Respectful Insolence

Killed in the line of duty

It saddens people, but doesn’t particularly surprise, when some professionals are killed in the line of duty. For professions such as soldier, police office, and firefighter, for example, it’s expected that occasionally some will lose their lives in the line of duty because of the dangerous nature of the job. Less expected is when medical professionals suffer similar sacrifices. For example, a few days ago at my old alma mater, the University of Michigan, a Survival Flight air ambulance on the way back from Wisconsin after procuring organs for transplant crashed into Lake Michigan with no survivors found:

(CBS News) ANN ARBOR, Mich. The patient lay on the operating table, prepped for transplant surgery. In the air over Lake Michigan, a twin-engine plane sped his way, carrying a team of surgeons and technicians, along with a donor organ on ice.

The plane never made it, crashing into the lake’s choppy waters and killing all six people aboard Monday. The critically ill patient could become the accident’s seventh fatality.

“It was a very sad moment in the operating room” when word was received that the plane had gone down on its way from Milwaukee, said Dr. Jeffrey Punch, chief of transplant surgery at the University of Michigan Health System hospital in Ann Arbor.

Hospital officials and organ-donation authorities would not identify the transplant patient other than to say he was a man, and would not say what type of organ he was awaiting, citing medical privacy rules. But one of the doctors killed was a cardiac surgeon, suggesting the patient was about to get a new heart or lungs.

He was put back on the waiting list for another organ and was reported to be “very critically ill.” Authorities would not comment on his chances of finding another organ in time.

The Cessna 550 Citation crashed about 5 p.m., shortly after takeoff on a flight to Ann Arbor that should have taken 42 minutes. One of the pilots reported severe difficulty steering the plane because of trouble with its trim system, which controls bank and pitch, said National Transportation Safety Board investigator John Brannen.

Among the fatalities:

  • David Ashburn, M.D., Resident in thoracic surgery
  • Richard Chenault II, a transplant donation specialist with the U-M Transplant Program
  • Dennis Hoyes, a Marlin air pilot
  • Richard Lapensee, a transplant donation specialist with the U-M Transplant Program
  • Bill Serra, a Marlin air pilot
  • Martinus (Martin) Spoor, M.D., Cardiac Surgeon on the U-M faculty

More here and here.

This story strikes close to home to me for more than one reason. First, during my last year in medical school at U. of M., I thought that I might want to be a transplant surgeon. Indeed, I even went out on several donor runs with some of the kidney and liver transplant surgeons. One trip even involved a Lear Jet trip to Chicago. I didn’t know the cardiothoracic surgeons there, I did know a couple of the transplant surgeons who are still there, having one a fourth year research elective in their lab. During my residency in Cleveland, I also went out on numerous organ donation flights. Second, I spent two and a half years in the early 1990s moonlighting as a helicopter flight physician, completing numerous flights to pick up patients. I never felt particularly unsafe, but there were a couple of runs where the weather conditions were not ideal. I’ve been there; as generally unlikely as it may have been, if my luck were bad one day back when I was still taking such flights, that could have been me.

The other thing that needs to be remembered is that this was also a tragedy for the patient. He was on the operating table, all opened up, waiting for the organ(s), and the surgeons were forced to close when they heard that the plane went down. It’s unknown whether another organ will become available in time to save his life.

Far be it from me to imply that being on an organ transplant team is as risky as being a soldier, police officer, or firefighter. If it were, then this story wouldn’t be quite the shock that it is, although it would still hit as hard. Even so, I view these six as having lost their life in the line of duty, trying to help a dying patient. There is no higher calling.

Comments

  1. #1 Jason
    June 8, 2007

    I’m not in the medical profession; is it typical to have this number of people involved in transporting an organ for transplant?

  2. #2 Joe
    June 8, 2007

    Well put.

  3. #3 TheProbe
    June 8, 2007

    A true trajedy and loss to many people.

    I have a friend (plastic and hand surgeon who does replantations and trauma cases) who volunteers for Doctors Without Borders. He’s been to Iraq a few times.

    You will not see these stories involving naturopaths, etc.

  4. #4 khan
    June 8, 2007

    Beyond the personal tragedy for all involved, what effect will this have on the U-M Transplant Program?
    ——————————————

    http://www.chippewa.com/articles/2007/06/08/ap-state-wi/d8pkui280.txt

    A Michigan man whose double lung transplant operation was stopped earlier this week after a plane carrying donor organs crashed and killed all six people on board has received a second set of lungs, doctors announced Friday.

  5. #5 Abel Pharmboy
    June 8, 2007

    This was a great way to honor those who lost their lives and give some personal insight about your own career aspirations. Transplant surgeons are a very special breed: they give a huge chunk of their lives to train only to then live a life full of unanticipated (and long) hours based on organ availability and the declining status of recipients. Forget about a family life. I hold anyone on an organ transplant team in my highest regard.

  6. #6 Janne
    June 8, 2007

    Just an aside: when is it “killed in the line of duty” and when is it “workrelated death”? Is the cutoff due to the salary, or the perceived romance of the occupation? I suspect the latter.

  7. #7 Justin Moretti
    June 9, 2007

    If you’re gonna die early, best to die doing something noble. Christian or not, these guys walk straight through the Pearly Gates, no questions asked.

  8. #8 Jujuquisp
    June 13, 2007

    A week earlier, Mark Adams, MD, the chairman of surgery and an excellent transplant surgeon (in addition to the best surgeon I’ve ever worked with) died unexpectedly at the age of 60. The Medical College of Wisconsin has taken some big hits recently. It’s been very sad around here lately.

The site is undergoing maintenance presently. Commenting has been disabled. Please check back later!