The murderer's gift:
The life and eternal cyberlife
of Paul Jernigan
By David Rothman
The
excerpt below is from my book NetWorld: What People Are Really
Doing on the Internet, and What It Means to You, copyrighted in
1996 by me and published by Prima Publishing, a division of Random
House.
Paul
Jernigan was a tattooed ex-mechanic just under six feet tall and
weighing 200 pounds. He had been a drug addict and a chronic drunk,
but nearly all his organs still looked in textbook shape by the
standards of gross anatomy--a stroke of luck that would later help
him win a macabre competition. Jernigan had fatally stabbed and shot
a seventy-five-year-old watchman after stealing a radio and a
microwave oven. More than a decade had passed. So had his hopes for
a successful appeal to the courts.
Lying on a gurney in a Texas
deathhouse--his arms outstretched, as if in a crucifixion--Paul
Jernigan just gawked upward as his brother watched. No last words
came before the poison flowed into Jernigan's veins.
Jernigan gave himself to
science. A not-so-loquacious sister told me this was to spare the
family the cost of burial. "It was like, matter of fact," his last
attorney said of the donation. "It was a gift. He wasn't going to
laud himself, pat himself on the back. We didn't send an embossed
announcement that 'Paul Jernigan has donated his body to science and
this is his ticket to redemption.'"[1] A former cellmate offered his
own twist Supposedly, Jernigan wanted his family to be able to sell
his life story for a true-crime book. The donation just might make
the planet care more about him in death than in life.
Within a year of the
execution, in fact, I was reading clips about Paul Jernigan from the
London Times, Jerusalem Post, New York Times,
Washington Post, Los Angeles Times, and the Boston
Globe. My favorite lead came out in a British paper called
The Independent: "A killer was yesterday let loose on the
Internet computer network." I wondered how he'd respond to flaming.
The new Jernigan lived on as a digital atlas of the human body, a
few steaklike cross sections of which I could dial up on the World
Wide Web.
The Visible Human Project
had come out of the National Library of Medicine in a Maryland
suburb near Washington, D.C. It was one of the most spectacular
examples of the Net's potential for spreading knowledge.
Researchers had cut Jernigan
into four blocks, frozen him in a blue gel, ground him down
millimeter by millimeter, digitally photographed the 1,878 cross
sections that emerged, scanned these slices[2] into a computer, put
them on magnetic tape, and then on the Internet Now the cadaver
would be grist for medical educators and cancer researchers and
perhaps even the designers of a Fantastic Voyage-style game.
Players might explore the human body from the inside, just as Isaac
Asimov's characters did in his novel. The government itself was
spending $1.4 million on the project; expected commercial payoffs
could reach the tens of millions and maybe more. Research and
education, however, would be paramount here.
The Visible Human Project
was but one of thousands of uses that academics and researchers had
found for the Internet The Net was why many scientific luminaries
were quick to slap the "fraud" label on efforts to create energy
through cold fusion. Skeptics throughout the world could compare
notes. If Paris couldn't replicate an experiment, then Boston would
know within hours. Working in the other direction, fusion stalwarts
had used the Internet to swap data and maintain the faith.
Cyberspace was to knowledge what beehives are to honey.
Already the Net was teeming
with thousands of mailing lists devoted to the most arcane
disciplines, not just to the mainstream ones. Many scientists and
other researchers envisioned the Net as a substitute for paper-style
academic journals, subscriptions to some of which can cost as much
as a Ford Escort. Stevan Harnad caught the imaginations of many
academics with "A Subversive Proposal" for scholars to publish their
finished works formally on the Net without offering them to academic
publishers. He put out a vigilantly edited, psychology-related
magazine with a circulation of tens of thousand on the Internet; he
saw no reason for the Net just to be a repository/for pre-publication
papers. In his opinion, academics could use such opportunities to
enjoy greater bargaining power with existing publishers. Yet another
glory of the Internet was that it served as a bridge between experts
and nonexperts, as well as one between authorities in many academic
disciplines. A dean of a law school, for example, could sign up for
mailing lists on electronic serials to learn more about the
technology that was fueling the drive for copyright reform.
*******
The doctor, a Scottish-accented
man his his fifties or sixties, had collected a wall full of
diplomas and plaques. Perhaps that's why he felt entitled to give
only the sketchiest of explanations when he told a Midwestern friend
of mine that she might need heart surgery to avoid a possible stroke.
