My friend Nicole Lamartine is an
amazing woman. Really, amazing doesn’t really cover it. We met when she sang
for a time in Conspirare. We got to know each other better when we roomed together on one of the away gigs. These days, we keep up on Facebook. She is a
phenomenal choral conductor in addition to being a fine singer, and she is a choral
mover and shaker in the West/Northwest area of the country. As if that weren’t
enough, she’s also a champion weightlifter with the moniker “NiLa-Tiny Hulk.”
Like I said, amazing.
While keeping up with her on
Facebook, I came across a series of posts chronicling a recent experience of
hers while on sabbatical this semester. Her mother posted, “Although much of
her work during this time has involved adjudicating different choirs around the
West, sharing her expertise with other conductors, and participating in her
professional choral groups, this past week she was in San Francisco to
participate in a long-awaited event. She joined one of Gil Hadley’s classes on
dissection of forms (human cadavers).”
As a former would-be physician, I
have always been fascinated by the human form. As a singer and voice professor,
I am completely interested in the way our body supports and facilitates
music-making. I asked her if I could share her reflections and if she would
tell me a little bit about how she came to this experience. She writes:
This journey was
like nothing else I have experienced in my life and I am truly seeing people
for the first time. And in the seeing I am loving. It is so deep... Yes, please
share. I feel like I have so much more to say, but lack the words to express
it. I have always been fascinated with anatomy and this human form that we call
our instrument as singers and conductors. About 15 years ago, I took two week-long
intensive courses on Laban Movement Theory and Bartenieff Fundamentals. This
changed my life. I realized that in movement, whether singing or conducting or
dancing or simply being, we communicate, both intentionally and
unintentionally. We have this power at all times. I wanted to know more and see
inside this beautiful and profound instrument, but was frustrated that I had to
be a med student to truly explore our fundamental physical humanness. My
husband found Gil Hedley on the web, and his dissection videos... I watched some
and wanted to be a Somanautic myself...exploring inner space and all of its
beauty. That’s how I came to it!
The following words are all
Nicole’s and I thank her for sharing them with me and, by extension, with you.
I hope you find them as useful and beautiful as I did.
My Somanautic Adventure begins...
When I have described my
intentions for Somanautic Adventure many have replied with a simple “why?” The
reason: To explore the inner being (both physical and spiritual) and learn from
a reflection of myself.
Gil set a beautiful tone for the
day with a palpable sense of gratitude and respect for the forms. Our beauty as
human beings is reflected back to us by the “intelligence of nature.” Our
greatest teachers would be the forms (bodies) in/on which we would explore.
The form is simply a
representation of a human being. It is no longer animated.
All five forms for the class (2
women and 3 men) were arranged in a circle with heads together and covered in a
sheet. After the unveiling, we simply walked and observed, noting this
particular embalming style. All of the bodies looked similar after the 5
gallons of fluid had been pumped through the system: bloated with swollen
faces, obscuring the individualized facial characteristics. We simply touched
and palpated, noticing that the flesh texture was somewhat more firm, but that
the forms would become mobile with gentle movement.
We were given the task to assign
ourselves to a form and name it as a group. I was particularly drawn to one
gentleman whose abdomen rose like a mountain off the table. My table-mates and I
named him Grandpa Buddha and came to understand that he was 85 and died of
heart failure. Grandpa B. showed no signs of trauma save for some bruising on
his arms and ankles. There was a scar on his left shoulder. No tattoos. A hand
placed on his cheek felt the gray stubble on his face.
It was a profound moment when,
after meeting and naming our forms, we stood two of them upright— a true
reflection of self and the intelligence of nature.
The first part of the dissection
involved separating skin from superficial fascia (adipose layer), which is
quite difficult and time consuming. The skin thickness and texture are so
different from the fluff of the superficial fascia, but the scalpel understands
the layers. After we dissected off the skin of the entire front side of Grandpa
B. we put it back on to see the form as we first met. Then, peeling each
section of skin away, we revealed Superficial Fascia Man, with his glorious
layer of fluffy protection from self and environment.
The skin is an amazing organ, and
drastically different between people. One form, 95 year-old Venus, had skin
about 0.5-0.75 inches thick...on every surface of her body. Compare that to
Grandpa B., whose skin was paper thin at the wrist, but very thick and leathery
on the shoulders, butt, and thighs. The cranial skin is also incredibly thick– 0.3
inches thick on Grandpa B.
