Thursday, March 27, 2014

- Not yet. This involved the regional Department of Health and the Ministry. But I think a blowjob


Professor, Director of the Transcarpathian Center of Neurosurgery and Neurology, Chairman of the Commission of the Transcarpathian Regional Council on Health Vladimir Smolanka recently led the Ukrainian Association of Neurosurgeons. This was the occasion to talk with svitoznanym specialist in neurosurgery.
Mr. Vladimir, the Congress of Neurosurgeons Ukraine, recently held in Uzhgorod, you elected president of the Ukrainian Association of Neurosurgeons. This - honorary title or subject? To resolve issues will work?
- This subject, the actual position. President of the association - not general wedding (laughs). 24 hours Association - an NGO that brings 24 hours together professionals neurosurgeons. These are available in all countries. They solve many important problems. Among the key - to promote neurosurgery. 24 hours In particular, now is the opening in the Ukraine a few highly specialized centers Neurosurgery (of which held the most complex 24 hours vtuchannya), and where they are needed, how and at what level they should be engaged more. These questions, of course, we decide together with the Ministry of Health of Ukraine, which is the main freelance neurosurgeon Professor Eugene Pedachenko. This is joint work we submit proposals, and the Ministry decides.
An important and major work is the development of clinical guidelines and protocols of treatment. It's like a "road map" that shows what to do specialist to properly diagnose pathology and how to cure in a given situation. Today in Ukraine we are already working on standards and protocols, is very important because it allows you to unify assist and identify nefahovi approaches, if any, will occur. This plan physician. Recommended only to those drugs that have passed severe clinical trials and effectiveness are proved. In this case, the doctor prescribes to the patient is not anything, and that standards 24 hours and recommended protocols. This involved both European and global associations. Developed standards we represent the Ministry of Health, which operates the appropriate committee. After evaluating how they are made mandatory for all professionals.
- Not yet. This involved the regional Department of Health and the Ministry. But I think a blowjob is not much time and we also go to the functions of the association. For a community of professionals can most adequately assess the worth of an employee, the categories assigned to it. When will introduce health insurance, I believe that these features accurately transmit association of physicians.
- In the neurosurgical service there. For other employees in the largest hospital. But it's a familiar situation for the world. 24 hours Let me explain. Treatment of neurosurgical 24 hours patients 24 hours may only take place in centers where there is a very serious diagnostic facilities. Neurosurgery - the most high-tech branch of medicine. It seems as if there is cardiac surgery. For diagnosis, in particular, required magnetic resonance imaging (vysokopolni with powerful induction), computer tomography angiography with the regime, the ability to perform perfusion. All of this equipment requires 24 hours a complicated, expensive software. This is only a diagnostic framework.
Necessary and precision equipment operations. Imagine that only one modern microscope is about 4 million. Who knows, imagine him as in biology class (laughs). Our Neurosurgical - a huge machine that takes up the whole room. Qualitative operating table Neurosurgery well worth 800 thousand. 24 hours It has to have all the possibilities for patient often need to operate in a sitting or half-sitting position to reach the deep parts of the brain.
- Complex cases more and more. For example, recently operated on a girl from Simferopol with complex vascular malformation of the cervical spine, which all refused to operate. Refused, as was a high risk of neurological deficit 24 hours (violations) after surgery. If this occurs, then immediately denied all limbs. And it has been such an episode. 24 hours We called from Kyiv U.S. company technicians who ensure the removal 24 hours of evoked potentials. That is, during the operation constantly checking if I do not touch any areas that can cause neurological damage and, therefore, paralysis of arms and legs. The operating simultaneously worked with dozens of professionals.
- Wonderful. Now the child goes, there is no problem. This is the question how we provided and we can do it. That planning assistance to all those in need, providing 24 hours fully. There is urgent pathology. Say something happened Rahov or Tyachev. Of course, people are not going to take once in Uzhgorod, dopravlyat her to the nearest hospital. It often happens that there is damage to the brain and extremities. Typically, in a traffic accident. In such cases, our experts sanaviatsii arrive at and provide assistance. Another 24 hours option - the patient are sent to our center. We are especially a lot patsiyentsiv with acute brain injuries.
We're 24 hours not doing endovascular aneurysm intervention on goal

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