Karen (I've changed her name, along with a few identifying details)
would be in the hospital just a day or so. But during this time a
surgeon would insert a catheter up her groin and go on to kill off
selected heart cells. With luck, the operation would end her atrial
fibrillation. It had made her heart throb as quickly as 200 beats a
minute on occasion and had sent her to the emergency room.
Karen pressed for details
about the recommended operation. "Ma'am," Dr. S. said in a
peremptory burr, "this is too technical."
It was Valentine's Day and
Karen and her husband would rather have been thinking about hearts
in that way alone. But she wanted to know all. "Ma'am, I'll draw you
a picture," Dr. S. said a bit grudgingly. The doctor sketched a
crude heart that might as well have been on a greeting card. Hastily
drawn lines showed how electric impulses were traveling through
Karen's heart with an extra path. The operation would cut off the
surplus wiring, so to speak.
Well, this was a start. But
Karen still felt ignorant, and it was her body into which the
catheter would go. And so it is with many patients, not all, but
many. Even good doctors don't always tell enough.
The Visible Human Project,
however, would make it easier for Karen to learn more. Dr. S. could
have shown Karen a computer image of an actual human heart and have
pointed to the exact areas that the surgeon would kill off. Karen
would have picked up a better appreciation of the complexities of
the proposed operation. At the same time, Dr. S. could also have
juggled around computer images to show the increased risk of
clotting that would result if she failed to have the operation.
Karen would have emerged better informed and more confident--or less,
whatever the facts justified. Someday she might even be able to dial
up on the Internet an animated, perfectly detailed series of
pictures of the operation.
That was what the Visible
Human Project would mean. What's more, patient education was just
one of many uses; the right technology could revolutionize the
training of doctors and advance medical research.
*******
As far back as the 1980s,
such ideas intrigued Michael Ackerman, a Ph.D. in biomedical
engineering who worked for the National Library of Medicine, part of
the National Institutes of Health. He heard of a project at the
University of Washington that was digitizing the human brain,
although not the entire body. Researchers at other schools hoped to
do the same with other organs. But they were less keen on collecting
images and other data than on using the them, so why duplicate each
other? Like the Internet itself; then, just one digitized corpse
could help many researchers at once.
In North Carolina a
marketing executive with a drug company was dreaming of a human
atlas on a computer screen. Why should medical students have to make
do with fold-out drawings in anatomy guides? Michael Du Toit, Vice
President of marketing for Glaxo Inc., passed the idea on to a small
company called Butler Communications, which checked out the
technology. Glaxo had three goals. First, it wanted to create the
basic images. Second, it wanted viewers to be able to wander through
the body; ideally they could move the body for the best view, spin
it, travel through it. And third, it wanted researchers to be able
to give the lungs cancer; clog the arteries to the heart, and
demonstrate the effects of drugs. But computers weren't ready. "The
hype versus the deliverable," Robert Butler told me, "was miles and
miles apart." To meet Glaxo's specs--to show the body by way of
artistic recreations and virtual reality--might cost as much as $100
million.
Imagine the excitement that
Du Toil and Butler must have felt on learning that academic and
government researchers were finally coming up with the means for
this to happen at a fraction of the expense. The Feds put out a
request for proposals for the dissection job, and the crew at the
University of Colorado made the final cut. Still unanswered was the
question of whose corpse would end up on the Internet The contest
judges allowed a bit more leeway than did the people choosing Miss
America and Mr. Universe.
The ideal candidate for
Visibility could be anywhere from maybe thirty to sixty years of age
and be a bit thin or pudgy, albeit not exceedingly so. Height
mustn't go too far beyond the norms for male and female. Above all,
the innards of the body had to be photogenic from an anatomical
perspective. That weeded out anyone worn down by cancer or similar
disease, not to mention any victims of automobile accidents or
knifings.
A little unfairly, this
contest had geographical limits. Texas, Maryland, and Colorado were
the states with subcontracts to provide the body. I could understand
Maryland and Colorado, but Texas? I wondered if the reason would be
the fondness of the people down there for capital punishment. No
longer did bodies have to roast in electric chairs. Texas helpfully
killed its murderers with lethal injections. So, in this competition,
Paul Jernigan was a strong contender from the beginning.
