Posts tagged ‘Medicine’

If you don't have health insurance, the emergency room may be your only option for medical treatment. (Photo by Leah A. Zeldes.)

If you don't have health insurance, the emergency room may be your only option for medical treatment. (Photo by Leah A. Zeldes.)

Let’s make believe you’re a poor person. (I know that’s a stretch, but let’s go with it.) A member of your family gets a fever and other signs of something wrong, so you want to take him to a doctor. The trouble is the only insurance you have is government-sponsored Medicaid, and good luck trying to find a doctor who will take it. Or maybe you don’t even have Medicaid, so you’re even worse off. So what do you do. Simple. You take your sick one to the nearest emergency room, where they aren’t allowed to turn anyone down.

That’s, for you, a good solution to an otherwise hopeless problem, and over the last thirty years or so the number of people who took that step because they had no better choice in the U.S.A. went up some 35 percent. This put a big strain on the cost of running a hospital, with the result that many hospitals couldn’t afford to keep their emergency rooms open. But they couldn’t close the ERs unless they closed the whole hospital … and now you know why 27 percent of all American hospitals (psychiatric hospitals not included) have closed their doors since 1990.

If Obamacare is allowed to proceed as the legislation directs, that problem should be pretty well solved within the next few years. That’s assuming that the Republican Party doesn’t succeed in repealing it for the sake of higher profits for the medical industry, which they are at present trying their best to do.

Robert C.W. Ettinger

Robert C.W. Ettinger

My friend Bob Ettinger deanimated on Saturday, 23 July, after a prolonged period in hospice care. A tub of crushed ice was by his bedside, and the certificate of death and perfusion of his blood vessels with a chilling solution were expedited. Since then he has been in the “cooling box,” to lower his whole-body temperature to liquid-gas cold.

I first encountered Bob half a century ago, when I was editor of the Galaxy group of magazines and he submitted his paper The Prospect of Immortality to me for publication. He had done his homework, and I had to admit that his proposal of freezing on death, and then being kept in ultra-cold conditions, did seem capable of keeping a corpse from deteriorating for long periods.

Moreover, it seem probable that medical science, which had made such great gains in the century just past, would continue to develop, perhaps to the point of defrosting and repairing the damages caused both by the original cause of death and the act of freezing itself. Put them altogether and his idea seemed to offer not a guarantee, but at least a reasonable gambling bet that the idea might possibly work.

So I published Bob’s essay in one of my magazines, then began publicizing it. I was a regular on Long John Nebel’s radio talk show, and he was glad to schedule several shows about Ettinger’s idea. I was doing occasional writing for Playboy, and when I queried them about an article, they loved the idea, which in turn led to a prolonged interview on the then-dominant Johnny Carson show.

Bob was appreciative of that. So were the action groups that began springing up to put Ettinger’s ideas into practice, and as a reward for my activities, one of them offered me a free freeze, which I declined with thanks.

By then Bob no longer needed me to carry the torch for his idea, and further publicity pieces, including a lead article in Esquire entitled “New Hope for the Dead,” Bob wrote himself. We remained friends, and when Bob came to New York or I visited the Detroit area we usually managed to share a meal, once with his uncle, Pee Wee Russell, one of the most famous clarinetists of the Jazz Age.

I should say that one of the major reasons why we remained good friends was his personality. Bob had a great sense of humor. When I told him what Long John called the people in the deep freeze — “corpsicles” — he got a good laugh out of it and began using the term himself. And once, when I’d asked how many people had signed up, he grinned and paraphrased the Bible: “Many are cold, but few are frozen.”

He was always regretful that I wouldn’t sign up, not for the sake of another scalp to hang but because he believed I was giving up on a tangibly real hope. A few months ago, I got a long, friendly letter from him, doing his best to change my mind. I wrote back at once to say that I hadn’t decided the plan wouldn’t work. I agreed that it had at least a non-zero chance of doing as he hoped. But, I said, although I would give almost anything to stay alive and in good physical condition indefinitely, I wasn’t attracted to the idea of being reborn into a society where I had no role and all the things I cared about had disappeared.

He wrote me one more letter, good-naturedly urging me to change my mind. That was the end.

I still think it’s a reasonable gambling bet. If it turns out it works, I hope Bob will be among the first to demonstrate its success, and I wish him well in that future.

 
Related post:
Inventing Cryonics

 

 

Remember those good old science-fiction stories, those scientifically impeccably accurate ones that pointed out that. as the human brain has been getting bigger and bigger ever since Lucy. it must be going to keep on getting bigger still? So those great Frank R. Paul-ish illustrations showed the man of the future with a torso the size of a chimpanzee’s and a bald skull as big as a watermelon?

Turns out they weren’t really scientifically probable. Human brains have been getting bigger, all right, but that’s mostly because human beings themselves are getting bigger all over. And as far as bigger brains making us smarter is concerned, there are other ways to look at the matter. In New Scientist a while ago the magazine drew up some interesting comparisons for us to look at showing, in order of size, smallest first, the brains of—

1, mouse, 2, cat, 3, chimpanzee, 4, human, 5, dolphin and 6, elephant

—ordered by simple size of the brain. Just below it, though, is a different display.. This one shows what a "typical" brain for mammals of those sizes would mass, and by those rules the size order is—

1, mouse, 2, cat, 3, elephant, 4, chimpanzee, 5, dolphin and 6, human.

