How Are You Doing in School
Dr. Salyer’s Question: How Are You Doing in School?
My standard question when I see my patients during the course of treatment is, “How are you doing in school”? I am making friendly conversation, but candid answers to 
this question help me understand how the child is adapting and if they are cultivating a sense of achievement – how the child is living. The response also helps me determine how the patient is coping with his or her treatment and facial changes. I’m interested in grades and extra-curricular involvement, as well. Curiously, I have found that many of my craniofacial kids are very good students – not all of them, mind you, but many are A and B-Honor Roll students. They seem to have developed a built-in, special talent to help compensate for their physical challenges. I’m not sure if this is innate or learned, but I have been so touched by resilience of their spirits and their astounding accomplishments.
Yet, there is a group on the opposite end of the spectrum. Due to their genetic definitions, they are often cognitively and developmentally delayed, as a result of Apert’s or other syndrome, but that instance is low. No matter what the facial difference, my commitment is to each patient as an individual and to help her or him live a fulfilling, productive life.
As a surgeon, I am often called upon to carve a new lip, but my goal is to carve a new life – or just a life for my patient.