Murder is an act of the will
no matter how poor or Hitlerian our parents are, or what genes shape
us and our brains. But if Fate sent anyone to the deathhouse gurney
and to Visible Manhood, it was Paul Jernigan. He lived out an
updated Dreiser novel.
His full legal name was
Joseph Paul Jernigan, and he was born in Geneva, Illinois, on
January 31, 1954, the youngest of Earl Jernigan's six children. The
boy suffered from asthma and almost died of it He and his brothers
and sisters typically owned just one pair of jeans each. Their
mother eked it out in a chicken-processing plant, as a clerk at
Montgomery Wards, and at other low-paying jobs, and they lived in
public housing. She married a truck driver who, like Earl, was a
strict disciplinarian toward the children. Later she suffered a
stroke. Afflicted with a learning disorder, Paul flunked a grade at
school and dropped out two years before graduating. He was a drunk
and eventually was doing a pharmacy's worth of drugs, from Quaaludes
to horse tranquilizers.
The Army trained Paul
Jernigan as a mechanic, sent him to Germany, then tossed him out as
unsalvageable. Perhaps recognizing the cruel matrix that shaped
Jernigan, it gave him a general discharge (a "no comment" in effect)
rather than a dishonorable one. A shrink later found Jernigan to be
a passive-aggressive man who was sometimes TNT-volatile. In the
years after the military Jernigan kept a cooler of ice and beer in
his automobile; a typical paycheck went for pot, cheeseburgers, and
enough octane for himself and the car.
Paradoxically, though,
friends trusted Paul Jernigan with their children. Jernigan was the
perfect baby-sitter who enjoyed romping around with his charges. He
married for a stretch and loved his stepchildren.
But he failed at marriage
just as he had failed in school and in the Army.
Jernigan bungled at
burglary, too. He was already a two-time loser in 1981 when he and a
pal named Roy Lamb were driving down the road in Corsicana, Texas, a
small, howdy-neighbor kind of town south of Dallas on Interstate 45.
Emboldened by a night of booze and pot, the two decided to rob
Edward Hale's house. They began stuffing their loot into a pillow
case when Hale surprised them. Lamb ran out. Jernigan beat Hale over
the head with an ashtray, hoping to kill off the witness. Hale
stubbornly survived. Then Jernigan stubbed him with a rusty,
dull-bladed meat knife, which just bent on Hale's chest. And so he
took a shotgun and fired until the watchman was dead. Edward Hale
did not die painlessly. After the murder, Jernigan went to Houston
to try to straighten out his life. He was in a halfway house when
arrested.
Some would say Jernigan
needn't have wound up on the gurney; the law prevented the courts
from accepting an accomplice's testimony. Mark Ticer, his last
attorney, believes that Jernigan may have felt so contrite that he
wanted to die. Ticer grew truly fond of his client In character,
Jernigan would constantly inquire about the lawyer's two-year-old
and remember birthdays.
Jernigan gave Ticer's wife,
Cecily, some earrings made from gold bought with his military
pension, and he crafted a wishing-well bucket for Ticer. Ticer was
as trusting of the murderer as Jernigan's friends had been; he
would have trusted him with his own young daughter. Even on death
row Jernigan would write to the stepchildren from his failed
marriage.
Smoking a hand-rolled
cigarette and sipping a Pepsi, he would discuss legal strategy with
Ticer until finally there wasn't quite so much to be strategic about.
"Paul," Ticer more or less
said, "things are not going well. I guess I have to talk about your
burial arrangements if they're going to execute you. I know your
family doesn't have a lot of money." And it was there in the Ellis
prison in Huntsville that Ticer learned of The Gift. Neither knew
Jernigan would eventually become the Visible Man.
Mark Ticer tried for a stay
of execution up to the last minute. Aware of Ticer's devotion to
him, Jernigan asked his lawyer not to witness his last minutes.
Death was almost instant Paul Jernigan died much more smoothly than
he had lived.
The state anatomical board,
a subcontractor of the University of Colorado, took it from there.
Jernigan got one and a half gallons of 1 percent formalin. That was
a light touch. Often cadavers are embalmed with ten gallons of a
stronger preservative, and they sit and pickle for a year, so that
when medical students cut them up, all the tissues are gray. But the
idea here, in case Jernigan won the Visible Man honors, was to keep
his tissue looking nice and bright like prime meat; the students
would be able to enjoy a better, more realistic view.
