NASA announces unprecedented return of sick ISS astronaut and crew
livescience.com135 points by bookofjoe 3 days ago
135 points by bookofjoe 3 days ago
It's great we can bring them down. What a terrifying experience to have a medical issue on the space station. Kidney stone? Ruptured appendix? intestinal blockage? How could you keep calm so far away!
How could you keep calm so far away
By going through a ten-year process that selects for calm people.
I can’t imagine any other group who would be as calm as NASA astronauts. Maybe SEALs or other special forces.
It looks like there are a few astronauts that were SEALs, one returned December 9th from the ISS.
Jonny Kim was indeed a SEAL, and a few more things as well, with a CV almost as impressive as Johnny Sins:
> American NASA astronaut, physician, U.S. Navy officer, dual designated naval aviator and flight surgeon, and former Navy SEAL.
Note that "physician" here means Harvard MD.
In the US, many astronauts start as Air Force pilots.
And for the preternaturally calm and confident who don't have the perfect eyesight required to enter the Air Force, many of them apparently serve instead on nuclear submarines...
The point of training someone to their breaking point is not to make them immune to breaking. It's to give them experience with a realistic battlefield situation and their own physiological responses during it so they stand a basic chance when it does occur.
Totally, they put a bunch of people in those giant spinning chair things and weed out the ones that puke or freak out. Those are the astronauts, they have the right stuff.
I used to work in ISS mission control, this is not an emergency return but an early return
Also coming down on the Soyuz is pretty routine and only takes a few hours- I’d say it was overall a far less risky situation than being in Antarctic on a deep ocean vessel with appendicitis etc
We have dozens and (hundreds behind them) of men and women monitoring those folks from a global network of control centers 24 hrs a day- The station is mostly commanded from the ground and plans and procedures exist for everything
- if anything its all over orchestrated and over-planned in my opinion, owing to national politics, corporate contracts and international bureaucracy
Is it risky- yes obviously-but I’d argue its less risky then being out at the south pole in winter
See: https://nasawatch.com/iss-news/crew-medical-telecon-summary/
Astronauts are of a breed apart. They're strapped onto a literally bomb which launches them into a vacuum, and windows where there is no chance of a mission abort. They've pretty much accepted a risk of death that most would simply not tolerate. Ex-military is common for astronauts for a reason.
Not that it really changes the point but modern spacecraft do have an option to abort (begin returning to earth) at just about any time. There's still contingencies where that won't save you of course.
This is the reason I cringe every time I hear or read statements like “we went to the moon”, “we’ve split the atom”, “we developed antibiotics”, …
No, we didn’t. A few who are not like us did.
Not really, no. The point of the "we" is too highlight the incredible collective effort which was required from all these massive endeavors. It goes all the way from the steel cool astronaut to the great machinists which had to build the parts.
I think it's one of the greatest benefits of ever working on a massive industrial project. You quickly realize how incredibly complex these things are and how utterly powerless a person alone is.
Going on a spaceship is probably safer than driving a car.
Per mile, sure.
Per launch? I think the "everyone died" rate is about, what, 1.2% of crewed launches?
Not a good sales pitch for commercial space flights
While I’m confident we will probably have large scale commercial spacecraft in my lifetime, I suspect I will be long retired by then. I’m 31.
We need a decade of accident free autonomous launches before humans will line up in mass to visit space like a Carnival Cruise.
Don't dismiss the yearning for space/new frontiers/adventure that a lot of us have. If you offered tickets to the moon today for the price of a cruise, you would probably have people standing in line from Cape Canaveral to Tallahassee.
Being an astronaut is about 50x more risky than riding in a car
You know what they say: the most dangerous part of space flight is the car ride to Cape Canaveral.
whatever is the cause, it is not immediate - or they would've been on the ground couple days ago
so no, not appendix
Pregnancy?
This is what I keep thinking.
