I live in the convexity surface, for example, buttons here.

00:27:08 Speaker 3: You will take and change this, okay?

00:27:13 Speaker 2: Take the buttons out? Speaker 3: Okay.

00:27:27 Speaker 3: What was the hemoglobin? Speaker 2: Did you check the hemoglobin? Speaker 2: Did you check the hemoglobin? Speaker 4: No, we didn't check. Speaker 2: Oh, you just because of the bleeding? Speaker 2: Yeah, OK. Speaker 3: I leave here some cotton.

00:27:41 Speaker 3: You can remove. Speaker 3: Mikhail will irrigate you another cage. Speaker 3: Sure. Speaker 3: Sure. Speaker 3: You want to wait for the journalists? Speaker 3: Are they almost here? Speaker 3: Are they here? Speaker 3: No, no, he started, he started working. Speaker 3: Alex, one moment. Speaker 3: First of all, you need to sit. Speaker 3: First of all, you need to sit. Speaker 3: Sit here.

00:28:10 Speaker 2: Very high. Speaker 1: Oh. Speaker 1: OK.

00:28:22 Speaker 3: Let's see.

00:28:49 Okay. Speaker 2: Okay. Speaker 2: Okay. Speaker 2: Andrei, right here. Speaker 2: Yeah. Speaker 2: Yeah.

00:29:20 Speaker 2: OK, this one's out.

00:29:28 Speaker 1: OK, this one's out. Speaker 2: Irrigate, irrigate, irrigate. Speaker 2: Okay, stop irrigating.

00:29:51 Speaker 6: Okay, stop water. Speaker 6: There you go.

00:00:00 Thank you. Speaker 1: Thank you.

00:00:30 Speaker 1: Oh my god. Speaker 1: I said it was

00:01:01 Speaker 1: It's straight enough. Speaker 2: Yeah, you've got to respect the flag.

00:01:12 Speaker 1: Let's get out of here. Speaker 1: Thank you. Speaker 1: Alex, let's get out of here. Speaker 1: This side.

00:01:24 Speaker 1: Grab a chair or something. Speaker 3: - I am. Speaker 3: - I am.

00:02:17 Speaker 1: - I'm gonna walk through for one second. Speaker 1: I'm just gonna like... Speaker 3: - Okay, let's repeat. Speaker 3: It's like just a simple talking after jump. Speaker 1: Yeah, exactly. Speaker 1: Yeah. Speaker 1: Yeah. Speaker 1: You mind if I steal this chair even though it would normally be here? Speaker 1: Yeah. Speaker 1: All right. Speaker 1: It's OK. Speaker 1: All right, I'm just-- in Ukrainian, yes. Speaker 1: And I'll see if I can pay attention and let me know if I'm missing something important.

00:02:48 Speaker 4: Mm-hmm. Speaker 4: So it's a good one. Speaker 1: And you will say I will put-- Speaker 1: No, you-- I mean, we're already rolling. Speaker 1: You just go.

00:02:56 [RUS] Speaker 1: I'm doing this.

00:02:57 Speaker 1: Action.

00:02:59 [RUS] Speaker 5: Action!

00:03:02 [UKR] Speaker 3: Need a little time to come in... [UKR] Speaker 5: Need to put on home clothes, [UKR] Speaker 3: understand, not jeans. [UKR] Speaker 5: Because they're not natural. [UKR] Speaker 3: Natural. [UKR] Speaker 5: And socks. [UKR] Speaker 5: Just repeat what you had today.

00:03:21 [UKR] Speaker 5: But it has to be as emotional as you were today. [UKR] Speaker 3: How was today? [UKR] Speaker 3: Without profanity, probably, or with it? [UKR] Speaker 3: Only without profanity. [UKR] Speaker 3: Today was quite a not complicated day and not difficult to walk, but actually I slept about 3-4 hours. [UKR] Speaker 3: In the middle of the night there were many soldiers, we had no operations, but every hour we were called, and it was very hard. [UKR] Speaker 3: Also, of course, there was a guy with his face smashed up on our unit too.

00:04:14 [UKR] Speaker 3: And when I came to work, they just finished the operation on a severely wounded patient, a serious injury. [UKR] Speaker 3: And we called for me to finish the operation, I met with Alex. [UKR] Speaker 3: And we finished the operation together. [UKR] Speaker 3: A very seriously ill patient, unfortunately, and it's a shame that already for years people are losing their health and lives, really. [UKR] Speaker 3: And when you see a person who lost their sight, lost their limbs, it's very hard to understand that this is happening nearby. [UKR] Speaker 3: Was he military? [UKR] Speaker 3: He was military and, unfortunately, he has very severe injuries and a very serious head injury.

00:05:09 [UKR] Speaker 3: So we finished the operation, after which there were several patients that could be examined, [UKR] Speaker 3: and after that there were constant calls to the diagnostic department.

00:05:27 [UKR] Speaker 3: That was the shift. [UKR] Speaker 5: When you wrote me goodnight, were you already going to sleep?

00:05:33 [UKR] Speaker 3: No, when I wrote you goodnight, I was hoping I'd lie down and sleep. [UKR] Speaker 3: I left work early in the morning. [UKR] Speaker 3: It didn't happen. [UKR] Speaker 3: I generally thought I'd write you and I'd be asleep. [UKR] Speaker 3: And about 30 minutes later they called me, so until 4 in the morning I was protecting your sleep and watching chat about missiles.

00:05:56 [UKR] Speaker 5: That's not lucky, because I slept well. [UKR] Speaker 5: I knew you were watching, and I'd know if something happened. [UKR] Speaker 5: Perfect. [UKR] Speaker 5: See, when you thought you were sleeping, I was protecting your sleep. [UKR] Speaker 3: So that's how we work. [UKR] Speaker 3: And in the morning we met with the Americans who came.

00:06:15 [UKR] Speaker 3: They filmed our morning rounds.

00:06:21 [UKR] Speaker 6: What, everything? Including operations? [UKR] Speaker 3: No, they only filmed the operational meeting, where they showed what happened during the night, what operations will be done during the day. [UKR] Speaker 3: And after that we went around the ICU, and they stayed.

00:06:41 [UKR] Speaker 3: Such matters. [UKR] Speaker 6: What did they film next? [UKR] Speaker 3: Well, they filmed the whole day, so they're impressed.

00:06:48 [UKR] Speaker 3: But they didn't stay with me last night on duty, [UKR] Speaker 3: so they didn't experience the joy of working at night. [UKR] Speaker 3: I think it would have been very interesting for them to experience those feelings in the morning,

00:07:02 [UKR] Speaker 3: when it's like, thank God, it's over. [UKR] Speaker 5: Soon there will be nice lights after Halloween.

00:07:09 [UKR] Speaker 3: Yes, yes. [UKR] Speaker 3: So after that I got ready and headed home, went out, bought sweets and came to us to sleep.

00:07:21 [UKR] Speaker 3: How was your day yesterday? [UKR] Speaker 5: Delicious breakfast. [UKR] Speaker 3: Breakfast was at Subway, Subway.

00:07:28 [RUS] Speaker 3: 11 hryvnia.

00:07:30 [UKR] Speaker 5: Well, I tried, because. [UKR] Speaker 5: Well yeah, I laughed with you, went to bed, you slept peacefully, because as you see, I felt you wouldn't sleep.

