I want you to look down at your hands open and close move your thumb around
open and close move your thumb around
open and close move your thumb around oppose your thumb now I want you to
oppose your thumb now I want you to
oppose your thumb now I want you to shake the hand of your neighbor go ahead
shake the hand of your neighbor go ahead
shake the hand of your neighbor go ahead shake the hand of your neighbor do you
shake the hand of your neighbor do you
shake the hand of your neighbor do you feel the warmth enough you do you feel
feel the warmth enough you do you feel
feel the warmth enough you do you feel the warmth do you feel the connection to
the warmth do you feel the connection to
the warmth do you feel the connection to another human being
another human being
another human being you just did how many of you hold the
you just did how many of you hold the
you just did how many of you hold the hand of your loved one your boyfriend
hand of your loved one your boyfriend
hand of your loved one your boyfriend your girlfriend friend your husband your
your girlfriend friend your husband your
your girlfriend friend your husband your wife your grandchild your child hands
wife your grandchild your child hands
wife your grandchild your child hands amazing tools amazing machines now
amazing tools amazing machines now
amazing tools amazing machines now imagine this an hour after TED talks you
imagine this an hour after TED talks you
imagine this an hour after TED talks you go home you don’t feel so well you’re
go home you don’t feel so well you’re
go home you don’t feel so well you’re getting sicker by the minute you go to
getting sicker by the minute you go to
getting sicker by the minute you go to the emergency room the doctors say you
the emergency room the doctors say you
the emergency room the doctors say you have an infection you’re really sick
have an infection you’re really sick
have an infection you’re really sick within hours you’re in the intensive
within hours you’re in the intensive
within hours you’re in the intensive care unit on drugs that are keeping you
care unit on drugs that are keeping you
care unit on drugs that are keeping you alive but are closing down the
alive but are closing down the
alive but are closing down the circulation in your arms and legs a few
circulation in your arms and legs a few
circulation in your arms and legs a few hours later my colleagues a physician
hours later my colleagues a physician
hours later my colleagues a physician will come in and tell you if you’re
will come in and tell you if you’re
will come in and tell you if you’re awake and your family in order for you
awake and your family in order for you
awake and your family in order for you to live or your loved one loved one to
to live or your loved one loved one to
to live or your loved one loved one to live we have to amputate amputate both
live we have to amputate amputate both
live we have to amputate amputate both arms and legs all four extremities think
arms and legs all four extremities think
arms and legs all four extremities think about what life would be like the impact
about what life would be like the impact
about what life would be like the impact of that on your families
of that on your families
of that on your families how would you eat how would you toilet
how would you eat how would you toilet
how would you eat how would you toilet yourself how would you dress you would
yourself how would you dress you would
yourself how would you dress you would miss the handshake and even if you were
miss the handshake and even if you were
miss the handshake and even if you were fitted with prosthetics the artificial
fitted with prosthetics the artificial
fitted with prosthetics the artificial devices of plastic and metal that allow
devices of plastic and metal that allow
devices of plastic and metal that allow a lot of amputees to function it
a lot of amputees to function it
a lot of amputees to function it wouldn’t be the same and for all four
wouldn’t be the same and for all four
wouldn’t be the same and for all four limbs being amputated the energy to put
limbs being amputated the energy to put
limbs being amputated the energy to put these on how would you do it you didn’t
these on how would you do it you didn’t
these on how would you do it you didn’t have hands think about that
medicine can save lives but we’re not
medicine can save lives but we’re not very good at restoring or saving limbs
very good at restoring or saving limbs
very good at restoring or saving limbs until recently I’d like you to meet
until recently I’d like you to meet
until recently I’d like you to meet three of my patients people just like
three of my patients people just like
three of my patients people just like you and I in a few harrowing days their
you and I in a few harrowing days their
you and I in a few harrowing days their life was changed no arms legs just like
life was changed no arms legs just like
life was changed no arms legs just like that all from infection
that all from infection
that all from infection Lindsey Zion and Laura now this is
Lindsey Zion and Laura now this is
Lindsey Zion and Laura now this is Lindsey F a Virginia Commonwealth
Lindsey F a Virginia Commonwealth
Lindsey F a Virginia Commonwealth University grad fashion model fashion
University grad fashion model fashion
University grad fashion model fashion designer she was engaged to be married
designer she was engaged to be married
designer she was engaged to be married to a very very handsome young man who I
to a very very handsome young man who I
to a very very handsome young man who I met do it
met do it
met do it due to an intra-abdominal catastrophe an
due to an intra-abdominal catastrophe an
due to an intra-abdominal catastrophe an infection within a few days her legs
infection within a few days her legs
infection within a few days her legs were amputated both below the knee and
were amputated both below the knee and
were amputated both below the knee and her arms just below the elbow now keep
her arms just below the elbow now keep
her arms just below the elbow now keep this picture in mind she’s determined
this picture in mind she’s determined
this picture in mind she’s determined beautiful and focused this is the
beautiful and focused this is the
beautiful and focused this is the Lindsey I met withdrawn isolated from
Lindsey I met withdrawn isolated from
Lindsey I met withdrawn isolated from the world look at her prosthetics that
the world look at her prosthetics that
the world look at her prosthetics that are on the counter they’re on the floor
are on the counter they’re on the floor
are on the counter they’re on the floor she’s not wearing them it’s very
she’s not wearing them it’s very
she’s not wearing them it’s very interesting when she came to me with
interesting when she came to me with
interesting when she came to me with this handsome young man she said dr.