Tomorrow we finish the back side
and explore superficial fascia and deep fascia.
Yes, the process is juicy. Yes,
the form is heavy. Yes, the formaldehyde is strong. Yes, there are 7 people and
7 scalpels at my table. Yes, the lab coats get “schmutzed.” Yes, it is very
physical work.
And yes...it is totally worth it.
Day
2: Superficial Fascia
Grandpa B. taught me so much
today, and I am continually reminded of the amazing gift he has given to me.
The body’s layered organization
is stunning, like peeling back the layers of an onion. With each layer, a new
world is exposed. With the observation, differentiation, reflection, and
finally removal of each layer, we get to experience each glorious layer only
but once.
The skin, I think, is the first
physical element of our being that communicates. It is our first meeting of
another’s emotion. Today we went beyond.
The superficial fascia is largely
a shaping layer; that which gives us our morphology. The muscle shapes
underneath can be expressed through it, but we mostly observe one’s outward
shape as the expression of the superficial fascia. The superficial fascia, or
what many understand as “fat,” is actually a fibrous and spongy web containing
nerves, blood vessels, lymph nodes, and fat. It is a world unto itself. The
superficial fascia is that which protects us: from the elements as an
insulator, from harmful substances stored in the fat, and sometimes from
ourselves. The matrix is at times hard to follow, and will often cross and
reorganize into the deep fascia of the muscles. The attachments of this fascia
range from fibrous strings to the web-like “fuzz” that can be separated with a
finger stroke.
Grandpa B.’s general shape did
not change on his belly after removing the 3-inch thick superficial fascia. The
2-inch thick fascia on his rear, though, is actually responsible for the shape.
Once this was removed, the glutes are actually flat.
This ever-fascinating journey
continues tomorrow with skeletal muscles.
Day
3: Deep Fascia and Muscles
The brain must compartmentalize to
understand things. It categorizes, names, and files in the appropriate drawer.
Grandpa B. challenged my understanding of muscles as independent movers.
The deep fascia
is membranous bag which surrounds each muscle. Sometimes it is a delicate
gossamer, and others a fibrous sheath. Held up to the light, one can observe
the structure which gives this layer such strong integrity: the fibers run
obliquely to each other in many cases, and in
others, parallel fibers remind the observer of strapping tape.
I spent the whole day focused in on the
left abdominal area. By the end of the day, each muscle layer was visible and
relationships between them had been separated to reveal the most amazing
layers, that each muscle morphs into the next, and that the deep fascia acts as
the structural integrity. I had revealed and reflected each belly of the rectus
abdominis away from the rectus sheath, the external and internal obliques and
the transverse abdominis. I was amazed how the lower fibers of the pectoralis
major blend, without much distinction, into the upper fibers of the external
obliques. We are truly connected in ways I never understood.
What was even more fascinating was the
fact that both the superficial fascia and the deep fascia are strong and
sturdy. They do not rip when pulled, but the muscles fibers themselves
disintegrate easily at touch and their structure is lost very quickly once the
deep fascia has been removed.
The superficial fascia gives context and
structure to the muscle tissue we think we know. The deep fascia holds each
muscle carefully, like a hammock, making sure it can glide through space as
needed.
My exploration of inner space continues
tomorrow.
Day
4: Muscles and Viscera
Today I observed rivers, trees,
and opalescence. The muscles of the hip to the knee meander like a river. The
vascularity of the small intestine creates a forest of trees. The structural
deep fascia swirls and straightens with its collagenous fibers. The wonder of
the fifth quadriceps, the feeling of the abdominal muscles sandwiched between
my hands, the trapezius, lats and rhomboids in all of their anchoring glory. The
levator scapulae as a meaty body joining head and scaps, the sciatic nerve as
it uncommonly split in two to divide the pectonius, and the wonder of the
internal organs.
The diaphragm reveled itself as a
thin, membranous muscle whose deep fascia meld into the transverse abdominis.
Held up to the light, one can observe the fascial layer with diaphragm fibers
running down while almost contacting muscle fibers of the transverse running
across. Each muscle is indistinguishable at that junction. I was reminded of
the unity within the body.
The wonder of the intercostals
contains fascia strapping tape and muscle fibers running in opposite
directions. The accordion action of the ribs and intercostals was illuminated
while backlit.
Upon opening the visceral “bag,”
a new and alien world emerged. The lungs feel like foam with structure and one
can easily see the three lobes on the right and two on the left. The intestines
meander, but are more like 10 or 15 feet...rarely the 22 feet length mentioned
in books. They can be gathered like a bouquet in the hands and lifted from
their origination point at the lumbar spine.
