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DEVELOPMENT OF DENTISTRY IN BALUCHISTAN
Baluchistan was at one time governed by the agent to Governor General of Pakistan and it was known as British Baluchistan and rest of the states like Kallat, Lesbella, Mikran, Kharan – were the domain of the Nawabs. After the dismemberment of the four provinces into one unit, West Pakistan Province, Quetta and Kallat were demarcated in two divisions governed by the Commissioner and the Districts were administered through Deputy Commissioners.

Till 1956, there was no specific qualified dental surgeon in any District Hospital in the whole of Baluchistan, Sandeman (Civil) Hospital Quetta was the biggest centre administered Hospital having the physicians, surgeon, pathology, radiology, children speciality, gynecology, ENT. It had no system for diagnosis or treatment of oral health problems of the people of Baluchistan was there.

One unqualified dentist used to visit the Civil Hospital, and in the Town, there were three or four technicians who were functioning as “denture makers” or pullers of teeth. General Surgeon used to do some aspect of surgery on the head and neck and some of the dental aid was sought from the CMH Dental Section headed by a rank of Captain or Maj. (Yaseen Shah). There was no system to evaluate ORAL surgical need of the population and there was no system to have their treatment plan or any other procedure as there was no record of the disease or treatment available.

I was posted as the first ever Dental Surgeon for Quetta Kallat Divisions at Sandemon (Civil) Hospital Quetta on 23.11.1956. On my taking over, I found there is civil surgeon Dr. M. A. Durani, who was Eye Specialist and was very good at administration, there was Dr. M. M. Hu ssaini physician and his junior Dr. Ghulam Muhammad, on surgical side Dr. Akbar Khan was very friendly and I was accorded a warm welcome and found very helpful attitude from all of them and from all the departments. Everybody was happy atleast someone has come with new knowledge to help the patients both in reducing etiological factor of a dental diseases and surgical procedures including the restoration and maintenance of the other procedures.

During my student life, I was neither interested in continuing dentistry nor in becoming specialist and my interest in dentistry was not deep rooted. However, I was getting patient from all the professionals, my examination method and behaviour was considered good, and intelligent by the patients. However as a student I never tried to stand first in any of 4 professional examinations in college. Once in 3rd year I got 1st position, in medicine and third position in 3rd profession and never-ever got any gold or silver medal in academic or clinical side. I was active in debates and extra curricula activities like writing of articles etc. giving lectures in the schools and was elected General Secretary 1954-55 and President 1955-56 of de’Montmorency Students Union and was also General Secretary of many other students organization.

On reaching Civil Hospital, I had to see the conditions of the people, their need and budget of the hospital. I started my work seeing the patients, on an ordinary chair with my own examination instruments of student life. The news of my good work spread in the city like wildfire, that a young and a competent, smart dental surgeon has been posted at this hospital and he is helpful to the patients. So the individuals, groups of people, men and women started visiting the hospital in dental clinic. I found many other people at an acute stage of Alveolar abscess, pulpits and chronic diseases involving the oral cavity and systemically general diseases. Many of the people had the periodontal disease with heavy plaque and calculus deposits, many had dental caries, occlusal trauma, periapical infection and bad environment and other lesions like syphilitic lesion, osteomyclitis of jaw cancer of very advanced nature of cheek, tongue and lip . The children from 5 to 10 years were having different disease, hyperplasia of gums, ulceration and Necrosis of jaw bone. I have plenty of such disease, which we have not seen during student life. I persuaded the Civil Surgeon for budget for equipments.

I arranged to purchase the dental equipment, medicine from Lahore to plan necessary treatment for the population of Pakistan. I used to see initially 60 to 80 dental patients daily with periodontal conditions had increased, teeth abscess. If someone required extensive treatment, I used to admit dental patients in the Hospital for long treatment. My diagnoses was very quick a based on my study, experience and patients with mild, moderate and advance type of gingival problem. They were full pathology and of advanced nature. There was no system to find out scientifically, etiology of specific factor, like bacterial growth, gram positive and gram negative bacteria for detecting infection, the local and systemic environment have contributed to the patients disease. Culture sensitivity test was not available so the diagnosis was on my will and quick action. There was hardly any broad spectrum antibiotic available at that time in market. Sulfadiazine Tables APC was the only choice to be prescribed for swelling or for post operative care. Injection Penciline was available and this injection was a good source of specific relief to the patient and this drug has saved many lives of this area.

