X-Message-Number: 7190 Date: Thu, 21 Nov 96 12:41:52 From: Steve Bridge <> Subject: SCI.CRYONICS Cryonics and Organ Donation To Cryonet >From Steve Bridge, Alcor November 21, 1996 In response to: Message #7183 From: "James Yegerlehner" <> Subject: Organ donor = good idea for cryonicists? Date: 20 Nov 96 10:09:31 GMT Newsgroups: sci.cryonics > I understand that brain-dead accident victims are often times kept > on heart lung machines if they are organ donors, until the organs > can be harvested. Would it be possible to sign the organ > donorship card, but somehow stipulate that the organs could only be > harvested after the suspension folks had arrived (assuming of > course one were signed up for suspension) and were prepared to > start the suspension? I'd be interested to hear comments regarding > whether this is legal, feasible, practical, etc, as a strategy to > minimize brain ischemia in the event of accidental death. Ironically, one my articles for the 4th Quarter issue of Alcor's *Cryonics* magazine (behind schedule again because of computer equipment disasters, but nearly ready to go to print now) was an answer to this very question. Since it is fairly short, I will simply post it here. CAN CRYONICISTS BE ORGAN DONORS? By Steve Bridge About once a week I am asked if a cryonicist, especially one who has chosen neurosuspension, can also donate organs for transplant. The answer is a qualified "No." There are several barriers, any one of which makes post-mortem organ donation impossible for cryonics patients. 1. Alcor's ability to provide reasonable preservation for a member's brain is strongly dependent on how fast our transport team can begin cooling the member and adding protective chemicals. Forcing Alcor to wait several hours while surgeons remove a heart and kidneys is not good for your brain. We assume you are involved in cryonics at all because you want your brain treated with utmost care. 2. All states require evidence of "brain death" before a hospital can remove organs from a donor. "Brain death" typically means that the brain has had no circulation for 24 hours (*not* at all good for your brain) or has been obviously destroyed by injury. You don't want to wait for brain death before we freeze you. Your brain is you. 3. Even if you have chosen the neurosuspension option, Alcor's surgical team needs an intact vascular system, including the heart, to get cryoprotectants to the cells of your brain. Removing organs puts holes in that system. 4. From the hospital's point of view, they don't want organs that have had Alcor's solutions pumped through them, even though these solutions may be very protective. It would require hundreds of millions of dollars for research to prove that our particular combination of chemicals was safe and effective for transplants. It's not worth that. [I'll add one more comment here that was not in the article but fits Jim's specific question. You *do not* want to sign the card that says you are an "organ donor." Once you place yourself in that pigeonhole, it is very hard to make it clear to hospital personnel that, no, that "wasn't exactly what you meant." And you probably won't even be in a condition to explain it yourself, remember. "Organ donor" may well lose you some parts and damage your brain before your cryonics company is even informed. After that, a hospital response of, "Oops, we misunderstood," isn't terribly useful. It is is much better to inform your personal physicians and other hospital staff that you are a "whole body anatomical donor." That places you in the "medical school donor" pigeonhole and provides for much greater cooperation.] Donations you CAN make Many prospective cryonicists wish to contribute something to the health of others and feel uneasy about not donating organs. You can still help save many lives without causing problems for your suspension. You can donate while you are *alive*. I don't mean just giving a kidney to a relative, either, although that might very rarely be possible. There is at least one organ donation nearly all of us can make -- *blood*. Donating blood is simple, can help save many lives, and can even be healthy for you. Yes, recent research appears to show that men who donate blood at least three times per year increase their average life-span to that of women. The most plausible theory for this is that iron accumulation in the blood is a primary cause of cardiovascular disease, and women have their own natural method of discarding iron -- every month when they menstruate. I hope none of our readers believe the idiotic, backwards folklore that donating blood can place you at risk for getting AIDS. Many people in the 1980's got AIDS from *receiving* blood transfusions; no one gets AIDS from giving blood. (Detailed testing of blood today makes it extremely unlikely for a person to be infected with AIDS even by receiving a transfusion.) If you are in a serious accident, you certainly want other people in the community to have donated blood to save your life. It is only fair to put your share into the community pool to save other people's lives. Look in the Yellow Pages under "Blood Banks." When you donate your blood, you could also add yourself to the list for *bone marrow donation*. Thousands of people per year, especially with certain forms of leukemia, could have their lives saved by a donation of bone marrow from a tissue-compatible individual. Finding the level of compatibility required (near 100% for certain antigens) can be like searching for the proverbial needle in a haystack. Right now several million people have their antigen signatures listed in the National Marrow Donor Program (NMDP) data base; but every year many people die without finding a match. Antigen matching is especially difficult in the United States, with the nearly infinite mix of racial and cultural backgrounds of our residents. Adding your name to the NMDP Register could save a life. Making this effort as widespread as possible could also give *you* a chance at more life someday, should you be the one who gets the leukemia. To find out more about bone marrow donation, visit your local blood bank or call the NMDA at 1-800-627-7692. Cryonics is a way of saving your own life. It is selfish -- and I mean that in a good way. Understanding your own self interest is essential for survival. Being selfish does not also mean that you can or should abandon your family and community. Doing good for each other makes all of our lives better and contributes to our own individual survival. Stephen Bridge, President () Alcor Life Extension Foundation Non-profit cryonic suspension services since 1972. 7895 E. Acoma Dr., Suite 110, Scottsdale AZ 85260-6916 Phone (602) 922-9013 (800) 367-2228 FAX (602) 922-9027 for general requests http://www.alcor.org Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=7190