this handsome young man she said dr.
this handsome young man she said dr. Levin should we get married and then I
Levin should we get married and then I
Levin should we get married and then I have my baby or should we get married
have my baby or should we get married
have my baby or should we get married then you give me hands then I have a
then you give me hands then I have a
then you give me hands then I have a baby now patients have asked me a lot of
baby now patients have asked me a lot of
baby now patients have asked me a lot of questions I was dumbfounded
questions I was dumbfounded
questions I was dumbfounded I didn’t know what to tell her we had
I didn’t know what to tell her we had
I didn’t know what to tell her we had our first consultation a few weeks weeks
our first consultation a few weeks weeks
our first consultation a few weeks weeks and months went by she came back this
and months went by she came back this
and months went by she came back this time
time
time no fiance just her mother our own pens
no fiance just her mother our own pens
no fiance just her mother our own pens Ben Franklin said by failing to prepare
Ben Franklin said by failing to prepare
Ben Franklin said by failing to prepare you are preparing to fail and so I put
you are preparing to fail and so I put
you are preparing to fail and so I put together a team of surgeons transplant
together a team of surgeons transplant
together a team of surgeons transplant physicians nurses anesthesiologists
physicians nurses anesthesiologists
physicians nurses anesthesiologists social workers pharmacists psychiatrists
social workers pharmacists psychiatrists
social workers pharmacists psychiatrists and we prepared we prepared to give
and we prepared we prepared to give
and we prepared we prepared to give Lindsay new hands the intricacies of
Lindsay new hands the intricacies of
Lindsay new hands the intricacies of transplanting a human hand involved the
transplanting a human hand involved the
transplanting a human hand involved the connection of bones tendons and under
connection of bones tendons and under
connection of bones tendons and under the operating microscope which is my
the operating microscope which is my
the operating microscope which is my passion the connection of small arteries
passion the connection of small arteries
passion the connection of small arteries and veins as you saw in the video and
and veins as you saw in the video and
and veins as you saw in the video and the sutures we use are so small they can
the sutures we use are so small they can
the sutures we use are so small they can pass through a human ham of human hair
pass through a human ham of human hair
pass through a human ham of human hair three one thousandths of an inch
three one thousandths of an inch
three one thousandths of an inch think about that I can’t see it unless
think about that I can’t see it unless
think about that I can’t see it unless I’m looking under the scope teamwork
I’m looking under the scope teamwork
I’m looking under the scope teamwork teamwork is the essence to success in
teamwork is the essence to success in
teamwork is the essence to success in many things we do in medicine but
many things we do in medicine but
many things we do in medicine but particularly this new field of hand
particularly this new field of hand
particularly this new field of hand transplantation along with ten attending
transplantation along with ten attending
transplantation along with ten attending surgeons thirty nurses residents fellows
surgeons thirty nurses residents fellows
surgeons thirty nurses residents fellows anesthesiologists and in a twelve and a
anesthesiologists and in a twelve and a
anesthesiologists and in a twelve and a half hour operation Lindsay had her new
half hour operation Lindsay had her new
half hour operation Lindsay had her new hands attached to her body by four
hands attached to her body by four
hands attached to her body by four independent teams of surgeons working
independent teams of surgeons working
independent teams of surgeons working two teams on the donor arms two teams on
two teams on the donor arms two teams on
two teams on the donor arms two teams on Lindsay and then two teams came together
Lindsay and then two teams came together
Lindsay and then two teams came together to attach the arms to Lindsey’s body
this is the flow chart we prepared I
this is the flow chart we prepared I don’t expect you to read this talking
don’t expect you to read this talking
don’t expect you to read this talking about each surgeons expertise what they
about each surgeons expertise what they
about each surgeons expertise what they did when and when they did it connecting
did when and when they did it connecting
did when and when they did it connecting the arteries the nerves the tendons the
the arteries the nerves the tendons the
the arteries the nerves the tendons the bones and so forth and everything had to
bones and so forth and everything had to
bones and so forth and everything had to work perfectly on time technically
work perfectly on time technically
work perfectly on time technically performed correctly I got the be
performed correctly I got the be
performed correctly I got the be conductor of this surgical symphony I’ll
conductor of this surgical symphony I’ll