I was very quick in surgical procedure too in removal of the teeth and I have been doing scaling, dressing and restorative procedure in some of the cases wherever it was the necessity. There was no record system, however, I trained ward boys and dental technicians to help me in sterilization of the instruments and maintenance of record. We got a good many cases which were published in various journals like Pakistan Dental Review Lahore and Medicos in Karachi.

I used to arrange the clinical meetings of medical people in Sandeman Civil Hospital, Dr. Zafar Hayat, a Physician with MRCP at that time he was president PMDC, and remained Principal Nishtar Medical College Multan, Medical Superintendent Dr. A. H. Chaudhry, Dr. Abdul Aziz, ENT Specialist, Deputy Director and other presided the clinical meetings. It was a good interaction between the medical people and personnel of all ages. Through these clinical meetings, message of dentistry was spread to the medical men. I presented my case of acromegaly i.e. inter-dental separation i.e. migration of teeth, hyperplasia of gums during pregnancy and in this way Medical men were convinced that dentistry is a part of medical science. This message has given boost to the dental profession and thus I could establish dental section on a very important and standard line to deal with the patients for examination, evaluation, extraction, restorative treatment and surgical manipulation. Almost all patients were happy and the message of the dentistry spread far and wide to health division and I used to get the patients from all walk of life rich and poor, men and women and children.

The Military Staff College Quetta is a very significant Military Institution, Col. Abdul Hameed Khan, the Commandant Staff College and his wife were my patient in my youth and I had performed extraction of the wife of Commandant Staff College (later on General) under general anesthesia in CMH. Commissioners, M. Masood and M. H. Sufi, of Kallat & Quetta divisions and their families were my patients. I. G. Police of Pakistan, Justice S. A. Mahmood and his wife were treated and cured at the dental clinic Sandeman (civil) hospital Quetta during their visit to Quetta. Among the other politicians Makhdoom Talibul Moula stalwart of PPP from Sind, Mir Murad Jamali and Jaffar Khan Jamali and his family, Khan of Kalat family, Principal of Colleges, Commissioners, Deputy Commissioners, Abdul Samad Khan Achakzai, and many others were my patients and they appreciated my services.

During my stay at Quetta in 1956-61, it was an important city of West Pakistan, it was neat and clean and it had no lofty buildings due to fear of earthquake. I have written a poem on Quetta which was published in Quetta Journal. The earthquake hit this area in 1932 perhaps, whole of Quetta was demolished, except Cantt area, countless deaths were reported, many children were orphaned, many women became widows and heavy loss of human life and property ensued. Quetta has got a few places which attract outsiders and it is a good source of income as part of tourism. Quetta is rich with fruits and its climate is very healthy except during the cold period. When Qandhari winds blow, it becomes very cold. Some of the area of Baluchistan mostly closed down for 3 months due to snow fall. People are kept at home and they eat “Landhi and Larary” and no movement can take place because roads are closed due to heavy snow. There was no arrangement to remove the snow. Therefore, during the said period life of some villages become still for agriculture production and source of water is underground Karaz. There is no canal system, snow, heavy rains provide a source of water.

The Kalat division is far from Quetta, about 250 miles. Khan of Kalat acceded to on 29th March 1948. Dr. H. R. Shah, Principal de’Montmorency College of Dentistry, Lahore visited Quetta in 1958, he had his friend Dr. A. M. Jaffar at Quetta who was a renowned physician and a very good person. Dr. Shah and Dr. Jaffar were together at (U. K.) during student life I took Dr. H. R. Shah to Kalat via Mustang on Jeep provided by Deputy Commissioner, Quetta, in order to open up second dental clinic at Divisional headquarter Kalat. Dr. Shah was progressive, dynamic and thus we took this adventurism by road, it was barren - on the way, no water could be seen. On reaching Kalat through Hills and stones on both sides, we could not recognize each other, our faces were covered with the dust through the wind of the area and we were shivering with cold wind. We met some of the people and Dr. Siddiqui a Physician Civil Surgeon and it was decided that dental clinic may be opened, as there was no facility of dentistry for the people of Kalat. On our recommendation, the second dental clinic was sanctioned by Dr. M. A. Durani, Deputy Director, Health and Dr. Mushtaq Ahmed, BDS was posted as a first dental surgeon of Kalat Division. This was the second dental surgery clinic in Baluchistan.

