A lifesaving medical technology puts some patients on a “bridge to nowhere”
Marketplace All-in-One
Marketplace
4.5 • 1.4K Ratings
🗓️ 31 July 2024
⏱️ 10 minutes
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Summary
Extracorporeal membrane oxygenation, or ECMO, can be a lifesaving technology for patients whose organs have failed. It works, essentially, by performing the functions that a healthy person’s lungs and heart would normally do. While using the machine, many recipients of ECMO treatment can walk, talk, even ride a stationary bike, but they can’t leave the hospital with the machine, nor can they survive without it. In a recent article in The New Yorker, emergency physician and writer Clayton Dalton described these patients as “caught on a bridge to nowhere.” Marketplace’s Lily Jamali spoke to Dalton about the complicated ethics of this technology.
Transcript
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| 0:00.0 | The complicated ethics of a life-saving technology. |
| 0:04.4 | From American Public Media, this is Marketplace Tech. |
| 0:07.1 | I'm Lily Jramale. Extra-Corpororeal membrane oxygenation, stay with me, can be a lifesaver for patients whose organs have failed. |
| 0:27.0 | Ekmo, for short, works by pumping blood out of the body, passing it through a machine where carbon dioxide is removed and oxygen is added, |
| 0:36.0 | the blood is then returned to the body. |
| 0:38.4 | The Ekmo machine is really doing the work that a healthy person's lungs and heart would normally do. |
| 0:44.5 | Many users of the technology can walk, talk, even ride a stationary bike, but they can't leave |
| 0:49.8 | the hospital. |
| 0:51.0 | Emergency physician Clayton Dalton writes that Ekmo can sometimes land patients |
| 0:56.0 | on a bridge to nowhere. He wrote about this for the New Yorker. |
| 1:00.0 | Ekmo in and of itself doesn't really fix any problems. |
| 1:04.7 | You have to be headed somewhere. |
| 1:06.2 | And that either, they could just be recovery, right? |
| 1:08.4 | You can put someone on the machine |
| 1:10.1 | and let their lungs recover. |
| 1:11.4 | That's sort of model that was used during COVID. |
| 1:14.0 | Or if they're not going to get better, then you hope that you can get them a transplant. |
| 1:18.0 | But you don't know that in advance. |
| 1:19.0 | It's hard to know if someone will be eligible for a transplant far in advance, then things can change that could disqualify them. |
| 1:26.0 | And it's super hard to know if someone's going to recover on their own or not. |
| 1:30.0 | And so it's a bridge. It's a bridge to get you to recovery or to a transplant. |
| 1:34.6 | And we just don't know if either of those things will happen when we sort of pull the eczema lever. |
... |
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