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Local Doc Finds Way To Give Back To Arm

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  • Local Doc Finds Way To Give Back To Arm

    LOCAL DOC FINDS WAY TO GIVE BACK TO ARMENIA
    By Daniel Siegal

    Glendale News Press
    http://www.glendalenewspress.com/news/tn-vsl-1215-doctor-finds-inspiration-in-armenia,0,2090698.story
    Dec 14 2011
    CA

    La Caņada Flintridge resident Armond Kotikian, DDS, MD, is used to
    plying his trade as an oral maxillofacial surgeon in the well-equipped
    surgical theaters of Glendale Adventist and Glendale Memorial
    hospitals. But he got a lesson in improvisation while performing pro
    bono surgeries in Armenia this past summer.

    In his first-person account, "Tools of the Trade Across Borders,"
    an article published online at www.hetq.am, Kotikian describes the
    hospital in the Armenian province of Karabagh in which he performed
    dozens of surgeries over a five-day period:

    "There was no air conditioning in the hospital and the temperature
    would reach the low 90s at noon. The nurses had special sterile
    instruments to dab our foreheads so we wouldn't contaminate the field
    with our sweat. The hospital water occasionally ran out, and the
    operating nurses had to rinse our arms and hands with small buckets of
    water after we scrubbed. I was operating with instruments I thought
    didn't exist anymore. Despite all this, things went as smoothly as
    they do in our pampered operating rooms in the United States."

    Now back at home, Kotikian said his time in Karabagh was an
    inspirational experience.

    "What I learned was that, regardless of the conditions, if you have
    the surgical training, you'll get by with whatever they have to get
    the best outcome on the patient," he said.

    Kotikian was in Armenia for the Armenian Medical International
    Congress, an event held every four years that draws Armenian physicians
    from all over the globe. He said he had been asked to lecture at the
    congress, and at the time he accepted the invitation, he decided to
    reach out to provide his services to an area in need.

    "I'm about two years out of residency, and I've been meaning to do
    this for a very a long time," he said. "It was a good way to go back
    and give back to my country."

    It was especially gratifying, Kotikian said, to work in Karabagh,
    an area in dire need of oral surgical care.

    "It's close to 130,000 people, and there's only one individual there
    who is an oral-maxillofacial surgeon, just like me," he said.

    In addition to working with that surgeon, Dr. Sasun Vahanyan, to
    repair cleft lips and palates, remove oral and neck tumors and even
    remove a set of wisdom teeth, Kotikian worked to educate the local
    professionals in the newest techniques.

    "It was a good way of giving back and educating them, and teaching
    them the American standards," Kotikian said, "because they're mostly
    trained with Russian techniques, which are very old school."

    Technical education wasn't the only teaching Kotikian did, however. He
    said that in the more rural parts of Armenia, like Karabagh, there
    is a stigma attached to children born with cleft palates or lips.

    "When these kids are born with cleft lip or palates, or any other
    facial defect, they think the kid is abnormal," he said "What they
    do there, unfortunately, is when these kids are born with these cleft
    lips, they give them up for adoption."

    Kotikian said he worked to teach the locals that cleft lips and
    palates were common issues that could be fixed.

    "It's the second most common anomaly after clubfoot, and it could be
    corrected ... it doesn't mean the patient has any mental issues or
    anything else," he said. "It's a simple defect that can be repaired,
    and it happens."

    Still, said Kotikian, plenty of work remains, which is why he's
    working with the Armenian American Medical Society, based in Glendale,
    to establish a bi-yearly mission to the area.

    "What I would do is try to spend more time there, No. 1, because the
    more time there, the greater the opportunities," he said. "Second of
    all, I'd want to take my instruments and actually donate them ... so
    they'd actually have them and be able to use them on future patients."

    Ultimately, Kotikian said, he's hoping his efforts manage to touch
    more than just the people of Karabagh.

    "The biggest reason I wrote [the article] was to encourage people to
    volunteer their time," he said. "Everyone can make time if they want."



    From: Emil Lazarian | Ararat NewsPress
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