Nation Doctors in Hyderabad hospital perform 3 double lung transplants in 24 hours Deccan Chronicle| dc correspondent Published on: November 25, 2021 | Updated on: November 25, 2021 Surgical team. This procedure was performed in Hyderabad by Dr. Sandeep Attawar of KIMS Hospitals and his team on Sunday morning. As a proctor for HM3, Jarvik 2000, and Reliant Heart, he is involved in advancing the field of mechanically assisted circulation using Left Ventricular Assist Devices (LVADs). ,
He has also been invited to partake in an initiative led by an NGO from Minneapolis, USA that provides heart surgeries in Somalia, where he will be travelling with his team later this year to perform critical surgery on 28 children with heart defects over a 10 days period. As far as hobbies are concerned, Dr. Attawar considers himself somewhat of a history buff with a particular penchant for the first and second World War as well as a budding interest in classical music theory. Women face sexual violence in Manipur, video clip surfaces, Selective prosecution: on the Enforcement Directorate and T.N. Dr. Sandeep Attawar is one of Indias leading cardiothoracic surgeons and a recognized expert in the field of heart and lung transplantation. Dr. Sandeep attawar regarded as one of India's best cardiothoracic surgeons, with a reputation for doing heart surgery on patients in age from baby to 80's Dr. Sandeep K Dham - Vallejo CA, Cardiovascular Disease (Cardiology) at 975 Sereno Dr. She was kept under observation after the surgery. To date, the program has enabled over 800 children to have life-saving operations and the joint initiative has been extended across Fortis extensive network of hospitals nationwide. He is part of a number of well-reputable societies and has remained a leading researcher. Ministers, Terror module busted in Bengaluru; huge cache of firearms recovered, An anachronism: on the Commonwealth Games, Show of strength: On the NDA and its coalition versus the Opposition, Reliance Industries will have special pre-market trading session today for demerger, Ananya Birlas Svatantra MicroFin buys out Sachin Bansals microfinance business, Targeting of Kukis the main reason behind Manipur violence. Ltd.#16-00 Robinson 77, Singapore 068896, Cardiothoracic Surgeon, Cardiologist, Cardiac Surgeon, 31 years experience overall (23 years as a specialist), MBBS - Smt. If you are already a registered user of The Hindu and logged in, you may continue to engage with our articles. Dr. Sandeep is currently in the Gleneagles Hospital looking after Division of Cardiac Surgery, Solid thoracic organ transplant and Mechanical Circulatory support as a Cahir and Program Director. Dr Sandeep Attawar is the Chair & Director of Thoracic organ transplants and Assist devices at KIMS Institute for Heart & Lung transplantation. Dr. Sandeep Attawar director and chair of heart and lung transplant at Global Hospital has saved a life of 24 years old Mumbai girl Akshara Aher, a resident of Panvel, was suffering from rare. Its not as though I [entirely] divest myself from my professional responsibilities, simply that those that have supported me deserve as much of attention as I can spare.. My parents were equally scared with my condition getting worse. He has participated in over 10,000 open and closed heart surgeries in adults and children. Director , MBBS, MS, MCh 22 years of experience Chennai, India. His work during this period has involved healthcare giants such as Narayana Hrudayalaya, Apollo Hospitals, the Global Hospitals India Group, and Fortis Healthcare. check the Cookie Policy, Pediatric transplant surgeon, Cardiothoracic surgeon, Thoracic surgeon. Dr. Sandeep Attawar has remained the leading and successful surgeon and transplatologists of India. What does Dr. Sandeep Attawar specialises in ? She managed medically for a very long time but her conditions worsened of late. Dr. Sandeep Attawar has claimed their profile. What is Dr. Sandeep Attawar's education qualification? Click on the chart to see the detail salary data for Water Treatment Specialist in each city. By continuing to use this site, you agree to our. To play even a small part towards [strengthening] the fabric of the global community, this is enough for me, he says. by Staff Writer June 28, 2022 Sitka, AK typically sees higher pay than Madison, AL for Water Treatment Specialist. Nice effort congratulation to ur whole team. Assessment Nurse, Finance Management Trainee, Microsoft Expert. I encourage everyone to look within himself or herself, grasp the thing that they have a deep affection for in this world and think about how they can play a role in its preservation. Phone: (707) 651-1000. He was born and spent his formative years in Ahmedabad, did his medical schooling and specialized in General surgery at the Sheth KM school of PG medicine. ,
