All photos courtesy of "Surgery of the Soul," Science History Publications, Watson Publishing International, Eric Miller, Jason Arnold, Edith Helm and Wanda Foster.

A Tribute to the Pioneers of Transplantation
Remarks By Dr. Murray at the
U.S. Transplant Games
July 29, 2004

It is an honor to be here this evening and to see so many colleagues, some of whom I have known for decades, other I have met only recently. To have hundreds of years of transplantation experience gathered in one place is inspiring and gratifying.

 

In recent weeks I have been asked many times to retrace the steps of the Herrick transplant in December 1954 and to expound upon the subsequent advances and challenges in our field. Each time I recount these milestones I think not of what any one of us has done individually, but instead what we have achieved together. Our experiences have spanned the globe and decades, and each has made a significant contribution in the lives of current and future patients and families.

 

I now wish to recall other pioneers. I do this with hesitancy because it is impossible to include everyone.

 

 

Let’s start with David Hume. David and I began our surgical internships at the Peter Bent Brigham Hospital (now Brigham & Women’s) on the same day, January 1, 1944. Dave died in a plane crash in 1973. At the end of our internship, David was selected to continue at the Brigham. I was drafted into military service.

 

My first permanent duty was at Valley Forge Army Hospital in Pennsylvania. This chance assignment turned out to be crucial in my professional life. My Valley Forge experience working with skin grafts on World War II burn casualties stimulated my interest in transplantation. On observing skin allografts slowing melt away while skin autographs placed at the same time grew and expanded, I wondered, “How could the body be so smart as to distinguish between skin grafts from self and non-self?”

 

During my three years of active duty at Valley Forge, Dave remained at the Brigham and became the first surgeon to participate in the Brigham kidney transplant program. Dr. George Thorn, Chief of Medicine, had started the program which Dr. Francis Moore enthusiastically supported when he became Chief of Surgery. The transplant team ultimately included pathology, radiology, psychiatry, nursing and social services.

 

David Hume performed the well-publicized series of cadaveric thigh transplants. When I returned to the Brigham after military service to complete my surgical residency, I joined him on the transplant team. Dave, then working on the pituitary-adrenal axis, was more than willing to transfer the transplant lab responsibility to me, but he chose to remain in charge of the transplant patients.

 

When David was recalled to the Navy during the Korean War to complete his military commitment, Dr. Moore asked me to take over both the lab and the clinical programs. David’s spirit was with us during the Herrick operation on December 23, 1954.

 

In 1982, 28 years after our identical twin transplant, Peter Medawar, then studying the immunology of cancer, reflected on that Brigham operation with typical Medawarian prose:

 

“Physician will arise who feel just as much at home in the laboratory as in the cancer ward. Just one brilliant break is needed, akin to first brilliant kidney transplant in the Peter Bent Brigham Hospital in Boston, and then recruits will come forward by the hundreds.”

 

Surgeons, physicians and scientists did come forward in large numbers during the early 50’s with renewed enthusiasm.

 

Thomas Starzl in the 1960’s in Denver and later Pittsburgh dramatically enlarged the field of renal transplantation. He, along with David Hume then in Richmond, was among the first to publish a series of successful transplant patients. John Najarian from San Francisco and Minneapolis soon followed. Roy Calne became an innovative leader in the U.K. along with Michael Woodruff in Edinborough. Roy Calne and Thomas Starzl made liver transplantation a clinical reality on both sides of the Atlantic. They along with John Najarian among others began to perform ‘cluster’ transplants of multiple organs simultaneously in patients requiring more than one organ.

 

Dr. Donnell Thomas in Seattle discovered how to transplant functioning bone marrow cells for the treatment of lymphoma and leukemia.

 

From the earliest days the French contributions were monumental: Drs. Hamburger, Kuss, Dausett, Matthe and their colleagues were outstanding.

 

The pathway to cardiac transplants were erratic and started experimentally with Drs. Richard Lower and Norman Shumway in California, Dr. Najarian in Minnesota and Drs. Lower and Hume in Richmond. It burst into celebrity status with Chris Barnards’s first human heart transplant in South Africa. Then the cardiac bubble burst. But under the carefully prepared teamwork of Shumway successful cardiac transplants became predictable and curative.

 

I also acknowledge the far-sighted founders of our school and hospitals, the workshops that allowed us to work so productively.

 

Arthur George Elliott once wrote “Prophecy is the most gratuitous form of error.” I make no prediction about future medical progress. However, I am certain that organ transplantation will forever remain as one of the greatest gifts to the body and soul of mankind.