NOVEMBER 15-30, 2007
VOLUME 4 NO. 19

PATIENTS & PRACTICE

The Interview

A doctor in space

Astronaut and physician Dave Williams made one giant leap for Canuck-kind in August when he set the record for the most spacewalks by a Canadian. The Saskatchewan-born former emerg doc has made his mark at NASA as a telesurgery pioneer, performing operations under the sea in preparation for the eventual Mars mission. We caught up with Dr Williams at the Johnson Space Center in Houston to talk about extraterrestrial medicine, space sex and 2001: A Space Odyssey.



Photo credit: NASA

Is growing up to be an astronaut cooler than, say, growing up to be a ballerina? You know, my wife is a commercial pilot with Air Canada, she's the captain of A320s right now. She likes to say she has the best job in this world and I have the best job out of this world. I definitely agree with her.

Your fellow MDs in Canada are going through some tough times, particularly coping with physician shortages. Do you think it's inspiring for them to see you going into space, exploring this other frontier? I think it's inspiring, but I think it also helps challenge us to think about the way we look at earth medicine.

How so? Let's say I were to go to the moon as a physician. Do I have all the skills that I'd need to deliver healthcare as the only physician? And the answer is, I don't. The way we can do that is through telehealth. I think it's really exciting to look at how we can take these technologies we're working on in space and incorporate them into clinical practice on earth.

I hear a lot of astronauts develop kidney stones. How are your kidneys doing? Mine are great, as far as I know. One of the challenges when you're in space is the mobilization of calcium with the bone loss that we experience, which increases the risk of kidney stones.

5 things you didn't know about... Dave Williams

Where he was when Neil Armstrong landed on the moon At home in Montreal watching it on TV. In those days they used to have space trading cards. For two cents you'd get five cards and a couple of sticks of bubble gum. I remember collecting those and watching totally enthralled as the original astronauts explored space.

His thoughts on space sex One of the challenges we face going down the road, particularly with these three year missions, is looking at how crews interact with one another.

His zero-G sweet dreams I actually prefer sleeping in space to sleeping on earth. In space, you don't have any pressure points and you don't need to worry about a pillow or anything because there's no gravity to resist against. You can close your eyes and literally fall asleep and just float around. It's really quite remarkable.

His extraterrestrial cuisine philosophy There's a cookbook called A Man, A Can, A Plan. That's pretty well what cooking's like in the shuttle or the station. You reach into your meal drawer and you pull out something and you warm it up.

Is there life out there? Biologically I think it's probable. One of the things that happens when you're on the space station and you look out into the heavens and you see the stars and galaxies that are out there, you can't help but reflect on the fact that we're just one very, very small planet in the midst of something that's absolutely infinite.

Would you like to be the first Canadian on the moon? Love to — any chance of you funding the flight? [laughs] That's a dream of mine, actually. Not so much for me as for the next generation of Canadian astronauts. Right now NASA has a plan to send humans back to the moon. I think we can look forward to that happening before the 50th anniversary of Apollo, which is coming up in 2019.

One of your contributions to the space station potluck was caribou jerky. How did that go over with your fellow astronauts? They liked it. Jerky's a great thing to eat in space because there's not a lot of preparation required and the protein yield is very high. The Canasnacks [specially designed space cookies] were quite popular as well.

What's the first earthly pleasure you like to indulge when you get back on terra firma? For me, it's just being with my family and sharing the experience with them.

Your name is the Welsh form of David, Dafydd [pronounced Dahvith]. Are you a celeb in Wales? I don't know if I'd say I'm a celeb there, but they're certainly very proud of the fact that I've flown the Welsh flag in space. When I flew in space the first time, I had a chance to speak some Welsh from space with the BBC.

One of the astronauts in 2001: A Space Odyssey was also named Dave. Do your fellow astronauts ever rib you, saying stuff like "Good morning, Dave" in the voice of the movie's computer, HAL? [Laughs] Haven't had that happen yet. But I remember distinctly as a kid watching that movie and I think what's really fantastic is that a lot of the things we watched in movies and on TV as science fiction have become reality.

If NASA would let you do any zero-G medical research you wanted, what would you pick? Right now I'm very much involved in zero-G surgery and we've been doing a fair amount of work with laparascopic surgical procedures. The techniques you use are quite different than what you do on the ground with terrestrial surgery but it's the kind of thing we really need to start looking at if we're going to start sending people to Mars.

Any advice for fellow docs who might want to follow in your space steps? Right now, space medicine is a new, evolving discipline — I wouldn't say it's a speciality yet. People who want to get involved in that certainly have all kinds of opportunities, whether it's working in collaboration with the Canadian Space Agency or NASA.

What would you like your legacy to be? When I was sharing the idea of being an astronaut with folks I didn't get a whole lot of support. Most people told me it was impossible. I try to encourage kids to follow their dreams wherever that may take them and work hard with passion and persistence. That's the legacy I'd pick.

When are you going up again? Hard to know. I'm still quite young — I'm only 53. Right now I go to the back of the line, and it's a fairly long line, but I would certainly love to be able to fly in space again.

Interview conducted by Gillian Woodford

 

 

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