00:07:38 [UKR] Speaker 5: I saw you were online at 5 o'clock, 8 o'clock, Bohdanchik's stickers. [UKR] Speaker 3: Messages with sticker packs, of course, went well. [UKR] Speaker 3: I felt it was a new level of relationship, you know. [UKR] Speaker 3: Like who else can I spend time with Stas and now also with Alexander.

00:08:03 [RUS] Speaker 3: Oh, this is a new level, when you exchange sticker packs at 10am.

00:08:09 [RUS] Speaker 6: Maybe it means I'm close.

00:08:11 [UKR] Speaker 3: I don't know about that.

00:08:14 [RUS] Speaker 3: I think I won't be here.

00:08:24 [RUS] Speaker 6: Next you accidentally became a participant in the film. [RUS] Speaker 3: What do you mean "accidentally"? [RUS] Speaker 3: Yes, great, I happened to be wearing this t-shirt.

00:08:33 [RUS] Speaker 5: I don't know if it's real. [RUS] Speaker 5: You know, I was telling when he asked me how he looked there.

00:08:39 [UKR] Speaker 5: In my description, like this, kitty cat.

00:08:42 [RUS] Speaker 5: I said when I went in, I thought he was like, ah, ah, and he doesn't turn away.

00:08:49 [RUS] Speaker 3: Well, that's not really what it was like. Did you tell him about the stomach hitting? [RUS] Speaker 5: No, well, I said that you know I was surprised. [RUS] Speaker 3: Ah, well yes. [RUS] Speaker 5: Well, it's the most common story, what I wonder, I ask.

00:08:59 [UKR] Speaker 3: Well, right. [UKR] Speaker 3: So, good. [UKR] Speaker 5: What else am I not telling? [UKR] Speaker 5: Because it was too short,

00:09:07 [RUS] Speaker 5: right?

00:09:09 [UKR] Speaker 3: Well, it was just quick, [UKR] Speaker 3: kind of frantic. [UKR] Speaker 3: So there's nothing special to tell. [UKR] Speaker 6: Relatively calm? [UKR] Speaker 6: On a scale of one to ten, how tough? [UKR] Speaker 3: Well, because of the fact that [UKR] Speaker 3: there were constant calls, [UKR] Speaker 3: probably six [UKR] Speaker 3: out of ten, as [UKR] Speaker 3: a night shift goes. [UKR] Speaker 3: It wasn't like I was [UKR] Speaker 3: lying down, but still. [UKR] Speaker 3: Like, 6 out of 10, and in the morning it was a bit hard to wake up. [UKR] Speaker 5: And when I pulled out, was that 10 out of 10? [UKR] Speaker 3: That was 100 out of 10. [UKR] Speaker 3: Yeah, something like that. [UKR] Speaker 3: Well, in principle, next week I'll be on duty. [UKR] Speaker 3: Until next Monday.

00:09:52 [RUS] Speaker 3: We'll be together.

00:09:53 [UKR] Speaker 3: Yes, we'll be choosing Halloween costumes together.

00:10:01 [UKR] Speaker 3: Do you have to continue, or not?

00:10:03 [RUS] Speaker 6: I don't know. [RUS] Speaker 6: I don't know who to ask. [RUS] Speaker 3: Maybe they'll say: "Stop, cut".

00:10:12 [UKR] Speaker 3: Good. What are we doing tomorrow?

00:10:15 [RUS] Speaker 6: Tomorrow?

00:10:17 [UKR] Speaker 6: I don't know about singing.

00:10:20 Speaker 3: What else?

00:10:22 [UKR] Speaker 3: I think I won't go to training tomorrow morning. [UKR] Speaker 3: I think I'll go, if to training, then in the evening.

00:10:29 [UKR] Speaker 3: Maybe I'll go to surgical training if there's something.

00:10:37 [UKR] Speaker 6: Are you asking? [UKR] Speaker 3: Yeah, if there's something.

00:10:42 [UKR] Speaker 3: Overall nothing else. [UKR] Speaker 5: When they asked about our relationship development, [UKR] Speaker 5: I said that we were communicating, we didn't see each other for a month, but then when you returned, the spark decided, [UKR] Speaker 5: but I didn't know if I could tell, because we said that you'll tell yourself if you want to.

00:11:05 [UKR] Speaker 5: So I don't know, did I think I could tell or not. [UKR] Speaker 3: I think if they want and ask, I won't refuse. [UKR] Speaker 3: So the most important thing to do this week is to change clothes for Halloween,

00:11:23 [UKR] Speaker 3: Find a Halloween costume, basic needs like that, and write to this guy.

00:11:37 [UKR] Speaker 5: Did you sleep yet? [UKR] Speaker 3: Well, sort of... [UKR] Speaker 5: You haven't left since sleeping? [UKR] Speaker 3: No, I didn't even pour cold water on myself.

00:11:45 [RUS] Speaker 5: Didn't pour?

00:11:46 [UKR] Speaker 3: No, well I took very cold, but water from the bottle. [UKR] Speaker 5: That doesn't count, already at this level of pouring cold water. [UKR] Speaker 3: But now the water is much colder in the tap than usual. [UKR] Speaker 5: Well yes, but it doesn't reach our level, I understand.

00:11:59 [RUS] Speaker 3: Well, they're somewhere nearby.

00:12:01 [UKR] Speaker 3: Need a few days for ice to form inside the bottle, then it's normal.

00:12:15 Speaker 3: It's okay? Speaker 1: Yeah, it's good. Speaker 1: Great. Speaker 1: That was beautiful. Speaker 1: You can keep going. Speaker 1: We just finish all about this day.

00:12:30 Speaker 1: I'd like to see it. Speaker 1: What would be good for them to discuss or to talk about? Speaker 1: Hey, there we go. Speaker 1: I like that. Speaker 1: I like that. Speaker 1: Glad we're still rolling.

00:12:50 [RUS] Speaker 3: Thanks. [RUS] Speaker 3: - Must

00:13:46 Speaker 3: There.

00:13:47 [RUS] Speaker 3: What is it? [RUS] Speaker 1: Let's plan [RUS] Speaker 1: Let's plan

00:14:17 [RUS] Speaker 5: I also just needed home clothes, and you... [RUS] Speaker 3: And me, in home clothes, I'm actually in my own torn jeans? [RUS] Speaker 5: Well, I'm saying you were in your torn jeans. [RUS] Speaker 3: Well yes, so I should have been in Jesus pants and a t-shirt. [RUS] Speaker 3: Egyptian, you know, if you do yoga, meditating, sitting on the balcony. [RUS] Speaker 3: Egyptian, you know, if you do yoga, meditating, sitting on the balcony. [RUS] Speaker 6: I'll really earn for yoga, because there came my Patreon videos.

00:14:40 Speaker 3: Yeah.

00:14:41 [RUS] Speaker 6: Then I'd have your evening routine.

00:14:45 Speaker 3: - Whoa!

00:14:46 [UKR] Speaker 3: - Very whoa!

00:14:48 [RUS] Speaker 6: - I want something sweet.

00:14:49 [UKR] Speaker 3: - Should I give you a piece with pistachio?

00:14:52 [RUS] Speaker 3: - Yes. And what's the other one?

00:14:55 [UKR] Speaker 3: - With...well, actually, with walnut. [UKR] Speaker 3: - You want both, you can, thanks. [UKR] Speaker 5: - I'm classical. [UKR] Speaker 3: - Well, I like pistachio more.

