indian journal of plastic surgery - dr.lakshmi saleem article
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8/14/2019 Indian Journal of Plastic Surgery - Dr.Lakshmi Saleem Article
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ISSN 0970-03
Indian Journal ofPlastic Surgery
September 2009 / Volume 42 / Supplement 1
Official Publication of Association of Plastic Surgeons of India
www.ijps.org
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Supplement on Cleft Lip and Palate
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Source of Support: Nil, Conflict of Interest: None declared.
Mossey and Little
Prof CBK was a Guide and Guru to many of the senior Indian
plastic surgeons. He was most concerned with the patients
welfare and commitment to the profession rather than hispersonal stature, recognitions and awards.
He had tremendous reconstructive surgical innovative skills
with which he developed his own techniques; however, hardly
he ever thought of publishing them. He was a devoted surgeon
and a great teacher who took pains in teaching untiringly.
He always believed in stressing the importance of treatment
planning sessions wherein each problem was discussed before
surgery in a three dimensional view, always keeping the final
functional and aesthetic result in mind. He always analyzed
the problem by recreating the defect and planning it in reverse
with the help of pieces of lint or rubber sheet and hand-drawn
sketches towards planning management in most accurate detail.He always believed in common sense in planning and execution
so as to obtain the least morbidity. He taught us to anticipate
possible complications at each stage and be ready with solutions
whenever problems arose. A typical example was to keep the
tourniquet ready at the bed-side of every electrical burns patient
to deal with the torrential secondary hemorrhage.
His discipline in treating cleft children was remarkable and he
had developed a protocol for team approach for their long term
management. He improvised and had his own style of using
fascia lataslings to narrow the nasopharynx for better speech.
He used to encourage his residents to practice suturing andsurgical knots in the depths inside a tumbler. He always liked
to teach practical points in day to day management rather than
giving didactic lectures.
CBK was a man of few words and low tone. He was always known
for his punctuality, honesty, discipline, and straight forwardness
without any diplomacy or hesitation in expressing his views
which made him a terror in discussions.
But behind such an intimidating veneer lay a loving, fatherly
affection and a soft natured soul which could be felt by his
closest associates. I cannot forget the days when I was pregnant
during my residency; he never missed to enquire about my food,well-being and stamina to be able to continue the demanding
night duties. He silently used to appreciate my courage to go
through residency with out a break and I learnt later that he
used to talk about it at home to his family.
He always believed and taught us that the attitude of a plastic
surgeon should be appropriate in understanding the needs and
fears of the patient more than the technical and surgical skills as
those could be acquired with practice in due course.
Prof. C. Balakrishnan
Dr. Lakshmi Saleem
Salaja Clinic, 101 Srivenkatrama Apts, Thakur Mansion Lane, Somajiguda, Hyderabad 500082, India.
Email: [email protected] Prof. C. Balakrishnan
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Indian J Plast Surg Supplement 1 2009 Vol 42 S18