medical

A brief history of American bodysnatching

From Emily Bazelon’s “Grave Offense” (Legal Affairs: July/August 2002):

In December 1882, hundreds of black Philadelphians gathered at the city morgue. They feared that family members whom they had recently buried were, as a reporter put it, “amongst the staring corpses” that lay inside. Six bodies that had been taken from their graves at Lebanon Cemetery, the burial ground for Philadelphia’s African-Americans, had been brought to the morgue after being discovered on the back of a wagon bound for Jefferson Medical College. The cemetery’s black superintendent had admitted that for many years he let three grave robbers, his brother and two white men, steal as many corpses as they could sell to the college for dissection in anatomy classes.

At the morgue, a man asked others to bare their heads and swear on the bodies before them that they would kill the grave robbers. Another man found the body of his 29-year-old brother and screamed. A weeping elderly woman identified one of the corpses as her dead husband. According to the Philadelphia Press, which broke the story, to pay for her husband’s burial she had begged $22 at the wharves where he had once worked.

Medical science lay behind the body snatchings at Lebanon Cemetery and similar crimes throughout the Northeast and Midwest during the 19th century. By the 1820s, anatomy instruction had become central to medical education, but laws of the time, if they allowed for dissection, let medical schools use corpses only of condemned murderers. In their scramble to find other cadavers for students, doctors who taught anatomy competed for the booty of grave robbers—or sent medical students to rob the graves themselves. …

In the early 19th century, doctors were eager to distinguish themselves from midwives and homeopaths, and embraced anatomy as a critical source of their exclusive knowledge. In the words of a speaker at a New York medical society meeting in 1834, a physician who had not dissected a human body was “a disgrace to himself, a pest in society, and would maintain but a level with steam and red pepper quacks.” …

According to Michael Sappol’s recent book, A Traffic of Dead Bodies, Harvard Medical School moved its campus from Cambridge to Boston (where it remains) expecting to get bodies from an almshouse there. …

“Men seem prompted by their very nature to an earnest desire that their deceased friends be decently interred,” explained the grand jury charged with investigating a 1788 dissection-sparked riot in which 5,000 people stormed New York Hospital.

To protect the graves of their loved ones, 19th-century families who could afford it bought sturdy coffins and plots in a churchyard or cemetery guarded by night watchmen. Bodies buried in black cemeteries and paupers’ burial grounds, which often lacked those safeguards, were more vulnerable. In 1827, a black newspaper called Freedom’s Journal instructed readers that they could cheaply guard against body snatching by packing straw into the graves. In 1820s Philadelphia, several medical schools secretly bribed the superintendent of the public graveyard for 12 to 20 cadavers a week during “dissecting season.” He made sure to keep strict watch “to prevent adventurers from robbing him—not to prevent them from emptying the pits,” Philadelphia doctor John D. Godman wrote in 1829.

When a body snatching was detected, it made for fury and headlines. The 1788 New York riot, in which three people were killed, began when an anatomy instructor shooed some children away from his window with the dismembered arm of a corpse, which (legend has it) belonged to the recently buried mother of one of the boys; her body had been stolen from its coffin. In 1824, the body of a farmer’s daughter was found beneath the floor of the cellar of Yale’s medical school. An assistant suspected of the crime was almost tarred and feathered. In 1852, after a woman’s body was found in a cesspool near Cleveland’s medical school, a mob led by her father set fire to the building, wrecking a laboratory and a museum inside. …

In the morning, news spread that the robbers had been taken into custody. An “immense crowd of people surrounded the magistrate’s office and threatened to kill the resurrectionists,” the Press reported. …

The doctors got what they asked for. A new Pennsylvania law, passed in 1883, required officials at every almshouse, prison, morgue, hospital, and public institution in the state to give medical schools corpses that would otherwise be buried at public expense.

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The difficulties in establishing time of death

From Jessica Sachs’s “Expiration Date” (Legal Affairs: March/April 2004):

More than two centuries of earnest scientific research have tried to forge better clocks based on rigor, algor, and livor mortis – the progressive phenomena of postmortem muscle stiffening, body cooling, and blood pooling. But instead of honing time-of-death estimates, this research has revealed their vagaries. Two bodies that reached death within minutes of each other can, and frequently do, show marked differences in postmortem time markers. Even the method of testing eye potassium levels, which was recently hailed as the new benchmark for pinpointing time of death, has fallen into disrepute, following autopsies that showed occasional differences in levels in the left and right eye of the same cadaver. …

And the longer a body is dead, the harder it is to figure out when its owner died. In their book The Estimation of Time Since Death in the Early Postmortem Period, the world-renowned experts Claus Henssge and Bernard Knight warn pathologists to surrender any pretensions of doing science beyond the first 24 to 48 hours after death.

