Guy n smith night of t.., p.14

Stiff: The Curious Lives of Human Cadavers, page 14

 

Stiff: The Curious Lives of Human Cadavers
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  Dr. Pierre Barbet, a prominent and none-too-humble surgeon, invited Father Armailhac to his office at Hôpital Saint-Joseph and swiftly nominated himself for the job. "I am… well versed in anatomy, which I taught for a long time," he recalls telling Armailhac in A Doctor at Calvary: The Passion of Our Lord Jesus Christ as Described by a Surgeon. "I lived for thirteen years in close contact with corpses," reads the next line. One assumes that the teaching stint and the years spent living in close contact with corpses were one and the same, but who knows. Perhaps he kept dead family members in the cellar. The French have been known to do that.

  Little is known about our Dr. Barbet, except that he became very devoted, possibly a little too devoted, to proving the authenticity of the Shroud.

  One day soon, he would find himself up in his lab, pounding nails into the hands and feet of an elfin, Einstein-haired cadaver—one of the many unclaimed dead brought as a matter of course to Parisian anatomy labs—and crucifying the dead man on a cross of his own making.

  Barbet had become fixated on a pair of elongated "bloodstains"[1] issuing from the "imprint" of the back of the right hand on the shroud. The two stains come from the same source but proceed along different paths, at different angles. The first, he writes, "mounts obliquely upwards and inwards (anatomically its position is like that of a soldier when challenging), reaching the ulnar edge of the forearm. Another flow, but one more slender and meandering, has gone upwards as far as the elbow." In the soldier remark, we have an early glimmer of what, in the due course of time, became clear: Barbet was something of a wack. I mean, I don't wish to be unkind, but who uses battle imagery to describe the angle of a blood flow?

  Barbet decided that the two flows were created by Jesus' alternately pushing himself up and then sagging down to hang by his hands; thus the trickle of blood from the nail wound would follow two different paths, depending on which position he was in. The reason Jesus was doing this, Barbet theorized, was that when people hang from their arms, it becomes difficult to exhale; Jesus was trying to keep from suffocating.

  Then, after a while, his legs would fatigue and he'd sag back down again.

  Barbet cited as support for his idea a torture technique used during World War I, wherein the victim is hung by his hands, which are bound together over his head. "Hanging by the hands causes a variety of cramps and contractions," wrote Barbet. "Eventually these reach the inspiratory muscles and prevent expiration; the condemned men, being unable to empty their lungs, die of asphyxia."

  Barbet used the angles of the purported blood flows on the shroud to calculate what Jesus' two positions on the cross must have been: In the sagging posture, he calculated that the outstretched arms formed a 65-

  degree angle with the stipes (the upright beam) of the cross. In the pushed-up position, the arms formed a 70-degree angle with the stipes.

  Barbet then tried to verify this, using one of the many unclaimed corpses that were delivered to the anatomy department from the city's hospitals and poorhouses.

  Once Barbet got the body back to his lab, he proceeded to nail it to a homemade cross. He then raised the cross upright and measured the angle of the arms when the slumping body came to a stop. Lo and behold, it was 65 degrees. (As the cadaver could of course not be persuaded to push itself back up, the second angle remained unverified.) The French edition of Barbet's book includes a photograph of the dead man on the cross. The cadaver is shown from the waist up, so I cannot say whether Barbet dressed him Jesus-style in swaddling undergarments, but I can say that he bears an uncanny resemblance to the monologuist Spalding Gray.

  Barbet's idea presented an anatomical conundrum. For if there were periods when Jesus' legs gave out and he was forced to hang the entire weight of his body off his nailed palms, wouldn't the nails rip through the flesh? Barbet wondered whether, in fact, Jesus had been nailed through the stronger, bonier wrists, and not the flesh of the palms. He decided to do an experiment, detailed in A Doctor at Cavalry. This time, rather than wrestle another whole cadaver onto his cross, he crucified a lone arm. Barely had the owner of the arm left the room when Barbet had his hammer out:

  Having just amputated an arm two-thirds of the

  way up from a vigorous man, I drove a square

  nail of about 1/3 of an inch (the nail of the

  Passion) into the middle of the palm….I gently

  suspended a weight of 100 pounds from the

  elbow (half the weight of the body of a man

  about 6 foot tall). After ten minutes, the

  wound had lengthened;… I then gave the whole a

  moderate shake, and I saw the nail suddenly

  forcing its way through the space between the

  two metacarpal heads and making a large tear

  in the skin….A second slight shake tore away

  what skin remained.

