Friday, May 19, 2017

"Within Reach" on ABC Nightline: Hollywood producer gets revolutionary hand transplant after mysterious and destructive illness


ABC Nightline on Thursday, May 18 (but after midnight into Friday) presented a report “Within Reach”, about film producer Jonathan Koch, who would have a successful hand transplant at UCLA. LA Magazine has a detailed story.  (The ABC video here will show only without https.)

Koch became suddenly ill in January 2015 before he was supposed to go to Washington. He still flew to Dulles, but soon was hospitalized at George Washington University Hospital with what seemed to be profound septic shock. https://en.wikipedia.org/wiki/Septic_shock   This could happen from antibiotic resistant super bacteria, or sometimes from some strains of meningitis. He was actually tested for Ebola. But in his case the cause appears to have been a reactivation of Epstein-Barr virus, which usually causes mononucleosis. (It may be associated with Hodgkin’s Disease and with some non-Hodgkin’s lymphomas, maybe the explosive kind that Maryland governor Larry Hogan recovered from,)  Such reactivation is very rare, but might be compared to Shingles and Chicken Pox, and theoretically a vaccine could be designed to prevent it.   The “infection” had some aspects of lymphoma and was treated with chemotherapy. The report makes no mention of HIV, but it would be logical if it could me more likely with HIV infection.  Vaccine development might reduce the incidence of some lymphomas.

The episode documents the loyalty of his girlfriend.


Koch was put into medically induced coma and had a NDE experience, where he was told that recovery would be grueling, he reports.  He had severe gangrene, resulting in partial amputations and opportunity for transplant.



Update:

An extended version of this report was aired on ABC 20-20 on August 25, 2017. 

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