Live data from Hacker News

How doctors choose to die (2012)

theguardian.com

81–90 of 90 posts

Re: How doctors choose to die (2012)

#81
post #10
post #2

This has been posted a number of times in different iterations on HN. I'm curious why the user group here has such a fascination with medical doctors.

I can only say why I shared it here: I thought it would be of interest to hackers. That's what these doctors are doing...hacking the end of life.

I once had a conversation with some ER nurses about the best way to commit suicide. They took indeed a very hacker-like approach to the problem. Some of the suggestions were insulin or potassium overdoses. Maybe not what you'd expect as a layperson.

It seems like the go-to drug for terminally ill patients is often hoarded morphine or morphine derivatives, but death is slow and drawn-out, and someone might get the brilliant idea to resuscitate you, leaving you brain damaged and worse off than the situation you tried to escape from.

Re: How doctors choose to die (2012)

#82
post #77

Earlier quoted context omitted.

Adding to the anecdote, I'm a paramedic who has also opted for 'no heroic measures'. Even with CPR survival rates in this county being amongst the highest in the country.

Is breaking of the ribs really a requirement of CPR done correctly? My understanding was that it is possible for ribs to break but by no means a requirement of correct CPR as the article implies.

It depends. Depending on the age of the person and the fragility of the bones. It's not a "requirement" in any sense, more "if it's not a risk, you're not going deep enough" - typical standards call for 1/3 to 1/2 the chest depth.

As often as that - it's much more (almost guaranteed) that you'll tear the cartilage between the ribs at the front.

Re: How doctors choose to die (2012)

#84
post #15

This is anecdotal evidence from a small (2) sample. But not all doctors die without treatment at home. Some (many?) are aware of the drugs they need to hasten their demise in a way that minimises their suffering. One doctor I discussed this with said that assisted suicide, in a very limited and measured way, isn't uncommon, if you know what to look for. As someone with a degenerative incurable condition, I'd like the…

https://www.youtube.com/user/OrderoftheGoodDeath

This is an interesting and entertaining YouTube channel that seeks to address the perceived anxiety and denial of mortality of today's society.

Re: How doctors choose to die (2012)

#85

Earlier quoted context omitted.

It's really hard to change perceptions about death when it requires considering one's own mortality. It is in this only that I understand the desperate quest for religion. The idea of going dark forever is terrifying to me, and considering I'm pretty much an atheist, I don't have much hope of anything else. When people ask me if I'm religious, I usually tell them I'm hopeful that I'm proven wrong. I know we all die.…

If this makes accepting death easier, the good news is the near-death experience. While I certainly don't intend to convince you that it's an afterlife experience (because no one knows quite what they are) it is typically positive and very powerful. Subjectively, it's an intense spiritual experience that seems to be unmatched by most things in life. As for whether it's entrance into an afterlife or the shutdown seque…

I think we have answered, to the extent it is possible to answer, the question of whether there is an afterlife. And the related question of whether our minds are independent of our bodies.

The typical responses of educated religious folks to this (as opposed to many religious folks who are still fundamentally mind-body dualists) is to posit some 'deeper' sense in which the mind 'can be thought of' as surviving death. Some religious folks simply defy any logical or evidential concerns and assert it based on it being a revealed fact, or a miracle, or a mystery.

There are a handful of philosophers gamely trying to keep mind-body dualism going as a philosophical idea, but they're a small minority, with no neurobiological expertise, and the arguments are entirely unfalsifiable and easily refuted (in both my opinion, and that of most philosophers, as far as I can gather).

I think people are entitled to believe what they want, and rationalise their beliefs however they choose, I am only responding to your claim of needing more evidence.

So yes, I think we can be as sure as we need to be that NDEs are functions of brain activity, not of our consciousness somehow being liberated from the confines of the neurones that run it and journeying to the afterlife, only to be returned to its neuronal matrix again. I can't imagine what more evidence we could need, unless you're suggesting that, until we understand everything about mental processes, we should act as if we understand nothing about them.

Presuming that I came from nothing, that means that "nothing" can produce qualia, which means that if I become "nothing" after death...

