[LINK] Open Source Software Developer with Terminal Illness Hopes to Opt Out of Death

by lsparrish4 min read13th Feb 201318 comments

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DeathCryonics
Personal Blog

Aaron Winborn writes:

 

TLDR: http://venturist.info/aaron-winborn-charity.html

So maybe you've heard about my plight, in which I wrestle Lou Gehrig in this losing battle to stay alive. And I use the phrase "staying alive" loosely, as many would shudder at the thought of becoming locked in with ALS, completely paralyzed, unable to move a muscle other than your eyes.

But that's only half the story. Wait for the punchline.

As if the physical challenges of adapting to new and increasingly debilitating disabilities were not enough, my wife and two young daughters are forced to watch helplessly as the man they knew loses the ability to lift a fork or scratch an itch, who just two years ago was able to lift his infant daughter and run with the 7-year-old. The emotional strain on my family is more than any family should have to bear. Not to mention the financial difficulties, which include big purchases such as a wheelchair van and home modifications, and ultimately round the clock nursing care, all of it exacerbated by the fact that we have had to give up my income both because of the illness and to qualify for disability and Medicaid.

Meet me, Aaron Winborn, software developer and author of Drupal Multimedia, champion of the open source software movement.

Years ago, I worked for the lady of death herself, Elisabeth Kübler-Ross, the author of On Death and Dying. Of course, I knew that one day I would need to confront death, but like most people, I assumed it would be when I was old, not in the prime of my life. Not that I'm complaining; I have lived a full life, from living in a Buddhist monastery to living overseas, from marrying the woman of my dreams to having two wonderful daughters, from teaching in a radical school to building websites for progressive organizations, from running a flight simulator for the US Navy to working as a puppeteer.

I accept the fact of my inevitable death. But accepting death does not, I believe, mean simply rolling over and letting that old dog bite you. Regardless of the prevalent mindset in society that says that people die and so should you, get over it, I believe that the reality we experience of people living only to a few decades is about to be turned upside down.

Ray Kurzweil spells out a coming technological singularity, in which accelerating technologies reach a critical mass and we reach a post-human world. He boldly predicts this will happen by the year 2045. I figured that if I could make it to 2035, my late 60s, that I would be able to take advantage of whatever medical advances were available and ride the wave to a radically extended lifespan.

ALS dictates otherwise. 50% of everyone diagnosed will die within 2 to 3 years of the onset of the disease. 80% will be gone in 5 years. And only 10% go on to survive a decade, most of them locked in, paralyzed completely, similar to Stephen Hawking. Sadly, my scores put me on the fast track of the 50%, and I am coming up quickly on 3 years.

Enter Kim Suozzi.

On June 10 of last year, her birthday, which is coincidentally my own, Kim Suozzi asked a question to the Internet, "Today is my 23rd birthday and probably my last. Anything awesome I should try before I die?" The answer that she received and acted on would probably be surprising to many.

On January 17, 2013, Kim Suozzi died, and as per her dying wish, was cryonically preserved.

She was a brave person, and I hope to meet her someday.

So yes, there we have it. The point that I am making with all this rambling. I hope to freeze my body after I die, in the hope of future medical technologies advancing to the point where they will be able to revive me.

The good news is that in the scheme of things, it is not too terribly expensive to have yourself cryonically preserved. You should look at it yourself; most people will fund it with a $35K-200K life insurance policy.

The bad news for me is that a life insurance policy is out of the question for me; a terminal illness precludes that as an option. Likewise, due to the financial hardships in store for us, self-funding is also out of the question.

When I learned about Kim Suozzi's plight, I reached out to the organization that set up the charity that ultimately funded her cryopreservation. The Society for Venturism, a non-profit that has raised funds for the eventual cryopreservation of terminally ill patients, agreed to take on my case.

Many of you reading this post have already helped out in so many ways. From volunteering your time and effort to our family, to donating money towards my Special Needs Trust to help provide a cushion for the difficult times ahead.

I am so grateful for all of this. It means so much to me and my family to know that there is such a large and generous community supporting us. I hate to ask for anything more, especially for something that may seem like an extravagance.

But is it really an extravagance?