Writing this chapter, I
pondered the use of the state anatomical board as a cadaver procurer.
Thank God the board was separate from the court system. Given the
rage for businesslike government, I could just imagine some of the
wilder politicians setting up an execution quota to work toward a
balanced state budget. But the real reason for the use of Jernigan's
corpse was more prosaic. Texas had one of the best cadaver-donation
programs in the country, and of some 2,000 bodies that year, his
just happened to show up at the right time and in the right
condition.
A Learjet flew Jernigan from
Texas to Colorado. Awaiting him were the masterminds of the
dissection effort at the University of Colorado Health Sciences
Center in Denver. Victor Spitzer specialized in radiology and
cellular and structural biology; David Whitlock was a professor of
cellular and structural biology. The people working most on Jernigan
would be the research assistants in the dissection room, which, day
to day, was overseen by Tim Butzer, thirty, and his wife, Martha
Pelster, a bright, curly-haired woman of twenty-five who would later
apply for medical school. Helen Pelster, another assistant, was the
sister of Martha Pelster.[3] The whole scenario--the family
connection--begged for embellishment from Stephen King or Robin
Cook.
I asked Martha Pelster if
her work haunted her at night. "I kind of keep it on a pretty even
level," she said. "I don't have too much trouble with it." She said
Butzer felt the same.[4]
Had Jernigan inspired much
after-hours talk with her husband?
"If there was a problem that
needed to be worked out."
But did Pelster and Butzer
reflect on the Visible Man's past in relation to what was happening
now?
"Not too much. Getting
emotionally involved with something like that--you don't want to
discuss it. It isn't relevant to what we're doing."
Inquiring about the
university's most famous cadaver, I learned that Jernigan had come
with at least two tattoos on his chest area; they looked vaguely
like dragons. His build and muscles were impressive. The lab had to
modify some of the machinery to handle Jernigan. He showed up with
just one testicle, which, I learned elsewhere, was the aftermath of
painful surgery from his military days. I also heard that another
operation had left him without an appendix. Students and researchers
seeking to unravel the mysteries of appendixdom would just have to
turn elsewhere. As a taxpayer, however, I didn't feel cheated. This
was the States, not Bangladesh; did that many Americans die without
any remnants of surgery? Jernigan's cadaver stood head and shoulders
above a rival, a woman who was a chronic alcoholic with visible
damage to her liver. In the hierarchy of the dissection room, livers
must have counted more than appendixes.
Before the millimeter-by-millimeter
grinding, the scientists treated Jernigan to magnetic resonance
imaging (MRI, mixing radio waves and magnetic fields) and computer-aided
tomography (CAT or CT, which is like topography except that it's on
the innards of the human body). MRI picks up soft tissue. CAT scans
are good for hard tissue, and for the differences between it and
soft tissue. The researchers CT'ed Jernigan both before and after he
was frozen, and these scans had to correspond with the alignment of
the digitized photographs. Imagine the precision required here.
Preparing to slice the icy
cadaver into four blocks for convenient grinding, the lab crew
sharpened up on a less exalted cadaver. Vertebrae were a problem. "This
saw would curve," Pelster said, "so you wouldn't have a perfect
perpendicular flat cut. It would have a curve to it. So we took the
cadaver back to the CT scanner and found the level where we could
make a cut." In the end there were three cuts and four sections of
Jernigan--head and torso, abdomen and pelvis just down to the thighs,
the rest of the thighs and the knees, and just below the knees to
the feet. The frozen pieces went into an aluminum mold, one at a
time. And then the researchers poured a blue gel around them (the
same blue you'll see on the edges of the cross sections if you dial
them up on the World Wide Web). The result was four chunks of ice,
each approximately 20 by 20 by 15 inches.
The grinding area was the
next stop. Plexiglass enclosed it. That was a must. Pieces of
cadaver would fly everywhere as science turned Paul Jernigan into
dust with a spinning, carbide-tipped blade. "You'd think we'd have
trouble sectioning bone," Pelster said, "but that's not been the
case. Bone always cuts very clean. But sometimes we have a lot of
trouble with the tendons. The tendons are such that they don't want
to shear off cleanly, and so a lot of time we did hand scalpel work
on each slice. So the slices might take ten minutes each instead of
four minutes each." Actually the time varied. "Ninety slices were
the most we cut on any one day, and we averaged sixty. Sometimes it
was ten a day. It was about four months of sectioning."