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One of the benefits of LASIK eye surgery

A few weeks ago I had my eyes fixed with LASIK eye surgery. So far I’ve been completely happy with the results – it works! In preparing for the surgery, you receive lots of printed materials to read, including a booklet titled “Patient Information”. Inside that booklet is an explanation of the surgery which contains one of the best sentences I’ve read in quite a while:

The corneal tissue has natural bonding qualities that allow effective healing without the use of stitches.

Well, gee, that’s good to know! I’d hate to have stitches in my eyeball!

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Religion & evolution

From Salon’s “Religious belief itself is an adaptation“, an interview with Edward O. Wilson:

Religious belief itself is an adaptation that has evolved because we’re hard-wired to form tribalistic religions. Religion is intensely tribalistic. A devout Christian or Muslim doesn’t say one religion is as good as another. It gives them faith in the particular group to which they belong and that set of beliefs and moral views. …

You cannot explain the patterns of diversity in the world, the geography of life, the endless details of distribution, similarity and dissimilarity in the world, by any means except evolution. That’s the one theory that ties it together. It is very hard to see how traditionalist religious views will come to explain the meaning of life on this planet. …

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Funes the Memorious, for real

From “New form of superior memory syndrome found“:

Scientists at the University of California-Irvine have identified the first known case of a new, superior memory syndrome.

Researchers Elizabeth Parker, Larry Cahill and James McGaugh spent more than five years studying the case of “AJ,” a 40-year-old woman with incredibly strong memories of her personal past.

Given a date, AJ can recall with astonishing accuracy what she was doing on that date and what day of the week it was. Because her case is the first of its kind, the researchers have proposed a name for her syndrome — hyperthymestic syndrome — based on the Greek word thymesis for “remembering” and hyper, meaning “more than normal.” …

“What makes this young woman so remarkable is that she uses no mnemonic devices to help her remember things,” said McGaugh.

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3500 forgotten cans

From “Mental Health Association of Portland“:

Over 3,500 copper canisters like these hold the cremated remains of patients of the Oregon State Hospital that went unclaimed by their families and friends. They sit on shelves in an abandoned building on the grounds of the Oregon State Hospital. They symbolize the loneliness, isolation, shame and despair too many patients of the hospital experienced.

Our members are helping find a final resting place for the remains. We have helped families find their lost relatives. We’re pressing the hospital and the state to create a suitable memorial. We’ve demanded former, current and future patients be advised and consulted about the creation of a memorial, its site, design and any ceremony.

oregon_cans.jpg

From The New York Times‘ “Long-Forgotten Reminders Of the Mentally Ill in Oregon”:

Next to the old mortuary, where the dead were once washed and prepared for burial or cremation, is a locked room without a name.

Inside the room, in a dim and dusty corner of one of many abandoned buildings on the decaying campus of the Oregon State Hospital here, are 3,489 copper urns, the shiny metal dull and smeared with corrosion, the canisters turning green.

The urns hold the ashes of mental patients who died here from the late 1880’s to the mid-1970’s. The remains were unclaimed by families who had long abandoned their sick relatives, when they were alive and after they were dead.

The urns have engraved serial numbers pressed into the tops of the cans. The lowest number on the urns still stored in the room is 01, the highest 5,118. Over the decades, about 1,600 families have reclaimed urns containing their relatives’ ashes, but those left are lined up meticulously on wood shelves. Short strips of masking tape with storage information are affixed to each shelf: ”Vault #2, Shelf #36, plus four unmarked urns,” one piece of tattered tape says.

Most of the labels that once displayed the full names of the dead patients have been washed off by water damage or peeled away by time. Still, a few frayed labels are legible: among the urns stored on one shelf are a Bess, a Ben and an Andrew.

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Did plague cause the Little Ice Age?

From BBC News’ “Europe’s chill linked to disease“:

Europe’s “Little Ice Age” may have been triggered by the 14th Century Black Death plague, according to a new study.

Pollen and leaf data support the idea that millions of trees sprang up on abandoned farmland, soaking up carbon dioxide from the atmosphere.

This would have had the effect of cooling the climate, a team from Utrecht University, Netherlands, says.

