Tag Archives: cadaver

Head Transplants: the next medical feat?

http://ichef.bbci.co.uk/wwfeatures/wm/live/1280_640/images/live/p0/33/6c/p0336c93.jpg

The Idea

Professor Sergio Canavero wants to be the first surgeon ever to perform a head transplant. He claims that this could happen within the next year and that there are many volunteers willing to participate. He claims that despite the risk, there are many interested participants and the surgery will most likely take place in the UK, Germany or France.

The Patient

Valery Spiridonov is a 31-year-old man with Werdnig-Hoffman’s (muscle-wasting disease) who is willing to have his head transplanted onto a different body.

How it would work

All in all, the transplant would require a team of 150 medical professionals and 36 hours to complete. The first step would require freezing the head and body to stop brain cells from dying. The trickiest part of the surgery will involve cutting the spinal cord. Canavero claims a special knife made of diamonds will be used because of its strength and precision. The head will then be removed and the spinal cord glued to the donor. The testing of the procedure will be done on brain-dead donors to see how they recover neuro-physiologically.

The Questions

While many medical experts around the world claim his theories are science fiction and a head transplant is not feasible, Canavero claims that the surgery will have a success rate of 90%. If it is possible to perform a head transplant, than there are many questions that I have. Firstly, how would someone cope with living in a completely new body? More importantly, would they be the same person or would they change? Many questions are also raised about who the donor and recipient would be and what the requirements are to participate. I think while an interesting idea, many ethical questions are raised by the idea of a head transplant.

More information: http://www.bbc.co.uk/newsbeat/article/37420905/the-surgeon-who-wants-to-perform-a-head-transplant-by-2017

The Bodies Exhibit

I recently visited the Bodies exhibit at Atlantic Station which features anatomical presentations of preserved human corpses. They kind of ease you in. The exhibit opens tamely with a segmented human skull in a plexiglass box. The next room has a skeleton and a series of other bones. That’s when I turned, after staring at a few pieces of vertebrae, to see a cadaver with the skin peeled away; skeletal muscle fully exposed, gripping a basketball in an athletic stance, staring back. Something about knowing it was real, that this had once been a living person, made it different than any previous attempt to teach me anatomy. I was shocked and honestly a little scared. I had to force myself to come closer, some part of me fully expecting him to burst into violent life. It’s strange, but I think it may be the first time I’d seen a human corpse in person. It took a moment for my morbid fascination to make room for scientific curiosity, but something about the combination of those two feelings formulated the sensation of awe. It was almost as if I felt obligated to look closely, as a matter of respect, to the people who provided their bodies. It was incredible to look at the intricate musculature laid bare before me and know that something similar and just as complex was inside me, taken utterly for granted. Natural selection simply hadn’t required that degree of self awareness.

As we continued through the exhibit a friend of mine repeated several times that he would like to donate his body to something like this when he dies. When I pressed him further he said it was appealing to be useful even after he died, to be a part of someone else’s learning, but he also alluded to the desire to be preserved so thoroughly. Wanting to be preserved after death had never exactly made sense to me. I’d always seen it, frankly, as clinging to an existence that has certainly fled through an arrangement of matter you happen to identify with. Considering this again, while standing in front of another corpse presented as art indicated an alternative motivation. The human body is simply beautiful and while I still don’t personally care if I am preserved, I understand why someone might think it a shame to let themselves rot.

I think that beauty is seated in the functional complexity of the body and staring fascinated at humble displays of the nervous and circulatory systems I had moments near worship. I study biology, but this reminded me why. Imagining or viewing an image of the human anatomy pales in comparison to the visceral understanding of seeing the real thing, knowing every nerve and artery was meticulously divorced from the surrounding flesh. Equally striking and immeasurably more disturbing was the exhibit on development. Separated by a wall of curtains and caked in thorough disclaimers lay a series of plexiglass cylinders illustrating the progression by weeks of embryo to infant. Another friend couldn’t help herself from blurting out something about magic every few seconds and I couldn’t blame her. To me it was strange how soon we started looking like a person, it quickly became apparent how politicized the issue of abortion has become. I had more or less unthinkingly supported the doctrine of “pro-choice” without having any real understanding of what a fetus even looked like. I wouldn’t say I altered my stance, but looking at a twenty-week-old fetus the issue suddenly seemed more ethically charged than it had a moment before.

