In the early 1980s, Starzl left Colorado to go to the University of Pittsburgh. About the same time, I met Keith LaGrenade, M.D., who went on to become, and still is, hospital director at the Colorado Mental Health Institute at Fort Logan. Keith had a kidney transplant done by Starzl in 1971 from a cadaver kidney, which he rejected, and then from the kidney of a relative in 1973, which is still working well. Keith corroborates what Starzl illustrates in his book, which is the intense devotion to his patients. He is able to remember patient histories and write about them in detail. These are people he clearly knew very well. It is obvious that his individual patient care was exquisite and caring. These were his "puzzle people."