Page 49 - July - August 2019 - v3_june_july_2009_Neat
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Neil Armstrong’s $6 Million Settlement                                                                                    49





            Neil Armstrong’s Death,

            and a Stormy, Secret $6

                 Million Settlement



                  Continued from Page 48


          James R. Hansen, an emeritus professor of
          history at Auburn University and author of the
          Armstrong biography “First Man” that became
          the basis for the movie, said he had been aware
          of the problems with Mr.  Armstrong’s care
          “since very shortly after he died.” Mr. Hansen
          said he withheld the information from an
          updated 2018 edition of his book “out of respect
          for certain members of the family.”
                 “But I do believe that the whole story of
          what happened should be known,” he added.
          “His life story really isn’t complete until it is
          known, and even more importantly, the full story
          of his death may prevent similar tragedies in the  The astronaut, who avoided the limelight and never cashed in on his fame, was buried at
          future.”                                        sea in September 2012.Credit Bill Ingalls/NASA
                 Three expert reviews of Mr. Armstrong’s
          medical records — one prepared at the request          Dr. Salzano told hospital lawyers that         He did, however, comment that a patient
          of the Armstrong family and two for the hospital after the bleeding began, Mr. Armstrong might with the type of complications described in the
          — provide an outline of what happened after he have had a 50-50 chance of survival had expert reviews would not typically be brought to
          was admitted to Fairfield Hospital, in the surgeons        reopened    his   chest   in   the a catheterization lab for treatment.
          Cincinnati suburb of Fairfield, with symptoms catheterization lab, but that “the patient became       “Generally, if a patient develops signs of
          of heart disease. Records do not say why he or unsalvageable on the way to the O.R.,” case bleeding inside the chest after pacing wires are
          his family chose Fairfield, a community hospital records show.                                 pulled under observation, they would usually go
          that is part of a larger group of Catholic hospitals   Dr. Salzano declined to speak about the straight to the operating room and usually
          now called Bon Secours Mercy Health, rather case. Dr. Bavaria did not immediately respond to survive,” Dr. Smith said. []
          than, for example, the University of Cincinnati a request for comment.
          Medical Center, a larger academic hospital.            Another doctor who examined the case         No E.T. Life Yet?
                 After running tests, doctors at Fairfield  for the hospital, Dr. J. Stanley Hillis, generally
          decided to do bypass surgery immediately,      supported the way the case was handled,                  Continued from Page 45
          timing some experts would later question. As a  including the decision to treat Mr. Armstrong in
          standard part of the procedure, doctors        the catheterization lab when complications
                                                                                                         The second class of explanations suggests that
          implanted temporary wires to help pace his     arose.                                          there is, in fact, E.T. life, but we just haven't
          heartbeat as he recovered.                             “I know they asked me to keep it        detected it.  That could be because we just
                 But when a nurse removed those wires,   confidential,” Dr. Hillis, a practicing         haven't looked very hard yet, or because we are
          Mr. Armstrong began to bleed internally and his  cardiologist in Indiana, said. “I just talked to
                                                                                                         not looking in the right way, or because they
          blood pressure dropped. Doctors took him to the  them and gave them a brief opinion. He declined
                                                                                                         don't want us to see them. Given the age of the
          hospital’s catheterization lab, where an       to comment further, stating he had only “vague
                                                                                                         universe and our galaxy, if life isn't super-hard to
          echocardiogram showed, in one expert’s words,  recollections” of the medical details from five
                                                                                                         emerge, we are statistically most likely to be
          “significant and rapid bleeding.”              years ago.
                                                                                                         cosmic babies. In this context, E.T. life is likely
                 There, doctors drained some blood from          Dr. Ashish Jha, a professor of medicine
                                                                                                         to be millions of years more technologically
          his heart, to prevent it from being pressed and  at Harvard University and a hospitalist who   advanced than we are. Thinking about how far
          hampered by the accumulated fluid.             regularly cares for patients post-cardiac surgery,  our technology has come in the last 100 years, it
                 Mr. Armstrong was then moved from the   said he “largely” agreed with Dr. Bavaria’s     is unfathomable to think what we might be
          catheterization lab to an operating room.  The  conclusion. “These people should have gone
                                                                                                         capable of in a million. If we survive that long.
          records do not make clear what doctors may     directly to the operating room,” Dr. Jha said.
                                                                                                         If E.T. life is millions of years more advanced
          have done there, but he appears to have lingered       Dr. Jha, who was not involved in the
                                                                                                         than we are, and they don't want us to know
          for a week or longer before dying on Aug. 25.  case, reviewed the experts’ reports for  The
                                                                                                         about them, I'm pretty sure we wouldn't know
          His family announced at the time that the cause  Times. “If someone has dropped their blood
                                                                                                         about them.
          of death was “complications resulting from     pressure substantially and this is a code blue,
                                                                                                                Then there is the third set of solutions to
          cardiovascular procedures.”                    that means they are having life-threatening     Fermi's paradox. These go along the lines of the
                 The expert reviews focus on the         bleeding. I don’t totally understand why they   following: Life has formed and evolved
          hospital’s decision to bring Mr. Armstrong to a  went to the cath lab,” he said.
                                                                                                         elsewhere. Maybe lots of times. But it doesn't
          catheterization lab rather than directly to an         Dr. Jha also questioned the hospital’s
                                                                                                         exist now. There are lots of ways the universe
          operating room when he began to experience     original decision to perform the bypass surgery
                                                                                                         could kill us, for example a major asteroid
          complications.                                 on Mr. Armstrong on an emergency basis.
                                                                                                         impact. If we were sufficiently technologically
                 “The decision to go to the cath lab was         “It feels to me like his death was wholly
                                                                                                         advanced, however, I give us a fighting chance.
          THE major error,” Dr. Joseph Bavaria, a vice-  preventable,” he said. “It’s not completely clear
                                                                                                         Or we might kill ourselves off.  This is where
          chair of cardiothoracic surgery at University of  to me he needed the cardiac surgery that he got.
                                                                                                         Fermi's Paradox gets really depressing. We are
          Pennsylvania wrote in a review conducted at the  It was probably a borderline call, but sounds like  in our technological adolescence, by which I
          request of the Armstrong family.               he was rushed into surgery based on the notes.”  mean we are smart enough to destroy ourselves,
                 Dr. Richard Salzano, a cardiothoracic           Dr. Craig Smith, the cardiac surgeon at
                                                                                                         but maybe aren't smart enough not to do so. It
          surgeon at Yale Medical Center who reviewed    Columbia University Medical Center who
                                                                                                         could be that any civilization that becomes
          the case for the hospital, saw the decision to  performed President Bill Clinton’s 2004
                                                                                                         sufficiently technologically advanced is doomed
          bring Mr. Armstrong to the catheterization lab as  quadruple bypass, declined to speak specifically
                                                                                                         to destroy itself. []
          “defensible” but “certainly riskier than taking  to Mr. Armstrong’s case, given that he had not
          the patient to the O.R.”                       seen the medical records.
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