The Little Ice Age was a period of some 300 years when Europe experienced a dip in average temperatures. …

“Between AD 1200 to 1300, we see a decrease in stomata and a sharp rise in atmospheric carbon dioxide, due to deforestation we think,” says Dr van Hoof, whose findings are published in the journal Palaeogeography, Palaeoclimatology, Palaeoecology.

But after AD 1350, the team found the pattern reversed, suggesting that atmospheric carbon dioxide fell, perhaps due to reforestation following the plague.

The researchers think that this drop in carbon dioxide levels could help to explain a cooling in the climate over the following centuries.

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30 years without sleep

From “Vietnam man handles three decades without sleep“:

Sixty-four-year-old Thai Ngoc, known as Hai Ngoc, said he could not sleep at night after getting a fever in 1973, and has counted infinite numbers of sheep during more than 11,700 consecutive sleepless nights.

“I don’t know whether the insomnia has impacted my health or not. But I’m still healthy and can farm normally like others,” Ngoc said. …

Ngoc often does extra farm work or guards his farm at night to prevent theft, saying he used three months of sleepless nights to dig two large ponds to raise fish.

Neighbor Vu said Ngoc volunteered to help beat a drum during the night and guard the house for the relatives of the dead during funeral ceremonies so that they could take a nap.

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What would it be like to feel no pain?

From CNN’s “World without pain is hell, parent says“:

Roberto is one of 17 people in the United States with “congenital insensitivity to pain with anhidrosis,” referred to as CIPA by the few people who know about it. …

Other abnormalities quickly surfaced. Roberto was severely susceptible to heatstroke on hot summer days. His parents soon noticed he did not sweat.

“You can’t carry Roberto because he sucks your heat from your body. You’re hot, sweaty. His body can’t sweat like yours so he’s just absorbing all of your heat,” Stingley-Salazar said.

His family was shocked when Roberto started teething. He gnawed on his own tongue, lips and fingers to the point of mutilation. …

Axelrod has studied this family of “no-pain” diseases for more than 35 years. These genetic disorders affect the autonomic nervous system — which controls blood pressure, heart rate, sweating, the sensory nerve system and the ability to feel pain and temperature. …

CIPA is the most severe and fatal type of the seven types of hereditary sensory and autonomic neuropathy, or HSAN. Overheating kills more than half of all children with CIPA before age 3, Stingley-Salazar said.

According to Axelrod, levels of pain vary.

“For some children it’s a mild degree such as breaking a leg, they’ll get up and walk on the leg. They feel that something is uncomfortable but they keep on moving,” she said. “For other children, the pain loss is so severe that they can injure themselves repetitively and actually mutilate themselves because they don’t know when to stop.”

All HSAN disorders are recessive genetic disorders — both parents have to carry the genetic mutation in order to pass it on to a child. But there is less than a 1-in-4 chance that the child will develop it. …

A more common HSAN condition is familial dysautonomia, or FD. There are about 500 cases of FD in the United States, Axelrod said.

The first sign of FD is a child’s inability to suck properly followed by delayed milestones — these children walk and speak later.

Often, FD patients endure severely dry eyes because they are unable to produce tears.

Also, part of this sensory disorder is difficulty “telling where they are in space,” Axelrod said.

The minor effect is constantly bumping into things. The major effect is that 80 percent of these kids suffer curvature of the spine because they have no concept of posture.

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How many people die each year in the world?

From Ask Yahoo!:

According to the CIA World Factbook, as of July, 2005, there were approximately 6,446,131,400 people on the planet, and the death rate was approximately 8.78 deaths per 1,000 people a year. According to our nifty desktop calculator, that works out to roughly 56,597,034 people leaving us every year. That’s about a 155,000 a day. …

The legal information resource ItsMyLife.com offers some interesting mortality statistics for the United States. Of the 2,400,000-plus Americans who die each year, over 45,000 are killed in transport accidents. The number of homicides, poisonings, and drunk driving fatalities are roughly the same, at around 17,000 each. Perhaps more surprisingly, a stunning 178,000 Americans die from medical or hospital error every year. …

The United Nations also offers a 2005 World Health Report. One of its key findings: this year almost 11 million children under the age of five will die from a preventable disease.

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A repulsive jumbo shrimp

From The Honolulu Advertiser:

Giant mutant shrimp

Health experts are not sure what is causing Mantis Shrimp found in the muck of the Ala Wai Canal to grow larger than their normal size, but one thing is clear, they say: You shouldn’t eat anything out of the canal.