If I were to ask for $100,000 for an experimental stem cell treatment, I doubt that we would even be having this conversation. No one in their right mind would even consider a potentially life-saving procedure to be an extravagance.

And what is cryonics, but a potentially life-saving procedure?

People choose from among many options for their bodies after death. Some choose to be buried, some choose cremation. Some choose to donate their bodies to science. That last is precisely what happens with cryonics: in addition to helping to answer the obvious question of will future revival from cold storage be possible, many developments in cryonics help modern medicine with the development of better preservation for organ transplantation and blood volume expanders.

Yes, I admit that the chances of it working are slim, but have you looked at the state of stem cell research for ALS lately? Consider that the only FDA approved medication to treat ALS, Rilutek, will on average add 3 months to one's lifespan, and you might begin to see my desperation.

But you should be happy with the life you've had. Why do you want to live forever?

The only reasonable response to that is to ask why do you want to die?

I love life. Every morning, even now with my body half paralyzed, I awaken with a new sense of purpose, excited to take on the day. There is so much I have yet to do. There are books to write, games to create, songs to sing. If I can get the use of my arms and hands again, there are gardens to plant, houses to build, space ships to fly. And oh, the people to love.

So please help me to realize this, my dying wish.

http://venturist.info/aaron-winborn-charity.html

"The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen."

- Elisabeth Kübler-Ross

 

Blog post: http://aaronwinborn.com/blogs/aaron/open-source-software-developer-terminal-illness-hopes-opt-out-death

Hacker news discussion: http://news.ycombinator.com/item?id=5211602

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18 comments, sorted by Highlighting new comments since Today at 12:33 AM
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While I laud his intention to survive the disease, there is another approach to carrying it out. ALS is not necessarily fatal

Aaron notes that his scores are relatively bad, and he is likely to die soon because of this:

50% of everyone diagnosed will die within 2 to 3 years of the onset of the disease. 80% will be gone in 5 years. And only 10% go on to survive a decade, most of them locked in, paralyzed completely, similar to Stephen Hawking. Sadly, my scores put me on the fast track of the 50%, and I am coming up quickly on 3 years.

Hal Finney is apparently still alive as of November 2012, but he hasn't been very active online since 2010. Anyone have an update on how he's doing?

Just donated $50.

Hi Aaron,

I'm surprised to read that you spent some time in a Buddhist monastery, and yet you're still looking at cryonics as a solution? I don't pretend to know how it must feel to have your life taken away from you in this way, it must be awful in many ways, still, I have spent time in a Buddhist monastery myself, and am now a practicing Buddhist, and as such I've spent much time meditating on a gentle and smooth transition into death, the nature of consciousness and the spontaneous arising of being...

My general feeling is that cryonics is a little spooky, in some ways it brings to mind Jeremy Bentham's example, and I know, this might seem trite, but is the thought of letting go really so awful? Wouldn't it in some ways be a blessed relief? I know that there is always an argument in favour of each side, but hasn't your experience with Buddhism given you any insight into how to carry on the legacy of this life into the next one?

People choose from among many options for their bodies after death. Some choose to be buried, some choose cremation. Some choose to donate their bodies to science. That last is precisely what happens with cryonics: in addition to helping to answer the obvious question of will future revival from cold storage be possible,

This claim is factually false. Cyronics organizations don't use their customers' bodies for research, and in general they don't do much research of any kind.

many developments in cryonics help modern medicine with the development of better preservation for organ transplantation and blood volume expanders.

As far as I know, in over 50 years of existence, cryonics didn't develop or improve any technique for medicine to use.
EDIT:
Luke Parrish mentioned one in the comments below.

As far as I know, in over 50 years of existence, cryonics didn't develop or improve any technique for medicine to use.

For one, Hextend, a blood plasma volume expander used in conventional surgery, was developed by cryonicists at Trans Time, Inc while experimenting with hypothermia.

It's hard to understand cryonics in any meaningful way if you don't have wide swaths of regular science. Osmosis, ice formation, glass formation, toxicity mechanisms, chilling injury, apoptosis, blood pressure, ischemia, perfusion impairment... I will be wikifying this in the near future.

