The Fourth Hand

Like anything newsworthy, miracles of medicine and technology inevitably make their way out of the headlines and become the stuff of fiction. In recent years readers have been absorbed by media accounts of a transplanted hand, an experiment that ultimately ended in amputation. Medical ethicists reason that a hand, unlike a heart or a liver--essential organs conveniently housed out of sight--is in full view and one of a pair, arguably dispensable. In his 10th novel, however, John Irving undertakes to imagine just such a transplant, which involves a donor, a recipient, a surgeon, a particular Green Bay Packer fan, and the remarkable left hand that brings them together.