Showing posts with label The immortalists. Show all posts
Showing posts with label The immortalists. Show all posts

Monday, December 20, 2010

The History of Her Blood



I expect that most of you will know the story of HeLa. Thanks to some fairly meticulous note-taking, I can establish that I first came across it in 2004 and that for a while I considered writing about it in my dissertation. But then, fascinating and apposite as it was, it was simply too good for that particular purpose: it was a story with too much history, and it was a history that I didn’t feel I could do justice to. I turned to the past of my own family instead, to something to which I felt that I belonged and that I could control, in order to argue for the historical class divides in documenting and memorialising the individual. I compared the minute and near-obsessive recording of the childhood of Winston Churchill with the single surviving photograph of my maternal grandmother before the age of 50. Nowadays every one of us in the developed world is a Churchill, I concluded. And what did that mean?




There are but a handful of photographs of Henrietta Lacks as a young woman. She is a little girl. She marries. And then some time later she poses for the shot reproduced above, not knowing – of this we can be certain – that the image would end up in countless articles and essays and blog posts such as this one, as well as on the cover of a best-selling book, each one of those reproductions, an appropriation. But we are just compelled. That’s what the story of HeLa is, above, all – compelling.

Henrietta Lacks died after a brief and agonising battle with cervical cancer in 1951, when she was just thirty-one years old. After the initial examination, her attending physician at Johns Hopkins in Baltimore – one of the few hospitals that would treat African Americans without charge at the time, albeit in segregated wards – had given a sample of her tumour to Dr. George Gey, a researcher at the institution who had been trying unsuccessfully for years to grow human cells outside the body. Those particular cancer cells were to be the first that proved capable of surviving on a dish, where they thrived in fact beyond anyone’s imagination, growing at an even faster rate than they did inside of Henrietta. It was soon established that the cultures were capable of spawning an entire new generation with each passing day. When news reached him that Henrietta had died as a result of this astonishingly aggressive tumour, Gey sent his laboratory assistant to collect a second sample from the coroner in charge of the autopsy. On neither occasion was consent sought from either the patient or the family, as was customary at the time (and it remains something of a murky area to this day). But Henrietta’s cells weren’t like any other specimen collected to date: they could grow, and grow indefinitely. It was the first immortal cell line. Gey named it HeLa, after Henrietta Lacks, but spoke of their ‘donor’ no more. She no longer mattered.



HeLa’s first job was to help in the fight against polio. A cell production factory was set up for this purpose at the Tuskegee Institute (yes, that Tuskegee Institute) capable of producing twenty thousand tubes of HeLa, or about 6 trillion cells, every week. At this early stage it was all still done in the name of science and reputations, but soon the range of applications that HeLa cells made possible gave way to commercial exploitation. Companies like Microbiological Associates began producing HeLa cells on an even larger scale, and this time for gain. The biotech industry was born.

HeLa cells were sent into space by the Soviets and NASA to test the effect of weightlessness on human tissues, they were cloned, they were used to test and produce vaccines and drugs, study cancer, map the human genome and engineer in vitro fertilisation. And then in the 1960s scientists found that they were able to produce other cell lines that weren’t HeLa, and with growing frequency. It became possible to create libraries of different human tissues to experiment on, except some researchers became suspicious. Stanley Gartler was the first to opine that all those other cell lines might not be different at all – that they could all have been taken over by HeLa due to the inadequate containment protocols in medical labs, and that that’s why they grew so successfully. This catastrophic hypothesis took years to gain acceptance, but when it finally did, it motivated scientists to approach the Lacks family. It was the first time since Henrietta’s death, more than two decades earlier.



Henrietta was buried by the grove in this picture, outside of Lackstown, in un unmarked grave not far from her mother’s headstone. Her principal and most dedicated biographer, Rebecca Skloot, has described ‘three body shaped indentations’ in the ground (121), any one of which could be Henrietta. She had been buried without a coffin, and when her body decomposed, the ground beneath it sagged in the shape of a person. I find this image heartrending: the empty space left by the body, the lost knowledge of which of the plots was hers. It speaks to me not only of her family’s dire poverty but also of a severed bond of memory, of a personal story that is not carried forward. And I don’t mean the story writ large: the Lackses had no reason at the time to suspect that Henrietta would ever become an important and emblematic figure. They simply ceased to speak of her. It was their way to cope with her sudden and traumatic departure.

Thus a quarter of a century later, when the family learnt of HeLa, they had to contend not only with being reminded of what their wife and mother and sister had been through, but also of the extraordinary second life she had since been living, completely unbeknownst to them. Who was this HeLa, this otherworldly double that was being sent into space and bombarded with viruses and experimental drugs? Could she feel pain? Did clones of Henrietta walk the streets? Nobody bothered to explain the intricacies of human cell experimentation to the Lackses, at least not in terms that they could understand. They were urged instead to give blood samples, ostensibly so that the doctors could find out if they had what she had. What the scientific community needed was in fact a way to identify Henrietta’s genetic material so that they could tell which cell lines had been contaminated by HeLa.

***

Whenever the story of Henrietta Lacks is told, due mention is made of the fact that her descendants cannot afford to buy medical insurance and thus benefit from most of the advances that her biological material made possible. Skloot writes this of Henrietta’s middle child:
Sonny had a quintuple bypass in 2003, when he was fifty-six years old—the last thing he remembered before falling unconscious under the anesthesia was a doctor standing over him saying his mother's cells were one of the most important things that had ever happened to medicine. Sonny woke up more than $125,000 in debt because he didn't have health insurance to cover the surgery. (306)
Yet in most summations the focus goes back to the original sampling of the tissue, at a time when neither law nor common practice dictated that consent should be sought or information given. Your body, everyone’s body implicitly belonged to science. And neither George Gey nor Johns Hopkins made money out of creating or distributing HeLa. But what about in the 1970s, when the Lacks family was asked to give their blood? By this stage HeLa was the key raw material to a multi-million dollar industry, and it’s not as if the proceeds where being redistributed to all of humankind in the form of equal access to medical advances. It ought to have been well understood at this point by even the most naïve of researchers that the genetic information of the members of the Lacks family was worth a lot of money to a lot of people. And yet it was solicited again free of charge or obligation, under the guise of a concern for their health and providing them with a service.

