Preface
by Gerald J. Gruman, M.D., Ph.D. Lake Erie College
While reading this book, I was reminded of the Belgian businessman who in the early days of World War II heard rumours about the possibility of atomic fission. He ordered a large supply of uranium from the Congo and sent it to warehouses near New York just in time for the atomic bomb project. (On Edgar Sengier, winner of the U.S. Medal of Merit and former president of the Union Miniere du Haut Katanga, see The New York Times, 7-30-63:29) I must confess that were I interested in business speculation, I should be busily stockpiling equipment needed for Mr. Ettinger's project.
Unlike the creation of the atomic bomb, Mr. Ettinger's proposals are completely benevolent and humanitarian in their intent, so much so that readers may wonder why scientists and physicians are not already applying low-temperature techniques ("cryobiology") to extend human life. To this it must be said that too often there has occurred an unfortunate lag between the scientists' findings in the laboratory and the application of those findings for human welfare. In 1928, for example, Sir Alexander Fleming discovered that penicillin was remarkably effective in killing germs, but he lacked the capital to prepare sizable quantities of the substance, and nothing was achieved until the massive casualties of World War II stimulated a cooperative search by government and business in Britain and America. By 1944 the drug was performing medical miracles; but what about the lag between 1928 and 1944? No one can calculate the cost of those fifteen years in human suffering. It has been the same with other much-needed innovations: the first anesthetics were suggested in the early 1800's but forty more years of anguish passed before surgical operations became painless, and an even longer struggle was necessary before this benefit was extended to women in childbirth.
Many more illustrations could be given indicating what I think is the most outstanding virtue of Professor Ettinger's book: he is trying to bridge a gap between the world of the research laboratory and that of everyday practice, because he has come upon something which holds great promise for mankind. He has spent years searching the technical literature in a careful and responsible way in order to prepare himself for a vital role: the arousing of general public demand for a new service which science can offer, and the stirring of the conscience of physicians, lawyers, businessmen and government officials so that the demand will be met. Mr. Ettinger feels that what he is calling for may happen anyway someday (to some degree, it already is happening), but what he wants to be sure of is that it will happen as soon as possible and in the best possible way. That is why he has adopted a stirring, optimistic writing style, and, in my opinion, he is justified in doing so, because he has a solid grasp of the physical, chemical and biological processes he discusses and a hard-headed appreciation of contemporary technical, economic and social realities.
What is this revolutionary development in science? In brief, it is this: if a man dies today it no longer is appropriate to bury or cremate the body. For there is hope that by keeping it at very low temperatures, physicians of the future may be able to revive him and cure him. And if someone has an "incurable" disease, it is not good practice any more to let him succumb; it is preferable to put the patient into low-temperature storage until better medical facilities become available, or until a cure is discovered. In regard to the scientific and medical bases of this concept, we are fortunate in having the excellent preface by Dr. Rostand who is world-renowned both for his laboratory research and for his understanding of the social and philosophical aspects of science. As Mr. Ettinger states, Dr. Rostand in 1946 was the first to report the protective action of glycerol in the freezing of animal cells. It also is noteworthy that the English scientist Dr. A. S. Parkes in whose laboratory the glycerol phenomenon independently was rediscovered in 1948 also has spoken favourably about the possibility of cryogenic preservation of the body for indefinite periods of time. (C. E. W. Wolstenholme and M. P. Cameron, eds.: Ciba Foundation colloquia an aging, vol. 1, Boston, 1955: 162-69.)
Mr. Ettinger represents the latest spokesman for a worthy American tradition going back as far as Benjamin Franklin. That eminently practical inventor, philosopher-scientist, and statesman predicted in 1780 that scientific progress would bring about means to lengthen the life span beyond a thousand years. Franklin was delighted with the advances of his time; the light- ning rod (his own invention), inoculation for smallpox, the steam engine, flying (manned balloons), etc., and he yearned to see the developments of the future. In a letter to a French scientist, he expressed the wish that he might be awakened in a hundred years to observe America's evolution; the great English surgeon, John Hunter, had a similar idea, hoping to arrange thawing for one year out of every hundred. Franklin also was keenly interested in experiments in resuscitating persons apparently "dead" from drowning or electrocution; in fact, the eighteenth century was fascinated by such activities.
The main pioneers in reviving the "dead" were the Humane Societies set up in Europe and the United States after 1767.(On the Humane Societies, see the article by E. H. Thomson: Bulletin of the History of Medicine, 37:43-51 (1963).) They had to overcome some scorn and ridicule, because, among ignorant and superstitious people, attempts to rescue drowning victims or trapped coal miners were considered utterly foolhardy. But many a conscientious doctor threw himself into the cause, and there were enlightened clergymen to hack them up; the Quakers of Philadelphia aided these reforms, and also the great Methodist John Wesley was called into the campaign. An Episcopalian minister concluded in a sermon in 1789 that the Humane Societies deserved his blessing, "Their sole reward is in the holy joy of doing good." As we congratulate ourselves today over the Red Cross and medical successes in artificial respiration, cardiac massage, blood hanks and other methods to revive the "dead," we should recognize that Mr Ettinger is performing the same kind of service and merits our wholehearted support.
Bringing up the question of the nature of death is a major contribution of this hook, and it is one reason why physicians should read it carefully. We tend to accept uncritically as absolute such concepts as "irrevocable damage," "biological death," etc., and we overlook the insidious nature of this "hardening of the categories," (A phrase coined by Dr. Esther Menaker to describe a common "intellectual disease" of professionals and experts) an intellectual flaw as prevalent and as hampering as harden ing of the arteries. This is one of the most useful things about Mr. Ettinger's text; he challenges with admirable tenacity many of these fixed ideas, and every physician will benefit from reading his ingenious attacks on hypotheses we too often take for granted. By serving this function, Mr. Ettinger helps to open original lines of thought and to prevent any lag in the utilization of recent findings in cryobiology, both in practice and in further research.
Of course there are a few points (all peripheral) on which I might not completely agree with Mr. Ettinger; but this has not obscured for me the undeniable logic of his train of thought and the real value of his insight into some of the most difficult problems of modern man. I believe that reviewers and readers in general will find that the core of the book once grasped will never be forgotten and not only will lead to further thought but also to action. We have heard a great deal recently (to our shame) about the costly and childishly sentimental funeral practices referred to as the "American way of death." (Jessica Mitford: The American Way of Death, N.Y., 1963.) Here we have a book which proposes an American way of living on, a demand that our superb (and underemployed) technological facilities be used to implement in a realistic and mature way our avowed belief in the beauty and value of life and health and the immeasurable worth of the individual.
In conclusion, I am reminded of the story about Benjamin Franklin who on one occasion was marvellously rescued from a shipwreck. Having expressed feelings of gratefulness and thanksgiving, he was asked if he intended to build a chapel to memorialize his escape. "No, indeed not," he replied, "I'm going to build a lighthouse!" It is my considered opinion that Mr. Ettinger too has "built a lighthouse," one which throws a powerful light into the years ahead. In the first sudden brightness some persons will be startled, others will ponder curiously the strange, unexpected ways that old perspectives and landmarks have been altered. But those who have faced the pain and the loss and the maddening "absurdity" of human death, whether on a wartime battlefield or in dingy hospital wards - those persons will feel this illumination as a welcome glow of hope in a world which has been waiting so very long.