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“Incoming!”

One word and then Gosha’s life changed forever.

The mortar exploded right next to the 30-year-old Ukrainian soldier.

If his friend, Vasian, hadn’t shouted, Gosha wouldn’t have turned. The mortar would have exploded in his face. Instead it was his arm.

“Blood was streaming like hell,” Gosha recalls.

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Warped metal and broken cars in the ruins of Azovstal

It was early May last year. The two friends were at the heart of a battle that would come to define the ferocity of the Ukraine war.

“I reached for my tourniquet and gave it to him. ‘Higher, Vasian!” He tightened it. It didn’t tighten well … and then he said ‘f***, what shall I do?’ I passed out.

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“When I regained consciousness, I said: ‘Vasian, finish me off, because I’m f****** done'”.

Vasian wouldn’t do it. He refused his friend’s pleas. Sixteen months on, at a small prosthetics clinic in the United States, Gosha tells a story of horror and survival which reflects a much wider challenge.

At least 25,000 Ukrainians have lost limbs since Vladimir Putin’s invasion last year.

Accurate figures are hard to verify and could be much higher.

The number of Russian soldiers to have been maimed is not known but is thought to be huge too.

Neither Ukrainian nor Russian officials are willing, officially, to reveal a figure which underlines the cost of the war.

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Gosha is treated by clinician Michelle Intintoli

Read more:
In pictures: the pounding of Azovstal
The surgeon smuggled into Mariupol

Thousands of amputees

“The number is not official, and some of them are multiple limb loss,” Mike Corcoran, the clinic’s co-founder says of the Ukrainian estimate of 25,000.

“That’s a stadium full of amputees.”

In 18 months of war in Ukraine, there have been at least 10 times the number of Ukrainian amputees than Americans maimed over 20 years in Iraq and Afghanistan combined.

Gosha is the 39th Ukrainian soldier to come to the Medical Centre Orthotics and Prosthetics (MCOP) just outside Washington DC. We met him on the day he was first fitted with a prototype prosthetic arm. It is the start of several weeks of rehabilitation and therapy at the clinic.

Eventually, he will leave with a carbon fibre version of his missing limb.

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Prosthetician Mike Corcoran speaks to Sky News

The clinicians at MCOP are experts in military prosthetics and have spent two decades at the world-renowned Walter Reed Medical Center treating American soldiers.

But Ukraine’s challenge is different. It is compounded by the intensity of the conflict and rudimentary amputations.

The battlefield first aid straps, called tourniquets, designed to be attached to the limb just above the wound to stem bleeding, are often fitted too high and left on for too long. The bleeding is stopped but the cells in the limb are killed in the process.

The consequence – a whole arm or leg will need to be removed rather than just part of it. And that process is carried out in the most horrific of conditions.

FILE - In this photo provided by Azov Special Forces Regiment of the Ukrainian National Guard Press Office, a Ukrainian soldier stands inside the ruined Azovstal steel plant prior to surrender to the Russian forces in Mariupol, Ukraine, May 16, 2022. (Dmytro Kozatski/Azov Special Forces Regiment of the Ukrainian National Guard Press Office via AP, File)
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Inside the ruined steelworks. Pic: AP

‘The guys were rotting alive – it was like a horror movie’

Gosha was wounded in the battle for the Azovstal steelworks in the eastern Ukrainian city of Mariupol.

The two-month siege ended on 17 May, 2022 with the surrender of the last remaining Ukrainian soldiers. Gosha was among them and taken into Russian custody.

The battle was defining in its intensity and, ultimately, its futility.

A view shows a plant of Azovstal Iron and Steel Works during Ukraine-Russia conflict in the southern port city of Mariupol, Ukraine May 2, 2022. REUTERS/Alexander Ermochenko

Units from Ukraine’s Azov Battalion were cornered in one small part of the sprawling plant. The soldiers slept in an underground room which doubled as the battlefield clinic.

“People were lying together, one next to the other. They amputated arms and operated in the same room we were lying in,” Gosha recalls.

“They were cutting someone’s arm off. Everybody was watching it. On the floor there was a bag full of arms and legs.”

Gosha explains how the injured lay in a long narrow room lined with rows of bunk beds, three or four high.

“The guys were rotting alive, everyone was stinking, everyone had some infection,” Gosha says.

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Life inside the Azovstal steelworks seen in Gosha’s photo

After his initial amputation in the bunker with a hack-saw, he said the wound “started to fester again” so his arm was amputated at a higher point.

Two weeks later, the steelworks was captured by the Russians. As a prisoner of war, Gosha spent more than a month without running water or painkillers.

He described how the ‘orcs’ – his slang for Russians – also took the Ukrainian soldiers’ supply of bandages.

