X-Message-Number: 27881 From: Date: Sun, 30 Apr 2006 01:56:52 EDT Subject: Legal controlled deanimation I think we can profitably discuss a new topic: deanimation at a set time without breaking the law. This is important because so many patients die and deteriorate for hours or days before being treated and vitrified. Both Alcor and CI patient reports frequently cite days between death and rescue. In The Immortalist March-April 2006, Ben Best discusses various experiments indicating neuron survivability after warm ischemia. In one case "After six hours only 15% of the neurons were necrotic. Only after 12 hours were 65% of the neurons necrotic. " And "Unpublished data ... from Yuri Pichugin indicates that by 24 hours of warm ischemia hippocampal tissue has K/NA ratios that are about half normal, and that by 48 hours are at a level of complete non-viability. " The data are confusing but it appears two hours or less is OK, after six there is some cell death and from 12-24 a third to half were lost. This is not promising when a man dies during the night and is only discovered in the morning and not delivered to rescuers for a day or two. It is especially disturbing for people in Europe who must be processed by local authorities and shipped to the USA. Cooling to water ice temperature may help, but there ought to be a better way. For a person with a terminal disease, travel to a hospice near Alcor or CI near the end might be good. Then, to terminate at a particular time would be ideal. A doctor could stand by and sign the death certificate in a minute, and cooling and perfusion could begin. But how can one *legally* choose the moment? Euthanasia and assisted suicide are normally illegal and active suicide is dicey. However, anyone or his designated Health Care Agent may reject medical intervention for a terminal condition that will cause death, and at any time. (Standard Living-Will terminology.) So, for example, one goes on oxygen and goes downhill until removal of oxygen will allow death in minutes. Then the right people assemble and prepare, and they simply stop the oxygen. In conventional medicine is not uncommon to keep someone alive until the family arrives and says goodbye, and then stop the oxygen and let them go. This would be about the same. I also believe it is now legal under terminal circumstances to administer as much opiate as needed to stop pain, even when this may reduce respiration and hasten death. What I think we should discuss is this idea in general, and specifically what things can be withdrawn (ventilators? drugs? transfusions? dialysis?) that are legal and will bring about death with reasonable promptness. Alan Mole Content-Type: text/html; charset="US-ASCII" [ AUTOMATICALLY SKIPPING HTML ENCODING! ] Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=27881