Dr Sandeep gangaya has 7 jobs listed on their profile. He has a thriving practice of over 22+ years & over 9000surgeries to his credit. Manage account services through quality checks, service work and other follow-up activities. Dr. Sandeep Kunwar is the surgical director of the California Center for Pituitary Disorders at UCSF and has over 20 years of experience performing transsphenoidal endonasal surgery for pituitary tumors and other types of lesions in the pituitary region. The #1 Medical Tourism Platform since 2014, Since 2017 Director & Chair of Cardiovascular Surgery, Thoracic Organ Transplantation & MCS Program at Global Hospital Chennai (Gleneagles Global Health City), 2013-2017 Head of the Cardiac Surgery, Mechanical Circulatory Support, Heart Transplant Department at Fortis Gurgaon Memorial Research Institute, 2012-2013 Director of Cardiac Surgery and Thoracic Organ Transplantation at Global Hospitals Group in Chennai, 2010-2012 Vice President and Director of Cardiac Sciences Center at Narayana Health in Jaipur, 2005-2010 Chief heart surgeon and Head of the Cardiosurgical Division at Apollo Dhaka, 2003-2005 Senior cardiac surgeon consultant at the Rabindranath Tagore International Institute of Cardiac Sciences in Calcutta. We treat some incredibly ill children and it has had an impact on all of us, made us want to be better and do better, says Dr. Attawar. All rights reserved. India organ transplant gives you facilities of medical visa, travelling, booking appointments, hotel stay. Sandeep ATTAWAR, Chair and program director | Cited by 236 | of Krishna Institute Of Medical Sciences University, Satara (KIMS) | Read 39 publications | Contact Sandeep ATTAWAR Indeed, it was at his behest that the Fortis Foundation sought out and consolidated ties with the Afghan Red Crescent Society, an NGO out of Kabul, founded by Western and Middle Eastern aid organizations that funds children from remote parts of Afghanistan suffering from CHD. Read our Privacy Policy for more information. Experience with membrane treatment systems. There is also considerable variety on the treatment front, including combination of medicines, catheter-based procedures, corrective surgeries and even heart transplants, all of which have benefited from the tremendous strides made by modern medicine. Dr. Sandeep Attawar has the following qualifications - MBBS, MS - General Surgery, MCh - Cardio Thoracic and Vascular Surgery. A world-renowned surgeon, Dr. Cooley pioneered many techniques used in modern cardiovascular surgery. His expertise also covers heart and lung transplant with a 85-90% success rate. To see him interact with a patient is to see someone possessing compassion in spades, far outstripping any obligation one might possess towards ones fellow man. Dr.Sandeep Attawar is a firm believer in universal access to quality care and outcomes in heart and lung transplants,striving to provide the highest quality of care to patients at his institution. We use cookies to personalize content and to analyze our traffic. Dr Attawar is widely recognized for his expertise in performing complex heart surgeries in patients ranging from neonates to octogenarians. My surgery got done at really reasonable prices. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target. Qualification MBBS, Ms - General Surgery, MCh - Cardio Thoracic and Vacular Surgery Sandeep Attawar, Cardiologist in Chennai: Get complete information about Dr.G. However, for the replacement of serious damaged organs, there has to be an increase in deceased organ donation. This button displays the currently selected search type. Additionally to our primary activities, we collaborate with charity projects and create supportive communities. Dr. Sandeep Attawar is a specialized Cardiac Surgeon and is one of the most sought after doctors in Secunderabad, India. In 2014, surgeons at the Fortis Memorial Research Institute (FMRI) set a landmark for cardiac surgery in North India by successfully implanting a US Food and Drug Association approved Mechanical Heart a type of Left Ventricular Assist Device or LVAD - in 29-year-old Majhool. Reflect on career milestone of 10,000 surgeries; Though I am very fortunate, to achieve such a figure in the middle of my career, I try not to fixate on such statistics. I want to keep learning, keep growing. Stand with Ukraine and support us in a fight for freedom and democracy in Europe. These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of Water Treatment Specialist in the United States. Over his career, he has participated in over 10000 open and closed heart surgeries, Lung and Heart Transplantation in adults, Left ventricular assist device implants for failing hearts and is capable of performing a .
