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ROCHESTER, Minn. Ct scan neck (AP) — He’d been waiting for this day, and when his doctor handed him the mirror, Andy Sandness stared at his image and absorbed the enormity of the moment: He had a new face, one that had belonged to another man.
His father and his brother, joined by several doctors and nurses at Mayo Clinic, watched as he studied his swollen features. Sinus ct scan brain tumor He was just starting to heal from one of the rarest surgeries in the world – a face transplant, the first at the medical center.
Images of chest ct scan He had the nose, cheeks, mouth, lips, jaw, chin, even the teeth of his donor. Ct scan abdomen contrast Resting in his hospital bed, he still couldn’t speak clearly, but he had something to say.
“You don’t know how happy that makes us feel,” Mardini said, his voice husky with emotion as he looked at the patient-turned-friend he had first met nearly a decade earlier.
The exchange came near the end of an extraordinary medical journey that revolved around two young men. Different types of ct scan machines Both were rugged outdoorsmen and both just 21 when, overcome by demons, they decided to kill themselves: One, Sandness, survived but with a face almost destroyed by a gunshot; the other man died.
Their paths wouldn’t converge for years, but when they did – in side-by-side operating rooms – one man’s tragedy offered hope that the other would have a second chance at a normal life.
He’d been sad and drinking too much lately. Cost of ct scan of head in india That night after work while “super, super depressed,” he grabbed a rifle from a closet. Full body ct scan He stared at it for a while, then put a round in the chamber. Chest ct scan with contrast He positioned the barrel beneath his chin, took a deep breath and pulled the trigger.
Instantly, he knew he’d made a terrible mistake. Ct scan with When the police arrived, an officer who was a friend cradled him in his arms as Sandness begged, “Please, please don’t let me die! I don’t want to die!”
He was rushed from his home in eastern Wyoming, treated at two hospitals, then transferred to Mayo Clinic. Ct scan full meaning When he woke, his mother was holding his hand. What does a ct scan diagnose She’d always been a strong woman but that day, her face was a portrait of unfathomable pain. Abdominal ct scan what does it show The bullet had obliterated his mouth, so he motioned for a pen and paper.
The answer came quickly when he met Mardini, a plastic surgeon whose specialty is facial reconstruction. How does cancer show up on a ct scan As a newcomer at Mayo, the doctor was on call Christmas Eve. What is a ct scan used to diagnose Over the next few days, he reassured Sandness that he’d fix his face as best he could.
It would take time and much surgery. Ct scan tomography And despite their skills, the doctors couldn’t miraculously turn him back into that guy with the orthodontist-perfected smile
Sandness couldn’t bear to see himself, so he covered his hospital room mirror with a towel. Brain ct scan with contrast He had no nose and no jaw. What to expect after a ct scan He’d shot out all but two teeth. Ct scan used for His mouth was shattered, his lips almost non-existent. What is a ct scan of the head He’d lost some vision in his left eye. Ct scan types He needed breathing and feeding tubes at first.
Mardini and his team removed dead tissue and shattered bones, then connected facial bones with titanium plates and screws. Take ct scan They reconstructed his upper jaw with bone and muscle from the hip; they transferred bone and skin from a leg to fashion the lower jaw. Chest ct scan images They used wires and sutures to bring together his eyelids, which had been spread apart because of the powerful blast.
After about eight surgeries over 4? months, Sandness returned home to Newcastle, Wyoming, a hamlet of 3,200, where friends and family embraced him. Ct scan with dye He worked at a lodge, in the oil fields and as an electrician’s apprentice.
But his world had shrunk. Ct scan with dye contrast When he ventured to the grocery store, he avoided eye contact with children so he wouldn’t scare them. Head ct scan with contrast dye Occasionally, he heard them ask their mothers why he looked that way.
He had almost no social life; on a rare night out to shoot pool, a guy taunted him about his appearance. What is a ct scan looking for He retreated to the hills, where he could hunt elk and fish walleye, unseen.
Sandness learned to adapt. Ct scan without contrast His mouth was about an inch wide – too small for a spoon – so he tore food into bits, then sucked on them until he could swallow the pieces. Cost of ct scan philippines He wore a prosthetic nose but it constantly fell off outdoors; he carried glue to reattach it. Ct scan picture of machine It discolored often, so he had to paint it to match his skin.
There was, but the prospect of 15 more surgeries Mardini had mapped out scared him. Brain ct scan images He didn’t want more skin grafts, more scars or dental implants Even then, he’d still look deformed.
Mardini told him it looked like Mayo was going to launch a face transplant program and Sandness might be an ideal patient. Chest ct scan cost The doctor had already begun traveling to France, Boston and Cleveland to meet doctors who’d done face transplants.
Mardini tried to temper his patient’s enthusiasm. Ct computed tomography scan “Think very hard about this,” he said. Who does a ct scan Only about two dozen transplants have been done around the world, and he wanted Sandness to understand the risks and the aftermath: a lifelong regimen of anti-rejection drugs.
“When you look like I looked and you function like I functioned, every little bit of hope that you have, you just jump on it,” he says, “and this was the surgery that was going to take me back to normal.”
By then, Mayo Clinic had completed a long internal review to get the face transplant program approved. Ct scan of chest and lungs Sandness had to undergo a rigorous psychiatric and social work evaluation to address, among other things, a key question: Should this surgery be performed on someone who’d attempted suicide?
