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Cryonics, June, July, August 1991
COLD WAR:
The Conflict Between
Cryonicists and
Cryobiologists
by Mike Darwin
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[Note: The text of the letters mentioned in this article may be viewed in their
entirety in the original article in Cryonics magazine for June 1991)
in the Cryonics Magazine online
archive. The Arthur Rowe letter
can be viewed in PDF format.]
Upon a two-thirds vote of the Governors in office, the Board of Governors
may refuse membership to applicants, or suspend or expel members (including
both individual and institutional members), whose conduct is deemed detrimental
to the Society, including applicants or members engaged in or who promote
any practice or application which the Board of Governors deems incompatible
with the ethical and scientific standards of the Society or as misrepresenting
the science of cryobiology, including any practice or application of freezing
deceased persons in anticipation of their reanimation. [Sec. 2.04 of the
bylaws of the Society for Cryobiology]
Introduction
For 25 years cryonicists and cryobiologists have been doing battle in the public
eye. Some might scoff and call it hyperbole to dignify the verbal exchanges
and skirmishes between cryonicists and cryobiologists as "war." But war it is;
for as in any war the cost has been the loss of lives, reputations, and fortunes.
And as in war, the driving forces are envy, hatred, and a deeply-held belief
that each side threatens the others' survival.
Twenty-five years is a long time for a war to continue. An entire generation
has been born, and an older one died, since it began. Many of the early combatants
are nearing the end of their lives. . . and still the battle goes on.
It is the purpose of this article to examine in detail the causes of the war,
its history to date, and the likely outcome. The reader should be warned that
this is a history written with a special set of prejudices: it is being written
by one of the "generals" many years before the last shot is to be fired. As
such, it must be scrutinized carefully and perhaps ultimately be set aside to
await the passage of time and the objectivity and clarification that passing
into history brings with it.
The Beginning
Cryobiologists and cryonicists were not always at war with each other. Indeed,
many might question why there is a war at all between two groups of people with
similar objectives and a common purpose: the development of mammalian suspended
animation, or at least suspended animation for mammalian organs via cryopreservation.
The desire of cryonicists is to have available a technology which will allow
them access to medical time travel (albeit one-way time travel) and cryobiologists
are the most logical group of scientists capable of delivering that technology.
At first glance these two groups should be natural allies, not enemies.
Logically, cryobiologists should have looked to cryonicists as a possible strong
and unwavering source of support in achieving their research objectives, just
as they have looked to the organ transplant community for such support. Certainly
there are many examples in other areas of society and science where special
interest groups have worked with researchers to develop technologies for which
they have a deep need -- even technologies which have theoretical problems standing
in the way of their development.
Several examples of this kind of symbiosis between special interest groups
and researchers come to mind. Consider the case of people who have suffered
spinal cord injuries. Medical dogma was (and in some quarters still is) that
spinal cords do not regenerate, cannot regenerate, and will NEVER be induced
to regenerate. Many individuals who were paralyzed as a result of cord injuries
(wisely) refused to accept this and began to watch the medical literature closely
for any work that might offer some hope. Naturally, there was some research
which indicated that the situation was not as cut-and-dried as the establishment
projected. By the early 1970's a number of research support groups founded by
cord-injured patients came into being with one overriding objective: find a
cure for spinal cord injuries.
These groups had names like the American Paralysis Cure Foundation and the
Spinal Cord Society. They set about raising money to support research into methods
for achieving regeneration and repair of the spinal cord that would lead to
a cure. Overall, they found the relative handful of researchers working in this
area very receptive to their concerns and more than willing to take their money.
What they did NOT find was a group of researchers who were hostile, jeering,
polarized, and ridiculing of their desire to walk again or of their belief in
the potential of scientific research to unearth mechanisms of repair for central
nervous system injury. And this despite the fact that decades of medical dogma
asserted a contrary opinion.
Similarly, a variety of governments (both totalitarian and democratic) have
shown a willingness to underwrite extremely costly research into areas which
can even at best be described as "speculative" and fraught with theoretical
as well as technical problems. Perhaps the best example of this is the four-decade-long
commitment of both the United States and the Soviet Union to the development
of thermonuclear or so-called "fusion" power. This undertaking, which is by
no means merely an exercise in solving technical problems (there are many thorny
theoretical problems here as well) has cost 20 billion dollars (worldwide expenditures)
over a time course of 40 years and still has not yielded any clear answers as
to whether it will ever be practical to generate even one watt of controlled
power using this approach. Indeed, earlier this year, the American fusion community
requested 700 million dollars per year (to continue more or less indefinitely)
for more work on this problem (Business Week Oct. 15, 1990, pg. 62).
Perhaps an even more stunning example of governments' willingness to work
on projects which present substantial theoretical and technical obstacles and
face strong opposition on theoretical grounds from a large body of establishment
scientists is, the Strategic Defense Initiative or "Star Wars" program. Six
billion dollars per year has been spent on this project for over five years,
despite the vigorous objections of a plurality of well-informed and well-credentialed
scientists in a variety of relevant disciplines -- not to mention a vocal and
well organized segment of the American public.
What happened between the cryobiologists and the cryonicists to cause such
unreasoning enmity and a state of virtual war? What is different about the relationship
of the cord-injured patient and researchers working on understanding central
nervous system repair and cryobiologists and cryonicists? Why, if entities as
conservative as governments are willing to underwrite multi-billion dollar projects
in speculative science (and establishment physicists were willing to take such
money) do cryobiologists run screaming from cryonicists? In short, what went
wrong?
Enmeshed as I am in the heat of the battle on the opposing side, and given
my life-long history of involvement as a cryonicist, I am distanced somewhat
from the minds of the cryobiologists. Also, the critical first few years of
the encounter between cryonicists and cryobiologists occurred before I entered
the fray, indeed occurred from 1963 to 1967 when I was between 8 and 10 years
old and hardly in a position to evaluate it. Nevertheless, that period of time
is not without its "historical record," fragmented and anecdotal as it is.
Perhaps the first contact cryobiologists had with cryonicists was receiving,
for review, copies of Robert Ettinger's manuscript for The Prospect of Immortality,
circa 1963. Reaction to Ettinger's manuscript (and to the book which was published
in 1964) was reportedly divided, but by no means universally hostile. Several
cryobiologists who later became some of the most vocal critics of cryonics were
not only not hostile, but actually demonstrated interest in and support of cryonics;
particularly with an eye towards getting money to pursue cryobiological research.
Chief amongst these was Arthur Rowe (editor of Cryobiology and past
President of the Society for Cryobiology), frequent repeater of the quote: "Believing
cryonics could reanimate somebody who has been frozen is like believing you
can turn hamburger back into a cow," and one of contemporary cryobiology's sternest
critics of cryonics. (This origin of this quote is usually attributed to cryobiologist
Peter Mazur.) In a letter
to Robert C.W. Ettinger dated 4 December, 1968, Rowe expresses interest
in cryonics and wishes Ettinger "continued success in your endeavors." But perhaps
more amazing still is the fact that in the summer of 1968, during the cryonic
suspension of Steven Mandel by the Cryonic Society of New York (CSNY), Arthur
Rowe was called by Saul Kent (then Secretary of the CSNY) and asked for cryobiological
recommendations on how to better suspend Mandel. Not only was Rowe friendly
and supportive during this conversation, he provided a considerable amount of
advice (Saul Kent, personal communication).
As Saul Kent recounts:
"We were really unprepared to freeze Steven in that he was the first patient
CSNY ever had and we had absolutely no warning whatsoever that he was terminally
ill, let alone dying. When the call came in it was totally unexpected. The
call came in the 28th of July, 1968. It was Sunday morning, and many of the
people who were to participate were still asleep. Freezing someone was the
last thing we were really prepared to do.
"I called Art Rowe to ask for basic advice. He had been friendly to cryonics
in the past and I was hoping he might be able to make some recommendations
or suggestions about what cryoprotectives to use, best temperature to perfuse
at and so on. He (Rowe) was surprisingly forthcoming and friendly. He provided
a fair amount of practical advice on just those issues, although now, with
the passage of over 20 years, I don't recall the specifics.
"Rowe continued to subscribe to Cryonics Reports and I believe
there are several warm and supportive communications from him in the CSNY
correspondence files."
Similarly, John Baust, past president of the Society for Cryobiology, had
no deep objections to the program. Indeed, Baust even accepted grant money in
the late 1960's from Texas millionaires Harlan Lane and Don Yarborough to support
cryonics-related cryobiological research (John Baust, personal communication).
Cryobiologist and heart-lung machine pioneer Richard Lillehei was also favorable
toward cryonics and offered public support on at least one occasion (Life
Extension Society Newsletter, Oct., 1964.)
