Science Friday Folgen

As a critical care doctor, Jessica Zitter has seen plenty of “Hail Mary” attempts to save dying patients go bad—attempts where doctors try interventions that don’t change the outcome, but do lead to more patient suffering. It’s left her distrustful of flashy medical technology and a culture that insists that more treatment is always better. But when a new patient goes into cardiac arrest, the case doesn’t play out the way Jessica expected. She finds herself fighting for hours to revive him—and reaching for a game-changing technology that uncomfortably blurs the lines between life and death.  Subscribe to Undiscovered HERE, or wherever you get your podcasts.   Resources Talking about end-of-life stuff can be hard! Here are some resources to get you started. (Adapted from Jessica Zitter’s Extreme Measures: Finding a Better Path to the End of Life. Thanks Jessica!)   I want to…  ...figure out what kind of care I might want at end of life: Prepare uses videos of people thinking about their end-of-life preferences to walk you through the steps for choosing a surrogate decision maker, determining your preferences, etc.  ...talk with family/friends about my preferences (or theirs!): The Conversation Project offers a starter kit and tools to help start the conversation.  ...put my preferences in writing (and advance directive):  Advance Directive forms connects you to advance directive forms for your state.  My Directives For those who like their documents in app form! Guides you through creating an end-of-life plan, then stores it in the cloud so it’s accessible anywhere. For those who like their documents in app form! Guests Jessica Nutik Zitter, MD, MPH, Author and Attending Physician, Division of Pulmonary/Critical Care and Palliative Care Medicine, Highland Hospital Thomas Frohlich, MD, Chief of Cardiology, Highland Hospital Kenneth Prager, MD, Professor of Medicine and Director of Clinical Ethics, Columbia University Medical Center Daniela Lamas, MD, author and Associate Faculty at Ariadne Labs David Casarett MD, author and Chief of Palliative Care, Duke University School of Medicine Footnotes Read the books: Jessica Zitter’s book is Extreme Measures: Finding a Better Path to the End of Life. Daniela Lamas’s book is You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. David Casarett’s book is Shocked: Adventures in Bringing Back the Recently Dead Read the memoirs of Amsterdam’s “Society in Favor of Drowned Persons,” the Dutch group that tried to resuscitate drowning victims (including Anne Wortman!) Learn more about ECMO, its success rates, and the ethical questions it raises (Daniela also wrote an article about it here) Read Daniela’s study about quality of life in long-term acute care hospitals (LTACHs). And for an introduction to LTACHs, here’s an overview from The New York Times Watch Extremis, the Oscar-nominated documentary (featuring Jessica Zitter), about families facing end-of-life decisions in Highland Hospital’s ICU. Credits This episode of Undiscovered was reported and produced by Annie Minoff and Elah Feder. Editing by Christopher Intagliata. Original music by Daniel Peterschmidt. Fact-checking help from Michelle Harris. Special thanks to Lorna Fernandes and the staff at Highland Hospital in Oakland. Our theme music is by I Am Robot And Proud. Our mid-break theme for this episode, “No Turning Back,” is by Daniel Peterschmidt and I am Robot and Proud. Thanks to the entire Science Friday staff, the folks at WNYC Studios, and CUNY’s Sarah Fishman. Special thanks to Michele Kassemos of UCSF Medical Center, Lorna Fernandes of Highland Hospital, and the entire staff at Highland. Subscribe to this podcast. Follow our show on Instagram, TikTok, Facebook, and Bluesky @scifri and sign up for our newsletters. Got a science question that’s keeping you up at night? Call us: 877-472-4374 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

About five million years ago, the island of Kauai emerged from the ocean waves, and a new chain of island habitats was born, right in the middle of the Pacific. In those Hawaiian islands, birds would have found a multitude of microclimates, a lack of most predators, and a pretty safe spot to grow and evolve—which they did, diversifying into a wide range of species, each suited to a different lifestyle and habitat. But today Hawaii’s diverse birds are under attack by invasive mongooses, cats, rats and other predators. Some birds no longer breed in the wild and need the help of humans to reproduce and survive. Alison Greggor, a post-doctoral research associate at the San Diego Zoo’s Institute for Conservation Research, joins Ira to talk about efforts to rehabilitate the nearly extinct Hawaiian crow, the ʻAlalā, and the race to save delicate bird eggs before predators get them first. When people talk about evolution and islands, it seems like the Galapagos get all the credit. But just like that island chain, with Darwin’s famous finches, the Hawaiian archipelago is itself a stunning natural lab for adaptation and evolution. As new lands is created and as old islands erode, the Hawaiian islands have developed a fantastic array of microclimates and habitats—and unusual species have evolved to take advantage of each one. Perched on the side of the Mauna Loa volcano on Hawaii’s Big Island is an otherworldly experiment—a Mars colony where half a dozen crew members spend eight months living together and simulating life on the Red Planet. The location looks altogether unearthly, with rusty red rock fields that look a lot like the images being sent back from the surface of Mars. What happens when you jam six people in a 1,200 ft2 habitat for months at a time? Kim Binstead, the principal investigator on the HI-SEAS project and a professor of information and computer sciences at the University of Hawaii at Manoa, joins Ira to give a glimpse of what life is like inside. Subscribe to this podcast. Follow our show on Instagram, TikTok, Facebook, and Bluesky @scifri and sign up for our newsletters. Got a science question that’s keeping you up at night? Call us: 877-472-4374 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

If you stood in southeastern Utah over 200 million years ago, you’d be overlooking the ocean. The landlocked state wasn’t quite the same landscape of scarlet plateaus and canyons you might see today, but a coastal desert where sand dunes butted up right against the sea. And it was home to some of the earliest dinosaurs. In this region of Utah, today known as Indian Creek in Bears Ears National Monument, the remains of dinosaur relatives, known as protodinosaurs or “dinosaur aunts and uncles,” are buried in the Earth. Their bones tell the stories about the dawn of dinosaurs, prehistoric Utah, and a much warmer Earth. In the northern reaches of Utah’s Great Salt Lake sits Gunnison Island, a narrow strip of land just a mile long and half a mile wide. Despite its small size, the island hosts the world’s second largest white pelican rookery, with an average of 20,000 birds and 6,000 nests. Biologist Jaimi Butler of Westminster College’s Great Salt Lake Institute calls the birds the “polar bears” of Great Salt Lake—because as lake waters drop, the birds’ island refuge is now threatened by humans, coyotes, and other predators. Butler and her team have installed cameras on the island, and citizen scientists can now use these “PELIcam” images to help Butler and her colleagues catalog the white pelican population on the island—and the appearance of predators, too. Forest ecologist Nalini Nadkarni pioneered the exploration of tree canopies—the “new frontiers” of the forest, using hot air balloons, rock climbing gear, and cranes. There, high in the trees, she found soil coating the branches, much like the soil on the forest floor—and unique adaptations, like the water-gathering abilities of spiky bromeliads. In this segment, recorded live at the Eccles Theater in Salt Lake City, Nadkarni takes Ira on a tour of the forest canopy, talks about how fashion can be a tool for science communication, and describes her work communicating science to underserved populations, like inmates in prisons around the nation—from minimum security to Supermax. Subscribe to this podcast. Follow our show on Instagram, TikTok, Facebook, and Bluesky @scifri and sign up for our newsletters. Got a science question that’s keeping you up at night? Call us: 877-472-4374 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.