Appreciation by Federal Health Ministry
In such young age, I was posted in that region, surprisingly I have to see diseases of such pathological and advanced nature in early life of profession, after seeing such cases all my other interests vanished except to rescue the unfortunate from the clutches of the dreadful diseases. It may be added that in those days (1956) house job for all dental graduate was not essential therefore, I could not do my house job whatever I did it was my own initiative, interest and confidence. And this has resulted to stand with the patients in different position. I have come cross many such different cases of civilian population and from the military areas of Quetta. Lt. General Wajid Ali Burki, as Federal Health Minister in Ayub Khan Government, at his visit at Civil Hospital, Quetta (1958-59) and he visited dental surgery department at Civil Hospital Quetta he saw my surgery and was impressed by modern equipment and management on his appreciation I dared to place my articles on dentistry before him which was published in Pakistan Dental Review Lahore. Health Minister appreciated my writings before the Commissioner Fareed ulllah Shah, Civil Surgeon Doctor M. A. Durrani and Physician M. M. Hussaini. The Minster also encouraged me to write such useful papers in future. He described me in another public meeting of village aid function as “a young dental surgeon M. A. Soofi with small degree BDS but with versatile brain, keen and vigorous at research writings and is working very hard for welfare of the patients. He also appreciated my power of writings and collection of interesting patients with different ailments. He also saw photographs of such cases in my Album. Of course the photographs and research was at my own cost as a fashion of interest. He too expressed such views in his other engagements at Quetta. Remarks of General Wajid Ali Burki, Minister for Health of Pakistan were very encouraging for me. He said “a genius doctor was, not less than a decoration and ultimately such people wedded themselves into accounts of treasure of advancement in research/service and thus they engaged themselves in this war of writing. Due to this encouragement in my early age of profession, I made school dental health surveys of English medium school and Urdu medium schools at Quetta and had analytical results, these results and research on Periodontal condition of Children in Pakistan were included in my dissertation 1970 University of Dundee Scotland U. K. for my diploma in Public Health Dentistry and the remarks of the examiner on this dissertation on my original work were that “this is addition to international literature”. People elsewhere in other continents started interest in my articles and investigation and requests for reprints were received from all over the world Libraries almost all the countries have got Pakistan Dental Review. During my days at Civil Hospital I have written following articles, which were published in Pakistan Dental Review and was abstracted in USA and were asked for: -

  • Dental Health in Pakistan- appeared in Pakistan Dent. Rev. 18-30-36 an. 1968. Perodontic Department of Dental College, Seoul National University, 111 Songong dong Choon KU, Seoul Korea.
  • The Tooth and the Eye- Appeared in Pakistan Dent. Review. Vol. 18 pages 73-75, April, 1968, Universidade Federal do espirito santo (Brasil), 6500 Wissahickon Avenue Philadelphia, Pennsylvania, 19119, USA. 523 Waldon Building Little Rock, Arkansas and School of Dentistry, University of Southern California, 925 West 34th Street Los Angeles, California, 90007.
  • Culture and Sensitivity Tests for an Antibiotics in Periodontal Disease- Appeared in Pakistan Dental Rev. Vol. 18 (3) Pg. 103-106, 1968, Smith Kline and French I.A.C. 300 Laurentian boulevard Montreal 9, Quebec.

During my stay at Sandeman (Civil) Hospital Quetta 1956-61, I have written the following articles, published in Pakistan Dental Review and Others:

  • A case of Ludwig’s Angina as a result of Poor Oral Hygiene.
  • Dental Complications and Sarcoma.
  • Oral Cancer
  • Osteomylitis as a Result of Wise Tooth and Unwise Technique.
  • Gangrenous Stomatitis
  • Tongue Cancer as a Result of its Traumatic Bite.
  • Influenza and Hemorrhagic Gums
  • Reaction of Local Anesthesia in Dental Operation