And so the Lackses where defrauded twice: of their property, and of their agency. To this day, the family’s best shot at a belated economic redress remains the foundation set up by Rebecca Skloot though the proceeds from the book that tells their story, which is the third thing that they (we) came for. Something else that was theirs, and has become ours. Private pain, and how they dealt with it; medical records; personal histories of at least two generations of the Lacks family: they are all in the public domain now. There was simply no way to protect the story once the family name had been leaked to the press, and the Lackses did well to entrust its most extensive, definitive treatment to a sensitive and capable chronicler in Rebecca Skloot.



The Immortal Life of Henrietta Lacks is close to restorative in how it gives a voice to the family and endeavours to correct the many discrepancies and errors that had accumulated in years of less painstaking accounts. Significantly its central character isn’t Henrietta, but her daughter Deborah, the one who was most desperate to understand and remember: it was knowledge, above all, that she felt deprived of; she, who had no memory of her mother – who had died when she was fifteen months old – and had had to contend with her family’s reluctance to speak of her. In the end one gets the sense that Deborah found genuine comfort in coming to terms with Henrietta’s far more intricate and bewildering afterlife than in the ordinary life she couldn’t get access to, although that was far from a painless process either. In one of the book’s most memorable passages, Skloot tells of the exorcism performed on Deborah by her cousin Garry, a preacher, who succeeded in relieving her of the burden of that far too imperfect memory, which had brought her close to a complete physical breakdown.

Which brings us back to that remarkable presence/absence: a woman who has been dead for half a century and whose body has left an empty space in the ground where it was laid to rest, but whose surviving and constantly reproducing cells have been estimated to weigh today an aggregate of over 50 million metric tons (‘an inconceivable number,’ remarks Skloots, ‘given that an individual cell weighs almost nothing’ 2). And then there’s the weight of the story itself: all of the articles and the scientific papers and the blog posts, circulating electronically or in print, but never weightlessly, and of course the book, each hardback copy weighing 626 grams, with tens of thousands of copies sold. That ubiquitous image. And then the advances, the procedures, the devices, and the stock in the companies that produce and exchange them. All those nodes that cannot be disentangled: human lives, hardware, symbolic abstractions. Consent forms, medical records, family photos. Invisible cells that hop on specks of dust and move from dish to dish inside of laboratories.

At its most emblematic, the story of Henrietta Lacks is the story of the Social, of its irreducible complexity, of its permanently unstable categories, of its capacity to endow inert matter with layer upon layer of meaning. It is a story of race and class that was played out at the same time as the project of immortality through science was being articulated for the consumption of the white elites, who got to enjoy longer, healthier lives thanks to the infinite dissection of that single black body. It is, finally, the story of the elisions that are necessary in order for such fantasies to exist. As in the digitisation of the human on which the idea of computer-mediated immortality rests, Henrietta Lacks had to become HeLa – a file name – and all redundant aspects of her being had to be compressed, reduced into an algorithm. Likewise her family, her background, the social texture of her life had to be made irrelevant and quite simply forgotten. Two decades later, when it became necessary to involve Henrietta’s relatives, kinship had to be defined solely in terms of genetic information that could be retrieved in a single sitting, ensuring that there would be no ongoing relationship with the owners and carriers of that information.

They, as Henrietta before them, had to become the others whole lives are of no concern, a recurring subject of this blog this past year. But there’s another aspect to this: using the first two letters from your name and your surname to designate a part of you, or your genome to describe your whole person, are but two ways of making the subject fit into a template. Think about the formal characteristics of a Facebook profile, or the space that you are given to form an utterance on Twitter, and how they constrain the kind of person you can be, the range of what is possible for you to say. What elisions does that lead to? And conversely, how do those constraints define the non-subjects, those who simply cannot get online and speak or be spoken at all? I’ll make this one of the topics for next year. Have a good break, and as always thank you for reading.







Rebecca Skloot. The Immortal Life of Henrietta Lacks. New York: Crown Publishers, 2010.

Skloot has been writing about Henrietta Lacks for at least a decade, and earlier introductory articles are available here and here.

Dale Keigel. 'Immortal Cells, Enduring Issues.' John Hopskins Magazine, Winter 2010 issue.

This recent episode of the Radio Lab podcast series on 'famous tumours' (28 min mp3) is a very accessible introduction to the story of HeLa, with recorded material provided by Skloot including at around the 20 minute mark what I have referred to in the post with a little license as Deborah's exorcism.

With many thanks to Jake for his help with a small but naggingly elusive piece of information.

Monday, December 13, 2010

The Immortalist



Alan Harrington died of leukaemia on May 23rd, 1997, at the age of 79, leaving a scant 200-word obituary in The New York Times whose contents were lazily plucked from bits of old reviews and Harrington’s obit in his hometown newspaper. Wikipedia didn’t exist back then, but if you were to search it for Alan Harrington today you’d only find the Welsh footballer, born 1933. Meanwhile, none of the Alan Harrington’s several books appears to still be in print.

Then again – to paraphrase Woody Allen – Harrington never wanted to achieve immortality through his works. He wanted to achieve it through not dying.


