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"We had done one heart transplant during my rotating internship in Nigeria. He was a kid with rheumatic heart disease, and it was the first cardiac transplant in Nigeria. I was on that service; I worked hard but unfortunately the patient died and I kept thinking it was a futile exercise. If the child had had penicillin, he would never have damaged his heart — that got me thinking about prevention. Those were moments that were transformative for me in thinking about how I wanted to spend the rest of my life as a doctor."
