Word: lomas
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Dates: during 2000-2009
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Twenty-five years ago on Nov. 15, Baby Fae's world-famous heart stopped beating. But the medical implications of her short life, said her surgeon, Dr. Leonard Bailey of California's Loma Linda University Medical Center, were just beginning. On Oct. 26, 1984, Bailey had stitched a walnut-sized baboon heart into Stephanie Fae Beauclair's tiny chest, making her the first infant to receive a cross-species heart transplant. Amid protests from animal-rights activists, Americans hung on every thump of her simian heart for three short weeks. When her weakened body went into kidney failure and finally...
Looking back 20 years later, however, seismologists say the Bay Area got lucky. The epicenter of the quake was near Loma Prieta peak in Santa Clara County, outside the densely populated urban neighborhoods of San Francisco and Oakland. The destruction missed Silicon Valley - with its tens of billions in economic value - altogether. "If that quake had to happen, that was really the best place," says Yanev. "We were about as lucky as we could get." (See TIME's special report "Where Will the Next Five Big Earthquakes...
...difference between then and now is that these cities are growing, which means more and more people will be living in seismological danger zones. The key to minimizing damage is to prepare for the inevitable. "The Loma Prieta quake was really a wake-up call for this region," says David Schwartz, a USGS geologist and the co-chair of the San Francisco Bay Area Earthquake Alliance. "But we still have a lot to do." (See pictures of Indonesia's devastating earthquake...
...continue to refer patients who have spiritual needs I am not trained to manage. My experience shows that physicians can and should get training to skillfully recognize and ethically provide initial spiritual care for patients, and to refer those needing more intensive follow-up. Harvey A. Elder, LOMA LINDA, CALIF...
When the patient is a child, the ability of parents to provide care becomes relevant. Young transplant recipients require constant monitoring for rejection, lifelong medication and special precautions to avoid infection. For these reasons, says Ethicist Arthur Caplan of the Hastings Center at Hastings- on-Hudson, N.Y., Loma Linda officials ''were definitely right in considering ) whether the family can monitor and care for the baby effectively.'' Jesse's surgeon, Leonard Bailey, also defended the hospital. ''You can't serve up hearts like cherries jubilee,'' he exclaimed. ''The family has to be very dependable and constant.'' While Loma Linda refused...