Other evidence of the ambivalence and even the support of cryobiologists for
cryonicists' objectives can be had by looking over the list of scientists present
on the Scientific Advisory Council to the Cryonics Societies of America (CSA)
as late as March of 1969. Present on that list are cryobiologists Hendrick B.
Barner, M.D., Armand M. Karow, Jr., Ph.D., William G. Manax, M.D., James A.
Miller, Jr., Ph.D. and Richard D. Rink, Ph.D.
Armand Karow early in his career not only accepted grant money from the Cryonics
Society of New York (CSNY), but even wrote a regular column for CSNY's newsletter
entitled "Scientifically Speaking" for nearly two years (cf. Cryonics Reports
vols. 1 & 2, 1966-1967).
While it would be unfair to say that cryobiologists as a group were ever supportive
of cryonics, it is very clear that they were not uniformly hostile, either.
Outside of the cryobiological community the response to cryonics, while equivocal,
was considerably warmer. The CSNY archives contain letters expressing interest
and support from the likes of Willem Kolff, M.D. (the inventor of the artificial
kidney machine and the father of modern hemodialysis) (letter from W.J. Kolff
to Saul Kent dated 26 August, 1965) and Adrian Kantrowitz, a leading innovator
in early cardiac surgery and heart transplantation (letter from A. Kantrowitz
to Saul Kent dated 27, 1965).
Polarization
Apparently, though, over the course of a few years cryobiologists became, as
a group, increasingly polarized against cryonics. Initially this polarization
was expressed simply in terms of more and more vocal and extreme anti-cryonics
statements to the media. By late 1969 or early 1970 all of the cryobiologists
on the CSA Scientific Advisory Board had been approached by one or more of their
colleagues in the Society for Cryobiology and pressured to resign their positions.
In particular, Armand Karow was chastised for listing the Cryonics Society of
New York as a financial supporter of his research on rat heart freezing, as
well as his involvement with CSNY. Karow once expressed his opinion to the author
that he "was passed over for a position on the Editorial Board of the Society's
journal Cryobiology because of his association with cryonics." Karow
followed these remarks with an observation to the effect that he had "learned
his lesson" and did not intend to get tangled up with cryonicists again (Armand
Karow, personal communication).
War
By the late 1970's and early 1980's, prominent individuals within the cryobiological
community began to take steps to destroy cryonics. Perhaps the first effort
in this regard was made by Harold Meryman, then President of the Society. Meryman
reportedly approached Minnesota Valley Engineering (MVE), the cryogenic engineering
company and manufacturer of the custom storage vessels for whole body patients,
and threatened them with loss of their institutional membership and refusal
of their advertising in the Society's journal, as well as a boycott of purchase
of their equipment unless they stopped supplying patient storage vessels to
cryonicists. MVE complied, and for nearly a decade there was no reliable commercial
source of whole body cryogenic equipment available to any cryonics organization
anywhere (this information was supplied to the author in the late 1970's by
an individual in MVE management who wishes to remain anonymous). Indeed, it
was in part as a result of this storage unit embargo that Robert Ettinger and
the Cryonics Institute launched their program to build patient dewars in-house
so as to be protected from such manufacturer black-listing.
In April of 1980, cryobiologist Maxim Persidsky wrote a letter to the California
Board of Funeral Directors and embalmers urging the destruction of cryonics
(letter from M. Persidsky to Kathleen Callanan dated 21 April, 1980). Persidsky's
letter is interesting in that it shows the mind of a hostile cryobiologist at
work in a way rarely publicly seen. Persidsky's letter lay undiscovered for
10 years until it was obtained, and then only with great difficulty, under the
California Freedom of Information Act during litigation with the California
Department of Health Services to establish the legality of cryonics in California.
The letter is reproduced in full elsewhere in this article, but the following
quote is instructive:
"I can't find the proper words to express my indignation about this gruesome
practice, or rather cult, which has continued to persist for more than a decade.
There is absolutely no scientific justification to expect that these frozen
corpses can ever be resurrected regardless of any future scientific achievements.
With our present knowledge we can clearly realize the extent of the irreparable
damage that could be inflicted on the human body if it were subjected to freezing
even under the most sophisticated conditions that current science can offer.
However, even before freezing there will be irreversible damage to the brain
and other vital body organs resulting shortly after death. This damage will
be further amplified during the inevitable slow processes of perfusion with
cryoprotective agents and cooling. Very soon after death there will be a breakdown
of lysosomes in the different cells and tissues of the body, resulting in
the release of their harmful enzymes which will digest all the cellular structures
and macromolecules upon which life of the cell depends."
It is interesting and more than a little ironic to note that fifteen years
prior to the time that Persidsky wrote the words above, a large and growing
body of evidence was already present in the scientific literature to discredit
the "suicide-bag concept" of lysosomal rupture resulting in destruction of cells
shortly after so-called death. I cite below papers debunking this notion:
- Trump, B.F., P.J. Goldblatt, and R.E. Stowell, "Studies of necrosis in vitro
of mouse hepatic parenchymal cells; ultrastructural and cytochemical alterations
of cytosomes, cytosegresomes, multivesicular bodies, and microbodies and their
relation to the lysosome concept," Lab. Invest., 14, 1946 (1965).
- Ericsson, J.L.E., P. Biberfeld, and R. Seljelid, "Electron microscopic and
cytochemical studies of acid phosphates and aryl sulfatase during autolysis,"
Acta Patho Microbio Scand, 70, 215 (1967).
- Trump, B.F. and R.E. Bulger, "Studies of cellular injury in isolated flounder
tubules. IV. Electron microscopic observations of changes during the phase
of altered hemostasis in tubules treated with cyanide," Lab Invest,
18, 731 (1968).
Eight years before Persidsky pronounced the situation hopeless due
to lysosome rupture after death, an excellent and exhaustive paper appeared,
entitled "Lysosome and phagosome stability in lethal cell injury" (Hawkins,
H.K., et al., Amer. Jour Path., 68, 255 (1972)). The authors subjected human
liver cells in tissue culture to lethal insults such as cyanide poisoning and
then evaluated them for lysosomal rupture. They state: "In conclusion, the findings
do not indicate that the suicide bag mechanism of lysosomal rupture prior to
cell death was operative in the two systems studied. On the contrary, the lysosomes
appeared to be relatively stable organelles which burst only in the post-mortem
phase of cellular necrosis." And when does this "post-mortem phase of cellular
necrosis" occur? Again, to quote from the Hawkins paper: "As late as four hours
after potassium cyanide and iodoacetic acid poisoning, where irreversible structural
changes were uniformly seen, it was clear that the great majority of lysosomes
continued to retain the ferritin marker within a morphologically intact membrane
. . ." To translate: even four hours after poisoning with drugs that mimic complete
ischemia, the cells had stable lysosomes.
Perhaps even more to the point, in the decade prior to Persidsky's statements
to the California Board of Funeral Directors and Embalmers, there was a veritable
explosion of studies on the effects of complete ischemia (completely absent
blood flow) on the mammalian brain. These studies documented not only the persistence
of brain ultrastructure right down to to the macromolecular level of which Persidsky
speaks, but also of the preservation of brain function even after as much as
an hour of no blood flow at normal body temperature. Even a cursory review of
the literature would have revealed papers documenting the persistence of brain
cell structure over the time-course of an hour or more of cardiac arrest. Here
are two of the best of many papers that appeared over a time course of more
than a decade before Persidsky wrote the words above:
- Kalimo, H., et al., "The ultrastructure of brain death II. Electron microscopy
of the feline cerebral cortex after complete ischemia," Virchow's Arch.
B Cell Path., 25, 207 (1977).
- Karlsson, U., and R.L. Schultz, "Fixation of the central nervous system
for electron microscopy by aldehyde perfusion. III. Structural changes after
exsanguination and delayed perfusion," Ultrastruc. Res., 14, 47 (1966).
The same is also true for papers documenting the preservation of the ability
of the brain to recover metabolism after up to an hour of total cerebral ischemia.
Largely beginning with the publication of a paper by Hossman and Sato in Science
on 17 April, 1970 (Hossman, R.A. and K. Sato, "Recovery of neuronal function
after prolonged cerebral ischemia," Science, 168, 375 (1970)) which documented
that so-called cell death did not occur until long after the return of circulation
following a period of one hour of absent blood flow at normal body temperature,
the literature exploded with papers on the effects of cerebral ischemia and
the field of cerebral resuscitation was born. A small sampling of papers published
in the preceding decade giving the lie to Persidsky's claims is cited below:
- Okada, Y., "Recovery of neuronal activity and high energy compound level
after complete and prolonged brain ischemia." Brain Research, 72, 346
(1974).