Apple trees come from nothing (at least to the same extent that human beings come from nothing), so nothing can produce apples, which means if the apple tree dies, perhaps the apple-producing essence of the tree can survive and still produce apples, even though the physical tree is long gone.

Qualia aren't 'things' that they can be produced.

Re: How doctors choose to die (2012)

#86
post #71

Earlier quoted context omitted.

I can't tell you why the thought of ceasing to exist would be frightening. It simply is to me, and I believe to most people. And most people, including me, ignore it and focus on the joys of life. There are of course different degrees of this displacement, some people may still acknowledge the idea but others might completely convince themselves that there is nothing to be scared of - or maybe there really is a way t…

I am not saying that you are fooling yourself, but The mirror image is that we aren't fooling ourselves, we've just been able to rise above our heavy inculturation to such fear. An inculturation that you're still stuck in. That seems plausible too. That's meant in good humour btw, my point is really that speculation that other people disagree because they are in denial, or ignorant, is pretty tempting, but usually no…

Humorously poignant:

http://www.smbc-comics.com/index.php?db=comics&id=3625

Re: How doctors choose to die (2012)

#87
post #85

Earlier quoted context omitted.

If this makes accepting death easier, the good news is the near-death experience. While I certainly don't intend to convince you that it's an afterlife experience (because no one knows quite what they are) it is typically positive and very powerful. Subjectively, it's an intense spiritual experience that seems to be unmatched by most things in life. As for whether it's entrance into an afterlife or the shutdown seque…

I think we have answered, to the extent it is possible to answer, the question of whether there is an afterlife. And the related question of whether our minds are independent of our bodies. The typical responses of educated religious folks to this (as opposed to many religious folks who are still fundamentally mind-body dualists) is to posit some 'deeper' sense in which the mind 'can be thought of' as surviving death…

I think we have answered, to the extent it is possible to answer, the question of whether there is an afterlife. And the related question of whether our minds are independent of our bodies.

I don't agree, if by "minds" we mean qualia itself. Of course, personality and memories and much of our experience lives in our brain. Most of what we call "mind" lives in the brain, and no one disputes this.

The question, to this point unanswered, surrounds whether anything's left over when the brain is gone. I tend to doubt that a brain-less qualia would carry much in the way of memory; it might be completely memory-less, acted upon by karma but unaware of any prior lives. A minute after I die, I don't expect to remember who "Michael O. Church" was, just as I don't remember previous lives in this one, although the karma accrued in this life will affect me.

Qualia is also impossible to measure except subjectively (and, of course, once the brain is gone, that person is not coming back to report). We can measure brain activity which is, under normal circumstances, highly correlated to subjective experience; we can't measure experience itself.

Fifty years ago, people thought that a person's thinking would cease under sensory deprivation. However, we find that people in floatation tanks actually have more cognitive activity. It seems that the increased freedom allows for a more intense and powerful experience. As for the NDE, this is likewise a time when we'd expect the person's consciousness to be dimming, but it seems to do the opposite. Of course, that doesn't prove anything about what happens when a person is actually dead, because... well, you can't interview them. Maybe the heightening of subjective experience continues after the brain shuts down, maybe subjective experience just ends. We can't ask them.

So yes, I think we can be as sure as we need to be that NDEs are functions of brain activity, not of our consciousness somehow being liberated from the confines of the neurones that run it and journeying to the afterlife, only to be returned to its neuronal matrix again.

To make it clear, I don't necessarily think that NDEs are a pure, reliable afterlife experience. There's something we'd have to confront if they were: reports contradict. People've come back from NDEs with predictions like that Japan would fall into the ocean in 1997; that clearly didn't happen. If we took every report of subjective spiritual experience literally, we'd be in a lot of trouble, because people come back from such experiences with some weird ideas.

I tend to think that there's something in the NDE, but a reliable afterlife experience that can be taken at face-value seems unlikely. I tend toward the Tibetan Buddhist interpretation, which is that it's still a subjective experience as the mind enters another bardo.

Of course, it will never constitute a case for "life after death" because the people having such experiences never died. Even many people who believe in an afterlife don't believe in NDEs as reliably true afterlife experiences for numerous reasons.

I can't imagine what more evidence we could need, unless you're suggesting that, until we understand everything about mental processes, we should act as if we understand nothing about them.