On June 3, 1961 after my Nikah ceremony at Quetta I was transferred to Mayo Hospital Lahore in August, 1961 as incharge of dental clinic in outdoor. Dr. Abdur Rauf Shah, Dental Surgeon from Bahawalpur was posted at my place Quetta 1961 and he remained there till his retirement. Dr. Rauf Shah was a gentle person, and smooth worker but he could not do much of expansion except when Bolan Medical College was created, dentistry was included as a part of Medical College Quetta. My wife Dr. Mrs. Iqbal Soofi MBBS was kept at civil hospital Quetta. She was woman medical officer looking after the female patients in out door from 100 to 120 daily also – indoor patients in female, medical, surgical, gynae and children wards. She was also teaching the students of Aminud Din Medical School Quetta, and she was also girls’ hostel Superintendent because there were only 2 to 3 lady doctors. Her transfer to Lahore was difficult, I had to visit Quetta to see her, to meet my old friends and to watch the development in dental health. However, she was transferred to Lahore in 1963 with great efforts at Institute of Hygiene and Preventive Medicine, 6-Birdwood Road, Lahore in Food and Nutrition Department. After a year, she was again transferred to Rural Health Centre Chala District Kambalpur. I was posted in Mayo Hospital, so we decided to go back to Baluchistan once again in 1964, when the West Pakistan Government placed us at the disposal of Health Department Quetta. So we reported to Deputy Director Health Dr. M. A. Durani, who posted my wife at District Hospital Camp Ziarat and he too posted me as Dental Surgeon Sibi / Ziarat. We had lot of work even at Hill Station. It was our luck that we were posted at a place, where founder of Pakistan Quaid-e-Azam Muhammad Ali Jinnah spent the last days of his life. We had enjoyed our stay in summer as offices shifted to Sibi in Winter. I arranged to set up a dental clinic at Sibi, Deputy Commissioner Karim Lodhi funded it. During our stay at this station Sibi/Ziarat we have observed election of 1964-65 of Ayub Khan and Madri Millat Mohtarma Fatima Jinnah. Mr. Fareed Ullah was Divisional Commissioner and Mr. Karim Lodhi was Deputy Commissioner Sibi. Mr. Bashir Khan was Deputy Commissioner Quetta, Capt. Asad was Deputy Commissioner Loral Lai. All have persuaded the B. D. Members to cast their votes in favour of Field Marshal Muhammad Ayub Khan and we too have witnessed Sept War 1965, with Bharat. We, husband and wife had served the soldiers so we started school dental health programme in Sibi and treated many people. During my stay at Sibi and Ziarat I got lot of experience about the culture and prevalence of the oral disease in this area.

BRITISH COUNCIL SCHOLARSHIP
The British Council announced one scholar ship for advancement in medicine and dentistry and it was publicized in both wings of Pakistan. I applied there were several other candidates from the medical and dental side, however, I was selected having credit of publications on different aspects of oral cavity and according to the standard merit of British Council I was given scholarship in the field of Periodontology to benefit my countrymen who are suffering from gums diseases. This is reason, I always says, Quetta Civil Hospital’s patients made me fortunate to get British Council Scholarship. This region is my teacher.

As a British Council Scholar (1965-66) spent one year at Eastman Dental Clinic at British Post-graduate Dental Institute, University of London, I have done research work on “Comparison in Vitro, of pencillin, lederamycin, cephaloridin, neomycin and flagyl against isolated colonies of Fusiformis bacilli from acute necrotizing ulcerative gingivitis cases”. I read this paper in Third meeting of the International Academy of Periodontology, held in Kyoto Japan, 14-16, April, 1988. Published in Recent Advances in Clinical Periodontology, Excerpta Medica, Amsterdam, New York, Oxford. I framed my mind for treatment and diagnosis of a vital and sparking problem of Pakistan “Periodontal diseases” and research in bacteriology. Due to proper training and exercises in a clinical surgery at London University, styled my career as a Periodontist successfully. Perhaps I stand as unique, so far in my country is concerned. This was neither my hope nor I planned for it. This is second incident, that I gained/ new knowledge in periodontal surgery and confirmation stands with my experience style, skill and hope.
Hope keeps a person alive for dreaming and planning. Thus my ideas made my future for preventive discipline and I am engaged here with many articles and a book on Dental Public Health 2001 for postgraduate. A chapter on Dental Public Health by me is included in Community Medicine book for MBBS, written by Illyas and Ansari.

Dentistry in Baluchistan – Dr. M. A. Soofi a pioneer Dental Surgeon Quetta/Kalat Region Quetta :
23 Nov-1956 to Aug-1961.
Prior to my posting at Sandeman (Civil) Hospital Quetta by the then West Pakistan Government Health Department, Lahore, there was no qualified dental surgeon in Baluchistan. Dentistry was not known in any corner of this area and no facility of dental care was available in any government hospital. There were few quacks practicing in the market at Quetta and some elsewhere in Kalat. These were dangerous men and had spoiled many cases by ill treatment. On my arrival at Quetta I dreamed of setting up a dental clinic with open eyes on the modern lines with the hope to serve the common people and children of this region. Because many people were trapped in many advance diseases of oral cavity and there was no separate healing centre at any place except Combined Medical Hospital (CMH) had a dental unit and chair under the supervision of Captain or Major of Medical Core. Since there was no dental care centre with hospital to treat these patients so I started the health education programme in English and Urdu Medium Schools and to Government College Quetta and started writing of articles on dental health care in urdu and had a chance to broadcast from Radio Pakistan, Quetta in 1958. I had addressed the citizens as well, educating them about scientific methods of treatment because dental healing system was carried out by faith healers or unqualified practitioners and unqualified hakeems.

