X-Message-Number: 19193 From: Date: Sun, 2 Jun 2002 20:36:26 EDT Subject: shoulda woulda coulda --part1_8d.192c623e.2a2c140a_boundary Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit A brief response, after a couple of people asked for details about our latest patient. First and foremost, in my estimation, on balance, it is probably a mistake to publish details about individual suspensions. The potential upside vs. the potential downside is not impressive and very possibly negative, and we can't waste our time or efforts. After all, we already know the risks and the ways to reduce them. True, if members read about bad cases they may be motivated to review their own arrangements and try to improve them. On the other hand, if potential members read about a substantial number of unfortunate cases, there is a very good chance they will be discouraged from doing anything--we know this because we know of such people, and also because our numbers are so small overall. As far as reporting details of procedure goes, one can cite possible positives and negatives. On the positive side, if we were to publish a lot of techno-medical-sounding jargon, that might encourage a few potential members to think we are hot stuff, but we are not in the business of selling hype. On the negative side, it will inevitably motivate a lot of kibitzers to flood us with questions and suggestions, what we shoulda woulda coulda oughta mighta done, wasting our time intolerably--this has happened repeatedly and must be avoided. Our policy is to publish on our web site, and in The Immortalist, any and all information that we believe is useful and appropriate. Beyond that--at least while I have something to say about it, which will not be for much longer--we should draw the line. We can get all the input and feedback we need from our own people and others with whom we are in contact by choice. Anyone who wants special information or special attention should earn it. Specifically, on the matter of post mortem delay, how can it possibly help to know which patients or families were on the ball and which were not, or which had luck and which did not? What counts is the actual potential risk and ways to avoid or minimize it, which everybody knows and which we do our best to convey to our members. If the next ten patients all die alone and are not found for a week, how will it help members or potential members to know that? In the case of our last patient, our third Australian, as it happens he was packed in ice at the hospital within a half hour of death, and cooled down in dry ice after washout and perfusion at a local mortuary that we had previously supplied. In general, whether abroad or in the U.S., the most nearly ideal practical arrangement usually is to have the patient die at home under hospice care, with trained people standing by with their supplies and equipment. The next best thing is to have a local mortician, trained and equipped, ready to go to the hospital promptly when called, or to stand by at the hospital if that is feasible. Incidentally, it is somewhat interesting that death-bed sign-ups do not necessarily result in worse suspensions. If the problem of executing a contract and making payment quickly enough can be handled--and sometimes it can--then the other hazards may actually be reduced, since everyone is aware of the emergency and no one is taken by surprise. Robert Ettinger Cryonics Institute Immortalist Society www.cryonics.org --part1_8d.192c623e.2a2c140a_boundary Content-Type: text/html; charset="US-ASCII" [ AUTOMATICALLY SKIPPING HTML ENCODING! ] Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=19193