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                    Alcor News Bulletin
                 ---------------------------
                 Number 4: January 9th, 2003


Normally we would not distribute a new edition of Alcor News 
so soon after a previous edition, but there has been an 
unprecedented amount of news at Alcor.

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        Alcor Ends 2002 with More than 600 Members

Jennifer Chapman, Alcor's membership administrator, reports 
that Alcor achieved 10 percent membership growth during 
2002. This number represents net growth, after allowing for 
some members who left Alcor and eight who entered 
cryopreservation during the year. The last time that Alcor 
enjoyed double-digit growth was back in 1992. A total of 79 
newcomers joined during 2002--an average of 1.5 per week. 
Consequently, as of December 31st, Alcor had 611 members on 
its emergency response list. 

Alcor also has more than 90 people who are "in the process" 
of becoming members. In other words they have received Alcor 
signup documents but have not completed these documents or 
have not finalized their payment arrangements. In many cases 
this indicates a very familiar human trait: Procrastination! 
If you are "in the process," we urge you to complete your 
signup. Remember, Alcor cannot respond to a health emergency 
for anyone who has incomplete membership arrangements.

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                     Alcor Board Meeting

On Sunday January 5th Alcor hosted one of its regular board 
meetings. The next three meetings will be on March 2nd, 
April 6th, and May 10th, and will be open to the public at 
the Alcor facility in Scottsdale, Arizona. Please call 408 
905 1906 if you want information about the starting time of 
a meeting or if you need travel directions to Alcor.

Below is an informal summary of the recent meeting. The 
official record will be the minutes which were taken by 
Alcor's secretary, Jessica Sikes.

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SIGNUP FEE: Currently Alcor charges all prospective members 
a $150 signup fee to defray the costs associated with taking 
each person through the sign-up process. Our membership 
administrator often devotes considerable time to a signup, 
because prospective members may be incompletely informed 
about cryonics and are confused by the various options on 
the Alcor legal documents.

Opponents of the $150-per-person signup fee have argued that 
it discourages new members and becomes an unfair burden when 
several people in a single family decide to sign up 
simultaneously.

Alcor director Michael Riskin mentioned various 
alternatives, including reducing the fee, making it 
refundable, or eliminating it entirely. Alcor director 
Steven van Sickle made a motion to empower Alcor management 
to experiment with the application fee policy in an effort 
to discover which variation would produce the best results. 
This motion passed unanimously. 

Alcor News will report any future changes in the fee 
structure.

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EXPANSION OF THE ALCOR FACILITY: The board discussed 
possible future expansion plans for Alcor. The facility is 
located in a building divided into units numbered 101 
through 111. Currently Alcor uses units 107 through 111, 
representing less than half of the total floor area of 
almost 20,000 square feet. Units not currently occupied by 
Alcor are rented out to other tenants. 

During 2002, units 101 and 106 became available and have 
been held empty pending a decision on their use. A committee 
consisting of Steve Bridge (former Alcor president), Charles 
Platt (director of suspension services), and Steve van 
Sickle (member of the Alcor board of directors) was 
established to discuss how much space Alcor can use in the 
immediate future. The committee recommended expanding into 
unit 106 but saw no use for unit 101 for the next year or 
two and recommended that it should be rented to new tenants. 
Carlos Mondragon made a motion to accept the recommendation. 
The motion passed with 7 votes in favor, no votes opposed, 
and Hugh Hixon abstaining.

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INTERMEDIATE TEMPERATURE STORAGE: For technical reasons, an 
"ideal" temperature for Alcor patients may be around -145 
degrees Celsius rather than -196 degrees, which is the 
temperature of patients in liquid nitrogen. Alcor currently 
has access to a Cryostar freezer which works on the same 
principle as a refrigerator but is capable of going down to 
-140 degrees. At this temperature there is some hope that we 
may avoid the fracturing that can occur as a result of 
thermal stresses in patients that have wholly or partly 
vitrified. (Vitrification is a state in which all water in 
the tissues becomes a uniform glasslike substance instead of 
forming ice crystals). 

Some Alcor directors are opposed to using the Cryostar. 
Because it is a refrigerator, it requires uninterrupted 
electrical power and incurs substantial running costs. Like 
any electromechanical device, eventually it will wear out 
and fail. The Cryostar does have an emergency backup system 
using liquid nitrogen, but when this is activated it incurs 
additional substantial cost. The Cryostar which Alcor has 
used has experienced unexplained temperature swings, which 
may not affect the patients (since the fluctuations are 
brief) but are a cause for concern. Lastly, Alcor Fellow 
Hugh Hixon has been concerned that storage of patients at 
Cryostar temperature may allow undesirable biological 
consequences. A noted cryobiologist, who advises Alcor from 
time to time, has disagreed with Hugh, but has not provided 
the Alcor board with a detailed refutation of the objections 
that Hugh has raised. Consequently the use of the Cryostar 
has been a controversial issue for the past six months.

