You Gotta Have Heart

You Gotta Have Heart

Denver Broncos Quiz (1960- ): 1) Most passing yards in a

game? [Hint: 1962.] 2) Most pass receptions, career?

3) Most interceptions, career? 4) Who coached the Broncos to

the 1978 Super Bowl (1977 season)? Answers below.

Dr. Christiaan Barnard

CBS” “Sunday Morning” program had a brief bit on the

anniversary of the world”s first heart transplant, 12/3/67. I must

say I panicked a bit because I had long planned on a retelling of

this story but their piece was all of about 30 seconds.

I was only 9 years of age back in ”67 but I remember being so

fascinated with the story from South Africa. And, when you

think back to those times, it is still truly amazing.

Christiaan Barnard was born back in 1922, the son of an

Afrikaner preacher. He went to medical school both in South

Africa as well as the University of Minnesota. When he settled

back in Cape Town, at Groote Schuur Hospital, he began

experimenting on heart transplantation, mostly with dogs.

By the fall of 1967, Barnard and his team were convinced that

they had performed enough research to try the procedure on a

human.

Of course, Barnard needed the perfect patient, as well as a donor.

The patient was Louis Washkansky, a 55-year-old with diabetes

and incurable heart disease. Washkansky was first told about 3

weeks before the transplant that Barnard thought he was a good

candidate. Years later, Barnard wrote of the decision that

Washkansky faced.

“For a dying man, it is not a difficult decision because he knows

he is at the end. If a lion chases you to the bank of a river filled

with crocodiles, you will leap into the water convinced you have

a chance to swim to the other side. But you would never accept

such odds if there were no lion.”

Barnard also said at the time, in a matter of fact way, “We didn”t

see the heart as the seat of the soul. The cessation of the heart

did not mean the end of life. We knew that.”

A few days before December 3rd a donor was found, but died

too soon for the operation to take place. Then, on the 2nd, a 24-

year-old by the name of Denise Darvall was brought to Groote

Schuur Hospital with massive injuries suffered in an auto

accident. It was clear she wasn”t going to live, yet most of her

vital organs were in good shape, particularly her heart and

kidneys. The blood and tissue types also matched what Barnard

needed.

But Barnard first needed approval from Darvall”s father. Poor

Mr. Darvall had also lost his wife in the same accident (she died

instantly). The father gave permission for the transplants

(Denise”s kidneys were transplanted into a 10-year-old at another

hospital nearby).

Darvall died and the doctors had to act fast, within 30 minutes of

her death, to transplant her heart into Washkansky. [This

occurred after midnight on the 3rd.]

A team of 20 surgeons and nurses took five hours to complete

the operation. Said one surgeon, “It was like watching a

bullfight. Certain classical maneuvers had to be done before the

grand finale.”

Then came the moment of truth. Electrodes were applied to

Washkansky”s new heart and it resumed beating. Said a member

of the team, “It was like turning the ignition switch of a car.”

At this moment Barnard was reported to have said, “It”s going to

work. I need a cup of tea.”

Barnard also said, right after the operation that, “If it had not

been for (Washkansky”s) courage and will to live the operation

would never have succeeded.”

But, one of the many amazing things about this historic moment

in time was that Barnard was so nonchalant he didn”t even take

pictures of the operation.

I read an account of the transplant in the December 4, 1967

edition of the New York Times. [Barnard wasn”t even

mentioned until about the 20th paragraph of the story.] A

spokesman for the hospital commented at the time.

“The longer Washkansky goes on, the better, although…the body

could decide in 5 or 10 years” time that it doesn”t want this

heart.” Washkansky, himself, was kept “dead quiet” in the

recovery room…no one said a word while he was being

monitored.

But, unfortunately, Washkansky didn”t live 5 or 10 years. He

died 18 days later from double pneumonia as a result of his

suppressed immune system; his courage and place in medical

history, however, well-established.

Of course, Washkansky”s death didn”t discourage Barnard and

his second heart transplant patient, Philip Blaiberg, lived for 18

months after his operation. Later on, another, Dirk van Zyl, lived

23 years before dying of diabetes – unrelated to his heart

condition.

As you might imagine, Christiaan Barnard became an instant

world celebrity, and the fame got to him. Initially, he enjoyed it

immensely, but it later wrecked his marriage and he shied away

from the limelight soon thereafter. Today, he lives on a 32,000-

acre sheep farm in the Karroo region of South Africa.

About 45,000 heart transplants have now been performed over

the last 33 years. 90% now survive the operation, with 70-75%

living for 5 years thereafter.

[Dr. Denton Cooley, one of those reviewing Dick Cheney”s heart

condition, by the way, was the first to perform a transplant in

America; 17 in 1968 alone, with his first patient living 204 days.]

