Never a moment’s peace. All the time and thoughts are about other people’s lives. In this rhythm, 65-year doctor, head of the Department of Vascular Surgery of the Academician Vohidov Republican Specialized Center of Surgery, Fazliddin Shamsiddinovich Bahriddinov, lives and works. We met with him just after his another complex operation, and talked only 20 minutes. During this time the doctor’s cell phone rang three times. These were patients who wanted to get to him for consultation.
How did the operation go?
“Good. The patient feels well. The carotid artery was almost completely blocked by plaque, which could be closed any time. It means an insult. Blockage of blood vessels is a terrible thing leading to strokes, heart attacks, amputations. One of the major achievements of modern medicine, of course, is that we can clean the vessels and restore normal blood flow.
Despite the fact that we carry out such operations for several years - it was a unique case. The patient suffers from a number of related diseases, including asthma. General anesthesia in this disease is completely contraindicated. More recently, we have not operated such patients. And this time, we were able to perform the operation. It is thanks to those skilled specialists in the Department of Anesthesiology and Intensive Care, who introduce modern technologies. During this operation, we used local anesthesia. Already two hours later, the patient felt fine.”
I think this operation will be one of the most memorable?
“That’s how you approach. From the position of the development of new technology, yes of course, it will be so. We have gained invaluable experience that will allow us to help many patients. But on the other hand, this is an ordinary case. We are working in the main surgical center of the country, and our duty to continuously improve professionally: to develop new technologies, to implement the best practices of foreign doctors, and transfer these developments to the regional hospitals. I was the first in the center to perform operations on a beating heart, kidney transplantation, and many other operations. Generally speaking, this is the norm of modern medicine.”
And yet, certainly in your practice there was a case that is particularly memorable...
“Yes, of course. It was in the early nineties. We received a 23-year-old boy with a knife wound in the neck. Then, my mentor, the founder of our center Academician Vosit Vohidovich Vohidov himself performed the operation, and I assisted him. It was a complex, non-standard operation.
During the operation, my mentor felt bad... Then he came out of the operating room, instructing me to continue operation alone. I had to make a number of difficult decisions. After stopping the bleeding, it was necessary to perform the second phase of the operation – to restore blood supply to the arm...
My mentor, of course, very worried about the patient: “Difficult, unusual case and a young inexperienced surgeon.” He was afraid that the patient may be left without arm in any slightest mistake. “Perhaps there is already gangrene” were his words next morning, while going to examine the patient. He was pleasantly surprised... with good result. You should have seen his face when he examined the patient...
On the same day he has taken a decision to appoint me the head of the department. I must admit that Vosit Vohidovich played an important role in my development as a surgeon.”
Tell us more about it...
“My professional career I began with a general surgery. Then in the early 80s there was a big problem with vascular surgeons in the regions, as it was a new direction in medicine. So I enrolled in the clinical residency of the Vohidov Republican Specialized Center of Surgery. Vosit Vohidovich then took the exams every month. I was good in anatomy, and always got excellent mark. Excellent knowledge of anatomy is very important for a surgeon.
Upon completion of residency, my mentor offered to stay and work in the center. I still remember his words: “I have problems with language, but you have a clear head, you can work.” This offer was unexpected, because I wanted to return to my native Namangan region and work there. I had no home in Tashkent.
However, Vosit Vohidovich insisted. I provided all conditions, even apartment for my family.”
And why did you choose surgery...
“Good question. I preferred surgery, because always wanted to do something with my hands.”
Did not you afraid of difficulties?
“On the contrary. Out people always admire when hear ‘heart surgeon’, and ‘neurosurgeon.’ Yet the phrase ‘vascular surgeon’ almost never causes emotions. Although ... If we talk about the importance of our specialty, it is not less important than a cardiac surgery or neurosurgery, in fact we are engaged in the problems of blockage of blood vessels, which fraught with fatal bleeding. Vascular surgeons also save lives. This is a very difficult area because we operate large vessels responsible for blood flow to major anatomical parts of the body. We perform many operations to replace large main vessels with prostheses of late.”
You had many chances to go to the heart surgery, urology. But why do you still stay in vascular surgery?
“It is very simple, because the basis for all other areas is vascular surgery. Namely, the excellent knowledge of the intricacies of vascular surgery allowed me to easily master other areas. It was enough to undergo training in leading clinics of the corresponding profile.
I stayed in vascular surgery because for me it is the cornerstone. We are engaged in other areas only ‘to help.’ Over time, young specialists get involved in these areas.
In my department I have many students – future professionals. Many of them now work in other major republican centers, and in the regions.”
What do you dream about?
“I would like in the near future our country starts developing closely related kidney transplantation. We performed 50 successful operations, which showed that our specialists are ready to perform such operations, and nurse patients. However, for regular performance of similar operations, we need a law. Transplantation is the only chance for these patients. Not everyone can afford this treatment abroad. We need to ensure that these people can receive quality treatment within the country. Moreover, from a practical point of view, there are all conditions...”