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An Interview With Oncologist Dr. Dikran Kazandjian

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  • An Interview With Oncologist Dr. Dikran Kazandjian

    AN INTERVIEW WITH ONCOLOGIST DR. DIKRAN KAZANDJIAN

    http://www.armenianweekly.com/2013/01/25/an-interview-with-oncologist-dr-dikran-kazandjian/
    January 25, 2013

    The following interview first appeared in Armenian in the Dec. 5,
    2012 issue of our Armenian-language publication, the Hairenik Weekly.

    Hairenik Weekly: Dr. Dikran Kazandjian, as an oncologist (cancer
    specialist) who recently visited Armenia, how do you evaluate the
    country's public health condition?

    Dr. Dikran Kazandjian Dikran Kazandjian: I was born and raised in a
    patriotic Armenian family, received my medical education in America,
    and always dreamed of helping our fatherland as best I could. I
    remember my first trip to Armenia, which was close to 10 years ago,
    when I was still a medical student at Boston University. During my
    summer break, I spent time in Armenia and visited Artsakh [Karabagh],
    which, all together, provided a great moment of enlightenment. After
    this, I had other opportunities to visit Armenia, especially pertaining
    to medicine. I was even afforded the chance to work for two months in
    a hospital in Yerevan during medical school, which gave me some insight
    into the Armenian medical system. During this time I made relationships
    with local physicians, allowing me to further understand the field
    of medicine and, in general, the culture of medicine in Armenia.

    Now, my evaluation is not one-sided; there are both good and bad
    sides that I can speak about at length. In general, there are a few
    professions, traditionally, that Armenians are known for (for example,
    jewelry, law, and of course, medicine). This means that there is huge
    potential for Armenians to turn into truly talented and dedicated
    physicians. It is important that we effectively manage our healthcare
    system and select and prepare the correct fields to mature, which
    unfortunately, I have not seen thus far.

    And, unfortunately, it is not always the case that aid from the
    diaspora goes to the most deserving and talented physicians. A
    physician's noble specialty does not equate well with the typical
    short-sighted "business" plan that typically infects all fields in
    Armenia. A physician's profession is a God-given right, a calling
    to heal people by those given the talent. When non-virtuous factors
    intervene, truly talented physicians become disappointed with the
    status quo. This creates various deep moral, psychological, and
    financial issues. And the only solution, some will say, is to leave
    the fatherland. Young, gifted physicians who don't receive the right
    encouragement will see emigration as the only solution. What is even
    more alarming is that this is becoming an issue of national security:
    An exodus of future talented physicians is a serious threat to public
    safety and the wellbeing of any country. It is fundamental to have
    the condition of the state healthcare system on the national agenda.

    HW: Please explain the arrangement you made at the U.S. National
    Institutes of Health (NIH) for the Armenian patient from Armenia.

    DK: I have been working as a cancer specialist at the NIH for around
    four years. The NIH is comprised of many internationally renowned
    specialists who treat a wide and complicated variety of medical
    illnesses. However, the treatment modalities that the NIH has excelled
    in and is known for are hematopoietic stem-cell transplantation
    (bone marrow transplant) and immunotherapy.

    During my trips to Armenia, I typically meet with my oncologist
    friends, and as we discuss different patients I give my advice on their
    care. It was during one of these sessions that I met a patient who
    was diagnosed with leukemia, and whose definitive curative treatment
    necessitated a bone marrow transplant. This patient was an active
    worker and had four children to take care of. Given the availability of
    treatments in Armenia, however, he was forced to seek care outside of
    the country. I offered to coordinate his treatment care and have him
    and his brother (his match donor) to temporarily move to Washington,
    D.C., to receive the needed treatment from the NIH. I began organizing
    the transfer and discussing his case with my NIH colleagues, thus
    reducing his wait time. I then decided to actively participate with
    the primary healthcare team responsible for his care at the NIH. I
    am happy that, with God's help, he has been proceeding well and that
    he has many years left to serve his family and our fatherland.

    HW: How involved was the Armenian community in Washington, D.C.?

    DK: The ARF "Sebouh" Gomideh's involvement is praiseworthy. Our ungers
    immediately created a committee for Armenian medical aid comprised
    of members from our different organizations, and played a large part
    in the patient's everyday and non-clinical needs. The ARS "Satenig"
    Chapter, along with the Washington Armenian community at large,
    helped with his practical needs, including finding residence. They
    greeted him and his brother with open arms and created an atmosphere
    that resembled a small Armenia for them.

    HW: What thoughts do you have about the field of oncology and of
    medicine, in general? What international Armenian possibilities do
    you see?

    DK: Much thought is needed about the future of oncology in Armenia,
    keeping in mind that a new cancer center with modern equipment is
    currently being constructed. Of course, this is great news. But
    my hope is that the funds and effort spent on this center are not
    only to make it an exceptional physical structure with exceptional
    equipment, but also to organize, prepare, and train exceptional future
    oncologists. I feel that this is the most important, albeit difficult,
    aspect. Regardless, in real terms, medicine will develop and mature
    when justice and fairness become the guiding principle, and begin to
    serve the general public in Armenia. Only when the political field
    is healed and made right will the medical field and Armenia's public
    health condition improve and advance in any significant way.

    Nevertheless, our Washington Armenian community is strong, and I am
    sure it will remain that way for a long time: Our D.C. Armenian Medical
    Association works on delivering much-needed medicine and expertise
    to Artsakh, while our ungers help our Armenian people, as much as
    they can. We are currently working hard to deliver medication and
    funds for our Syrian-Armenian brothers. Our patriotic ungers always
    attempt to do what they can, and to deliver aid to needy Armenians
    found on the four corners of the world.

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