You’re looking at the cover of the 1979 Abacus edition – the second in Great Britain, where it had been first published by Panther Books in 1973 – of Alan Harrington’s The Immortalist. By this stage the book had lost its original subtitle (‘an Approach to the Engineering of Man's Divinity’) in favour of the more direct ‘How Science Could Give Humanity Eternal Life’. But note how the artwork on the cover undercuts the appeal to science: in the midst of a waste land, an adult foetus floats in an amniotic bubble; in front of him, also suspended, a mysterious green door, ever so slightly ajar; behind him, a dragon. Standard cheap fantasy or science-fiction Seventies fare, so cheap and so standard in fact that there’s no mention anywhere in the book of who the artist even is. But then, contrasting again with the picture you might have formed in your head at this point of a piece of sensationalistic and semi-lurid quasi-fiction, there’s Gore Vidal’s pronouncement at the top of the cover that what you’re holding in your hands is in fact ‘the most important book of our time’.

Such were the complicated beginnings of this idea – of immortality through scientific means – and such were the surprising difficulties in marketing it, in finding it an audience. The original proponent had been Robert CW Ettinger, who first wrote in a putative science-fiction story about the possibility that people could be cryogenically preserved upon death and wait in this suspended state for a futuristic cure. Ettinger reformulated this contention as an actual, feasible project in his 1962 treatise The Prospect of Immortality, which got significant attention from the media and is extensively covered in Harrington’s book. Yet at the time when The Immortalist was written only a handful of people had actually joined a cryonics organisation and undergone the procedure, including not Walt Disney. Three more decades later, the number worldwide is estimated at a paltry 200. Ettinger, who is still alive and does have his own Wikipedia page, predicted it would reach 40 billion before science became advanced enough to allow the thawing to begin, in three centuries’ time. I think it’s fair to say the project is running a little behind schedule, in spite of Ettinger himself having contributed not one but two dead wives to the cause.


Another cover from a Discus/Avon edition closer to the original publication date of The Immortalist (1969). Here the skin and clothing of a besuited and very elderly man are shed to reveal a naked young man inside, his hair neatly parted. The man is standing near the shore, evoking perhaps the idea of evolution from an earlier state of being, like when our primordial ancestors abandoned the ocean. The fleecy clouds in the background are a little reminiscent of Magritte. Ceci n’est pas un homme, perhaps? Except it is, that’s the whole point: to argue that man – the gender inflection on the two covers is not casual – can live forever and still be a man. Note however that both images portray a rebirth into adulthood, which is consistent with the cryonics project (in which most patients will need to be rejuvenated as well as brought back to life) but not with Harrington’s contention that medical science will simply stop us growing old in the first place.

So we haven’t even opened the book yet and the nature of its message and whether or not is to be taken seriously are already being cast into doubt. The New York Times review of June 20, 1969 echoes this frustration:
The sheer originality of "The Immortalist" provokes anxiety. One is never absolutely certain whether one is reading a bitter satire on inspirational self-help books, the obsessional mutterings of a compulsive, or a serious proposition.
The serious proposition, simply put, is that the time has come for humanity to kill death, ‘to put an end to mortality as a certain consequence of being born’ (3). After having launched into a lengthy and at times formidable elucidation of the history of the idea of immortality in religion and philosophy, and having rather sardonically dissected the vestigial need to keep a careful tally of one’s moral worth in the atheist West (‘Among the middle classes, God, supposedly dead, has reappeared in the form of a gigantic Computer of Excellence’, 106), Harrington gets to the point: can it be done, and should it be done? To which the answers are yes and yes. It can, because it stands to reason that it will: it might take some time, but we’ll figure out where the switch that triggers our senescence is hidden and how to turn it off; it should, because fear of death is in fact the cause of all major social ills, of violence and injustice and inequality; and furthermore, because not doing it would be tantamount to a betrayal of the species, just when we are so near to attaining the final victory against our cosmic enemy. In conclusion:
The immortalist argument holds this ground and will not step back from it: that death from deterioration of the body is an outrage and should be unceremoniously treated as such. "Do not go gentle into that good night" does not apply here. Rather aim not to go at all; mobilize the scientists, spend the money, and hunt death down like an outlaw. (208)

What Harrington proposes then is a sort of Manhattan Project for immortality, one of those endeavours for which Americans could claim at the time something of a track record, what with having just put a bunch of men on the moon and all. So long as you were prepared to mobilise the scientists and spend the money, it must have seemed that everything was achievable. But here’s the first rub: for like Ettinger before him, Harrington is quite aware of the imbalances in wealth and opportunity in American society, and that the prospect of immortality for the elites might seem abhorrent even to those who were prepared to scoff at the message of ‘Whitey on the Moon’. Ettinger is more sanguine in his response to this conundrum, but both men agree that it would be unthinkable to allow for social disparity in access to eternal life.
(Ettinger, 164): The stratification of society is resented by the people in the lower strata. Even such trifling distinctions as those between master and slave, or between commissar and worker, are only grudgingly endured, if at all. The chance of the masses holding still for the vastly greater split between mortal and immortal is nil. The elite have a fairly simple choice: share immortality, or be torn limb from limb.

(Harrington, 265): Consider a freezer program with affluent white people (their life insurance policies paid up) lying in neat rows waiting for the trumpet of science to return them to life, while the struggling black and brown masses continue to die as they always have. Do the cryonics partisans dare dream of the black and brown reaction to this final injustice? Not only are the exploiters oppressing us now, but they are planning to come back and sit on the world all over again—and on top of that they will not even die.

Hold on to these thoughts, for they’ll be central to next week’s discussion. For now I’ll observe that neither Ettinger nor Harrington – whilst maintaining that immortality will be achieved thanks to free enterprise and money – have actual suggestions regarding how society might be transformed into one in which health is a right guaranteed to all citizens, a problem far more complex and profound than even whether we’ll manage one day to defeat cancer or halt aging. Harrington appears in fact to take a chicken-and-egg approach to it, whereby without death we’ll live long enough to acquire the wisdom necessary to make the equal sharing of resources on a planetary scale and therefore immortality itself possible. For instance: rational solutions to the problem of over-population will be found by the year 2000, he argues, simply because nations ‘will have no choice’ (288), a contention that would strike most readers nowadays as risible, and bitterly so. In this respect the whole intellectual framework allowing for immortality to become syllogistically inevitable strikes one as wishful and naïve, beginning with the blind faith in the steady upwards trajectory of medical science: we know in fact that one of the great life-prolonging advances of the 20th Century, the organ transplant, is in danger of soon becoming impracticable; and we have learnt just today of a decrease in the average life-expectancy in the most wealthy and advanced country on the planet.