"Were you worried about
damaging the goods?" I asked.
"Definitely. We just did the
best we could."
"Any near misses?"
"There were definitely a few.
We never were to the point where we torpedoed the whole project. It
would be more a possibility of losing a slice. We never came close
to botching the whole thing. You look back and you see a little dot
of ice here or there, things like that. You do the best you can. But
I think it turned out well."
All along, of course,
cameras and lights were clicking and flashing away. The slices went
into a black-walled, reflection-proof chamber for photographing by
one digital camera and two with film. A table held the cameras. It
turned to give each a view of the cross sections from the same angle.
The results went into a Macintosh Quadra 840AV with 128 megabytes of
random access memory and 2 gigabytes of hard disk space. It was, in
other words, many times more powerful and could store at least
several times more than the average personal computer back then. As
with the grinding, problems sometimes arose. "You think computers
are so precise," Martha Pelster said, "but they're not. Things are
always going wrong." Typically working with her and Tim were such
people as the man who kept the grinding machine running, a camera
expert, and a computer expert (Helen Pelster, Martha's sister), who
would transfer the digitized Jernigan to tape and CDROM. Come the
end of a hard day of photography, the lab crew collected everything
and put it back in the freezer. "And then when we were finished
doing this," Pelster said, "we had many bags of things that needed
to go be cremated." The dust went to a contractor for incineration.
Digitized photos and CAT and
MRI images from Jernigan went to National Library of Medicine in
Maryland and to the Scientific Computing Division at the National
Center for Atmospheric Research in Boulder, Colorado. The latter
worked with a Cray Y-MP/8 supercomputer and Silicon Graphics
workstations to study the results. A headline on the World Wide Web
summed up the magnitude of the computational task: "The Visible
Human Project: Can It Bring a Supercomputer to Its Knees?" A machine
with the power of the Cray could take the 1,878 cross sections,
stack them like slices of an upright bread loaf, and create
electronic bones or hearts or brains that looked as if they had
never been taken apart in the first place.
By fall 1994, Michael
Ackerman at the National Library of Medicine was ready to tell the
world about the electronic Jernigan and to have his images posted on
the Net by way of the weather forecaster's facilities. "We hold this
out as an example of the future of health care,” Ackerman said. He
predicted that the study of medicine would become increasingly
visual. No one talked then of a murderer, and so the first stories
on the wire services blandly mentioned an anonymous thirty-nine-year-old
donor from Texas who had died of a drug overdose.
Learning that a digitized
corpse would go on the Internet, not everyone greeted the news with
unalloyed praise. Some reviled this as a waste of Net resources. Why
not use CD-ROMs to distribute the information? To an extent I could
see their arguments. The Library was releasing sixteen gigabytes of
images at the start, and even someone with a deluxe Net connection
could spend a week or so downloading it. Critics believed that this
squandered bandwidth, that it was a bit like cruising down a narrow
country road with an overgrown tour bus and fifty cars honking at it
from behind. The strain on the Internet was far from that bad. But
even by Net standards this was indeed a behemoth, and much more
importantly, the bandwidth defenders worried about the precedent
being set here. Sixteen gigabytes of images was equivalent to 8
billion pages of double-spaced typing. Individual e-mail messages
commonly took up only a page or two.
Even so, the Visible Man had
his friends out there in cyberspace. Anxious to beat rivals to the
data, one company kept its modems pumping away for a week until it
had received all of Jernigan. It didn't want to wait weeks or months
for tapes. Thanks to the Net, many people throughout the world could
receive Jernigan at the same time. In the first few months of the
release, more than 900 companies, schools, and people wrote Ackerman
about licenses giving them permission to use the data in experiments
and products. Some 100 actually followed through--everyone from
pharmaceutical firms to a young artist who, according to Ackerman,
assured him that she would make tasteful use of the images.