conductor of this surgical symphony I’ll call it one of my teachers in surgery
call it one of my teachers in surgery
call it one of my teachers in surgery said preparation preparation is the only
said preparation preparation is the only
said preparation preparation is the only shortcut you need and similar to an
shortcut you need and similar to an
shortcut you need and similar to an airline pilot who may have flown some of
airline pilot who may have flown some of
airline pilot who may have flown some of you here today the pilot has checklists
you here today the pilot has checklists
you here today the pilot has checklists for what for safety before takeoff and
for what for safety before takeoff and
for what for safety before takeoff and we compiled you can see it here we
we compiled you can see it here we
we compiled you can see it here we compiled a checklist this is the
compiled a checklist this is the
compiled a checklist this is the clipboard of what we would do when how
clipboard of what we would do when how
clipboard of what we would do when how long it would take we
long it would take we
long it would take we structure we would repair and we
structure we would repair and we
structure we would repair and we performed every operate part of the
performed every operate part of the
performed every operate part of the operation in sequence now the way we did
operation in sequence now the way we did
operation in sequence now the way we did this way we prepared we practice this
this way we prepared we practice this
this way we prepared we practice this operation in what we call the pen human
operation in what we call the pen human
operation in what we call the pen human tissue laboratory and that’s a cadaveric
tissue laboratory and that’s a cadaveric
tissue laboratory and that’s a cadaveric facility cadavers that we use to
facility cadavers that we use to
facility cadavers that we use to simulate simulate operating room
simulate simulate operating room
simulate simulate operating room conditions and we followed our checklist
conditions and we followed our checklist
conditions and we followed our checklist and as you’ll see we got things right
and as you’ll see we got things right
and as you’ll see we got things right based on our practice so Lindsey went
based on our practice so Lindsey went
based on our practice so Lindsey went from an individual you can see here on
from an individual you can see here on
from an individual you can see here on the screen withdrawn from society look
the screen withdrawn from society look
the screen withdrawn from society look at her totally withdrawn no arms no
at her totally withdrawn no arms no
at her totally withdrawn no arms no hands no human touch to a woman a few
hands no human touch to a woman a few
hands no human touch to a woman a few months later with reconnection of the
months later with reconnection of the
months later with reconnection of the nerves into her muscles from the donor
nerves into her muscles from the donor
nerves into her muscles from the donor the ability to write our own name again
so let me tell you a little more she was
so let me tell you a little more she was able to rise and run here she is in her
able to rise and run here she is in her
able to rise and run here she is in her doing her CrossFit routine contrast of
doing her CrossFit routine contrast of
doing her CrossFit routine contrast of two pictures which one would you want to
two pictures which one would you want to
two pictures which one would you want to be CrossFit
be CrossFit
be CrossFit next I’d like to tell you about a child
next I’d like to tell you about a child
next I’d like to tell you about a child by the name of Zion Harvey Zion was a
by the name of Zion Harvey Zion was a
by the name of Zion Harvey Zion was a very cute little two-year-old boy and
very cute little two-year-old boy and
very cute little two-year-old boy and similar to Lindsey has developed an
similar to Lindsey has developed an
similar to Lindsey has developed an infection at the age of two and he
infection at the age of two and he
infection at the age of two and he almost died both his hands were
almost died both his hands were
almost died both his hands were amputated both his legs below the knee
amputated both his legs below the knee
amputated both his legs below the knee and his mother Patty Ray in addition to
and his mother Patty Ray in addition to
and his mother Patty Ray in addition to caring for this quad remember no amputee
caring for this quad remember no amputee
caring for this quad remember no amputee four extremities mission missing she had
four extremities mission missing she had
four extremities mission missing she had to give him to keep him alive her kidney
to give him to keep him alive her kidney
to give him to keep him alive her kidney her kidney so she was an organ donor to
her kidney so she was an organ donor to
her kidney so she was an organ donor to Zion and in the process of donating
Zion and in the process of donating
Zion and in the process of donating donating a kidney to him he went on
donating a kidney to him he went on
donating a kidney to him he went on drugs called immunosuppressive drugs to
drugs called immunosuppressive drugs to
drugs called immunosuppressive drugs to keep the body from rejecting the kidney
