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Sir

Terence English

KBE FRCS FRCP
Sir Terence English (2017).jpg
English in August 2017
Born
Terence Alexander Hawthorne English

October 1932 (age 92)
Nationality British
Education
Known for
  • Pioneering First Successful Heart Transplant Programme in UK
  • Cardiac Register UK
Awards
  • Lifetime Achievement Award from Society for Cardiothoracic Surgery in GB and Ireland 2009
  • Lifetime Achievement Award from International Society for Heart and Lung Transplantation 2014
  • Ray C Fish Award for Scientific Achievement in Cardiovascular Disease from the Texas Heart Institute 2014.
Medical career
Profession Cardiothoracic surgeon
Field Cardiothoracic surgery
Institutions Papworth Hospital, Cambridge
Research Cardiac transplantation
Awards
  • Lifetime Achievement Award from Society for Cardiothoracic Surgery in GB and Ireland 2009
  • Lifetime Achievement Award from International Society for Heart and Lung Transplantation 2014
  • Ray C Fish Award for Scientific Achievement in Cardiovascular Disease from the Texas Heart Institute 2014.

Sir Terence English (born October 1932) is a famous retired heart surgeon from Great Britain. He is best known for leading the team that performed the first successful heart transplant in the United Kingdom. This major event happened in August 1979 at Papworth Hospital.

He started his career as a mining engineer but was inspired to switch to medicine. After becoming a doctor, he became a top cardiothoracic surgeon, which is a doctor who operates on the heart and lungs. His work at Papworth Hospital made it one of the best places in Europe for heart and lung transplants.

For his amazing work, he was knighted by the Queen in 1991, which is why he is called "Sir" Terence English.

Early Life and Education

Terence English was born in Pietermaritzburg, South Africa. His father died when he was only two years old, leaving his mother to raise him and his older sister, Elizabeth.

From Mining to Medicine

A young Terence English
A young Terence English using a diamond drill on a dam in what is now Zimbabwe.

After finishing school, English first worked as a diamond driller. He then went to Witwatersrand University in Johannesburg and earned a degree in mining engineering in 1954. He even worked in mining exploration in Canada.

However, English was inspired by his uncle, who was a surgeon, to become a doctor. When he unexpectedly received some money from a family trust, he decided to use it to study medicine in London. He was accepted into Guy's Medical School and began his journey to becoming a surgeon.

While at medical school, he was also the captain of the hospital's rugby team, which won a major cup in 1961.

A Career in Heart Surgery

After medical school, English trained to become a surgeon. He was fascinated by the new open-heart surgery techniques being developed in the 1960s. He trained with some of the best surgeons of the time, including Donald Ross and Lord Brock.

In 1972, he became a consultant cardiothoracic surgeon at Papworth and Addenbrooke's Hospitals in Cambridge.

Starting the UK's Heart Transplant Program

Terence at the end of his summer in Yukon 1955, just prior to return to London
A 22-year-old Terence English in 1955.

In the early 1970s, heart transplants were very risky. After the first one was done by Christiaan Barnard in 1967, many other attempts around the world failed. Because of this, the UK government put a stop to heart transplants in 1973 until the science improved.

But English was determined. He visited his friend at Stanford University in California, where doctors had developed a new way to check if a patient's body was rejecting the new heart. This technique, called a biopsy, allowed doctors to spot problems early and treat them.

Inspired by this, English decided it was time for the UK to have its own heart transplant program. He began researching the best ways to keep a donor heart healthy while it was being moved from the donor to the recipient. By 1977, he felt ready.

The First Successful Transplant

At first, the government did not provide money for his program. But English got permission to perform two transplants at Papworth Hospital. The first one, in January 1979, was not successful.

However, the second transplant, in August 1979, was a success. The patient, Keith Castle, lived for more than five years with his new heart. This proved that heart transplants could work in the UK. After this success, English continued to develop the program at Papworth, which soon became a world-leading center for heart transplants.

Several things made this success possible:

  • New rules allowed doctors to use hearts from donors who were declared brain-dead.
  • Better ways to preserve donor hearts meant they could be transported over long distances.
  • A new drug called cyclosporin was much better at stopping the body from rejecting the new organ.

The First Artificial Heart in the UK

In 1986, English also performed the first total artificial heart transplant in the UK. He used a mechanical heart, called a Jarvic 7, to keep a patient alive until a human donor heart became available. The patient lived for almost two more years after receiving the human heart.

Leadership Roles in Medicine

Besides being a surgeon, Sir Terence English held many important leadership positions.

  • President of the Royal College of Surgeons (1989–1992): The Royal College of Surgeons is a professional group that sets standards for surgery in England. As president, he helped improve training for young surgeons.
  • President of the British Medical Association (1995–1996): The British Medical Association (BMA) represents doctors in the UK. During his time as president, he supported giving nurses more responsibilities.

Honours and Personal Life

St Catharine's College, Cambridge, England - IMG 0686
St Catharine’s College, Cambridge, where English was Master.

Sir Terence English has received many awards for his work, including Lifetime Achievement Awards from major surgical societies. He also holds honorary degrees from universities around the world.

He married Ann Dicey in 1963, and they had four children. They later divorced, and he married Judith Milne in 2002.

Retirement and Later Work

Sir Terence English 2017
Sir Terence English in 2017.

Even after retiring, English has remained active. He has helped train doctors in places like Pakistan and Gaza. He has also supported "Dignity in Dying," an organization that believes people with terminal illnesses should have the right to choose when they die.

Books

  • "Follow Your Star" From Mining to Heart Transplants – A Surgeon's Story (2011)
  • Principles of Cardiac Diagnosis and Treatment – A Surgeon's Guide (1992)

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