X-Message-Number: 1332 Date: 18 Nov 92 07:10:42 EST From: Paul Wakfer <> Subject: CRYONICS Mike Darwin Cancels Suspension Membership Au Revoir, But Hopefully Not Goodbye: A Communication From Mike Darwin Over the years I have written many articles for Cryonics magazine. But I never, even in my wildest imaginings, thought I would be writing the one I am writing now. Life is very strange and it is also often very harsh. On Wednesday, 4 November, 1992 I terminated my contract to provide suspension services and consultation to the Alcor Life Extension Foundation. On 15 November, I also terminated my Suspension Membership with Alcor. Since many of you are Alcor members either directly or indirectly as a result of contact with me or my work product, I feel a sense of responsibility to explain to you why I have chosen these courses of action. The decision to end my participation in Alcor as both a Suspension Team and Suspension Member was a surprisingly easy one. The years of pain and grief which lead up to it were not so easy -- either to live through or to explain. In a way these two decisions come as a great relief, a positive thing: much like the relief often experienced by those who have watched a lover, a parent, or a child, suffer a slow and agonizing decline, when death finally comes. It is a terrible analogy, but also a very true one. Yes, there were "precipitating" events. But they were not the only reasons. I will do my best to share with you my reasons and feelings, in large measure so that you might be spared some of the pain I have experienced. And also in the hope that perhaps this communication will motivate some of you to try to change a course of events I have been powerless to effect even though I bear no small measure of responsibility for setting them in motion. As I think back to over a decade ago I can see in my mind's eye a vision of Alcor which I, and others working with me, sought to turn into reality. For most of that decade I felt confident of success and confident that Alcor was on the path to being the pillar of integrity, openness, fiscal responsibility, and keeper of high principles that I dreamed it would be. I was an idealist in love with an ideal, and perhaps the outcome is as it always is for idealists who dare to dream their dreams aloud and try to fashion them into a living breathing thing. Today, I am experiencing the same grief that many of you experience when surveying what the dream of our constitutional forefathers has become in the form of the United States as it exists today. I am truly thankful that Paine, Jefferson, Franklin, and Washington never lived to see it. Yes, it may still be one of the freest and richest countries in the world. But what does that mean, and how does it compare to what would have been, could have been, should have been had so many of the first principles of the Founding Fathers not have been corrupted by a body politic of cowards and scoundrels who's only allegiance is to their own short-term interests rather than to the principles which they were charged with preserving and implementing? And so it goes with Alcor. Over the past 5 years I have watched as principle after principle was compromised. As decisions increasingly became made on the basis of interpersonal dynamics, politics, and compromise. I have watched as Board meetings became exercises in public showmanship while the real issues were debated in secret behind closed doors so that both the issues and the bitter acrimony that surround them are hidden from members' view. There is more than a passing similarity between the woes of Alcor and the woes of the United States of America, or of Great Britain, or half a dozen other nations for that matter. Alcor has lost the serious commitment it once had to research. I am still trying to recover from the shock and anger I felt upon reading Keith Henson's words on Jerry Leaf and cryonics research in the September issue of Cryonics: "I think that a substantial part of the reason Jerry did not do a lot of research in the last few years is that he simply did not have any really good lines of research (which fell within available budgets) to follow. He was about to repeat and extend some very old work on hamsters at the time he went into suspension." The thrust of the rest of Keith's article is that true suspended animation may well require nanotechnology and that the costs and problems associated with suspended animation research are probably insurmountable for cryonics organizations in the foreseeable future. This from a Director of Alcor, and a technically sophisticated one at that! (And they let this guy remain on the Board?!) Keith's remarks are pure nonsense. There are literally dozens of projects that might be profitably pursued by Alcor in literally every area of cryonics research. I list but a few below: * Development of cryoprotectives (single agents and mixtures) in a rabbit brain slice model to reduce ice formation and thus greatly reduce or even eliminate the tremendous mechanical injury current patients are experiencing. This is relatively straightforward, inexpensive and incredibly valuable research. * Elimination of cracking injury. This requires straightforward studies, initially with bulk solutions of cryoprotective mixtures and eventually with perfused animals. This is more of an engineering problem than anything else and is well within the reach of a small budget. * Demonstration of the viability of memory in mammals following conversion of 60% of brain water to ice. This is the "hamster" work which Keith mentions in passing. And it is not reduplication of old work since the work done almost 50 years ago never evaluated whether the animals retained memory of learned tasks following freezing. * Additional ultrastructural studies to determine at what point, during freezing or after thawing, the tremendous ultrastructural damage to brains is occurring. If a rabbit model is used this work could easily be done for $10,000 (and that's