Several factors were in his favor: His resilience and motivation, a strong support network of family and friends, a long-standing rapport with Mardini and a gap of several years since the shooting. Abdominal ct scan results how long Doctors also noted others with self-inflicted injuries, such as excessive drinkers, have received liver transplants.
Asked by the doctors what he expected from the transplant, to make sure he had realistic goals, Sandness said he wanted a working nose, the ability to bite, swallow, chew, and to “get good stares as opposed to bad stares.”
Sandness says he was concerned both about the possibility of rejection and potential side effects of anti-rejection drugs, including skin cancer, infection, diabetes and weakening of the bones.
Mardini and his team devoted more than 50 Saturdays over 3? years to rehearsing the surgery, using sets of cadaver heads to transplant the face of one to another. Computed tomography ct scan They used 3-D imaging and virtual surgery to plot out the bony cuts so the donor’s face would fit perfectly on Sandness.
Mardini figured it would take up to five years to find the right donor: a man with matching blood and tissue types, roughly the same size as Sandness, within a 10-year age range and a close skin tone.
Despite her grief, she was committed to carrying out her husband’s wishes: On his driver’s license, Ross, who lived in Fulda, Minnesota, had designated he wanted to be an organ donor. How ct scan is performed Lilly met with a coordinator from LifeSource, a nonprofit group that works with families in the upper Midwest to facilitate organ and tissue donation.
Since Ross had been healthy and just 21, his heart, lungs, liver and kidneys could be donated. Procedure ct scan But additional screening determined he could do even more: He was a good match for a man awaiting a face transplant at Mayo Clinic.
“I was skeptical at first,” she says. What is a ct scan of the heart “I didn’t want to walk around and all of a sudden see Calen.” She was reassured the donor had his own eyes and forehead and would not be recognizable as her husband. Cost of ct scan test in india After consulting with her husband’s best friend, she gave her consent.
A CT scan, other tests and a photo sent to Mardini by LifeSource confirmed the two men were a good match. Iodine contrast for ct scan Mardini said when the doctors studied Ross’ photo, “we got chills when we actually saw how close they were in hair color, skin – just the overall look. Price of ct scan test It could be his cousin.”
Late on June 16, Sandness was wheeled into surgery, accompanied by Mardini, who was showing him photos of his two small children. Abdominal ct scan results interpretation Over the years, the two say they’ve become as close as brothers.
It took about 24 hours to procure the donor’s face, which involved taking bone, muscle, skin and nerves, and almost the same time to prepare Sandness. Discovery of ct scan His entire face was rebuilt below his eyes, taking an additional 32 hours. What is ct scan test The medical team rotated, many taking four-hour breaks through the weekend.
One of the most intricate parts of the surgery was identifying facial nerve branches on both men and stimulating them with an electric current to determine their function. Chest ct scan results That allowed doctors to make the correct transfers, so when Sandness thinks about smiling or closing his eyes, for example, those movements actually happen.
Sandness, who was sedated for several days, wasn’t allowed to see himself immediately. Full meaning of ct scan His room mirror and cell phone were removed. What is a ct brain scan used for His father, Reed, served as his eyes.
“I said, ‘Andy, I’ve never lied to you. Tomography ct scan I’m telling you you’re going to be happy with what you see,'” he recalls. Lung ct scan “He was quizzing me and the nurses all the time.”
Three weeks later, when he finally did see his face – a scene captured on a Mayo video – his father says it “was just a real tearful, hard-to-hold-back time … Understanding chest ct scan beyond our wildest dreams.”.
Sandness was overwhelmed. Sinus ct scan machine “Once you lose something that you’ve had forever, you know what it’s like not to have it,” he says. Sinus ct scan polyps “And once you get a second chance to have it back, you never forget it.”
Months earlier, both he and Lilly Ross had expressed interest in learning about each other. Spiral ct scan She particularly wanted him to know about her husband, an adventurous, spontaneous guy.
Last fall, she wrote to Sandness and the five others who received her husband’s organs. Cat scan v ct scan She described Ross, her high school sweetheart, as a “giving person” who loved hunting, trapping and being with his dog, Grit. What does ct scan “I am filled with great joy knowing that he was able to give a little of himself to ensure a better quality of life for someone else,” she wrote.
As for the face transplant, she thought of her baby son when she agreed to it. Brain ct scan price philippines “The reason that I decided to … Ct scan chest go through with it was so that I can later down the road show Leonard what his dad had done to help somebody,” she said in a video produced by LifeSource.
Lilly was given photos of Sandness before and after the transplant. Average cost of ct scan without insurance That’s when she learned of uncanny similarities between the two men – not just their passion for the outdoors, but the way they stood in their hunting photos. Ct scan abdomen and pelvis “It was amazing how good he looked and how well he’s doing,'” she says of Sandness. Ct scan brain bone window “I’m excited for him that he’s getting his life back.”
Both she and Sandness hope to meet one day. Neck ct scan For now, he wrote her a letter of appreciation. What is a pet scan vs ct scan Referring to her husband’s favorite things, he said: “He’s still going to continue to love hunting and fishing and dogs – through me.”
About three months after the transplant, he was in an elevator when a little boy glanced at him, then turned to his mother without appearing scared or saying anything. Full body ct scan with contrast “I knew then,” he says, “that the surgery was a success.”
For now, he savors his anonymity. Abdominal ct scan interpretation Recently, he attended a Minnesota Wild game. Is a ct scan and cat scan the same He bought some popcorn. Ct scan abdomen and pelvis with oral contrast He watched some hockey. Abdominal ct scan for colon cancer He didn’t see any stares or hear any whispers.