- Theres a 38 year old woman in the crew
- It’s a medical condition that likely wasn’t present when the mission started 4 months ago
- It’s serious enough to return the crew, but not serious enough that they must do so immediately
I guess we’ll find out in 9 months? (Or not…)
There are probably a hundred ailments or illnesses that can fit this description, maybe someone noticed a swollen lymph node or lump somewhere
Yeah it’s definitely just a thought. Getting pregnant in space the sort of sordid thing that’s fun to speculate on, but ultimately we just don’t have enough information. We’ll probably never know, either.
As I understand it, the studies done with mice suggest that microgravity prevents normal embryo development. The ISS should therefore be regarded as a teratogenic environment, and I'd be shocked if women of childbearing age weren't prescribed highly-effective contraceptives (ie. IUD/IUS or implant) before, during, and after spaceflight.
I’m sure they were prescribed, but it’s always possible for them to fail.
I’m curious at what point in the embryo’s development the zero-g becomes an issue, if its immediate vs long term thing. It’s very possible that if it was pregnancy, the embryo is already not viable but she still needs some procedures to ensure her own health (a DnC, etc) that are important but not enough for an emergency evac.
Are you implying that the pregnancy condition occurred onboard?
Yes. Sex isn’t allowed on the ISS due to complications with pregnancy, but it’s not crazy to imagine that maybe they just did it anyway. (Who wouldn’t want to? It’s sex in space and it sounds amazing.)
Taxpayers should be able to sue them into oblivion. Disgraceful behaviour.
They should have just taken some research notes to let them leverage the Mythbusters excuse: "The only difference between screwing around and science is writing it down."
Maybe testicular torsion triggered by zero-G conditions?
That's a "needs to be in the OR in 6 hours" situation; no way they waited several days for it.
it's only 250 miles
Maximum operating depth of a Nuclear submarine is 3,350 ft.
Source?
The operating depth of most submarines is ~300 -- 500m (980 -- 1640 ft), roughly one-third to one-half the depth you cite.
The two USN nuclear submarines lost due to pressure-hull failures, the Thresher (1963) and Scorpion (1968) both failed at depths of 1,200 to 2,000 ft. Threser's test depth was 1,300 ft (400m), and she was operating at about this depth when communications were lost. Scorpion likely failed at 1,530 ft. (470m).
<https://en.wikipedia.org/wiki/USS_Thresher_(SSN-593)#Cause>
<https://en.wikipedia.org/wiki/USS_Scorpion_(SSN-589)#Disappe...>
There are other submersible vessels in the US Navy which can and have operated at greater depths, notably the submersible Alvin and bathyscaphe Trieste II, but those are not combat vessels. Alvin's test deopth is 6,500m (21,300 ft). Triest II's predecessor, Trieste, reached the floor of the Challenger Deep in the Marianas Trench, deepest known spot in the oceans, at 10,916m (35,814 ft). Trieste II incorporated the pressure sphere from its predecessor.
A more conventional, but still experimental, submarine, the USS Dophine (AGSS-555) was a deisel-electric research submarine which reached a depth in excess of 3,000 ft (910 m), probably in 1969. The boat was in-service through 2006.
s/Dophine/Dolphine/
Also misspelled "Thresher" above. Proof befor submitting, dred.
I think the responses to your comment speak volumes about how insular the office worker filter bubble of HN is.
There's dozens upon dozens of professions where things go wrong infinitely faster than they do in medical situations.
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Everyone on the ISS needs to have a seat reserved for them in a docked spacecraft, in case they need to evacuate the station quickly (or for a medical issue like this). You can’t bring back just one person from a 4-person crew; the other 3 would have no way to leave.
Well, yes? The medical issue is apparently severe enough to warrant return. Because the crew dragon is the only way for those astronauts back, barring sending another one up shortly, they also have to come back.
The reason they are bringing the whole crew back is most likely cost related. The whole crew was due back in February anyway. They are bringing everyone home a bit early; otherwise they would need another flight a few weeks later.
And nobody is retreating: there will be 1 American and 2 Russians left on ISS. All of this from the article.
