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First-hand account from an MSF doctor in a metro station in Kharkiv

Dr Morten Rostrup from Norway is working with MSF in Kharkiv providing medical consultations in the underground stations where people are sheltering. This is his first-hand account of what he saw and of the stories of people he met

15 Apr 22

Dr Morten Rostrup, April 15th, 2022- Children who are too afraid to fall asleep, people who feel like they can’t breathe, patients with sky-high blood pressure who risk having a stroke. This is the situation at a metro station in Kharkiv in northeast Ukraine.

Nina, 83-years-old, waits for treatment by MSF's mobile clinic in one of Kharkiv's metro station, in Kharkiv, Ukraine. (April, 2022).

She was sitting on a bench in front of me at one of the metro stations in Kharkiv. Since the war broke out, the stations have functioned as shelters and thousands of people are sleeping on the platforms and in the train carriages.

Thrown out of bed when a rocket hit her apartment building

The woman had been thrown out of bed when a rocket hit her apartment building. She had seen her aunt killed a few metres away from her. She couldn’t talk about it but burst into a flood of tears as she sat looking downwards. She was shaking. She wasn’t alone in seeking medical care this evening. There were many others.

Ludmilla, 40-years-old and her son Vladislav, 11-years-old, are being checked by Kirill, Kelly and Grisha from MSF in a metro station in Kharkiv, Ukraine. (April, 2022).

A seven-year-old girl who had constant nightmares and was afraid of falling asleep. People experiencing physical pains they couldn’t explain. People who felt like they couldn’t breathe.

Dozens of medical consultations

A woman with sky-high blood pressure who was at risk of having a stroke. An old man who showed me pictures of his three grandchildren.

Medecine is ready to be given to patients at an MSF mobile clinic in a metro station where people hide form bombings and now live, in Kharkiv, Ukraine. (April, 2022).

One of the children had been killed in an airstrike two days earlier, the other two were in hospital, one of them critically injured. The children’s father was also killed. The old man had suffered a stroke and had high blood pressure. He couldn’t sleep.

Many moving encounters 

I have had many moving encounters with different people over these past few weeks. Our team from Médecins Sans Frontières/Doctors Without Borders (MSF) travels from one metro station to the next. In the evenings we carry out dozens of medical consultations before pulling out our sleeping bags and spending the night there.

MSF Mobile Clinics in Kharkiv Metro. (April, 2022).

I have seen the despair, the lack of hope, the confusion, the inability to comprehend how they have ended up in this situation: losing family members and friends, losing their homes, losing the future they had envisioned for themselves. I have seen the constant fear experienced by so many, and how some people collapse in terror when the sound of airstrikes fills the air.

"I have seen the despair, the lack of hope, the confusion, the inability to comprehend how they have ended up in this situation"

[Dr morten Rostrup][working with msf in kharkiv]

Before travelling to Kharkiv, I spent a few days in the city of Vinnytsia, which is located far from the frontline. We wanted to get in touch with Ukrainian psychologists who could assist the displaced people – many with psychological trauma – who were passing through the city on their way to safety in other countries.

Psychological trauma

This was when I met Olena, a psychologist from Ukraine. Her eyes were blank during our conversation. She had family members in the besieged city of Mariupol and had heard little about how they were doing. Olena said that she couldn’t work now. Before the war, she hadworked as a clinical psychologist and treated patients with personal problems.

An MSF staff is on the phone in a metro station serving as shelter, in Kharkiv, Ukraine. (April, 2022).

The patients have stopped coming,” she said. “The problems they had before seem so small now.” Looking at me, she said: “It’s good to meet you. You are so calm. You don’t have the stress and worries that we have. The fact that you are here has a calming effect on us.

Our presence has such a significant impact

I have worked in many crises and war zones, but I have never heard it so explicitly stated, that our presence has such a significant impact on people. Medical humanitarian work is not only about the concrete help we provide in the form of medicine and treatment, but also about the presence of people from other countries and how they stand alongside the people who are experiencing this crisis at firsthand.

MSF staff providing medical consultations in a metro station in Kharkiv. (April, 2022).

Our presence can provide hope, peace and a sense of security. It is a concrete symbol that we care. We are there as fellow human beings, directly and closely. They are not forgotten.

Daily challenges

The situation in Kharkiv is very challenging. There are still daily airstrikes. Parts of the city have been levelled to the ground. Half of the population of 1.5 million have fled. Some have chosen to stay, or were unable to escape due to a lack of money, relatives or other contacts, or simply because they were too old or sick to travel.

"Our presence can provide hope, peace and a sense of security. It is a concrete symbol that we care. We are there as fellow human beings, directly and closely. They are not forgotten."

[Dr morten rostrup][working with msf in kharkiv]

Some of the people we met told us they would rather die in their own city. We assume that many of the most vulnerable people have not left. Many people have lost their homes, especially in the eastern part of the city.

Significant anxiety 

I don’t know how many lungs I have listened to, throats I have looked at and stomachs I have felt. Not because I had a strong suspicion that anything was seriously wrong, but because I knew that a thorough check-up and a conversation acts as reassurance to the patients.

Art project done by children living in the Metro station depicting hope for an end to the violence. (April, 2022).

Their stress levels are so high that just a small symptom can cause significant anxiety for some patients. When I reassured them that nothing was seriously wrong with them, they thanked me. I saw the relief in their eyes. The fear of becoming sick in these circumstances plagues many, especially the patients with chronic diseases.

Potentially devastating consequences

It’s easy to forget these victims of the war: the people with increasing mental problems and those who live with chronic diseases. When a war breaks out and they don’t receive follow-up medical care, diseases like these can have potentially devastating consequences. There are patients with cardiovascular disease, lung disease, epilepsy, diabetes, cancer.

Ludmilla, 40-years-old and her son Vladislav, 11-years-old, pose for a portrait in Kharkiv, Ukraine. (April, 2022).

Some die – in some war contexts, perhaps even more than those who die from injuries caused directly by the violence. Others are forced to flee to a place where they can get the medical care they need, preferably to another country.

Sense of unity

Still, it’s encouraging to see how people here are helping each other. At each metro station, small communities have developed. The people sheltering there are well acquainted with each other. Groups of volunteers work to provide everyone with food and water.

Elena, 35-years-old place the hat of her son Kirill, 6-years-old in Kharkiv, Ukraine. (April, 2022).

A medical student at one of the stations runs a small outpatient clinic and pharmacy. The toilets are cleaned. Everyone in Kharkiv is contributing in their own way. Many contributions are also coming from abroad. We see a very strong sense of unity, but six weeks is a long time, especially when you can’t see a solution in the near future.

It's still cold in the metro stations. It seems that spring will come late to Kharkiv this year.

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