GERMAN CRYONICS MEETING
Last month I met with about ten members of the German cryonics group. Photos of most of those at the meeting have been posted on the Immortality Institute cryonics forum

Unfortunately,
Dr. Klaus Sames, a CI Member and one of the members of the CI Scientific
Advisory Board was not in any of the photos. It was Klaus who hosted the meeting
and provided a venue at his institute for the meeting.
There are some
very technically sophisticated members of the German group. I fear that they may
create impossible standards for themselves which will result in failure to
accomplish anything -- a common phenomenon in the world of cryonics.
Some members of the German group challenged my policy of shipping CI
patients in water ice without blood washout. I have based this policy on several
considerations:
(1) CI patients invariably have at least a
half-hour of ischemic damage, which guarantees that washout will lead to
reperfusion injury
(2) Funeral directors use embalming pumps, which operate at high pressure thereby augmenting perfusion damage
(3) Dr. Pichugin does not see much benefit in perfusion organ preservation solutions for cryonics patients.
(4) Open circuit perfusion would require a large volume of cooled perfusate to achieve significant cooling.
(5) Time spent attempting to do washout can result in significant
shipping delays.
For the Germans ischemic injury is guaranteed because
German law does not allow for pronouncement of death after stoppage of the
heart. Pronouncement can only be made after appearance of petechiae (small
hemorrhagic spots) on the skin, which occur about a half hour after the heart
stops. I have urged the Germans to concentrate their efforts on speedy
pronouncement (under the circumstances), speedy cooling and speedy shipment --
something I advocate for all CI Members. Speedy communication and mobilization
is also important for an effective mutual aid group if they are to be of benefit
to each other, in cases where death occurs on short notice. More frequently,
however, there is notice of death, but the exact timing is difficult to manage.
Volunteer standby is harder to manage than professional standby.
The Germans have correctly observed, however, that washout with cold
perfusate is a very speedy means of cooling. If the Germans could reproduce the
elegantly simple closed-circuit perfusion equipment developed by Alan Sinclair I
would have a difficult time weighing the benefit of rapid cooling by perfusion
against the harm of reperfusion injury.
Dr. Gunter Boden has done some
good work on a project that has been frustrating me for years -- developing a
reliable vital signs monitor and alarm. Gunter demonstrated a device which can
be held against the body and which illuminates a light upon every heartbeat. Yet
he has not been able to develop this into a complete alarm system. Like me he is
frustrated with the "diabolical" forces of circumstance which prevent
implementation.
Although separated by large distances, the German
cryonicists impress me as potentially becoming one of the most capable local
cryonics groups in the world -- along with Toronto, UK and Los Angeles.
Ben Best
_.