Dr. Sanjay Gupta remembers 'giant' of neurosurgery who separated conjoined twins

Article Image

CNN's Dr. Sanjay Gupta looks back on the life of his friend and colleague Dr. James Goodrich, the renowned neurosurgeon best known for separating conjoined twins.

Posted: Apr 1, 2020 6:00 AM
Updated: Apr 1, 2020 6:00 AM

Most will remember Dr. James T. Goodrich as a recognized giant of neurosurgery, the most experienced neurosurgeon in the world when it came to the delicate and daunting separation of craniopagus twins, those conjoined at the head. These separations, which involve months of planning and dozens of procedures, are among the most challenging in any field of medicine. I know, because I was with him for 27 hours as he operated on Jadon and Anias McDonald and allowed CNN to document the remarkable event. Even as a neurosurgeon myself, I had never seen anything like it.

Our shared world of neurosurgery is a small one. There are just 4,600 neurosurgeons in the United States and as a result, we all cross paths at one point or another. I first met Dr. Goodrich when I was a resident, and even back then he had a Santa Claus-like beard and a constant twinkle in his eye. He had a sly grin and always looked like he knew the punchline of the joke before everyone else did. Along the way, we became close. He was a voracious reader, and could speak effortlessly about any topic I had on my mind. Given his stature as a preeminent pediatric brain surgeon, I loved watching people react when he told them he had dropped out of college at one point and became a surfer dude, as he described it. For most of us, he really was the most interesting man in the world.

That's why it knocked the wind out of me when I heard he had died early Monday morning. I knew the novel coronavirus and the disease it causes, Covid-19, would lead to too many cruel and unfair deaths, but I just didn't expect it so soon. I knew this virus would not discriminate based on who you are or what you do, and yet I still could not believe it would rob the life of someone who had saved so many. While I, like many others, had hoped to never know somebody who became ill or died from Covid-19, that changed with Goodrich's death. Today, I am grieving along with our entire neurosurgery community and the countless children and families he touched.

Over the day, I heard from so many of his colleagues who described him as "a beacon," "the heart and soul of our department," and a "humble and truly caring man." They spoke of his tremendous gifts as neurosurgeon, but even more of his spirit. It was the way he approached life, both professionally and personally, that was at once humbling and inspiring. He was a man who performed remarkably complex operations on little babies' brains, but also took time to bake cookies during the holidays and hand-deliver them to nurses.

I asked him once how he even ventured to begin performing craniopagus separations -- and surprisingly, his answer wasn't one of pride or confidence.

"If I had really done my homework and looked at the literature on craniopagus twins done at the time, I would have never accepted them. Because the literature was devastating," he told me.

Craniofacial surgeon Dr. Oren Tepper met Goodrich about a decade ago. Tepper told me that Goodrich was the very reason he came to work at Montefiore Medical Center in New York. They became surgical partners, and worked together on the 27-hour separation of the McDonald twins. And in operations like the McDonalds' and countless others, Tepper said he knows Goodrich also never forgot the parents of the kids he was treating.

"He was the steady hand in the operating room and always the voice of stability," Tepper said.

"He is just somebody who didn't just dabble in anything," Tepper said. "When he had hobbies, he was fully committed and he treated his work like that, he treated his hobbies like that. I know he treated his family and his wife like that. So he was just a such a dedicated individual."

The hospital released a statement on Monday in which they called Goodrich a pioneer in the field of helping children with complex neurological conditions, having developed a multi-stage approach for separating craniopagus twins, like Jadon and Anias McDonald, who were fused at the brain and skull.

But to parents like Nicole McDonald, Jadon and Anias' mom, Goodrich was a superhero.

"It's not every day that you get to know a hero, a true hero. But I am so blessed to say that not only did I get to see Dr. Goodrich with his cape on doing the most brilliant complex surgeries that anybody could do, but I got to know him with his cape off," she said. "I would go down to lunch in Montefiore's cafeteria, and the lunch ladies would say, 'Oh, we love him. He knows all of our names.' That man was basically royalty. And yet he walked in the room and you felt equal. He listened to every word I ever said."

Goodrich once told me that he was too busy with his work to ever have kids of his own. He said he had committed himself to taking care of the world's kids instead, especially the ones who needed him most. He added that "after a while, those special patients become kind of like your own kids." That's just how close he became with families, how intertwined their lives were. He would still get Christmas cards from families 30 years after they first met. He was not just their doctor, he was a part of their lives forever.

