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Asked how much she wants to know about a patient, she replied: "Everything possible. It's a commitment on both sides."
"She doesn't toot her own horn but she has done her homework," said Dr. Alan Lichtin, vice chairman of the hospital review board that approved the transplant plans.
Temperamentally, Siemionow seems ideal for the task. Her own hands are small and delicate, almost childlike. She dyes her hair blonde, likes to look sharp, and speaks of herself in confident but humble terms.
During surgery, "I like it quiet," she said. "I cannot read when there's music," preferring to give full attention to one task at a time.
Her husband is a biomedical engineer and her son is training to become an orthopedic surgeon.
In interviews over the last few years, she has talked of the many surgeries disfigured people have endured, and the poor quality of life many of them are left with.
"If you choose to be a surgeon, you are used to results that are not ideal but good," she said.
But with this landmark operation, she is clearly hoping for better.
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