![German farmer Karl Merk, 54, is pictured reflected in a mirror as he lies in his bed next to a gingerbread heart reading 'Good luck' in a Munich hospital, October 10, 2008. German farmer Karl Merk, 54, is pictured reflected in a mirror as he lies in his bed next to a gingerbread heart reading 'Good luck' in a Munich hospital, October 10, 2008.](https://c8.alamy.com/compfr/2d1bd23/german-farmer-karl-merk-54-is-pictured-reflected-in-a-mirror-as-he-lies-in-his-bed-next-to-a-gingerbread-heart-reading-good-luck-in-a-munich-hospital-october-10-2008-merk-who-received-the-worlds-first-complete-double-arm-transplant-is-able-to-perform-some-basic-tasks-but-it-still-could-take-up-to-two-years-until-he-re-learns-how-to-use-his-hands-properly-doctors-spent-15-hours-on-july-25-26-grafting-the-donor-arms-onto-the-body-of-merk-who-lost-his-own-just-below-the-shoulder-in-a-farm-accident-involving-a-combine-six-years-ago-reuters-alexandra-beier-germany-2d1bd23.jpg)
German farmer Karl Merk, 54, is pictured reflected in a mirror as he lies in his bed next to a gingerbread heart reading 'Good luck' in a Munich hospital, October 10, 2008.
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![Der Unterallgäuer Landwirt Karl Merk 2013, fünf Jahre nach der weltweit ersten beidseitigen Armtransplantation Der Unterallgäuer Landwirt Karl Merk 2013, fünf Jahre nach der weltweit ersten beidseitigen Armtransplantation](http://www.jensen-media.de/webgalerie/merk/preview/jm_merk_2013_001.jpg)