When do we really die? Is it when the heart stops—or is there a certain point that brain death means actual death? As we make advances in medicine, it’s raising new questions about what’s final. An excerpt from Teresi’s new book, The Undead:
Michael DeVita of the University of Pittsburgh recalls making the rounds at a student teaching hospital with his interns in tow when he remembered that he had a patient upstairs who was near death. He sent a few of the young doctors “to check on Mr. Smith” in Room 301 and to report back on whether he was dead yet. DeVita continued rounds with the remainder of the interns, but after some time had passed he wondered what happened to his emissaries of death. Trotting up to Mr. Smith’s room, he found them all paging through “The Washington Manual,” the traditional handbook given to interns. But there is nothing in the manual that tells new doctors how to determine which patients are alive and which are dead.
When do we really die? Is it when the heart stops—or is there a certain point that brain death means actual death? As we make advances in medicine, it’s raising new questions about what’s final. An excerpt from Teresi’s new book, The Undead:
“Michael DeVita of the University of Pittsburgh recalls making the rounds at a student teaching hospital with his interns in tow when he remembered that he had a patient upstairs who was near death. He sent a few of the young doctors ‘to check on Mr. Smith’ in Room 301 and to report back on whether he was dead yet. DeVita continued rounds with the remainder of the interns, but after some time had passed he wondered what happened to his emissaries of death. Trotting up to Mr. Smith’s room, he found them all paging through ‘The Washington Manual,’ the traditional handbook given to interns. But there is nothing in the manual that tells new doctors how to determine which patients are alive and which are dead.”
The emotional and financial challenges in providing assisted living for parents, who are now living longer:
Since then, Daddy’s long goodbye has drained his retirement income and life savings of more than $300,000. Where’s that money gone? Assisted living, mostly. Of course, that amount doesn’t account for his medical bills, most of which have been paid by Medicare and insurance policies that were part of his retirement. Daddy’s income—Social Security, plus monthly checks from two pensions—pays for the facility where he lives, his taxes, his life insurance policy premiums, and such incidentals as a visiting podiatrist to clip his nails.
And he has been kicked out of two hospices for not dying.
Is it weird to say we enjoyed this trek “inside the mind of an octopus” because it was so sensual? Who knew the octopus can taste with all of its skin, run amok out of water like a spooked cat, and solve puzzles? Montgomery’s exploration into the psyche of the spooky-smart mollusk and the researchers who study them is surprisingly … touching.
The reversible prose talents of “master palindromist” Barry Duncan are something of a very, very local legend in Cambridge, Mass. This long overdue profile introduces his technique to the rest of us, on the occasion of the completion of an epic 400-word palindrome earlier this year.
A broken heart can literally kill you (the diagnosis is “myocardial stunning due to exaggerated sympathetic stimulation”), and heartbreak can be harder to get over than a heroin habit. This candid essay weaves together a look at the latest in the science of lost love with a trip inside the Croatia’s brand-new Museum of Broken Hearts.
We’ve been downright willy-nilly in our scratch-off lottery ticket technique all these years, which is the only possible explanation for why we’re still not millionaires. Jonah Lehrer introduces us to the Canadian geological statistician who unearthed the mathematical algorithm buried under that gummy silver stuff.
Private after-hours tutoring is so rampant in South Korea the government has had to enact a curfew to curtail it. It’s like an action movie where police are trying to break up kids’ late night study groups!
Since sometime in the early ’80s, a mysterious shortwave radio station, UVB-76, based north of Moscow, transmitted beeps and buzzes around the clock. In 2010, it began to act strangely—first stopping entirely, then broadcasting random series of numbers and other, stranger noises…
On the 50th anniversary of the publication of The Phantom Tollbooth, Adam Gopnik talks to the two creators about synesthesia, the GI Bill, radio, and why everyone thought the book would end up on the remainder table.
French and Kahn’s riveting oral history of short-lived sports daily The National’s epic collapse has a little bit of everything for sports-media junkies, including quotes from greats like Frank Deford and Charles P. Pierce and, of course, a $52,000 brass eagle.
Getting to know Schuyler Towne, renowned recreational lock-picker (recreational lock-picking is a thing!) and publisher of the magazine NDE (Non-Destructive Entry) aka “the Us Weekly of hardware security.”