Barnard predicts that human hearts will one day be grown

artificially to suit patients, using genetic engineering techniques

that can already produce human skin.

But he also has two regrets. Back in 1986 he endorsed an anti-

aging skin crFme of dubious effectiveness and, more importantly,

he didn”t fight harder against the policy of apartheid.

“I opposed it when I could. But I didn”t stick my neck out.”

[Sources: New York Times, BBC, PBS]

Stuff

–The City of Buffalo has already used up its whole snow-

removal budget for the season as a result of November”s 25-inch

storm.

–Happy Birthday to Ulrich Inderbinen. This chap turns 100 this

week and the town of Zermatt, Switzerland is holding a week

long celebration for him. Ulrich, who grew up in the hills above

Zermatt, is a huge icon in these parts for his mountain climbing

exploits. It is reported that he climbed the Matterhorn, which

looms over the town, some 370 times! And his last ascent was at

age 90.

I was fortunate enough to be in Zermatt back in 1970 when, at

age 12, my brother (18 at the time) and I started climbing this

well-worn path up near where folks launch their expeditions for

the summit of the Matterhorn. It was pretty narrow and even

though it was summer, I remember it started to snow a bit.

Well, no sooner do we round this corner but a large herd of

goats suddenly impeded our way. It scared the heck out of us

since we had nowhere to go but over a cliff. Alas, pressed up

against the rock wall, the goats passed.and, duly shaken, we

followed them back into town. [Actually, that same trip my

brother and I were in a row boat in Norway, messing around in a

fjord, when a big steamer almost capsized us. Kids, don”t try this

at home, especially if your mother is watching from shore.]

–Speaking of traveling, I mentioned the following in a “Week in

Review” a few weeks ago but I came across another article on

the topic, that being “deep-vein thrombosis” and extended

airplane flights.

In all seriousness, it really is a growing problem. Betsy Wade

reported in the New York Times on a 3-year study conducted at

Heathrow Airport, which looked into the sudden deaths of 61

long-distance passengers. 11 died from blood clots, most likely

caused by pooling of the blood in the legs brought on by

prolonged inactivity and sitting.

The victims also tended to be women over 40 with a history of

deep-vein thrombosis, as well as women taking birth control

pills.

Vice President Dan Quayle was hospitalized in 1994, for what

doctors ascribed as clots for sitting too long on extended flights.

What happens is that a large blood clot in the leg breaks off and

migrates to the heart and lungs.

So it”s important to exercise and stretch during such flights. And

wear loose clothing…also no knee socks or socks with elastic

tops.

–NBA Dancers: Moving right along, Sports Illustrated had a bit

this week on the amount of money the girls get for shaking their

booty. For example, the Knicks City Dancers receive $150 per

game, with the Nets” Power N”Motion (great, I might add)

getting $120. Others, like Portland”s BlazerDancers, receive as

little as $40.

But the big money is made through appearance fees, with, for

example, the Sixers Dance Team charging as much as $150 an

hour.

–College Football: Just another great game on Saturday night

from the Big 12 conference as my adopted team from Oklahoma

captured a spot in the national championship game by beating

Kansas State. But, for sheer drama, each year you always have

to make sure to catch at least the last quarter of the Army-Navy

game. Who cares about the team”s records?! It”s college

athletics at its finest. And Army was robbed on that offsides kick

call. [But I”m not taking sides, mind you!…mused the editor.

attempting to head off an avalanche of mail.]

Top 3 songs for the week of 12/7/63: #1 “Dominique” (The

Singing Nun…yes, again, my first 45. Ughh.) #2 “I”m Leaving

It Up To You” (Dale & Grace) #3 “Everybody” (Tommy Roe…

unbelievable. I swear, as I”m typing this, it is playing on my

Oldies station. What does it all mean!!!!!!!!)

Broncos Quiz Answers: 1) Most yards, game: Frank Tripucka,

447, 9/15/62. [Father of Kelly Tripucka, the b-ball star.

Tripucka is also one of only three Broncos to have his uniform #

retired…along with Elway and Floyd Little.] 2) Pass receptions,

career: Lionel Taylor, 543. Led the league in receptions 5 times.

Should be in the Hall of Fame. 3) Interceptions, career: Steve

Foley, 44. 4) Red Miller coached the Broncs to the ”78 Super

Bowl.they lost 27-10 to Dallas.

Finally, since I mentioned Floyd Little, his career stats were

6,323 yards rushing for a 3.9 avg. I was surprised to see he had

only one 1,000-yard season.

Next Bar Chat…Wednesday. So I”m listening to my Oldies

station the other day and Steven Van Zandt was a guest. He

brought along his own favorite ”60s music and made the

comment that Dave Clark (DC Five) “produced the most

powerful rock records;” quite a compliment. I did a piece on

one of my favorite groups over a year and a half ago. It”s time to

update the story.