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The Undead: Organ Harvesting, The Ice-Water Test, Beating Heart Cadavers - How Medicine Is Blurring the Line Between Life and Death
PDF Download The Undead: Organ Harvesting, The Ice-Water Test, Beating Heart Cadavers - How Medicine Is Blurring the Line Between Life and Death
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Important and provocative, The Undead examines why even with the tools of advanced technology, what we think of as life and death, consciousness and nonconsciousness, is not exactly clear - and how this problem has been further complicated by the business of organ harvesting. Dick Teresi, a science writer with a dark sense of humor, manages to make this story entertaining, informative, and accessible as he shows how death determination has become more complicated than ever. Teresi introduces us to brain-death experts, hospice workers, undertakers, coma specialists and those who have recovered from coma, organ transplant surgeons and organ procurers, anesthesiologists who study pain in legally dead patients, doctors who have saved living patients from organ harvests, nurses who care for beating-heart cadavers, ICU doctors who feel subtly pressured to declare patients dead rather than save them, and many others. Much of what they have to say is shocking. Teresi also provides a brief history of how death has been determined from the times of the ancient Egyptians and the Incas through the 21st century. And he draws on the writings and theories of celebrated scientists, doctors, and researchers-Jacques-Bnigne Winslow, Sherwin Nuland, Harvey Cushing, and Lynn Margulis, among others-to reveal how theories about dying and death have changed. With The Undead, Teresi makes us think twice about how the medical community decides when someone is dead.
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Audible Audiobook
Listening Length: 9 hours and 58 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Audible Studios
Audible.com Release Date: March 13, 2012
Whispersync for Voice: Ready
Language: English, English
ASIN: B007JQN99W
Amazon Best Sellers Rank:
As a Trauma RN, I was already aware of the behind the scenes issues and protocols associated with organ donation. This book gave me a better look at system wide issues including conflict of interest problems, poor methodology, and overall bad science that drives the billion dollar push for donation. From experience, I know that families can be bullied, harassed, and shamed into making choices they may not want or agree with when tragedy strikes. I am very aware from practice that the line between "dead" and "alive" can be crossed and re-crossed in many ways during the care and treatment of the injured patient. This book is an eye opener for the uninitiated and confirmation of doubts and suspicions for those who have traversed the mine field of organ donation. Highly recommended read no matter where ones sympathies are.
I was tempted to rate this book with five stars, as others have done, merely to counteract the work of reviewers who haven't read the text. But I cannot in good conscience do so. Instead I have rounded up from 3.5 to 4 stars. There is much to recommend this book, but I will not offer unadulterated praise.When deciding whether or not to buy or read this book, look at the dates of the reviews (noting that many of the one-star reviews were posted the day the book was released- I read well and fairly quickly, but a careful reading of the text took time) . Many such reviews admit to being based on a Wall Street Journal article rather than this book. I think it reprehensible to review a book one has not read. I find the impassioned hyperbole warning readers away from this book more dangerous than the hyperbole occasionally employed by the author, though the latter bothered me occasionally, as well. Disallowing these things to be said will not make them untrue or irrelevant. Do not think either that having received a donated liver makes a reviewer qualified to discuss the merits of this book without reading it. But I digress; this was not meant to be a review of reviews (but it clearly is that, too). My point is that if the issues discussed in the book interest you at all and you do not think that discussing something unpleasant should not be allowed, I recommend this book.As I suggested, Mr. Teresi does tend toward hyperbole. His refusal to dispense with the term "harvesting" in favor of the more palatable terms such as 'organ procurement' smacks of a desire render the entire process unpalatable. He implies several times that a DNR order is sometimes tantamount to "killing ... loved ones" (eg, pg 93). This narrow-mindedness was evident occasionally in the writing, though Mr. Teresi deserves much credit for looking at the issue of death and organ procurement/transplantation from many different angles. In addition to being well researched, the work is well cited, so the research is documented and fairly easy to replicate.I think that as a responsible thinker who sees the issues Mr. Teresi raises as alarming and worth pursuing, I must read as many of his sources as possible. I realize that not everyone has the time or desire to do this, but one should not declare well cited material to be "lies and fabrications" as some reviewers have, without investigation. I must say that I am distressed by reviewer S.Fitzpatric's accusation that Mr. Teresi has altered his email transcript to suit his purposes. Such allegations should be carefully considered and investigated.This book has some problems, such as Mr. Teresi's repeated insistance that he has no cause to sway reader's opinions but only to report facts. This, he mixes in with talk of killing grandma that will remind many bioethicists of "the daughter from California". But the information itself, the important piece of this puzzle, seems solid and well-researched, and more importantly, is very timely in the discussion of organ transplantation from 'dead' donors. This book's problems are worth moving beyond in the interest of learning from a great body of research on the historical and contemporary approaches to the problem of determining death and the implications thereof for organ transplantation from dead donors. Although the conversation will necessarily be uncomfortable for advocates of organ donation (as I have always been), it is essential and could actually advance the cause to address the issues Mr. Teresi raises, if done honestly, transparently, and thoroughly.
Modern medicine has made it no easier to say with certainty exactly when our conscious awareness has truly left the body. Are you dead when you are no longer you? or are you really and truly dead only when your body starts to putrefy? Are there fates worse than death? What if you are aware, but can not move or respond so you are treated as though you are a vegetable? What about your organs - shouldn't they be harvested when they would be of more use to someone else (obviously before your body starts to rot). What if that "brain dead" individual is aware of the pain when organs are "harvested" should these patients be anesthetized before opening them up (apparently the organs are healthier if no anesthesia is used to "harvest" them).Dick Teresi raises more questions than he answers, but they are questions that need to be raised and discussed.
I have noticed that among the gentry not every Richard can be called Dick. This is an unusual case in which Dick is the writer and Richard a mere resident of Amherst, MA. I was glad to see the book appear because I had wondered what new forms of hanky panky had emerged in the world of organ donation. The first clue that it was business as usual was when an elderly Chinese man handed me a pamphlet on Fisherman's Wharf in San Francisco describing a thriving organ-harvesting industry in the Peoples' Republic of China. But evidence is easy to refute. Some familiarity with human nature would lead one to posit that the demand for organs and the need to harvest them while the patient was still alive if he/she could be deemed brain dead might lead to what the author calls philosophical rather than medical determinations on just who is brain dead and who is not. The spectrum of criteria for admission is likely broad. Oh she can no longer wear a bikini and walk along the beach. Oh he has forgotten how to integrate in the complex plane. Finally I really liked the number of one and two stars the author drew from reviewers. That means he has something unusual and original to say.
This book opened my mind on a few issues regarding brain death and organ donation. And to me, at this point, there are still no clear cut answers. As a nurse and lawyer at a teaching hospitals, I know that organ transplantation is a big business, but had no idea of the extent. I did revise my Healthcare POA documents to reflect that I want brain flow studies prior to being declared brain dead and the organs geing procured. This book has raised so many issues in my mind. Now I need to do more research and find the answers that satisfy me. This book is an excellent primer for anyone with a less than stellar knowledge of the issues. Easy, interesting read with a decent history of the concept of brain death.
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