I find I'm luckier when I work harder.

I think work is a privilege. ... It keeps you alive, spiritually.

I've always felt that I did well as a student because I lacked confidence.

A successful surgeon should be a man who, when asked to name the three best surgeons in the world, would have difficulty deciding on the other two.

The spirit of Texas seems to pervade our everyday existence. Our desire is to be superlative, not only the largest, but also the best in the United States.

Get a scalpel, and practice just, say, cutting a piece of meat or something like that. You sort of learn how you want to hold your fingers, and that sort of thing, and try to become graceful when you operate.

I still take failure very seriously, but I've found that the only way I could overcome the feeling is to keep on working, and trying to benefit from failures or disappointments. There are always some lessons to be learned. So I keep on working.

The man who inspired me most, I think, was Dr. Alfred Blalock, who was professor of surgery at Johns Hopkins. He was a rather simple man with a burning curiosity. It was through his curiosity that he made many real contributions to medical science.

I think confidence is something you build gradually, with experience. I've always felt that maybe one of the reasons that I did well as a student and made such good grades was because I lacked confidence. I never felt that I was prepared to take an examination, and I had to study a little bit extra.

[The heart is] really a fascinating organ. It's about the only organ in the body that you can really witness its function. Doing things. And so on. Some of the other organs you can witness, like the intestines, will have this sort of peristaltic motion. But nothing that can compare with the activity of the human heart.

I've always felt that maybe one of the reasons that I did well as a student and made such good grades was because I lacked confidence. Lacked self-confidence, and I never felt that I was prepared to take an examination, and I had to study a little bit extra. So that sort of lack of confidence helped me, I think, to make a good record when I was a student.

So much goes into doing a transplant operation. All the way from preparing the patient, to procuring the donor. It's like being an astronaut. The astronaut gets all the credit, he gets the trip to the moon, but he had nothing to do with the creation of the rocket, or navigating the ship. He's the privileged one who gets to drive to the moon. I feel that way in some of these more difficult operations, like the heart transplant.

I've always thought that my exposure to competitive sports helped me a great deal in the operating room. It teaches you endurance, and it teaches you how to cope with defeat, and with complications of all sort. I think I'm a well-coordinated person, more than average, and I think that came through my interest in sports, and athletics... Playing basketball you have to make decisions promptly, and that's true in the operating room as well.

Of the many 'firsts' with which I have been involved at the Texas Heart Institute —including the first successful human heart transplant in the United States and the first total artificial heart transplant in the world—the achievement that may have the greatest impact on health care did not occur in the operating room or in the research laboratory. It happened on a piece of paper... when we created the first-ever packaged pricing plan for cardiovascular surgical procedures.

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