Two avoidable deaths, one sad, the other…well, less so

The story of Robert Scott of the Antarctic
and Anna Bågenholm, from Norway.

This story borders on unbelievable. It shows unambiguously the dividends made possible thanks to advances in research usually funded through small, seemingly insignificant gifts made by private individuals acting alone.

Though, try telling Anna Bågenholm they’re insignificant.

I’ve included it because Scott was a childhood hero of mine, because such stories as Anna’s are rare and thrilling and because I like endings to be happy, at least some of the time.
Scott of the Antarctic

It’s 29th March, 1912. Trapped in his hut deep in the Antarctic wastelands at the bottom of the world a 43-year-old British adventurer is slowly freezing to death. The weather outside is dreadful. He’s been marooned for days, slowly starving. The last of his companions has already died and he is now alone. Frostbite has taken hold. Skin ulcers cover his emaciated body. As his body’s temperature falls, one after another its normal functions cease. Heartbeat, breathing rate and blood pressure all drop catastrophically. Speech becomes difficult. Shivering grows uncontrollable. Mental confusion steadily increases, amnesia too. Exposed skin stands blue and puffy. Muscles fail. Even his hair stands on end in a hopeless, involuntary action to preserve vanishing heat.  Clinical death will occur soon after, though due to the extreme cold, brain death might be postponed for some time. It is a fearsome end.

Skiers Fast forward 87 years, to 1999. In the northern Norwegian wilderness an intrepid 29-year-old skier falls, twists onto her back and, out of control, slides into a ravine. In seconds she’s careened into a fast-flowing stream that sweeps her to where the flow vanishes under thick ice. She can’t move as her body is wedged tightly beneath the ice by the water’s fierce flow. Two friends racing behind catch her skis just in the nick of time to stop her from being swept away, but in the snow and the wild terrain they can’t haul her out from that icy mountain stream. Little by little she’s sucked ever more under. Now she too is slowly freezing to death.

Forty minutes after being trapped in the icy water her struggles slowly ceased. Minutes later her heart stopped beating. Her body now was completely still. By the time the rescue helicopter arrived her heart hadn’t beaten for nearly an hour and a half. By then, she was technically dead. Still paramedics in the rescue helicopter worked tirelessly against the odds, trying to revive her. By the time her body was handed into the care of Dr Mats Gilbert on the roof of Tromso University Hospital her heart had been stopped for well over two hours.

Both Anna Bågenholm and Robert Falcon Scott froze to death. But unlike Scott and untold thousands before him, more than three hours after her heart stopped beating, Anna Bågenholm was brought back to life.

How could this miracle happen?

Well, in part at least, because of you.

Here is Anna’s incredible story. As you read it, please say aloud to yourself, at the appropriate moment, ‘We did this. When in the past I supported medical research, I helped make this miracle possible. That’s what I, and others like me, that’s what we did.’

Say it now. Say it with pride.

Because it’s true. When you and thousands like you supported the development of those high-risk new research initiatives, this is the kind of thing you were making possible.

Amazingly, the very thing that was killing Anna also helped save her life.

The cold.

In that extreme cold Anna’s body, including her brain and all her life functions, effectively shut down.

How incredible is that?

But the cold alone wasn’t the only thing that saved her. This is the bit where you come in.

Three more modern miracles combined to bring Anna back to life. They’re all available now, even in the frozen north of Norway. Sadly, none of them were there for Robert Falcon Scott of the Antarctic, nor for thousands of others who died like him.

But they are there now.

The first of these advances has it roots in the makeshift ambulance wagon that appeared in 1795, during the Napoleonic wars, when medics first realized the value of getting to wounded soldiers quickly, before trauma and blood loss reduce survival chances. Anna’s equivalent though was very up-to-date – the flying air ambulance helicopter.

The second life-saver goes back to the last days of World War II, to pioneering experiments on the human heart that led to invention of the heart bypass machine which temporarily takes over the task of circulating blood so that surgeons are free to work on the no-longer-beating heart. In Anna’s case it was circulating her blood – all of it – through a gentle warming process via one of these machines that brought her lifeless carcass back to viability.

The third miracle owes its origins to the fight against polio; to the development of the iron lung and the ‘life support’ system which today routinely saves so many premature babies and others whose fragile bodies struggle just to survive.

