Suspended Animation Inc. accused of incompetence

CronoDAS

I recently found something that may be of concern to some of the readers here.

On her blog, Melody Maxim, former employee of Suspended Animation, provider of "standby services" for Cryonics Institute customers, describes several examples of gross incompetence in providing those services. Specifically, spending large amounts of money on designing and manufacturing novel perfusion equipment when cheaper, more effective devices that could be adapted to serve their purposes already existed, hiring laymen to perform difficult medical procedures who then botched them, and even finding themselves unable to get their equipment loaded onto a plane because it exceeded the weight limit.

An excerpt from one of her posts, "Why I Believe Cryonics Should Be Regulated":

It is no longer possible for me to believe what I witnessed was an isolated bit of corruption, and the picture gets bigger, by the year...

For forty years, cryonics "research" has primarily consisted of laymen attempting to build equipment that already exists, and laymen trying to train other laymen how to perform the tasks of paramedics, perfusionists, and vascular surgeons...much of this time with the benefactors having ample funding to provide the real thing, in regard to both equipment and personnel. Organizations such as Alcor and Suspended Animation, which want to charge $60,000 to $150,000, (not to mention other extra charges, or years worth of membership dues), are not capable of preserving brains and/or bodies in a condition likely to be viable in the future. People associated with these companies, have been known to encourage people, not only to leave hefty life insurance policies with their organizations listed as the beneficiaries, to pay for these amateur surgical procedures, but to leave their estates and irrevocable trusts to cryonics organizations.

...

Again, I have no problem with people receiving their last wishes. If people want to be cryopreserved, I think they should have that right. BUT...companies should not be allowed to deceive people who wish to be cryopreserved. They should not be allowed to publish photos of what looks like medical professionals performing surgery, but in actuality, is a group of laymen playing doctor with a dead body...people whose incompetency will result in their clients being left warm (and decaying), for many hours while they struggle to perform a vascular cannulation, or people whose brains will be underperfused or turned to mush, by laymen who have no idea how to properly and safely operate a perfusion circuit. Cryonics companies should not be allowed to refer to laymen as "Chief Surgeon," "Surgeon," "Perfusionist," when these people hold no medical credentials.

I recently found something that may be of concern to some of the readers here.

An excerpt from one of her posts, "Why I Believe Cryonics Should Be Regulated":

It is no longer possible for me to believe what I witnessed was an isolated bit of corruption, and the picture gets bigger, by the year...

For forty years, cryonics "research" has primarily consisted of laymen attempting to build equipment that already exists, and laymen trying to train other laymen how to perform the tasks of paramedics, perfusionists, and vascular surgeons...much of this time with the benefactors having ample funding to provide the real thing, in regard to both equipment and personnel. Organizations such as Alcor and Suspended Animation, which want to charge $60,000 to $150,000, (not to mention other extra charges, or years worth of membership dues), are not capable of preserving brains and/or bodies in a condition likely to be viable in the future. People associated with these companies, have been known to encourage people, not only to leave hefty life insurance policies with their organizations listed as the beneficiaries, to pay for these amateur surgical procedures, but to leave their estates and irrevocable trusts to cryonics organizations.

...

Again, I have no problem with people receiving their last wishes. If people want to be cryopreserved, I think they should have that right. BUT...companies should not be allowed to deceive people who wish to be cryopreserved. They should not be allowed to publish photos of what looks like medical professionals performing surgery, but in actuality, is a group of laymen playing doctor with a dead body...people whose incompetency will result in their clients being left warm (and decaying), for many hours while they struggle to perform a vascular cannulation, or people whose brains will be underperfused or turned to mush, by laymen who have no idea how to properly and safely operate a perfusion circuit. Cryonics companies should not be allowed to refer to laymen as "Chief Surgeon," "Surgeon," "Perfusionist," when these people hold no medical credentials.

Your map does not match the territory regarding my beliefs on this matter. Please read the sequences Noticing Confusion and Against Rationalization before making any further remarks concerning my reasoning processes.

I intended no more or less than what I said regarding skepticism. The test you have proposed would not get an accurate result due to embedded assumptions which you are not taking into consideration: 1) "Competence" as commonly understood implies comparison to a competitor. Competitors do exist for hypothermic medical procedures but not for cryonics stabilization services as a whole. Hiring more qualified personnel would be an advancement. The entire complaint would be regarding the speed of progress in this area, which is a more complex issue than you give it credit for being. 2) The overall importance of hypothermic damage (including limited warm ischemic time) compared to cryothermic damage is questionable. It is a legitimate proposition that some hypothermic damage should be considered an acceptable trade-off for financial and other factors (complexity and mobility of equipment, flexibility of the personnel's schedule, etc.) which affect the patient's risk in this context.

In short: The claim "SA is incompetent" predicts that competitors exist, and that hypothermic damage is significant compared to the damage of the process as a whole. And it fails both of these predictions.

I certainly do care about stabilization quality and preventable damage, including the warm ischemic times seen. However my map regarding this territory is dramatically different from yours. You vastly overestimate the significance of procedural damage to the overall situation. The most important part of a stabilization company's job is to ensure that the tissue is vitrified, if at all possible, because straight freezing is thought to be more destructive to information than the early stages of ischemic cascade. There are complicating factors in every stabilization case (and in particular remote stabilization which is what SA does), most of which are not the fault nor responsibility of the stabilization company but are caused by outside factors beyond their control. With an eye towards incremental advances, I believe that the biggest possible improvements would be a shift in outside attitudes towards tolerance and understanding of what this entails. A rational person who wishes to maximize preservation quality should attempt to avoid remote stabilization to begin with by moving close to Alcor or CI prior to deanimation because of the inherent complications in remote standby.

To my knowledge, no one has attempted to cover up Melody. I do wish she would quit making the same set of remarks in a highly political and condescending tone, repeatedly, even after they have been answered, but that is an objection to her rationality and not her free speech rights. I believe Larry Johnson has obtained and spread confidential patient information from Alcor (including pictures), and this is legitimate grounds for a lawsuit (and significant moral outrage) if you consider the same rules applying to cryonics as apply to medicine, with regards to patient privacy.

As I understand it, Maxim makes two claims:

SA underdelivers and overcharges for services, ("incompetence") while representing itself in a disingenuous and probably legally prohibited way.
The industry SA operates in should be regulated because of claim 1.

It appears to me that your counterargument for Claim 1 is to claim that's a poor definition of incompetence.

Your replacement definition- "not as good as a real competitor"- is not one I've ever heard of, and I strongly contest that is the common understanding. Is Miss Cleo "... (read more)

4David_Gerard16y

"You really should read the sequences" is the LessWrong phrase for ...

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Suspended Animation Inc. accused of incompetence

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