Ukrainian doctors learn the latest advancements in complex surgery skills at OU Health

Published: May 22, 2025

In the ever-evolving world of medicine, the exchange of knowledge is not just beneficial—it is essential to advancing patient care, driving innovation, and saving lives. Nowhere is it more true than in Ukraine, where the demands of wartime medicine include the full spectrum of patient care from rapid response for complex wounds and multiple life-threatening injuries, to patient stabilization, as well as reconstructive and rehabilitative care.

Paired with limited access to advanced subspecialty training in fields like neurosurgery, reconstructive, and plastic surgery, this creates a gap between the rising demand for complex procedures and the opportunity for Ukrainian surgeons to deepen and expand their expertise.

To provide support in alleviating this issue, the Razom Health program team launched its Co-Pilot Project in 2016 after the visit of Dr. Luke Tomycz to Ukraine. Having observed the needs of Ukrainian patients and the challenges in Ukrainian surgeon’s access to the newest surgical knowledge, Dr. Tomycz was resolved to engage the expertise of US surgeons to offer in-person trainings to their Ukrainian colleagues. Since then, numerous North American medical professional (!) organizations and initiatives have reached out to Razom and Co-Pilot Project expressing desire to help with performing complex surgeries and training Ukrainian doctors. Since the beginning of the project, Co-Pilot has implemented observerships in leading U.S. hospitals as part of its surgical training initiative. Between 2017 and 2022, 8 such placements were facilitated. Combining collaborative surgeries with international surgeons and observership programs helps bridge the gap in Ukraine’s short-term residency model—2 years compared to 4–7 years in the U.S. and Europe—and compensates for the absence of cadaver labs and surgical simulation training in Ukrainian residency programs. This approach is referred to as Co-Pilot’s “light residency.”

In 2023, a formal partnership with the University of Oklahoma was launched, with three maxillofacial surgeons participating and the expansion into a long-term program covering four specialties: neurosurgery, orthopedics, oculoplastics, and head and neck surgery. Additionally, Co-Pilot organized observerships for Ukrainian surgeons at Harvard Medical School, Mount Sinai, MedStar Washington Hospital, the University of Cincinnati, and several private clinics. These initiatives have been recognized at the inaugural Orden of Saint Panteleimon Awards, a recognition named after the Patron Saint of healers and helpers.

The Co-Pilot Project has made a major impact by training Ukrainian surgeons through hands-on collaboration with international experts. But for many doctors, one key piece was still missing: the chance to see how advanced surgical tools are actually used in practice – not just as individual instruments, but within real-world clinical workflows. Since the start of the full-scale invasion, Ukraine has received a wide range of donated medical equipment, but without the opportunity to observe how these tools are used together in high-functioning settings, much of their potential remains untapped. “Because of the war, a lot of equipment came to us, and a lot of instruments, and to see how to fully use it is a big help for us, which will allow us to help our defenders and civilians much better,” shared Dr. Yurii Lazarenko of the Central Regional Military Medical Center. Co-Pilot is helping close that gap – giving Ukrainian surgeons the chance to train in environments where technique, equipment, and teamwork come together in practice.

Now, thanks to the Co-Pilot Project, Ukrainian surgeons can receive hands-on training on the newest approaches in surgical care and correct utilization of imported medical equipment through the observership initiative. The most recent of such observerships brought nine Ukrainian surgeons to Oklahoma City to spend one month with colleagues at OU Health under the program Operation Ukraine. Surgeons from Lviv, Kyiv, Vinnytsia, Odesa, Kharkiv, and Zaporizhzhia—representing four different medical specialties—were carefully selected.

This is the fifth cohort organized under the Operation Ukraine observership program at OU Health in Oklahoma City, offering Ukrainian surgeons the opportunity to learn advanced surgical techniques and collaborate with American colleagues.

Razom played a key role in making this observership possible by supporting travel, visa assistance, stipends, and program logistics. The team also helped select candidates through a competitive application process and awarded a grant to OU Health to help cover key training and administrative costs. With an average cost of $6,000 per participant, this initiative depends on donor support to continue creating high-impact training experiences for Ukrainian surgeons.

The observership at OU Health is unlike any other program of this kind in the US, in that the Ukrainian surgeons are able to scrub in and assist in surgeries, learning the skills in instrument usage, operating room dynamics, and innovative techniques. “We don’t have such an opportunity in Ukraine,” Dr. Andrii Kovalov, a Ukrainian Surgeon said. “This is, I think, one of the best opportunities to get the hard skills before you get that access to the patients.”

At the heart of the Operation Ukraine program is Dr. Mark Mims who has spearheaded this initiative within OU Health. Dr. Mims has worked with the state medical board, hospital administration and leadership team to structure the program in such a way as to permit the vital “scrubbing in and assisting” element for Ukrainian surgeons, allowing them to gain the necessary skills in a drastically compressed time frame. “With our Operation Ukraine program at OU Health, our hope is to help train the next generation of Ukrainian surgeons,” Dr. Mark Mims with OU Health said. “We want the surgeons who come through our program to return home not only with advanced skills to care for their patients, but also with the ability to pass that knowledge on — building a stronger future for healthcare in Ukraine.”

