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Science Friday

Undiscovered Presents: The Magic Machine. Sept. 25, 2018

Science Friday

Science Friday and WNYC Studios

Natural Sciences, Wnyc, Science, Friday, Life Sciences

4.4 • 6.3K Ratings

🗓️ 25 September 2018

⏱️ 37 minutes

🧾️ Download transcript

Summary

As a critical care doctor, Jessica Zitter has seen plenty of “Hail Mary” attempts to save dying patients go bad—attempts where doctors try interventions that don’t change the outcome, but do lead to more patient suffering. It’s left her distrustful of flashy medical technology and a culture that insists that more treatment is always better. But when a new patient goes into cardiac arrest, the case doesn’t play out the way Jessica expected. She finds herself fighting for hours to revive him—and reaching for a game-changing technology that uncomfortably blurs the lines between life and death.  Subscribe to Undiscovered HERE, or wherever you get your podcasts.   Resources Talking about end-of-life stuff can be hard! Here are some resources to get you started. (Adapted from Jessica Zitter’s Extreme Measures: Finding a Better Path to the End of Life. Thanks Jessica!)   I want to…  ...figure out what kind of care I might want at end of life: Prepare uses videos of people thinking about their end-of-life preferences to walk you through the steps for choosing a surrogate decision maker, determining your preferences, etc.  ...talk with family/friends about my preferences (or theirs!): The Conversation Project offers a starter kit and tools to help start the conversation.  ...put my preferences in writing (and advance directive):  Advance Directive forms connects you to advance directive forms for your state.  My Directives For those who like their documents in app form! Guides you through creating an end-of-life plan, then stores it in the cloud so it’s accessible anywhere. For those who like their documents in app form! Guests Jessica Nutik Zitter, MD, MPH, Author and Attending Physician, Division of Pulmonary/Critical Care and Palliative Care Medicine, Highland Hospital Thomas Frohlich, MD, Chief of Cardiology, Highland Hospital Kenneth Prager, MD, Professor of Medicine and Director of Clinical Ethics, Columbia University Medical Center Daniela Lamas, MD, author and Associate Faculty at Ariadne Labs David Casarett MD, author and Chief of Palliative Care, Duke University School of Medicine Footnotes Read the books: Jessica Zitter’s book is Extreme Measures: Finding a Better Path to the End of Life. Daniela Lamas’s book is You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. David Casarett’s book is Shocked: Adventures in Bringing Back the Recently Dead Read the memoirs of Amsterdam’s “Society in Favor of Drowned Persons,” the Dutch group that tried to resuscitate drowning victims (including Anne Wortman!) Learn more about ECMO, its success rates, and the ethical questions it raises (Daniela also wrote an article about it here) Read Daniela’s study about quality of life in long-term acute care hospitals (LTACHs). And for an introduction to LTACHs, here’s an overview from The New York Times Watch Extremis, the Oscar-nominated documentary (featuring Jessica Zitter), about families facing end-of-life decisions in Highland Hospital’s ICU. Credits This episode of Undiscovered was reported and produced by Annie Minoff and Elah Feder. Editing by Christopher Intagliata. Original music by Daniel Peterschmidt. Fact-checking help from Michelle Harris. Special thanks to Lorna Fernandes and the staff at Highland Hospital in Oakland. Our theme music is by I Am Robot And Proud. Our mid-break theme for this episode, “No Turning Back,” is by Daniel Peterschmidt and I am Robot and Proud. Thanks to the entire Science Friday staff, the folks at WNYC Studios, and CUNY’s Sarah Fishman. Special thanks to Michele Kassemos of UCSF Medical Center, Lorna Fernandes of Highland Hospital, and the entire staff at Highland.

Transcript

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0:00.0

Hi, Cyfry listeners. Have you listened to our new science documentary podcast, Undiscovered?

0:05.7

Our co-host, Annie Minnoff and Ella Fetter, are back with a second season. Ten amazing stories,

0:12.2

so make sure you subscribe to Undiscovered to hear them all. This week, I wanted to share one last

0:17.4

episode. It's about a doctor who spends hours fighting to save a dying man's

0:22.3

life and then finds herself reaching for a game-changing new piece of technology that blurs the

0:28.4

lines between life and death. Here it is the magic machine. This is Undiscovered.

0:38.3

It's 9.30 on an April morning in Amsterdam, year 1769, and two men are dragging a woman out of a canal. She's soaking, and she might be dead.

0:58.5

Her name is Anne Wartman, or it was. She's not breathing. She doesn't have a pulse. Her

1:04.6

skins turned a weird, speckily blue color. But the two men seemed curiously undisturbed by all of this.

1:11.4

Yeah, for these guys? And's lack of pulse? It's not a tragedy. It's a challenge.

1:17.6

Well, the important thing to know is back in the 1760s, there was a lot of interest in

1:21.9

Amsterdam in trying to bring back the recently dead.

1:26.1

That is Dr. David Caserett.

1:28.1

He writes about Ann Wartman and his book, Shocked.

1:31.0

And he explains a lot of people were drowning in Amsterdam's canals around this time.

1:35.2

This was not just Anne Wartman's problem.

1:37.8

And it got to be so bad that saving drowning victims became like a thing.

1:42.7

Like it was a hobby.

1:43.6

It was so much of a thing.

1:44.7

People were actually papering Amsterdam with these instructional pamphlets,

1:48.4

you know, how to bring a drowning victim back to life.

1:52.0

Because they might look dead?

...

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