Chapter 10 - Ethical Issues in First Time
Organ Surgeries
Louis Washkansky aka "Washy" - Answer--Suffered from end-stage cardiac disease, diabetes,
coronary artery disease, congestive heart failure
-Developed fulminant pulmonary edema (sign of imminent death) while waiting for a heart donor
Denise Darvall and Edward Darvall - Answer--Denise was involved in a car accident crushing
her head
- Barnard told Edward that he had a patient in the hospital that could be saved if they used his
daughters heart
-Edward said "If you can't say my daughter, try and save this man"
-Denise was declared dead after her heart stopped and surgeons opened her up preparing it for
Barnard's excision
Washy's surgery - Answer--operation took place on December 3, 1967
-Washy was given drugs to produce paralysis and prevent spontaneous breathing and placed
on a heart lung machine
-Washy's femoral artery was narrowed by buildup of cholesterol and the machine couldn't force
blood into his heart
-the pressure of the tube climbed to 290 mmHg -> reattached the tube to his aorta -> pressure
dropped
-Sewed Denis Darvall's hearth with its attached wall to Washy's chest
-heart started after some false attempts
-One hour later Washy regained consciousness and tried to talk
What did Barnard give Washy to compact immunological rejection of the heart? - Answer-
Gamma ray radiation and administered immunosuppressive drugs prednisone (steroids) and
azathioprine
What two procedures did Barnard force onto Washy? - Answer-Insertion of a NG tube and the
reopening of his tracheotomy hole to insert a respirator
What signs was Washy presenting that signified rejection? - Answer--mottled patches on his
legs that indicated circulatory failure
-ominous patches on his lungs -> turned out to be bilateral pneumonia (klebsiella and
pseudomonas)
-severe pain in his chest
On what day did Washy die and why? - Answer-December 21, 18 days after his heart transplant
because infection overran his lungs and he suffocated
After performing this the heart transplant, Christian Bernard became extremely famous and
notorious for bedding famous women. When he developed arthritis and could no longer perform
he took $4 million for saying that a facial cream named "glygel" reverses aging. What happened
when he said this? - Answer-He was expelled from the American College of Surgeons and a
cardiology society
Organ Surgeries
Louis Washkansky aka "Washy" - Answer--Suffered from end-stage cardiac disease, diabetes,
coronary artery disease, congestive heart failure
-Developed fulminant pulmonary edema (sign of imminent death) while waiting for a heart donor
Denise Darvall and Edward Darvall - Answer--Denise was involved in a car accident crushing
her head
- Barnard told Edward that he had a patient in the hospital that could be saved if they used his
daughters heart
-Edward said "If you can't say my daughter, try and save this man"
-Denise was declared dead after her heart stopped and surgeons opened her up preparing it for
Barnard's excision
Washy's surgery - Answer--operation took place on December 3, 1967
-Washy was given drugs to produce paralysis and prevent spontaneous breathing and placed
on a heart lung machine
-Washy's femoral artery was narrowed by buildup of cholesterol and the machine couldn't force
blood into his heart
-the pressure of the tube climbed to 290 mmHg -> reattached the tube to his aorta -> pressure
dropped
-Sewed Denis Darvall's hearth with its attached wall to Washy's chest
-heart started after some false attempts
-One hour later Washy regained consciousness and tried to talk
What did Barnard give Washy to compact immunological rejection of the heart? - Answer-
Gamma ray radiation and administered immunosuppressive drugs prednisone (steroids) and
azathioprine
What two procedures did Barnard force onto Washy? - Answer-Insertion of a NG tube and the
reopening of his tracheotomy hole to insert a respirator
What signs was Washy presenting that signified rejection? - Answer--mottled patches on his
legs that indicated circulatory failure
-ominous patches on his lungs -> turned out to be bilateral pneumonia (klebsiella and
pseudomonas)
-severe pain in his chest
On what day did Washy die and why? - Answer-December 21, 18 days after his heart transplant
because infection overran his lungs and he suffocated
After performing this the heart transplant, Christian Bernard became extremely famous and
notorious for bedding famous women. When he developed arthritis and could no longer perform
he took $4 million for saying that a facial cream named "glygel" reverses aging. What happened
when he said this? - Answer-He was expelled from the American College of Surgeons and a
cardiology society
