The Medicine Chest

Items

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  A beating heart

  "Dear Doctor Barnard I am an 11 year old girl, and I have a problem: I went fishing today; when we came back, my parents cleaned the fish, and after they took out the insides, they found a heart of a fish beating, but the fish was dead and cut up. It was still beating for about 1/2 an hour. Can you explain that? I am very interested in biology, and so is everyone else in my family. ​Sincerely Yours, Lillian Levy P.S. I know you are a very busy man, but, if you have enough time, please try to answer. THANK YOU! P.P.S. If a doctor says you're dead and they take out your heart but it is still beating, are you dead or alive?" ​Transcribed letter from the Heart of Cape Town Museum
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  Heart of Cape Town Museum

  Christiaan Barnard did forty-eight trial transplants with dogs before he undertook such an operation with a human being.
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  Electrocardiograph of first heart transplant

  “The ventricular peaks would shoot up as in wild flight, and their intermediate planes would begin to jumble against one another like the sudden crashing of cars on a freight-train. The heart’s beautiful symmetry would then be reduced to an erratic green line of wild jerks until it entered the final isoelectric phase resembling a sawtooth – jagged lines of the heart seeking to rise like a dying bird, fluttering upward, only to fall once again onto its flat plane of death” (Barnard in Young 2002: 79-80).
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  Denise Darvall

  "During the first heart transplant a shift occurred in the heart of Denise Darvall, the young brain-dead car accident victim whose family had allowed her heart to be given up. In his account of the operation, Barnard writes how her heart’s life fluid returned from the lungs – how many million times had it happened? – but different this time, void of oxygen. How her heart would react, at first, as if meeting only a small inconvenience. Unaware of what was happening, it would simply pump more excitedly – expecting some relief. Yet this would never come, and it would fall back in the first wave of confusion and fatigue. Barnard equates Darvall's heart with a bird trying to take flight" (Liebenberg 2011: 107-108).