He was finally released in a prisoner exchange. It marked the beginning of a long journey which has brought him, for a few weeks, to America.

Ukrainian servicemen sit in a bus after leaving Mariupol's besieged Azovstal steel plant, near a penal colony, in Olyonivka, in territory under the government of the Donetsk People's Republic, eastern Ukraine, Friday, May 20, 2022. (AP Photo)
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Ukrainian soldiers on a bus after leaving the steelworks. Pic: AP

‘You can’t say no’

The MCOP clinic does not charge for its treatment of Ukrainian soldiers and prosthetics is an expensive business. One arm can cost $100,000 (£81,000) and a hook in place of a hand is an additional $8,000 (£6,500). A lot of Ukrainians ask for the hook because it’s more versatile.

“You can’t say no”, says Mike.

The fortunate fraction of Ukrainians who make it here to MCOP do so with the assistance of many charities including United Help Ukraine and Operation Renew Prosthetics in partnership with the Brother’s Brother Foundation.

The plan, eventually, is to open a clinic inside Ukraine. For now, Mike and his team are shuttling back and forth to Ukraine to train locals, deliver donated equipment and conduct in-country treatment.

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Gosha tries his prosthetic

“It’s going to take more than our company and me. It’s going to take hundreds of prosthetists many years to actually take care of all these wounded people, not just military, civilians as well,” Mike says.

He predicts the challenges Ukraine faces with amputations will, eventually, make it the world leader in prosthetics. But it will take time and huge investment.

The growing list of people with lost limbs will, Mike said, “have to be addressed at some point”.

The limits of US aid

The US government has supplied billions of dollars of weaponry in tranches of ‘security assistance packages’ for Ukraine. But these packages do not allow for the funding of treatment or sharing of medical resources to treat injured Ukrainian soldiers.

In a statement, a spokesman for the US Department of Defence (DoD), Lt Colonel Garron J Garn, said: “DoD has not received any specific requests to enhance prosthetic care for wounded Ukrainian service members.

“However, there are several members of Ukrainian Armed Forces currently at Landstuhl (a US military medical facility in Germany) receiving treatment, outside of specific prosthetic care. We applaud the work of various charities who are involved in getting Ukrainians requiring prosthetic care.”

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Cooking dog food to survive

Colonel Garn added that $14m (£11.3m) had been “obligated to support wounded service members of the Ukrainian Armed Forces for its budget in 2023”.

As Mike Corcoran and I talk, another Ukrainian arrives for his final appointment at the clinic.

Ilia Mykhalchuk is a double amputee and is ready for his final fitting of two state-of-the-art carbon fiber arms.

His story is horrific. One arm was blown off and the other peppered with shrapnel after an anti-tank rocket hit his vehicle in another defining battle of this war, in the city of Bakhmut.

The 36-year-old was then captured by Russia’s notorious Wagner Group of mercenary fighters.

“They knocked him out with whatever anaesthesia they had in the basement of a house,” Mike said.

“Basically it’s like a guillotine. They cut off both his arms and they didn’t even close them up, they just bandaged him. So it wasn’t clean; just the bone. The cut end of the bone is protruding and that makes for a harder fitting.”

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The prosthetics are custom-made and can cost thousands of dollars

The scars left by the Wagner Group are both physical and mental.

“They made fun of him after they cut off both his arms. He saw torture, men being set on fire and having their fingers cut off. He’s got a lot of PTSD,” Mike said.

Watching Ilia, as the final fitting is completed, that internal trauma is clear.

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Ilia Mykhalchuk with prosthetists Mike Corcoran and Jamie Vandersea

‘He never leaves my head’

Back in conversation with Gosha, more revelations which reflect the reality of this war and his ongoing trauma.

I asked about his friend Vasian – the comrade who had called out ‘incoming’ and had saved his life.

Gosha reveals that Vasian, and his pet dog, who was their companion in war were taken by the Russians and have not been seen since.

“Vasian never leaves my head,” Gosha said. “He is my sworn brother.”

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Senior Sailor Spivak Vasyl (Vasian) with his dog Sofa

Gosha explained how he, Vasian and the dog, a Pit Bull Terrier called Sofa, would share dog food. It was all they could find in the sprawling steelworks. They would cook it. “It didn’t taste bad,” he says.

“We made beds for ourselves, and we put the dog between us, in the middle, and we slept like that, hugging. The dog could get some warmth. We were always together. And I promised him: “When we return back home, when I baptise my son, you will be the godfather.”

“My son is five now, he has not been baptised yet because I’m waiting for Vasian to return.”

Gosha wants to go back to the frontline. “I want to fight, if it’s possible, as a gun commander in the artillery.”

“Nobody wants to live in captivity. Russia will continue to terrorise, kill, capture, destroy. They won’t calm down until you beat the f****** hell out of them.”