- Hinzen, D.H. et al, "Metabolism and function of dog's brain recovering from
long-time ischemia." Amer. J. Phys., 223, 1158 (1972).
- Hossman, K.A., and V. Zimmerman, "Resuscitation of the monkey brain after
1 hour complete ischemia." I. Physiological and morphological observations,"
Brain Research, 81, 59 (1974).
- Rehncrona, S., et al, "Recovery of brain mitochondrial function in the rat
after complete and incomplete cerebral ischemia," Stroke, 10, 437 (1979).
- Hossman, K., and P. Kleihues, "Reversibility of ischemic brain damage,"
Arch. Neurol., 29, 375 (1973).
Apparently Persidsky, like his colleagues, felt no need to get the facts before
speaking out and urging that ". . . I would like to see these [cryonics] organizations
thoroughly investigated and their illicit activities brought to a halt." Nowhere
in his letter does he provide any references or other documentary evidence for
his claims of "irreparable damage" as a result of freezing, let alone for his
statements about the rapid post-mortem disintegration of cell structure.
Persidsky's scandalous statements reflect a total lack of respect for cryonics
and are evidence of an out-of-hand dismissal based on personal prejudices without
any recourse to the scientific literature which existed years before his statements
were made. Nor is Persidsky alone in these kind of remarks. Even today it is
not uncommon to hear cryobiologists and medical and scientific "experts" make
the same kind of statements. It is extremely unlikely that Persidsky or his
colleagues would make statements regarding claims or assertions they considered
in the realm of the "scientific mainstream" without careful recourse to the
scientific literature first.
No doubt Persidsky never dreamed his letter would see the light of day. And,
but for the California Freedom of Information Act and the efforts of Alcor Member
Keith Henson, it would not have.
By October of 1981, the Society as a whole had developed a very hard attitude
toward cryonics and was even willing to commit it to print, as evidenced by
their denial of membership in the Society to cryonicists and/or cryonics related
organizations simply because of their involvement in or association with with
cryonics (letter to Jerry Leaf from Harold Meryman, 5 October, 1981). By April
of 1982 the Society was actively investigating ways to formally exclude cryonicists
from its ranks (letter from Mary Douglas to Terrance J. Leahy, 20 April, 1982).
Word that an effort was underway to ban cryonicists, principally by the mechanism
of revising the Society's bylaws, was leaked from the Society to cryonicists.
Many of the internal communications which provide the documentation for this
article were made available to the editors of cryonics publications, and thus
passed into the hands of the leaders of the cryonics community.
Jerry Leaf, a member of the Society for Cryobiology, a cryonicist, president
of Cryovita Laboratories (a major cryonics service provider) and a Research
Associate at the University of California at Los Angeles (UCLA) made an effort
to derail these proposed bylaw changes. He attended the Society's annual business
meeting on 1 July, 1982 in Houston, Texas where it was anticipated the new bylaws
would be enacted. Despite the fact that there was not a quorum of the Society's
Directors present, Harold Meryman (then the Society's President) moved that
the new bylaws be enacted, stating that "since we are all friends the absence
of a quorum is not important." Jerry Leaf objected to this and argued against
adoption of the new bylaws and the "Policy Statement On Cadaver Freezing." Jerry
pointed out that the new bylaws would strip the membership of many rights they
held under the old bylaws and the Policy Statement was premature, since the
results were still not in on the issue of the workability of cryonics.
Jerry's efforts resulted in the Society deciding to mail out ballots for approval
of the new bylaws; in effect giving the Society's entire membership the opportunity
to decide the issue. On 3 August, 1982, a communication written by Jerry Leaf
was mailed to the membership of the Society for Cryobiology explaining the unfairness
of the proposed actions and urging them to vote "no" on the new bylaws and Policy
Statement.
On 15 September, 1982, section 2.04 of the Society's bylaws took effect, denying
membership and allowing expulsion of any existing member who is engaged or engages
in "any practice or application of freezing deceased persons in anticipation
of their reanimation." The bylaws passed by an overwhelming majority, confirming
that the desire to exclude cryonicists from membership in the Society was broadly
held, and did not represent the arbitrary imposition of the will of the Society's
leadership on its membership.
Why?
I have talked with two cryobiologists unfriendly to cryonics about this issue
and neither of them are able to pinpoint with certainty what the specific reasons
were for this hardening of attitude.
One cryobiologist sympathetic to cryonics does have an opinion about what caused
the formal polarization of cryobiologists against cryonicists. In particular,
this cryobiologist feels that formal, administrative attempts to exclude cryonicists
from the Society and attempt to publicly distance themselves from cryonics came
about as a result of something this author did.
During 14-18 June, 1981, this author attended the Society for Cryobiology's
meeting in St. Louis, Missouri. During the course of that meeting I had occasion
to speak with Jerome K. Sherman, a cryobiologist who was at that time active
and influential in the Society, and who was chairing a session on gamete preservation
at the meeting. Since we had corresponded briefly in the past, he knew who I
was, and the course of our discussion turned to cryonics. Sherman was fascinated
by what I had to say and, much to my surprise, at the end of one of the sessions
he chaired, he announced my presence and solicited a presentation on cryonics.
Since I was giving cryonics presentations to others (not associated with the
Society) in the area, I had a slide presentation documenting cryonics procedures.
Sherman encouraged me to return to my room and retrieve it so that it could
be used to accompany my presentation.
The 15 or so attendees were fascinated by the presentation I gave, which included
a detailed series of slides showing how cryonic suspension was done; surgical
approach used, cryoprotective protocol, and so on. The presentation seemed well
received, and Sherman as well as half a dozen or so other cryobiologists stayed
for nearly an hour afterward asking questions about every aspect of cryonics.
However, according to the cryobiologist informant who attributes to this episode
the formal hardening of the Society for Cryobiology against cryonics, the repercussions
from this incident were far-reaching. Rumors about the presentation -- often
wildly distorted rumors -- began to circulate. One particularly pernicious rumor,
according to this informant, was that my presentation had included graphic photos
of "corpses' heads being cut off." This was not the case. Surgical photos which
were shown were of thoracic surgery to place cannula and would be suitable for
viewing by any audience drawn from the general public.
This informant also indicates that it was his perception that this presentation
caused real fear and anger amongst the Officers and Directors of the Society.
They felt as if they had been "invaded" and that such a presentation given during
the course of, and thus under the aegis of, their meeting could cause them to
be publicly associated with cryonics. Comments such as "what if the press got
wind of this," or "what if a reporter had been there" were reported to have
circulated.
Also, the presentation may have brought into sharper focus the fact that cryonicists
existed, were really freezing people, and that they were using sophisticated
procedures borrowed from medicine, and yes, even from cryobiology, which could
cause confusion between the "real" science of cryobiology and the "fraud" of
cryonics in the public eye. More to the point, it was clear that cryonicists
were not operating in some back room and mumbling inarticulately; they were
now right there in the midst of the cryobiologists and they were anything but
inarticulate, bumbling back-room fools.
The Enemy Within
In the informant's mind this made taking some action a real priority. I might
also add my own perception that it was around this time, or shortly thereafter,
that many of the Society's Officers and Directors became aware of something
even more potentially threatening: namely that several of their own number were
"closet" cryonicists, and what's more, were influential and active in the cryonics
community.
Two cryobiologists in particular (one of them the informant I have previously
cited) posed a special concern in this regard. For not only were these individuals
cryonicists as well as cryobiologists; they were path-breaking, high-profile
cryobiologists who were beginning to contribute enormously to cryobiology in
general and, even more alarmingly, were beginning to become influential in the
leadership of the Society.
The attitude of the Society and some of the reasons for it can perhaps be
put into perspective best by examining what occurred in June of 1985, when the
Society sponsored a panel on "Ethical Considerations and Applications of Cryobiology"
at its annual meeting in Madison, Wisconsin. A major focus of this session was
a rabid attack on cryonics, using as "evidence" of cryonicists' wrong-doing
and incompetence a number of newspaper stories which had been copied onto transparencies
and projected for the attendees to see. John Baust chaired the session and Harold
Meryman of the Red Cross Blood Research Laboratory (Bethesda, MD) delivered
the most vituperative attack. Meryman cited the newspaper articles as evidence
of fraud and wrongdoing by cryonicists and further indicated that the activity
of cryonicists was damaging not only the public, but the discipline of cryobiology
as well. That these articles might be inflammatory and inaccurate was never
considered as a possibility.
