(Note, the Cryonics Institute only accepts whole bodies as
patients, so the brain described by this anonymous author
was accepted as a tissue sample, rather than as a
cryonics patient.) In my father's case, autopsy had not been prevented, but
the medical samples that had been retained by the medical
examiner as a result of autopsy were ultimately sent to the
Cryonics Institute for storage. I had initially learned that
medical samples had been retained by the medical examiner through
the autopsy report, which I had received a number of weeks after
the autopsy had occurred. This report did not provide any information
regarding the quantity or storage method of each sample, however, and
only said that "specimens of femoral blood, bile, gastric contents, liver,
and brain" were retained. The medical examiner was very difficult to
deal with and not at all forthcoming with information regarding exactly
what samples, and how much of each sample, had been retained at autopsy,
and it was only after the filing of a court order that they would provide
only basic information to my attorney. There had been a single court order that had the dual purpose of ordering
the medical examiner to provide pertinent information regarding the retained
medical samples, as well as ordering them to release the medical samples
to the legal possession of my mother (or her designees).
An initial document received by our attorney from the medical examiner
described the quantities, types, and preservation method of each sample.
While it clearly describes the tissue samples that had been
preserved in a frozen state, the samples that were formalin-fixed (which had
included the near entirety of my father's brain) were only described
as "Portions of various 10% formalin-fixed organs weighing 2790 g in total". It is also worth noting that even after the point at which the medical examiner
had been served with the court order, the medical examiner would still only
communicate in writing to our attorney regarding the medical samples, and not
to myself or my mother (technically, this was in violation of the court order).
This greatly slowed down and introduced further difficulty to the process of
receiving information regarding the samples from the medical examiner, as we
had to use our lawyer's time, and he was often difficult to get a hold of. It is also further worth noting that it was only after a large amount of time
had passed, and a large amount of frustration with them had been endured, that
I was notified by the medical examiner's office that a court order would be
required at all. At first, the medical examiner had stated that all requests
would need to be made in writing, and provided an email address. Later, they
told me that any requests would need to be made in writing and mailed to them.
After a while of not having received any response to my letter, I was told
that they had moved their mailing address and provided a new mailing address
that my letters would need to be mailed to. I was later told that any requests
for information would need to come from the organization that was providing
storage for the samples. Later, I was told that they could not provide the Cryonics Institute with
any information. It was only after months had ultimately passed that they had
told me they would require a court order for the release of the samples,
as well as for the release of any information relating to the samples. At this point, many local lawyers had stated that they would begin to work on
such a case with large retainers, the amount of which would be subject to increase
in the event that legal complications arose that would necessitate the expenditure
of more time. It seemed that the lowest quotes I was receiving for the drafting of
the court order were around the $10,000 range, and those were still subject to
further cost increases in the event of any issues. This seemed like a large amount
of money to spend, especially considering that at this point in time, I had no idea
what samples had been stored by the medical examiner, and was under the presumption
that the primary value of the medical samples would lie in the ability to preserve
genomic information through them. Luckily, however, an attorney who was a longtime
family friend was able to draft the court order, as well as correspond with the
medical examiner through email, and he charged very little for it. I had first learned that the entire brain, or close to the entirety of the brain,
had been retained once I got a call from the Cryonics Institute notifying me that it had arrived at the
facility. It had been apparently received in a condition well enough that it could
be identified as a brain, in a frozen state. According to all correspondence from
the medical examiner, the brain had been sectioned, but I am unsure of how visible
this sectioning was upon its arrival. According to Hillary of the Cryonics Institute, it had appeared
as though it were a whole brain, or close to it, though I am unsure of the finer
details with regards to its condition as it would compare to a brain that had been
preserved for less time and under better circumstances. To handle the shipment of the medical samples, I had used a courier that was recommended
by FedEx as having had extensive experience in shipping medical samples, and I had been
assured by them that they would know how to ship any medical samples that had been stored,
as well as be able to properly package the samples so that the packages would not be
stopped at any point during their transport. I had also notified them that many of the
samples were formalin-fixed, and to be extremely careful with any brain tissue. I am
unsure if the brain had been frozen by the medical examiner, or if it were frozen by
the courier, or if it was, for whatever the reason, viewed as a superior option to
have the brain (or brain portions) frozen for transport, or what specific condition
the brain had been in prior to its arrival at the Cryonics Institute (the medical examiner had been
obviously not proving cooperative in this area at all), but it had arrived frozen.
Obviously, I did not want the brain to have been frozen, though I am unsure of the
details regarding the condition of the brain at this point in time, and to what
extent cryoprotectant diffusion would have been feasible to improve the preservation
of the brain. Primarily, at this point in time, I was very surprised to have been
told that the brain was there. I did not know that it had been retained, and was
very happy to receive this news, though if the medical examiner had only told me
this earlier, and had been cooperative, it would have certainly greatly improved everything. I hope to have covered the primary details regarding the course of action that myself
and my family had to undertake. In hindsight, there are a number of things that
I definitely would have done differently, though all in all it was a very difficult
situation to have to deal with regardless. In the future, when I have the time,
I am planning to write out this story in greater detail, perhaps with a greater
focus on the psychological elements of this process. I feel that the majority
of this stress came from how difficult the medical examiner was to deal with,
in addition to the endless bureaucracy. It could have been much less difficult
for us, and also led to a better preservation, if only the medical examiner had
been forthcoming and cooperative from the beginning. Unfortunately, it appeared
that they were taking every action possible in order to try to get us to give up,
especially at the start. I would like to see this change in the future, as medical
examiner difficulty is something that I hear about very frequently from cryonicists,
and it seems that many of them do not care at all about the wishes of the deceased or
their family when it comes to these matters. Hopefully one day that changes.