Faculty Bibliography

Breaking the secrecy over his identity as the first recipient of a self-contained artificial heart, Robert Tools, 59, of Franklin, Ky., said from his hospital room that he felt fine but that living with the constant whirring and..

Before speaking, Mr. Tools put a finger over a hole in his neck, an opening known as a tracheotomy that allowed him to be more comfortable when he had been attached to a mechanical ventilator. Dr. Laman A. Gray Jr., one of the surgeons, said that his team closed the tracheotomy today but that until it completely healed in a few days, Mr. Tools would have some difficulty in speaking and being understood by others. Mr. Tools repeated the point later after he walked with his doctors into Dr. Gray's office to speak in a news conference. Mr. Tools was dressed in a blue shirt, red tie and wearing sneakers, as he said: ''Jewish did not seek me out. I came to Jewish because I was dying. I was in the last few days of life and my cardiologist informed me about the trial here.'' Mr. Tools lost vast amounts of weight and muscle mass during the months he suffered from heart failure and had a poor appetite and could not digest food properly. In the weeks ahead, Dr. [Robert D. Dowling] said, Mr. Tools needs to regain 30 or so pounds and muscle mass. ''If I could fix one thing, it would be his nutritional status,'' Dr. Dowling said. ''He would be a month or two ahead.''

Robert Tools was identified as the first recipient of a self-contained artificial heart, an official at Jewish Hospital in Louisville said. Mr

His urologist and surgeon, Dr. Peter R. Carroll, discussed Mr. [Robert S. Mueller III]'s cancer, his operation and his prognosis in a detailed interview with a reporter for The New York Times, who is also a physician. Dr. Carroll said Mr. Mueller has a ''very high likelihood of cancer cure,'' is in excellent physical and mental health, and is fit to serve the 10-year term as F.B.I. director. Mr. Mueller disclosed his cancer to administration officials before he was selected for the F.B.I. post. The Senate Judiciary Committee received a letter dated June 20 from Dr. Carroll affirming the diagnosis and giving a favorable prognosis. But in the letter Dr. Carroll did not provide the details that he did in recent interviews. Mr. Mueller declined to be interviewed about his health, but Dr. Carroll spoke with his permission. Mr. Mueller's prostate felt normal to all physicians who have examined him in Washington and California since last September, Dr. Carroll said. But at that time his P.S.A. was slightly elevated at 5.5 nanograms per milliliter. The number is usually less than 4, although it can vary according to age, the laboratory performing the test, and other conditions like prostate inflammation

The patient, whose name has not been made public, developed a respiratory infection and has continued to experience bouts of intestinal bleeding, said Dr. Laman Gray Jr., who implanted the device with Dr. Robert Dowling on July 2 at Jewish Hospital in Louisville, Ky. The respiratory infection, which is either severe bronchitis or early pneumonia, is responding to antibiotics and other therapy, Gray said

President [Bush] is in ''outstanding health'' and at very low risk for a heart attack, his doctors said today after performing Mr. Bush's first medical checkup since he took office. The only new abnormality reported was the removal of three potentially cancerous lesions from Mr. Bush's face. Dr. Richard A. Keller, the chief dermatologist at Walter Reed Army Medical Center, used liquid nitrogen to remove the lesions, which are known as actinic keratoses. They are common and result from chronic sun exposure; if untreated, a small percentage of them can become skin cancers. A White House spokesman described them as ''small, dry patches'' that had a red tint and felt ''like sandpaper.'' He takes vitamins but does not routinely use prescription medications and has not missed a day of work since his last checkup. The examination was performed by Dr. Kenneth H. Cooper of Dallas, who has given Mr. Bush annual checkups since 1989

[Joanne Minnich] went to Houston, where surgeons had reported success with what is known as bench surgery for cancerous heart tumors. On Nov. 14 in Houston, Dr. Michael J. Reardon removed Minnich's heart from her chest, put it in ice in a metal bowl and meticulously cut out three large cancerous tumorsand one small one. With the heart still in the bowl, Reardon rebuilt it, using parts of a cow's heart

Barnard's early transplant attempts met limited success. His first heart transplant patient, Louis Washkansky, lived 18 days, though his second, Philip Blaiberg, lived more than 19 months. Soon, surgeons elsewhere were trying the experimental operation, but initially with little success. Other doctors had been preparing to perform a human heart transplant when Barnard, then 45, removed a patient's dying heart and replaced it with a healthy one taken from an accident victim at Groote Schuur Hospital in Cape Town, South Africa. Barnard continued operating until 1983 when his once nimble fingers became gnarled by rheumatoid arthritis. Barnard turned to writing, producing an autobiography and several novels that were reviewed politely, though his literary skill never drew the attention his surgical skills attracted

The patient, whose name has not been made public, developed a respiratory infection and has continued to experience bouts of intestinal bleeding, said the doctor, Dr. Laman A. Gray Jr., who implanted the device with Dr. Robert D. Dowling on July 2 at Jewish Hospital in Louisville, Ky. Dr. Gray said the patient's appearance was encouraging. ''He looks very good, is up in a chair, exercising lightly with hand weights, and has shown remarkable progress,'' Dr. Gray said. Dr. Gray attributed the setback to the man's chronic debilitated condition before the implant, not to the AbioCor artificial heart. The device has continued to work flawlessly, he said. It pumps about seven liters of blood a minute (within the normal range), compared with the two liters the patient's diseased heart had been able to deliver

On Nov. 14 in Houston, Dr. Michael J. Reardon removed Mrs. [Joanne Minnich]'s heart from her chest, put it in ice in a metal bowl, and cut out three large cancerous tumors and one small one. With the heart still in the bowl, Dr. Reardon rebuilt it using parts of a cow's heart. Mr. Minnich said, ''Joanne did what she wanted to do, and that was trying to help others.''