I am on my way from Munich to the Heidelberg Ion Therapy center, through the snow covered abandoned fields of southern Germany, to attend a small informal meeting with pediatric oncologists. We are about to discuss the potential of novel accelerated particle beams in cancer therapy to find a better cure for some rare forms of childhood tumors. Whereas we are confident that scientific progress, medical research and innovation is the most promising way to finally overcome disease and death, 4 and half thousand years ago the most eloquent and free thinkers had less hope that the natural sequence of birth, life and death could be conquered by human innovation. But even then, long before Christian religion invented a fairy- tale of life after death for those who follow the holy bible and are positively selected at the gates of heaven, a narrative existed in Mesopotamia which appears very modern, complex and human from today’s perspective.
In the Epic of Gilgamesh, the main hero initially falls into despair when he realizes that physical life will inevitably end one day. He first tries to get around this shocking frustration by adopting a wild life-style, fighting everyone whom he could define as an enemy, drinking and eating and celebrating bacchantic feasts every night. And of course he soon discovers the ultifmate remedy against the fear of death: Sex as much as you can. So at least this seems to provide some solace, the hope that if not our own body and soul will gain immortality, at least the fruits of our loins could live on. And even people who understand little about reproduction, evolution of a species and human demographic instinctively know that when we love, death can loose its horror. And in the moment of highest sexual pleasure, death even becomes a joke. Why else does a loving couple cries “Kill me”, if not to show that love is so mighty, that even death is no thread any more. So death and love, in essence excluding each other, form a dipole in our unconsciousness, with the one being impossible without the other.
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| Epic of Gilgamesh: Cuneiform text on clay plate (British Museum, London) |
The writer Sin-leqe-unnini, believed to have collected and written down the Epos in the ancient sumeric city of Ninive, shows us Gilgamesh fighting against the ordinary sequelae of life, death, and eventually the quick disappearance of all traces that we left behind us. For the people who designed, constructed and operate HIT, their motivation was not so much to become famous. When the first plans of such a machine emerged, it was a long way to go and more than 30 years to test, redesign, optimize technologies, before the first tumor patient could be successfully treated. And it also was quite obvious, that such a complex, sophisticated and unique technical innovation will hardly ever become profitable, at least not in terms of a quick or predictable financial profit. The main driving force that kept all the people at HIT so passionate about their achievements is the feeling that by curing previously incurable cancer types, each single patient that can be send home disease-free is a clear victory over an otherwise inevitable death.
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| The Ion Therapy Center (HIT) at the Heidelberg University Clinic. The irregular ring on the upper left is the synchrophasotron (65 m circumfere) to accelerate carbon and other heavy atom nuclei to 3/4 of the speed of light. These high energy nuclei are then deflected by a set of magnets before they enter an array of focussing magnets mounted to a so-called gantry. This giant wheel weights more than 600 tones (right side in blue) and revolves around the patient, targetting the particle beam to the tumor with highest precision (photo courtesy of HIT press-office). |