The Alcor board voted to reduce the temperature inside the 
Cryostar from -122 to -140 by one degree per day, during 
which time Hugh Hixon will monitor the patients for 
fracturing, using Alcor's "crackphone." Hugh expects 
fracturing to occur; our cryobiology advisors believe that 
since the patients have been held at -122 for enough time to 
equalize thermal stresses, this annealing process should 
inhibit fracturing. Either way, the board decided by 5 votes 
to 3 that the patients should be moved out of the Cryostar 
into liquid nitrogen after they have reached -140 degrees.

This issue is still not entirely resolved since some board 
members were unhappy with the decision and are hoping for 
clarification of the technical issues before the patient 
transfer occurs. Dr. Jerry Lemler has requested that the 
removal of patients to liquid nitrogen should not occur 
before a presentation of cryobiology arguments at the next 
board meeting.

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A NEW STANDBY TEAM LEADER: Charles Platt announced that he 
has found a paramedic whom he would like Alcor to hire as 
its future standby team leader. Platt currently has the 
responsibility for running standbys but would like to 
surrender it eventually to someone with medical 
qualifications.

Platt informed the Alcor directors that Larry Johnson is a 
paramedic who works in Las Vegas but is willing to relocate 
in the Phoenix area. Larry has served in positions including 
Director of Clinical Services, overseeing all clinical and 
educational aspects of a large 911 service in Fort Worth, 
Texas; has performed a similar role in Oklahoma City; was 
manager of critical care services and a program director for 
a helicopter emergency-response service in Dallas, Texas; 
and has been a flight paramedic, an EMS instructor, and a 
paramedic supervisor. He is nationally qualified as a 
paramedic (able to work in every state), was President and 
Founder of the National Association of Critical Care 
Paramedics, and is under contract to coauthor a critical 
care paramedic textbook for Brady Publishing.

This resume was sufficiently impressive to prompt Alcor 
director Carlos Mondragon to ask, "Why does he want to work 
for us?" Dr. Jerry Lemler, Michael Riskin, and Charles Platt 
had asked Larry the same question when they spent several 
hours with him the previous day. Larry told them that he has 
been aware of cryonics and interested in it for many years; 
he has always enjoyed innovative ideas; he likes to learn 
something new; and he likes the idea of a case load of 
"only" 10 patients per year instead of the multiple cases he 
deals with every day in his current high-stress occupation. 
In addition he sees cryonics as a possible extension of 
orthodox emergency medicine, and Alcor provides an 
opportunity to become involved in a new field with unknown 
future potential.

The board voted to approve employment of Larry Johnson 
subject to verification of his references and a routine drug 
test. As of January 9th, all of Larry's references have 
checked out. We expect that he will start at Alcor near the 
end of this month.

This is an unprecedented development for Alcor. For the 
first time in our history, we are hiring a medical 
professional, with exceptional qualifications, in the hope 
that he will serve as our standby team leader. In the past 
we have received highly skilled assistance from Todd Soard, 
a paramedic in Florida, but Larry Johnson will be our first 
fulltime paramedic. 

For additional good news about our affiliations with medical 
professionals, read on.

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      Alcor Signs Agreement with Paramedics Unlimited

On Monday, January 6th, nine paramedics visited Alcor for a 
get-acquainted session in which they received preliminary 
information about cryonics procedures. Later the same day, 
Alcor CEO Dr. Jerry Lemler signed a contract specifying an 
hourly rate at which any of these nine paramedics will 
assist Alcor as independent contractors in future cases. 

Earlier in its history, when Alcor had to deal with no more 
than one human case per year, standby/transport services 
were delivered almost entirely by unpaid volunteers. Today, 
assuming that our members have a mortality rate that is 
comparable to the American population, we can expect eight 
or nine patients per year. (The implications of these 
numbers are explored in a feature in the next issue of 
Cryonics magazine.) 

Obviously we cannot expect our volunteers to deal with such 
an overwhelming case load. Most have careers and other 
obligations which conflict with cryonics. We have begun 
paying a small fee to our volunteers, but this provides no 
guarantee that they may be available in an emergency.