For one, Hextend, a blood plasma volume expander used in conventional surgery, was developed by cryonicists at Trans Time, Inc while experimenting with hypothermia.

Can you provide more information, please?

The product you mention seems to have been developed by BioTime, a biomedical company.
The only relationship between BioTime and Trans Time (a now defunct for-profit cryonics company) that I've been able to find on Google was that Trans Time owned some stocks of BioTime:

http://www.cryonet.org/cgi-bin/dsp.cgi?msg=6399

This is what I'm going on:

Unless you are a long-time cryonicist or a surgeon, you may not have heard of BioTime before. This company, recently profiled for its innovative stem cell research in Life Extension Magazine, is best known for producing the blood-volume expander Hextend, which was initially developed by Trans Time, an early cryonics company performing ultra-profound hypothermia research. Realizing the potential for Hextend’s conventional medical applications, BioTime was formed and, as they say, the rest is history.

http://www.evidencebasedcryonics.org/2008/10/12/biotimes-quest-to-defeat-aging/

This claim is factually false. Cyronics organizations don't use their customers' bodies for research, and in general they don't do much research of any kind.

You have clearly never read the Alcor case reports. Whether you view them with horror-at-the-ineptitude, or awe-at-the-learning-process, they're clearly having all sorts of fun experimenting with the bodies.

Of course, whether this is useful research is up to you to decide, but it's clear that the "preservation" side is still rather experimental. They do at least document all of it, too.

That's clearly anything but scientific research.

Eh, they're trying multiple ways of preservation to see what works best. We can't test which ones allow the best cyro-recoveries, but I don't see how it's de-facto not science.

I personally consider them shoddy amateurs due to some of the horror stories buried in there, but stating that it's "factually false" that they do ANY research seems an overly strong claim.

Eh, they're trying multiple ways of preservation to see what works best. We can't test which ones allow the best cyro-recoveries, but I don't see how it's de-facto not science.

Science means:

  • Come up with a testable hypothesis

  • Design an experiment to test it

  • Perform the experiment

  • Statistically evaluate the outcome and determine if it is evidence in favor or against the hypothesis

  • Communicate the results to the scientific community

Science most definitely does not mean: "Let's try something random today and see what happens".

This is the core difference between scientific research and pre-scientific empiricism.

but stating that it's "factually false" that they do ANY research seems an overly strong claim.

The don't do any scientific research on their human corpses. They did some research on non-human animals in the past, but AFAIK, they didn't publish much.

I agree that the human patient case studies are not a strong example of science, but think they should count at least as weak examples. The hypothesis being tested would be that certain solutions can be successfully introduced via perfusion (various methods tested) to minimize morphological and/or biological damage to the brain, and under what circumstances. The results can be measured e.g. afterwards by CT scans, measuring concentration of solutes in venous return, or microphone acoustic measurements of ice formation / cracking.

Arguably, the rabbit kidney studies of Fahy, Wowk, et al are motivated primarily by cryonics and only secondarily by the desire to transport lab-grown organs more effectively. (On the other hand, lab-grown organs are more promising candidates for this than donor organs, since they can be genetically and physically modified.)

One challenge to proposing animal research is that it could raise animal rights concerns, which could be exacerbated by cryonics' delicate political position. One way around this would be to focus (for now) on testing models that do not involve reawakening the animal. For example, Peter Gouras recently proposed on Cryonet that the mammalian eye could serve as a good non-revival model. The animal would be euthanized, and the eye would be subsequently cannulated, perfused, and cooled. When re-warmed, measurements of the electrical effects of a light flash on the retina would be used to validate its functionality.

Science most definitely does not mean: "Let's try something random today and see what happens".

That does seem to be how mathematics works, though.

They did some research on non-human animals in the past, but AFAIK, they didn't publish much.

You seem to concede that you were wrong and they have done some research, even if most of what they do isn't. That was my sole objection, so I think we're on the same page now >.>

This claim is factually false. Cyronics organizations don't use their customers' bodies for research, and in general they don't do much research of any kind.

Note the present tense and the use of the adjective 'much' rather than 'any'.

shrugs We don't disagree on any facet of reality, just the semantics of how to label it.