  In the weeks that followed, Barbet went through twelve more arms in a quest to find a suitable point in the human wrist through which to hammer a 1/3-inch nail. This was not a good time for vigorous men with minor hand injuries to visit the offices of Dr. Pierre Barbet.

  Eventually, Barbet's busy hammer made its way to what he believed was the true site of the nail's passage: Destot's space, a pea-sized gap between the two rows of the bones of the wrist. "In each case," he wrote, "the point took up its own direction and seemed to be slipping along the walls of a funnel and then to find its way spontaneously into the space which was awaiting it." It was as though divine intervention applied to nail trajectories as well. "And this spot," Barbet continued triumphantly, "is precisely where the shroud shows us the mark of the nail, a spot of which no forger would have had any idea…."

  And then along came Frederick Zugibe.

  Zugibe is a gruff, overworked medical examiner for Rockland County, New York, who spends his spare time researching the Crucifixion and

  "Barbet-bashing" at what he calls "Shroudie conferences" around the world. He'll always make time to talk to you if you call, but it becomes quickly clear in the course of the conversation that spare time is something Zugibe has very little of. He'll be halfway through an explanation of the formula used to determine the pull of the body on each of Christ's hands when his voice will wander away from the telephone for a minute, and then he'll come back and say, "Excuse me. A nine-year-old body. Father beat her to death. Where were we?"

  Zugibe is not on a mission to prove the authenticity of the Shroud of Turin—as, I suspect, Barbet was. He became interested in the science of crucifixion fifty years ago, as a biology student, when someone gave him a paper to read about the medical aspects of the Crucifixion. The physiological information in the paper struck him as inaccurate. "So I researched it out, wrote a term paper, got interested." The Shroud of Turin interested him only in that it might, were it for real, provide a great deal of information about the physiology of crucifixion. "Then I came across Barbet. I thought, Gee, this is exciting. Must be a real smart guy—double blood flow and all that." Zugibe began doing research of his own.

  One by one, Barbet's theories fell apart.

  Like Barbet, Zugibe constructed a cross, which has stood—with the exception of several days during 2001 when it was out for repairs (warped stipes)—in his garage in suburban New York for some forty years. Rather than crucifying corpses, Barbet uses live volunteers, hundreds in all. For his first study, he recruited just shy of one hundred volunteers from a local religious group, the Third Order of St. Francis.

  How much do you have to pay a research subject to be crucified?

  Nothing. "They would have paid me," says Zugibe. "Everyone wanted to go up and see what it felt like." Granted, Zugibe was using leather straps, not nails. (Over the years, Zugibe has occasionally received calls from volunteers seeking the real deal. "Would you believe? A girl called me and wanted me to actually nail her. She's with this group where they put plates in their face, they surgically alter their heads, they bifurcate their tongues and put those things through their penis.")

  The first thing Zugibe noticed when he began putting people up on his cross was that none of them were having trouble breathing, even when they stayed up there for forty-five minutes. (He'd been skeptical about Barbet's suffocation theory and dismissive of the reference to torture victims because those men's hands were directly over their heads, not out to their sides.) Nor did Zugibe's subjects spontaneously try to lift themselves up. In fact, when asked to do so, in a different experiment, they were unable to. "It is totally impossible to lift yourself up from that position, with the feet flush to the cross," Zugibe asserts. Furthermore, he points out, the double blood flows were on the back of the hand, which was pressed against the cross. If Jesus had been pushing himself up and down, the blood oozing from the wound would have been smeared, not neatly split into two flows.