To hear him elaborate on his work is akin to craftsman waxing lyrical, a perennial sparkle in his eye accompanying any description of a well-executed procedure. That said, simply being able to touch so many lives in a positive way is extremely touching. Select Accept to consent or Reject to decline non-essential cookies for this use. That said, I am cognizant of the fact that the out-of-pocket nature of healthcare expenses in our part of the world means that patients can suffer if doctors push untested or unnecessarily novel procedures or technologies on their patients balance, as with everything else in life, is key here. Serves as the Director of the Cardiac Surgery&Thoracic Organ Transplant Program at Gleneagles Global Health City. The ideal candidate will be someone who is handy and has a willingness to learn. What area of specialization does Dr. Sandeep Attawar have? Dr. City-based heart and lung transplant surgeon Dr. Sandeep Attawar has become the first Indian physician to be part of a committee under the International Society for Heart & Lung Transplantation, which sets transplant guidelines for the medical fraternity around the world. Dr Sandeep Attawar is one of the most coveted surgeons in the field of heart transplant and cardiac surgery in India. If performed artfully, there is a 90% post-operative one-year survival rate and potentially extending life well over a decade, as compared to a heart transplant which has a 40 percent survival rate after 10 years. A desire to overcome my failure, coupled with an innate ability to use my successes to fuel my efforts, serves me well. Since 2001 he specializes in setting up greenfield heart surgical services.He has since 2011 expanded this repertoire to Thoracic organ transplantation and mechanical circulatory support . How many years of experience does Dr. Sandeep Attawar have? You need your family behind you, you need your friends behind you its very stressful for everyone, says Dr. Attawar. Senior Vice President; Lead Key Initiatives; Head ESG; Narayana Health. As Akshara has developed the Ventricular Septal Defect and Eisenmenger since childhood, at the age of 24 her condition got worsened and she had to be put on oxygen-based therapy at home. Dr Attawar Sandeep, Tuesday, January 5, 2021 There are 65 million adults in US who have heart failure. In these 28 months we have performed 400 surgeries on children who come from under privileged backgrounds and most of them cannot afford surgery and are worried endlessly waiting on public sector hospital waiting list. The information provided on the website is not a guide to action and should not be construed as medical advice or treatment recommendation and doesn't substitute the visit to a doctor. Clinics On Call, 2020. We are seeking a Water Treatment Installer to join our team of sub-contractors. About Dr Sandeep Attawar. I was weak and unenergetic but when we came to Global Hospital they understood me and my condition. He has performed more than 10 thousand successful surgeries in his past with 3500 pediatric surgeries. Dr. Sandeep Attawar has been successful throughout his experience and has performed; Dr. Sandeep Attawar has been successful 200 thoracic organs transplantation. Over his career, he has participated in over 10,000 open and closed heart surgeries, over 300 heart and lung transplants in adults, and over two dozen LVAD implants. Dr. Vivek Talaulikar, Chief executive officer, Global Hospital, said, Global Hospital till date has successfully performed all the complex surgeries and has successfully carried out bilateral lung transplant and one combined heart. Nonetheless, over a quarter of these cases require attention before the age of 3, and CHD accounts for 26.6% of birth defect related infant mortalities. Adjust Water Treatment Specialist Salary: Regulatory Specialist - Environmental Science, Operations Specialist / Desalination Technician. Dr. Sandeep Attawar, Director and Head of Department for Cardiothoracic and Vascular Surgery, Fortis Hospital has been at the forefront of such efforts. Ive also become a de facto vegetarian in large part thanks to my wife but also because Ive come to recognize the health and environmental benefits of limiting my intake of meat and seafood. Although prior experience in water Archuleta County - Pagosa Springs