State Department of Health signs posted along the canal warn people not to eat fish or shellfish found in the Ala Wai because of possible contamination from urban runoff into the Waikiki waterway. But that didn’t stop Keith Harvey, a barge mate working on the Ala Wai dredging project. Harvey cooked one of several Mantis Shrimp (Odontodactylus Scyllarus) pulled from the mud at the bottom of the canal. The largest shrimp weighed in at 1.35 pounds and 15 inches.

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One of my favorite ideas: flow

From BrainChannels:

Mr. Csikszentmihalyi (pronounced chick-sent-me-high-ee) is chiefly renowned as the architect of the notion of flow in creativity; people enter a flow state when they are fully absorbed in activity during which they lose their sense of time and have feelings of great satisfaction. Mr. Csikszentmihalyi describes flow as “being completely involved in an activity for its own sake. The ego falls away. Time flies. Every action, movement, and thought follows inevitably from the previous one, like playing jazz. Your whole being is involved, and you’re using your skills to the utmost.”

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TV changes a society … in its image

From “Bhutan and Fiji: The Elusive Influences of Television” in NetFuture #93, quoting The New York Times of 20 May 1999:

Meanwhile, a widely reported study by researchers at the Harvard Medical School documents some changes in Fiji associated with the 1995 introduction of television. These changes have to do with young women’s eating habits and ideals of beauty.

It is traditional in Fiji to compliment someone by saying “you’ve gained weight”. As a New York Times story puts it:

“‘Skinny legs’ is a major insult. And ‘going thin’, the Fijian term for losing a noticeable amount of weight, is considered a worrisome condition.”

But in just the three years from 1995 to 1998, according to the Harvard study, the number of secondary school girls reporting that they had induced vomiting to control weight rose from three percent to twenty-nine percent. In a country where dieting was hardly known and calories were a foreign concept, it now appears that more teenage girls go on diets than in America. “Young girls”, writes the Times reporter, Erica Goode, “dream of looking not like their mothers and aunts, but like the wasp- waisted stars of `Melrose Place’ and `Beverly Hills 90210′”.

“One girl said that her friends ‘change their mood, their hairstyles, so that they can be like those characters’. ‘So in order to be like them, I have to work on myself, exercising, and my eating habits should change.'”

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Strange mental conditions

From A Collection of Unusual Neurological States:

Kluver-Bucy Syndrome: Damage to the front of the temporal lobe and the amygdala just below it can result in the strange condition called Kluver-Bucy Syndrome. Classically, the person will try to put anything to hand into their mouths and typically attempt to have sexual intercourse with it. A classic example is of the unfortunate chap arrested whilst attempting to have sex with the pavement. …

Capgras’ Syndrome: … The Capgras’ patient will typically identify people close to them as being imposters – identical in every possible way, but identical replicas. Classically, the patient will accept living with these imposters but will secretly “know” that they are not the people they claim to be. …

Cotard’s Syndrome: … this syndrome is characterized by the patient believing that he is dead, a walking corpse. This “delusion” is usually expanded to the degree that the patient might claim that he can smell his own rotting flesh and feel worms crawling through his skin (a recurring experience of people chronically deprived of sleep or suffering amphetamine/cocaine psychosis). …

Fregoli Syndrome: This is an extraordinary experience where the person misidentifies another person as someone who clearly he is not. Indeed, he may begin to see the same person everywhere he looks …

Alien Hand Syndrome: Probably a version of “left hemi-neglect”, brain damage in the right place can disconnect the left hand (controlled by the right, unconscious cerebral hemisphere) leaving the left hand without conscious control and the person at the mercy of the unconscious whims of the right hemisphere.

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Walking dead man

From “The Invention of Modern Gas Warfare“, at Ockham’s Razor:

One of Haber’s [Dr. Fritz Haber, inventor of gas warfare] victims was a British soldier named Fred Cayley. He was gassed in 1917. He had poor health for the rest of his life and he had to visit a doctor every week until his death in 1981. The coroner recorded that Cayley had been ‘killed by the King’s enemies’. This is the statement that would have appeared on his death certificate if he had been killed outright 64 years earlier. As far as the coroner was concerned, Cayley was as good as dead back in 1917, it was simply that he did not get buried until 1981.

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Great band names, part 24

So Jans & I are talking at the Broadway Oyster Bar last night, and all of a sudden Jans says, “Have you ever noticed how many diseases and other medical terms would make great band names? Like The Multiple Lacerations. Or The Compound Fractures.”

“You’re right!” I replied. “How about The Bleeding Ulcers? And The GI Tracts!”

Got any other ideas?

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