Of course other qualities came together to play important parts in the saving of Anna’s life. Persistence, stick-ability, determination, courage, optimism in the face of hopeless odds. Not to mention professional skills that money can’t buy and the best medical facilities that money can.

But as Captain Scott and his colleagues showed such a short time before, in such circumstances human qualities alone, admirable though they are, are not enough. That’s why we promote the research that you support, that day in, day out is saving lives like Anna’s, even as you read this incredible story.

Robert Falcon Scott is presumed to have died on 29 March 1912, or possibly a day later. The positions of the bodies in the tent when it was discovered eight months later suggested that Scott was the last of the three to die. From the Antarctic wastes Scott’s last words echo down the ages with a pathos and resignation that moves us still.

‘We took risks, we knew we took them; things have come out against us, and therefore we have no cause for complaint, but bow to the will of Providence, determined still to do our best to the last…

‘Had we lived, I should have had a tale to tell of the hardihood, endurance, and courage of my companions which would have stirred the heart of every Englishman. These rough notes and our dead bodies must tell the tale…’

Anna Bågenholm
Anna Bågenholm was very much more fortunate. Thanks to good luck, some brave and brilliant friends, some dedicated, wonderful medical staff and some quite extraordinary advances in medical science, she can tell that tale herself, in the flesh. It’s a triumph made not just possible, but effective, by all who have worked to properly fund research.

That includes you. Yes, you.

Anna has survived that ordeal now for more than 5,000 days. If Anna were able to, I’m sure she’d want to say to everyone who played a part in this modern miracle, ‘thank you for the days’.

Well done, you! Thank you for the days.

The witch-finder Gagool

by H. Rider Haggard, from  King Solomon’s Mines.

As a small boy Gagool so terrified me that only an excitement more powerful than imagination could have encouraged me to keep reading when any minute she might creep into the tale to wreak her dark magic and spoil everything. This short passage explains why she scared me so and scares me still.

King Solomon's Mines
An early cover shows, from the right, Foulata, Captain Good, Sir Henry Curtis, Allan Quatermain and Gagool on the hillside below the chamber of the dead, at the entrance to King Solomon’s Mines.

The king took it very gingerly, and laid it down at his feet. I observed the wizened, monkey-like figure creeping from the shadow of the hut. It crept on all fours, but when it reached the place where the king sat it rose upon its feet, and throwing the furry covering from its face revealed a most extraordinary and weird countenance. Apparently it was that of a woman of great age, so shrunken that in size it seemed no larger than the face of a year-old child, although made up of a number of deep and yellow wrinkles. Set in these wrinkles was a sunken slit, that represented the mouth, beneath which the chin curved outwards, to a point. There was no nose to speak of; indeed, the visage might have been taken for that of a sun-dried corpse had it not been for a pair of large black eyes, still full of fire and intelligence, which gleamed and played under the snow-white eyebrows, and the projecting parchment-coloured skull, like jewels in a charnel house. As for the head itself, it was perfectly bare, and yellow in hue, while its wrinkled scalp moved and contracted like the hood of a cobra.

The figure to which this fearful countenance belonged, a countenance so fearful indeed that it caused a shiver to pass through us as we gazed on it, stood still for a moment. Then suddenly it projected a skinny claw armed with nails nearly an inch long, and laying it on the shoulder of Twala the king, began to speak in a thin and piercing voice.

The gorilla

In the 1860s Africa was still the dark continent. Though it’s shocking to us now to read of our ancestors stumbling around the jungle blasting at pretty much everything that moved, it’s easy to forget that these were different times with different values and priorities. Still this account of the killing of a great ape is shocking. It comes in the final page of a Herculean work of natural history compiled from submissions by the leading naturalists and explorers of the day. It is added as a single last entry, almost as if it’s a STOP PRESS late discovery. In reproducing it here we have tried to keep as close as possible to the layout and style of the original which, though in two columns, has no paragraph breaks.
Gorilla5

From A History of the Earth and Animated Nature, Part 1, by Oliver Goldsmith et al, published by W G Blackie & Co, Glasgow, 1867.