His characteristic humility is what leads him to shrug off any individual praise in favor of crediting his team with his successes. Salary.com's. Aksharas condition was severe as she was diagnosed late and the option left was heart transplant and double lung. She has been regularly following up with the clinical team and now she is recovering well.. For an online consultation, patients share their medical documents, pay consultation fee and proceed with a video consultation according to schedule. Cooley and his associates performed over than 118,800 open heart operations during his career more than any other group in the world. . In addition, Dr. Attawar is also an active member in international cardiothoracic forums such as the International society for Heart and Lung Transplantation (ISHLT), Society of Thoracic surgeons (STS ) and the European association of cardio-thoracic surgery ( EACTS ). Normally. Why do patients visit Dr. Sandeep Attawar? Over his career, he has participated in over 10,000 open and closed heart surgeries, over 300 heart and lung transplants in adults, and over two dozen LVAD implants. We function as a team, an integrated unit, which I believe is terribly important in ensuring the patient gets the care they deserve. Dr, Sandeep is present in various reputable organizations that include; Your message has been sent successfully. Expounding on the origins of his community service, he explains how the Fortis Foundation got in touch with Being Human and decided to do something special: Thats how we started the Little Hearts Program. Since then, he has worked with some of the biggest names in healthcare within the Indian Subcontinent, setting up units and indeed entire hospitals in dual capacities as doctor and administrator. Prevalence of HF is 1.8% in India. For me, the challenge has always been to maintain world-class processes and results in the long run. Dr. Sandeep Attawar is one of India's leading heart surgeons and is a recognized expert in the field of cardiothoracic surgery. He was formerly leading Cardiac Surgery & Heart & Lung Transplantation Unit at Global Hospitals, Chennai and has been . a Water Treatment Specialist Salary in Sitka, AK is $67,909 as of June 26, 2023; a Water Treatment Specialist Salary in Madison, AL is $59,727 as of June 26, 2023. India is known for its low-cost treatment and gives you the best possible treatment with cost in your budget. Perhaps a degree of regret at certain past endeavors turning out the way they did. Dr. Sandeep Attawar M.S, Mch. CA. The Medical Faculty Sree Chitra Tirunal Institute for Medical Sciences & Technology Degree in general medicine, specialty in general surgery, specialty in cardiothoracic surgery. KIMS HospitalsBegumpet, 1-8-31/1 Minister RdKrishna Nagar Colony, Ramgopalpet, SecunderabadTelangana 500003, India. The prices on the platform are equal to the clinics' costs or even lower. Combined Konno-Rastan Aortoventriculoplasty with Nick procedure. All rights reserved. The base salary for Water Treatment Specialist ranges from $55,274 to $75,818 with the average base salary of $62,457. Book Clinic Appointment with Dr. Sandeep Attawar Find Cardiothoracic Vascular Surgery nearby Perumbakkam, Chennai Cardiothoracic Vascular Surgery in Sithalapakkam, Chennai Cardiothoracic Vascular Surgery in Mambakkam, Chennai Cardiothoracic Vascular Surgery in Vengaivasal, Chennai Cardiothoracic Vascular Surgery in Medavakkam, Chennai Individualize employee pay based on unique job requirements and personal qualifications. They cannot be abusive or personal. Dr. Sandeep Attawar has 20 years of experience in Cardiology & Cardiovascular Surgery. Select Accept to consent or Reject to decline non-essential cookies for this use. He now focuses, solely on a top down realignment of pre-existing cardiac and respiratory services into heart and lung transplant centers. Bookimed is an international medical tourism platform founded in 2014. By using our site, you agree to our Terms and Conditions and Privacy Policy. Dr. Attawar has accumulated extensive expertise in starting successful cardiac units from the bottom up, having done so on four separate occasions over the two decades. Enters purchase requisitions and field purchase orders in the City's software system and tracks status of requests. Im an inveterate antiquer There are few things my wife and I enjoy more than an afternoon sifting through items in a bazaar for that unique something or the other to add to our home. #hearttransplant #lungtransplant #drsandeepattawar Heart and Lung Transplantation | Dr Sandeep Attawar | KIMS Hospitals For appointments Contact: Mr.Harshit. Utilize professional training ZipRecruiter ATS Jobs for ZipSearch/ZipAlerts - 67 days ago, Santa Ynez River Water Conservation District, ID No.1 - Santa Ynez