So what has happened to the most important book of our time? It briefly acquired a more sombre and authoritative cover, above, before going out of print. In the meantime, a new brand of far more creditable and persuasive transhumanists – the Moravecs and the Kurzweils and the Gordon Bells of this world – have supplanted those early prophets by doing away with the need for messy bodies, messier economies and wholesale political transformations: immortality will come to you by way of software, and your digital mind will occupy the world without dimensions of a computer network. Yet reading the early immortalists remains instructive if one wishes to trace the history of this extraordinary idea, and locate the contradictions that later, more shrewd proponents have been able to mask but not resolve.

The treatment of these ideas on this blog naturally will remain ongoing, but ahead of next week’s post I want to leave you to ponder the opening line of Ettinger’s Man into Superman (1972):
By working hard and saving my money, I intend to become an immortal superman.
It articulated two key propositions: that immortality is imminent and affordable, so long as you believe and are prepared to work hard for it; and that it is a belief in science and capitalism that defines those who are worthy of being saved, henceforth the supermen.












Alan Harrington. The Immortalist. London, Abacus, 1979.

Robert CW Ettinger. The Prospect of Immortality. www.cryonics.org
Robert CW Ettinger. Man into Superman. www.cryonics.org

Christopher Lehmann-Haupt. ‘Anybody Want to Live Forever?’ New York Times of June 20, 1969, p. 39. (With many thanks to Keir.)


Monday, November 29, 2010

Death or Lentils


Disclaimer: What follows is not intended as a polemic against the vegan movement. Not that it’s any of my business what other people choose to eat and why, but it seems to me that at least two of the most common reasons cited for becoming vegetarian or vegan – not abiding by the suffering of sentient creatures, and supporting more sustainable ways to produce food for everyone – are compelling and worthy of anyone’s consideration, including mine. What I want to comment on here are some narrow and specific rhetorical strands in the arguments in favour of ‘virtuous’ diets and lifestyles, and how they fit within contemporary ideology and the discourse about mortality. Regular readers of this blog will be broadly aware of where I’m coming from; others, I hope, won’t take offence where none is meant. 


When I asked Joe what made him decide to change, he responded very simply. “We believed you”.

(Caldwell Esselstyn)




Dr. Caldwell Esselstyn thinks he knows the cause of heart disease, and how to cure it. He might know how to prevent several of the most common types of cancer, too. It’s all in the diet. Renounce meat, eggs and dairy. Say goodbye to nuts and oils. Eat to live.

His contention, simply put, is that all the foods just mentioned injure the endothelial cells and impair their ability to produce nitric oxide, a compound whose several regulatory effects are fundamental for the prevention of heart disease. While the basis for this hypothesis is epidemiological – based on observations of populations in certain times and places who ate almost solely plant-based foods and lived free of heart disease – the effects on the endothelium of different foods can be readily observed by means of the brachial artery tourniquet test (or BART), informing the dietary prescriptions I just outlined. Besides oil, nuts and avocados, animal products are forbidden then not on ethical grounds but because of their harmful effects, which can be measured literally as they pass our lips.

I am not equipped to evaluate any of these expert claims. I might note with a degree of suspicion that the praise for Esselstyn’s book comes mostly from authors of other books of very similar bent, such as T. Colin Campbell’s The China Study, Dean Ornish’s Dr Dean Ornish’s Program for Reversing Heart Disease, Oz and Roizen’s You: The Owner’s Manual and others. I might also note that the BART test is mentioned on the Net almost exclusively in discussions regarding these books. Mindful of the methodological criticism for The China Study, I might suspend my judgment until Esselstyn’s Prevent and Reverse Heart Disease is subject to the same scrutiny, or the results of his research begin to be replicated elsewhere and on a greater number of patients. That being said, some aspects of the prescription fit in with what we know about the lower incidence of heart disease amongst people who eat primarily or exclusively plant-based foods, so it’s not a question for the lay person of having to take it entirely on faith. Yet faith comes into it precisely because of the language in which the diet is presented and marketed, employing rhetoric that we are accustomed to hear from our spiritual leaders.

Let’s start with the title of Esselstyn’s first chapter: Eating to live. To live longer and free of disease is a reasonable aspiration and we may wish to judge the contribution of medicine to society according to whether it can deliver on this front and do so equitably. By offering a dietary as opposed to a pharmacological cure, Esselstyn empowers his patients to be their own healers, which strikes us instinctively as a good thing. The move also takes power and control away from pharmaceutical companies – another highly desirable outcome. But if agency rests with us, how are we to choose the correct course of action? After all Esselstyn’s cure (the italics are his) is one amongst many; Robert Atkins, for one, had a radically different prescription.

The fabulously named nutrition expert Marion Nestle has written convincingly in Food Politics about the successful efforts of various commercial interests to interfere with or complicate the advice by the US authorities on what a healthy diet should consist of. She contends that this advice hasn’t appreciably changed over the last several decades – to eat a varied diet, in moderation, and with an emphasis on plant-based foods. But you can’t sell that. For one thing, it is not new. For another, it is not sufficiently prescriptive. Esselstyn knows you need to be sterner. He blurts it right out: moderation kills. Why eat something that you know will hurt you, even in small doses? Isn’t that tantamount to taking a poison? You wouldn’t have a few cigarettes reasoning that you might develop just a small lung cancer, or take a little bit of cocaine  – he said in his recent interview with Kim Hill. And if the comparison with drugs strikes you as retrograde or strident, remember that the aim is 'eating to live'. That is the endgame: to preserve yourself, to save yourself. It is not about morals, unless you chose to regard living a long and healthy life as a moral imperative.