A number of cryonicists were in the audience for part or all of this presentation
including Paul Segall, Jerry Leaf, Hugh Hixon and myself. Segall, Leaf, and
I vigorously defended cryonics against the half-truths of the media articles
(the worst of which had been selected by Meryman for presentation) and attempted
to set the record straight. This was to no avail, with many of the younger members
of the Society lashing out at the cryonicists and accusing them of wild fantasies
and "science fiction schemes." In response to a statement by the author to the
effect that "cryonicists are counting on repair capabilities, on the ability
to engineer at the molecular level," one nameless cryobiologist jeeringly shouted
"that will never happen; pure science fiction!"
The rest of the meeting was made as unpleasant as possible for cryonicists
attending it, with most of the delegates refusing even to speak to or sit with
(at dinner) the cryonicist attendees. One notable exception was cryobiologist
Locksley McGann, who had the courage to approach Jerry Leaf and myself and express
his regret for the way in which his colleagues handled themselves and the issue
of cryonics at the "bioethics" session at the opening of the meeting. McGann
was at pains to point out that he did not consider cryonics workable. But he
also stated that he felt that we were sincere in our beliefs and that no one,
including the Society, benefited from the kind of exchanges that had occurred
earlier or the kind of treatment we were receiving at the meeting. Similar sentiments
were expressed by J.K. Sherman.
The Madison meeting made clear that cryobiologists were not only not interested
in establishing a dialogue with cryonicists, they were not interested in becoming
even marginally informed about how cryonics works and why cryonicists think
it a rational thing to do.
But beyond this particular incident, it is clear that the Society had a long
history of less focused enmity toward cryonics. What was responsible for this
enmity and lack of cooperation between cryonicists and cryobiologists? The answer
is: a lot of things.
One major difference between the examples of speculative scientific research
cited previously (spinal cord repair, fusion power, and SDI research) is that
none of these undertakings involve commitment to taking any action now beyond
paying for the research. As for example, researching the problem of how to fix
spinal cords doesn't mean that cord-injured patients should be treated differently
today.
(This is not strictly the case, as many cord-injured patients and the researchers
and support groups driving them have recently begun to emphasize the need to
protect such patients from muscle atrophy and tendon contracture which will
occur; the rationale being that such changes cause permanent damage to limbs
which may limit or prevent recovery if and/or when a paralysis cure is discovered.)
Need For Action Now
Cryonics involves altering the care of terminally ill patients now, today,
in a very radical way; a way that challenges a variety of deeply held convictions
and assumptions about matters of life and death. It also involves considerable
expenditures and inconvenience for the person deciding on suspension, as well
as for his/her family or friends.
Such bold action, which breaks with conventional mores on fundamental issues
and challenges accepted medical criteria, is bound to provoke strong emotional
reactions and much knee-jerk criticism. To take a position of advocacy for cryonics
thus implies the need not only for foresight, but for courage.
As with any fundamental shift in world-view, early acceptance is not very
likely. The history of science and technology is littered with the broken hearts
and broken minds of individuals and groups who challenged the accepted "paradigm."
Many examples come to mind; Robert Goddard was publicly ridiculed for his rocketry
research and for his assertion that travel to the moon should be technically
feasible (Robert H. Goddard: Pioneer of Space Research by Milton Lehman,
DaCapo Press, Inc., New York, 1963). The work of Semmelweis and Lister with
antisepsis was vilified, and it was over two decades after Lister introduced
the concept of antisepsis in England before it was widely practiced in the United
States (The Biography of Medicine by Sherwin B. Nuland, Alfred Knopf,
Inc. New York, 1988).
Need For Courage and Foresight
For cryobiologists to have taken a position of advocacy for cryonics, or even
for them to have accepted money from cryonicists (and suffer guilt by association)
would have required enormous moral courage in addition to enormous foresight.
Or it would have required enormous financial/ professional benefit as compensation.
Several cryonicists who have been around since the inception of the program
in the mid-1960's are convinced that either support from -- or at least the
critical silence of -- cryobiologists could have been had if only the program
had grown large enough to generate significant revenue to support mainstream
cryobiological research (Saul Kent and Robert Ettinger, personal communication).
Certainly a number of mainstream cryobiologists, some of whom were then or
are now in influential positions in the Society for Cryobiology, were willing
to accept research dollars from cryonicists for cryonics-related objectives
and even to provide advice or lend their name to support the program (i.e.,
John Baust, Armand Karow, and Arthur Rowe). Some cryobiologists, such as Jerome
K. Sherman, even offered complex research proposals to cryonicists to evaluate
the efficacy of current suspension techniques and work on ways to improve them
(Research proposal of J.K. Sherman to Robert Ettinger, as reported in The
Outlook, p. 5, September, 1974). Unfortunately, the small size of the cryonics
movement and the lack of research dollars prevented such support, causing the
proposal to be turned down (The Outlook, p.5, October, 1974).
(The Outlook was the newsletter of the Cryonics Society of Michigan
(CSM) published in the beginning in January of 1970. It is currently published
under the name of The Immortalist by CSM's successor, The Immortalist
Society/Cryonics Institute of Oak Park, Michigan.)
All of the Disadvantages
This situation left cryobiologists in a very interesting position; they were
faced with all of the disadvantages of cryonics with no perceived or actual
benefit. And there were plenty of disadvantages.
First there was the problem of the media. Cryonics, even under the best of
circumstances, was bound to attract plenty of attention and not all of it favorable.
Many people, both inside and outside of the medical and scientific establishments,
find the very notion of cryonics macabre and gruesome (even leaving neurosuspension
out of it). Further complicating the situation was the crude state of cryonics
in the 1960s. Suspensions were hardly comparable to medical procedures and the
image of most of the cryonics organizations in existence at that time was a
non-professional and amateurish one at best.
Since cryobiologists and cryonicists do have similar objectives, there is
often confusion in the public mind between the two. It has been our experience
here at Alcor that members of the public often first contact the Society for
Cryobiology or individual cryobiologists seeking information on cryonics. This
puts cryobiologists in the position of frequently having to clarify and distance
themselves from the activities of the "body freezers" whom they consider pseudoscientific,
irrational, and possibly fraudulent, and thus with whom they have no desire
to be associated.
There is also the problem of the defiance and challenge to authority that
cryonics represents. In the early days cryonicists came to cryobiologists in
a friendly, open way looking for support, and asking for advice and help. Within
the space of a few years cryobiologists began to tell cryonicists in no uncertain
terms that they should not be doing what they were doing (i.e., freezing people
using unperfected techniques). Several cryobiologists were even forthright enough
to say that they would cease to have a problem with cryonicists if we would
"just stop freezing people and instead work on the problem of developing suspended
animation by supporting basic cryobiological research."
But cryonicists didn't listen. They continued to place themselves into suspension
and vigorously pursue a program of public education aimed at expanding their
program. In short, they failed to obey the authorities.
Counterattack
During the late 1960s to mid-1970s, criticism by cryonicists of the attacks
of cryobiologists on cryonics was very mild and never ad hominem. Cryonicists
adopted an exclusively defensive posture and tried a program of appeasement
and quiet reason in dealing with the increasingly hostile attacks of cryobiologists.
This approach did not work, and in fact even seemed to contribute to the heat
of the public denunciations issued by cryobiologists.
Cryobiologists increasingly began to use the words "fraud" and "quackery" to
describe cryonics and its advocates. They also began the practice (which continues
to this day) of representing to the public as "facts" a welter of misinformation
about their own discipline (principally involving the mechanisms and extent
of cryoinjury) in order to prove their point that cryonics could not work (see
the television show exchanges between the author and A. Trounson, reproduced
below). All dialogue and exchange of information between the groups broke down.
"Peace Talks"
In the late 1970s a renewed effort was begun, largely by Alcor's Jerry Leaf,
to establish a dialogue with the Society and to educate them about cryonics.
It was felt that much of the misunderstanding between cryobiologists and cryonicists
may have been the result of lack of communication. These efforts at opening
dialogue by Jerry Leaf, Thomas Donaldson, Paul Segall, the author, and others
were rebuffed. The Institute for Cryobiological Extension (a cryonics- associated
cryobiology research support group) was denied institutional membership in the
Society because of its (and its President Jerry Leaf's) association with cryonics
(Letter from H.T. Meryman, President of the Society to J.D. Leaf dated 5 October,
1981). These efforts at dialogue apparently resulted in further polarization
of the Society against cryonicists (see the letter from Mazur to Carr quoted
below) and resulted in escalation of the conflict.
On 4 September, 1981 Society President Harold Meryman wrote, and circulated
within the Society, a "Policy Draft: Cadaver Freezing" the purpose of which
was to inform the media of the "truth" about cryonics and separate the Society
for Cryobiology from the activities of the "cadaver freezers." This "Policy
Draft" is reproduced here. Note that it contains the following statement: ".