00:15:03 [RUS] Speaker 3: - I want pistachio.

00:15:05 [UKR] Speaker 3: - Well come on, I'll give you this, well you haven't tried yet. [UKR] Speaker 6: - Well, not so tasty.

00:15:13 [RUS] Speaker 1: - I'll lie to you

00:16:04 [RUS] Speaker 3: I'm very worried that they miscalculated.

00:16:10 [UKR] Speaker 3: Because for some reason the receipt was only on one of them, you understand?

00:16:14 [UKR] Speaker 6: And what? Did you pay less or more than it should be? [UKR] Speaker 3: Well, less. Because the receipt was only on this package, but there was no receipt on this package. [UKR] Speaker 3: Are they different? [UKR] Speaker 3: I thought they were just counted at one price. [UKR] Speaker 3: Because the old lady was busy with something else. [UKR] Speaker 6: So you have to divide just one receipt.

00:16:36 [RUS] Speaker 3: I'm now on the other side

00:16:41 [RUS] Speaker 5: And give pizza [RUS] Speaker 3: Oh, there's this left and

00:16:47 [RUS] Speaker 3: Good job [RUS] Speaker 6: I'm craving pizza [RUS] Speaker 6: I want pizza

00:16:57 Speaker 6: What?

00:16:58 [RUS] Speaker 6: I want pizza [RUS] Speaker 6: Something sausage, cheese

00:17:03 [UKR] Speaker 6: - I want it to be tasty. - Homemade.

00:17:06 [RUS] Speaker 3: - Homemade. - Homemade. [RUS] Speaker 3: - There used to be with mayonnaise.

00:17:09 Speaker 3: - No?

00:17:12 [UKR] Speaker 3: - No, I want it tasty too.

00:17:14 [RUS] Speaker 6: - Did you see I sent you? - Where? [RUS] Speaker 6: - Where pizza is. - Where. [RUS] Speaker 6: - In Con.

00:17:21 [UKR] Speaker 3: - And where is Con? [UKR] Speaker 5: - It's near the church. [UKR] Speaker 5: And what I told you there, they deliver Chinese restaurants,

00:17:30 [UKR] Speaker 5: and no other pizza place will deliver there. [UKR] Speaker 5: Well anyway, but it should be tasty, [UKR] Speaker 5: either it's a restaurant. [UKR] Speaker 3: Last time I had their pizza, [UKR] Speaker 3: it was extremely not tasty. [UKR] Speaker 3: Frisbee, not pizza. [UKR] Speaker 5: Well, sorry, should be delivery pizza. [UKR] Speaker 3: No, well what you can bake at home, [UKR] Speaker 3: so it's not pizza, it's some pie,

00:17:56 [RUS] Speaker 3: just loaded to the max.

00:17:58 Speaker 3: No. Speaker 3: No?

00:18:00 Speaker 3: Ok.

00:18:05 [UKR] Speaker 3: So, what about Halloween costumes? [UKR] Speaker 6: Nothing yet. [UKR] Speaker 3: Nothing? [UKR] Speaker 3: Normal ones? [UKR] Speaker 6: Because it's just regular work. [UKR] Speaker 3: Well, what to do?

00:18:18 [RUS] Speaker 6: Need to find.

00:18:20 [UKR] Speaker 3: Can't we just go buy some ready-made set? [UKR] Speaker 6: We won't have that here.

00:18:25 [RUS] Speaker 3: Harry Potter.

00:18:26 [UKR] Speaker 6: Well, it's not the West.

00:18:28 [RUS] Speaker 3: Harry Potter and... [RUS] Speaker 6: We need to fit into a minimum budget with my vocal creative idea.

00:18:35 [UKR] Speaker 3: I worked at camp, just went to the trash,

00:18:40 [RUS] Speaker 3: children's things and cut them up, and got dressed, [RUS] Speaker 3: which didn't earn anything. [RUS] Speaker 3: No, well like to the trash, there were just children's worn-out things, [RUS] Speaker 3: and that's it, and they stayed. [RUS] Speaker 3: Costume of who? [RUS] Speaker 3: Costume, well, of whoever you want. [RUS] Speaker 3: Ah, dressed on children, yes? [RUS] Speaker 3: Come up with what the child wants to be.

00:18:59 [RUS] Speaker 6: I have information. [RUS] Speaker 6: And what? [RUS] Speaker 6: I'll tell you.

00:19:10 [RUS] Speaker 6: About our persons.

00:19:16 [RUS] Speaker 3: And what will be there? [RUS] Speaker 6: No, just good information. [RUS] Speaker 3: About what? [RUS] Speaker 6: - I came up with

00:20:06 [UKR] Speaker 5: I came up with this, it should be very easily accessible. [UKR] Speaker 3: Want to watch something?

00:20:18 Speaker 3: We can go on the, like, there, and you can perform the camera, like, high-ge.

00:20:27 Speaker 3: Yeah, yeah, we'd love that. Speaker 4: You always say, this is like a crazy sunset. I've never seen something quite like this.

00:20:33 Speaker 4: It's amazing. Speaker 1: I asked, maybe it's like a nuclear bomb or something like this.

00:20:38 Speaker 1: Yes, Anastasia is talking in our ear, letting us know what you're saying.

00:20:42 [RUS] Thank you.

00:21:55 [RUS] Speaker 6: Thank you.

00:22:12 [RUS] Speaker 3: But I don't know, I don't know.

00:23:12 [UKR] Speaker 5: No, but actually in half an hour there's an online meeting.

00:23:16 [UKR] Speaker 5: Consultation? [UKR] Speaker 6: Well, yes, training. [UKR] Speaker 6: Because we're passing this subject. [UKR] Speaker 6: Which? [UKR] Speaker 6: Supervised student practice. [UKR] Speaker 6: I need to understand how they'll take place. [UKR] Speaker 6: So in half an hour I'll need to join.

00:23:33 [UKR] Speaker 3: I think we'll finish the episode with you eating sweets.

00:23:54 [RUS] Speaker 3: Sugar bomb. [RUS] Speaker 6: - I don't know

00:24:39 [RUS] Speaker 6: I don't know, I don't know

00:25:10 [RUS] Speaker 3: - No, we never [RUS] Speaker 6: because maybe you don't want something.

00:25:44 [RUS] Speaker 6: Going to the parking lot, but I'm not coming anymore. [RUS] Speaker 3: - Well, we'll sleep at the parking lot, we'll constantly sleep. [RUS] Speaker 6: - Mmm, anyway, I told Kolya that somewhere around 7pm,

00:25:54 [RUS] Speaker 6: I think I couldn't help participate.

00:25:58 [RUS] Speaker 6: That was my class at 7pm, I remember.

00:26:10 [UKR] Speaker 3: Nothing.

00:26:13 [RUS] Speaker 3: Really, really

00:26:31 [UKR] Speaker 3: I'm just, like

00:27:01 [UKR] Speaker 3: Everything, well, still need Sri Lanka, because of the turtles, and everything will be great.

00:27:08 [UKR] Speaker 6: Well, if they paid there, you know, I need money. [UKR] Speaker 5: Well, I really want to, but somewhere I need to earn, because I'm feeling like I'm gradually using up this money, and life won't get cheaper.

00:27:22 [UKR] Speaker 3: No, well, yeah, this is all quite, well, the turtles will cover it, it's...