As Alcor's membership grows and the age of the cryonics 
population increases, we must shift gradually to a new 
service model in which we employ personnel to handle the 
arduous and demanding process of standby work. Can we afford 
to do this? In the future, as our standby service becomes 
more sophisticated, we may need to reassess the minimum 
cryopreservation fees that new members must guarantee. This 
topic is still under discussion. In the meantime, Alcor 
directors have allocated existing funds to cover the 
expected costs of training and deploying part-time 
paramedics during at least the next year.

As a result of our agreement with Paramedics Unlimited, the 
number of helpers whom we can count on, in an emergency, has 
doubled overnight. We now have a safety net for all of our 
members that never existed before. We will proceed with 
training these new team members as quickly as possible.

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                      Ambulance Issues

On Monday, January 6th, Hugh Hixon, Charles Platt, and James 
Sikes accompanied our "ambulance conversion consultant" Tim 
Carney on a fact-finding mission around truck dealerships in 
the greater Phoenix area. We were interested in buying a 
"step van" similar to the vehicles used by United Parcel 
Service. We planned to convert this vehicle into a cryonics 
ambulance that would contain enough space not only to 
transport patients, but to perform procedures such as 
femoral cutdown and blood washout. This would require a load 
area of at least 7 feet by 13 feet and interior head room of 
7 feet. Conventional ambulances simply are not big enough.

Unfortunately we discovered that all step vans tend to 
contain "wheel wells": Box-shaped intrusions into the load 
area, around the rear wheels. These wheel wells are a 
problem because they are located precisely where our 
cryonics team members would be standing either side of a 
patient on a central operating table or ice bath.

We turned our attention to "box vans" which are typically 
used as domestic moving vehicles and are rented out by 
companies such as Ryder and U-Haul. These vehicles have an 
entirely flat floor. However, all the dealers we visited 
informed us that rental companies never get rid of a box van 
until it has accumulated 100,000 miles. Since reliability is 
our primary concern, we prefer to buy a vehicle that has not 
incurred so much mileage.

When we looked at new box vans, we found that the starting 
price is around $25,000, which happens to be the limit 
previously agreed by the Alcor directors. After sales tax, a 
lift gate, heat insulation for the load area, and air 
conditioning are factored in, buying a new vehicle would 
take us well over-budget.

Several Alcor directors expressed willingness to spend more 
than the $25,000 if necessary, but we are continuing to look 
for a reasonably low-mileage second-hand vehicle, and we are 
also looking for other new vehicles that may be cheaper.

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                       Upcoming Events

A RETRAINING SESSION for Alcor cryotransport technicians is 
way overdue. Our current best guess is that the training 
will begin on the weekend of March 1st and March 2nd. The 
next Alcor News will contain specific details of training 
topics and scheduling. Until then, if you are interested in 
receiving training, please try to avoid making other 
arrangements for the seven days commencing March 1st.

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THE NEXT ALCOR CONFERENCE has been postponed from June 2004 
to June 2005. It will take place in the Phoenix area. 

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ALCOR UK will receive a visitor on January 24th and 25th: 
Charles Platt will be flying in to meet all local cryonics 
members and discuss arrangements for cryonics emergencies. 
If you live in the UK and want to participate, please 
contact Andrew Clifford. Charles will also visit Cryonics 
Europe, a group that hopes to provide service for members of 
any cryonics organization.

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BILL HAWORTH has decided to end his association with Alcor 
as an independent contractor. Bill was retained to assist 
with publicity following the death of baseball star Ted 
Williams. Among his achievements was a front-page feature on 
cryonics in The New York Times. Subsequently Bill played an 
important role in running the Alcor conference in November 
2002. Since then he has been less actively involved with 
Alcor and will cease doing PR for us on January 31st. 
However he has circulated a preliminary proposal for a fund-
raising plan which he hopes will be of interest to Alcor.

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A MEDICAL ADVICE BOOKLET is in the final stages of 
preparation. Many Alcor members have asked for advice on 
issues such as avoiding autopsy, appointing someone with 
durable power of attorney for health care, and deciding 
whether a DNR (Do Not Resuscitate) order is in their best 
interests. Alcor has produced booklets of this kind in the 
past, but they have not been entirely comprehensive. If you 
would like to reserve a copy of the new edition, which will 
be distributed free of charge as a Word document, please 
contact Jennifer Chapman ().

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CORRECTION: In the previous Alcor News we reported that a 
California laboratory had abandoned its plan to study the 
effect of vitrification solution on whole-body patients. A 
scientist from the laboratory contacted us to say that the 
plans have been postponed, not abandoned. The work may still 
occur at a future date.


Alcor News is written primarily by Charles Platt.
Contents are copyright 2003 by Alcor 
Foundation but permission is granted to reprint any whole 
news item, so long as Alcor is credited as the source and 
the reprint includes our URL at http://www.alcornews.org.

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