. . to encourage individuals to invest many tens of thousands of dollars in
post-mortem freezing with the implication of ultimate reanimation borders more
on fraud than either faith or science." As was previously noted, a modified
version of this Policy Statement was adopted at the same time the Society changed
its Bylaws in 1982.
In 1985, (after the previously mentioned Society meeting in Madison) a research
abstract and paper on subjects unrelated to cryonics (i.e., canine bloodless
perfusion and deep hypothermia) were rejected for publication after presentation
at the Society's 1985 annual meeting, solely because the work was sponsored
and conducted by cryonicists and cryonics-related organizations (Dr. Gregory
M. Fahy, personal communication). Despite the fact that the paper was well-received
and was "defended" by both Society President Stanley Leibo and Society Treasurer
Greg Fahy (Letter from G.M. Fahy to J.D. Leaf dated 26 July, 1986), and further,
despite the fact that the authors agreed to the extraordinary request by Leibo
and Fahy to have the paper appear without any indication of the (cryonics) institutional
affiliation or sources of funding support (Letter from J.D. Leaf to S.P. Leibo
dated 15 July, 1985).
The intensity of the animosity and hatred of cryonicists by cryobiologists
can perhaps best be gauged by a remark reported to have been made by John Baust
(then the Society's President-elect) at the 20 June, 1985 Society Board Meeting
(which followed the paper's presentation) to the effect that accepting such
work for publication from cryonicists, even valid, scientifically sound work,
was like accepting for publication human hypothermia studies done on Jewish
concentration camp victims by Nazi war criminal Josef Mengele. The final verdict
as reported in the Minutes of the Society's 20 June annual Board Meeting was:
"The Board shall instruct the Editor-in-Chief of the Journal of Cryobiology
to not publish abstracts numbered 48 and 49 submitted for presentation at
the 1985 Annual Meeting of the Society for Cryobiology on the grounds that
publication would be detrimental to the Society for Cryobiology.
"The motion was seconded and after considerable discussion the motion
passed with ten votes in favor and one abstention."
This incident caused intense anger and resentment amongst cryonicists. However,
it was by no means the first example of grossly unfair and prejudicial treatment
of cryonicists by cryobiologists. In 1981, an internationally renowned organ
cryopreservation researcher was called into his supervisor's office (the supervisor
was also an Officer and Director of the Society) and threatened with dismissal
if he continued not only his low profile association with cryonicists, but also
his suspension membership. It was also pointed out to this researcher that if
his association with or belief in cryonics in any way became public he would
never again get grants from the NIH or other routine sources. This individual,
who was already wearing his suspension bracelet on his ankle to avoid public
comment, was thus faced with a terrible dilemma: a choice between his chance
at continued life via cryonics, or his career. (It is ironic to note that bracelets
worn around the ankle are commonly called "slave bracelets.")
A little less than a year after the meeting in Madison, the Society felt sufficiently
threatened by cryonics that director Peter Mazur sent a letter to the Society's
legal counsel, Mr. Joel Carr of the law firm Patterson, Belknap, Webb, and Tyler,
which is quoted below:
"Some body-freezers are attempting to become members of the Society,
and, whether members or not, are attempting to present papers at our Society
annual meeting (abstracts of which are ordinarily published) and to publish
papers in our Journal. A few have succeeded in doing so despite our efforts
to prevent them.
"Our reasons for wishing to prevent them are that we feel that their
association with our Society and publishing under the Society's name will
have a highly detrimental effect on a legitimate field of science and consequently
will have a detrimental effect on the careers of those of us in the field
of cryobiology. Secondly, the association may well cause bona fide members
to leave the Society or result in potential valuable members deciding not
to join the Society. At our last annual meeting there were strong rumblings
from some younger members about the former. Our concern is based partly on
our feeling that their basic approach has no scientific validity, partly on
the repercussions of media attention to their thesis and practice, and partly
on the fact that they charge their clients money for the practice.
"But the other face of the coin is whether we open ourselves to legal
action by preventing them from gaining association with the Society. The basic
problem then is what should the Board do to protect the Society from being
damaged from their association while at the same time minimizing the probability
of being sued? . . . .
"The problem that we have faced is that one can conceive of three main
categories of body-freezers (with many possible intergrades):
"Category 1: Individuals who are publicly known members of body- freezing
organizations who wish to present or publish papers clearly relevant to body-freezing
or become members of the Society.
"Category 2: Individuals like (1) except that the work they wish to present
in our Society is adequate scientifically and obviously related to body freezing.
"This category gives us the most problem because they also publish pseudoscience
body freezing articles and are publicly associated with body-freezing organizations.
"Category 3: Individuals privately known to espouse the aims of the body-freezers
but who otherwise act as bona fide cryobiologists as we define bona fide.
This category does not cause us much concern. . ." [Nor should it have,
since they had already succeeded in thoroughly terrorizing them into silence.
-- M.D.]
". . . Two events the past month are transforming the problem from an
academic exercise to reality. One is that our director's and officer's insurance
is to go up five-fold next summer. The other is that we have heard that two
individuals whose abstracts the Board refused to publish last fall are angry
enough to possibly initiate legal action."
Cryonicists began to react to these very unfair actions on the part of the
Society for Cryobiology. It was one thing to publicly criticize cryonics and
to question its workability. It was quite another to accuse innocent people
of fraud, suppress free exchange of scientific information, interfere with free
trade, and terrorize cryonicists (who also had the misfortune of being professional
cryobiologists) with destruction of their careers and loss of livelihood, and
give out misinformation about basic cryobiology in the bargain.
By the mid-1980's this reaction had crystallized into a new and aggressive
stance by cryonicists in dealing with cryobiologists. Cryobiologists who appeared
on talk shows or in public forums opposite cryonicists no longer found them
meek and amiable. Instead, they found cryonicists who were increasingly organized,
capable, and willing to debate cryobiologists on the technical and scientific
assertions which cryobiologists formerly made unchallenged and without supporting
evidence. And above all, the cryobiologists found themselves confronting people
who were bitterly angry and feeling, with plenty of justification, that through
their actions cryobiologists might kill them.
Cryonicists' Growing Militance
The cryobiologists were also unaware that the passage of years had seen a
number of radical changes in cryonics. Cryonics was no longer the undertaking
of a few amateurs with little scientific background and inadequate debating
skills. Cryonics had begun to grow up. The typical active cryonicist was now
highly educated, articulate, and scientifically knowledgeable. Indeed, many
cryonicists had a broader and deeper understanding of the basic principles of
cryobiology and the mechanisms and extent of cryoinjury than many of the over-specialized
cryobiologists they confronted in public debates.
And just as important, the technology of cryonic suspension had been vastly
improved over the decade between 1970 and 1980. No longer was cryonics a back-room
operation carried out by morticians and unskilled helpers. Rather, cryonic suspension
was being carried out using state-of- the-art surgical and medical technology
by trained professionals -- including physicians, registered nurses, and, yes,
professional cryobiologists (who also happened to be members of the Society
for Cryobiology).
Thus, the cryobiologists who chose to debate cryonicists both publicly and
privately found themselves confronting an enemy that was affluent (compared
to the past!), skilled at debating, presentable, personable, professional in
appearance, and fully capable of aggressively, yet rationally, challenging each
and every one of the cryobiologists' unproved assertions about the evidence
against cryonics.
Cryonicists also became intolerant of any public assertion on the part of
cryobiologists that cryonics or its practitioners were engaged in fraud. Communications
were sent apprising the Society that assertions that cryonics was fraud constituted
both a serious criminal and civil allegation and that appropriate legal action
would be taken if such allegations continued (cf. Series of letters from Robert
Ettinger and Michael Darwin sent to the Society in the mid 1980's: specifically
Letter from M.G. Darwin to H.T. Meryman dated 21 April, 1982). As a result,
by and large, allegations of fraud ceased.
Yet another problem cryobiologists confront as a result of the existence of
cryonics is the problem of envy. Shortly after the start of the cryonics program,
cryobiologists began to suffer not only from the confusion in the public mind
between cryobiology and cryonics, but from a singular lack of media attention
as a result of cryonics "stealing their thunder." David Pegg, a leading organ
cryopreservation researcher, has complained bitterly to the media and to cryonicists
that his "valuable, serious work is virtually ignored by the media and the public
in favor of the macabre lunacy of the cadaver freezers. . ." (conversation between
David Pegg and Judith Hann, Presenter of BBC's "Tomorrow's World" following
Pegg's appearance opposite the Author on the "Kilroy-Silk Show," aired 3 March,
1989).
Media attention on cryonics is constant and unremitting, and while often not
favorable, it nevertheless remains that cryonicists have the ear of, and access
to, the international public; an entre denied even the most successful and hardworking
cryobiologist. Because cryobiologists consider cryonics unworkable at best,
and fraud at worst, this situation of perceived unfair media attention infuriates
them and perhaps makes them feel justified in using the questionable tactics
they have in attacking cryonics as a whole and individual cryonicists within
their ranks.
