[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:02.86,0:00:08.41,Default,,0000,0000,0000,,Continuity of opiate substitution treatment
Dialogue: 0,0:00:08.41,0:00:12.94,Default,,0000,0000,0000,,Opiate substitution treatment in Ukraine requires showing up at the clinic every day
Dialogue: 0,0:00:12.94,0:00:17.31,Default,,0000,0000,0000,,When a patient is hospitalized at another medical facility, he no longer has access to OST
Dialogue: 0,0:00:17.31,0:00:21.50,Default,,0000,0000,0000,,Only a few cities in Ukraine have a functioning system of delivering OST to a patient in the hospital
Dialogue: 0,0:00:21.50,0:00:26.21,Default,,0000,0000,0000,,In all other cases, OST patients are forced to choose between treating their addiction and treating their TB, pneumonia...
Dialogue: 0,0:00:26.21,0:00:32.27,Default,,0000,0000,0000,,What would you choose?
Dialogue: 0,0:00:32.27,0:00:35.55,Default,,0000,0000,0000,,Igor. Spleen
Dialogue: 0,0:00:35.55,0:00:37.26,Default,,0000,0000,0000,,I am an OST patient
Dialogue: 0,0:00:37.26,0:00:39.72,Default,,0000,0000,0000,,in the city of Donetsk.
Dialogue: 0,0:00:39.72,0:00:42.29,Default,,0000,0000,0000,,I got into a car accident
Dialogue: 0,0:00:42.29,0:00:45.07,Default,,0000,0000,0000,,and had my spleen removed.
Dialogue: 0,0:00:45.07,0:00:47.31,Default,,0000,0000,0000,,I had to leave the intensive care unit
Dialogue: 0,0:00:47.31,0:00:49.64,Default,,0000,0000,0000,,and come to the OST clinic every day.
Dialogue: 0,0:00:49.64,0:00:51.55,Default,,0000,0000,0000,,At the end, my stitches came apart
Dialogue: 0,0:00:51.55,0:00:53.57,Default,,0000,0000,0000,,and I had to get stitched up all over again.
Dialogue: 0,0:00:53.57,0:00:55.77,Default,,0000,0000,0000,,And it's not just me, most of the patients
Dialogue: 0,0:00:55.77,0:00:58.15,Default,,0000,0000,0000,,have to weather their illnesses on their feet -
Dialogue: 0,0:00:58.15,0:01:00.18,Default,,0000,0000,0000,,all because if hospitalized,
Dialogue: 0,0:01:00.18,0:01:02.55,Default,,0000,0000,0000,,they won't be able to come
Dialogue: 0,0:01:02.55,0:01:06.40,Default,,0000,0000,0000,,to the OST clinic for their medication.
Dialogue: 0,0:01:06.40,0:01:09.86,Default,,0000,0000,0000,,Lena. Gangrene
Dialogue: 0,0:01:09.86,0:01:12.02,Default,,0000,0000,0000,,I have gangrene of the shin bone.
Dialogue: 0,0:01:12.02,0:01:14.06,Default,,0000,0000,0000,,I have very large wounds,
Dialogue: 0,0:01:14.06,0:01:15.91,Default,,0000,0000,0000,,I need skin grafting.
Dialogue: 0,0:01:15.91,0:01:17.39,Default,,0000,0000,0000,,They removed my phlegmon
Dialogue: 0,0:01:17.39,0:01:19.35,Default,,0000,0000,0000,,but because of à bacterial infection
Dialogue: 0,0:01:19.35,0:01:22.49,Default,,0000,0000,0000,,I now need to have the skin necrosis removed.
Dialogue: 0,0:01:22.49,0:01:25.10,Default,,0000,0000,0000,,Then the skin needs heal again.
Dialogue: 0,0:01:25.10,0:01:27.31,Default,,0000,0000,0000,,Soon I'll have to go in for surgery.
Dialogue: 0,0:01:27.31,0:01:28.76,Default,,0000,0000,0000,,I don't know how I'm going to come
Dialogue: 0,0:01:28.76,0:01:30.34,Default,,0000,0000,0000,,to the OST clinic. It's really challenging...
Dialogue: 0,0:01:30.34,0:01:32.33,Default,,0000,0000,0000,,really hard.
