Chapter 3

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             Burgeoning Surgical Career

Carson graduated with honors from Southwestern, having also become a senior commander in the school's ROTC program. He earned a full scholarship to Yale, receiving a B.A. degree in psychology in 1973.

Carson enrolled in the School of Medicine at the University of Michigan, choosing to become a neurosurgeon. In 1975, he married Lacena "Candy" Rustin, whom he met at Yale. Carson earned his medical degree, and the young couple moved to Baltimore, Maryland, where he became an intern at Johns Hopkins University in 1977. His excellent eye-hand coordination and three-dimensional reasoning skills made him a superior surgeon early on. By 1982, he was chief resident in neurosurgery at Hopkins.

In 1983, Carson received an important invitation. Sir Charles Gairdner Hospital in Perth, Australia, needed a neurosurgeon and invited Carson to take the position. Resistant at first to move so far away from home, he eventually accepted the offer. It proved to be an important one. Australia at the time was lacking doctors with highly sophisticated training in neurosurgery. Carson gained several years worth of experience in the year he was at Gairdner Hospital and honed his skills tremendously.

Carson returned to Johns Hopkins in 1984 and, by 1985, he became director of pediatric neurosurgery at the age of 33, at the time, the youngest U.S. physician to hold such a position. In 1987, Carson attracted international attention by performing a surgery to separate 7-month-old occipital craniopagus twins in Germany. Patrick and Benjamin Binder were born joined at the head. Their parents contacted Carson, who went to Germany to consult with the family and the boys' doctors. Because the boys were joined at the back of the head, and because they had separate brains, he felt the operation could be performed successfully.

On September 4, 1987, after months of rehearsals, Carson and a huge team of doctors, nurses and support staff joined forces for what would be a 22-hour procedure. Part of the challenge in radical neurosurgery is to prevent severe bleeding and trauma to the patients. In the highly complex operation, Carson had applied both hypothermic and circulatory arrest. Although the twins did suffer some brain damage and post-operation bleeding, both survived the separation, allowing Carson's surgery to be considered by the medical establishment the first successful procedure of its kind.

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