Once back in Ukraine, the surgeons apply what they’ve learned to treat some of the war’s most complex injuries. They also train their colleagues, multiplying the impact of the observership and helping to build a stronger, more resilient surgical community. As Dr. Vitalii Panchenko of Lviv Military Hospital shared, “This experience changed everything. I now have the skills and confidence to perform complex surgeries that once felt impossible.”

This work is made possible through the partnerships with doctors, hospitals, and thanks to the generous contributions from our donors. If you are interested in supporting more opportunities for learning and connection for Ukrainian doctors, you can make a donation below.

United for Better Care: Razom, Face the Future, Still Strong, and Patients of Ukraine Shape the Future of Nursing in Ukraine

Published: April 18, 2025

Medical personnel from the Ivano-Frankivsk Regional Hospital gather with Face the Future Foundation team members and Razom Co-Pilot Coordinator in Ukraine, Lilea Dzhaliuk, in front of the hospital during the April 2024 medical mission.

Since the start of Russia’s full-scale invasion, Ukraine’s healthcare system has faced immense pressure. According to the World Health Organization (WHO), there have been more than 2,100 attacks on healthcare facilities, resulting in the deaths and injuries of hundreds of medical workers and patients. Nurses—who make up the backbone of the healthcare system—have carried a disproportionate burden.

As women and families are forced to flee, the nursing profession—largely made up of women—is stretched thin. Those who remain often care for overwhelming numbers of displaced patients, while adapting to the complex realities of war injuries and under-resourced facilities. The shortage of qualified nursing staff has become critical. Younger, less experienced nurses—and at times even patients’ family members—are taking on care responsibilities.

Despite the challenges, Ukraine remains determined to improve patient care. But progress is impossible without support. That’s why Razom’s Co-Pilot Project partners with organizations like Face the Future Foundation, Still Strong, and Patients of Ukraine to support Ukrainian nurses through training, equipment, and knowledge exchange. In April 2024, this partnership brought together international and Ukrainian nurses, surgeons, and medical coordinators for a mission at Ivano-Frankivsk Regional Hospital—and an academic nursing symposium that reached more than 300 healthcare workers from across the country.

Behind the Scenes: Coordinating Surgical Care During Wartime

To understand what it takes to coordinate a mission like this, we turn to Debbie Fritz, RN. A retired nurse with more than 40 years of experience in labor & delivery, the operating room, and pediatric care, Debbie has participated in 35 humanitarian surgical missions since 2006. When Russia launched its full-scale invasion, she joined the Face the Future Foundation team on a mission to Ivano-Frankivsk in September 2022—and has since returned twice more as Operating Room team lead.

“One of the challenges early on was trying to recruit qualified people who are willing to travel to an active war zone,” she explains. “Some people are totally on-board, but their family members say ‘absolutely not!'”

In her leadership role, Debbie coordinates daily OR operations and surgical supply procurement, while ensuring her team feels confident and supported. Her collaborative approach helps build trust quickly in high-stakes settings. “After just a few cases together, the team develops a smooth and fluid rhythm,” she says.

Each mission requires careful planning, especially around supplies. Debbie starts sourcing essentials—surgical packs, sterile gowns, gloves, sutures, medications—months in advance. Backorders, shipping delays, and last-minute surgical needs are constant hurdles. But thanks to her preparation, Ukrainian hospitals are able to deliver high-quality surgical care amid wartime constraints.

Symposium for Strength: Learning, Sharing, and Supporting Nurses

During the April mission, Patients of Ukraine and partners organized an academic nursing symposium in Ivano-Frankivsk that brought together more than 300 nurses from across Ukraine. The event focused on sharing knowledge, building resilience, and creating community among nurses facing unprecedented challenges.

Laurie Thomas, RN from Toronto, Canada, led the academic day. She provided hands-on training in catheterization and cardiac assessment and brought donated stethoscopes and other urgently needed equipment.

Amy Bradley, RN from Houston, Texas, participated alongside her husband, an anesthesiologist. Amy specializes in PTSD, anxiety, and trauma care—and her contribution to the symposium focused on the mental health of nurses and patients alike. “Self-care is not a luxury,” she explained. “It’s a necessity for nurses working through war.”

Challenges in Ukraine’s Healthcare System

Both Laurie and Amy identified systemic challenges in Ukraine’s healthcare landscape. Amy noted the hierarchical structure that limits collaboration: “Doctors are seen as above nurses, instead of equally important parts of the healthcare team. This can interfere with patient wellness.”