keep the body from rejecting the kidney
keep the body from rejecting the kidney and he came to me and and patty said I
and he came to me and and patty said I
and he came to me and and patty said I want you to give my son hands never been
want you to give my son hands never been
want you to give my son hands never been done so working with the gift of life
done so working with the gift of life
done so working with the gift of life which is our Philadelphia organ
which is our Philadelphia organ
which is our Philadelphia organ procurement organization and you knows
procurement organization and you knows
procurement organization and you knows which is the United Network for Organ
which is the United Network for Organ
which is the United Network for Organ Sharing that can identify donors we got
Sharing that can identify donors we got
Sharing that can identify donors we got some information as it turns out there
some information as it turns out there
some information as it turns out there are only 15 children a year in the
are only 15 children a year in the
are only 15 children a year in the United States that would be eligible to
United States that would be eligible to
United States that would be eligible to donate hands to Zion size shape gender
donate hands to Zion size shape gender
donate hands to Zion size shape gender race 15 children and that’s assuming one
race 15 children and that’s assuming one
race 15 children and that’s assuming one of those 15 children’s parents would say
of those 15 children’s parents would say
of those 15 children’s parents would say yes at the time of death you can have
yes at the time of death you can have
yes at the time of death you can have cat you can have my child’s hands for
cat you can have my child’s hands for
cat you can have my child’s hands for Zion so think about that never in the
Zion so think about that never in the
Zion so think about that never in the world prior to Zion Harvey have there
world prior to Zion Harvey have there
world prior to Zion Harvey have there been a pediatric hand transplant never
been a pediatric hand transplant never
been a pediatric hand transplant never someone had to be first and in Zion was
someone had to be first and in Zion was
someone had to be first and in Zion was the first perfect child as I explained
the first perfect child as I explained
the first perfect child as I explained to you he was already on the drugs that
to you he was already on the drugs that
to you he was already on the drugs that prevent rejection you with me so far
prevent rejection you with me so far
prevent rejection you with me so far okay there were serious serious ethical
okay there were serious serious ethical
okay there were serious serious ethical concerns
concerns
concerns first of all 15 kids right can we find a
first of all 15 kids right can we find a
first of all 15 kids right can we find a donor
donor
donor maybe we prepare to treat him our team
maybe we prepare to treat him our team
maybe we prepare to treat him our team prepares for 2 years practice the
prepares for 2 years practice the
prepares for 2 years practice the operation can’t find a donor ok we found
operation can’t find a donor ok we found
operation can’t find a donor ok we found a donor we go to do the operation we
a donor we go to do the operation we
a donor we go to do the operation we can’t get the hands to to work that’s a
can’t get the hands to to work that’s a
can’t get the hands to to work that’s a possibility we operate on him we give
possibility we operate on him we give
possibility we operate on him we give him hands and then his kidneys fail and
him hands and then his kidneys fail and
him hands and then his kidneys fail and he needs another kidney we’re in the
he needs another kidney we’re in the
he needs another kidney we’re in the operating room we operate on them Zion
operating room we operate on them Zion
operating room we operate on them Zion dies then what so these were all the
dies then what so these were all the
dies then what so these were all the concerns that we have we decided to go
concerns that we have we decided to go
concerns that we have we decided to go forward and this is a critical story of
forward and this is a critical story of
forward and this is a critical story of advancement in medicine and our team
advancement in medicine and our team
advancement in medicine and our team lived it like Goldilocks and the three
lived it like Goldilocks and the three
lived it like Goldilocks and the three bears here’s how we prepared we did 3d
bears here’s how we prepared we did 3d
bears here’s how we prepared we did 3d modeling of what we thought Zions new
modeling of what we thought Zions new
modeling of what we thought Zions new hands would look like how big did they
hands would look like how big did they
hands would look like how big did they have to be we would accept 20% to small
have to be we would accept 20% to small
have to be we would accept 20% to small from a donor 20% to large hopefully we
from a donor 20% to large hopefully we
from a donor 20% to large hopefully we get it just right and sometimes in
get it just right and sometimes in
get it just right and sometimes in medicine despite planning and so forth
medicine despite planning and so forth