Dialogue: 0,0:01:32.33,0:01:33.79,Default,,0000,0000,0000,,Because I won't be able
Dialogue: 0,0:01:33.79,0:01:35.61,Default,,0000,0000,0000,,to get OST in the hospital,
Dialogue: 0,0:01:35.61,0:01:38.15,Default,,0000,0000,0000,,I've been putting off the surgery.
Dialogue: 0,0:01:38.15,0:01:39.53,Default,,0000,0000,0000,,And if I keep putting it off,
Dialogue: 0,0:01:39.53,0:01:42.09,Default,,0000,0000,0000,,they will have to cut off my leg.
Dialogue: 0,0:01:42.09,0:01:46.19,Default,,0000,0000,0000,,We are all mortal
Dialogue: 0,0:01:46.19,0:01:48.14,Default,,0000,0000,0000,,In order for this to work,
Dialogue: 0,0:01:48.14,0:01:50.82,Default,,0000,0000,0000,,we have to realize that
Dialogue: 0,0:01:50.82,0:01:54.04,Default,,0000,0000,0000,,this is the reality of our lives.
Dialogue: 0,0:01:54.04,0:01:55.66,Default,,0000,0000,0000,,Decision-makers at various levels need
Dialogue: 0,0:01:55.66,0:01:57.75,Default,,0000,0000,0000,,to be thinking about it.
Dialogue: 0,0:01:57.75,0:01:59.80,Default,,0000,0000,0000,,If we are talking about a life-saving measure,
Dialogue: 0,0:01:59.80,0:02:05.01,Default,,0000,0000,0000,,it will happen sooner or later.
Dialogue: 0,0:02:05.01,0:02:08.27,Default,,0000,0000,0000,,However, the patients need it
Dialogue: 0,0:02:08.27,0:02:13.26,Default,,0000,0000,0000,,to happen today, now.
Dialogue: 0,0:02:13.26,0:02:16.20,Default,,0000,0000,0000,,Every person is mortal.
Dialogue: 0,0:02:16.20,0:02:19.94,Default,,0000,0000,0000,,"We are going to solve this problem"
Dialogue: 0,0:02:19.94,0:02:22.68,Default,,0000,0000,0000,,Of all the people I know how important
Dialogue: 0,0:02:22.68,0:02:27.12,Default,,0000,0000,0000,,is this issue with continuity of OST in hospitals.
Dialogue: 0,0:02:27.12,0:02:29.75,Default,,0000,0000,0000,,OST patients have many chronic conditions
Dialogue: 0,0:02:29.75,0:02:33.14,Default,,0000,0000,0000,,and very serious opportunistic infections.
Dialogue: 0,0:02:33.14,0:02:34.31,Default,,0000,0000,0000,,Because of this,
Dialogue: 0,0:02:34.31,0:02:36.71,Default,,0000,0000,0000,,lots of people have already passed away
Dialogue: 0,0:02:36.71,0:02:39.27,Default,,0000,0000,0000,,since the program had started.
Dialogue: 0,0:02:39.27,0:02:40.72,Default,,0000,0000,0000,,To solve this issue
Dialogue: 0,0:02:40.72,0:02:42.52,Default,,0000,0000,0000,,we are primarily relying on ourselves.
Dialogue: 0,0:02:42.52,0:02:44.33,Default,,0000,0000,0000,,Because no one else seems to care.
Dialogue: 0,0:02:44.33,0:02:46.39,Default,,0000,0000,0000,,We are the only ones who care.
Dialogue: 0,0:02:46.39,0:02:48.23,Default,,0000,0000,0000,,This is our problem,
Dialogue: 0,0:02:48.23,0:02:52.57,Default,,0000,0000,0000,,we know it inside out and we are going to solve it.
Dialogue: 0,0:02:52.57,0:02:56.82,Default,,0000,0000,0000,,Any OST program has to have a functioning system for delivering buprenorphine and methadone to OST patients in the hospitals.
Dialogue: 0,0:02:56.82,0:03:01.04,Default,,0000,0000,0000,,Help us solve this problem
Dialogue: 0,0:03:01.04,0:03:05.79,Default,,0000,0000,0000,,Start working with us
Dialogue: 0,0:03:05.79,9:59:59.99,Default,,0000,0000,0000,,Don't let us die.
Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Continuety of opiate substitution treatment