When Goodrich operated on Jadon and Anias McDonald, he was pushing 70, but had an incredible energy that fueled him to operate nonstop through the day and night. He inspired everyone around him, and after spending time with him I resolved to never again complain of fatigue in my own life.

This week, we lost the famed doctor, with his tufts of gray hair and beard, who was known for incredible skill with his hands, but also incredible empathy with his heart. We lost the doctor known for keeping in close touch with those patients he operated on, always remembering children's birthdays and special milestones, ones he helped make possible. We lost the wanderlust brain surgeon who traveled the world consulting and operating wherever and whenever he was called. We lost the fighter who tackled what most had thought impossible.

"He fought with the ferocity from my family in a way that I will never ever forget. That I will forever appreciate. There will never be another James Goodrich. Not even close. He will never be matched, let alone replaced in the world," McDonald remembers.

Dr. Goodrich spent more than 30 years at Montefiore Einstein and was the director of the Division of Pediatric Neurosurgery at Montefiore and a professor of clinical neurological surgery, pediatrics, plastic and reconstructive surgery at Albert Einstein College of Medicine.

He is survived by his wife, Judy, and three sisters.

Dr. Goodrich was an incredible human being, and the world is a little less bright today without him.

While we knew the losses would come, they are no less painful when they do.

West Lafayette
Overcast
53° wxIcon
Hi: 64° Lo: 50°
Feels Like: 53°
Kokomo
Overcast
51° wxIcon
Hi: 63° Lo: 47°
Feels Like: 51°
Rensselaer
Overcast
52° wxIcon
Hi: 61° Lo: 47°
Feels Like: 52°
Fowler
Overcast
52° wxIcon
Hi: 61° Lo: 48°
Feels Like: 52°
Williamsport
Overcast
54° wxIcon
Hi: 63° Lo: 48°
Feels Like: 54°
Crawfordsville
Overcast
49° wxIcon
Hi: 63° Lo: 48°
Feels Like: 49°
Frankfort
Overcast
50° wxIcon
Hi: 63° Lo: 46°
Feels Like: 50°
Delphi
Overcast
50° wxIcon
Hi: 65° Lo: 48°
Feels Like: 50°
Monticello
Overcast
50° wxIcon
Hi: 65° Lo: 47°
Feels Like: 50°
Logansport
Scattered Clouds
48° wxIcon
Hi: 63° Lo: 46°
Feels Like: 48°
Cooler, Windy with Spotty Showers
WLFI Radar
WLFI Temps
WLFI Planner

Indiana Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 118322

Reported Deaths: 3591
CountyConfirmedDeaths
Marion21502767
Lake10688323
Elkhart6707111
St. Joseph6619113
Allen6330205
Hamilton4938109
Vanderburgh378131
Hendricks2766124
Monroe265536
Tippecanoe256613
Johnson2352124
Clark225957
Porter219947
Delaware200162
Cass19559
Vigo186827
Madison170375
LaPorte149141
Floyd139664
Warrick138242
Howard132663
Kosciusko125917
Bartholomew118457
Marshall101524
Dubois99919
Boone99146
Grant95134
Hancock94643
Noble93132
Henry81226
Jackson7739
Wayne77014
Morgan73438
Daviess68028
Shelby68029
Dearborn67528
LaGrange64011
Clinton62314
Harrison59224
Putnam58411
Gibson5355
Knox5289
Lawrence51629
Montgomery51121
DeKalb48811
White48714
Decatur45939
Miami4394
Greene42735
Fayette42313
Jasper4012
Scott39011
Steuben3907
Posey3460
Sullivan33812
Jennings31612
Franklin31325
Clay3085
Ripley3078
Orange28824
Whitley2826
Carroll27813
Adams2763
Wabash2728
Starke2717
Washington2701
Wells2674
Spencer2633
Jefferson2503
Huntington2473
Fulton2442
Tipton22822
Randolph2238
Perry22113
Jay1920
Newton17411
Owen1711
Martin1680
Pike1641
Rush1574
Vermillion1310
Fountain1292
Blackford1213
Pulaski1141
Crawford1100
Parke1072
Brown1043
Benton870
Ohio797
Union790
Switzerland690
Warren411
Unassigned0226

COVID-19 Important links and resources

As the spread of COVID-19, or as it's more commonly known as the coronavirus continues, this page will serve as your one-stop for the resources you need to stay informed and to keep you and your family safe. CLICK HERE

Closings related to the prevention of the COVID-19 can be found on our Closings page.

Community Events