Laurie highlighted the lack of continuing education: “Unlike in North America, Ukrainian nurses rarely receive dedicated teaching time. Now, they’re being asked to care for complex cases like facial trauma without the training support they need.”

The Emotional Toll of War

Ukrainian nurses carry not just medical but emotional burdens. “It’s hard to focus on your work when you’re listening for the next air raid siren,” says Laurie. “Many nurses have to go home and care for children while worrying about husbands at the front.”

Amy adds: “They are exhausted. Many have lost loved ones, their homes, their income. Women are holding the country together. And when this war is over, they will be the ones to rebuild.”

Resource Gaps and Solutions

The mission team addressed critical equipment shortages. The hospital lacked a bladder scanner, and catheter supplies were minimal. Through Razom, the team purchased a scanner and distributed donated catheters and 60 brand-new stethoscopes.

Beyond equipment, systemic change is underway. Ivano-Frankivsk Hospital leadership is expanding the scope of nursing practice. “Dr. Komashko and Head Nurse Nataliia Ryzhulo are making real progress,” Laurie explains. “More hospitals need this kind of leadership and support.”

Elevating Patient Care: Practical Training

During post-op care, Amy observed dangerous gaps. “There was no recovery room protocol. Patients weren’t monitored for pain or complications. It wasn’t that the nurses didn’t care—they had just never been taught.”

One case stood out: a patient waking up in severe pain was dismissed as “fine.” Amy intervened with proper post-op care and pain relief, resulting in immediate improvement. “Infection is the second enemy of Ukrainians after war injuries,” she said. “Simple things like hygiene and pain management can save lives.”

Knowledge Sharing at the Symposium

The symposium featured nurses from every specialty—emergency, OR, critical care, rehab. Debbie Fritz delivered a session on electrocautery use and safety, drawing on her OR experience.

“It was incredibly rewarding when nurses came up during breaks to ask questions and share stories,” she said. “We emphasized that nurses are not just assistants—they are essential to successful outcomes.”

Mental Health as Essential Care

Amy’s session on trauma care used brain imaging to show how trauma affects the body. “There’s a cultural narrative in Ukraine of being tough. But we need to acknowledge trauma. Assume every patient you see has been affected.”

She used simple metaphors to convey the importance of gentleness and empathy in care. “By the end of the talk, many nurses were in tears. They finally felt seen.”

Laurie reinforced the message: “The psychological wounds of this war will outlast the physical ones. If we don’t address them now, they will linger for generations.”

Building Bridges Through Healthcare

These missions are about more than surgical care. They are about solidarity, community, and long-term capacity building. International and Ukrainian nurses are learning from each other, improving outcomes, and forging lasting partnerships.

As the Face the Future Foundation team left Ukraine, they passed a line of Ukrainian soldiers heading to Poland for training. From the bus window, the team held up a Ukrainian flag. The soldiers responded with heartfelt hand gestures of thanks.

Moments like this remind us: We are stronger together. And together, we will help rebuild a resilient, compassionate, and skilled healthcare system in Ukraine.

Support Razom’s Co-Pilot Project

Help us train and equip Ukrainian healthcare workers. Support missions like this one and be part of the effort to strengthen Ukraine’s healthcare system from the ground up.

Thank you to Yana Leshchynska and Yuliia Shama, for working on the article.

4th Medical Trip of American Facial Plastic Reconstructive Surgeons

Published: December 12, 2024

From October 2nd to 8th 2024, the fourth medical trip of facial plastic reconstructive surgeons from the United States successfully took place in Lviv, in collaboration with Razom for Ukraine and INgenius.

Preparations for the mission began in the spring of 2024 and lasted over four months. During the patient selection process, nearly 100 applications were reviewed, and 35 of the most complex cases were chosen for reconstructive surgeries. Some of these patients were scheduled for surgery in May 2025.

A total of 19 soldiers with serious defects of the ocular and frontal areas, midface area, significant damages of the soft tissues, nasal bones and oral cavity were successfully operated on.

Some of the patients received implants to replace bone defects, including expensive highly technological patient-specific titanium 3D implants, produced and donated by Materialise. All surgeries and consultations for the mission participants were provided free of charge. Ukrainian surgeons, anesthesiologists, and nurses worked for seven days together with the American medical team.

The following procedures were performed:

Nasal reconstruction with a free forehead flap on a vascular pedicle – 7
Placement of the PSI (patient-specific titanium 3D implant) – 3
Commissuroplasty – 3
Placement of spherical orbital implants made of porous polyethylene (Medpor) – 5
Orbital floor/rim repair with titanium/porous polyethylene implants – 3
Eyelid reconstructions – 10
Upper lid gold weight placement for the correction of paralytic lagophthalmos – 2
Midface lift – 3

Additionally, there were scar revisions, canthoplasties, upper and lower eyelid fornix reconstructions, eviscerations, placements of ocular prostheses, lip reconstruction, cranioplasty, fat grafting for cheek tissues, and other operations.