That’s a bit more flattering to us genus homo people, but then they spoil it all by offering a third display, this one displaying brain weight as a percentage of body mass. This cuts us right down to size:

1, elephant, 2, chimpanzee, 3, dolphin, 4, cat, 5, human, and 6, mouse

—with the mouse display in these terms towering over all the others, its relative mass greater than all five of the others combined. (The mass of a mouse’s brain amounts to 10 percent of its body weight, while that of the human is a measly 2 percent and that for the other animals trailing down to as little as 0.1 percent for the once dominant elephant.)

But if you want a really humiliating brain size comparison forget about those vertebrates and compare our brain with, say, a honeybee’s. The bee’s intelligence is generally equal to, say, a two-week-old human baby’s — with a brain mass differential by a factor of something over 100,000.

It’s a good thing computers came along when they did. We can use all the help we can get.

Part 5 of “Alfred Bester and Frederik Pohl — The Conversation,” recorded 26 June 1978 at The Tyneside Cinema, Newcastle upon Tyne, UK.
 

The Futurians by Damon Knight

Audience: Could you elaborate on how you co-write with someone?

Pohl: With Cyril Kornbluth? Well, it’s different with different people. It’s like being married! Incidentally, Alfie, have you ever collaborated on fiction?

Bester: Never. I’ve never collaborated in my life. I’ve strictly been a loner always.

Pohl: I’m afraid I’ve been much more promiscuous than you have!

Bester: I’m curious, too, Fred. What was it like working with Cyril?

Pohl: Well, Cyril Kornbluth and I grew up together. We began writing together when I was about 18 or 19 and Cyril maybe 15. We belonged to a thing called the Futurians; it was a science-fiction fan club in New York in the late ’30s and early ’40s. There’s a book by Damon Knight called The Futurians, which I think is in print here now, full of all sorts of libelous, slanderous gossip about all of us. Much of which is true, but he shouldn’t have said it anyhow! People like Isaac Asimov and Don Wollheim and others would have paid him well not to publish the book.

But we all belonged to this club and we all wanted to write and we all tried. Cyril and I began working together and as we were just beginning to write we developed a lot of each other’s writing habits. We started much the same way, we were used to each other. Then the war came along. He went one way and I went another. And then we got together again on The Space Merchants. And with Cyril, because we had this background of common experience and common attitudes, writing was almost painless on most of what we wrote. We published altogether I think, seven novels and maybe 30 or 40 short stories.

Bester: Did you collaborate line by line?

Pohl: Mostly what we did was talk to each other for a while. He’d come out to my home in Red Bank, where we kept a room for him with his own typewriter, and we’d sit around and drink for a while, and when the booze ran out we’d start to talk seriously about what sort of book we’d plan to write. And we’d think about a situation and talk about a few characters and what might happen to them, and as long as the conversation was flowing we’d keep on talking. We didn’t put anything on paper.

And then when we were beginning to flag, and it felt like it was ready to write, we’d flip a coin and the loser would go up to the third floor — Cyril’s typewriter was in one room there and mine was another — and he would write the first four pages. And then at the end of those four pages, which would stop in the middle of a line or a word sometimes, he’d come down or I’d come down, and say, “You’re on.”

We called it the “Hot-Typewriter System” — just keep the thing going day and night — and we did in fact usually work straight through.

Bester: Now it’s you that’s on, right? You go upstairs, you read the first four pages. Now, did it ever happen that you came down and said, “Cyril, you’re out of your mind. They can’t do it that way?”

Pohl: Not once. A couple of times when we were towards the end of a novel and getting a little giddy we’d play tricks on each other. There was this scene at the end of one novel when, at the bottom of the last page I had somebody look through a microscope and the next line was, “What did he see?” and I said it was Charlie Chaplin in a bowler hat. Then I went down and said, “Take it from there.”

But he fooled me — he just crossed out that line. Usually we didn’t even cross out a line, we just drove from line to line. Page 5 to 8 would be Cyril’s and page 9 to 12 would be mine; we just kept on going until we came to the end of the book. This was rough draft and it always got rewritten all the way through, by one of us, almost always by myself except for the case of one novel, Wolfbane, which was the last writing Cyril did before he died, and there was quite a lot of revision involved in the rewriting. But basically, when we were finished, the novel was there, and it would sometimes only take five or six days to do a whole novel, because we’d work straight through for 24 hours a day.

Bester: I’ve another question! Timewise, sometimes the four pages would take four minutes, four hours, four days, what?

Pohl: Well, there’s a great incentive to speed when you know that the other guy is down there having a great time, and you want to break it up as quickly as possible, so usually it only took a couple of hours. You know that the other guy is waiting, and if you don’t get down there pretty soon he’ll be off to a bar somewhere. So we worked pretty fast. It’s a good way to write a book with two people who are close enough in their ways of work that they don’t kill each other.