medicine despite planning and so forth there’s luck and the things we do look
there’s luck and the things we do look
there’s luck and the things we do look and on the day we received a call that
and on the day we received a call that
and on the day we received a call that we had a family actually willing to
we had a family actually willing to
we had a family actually willing to donate their child’s hands for Zion I
donate their child’s hands for Zion I
donate their child’s hands for Zion I flew to the donor Hospital child was on
flew to the donor Hospital child was on
flew to the donor Hospital child was on life support and here are the models
life support and here are the models
life support and here are the models next to the hands of the donor within 3
next to the hands of the donor within 3
next to the hands of the donor within 3 millimeters so we didn’t need 20% 20%
millimeters so we didn’t need 20% 20%
millimeters so we didn’t need 20% 20% just right like Goldilocks now I’d like
just right like Goldilocks now I’d like
just right like Goldilocks now I’d like to take you into the operating room and
to take you into the operating room and
to take you into the operating room and sort of show you the magic moment of
sort of show you the magic moment of
sort of show you the magic moment of blood going into his new hands see what
blood going into his new hands see what
blood going into his new hands see what you think
you think
you think blood is going across the hook up here
blood is going across the hook up here
blood is going across the hook up here and you can see the hand right here
and you can see the hand right here
and you can see the hand right here starting to pink up you see the
starting to pink up you see the
starting to pink up you see the capillary refill you see that see it’s
capillary refill you see that see it’s
capillary refill you see that see it’s white when I touch it and then it pinks
white when I touch it and then it pinks
white when I touch it and then it pinks up and now that’s starting to get out to
up and now that’s starting to get out to
up and now that’s starting to get out to the level of the finger so that’s how we
the level of the finger so that’s how we
the level of the finger so that’s how we do it that’s the legend and the history
do it that’s the legend and the history
do it that’s the legend and the history and the legacy of what we call
and the legacy of what we call
and the legacy of what we call reconstructive microsurgery using the
reconstructive microsurgery using the
reconstructive microsurgery using the operating microscope to see the small
operating microscope to see the small
operating microscope to see the small vessels and use the small sutures to
vessels and use the small sutures to
vessels and use the small sutures to make those connections that give life
make those connections that give life
make those connections that give life and blood into these new body parts and
and blood into these new body parts and
and blood into these new body parts and this was a monumental moment in the
this was a monumental moment in the
this was a monumental moment in the history of hand transplant the fact that
history of hand transplant the fact that
history of hand transplant the fact that the hands pinked up thank goodness I
the hands pinked up thank goodness I
the hands pinked up thank goodness I thought that’s the first thing we have
thought that’s the first thing we have
thought that’s the first thing we have to get going here and our team motto has
to get going here and our team motto has
to get going here and our team motto has always been failure is not an option
always been failure is not an option
always been failure is not an option failure is not an option particularly in
failure is not an option particularly in
failure is not an option particularly in the first case in the world and I have
the first case in the world and I have
the first case in the world and I have to credit my partners and my colleagues
to credit my partners and my colleagues
to credit my partners and my colleagues the collective wisdom of our team
the collective wisdom of our team
the collective wisdom of our team allowed us this time in eight and a half
allowed us this time in eight and a half
allowed us this time in eight and a half hours to give Zion two new hands the
hours to give Zion two new hands the
hours to give Zion two new hands the surgeon Sir Charles Bell said hands are
surgeon Sir Charles Bell said hands are
surgeon Sir Charles Bell said hands are the beautiful and ready instruments of
the beautiful and ready instruments of
the beautiful and ready instruments of the mind this was an 18th century
the mind this was an 18th century
the mind this was an 18th century surgeon offering us this very very
surgeon offering us this very very
surgeon offering us this very very profound concept now jump ahead with me
profound concept now jump ahead with me
profound concept now jump ahead with me 275 years remember Zion didn’t have
275 years remember Zion didn’t have
275 years remember Zion didn’t have hands at the age of two his brain went
hands at the age of two his brain went
hands at the age of two his brain went to sleep and based on sophisticated
to sleep and based on sophisticated
to sleep and based on sophisticated imaging techniques using the MRI