00:27:29 [UKR] Speaker 3: You can tell the kids later. [UKR] Speaker 5: The kids, it seems, already have enough to tell. [UKR] Speaker 5: Well, walking down the street a bit, I fell into a field. [UKR] Speaker 5: So, it seems, this story is enough. [UKR] Speaker 5: You know, for some people there are wild student years, and me? [UKR] Speaker 5: Can distinguish by sound what's flying now.

00:27:45 [UKR] Speaker 3: That, it seems to me, is much more useful skill in life than just partying during student life.

00:27:58 [UKR] Speaker 3: And so you can obviously, oh, Shahed, Herber, oh, something else there.

00:28:02 [UKR] Speaker 6: Herber I don't understand what that is. [UKR] Speaker 3: It's also like that.

00:28:04 [RUS] Speaker 6: Shahed?

00:28:06 [UKR] Speaker 6: Sounds the same? [UKR] Speaker 3: It has approximately the same characteristics.

00:28:09 [RUS] Speaker 6: Damn.

00:28:10 [UKR] Speaker 6: But we have them. [UKR] Speaker 6: Ah, I hear this flying, I think it's reconnaissance. [UKR] Speaker 6: So, they still exist. [UKR] Speaker 3: So need to conduct a study of this topic, so you worry to the max.

00:28:23 [UKR] Speaker 3: It seems to me, consuming such information only adds anxiety. [UKR] Speaker 3: The more you read about it,

00:28:30 [UKR] Speaker 3: the more you think about it.

00:28:31 [RUS] Speaker 5: But you can fantasize,

00:28:33 [UKR] Speaker 6: imagine something much worse.

00:28:36 [RUS] Speaker 5: Can show,

00:28:37 [UKR] Speaker 5: if you show, if you check.

00:28:39 [RUS] Speaker 3: Like, there they didn't show, [RUS] Speaker 3: just a piece of metal,

00:28:43 [UKR] Speaker 3: and say: oh, this is a piece of Shahed. [UKR] Speaker 6: That's really just a piece of Shahed.

00:28:48 [RUS] Speaker 6: Rich state.

00:28:50 Speaker 3: No.

00:28:53 [RUS] Speaker 5: Would we have a kitty? [RUS] Speaker 5: It would be a psychological necessity, inside, inside and inside, you know?

00:29:03 [RUS] Speaker 3: It's like now I'm saying, great, chest, on Zero, just scary, something like that.

00:29:08 [RUS] Speaker 6: Want me to play? [RUS] Speaker 3: A cat? [RUS] Speaker 6: No, I want to say I can play not honestly. [RUS] Speaker 3: No, don't, please. [RUS] Speaker 3: No, don't, please. [RUS] Speaker 6: You know, I can, I'm talented. [RUS] Speaker 3: I know.

00:29:27 Speaker 3: What? Speaker 3: Okay? Speaker 3: Okay?

00:29:30 Speaker 1: Okay? Speaker 1: I was listening to WhatsApp, Speaker 1: I was listening to WhatsApp, Speaker 1: figuring that you could hear the voice. Speaker 1: Because I'm going to say that Speaker 1: you can do this, Speaker 1: so you can do this, Speaker 1: and you can do the dish. Speaker 1: I need it. Speaker 1: Let's go! Speaker 1: Let's go! Speaker 1: Let's go! Speaker 4: I think you said something about you were worried about being on camera or you didn't think you were going to be on camera. Speaker 4: I think you said something about you were worried about being on camera or you didn't think you were going to be on camera.

00:00:00 Speaker 1: And that sky.

00:00:00 Speaker 1: And that sky. Speaker 1: Yeah. Speaker 1: Yeah. Speaker 1: So I think just to end it, just like, just let me clear, and then you take the plate over or something like that.

00:00:12 Speaker 1: And I know you've got a meeting, you've got an online meeting. Speaker 2: Just like prepare for cooking? Speaker 2: Yep. Speaker 2: Just like clear. Speaker 2: Yeah, just clear the table. Speaker 2: Okay.

00:00:26 [RUS] Speaker 3: I can't anymore. [RUS] Speaker 2: Ukrainian material. [RUS] Speaker 2: I see. [RUS] Speaker 3: It's called taking care of your partner.

00:00:34 [UKR] Speaker 2: That's right.

00:00:39 [RUS] Speaker 2: Hey, Kuma series, I'm watching. [RUS] Speaker 3: There's another one, you fell asleep again.

00:00:43 Speaker 2: Yes?

00:00:45 [RUS] Speaker 3: I need you to bring the computer, so that I can't log off. [RUS] Speaker 2: Good.

00:01:09 [RUS] Speaker 2: Will you have tea?

00:01:10 [UKR] Speaker 3: Something sweet.

00:01:19 [UKR] Speaker 3: Thank you.

00:01:51 [RUS] Speaker 2: No, well I take both. [RUS] Speaker 2: Can I? [RUS] Speaker 2: We're going in. [RUS] Speaker 3: You can. [RUS] Speaker 3: Just not in the game. [RUS] Speaker 2: Well, what, everyone who played both, they were small? [RUS] Speaker 3: Well, yes. [RUS] Speaker 2: What, really, really small here? [RUS] Speaker 3: Well, naturally, here. [RUS] Speaker 3: And I think, we can here... [RUS] Speaker 2: Dev, I would like to play, either in the new series of Western Call of Duty, or in Harry Potter, or... [RUS] Speaker 2: Well, something like that.

00:02:34 [RUS] Speaker 2: I would like to make a series about deserts,

00:03:02 Speaker 1: that um you know keep doing what you're doing finish it off and then you're gonna walk out of Speaker 1: the room and then we're gonna hold on her reading the book okay so just okay i just hold yep yep Speaker 1: yep got it all right good job guys that was that was that was awesome

00:03:37 Speaker 1: and uh you even uh washed up my my coffee i i i i i said it somewhere as we went out to see the

00:03:44 Speaker 3: sky it was amazing we can we can do it for you one more one one one one more yeah please please Speaker 1: thank you in ukraine no problem with coffee don't worry um really that was that was you guys

00:03:59 Speaker 1: It was something really special. Again, thank you for inviting us in and trusting us.

00:04:07 Speaker 3: I didn't expect that I would be in this moment.

00:04:11 Speaker 1: Well, I'm so glad you are. I'm so glad you are. That was a really lovely moment. It was real. Speaker 2: It's a beginning of the film industry. Speaker 2: I don't think so. Speaker 2: We'll see. Speaker 4: So what we can...

00:04:30 Speaker 4: See, not so hard, is it? Speaker 3: It's hard. Speaker 3: It's hard. Speaker 4: Oh, you were great. Speaker 1: Both of you guys. Speaker 1: Both of you guys. Speaker 1: So what we can do is, while you're on your online meeting, we can just sit down and ask Speaker 1: you a few questions and how long for meeting?

00:04:50 Speaker 3: 20 minutes, okay? Speaker 1: Yeah, that's fine. Speaker 1: That's good. Speaker 3: Should I answer one more time about the night and the night? Speaker 1: Yeah, we'll do that in...

00:05:00 Speaker 1: Yeah, but we can do that after your meeting.

00:05:00 Speaker 1: Yeah, but we can do that after your meeting. Speaker 1: We can talk to Bohdan while you're doing your meeting. Speaker 1: After we'll do that. Speaker 1: Bohdan, do you want to show us the shelter together after her meeting? Speaker 1: It's like how you say it, it's like, "Don't matter." Speaker 1: Okay. Speaker 1: Logan. Speaker 1: Logan. Speaker 1: Yeah.