Errors of Fact?
A more subtle problem is that cryobiologists are experts in two closely related
areas: the nature of cryoinjury, and possible strategies for preventing it.
As is usually the case in any scientific discipline, initial progress was made
almost exclusively on the basis of empirics: a trial-and-error approach to achieving
successful cryopreservation. Additionally, as is also usually the case, understanding
of the mechanisms of injury (reasons why it won't work) has proceeded faster
than the innovation of techniques to prevent injury from occurring.
An added problem is that until very recently there has been no unifying theory
of cryoinjury which was capable of pointing the way towards a common technical
method for preventing such injury in most living systems. Thus, cryobiology
is a science rich in researchers whose careers have focused on the idiosyncrasies
of preserving (and understanding injury in) individual systems such as red blood
cells, tissue culture cells, embryos, and so on. An investigator may spend years
working out the mechanics of a preservation protocol and understanding the nature
of injury to a single class of cells or tissues. Thus, a red blood cell cryobiologist
will employ techniques and use research approaches which are liable to differ
greatly from those used by an investigator interested in cryopreserving embryos.
Entire careers or significant fractions thereof may be spent on mastering the
preservation of a single cell type.
Furthermore, moving from cells to organs presents a whole new series of problems
to overcome. Until the work of Mazur (Mazur, P., "Causes of injury in frozen
and thawed cells." Fed Proc. (Suppl. 15) S175-S182, 1965.), Pegg (Pegg,
D.E. and Diaper, M.P. "The mechanism of cryoinjury in glycerol-treated rabbit
kidneys." in Organ Preservation: Basic and Applied Aspects edited by
D.E. Pegg, et al., MTP Press, Ltd., Lancaster, 1982.) and Fahy (Fahy, G.M.,
"The relevance of cryoprotectant 'toxicity' to cryobiology." Cryobiology,
23:1, 1986.), there was no clear, unifying understanding of cryoinjury on both
the cell and tissue/organ level. With the work of Fahy in particular, a common
pathway to achieving cryopreservation was laid out (vitrification, wherein no
ice is formed upon cooling) which should in theory work for virtually all mammalian
tissues (Fahy, G.M., and Hirsch, A., "Prospects for organ preservation by vitrification."
In Organ Preservation, Present and Future (D.E. Pegg, I.A. Jacobsen,
and N.A. Halaz, Eds.) MIT Press, Lancaster, 1981.)
As a consequence, cryobiologists tend to be "microspecialists," often with
a sad lack of awareness of progress in other areas even within their own discipline.
Recently, the internationally renowned in vitro fertilization expert
and human embryo cryopreservationist Alan Trounsen appeared opposite the Author
on Australian TV (the Peter Couchman program in Melbourne, Australia, 3 October
1990). Trounson vigorously asserted on that program, in front of an estimated
audience of 500,000 people, that all mammalian cells freeze intracellularly
(that is, the interiors of the cells freeze), even at slow cooling rates and
with cryoprotectants present, and that cryonics patients are reduced to chewed-up
debris by this intracellular ice.
Intracellular freezing is somewhat more of a problem with early embryos because
of the tightly packed arrangement of the cells which slows water loss during
freezing. This can be easily overcome by using slow enough cooling rates. It
is not a problem for other mammalian cells (with the exception of egg cells;
due to their large size and resulting poor surface to volume ratio, mammalian
eggs must also be cooled very slowly). There can be little doubt that other
cryobiologists with expertise in cell and organ cryopreservation would be aghast
at the assertion that mammalian cells freeze intracellularly at slow or even
moderate cooling rates! Consider the following exchange between myself and Dr.
Trounson on the Couchman Programme:
Trounson: "Now what would be happening with these tissues [in a cryonic
suspension patient] that have been frozen in this way, if you watch under
a microscope you get a flash, which is the formation of intracellular ice,
that is ice forming inside the cell. Now, in some ways if you looked at that
in histology, yes, some of the structures would be pushed out of the way.
But the ice also encapsulates many, or all of the small intracellular components
of that cell, disrupting them. So that when the cell is thawed out even though
it still has a structure, which has been pushed around, all of those minute
and essential parts of the cell are destroyed. They won't function. You can
look at them in histology and they are still there, but they won't function.
Couchman: "I gather that you are not prepared to accept, even letting
your scientific imagination run free here that --
Trounson: "Well the problem is, Peter, that that most of those cells will
in fact be destroyed [by the freezing process]. Mike's using a lot of license
here in the way he is portraying this. Because he's saying "OK in 600 years
we'll have great whoopee science," and that may be so; we may be able to freeze
whole bodies in 100 years time because we might have worked out a totally
different system.
Couchman: "That's right, because your science now would now have been
great whoopee science for people in the middle ages.
Trounson: "But if you freeze a complicated group of cells, and if you
take a brain that you freeze in this way -- I'll tell you one possible scenario
is that all the tumor cells might survive and none of the other brain cells,
so that what you get back is a tumor and not the brain --
Couchman: "[Mike,] without getting involved in a really complex scientific
argument that none of us can understand --
Darwin: "I'll try very hard, but he has raised scientific issues that
he is simply wrong on. I must say I'm appalled. For a professional cryobiologist
to sit there and say the things you did about flashover of ice inside cells....
That only occurs with intracellular freezing! You couldn't intracellularly
freeze this man's brain (gesturing at Thomas Donaldson) or mine if you tried
because you couldn't get a high enough freezing rate for that if you tried.
When you cool at moderate rates cells are dehydrated by freezing. . ."
Trounson: "You're wrong because we freeze embryos at the slowest possible
rate, 0.1 °C per minute, and they form intracellular ice."
Donaldson: How many brains have you frozen?. . . . We're not discussing
freezing embryos."
Trounson: "You're just wrong!"
Darwin: "We have done freeze-substitution studies on human and animal
neuronal tissue and we know they do not freeze intracellularly."
Trounson: "You're wrong! You must not mislead these people. These cells
are damaged beyond repair."
Darwin: "How can you say that? You're an expert on injury and you don't
even seem to know about injury in tissues that are frozen slowly. You cannot
sit there and say that it's never going to be possible to repair that [damage].
How can you say that?"
As the above illustrates, Trounson, a respected scientist and so-called cryobiologist,
was (and presumably still is) unaware that cells cooled at a slow or moderate
rate, indeed even cells cooled at 1øC per minute do not freeze intracellularly.
Nor is this knowledge very arcane; most competent cell, tissue, or organ cryobiologists
would be aware of this. I quote from cryobiologist Peter Mazur's excellent review
paper "Freezing of living cells: mechanisms and implications." (Amer. J.
Physiol., (Cell Physiol. 16), C125 (1984)):
Fate Of Intracellular Water During Freezing
"The chief physical events occurring in cells during freezing are depicted
schematically in Fig. 1. Down to ~-5°C, the cells and their surrounding
medium remain unfrozen both because of super-cooling and because of depression
of the freezing point by the protective solutes that are frequently present.
Between -5 and ~-15°C, ice forms in the external medium (either spontaneously
or as result of seeding of the solution with an ice crystal), but the cell
contents remain unfrozen and supercooled, presumably because the plasma membrane
blocks the growth of ice crystals into the cytoplasm (see below). The supercooled
water in the cells has, by definition, a higher chemical potential than that
of water in the partially frozen solution outside the cell, and in response
to this difference in potential, water flows out of the cell and freezes externally.
The subsequent physical events in the cell depend upon the cooling velocity.
If cooling is sufficiently slow (Fig 1, upper right), the cell is able to
lose water rapidly enough by exosmosis to concentrate the intracellular solutes
sufficiently to eliminate supercooling and maintain the chemical potential
of the intracellular water in equilibrium with that of extracellular water.
The result is that the cell dehydrates and does not freeze intracellularly.
But if the cell is cooled too rapidly (Fig. 1, bottom and center right) it
is not able to lose water fast enough to maintain equilibrium; it becomes
increasingly supercooled and eventually attains equilibrium by freezing intracellularly."
As Mazur then goes on to note, for cells such as red blood cells the critical
cooling rate for intracellular freezing to occur would be in excess of 1000°C
per minute! For human lymphocytes 40°C/min, and for mouse or human embryos
frozen in 1M DMSO, 3°C/min (Trounson's assertions to the contrary notwithstanding).
Please remember that the typical cooling rate for a human cryonic suspension
patient is on the order of 3° to 4°C per hour, or 0.06°C/min!
