The Undead: Organ Harvesting, the Ice-Water Test, Beating Heart Cadavers--How Medicine Is Blurring the Line Between Life and Death [Hardcover]

Dick Teresi (Author)

Book Description

Release date: March 13, 2012 | ISBN-10: 0375423710 | ISBN-13: 978-0375423710 | Edition: 1

Important and provocative, The Undead examines why even with the tools of advanced technology, what we think of as life and death, consciousness and nonconsciousness, is not exactly clear and how this problem has been further complicated by the business of organ harvesting.

Dick Teresi, a science writer with a dark sense of humor, manages to make this story entertaining, informative, and accessible as he shows how death determination has become more complicated than ever. Teresi introduces us to brain-death experts, hospice workers, undertakers, coma specialists and those who have recovered from coma, organ transplant surgeons and organ procurers, anesthesiologists who study pain in legally dead patients, doctors who have saved living patients from organ harvests, nurses who care for beating-heart cadavers, ICU doctors who feel subtly pressured to declare patients dead rather than save them, and many others. Much of what they have to say is shocking. Teresi also provides a brief history of how death has been determined from the times of the ancient Egyptians and the Incas through the twenty-first century. And he draws on the writings and theories of celebrated scientists, doctors, and researchers—Jacques-Bénigne Winslow, Sherwin Nuland, Harvey Cushing, and Lynn Margulis, among others—to reveal how theories about dying and death have changed. With The Undead, Teresi makes us think twice about how the medical community decides when someone is dead.

Editorial Reviews

Review

 
“This disturbing, often hilarious book raises many critical questions about deadness.”
   —The New York Times Book Review

“An indefatigable researcher and fluid writer, Mr. Teresi provides a good long riff on death past and present.”
   —The New York Times

The Week Magazine Author of the Week (03/21/2012)

"The moment of death, suggests science writer Dick Teresi, is harder to pin down than ever...Charting historical definitions of death, the thinking of research greats and debates over near-death experiences, Teresi notes that the ethical challenges are immense, asking, for instance, whether all organ donors are unrevivable."
   —Nature

“…Chilling, controversial, and, at times, comical commentary on physical death…All sorts of experts—on coma, animal euthanasia, and execution—as well as undertakers, organ transplant staff, neurologists, ethicists, and lawyers weigh-in on the death debate.”
    —Tony Miksanek, Booklist

“Like a real-life version of Robin Cook’s medical thriller Coma, Teresi paints a grisly picture of organ harvesting and raises uncomfortable questions: Is the donor actually dead rather than at the point of death? Might he or she be revived given time and proper medical attention? …Provocative… [An] examination of important ethical issues and the still-unresolved question of what constitutes death.”
    —The Kirkus Review

“Reading Dick Teresi’s book is like discovering that your college class has been hijacked by the spitball-lobbing kid in the back row—and that the kid is twice as smart as the prof ever was. Taking on biologists, philosophers, and the medical establishment, Teresi zestfully skewers our confused thinking about life, death, and the states in between. The Undead is a rarity: a superserious examination of a profound subject that is a pleasure to read.”
   —Charles C. Mann, author of 1493 and 1491
  
“As I was pulled into this startling, informative account of death-defying and death-defining, I couldn’t help putting a checkmark in the margin next to every line that made me gasp—or laugh—or marvel at Dick Teresi’s bold, inimitable reporting style. On some pages I made as many as four checkmarks. The book left me reeling at the welter of uncertainty that surrounds the certainty of death.”
   —Dava Sobel, author of Longitude and A More Perfect Heaven

About the Author

Dick Teresi is the coauthor of The God Particle and the author of Lost Discoveries: The Ancient Roots of Modern Science, both selected as New York Times Book Review Notable Books. He has been the editor in chief of Science Digest, Longevity, VQ, and Omni, and has written for The New York Times, The Wall Street Journal, and The Atlantic, among other publications.

See all Editorial Reviews

Product Details

• Hardcover: 368 pages
• Publisher: Pantheon; 1 edition (March 13, 2012)
• Language: English
• ISBN-10: 0375423710
• ISBN-13: 978-0375423710
• Product Dimensions: 5.9 x 1.3 x 8.6 inches
• Shipping Weight: 1 pounds (View shipping rates and policies)
• Average Customer Review: 2.5 out of 5 stars  See all reviews (66 customer reviews)
• Amazon Best Sellers Rank: #527,213 in Books (See Top 100 in Books)
  • #2 in Books > Medical Books > Medicine > Surgery > Transplants

More About the Author

Discover books, learn about writers, read author blogs, and more.

Most Helpful Customer Reviews

32 of 35 people found the following review helpful

4.0 out of 5 stars Calls attention to some serious issues April 18, 2012

By A. Press

Format:Hardcover

I've just read the entire book, unlike many of the negative reviewers.
Nowhere does Mr. Teresi claim that the people involved in this field aren't compassionate or sensitive (with a few exceptions). He does, however, cite enough published acientific work to support his thesis that decisions are made based on false or untested assumptions. He also claims that those who are in the position of declaring people dead are often misinformed or careless about the proper procedures. Studies in other areas have shown that doctors believe they are following protocol much more often than they actually are, with unfortunate results. If those who work in the field are convinced otherwise let them show studies that contradict this.
This book is well written, although I did occasionally feel that he as being sensationalist. Mr. Teresi also bases some claims on facilitated communication, a method whose scientific merit is highly questionable. Still, the studies cited to support his claims demand an informed response, not the emotional pleas of caregivers, transplant recipients and others who feel that the good of transplants supercedes any of the legitimate issues raised in tis book.

20 of 23 people found the following review helpful

5.0 out of 5 stars Ignore the hysteria; this book matters April 21, 2012

By CassaPill

Format:Hardcover|Amazon Verified Purchase

This bracing book manages to entertain, even amuse, while exploring the disturbingly interconnected, undeniably fascinating subjects of death, near death, "brain death," coma, consciousness, paralysis, pain and organ donation. Early on, lost count of OMG moments. It's is a game changer, or should be, raising as it does the possibility that organ harvesting has occurred when or in ways it should not have. (Brought to mind the spectre of executed convicts later proved innocent by DNA evidence.) As if Teresi hasn't already made a case for extreme caution in declaring "brain death," he saves for the end the shocking financial incentives that underlie this widening corner of the medical-industrial complex. The sassy style masks a deadly serious message -- one that clearly has rattled many fellow "reviewers"; their panicky protests seem inadvertently to support the book's thesis rather than undermine it. How Teresi executed this book without invoking "Oy'm not dead yet" from Month Python, or Ishiguro's "Never Let Me Go" is a little mystifying, but perhaps admirable...

50 of 66 people found the following review helpful

5.0 out of 5 stars Brilliant and brave March 19, 2012

By Sciencelover

Format:Hardcover

This is hands-down a terrific job of both reporting and thinking. Teresi has long been one of our best science writers, and in Undead he manages to unearth the history of various cultures' attitudes toward the moment of death, probe how the current definition of brain death arose (did you know an EEG is not required?), describe the current law (hint: do NOT die in D.C. unless you want your organs 'harvested' almost before you're gone), and blow the lid off the transplant industry--all with mordant wit and humor interwoven. Let me echo another Amazon review: if a book enrages so many people with a financial interest in the status quo, there's a good chance it hit the mark. This one did.