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Home / Persona / In the Surgeon’s Shadow

In the Surgeon’s Shadow

When Mavlon Meliboyev walks around his native clinic with a surgeon, his customers’ parents, as a rule, shake the hand of his colleague and thank; while surgeons, realizing the role of those like Meliboyev pretty well, welcome the people of this profession standing up on their feet. All surgeons in the clinic of the Tashkent Pediatric Medical Institute would like to work with our hero.

 

“Mavlon Tulaganovich, how did you become an anesthesiologist?”

“I would have probably not devoted my life to anesthesiology had it not been for my experience of a nursing man in the department of anesthesiology and intensive care during my student life. It was there that I learnt the importance and relevance of this profession. And then, as people put it, I “felt ignited” and have been working in this sphere for 31 years now. True, I worked as a male nurse in the adults’ department, and as an anesthesiologist and resuscitator in the children’s department, which is much more difficult. Today I cannot imagine myself outside this profession.”

“Don’t you feel hurt that your work remains in the shadow of a surgeon, when the grateful parents forget that you play no less important a role at the operation table than a surgeon?”

 “Surgeons do convey to us at all times our patients’ thanks - it's a tradition. But working in tandem with them is only part of our job, we have a wider field of activity, sometimes a resuscitator plays the role of leading physician in the treatment of a patient. For example, saving a child with a diagnosis of “botulism” rests primarily in the hands of the anesthesiologist. I had a young man from Chirchiq among my numerous patients, whose life was endangered, but we managed to save him. Today he is quite a grown up person, but he never forgets me. He visits me annually on the 3rd of July to shake my hand and says “Thank you!” So, we are not deprived of attention.

“But the most important thing for a resuscitator and anesthesiologist is to see how your patient, whose life had just recently been under a threat - is getting well.”

“You are among those Uzbek specialists who are invited by international charity organizations to take part in humanitarian activities…”

  “Right. I worked mostly with the Singapore organization called ‘Operation Smile’. It has conducted charity events on several occasions in our clinic - specialists from different countries operated congenital faces and hands. Today, the specialists of our clinic carry out these operations in the required number.

“Some time later the ‘Operation Smile’ invited our specialists to take part in charity activities in other countries. I traveled to Burma, Indonesia, Cambodia, China and Singapore. Once I even had to head an international team of anesthesiologists. It was quite a responsible mission since during that event we had to operate simultaneously on several tables. And the task of a coordinator includes arrangement of anesthesiologists’ work on each table as well as the work of a resuscitator in the intensive care department.” 

“How do the doctors manage to find a common language among themselves, since different countries practice different protocols, standards and patient management systems?”

“It’s rather simple; international organizations apply the latest generation global technologies. And they certainly chose only those technologies the efficiency of which cause no doubt, because they have been selected on the principles of evidence-based medicine. 

“For example, we use the so-called ‘controlled anesthesia’ method in anesthesiology in our country. This technology is fundamentally different from the one which we practiced fifteen or twenty years ago. We use an ‘inhalation anesthetic’ in combination with painkiller preparations. It makes it easy to enter a patient into a sleep and is easy to deduce from sleep. The patient wakes up within five minutes after the completion of an operation. There is no need to send him/her to the intensive care unit, he is immediately sent to the ward. And in the past the patient spent at least a day in the intensive care unit: the process of awakening from anesthesia took a few hours, and complications used to happen quite often. All leading clinics around the world are working on its basis today. This experience has been adopted also by this international organization.

“I have mastered this technology thanks to my foreign colleagues: in the course of master-classes conducted in our clinic and during my internships abroad.

“So no disagreements arise during humanitarian events.”

“Tell me please, do our physicians work on modern technologies in their daily lives?”

“All anesthesiologists in our clinic have been trained and work in compliance with this technology, which is in the process of introduction at other children’s clinics. Our doctors travel to regions and conduct master classes for their local colleagues.

“When our colleagues see the advantages of our technologies in action they try to get re-trained as soon as possible to perfectly master them since they are less risky and are not fraught with complications.

“In principle, there is nothing surprising in that, it is a normal phenomenon for a transition period. We had introduced these technologies at our clinic earlier because we had all necessary equipment for that. And currently the Ministry of Healthcare fits out all regional operation units with these technologies. I think that very soon all our clinics will shift to modern standards.

“These technologies are safer also for the doctors working in the operating rooms since in contrast to previous equipment modification designs no extra air can penetrate into the operating room.”

“What is the principal point for you in your professional sphere; in what mood do you look into the future?”

“The modern equipment helped us to significantly advance ahead. And this is not a limit. Hence engineers, designers and pharmaceutical workers will further improve it. I wish that we worked with the use of modern equipment because this helps us to save the lives of a greater number of patients, reduce risks and make the treatment process safer. And one more thing, I wish that my colleagues worked with the same ardor.”

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