John Lorber
{{For|the United States Air Force general|John G. Lorber}}
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John Lorber (1915–1996) was a professor of paediatrics at the University of Sheffield from 1979 until his retirement in 1981. He worked at the Children's Hospital of Sheffield, where he specialized in work on spina bifida. He also wrote on the subject of medical ethics regarding the use of intensive medical intervention for severely handicapped infants.
Medical ethics and neonatal surgical intervention
In the 1970s, Lorber was one of the early advocates for neonatal surgical intervention in cases of the Myelomeningocele form of spina bifida.{{cite book|last=Erminio Peter Volpe|title=Patient in the Womb|url=https://books.google.com/books?id=QmD6o3GEh4gC&dq=%22John+Lorber%22&pg=PA61|year=1984|publisher=Mercer University Press|page=61|isbn=9780865541221}} Lorber's published work advocating treatments, along with the opposing views of Raymond Duff and A. G. M. Campbell, became important voices in the debate about the ethics of withholding medical care.{{cite book|last=Raymond J. Devettere|title=Practical Decision Making in Health Care Ethics: Cases and Concepts|url=https://archive.org/details/practicaldecisio02eddeve|url-access=registration|page=[https://archive.org/details/practicaldecisio02eddeve/page/318 318]|quote=Lorber.|publisher=Georgetown University Press}} However, by the mid 1980s, Lorber's position had changed based on the unsatisfactory long term outcomes and instead he supported a treatment of normal nursing, with care to avoid pain and discomfort.{{cite news | first = Barron H. | last = Lerner | title = Playing God With Birth Defects in the Nursery | date = 14 June 2005 | url = https://www.nytimes.com/2005/06/14/health/policy/14essa.html?_r=0 | work = New York Times | access-date = 2013-10-14}} This position was criticized by pro-life groups.{{cite book|last=Peter Singer|title=Rethinking Life and Death: The Collapse of Our Traditional Ethics|date=15 April 1996|url=https://books.google.com/books?id=og0k9Kle07oC&dq=lorber&pg=PA128|publisher=Macmillan|isbn=9780312144012}}
''Is Your Brain Really Necessary?''
{{see also|neuroplasticity}}
In 1980, Roger Lewin published an article in Science, "Is Your Brain Really Necessary?",{{cite journal | author=Roger Lewin | title=Is Your Brain Really Necessary? | journal=Science | date=12 December 1980 | volume=210 | pages=1232–1234 | doi=10.1126/science.7434023 | pmid=7434023 | issue=4475 | bibcode=1980Sci...210.1232L }} about Lorber studies on cerebral cortex losses. He included a report by Lorber, never published in any scientific journal, about the case of a Sheffield University student who had a measured IQ of 126 and passed a Mathematics Degree but who had hardly any discernible brain matter at all since his cortex was extremely reduced by hydrocephalus.{{Cite web |url=https://www.discovermagazine.com/the-sciences/is-your-brain-really-necessary-revisited|title="Is Your Brain Really Necessary?", Revisited|publisher=Discover|access-date= February 9, 2020 |date=July 26, 2015}}{{cite book|last=Rolls|first=Geoff|title=Classic Case Studies in Psychology|date=2010|publisher=Routledge|isbn=9781315849355}} The article led to the broadcast of a Yorkshire Television documentary of the same title, though it was about a different patient who had normal brain mass distributed strangely in a very large skull.The pressure from the fluid enlarged her skull. Although her brain is thinly spread, it covers her entire braincase, and it is sufficiently thick that she has about 2000cc of brain - it's just very weirdly distributed in an abnormally large cranium. So despite being told all her life that she had only 15% of normal brain mass, the people who told her that hadn't taken the shape of her cranium into account. http://www.metafilter.com/26688/Well-what-about-pain Explanations have been proposed for the first student's situation, with reviewers noting that Lorber's scans evidenced that the subject's brain mass was not absent, but compacted into the small space available, possibly compressed to a greater density than regular brain tissue.[https://www.spinabifida.net/5-facts-on-mild-spina-bifida-occulta-s1-treatment-options/ Guide on Mild Spina Bifida Occulta S1]
References
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