That's not what I'm suggesting at all. We should learn as much about the brain and the mind and the connection between the two as we can.

Re: How doctors choose to die (2012)

#88
post #79
post #76

Earlier quoted context omitted.

This idea of "uploading" the mind shows up every now and then and it is interesting, but I think that ultimately we need a much deeper understanding in what consciousness is and how it works, because as it stands right now, it sounds like at most we would be able to replicate or copy a mind (provided the computing power gets us there), but not so much "transfer" or "upload". This is because, as far as we know, if a c…

One way to get around this might be to replace one section of the brain at a time with an electronic equivalent.

Yeah - the brain replacement stuff is already happening in a very minor way with cochlear implants and the like.

Apart from the technical difficulties of uploading there are a lot of questions on what you'd actually want to do and why. Just having a simulation of you running on some box or a copy on Github might seem a bit pointless and I'm not sure many people would want it.

I've thought of a couple of possibly practical things. Firstly for the benefit of the friends and relatives remaining alive it might be nice to chat to a version of the person who's biological body has packed up. This wouldn't even require uploading in the manner of scanning the brain. It could just be an AI that was good at method acting and 'becoming' the person in the way that a human actor can. I'd quite like an ongoing version of my gran for example who I could chat to. I guess more of a skype type chat than a robot.

The other thing is death is annoying for the creation of art and similar stuff. It would be cool if there was an ongoing version of Beethoven say cranking out new symphonies. Also personally it would be nice to work on intellectual stuff that exceeds what I can do in a biological lifespan. I guess if the AI seems conscious at least as in being aware of stuff and interacts normally with people who are conscious in the normal biological way that's probably enough - it doesn't really matter what the philosophers think of it.

Re: How doctors choose to die (2012)

#89
post #85

Earlier quoted context omitted.

I think we have answered, to the extent it is possible to answer, the question of whether there is an afterlife. And the related question of whether our minds are independent of our bodies. The typical responses of educated religious folks to this (as opposed to many religious folks who are still fundamentally mind-body dualists) is to posit some 'deeper' sense in which the mind 'can be thought of' as surviving death…

I think we have answered, to the extent it is possible to answer, the question of whether there is an afterlife. And the related question of whether our minds are independent of our bodies. I don't agree, if by "minds" we mean qualia itself. Of course, personality and memories and much of our experience lives in our brain. Most of what we call "mind" lives in the brain, and no one disputes this. The question, to this…

All the evidence we have points to the conclusion that the mind is embodied. There are no unembodied mental phenomenon reported or observed, nor can (you seem to conclude) there be such a report.

So I repeat, to the extent it is possible to answer the question, within the bounds of reasonable skepticism, we can conclude the mind is entirely embodied and therefore that an afterlife of mental experience is impossible.

You've not on what grounds we could conclude otherwise, you've just said you can imagine it to be, and you 'tend towards' thinking this or that, and you're willing to venture some mechanics for it. What could falsify your opinions?

I don't think you've really thought about it. Outside trying to match it with your Buddhist predilections. Why would memory be a qualia that is brain based, but others would not? Isn't the experience of remembering a qualia? Can you give an example of a qualia that wouldn't use any memories or associations what so ever? Do you think some memories are encoded outside the brain, whereas personal memories are brain based? Do you think hormones are involved in qualia? Would there be virtual hormones for disembodied qualia? Qualia isn't 'magic'.

I simply can't fathom how you conclude that some more understanding is needed to figure out if parts of the mind is disembodied.

Re: How doctors choose to die (2012)

#90
post #76
post #45

Earlier quoted context omitted.

Yeah, historically it has had a 100% mortality rate but there is a significant chance that things will change. eg. uploads http://www.inquisitr.com/1883084/mind-trip-humans-to-live-fo... and the like

This idea of "uploading" the mind shows up every now and then and it is interesting, but I think that ultimately we need a much deeper understanding in what consciousness is and how it works, because as it stands right now, it sounds like at most we would be able to replicate or copy a mind (provided the computing power gets us there), but not so much "transfer" or "upload". This is because, as far as we know, if a c…

You never know. What's happening right now might be a memory in the computer's brain.
Post reply on HN