1 00:00:02,859 --> 00:00:08,406 Continuity of opiate substitution treatment 2 00:00:08,406 --> 00:00:12,939 Opiate substitution treatment in Ukraine requires showing up at the clinic every day 3 00:00:12,939 --> 00:00:17,314 When a patient is hospitalized at another medical facility, he no longer has access to OST 4 00:00:17,314 --> 00:00:21,500 Only a few cities in Ukraine have a functioning system of delivering OST to a patient in the hospital 5 00:00:21,500 --> 00:00:26,209 In all other cases, OST patients are forced to choose between treating their addiction and treating their TB, pneumonia... 6 00:00:26,209 --> 00:00:32,268 What would you choose? 7 00:00:32,268 --> 00:00:35,552 Igor. Spleen 8 00:00:35,552 --> 00:00:37,260 I am an OST patient 9 00:00:37,260 --> 00:00:39,725 in the city of Donetsk. 10 00:00:39,725 --> 00:00:42,294 I got into a car accident 11 00:00:42,294 --> 00:00:45,070 and had my spleen removed. 12 00:00:45,070 --> 00:00:47,312 I had to leave the intensive care unit 13 00:00:47,312 --> 00:00:49,643 and come to the OST clinic every day. 14 00:00:49,643 --> 00:00:51,554 At the end, my stitches came apart 15 00:00:51,554 --> 00:00:53,570 and I had to get stitched up all over again. 16 00:00:53,570 --> 00:00:55,769 And it's not just me, most of the patients 17 00:00:55,769 --> 00:00:58,151 have to weather their illnesses on their feet - 18 00:00:58,151 --> 00:01:00,181 all because if hospitalized, 19 00:01:00,181 --> 00:01:02,548 they won't be able to come 20 00:01:02,548 --> 00:01:06,399 to the OST clinic for their medication. 21 00:01:06,399 --> 00:01:09,864 Lena. Gangrene 22 00:01:09,864 --> 00:01:12,019 I have gangrene of the shin bone. 23 00:01:12,019 --> 00:01:14,055 I have very large wounds, 24 00:01:14,055 --> 00:01:15,910 I need skin grafting. 25 00:01:15,910 --> 00:01:17,387 They removed my phlegmon 26 00:01:17,387 --> 00:01:19,346 but because of à bacterial infection 27 00:01:19,346 --> 00:01:22,492 I now need to have the skin necrosis removed. 28 00:01:22,492 --> 00:01:25,105 Then the skin needs heal again. 29 00:01:25,105 --> 00:01:27,309 Soon I'll have to go in for surgery. 30 00:01:27,309 --> 00:01:28,757 I don't know how I'm going to come 31 00:01:28,757 --> 00:01:30,345 to the OST clinic. It's really challenging... 32 00:01:30,345 --> 00:01:32,333 really hard. 33 00:01:32,333 --> 00:01:33,792 Because I won't be able 34 00:01:33,792 --> 00:01:35,611 to get OST in the hospital, 35 00:01:35,611 --> 00:01:38,151 I've been putting off the surgery. 36 00:01:38,151 --> 00:01:39,528 And if I keep putting it off, 37 00:01:39,528 --> 00:01:42,089 they will have to cut off my leg. 38 00:01:42,089 --> 00:01:46,186 We are all mortal 39 00:01:46,186 --> 00:01:48,135 In order for this to work, 40 00:01:48,135 --> 00:01:50,820 we have to realize that 41 00:01:50,820 --> 00:01:54,041 this is the reality of our lives. 42 00:01:54,041 --> 00:01:55,659 Decision-makers at various levels need 43 00:01:55,659 --> 00:01:57,752 to be thinking about it. 44 00:01:57,752 --> 00:01:59,805 If we are talking about a life-saving measure, 45 00:01:59,805 --> 00:02:05,006 it will happen sooner or later. 46 00:02:05,006 --> 00:02:08,268 However, the patients need it 47 00:02:08,268 --> 00:02:13,265 to happen today, now. 48 00:02:13,265 --> 00:02:16,205 Every person is mortal. 49 00:02:16,205 --> 00:02:19,936 "We are going to solve this problem" 50 00:02:19,936 --> 00:02:22,679 Of all the people I know how important 51 00:02:22,679 --> 00:02:27,120 is this issue with continuity of OST in hospitals. 52 00:02:27,120 --> 00:02:29,748 OST patients have many chronic conditions 53 00:02:29,748 --> 00:02:33,136 and very serious opportunistic infections. 54 00:02:33,136 --> 00:02:34,310 Because of this, 55 00:02:34,310 --> 00:02:36,707 lots of people have already passed away 56 00:02:36,707 --> 00:02:39,272 since the program had started. 57 00:02:39,272 --> 00:02:40,723 To solve this issue 58 00:02:40,723 --> 00:02:42,523 we are primarily relying on ourselves. 59 00:02:42,523 --> 00:02:44,332 Because no one else seems to care. 60 00:02:44,332 --> 00:02:46,392 We are the only ones who care. 61 00:02:46,392 --> 00:02:48,230 This is our problem, 62 00:02:48,230 --> 00:02:52,570 we know it inside out and we are going to solve it. 63 00:02:52,570 --> 00:02:56,815 Any OST program has to have a functioning system for delivering buprenorphine and methadone to OST patients in the hospitals. 64 00:02:56,815 --> 00:03:01,043 Help us solve this problem 65 00:03:01,043 --> 00:03:05,793 Start working with us 66 00:03:05,793 --> 99:59:59,999 Don't let us die. 67 99:59:59,999 --> 99:59:59,999 Continuety of opiate substitution treatment