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TIME: Almanac 1995
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TIME Almanac 1995.iso
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1994-10-03
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<text id=94TT1191>
<title>
Sep. 05, 1994: Families:A Daughter's Last Gift
</title>
<history>
TIME--The Weekly Newsmagazine--1994
Sep. 05, 1994 Ready to Talk Now?:Castro
</history>
<article>
<source>Time Magazine</source>
<hdr>
FAMILIES, Page 45
A Daughter's Last Gift
</hdr>
<body>
<p> A young woman killed in a car accident saves her father's life
by donating her heart for a transplant
</p>
<p>By Jon D. Hull/Chicago--With reporting by Michael McBride/Royal Oak
</p>
<p> The gift of life is never meant to be returned, especially
not wrapped in plastic, packed in ice and enclosed in a small
Igloo cooler. But that is precisely the transaction that occurred
last week at William Beaumont Hospital in Royal Oak, Michigan,
where doctors took the heart of a 22-year-old who died following
a car crash and sewed it inside the body of her father.
</p>
<p> Chester Szuber, a retired Christmas-tree-farm owner, had been
tormented by heart disease for 20 years. He had endured three
open-heart surgeries and two operations to clear his arteries.
Four years ago, he was put on a waiting list for a transplant.
But early in the morning of Aug. 18, he was bumped to the front
of the line. His daughter Patti--a nursing student who carried
an organ-donor card, had communicated to her family her wish
to be a donor and even drove a car with a bumper sticker promoting
donations--had been thrown from a car when it hit a rock wall
on the Tennessee side of Great Smoky Mountains National Park.
The vacation, said her brother Bob, was to have been her "last
hurrah before starting school" in the fall. Instead she ended
up at the University of Tennessee Medical Center in Knoxville,
brain dead.
</p>
<p> Every organ donation brings with it wrenching questions for
the families involved, all of which have to be answered within
hours of the death of a loved one. Would the donor really have
wanted the organ to leave her body? Would the operation put
the life of the recipient at greater risk? In this case, the
two families were the same, but there was a deeper implication
that was particularly discomforting: Can you take your own child's
heart, to feel and hear it beat day after day?
</p>
<p> Patti's mother Jeanne initially balked, fearful that having
lost her daughter, she would now lose her husband during surgery.
But the patient himself insisted, saying, "It would be a joy
to have Patti's heart." The rest of the family agreed. "That
was what Patti would have wanted, beyond a shadow of a doubt,"
said Bob. It would "make Patti the happiest little angel in
heaven." In less than six hours last Monday, her heart was removed,
surrounded with ice, flown 600 miles to Michigan and deposited
in her father, where it began beating again. Szuber is listed
in good condition and is expected to be released within two
weeks. His daughter, the youngest of his six children, was buried
last Friday.
</p>
<p> While some 2,000 hearts are transplanted each year, last week's
operation was apparently unique. "I'm not aware of any cases
in which a heart was transplanted from one family member to
another," says Joel Newman, spokesman for the United Network
for Organ Sharing in Richmond, Virginia, which maintains a nationwide
registry of 35,000 requests for organ donations, about 3,000
of them for hearts. "While the odds of this occurring are extremely
slim, this puts a human face on a real problem for thousands
of people awaiting organs. You can save lives by donating."
</p>
<p> That is a judgment of supply and demand. Emotionally, the transplant
touched more ambiguous chords. "My ethical meter says this is
O.K. and should be done. My gut-feeling meter says, `Wow, this
is very troubling.' It's in the Ripley's `Believe It or Not'
category," says Arthur Caplan, who directs the Center for Bioethics
at the University of Pennsylvania. "The heart is the most symbolic
of organs. Had they moved a lung or a pancreas, it just wouldn't
have the same emotional impact." But a child's heart? Surely
no parent could bear such a burden. Unless, perhaps, as in the
case of the Szubers, the only alternative was another death
in the family.
</p>
</body>
</article>
</text>