He is also a contributor for the textbook of Transplantations & Mechanical Circulatory Support for end stage Lung and Heart disease Published by Wiley Publishing due for release next year. Registration Number - 127797 Visits The average Water Treatment Specialist salary is $62,457 as of June 26, 2023, but the salary range typically falls between $55,274 and $75,818. At the same time, he cedes that for him, he ceases to be a heart surgeon the minute he leaves the hospital, if only for the sake of his family. Book Appointment Dr Attawar Sandeep Founder Director & Chair of Advanced Heart Failure, Terminal Lung Disease &The Solid Thoracic Organ Transplant Program, KIMS Institute of Heart, Lung Transplantation & Assist Devices. I am much more concerned with being able to impart my experience and the lessons Ive learned to others. Although there can be no doubting his humanitarian qualities, what I found most staggering off all is that in the time that I have known him, Dr. Attawar has been a close friend and model individual among the most kind, altruistic and modest men I have ever met. NOTE: With this information, I as a user, give MediGence the permission to access my healthcare related data and information to help me get the expert opinion. CO. Archuleta County is seeking a Full-time , qualified Water Quality Specialist for our Building andto on-site wastewater treatment system permit applications. If you want to get more detailed salary information, please view. Searching for a doctor or a clinic? education, certifications, additional skills,
Only this can lead to world-class results. The average salary of Water Treatment Specialist is $62,457, and the average salary of Water Treatment Operator is $49,461. The average Water Treatment Specialist salary is $62,296 as of May 25, 2023, but the salary range typically falls between $55,134 and $75,616. MBBS, MS - General Surgery, MCh - Cardio Thoracic and Vascular Surgery. MBBS MS (Gen Surgery) MCh (Cardiac Surgery) Past Experiences Cardiovascular Surgery, Thoracic organ Transplantation & MCS, Director & Chair- Global Hospitals, Lakdi-ka-pul, Currently Working Cardiac Surgery, Director & Chair- Global Hospital, Mumbai, currently working We have migrated to a new commenting platform. * Experience with centrifugal and rotary style pumps, Industrial Water Engineering - Albuquerque
Fortunately, both the diagnosis and treatment of CHD has improved substantially. Aksharas transplant surgery lasted for 6-7 hours on July 2019. We don't charge you any medical travel consultation or arrangement fees. We will answer your questions as soon as possible. Learn more in our Cookie Policy. Dr Attawar Sandeep, Tuesday, December 15, 2020 Pulmonary fibrosis is chronic and slowly progressive disease. I believe that this will compromise on quality in the long run. He is also an active member of the European Association of cardio-thoracic surgery, Minimally Invasive Robotic Association, International Society for Minimally Invasive Cardiac Surgery, and Society of Thoracic Surgeons. Know more about Dr. Sandeep Attawar's education, practices and affiliations. Yes, Dr. Sandeep Attawar provides online consultation to patients. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. As such, it is heartening to encounter individuals working to stem the tide of this disease, bring much needed services and basic human dignity to children suffering from CHD. Dr. Attawar is the head of KIMS Heart & Lung Transplant Institute and had performed around 290 transplants till Wednesday, including 15 COVID lung transplants. The expertise and experience [has driven] me to see obstacles positively and contribute to evolving the world of healthcare, especially the under-served, adds Dr. Attawar. Thanks, your message is sent. Dr. Sandeep Attawar is one of the most sought after specialists in India and has over 25 years of experience. 3.9 7 reviews Dr. Sandeep Attawar is famous cardiothoracic surgeon in India. Learn more in our Cookie Policy. Surgery took place on June 2019 and she is recovering well. View info, ratings, reviews, specialties, education . I embrace technological progress wholeheartedly, as should everyone in my field. The ability to deliver the best that a quaternary-health-care facility can bring to an ailing child is almost surreal a fairy tale if we may call it that, he says. Every month over 9,000 people request our assistance. Dr. Sandeep Attawar, Gleneagles Global Hospital says the individual who has Eisenmenger syndrome could have undergone corrective heart surgery in their childhood or infancy that would have prevented this fate. Specialities Cardiothoracic Surgery Cardiovascular Surgery Expertise Education MBBS, MS, MCH (Cardio Thoracic & Vascular Surgeon) Practice Information --> Assist in water reconnaissance and site preparation. He has more than 22 years of experience and conducted more than 9000 cardiac surgeries. He is on the international panel of 24 experts to form the consensus guidelines for Lung Transplantations at the ISHLT this year.These guidelines aretheLung transplant Bible for over 250 hospitals all across the Globe that pursue the science of Lung transplantation. Dr. Sandeep is also on the editorial board of the Journal of Thoracic Disease. You can connect to top hospitals