The greater omentum originates
from four fascial surfaces, two from the transverse colon and two from the
stomach. It represents as a sheet/blanket of fluffy, vascular, lymphatic, and
adipose [tissue] that acts as a vacuum for toxins in the body. It can move
within the abdomen in response to inflammation and tends to cover those areas
which are sick. This is a spectacular sight to behold and has become my
favorite discovery of the abdomen.
I am ever thankful for Grandpa B.,
and am reminded of my responsibility to honor him in his amazing gift to me.
Day
5: Viscera, Thorax, and Other Projects
I have found great appreciation
for what each of us carries in the belly. It is where we gather and process all
of the outside food to provide energy and life force. To hold the intestines in
a bouquet and sever their bodily connection at the mesentary root, I was able
to appreciate the centralness of the intestines to the body itself. Then, in
spreading them out on the table like a coral-shaped fan, I could see their
beauty echoing though shapes familiar to me in nature.
The breath lives on, even in the
cadaver form: with a turkey baster and by sealing the mouth and nose, air
filled Grandpa B.’s lungs in a steady rhythm demonstrating the massage that the
lungs give to the heart and liver... 20 thousand times a day.
The blood vessels in the mid body
are huge, about the diameter of a quarter. With each beat of his heart, blood
flowed through these superhighways until his last day. The blood vessels have
sturdy integrity and are not easily broken.
After evisceration, we could
clearly see the relationship of the psoas muscle to the lowest fibers of the
diaphragm. I have always thought of the psoas muscle as the great connector in
the body...joining breath life force to body and global movement.
I was able to dissect the floor
of the mouth (including tongue and mylohyoids) and release it through the
mandible while still attached to the larynx and retaining the structure of the
pharynx. This view of our human instrument was profound for me: to stare down
the tube of his larynx and think that every word he spoke or note he sang
originated from this tiny house.
I held a uterus on my hand (in
situ) and was surprised at how tiny it was. I followed the fallopian tubes to
each side to the bean of each ovary.
Other projects continued around
the lab: removing the arm to study joint articulation, more muscle finding,
illuminating the diaphragm with light to observe its fibers, opening the
cranium, comparing livers and kidneys.
Tomorrow we open the heart and I
will open the larynx.
Day
6: Various Projects and Closing
Time and time again I witnessed
the “infinite fractal community of branches.” The teams revealed the wondrous
worlds within the body— each part echoed by patterns we see every day in
nature: trees, webs, branches, flowing water, rivers. Words cannot express the
awe I have for each part of human body.
The heart’s cross section
revealed a forest of branches inside each chamber and thick muscle walls. Lung
tissue was scratched away to reveal the beautiful tree of bronchial tubes and
vascularity within each lobe. The eyeball’s lens was a small, thin, and tough
piece on top of the jelly filling the structure, and the iris muscle fibers
travel around the inside of the eye. The convoluted surface of the brain is
very much a mushroom-like texture, but the cerebellum is like a ball of string
fibers. The ear bones are but tiny specks of white, easily lost in dissection.
There are only two places in the
body where 3-D spiral motion is possible: the spine and the forearm. This
movement in the arm is part of what makes a conductor expressive. Today I put
my fingers on and witnessed the rotating head of the radius as it crossed over
the ulna. My finger fit just inside the carpal tunnel.
My biggest project for the day
was to dissect the larynx. After freeing the tongue and removing the esophagus,
the hyoid bone was clearly seen in its lack of relationship to any other bone
in the body. The removal of the epiglottis allowed easier access to the actual
vocal folds and arytenoid cartilages. I split the larynx posteriorly and had to
crack the thyroid cartilage to open up the gift. The folds were swollen and the
tissue immovable because of the preservation process, but the sight and
palpation was still fruitful. I was able to free and clean one arytenoid
cartilage.
As we finished the day, we
cleaned heartily then came to a circle of appreciation surrounding all five
forms, now nestled each in its own cardboard box for cremation. Upon Grandpa B.’s
box we placed a flower and greenery. Our physical closeness presented human
flesh on each side of me...a stark contrast to the week. I was overcome with a
deep sense of gratitude for the gift I had been given by a man (and his family)
who I will never know and never have the opportunity to thank. I have been
changed in a deep and profound way. Thanks, Grandpa B.