ロシア兵治療は「必要悪」　ウクライナの医師

【ザポリージャＡＦＰ＝時事】ウクライナ南部ザポリージャ市の軍の病院。ファラド・アリシャク医師は２か月以上、寝る間も惜しみウクライナ兵と市民を治療してきた。捕虜交換の対象になるかもしれないためロシア兵の治療をすることもあるが、気乗りはしない。（写真はウクライナ南部ザポリージャ市の軍の病院で、負傷した兵士の手術に当たる医師ら）
　病院に住んでいるようなものだと、アリシャク氏。ザポリージャは前線から数十キロしか離れておらず、夜になると遠くで爆発音が聞こえることもある。毎日２０時間働き、最大２０人の手術を次々と行う。
　ほぼ切断され、皮一枚でつながっている脚の写真。
　「ここではよくある」とアリシャク氏は話す。「血管をつなぎ、皮膚を再び接着することができた」
　別の写真には、もげそうな腕が写っている。この患者も治療ができたと落ち着いた声で説明する。
　こうした恐ろしい傷を治療し続けなければならないことによる精神的影響はあるかと尋ねると、アリシャク氏は肩をすくめこう言った。「私たちはこのような傷に対処できるよう訓練を受けている。厳しい仕事だが、国を支えている」
　「ロシア兵さえも治療する。すべきではないかもしれない。放置して、この国の肥やしにすればいいのかも」
　ロシア兵の治療は「モチベーションに欠ける」と認める。「しかし、私たちが回復を助ければ、（ロシア軍の捕虜になっている）ウクライナ兵と交換できる」
　病院の責任者ビクトル・ピサンコ少佐は、「けだもの」の治療に限られた物資を使わなければいけないことにため息をつく。
　ロシア兵はプロパガンダ漬けにされた無分別な若者だと指摘。ウクライナを解放したいと言いながら、「できるだけ多くのウクライナ人を殺したい」と主張するという。
　それでも、この病院では、「ウクライナ兵と交換すること」だけを目標に、できるだけ多くのロシア兵の命を救うと語った。
　ウクライナ侵攻開始以来、捕虜交換は何度か行われている。
　６日にはウクライナ兵２８人と民間人１３人が解放された。うち１１人が女性、１人が聖職者だった。ウクライナ政府は、交換したロシア兵捕虜の数を公開していない。
　ザポリージャの私立病院に４月上旬、負傷したロシア兵３人が搬送されてきた。
　この病院で働くワシリー医師によると、３人は常に監視下に置かれ、３週間入院し、４月末にウクライナ当局に引き渡された。その後、兵士らがどうなったかは知らないという。
　「彼らはひどく落ち込んでいて、攻撃的ではなかった。おびえていた」「だから、軽蔑の念はわかなかった」
　同医師によると、医師たちはよく、ロシア兵を痛めつけてやろうというようなブラックジョークを交わしている。「だが、実際は職業倫理を守っている」と話す。
　ロシア兵は「私たちの敵だ。でも、ベッドに横たわる彼らを絞め殺したいと思ったことはない」。「そう思うようなら、医師としては働けない」【翻訳編集ＡＦＰＢＢＮｅｗｓ】
〔ＡＦＰ＝時事〕（2022/05/13-14:42）

For more than two months, Dr Farad Ali-Shakh has spent his waking hours tending wounded Ukrainian soldiers and civilians. He also treats injured Russians, albeit reluctantly, who could be part of future prisoner exchanges.
This young doctor says he practically lives at the military hospital in Zaporizhzhia, a large city in southern Ukraine which lies just a few dozen kilometres from the front.
At night, the distant thud of shelling can sometimes be heard here.
Since Russia largely withdrew from northern Ukraine to refocus on the eastern Donbas region and the south, this industrial city has become a rallying point for those fleeing the violence or wounded in war.
Ali-Shakh says he works 20 hours every day, which can mean operating on up to 20 patients, one after the other.
Since the Russian invasion on February 24, thick tarpaulins have been hung up in front of the hospital's windows to make it less visible from the skies at night when it could become a target for Russian forces.
But the tarpaulins are also there to protect people from flying glass in the event of a bombing after the first houses in Zaporizhzhia were hit in a Russian strike last week.
It means the hospital is largely in darkness most of the time, even during the day. Conversations take place by the light of a desk lamp and patients' X-rays give off a ghostly hue.
And the scant light makes the photos on the doctor's mobile look even more grisly.
- 'Animals' -
One photo shows an almost totally severed leg, which is only attached by a piece of skin.
That's something we see a lot here, Ali-Shakh says. We were able to reconnect the blood vessels then reattach the skin.
Another shows a patient whose arm was almost cut in two, which was also saved, he explains soberly.
Asked about the emotional impact of constantly dealing with such horrific wounds, he shrugs.
We have learnt to deal with such injuries. We are doing a difficult job but we're helping our country, he says before volunteering another surprising piece of information.
We even treat Russian soldiers. But maybe we shouldn't. Maybe we should just leave them so they can fertilise our land.
When it comes to treating enemy soldiers, the young doctor admits to feeling a certain lack of motivation.
But if you help them recover, you can exchange them for Ukrainian soldiers held captive by the Russians, he says.
Throughout the hospital, boxes of clothing and medical supplies give a sense of the ongoing emergency at the hospital.
But they are also an indication of the limited resources the surgeons must use to treat these animals, sighs Major Viktor Pyssanko, who runs the hospital.
The Russian soldiers are thoughtless youngsters who are fed to the back teeth on propaganda, he says.
They say they want to free Ukraine but they want to kill as many Ukrainians as possible.
Even so, the hospital is trying to save as many as possible with the sole aim of swapping them for our own soldiers, Pyssanko explains.
- Black humour -
Several prisoner exchanges have taken place since the Russian invasion began, the most high profile of which involved the mayor of the southern city of Melitopol, who was captured on March 11 then freed a few days later.
Russia's rights ombudsman Tatiana Moskalkova said he was swapped for nine Russians.
The latest prisoner exchange was on Friday, when 41 Ukrainians -- 28 soldiers and 13 civilians -- were freed, among them 11 women and a cleric. Kyiv never says how many Russians were handed back to Moscow.
Three wounded Russian soldiers were brought to Zaporizhzhia's main civilian hospital in early April with gunshot wounds and shelling injuries.
They stayed for three weeks, under constant guard, and were then handed to the Ukrainian security forces at the end of April, recalls Vasily, a doctor at the hospital who did not want to give his surname.
Vasily doesn't know what happened to them afterwards.
They looked very depressed, devastated, not aggressive. Scared, he said.
Because of that, we... never felt the need to express contempt for them.
Between the doctors, where black humour is very common, we joked about harming them. But it all ended when it came to performing and keeping our Hippocratic Oath, Vasily said.
Yes, those are our enemies... (but) I never felt a desire to strangle them in their beds, he said.
If I did have those kinds of thoughts I wouldn't be working as a doctor.