Now consider Esselstyn’s core audience: heart disease sufferers, people who are painfully aware of their shortened life expectancy. He promises them that they will live. For how long? It doesn’t matter. If you had had a couple of heart attacks, wouldn’t just the prospect of eventually dying of something else seem like immortality? And it is precisely what this is, an immortality. When Esselstyn says that ‘[n]o one escapes in the end’ he doesn’t mean that you will at some point die regardless of how well you eat, but on the contrary that ‘eventually the traditional western diet guarantees some form of disease in all of us’. Our lifestyle is corrupt, and that’s what kills us. It is not time, it is not life itself.

As for Esselstyn, well, Esselstyn is God: ‘I am uncompromising. I am authoritative. But as I always tell my patients, I am a caring presence.’ His objective is to ward off evil, to ‘annihilate heart disease’. And Esselstyn’s patients are the saved. All the participants in his twenty-six year study have been cured of heart disease, except for one. He tells Kim Hill that he visited this patient at his home, looked into his fridge and cupboards. Let’s just say he was disappointed by what he found there. The prescription hadn’t been followed to the letter. Yet it is very simple. It goes like this. ‘You may not eat anything with a mother or a face’. Not because it is wrong, but because it hurts you. Also: ‘You must not consume oil of any kind—not a drop’. These are god-like commandments, regular thou-shalt-nots – except the Bible for one is in fact more flexible, limiting dietary prohibitions for the most part to certain times of the week or the year.

I find the image of the forbidden drop of oil quite arresting. What is this deadly substance that can corrupt the body in the most minute quantities? This is where the medical-scientific project appears to veer into a quasi-neurosis, and everyday practices that are in other respects progressive develop disquieting vocabularies of othering and revulsion. Christchurch researcher Annie Potts coined recently one such word, vegansexual, to describe vegans who wouldn’t have sex with meat-eaters. Here’s what some of the respondents to her study, entitled ‘Cruelty-Free Consumption in New Zealand’, had to say:

I couldn’t think of kissing lips that allow dead animal pieces to pass between them. [49, vegan, Auckland]

I believe we are what we consume so I really struggle with bodily fluids, especially sexually. [34, vegan, Christchurch]

I would not want to be intimate with someone whose body is literally made up from the bodies of others who have died for their sustenance. Non-vegetarian bodies smell different to me —they are, after all, literally sustained through carcasses—the murdered flesh of others. [55, ovo-vegetarian, Auckland]

There is a convergence in these ways of conceptualising nutrition and the body, a yearning to make oneself morally deserving of being healthy, free from contagion. Consider again Esselstyn’s instruction not to eat things with ‘a mother or a face’: even when it is intended as a prophylactic measure, it is spoken in the cryptic language of the mystics, as if to promise a safety that is neither bodily nor moral, but rather symbolic and spiritual. Another immortality, one of the very few kinds that remain available to us; one that doesn’t require literal, conscious belief, yet informs how we relate to our bodies, to public health and to the attendant politics, amidst regular calls to exclude drinkers or the obese from public hospitals, or make provisions contingent to how well you have behaved, to whether you mended your ways and started to exercise.

As I pick up in the weeks to come where I left off long ago, and resume the discussion of other contemporary approaches to immortality that are mediated by engineering and computer science, I’ll be confronted by ideas that I find in many respects more seductive than those of the healthy lifestyle movements, and I’ll have to dig deeper to summon the necessary scepticism. It might help in those moments to think of my father. After his first heart attack, Dad had to undergo regular check ups, and if this or that doctor happened to praise him for his exceptionally low cholesterol he would sometimes respond: ‘One of these days I’ll make a very healthy corpse’. I take it to mean that he wasn’t fooled, and that he didn’t expect to be saved. To eat a little better so that he could live a little longer, hopefully, yes, but nothing beyond that – he let no higher power or greater virtue creep into his secular worldview. And not everything that passed through his lips was part of the cure.









The quotations from Dr. Esselstyn that are not indicated as belonging to his interview with Kim Hill on Radio New Zealand National of November 27th, 2010, come from chapter one of his book, Prevent and Reverse Heart Disease, which is excerpted here.

Dr. Annie Potts' survey, entitled 'Cruelty-Free Consumption in New Zealand: A National Report on the Perspectives and Experiences of Vegetarians & Other Ethical Consumers', was published by the University of Canterbury in 2007 and is availabe in PDF here.

On the darker undertones of the idea that we are what we consume, I commend this brief recent post at Uninterpretative.

Update: Proving himself once again a man far, far ahead of his time, Philip Challinor warned us of the danger posed by the treacherous lentil all the way back in 2005.

Update 2: M. Jansen has supplied in the comments the link to a very solid-sounding critique of Esselstyn's work by Harriett Hall on the Science-Based Medicine blog.

Monday, February 23, 2009

The Stuff of Life


Regular readers would have noticed last week that this blog’s masthead was blacked out in protest of section 92A of the New Zealand copyright amendment bill, a piece of legislation ostensibly designed to curb illegal downloads but fraught with a number of troubling shortcomings. It was a worthy enough cause to lend one’s largely symbolic support to, and I was happy to be a part of that. But I also came to wonder, as others did, why so many people in so many places - the protest reached as far as the shores of Stephen Fry - felt so strongly about an obscure and quite possibly unenforceable piece of legislation whose actual consequences are difficult to quantify or foresee. (Although those very difficulties are of course part of the problem.)

If I may dare to summarise: we* don’t like the principle, that one can be found guilty of a copyright infringement without a right to defence and due process, and we* don’t like the implications, in terms of who is empowered to regulate the circulation of information on the Net. I stand behind all that. But there is much symbolism besides, starting from the names of two foundations - one local, the other based in the US and very influential worldwide - strenuously opposed to this type of legislation: Creative Freedom and Electronic Frontier. There is a world of assumptions in those two names alone, to wit: that cyberspace is a new frontier, a space that can be and should be constructed and furnished according to new principles, a new idealism regarding how knowledge can be exchanged and for the benefit of whom. In Collective Intelligence, Pierre Lévy argues that this will be nothing less than ‘the major architectural project of the twenty-first century’ (p. 10). And again I am not opposed to any of that. But I did set out last week to ridicule the proponents of cyberization of the self and of digital immortality, and I think I need to account for the intersections of some of these assumptions, ours* and theirs. It is only fair.