budgeting it at 4 times what the first project cost in the mid 1980's using cats!). Additionally, the use of helium gas perfusion of the circulatory system during freezing could be investigated to determine if this would reduce vascular injury to the brain as it has been shown to do in some studies with kidneys and small intestine. * Improvement in TBW solutions and pre-medication of suspension patients so that they do not experience as much cold and warm ischemic injury. This is a more ambitious project in terms of costs and personnel. But in this case I know it can be done because I am already doing it, and doing it independent of Alcor with far less resources at my disposal! I could go on and on. The point is, Alcor has become an organization that has lost its research vision, lost the commitment it takes to do serious cryonics research and lost the lead to other cryonics organizations who, however crudely, are doing real cryonics research! Instead, Alcor spends its approximately $325,000 a year budget on other things -- most of them coming under the heading of administration and the recruitment of ever more members with promotions and contests and slick literature in a never ending quest to stay one step ahead of a Ponzi-style day of reckoning. Alcor has lost its once serious commitment to keep its word when making promises such as not invading the Endowment Fund. It has even lost its ability to maintain the confidentiality of its member/patient records. It has become an organization operating not at a cash surplus, but rather at a deep deficit. It has become an organization that delays paying many of its bills until its creditors all but scream (and sometimes until they actually do scream). Watching these things happen has been agony beyond words for me. Watching my dreams, and hopes, and much of the labor of ten years disintegrate before my eyes has been like watching my child or my spouse die. My Alcor bracelet has become a source of pain and humiliation every time I glance it. There are no words for the grief I have felt. For a long time I have been patient and even optimistic in a perverse kind of way, telling myself that things will get better tomorrow, that things often get worse before they get better. Sadly, this has not been the case. With each passing year, and more recently, with each passing month, I have watched the situation deteriorate. Cryonics magazine, which once was the bulwark of hard and gritty truths about anything Alcor or cryonic, has been reduced to a bland political instrument designed to put the best light on any information that escapes. And through its pages damned little real information escapes these days. For many of you, relative newcomers to Alcor, you will not remember when Cryonics was otherwise. However, for many long-time members there is, I believe, the same sense of loss that I feel. In short, a major reason for my deciding to take the course of action that I have is that I no longer believe. At least not in Alcor anymore. I no longer trust or believe that Alcor is capable of caring for and aggressively defending the patients it now has in it care, and I also believe that Alcor can no longer deliver the quality of suspension services it once did, and more to the point, I believe the current staff and much of the management at Alcor is either consitutionally unable to acknowledge that fact, or in some cases to even appreciate that it is so! An example of this erosion of trust which was a significant "precipitating" event for me was the failure of the Alcor Board to take any action to discipline a Director who has repeatedly violated both patient and member confidences -- in one case making deliberate, unauthorized, prohibited disclosures about a patient's medical history and suspension membership status, boasting about it afterwards and then stating to his fellow Directors (in my presence), that he has every intention of "doing it again if he feels the situation justifies it." Some will argue that staying signed up with Alcor offers some chance, certainly a better chance than nothing at all. I suppose there is merit to to this argument. However, there must be a belief that there is some chance. It is my honest assessment that for me personally, Alcor, in its current form and with its current management (some of whom are both well-intentioned and even close personal friends) offers no chance at all. Yes, I acknowledge that positive change can still occur. But I have come to the decision that the personal pain of remaining a part of something I hold in contempt and which sickens me to contemplate, is a higher price than the slim probability that Alcor will save my life in its current form should I need suspension tomorrow. When you no longer trust, you no longer believe. And when you no longer believe, you no longer have the motivation to pursue a course of action that causes you pain and reminds you of a dream that has exacted a heavy price in dying. Many will call me a coward. Some have told me that I have a duty to try and set the situation right. Some of my dearest friends and colleagues, like Curtis Henderson, whom I love as I love my own father and mother, have raged at me for my "cowardice and inaction." What they fail to understand is that Alcor is now in the control of a political process and political processes can only be affected by politicians -- or revolutionaries. I am certainly not the former. And I am no longer the gun toting version of the latter ready to go off and form another cryonics organization at the drop of a hat. I grieve mostly for the patients, but there is nothing I can do for them beyond what I am doing here. Many who question Alcor's management have said that the patients are in no immediate danger, that they are being well cared for. And yes, it is true that the liquid nitrogen is being topped off, the records being kept. But it is not that which is seen that is the problem, it is that which is unseen. What is not being done is the