The exhibit closed with a cadaver posed to be waving goodbye and a statement to the effect that it’s easy to go about our daily life, but critical to take time to ponder our origins. In fact, I found my mind making subtle adjustments to mental models. Organs I would have imagined to be bigger were smaller, structures I would have thought to be simpler were more intricate. Everything varied slightly, nothing was the same. Scientifically inclined or not I fell victim to subtle inaccuracy and assumption. More abstractly, we’ve designed a standardized system of education based on imperfect idealized models of reality and assumed that this is somehow more effective or efficient than tangible experience. I think we all have a fragment of faulty understanding that we can only correct by personally examining reality. But please — don’t take my word for it.

Two Massacres and No Funeral

We’ve been talking about in class how central the funeral is to the mourning process.  The funeral takes care of the body and gives mourners closure.  So what happens when there is no funeral?

This is unfortunately usually the case in war or genocide.  The dead are piled into mass graves or sometimes just left where they were killed.  Throughout history, the innocent have been massacred and their bodies unceremoniously abandoned.  One example is the recent archaeological discovery of a 5th century massacre in Sweden.  The remains show that the individuals experienced violent deaths and were left where they fell, since the dead were usually cremated during this time period.  Read more here:

http://www.archaeology.org/news/1369-131007-sweden-sandby-borg-massacre

Viking Mass Grave http://www.montysworldonline.com/2010/05/viking-mass-grave-excavated.html

Viking Mass Grave
http://www.montysworldonline.com/2010/05/viking-mass-grave-excavated.html

This regrettably still happens all over the world.  It happened during the Holocaust, the genocide in Bosnia and Serbia, and in Liberia.  The massacre in Liberia took place at a refugee camp twenty years ago, with the victims dumped into an unmarked mass grave.  Action is only being taken now to bring the perpetrators to justice.

http://news.yahoo.com/liberia-massacre-neglected-mass-grave-161230540.html

The victims of these massacres are not cared for after death by their loved ones.  They did not get the ceremony they wanted or that their beliefs mandated.  Their loved ones did not get to say good-bye to their deceased.  What happened in these communities? How did they deal with their loss?  How did their community not break down in the absence of this most important rite of passage?

I think that when something this terrible happens, the community just has to reset and move on.  Since the violent situation often makes it impossible to loved ones to go back and claim the bodies of their deceased, people just have to accept it and move on.  This sounds rather harsh but I think that this is the community’s survival mechanism.  If they tried to go back and claim the bodies for a funeral, it would take a very long time or they could be killed themselves.  They have to come to terms with the fact that they won’t be able to care for the body as they wish and they must honor them in some other way.

The lack of a funeral tends to lend itself to the building of a memorial monument, such as the Tomb of the Unknowns in Arlington National Cemetery in Virginia.  When individuals of a community can’t honor their own dead, the community honors them collectively, thus giving the mourners closure and the dead their respect.

Fear of the Rising of the Undead

Eating your way out of your grave sounds like something from an old kooky horror television show like Buffy the Vampire Slayer; in renaissance Venice, it was a terrifying reality.  According to folklore, a corpse-turned-vampire would chew its way through its funerary shroud and emerge from the grave as a fully-fledged “traditional” vampire.  The only way to defeat the vampire was to wedge a brick in the corpse’s mouth to prevent it from chewing.  This particular myth of the vampire was perpetuated by the plague in the 16th and 17th centuries.  Plague victims were buried in mass graves; when another person died, the grave was reopened to add their body and once opened, the gravediggers met with a very unfortunate surprise.  The corpses already inside the grave seemed to have already attempted to eat themselves out; the shroud covering the mouth had been worn through and stained very dark.  The terrified grave diggers would shove a brick into the “vampire’s” mouth to make it unable to chew and then re-bury it.  Had the shroud been stained by the draining blood that the vampires had drunk before being buried?

vamp

Skull of an “exorcised” vampire

Not really. This dark stain was caused by a fluid created from the decay of the gastrointestinal tract contents and lining that had then poured out through the nose and mouth.  The worn cloth was the result of putrid gases and moisture produced by the decaying corpse.  Even the gaping mouth is natural.  Everything that made the corpses “vampires” was really just the normal process of decomposition.

You can read more about the Venetian vampires here: http://archive.archaeology.org/online/features/halloween/plague.html

The superstition surrounding these particular vampires resulted from a misunderstanding of the process of decay.  In whatever time you live in, digging up a grave and exposing a bloated corpse with a black gaping chasm in place of its mouth would be terrifying, but at least now we have the medical knowledge to understand that the corpse has only undergone natural processes of decomposition.  Without our modern information though, how would you possibly explain this horrible discovery?

People had to come up with a reason of why this corpse was so terrifying.  Postmortem changes such as algor mortis (the cooling of the body) and rigor mortis (the temporary stiffening of the muscles) were known at this time but the corpse was usually interred in the ground while they were still in effect, especially if it was the body of a plague victim.  Naturally then, the corpse had to be alive to move.