00:05:51 Speaker 1: What is this? Speaker 1: A light. Speaker 1: It's a light that won't look like a light.

00:06:00 Speaker 1: If you look over, it'll be bright. It'll look like a light. Speaker 1: Do you want to do an interview now? Speaker 1: Yes. Speaker 4: So you can see the shelter and the bar is downstairs. Speaker 1: We'll get it out of here. Speaker 1: Absolutely. So what we're going to do is we'll talk to Bungang. Speaker 1: And then when she's done, we'll have her answer a few questions in Ukrainian, how she feels Speaker 1: more comfortable. Speaker 1: And then we go down and see that together. Speaker 1: Sound good? Speaker 1: Sound good? Speaker 1: Bagan, would you like to speak to us in Ukrainian for the interview?

00:06:34 Speaker 1: Or do you want to do a mix? Speaker 2: I think we can start from a mix. Speaker 2: If it's so harsh for me, I will answer you by Ukrainian, if it's okay.

00:06:43 Speaker 2: No, no, please. Speaker 1: we, we, I'm, I'm, I, I had Anastasia do an entire interview for us today. So like, uh, Speaker 1: I had no idea. I can only feel the emotion. Yeah, no, it's all, it's all good because, Speaker 1: uh, again, this is not, um, this is not us, our version of your world. This is your world, Speaker 1: right? That's what I want us to, to see. And so yes, start with English. You're telling me,

00:07:10 Speaker 1: but then it's totally comfortable that Ukrainian... Speaker 2: It's possible when I don't understand, I can ask like translation... Speaker 2: Absolutely. Speaker 2: Okay. Speaker 2: Absolutely. Speaker 3: 100%. Speaker 2: We're easy. Speaker 1: Okay. Speaker 1: Your coffee. Speaker 1: Ah, thank you. Speaker 1: Okay, maybe not totally easy. Speaker 1: Ooh, can you sit down so I can take it from the...

00:07:30 Speaker 1: Nah, thank you. Speaker 1: I have that in the other hand. Speaker 1: That was the problem. Speaker 1: All right. Speaker 1: Okay, so... Speaker 1: You will have a cup of coffee and we go to shelter. Speaker 1: No, no. We're going to do the shelter at the very end. Speaker 1: So we're going to talk to you. Speaker 1: So we're going to talk to you. Speaker 1: Sasha, you'll have your call whenever it is. Speaker 1: And then when the call is done, we'll talk to her. Speaker 1: And then together we'll all go down and see the shelter. Speaker 1: And then we're done. Speaker 1: Yeah. Speaker 1: Yeah. Speaker 1: Okay. Speaker 1: And also, Logan, I think we should get just solo shots of each of them in the space somehow. Speaker 1: So it's like you can have Bohdan at work and we can cut here and she's here.

00:08:18 Speaker 1: That's her phone app. Speaker 4: Where is that one? Speaker 4: Yeah.

00:08:47 Speaker 1: Yeah, you can take it off for your meeting. Speaker 2: Okay, it's like turn off. Speaker 1: Yeah. Speaker 1: Did you just turn it off or was it? Speaker 1: Just now. Speaker 1: Okay, okay, good. Speaker 1: Because I was just saying that, yeah, all right, good.

00:09:05 Speaker 1: Thank you for the coffee. Speaker 1: Yeah, I'm not bad. Speaker 1: Where do I do this? Speaker 1: I mean, I was thinking there, but that might be the chair. Speaker 1: Or no, I meant the couch. Speaker 1: But the chair could be good, you know, just sitting almost as it is. Speaker 1: Yeah, don't mind that. Maybe we could do a second one on the couch or something. Speaker 1: Yeah. Speaker 1: Yeah, like he's on the chair, she's on the couch later. Speaker 1: Sure. Speaker 1: Okay. Speaker 1: Okay. Speaker 1: Okay. Speaker 1: All right. Speaker 1: You two are very fun together. Speaker 1: Just like here. Speaker 1: Thank you. Speaker 1: Yeah. Speaker 2: It's mostly her.

00:09:47 Speaker 3: Thank you. Speaker 2: I think if man, budges, and wonky, it's okay.

00:10:01 [RUS] Speaker 2: Right?

00:10:25 Speaker 3: Thank you. Speaker 4: Yes. Speaker 4: Do we have one free? Speaker 1: Maybe I'll have a stat of that one. Speaker 1: What do you need? Speaker 4: An adapter for this. Speaker 1: We've got one in one of my back. Speaker 1: We've got one in one of my back. Speaker 1: I thought I had it. Speaker 1: I can't see how it's going to be.

00:11:09 Speaker 1: There you go. Speaker 2: This one right here. Speaker 2: Okay. Speaker 2: Okay.

00:11:34 Speaker 3: Okay. Speaker 3: Thank you.

00:12:45 Speaker 3: Thank you. Speaker 4: Yeah, the picture, this is in Warsaw, the translation. Speaker 4: This is a smart book. Speaker 4: This is. Speaker 4: - What? Speaker 4: - Not getting power. Speaker 3: - Not getting power. Speaker 3: I'm sorry.

00:13:31 Speaker 3: Sorry.

00:13:37 Speaker 3: Not going Speaker 1: The sky is no longer doing what it was doing. Speaker 1: That was, uh, oh. Speaker 1: Oh. Speaker 1: Did the door just fall? Speaker 4: Yeah, they, yeah, there's a way to do the lag. Speaker 4: So sometimes it opens from top, sometimes from the side.

00:14:15 Speaker 4: You ever told when the room goes? Speaker 4: Ah. Speaker 1: Yeah. Speaker 1: I didn't even realize you were out here. Speaker 1: I was just coming out to see the sky. Speaker 1: I was left with it. Speaker 1: Yeah.

00:15:07 Speaker 2: Thank you.

00:15:54 Speaker 2: Thank you. Speaker 2: I was smoking for a while. Speaker 2: I was probably smoking.

00:16:30 Speaker 2: I was smoking. Speaker 2: I was living here. Speaker 3: But I don't know. Speaker 1: I don't drink anymore. Speaker 1: I have. Speaker 1: I'm 30 years over. Speaker 1: I didn't quit. Speaker 1: I was smoking. Speaker 1: I felt like you were still a while. Speaker 1: You're fine.

00:16:54 Speaker 1: . Speaker 4: Because of some context here.

00:18:20 Speaker 4: doesn't really Speaker 4: I don't know, maybe we'll put the Speaker 4: pick up back Speaker 4: I think that helps

00:18:40 Speaker 4: I think we should put it in the blinds Speaker 3: you think so? Speaker 3: I think Speaker 3: I think it was a piece Speaker 4: dark spot give it separation you know because otherwise it's just gonna be like flat black

00:18:57 Speaker 4: I don't know. It's just gonna be like in black void back there like white void.

00:19:03 Speaker 4: Sorry. Speaker 3: You want clothing?

00:19:19 Speaker 4: I think that's better.

00:19:25 Speaker 4: This way it doesn't look like a room anymore.

00:19:36 Speaker 3: I can also cheat the table over and over and get a little more corner. Speaker 4: opposite move you to the end of the table Speaker 4: more like that Speaker 4: Yeah. Speaker 4: And then, you know, when I see, like...

