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stáhnout ve formátu PDF - My Companion, sro

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10<br />

One of the most necessary operations invol<strong>ve</strong>s breast cancer.<br />

Three years ago we founded the Centre of Comprehensi<strong>ve</strong> Surgical<br />

Care for Women with Breast Disease at the Na Bulovce hospital and<br />

became the first facility in the country capable of reconstructing the<br />

breasts of women with potential cancer. If there is a history of breast<br />

cancer in a family there is a danger that another member of the family<br />

will face the disease. If genetic tests show the existence of gene mutation<br />

this means that there is an 85% chance of cancer. We liberate these<br />

women from the fear of breast cancer by performing an operation.<br />

But we are still running into a bit of bureaucracy – due to the so-called<br />

flat-rate system we can’t exceed four implants per month.<br />

When you are operating you are surely concentrating <strong>ve</strong>ry hard on the<br />

matter at hand. Do you e<strong>ve</strong>r ha<strong>ve</strong> any other thoughts at these moments?<br />

It’s the same as driving a car or doodling while on the phone. Here at<br />

the Esthé Clinic I listen to pleasant music and the others listen as well.<br />

We are in a lo<strong>ve</strong>ly cozy place with a beautiful view of T˘n Church, all<br />

the way up to the top. People find it magnificent and calming. The<br />

clinic is colorful, peaceful, and has a natural atmosphere. It’s a happy<br />

place. People are always laughing at something, which can sometimes<br />

be a problem when I need a patient to hold their mouth in a certain<br />

way. It isn’t dry, impersonal medicine. Fear is not permitted, as there<br />

must be absolute confidence between the doctor and the patient.<br />

You are essentially a painter of living pictures…<br />

When someone comes to show me the nose they would like I ha<strong>ve</strong><br />

to explain that each skeleton, each structure is different. I can’t make<br />

a small nose out of a big nose. E<strong>ve</strong>ry plastic surgeon has his signature<br />

work. Some do upturned noses, while others do straight noses. I try<br />

to make sure results look natural. Regarding breast enhancement, the<br />

size of implants many plastic surgeons begin with is where I stop. There<br />

are relati<strong>ve</strong>ly few plastic surgeons that do small implants. A woman<br />

can be absolutely stunning with small breasts. And then there are<br />

women with enormous breasts that aren’t attracti<strong>ve</strong> at all. Where is<br />

the boundary? What’s fine art and what is kitsch? But this is true in<br />

anything. It’s a matter of a certain craftsmanship, aesthetic sensitivity,<br />

and experience. You need to find the happy medium while avoiding<br />

extremes on either side. The goal is to find something natural and<br />

then add just a little something. But it needs to be minor. You need<br />

to find the right degree. When women want extremes, I send them<br />

home. Perhaps then they’re happy that I didn’t operate. Why take<br />

money from them when I wouldn’t ha<strong>ve</strong> a feeling of perfection?<br />

On fairness<br />

He demanded empathy from others but neglected offering any of his own.<br />

On relationships and fidelity<br />

Fidelity need not necessarily be an expression of true lo<strong>ve</strong>.<br />

What operation do you perform most often and which do you enjoy doing<br />

the most?<br />

The most frequent are eyelids, which definitely aren’t my favorite<br />

because I usually do them toward the end of my schedule. During the<br />

course of the day I ha<strong>ve</strong> around six cases of general anesthesia. I do<br />

noses, faces, face lifting, breasts, abdomens, and then in the e<strong>ve</strong>ning<br />

six eyelid procedures. I don’t enjoy them because you must work<br />

slowly – by half millimeters. It can’t be accelerated, as the cuts must<br />

be <strong>ve</strong>ry precise. But e<strong>ve</strong>rything besides eyelids I do <strong>ve</strong>ry quickly. One<br />

surgeon wrote that working on noses scares him. I like noses. I do a<br />

lot of them – three a day. It’s a relati<strong>ve</strong>ly short operation for me; usually<br />

it lasts less than half an hour. If I was to tell someone that nose operations<br />

