What it’s like to dissect a cadaver
alok.github.io
alok.github.io
Local laws dictated that all bullet fragments be removed, and since it was a low-caliber bullet the man had fired into his head, it mostly bounced around in there. Originally, they had drilled a discreet hole and were trying to get everything out that way, but eventually had to do the full rectangle, with a Stryker autopsy saw.
Suffice to say that I do not have my father's squeamishness.
(TY for sharing your story btw, thought the aside was interesting enough to tangent on)
Surely a med student needs to overcome that though? Even going into say.. radiology, it seems bound to happen from time to time, isn't that just really inconvenient for everyone, embarrassing even for the doctor (by then) himself?
From my understanding they’re mostly exposure therapy. Perhaps also some additional teaching about what be actual (low) risks with exposure are.
From what I understand the cause is an automatic response to lower the blood pressure, so as to limit the blood loss.
Blood phobia psychological treatments developed by behaviourists give that indication to patients during the exposure to blood and blood related experiences during the treatment. The name of the therapy is exposure therapy and it's the one with more evidence supporting it for treating phobias. Yes, its about "facing your fears" but it's done in a gradual way. https://www.apa.org/ptsd-guideline/patients-and-families/exp... Therapists found ways to prevent the fainting during the blood-phobia treatment, allowing the graded exposure occur.
I think that the author is not an individual with such an interest was quite clear from the tone taken on this piece - most discussions involving cadavers are quite respectful of the fact that they are working on the mortal remains of a person; for some reason the way this piece was written felt almost disrespectful.
Not that I know first-hand, but that's not the impression I got from the med students when I was at uni.
People find all sorts of odd ways to cope with their own mortality, and getting reminded of it tends to bring those to the fore.
I would hope that tales of inappropriate jokes of posing with body parts are relegated to a bygone era.
Fwiw I would have no issue donating my body to my institution for dissection. I certainly benefited from the donation. Some notable memories:
- The brittleness and crunchiness of an atherosclerotic artery compared to the pliable rubber hose of a healthy artery
- How incredibly soft lungs are -- like a tempur-pedic pillow. Unless the donor had been a smoker. Then the lungs were hard and black-spotted like a pumice stone.
- The muscular atrophy of old age. There were some donors whose abdominal muscles were as thin as paper.
- Holding a donors brain in one's hand (it's smaller than one would expect). In the words of a lab partner, "I can't believe we are holding everything that made this person a person, all their personality, everything."
Pretty much. Med school seems to have this sinister ability to destroy part of your humanity.
Thought provoking. I'll keep this in mind while holding a hundred billion apples during lunch. ;)
From another angle, I would argue that the eyes and face are part of what makes a human, as are the hands. And there's also something in the brain that has been lost, something beyond mere physical matter. An easy example of this is a puzzle, if you're putting a puzzle together, and I come in and mix it up, I've taken something from you, and yet I took no material object away. There's probably some organization that's part of our brain and "humanity" that is lost at death. I'm not talking about religious "spirit" here - back to the puzzle, it has no spirit, but an assembled puzzle is more than the physical material it is made of.
I don't mean to be super critical of your lab partner, just sharing some additional philosophical views.
I also agree with this take, though in the moment at the lab I didn't interject with a critique of mind-body dualism. Either way, it seems the brain has some sort of primacy over other organs, in terms of contributing to personhood. Pretty much everything else could be lost or transplanted, yet we'd still consider someone the same person. The brain however seems essential in making you you.
The brain certainly does a lot of heavy lifting, but I think if you took a person's brain out of their human body and into a robot body instead, they'd probably have dramatic shifts in personality, behavior, thought processes, feelings, worldview, etc. It would probably be on a similar level as those experiments where people use magnetic or electric pulses on their brain or whatever and observe large personality changes.
Mom's a nurse, so it never struck me as odd or mean-spirited. It finally dawned on me when she cracked a joke in response to a question grandma asked about a work story mom was telling at a family get-together. It went over grandma's head, thankfully. It was a pretty good pun, but I think that was the first time I realized that not everyone is used to that sort of talk.
In 1970-71, my first year at UCLA med school, we spent four (4) hours 4 (four) days a week in the gross anatomy lab.
First semester was below the neck, second semester just the head and neck.
Fascinating; I enjoyed everything about dissecting our (4 students/body) corpse.
The only bad thing was the smell of the formalin: it was SO strong that my eyes would water every session: they/I never got used to it.
My "Grant's Anatomy" textbook, which was propped up on the cadaver tank every session to guide me, still stunk of formalin 40+ years later, so much so that much as I enjoyed having it as a memory of something I did that was really hard, I threw it away around 2010 because it made every closet or cabinet or drawer I put it in reek.
I suspect ventilation in the dissection room (120 students/30 cadavers) 52 years ago was WAY worse than it is today.