The interest excited in the natural history of the Gorilla, or Great Chimpanzee, while the latter pages of this work are passing through the press, by the publication of M Du Chaillu’s Exploration and Adventures in Equatorial Africa, will justify the occupation of a spare corner, by a brief notice of that formidable species of the simial tribe. The Troglodytes gorilla has long been known to naturalists, although it was not till the year 1848 that Professor Owen gave to the world a correct description of the animal, specimens of the skeleton of which had been obtained from the Gaboon river, and which much exceeded in size, and was found to be specifically distinct from the previously known T. niger, the Chimpanzee, or Black Orang, known in its young state also by the name of Jocko. Fresh specimens of the gorilla having been brought to this country by M. Du Chaillu, professor Owen has been able to determine still more satisfactorily the distinctive characters of this huge man-like ape. M. Du Chaillu’s account of the habits of the animal has been subjected to considerable freedom of criticism, and the accuracy of his observations has been discredited by several naturalists; ·but his descriptions can hardly fail to interest the general reader. During his African researches he had long been in quest of the gorilla, and had endured many disappointments, when at length he made the acquaintance of the animal under the following circumstances: – ‘Suddenly,’ he says,  ‘I was startled by a strange, discordant, half-human, devilish cry, and beheld four young gorillas running toward the deep forests. We fired, but hit nothing. Then we rushed on in pursuit, but they knew the woods better than we. Once I caught a glimpse of one of the animals again, but an intervening tree spoiled my mark, and I did not fire. We ran till we were exhausted, but in vain. The alert beasts made good their escape. I protest I felt almost like a murderer when I saw the gorillas this first time. As they ran on their hind legs, they looked fearfully like hairy men; their heads down, their bodies inclined forward their whole appearance like men running for their lives. Take with this their awful cry, which, fierce and animal as it is, has yet something human in its discordance, and you will cease to wonder that the natives have the wildest superstitions about those ‘wild men of the woods.’ A closer acquaintance speedily followed. The traveller thus describes the exciting incidents of that occasion: ‘The underbrush swayed rapidly just ahead, and presently before us stood an immense male gorilla. He had gone through the jungle on his all-fours, but when he saw our party, he erected himself, and looked us boldly in the face. He stood about a dozen yards from us, and was a sight I think I shall never forget. Nearly six feet high (he proved four inches shorter), with immense body, chest, and great muscular arms, with fiercely glaring large deep gray eyes, and a hellish expression of face, which seemed to me like some nightmare vision; thus stood before us this king of the African forest. He was not afraid of us. He stood there, and beat his breast with his huge fists, till it resounded like an immense bass-drum, which is their mode of offering defiance, meantime giving vent to roar after roar. The roar of the gorilla is the most singular and awful noise heard in these African woods. It begins with a sharp bark, like an angry dog, then glides into a deep bass roll, which literally and closely resembles the roll of distant thunder along the sky, for which I have sometimes been tempted to take it where I did not see the animal. His eyes began to flash fiercer fire as we stood motionless on the defensive, and the crest of short hair which stands on his forehead began to twitch rapidly up and down, while his powerful fangs were shown as he again sent forth a thunderous roar. And now truly he reminded me of nothing but some hellish dream creature  – a being of that hideous order, half-man, half-beast, which we find pictured by old artists in some representations of the infernal regions. He advanced a few steps, then stopped to utter that hideous roar again, advanced again, and finally stopped when at a distance of about six yards from us. And here, just as he began another of his roars, beating his breast in rage, we fired, and killed him. With a groan which had something terribly human in it, and yet was full of brutishness, he fell forward on his face. The body shook convulsively for a few minutes, the limbs moved about in a struggling way, and then all was quiet-death had done its work, and I had leisure to examine the huge body. It proved to be five feet eight inches high, and the muscular development of the arms and breasts showed what immense strength it had possessed.’ M. Du Chaillu also describes how one of the negroes of his escort was killed by a gorilla: ‘He said that he had met the gorilla suddenly, and face to face, and that it had not attempted to escape. It was, he said, a huge male, and seemed very savage. He said he took good aim, and fired when the beast was only about eight yards off. The ball merely wounded it in the side. It at once began beating its breasts, and with the greatest rage advanced upon him.’ The negro reloaded his gun, but the animal sprang upon him, dashed the gun out of his hands, and striking him with its immense paw, lacerated the abdomen, and laid bare the intestines. As the man sank bleeding to the ground, the monster seized the gun, and flattened the barrel between his jaws. When the party came upon the ground, the dying man was alone, the gorilla having fled.

The Gorilla