Faculty Bibliography

Mr. [Jack C. Burcham] had suffered from kidney problems, as have other artificial heart recipients, but he was the first to require kidney dialysis after the implant. Earlier in the day hospital officials had said that Mr. Burcham's kidney failure was ''resolving'' with the aid of dialysis

Death from the chronic wasting of AIDS is terrifying, often requires long hospital stays and is very expensive. And because scientists have so much to learn about the disease, people fear the unknown. Many AIDS victims have been shunned as lepers for fear that AIDS can be spread by casual contact. Another fear is that AIDS will soon race through heterosexuals the way it has through homosexuals, becoming the new syphilis in the New World. Mass education measures were used to encourage life style changes among homosexuals after AIDS was first recognized in that group. Because about one in two homosexual men in San Francisco have been exposed to the AIDS virus, tracing individual cases is not practical. Now advances in the scientific understanding of the nature of AIDS make necessary a more individualized approach to check the spread among heterosexuals, less than 1 percent of whom have been exposed to the virus, Dr. [Dean F. Echenberg] said. Under the San Francisco plan, a multidisciplinary team of epidemiologists, psychologists, sociologists and others will track down sexual contacts, give them AIDS tests, and offer counseling to those who are found to have been exposed to the AIDS virus and who thus are considered capable of passing the virus on to sexual contacts. The strategy, Dr. Echenberg said, ''rests on the assumption that no individual would want to unknowingly infect others.''

Murray P. Haydon, the third man to receive a permanent Jarvik-7 heart, appears to be a more fortunate victim of ARDS. Mr. Haydon's case was ''mild'' and not life-threatening, according to his surgeon, Dr. William C. DeVries. Even so, the damage from ARDS to the lungs poses a major therapeutic challenge. The lungs of an ARDS victim are stiff, heavy and almost airless. The microscopic-sized air sacs within the lungs collapse from a condition called pulmonary atelectasis. The lungs fill with water from another condition called pulmonary edema, and the lungs cannot extract enough oxygen for the body's needs. Though the underlying conditions that lead to ARDS often are known, the precise physiological factors that cause it remain a mystery. One leading theory is that ARDS results from the activation of white blood cells, which play important roles in the body's response to injury. In ARDS, white cells migrate to the lung and produce the biochemical changes that lead to the cascade of complications

Mrs. Schroeder said at a news conference before the move, ''We're going home in a sense - not our home, but we've lived in the Air Force for years, and home was wherever we were at.'' At the meeting in Utah earlier this week, Dr. [William C. DeVries] spoke of ''the tremendous fatigue factor'' that spouses had in caring for artificial heart recipients and ''the guilt feelings of maybe it would be better to have it over.'' Caring for her husband at home would have been ''a grave responsibility,'' Mrs. [Una Loy Clark] said, and the thought that a life-threatening problem could develop while she was away from him made her anxious. Nevertheless, she said, in the three years that Dr. Clark was incapacitated by his failing heart, she often thought about how she ''could have come home anytime and found him dead.''

Neighborhood children held up a sign reading 'Welcome, Mr. and Mrs. Schroeder.' Then [Mel Schroeder] wheeled his father up a ramp onto a deck of his new home. After Schroeder waved to neighbors who had gathered outside, he entered the newly furnished apartment, on the first floor, through a kitchen door

''Wait a minute,'' Dr. [Kevin Cheng] recalls saying. ''It's designed for a calf and not ready for a human yet.'' ''Every minute was like a year,'' he said. ''I prayed the whole time. I knew if something went wrong I was in a bad situation.'' ''In my four years of trying, 'probably' was the only word of encouragement I had heard,'' Dr. Cheng said. ''Phoenix looked like a good city, so I quit my job and moved - just on the word 'probably.' '' He opened a practice of general and reconstructive dentistry

Mr. [Thomas Creighton]'s mother, who identified herself only by her first name, Dorothy, praised Dr. [Jack C. Copeland] for deciding to use the mechanical heart, according to The Associated Press. ''He put his neck on the line, and we appreciate what he did,'' she said, adding that her son ''was not fully conscious and able to talk at any time.'' Dr. [Allan Beigel] said Dr. Copeland decided against further heroic measures in Mr. Creighton's case because it takes about two weeks for shock lung to heal itself, if it does. Thus, Dr. Beigel said, further use of a mechanical heart was ''not indicated.'' In making his decision to proceed without approval from the F.D.A., Dr. Copeland said: ''I didn't want to give anyone outside of our medical teams involved the opportunity to make a decision, yes or no, because I felt that time was of the essence and that an immediate decision needed to be made. We had a battle and if we turned to an agency to make a decision we'd lose that battle.''

Dr. [Cecil Vaughn] said Dr. [Kevin Cheng] was ''eminently qualified to build an artificial heart'' because he had worked for four years in the artificial heart laboratory at the Texas Heart Institute in Houston. It was there that Dr. Denton Cooley installed an artificial heart in two patients as a temporary measure until natural hearts could be found for transplantion. Dr. [Allan Beigel] said, ''We are not aware that the F.D.A. asked the university or Dr. [Jack Copeland] not to go ahead with this operation before it took place.'' At a news conference this afternoon Mrs. [Alethea Caldwell], the medical center official, said that telephone discussions between university and F.D.A. officials had taken place after the implant operation had begun. ''We haven't broken any statutes,'' she said, adding that the university did not expect any reaction from the F.D.A. Officials of the agency, she said, were ''nothing but helpful'' in discussions Wednesday and today. It is ''a patient care issue, not a research issue,'' Mrs. Caldwell said.

WHEN Murray P. Haydon's family learned that his failing heart would keep him alive only a few more days, his son, Derek, asked his father's cardiologist, Dr. Jerome P. Lacy: ''Is this it? Is Dad going to die? Is there nothing we can do for Dad?'' Mr. Haydon was well aware of Mr. Schroeder's stroke. But he and the family ''didn't remember Bill Schroeder as a stroke victim,'' Dr. Lacy said. ''They remembered him walking in the hall, asking for a beer and talking to the President. Haydon kept saying, 'What if I don't have a stroke or any of the other complications.' '' Dr. Lacy said he did not know the answer, and that he did not talk to transplant teams elsewhere. One reason was that he did not feel it was his job to explore all such centers. Another was that he had heard that 50 was the arbitrary age limit. Also, Dr. Lacy said, ''I thought I would be taking somebody's heart away from a young person.''

Dr. [Allan M. Lansing] said the 53-year-old retired Federal worker was suffering ''a serious illness'' that had ''sapped his strength.'' Mr. [William J. Schroeder] is ''discouraged because he was on the verge of leaving the hospital, and now the door is shut in his face again,'' Dr. Lansing said. But Dr. Lansing also said that he had visited Mr. Schroeder and that the patient was having the best day he had had in about two weeks. Dr. Robert K. Jarvik, the president of Symbion, the Salt Lake City company that makes the artificial heart, said Mr. Schroeder's illness was ''very disappointing and a rough thing.'' If Mr. [Murray P. Haydon] does extraordinarily well, Dr. Jarvik said, ''no one is going to say this artificial heart should be applied to 50,000 people each year. If he does badly, I don't think we should say that it proves that it shouldn't be.''