The Commentator                                         www.thecommentatorjm.com                                           April 2006 Edition
       Science and Technology [4]
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Another face transplant – THIS TIME from the living!

Michael A. Dingwall (michael_a_dingwall@hotmail.com)

Sometime ago, a French woman made history by being the first person to get the face of another.  She was terribly mauled by a dog and had lost a substantial portion of her face.  In order to make her look normal, she was given the face of a dead person.  A few weeks ago, a Chinese man became the second person to receive substantial portions of another person’s face.  However, in this case the donor was not dead.

                  

Doctors in the People’s Republic of China transferred substantial portions of the face of a brain dead man unto the face of this recipient.  The recipient was mauled by a bear, in China and most of his face was terribly disfigured.  After the surgery, the man was given a mirror to have a look at himself.  While being satisfied with the surgery, he said that he noticed that he looked “different”!  However, what are the ethics of this second face transplant?

This case is very much different from the French case that was done some time before.  In the China case, the donor was not dead (even though he was brain dead).  What has become of the donor and his face?  Who gave the go-ahead for that donor to remove most of his face so that it can go on the head of another person?  Does the person who gave that approval have any right to decide this for that brain dead person?

We have already seen how body parts, both internal and external, are being removed from corpses (and living persons, in the case of internal parts) and given to living persons who are in desperate need of them.  In Great Britain, some years ago, the arms of a recently deceased man were removed and surgically attached to another.  We routinely see heart, lung and liver transplants being performed.  Such is the rapid advance of science and technology.

The case in China, however, raises some very serious questions.  Seeing that the donor was not quite dead and surely now without most of his face, will the day come when we will see more of such “medical miracles”?  If a person has total or near total organ failure, will he now be subject to be scrapped, even before he is dead?  While I have no problem with using body parts, both internal and external, from the dead to help sustain the living, I am not sure about doing so from the living.

The only possible exception that I may have is in the case of some convicted prisoners – those that have been convicted of heinous crimes can be used as donors.  However, I am not too sure that ordinary people should be “pulled apart” while still alive.

There is also another case that offers an alternative.  A young girl was given a bladder that was grown unto a mold.  The bladder was grown from cells taken from another part of her body.  If internal organs and external ones, including the skin can be grown from the recipient’s own cells, then there would not be so much need for the body of another person – whether dead or alive.  Science is advancing at such a rate that such occurrences as this one with the girl and her bladder may soon become routine.  Surely, this option would raise less ethical concerns than the Chinese case.

For the time being, it seems certain that we will see more of these medical wonders.  The rapid advance of science and technology will make sure of this.  Mankind is continually increasing his scientific and technological abilities.  While these abilities are certain, the ethics of some of them will certainly be very debatable.

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* Another face transplant – this time from the living!


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