We*, ours*, those are some densely packed pronouns, and therein the problem lies - hence the asterisks (hereinafter to be mentally supplied by the reader). We can talk of greater access to knowledge, democracy of ideas, the commons. But for whom? Not for my mother, I can tell you that. Her use of the computer is limited to the acts of switching on and then off - Windows and Skype load all by themselves. In the meantime her favourite newspaper might be in some strife due to the pressures put on that business model by the fact that I can read it for free from the opposite side of the world, so she might lose one of her principal ways of tapping into cultural debates - many of which have shifted decisively onto the Net anyway. It could be countered that she was simply unlucky to be caught at the wrong end of a generational shift, and that had she been born twenty or thirty years later a person of her background and experiences - a graduate, a teacher - would surely have caught the wave. But besides the fact that I think we should spare a thought or two for the people stuck in that particular generational crevice, such exclusions cannot be dismissed as an accident of transition, as if in the future everyone will be equally well-placed to make use of the digital and claim its privileges: education, aptitude, socio-economic conditions, professional vocation and geography will all play a part.

In characterising the debate about s92A and how heated it had become, Russell Brown pointed out last week that the ‘people on the web side of the argument… tend to regard connectivity as the stuff of life.’ And I can see myself in that statement, worryingly so in fact. I know all too well how little I can function, professionally but to an extent also socially, during an Internet outage. I can tell you exactly what proportion of my income - all of it - depends on the existence of a global interconnected network. I know how crucial for my life in New Zealand is the ability to keep a figurative foot in Italy and to take my work with me when need or whim demands that I visit there. Connectivity is the stuff of my life, there is no denying it. But doesn’t that put me in the camp of the Nicholas Negropontes and the Gordon Bells of last week’s invective? Aren’t I too a member of the digerati elite, the privileged vanguard who gets to have debates on the future of the networked society, whilst confidently waiting for it to become society, period? Who record ourselves in Twitter form and through blogs and on Facebook, a little more creatively than Mr Bell, sure, but perhaps with the same sense of unexamined self-importance and worth, and occasionally teetering towards the same misguided notion that the only experiences that count are those that can be digitised, and the only people who count are those whose name one can successfully Google?

It is easy to dismiss the silliness of Negroponte and Bell - nobody is digital, and nobody is data - but far easier to overlook, I would suggest, that this is truer for some of us than for others.

Harvest Bird reminded us of this with her poem in response to last week’s post, which impassionately suggested what’s wrong with the thinking of the digital immortalists: it’s not only that you can’t take it with you, but also whom you can’t take with you. I suggested as much in my dissertation, which like HB’s poem was also informed by a grandmother figure (you met her here) standing for all the people who don’t register and fail to be described in the new regime of information. This failure to describe reminds one of those whom the French call sans-papiers, the persons without papers who inhabit society illegally and who are a recurring presence in the late work of Derrida, as well as useful fodder for right wing parties a-scapegoating for the ills of society and anybody who might be looking for an ultra-flexible workforce.

Is that kind of life at the margins what the future holds in store for sans-bits? Not so, responds the digevangelists, salvation will come for them too; they might just have to wait a little longer, is all. Back in 2005 Dr. Ian Pearson of British Telecom reckoned for instance that rich people could expect to be able to have their minds downloaded onto machines by 2050, while the poor will ‘probably have to wait until 2075 or 2080 when it’s routine’.

Everybody will willingly take their place on the ark: of such convictions the cult of information is made. And doesn’t Negroponte advocate one laptop for every child on the planet just so that collective pronoun, that we, can lose any remaining asterisks or qualifiers, become a true WE, us, humankind? Perhaps. But it is myself and a rather differently situated and politicised we that I am addressing today, to warn of the danger of falling into that way of thinking, or one not too far removed, even for progressives who regard cyberspace as an instrument of social reconfiguration and change. Because as the debate itself moves online, from the raft of books published in the last fifteen or so years, its audience too changes, and its modes of production and articulation shift, making it harder to account for non-digital subjects and the non-digital real. But account for them and include them we must, striving to remember those parts of ourselves that reject the transition, as well as the persons - including scores of grandmothers - who are excluded altogether. Nobody I know has said it better than Pierre Lévy in the epilogue of Becoming Virtual, and most extraordinarily just as he is about to claim that the virtual is nothing less than ‘humanity’s new home’:
I love that which is fragile, evanescent, unique, carnal. I appreciate singular and irreplaceable beings and locations, an atmosphere that is forever associated with a situation or a moment. I am convinced that a major element of our morality consists simply in acceptance of being in the world, in not fleeing it, in being there for others and for oneself. But since the subject of this book is virtualization, I have written about virtualization. This does not imply that I have forgotten the other aspects of being, and I would ask the reader not to neglect them either. For the actual is so precious that we must, and at once, attempt to recognize and acclimate the virtualization that destabilizes it. I am convinced that the suffering that arises from submitting to virtualization without understanding it is one of the major causes of the madness and the violence of our time.



Pierre Lévy. Collective Intelligence: Mankind’s Emerging World in Cyberspace. Translated by Robert Bononno. Cambridge, Massachussetts: Perseus Books, 1997.
Pierre Lévy.
Becoming Virtual: Reality in the Digital Age. Translated by Robert Bononno. New York and London: Plenum Trade, 1998.