00:20:24 Speaker 4: I don't know, the black now feels distracting when it's not, like, coming by his head, you know? Speaker 4: Like, you almost want to open up the side here to you. Speaker 4: Yeah, I don't have any polite. Speaker 4: If we can just bring it.

00:21:05 Speaker 3: I'll just scoot over like an inch lower. Speaker 3: I'll just sit off like three inches. Speaker 3: I can then see a little less of it.

00:21:15 Speaker 3: And then bring the cup to you.

00:21:22 Speaker 4: So I just need to try to get the light out there.

00:21:26 [RUS] Speaker 3: Thank you.

00:22:17 Speaker 3: Thank you. Speaker 2: Yeah.

00:23:05 Speaker 2: Pretty much going. Speaker 2: What was I telling you? Speaker 2: Because I understand if I don't enjoy my day, if I don't like, through all the schedules, Speaker 2: like 10:00 PM, I'm over 6:00 PM, I have, uh, Speaker 2: you know, you'll perform yoga 30 minutes after the end. Speaker 2: I have water in my, like, fridge, in my first-minute. Speaker 2: I have, like, two bottles, so it's just 6-liter, and it's like, cold water, Speaker 2: and every morning I, like, use this water to, like, very cold water, you know?

00:23:55 Speaker 2: Oh, yeah. Speaker 2: Yeah, yeah, yeah. Speaker 1: I was trying to do that for a little while.

00:24:00 Speaker 1: I was not doing the cold shower, but you're just doing the cold dump. Speaker 3: Yeah, yeah, yeah. Speaker 1: It wakes you up, though. Speaker 3: Yeah, it wakes you up. Speaker 1: Yeah, it helps you not only, like, wake up.

00:24:11 Speaker 2: But, yeah, no, it also does. Speaker 2: And for mindset, it gives you opportunities to your mind, Speaker 2: understand that you have to go through the line, Speaker 2: because you understand it will be through the cold. Speaker 2: I don't think so. Speaker 2: I don't think so.

00:24:28 Speaker 2: so…

00:24:42 Speaker 3: Yeah, we're pretty much ready for you guys. Speaker 2: OK, one minute and I will be ready. Speaker 2: OK, one minute and I will be ready. Speaker 3: OK.

00:24:59 Speaker 1: Yeah. Speaker 1: But it might be tricky for this, but it wasn't like. Speaker 4: The other scene it worked really well for. Speaker 1: Yeah, and that was amazing. Speaker 1: Good work. Speaker 1: Good work. Speaker 1: Good work, Logan. Speaker 1: Good work, Logan. Speaker 1: But now we're seeing this again. Speaker 1: What do we need to-- Speaker 1: Attention. Speaker 1: The air alert is over. Speaker 1: May the force be with you. Speaker 3: The air arm is over. Speaker 3: The air arm is over.

00:25:30 Speaker 3: May the force be with you. Speaker 1: So he has this thing that he can smoke with that keeps it in this little machine. Speaker 1: A vape? Speaker 1: It's a slightly different than a vape. Speaker 1: It seems like a vape. Speaker 1: But he says that normally he does it inside, Speaker 1: but he understands Americans don't like that.

00:26:00 Speaker 1: And I told him, while we're doing the interview, Speaker 1: I don't want you to feel like you have to be. Speaker 1: So if anybody has a problem, though, with that, Speaker 1: like it doesn't smell or whatnot, Speaker 1: then I can ask him not to. Speaker 1: But I told him it's his own home. Speaker 1: I want him to be comfortable. Speaker 1: Are you guys okay with that? Speaker 1: Yeah. Speaker 4: This is his turf. Speaker 1: Yeah. Speaker 3: Yeah. Speaker 3: Yeah. Speaker 4: Can you pan the light towards me a little bit? Speaker 4: Try to get it off the screen. Speaker 1: Can I just grab another chair if you can? Speaker 1: Or grab one of the... Speaker 1: You know how I sat on that case and you can find anything just be nearby?

00:26:38 Speaker 3: Here, I can... Speaker 2: Oh, that was mine. Speaker 2: No worries. Speaker 2: No worries. Speaker 2: I just will take one more.

00:26:58 Speaker 1: look at you you're an old pro at this because you probably went to the bathroom and you remember to Speaker 1: turn it off and then to turn it back on there you go it's like you've been doing this for your whole Speaker 1: Do you want me to move this monitor? Speaker 1: I can put it doesn't I have a more sturdy one than this but I can it stays about like this.

00:27:26 Speaker 4: Yeah. Speaker 4: Yeah, as I was going to say, we're going to see bad and might. Speaker 4: Do you want to do those smartphones or? Speaker 4: I'd like them open because it was providing some like context as to where we were but Speaker 4: Can you sit there in the chair? Speaker 4: Yeah Speaker 4: We're gonna have to put the pipe like vertically Speaker 4: We're gonna have to put the pipe like vertically

00:27:50 Speaker 4: Wait Speaker 1: No wonder Speaker 1: I gotta do some Speaker 1: I gotta do one other thing Speaker 4: Yeah, rotate the clock wires Speaker 4: Yeah, actually it's

00:28:00 Speaker 4: Yeah, we can't see that, can we? Speaker 4: No Speaker 4: As long as we stay still Speaker 4: Yeah Speaker 4: It's only Laura if you walk by. Speaker 4: So that's good. Speaker 4: Yeah, keep going up. Speaker 4: I can go do it. Speaker 4: Because then you have to pan it back towards me.

00:28:22 Speaker 4: And it's also going to need a tilt down now that it stems up. Speaker 1: I can go do it. Speaker 1: I have a more sturdy one.

00:28:30 Speaker 1: This is not what it's designed for. Speaker 1: This is designed for tiny cameras. Speaker 1: Yes, he has a camera on phone, camera on you. Speaker 1: Just if there's a rustle or a bang on it, since we have the mics, using an extra one. Speaker 1: Okay. Speaker 1: The sound people love it. Speaker 1: They love being, have the options to use different mics. Speaker 1: That's great for them. Speaker 1: And by the way, I talked to everyone. Speaker 1: You're fine with doing the smoking inside. Speaker 1: We're all good with it. Speaker 1: Thank you for being considerate. Speaker 1: We appreciate it. Speaker 1: But you're... Speaker 1: I've got to take the camera back for a second. Speaker 1: It's all good.

00:29:30 Speaker 1: It's... Speaker 1: It's all... Speaker 1: It's all... Speaker 1: Yeah. Speaker 1: Yeah. Speaker 4: Alright, so just gotta close the gap there a little more. Speaker 4: Do you see it? Speaker 4: No, no, it's gonna be on the light. Speaker 4: Is it gonna do it? Speaker 4: Oh. Speaker 4: Oh, I see. Speaker 4: You see how there's like, glue coming from the connector? Speaker 4: Put that back in. Speaker 4: Put that back in. Speaker 1: And then the whole thing needs to pan.

00:00:00 Actually, I need some experience.

00:00:00 Actually, I need some experience. I have to have my frontal lobes. It's performative 25 years to understand a lot of things. 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.

00:00:47 If your way is just become better than someone, it's not like you don't want to become the better of yourself.

00:00:54 [RUS] [NEEDS_TRANSLATION] Ты хочешь взять друг друга или родителей, или я хочу стать лучше.

