Witnessing the aftermath of conflict is never easy, but the stories emerging from a specialist treatment center in Ukraine are particularly poignant. It's a place where Ukrainian amputees are rebuilding their lives, with the support of dedicated medical professionals, including those from the UK.
Take Vladislav, for instance. He shows a chilling video on his phone, a stark reminder of the moment he lost his left leg. The footage, captured by a Russian military drone, shows the vehicle he was in being targeted. The 31-year-old, a former arbitration lawyer, uses a double whistle to mimic the drone's approach. "That's me," he says, pointing at the video. The screen then cuts to black.
On August 21st, near Lyman in northeastern Ukraine, Vladislav's life changed forever. An explosion, "bam on the left ear," threw him and the driver from their vehicle. Despite the severity of his injury, his immediate concern was not the leg. "To be honest, I checked my crotch, if everything's in the right place," he admits, grinning. Finding everything intact, he decided life was worth fighting for. Only then did he apply a tourniquet to his leg, a critical step that gave him a chance of survival.
He recalls losing consciousness, and a memory of a white tunnel with a light at the end. But he survived. Rescued, he was brought to the treatment center, where he would join dozens of other Ukrainians who have suffered amputations. The center is treating an untold number of patients, with estimates suggesting tens of thousands of amputees across Ukraine.
But here's where it gets controversial... Assisting the Ukrainian staff are British military personnel – doctors, physiotherapists, and occupational therapists from the UK's defense medical services, part of Project Renovator. They provide expertise and support, including sharing knowledge of temporary prosthetics. Mike, a British rehab consultant and army lieutenant colonel, emphasizes the humbling nature of the situation. He brings experience from Afghanistan, offering insight into complex amputee rehabilitation and helping patients progress.
Interestingly, the British team is also learning from their Ukrainian counterparts. They've observed innovative surgical techniques and rehabilitation methods. The Ukrainians are "managing to fix nerve injuries faster than I've previously seen," Mike says.
And this is the part most people miss... The UK's military presence in Ukraine is discreet, with security measures in place. John Healey, the defense secretary, has praised the UK team's work, stating their goal is to support Ukrainian teams in delivering care and rehabilitation, a commitment that will continue long after the war ends.
The center offers various classes, and family visits are encouraged unless they hinder recovery. The approach includes "psychologically aware clinicians" to address mental health challenges. Group support, as evidenced by the volleyball games, is a crucial part of the healing process.
Vladislav's case is relatively straightforward. He hopes to be discharged soon with a final prosthetic leg. He admits to crying a lot after the injury, describing it as "like a divorce." What helped him was the support of his family, including his baby son, Adam. He delayed telling his wife about his injury until after the baby was born.
Oleksandr, 48, a former fitness teacher, also faced amputation after an artillery shell landed near him. He underwent multiple surgeries and spent a month in intensive care. He struggled initially, but gradually, with the help of rehabilitation experts, he found strength. "I knew then I would get through," he says.
He is looking forward to being discharged, and hopes to return to his job as a fitness trainer. "I just need to understand what my abilities will be on the prostheses, how long I can walk," he says.
What are your thoughts on the long-term impact of these injuries and the support provided? Do you think the international community is doing enough to address the needs of those affected? Share your perspective in the comments below.