At first, I did not recognise the man in his early 20s who approached me at the conclusion of my talk at a nearby college. But then I realised who he was. James, when 4 years old, had been the youngest child to undergo a heart transplantation and was a fixture at the medical centre where I attended medical school. Everywhere one looked in those days-on the wards, in the corridors, and on television-he seemed to be there. James was a great success story, having survived severe congenital heart disease thanks to his unprecedented transplant.
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