With additional reporting by Eleanor Deeley, US Producer

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US military says eight ‘narco-terrorists’ killed in strikes on three boats in Pacific

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US military says eight 'narco-terrorists' killed in strikes on three boats in Pacific

Eight people have been killed in US military strikes on three boats it has accused of smuggling drugs in the Pacific Ocean.

The US military’s Southern Command said the strikes targeted “designated terrorist organisations” killing three “narco-terrorists” in the first vessel, two in the second boat and three in the third.

No evidence the vessels were involved in drug trafficking has been given, but a video showing the strikes on the boats was posted on social media.

Southern Command added that defence secretary Pete Hegseth ordered the strikes, and claimed intelligence confirmed the vessels were using known drug trafficking routes and engaged in drug trafficking.

The US military said it carried out strikes in the Pacific Ocean on three boats it accused of trafficking drugs. Pic: X/@Southcom
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The US military said it carried out strikes in the Pacific Ocean on three boats it accused of trafficking drugs. Pic: X/@Southcom

One of the boats targeted during the strikes. Pic: X/@Southcom
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One of the boats targeted during the strikes. Pic: X/@Southcom

It is unclear where the vessels were from, but the strikes mark the latest in Donald Trump‘s “war” with drug cartels, which has also seen vessels targeted in the Caribbean Sea, including near Venezuela.

Over the past several months, the US has been carrying out a large-scale military build-up in the southern Caribbean, with the stated goal of combating drug trafficking.

In its first lethal strike on 2 September, the White House posted on X that it had conducted a strike against “narcoterrorists” shipping fentanyl to the US, without providing evidence of the alleged crime.

Sky’s Data & Forensics unit last week verified that in the four months up to 10 December, 23 boats were targeted in 22 strikes, killing 87 people.

US forces also seized a crude oil tanker, named Skipper, off the coast of Venezuela last week.

The government in Caracas, led by President Nicolas Maduro, who insists the real purpose of the US military operations is to force him out of office, branded the ship’s seizure a “blatant theft” and an “act of international piracy”.

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On Monday, Mr Trump signed an executive order declaring fentanyl a “weapon of mass destruction”.

The order instructs the State and Treasury departments to pursue the financial assets of and sanctions on financial institutions and groups involved in fentanyl trafficking.

It also calls for greater co-operation between the Pentagon and the Justice Department on fentanyl and drug trafficking issues.

The latest strikes on vessels allegedly trafficking drugs come on the eve of briefings on Capitol Hill for all members of Congress as questions mount over the Trump administration’s military actions.

Mr Hegseth, secretary of state Marco Rubio, and other top national security officials are expected to provide closed-door briefings for politicians in the House and Senate.

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Trump says he has asked Xi Jinping to free Briton Jimmy Lai

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Trump says he has asked Xi Jinping to free Briton Jimmy Lai

Donald Trump has asked his Chinese counterpart to release pro-democracy campaigner Jimmy Lai, who has been found guilty of national security offences in Hong Kong.

The US president said he felt “so badly” about the media tycoon and British citizen, 78, who was arrested in August 2020 after China imposed a national security law following massive anti-government protests in Hong Kong.

Lai, who had previously been sentenced for several lesser offences during his five years in prison, could now spend the rest of his life behind bars.

Jimmy Lai. Pic: Reuters
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Jimmy Lai. Pic: Reuters

Mr Trump said he had spoken to Xi Jinping about Lai’s case and asked for his release.

“I spoke to President Xi about it, and I asked to consider his release,” he said. “He’s not well, he’s an older man, and he’s not well, so I did put that request out. We’ll see what happens.”

It comes as UK Foreign Secretary Yvette Cooper said China’s ambassador to the UK had been summoned over Lai’s conviction to underline the government’s position in the “strongest terms”.

Speaking in parliament, she repeated calls for Lai to be released and called the conviction “a politically motivated prosecution”.

People wait to enter the court building ahead of the verdict. Pic: AP
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People wait to enter the court building ahead of the verdict. Pic: AP

Ms Cooper made the remarks after Sir Keir Starmer’s spokesperson said Lai’s case has been a priority for the government and “we will continue to call for his immediate release”.

Earlier in the day, China’s ambassador to the UK, Zheng Zeguang, met with a senior official at the UK Foreign Office “to lodge solemn representations over the UK side’s statement that made irresponsible remarks on the Hong Kong High Court’s guilty verdict in the Jimmy Lai case”, China’s embassy said.

Explained: Who is Jimmy Lai?

Lai, who founded the now-defunct pro-democracy newspaper Apple Daily, was charged with two counts of conspiracy to commit collusion with foreign forces to endanger national security, as well as one count of conspiracy to distribute seditious publications. He was found guilty of all three charges.

