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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
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Review
“This disturbing, often hilarious book raises many critical questions about deadness.” —The New York Times Book Review“An indefatigable researcher and fluid writer, Mr. Teresi provides a good long riff on death past and present.” —The New York TimesThe Week Magazine Author of the Week (03/21/2012)"The moment of death, suggests science writer Dick Teresi, is harder to pin down than ever...Charting historical definitions of death, the thinking of research greats and debates over near-death experiences, Teresi notes that the ethical challenges are immense, asking, for instance, whether all organ donors are unrevivable." —Nature“…Chilling, controversial, and, at times, comical commentary on physical death…All sorts of experts—on coma, animal euthanasia, and execution—as well as undertakers, organ transplant staff, neurologists, ethicists, and lawyers weigh-in on the death debate.” —Tony Miksanek, Booklist“Like a real-life version of Robin Cook’s medical thriller Coma, Teresi paints a grisly picture of organ harvesting and raises uncomfortable questions: Is the donor actually dead rather than at the point of death? Might he or she be revived given time and proper medical attention? …Provocative… [An] examination of important ethical issues and the still-unresolved question of what constitutes death.” —The Kirkus Review“Reading Dick Teresi’s book is like discovering that your college class has been hijacked by the spitball-lobbing kid in the back row—and that the kid is twice as smart as the prof ever was. Taking on biologists, philosophers, and the medical establishment, Teresi zestfully skewers our confused thinking about life, death, and the states in between. The Undead is a rarity: a superserious examination of a profound subject that is a pleasure to read.” —Charles C. Mann, author of 1493 and 1491 “As I was pulled into this startling, informative account of death-defying and death-defining, I couldn’t help putting a checkmark in the margin next to every line that made me gasp—or laugh—or marvel at Dick Teresi’s bold, inimitable reporting style. On some pages I made as many as four checkmarks. The book left me reeling at the welter of uncertainty that surrounds the certainty of death.” —Dava Sobel, author of Longitude and A More Perfect Heaven
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About the Author
Dick Teresi is the coauthor of The God Particle and the author of Lost Discoveries: The Ancient Roots of Modern Science, both selected as New York Times Book Review Notable Books. He has been the editor in chief of Science Digest, Longevity, VQ, and Omni, and has written for The New York Times, The Wall Street Journal, and The Atlantic, among other publications.
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Product details
Hardcover: 368 pages
Publisher: Pantheon; 1 edition (March 13, 2012)
Language: English
ISBN-10: 0375423710
ISBN-13: 978-0375423710
Product Dimensions:
5.9 x 1.3 x 8.6 inches
Shipping Weight: 1 pounds
Average Customer Review:
3.1 out of 5 stars
78 customer reviews
Amazon Best Sellers Rank:
#1,735,359 in Books (See Top 100 in Books)
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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