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- <text id=91TT1353>
- <title>
- June 17, 1991: Matchmaker, Find Me a Match
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1991
- June 17, 1991 The Gift Of Life
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- ETHICS, Page 60
- COVER STORIES
- Matchmaker, Find Me a Match
- </hdr><body>
- <p>Outwitting the body's defenses, surgeons have become hugely
- successful at transplants. They could do a lot more, if only
- there were more organs
- </p>
- <p>By CHRISTINE GORMAN--Reported by Barbara Dolan/Chicago and
- Andrew Purvis/New York.
- </p>
- <p> With flying fingers, fine sutures and a potent arsenal of
- drugs, surgical teams have become so successful at transplanting
- organs that the demand for viable tissue has far outstripped
- supply. In 1967, the first person ever to feel the beat of
- another man's heart in his own chest survived for just 18 days
- after the operation. Today, more than eight out of 10 heart
- recipients live at least a year with their borrowed organs. For
- kidney transplants, first-year survival tops 90%. As success
- rates soar, doctors attempt ever more variations on the
- transplant theme: installing a new pancreas, lobes of a live
- donor's lungs, even several organs at once. But rising hopes
- mean more people will be disappointed. Some 23,000 Americans
- desperately await replacement organs this year; if current
- shortages continue, more than 2,000 of them will die before a
- donor is found.
- </p>
- <p> The present golden age of transplants occurred only after
- researchers began tackling one of medicine's greatest puzzles:
- How do you sneak a foreign organ past the body's immune system,
- which is dedicated to the proposition that all alien tissue is
- dangerous and should be destroyed? On the one hand, doctors try
- to disable the body's defenses just enough so that they will not
- reject the transplant. Here the trick is not to go overboard and
- completely cripple the immune system, leaving the body open to
- attack by deadly viruses and bacteria. On the other hand, they
- try to cajole the ldier will be ticklish, in
- part because the abductors are afraid they will be liquidated
- by vengeful Western governments or abandoned by their former
- Iranian patrons. That fear could delay Perez de Cuellar's dream
- of bringing the entire hostage saga to a close--and send Picco
- back into the Bekaa Valley.
- </p>
- </body></article>
- </text>
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