It is also important to emphasize the significance of the training provided to Ukrainian specialists during the mission. The goal of the American team was not only to help severely wounded soldiers but also to pass on their experience to Ukrainian doctors. Therefore, even after this team work, the skills acquired can be applied to treat other complex patients.

Moreover, all operated patients will continue to be monitored by Ukrainian doctors, who will report on their condition to the American colleagues, which will allow the optimization of the recovery processes.

Some patients will undergo further stages of surgery and, if necessary, will have the opportunity to seek help from American doctors during the future missions.

The first week of October was highly productive for the mission team and successful for our patients.

This mission was unique: originally planned as a large-scale operation, it was scaled down due to recent attacks in the region. In response the determined team of seven, including facial reconstructive and oculoplastic surgeons, adapted to the circumstances and went forward. Despite the challenges, Razom’s team—led by Yuliia Shama, Lilies Dzaliuk and coordinator Nataliya Kuts —mobilized resources, restructured logistics, and ensured the success of this critical mission.

Nataliya Sawka joined the team as safety specialist, and did due diligence with analyzing threats and coordinating safety protocol.

The smaller team found Lviv relatively calm during the week, allowing them to work through a packed schedule of surgeries and consultations. Dr. Parag Gandhi emerged as a leader among the group of oculoplastic surgeons, creating a seamless collaboration with local specialists. Dr. Gandhi gave a talk (remotely) during this mission on Pericular Soft Tissue Reconstruction for a conference Glaucoma+. This exchange allowed Ukrainian and American doctors to share advanced techniques, further strengthening the cohort of Ukrainian surgeons in Lviv who now have the skills to address complex cases independently.

Beyond the operating rooms, Razom equipped local hospitals and shelters with vital supplies, including cots, sleeping bags, water, snacks, and disposable items, ensuring readiness for any future needs.

The Razom team expresses its sincere gratitude to everyone who made this project possible.

We are grateful to:

The team of American surgeons and nurses:

For their invaluable contribution to the health of our servicemen and to the training of Ukrainian doctors.

The team of Ukrainian doctors:

Plastic surgeon Vitaliy Panchenko for his assistance in the implementation of the mission, organizing patient acceptance at his department, and performing surgeries at his hospital.

Also, a special thanks to the highly qualified and organized team of surgeons, anesthesiologists, interns, nurses, and junior medical staff at the Ukrainian hospital who were always ready and worked clearly, professionally, and in harmony.

The members of the INgenius team: Ivanka Nebor, Kyrylo Chuhai, Yelyzaveta Baran, Anna Tovkes, Ihor Solovey, Daryna Chernenko for organizing the patient selection and the high-level performance of the mission.

Materialise Company for the production of 3D implants for our defenders, and also to the volunteers from the company — Anastasia Krychun, Olga Hornyak, and Kateryna Stepura for their assistance in preparing models and their high-quality visualization during the surgeries.

Razom for Ukraine team: Yuliia Shama, Lileia Dzhaliuk, Alexandra Domaradsky, Nataliya Kuts, Nataliya Sawka, Alex Malikova and Evgenii Kulachenko.

Our partner organizations: FIGS, Cherokee Ukraine (Medgroup), Vasyl Shevchik’s Ocular Microsurgery Center

And finally, we thank Vasyl Salyha for the excellent photo report!

Original article and more photographs from the mission at ingeniusua.org

Learn more about and support the Co-Pilot Project and Razom Health.

Razom Health’s Co-Pilot Project Honored at the First U.S. Orden of St. Panteleimon Awards

Published: November 22, 2024

On November 1, 2024, history was made as the prestigious Orden (“Order”) of St. Panteleimon Award was presented in the U.S. for the first time at the Ukrainian Institute of America in NYC. The award, a symbol of humanitarianism and mercy, celebrated exceptional contributions to health and humanitarian efforts in support of Ukraine.

Honorees:

● Dr. Manoj Abraham: Recognized for leading the Face to Face medical team in partnership with Razom’s Co-Pilot Project and INgenius. Together, they’ve performed 100+ complex reconstructive surgeries in Ukraine and are advancing surgical training for Ukrainian professionals.

● Project C.U.R.E.: Represented by CEO Dr. Douglas Jackson for their tireless work in providing critical medical support to Ukraine.

The Razom Health team together with Luke Tomycz, founder of the Co-Pilot Project, were also awarded the WFUMA Gratitude Award for their unwavering dedication to Ukraine’s healthcare system.
A sincere thank you to all Americans who continue to stand with Ukraine and support its healthcare system during these critical times.

Learn more about and support the Co-Pilot Project and Razom Health.