00:01:00 [RUS] [NEEDS_TRANSLATION] Я понимаю, это не мой цель. [RUS] [NEEDS_TRANSLATION] Я просто понимаю, что люди у меня много предожидания, [RUS] [NEEDS_TRANSLATION] или как правильно сказать, [RUS] [NEEDS_TRANSLATION] ожидания о себе, [RUS] [NEEDS_TRANSLATION] и иногда я умер. [RUS] [NEEDS_TRANSLATION] И это не важно.

00:01:22 Really, our life will be finished. My life, your life, everybody. And it will be finished.

00:01:30 And what's the cost of their things? Nothing. What's cost, like expectation? Nothing. Only what you have is your life. And you need time to understand this. You need experience to understand this. And I hope that it will understand all my relatives, something like this.

00:01:58 So, I haven't known you guys that long. I met your father a couple of weeks ago in person. We've had some exchanges on WhatsApp. And I just met you a little over 24 hours ago.

00:02:17 Do you know that your father is very proud of you? I think yes. In his way. I can tell. Thank you.

00:02:30 So tell me about Mexico hospital. And tell me about first the whole, like what it is and what it means to the region, but

00:02:40 then what it means now with the war effort, etc. 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 hear 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 hero 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.

00:03:28 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 they work real surgeon, real anesthesiologist, military and these guys heroes. After this, this soldier goes to the mobile hospital or frontline surgical group. There, real soldiers, real anesthesiologist, nurses, a lot of stuff which helps them, their heroes,

00:04:17 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 but 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 of jobs and

00:05:07 i wanna to show this important type of important steps of medical medical care for wounded civilian and soldiers from frontline by steps by step by steps to say them thank you and our appreciated for this military guys military surgeons military combat medics everyone who is in military now because they're 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

00:05:54 describe these things about how many people have to help and perform some uh deals with one so wounded soldier before he came in hospital in our hospital just imagine it's like one or two combat medical medical evacuation tactical equation mobile hospital after this evacuation to our hospital and only after these steps we have this soldier in our room emergency room in michael hospital 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.

00:06:47 If about our hospital, the level 3 hospital and we perform definitive surgery in the biggest part, if we say about surgeries, like general surgery, acute trauma surgery.

00:07:00 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 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 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.

00:08:03 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 finish finish of treatment rehabilitation and something like this so it's like like that because i wanted

00:08:51 to say thank you one more time for these guys. They're real cool. I know some of them, I worked with them for very short period of time and thanks to this I understand how hard is it to be there. It's not only about your fear about being dead by shrapnel or something

00:09:18 something like this, it's about your schedule, about your life in this situation.

00:09:27 You say that they're the real heroes, does that mean you don't think, like, you're not a hero? No, no, it's just job. 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.

00:10:12 So, something like this. But if you perform this job and you don't have the possibility to be in protection, you are not in the safe position, you don't have the possibility to see your families for a long period of time, and you perform this decision by yourself to go out from your family, go out from your own city and go to the front line, you're a hero. If you are civilians who perform just your job, you are just performing your job. It's not hero. You are not hero. Something like this in my mind.

00:10:55 But you did, you worked for what a month in a stabilization point or something like that

00:11:01 or do you not want to talk about it? It's like something like this. Yeah, it's not like stabilization point, it's about mobile hospital. uh more far from frontline it's more safer more safe place than stabilization point because stabilization point it's it's very very very unsafe it's a place it's near to frontline and they don't have possibilities to relocate it very fast so it's like cannot be like okay we have information that something will be happen 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

00:11:48 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 equation

00:12:05 doesn't matter you have like red cross or not you need to change batteries yeah that's one just real quick yeah do you need to uh pay more for your parking uh thank you i appreciate this and uh i uh it's okay by my english oh yeah okay great yeah

00:12:33 you're yeah i uh i really appreciate all that you're saying all that you've given us and

00:12:40 thank you for opportunities to say what i think about this for the world you're welcome thank you for for trusting us with it it's um You're, you know, I was, when I was told about, you know, the stories of this, I was told, not you, but someone else in the department who feels bad that they're not a soldier, you know, and I'm, you know, a world away, so, you know, my opinion is nothing, but it's like, you guys are putting people back together.

00:13:25 you're giving people a chance to continue their lives you know these heroes that have gone out and

00:13:33 done this you're doing heroic work too i mean you you you guys i think it's hold on we're back we're back okay yeah I think it's 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 the fear of your

00:14:22 like everyday life it's like uh you you have to understand this because the guy who on the war on the front line they live with these feelings of the fear you like animal you understand that you in 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 world my thought if you wanted to be a hero you have to go to the army

00:15:08 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

00:15:22 i i don't think um i don't think most actual heroes would tell you that they're heroes

00:15:30 i sleep at home i can have vacation i can possibilities to continue my relationship with my girlfriend it's like in ukraine it's cost so much it's cost very big amount of money like

00:15:45 not like real money you know it's it's so a big amount of this big cost to have possibility just

00:15:53 to be at home tell me about your girlfriend how did you meet her it was very funny not very funny 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 big 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

00:16:41 what's going on something wrong it's like uh i'm i'm not broken something and we start just talking and if say trusty i can't say this now because i am actually not resident i am a doctor uh when i 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

00:17:30 my human something like this and i'm very happy that uh i i met here in my life in my life

00:17:42 tell me about you 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

00:17:56 time very quickly or immediately where you felt like you always knew her like like you can't imagine

00:18:02 your life no it's it was it it was like understanding that I wanted to be near

00:18:16 yeah after some months then you went away to the mobile hospital yeah and that you came back and yeah and and we just continue our speaking and after the one

00:18:35 month I think I break her border you know something like this you crossed the kill zone yeah yeah yeah yeah something like this what's I mean I what does it mean to have found someone especially you know in you know this

00:19:07 place where you you know there's so much uncertainty there are a raid sirens you

00:19:14 I need translation. I don't know, it's just like, he's found someone. 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 just feel like what you have is beautiful and special. 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.

00:20:04 And to me it would provide, I don't know, I mean, a lot of comfort, a lot of, you know, I don't know, you found something special.

00:20:21 And that's kind of what I want you to talk about. I say thanks to God for this.

00:20:30 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 days. 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. You wanted to know more about this soldier? Yeah, just tell me about him and tell me what you did when you came in. Like nuts and bolts. Like this is what the situation was with him and this is what I did.

00:21:24 okay this soldier had so severe trauma or related to the war unfortunately he his leg and arm is crushed and he left his leg and arm and he had very very difficult wound of his frontal bone of his face of his eyes and he needed operation to perform primary reconstruction of his bone of his like frontal up from frontal bone because it's connected

00:22:13 with big and high risk of infection and after this infection it will be meningitis uh and it's probably death after this so our operation is going to give a chance these heroes to have rehabilitation and stay alive 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 after your surgery it's surgery which you perform for future to

00:22:58 reduce risks of infections it's very 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 to do anything you know it's like very very horrible situation you have to think previously to perform this operation 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

00:23:45 will not see like something amazing cooperation and a lot of blood stop blood and everything's okay it's about the future sometimes about you have to understand that okay if you will not fix it now

00:24:00 it will be infection after infection will be will be death and we will not fix the infection something like this so especially when i when i came to operation room uh alex and andre just finished the biggest part of operation and i just came to help with uh close the wound

00:24:25 and close the RLA as a work, something like this. This is the second or third time I've heard you refer to your father as Andre. Do you call him that mode when you're talking about him rather than my father?