It's not that the entire crew is compromised medically, it's that logistically if one goes home they all have to.
Bruh, you're talking about one of the most protocol laden risk averse organizations known to man. That's an absurd speculation compared to the thing you would naively expect, which is exactly what is happening.
This mission doesn't matter to any normal human in any relevant way that NASA would need to hide anything.
I'm completely lost on your way of thinking
Did NASA say when they're coming back? The article didn't mention it.
Should also mention NASA is trying to move up the launch of Crew 12 to cover some of the gap.
Current schedule is departure Wednesday, splashdown Thursday morning: https://www.nasa.gov/blogs/commercialcrew/2026/01/09/nasa-sp...
Reentry should be visible from large parts of the west coast (if they stick to this schedule).
All I know is that SpaceX said dragon and crew-11 would undock no earlier than Wednesday, Jan 14.
Article about how the return capsule works: https://www.bbc.com/news/science-environment-52840482
The ISS is a good example of a fully isolated environment. No new bacteria or viruses arrive there apart from spacecraft arrivals.
I've been curious for a while what human health would look like if there was a small group of people isolated for many decades. Would they effectively be disease free after the first few weeks?
As well as removing flu and colds, might it also reduce things like heart disease and Alzheimer's which we have weak evidence are linked to transmissible diseases?
The downside to doing that is that their immune system would be weak in the end. We survive cold and flu because we have had them before, but someone going many years without the yearly viruses would get hit 100x harder, even potentially dying.
Related question. Have transmittable diseases spread in space? What examples do we know of?
There have been a few instances, IIRC there was an Apollo mission that had a head cold spread among the whole crew.
But that's unlikely to be the case here because they've been up there isolated for over 6 months now
> IIRC there was an Apollo mission that had a head cold spread among the whole crew.
Yep, Apollo 7.
Would it be possible for some food to have been contaminated with something? It seems unlikely.
This describes NASA's pre-flight quarantines since Apollo 14, and makes (very brief) references to in-flight diseases (and apparent transmission) prior to Apollo 14 ("upper respiratory infection"; "viral gastroenteritis"),
https://www.nasa.gov/wp-content/uploads/2023/12/ochmo-tb-006... ("Health Stabilization Program (HSP)")
AFAIK no one have died in space from medical issues yet. Only accidents.
Technically there has only been one fatal accident in space, the Soyuz 11 failure which killed the crew of three. That occurred above the Karman line, all other spaceflight related fatalities were at much lower altitudes or on the ground.
There was one cosmonaut who died shortly after emergency return to the Earth. I think it was in the 90s, but maybe eariler.
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> certain groups of online warriors are convinced she is the one who is sick because of the "women are weak and can't do man work" trope.
Care to point to anything specific that leads you to believe this?
> So keep that in mind when people are demanding transparency.
Why should the (possible?) existence of online groups have any bearing on public policy like this? Probably for many policy decisions, we can find some online group that would spin it a certain way in their minds. That doesn't mean we let it influence our decisions one way or the other. Or to be precise, not any more than what the proportion of the voting population they make up would imply.
This is the first time I hear that. On HN, no less.
Your post seems to be kinda fighting against it, but what it does is actually creates the narrative it seems to be fighting against. Otherwise I'd never hear it.
How are they explaining away the fact that the Japanese male astronaut asked for a consult with the flight surgeon on the public loop (a video which NASA has since removed from YouTube)?
There's no basis to such claims in the first place and they don't engage with substantive discussion. It's just more flooding of the zone.
I remember reading about all of the foibles of Apollo 7 and how that was caused by the astronauts all getting a head cold and being miserable and irritable, or how Frank Borman got so space sick on Apollo 8 he recorded a secret message in the data dump for the doctor to bypass the capcom, and I’m curious how this now became a pseudo-political issue.
Why be so secretive? This is not a military mission. These missions cost a lot of taxpayer money (money well spend you may argue), but we deserve full transparency. You don't get to go to space on other people's money and expect privacy. We might want to learn from what went wrong here.
