Many years ago, a woman of my acquaintance, Ingrid, tried mightily to convince me of the
therapeutic value of the sauna - both wet and dry, each having its special purposes. And just as mightily I rebuffed
her case as being too heavy in anecdotal evidence and too light on science. Not to mention that Ingrid scared me a bit,
quite frankly. I'm not exactly a little guy at 6'2", but Ingrid always seemed to tower over me as
she'd lecture… "Bobby, you must try dis vid me. Y'ule
zee… It vill do you a vorld of good. Aber, der are two tings you must alvays
pay attention to… Vun, never drink und sauna, und two… never sauna alone."
Then she'd give me a little wink. Still, I resisted and eventually overcame her resolve with my own and my
insistence on scientific evidence to support her contention of therapeutic value while taking at least these two precautions.
Well, lo and behold, long after Ingrid and I lost touch and after I had reached middle age, along came a study summarized in
the March, 2008, edition of The American Journal of Forensic Medicine and Pathology, "Sauna Deaths in Sweden, 1992-2003." Here is an abstract, the emphasis is mine:
Deaths from 1992 through 2003 related to sauna bathing in Sweden were collected from a national computer data base
comprising all medicolegal autopsies, generating 77 cases included in this study. Of all deaths, 82% were men, most of them middle-aged. The geographic
distribution seemed to be roughly related to the population density. Most bathers died on a weekend, and 84% were found dead in a sauna. In 69 cases, the blood
alcohol concentration was determined; 49 (71%) of these tested positive, often with high concentrations. In 65 cases, a major disease/state that could explain
death was identified; 34 (44%) of these deaths were related to alcohol and 18 (23%) cardiovascular. Other causes of death were drowning, CO poisoning,
O2 deprivation, amphetamine intoxication,
and burn injuries. In 13 cases, the cause of death remained undetermined. The results indicate that sauna habits in Sweden are similar to those in Finland but
probably less common. The most important risk group is middle-aged men, especially those with heavy alcohol consumption. Among the cases found
dead in a sauna, all but 2 were found alone. Obviously, bathing alone is a risk factor that can easily be avoided and should perhaps be emphasized more.
And so, lads, the lessons learned are these: don't drink and sauna alone; it's not just anecdotal, it's been shown. And if you ever happen to meet
Ingrid, take her up on her, uh, proposition on the weight of her anecdotal accounts and well before reaching middle
age. I wish I had. Oh, well.

And how exactly
does drowning happen in a sauna??