Advancing Neurosurgical Expertise: Razom’s Co-Pilot Project and Pioneering Ukrainian American Collaboration

Published: October 31, 2024

In the spirit of Razom’s mission, which exhorts us to work on initiatives that motivate us to meet, partner and do, we are pleased to highlight how Razom’s Co-Pilot Project has facilitated a very meaningful collaboration between American and Ukrainian neurosurgeons. Specifically, Dr. Rocco Armonda, Dr. Alex Valadka, Dr. Maksim Shapiro, Dr. Kim Nelson, Dr. Luke Tomycz and Dr. Conner Berlin, and Mechnikov neurosurgeons from Dnipro, Dr. Andrii Sirko and Dr. Yuriy Cherednychenko. This ongoing partnership has led to presentations at several international conferences and the co-authoring of 6 medical articles in prestigious journals. Together, these colleagues are advancing trauma care and elevating Ukrainian medical expertise on the global stage.

Last year, Razom organized a trip for Conner Berlin, who was a senior neurosurgery resident at the time. During his 16-day visit, he performed 20+ emergency surgeries and participated in reciprocal learning, helping to train the neurosurgical staff while gaining invaluable insights himself. After returning, Conner asked to write an article with Dr. Sirko. Along with Dr. Armonda, they co-authored ‘Wartime Penetrating Traumatic Brain Injury of the Anterior Skull Base Involving the Paranasal Sinuses: A Single-Center, First-Year Experience from Dnipro, Ukraine,’ which was published on November 31 in the Journal of Neurosurgery.

Below are a few of the notable articles and publications that exemplify the groundbreaking research and clinical advancements emerging from this collaboration:

Wartime penetrating traumatic brain injury of the anterior skull base involving the paranasal sinuses: a single-center, first-year experience from Dnipro, Ukraine – Published in Journal of Neurosurgery.
Operation Rescue: Ukrainian Wartime Neurosurgery—Past Results and Future Prospects – A feature article in the July newsletter of the World Federation of Neurosurgical Societies.
Intracranial aneurysms treatment using new generation FRED X flow diverters with antithrombotic coating and preoperative PreSize Neurovascular software simulation: literature review and clinical observations analysis – Published in the Ukrainian Neurosurgical Journal.

Each paper is proof of the dedication, expertise, and shared commitment of Ukrainian and American neurosurgeons. Their ongoing collaboration is setting new benchmarks in neurosurgical trauma care and creating a lasting impact on Ukraine’s medical landscape under extreme circumstances. Razom’s Co-Pilot Project is honored to support this partnership, which is as inspiring as it is transformative.

Your support is crucial in enabling Razom’s Co-Pilot Project to continue its life-saving efforts and drive global advancements in neurosurgery.

Learn more about and support the Co-Pilot Project and Razom Health.

Empowering Ukrainian Surgeons: U.S. Training in Reconstructive and Neurosurgery

Published: October 24, 2024

We are excited to share that Razom Health’s Co-Pilot Project and OU Health have hosted the 15th participant of our 4-week observership program, focused on facial plastic reconstructive surgery and neurosurgery at the University of Oklahoma. A huge thanks to Dr. Mark Mims, Dr. Andrew Bauer, and the McGrail Family for leading this project.

One participant shared their experience:

“The acquired knowledge is extremely important, and I’ve already used it in practice. Every day, we face patients who need these life-saving reconstructive surgeries.”

This cohort included Dr. Andrii Kopchak, Dr. Tetiana Pavlychuk, and Dr. Ievgen Shumynskyi from Kyiv Regional Hospital and Bogomolets Medical University, who frequently collaborate on symposiums focused on the reconstruction of head and neck war injuries with the Co-Pilot Face the Future Foundation and Co-Pilot Face to Face Medical Trips.

Your support is crucial in enabling the Co-Pilot Project to continue its work of providing life-changing and modern medical care to Ukrainians. Please consider donating to Razom and help us bring hope to those who need it most. Together, we can make a difference.

Learn more about and support the Co-Pilot Project and Razom Health.

Okhmatdyt’s Medical Staff: Faces of Resilience in the Face of Tragedy

Published: July 10, 2024

On July 8, 2024, a day that will forever be etched in our hearts, the world witnessed the incomprehensible destruction caused by a massive Russian bombing campaign that targeted civilian areas in Ukraine, including a major cancer center, Kyiv’s Okhmatdyt Children’s Hospital. The stories of the brave medical professionals and the innocent children affected by this heinous attack, paint a vivid picture of the resilience and determination of the Ukrainian people.

Mariyana Morozova: A Day of Unimaginable Horror

Dr. Mariyana Morozova, a pediatric anesthesiologist at Okhmatdyt and expert in Razom’s Breathe initiative, shared her harrowing experience. She splits her time between a private clinic and Okhmatdyt, located just across the street from each other. On that fateful day, Dr. Morozova was working at the private clinic when the air raid sirens blared and explosions shook the ground.