Update: The Museum of You (2): Somebody's Home in Leipzig

A correspondent in Germany got in touch to reveal the rest of the story of the man from the apartment as it has since emerged in the local press. She writes:
A Spiegel journalist found out what had happened to the guy who had lived in the flat. In the English article it just says that he was "a 24 year-old man who had been in trouble with the authorities" (not unusual for the GDR) but it turns out that he had as a 22 year-old apparently said to a border guard that he wanted to go West (as a kind of joke - see also Milan Kundera!) so the authorities (not surprisingly) locked him up for a year or so. His parents set up the flat for him and he lived there for a few months after his release but then he was thrown out of the GDR (put on a train with a one-way ticket to the West) in September 1989. In November the Wall fell and he visited his parents in Leipzig that Christmas. He had found a job as a carpenter in Lower Saxony. On the 19th of September 1990 he was on his way back to Lower Saxony from a building site in Hamburg in a minibus with colleagues when the bus crashed and he was one of those killed, dying of head injuries in a Hamburg hospital on September 21st 1990 aged 25. His parents still live in Leipzig.


Monday, February 16, 2009

The Dullest Person I've Ever Come Across


I’m not particularly interesting.
Gordon Bell

I was at the National Library in Wellington this time two weeks ago for a forum on the National Digital Heritage Archive, a project that I’m going to write about in some detail in the coming weeks and months. It was a very enjoyable occasion, and the library needs to be commended for opening it to the public free of charge, as well as for putting the presentation materials online. I’m not going to discuss any of that today, though, I just want to share with you a phrase that Penny Carnaby used in her introduction to the day's proceedings:
We live in a ‘press delete’ generation.
It’s a point I heard her make before, and it’s always struck me because it’s the exact opposite of how I’d characterise our default setting in relation to the digital products of our culture.

How to preserve born-digital objects is of course an important issue in these relatively early stage of the age of bits, and in her capacity of chief librarian of our National Library Ms Carnaby has a right as well as the duty to be concerned. But it seems to me that what is being lost for the most part is not being actively deleted, but vanishes rather due to lack of care, both cultural (digital objects need to circulate in order to remain viable) and technical (to combat the obsolescence of hardware and software, as well as the physical decay of the storage media). I also happen to think, not unrelatedly, that the act of pressing delete has in fact a lot going for it.

For there is another threat our efforts of preservation, and it’s the rate of content generation. I’m waiting for the next HMI report from the Global Information Industry Center to tell us how much information there might be in the world, and just exactly how staggeringly fast it might be growing. As of 2003, the year of the last report, the estimate included the following take-home points:
Print, film, magnetic, and optical storage media produced about 5 exabytes of new information in 2002. Ninety-two percent of the new information was stored on magnetic media, mostly in hard disks.
and
We estimate that the amount of new information stored on paper, film, magnetic, and optical media has about doubled in the last three years.
An exabyte equals one quintillion bytes, which is to say ten to the eighteenth power. It really is impossible to contemplate a figure like that other than by going ‘wow, that’s loads’. And besides I have all sorts of problems with measuring the information in the world in bytes, as if it were all digital - but I’ll leave that for another rant. The more meaningful and human-readable conclusion is in fact the second one: the amount of new information annually produced doubled between 1999 and 2002. Now ask yourself: has this situation changed in the last six or seven years? Are the cultural and technological conditions in which new information gets produced and stored substantially different, in a way that is likely to have slowed down this rate of increase? If anything, I would say it’s probably the opposite. Blogging, Twitter and Flickr alone would have made sure of that.

So we could equally be saying: we live in a ‘press save' generation, for Save is in fact the default behaviour, when in any sort of doubt, of a computer system in relation to a digital object. Want evidence? When you instruct a computer to delete a file, you are generally asked if you’re sure you want to do it, but when you go to save it, whirr, it just happens.

If you equate information with knowledge, as so many people do nowadays, you may of course opine that none of this constitutes a problem. I will come back to this in a future instalment, and take issue with astute commentator Manuel Castells on whether the talk of an information glut is legitimate and what some of the cultural ramifications of that kind of thinking might be. But today I want to be less subtle and deal with a limit case that perhaps we can all agree upon.

Meet Gordon Bell, IT luminary, former Microsoft executive and dedicated lifelogger. I didn’t seek permission to use the friendly-looking picture on his home page, so kindly navigate to the link above for a glimpse of how he rolls. You’ll see he’s carrying two devices around his neck: one appears to be a voice recorder, while the other is a SenseCam, an experimental Microsoft camera that operates in permanent stand-by mode and wakes up to take pictures every time it sense the heat likely to be emanated by a human body transiting in front of Mr Bell or a change in the lighting conditions suggesting that its carrier might have moved to a new location. This is all part of MyLifeBits, a project initiated by Bell in 1998 but whose origins could be traced back not so much to the visionary genius of Vannevar Bush - as he maintains - but rather to something that Bell’s employer wrote in 1996 in The Road Ahead:
[T]he highway will also make it possible for an individual to keep track of his or her own whereabouts--to lead what we might call "a documented life." Your wallet PC will be able to keep audio, time, location, and eventually even video records of everything that happens to you. It will be able to record every word you say and every word said to you, as well as body temperature, blood pressure, barometric pressure, and a variety of other data about you and your surroundings. It will be able to track your interactions with the highway--all of the commands you issue, the messages you send, and the people you call or who call you. The resulting record will be the ultimate diary and autobiography, if you want one.[1]
Bell wants one, and he’s doing just that. It started with a lot of old-fashioned digitisin’ - of books, scrapbooks, collectibles, papers - and is continuing nowadays with the recording of every waking moment of Bell’s life. As of May 2007, when The New Yorker wrote a piece on MyLifeBits, the archive included, besides the non-born digital objects
a hundred and twenty-two thousand e-mails; fifty-eight thousand photographs; thousands of recordings of phone calls he has made; every Web page he has visited and instant-messaging exchange he has conducted since 2003; all the activity of his desktop (which windows, for example, he has opened); eight hundred pages of health records, including information on the life of the battery in his pacemaker; and a sprawling category he describes as “ephemera,” which contains such things as books he has written and books from his library; the labels of bottles of wine he has enjoyed; and the record of a bicycle trip through Burgundy, where he tried to eat in as many starred restaurants as he could (he averaged 2.2 stars per meal—“I do a lot of measuring,” he says).

