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Facing a surgical identity crisis
The Australian ^ | 19sep05 | AP

Posted on 09/18/2005 2:53:35 PM PDT by neverdem

CLEVELAND: Five US men and seven women will secretly visit a medical clinic in Ohio in coming weeks to vie for the chance to have a radical operation that has never been tried anywhere in the world.

They will smile, raise their eyebrows, close their eyes and open their mouths. The Cleveland Clinic's Maria Siemionow will study their cheekbones, lips and noses. She will ask what they hope to gain, and what they most fear. Then she will ask: "Are you afraid you will look like another person?"

Because whoever she chooses will endure the ultimate identity crisis. Dr Siemionow wants to attempt a face transplant.

She is exploring the medical frontier in the hope of giving people disfigured by burns, accidents or other tragedies a chance at a new life. Today's treatments still leave many with scar-tissue masks that do not look or move like natural skin.

These people have already lost the sense of identity that is linked to the face. The transplant is "taking a skin envelope" and slipping their identity inside, Dr Siemionow says.

Her supporters note her experience, planning, the team of experts assembled to help her, and the practice she has done on animals and human cadavers to perfect the technique.

But her critics say the operation is too risky for something that is not a matter of life or death, as organ transplants are. They paint a surreal image of a worst-case scenario: a transplanted face being rejected and sloughing away, leaving the patient worse off than before.

Such qualms recently scuttled face transplant plans in France and Britain.

Ultimately, it comes to this: a hospital, doctor and patient willing to try it.

The first two are now in place. The third is expected shortly.

The "consent form" says the surgery is so new and its risks so unknown that doctors do not think informed consent is possible. Here is what the form tells potential patients:

Your face will be removed and replaced with one donated from a cadaver, matched for tissue type, age, sex and skin colour. Surgery should last eight to 10 hours, and the hospital stay will be 10 to 14 days.

Complications could include infections that turn your new face black and require a second transplant or reconstruction with skin grafts. Drugs to prevent rejection will be needed for life, and they carry the risk of kidney damage and cancer.

After the transplant you might feel remorse, disappointment, grief or guilt toward the donor. The clinic will try to shield your identity, but the media is likely to discover it.

The clinic will cover costs for the first patient; nothing about any others has been decided.


TOPICS: Culture/Society; Extended News; News/Current Events; US: Ohio
KEYWORDS: facetransplant; health; medicine; science; surgery; tpl; transplantation
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1 posted on 09/18/2005 2:53:36 PM PDT by neverdem
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To: neverdem

These candidates need to be able to face rejection.


2 posted on 09/18/2005 2:56:40 PM PDT by Plutarch
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To: neverdem
worst-case scenario: a transplanted face being rejected and sloughing away

Thus making losing face more than a metaphor!

3 posted on 09/18/2005 3:05:24 PM PDT by headsonpikes (The Liberal Party of Canada are not b*stards - b*stards have mothers!)
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To: El Gato; JudyB1938; Ernest_at_the_Beach; Robert A. Cook, PE; lepton; LadyDoc; jb6; tiamat; PGalt; ..
Whole frozen ovary transplanted

'The Universe in a Single Atom': Reason and Faith

FReepmail me if you want on or off my health and science ping list. Anyone can post any unrelated link as they see fit.

4 posted on 09/18/2005 3:12:57 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: neverdem
But her critics say the operation is too risky for something that is not a matter of life or death, as organ transplants are.

Skin grafts are done fairly frequently from cadavers. Usually not this extensive.

Further, since it is a very thin skin layer that is transplanted the likelhood of waking up looking like someone else is pretty thin (pun intended). The transplant will match your bone/muscle structure over a few weeks.

And this is a good thing, because otherwise Hillary would be wearing Al Gore's face next week.

5 posted on 09/18/2005 3:14:02 PM PDT by konaice
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To: konaice
Don't ask me why, but the Times allowed access to the whole article, but I had to keep all of the suffix after html.

A New Face: A Bold Surgeon, an Untried Surgery

Here's posted threads.

A New Face: A Bold Surgeon, an Untried Surgery

A New Face: A Bold Surgeon, an Untried Surgery(face transplant)

6 posted on 09/18/2005 3:41:59 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: neverdem

Nothing new here, been done before, Hillary Clinton is really Joe Stalin.


7 posted on 09/18/2005 3:48:51 PM PDT by Navy Patriot
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To: neverdem
... a transplanted face being rejected and sloughing away, leaving the patient worse off than before ...

Michael Jackson?

8 posted on 09/18/2005 3:53:08 PM PDT by manwiththehands
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To: Navy Patriot

That's disrespecting the dead!


9 posted on 09/18/2005 4:26:07 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: neverdem
That's disrespecting the dead!

Uh, ok, but my theory is Joe's not dead.

10 posted on 09/18/2005 4:33:13 PM PDT by Navy Patriot
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To: neverdem
Following surgery....
"What ever you do, Mrs. Smith, don't sneeze!"
11 posted on 09/18/2005 4:45:14 PM PDT by 6SJ7
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To: neverdem

Why aren't these people being evaluated for mental deformities?
They force transexuals to undergo years of psychiatric treatment, and I think this is just as drastic.
Wonder how the cadaver's living family will feel when they see their dead loved ones face on a different body?
I guess leaving myself to science is now out of the question.


12 posted on 09/18/2005 4:48:04 PM PDT by mabelkitty
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To: neverdem

"Complications could include infections that turn your new face black and require a second transplant or reconstruction with skin grafts. "

My theory is that these failures have really been going on in secret for years. How else does one explain Helen Thomas, Joey Biden or Susan Estrich?

I accept your thanks for not posting photographs of the above. I didn't do it out of kindness...I simply don't know how to do it!


13 posted on 09/18/2005 4:52:54 PM PDT by LostInBayport (Massachusetts liberals refuse to admit we exist...we are the 37% who voted for GWB)
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To: MoralSense; Mjaye; The Game Hen; Chesterbelloc; Petes Sandy Girl; MarMema; From many - one.; ...

14 posted on 09/18/2005 5:29:05 PM PDT by Born Conservative ("I'm expecting that some people who are die-hards will die hard.'' -NOLA parish president)
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To: mabelkitty
I guess leaving myself to science is now out of the question.

I was going to leave my body to art.

Guess that's out of the question now, too. Don't want someone going around with this bod I worked so hard for! ;-)

15 posted on 09/18/2005 6:02:23 PM PDT by Gondring (I'll give up my right to die when hell freezes over my dead body!)
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To: neverdem

didnt cage and travolta already do this?


16 posted on 09/18/2005 6:04:24 PM PDT by isom35
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To: isom35

I think it was Eleanor Rigby.


17 posted on 09/18/2005 6:22:27 PM PDT by xJones
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To: neverdem
Visions of the 'Twilight Zone'.

Would be nice for those so severly disfigured they would go to this extreme to have it actually work.

18 posted on 09/18/2005 6:26:30 PM PDT by Dustbunny (The only good terrorist is a dead terrorist)
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To: neverdem

19 posted on 09/18/2005 7:37:18 PM PDT by Doctor Stochastic (Vegetabilisch = chaotisch ist der Charakter der Modernen. - Friedrich Schlegel)
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To: Doctor Stochastic
One of my favorite movies.

I loved the prison scene where Cage is getting beat up and he looks over at his younger brother, and for a split second has this confused look on his face. Then he displays a menacing "f--k yeah" grin and starts kicking butt.

20 posted on 09/18/2005 8:51:50 PM PDT by Extremely Extreme Extremist
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