X-Message-Number: 29538
From: 
Date: Tue, 5 Jun 2007 00:06:09 EDT
Subject: Deanimation near Cryo Facility -- Practical even from Austral...

Content-Language: en

Deanimation near Cryo Facility -- Practicalities 
 
At the conference in Fort Lauderdale Dr. F. said he had examined fresh  

rabbit brain that had been perfused with organ preservation solution and held at
0 
C for 12 hours.  This is about the best we can hope for if we deanimate  far 
from a cryonics facility.  But his examination showed the fine brain  

structure still looked bad.  We could only hope nanotechnology can do  wonders 
in such 
a case.  
 
To me this means that SA should concentrate on doing vitrification on the  
spot. And we should concentrate on deanimating next to  CI or Alcor.  I have 
been studying this option and learned encouraging  things.  
 
Deanimation near a facility 
 
We need to get there.  Most people think that's the hard part.   So I put my 
mouth where my mouth is and called U.S. Air Ambulance  --  Usairambulance.net, 
(800) 948-1214 -- where a helpful, intelligent and very  knowledgeable 
gentleman answered all questions.  
 
You may travel by yourself provided you don't look so bad that the airline  

fears they will have to divert the plane when you get sick. If you look too bad
 the gate agent may not let you board. A frail old person in a wheelchair is  
OK.  But if you're alone, flight attendants will not help you get to the  
bathroom, due to liability if you should fall.  The airline will  move  you 

around the airport in a cart and on and off the plane in a wheelchair.   
Obviously 
this is cheapest.  You can also bring a family member to assist  you.  You 
cannot get oxygen this way.  First class is an option -- big  seats and nearby 
lavatory.  
 
Next cheapest is a ground ambulance with attendant.  They give the  example 
of a trip from Florida to New York in 20 hours for $6500-$8500.   The patient 
is lying downand may be on oxygen, but if he or she needs a  ventilator the 
ground ambulance trip is limited to 200 mi.  
 
For air escort on a commercial jet, the trip is just six hours but the  

patient cannot need more than 3 liters of oxygen per minute and must be able to
sit up and partially support himself.  This is required because patients  must 
sit up during takeoffs and landings.  A ventilator is not possible.  The cost 
is $5500-8500.  The company does a lot of this money.  They  document the 

patient's condition and clear it with the airline so when he turns  up with his

nurse he is not turned away.   They set it up for the  airline to provide 
oxygen. 
In case of problems, they have contacts and do  this all the time.  Their 
nurse can administer an IV.  On  overseas flights they use first-class tickets 
for the added room (they may  change a diaper in place) and proximity to a 

lavatory, and so the patient can  recline the seat flat and lie down except for
takeoff and landing.  
 
A step up from this is a stretcher on a commercial jet in cases where the  
patient can't sit up.  It   s about twice as expensive, but one can have  
everything except a ventilator.  
 
By light plane, an air-ambulance Cessna, our Florida to New York trip  is  

four hours and $8000-12,000.  Oxygen, ventilator, patient lying  down, comatose
-- all OK.  

Or it's two to three hours by jet air ambulance, $13,000-17,000.  This  all 
this seems feasible and not too expensive.  After all, it's $5000 if  you 
expire at home and the mortuary ships you, and $60,000 for SA.
 
I got more good news.  This company brings people from Europe all the  time.  
Usually within 24 hours they can get a special visa,  provided you are going 
to die with family members (even extended families)  or are coming for medical 
care.  The spokesman thought it would be  the same if you were going to a 
hospice.  This is important news, because  in past discussions people overseas 
have said it is very hard to get a US visa,  and that the US will not accept 

sick people, let alone ones who are dying. But  it seems this is not so, that 
the 
US is more compassionate towards such people,  and this is alright.
 
If one flies alone or with a family member from Europe, I asked if U.S. Air  
Ambulance would for a fee help with those fast visas.  The answer was yes,  
and not only with that but with ticketing etc.  "Talk to us." All in all  the 
company was helpful, flexible and reasonable, but I must point out that a  

Google search brings up many such companies so this may not be the best.   And 
no, 
I don't own stock in it.  That said, I like these people.
 
From Europe, Air Ambulance is expensive, $50,000 - $60,000.   Commercial 
flights, especially unescorted, seem preferable.  Ground  ambulance is not 

available.  :-) The spokesman also mentioned that you  couldn't fly commercial 
with a 
communicable disease, like incurable TB. Of  course.
 