Speaking after the verdict, Lai’s daughter Claire said if he were released he would devote himself to God and his family rather than political activism.

“He just wants to reunite with his family. He wants to dedicate his life to serving our Lord, and he wants to dedicate the rest of his days to his family,” Claire Lai told the Associated Press. “My father is fundamentally not a man who operates on illegal ground.”

Claire Lai. Pic: Reuters
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Claire Lai. Pic: Reuters

She said five years of solitary confinement has taken a toll on his health, and he has lost a significant amount of weight.

“He is a lot weaker and has only gotten weaker in the last year,” she said. “He has back pains and waist pains, his nails… when we visit, we can tell that they’re turning colours and falling off. Some of his teeth are rotting.”

He also has heart palpitations, is diabetic and his vision and hearing are failing, she added.

Hong Kong’s security chief, Chris Tang, said Lai has received “full medical services” and has never complained of the medical care he has been given.

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Jimmy Lai’s son: UK government must ‘do more’

‘You’ve got to keep fighting’

Meanwhile, her brother Sebastian Lai is lobbying the UK government for their father’s release.

“Regarding the United Kingdom, we talk about normalising relationships. Well, my father’s freedom should be a precondition to that,” he said.

Asked if he is optimistic international pressure can help, he said: “I think you’ve got to keep fighting no matter what. I think, taking my father’s example, standing up for what is right is why we’re doing it. This is my way of fighting for it.”

Hong Kong’s leader John Lee welcomed the verdict, saying: “He has harmed the fundamental interests of the country and the well-being of the people of Hong Kong; his actions are shameful and his intentions malicious.”

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European leaders back ‘multinational force’ to secure peace in Ukraine, as US commits to security guarantees

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European leaders back 'multinational force' to secure peace in Ukraine, as US commits to security guarantees

European leaders have called for a “multinational force” to secure Ukraine after any peace deal with Russia, as they struck an optimistic tone after talks in Berlin.

In a joint statement, they heralded “significant progress” – boosted by a new US commitment to provide unspecified security guarantees to Ukraine.

German Chancellor Friedrich Merz described the guarantees by the US as “truly remarkable” and a “very important advancement”.

Adding to the positive mood music, Donald Trump said he believed “we are closer now than we have been ever” to agreeing a ceasefire for the deadliest conflict in Europe since the Second World War.

The comments round off two days of talks in Berlin between Ukrainian and US envoys Steve Witkoff and Jared Kushner, and a separate meeting of European leaders in the German capital.

Another high-level meeting, this time of the Ukraine Defence Contact Group, will be held on Tuesday. The British defence secretary, John Healey, will attend.

Read more: UK’s ‘sons and daughters’ need to be ready to fight

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Siobhan Robbins: Change in mood music after US-Ukraine talks

Ukrainian President Volodymyr Zelenskyy was not quite as cheery after Monday’s developments, called the talks on conceding territories to Russia “painful” and “very difficult”.

He told reporters in Berlin: “Frankly speaking, we still have different positions.”

Earlier, his security officials claimed to have dealt a lethal strike to a $400m (£299m) Russian submarine in the Black Sea – a claim that Russia rejected.

“The information from the Ukrainian special services about the alleged destruction of one of Russia’s submarines is not true”, said the Black Sea Fleet command.

Not a single ship or submarine of the Black Sea Fleet in the Novorossiysk base bay, nor their crews, were injured in the sabotage, the fleet command said.

Back in Berlin, European leaders issued a joint statement on behalf of the leaders of Germany, Denmark, Finland, France, Italy, the Netherlands, Norway, Poland, Sweden, and the UK, as well as the presidents of the European Council and the European Commission.

European, US and Ukrainian officials convened in the chancellery in Berlin. Pic: AP
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European, US and Ukrainian officials convened in the chancellery in Berlin. Pic: AP

The document said the leaders “welcomed the close work between President Zelenskyy’s and President Trump’s teams, as well as European teams over the recent days and weeks”.

“They agreed to work together with President Trump and President Zelenskyy to get to a lasting peace, which preserves Ukrainian sovereignty and European security.

“Leaders appreciated the strong convergence between the United States, Ukraine and Europe.”

Outlining what they considered necessary security guarantees, the leaders said the “multinational force” should be made up of countries from the so-called Coalition of the Willing and “supported by the US”.

They also said they “strongly support” Ukraine joining the European Union, and that it should be able to maintain its armed forces at a level of 800,000.

“It will assist in the regeneration of Ukraine’s forces, in securing Ukraine’s skies, and in supporting safer seas, including through operating inside Ukraine.”

A US official said about 90% of issues between the warring parties had been resolved and that they believed Russia would be open to Ukraine joining the European Union, and to the security guarantees in the deal.

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