Word: liverence
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...heard of Callahan's condition, promptly phoned M.G.H. Chief of Surgery Paul Russell. What were the chances of Callahan's recovery? Not good, said Russell realistically. Had the patrolman suffered any injuries besides the head wound? No. Was there any reason to believe that his liver was damaged or diseased? No. Then, with the inevitable apology, Dr. Moore asked Dr. Russell if he would discuss with Callahan's wife, in case her husband should die, the possibility of releasing his liver for transplantation to a man who was otherwise doomed. Dr. Russell agreed...
...soon as Dr. Moore got the word, the Brigham team raced into action. The patient was Joseph J. Bingel, 58, a Dorchester construction worker. Brigham surgeons had operated on Bingel in August and found cancer of the liver-a cancer that was too big to be cut out, yet so far as the surgeons could tell, one that had not spread. So Bingel was just the right patient to receive the Brigham's first liver transplant. Twice, before Patrolman Callahan was shot, the Brigham surgeons had thought they had a likely donor, but in each case doctors and patient...
...Brigham even as the patrolman's lifeless body was wheeled into an operating room. There Drs. Nathan Couch and Anthony Monaco made a long vertical incision on the right side of the abdomen. Within three minutes they cut down to the portal vein, which drains into the liver; they then injected a frigid solution to cool the precooled liver down still more. They completed their work in 24 minutes and dropped the liver into a cold saline solution in a sterilized container...
...Hour Limit? This was not the first transplant of a human liver. That was done last March in Denver, where surgeons and physicians from the University of Colorado Medical Center and the nearby VA Hospital have pooled their talents in a transplant team. By now the Denver group has done four transplants, with one patient living 22 days after the operation, when he died of pneumonia. The Boston and Denver teams have traded reports of their progress, and their methods are remarkably similar, though they differ in some details...
Denver's Dr. Thomas E. Starzl and William R. Waddell feel strongly that a liver should be hooked up to its new blood supply within two hours of being disconnected from its original host. They have not yet been able to make the transplant as fast as that, and neither did Dr. Moore. But the Callahan-Bingel transplant had an advantage in that the liver had been precooled for 40 hours, which gave its tissues time to adjust to a lower metabolic rate...