like Global hospital and top surgeons like Dr. Sandeep Attawar with India organ transplant site, whereby filling just a free consultation form you can connect to our team experts who will guide you your treatment in India and will help you for booking appointments without waiting. Simply put, they are structural problems with an infant heart, varying considerably in complexity as well as symptoms that can manifest as early as birth or remain undetected till much later in life. I am completely fine now. Dr. Sandeep Attawar. Thanks Ashish, Dr Attawar is a great guy and I am glad to profile him in my Infomed Magazine October 2015. Dr. Sandeep leads in pediatric surgical procedures as well and has his expertise in bypass surgery, ventricular septal defect, pulmonary artery shunt placement, aneurysms treatment, and redo cardiac surgery. The only way to maintain ones sanity is for one to switch off after work a little bit of mental detachment keeps my life less complicated and lets me maintain my maximal focus during the day, A good dinner and watching some television with my family. The kind of work he did resonated viscerally and it was undoubtedly the moment that set me on my path. Dr Attawar is widely recognized for his expertise in performing complex heart surgeries in patients ranging from . MBBS, Ms - General Surgery, MCh - Cardio Thoracic and Vacular Surgery. My condition got worse and I was scared if I can pursue my dreams. 2014-2023 Bookimed. He performed the first successful human heart transplant in the United States in 1968. Salary ranges for a Water Treatment Specialist can vary widely, depending on the city and several other pay factors, including (but not limited to) education level, certifications, additional skills, and work experience. Dr. Attawar candid response to the following statements and questions gave an insight to the world of this high performing cardio-thoracic surgeon. Copyright 2023, THG PUBLISHING PVT LTD. or its affiliated companies. How much does a Water Treatment Specialist make? The information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician. Heart and lung transplant with a 85-90% success rate. Dr. Sandeep Attawar is famous cardiothoracic surgeon in India. Serves as the Director of the Cardiac Surgery&Thoracic Organ Transplant Program at Gleneagles Global Health City. Dr. Sandeep Attawar director and chair of heart and lung transplant at Global Hospital has saved a life of 24 years old Mumbai girl Akshara Aher, a resident of Panvel, was suffering from rare ventricular Septal Defect Syndrome since childhood in which many of them continue to turn deeply blue over times and develop other defects in other organs, and this defect over the year gave rise to Eisenmenger syndrome. They [long hours] are unavoidable; a profession like cardiac surgery demands a certain intensity, whether its meeting patients and operating or simply staying on top of advances in the field. Though I am very fortunate, to achieve such a figure in the middle of my career, I try not to fixate on such statistics. Salary.com Estimate Salary Tool provides free, accurate and real-time salary for thousands of careers. ,
Dr Sandeep Attawar is a specialist in Adult CTVS with a rich experience of 31 years currently working in KIMS Hospital, Secunderabad. Dr. Attawar, who leads the team, holds screening camps across the country and has created a network through which families can reach out for financial and medical support for their infant. MediGence does not provide medical advice, diagnosis or treatment. Dr. Attawars journey began with his super-speciality training at the Shri Chitra Thirunal Institute of Medical Sciences in Kerala, India. Get the latest market price for benchmark jobs and jobs in your industry. He was born and spent his formative years in Ahmedabad, did his medical schooling and specialized in General surgery at the Sheth KM school of PG medicine. It is extremely important to identify patients with advanced heart failure who are not getting better with medications and need therapies like Mechanical Circulatory Support and/or HeartTransplantation . Overview Practice Info About Working at Apollo Hospitals, Dhaka as Director and Chair Division of Cardiac & Vascular Surgery Has over 26 years of work experience. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $57,419 to $85,495 with the average total cash compensation of $68,864. Does Dr. Sandeep Attawar offer Telemedicine Consultation through Medigence? View Dr Sandeep gangaya Attawar's profile on LinkedIn, the world's largest professional community. You must be the change you wish to see in the world. Mahatma Gandhi. To see him perform a procedure is to see poetry itself in motion, so effortless as to belie the prodigious skill that undergrids every manoeuvre.