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Professor Earl Owen, head of the Microsearch
Foundation of Australia and World President of the International
College of Surgeons - the first Australian to be appointed to the
position - is probably more admired internationally than he is at
home, where surgeons aren't meant to be poets or design chairs.
(On the occasion of births, marriages and deaths, Owen never sends
a letter, he sends a poem.) As well as pioneering new microsurgical
techniques he invented the special pen-holder grip instruments that
make extremely delicate work possible. He also designed an ergonomic
operating chair - the father of all those other chairs he has designed.
Some
of his colleagues see him as a publicity seeker but he rarely gives
interviews. He knows the media to be dangerous allies. Twelve years
ago, when he was attending a medical conference in the United States,
a Sydney newspaper unknown to him, ran a story about the world-acclaimed
pioneering work of Owen in microsurgery and Victor Chang in heart
surgery. On his return to Australia, Owen was met at the airport
by journalists asking him if it was true he was going to be struck
off by the NSW Medical Board for breaching advertising codes. At
the time he was already acknowledged as the world's leading microsurgeon;
he was called before the board for a please-explain.
He is not a very tall poppy - of less than average height - but
has enormous hands. They are covered in ginger freckles and take
a size 9 glove, the largest size there is. He is ambidextrous, has
blue eyes, less and less hair and the smile of a happy cherub. "I
have a wonderful job," he says. "Most surgeons cut things
out. I've been lucky in that I've had a career putting things back."
He has reattached arms, legs, ears, scalps and penises as well as
fingers and given 100 workshops in 30 different countries showing
how to do it. Very accurate nerve repairs and nerve grafts now enable
patients to recover from local paralysis. He can also put back a
smile.
Coincidence:
The workshops were necessary, he explains, because the rest of the
world did not believe that what he was doing could be done. American
surgeons did not start sewing back fingers or reversing vasectomies
until four years after Australian surgeons. Owen's first workshop,
in Sydney in 1969, took place on the day the astronauts landed on
the moon. Television sets were switched on so that the surgeons
could watch the landing. Fifteen years later Neil Armstrong chopped
off his ring finger when it was caught in the automatic door of
his garage. An American surgeon who had attended Owen's first microsurgery
demonstration in New York in 1971 sewed it back on. "It was
a lovely coincidence," he says.
His
research team at the Microsurgery Centre in Sydney's Lane Cove leads
the world in the study of minimally invasive nerve grafts and microlaser
diagnostics - in which computers and fibre optics combine to produce
a tiny probe that gives visual, three-dimensional images of internal
tissues. This could lead to the elimination of the need for surgical
biopsy. "Isn't that exciting?" says Owen. "Now we
can diagnose without cutting." At the centre, work also continues
on new operations for infertility. In one of the filing cabinets
in Owen's rooms there are hundreds of photos of babies. Proud parents
whose vasectomies or tubal sterilisations have been reversed (Owen
has done more than 3000 vasectomy reversals) invariably send him
a photo of the baby they thought they could never have.
The
professor says surgeons should be working towards doing themselves
out of a job and he sees a future in which robots and lasers take
over from scalpel-wielding humans. Surgery, he says, is about anatomy
and engineering. He works closely with Macquarie University, which
doesn't have a medical
faculty and where he is a visiting professor to several Schools.
"I'm a doctor but I'm swapping ideas with scientists and co-operating
with physicists and engineers," he says.
Why
is he not better known in his own country? "He's a maverick
who likes to do things his own way," says a medical journalist
who has written about him for overseas publications. However, he
has been honoured around the world and one of his medals is real
gold and so large it is jokingly referred to as the Big Mac.
Born
into a well-known Sydney medical family - his father and his uncles
were all doctors Owen was educated at Cranbrook School and Sydney
University. He was always going to be a doctor. When he was five
his father gave him a toy stethoscope and medical bag and took him
on his rounds, introducing the little boy as his assistant.
But
as well as playing with his stethoscope, Owen played the piano.
His mother was a contralto who sang for the ABC and he used to accompany
her on the piano. At 12 he was going to be a pianist as well as
a surgeon; he won a national scholarship which entitled him to a
year's tuition with Solomon, the British pianist who toured Australia
for the ABC after the war. Solomon wisely said that Owen had to
make up his mind whether he wanted to be a great pianist or a great
surgeon but that he couldn't be both. Surgery won, with Owen paying
his way through university by playing piano and drums in a band.
