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The Puzzle People: Memoirs Of A Transplant Surgeon, by Thomas Starzl
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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’s 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 “puzzle people,” 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’s organ - and Starzl remembers each one - is a puzzle.� “It was not just the acquisition of a new part,” he writes.� “The 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.”� The surgeons and physicians who pioneered transplantation were also changed: they too became puzzle people.� “Some were corroded or destroyed by the experience, some were sublimated, and none remained the same.”
- Sales Rank: #45227 in Books
- Brand: Brand: University of Pittsburgh Press
- Published on: 2003-11-30
- Original language: English
- Number of items: 1
- Dimensions: 9.25" h x 1.10" w x 6.13" l, 1.26 pounds
- Binding: Paperback
- 400 pages
- Used Book in Good Condition
From Publishers Weekly
Powerful, poignant, deft, this memoir in itself serves as a masterful argument for organ transplantation as Starzl, a retired pioneer in the field, re-creates the intricate history, the stunning breakthroughs and the tragic failures of the controversial surgery. Born in Iowa in 1926 to a nurse mother and a journalist-science fiction novelist father, Starzl as a young doctor showed himself to be tenacious in perfecting kidney and liver transplants, while overcoming medical infighting and resistant medical and government bureaucracies. Moving from the University of Colorado to the University of Pittsburgh--he established renal transplantation centers at both--he takes us through the advances, from the technique requiring related kidney donors to cadaveric kidney and liver implants to the development of drugs to aid in managing rejection and infection, to programs for finding donors and transporting their organs. Starzl pays tribute to colleagues who either paved the way or helped set the course, while firmly judging those he views as impeders. If he does not lay to rest the philosophical and financial issues surrounding organ transplantation, he succeeds in making us reconsider reservations, reminding us that "All triumphs in medicine are the forgotten sorrows of past days." Photos not seen by PW .
Copyright 1992 Reed Business Information, Inc.
From Library Journal
Distinguished surgeon Starzl here spends relatively little time on his patients or even in the operating theater. Instead, he focuses on research funding, the politics of hospitals and medical schools, and the great number of people and scientific advances necessary for achieving successful organ transplants. He also discusses the ethics (and dilemmas) of defining brain death, of human experimentation and randomized clinical trials, and of obtaining donor organs. Though he uses his autobiography to settle a few old scores, Starzl is a good writer, skilled at explaining medical complexities in lay language without oversimplifying. He also gives credit to his nonphysician technicians and other medical colleagues. With the current debates on healthcare costs, "rationing," and perceived scientific irregularities likely to continue, this topical book is recommended for collections with strong medical or scientific/technological interests.
- Mary Chitty, Biotrends Research, Natick, Mass.
Copyright 1992 Reed Business Information, Inc.
From Kirkus Reviews
An innovative transplant surgeon looks back on a long and brilliant career. Starzl's ``puzzle people'' are not only the patients whose acquisitions of new organs have profoundly altered both their bodies and their minds, but also the physicians whose lives have been changed by participating in the process. Here, the author, who no longer performs surgery but still directs the Transplantation Institute at the Univ. of Pittsburgh, probes- -albeit gingerly--at the puzzle of his own life. He draws a vivid portrait of his father, but other family members remain shadows, and he never lets us very far inside his own psyche. In rapid succession, his wife leaves him, his father and sister die, and his son suffers an emotional breakdown; these events must have been devastating, yet, on the page, Starzl's expression of pain is carefully controlled. And so is his recounting of other significant events--career shifts, professional frustrations and triumphs, a new marriage to an abused black woman, and his own heart surgeries. Throughout, the author seems most intent on setting the record straight, generously crediting those whose work helped shape his own, praising those who carry it on, and excusing those who hampered it. Individual patients are mentioned from time to time, and although Starzl clearly cares about them, he avoids sentimentality in telling their tales. Clearly having thought long and hard about the doctor-patient relationship and the place of expensive technology in our financially troubled health-care system, he voices his concerns about patients' rights and the ethical dilemmas posed by obligatory randomized drug- testing. Not an intimate self-portrait but a well-crafted glimpse into a world of science where politics and personalities often clash. (Twenty b&w photos, ten line drawings--not seen.) -- Copyright �1992, Kirkus Associates, LP. All rights reserved.