Luckily from a bandwidth
perspective, you didn't have to download all of Jernigan. Each slice
was a mere seven megabytes in a spatial resolution of 2,048 by 1,216
pixels (several times sharper than that of a typical personal
computer). A maker of software for ophthalmologists could pull down
only the images dealing with the eye and related brain areas. Those
aiming for the podiatry market could focus on the feet and ankles.
What's more, even without a -license, ordinary Net users could dial
up Jernigan Lite, so to speak, from the World Wide Web.
Coming over the Net
eventually would be more than just the raw, unprocessed images.
Refined versions--for example, animated Jernigans, rotating in 3-D,
or even virtual reality versions--could go anywhere in the world.
And when they did, researchers and students would be wanting their
own pet views. CD-ROMs just didn't store enough data to anticipate
all the possibilities. Typically they could hold maybe 650 megabytes
of data. Even extended, the storage would offer a fraction of what
could be available via high-speed connections to sites from Paris to
Melbourne.
Jernigan, you might say, was
more than just the material for a medical experiment. He was also a
focus of a research project to develop special formats for
libraries of visual information on the Net Eventually people would
be able to download not just images but also the "objects" that made
up the images.
"These objects will have
knowledge in them," Michael Ackerman said, "so they know how they
relate to each other and the rest of the scheme. Say you ask for the
heart. What you get of course is the not a picture of the heart but
the objects that made up the heart that your software has now
rendered as the heart. If you point to something on the heart, it
can open up because it's made up of these objects. And if you point
to something on the margin of the heart and say "What is attached
here?" that object on the margin knows what its nearest neighbor is
even though it's not in the picture. And it knows to go back to the
database and bring up what's attached to it."
Such an approach might even
take advantage of Webstyle technology to link together libraries at
a number of locations. So you might smoothly travel from, say, a
processed image of a blood vessel done up at School X to an animated
image of a heart as tweaked by Company Y.
Those uses would increase
the load on the Internet, of course. But ultimately the principle of
the expanding pipeline might work to the benefit of all. That is,
the heavier the traffic on the Net, the heftier the connections
would be built. So in the end, everything would be cheaper--from
image transmissions to sending one-page notes by electronic mail.
Several other cost-related
questions arose beyond those of the expense of the network
connections. I wondered how much patients would be charged to see a
picture of the innards of Jernigan or a Visible Woman. Robert Butler
doubted that his client, Glaxo, was ready to say. However, he left
me with the impression that this probably would not be pay per
view. Glaxo had its own reasons for going ahead--for example,
showing doctors the effects of its pharmaceuticals on the body. So,
no, he said, this was not a plot to gouge the public with peep
shows.
A related issue, arising
from the involvement of drug companies, was the question of
proprietary information. While the images were on the Internet for
all to see, this project was not entirely in the spirit of the Net's
openness. Butler, for example, might have feared that I was working
for a rival corporation, and he waited several weeks to return my
calls. I could understand his reasons. Still, I was startled to
learn that Ackerman at the National Institutes of Health would not
even release to me a list of the companies that had licensed the use
of the images. Nor had NIH organized a newsgroup or a mailing list.
Surely all the hundreds of licensees would have common problems,
common opportunities, that they could discuss without imperiling
each other's projects.
Yet another question went
back to one of the main reasons given for the project. Could medical
students really learn by hooking into the Net and dialing up the
images from the Visible Man? David Dean should have been a complete
booster of this endeavor. He was, after all, a Ph.D. who worked in
medical imaging and taught anatomy at Case Western Reserve
University. And yet he told me, "I feel you can't replicate the
experience in the anatomy lab. Students will have no time for this
stuff. They're totally overwhelmed. They can see the same structures
again and again in different bodies."
At the University of North
Carolina in Chapel Hill, Gerry Oxford, professor of physiology, said
that seeing organs in three dimensions wasn't the same feeling them.
"Physicians in training need a visceral appreciation of the fact
that they will have responsibility for the human body." Even a
believer in the project, Marc Nelson, assistant dean of medical
education at the Stanford University School of Medicine in Palo
Alto, worried that electronic anatomy could lessen contacts between
students and teachers.[5]
Real bodies, however, cost
universities $600 each--assuming they could get them in the first
place. And students would not have eyeballs, hearts, hands, and
livers to themselves.