When he operates it is always to a background of non-vocal classical
music. "It makes me concentrate better," he says.
Music
has remained a life-long interest and many of his friends are musicians,
including Vladimir Ashkenazy and his 27-year-old son Dimka, a concert
clarinetist. Dimka is also a former patient. When he was nine he
was run over by a speedboat in the Aegean Sea off Greece. The propeller
cut most of the tissue off his left leg from thigh to calf, and
doctors recommended amputation. Vladimir had met Owen and knew of
the work of his microsurgery team in Sydney. The boy was flown to
Australia and in 10 hours of nerve graft surgery the structures
of his leg were reconstructed. He recovered so well that only two
years later he won his school's 100 metres race. Father and son
have both performed thankyou concerts.
As
he travels the world, Owen attends concerts wherever he goes. "I
can always call in on a musician friend and get a good ticket at
the last minute," he grins. He has designed the chairs for
musicians in symphony orchestras. His pianist friends envy him the
size of his paws - he can stretch three notes above an octave.
Fascinated:
In his 20s, he went to England for postgraduate study and at the
Great Ormond Street Hospital for Sick Children in London became
fascinated by the possibilities of operating to cure abnormalities
in premature newborn babies. He developed special microinstruments
and miniature stitches but what he badly needed was a double microscope
with footpedals so that he and his
assistant could operate while looking through the microscope. "I
was young and silly enough at the time to think that if you had
a great idea people would want to help you. I went to the best people
- Zeiss in Germany. No one had ever asked them to build such a special
type of microscope before but they did it." It was the beginning
of general clinical microsurgery.
He
returned to Australia in 1970 and set up the Sydney Microsurgery
Unit he was a children's surgeon by day and a microsurgeon by night
- and the Microsearch Foundation was established three years later.
"We exist on charity - on half a million dollars a year,"
he says.
The
big corporations help and CSR, Boral, James Hardie Industries and
Philips Electronics all contributed building materials for the unit's
new headquarters on the Lane Cove industrial estate in Sydney's
northern suburbs. The Commonwealth Bank has just contributed $94,000.
The paintings on the walls are the work of an artist whose hands
were saved by the microsurgeons.
As
Microsearch director, Owen isn't paid a salary. "It's my baby
and it's so rewarding and it's fun," he says. There is a paid
staff of about five. It is the only independent surgical research
unit in Australia.
In
Sydney last week he was demonstrating his instruments for an SBS
documentary series on Elegant Solutions. He is quite cross with
himself for taking so long to realise that scissors could be built
inside the needle-holder so that you didn't have to keep putting
down one instrument to pick up the other.
As the little scissors emerge from inside the needle-holder he shakes
his head and says "Why didn't I think of that 20 years ago?"
His
hands are extraordinarily steady - very still and calm. When some
of the knots he is tying on dummy tissue for the television camera
refuse to behave, he shows no sign of irritability. "We will
do that again," he says. The needle and thread he is using
are many times finer than a human hair. In real life surgery he
is known to say after hours of work, "That is not good enough
- we will do it again." He has had the same surgical assistant,
Dr Hari Kapila, for 19 years (he first teamed up with his brother-in-law
Paul Lendvay, now a microsurgeon at Prince of Wales Hospital).
Ideas:
"I work best under pressure. My wife says I'm so busy that
I don't have time to actually think - I like doing things all the
time. But I do think a lot - I think when I'm lying down and get
great ideas when I'm unable to sleep. And I get ideas from looking
and seeing - I look at things and say, 'That could be done better'
and I have the opportunity to do it better." One of the reasons
he runs an independent research outfit is that if he gets a good
idea at 2am he is able to try it out very quickly. At a university
the good idea might have to wait a year to get passed through committees
and financed.
He
has two grown-up sons - one a lawyer and one an architect - and
two schoolgirl daughters. Despite a weekender in the mountains where
he is trying to grow apples and where his wife grows vegetables
and chickens run free - he is a great believer in a healthy diet
he is by no means wealthy. He lives modestly and drives an unflash
car. "Money has never been important," he says.
He
has never patented the design of any of his instruments. However,
the protein soldering material has been patented by Microsearch
and Macquarie University. Perhaps it could help to pay the girls'
school fees.
The
Bulletin
February 4th 1997
Used with Permission |