Stripped, Part I – ‘The Crooked Pinky’

[click to read Part II and Part III of my 'Stripped' series]

I rode the tube to Bethnal Green last night. My fear of closed spaces – which had on many occasions prevented me to even contemplate plunging into London’s innards – always gives way to mild bursts of insanity. Yesterday, I imagined the train being permanently immobilized between stops, my brain equated the tunnel to a tomb, flashing images of rotten corpses whizzed by, and finally a steady stream of stills of each one of the passengers around me as a mummified lump…

“Mind the Gap”.

Phew, I made it (alive).

PERU

A mummy from the Chachapoyas culture

As I rushed through the crowds, I felt incredibly aware of my own existence (I always do after a tube ride), but I also felt fascinated with the thought that we are all ultimately perishable walking forms. I wondered about my own ‘innards’ and what they’d reaveal.

It turns out, just like the London underground, it’s not all that attractive. But why hide these crippled bones of mine? I’m taking my skeleton out of the closet today and stripping myself of my flesh. I’ve done some exploratory probings during my lifetime, and have decided to come clean about by own crookedness, and expose my bones in increments.

So without further ado, I give you item number 1, ‘the crooked pinky’:

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I may look nothing like either of my parents, but my fingers don’t lie. Or at least my pinkies don’t. My mitochondrial half has been so kind as to endow all of its progeny with crooked little fingers, and all members of the family on the maternal side have varying degrees of this strange ‘finger curvature’.

Clearly, I am not adopted, and whatever mutant gene is causing this abnormality is being served straight-up from my mother’s side and has precedent over its recessive counterpart in my father (it’s therefore autosomal dominant with complete penetrance).

It may be an aberration, and slightly unattractive but it’s certainly not debilitating so I’ve grown quite fond of it.

… and it has a name.

Clinodactyly (or “bent finger”, from the Greek ‘klinein’, “to lean/to bend”, and “daktylos”, finger) is a common deffect of the 5th finger (or pinky), by which the distal end of the digit bends towards the 4th finger (the ring finger). It usually occurs in about 0.1 to 1% of the human population and in isolation of any other clinical anomalies. Clinodactyly of the fingers can be caused by the presence of an extra bone inside the finger, but when it comes to the pinky, it is most commonly due to the underdevelopment of the middle phallanx (or asymmetrical hypoplasia)

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X-ray of a hand and and pinky with clinodactyly

Fortunately for me and my maternal family members, this is nothing but a skeletal curiosity that happens to be visible on the outside. In some cases, however, it can occur in combination with other abnormalities such as Russell-Silver syndrome, Feingold Syndrome or Down Syndrome. In fact, when it is identified in prenatal ultrasounds, it is considered statistically correlated with increased risk of chromosome aberration in the fetus and may be reason enough to order an amniocentesis…

“Mind the Gap”.

Phew. I made it (sans-Down Syndrome).

The Bone of the Matter

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“… it behoves me now to unbutton him still further, and untrussing the points of his nose, unbuckling his garters, and casting loose the hooks and the eyes of the joints of his innermost bones, set him before you in his ultimatum; that is to say, in his unconditional skeleton.”

- Herman Melville, Moby Dick

The basement of the Paleontology Department of the Natural History Museum is dim, dry and lonely. The underground complex of the Museum, so I was told, once served as a bunker for telephone operations during WWII. Its construction is war-proof, the walls are made of solid concrete and measure 3 feet in thickness, the staircases leading to it are zig-zagged in order to prevent bombs from plunging straight inside (lesson learnt from the London tube bombings during the Blitz). This is where the human remains are kept. When I first visited this basement I remember jokingly saying that “well, if the Germans ever attack again, we know at least the dead are safe”.

A few years ago, the Museum tried to renovate the basement, and drills were put to work in order to break through some of the rock, but they were soon forced to stop as the London Transport Authorities were reporting ‘disruptions’ in the tube system. It seems the works were causing the tracks to vibrate.

I’m claustrophobic. I had managed to live in London for over 10 months without once stepping inside its underbelly (I was ‘forced’ to face my fear by a friend who insisted that Wimbledon was worth riding the tube for.. it was), but working as a volunteer at the NHM was one of the most satisfying experiences of my life, and I’d gladly plunge into the stale eeriness of its basement again (did I mention the lights automatically turn off every 20 minutes?).

Virtually every department and basement of the NHM is open to visitors (albeit through a complicated system of pre-bookings and identity checks, I’m sure). The human remains collection, however, is strictly restricted “due to the nature of the collection”. And I got the chance to work there. For about 2 months I was supervised by the curator of the Paleontology Department, Dr Rob Kruszynski, and was responsible for measuring the baby bones of a 9th Century Norse population.

Because of the nature of the little project I was responsible for, I needed reference material, such as osteology books and papers on human bone development and growth, which Rob duly supplied. Sometimes, however, it’s difficult to side bones (especially very young ones) without a more tangible visual aid, therefore it was agreed that a mounted baby skeleton would be placed in the room next door for me to use as a reference in case of doubt. It turns out that it wasn’t so much placed in the room next door, as it was hidden from everyone else’s view in the room next door between a box with bones and a box with a mummy, all because “it may offend some people’s sensibility”.

My first thought: “?”

There I was, in a dim, dry, lonely basement, with over 10,000 adult human skeletons, all carefully stored and preserved, but the baby skeletons have to be hidden away from ‘people’s sensibility’? We have to beg for people to react in the face of human (adult human) tragedy, and even find excuses to justify it at times, but we go kicking and screaming onto the streets for human fetuses? .. and now we have to hide the fetal osteological evidence too?

Tibetans (among other peoples) dispose of their dead by feeding their corpses to the vultures (in what is called a sky burial). In ancient Egypt, bones and soft tissue are both preserved for the after life in a complex, ritualistic process that remains perplexing to this day. When Dr Charles Lockwood (one of my professors last year) was killed in an accident, he was cremated. It seems we are either completely removed from our bones, or deeply attached to them. The same goes on in the scientific world; we obsessively hunt for bones and compulsively clean, preserve, study and measure them, but while in some continents, the excavation of a 19th century cemetery isn’t given second thoughts, in others, the resurfacing of a 9,000 year old ‘relative’ is cause for a lawsuit.

Our relationship towards death is full of contradictions, and our relationship towards the dead is too. In many cultures, present and past, the dead are treated and disposed of differently according to their status and age bracket. This is especially true of children, who in many instances do not find a place near the adults in cemeteries until they have been baptized – a rite of passage that marks one’s birth into the world of the living. Perhaps there is a certain element of eeriness about handling the unborn younglings after all?… It seems that our relationship with these calcium hydroxyapatite structures is merely a reflection of our own feelings towards death and the dead – what I might find endlessly comforting, others might find intolerably disturbing. But in the end, are we really our bones?

Whether we care or not about what we do with them after death is a matter of personal or cultural choice, but in life, whether we are newborns or grown-ups, our bones are our shells and our frames. They are tucked beneath pounds of (I imagine) unsavory flesh, we never see them in life, but are what’s left when we die. They are the source of our life, the marrow of it. Bones are incredibly malleable and can adapt to all the loads we inflict upon them in life, yet they are sturdy, and keep us standing in the face of life’s impacts. They give us our posture, our height, they tell stories about our pains, our preferences in menu, our beliefs, if we were loved or hated – or both.

Yes, indeed, we are very much our bones.