I wrote a novel with Lester del Rey once and we almost did kill each other. He was one of my closest friends up until that point. Now we’ll never write another word together.

Continue reading ‘Me and Alfie, Part 5: Collaboration and the Futurians’ »

The Last Days of the Ipsy-Wipsy Institute

 

110 Portland Road, Highlands, N.J., one-time site of the Ipsy-Wipsy Institute. View larger map. (Thanks to Bill Higgins for geographical research.)

 

Back in Highlands, New Jersey, William Lindsay Gresham was soon forgotten. At least he was not spoken of. Around then, the Mannings became less likely to drop by on a Saturday night. A coolness seemed to have developed between the neighbors. I don’t think that is necessarily a coincidence, but I don’ know any details. Fletcher didn’t want to talk about it, and I didn’t press him.

The weekends were still pleasurable and the company generally good. If there was any significant difference in tone it was only that Fletcher himself seemed to be a little less bouncy in spirit. The billiard-room sessions with the portable typewriter in his lap were going a bit more slowly.

I haven’t, in these pages, said anything about Fletcher’s religion. I haven’t said anything much about anyone else’s, either. Personal religion was not high on the interest list among the people of the Ipsy-Wipsy. But I did know that Fletcher had been brought up Christian Science, back in those Buffalo days of his youth, and that he still had some sort of ties to Mary Baker Eddy’s church. Yet when Fletcher began to concede, under Inga’s questioning, that, yes, it was possible that he’d picked up a mild case of the flu, I was confident that if any symptoms became really worrisome, religion would not prevent Fletcher from taking the matter to a real M.D.

Indeed, it didn’t. But unfortunately Fletcher let it go a bit too late. When the surgeons opened his abdomen up on the operating table there was no longer anything they could do. They simply sewed him back together and let him die, which he did on the 11th of June, in the year 1956. He had been 59 years old.

That was the end of the Ipsy, for Inga didn’t have heart to try to carry it on without him. She put the big old house up for sale, and the buyer who appeared was, I think, a dentist from, I believe, Jersey City. The dentist didn’t have it long, though. Before long in a midweek a fire started there, with hardly anybody around, and the Ipsy-Wipsy Institute suffered a Viking’s funeral,

The dentist tore down the wreckage and put up a more normal-sized house on that great piece of land. But the new house had none of the Ipsy-Wipsy’s magnificence, and especially none of its well-loved people.

 
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The Battle of the Bulge left Dirk Wylie unable to hold a regular job, so we made him — and ultimately, me — into a literary agent.

The Battle of the Bulge left Dirk Wylie unable to hold a regular job, so we made him — and ultimately, me — into a literary agent.

After World War II had grabbed most of us Futurians by the scruff of the necks and flung us to various odd destinations in all sorts of unexpected parts of this planet of ours, it did, somehow get itself ended and there we were, civilians again, and back in New York. I had had a relatively undemanding war, ending up with doing public relations at the Mediterranean Theater of Operations in Caserta, Italy (with my spare time spent in a resort hotel on the slopes of Mount Vesuvius). Dirk Wylie, however, hadn’t had anywhere nearly as nice a war as I did.

Dirk’s war hit bottom in the early winter of 1944–45. That was when Hitler’s Wehrmacht made one last attempt to take back control of the western front in the Battle of the Bulge. It was a vicious and protracted fight, and Dirk, then an MP sergeant, was in the middle of it. This cost him. At one point, he jumped hastily out of a truck and landed in a very wrong way, doing something seriously bad to his spine.

That was the end of the war for Dirk, and the beginning of years of hospital stays and unremitting pain.

By the late 1940s, he was discharged from the New York-area Veterans Administration hospitals — not because he was cured but because there was nothing more they could do for him. Now Dirk was a civilian again, with one unanswerable question: What was he to do with the rest of his life? A normal nine-to-five job of any kind was pure fantasy. The only good part of the situation was that he didn’t need to make much money. The Veterans Administration had recognized their obligation to him and awarded him a substantial pension. But a living wage wasn’t the whole of Dirk’s needs. He was just barely out of his twenties, and didn’t like the prospect of doing nothing for the rest of his life.

I spent a lot of time with Dirk and his wife, Roz, discussing that question, and we came up with an idea that seemed worth pursuing. He could become a literary agent.

 
There are all kinds of literary agents. Some of them can do very good things for their clients, making sales for them that the writers would not have made by themselves and sometimes acting as story coaches to help their clients write more salable material. Others (as my mother used to say when totally exasperated) are not worth the powder to blow them to Hell.

So what made the difference between the saviors and the total wastes? One, a good agent needed to know the market. Two, s/he needed to know good work from bad. Three, s/he needed to be able to let clients know how to tell the difference between good and bad, too, and how to encourage them to get better.

Of course, Dirk didn’t have personal knowledge of all these things, although, as a Futurian, he had been exposed to a fair amount of shop talk over the years and had made a few sales himself. But what he did have was me.

Continue reading ‘How I Lost My Oldest Friend
(and Gained a Literary Agency)’ »