A few other references documenting the absence of intracellular ice in cells
and organs frozen at moderate or slow rates are presented below (there are many,
many others):
- Lovelock, J.E., The mechanism of the protective action of glycerol against
hemolysis by freezing and thawing." Biochim. Biophys. Acta. 11:28,
1953.
- Meryman, H.T., Modified model for the mechanism of freezing injury in erythrocytes."
Nature 218:333, 1968.
- Fahy, G.M., "Analysis of 'Solution Effects' Injury: Cooling Rate Dependence
of the Functional and Morphological Sequelae of Freezing in Rabbit Renal Cortex
Protected with Dimethyl Sulfoxide" Cryobiology 18, 550- 570 (1981).
- Pegg, D. E., "Ice crystals in tissues and organs" in the Biophysics of
Organ Cryopreservation, pp. 117-136, Plenum Press, New York and London,
1987.
Trounson's remarks are a telling example of the effects of over- specialization
and fragmentation of knowledge about cryobiology. As Thomas Donaldson correctly
asked Dr. Trounson during this exchange: "How many brains have you frozen?"
This was a question Trounson never answered.
A consequence of this fragmentation and over-specialization within the cryobiological
community has been a failure to see the big picture. Few cryobiologists know
anything about the true nature of freezing damage to organs or whole organisms.
If called upon to describe the damage on an ultrastructural, tissue, and gross
level, probably not three cryobiologists in 100 could do so (and keep in mind
that the Society only has approximately 300 members). This ignorance, coupled
with the arrogant and mistaken certainty that the injury they have observed
in their area of specialization applies to cryonic suspension patients, has
resulted in heated verbal exchanges between cryonicists and cryobiologists.
Rarely, if ever, have cryobiologists taken the time to educate themselves about
the issues they declaim on as experts.
It is also worth noting that when errors, such as the one highlighted above,
are subsequently brought to the attention of such talk-show cryobiologists (with
appropriate documentation, as has been provided here) there has never been a
retraction, apology, or admission of error, either public or private. Indeed,
the most common response is no response at all.
Another example of the public deceit engaged in by cryobiologists is the public
denial by the Society of their policies and procedures toward cryonicists. The
following dialogue occurred between Society Vice- President James Southard (a
highly respected hypothermic organ preservationist from the University of Wisconsin)
and the Author on the "Larry King Show" (aired live, 11 July, 1989):
Darwin: The Society for Cryobiology has so harassed its members who are
also cryonicists that several prominent cryobiologists who are also cryonicists
are afraid to come forward because of fear for their jobs, for their very
livelihoods. In fact, the Society has a regulation which prevents cryonicists
from being members.
King: Is that true?
Southard: Not true. . . The Society for Cryobiology will not eliminate
anybody who is doing bona fide science and who will submit their scientific
papers for review. . .
Given Southard's position in the Society and the fact that it was he who accepted
the abstracts for presentation at Madison it must be said that his statements
above reflect either profound ignorance, an incredible lapse of memory, or an
outright lie. (A letter sent to Dr. Southard following the King program documenting
these errors (and others) was never answered (Letter from M.G. Darwin to J.M.
Southard dated 11 July, 1989).)
Southard then went on to comment in response to remarks from Alcor Member
Brenda Peters that Alcor's hypothermic dog perfusion/recovery studies were not
accepted for publication because they were found as a result of peer review
to "not constitute bona fide science." This is hardly the picture painted in
the communications from Fahy previously cited or what the 20 June minutes reflect
as the real reason the work was rejected.
Beyond an often appalling degree of ignorance about the nature and extent
of cryoinjury, the first half of the cryonics problem, there is a total lack
of any knowledge or understanding of the second half of the problem: the problem
of repair. Cryobiologists often refer to cryonicists' discussion of speculative
strategies for repairing cryoinjury as "science fiction." Further, they are
often opposed on ethical grounds. Consider the following dialogue between James
Southard, Alcor Member Brenda Peters, host Larry King, and I, again from the
"Larry King Show" cited above which nicely illustrates both these points:
King: James, Do you want this [cryonics] to work?
Southard: No. I don't see any reason why one isn't satisfied with the
one life that they have on earth. I mean from a personal standpoint.
Darwin: That's a monstrous statement to make.
Peters: Dr. Southard, what is the advantage of a normal lifespan quote
unquote?
Southard: Look at it this way, there are so many medical problems we have
to solve nowadays, that's where the priorities should be. That's where the
problems are and that's where the resources and that's where the money should
go. I don't think we should hold out false promises to people. I mean these
are false promises; it cannot be done.
King: But, and correct me if I'm wrong, all medical research Doctor, help
if I'm wrong here, all medical research is designed to extend life.
Southard: Medical research is designed to extend the quality of life.
King: Or extend it. . .
Southard: I don't believe it is necessarily to extend life itself.
King: 95% of all health care dollars are spent on extending life.
Southard: No, extending the quality of the life you're going to live on
earth.
King: If you could make a good healthy person live a hundred years wouldn't
you buy it?
Southard: (pause) I suppose.
Peters: That's exactly what we are talking about. . . we're talking about
bringing people back healthy and strong.
Darwin: Dr. Southard is all in favor of medical research as long as it's
his medical research or medical research that he gets to make the decisions
about. I am sure that Pasteur and Semmelweis and other people who were responsible
for vast extensions of the mean lifespan that we experience right now had
exactly the same kinds of criticisms leveled at them.
Southard: Mike, I have no complaints about the fact that you want to freeze
people and promise them you're gonna bring 'em back. . . There is no scientific
evidence that you can freeze a body or freeze a multicellular organism and
thaw it out [successfully] at this point in time. . . What you're talking
about is science fiction.
Cryobiologists like Southard vigorously attack any effort on the part of cryonicists
to speculate within the framework of the current understanding of physical law
on possible approaches to repair, stating in effect that until such approaches
can be shown to work (i.e., proven by actual experiment) they are meaningless
and not worthy of considering as the basis for taking any current action (i.e.,
placing people into suspension now). Often they will categorically state that
no repair process could ever result in recovery of patients frozen with today's
techniques.
This attitude of taking no action in an otherwise hopeless situation until
the action is PROVEN to work is incredible, and characterizes few, if any other
human undertakings (with the possible exception of the United States drug approval
process). It is essential to human survival that people take action and accept
risks on the basis of reasoned speculation based on limited insight. When we
invest, do an experiment, or venture into any other area of activity where we
have no prior "proven" examples, we are pursuing a course of action identical
to that being pursued by people choosing to enter cryonic suspension. Indeed,
it can be argued that the typical day-to-day risk-taker has a far larger number
of options and considerably more to lose than the typical patient entering cryonic
suspension, who has no other viable options, nothing left to lose and who has
after all been pronounced dead.
Summing Up The Situation
Cryobiologists are opposed to cryonics for a host of complex reasons. First
and foremost, they, like many others in society, do not see cryonics as a potentially
workable enterprise for several technical, social, and moral reasons. However,
in and of itself, this is not sufficient to have caused the enmity that exists
between the two groups. Other factors, such as the need to differentiate themselves
from cryonicists due to confusion in the public eye, envy of the attention given
to cryonicists, misinformation about how cryonics actually works, and ignorance
about both the magnitude of cryoinjury and the possibilities of repair, all
combine to create a very adverse situation suffused with intense hostility.
But beyond these fairly "objective" reasons there is another, which is perhaps
the most powerful reason of all: most cryobiologists don't want cryonics to
work.
I have talked with many cryobiologists about cryonics over the years. Whether
young or old it has been my experience that almost universally cryobiologists
consider the goal of human suspended animation and/or vastly extended lifespans
anathema. I think the attitude of cryobiologists can best be summed up by the
following quote from Harold Meryman taken from a letter to Charles Tandy dated
4 April, 1978:
"I am quite unsympathetic with the goal of preserving human beings through
freezing. I find the proposition mischievous in the extreme and fear that,
like some other scientific 'breakthroughs' one might mention, the end result
would be impossible to control and far more damaging than beneficial to society.
"In short, I think that a national institute of low temperature biology
is unjustified and the goal of freezing humans is deeply disturbing."
The above quote from Meryman was in response to a proposal by Mr. Tandy to
create a National Institute of Low Temperature Biology with the express goal
of achieving human suspended animation. The above quote and the previously cited
one from Southard demonstrate that a major factor in the unwillingness of cryobiologists
to take cryonics seriously -- or even give it a fair hearing -- is their deeply
held desire that cryonics and human suspended animation not be realized. Not
now, not ever.
