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Show Paw 18 - Friday. March THE HERALD. Provo, Utah. if 25. 1983 Hospital Officials Explain Who Will Pay for Implant 4 is SALT LAKE CITY (UPI) lthough the family of Dr. said more than $50,000 was spent tests related to the artificial -A- Bar- on ney Clark will not be billed for the 112 days of life on the artificial Jarvik-- 7 heart, the University of Utah Medical Center estimates the cost could run up heart research project. "Because this was an experiment, more tests were done than would normally be done on a heart patient. Those extra costs were deducted from Dr. Clark's hospital bill and charged the to 1270,000. ' L : , M ' V- Research on the heart cost another $8.4 million. "The cost to the Clark family was nothing," said Dr. Chase Peterson, university vice president all medical center's research . budget," Dwan said. The Jarvik-- 7 heart and air drive unit were donated by Kolff Medical, the company that developed the device. "They're for health sciences. He said the costs were covered through private donations "in the range of $150,000 to $200,-000- worth about $20,000," said Dwan. In addition, surgeons William DeVries and Lyle Joyce worked without pay on the Clark case. "I have no idea what their time would have been worth because no one ever bothered to keep track of how much time they spent on the case," the spokesman said. ." Dr. Ross Woolley, right, member of the University of Utah Institutional Review Board, answers questions about Dr. Clark at ft Artificial Heart Team Jarvik said researchers had (Continued From Page 1.) and allowed a staph infection to weaken his entire body. He went on a "spiraling downhill course" that essentially destroyed the muscle in his blood vessels, making them placid and dilated. Although the plastic heart kept pumping, his circulatory system didn't maintain the pressure needed to get oxygen-carryin- g blood to the body's organs. "His colon failed," DeVries explained. "Then his kidneys failed... then his lungs failed. Then his brain failed and, lastly, when the key was turned off, his learned from the setbacks in Clark's case. The next patient's heart beat will be increased gradually after implantation to avoid seizures, he said, and a valve that broke requiring a will be rerepair operation placed with a stronger version. Following Thursday.'s autopsy, Clark's body was readied for shipment to the Seattle area. His family said funeral services will be conducted at 2 p.m. Tuesday in the Federal Way, Wash., LDS Stake House. Clark was near death when the artificial heart connected by hoses to an air compressor was implanted on Dec. 2, 1982. He lived long enough to celebrate Christmas with his family and his 62nd birthday with family and hospital staff. He was conscious and communicated with his doctors on the day of his death, DeVries said, heart failed." The artificial heart was taken from Clark's body so researchers could study it under "very close scientific protocol" for but its possible deterioration, inventor, Dr. Robert Jarvik, said there were "no problems." "I won't be more specific, and fact can't be more specific than that (because) it would news conference. Standing behind Dr. Wooley are, from left, Dr. Lyle Joyce, Dr. William DeVries and Dr. Chase Peterson. in involve problems with the confi- Tells Plans and had bis "last meaningful conversation" a day or two earlier in a private session with his wife, Una Loy. Dr. Chase Peterson, the university's medical vice president, said Clark had "accomplished what he set out to accomplish" and his unfulfilled hopes of going home and someday playing golf with a portable compressor were "extras." "He wanted much more," Peterson said. "I would want much more. But he did a great thing. If other people do get a quality of life that is obviously more satisfactory, they'd better thank Barney Clark." However, DeVries and Ross Woolley of the university's Insti- tutional Review Board, which will set the ground rules for the next implant, predicted the second recipient will also be near death. "The purpose of doing this dentiality of medical records," Peterson said. John Dwan, the hospital's director of community relations, is two-folinformascientific to one, gain tion as to the use of this device; the second is to help someone in dire need," DeVries said. "It may be that the next patient may be very similar to Dr. experimentation d: Sale ends Wednesday, March 30 Clark." He said a second heart is ready but the ethics board must study the data on Clark and for assess the next patient before it is used. Woolley, who said recommendations would be presented to the ethics board within two weeks, agreed the next patient m mm will be "equally sick, but perhaps sick in different ways." "I think this is just one step," added DeVries. "It's a first very small step in determining some things: like, for example, is this a practical method of treating patients? Is it effective? What use has it got in other patients?" VWULZ1 heart and praised their accomplish- he said. with Cooley has experimented "There's always something artificial hearts, in 1969 and as gained by scientific effort, and this recently as 1981, as stopgaps until certainly was an outstanding effort. suitable transplantable hearts can We learned a great deal," Cooley be found for failing patients. The famed surgeon said he had said. "I think the public has learned a doubts a permanent artificial heart lot also about the meaning of life ever would be developed that could and death, what we can do to deliver good quality of life. "There is no guarantee, even prolong our lives and wheiher we are interested in the length or with the best scientific effort, that we will have an artificial heart that breadth of life." Cooley said the experiment illus- will ever give us a normal sort of trated the artificial heart "will life," Cooley said. sustain life longer than we Cooley said the justification for heart thought," but he said he would not giving Clark the man-mad- e at this time consider implanting was "clear," since the Seattle-are- a artificial hearts on a permanent dentist had no other options to live basis. and chose to receive the device. "I would not use it in that way," "Any days he survived after the Dr. Denton (UPI) Cooley, the heart surgeon who temporarily implanted the world's first artificial heart in 1969, said Barney HOUSTON ment. e Clark's death shows hearts are not ready for permanent man-mad- use. "The quality of life, however long, is not justified by the discomfort and potential complications that will accrue from the pneumatically driven artificial heart," Coo- ley said Thursday. "This thing causes a great deal of pain, discomfort and mental anxiety which makes it unsuitable for permanent implantation." Cooley said doctors at the University of Utah performed an "outstanding" job in keeping Clark alive for 112 days on an plastic air-driv- :CC places you seem to be 1 Cooley- Says Clark Didn't Have Quality of Life approved. The perfect ftextension for ill thote wnen the phone rings. 1 S0LITARE operation could be considered a dividend, an extension on his life, so one can look at the whole event in both positive and negative ways," Cooley said. Cooley implanted the world's first artificial heart in Haskell Karp of Skokie, 111., in 1969. Two years ago, in July 1981, he implanted a similar device in Willi-broMeuffels of the Netherlands. 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