There is a flash in the last sentence of my beloved Georges Perec, who amongst other self-archival activities at the very border of what others would call sanity attempted an ‘Inventory of the Liquid and Solid Foodstuffs Ingurgitated by [Him] in the Course of the Year Nineteen Hundred and Seventy-Four’[2], but without any of the poetic self-examinations and reflections that accompanied those endeavours. I saw Bell speak at Victoria University in May of 2006, in front of an audience of information technology students, and not once did he pause to consider the staggering ethical and philosophical implications of the project. Come question time, it was all that he was asked about, and he proceeded to politely deflect the questions, in the apparent hope that the next one would be about some aspect or other of the software architecture.

Let’s examine some of these questions. Is Mr Bell in fact authorised to record other people? What is the usefulness of all this data? How could it be accessed, except ultimately by replaying the subject’s life? (And whilst recording the act of replaying, presumably.) How might carrying recording devices around one’s neck influence one’s behaviour, outlook, attitudes towards others - not to mention theirs towards us? Wouldn’t you be very careful of what you said and how you looked in the company of Mr Bell?

I’m sure you can think of several more questions besides. But here’s one I find particularly intriguing: for this project Bell employs an assistant, Vicki Rozycki. Now if Ms Rozycki wanted to document her own life, would she need her own assistant? And what does this say about class, status and memorability?

Not only the Bill Gates of the roughly hewn The Road Ahead, but also the far more sophisticated and compelling thinking of Nicholas Negroponte’s Being Digital needs to be borne in mind here if we seek to shine a light on the ethos behind Bell’s project. Negroponte’s understanding of technology is unwaveringly utilitarian, and strictly at the service of business and progress, but with a curious whiff of old aristocracy about it. He talks of the digital butler and of electronic cufflinks communicating with each other via low-orbiting satellites, and you can imagine him typing those words in the executive suite of an hotel somewhere in Asia while the permanently over-excited Brit who covers the business world for CNN brays about something or other on the telly. Indeed, while Negroponte proclaims that we are all digital, Bell chimes “I am data”[3]. But no matter how frustrated one might feel at the shallowness of their thinking, there is a significant extent in which it is also true. The executive of a transnational corporation or the high-powered consultant who advises the rich and powerful and sits through corporate meetings in which minutes never fail to be taken; who regularly consumes in-flight entertainment and receives daily emails in the hundreds – this is the kind of person who has an ‘output,’ whose words are always recorded, who is data.

At the same time, Bell undercuts this narrative by eschewing Negroponte’s constant reminders of his own status and (self) importance, claiming instead:
I’m not particularly interesting. I’m just typical of what you should be able to do.
Isn’t this then also a case of the ‘lowering of the threshold of description’[4] that Foucault so ably describes? It used to be that only the rich and powerful could aspire to have their lives documented. When Winston Churchill was born, for instance, his (aristocratic, powerful, connected) family duly began to collect and record all manners of information about him in the very reasonable expectation that he would one day be biographised, and the Churchill biography by his son Randolph and Martin Gilbert contains indeed a truly phenomenal amount of documents about the man. But Bell proposes to bring a Churchill biography in every home, one for every member of your household in fact. And you should be excited about this, because... because...

Because why? I honestly couldn’t tell you. Bell and his collaborator Jim Gemmell open a paper on MyLifeBits by claiming that ‘[h]uman memory can be maddeningly elusive. We stumble upon its limitations every day, when we forget a friend's telephone number, the name of a business contact or the title of a favorite book.’ And yes, I too get frustrated when I forget a phone number. But surely the answer is not to record everything - that way lies the paranoiac hypermnesia of Funes - but rather to make a note of the things that seem important, including phone numbers.

I am convinced that Bell’s solution is in fact the answer to a whole different question. And perhaps a clue can be found here, in a document that reveals his involvement in another project at Microsoft Research: Digital Immortality. The abstract, from October 2000, reads in part
Both one-way and two-way immortality require part of a person to be converted to information (Cyberized), and stored in a more durable media. We believe that two-way immortality where one’s experiences are digitally preserved, and which then take on a life of their own will be possible within the this century.

Please wait: the saving of Gordon Bell is in progress.

(To be continued.)



[1]Bill Gates, The Road Ahead (New York: Viking, 1996), p. 303.
[2]In Species of Spaces and Other Pieces, translated by John Sturrock. Harmondsworth: Penguin, 1997, pp. 244-250.
[3]Slide of Gordon Bell's presentation at Victoria University of Wellington, New Zealand, on May 29th, 2006.
[4]Michel Foucault, Discipline and Punish – The Birth of the Prison (London: Penguin Books, 1997), pp. 77-78.


Gordon Bell, Jim Gray. 'Digital Immortality'. Association for Computing Machinery, 2000.
Gordon Bell, Jim Gemmell. 'A Digital Life.' Scientific American, February 2007.
Vannevar Bush. ‘As We May Think.’ Atlantic Monthly. July 1945, pp. 101-108.
Michel Foucault. Discipline and Punish – The Birth of the Prison. London: Penguin Books, 1997.
Bill Gates. The Road Ahead. New York: Viking, 1996.
Nicholas Negroponte. Being Digital. New York: Knopf, 1995.
Georges Perec. ‘Attempt at an inventory of the Liquid and Solid Foodstuffs Ingurgitated by Me in the Course of the Year Nineteen Hundred and Seventy Four.’ In Species of Spaces and Other Pieces. Harmondsworth: Penguin, 1997, pp. 244-250.
Alec Wilkinson. 'Remember This? A project to record everything we do in life.' The New Yorker, May 27th, 2007.