“I tried to contact my colleagues at Okhmatdyt, but there was no response. I ran over there, and it was just a disaster! There were so many wounded,” she recalled. The intensive care unit’s lab technician was severely injured, suffering from a concussion, a jaw fracture, and bleeding. With the help of the entire community, they evacuated the most critical patients, including those in the neonatal ICU (Intensive Care Unit), neuro ICU, and surgical ICU. Dr. Morozova’s department was among the most severely damaged, and she tragically lost a dear friend and colleague, Dr. Svitlana Luk’yachuk. Miraculously, all the children survived, but the emotional scars will remain forever.

Alyona Bezlehka: First Day Back Turns into a Nightmare

For rehabilitation specialist Alyona Bezlehka, it was her first day back at work after a vacation. She had been eagerly anticipating reuniting with her patients. As the explosions began, she quickly led her patients to the corridor and then to the bomb shelter. Returning to her department on the 5th floor, she encountered her colleague, covered in blood and holding a child they couldn’t evacuate in time.

“The floor was covered in blood and dust. I am not a surgeon, but I saw bandages and started applying them to stop the bleeding,” she recounted. Among the chaos, one boy’s cries for his grandmother haunted her. He was in shock, shivering, and vomiting, with his hand covered in blood. The sight of injured children, medical staff on stretchers, and parents with bandaged heads was overwhelming. Her department was almost completely destroyed, with windows blown out and the ceiling collapsed. Despite the devastation, the motivation to help and the outpouring of support from the community kept her going.

Valeriy Bovkun: Narrow Escape from Death

Valeriy Bovkun, head of the Department of Reconstructive-Plastic Microsurgery at Okhmatdyt, was organizing the evacuation of patients when the explosion occurred. “I was in my office when the sirens started, and then went out to check if the patients were moving to safe places. Moments later, the explosion occurred. My office was critically damaged: the blast wave tore out the window and threw it right onto my workspace,” he recounted. If he had stayed a moment longer, he would likely have been buried under the rubble. Thanks to the timely evacuation, most patients were unharmed, but five staff members were injured by glass shards.

Despite being in a state of shock, Valeriy and his colleagues immediately began providing first aid to the injured. “We applied bandages and sutures, examined the children, and did everything we could to help,” he said.

Roman Shevchenko: From Routine to Ruin

Roman Shevchenko, head of the Children’s Sleep Laboratory at Okhmatdyt, was in the laboratory next to the building hit by the missile. “By the time the explosion happened, we had not yet managed to get to the shelter, so after the impact, glass shards flew at us. I was slightly injured, but our nurse was severely cut by glass and bleeding. We started looking for something to bandage her with, but there was nothing nearby, so we went down to the floor, and there I provided her with first aid,” he explained. Despite the devastation, most of the laboratory’s equipment remained intact and continued to function. “We had a laptop on the windowsill, it was covered with glass but still working!” Roman recounted in astonishment.

He emphasized the unexpected timing of the attack: “Russia struck right after all the morning meetings were over and all the doctors had started working. We were already used to Russia striking at night, so this attack was completely unexpected.”

Photos courtesy of Okhmatdyt medical staff.

How You Can Help:

The attack on Okhmatdyt Children’s Hospital has devastated the lives of many innocent victims and shaken the global community. Razom Health is actively on the ground, mobilizing crucial supplies and support for those affected.

You can make a difference today by supporting our dedicated teams as they work tirelessly to aid the victims of the Okhmatdyt tragedy and other healthcare facilities in Ukraine that remain under constant threat of attack.

Donate now to provide immediate relief and assistance to those in need.

Face the Future Ukraine: Advancing Reconstructive Surgery in Ivano-Frankivsk

Published: June 26, 2024

The Face the Future Ukraine team, consisting of 15 specialists from Canada and the U.S., visited Ivano-Frankivsk Regional Hospital for the third time this spring to perform complex reconstructive surgeries. The team included reconstructive and plastic surgeons, an oculoplastic surgeon, an anesthesiologist, and nurses. They also shared their knowledge at the Third International Symposium for Surgeons “Reconstructive Surgery of Military Trauma of the Head and Neck” and the Third Symposium for Nurses “Peculiarities of Management of Patients with Military Trauma and Posttraumatic Disorders,” which saw over 130 surgeons and 230 nurses in attendance.

During their trip, the team performed 88 procedures on 32 severely injured Ukrainian heroes, focusing on major head and neck reconstruction. Collaborating with foreign colleagues provides Ukrainian surgeons a unique opportunity to diagnose complex injuries, plan treatments, and perform intricate reconstructive surgeries.

“Preparation for this mission begins long before our foreign colleagues arrive in Ukraine. Over the past five months, we have examined more than a hundred patients to plan surgeries, select specialists, and develop individual implants. It’s a big team effort. It’s very valuable that many surgeries are performed for the first time in the Ivano-Frankivsk Regional Hospital. During these missions, we not only restore the health of our soldiers but also learn from foreign colleagues and start performing new surgical interventions on our own,” says Nataliya Komashko, ENT, Head of the Ukrainian Medical Team.