Assessing The Damage
The price of the continuing enmity between cryobiologists and cryonicists
has been high. The unremitting pronouncements by many cryobiologists for over
two decades to the effect that cryonics cannot ever work and what's more, should
not ever work have no doubt contributed to the slow growth of the program and
resulted in many lost lives. Leaving aside the direct impact these pronouncements
have had on individuals contemplating suspension arrangements for themselves
and others, there is the broader issue of how these remarks have affected support
for cryobiological research. It is an irony, no doubt totally unappreciated
by the cryobiological community, that the highest price for the war between
cryobiologists and cryonicists may have been paid by the cryobiologists themselves.
Progress in any human undertaking is dependent upon several factors: the competence
of the individuals involved, their level of motivation, and of course, the resources
available to them. Cryobiology -- and in particular the discipline of organ
cryopreservation -- does not lack several high quality talents. And no doubt
if the motivation and resources were available it would attract many more. And
therein lies the problem. Individuals, investors, venture capitalists, and governments
are all attracted to big ideas, to powerful ideas. Major progress within disciplines
as diverse as cosmology and genetics has been driven by the strong personal
motivation of the investigators as well as a sense of "mission." A quick once-through
of James Watson's The Double Helix will clear up any doubts about the
importance of personal motivation and, above all, a sense of mission.
To get good results in any undertaking it is necessary that people have genuine
enthusiasm and excitement about it. People like Albert Einstein and James Watson
were motivated by big ideas and extraordinary goals: to understand the universe
and to understand the fundamental biological basis of life. Their undertakings
had "sizzle" and offered excitement and a sense of power. In short, they had
glamour, and glamour counts for a lot.
These elements are sorely lacking in all organ cryopreservationists today.
I believe it is also fair to say that the movers and shakers of the Society
for Cryobiology even question the desirability of pursuing solid state organ
cryopreservation. In fact, one of the first sessions on the first day of the
upcoming annual Society meeting in Brussels will be an "assault" on the utility
of the work of the last remaining serious organ cryopreservationist, Dr. Greg
Fahy.
England's David Pegg, the other leading organ cryopreservationist, closed
up shop earlier this year when the British Medical Research Council (MRC) declined
to continue financial support for the MRC cryobiology unit. The reason this
happened is simple: in nearly 15 years Pegg had failed to show any significant
progress toward organ cryopreservation. He didn't seem motivated to accomplish
the job he was being paid for, and, just as importantly, he was no longer motivating
others to continue his support.
The Society for Cryobiology has long lamented the lack of "new blood" and
"first class talent" in its ranks. They have never paused to ask the all important
question "Why is this the case?" The answer is simple: cryobiology, as it is
currently practiced, is a drab, overspecialized discipline which offers little
prospect for changing peoples' lives or changing the world in a dramatic way;
it doesn't affect the big picture. Organ preservation was the last hope to turn
this around. However, within the Society there has been considerable hostility
and skepticism about the prospects for achieving near-term organ cryopreservation
and there has been no effort on the part of the Society to promote organ cryopreservation,
lobby for its funding, or even educate the public about its short-term benefits
for transplant patients. In the absence of an organized and motivated approach,
nothing gets done. (Indeed, the first organ cryopreservationists were transplant
surgeons; people whose motivation often exceeded their competence -- but at
least they DID something and what's more, believed passionately in the importance
of what they were doing.)
Had cryobiologists and cryonicists achieved a rapport early on, even a modest
rapport, things might have been very different. Funding for cryobiological research
would likely have been broader and the labor pool of people available for lobbying
and support of organ preservation would have been many times what it is now.
A number of very bright young people deeply interested in cryonics and desirous
of a career in cryobiology would have chosen that career path, instead of the
ones they chose (rather than face the hurdles they knew would stand in their
way). What's more, these people would have been highly motivated.
It is interesting to note that the vast majority of the practical progress
made in organ cryopreservation has been made by cryonicist cryobiologists "in
the closet." This is no accident. There can also be no doubt that many, many
times more research dollars would have been pumped into cryobiology had competent
credentialed investigators been willing to undertake brain cryopreservation
research; this is particularly true of recent years with the attraction of individuals
of major wealth (Forbes 400 caliber) to the cryonics community.
The price has been very high. For cryonicists it has meant greatly increased
resistance/hostility from the media and reduced/delayed public acceptance of
the program. For cryobiologists it has meant atrophy of the entire discipline,
due to their having robbed themselves of cryobiology's most dramatic and proper
central goal: human suspended animation.
The Future
What of the future? What does the coming decade or two hold for the relationship
between cryobiologists and cryonicists? This is, of course, an impossible question
to answer. Much depends upon whether you are a pessimist or an optimist. Since
I am a short-term pessimist and a long-term optimist, I shall cover the pessimistic
scenario first since I think it the most likely -- at least for the near and
intermediate future.
Cryobiologists are unlikely to be persuaded of the "rationality" or "reasonableness"
of cryonics any time soon. Indeed, many of the most polarized and vituperative
opponents of cryonics are the younger members of the Society. While there has
been some diminution of the criticism leveled against cryonics by cryobiologists
in recent months, I believe that this has been largely as a result of the aggressive
stance cryonicists have taken regarding prior comments. It's been shown we can
"win" and that we can embarrass them publicly by challenging their unsupported,
dogmatic, and often scientifically ridiculous statements. This aggressive response
has tempered their commentary and made them a little more thoughtful and much
less confrontational.
I believe, though, that they will re-group. It is certainly clear that they
remain full of hate and unconvinced of any possible good to our undertaking.
In my opinion no technical advances in the field of organ cryopreservation --
or even successful cryopreservation of the kidney, liver, or heart -- will change
their position. In fact, I believe it will make them even more aggressive in
trying to destroy cryonics.
I predict that if a workable method of cryopreserving organs is developed,
there will be efforts to prevent its application to suspension patients. I also
predict that this effort on the part of cryobiologists will have broad government
support. Under new FDA guidelines an organ cryopreservation method and the equipment
used to apply it would be classified as a medical procedure and a medical device,
respectively. It is now very clear that the FDA intends to expand the scope
of its power to controlling the application of medical devices and procedures
as well as their unapproved use. I believe the evidence is clear that the Society
for Cryobiology will both demand and support a ban on the use of organ cryopreservation
techniques for any unapproved use.
I realize that this is quite a startling and radical position. I base it not
on personal enmity or "gut feel" but rather on the remarks made by cryobiologists,
both public and private, to the effect that they consider cryonics immoral and
that people have, in effect, a duty to die.
It is unlikely that any successful organ cryopreservation technique developed
in the foreseeable future will be applicable to the whole organism. It is much
more likely that such technology will only be reliably applicable to a single
organ such as the kidney, heart, liver, or brain. Viable cryopreservation of
the brain with or without an accompanying less successfully cryopreserved body
will greatly increase the credibility of cryonics without proving its workability,
and as a consequence greatly polarize and motivate our opponents. It may be
small consolation that -- at that time -- the least of our worries may be the
opposition of the Society for Cryobiology. It might be argued that this is already
the case; the California Department of Health Services, the California Medical
Board, and their Counsel, the California Attorney General, are formidable opponents
enough.
The lesson here is a harsh and sobering one: things are likely to get much
worse before they get better and we would do well not to count on a thaw in
relations between cryobiologists and cryonicists any time soon.
Of course, a variety of more optimistic scenarios can also be offered for
consideration. It is possible that successful cryopreservation of a solid organ
such as a kidney or liver would soften cryobiological hostility. Certainly it
can be argued that successful cryopreservation of the mammalian brain would
go a long way towards achieving this end and some both inside and outside the
cryobiological community have argued that it will.
My problem with this scenario is that a successfully cryopreserved brain isn't
the same as a successfully cryopreserved person in the eyes of many (including
some cryonicists). There will no doubt be many who would argue against cryonics
even MORE strenuously if they actually thought cryonicists capable of rendering
patients' brains into a state of suspended animation while still damaging their
bodies in ways medicine cannot at that time repair. Certainly the ability to
suspend the brain in a nondamaged state would elevate consideration of cryonics
to a par with medicine, and perhaps cause it to be reclassified as such.
In the long run there can be little doubt that cryobiologists and cryonicists
will have a meeting of the minds, if cryonics persists and if suspended animation
is developed. However, the utility of any such union will be be greatly attenuated
by the time it occurs. The intervening years to decades will probably be played
out on the field of battle, much as the past two decades have.
It took the efforts of one General Walter Dornberger to convince Nazi establishment
scientists of the utility of Robert Goddard's dream and silence the laughter
of so-called serious planetary astronomers at his "childish" notions of doing
astronomy from space. When Dornberger's bombs began dropping on their heads
near the end of World War II, they finally had no choice but to take notice.
It is my confident and unhappy prediction that equally dramatic events will
have to occur before cryobiologists and cryonicists find peaceful co-existence
and even cooperation a possibility.
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