Surviving the Extremes: A Doctor's Journey to the Limits of Human Endurance (51 page)

BOOK: Surviving the Extremes: A Doctor's Journey to the Limits of Human Endurance
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lack of, and death,
194

as medicine,
197

in mountaineering,
186
,
226

needed by brain,
86
,
90
,
243

percentage in air,
192

pure, breathing of,
176

running out of, on a mountain,
188–90
,
193–94

saturation of blood,
193–94

store of, in human body,
163
,
195–96

toxicity of,
176

transfer to tissues,
195

oxygen cylinders,
197

oxygen mask,
185
,
207

 

paca, a meal of,
73–75

pain

extreme, body’s blocking of,
27–28

relief of, with ice,
231

suppression of, by willpower,
52
,
285–87

panic,
86

paradoxical undressing,
288

paralyzed people,
288

parasites,
35–37

parietal lobes,
70

Pasang (Sherpa porter),
1–4
,
14–15

patients

bedridden,
100

and doctors,
9
,
25
,
38–39

noncompliant,
63–64

terminally ill, will to survive of,
279

pearl divers,
163
,
195

pediatrics,
192

penis, candiru in,
79

Pepto-Bismol,
214

Persian Gulf,
167

personality change,
119

Peru,
7

phantom limb pain,
110

Phenergan,
250

Pheriche village,
209

Phoenicians,
168

pilots, fighting,
242
,
244
,
248–49

pineal gland,
256

piranha,
39–40

pirarucu,
77

pit viper,
43–44
,
45

placebo,
64
,
93

plankton,
101
,
105

planning, human capacity for,
148

plants

as food,
102–3

medicinal,
65
,
67
,
73

plasma,
206
,
212

Plessz, Catherine,
85
,
88–89
,
91

pneumonia,
192

poaching,
21

poisonous animals and plants,
40–48
,
66–67
,
77–78

polio,
48

Polynesians,
102
,
121
,
150

polypropylene underwear,
184

position sensors,
92

positive-pressure breathing device,
245

positive thinking, and healing,
64

prayer,
71

predator and prey animals,
145

Prosperi, Mauro,
124–26
,
135–38
,
143
,
155
,
275

protein

of body, burning of,
112–13

deformed by cold,
202

deformed by deep-water pressure,
180–81

deformed by heat,
128
,
135
,
140–41

requirement for,
103–4

Psedorca
,
119

puberty rites,
70

pulmonary artery,
206
,
212

pulmonary edema,
205–10
,
213

pulse,
3
,
193

 

Qatar,
167

Quechua Indians,
212–13

quicksand,
55

 

radial artery,
32

radial keratotomy,
232

radial nerve,
30

radiation (cosmic),
261–63

radiation (heat transfer),
127

Ra II
,
108–9

rain, collecting of, to drink,
105–7

Rai people,
210

Ralston, Aron,
278–79

rational thinking,
284–85

reality, imagined,
52
,
288

rectum,
106

red blood cells,
163
,
195
,
211–12
,
218–19
,
266

rehydration enema,
106

Reisman, Garrett,
241

religious experience,
72

remora,
101–2

reptiles,
281

Ricardo (climber),
215–19

rifle, vs. blowdart,
68–69

right ventricle,
212

Rios, Jesus,
152

rivers, following, in wilderness,
276–77

Robertson, Dougal and Lynn,
97–99
,
105
,
106
,
119
,
120
,
280

rockets, auto-recovery system on,
245

Rougerie, Jacques,
182

Rutten, Otto,
238

 

