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The Puzzle People: Memoirs of a Transplant Surgeon

by Thomas Starzl

A surgeon’s memoir of transplantation and its human questions

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AlbakiReads Editorial

A surgeon’s memoir of transplantation and its human questions

Thomas Starzl traces his path from medical training and early animal experiments to pioneering liver transplantation, with the work of transplant patients and medical teams at the heart of the account. The memoir also addresses the ethical disputes surrounding the field, including brain death, experimental drug trials, operation costs, and how organs are allocated among seriously ill patients. Its scope connects surgical innovation with the changes transplantation brings to patients and practitioners, making the book both a professional autobiography and a record of medicine’s contested choices.

Good fit for readers who enjoy

  • Readers interested in transplant surgery and the history of medicine
  • Those seeking a surgeon’s autobiographical account of medical innovation
  • Readers interested in the ethical questions surrounding organ transplantation

Themes

Transplant surgeryMedical innovationBioethicsPatient and physician experience

Based on publisher information and book metadata.

Book overview

Given the tensions and demands of medicine, highly successful physicians and surgeons rarely achieve equal success as prose writers. It is truly extraordinary that a major, international pioneer in the controversial field of transplant surgery should have written a spellbinding, and heart-wrenching, autobiography.
Thomas Starzl grew up in LeMars, Iowa, the son of a newspaper publisher and a nurse. His father also wrote science fiction and was acquainted with the writer Ray Bradbury. Starzl left the family business to enter Northwestern University Medical School where he earned both and M.D. and a PhD. While he was a student, and later during his surgical internship at the Johns Hopkins Hospital, he began the series of animal experiments that led eventually to the world\u2019s first transplantation of the human liver in 1963.
Throughout his career, first at the University of Colorado and then at the University of Pittsburgh, he has aroused both worldwide admiration and controversy. His technical innovations and medical genius have revolutionized the field, but Starzl has not hesitated to address the moral and ethical issues raised by transplantation. In this book he clearly states his position on many hotly debated issues including brain death, randomized trials for experimental drugs, the costs of transplant operations, and the system for selecting organ recipients from among scores of desperately ill patients.
There are many heroes in the story of transplantation, and many \u201cpuzzle people, \u201d the patients who, as one journalist suggested, might one day be made entirely of various transplanted parts. They are old and young, obscure and world famous. Some have been taken into the hearts of America, like Stormie Jones, the brave and beautiful child from Texas. Every patient who receives someone else\u2019s organ - and Starzl remembers each one - is a puzzle. \u201cIt was not just the acquisition of a new part, \u201d he writes. \u201cThe rest of the body had to change in many ways before the gift could be accepted. It was necessary for the mind to see the world in a different way.\u201d The surgeons and physicians who pioneered transplantation were also changed: they too became puzzle people. \u201cSome were corroded or destroyed by the experience, some were sublimated, and none remained the same.\u201d
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