Of all the boosters of the
project, Martha Pelster may have been the most persuasive. She
worked as a lab assistant, had cut up dozens of bodies, and now was
headed to medical school. "When you look at this cadaver," Pelster
said of the digitized Jernigan, "everything is still in its
orientation. When you go in and dissect, you take a lot of stuff
out. If you cut something wrong or cut through something and toss
the object into the reject bin, you've lost it. But with this
visible male, you can go back in again. You can see what happened
before your lab partner went in there and messed up your cadaver.
This cross-sectional anatomy is going to be the be-all and end-all.
A book can't have this many cross sections, this good."
Just as important, no one in
the project, from Ackerman to Pelster, was touting electronic
cadavers as a complete substitute for the real ones that the medical
students studied. The digitized versions would simply augment the
real cadavers, the ones that you couldn't reboot if you cut them the
wrong way. In the new era, medical schools could even require
students to put the human body together, not just take it apart.
Cadavers in cyberspace would
offer yet another advantage: even schoolchildren could study them.
People for the Ethical Treatment of Animals and some rock-n-roll
musicians such as Pearl Jam were asking schools to "cut out
dissection" and use computer imaging or model frogs. Thanks to the
Visible Human Project, however, students someday would do better
than just viewing pixels flashing across the screen. They would be
able to tour the body of an actual human. Potential medical students,
moreover, could get a head start Long before they reached the
slicing rooms, they would be familiar with electronic cadavers and
be able to make better use of the real ones. What's more, the
digitized Jernigan could revolutionize training in laparoscopic
surgery, where doctors inserted tubes in patients and operated with
tiny instruments and TV-like monitors and cameras. The view on the
video screen of a training computer could be true to life.
All this was not even to
mention other applications--for example, computer-simulated crash
tests to improve auto safety, efforts to study the range of wrist
motion and reduce carpal tunnel syndrome in typists, or
investigations of ways to protect athletes against injuries.
I asked Mark Ticer if
Jernigan's family had ever thought of suing for any of the wealth
that the project might create from medical products and the rest.
The answer pleased me in
this litigious era. Ticer said that if anything the family would be
offended that anyone raised the issue. That was the way Jernigan and
his kin were. "There wasn't a condition attached to his gift," Ticer
said.
Sharon Kuster, Jernigan's
sister, said her brother would "probably be happy about it. I am."
"Now he can be remembered
for all the good he did rather than all the evil," Ticer said. "I
think he'd be quietly delighted." I picked up on the "quietly."
Jernigan's invisibility, prior to his crimes, was not just because
of his station or lack of station in life. That was his way. Many
other inmates on death row gravitated toward microphones. Jernigan
spumed them. The true-crime book, if one ever resulted, would never
have come out while he was walking and breathing.
Shortly after I talked to
Mark Ticer and Sharon Kuster, my friend Karen got the results of an
intensive examination by a second doctor. It seemed that Karen would
not be undergoing the heart surgery. But even now she couldn't tell
for sure. What's more, if Karen received drugs instead, the medical
benefits of the Visible Man might still help her someday; a major
pharmaceutical company, after all, was hoping to use the digitized
cadaver as a tool to explore and demonstrate the effects of its
products.
My thoughts shifted back to
Jernigan the human. Lying on the death gurney, awaiting the poison,
would he have wanted to make The Gift if someone had rushed in and
asked at the last minute, "Do you realize you'll be all over the
Internet? That you"ll suffer the ultimate invasion of privacy? That
strangers from here to Oslo will see your guts? I'd like to think
that Jernigan would have nodded and the Learjet would still have
flown the body up to Denver. For the sake of Karen, of other sick
people, of those who just might live longer and better if their
surgeons were slightly more skilled, or if they themselves could
make the right decisions about their medical care-- for the sake of
them all, I was not-so-quietly delighted that the invisible man was
now visible.
NOTES
[1] Ronnie Crocker, "Executed
killer lives as computer image," Houston Chronicle, December
18, 1994, Page A1.
[2] To be technical, these
weren't true physical slices, just images taken of the remaining
surface as researchers ground down Jernigan.
[3] The University of
Colorado got a great package deal. Whiule I couldn't rate Helen
Pelster according to her medical knowledge, she appeared to know her
computer imaging cold.
[4] Not to confuse
detachment with callousness. In Pelster's place--working with the
cadaver day after day--I'd have coped the same way
[5] The Associated Press
quoted Oxford and Nelson.