Costs from Europe: 
Air Ambulance, London-Detroit, $50-60,000  
Stretcher on commercial airliner, same trip, $30,000 
Nurse escort,  first-class, oxygen etc., $15,000 
 
Nurse escort from Australia, $25,000 
 
A friend died of a brain tumor.  When the hospital could do no more  they 
suggested he go home to die, which he did,  and he expired about  twelve hours 
later.  Time enough to go to a facility.  I've seen some  other gradual deaths 
due to cancer and heart failure, and in most cases it would  have been easy to 
get to a facility. Even unescorted, at least up to a few days  before the end. 
 
 
CI  has a local member who has volunteered to host an expiring member  in his 
home.  There are also hospices near both CI and Alcor, and I'm sure  that 
both would arrange transport from the airport.  Deanimation may be  fairly 

predictable, and may legally be hastened by the patient deciding that the  
oxygen 
should be turned off.  I think his Medical Representative, pursuant  to his 
living well, can do the same.  
 
It remains to be sure that we know a local doctor who can pronounced death,  
even at someone's home, and will come when we ask. A retired MD might be 

ideal.  And especially that we have everything set up with the Medical  
Examiner.  
 
Thus we have a good chance of flying to a facility cheaply, and staying for  
a day or a week or two at small cost at a home or hospice, and upon 

deanimation  receiving immediate pronouncement and swift cooling, perfusion and
vitrification.  
 
Then we may hope the results would look good to Dr  F.!    (Since this is 
public I won't name Dr. F.)
 
Alan
                            From  the US Air Ambulance page:
Pricing
It is always our goal at U.S. Air  Ambulance to provide the highest quality 
service at the lowest possible cost.  Price is determined based primarily upon 
the medical condition of the patient,  because this will determine the type of 
aircraft or ground transportation that  will be utilized, the medical 

supplies to be included, the medical team to be  transported, the destination 
and the 
urgency of travel.
Our Flight  Coordinators will talk to you about some of these issues and 

provide a quote  over the phone. In non-emergency situations, we will also 
gladly 
send you a  written quote explaining all services provided. The price quoted 
to you is the  final price     there are no hidden costs.
Listed below are a few of the  variables considered when we determine a price 
for your specific trip. Prices  are effective January 2007. This is not a 

definitive listing, but can give you  an idea of the cost of our air and ground
ambulance services.
    Aircraft: $3  - $12 per mile, depending on the type of aircraft used 
    Standard Medical  Equipment and Supplies: $450 per flight (Isolettes and 
balloon pumps are extra)  
    Maintenance: $600 per take-off 
    Ground Ambulance: $500 plus $14 per  mile 
    Wheelchair Vans: $180 plus $3 per mile 
    Overnight Charges: $300  per crew member per night (some Asian locations 
are higher) 
    Preparation  Costs: $800 (Includes medical evaluation, telephone and 
aircraft preparation)  
    European Air Traffic Control: $2,500 
    International Fees/Permits:  $800 - $3,800 (You will be billed our actual 
charges for this) 
    Medical  Team 
    Level I: $800 (Critical Care Nurse or Paramedic) 
    Level II:  $1,600 (Critical Care Nurse and Paramedic) 
    Level III: $2,200 (Respiratory  Therapist plus Critical Care Nurse or 
Paramedic) 
    Level IV: $4,100 (Doctor  plus Critical Care Nurse and Paramedic) 
Here are approximate times and costs  from Florida to New York depending on 
the type of transport requested:
     Train Escort or Ground Ambulance(patient is lying down) 
    20 Hours 
     $6,500 - $8,500 
    Air Escort (patient is sitting) 
    6 Hours 
    $5,500  - $8,500 
    Cessna 
    4 Hours 
    $8,000 - $12,000 
    King Air 
     3 Hours 
    $13,000 - $15,000 
    Learjet or Gulfstream 
    2 Hours 
     $14,000 - $17,000 
 
Going across the country, from California to Virginia for example, the time  
and costs would look something like this:
    Train Escort (patient is lying  down) 
    4 Days 
    $11,000 - $12,000 
    Air Escort (patient is sitting)  
    8 Hours 
    $7,500 - $9,500 
    Cessna 
    10 Hours 
    $13,000 -  $17,000 
    King Air 
    8 Hours 
    $16,000 - $22,000 
    Learjet or  Gulfstream 
    5 Hours 
    $20,000 - $28,000 
Please call us today at  1-800-948-1214 or send an email to 

_ (mailto:)  to receive a  quote 
based on your 
specific needs. Our Flight Coordinators and Case Managers  are available to 
help you 24 hours a day, 52 weeks a  year.




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