Sahara Desert,
125–26

salt, concentration in blood,
108
,
109
,
131
,
132
,
145

Samburu people,
150

sandstorms,
125–26

saturation diving,
177–79
,
180
,
182

Saudi Arabia,
167

sauna, temperature of,
128

Savinykh, Viktor,
249

sawgrass,
54

schistosomiasis,
37

Schlitz, Lucien,
85
,
88–89
,
91

scooping food from the sea,
101

scopolamine,
93
,
250

scorpion,
77–78

scrotum,
150

scuba diving,
89
,
161
,
169
,
237

seabirds,
105–7
,
145–46

SeaBreeze
,
119

seal,
162–64

sea lion,
157

SEALs (U.S. Navy),
277

SeaOrbiter
,
181–82

seawater, drinking of,
107–9

Sebastian (Amazon Indian guide),
25

sedation,
32

self-awareness,
70–71

self-sacrifice,
60

semicircular canals,
247

sensation, nerves responsible for,
27

senses, human vs. animal,
56

serotonin,
69

settlements

highest,
209
,
213

jungle,
62–63

sex hormones,
112

Seychelles,
111

shade,
143

shark,
93
,
99–101
,
238

shawls and scarves,
147
,
199

Sherpas,
1
,
4
,
204
,
210–13

shivering and shaking,
185–86
,
199
,
233

shrunken heads,
75–76

sinuses,
161
,
162

skiers,
191

ski mask,
185

skin

breakdown of, by contact,
100–101

and internal heat loss,
129–30

pigmentation of, as protection,
150–51

skin cancer,
151

skinny dipping, in the Amazon,
40–41

skull,
3
,
216–17

sleep,
110
,
244
,
256
,
265

sleeping bags,
225

smoke inside huts,
192

“snail fever,”
37

snakebite, treating,
46–48

snakes

constrictor,
53–54

poisonous,
41–48

searching for warmth in clothes,
43–44

snow blindness,
228
,
232

society, and human survival,
57–58
,
278

socks,
101
,
147
,
185
,
215

solar still,
94–95

solar wind,
260–63

soldiers, basic training for,
141

solitude, need for,
196

Sourbeer, Jay,
238

South America,
212

South Pacific,
121
,
160

Soyuz
spacecraft,
245–46
,
253

space,
236–73

communicating with Earth from,
264

environmental dangers of,
241–42
,
253

exercise in, need for,
267–68

training for going into,
237–41

spacecraft

design of cabin,
256–57

life aboard,
236–37

space suit,
253–55

space walks,
253–55

spear,
101

speargun,
94
,
95–96

species, division of, and differing adaptations,
212

sperm cells,
149

sphere, heat loss from,
150

spider, water,
160

spine,
107
,
217
,
259

spiritual force, and survival,
14

spleen,
163
,
195

splint,
32

standing position,
141–42

starches,
103

starvation,
112–14
,
122
,
145

stimulation,
110–11
,
264

stingray,
40

stir-craziness,
101

stomach,
87
,
192

Strekalov, Gennadi,
245–46

stress, body’s reaction to,
140–41

subdural hematoma,
3

submersibles, unmanned deep-sea,
177

sugars,
103
,
112

suicide

attempted,
26
,
32
,
86
,
136

religious prohibition against,
115

sun, energy of,
127–28
,
260–63

sunburn,
151

surgical instruments, kit for,
27

surgical operations

in extreme conditions,
26–34

by robot,
269
,
274

survival

factors in,
6
,
14
,
154
,
275–76
,
279–80

mechanisms of, evolution and,
14
,
18
,
81–82

tests of,
277–79

survival instinct

in animals and humans,
282

and behavior modification,
51
,
143

in city vs. in jungle,
18

inadequacy of, in outer space,
241–42

as individual imperative,
64

in native peoples,
82

overriding of, in humans,
5
,
201–2

suture,
31
,
65

swallowing,
251

swamps,
55–56

sweat glands,
128
,
130

sweating,
130–31
,
139
,
287

Sweigert, Jack,
257

swim bladder,
179–80

swimming,
93

symbiosis,
73

synovial fluid,
252

 

taboo,
115–17

Talacek, James,
240

Taqurahu (mountain in Peru),
8

tarantula,
78

tea,
132
,
225

teeth,
192
,
213–14

temperature, ambient

of desert,
126
,
128
,
130
,
134–35
,
144

human body reaction to,
128

temperature, body

drop in,
200
,
202

rise in, from clothing,
150

rise in, from exercise,
128

See also
heat, internal

temporal lobes,
71–72

tendons,
30–34
,
231–32

terminally ill patients,
279

testicles,
149–50

thalamus,
281

thermoreceptors,
129

thermostatic control,
128–30

thighs,
150

thinking,
194
,
200
,
219
,
282

electrical basis of,
280
,
289
,
290–91

power of, to control body responses,
287–91

thirst

death by,
145

sensation of,
131
,
186

Tibet,
4
,
210

Tierra del Fuego,
202

tigers, humans’ innate response to,
13

Titanic
,
91

Titov, Vladimir,
245–46

toad,
149

Todd, Bill,
238

tourniquet,
29
,
30
,
32

trachea,
87

trails,
54–55
,
60

tropics,
200

tryptamine,
72

Tsibliyev, Vasily,
251

Tuareg people,
124
,
126
,
137
,
146

tunga,
49–50

Tunisia,
126

tunnel and bridge workers,
169
,
171

turtle,
98
,
105
,
107

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