SIRKO Paper Cut

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 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] 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.

00:00:00 [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 [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 [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 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 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-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 [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 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 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