I'm surprised I'm not brain dead from inhaling superstrong formalin vapor 16 hours/week x 16 weeks/semester x 2 semesters = for roughly 500 hours that year.
Maybe I am brain dead!
You should eat Serrano ham sandwich afterwards, that just about cures it /s
-- "Be careful not to nick the nerve as you <whatever>"
-- "Opps! Better now?
-- "Yes. In fairness, it's not her biggest problem right now"
Meanwhile, pathology is such a interesting science. Especially the quite visual signs of self inflicted decay due to substance abuse or bad living conditions are very hands on. Also the realization, that the body is a self deprecating machine, adapting to all circumstances.
Great german book on famous dead people and the source of there demise: https://www.amazon.de/Woran-sie-wirklich-starben-Pers%C3%B6n...
For example, they called one of the corpses "blondie"... and she was headless. Let that one sink in.
I think this is a special case of emotional transference.
I don’t personally see a reason to treat cadavers any differently than any other object in a lab. They’re not people. Do we need to be careful to show respect for our mobile phones? How about our coffee mugs?
Even from a purely consequentialist point of view: if behavior around the cadavers gets out to the public, and the public deems it disrespectful, the public stops donating cadavers, which negatively impacts medical education. Even if you don't personally believe in treating human remains with respect, a huge part of society does, and you have to at least respect that.
Disrespectful/joking behavior behind the scenes is not too rare with doctors, either. I have doctor friends who attest to this, as in, they engage in this behavior (so again, no game of telephone here). Never in front of the patient, since that would be rude and unacceptable, but privately with other physicians? You bet.
You are justified in being skeptical, but unfortunately you're not going to find the evidence you seek on HN. By definition, the written word here is not going to be proof enough. If the topic interests you enough, I guess you'll have to speak to doctors and students directly?
EDIT: I realize I should clarify based on some of the sibling comments... nobody was doing anything obscene with body parts. I'm referring to commentary, jokes, dark humor.
Yes, same with my anecdotes. I was talking about dark humor, not doing anything obscene with body parts. I think nobody else mentioned anything obscene, either.
It’s quite a listen!
Some of those thoughts were shared out loud and definitely come off as ignorant due to the curiosity of the writer.
There's a book I read recently "When Breath Becomes Air" that talks about this rite of passage and the "respect" for mortality that isn't always shared by first year med students.
I'm not going to go so far to say that only med students should have access to cadavers... but this article does feel like a rando just cutting someone up for fun, and that feels a bit off to me.
On most topics, this community mostly values pursuing personal curiosity even if it's not for a larger purpose. We never know where we will find larger purposes, after all! And following interest and desire is generally a valued habit.
I didn't get the impression they were a rando "cutting someone up for fun" (note "someone"). I did get the impression they were a rando who wanted to know more about the human body, with a particular interest in the nervous system likely from a career in AI/ML. Note how the author has a better appreciation for the effects of disease, for the effects of exercise, and how they had intuitional leaps around brain structure and its applicability to ML as well as nascent intuition around the importance of social systems to evolution.
Personally I'm really glad that these opportunities exist. Most bodies become ash or sit rotting unnaturally slowly. This is a better use, even for lay people with idle curiosity.
This brings up a central question about the value of collective vs individual knowledge. If you donated your body, would you rather help a lot of people a little or a few people a lot?
If I knew that my body had the power to bring about a truly humbling, enriching, and perspective changing experience to a few individuals, I would be happy with that. In an indirect way, it might be so inspiring for those individuals as to result in a net gain of collective knowledge in the future.
If you brought a date to a makerspace, would that make your interest in the makerspace illegitimate? Only if she enjoys it?
However, if the body of a loved one who has passed away were to be treated without respect, it would upset me a lot.
I'd certainly be very happy knowing that my body brought such an experience to another individual, I certainly won't be using my body anymore at that point.
I wonder if, when signing up for donation, you can specify what kinds of "science" or interactions you prefer your body to be used for after dying.
[1] https://ca.movies.yahoo.com/french-academic-charged-over-mas...
Its pretty common tbh.
The thornier issue, having discussed my wishes with my family, is how it will affect them after I go.
- "You want a facility with good ventilation. Doesn't take an M.D. to understand that breathing the vapors from embalming fluids, intestine contents, etc. is bad."
- "Once you get the head off, the rest is easy."
It seems OP doesn't care about this?
Anyway, that's when I realized I could never be in that profession. I would have to become cold to it and I probably couldn't.
>"Hey, everybody, everybody gonna have a good time tonight
Just shakin' the soles of your feet
Everybody, everybody gonna have a good time tonight
That's the only soul you'll ever meet..."<
Where in the post did you see a lack of dignity? To me, it didn't seem disrespectful.
I've seen some video footage of minimally invasive operations (during a dies academicus lecture) and OMG fat was just so ugly. I know it is a natural part of us but when I saw that footage I promised myself to do more sports.
Or IDK what they were referring to.