Most helpful customer reviews
2 of 2 people found the following review helpful.
Our generation benefits from Dr. Starzl's hard work and research
By Romina Wilcox
A memoire that's written from the heart. It's riveting from start to finish. I applaud Dr. Starzl's perseverance, his kindness, and his vision. Through test and trials, he encountered many tragedies, failures, risks and ultimately, successes. In the end, we owe it all to this great man. I could only wish I could thank him personally.
Here is something to think about. After Dr. Starzl received a bypass surgery later in his life, he said this: "Fortune had placed me in a time and place where my care was not even a challenge." He continued saying (after expressing his gratitude to the cardiologist and surgeon who worked on him): "But the debt was deeper by far. It went back to those surgeons who first thought of salvaging hearts by restoring their blood supply. What sacrifices did they make and what opposition did they face?" These were exactly what Dr. Starzl endured while pursuing his mission in improving the clinical, scientific and social aspect of liver transplantation. He sacrificed and faced opposition, but persisted.
The Puzzle People is a great memoire for it has love, intrigue, conspiracy, controversy, discovery and loss. In the end, Dr. Starzl conquered them all and accomplished his mission.
His words reflect the kind of care and compassion he gave to his patients. Yes, he visited them and continued his communication with them. At times, consoling them. I only wish, such compassionate doctors still exist in our time.
Here is more what Dr. Starzl said after receiving a successful heart surgery. "But who were the patients who endured the coronary artery operations when they were not perfected? Ultimately, they were the ones who made my operations safe..." In other words, Dr. Starzl knew, for this was exactly the case while he was perfecting the liver transplantation. "All triumphs in medicine are the forgotten sorrows of the past days. Mourning of the losses was what drove progress more by far than the vain exaltation of success. Success came later." Today, there are many kidney and/or liver transplant surgeons who take pride having trained under his wing. They were the surgeons of our time who learned the secrets that had been brought and paid for by the sorrow of the preceding generation. And this generation (ours) benefits from it all. It seems all medical procedures are not challenging anymore--from having a cortisone injection on your toes to having a camera inserted down you esophagus (endoscopy), to removing a brain tumor and yes getting a liver transplant. One might wonder what challenges each specialty faced before a procedure was perfected; before a correct medication dosage was okay to give to patients (as in prednisone).
The puzzle people is a powerful memoir. My only complaint is that it ended. I happen to know, based on many articles written about Dr. Strazl, is that he didn't stop his research even after declaring his retirement. I hope there will be a book #2.
Cold Eyes
6 of 7 people found the following review helpful.
Honor and privilege ......
By Borisa
I was privileged to work as a registered nurse on Dr Starzl's "transplant unit" from 1969 to 1973. Though I later attained graduate degrees and significantly desirable positions, this transplant experience was the highlight of my professional career. I knew Dr Starzl to be an exceptional research scientist AND a human being -- sometimes a painful combination. He was a man of superior knowledge and integrity. He never gave up. He required the same discipline of all who participated. I recall a situation when another nurse and I noticed a visiting physician was changing our patient's charted test results. The changed documentation would be used to "prove" the visiting physician's hypothesis of the patient's condition. Dr Starzl was shown the changed documentation. Without comment or fanfare, the visiting physician immediately disappeared from the transplant service AND the city. There was never any room for contamination of the hard work of the staff and the very personal involvement of the patients and their families.
Thank you, Dr Starzl, for writing 'THe Puzzle People'. I was forced to revisit many memories and emotions of a very special time. I learned much from you which I appreciated at the time and which prepared me for later life situations. In my opinion and from my experience, you are exclusively first-class. It has been my honor to work with you and to participate in a very small way toward the successes of organ transplantation.
0 of 0 people found the following review helpful.
Great book by a great man!
By M. Wilson
Dr. Thomas Starzl is one of the world's most important surgeons, and his book is a brilliant peek into his personal and professional world. His transplant patients are part someone else. Does, as the Greeks believed, the soul reside in the liver? If so, do liver transplant patients have someone else's soul? Does transplanting body parts changed the souls of the doctors who perform the surgery? This book is about medical history, and spiritual transformations.
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