> Why be so secretive? This is not a military mission. These missions cost a lot of taxpayer money (money well spend you may argue), but we deserve full transparency.
We deserve as much transparency as we can get on the science we as taxpayers paid for, not full de-anonymization of the bodily happenings of living crew. There's certainly valuable science here, but the crew member doesn't have to be outed for it.
> You don't get to go to space on other people's money and expect privacy.
I don't think this is a healthy mindset, and there's a heck of a slippery slope with this argument. Would we apply this to companies receiving federal grants too? Contractors? Universities? Schools? That's a lot of people who'll lose medical privacy for something probably unrelated to their job, and there'll be a much smaller applicant pool for the jobs themselves if applicants are aware that their own internal issues might be disclosed when the public clamors for it.
> We might want to learn from what went wrong here.
Agree, NASA certainly will, and new science and engineering will come of it that we benefit from. But that doesn't have to involve breaching medical privacy and ethics.
I remember watching a landing and the camera cut away when one of the returning astronauts got sick.
These are human beings and employees not Big Brother contestants.
The full on dystopian take would be to require anyone receiving welfare or other public funds to fully disclose all of their private details.
You want Medicaid? Tell everyone about your hemorrhoids first.
The fun part is absolutely everyone is using stuff made with public funds at one point or another
Might actually be a net benefit and lead to de-stigmatizing human health conditions
You go first, then. Let’s see your full medical records without redaction if you think it’s a net benefit.
I think there's value in reducing stigma around health conditions, but forcing poor people to reveal their medical conditions to the world isn't it.
I'm genuinely fine sharing my medical history, but I don't know if my lack of shame about e.g. testicular torsion, or the way that I lost my notes for a bit and unnecessarily got repeats of vaccines I'd already had, are a sign of being in possession of a boring medical history, or an indication of an uncommonly diminished shame response.
Whatever it is, I am aware that my lack of concern here is something which makes me different from normal people. I don't really get why people in general are ashamed of their medical histories, but I nevertheless absolutely do support everyone's right to keep such secrets, because there's a few specific cases where the medical history reveals something socially damaging either in the present or with a risk of it becoming so in the future, the obvious example of which is an abortion given the US seems to be facing a loss of freedom in this regard.
(Perhaps most people have something socially damaging in their medical histories, and I've just not noticed because nobody says the thing?)
The "I have nothing to hide" argument doesn't work for security, and it doesn't work for health care records either.
You might not have anything to hide now, but you might in the future. Someone you are closest to gets murdered or into a horrific violent accident right in front of you. Despite your best efforts this gives you crippling PTSD and you are committed involuntarily for a 72 hour hold. Now your future employer (legally or not) runs a quick records check and sees you have mental health concerns and really doesn't care about the context. Why roll the dice? Go with the candidate who was in a close 2nd and already a coin flip who doesn't have such a thing in their history.
Plenty of other scenarios that can happen to anyone even if they live the most perfect boring life imaginable and never do anything interesting ever. Plenty more for folks who step off the reservation of "acceptable social/corporate behavior" even a little bit.
Plus, if you want to protect folks like in your example of having an abortion on their record - you need to vehemently defend their right as a boring person yourself as that's the only way such individuals will ever be protected. It's like herd immunity but for privacy.
It's not about the people who have nothing to hide. It's about the people who do.
I don't know about 'a few specific cases'. STIs, mental health issues, pregnancies (interrupted or not, voluntarily or not), contraception methods and/or lapses, anything often misunderstood like MS or neurodegenerative diseases, huntington, substance use/abuse (voluntary or not), victim of assault (sexual or not), sterility/fertility/impotency/incontinence, any manageable medical issue someone might use to not give you a job, to rent you an apartment, although you do actually manage it well...
None of those I'd want shared anywhere, to anyone, against my will. Those (overall) are not rare.
This is not honestly engaging with GP's statement.
The benefit only accrues if the sharing is universal.