imaging techniques using the MRI
imaging techniques using the MRI scanners and so forth stuff that I don’t
scanners and so forth stuff that I don’t
scanners and so forth stuff that I don’t even understand my neurology colleagues
even understand my neurology colleagues
even understand my neurology colleagues understand it we were able to study now
understand it we were able to study now
understand it we were able to study now the electrical impulses in the pathways
the electrical impulses in the pathways
the electrical impulses in the pathways from Zions brain that had been asleep to
from Zions brain that had been asleep to
from Zions brain that had been asleep to his new hands remember Charles Bell and
his new hands remember Charles Bell and
his new hands remember Charles Bell and from the hands back to his brain and
from the hands back to his brain and
from the hands back to his brain and studying this child has created
studying this child has created
studying this child has created tremendous interest by my colleague my
tremendous interest by my colleague my
tremendous interest by my colleague my colleagues at Penn Medicine in Neurology
colleagues at Penn Medicine in Neurology
colleagues at Penn Medicine in Neurology and at the Children’s Hospital
and at the Children’s Hospital
and at the Children’s Hospital Hospital Philadelphia where this was
Hospital Philadelphia where this was
Hospital Philadelphia where this was done they’re amazed at this and you can
done they’re amazed at this and you can
done they’re amazed at this and you can see we can study these pathways Zion has
see we can study these pathways Zion has
see we can study these pathways Zion has worked very very hard each of these
worked very very hard each of these
worked very very hard each of these patients require hours and hours a day
patients require hours and hours a day
patients require hours and hours a day of physical therapy occupational therapy
of physical therapy occupational therapy
of physical therapy occupational therapy to learn how to use their new hands
to learn how to use their new hands
to learn how to use their new hands connect connect the nerves the pathways
connect connect the nerves the pathways
connect connect the nerves the pathways to the brain the brain to the hands very
to the brain the brain to the hands very
to the brain the brain to the hands very very complex and he’s regained
very complex and he’s regained
very complex and he’s regained incredible abilities like Lindsay that
incredible abilities like Lindsay that
incredible abilities like Lindsay that include throwing a baseball let me show
include throwing a baseball let me show
include throwing a baseball let me show you please join us in welcoming
you please join us in welcoming
you please join us in welcoming nine-year-old Zion Harvey ok Zion
nine-year-old Zion Harvey ok Zion
nine-year-old Zion Harvey ok Zion whenever you’re ready it’s your pitch
whenever you’re ready it’s your pitch
whenever you’re ready it’s your pitch [Music]
[Music]
[Music] [Applause]
pretty good his fastball is better than
pretty good his fastball is better than mine our third and final patient is a
mine our third and final patient is a
mine our third and final patient is a woman by the name of Lauren a Toth and
woman by the name of Lauren a Toth and
woman by the name of Lauren a Toth and at the age of 19
at the age of 19
at the age of 19 similar to Lindsay similar to Zion she
similar to Lindsay similar to Zion she
similar to Lindsay similar to Zion she lost both her arms just below the elbow
lost both her arms just below the elbow
lost both her arms just below the elbow and both her legs below the knee and she
and both her legs below the knee and she
and both her legs below the knee and she was waiting more than eight years in
was waiting more than eight years in
was waiting more than eight years in Paris France for hands on a donor list
Paris France for hands on a donor list
Paris France for hands on a donor list due to a variety of factors she couldn’t
due to a variety of factors she couldn’t
due to a variety of factors she couldn’t get transplanted in in France at the
get transplanted in in France at the
get transplanted in in France at the time and my dear colleague professor
time and my dear colleague professor
time and my dear colleague professor Laurent LAN Thierry who’s done seven
Laurent LAN Thierry who’s done seven
Laurent LAN Thierry who’s done seven face transplants transplant of the human
face transplants transplant of the human
face transplants transplant of the human face in Paris reached out to me he said
face in Paris reached out to me he said
face in Paris reached out to me he said Scott this girl’s been on the waiting
Scott this girl’s been on the waiting
Scott this girl’s been on the waiting list can you help so I said sure
list can you help so I said sure
list can you help so I said sure and our pen team expanded our horizons
and our pen team expanded our horizons
and our pen team expanded our horizons now globally to patients around the
now globally to patients around the
now globally to patients around the world from around the world at one hands
world from around the world at one hands
world from around the world at one hands she came to Philadelphia she was