“Every year, we conduct missions in different parts of the world, but in Ukraine, we encounter the most serious cases. No surgeon has faced such injuries unless they were in a war zone. We will return to Ukraine to help restore the faces of as many soldiers as possible. They are heroes who stand for the freedom of their people,” says Dr. Peter Adamson, founder of the Face the Future Foundation, who has just been awarded the prestigious Teasdale-Corti Award by The Royal College of Physicians and Surgeons of Canada (RCPSC).

Nurses

The Face the Future nurses, led by Laurie Thomas, RN, set up a nursing training center and provided simulation models and stethoscopes for nurses to advance their skills. Laurie organized a stethoscope drive in Canada, donating dozens of stethoscopes during the conference. The team also developed protocols for a PACU (post-anesthesia care unit) and introduced this component of postoperative care in Ivano-Frankivsk hospital.

Personal Implants

A volunteer team of bioengineers from Materialise (3D printing company) designs and prints individual implants for patients. They provide an online platform for surgeons to recreate patient scans in 3D, allowing for a clear understanding of trauma and designing specific implants. This platform enables Ukrainian and Canadian surgeons to work together on the same patient, sharing documentation and collaborating comfortably.

Materialise engineers prepared 3D anatomy simulations and patient-specific 3D-printed implants for eight patients.

Medical Supplies

Medical supplies are vital for such projects, as many surgeries require specific instruments. Debbie Fritz, RN, Team Leader of Procurement, coordinates the needs of surgeons, leveraging connections with suppliers to secure donations or discounts. Razom procures critical supplies in Ukraine, which are then donated to the hospital.

Through targeted medical trips, conferences, and training sessions, providers working with the Razom Co-Pilot Project are empowering healthcare professionals, enhancing skills and methods, and ultimately improving surgical care in Ukraine.

We are immensely grateful to the Face the Future team for their continued support of Ukrainian healthcare:

– Dr. Peter Adamson, Chef de Mission

– Dr. Anthony E. Brissett, Mission Director

– Susan Truax, Administrative Support

– Dr. Josh Kain, Surgeon

– Dr. Irena Karanetz, Surgeon

– Dr. Vladimir Kratky, Surgeon

– Dr. Terry Taylor, Surgeon

– Dr. Burke Bradley, Anesthesiologist

– Amy Bradley, RN

– Debbie Fritz, RN, Team Leader for Procurement

– Maureen Merchant, RN

– Heather Leard, CST

– Laurie Thomas, RN, Head of RNs Team, Leader of Nursing Academic Day

– Bibi Yasin, RN

– Yurij Tsuvanyk, CST

– Pam Leeman, RN

We are thankful to all Ukrainian doctors, nurses, and medical professionals who tirelessly provide treatment to Ukrainian patients, both civilians and military, during the hardships of war.

Patient’s Story

“My daughter did not recognize me after the injury. I dream that the doctors will give me back my face,” said 29-year-old Oleksii before the operation. He was one of the 32 patients of the international mission of reconstructive surgeons Face the Future Ukraine in Ivano-Frankivsk.

Oleksii was seriously injured in the Donetsk area during an assault on enemy positions, where he came under mortar fire. His brother died, and Oleksii was severely injured in the face and hand. He was in a coma for five days and could not speak or eat for several months, but doctors managed to repair his face and final results will be visible in six months.

The humanitarian program “Face the Future Ukraine” was founded by Face the Future Foundation, Razom for Ukraine, and Still Strong to provide free reconstructive surgeries to Ukrainian patients and train Ukrainian surgeons. It is implemented in partnership with the CF “Patients of Ukraine,” the project “Rehabilitation of War Injuries,” the Ukrainian Association of Endoscopic Head and Neck Surgery, the Regional Clinical Hospital of the Ivano-Frankivsk Regional Council, Healing The Children North East, UMANA, Americares, with the support of the Embassy of Switzerland in Ukraine, Ivano-Frankivsk OVA, companies Metinvest, Nova Ukraine, Materialise, Yellow Blue Force Foundation, and Transmed.

Learn more about and support the Co-Pilot Project and Razom Health.

Advancing Women’s Health Care in Ukraine: Insights from Dr. Irena Karanetz and Dr. Alina Andriiv

Published: June 25, 2024

The Current State of Women’s Health Care in Ukraine

Dr. Irena Karanetz, a renowned New York City plastic surgeon, provides an eye-opening assessment of the current state of women’s health care in Ukraine. Originally from Ukraine, Dr. Karanetz moved to Chicago at the age of 15 and trained in plastic surgery in New York. Through her connection toRazom, she joined the Face the Future Team of facial reconstructive surgeons in 2023, and has since participated in two medical trips to Ukraine. A dedicated member of the Ukrainian Medical Association of North America (UMANA), Dr. Karanetz is passionate about women’s health, particularly post-mastectomy breast reconstruction, and is committed to improving healthcare in her homeland. During her work with the Face the Future team in the Ivano-Frankivsk hospital, she had a chance to research cancer breast reconstruction options available for women in Ukraine and was inspired to bring to them her knowledge and expertise in this field.