  What, then, could have caused the famed double flow marks on the Shroud? Zugibe imagines its having happened after Jesus was taken down from the cross and washed. The washing disturbed the clotting and a small quantity of blood trickled out and split into two rivulets as it encountered the ulnar styloid protuberance, the bump that protrudes from the pinkie side of the wrist. Zugibe recalled having seen a flow of blood just like this on a gunshot victim in his lab. He tested his theory by washing the dried blood from the wound of a recently arrived corpse in his lab to see if a small quantity of blood might leak out. "Within a few minutes," he writes in an article published in the Shroudie journal Sindon,

  "a small rivulet of blood appeared."

  Zugibe then noticed that Barbet had made an anatomical blunder regarding Destot's space, which is not, as Barbet crowed in his book,

  "precisely where the shroud shows us the mark of the nail." The wound on the back of the hand on the Shroud of Turin appears on the thumb side of the wrist, and any anatomy textbook will confirm that Destot's space is on the pinkie side of the wrist, where Barbet indeed sank his nails into his cadaver wrists.

  Zugibe's theory holds that the nail went in through Jesus' palm at an angle and came out the back side at the wrist. He has his own brand of cadaveric evidence: photographs taken forty-four years ago of a murder victim that showed up in his lab. "She'd been brutally stabbed over her whole body," Zugibe recalls. "I found a defense wound where she had raised her hand in an attempt to protect her face from the vicious onslaught." Though the entry wound was in the palm, the knife had apparently traveled at an angle, coming out the back of the wrist on the thumb side. The pathway of the knife apparently offered little resistance: An X-ray showed no chipped bones.

  There is a photograph of Zugibe and one of his volunteers in the aforementioned Sindon article. Zugibe is dressed in a knee-length white lab coat and is shown adjusting one of the vital sign leads affixed to the man's chest. The cross reaches almost to the ceiling, towering over Zugibe and his bank of medical monitors. The volunteer is naked except for a pair of gym shorts and a hearty mustache. He wears the unconcerned, mildly zoned-out expression of a person waiting at a bus stop. Neither man appears to have been self-conscious about being photographed this way. I think that when you get yourself down deep into a project like this, you lose sight of how odd you must appear to the rest of the world.

  No doubt Pierre Barbet saw nothing strange or wrong in using cadavers meant for the teaching of anatomy as subjects in a simulated crucifixion to prove to doubters that the miraculous Shroud of Turin was for real. "It is indeed essential," he wrote in the introduction to A Doctor at Calvary,

  "that we, who are doctors, anatomists, and physiologists, that we who know, should proclaim abroad the terrible truth that our poor science should no longer be used merely to alleviate the pains of our brothers, but should fulfill a greater office, that of enlightening them."

  To my mind there is no "greater office" than that of "alleviating the pains of our brothers"—certainly not the office of religious propaganda. Some people, as we're about to see, manage to alleviate their brothers' pains and sufferings while utterly dead. If there were ever a cadaver eligible for sainthood, it would not be our Spalding Gray upon the cross, it would be these guys: the brain-dead, beating-heart organ donors that come and go in our hospitals every day.

  Footnotes:

  [1] Is it really blood on the Shroud of Turin? According to forensic tests done by the late Alan Adler, a chemist and a Shroudie, it most certainly

  is. According to Joe Nickell, author of Inquest on the Shroud of Turin, it most certainly isn't. In an article on the Web site of the famed debunking group Committee for the Scientific Investigation of Claims of the Paranormal, Nickell says forensic tests of the "blood" have shown it to be a mixture of red ocher and vermilion tempera paint.

  8

  How to Know If You're Dead

  Beating-heart cadavers, live burial, and the scientific search for the soul

  A patient on the way to surgery travels at twice the speed of a patient on the way to the morgue. Gurneys that ferry the living through hospital corridors move forward in an aura of purpose and push, flanked by caregivers with long strides and set faces, steadying IVs, pumping ambu bags, barreling into double doors. A gurney with a cadaver commands no urgency. It is wheeled by a single person, calmly and with little notice, like a shopping cart.