Any article tagged “cooking, food, government, medicine, poison, war” is auto-must-read in our book. An overview of food adulteration through history, from the Greek army’s “mad-honey poisoning” of 401 BC to today.
Matthias Rascher teaches English and History at a high school in northern Bavaria, Germany. In his free time he scours the web for good links and posts the best finds on Twitter. He is also a longtime contributor to the #Longreads community and an author for Open Culture.
This fascinating article describes how neuroscientist David Eagleman combines different sciences such as physics, psychology and linguistics with the study of the human brain to arrive at a better understanding of time perception. His latest collaboration with Brian Eno confirmed his theory that “time is a rubbery thing.”
The title is pretty self-explanatory. Andrew Marantz gives a vivid account of how an Indian “culture trainer” taught him how to act Australian so that he could work in a call center in Delhi. “Lessons learned: Americans are hotheads, Australians are drunks—and never say where you’re calling from.”
A wonderful tribute to Scorsese’s monumental achievements in the film industry. Also: Marty talks about why he ventured into the 3-D world with his new movie Hugo.
This is one of my favorites from this year. Linda takes us on a fascinating journey through medicine and neuroscience to find out what we currently know about how anaesthesia actually works.
My last pick is also the most recent one, from December, and it is not an easy read. Along with an ITN film crew, Observer reporter Ed Vulliamy uncovered the terrifying truth of Serbian-run concentration camps in the Bosnian war. While former Serb leader Radovan Karadzic stands trial at The Hague, Vulliamy is called as a witness—and finds himself cross-examined in a private, close encounter with the man accused of masterminding genocide.
Still, a man who at 105—he’ll be 106 on December 19—has never had a life-threatening disease, who takes no cholesterol or blood-pressure medications and can give himself a clean shave each morning (not to mention a “serious sponge bath with vigorous rubbing all around”), invites certain questions. Is there something about his habits that predisposed a long and healthy life? (He smoked for years.) Is there something about his attitude? (He thinks maybe.) Is there something about his genes? (He thinks not.) And here he cuts me off. He’s not interested in his longevity.
But scientists are. A boom in centenarians is just around the demographic bend; the National Institute on Aging predicts that their number will grow from the 37,000 counted in 1990 to as many as 4.2 million by 2050. Pharmaceutical companies and the National Institutes of Health are throwing money into longevity research. Major medical centers have built programs to satisfy the demand for data and, eventually, drugs. Irving himself agreed to have his blood taken and answer questions for the granddaddy of these studies, the Longevity Genes Project at Albert Einstein College of Medicine in the Bronx, which seeks to determine whether people who live healthily into their tenth or eleventh decade have something in common—and if so, whether it can be made available to everyone else.
[Not single-page] Still, a man who at 105—he’ll be 106 on December 19—has never had a life-threatening disease, who takes no cholesterol or blood-pressure medications and can give himself a clean shave each morning (not to mention a “serious sponge bath with vigorous rubbing all around”), invites certain questions. Is there something about his habits that predisposed a long and healthy life? (He smoked for years.) Is there something about his attitude? (He thinks maybe.) Is there something about his genes? (He thinks not.) And here he cuts me off. He’s not interested in his longevity.
But scientists are. A boom in centenarians is just around the demographic bend; the National Institute on Aging predicts that their number will grow from the 37,000 counted in 1990 to as many as 4.2 million by 2050. Pharmaceutical companies and the National Institutes of Health are throwing money into longevity research. Major medical centers have built programs to satisfy the demand for data and, eventually, drugs. Irving himself agreed to have his blood taken and answer questions for the granddaddy of these studies, the Longevity Genes Project at Albert Einstein College of Medicine in the Bronx, which seeks to determine whether people who live healthily into their tenth or eleventh decade have something in common—and if so, whether it can be made available to everyone else.
If neither party is proposing effective solutions to the cost crisis, and political deadlock in Washington is preventing the consideration of new ideas, are we doomed to witness a slowly collapsing health care system that eventually will provide adequate care only to those who can afford to pay? In his latest book on health care, the Princeton sociologist Paul Starr, who worked on the ill-fated Clinton Health Security Plan, despairs of any political action that could bring about major reform. However, a new movement in the medical profession might help to start such reform by reconfiguring the way medicine will be practiced.
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