“Public medicine has significant flaws,” Dr. Karanetz observes. “For instance, there might be only one mammogram machine available in an entire city, leading to months-long waits for cancer diagnoses.” She highlights the disparity between public and private healthcare facilities, noting that advanced treatments like implants for breast reconstruction are often unavailable in socialized medicine, creating a significant gap in care.

Dr. Alina Adriiv, the Medical Director of the Prykarpattia Oncology Center in Ivano-Frankivsk, shares these concerns. Dr. Adriiv, who has been working in oncology since 2010, previously served as an associate professor and head of the hormone-dependent tumors department at the oncology faculty. She holds a Candidate of Medical Sciences degree and has completed numerous international internships in the U.S., Israel, and across Europe.

Envisioning a Better Future

Both doctors envision a future when Ukrainian healthcare is significantly bolstered by international collaboration and the adoption of advanced medical techniques. Dr. Karanetz emphasizes the importance of training and equipping younger doctors to overcome the current limitations, such as lack of equipment and treatments, and seize future opportunities. Her efforts have included substantial donations of medical supplies, amounting to $100,000, to support breast reconstruction.

Dr. Adriiv shares this optimistic outlook. Her primary focus is not just on improving survival rates but also on enhancing the quality of life for women undergoing breast cancer treatment. “It’s important to support women not only physically but also psychologically,” she asserts. Dr. Adriiv aims to ensure that treatment guidelines are rigorously adhered to, reducing disparities in the quality of care.

The Role of Medical Conferences

A key highlight of their partnership was the organization of a major Breast Cancer Symposium in Ivano-Frankivsk. This event, the first of its scale in Prykarpattia, was a significant milestone for both doctors. Despite challenges such as securing sponsorships and dealing with limited state support, the symposium was a success.

It was Dr. Karanetz’s dream to hold an event like the Breast Cancer Symposium in Ukraine. With support from Dr. Adriiv, Dr. Natalia Komashko, and the CF Patients of Ukraine, she was able to realize this dream last spring, by combining her participation in the Face the Future medical trip with the symposium. The symposium featured live surgeries and presentations from leading oncologists and oncologic surgeons, offering invaluable learning experiences. Participants described it as a crucial platform for demonstrating new techniques and fostering professional growth among young surgeons.

Dr. Adriiv, who spearheaded the organization of the symposium, shares her experience: “The journey was incredibly challenging due to funding issues, but the outcome was rewarding. Many leading oncologists and surgeons participated, and the event was a significant step towards improving breast cancer care in Ukraine.” Her extensive network and international experience were instrumental in bringing together top professionals for this collaborative effort.

Written by Stephania Korenovsky

Learn more about and support the Co-Pilot Project and Razom Health.

International Day for the Protection of Children

Published: June 1, 2024

June 1st is the International Day for Protection of Children. Nowadays, Ukraine’s children fight for a stolen childhood. For ten years, Ukrainian kids have been losing loved ones to the war in the East and for over two years, Russia has been actively committing atrocities, killing children daily and forcibly taking them from their families. This is not just a tragedy, it is genocide.

At Razom, we are dedicated to supporting and protecting these children through various projects and initiatives.

🔹 #RazomRelief

Future Project:

By supporting camps and centers for kids and teenagers, we aim to provide more than just education, skills, and safety in high-risk areas. Our goal is also to prevent young people from losing their sense of direction. Supporting these kids today means creating a healthier future populace who will be able to contribute to a stable and renewed country.

Razom Toy Drive:

The children of fallen defenders in Ukraine are under constant stress and in dire need of help. The Razom Toy Drive team is committed to wrapping these children’s hearts with warmth and love, recognizing their immense courage and resilience in the face of war. Read more: here

Razom Ticket:

This initiative aims to increase engagement in science, technology, engineering, and math (STEM) disciplines among Ukrainian children. We strive to provide a head start for kids in the world of professional science, IT, and entrepreneurship. Read more: here

🔹 #RazomHealth

The Co-Pilot Project: We have brought, and continue to bring doctors on mission trips to Ukraine to operate on children and save lives, ensuring they receive the medical care they desperately need. Read more: here

Razom z Toboyu (Razom with You): This network of centers is designed to provide mental health support to individuals, both children and adults, who have been affected by war. Read more: here

🔹 #RazomAdvocacy

We are actively speaking out against the forcible and illegal deportation of Ukrainian kids by Russia, bringing international attention to these heinous acts. Read more: here

Your support is crucial in helping us continue these vital projects. Together, we can make a difference and offer support to the youngest victims of this war.

Donate to Razom and help us support and empower Ukrainian children.