The fear of these “vampires” embodies our fear of the corpse.  As a quasi-object, nothing is really definite about the corpse, except that it is dead.  So when a corpse comes back to life, our world turns on its head because now we don’t know anything for certain at all.  That death was apparently not permanent prompted thoughts of evil or Satanic involvement.  Since 16th century Italians were strongly Christian, the Devil’s interferences in the human world were real and terrifying.

Vampire folklore is not peculiar to 16th century Venice.  Other “vampire burials” have been discovered by archaeologists in places like Bulgaria, Poland, and even the Greek islands.  Many of the old cultures of Europe as well as around the world have their own version of the vampire.  They all also had their own ways of dealing with them.  Bulgaria, for instance, buried their vampires with iron stakes through their chests (read more here: http://archive.archaeology.org/1209/trenches/sozopol_bulgaria_black_sea_burial_skeletons.html). Did all of these cultures come up with the idea of a vampire based on the misunderstood decomposition of the corpse?  Or is it simply our imagination running away with the personification of our fear of death?

State Investigates Hospital Incident: Body Removed Without Consent

http://www.emorywheel.com/state-investigates-hospital-incident/

The Emory Wheel for Tuesday, September 24, 2013 reported an incident at our very own Emory University Hospital. The body of Leon Anderton, 68, was removed to be embalmed at Gregory B. Levett & Sons Funeral Homes reportedly without the consent of the hospital or family.

This is an example in everyday life that involves the problematic nature of a corpse. Can someone own a corpse? Who has the authority to handle this corpse? Why would something like this happen and why is so problematic that it did happen?

Something that also came up in this article is that the embalming process does not adhere to Orthodox Christian beliefs, which the family of the deceased is. But the process was already done by the funeral home when the body was returned. How does one rectify this situation when rituals so personal to a family are overlooked? Are there measures set up for this in their culture? Should there be? Why is it that embalming is the go-to ritual in American funeral homes? Since we have such diversity in our country, shouldn’t funeral directors cater to the diversity that exists in funeral rituals?

Marrying a Corpse

THE CORPSE BRIDE BY TIM BURTON

I recently just watched the Tim Burton movie The Corpse Bride and it got me thinking about the two worlds of the living and dead that Burton had created in the movie.

If you don’t know plot, a young Victorian man named Victor is supposed to marrying an woman, named Victoria, from an upper-class but unbelievably poor family that is using Victor’s rich merchant family to keep themselves from going bankrupt. Victor afraid of his wedding vows, runs away from the rehearsal in the woods, where, reciting his wedding vows, finally gets them right and put the ring on what looks like the root of a tree. Little does he know he actually put the ring on a corpse of a young bride who was murdered on her wedding night, becoming her husband. And the plot thickens…

What is interesting in this movie is the stark contrast between the world of the living and the world of the dead. The world of the dead is colorful, full of raucous jazz and laughter and is almost poking fun at the way each person died by making jokes about a man cut in half, the head of a waiter, etc. etc. And the way the Corpse Bride was betrayed and killed by her lover is made into a fantastically fun song that a skeleton named Bone Jangles sings. Comparatively, the world of the living is black and white and filled with organ music. The living appear more dead than the dead, with their sunken-in eyes and grey lips.

This is a story where the dead have this life in them that the living lack. The world of the living is restrained and limited, dark and grey, whereas the world of the dead is raucous and fun, jazzy, bright and coloful.

Update: In light of our discussion today on 17th and 18th century views on death, I would like to point out that the love and sensuality of death that is brought out in these centuries, is apparent in this movie. We are not particularly disgusted that Victor will marry the corpse bride, we’re still banking on Victoria, but we feel sorry for the dead bride who was killed by a person she loved and trusted. What we might find problematic in relating to the bride is that she is dead and we are not, but look at the song lyrics of “Tears to Shed”, a song she sings:

The Corpse Bride – Tears to Shed

I know, it’s a spider and maggot telling her how special she is, BUT the message of the song is that she can still feel and do everything a living human can except breath (and she’s rotting, of course). She is still seen as beautiful and mostly marriageable and Victor promises to marry her. Of course this is post 17th and 18th century so Victor can’t be married to a dead person, but has to kill himself in order to be with her (so no real necrophilia here) and eventually Victor and Victoria do end up together so it’s living with living and dead with dead as it should be. Still it has that same sensuality of death that was beginning to be represented in the 17th c. then carried on to extremity in the 18th c.