On the basis of education, the region of Quetta / Kalat (Baluchistan) was very backward and most of the area had been governed by the British and called British Baluchistan. Whereas the states of Kalat, Mikran, Khuzdar, Lasbela and others were governed by the cultural system of Sardari Nizam, there was no education system in any state and Sardars could not afford to educate the people due to fear of being challenged by them. Each Sardar owned his domain and whatever he said, was the last word, he used to have separate jail thus education could not develop in these states and these areas were most backward areas in all field of life.

Setting of dental section at Sandiman (Civil) Hospital 1956 was a new challenge in that system, Civil surgeon, was the head of the Hospital or Institution. In this hospital, all specialities of medicine, surgery, gynecology and children – Medical Laboratory & X-Ray were available except dental surgery. Thus this hospital became teaching hospital for Ameen ud Din Medical School Quetta to create Licentiate Doctors in Medicine. Almost all the higher qualified staff of this hospital was teaching the students. Prof. Dr. Baligher Rehan MRCP was professor of Medicine and Principal of Ameen ud Din Medical School, Quetta.

After my arrival at the hospital 23.11.1956, I had convinced the administrator (Civil Surgeon) of Hospital that dentistry is very essential in this part of land and people suffer from various oral cavity diseases. So as similar difficulties were felt for the cases of harelip and cleft palate, cleft palate was a congenital defect. Even all the medical staff needed Dental Care.

I used to arrange the scientific session (Clinical Meeting) in Civil Hospital, Quetta each month in order to attract the medical and dental doctors of Ameen ud Din Medical School, for better learning. Luckily Dr. Zafar Hayat was posted here as a physician, after his return from London with MRCP. He was a sharp and intelligent physician and sweet mannered friend, later on he became Professor and Principal Nishter Medical College Multan and lastly, he was elected President PMDC. During that Quetta period he used to encourage me a lot, his letter is being written to me dated 31.05.2003 produced here:

“I am glad to have your letter and your ambitious plans to write the history of Dentistry in Pakistan. I know of your pursuits in the world of literature and various publications in the discipline of Dentistry. Your career in Pakistan Dental Association was always vibrant. I can send you some of the information available with PMDC”.
There was another letter from Prof. Dr. Zafar Hayat, where he mentioned my topic of discussion in 1958, he remembered my days of past at Civil Hospital Quetta after about 40 years. This speciality of dentistry was absent in this part of land till my posting on 23.11.1956 as the first ever Dental Surgeon of Quetta/Kalat Regions by the then Govt of West Pakistan.

I became Secretary of this scientific medical committee of the Sandeman (Civil) Hospital Quetta. When I presented my research survey report, and other matters, I was given budget by the Civil Surgeon for purchase of dental equipment and I purchased the instruments from Lahore and installed them in a room, on medical ward side, thus the dental clinic was set up during 1956-58 in a small room with modern equipment’s and services to patients were started in a befitting way.

I became an active member of Pakistan Medical Association Baluchistan and in other social activities and was a teacher in Dental Health for students of Amin ud Din Medical School. I had received various advance cases of dental diseases and many cases of deformities and destruction. I dealt with many maxillo-facial cases, fracture problem of jawbones and thus my professional skill was very much highlighted and appreciated by Medical doctors and patents. Each person of Quetta had an access to the first dental clinic of Baluchistan, though he / she may have to stand in long row, I had courage to treat as many as cases 80 to 100 in a day and provided services to the people of Baluchistan at large. Due to my personal interest in profession every civil officer was my patient, the dental clinic became popular center for providing dental care to army officers as well. I used to visit CMH for treatment, for example the wife of Commandant Staff College Quetta, Brig. Abdul Hameed who later on become General was my patient. Many dignitaries Sardar / like Mir Jaffar Khan Jamali, Makhdoom Talibul Maoula, divisional commissioner Kalat & Quetta. Mr. M. Masood, Mr. M. H. Sufi and their families were my patients and all the Tribes Sardar and Nawabs were attracted to the hospital for their treatment. So there was great name in Dentistry and development of Dentistry in Baluchistan through my services. I have been dealing with such cases like “Ludwings Angina”, Oral Cancer and Syphilic Lesions and others published in “Pakistna Dental Review”.