only take this long they probably wouldn’t belie<strong>ve</strong> me. What’s interesting<br />

is that if the operation is done well most people won’t e<strong>ve</strong>n notice<br />

the new nose. Instead, they think the person has changed their hair<br />

style or the color of their hair. It’s amazing that others don’t e<strong>ve</strong>n<br />

notice a detail that the patient is so fixated on.<br />

What are some new de<strong>ve</strong>lopments in plastic surgery?<br />

Intimate surgery is expanding a little. But otherwise e<strong>ve</strong>rything revol<strong>ve</strong>s<br />

around the things that we’<strong>ve</strong> always done. Perhaps some new technology<br />

will come along, but I don’t really think there will be any fundamental<br />

changes. It will always hold true that the operation should be as simple<br />

as possible, with the greatest effect, as short as possible, and with the<br />

least possible stress on the patient.<br />

On disappointment<br />

The depth of our disappointment corresponds to our le<strong>ve</strong>l of trust.<br />

On loss and uncertainty<br />

If we confuse small problems for big problems we probably won’t ha<strong>ve</strong> any time<br />

left to sol<strong>ve</strong> real problems.<br />

It’s difficult to understand another person if we don’t understand oursel<strong>ve</strong>s.<br />

What is the meaning of life in your opinion?<br />

I’m a fatalist; I’m not afraid of death. Perhaps what I fear is that one of<br />

my children would not be sad at my passing. I tell them that life is<br />

beautiful and that it goes on. <strong>My</strong> children’s happiness is the most<br />

important thing to me. The meaning of my life is to take care of them<br />

and to provide them with a foundation for their future. I’m happy<br />

when they’re happy. Nothing else I ha<strong>ve</strong> achie<strong>ve</strong>d would matter if my<br />

children were not healthy and happy. Many mothers tell their children:<br />

“Don’t lea<strong>ve</strong> me; I’ll be miserable without you.” But that’s just psychological<br />

blackmail. When my daughter comes back from England, then I can<br />

do e<strong>ve</strong>rything to make her happy here. I know that she will lea<strong>ve</strong> again,<br />

but that she is going back to comfort. And she knows that whene<strong>ve</strong>r<br />

she wants she can come back and I will greet her with open arms. So<br />

I tell her to go, be happy, and when you’re not happy, come back<br />

again. The way you beha<strong>ve</strong> towards your children is the way they will<br />

beha<strong>ve</strong> towards you. I treated my mother in exactly the same way as<br />

she treated me.<br />

I know the outer extremes of human sadness, so I remain positi<strong>ve</strong>. I<br />

am always in a good mood. Giving something to people is what gi<strong>ve</strong>s<br />

me energy. The meaning of life is in what I do. Thanks to the work<br />

that I do I am able to gi<strong>ve</strong> people something. The happiness of the<br />

people I help gi<strong>ve</strong>s me strength. And e<strong>ve</strong>ry day I look forward to<br />

something – perhaps going to my cottage, going for a walk in the<br />

woods, to writing a book, making furniture, studying English and German,<br />

or going skating with my young daughter Tereza. Life would be empty<br />

if we didn’t look forward to things. I am an acti<strong>ve</strong> person; I can’t sit<br />

still for a moment. <strong>My</strong> energy is contagious and this is good for life. I<br />

teach children to be considerate. You need to ha<strong>ve</strong> the feeling that<br />

certain people are watching you. The meaning of life is to make others<br />

happy. This is fundamental. Joy from your own existence. This isn’t<br />

something that should happen once a year, but e<strong>ve</strong>ry day. This is what<br />

people should gi<strong>ve</strong> one another.<br />

Dr. Mû‰Èák describes his booklet of aphorisms as a “small contemplation on viewing<br />

the world around us, on di<strong>ve</strong>rgent perceptions of human nature and e<strong>ve</strong>nts, where<br />

nothing is fixed in time. With the addition of years, in connection with new experiences<br />

and knowledge, some things mo<strong>ve</strong> forward in our thoughts while others, to the<br />

contrary, are lost.”<br />

11

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