issue. Every day the seismic risk to patients increases and yet the kind of solid precautions required to give the patients a fighting change at making it through a seismic event languish undone. Inefficient financial operation has cost the patient care fund tens of thousands of dollars in lost interest -- money that may someday make the difference between survival and failure. The 10% Rule has been all but gutted, long ago (and in secret) got round by billing exhorbitant fractions of staff member's salaries to the Patient Care Fund (PCF). Did you know for instance that 50% of Tanya Jones' salary is billed to the PCF. I would be most interested to see how Tanya manages to spend 50% of her full-time job on administrative matters related directly to care of the patients in suspension! Ultimately, the quality of cryogenic care that patients currently receive is due to the diligence and incredible dedication of a single individual (who operates largely unsupervised), Mike Perry. When he leaves, is disabled, or is suspended I have no confidence that the current administrative framework is set up in such a way as to insure that the job will be done as well (or at all!) by his successor(s). I am also distressed by the pattern that this current crisis represents. Every cryonics organization that has ever existed has suffered from this kind of problem: poor management, technical deterioration, and political infighting. I am coming to believe that this problem may be one inherent in cryonics. That it may be a function of the lack of feedback inherent in an enterprise where the customers don't know what happened to them for decades or centuries and it is all but impossible for others to sort out what was or was not important in what was done to them today. Is an hour of warm ischemia a total disaster, or a trivial problem? Does pulsatile flow really make a difference? Is 20% ice formation vs. 60% really going to affect the ultimate outcome? The longer I live the more I am becoming convinced that our cryobiological and other scientific critics are quite right in asserting that cryonics is not good science or even science at all. At the very least I am coming to understand their deep discomfort at a practice that markets hope without tying its promise to a proven path of feedback. Permafrost burial, "suspending" people who are partially decomposed... At what point do we look at ourselves and ask whether what we are doing is rational or purely a religious exercise? At what point do we wake up to discover we have become a cult? With no objective benchmarks people of little or no experience and even less skill and knowledge end up in control of suspension programs for political, rather than technical reasons. And I wish to make it clear that this is by no means a problem confined to Alcor or merely to the cryonics groups now extant. And speaking of cults, the hallmark of any cult is a constant and unrelenting demand for member conformity and agreement with leadership and the penalty for noncompliance is expulsion or even execution. I have witnessed Keith Henson, an Alcor Director, with the support of Carlos Mondragon, Alcor's President, and Joe Hovey, Alcor's Manager of Information Systems seriously propose terminating a member's suspension membership because he said things of which they did not approve and further proposed creating an institution framework to expel other suspension members who speak their mind in the future. More recently I have seen Keith Henson try to "censure" Eric Klein merely for speaking his mind. Dear God, what has Alcor come to that these kind of men are running it, and what's more are continuing to run it after exhibiting such behavior? To my growing horror I am discovering that cryonics, much like communism, promises to improve peoples' lives through science, give them a future of abundance, increase camaraderie, make them better human beings, redress many of the deep injustices of life, and above all speed scientific and technical progress. The reality is that cryonics leads to financial ruin, bitter interpersonal disputes, increased anxiety, and above all a stultification of technological progress. It seems that inherent in believing that today's techniques are good enough to rescue patients treated with them is a corollary decrease in any incentive to improve them. Instead of "Comes the Revolution" the mantra has become "Comes Nanotechnology." So deep is this corruption that a Director of Alcor actually has the nerve to say that the development of true suspended animation may well have to await the development of full-blown nanotechnology. It's a lucky thing the idea of nanotechnology wasn't around in medicine or engineering in the distant past otherwise we would still be waiting on antibiotics, vaccines, blood compatible surfaces, and flying machines. We are doomed to failure when any "really difficult" problem becomes a task beyond our means and an achievement we must wait for "Our Friends In The Future" to deliver to us. The above notwithstanding, I have not given up on cryonics, or on the patients in Alcor's care, or on the ideals of integrity, full disclosure, fiscal responsibility and above all a commitment to quality patient care that provides objective feedback. Without these things, without all of these things cryonics becomes merely another exercise in mysticism. However, I have come to understand that cryonics organizations as they are currently structured will be unable to deliver these ideals. I have seen the gross and ultrastructural damage being done to cryonic suspension patients' brains: massive ice crystals displacing structures, cutting neuronal connections, and stirring the debris ahead of the growing ice fronts. In my opinion it has always a 50-50 proposition at best as to whether or not patients could (biologically) be recovered from such massive injury. The only thing which made such damage "acceptable" was the certain knowledge that nothing better was available and that