I only saw people being respectful the two times I was there, after hours with only students and no professors around.
The smell was terrible, not because of rotting flesh, but because the chemicals. I had more opportunities to visit, but couldn't really get over the smell so would just wait in the hall for my wife.
I'm optimistic that I don't experience that many dead bodies again until I am one.
That all being said, I agree, this essay was well-written and appropriately respectful. Thank you for posting !
The facility we used also did animal experiments, which I really don’t want to know about, but there was an amazing photocopied chart taped up in the locker room with diagrams of how to put notches in mouse ears in order to encode numbers on them.
-- most medical school cadavers look like jerky and smell weird -- most medical schools (in the UK at least) do not like students doing dissection; they prefer prosection (where someone competent has already made the cut) -- it was, for me, an increasingly weird feeling to realise that the images seen on medical imaging -- particularly axial (cross-sectional) t2 weighted MRI images, really really do look like reality, but with the colours in grey and white rather than odd shades of red, white and pink -- nobody feels emotional about a liver -- everybody feels emotional about hands, and doesn't expect to when they go in -- for actually understanding the Latin names of everything and the typical decorative layout of the human body, VR or just plain medical imaging are pretty damn good, arguably better than aforesaid interestingly smelling jerky -- for actually understanding that your future career will involve dealing with people's children or possibly parents in dire situations, that we are all naked under our clothes (and should just get over it as a society), and that, yes, we are all going to die, the dissection room can't be beat.
I think it's okay to find the biological systems behind your own body fascinating, even to the point of excitement. There's a very good talk by John Cleese about the difference between seriousness and solemnity, and I see some very strong parallels here. It's also worth mentioning that western attitudes towards death are both historically a very new thing and also, well, weird. If you grew up in the west, it's likely all you're used to, but these days we live in a world that has dramatically less death in it than even 50 years prior. I mean, entire industries have sprung up around this almost... deification, this sanctification of death. And to be perfectly honest, I think it's unhealthy to think of something so deeply integral to the natural world as something to be so shy about. But perspective is always important to have; for me, I think often about the idea of death. To really internalize what it means, that this thing was once moving and breathing and thinking, with a rich inner existence, just like me. And yet I have a (sometimes extremely) dark sense of humor. Comes with the territory, I think.
In the last day of our cadaver lab, we had some extra time, and we basically had, well, free reign. To be clear, at that point, the cadaver was in pretty rough shape. Turns out that pretty much everywhere on the body has muscle, bone, and connective tissue -- the exact things you're interested in from a biomechanics perspective. So pretty much the only two things left were inside the thoracic cavity, or the brain. There were other cadavers we could look at (but not dissect), so pretty much any of the end states we could just walk a few meters away and see. But looking at a diseased lung from an already-dissected cadaver still isn't the same as opening up the chest cavity yourself, so that's what we did. And it was deeply fascinating, even though it wasn't directly relevant to the class. That sense of... excited fascination... is something I can really relate to in the OP's article. I think that's okay, maybe even healthy, and I can imagine it being a powerful driver for people who decide to do, for example, biomechanics research. But again, perspective is important -- don't forget that you're standing there, dissecting, and the cadaver, well, can't do that anymore. So while I can absolutely emphasize with the fascination of it, the discovery of it...
...never in a million years would I consider bringing a _date_ to a cadaver lab.
It’s also much cleaner than the particularly tedious process of dissecting a entire human being, most of which consists of slowly stripping back skin and fat to get to the interesting stuff (Source: with 2 others, slowly dismantled an entire adult human male from whole body down to each individual muscle and tendon over a period of 4 months)
The Incredible Human Hand: https://www.bbc.co.uk/programmes/p01mv2md
The Incredible Human Foot: https://www.bbc.co.uk/programmes/p01mv2rj
This is listed as being shown in 2020, however I watched 2017 or so, perhaps it has been updated.
[1] https://tramppress.com/product/a-ghost-in-the-throat-by-doir...
Isn't this backwards? Or am I mistaken about human evolution? My understand was that our ancestors were not arboreal and walked on all fours then we adapted to walking upright. Therefore, feet became hands.
Many (most?) monkeys like chimpanzees have opposable thumbs on their “feet” so they’re more like a second pair of hands, which get exercised as such by gripping tree branches. Humans, on the other hand, keep their bottom hands in rigid clothing so they never get any real exercise.
Mary Roach has written a great book book with the same name about the same subject.
One element could be the timing - if 5 points appear in the first, say, 15 minutes, it might be enough to raise it to the front page? Maybe there's an element of randomness, too. Dunno.
I suppose HN algorithms are secret for a reason - if they were revealed, they could be optimized for.
What's the second-chance pool: https://news.ycombinator.com/item?id=26998308
But then it needs more votes in a short window to stay. If it doesn't get them, it drops off as quickly as it came.
So this seems to be HN working as usual.