she came to Philadelphia she was
she came to Philadelphia she was evaluated by her team worked up and
evaluated by her team worked up and
evaluated by her team worked up and again desperate to have hands she made
again desperate to have hands she made
again desperate to have hands she made this commitment commitment to us we
this commitment commitment to us we
this commitment commitment to us we again went back to our cadaver lab and
again went back to our cadaver lab and
again went back to our cadaver lab and after two years of preparation she flew
after two years of preparation she flew
after two years of preparation she flew to Philadelphia and we gave her hands in
to Philadelphia and we gave her hands in
to Philadelphia and we gave her hands in about ten hours her dream and our
about ten hours her dream and our
about ten hours her dream and our privilege the world of solid organ
privilege the world of solid organ
privilege the world of solid organ transplant just a few short weeks ago
transplant just a few short weeks ago
transplant just a few short weeks ago lost to patriarchy by the name of Thomas
lost to patriarchy by the name of Thomas
lost to patriarchy by the name of Thomas Starzl and he was in favor of this new
Starzl and he was in favor of this new
Starzl and he was in favor of this new field we call vascularized composite
field we call vascularized composite
field we call vascularized composite allotransplantation or hand transplant
allotransplantation or hand transplant
allotransplantation or hand transplant for short Starzl is a remarkable surgeon
for short Starzl is a remarkable surgeon
for short Starzl is a remarkable surgeon the early patients that he transplanted
the early patients that he transplanted
the early patients that he transplanted for liver transplant the father Lou they
for liver transplant the father Lou they
for liver transplant the father Lou they died on the table they had all sorts of
died on the table they had all sorts of
died on the table they had all sorts of complications he had all sorts of
complications he had all sorts of
complications he had all sorts of obstacles and yet he persisted and I
obstacles and yet he persisted and I
obstacles and yet he persisted and I stand with my team on the shoulders of
stand with my team on the shoulders of
stand with my team on the shoulders of this giant following my convictions
this giant following my convictions
this giant following my convictions that’s what he told me there
that’s what he told me there
that’s what he told me there follow your convictions with my team we
follow your convictions with my team we
follow your convictions with my team we were able to transform the lives of
were able to transform the lives of
were able to transform the lives of these three patients I’m a previous Army
these three patients I’m a previous Army
these three patients I’m a previous Army reservist served in the US military and
reservist served in the US military and
reservist served in the US military and what is this story about
what is this story about
what is this story about more than giving hands design and Laura
more than giving hands design and Laura
more than giving hands design and Laura and Lindsay that’s great we’re proud of
and Lindsay that’s great we’re proud of
and Lindsay that’s great we’re proud of that we have over 1500 wounded warriors
that we have over 1500 wounded warriors
that we have over 1500 wounded warriors who have lost their limbs defending our
who have lost their limbs defending our
who have lost their limbs defending our freedom and while the hand transplant is
freedom and while the hand transplant is
freedom and while the hand transplant is not for all of the many do extremely
not for all of the many do extremely
not for all of the many do extremely well with prosthetics upper and lower
well with prosthetics upper and lower
well with prosthetics upper and lower extremity prosthetics we owe these
extremity prosthetics we owe these
extremity prosthetics we owe these soldiers a debt of gratitude and perhaps
soldiers a debt of gratitude and perhaps
soldiers a debt of gratitude and perhaps if they desire if they desire the
if they desire if they desire the
if they desire if they desire the possibility to receive new hands in
possibility to receive new hands in
possibility to receive new hands in closing I want you to applaud with your
closing I want you to applaud with your
closing I want you to applaud with your hands not as a tribute to my talk
hands not as a tribute to my talk
hands not as a tribute to my talk not as a tribute to my talk but applaud
not as a tribute to my talk but applaud
not as a tribute to my talk but applaud the courage of these three patients
the courage of these three patients
the courage of these three patients their donor families my teammates at
their donor families my teammates at
their donor families my teammates at Penn and those that have come before me
Penn and those that have come before me
Penn and those that have come before me in transplantation and reconstructive
in transplantation and reconstructive
in transplantation and reconstructive microsurgery thank you very much
microsurgery thank you very much
microsurgery thank you very much [Applause]
”
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