I am too private a person to agree with GP, but it does seem that most health issues that are visible to the passerby or casual acquaintence are less stigmatized than the ones that can be hidden. There might be something to the idea.
Of course you'd have to agree that de-stigmatizing is more socially important than privacy. I guess I'm privileged enough to have no stigmas, secret or otherwise, that I consider more important than my privacy. But I know others are less fortunate.
> The benefit only accrues if the sharing is universal.
The GP's statement wasn't for universal sharing. It was to force recipients of taxpayer money to share their medical records.
It's a gross demand: Force poor and old people to reveal their medical conditions to the world.
GP did not specify that their thought was scoped to the same people as GGP's (explicitly dystopian) scenario, so I read their comment as working on the kernel of the idea and not the horrifying class-based discriminatory version.
While I am still confident of that assessment, I'll grant you that "obvious" charitable interpretation is not as reliable as it should be. :-/
Exposing STDs and mental conditions is part of what HIPAA’s for. Putting everyone in glass houses just creates a massive panopticon.
What difference would this make to you? It would unnecessarily violate someone’s medical privacy for no actual benefit to the public other than satisfying someone’s curiosity.
> You don't get to go to space on other people's money and expect privacy.
Yes, everyone gets privacy. You don’t get to see their private communications back home. You don’t get their medical records.
They aren’t receiving money from taxpayers like a gift. They’re doing a job. It’s ridiculous to demand that they forfeit their privacy because tax money was involved.
> We might want to learn from what went wrong here.
NASA will learn what went wrong here because they’re in a position to act on
You are not in a position to do anything about it. Violating their privacy would make no difference.
Without taking a side, I'll share the interesting detail that NASA did not historically grant much medical privacy to astronauts. You can read medical reports of the Apollo-Soyuz crew here (documenting their poisoning by toxic rocket fuel, dinitrogen tetroxide),
https://ntrs.nasa.gov/citations/19770023791 ("The Apollo-Soyuz Test Project: Medical report" (1977))
Since this is a special publication and since it was published in 1977 (after the Privacy Act of 1974), I'm wondering if NASA's condition for astronauts on this mission was to release mission-related medical science to the public.
Speculating:
If this is a condition of employment as an astronaut, then it probably wouldn't include conditions confirmed not to be caused by being in space, which means this'll stay confidential until NASA has fully diagnosed the crew member and figured out what likely happened.
And if it turns out the crew member's issue was entirely unrelated to the mission, it stays under wraps but new science or procedures are devised to better manage this and related conditions in space.
These are free people (who happen to have a job that involves a space program). They have the same rights to [try to] keep their medical concerns private as you and I do.
It does cost a lot of money to keep their jobs going, but: They're not slaves. We do not own these people.
The astronaut in question may choose to disclose that they had the medical emergency and possibly its nature, but it seems wholly reasonable to not single them out (when it affects the whole mission) or disclose their medical status.
Especially since every movement up and down from space is expensive and risks the life of the crew, it'd be a bad idea for NASA to name the astronaut ahead of time.
Disagree; this is completely taxpayer funded and we deserve to know every detail relevant to mission status. In this scenario knowing what illness and why it's grounds for a return is very relevant. That said, I can see NASA delaying information release to figure out a good strategy for it while still respecting any wishes of the sick astronaut with regards to disclosure.
The school is tax-payer funded, but I don't get to know why every teacher called out sick.
Government employees, contractors, etc. don't owe your curiousity satiety. We are buying their service, not their soul.
The CIA is also taxpayer funded. Do you have similar expectations of transparency into their missions?
When you drive on a taxpayer funded road, should you disclose publicly your medical history? When the taxpayer funded US military kidnap a foreign president on your name, should you disclose publicly your medical history ? When you use the taxpayer funded GPS etc...
Does your employer get to know every little detail of your medical conditions when you call in sick? After all they're funding it.
What a strange take. Does this also apply to every soldier in the armed forces? Seems your criteria is equally applicable there.
The relevant people that can do the research and write future policies based on the data obviously will have the information. Not sure what good you think that you personally having it can do.