00:24:41 Or is this when in work mode you call him that?

00:24:48 [UKR] [NEEDS_TRANSLATION] Я чув, що одне раз ви вже звали свого батька Андрій. Чи ви так до нього на роботі звертаєтесь?

00:24:55 Yes. Especially in our language, we have you, like when you say to someone who is higher than you, like your chef, we say you, but in your language, it can be the boss, like to the friend and to the chef. But we have in our language, you like for the higher someone. And if you say someone is polite, we use this word and I use like his full name.

00:25:29 No father or something like this, no honey, nothing.

00:25:34 So you're actually doing it out of respect then? Yeah, because it's like rules of the job. It's like cannot be like, hello father, how are you doing? It's like you have to build in the board of your life as a child, your life as a surgeon.

00:25:59 It's like no connections have been, I think.

00:26:05 So when I met Alex, well first of all, tell me who is Alex Velocca, who is he? The best of the best of neurotrauma. He, like, you know, real professor, he wrote a lot of books. He, like, a big brain. And you have to understand this. This, actually, other type of people, they're generators, you know. They're living for the science. They're living for the neurosurgery. They're living for books, write books. You understand? Like, write books of neurosurgery. It's like, I don't know how it is. It's like very cool, but you have to sow a lot of efforts for this.

00:26:50 And I understand that people like him, it's like, I don't know, they live in other like stratosphere or something like this for myself. And I understand that people like him, it's like, I don't know, they live in other like stratosphere or something like this for myself. Because actually, if not war, I never will have possibilities to have to talk face to face. Because I'm just a little neurosurgeon from Ukraine. This is professor of American neurosurgery No, it's like Okay, man, understand where are you If I somewhere on the conference Say hello It's for me will be Oh my God, I will have conversation With a professor of neurosurgery And for me, it's now like Oh my God It's like possibilities to Have a small talk With a professor of neurosurgery You know, American Because for Ukrainian is like American neurosurgeon. It's like, oh my God, it's God. You know, 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,

00:28:00 hello, I'm neurosurgeon. And someone say, I'm a junior. I'm a neurosurgeon. And it was like a lot of people and in the end, the guy comes and says, hello, how are you? What are you doing? And he say, I am the driver of IR space. And after this, oh, I am neurosurgeon. And understand what this is? 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.

00:28:30 Yeah, well, like being called a brain surgeon in English or in America is like someone who's really smart. Yeah. Or if something's really difficult or if something's not very different, it's not like his brain surgery Right or it's not like it's rocket science That's interesting and you when you walk in though he was

00:28:54 assisting you in closing it up. It's like, you know, I'm so nervous about this because

00:29:00 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 assist you. It's like it's very very nervous.

00:29:27 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 stuff like in the American neurosurgery room, you know, we have like more from the like caveman was left, you know.

00:00:00 you could have fooled me you seem pretty cool you seem like you had it you did not

00:00:00 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 yeah what is it well what it mean to just just in general that like these people come to to to mechmikov i don't understand like it clearly yeah following alex around and seeing the people greet him um you you could you could you you you i i felt everybody was was was happy he was here and it meant something more than

00:00:50 just like you know like that I don't know that people come from far away to

00:01:00 to work with you so what I mean is like it seemed to lift people's spirits just by by seeing him about Alex yeah and just yeah yeah I think yes because when Then you saw these people in your hospital and they say, "I learn from your job." And I think, "What do you learn?" "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.

00:01:49 and you understand you are not alone in this world and the biggest like i don't know how to the 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 yeah you are you're feeling like oh it's so cool these guys near us and they help us they want to talk with us and you like 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

00:02:34 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 dnipro you know i i think probably no so it was it was it will be one one possibilities to go in united states but now the american

00:02:58 neurosurgeon came to us american journalists came to us and i am at home in new pro you know it's something incredible i mean alex is sitting on your floor over here yeah yeah yeah he's in the house yeah yeah um so boy i wish i i i stopped to ask you about alex and you gave me such a great answer made me 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 if you feel like that you're in a therapy session or you know a psychologist or uh

00:03:44 has there been any of this that you you'd like to answer again in ukrainian um hopefully you know well you've been doing a great job so i'm all right um

00:03:58 Oh yeah, well, I have to ask you about when the hospital got hit.

00:04:05 It's like bombing or? Yeah, the other rockets. You got knocked over during surgery.

00:04:12 It was, you know, it was very funny. I will start why. because for me now we had window in our operation room and I just for in for two or three minutes before bonding I just say anesthesiologist group okay when this window will like crush it after bonding maybe we'll like no window in our operation room because it's so it's so it's so 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 anesthesiologist canteen

00:05:03 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 a war surgeon uh it's like one of the important book about the surgeries performance uh

00:05:30 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 you save lives when bombing near you and you think oh cool guys and then after this

00:06:15 you understand you in the same situation bombing your city you perform surgeries and i say our anesthesiologist group okay when it's like we'll be bombing near our hospital it's uh window will will be crushed and maybe it will not be able, will not window in the future. And after 2 or 3 minutes like big bomb, no window and I think oh I will never in the future say something because it's like not funny. And anesthesiologist say me the same and ask me not saying about future anything in this way something will crush it or big bomb they think it's like will not be

00:07:02 happy so when it's when it's 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

00:07:48 you cannot just stand, you have to take effort to just stand and you hear this

00:08:00 and you don't understand what's going on and after this I open my eyes, everything in grey, you know, you cannot see anything because it's like a lot of dust, a lot of dust. So I think, okay maybe i'm still alive and okay everything's crushed my nerves 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 or everything's okay and i firstly one thing i think after this i know that uh

00:08:53 russians use techniques uh double triple kill what this mean the you like bomb one time some place after this a lot of stuff goes 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 i asked my operation command i think everybody of them because i was one guy in operation room other was a girlfriend like uh or woman like anesthesiologist anesthetist nurse and you one man in the operation room and i say

00:09:41 okay everybody is okay no one is severe wounded we just fast finished operation and go out from this operation room and go to the shelter something like this was your first thought um

00:09:59 if you had to check if you were alive yeah first of all i might maybe i'm maybe i'm not maybe i'm dead yeah yeah and i i open my eyes and oh i'm alive maybe oh yes i am alive everything's 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 if you something bombing or something near you so crazy you have a lot of adrenaline and you uh 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 can't see but actually i think it will be it will it's like

00:10:50 i think the god i'm alive and not wounded because it's like very very very crazy yeah something

00:10:59 like this so yeah then you think the patient's brain was exposed right it's like thank god it was not like big brain operation it was like we perform uh punch of subacute hematoma and i like little hole in the skull and perform drainage of this gematoma and thanks God it was like there 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 one open brain like big brain

00:11:45 operation it will be not very good because you have you you will need more time to close

00:11:54 and you said there was a lot of dust yeah yeah just i i just say my nurse she is free because

00:12:00 i understand that your hands was like something like this you know and i understand she is already not soldier to perform any like uh operation or something like this and they say okay everything's 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 to something like this and just close

00:12:30 the wound and i understand the one thing we have to finish it very very fast because we don't know

00:12:36 exactly what's going on if it will be the second one third one we have to be in the shelter

00:12:42 did you guys get to the shelter no we just go to uh to clean with our like uh operation room because it was like turn off alarm it's what it was safety for us and we just uh keep like