The Pakistan Dental Association Lahore has nominated me as a Convenir of Quetta/ Kalat Division. Meanwhile Radio Pakistan started its broadcasting from Quetta. Mr. K. J. Ali was station director and Nasir ud Din Nasir was Deputy Director - a scholarly person, who later on did D. Lit and become religious scholar and I used to give talk on the radio on dental care. I had the honour to serve Pakistan Railways employees in the Railway Hospital Quetta for dental diseases. On my arrival at Civil Hospital Quetta the news spread like wild fire in both division. There was chief nurse of Railway Hospital; she visited my surgery at Civil Hospital with dental problem soon after my arrival in Nov. 1956. I examined her and told her, you need general anesthesia for removal of your wisdom tooth and there is no arrangement at this Hospital as yet. Yes, she said “Sir if you could come to our Railway Hospital, we will arrange anesthesia. I was very enthusiastic I agreed and I walked to Railway Hospital from my residence. I removed the tooth under general anesthesia that was my first operation and achievement, after my graduation BDS from de’Montmorency College of Dentistry Punjab University-1956. I did not serve as a House Surgeon at Lahore, after finishing my surgical task on that day I started walking to my residence. On my departure the attendant of Nurse gave me Rs. 10/- as my fee, I refused to accept but she insisted to take Rs. 10/- again and again. At that time value of Rs. 10/- was very high. I saw Rs. 10/- for first time and note of Rupess in my pocket four times till reaching my clinic. In these days my official pay was Rs. 250/- + Rs. 48/- as month salary.
Dr. M. Ibrahim MBBS, later on reknown Radiologist had constructed some shops at Liaquat Road, Quetta. During his posting at Quetta, he was selected for higher studies from Civil Hospital Quetta and was my senior colleague, his son Prof. Dr. Haq Nawaz was medical student at that time. In his shop a medical practitioner Dr. Haqui was practicing he was a genius, very nice, sympathetic. He advised me to start dental practice at evening, So I started my private clinic following his advice and he gave me a room. I purchased a steel iron dental chair “field dental chair” costing Rs. 158/- only. One of my friend Sh. Mukhtar Ahmed photographer of Soil Conservation Department who was my patient and became good friend donated me a flexible table lamp which I fixed on the wall and Tin of dalda was used as spitoon. Sterilization was done through boiling system so I started my practice in that small shop with simple equipment. I used to charge fee of Rs. 5/- my fee at that time. All the dignitaries of that area mentioned above were treated in the steel chair by me. One of them, Makhdoom Talibul Maoula was a very great person he gave me Rs. 10/- fee at that time, it was most astonishing. So this made the dental profession popular in that region and I was given tremendous respect by lady doctors, doctors, Medical Superintendent, police officers, civil officers, army officers, citizens high or low each person knew me. Iranian Counselor Aga Afsaryab Nawai was also my patient and I used to speak a little Persian with him. However, I was not very well at Persian, for one patient I received Rs. 5/- as my fee I used to enjoy Lal Kabab as I was doing body building exercises and patients was sufficient, it was difficult to spend Rs. 5/- each evening.

Visiting Macchh Jail as Dental Surgeon
Macchh Jail is very big Jail of Pakistan in Baluchistan. Prisoners in this jail are very dangerous dacoits & killers. When I enter in the office of Superintendent Jail I asked him kindly take out all the people in ground those who have teeth problem. He said “what you are talking young boy”? they are very dangerous prisoners, you have to see them in their cell with two or three officials. I was young and was doing bodybuilding at that time I had confidence in me and I examined and treated the prisoners without any problem. On my persistent, he asked caretaker to take the prisoners in the ground. I saw each prisoner. He was very dangerous having high height, stout body with red eyes. I used normal psychology, firstly I judged his language he was pashtoon then easily I spoke in pashtoo and treated him with no fear. One who was from a Persian speaking area, I spoke Persian for him. The pashtoon prisoner patient said “you are pashtoon, my brother, there shall be no pain and asked me “you remove tooth without anesthesia”. I told him it will be painful but I could not convince him and ultimately I removed his tooth without anesthesia. On such performance “Jail Superintendent” astonished how this young boy could deal with such dangerous prisoners I told him, they only need love and if you treat them with love, they will behave well. All prisoners are treated by me in a friendly manner.