> What a strange take. Does this also apply to every soldier in the armed forces? Seems your criteria is equally applicable there.
Why? There are different rules for different endeavors, specializations, and roles. NASA is ostensibly for exploration, in an expansive sense. Hiding information of any kind, seems antithetical to the over-arching mission.
> The relevant people that can do the research and write future policies based on the data obviously will have the information.
Given recent events, this assumption of fidelity is not something I can subscribe to, for the rest of my days.
A single soldier having a medical issue generally doesn't cancel a multi-month mission costing some X large sum of money, requiring another Y large sum of money to even finish cancelling it (returning their unit home).
Therefore it's not relevant and not needed for the public to know.
Yes, I’m sure aircrew never get so violently sick as to affect millions or billions of dollars in crew and and supporting assets due to an emergency, and armed service members are never transported by emergency transportations for eye-watering costs. Technical inequity that ignores facts is the argument of those without arguments.
The specifics of “who” has zero relevance to what is necessary for an ongoing situation; you don’t get to dictate your access and timeline to information just because you contributed a fraction of a penny to something.
The amount of money involved should have nothing to do with privacy. You don’t get to violate people’s rights just because it was expensive.
It could for anything remotely “special ops” - those are small specialized teams.
What are you going to do with this information? What policy would you plausibly advocate for on the basis of it?
Yes, but at the same time I think NASA has long earned the trust to decide these things. Regardless of the issue, nobody wants their health issues aired to the entire world. I am personally okay just not knowing the intimate details.
Demanding every intimate personal detail of a human whose paycheck you happen to underwrite feels a little ... inhumane.
What possible use is it to the taxpayer to know who was affected by what health condition? NASA knows who the person is, if there is any lesson to be learned this policy isn't stopping them. What lesson do you, random citizen, expect to learn? What would you do differently if you had access to this information?
If it is policy to overshare medical details, that might lead astronauts to delay or refuse to give medical information that does matter to the mission. Before we talk at all of medical ethics, on purely pragmatic grounds this information ought to be confidential.
Perhaps you should chill and wait until they land before you start with your ridiculous paranoid thinking and entitlement?
I think it’s possible to be sufficiently transparent while simultaneously keeping someone’s personal health status private.
As a hypothetical example, it’s possible to disclose if this health issue was known before they were selected for the mission, and if it was, what processes were in place to determine if they should or should not go, etc, all without revealing personal health information.
When I say I want full transparency, I usually am talking about how much pay they received and in the case of elected representatives, their net worth at least once a year.
I wouldn't ask for a full health report to be made public by law. Maybe a summary for elected officials.
Why do you need to know how much they are paid and their net worth? What difference does it make to you? Public official pay is already available online. A quick google search will tell you how much congress people get paid, and the DoD pay scale is available online as well.
> Public official pay is already available online. A quick google search will tell you how much congress people get paid, and the DoD pay scale is available online as well.
That is the transparency in action.
Do you seriously believe that you should have the right to demand access to the private medical records of every teacher, soldier, judge, cop, etc. in the country because their pay comes from taxpayers? If yes I'm not quite sure how to respond, IMO that's an utterly absurd position. If no, why are astronauts being singled out for this treatment?
> We might want to learn from what went wrong here.
I'm sure NASA is keeping good records and will take lessons learned from this situation, but they can do that without blasting someone's private medical information out publicly.
I don't think taxes being used can justify a breach of medical confidentiality
You know that golden ballroom Trump has been constructing with your tax dollars isn’t going to be for the public either…
The only medical condition I can think of which they would not disclose is pregnancy. That would lead to further questions and is controversial despite being very simple. Further evidenced by the fact that the affected crew member is unknown to the public.
That alone is enough reason to have a policy of never disclosing medical conditions.
> Further evidenced by the fact that the affected crew member is unknown to the public.
Nope. On a previous mission one of the crew members had to sped a night in hospital after touchdown. They never said who, or what for. This is standard procedure, and for good reason.