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SAMJ: South African Medical Journal

On-line version ISSN 2078-5135
Print version ISSN 0256-9574

SAMJ, S. Afr. med. j. vol.100 n.5 Pretoria May. 2010




A personal tribute to Ralph Kirsch



To the Editor: The last few months have been awkward for a few reasons. The first was that Ralph's illness and subsequent passing seemed so sudden. The second was that when one is not close family appropriate behaviour is elusive, and finally because there are things I felt were left unsaid.

Ralph's many academic and organisational achievements have been eloquently told by many and are not the subject of this personal account. Let me explain. When I first met Ralph in the mid 1990s, he struck me as a talkative, overly nice, trying-to-make-up-for-apartheid type of man. Our family later moved to Oxford, and one day Ralph and Beverley happened to pass through. Amidst the pleasantries, I was struck by how much attention they both gave to our children - then 7 and 5. Ralph established that what the children missed most about Cape Town was playing in the swimming pool. By the end of the visit, the kids had an open invitation to swim in his pool. After 2 years of seemingly unending English winters we visited Cape Town, arriving on a warm summer's day. Needless to say, we were made to deliver on the promise and spent far too many hours in the blazing sun.

A few years after our final return home, I sat for my final specialist examinations of the College of Dermatologists. I hate to admit that I failed the examination. Many reading this will have no idea of what that feels like: it's like a gnawing pain that eats one inside, a pain so deep that it threatens to overwhelm. Words of comfort came from many sides, including my favourite which I still use to this day: 'When writing an undergraduate exam, you've passed unless you fail yourself; for specialist exams, you've failed until you pass yourself.' It makes sense, as supposedly the buck stops with specialists. In the midst of this dark cloud, Ralph phoned unexpectedly one evening. He uncharacteristically said only a few words, something like, 'Nonhlanhla, I know this is a difficult time, but I just want you to know that I also had to repeat my FCP examination'. That was it! I was to turn those words round and round in my mind for many months. He was a busy Head of Department who did something he did not have to do, and that was completely unexpected. And for me it was timely and crucial encouragement.

My specialist training left me with a deep desire to explore scientifically unanswered questions on the causes of and treatments for alopecia. I enrolled to do a PhD in Public Health at UCT, having naïvely overestimated the attractiveness of hair loss to potential research funders. When I'd exhausted my options, I went to Ralph who listened and encouraged me to pursue this unlikely research subject in spite of sceptical smiles and sometimes open criticism. He advised on various options and I was able to do the first 2 years full-time through funding from the Carnegie Fund. The rest, as they say, is history! I have no doubt that I would have completed the PhD ... eventually, but it would have been much harder and taken much longer doing it part-time.

What do I now think of Ralph Kirsch? He was a kind man, who cared about apparently insignificant things like organising a swimming date for sun-starved children. He went beyond expectation and encouraged the best in me. He was my hero. Hamba kahle qhawe! Akuhlanga lungehlanga, Beverley nabantwana.


Nonhlanhla P Khumalo

Associate Professor
Division of Dermatology
Groote Schuur Hospital and Red Cross Children's Hospital
University of Cape Town

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