everything possible that could be done was being done to improve the situation. That is the only thing, the only thing that made inflicting that kind of injury bearable. When Alcor had no money, it was understandable that research was limited -- and yet still research went on, including pioneering ultrastructural studies which disclosed just how bad the situation was -- in addition to the incredible achievement of recovering dogs from 4-hours of bloodless perfusion at a few degrees above freezing. That is hardly the situation now. Now, a bloated administration consumes tens of thousands of dollars of money and virtually no research relevant to improving brain cryopreservation is being conducted. To me, this situation is totally unacceptable. It has become unbearable for me to continue my participation on any level in a program that promises people research on suspended animation while it pours hundreds of thousands of dollars down legal and administrative rat holes. Since my return as a consultant to Alcor I have been repeatedly told by almost all of current management that they feel fully capable of doing suspensions without me, and what's more that they think they can do suspensions as well or better than they could with me. I have been told bluntly that the reason I have been "hired" is purely political and that I will be let go as soon as it is politically tenable to do so. Even with this situation as unpleasant and as painful as it is, I would probably have continued to tolerate it and try to do the best job possible. However, the situation is such that I have virtually no control over any aspect of Alcor's suspension program -- except my own performance. And my performance is critically dependent upon the facilities and staff I have to work with. Over the past year I have witnessed what I believe to be a steady deterioration in Alcor's readiness and physical capability (much of it as a result of poor management, political squabbling, and the alienation of Cryovita). The situation is such that I have come to actively fear the possibility of being involved in an Alcor suspension. As a case in point, I recently went over to Alcor to in-service personnel on the use of the Mobile Advanced Life Support Unit (MALSS). During the course of my in-service I discovered that several critical items were missing from the cart -- including tube occluding forceps -- items which are absolutely essential to being able to place a patient on cardiopulmonary bypass. The response of Tanya Jones, Alcor's "Suspension Administrator" was vigorous protestations to the effect that the cart had "just been inventoried a short time before and the occluders were there at that time." If this were the only such incident it might be overlooked. But it is not. Rather, it is typical of a facility which is increasingly disorganized and technically unaccountable. There is no adequate inventory of suspension critical supplies and equipment, and there is no lock- down on supply cabinets to insure that what has been stocked is kept in place. The Suspension Administrator is a 24-year-old woman with no medical or technical background who's approach to cryonic suspension can best be described as flowcharting and knob turning. Hugh Hixon, the only staffer at Alcor with technical sophistication is both disorganized and incapable of either understanding or implementing a comprehensive program of readiness or teaching. Both he and the Suspension Administrator are also regrettably weak on theory and, in my opinion, lack a comprehensive understanding of the cryonic suspension process. These things in and of themselves are not crimes or lethal errors. However when they are coupled with an attitude of arrogance and unwillingness to learn they are. These words may seem harsh. They may seem bitter or resentful. They are not. All those emotions have been burned out of me long ago (and yes, I felt them once, felt them in spades!). Rather, they are the unvarnished expression of the truth as I see it. The only emotion left in me is revulsion at the whole ghastly situation and a strong desire to be free of it at almost any cost. In short, there comes a point when enough is enough. I have reached that point. I am still spending my time on cryonics. I am still as deeply committed to the success and growth of this idea as I ever was. To this end I am working in the laboratory to develop a reversible method of suspension. A technique that can serve as an objective, irrefutable standard and benchmark against which all suspensions, past, present, and future can be measured. No doubt the odds are heavily against me and my colleagues. Perhaps it is very likely we will fail. Thus it has always been. I am sorry I cannot do more directly to "fix" Alcor. However, rest assured I am doing everything I can to improve cryonics in the way I feel most capable -- by working in the laboratory. A change in the leadership of Alcor will be a good beginning towards the other changes that need to be made. But it will be only just that, a beginning. Alcor and cryonics both need major work. Some of things which need doing are straightforward, if not easy to carry out. Other changes will require solutions not now in evidence. In the meantime I have chosen to "take my chances." If death comes for me in the interim, then I can only hope that my actions here will have served to facilitate much needed change and that my end will serve as a sober reminder to all of the price of failure. It is a price I was prepared to pay from the start (and which I still sincerely hope to avoid having to pay). If and when a cryonics organization emerges that has my trust, my faith (yes faith) and above all a serious commitment to brain cryopreservation research then I will join the ranks of those signed up again, and breathe a happy sigh of relief. I fervently hope with all my heart that that day will come soon and that that organization will be Alcor. Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=1332