  For this reason, I thought I would be able to tell when the dead woman was wheeled past. I have been standing around at the nurses' station on one of the surgery floors of the University of California at San Francisco Medical Center, watching gurneys go by and waiting for Von Peterson, public affairs manager of the California Transplant Donor Network, and a cadaver I will call H. "There's your patient," says the charge nurse. A commotion of turquoise legs passes with unexpected forward-leaning urgency.

  H is unique in that she is both a dead person and a patient on the way to surgery. She is what's known as a "beating-heart cadaver," alive and well everywhere but her brain. Up until artificial respiration was developed, there was no such entity; without a functioning brain, a body will not breathe on its own. But hook it up to a respirator and its heart will beat, and the rest of its organs will, for a matter of days, continue to thrive.

  H doesn't look or smell or feel dead. If you leaned in close over the gurney, you could see her pulse beating in the arteries of her neck. If you touched her arm, you would find it warm and resilient, like your own.

  This is perhaps why the nurses and doctors refer to H as a patient, and why she makes her entrance to the OR at the customary presurgery clip.

  Since brain death is the legal definition of death in this country, H the person is certifiably dead. But H the organs and tissues is very much alive. These two seemingly contradictory facts afford her an opportunity most corpses do not have: that of extending the lives of two or three dying strangers. Over the next four hours, H will surrender her liver, kidneys, and heart. One at a time, surgeons will come and go, taking an organ and returning in haste to their stricken patients. Until recently, the process was known among transplant professionals as an "organ harvest," which had a joyous, celebratory ring to it, perhaps a little too joyous, as it has been of late replaced by the more businesslike "organ recovery."

  In H's case, one surgeon will be traveling from Utah to recover her heart, and another, the one recovering both the liver and the kidneys, will be taking them two floors down. UCSF is a major transplant center, and organs removed here often remain in house. More typically, a transplant patient's surgeon will travel from UCSF to a small town somewhere to retrieve the organ— often from an accident victim, someone young with strong, healthy organs, whose brain took an unexpected hit. The doctor does this because typically there is no doctor in that small town with experience in organ recovery. Contrary to rumors about surgically trained thugs cutting people open in hotel rooms and stealing their kidneys, organ recovery is tricky work. If you want to be sure it's done right, you get on a plane and go do it yourself.

  Today's abdominal recovery surgeon is named Andy Posselt. He is holding an electric cauterizing wand, which looks like a cheap bank pen on a cord but functions like a scalpel. The wand both cuts and burns, so that as the incision is made, any vessels that are severed are simultaneously melted shut. The result is that there is a good deal less bleeding and a good deal more smoke and smell. It's not a bad smell, but simply a seared-meat sort of smell. I want to ask Dr. Posselt whether he likes it, but I can't bring myself to, so instead I ask whether he thinks it's bad that I like the smell, which I don't really, or maybe just a little. He replies that it is neither bad nor good, just morbid.

  I have never before seen major surgery, only its scars. From the length of them, I had imagined surgeons doing their business, taking things out and putting them in, through an opening maybe eight or nine inches long, like a woman poking around for her glasses at the bottom of her purse. Dr. Posselt begins just above H's pubic hair and proceeds a good two feet north, to the base of her neck. He's unzipping her like a parka.

  Her sternum is sawed lengthwise so that her rib cage can be parted, and a large retractor is installed to pull the two sides of the incision apart so that it is now as wide as it is long. To see her this way, held open like a Gladstone bag, forces a view of the human torso for what it basically is: a large, sturdy container for guts.

  On the inside, H looks very much alive. You can see the pulse of her heartbeat in her liver and all the way down her aorta. She bleeds where she is cut and her organs are plump and slippery-looking. The electronic beat of the heart monitor reinforces the impression that this is a living, breathing, thriving person. It is strange, almost impossible, really, to think of her as a corpse. When I tried to explain beating-heart cadavers to my stepdaughter Phoebe yesterday, it didn't make sense to her. But if their heart is beating, aren't they still a person? she wanted to know. In the end she decided they were "a kind of person you could play tricks on but they wouldn't know." Which, I think, is a pretty good way of summing up most donated cadavers. The things that happen to the dead in labs and ORs are like gossip passed behind one's back. They are not felt or known and so they cause no pain.

 

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