Latest / Crime Stories with Nancy Grace / Body Bags With Joseph Scott Morgan: The Autopsy Episode - A Life Among the Dead
Transcript
- 0:08Speaker 1: Bodybacks with Joseph Scott Morgan. Early in the morning on
- 0:20Speaker 1: October the nineteenth, twenty nineteen, in a little town in Idaho,
- 0:27Speaker 1: a lady who was in her late forties was found deceased,
- 0:33Speaker 1: and for whatever reason still remains a mystery to this day,
- 0:38Speaker 1: the decision was made for an autopsy not to be performed.
- 0:42Speaker 1: That lady's name is Tammy Day Belle, and her case
- 0:46Speaker 1: is critical and a much broader investigation that's going on.
- 0:53Speaker 1: As a matter of fact, the absence of an autopsy
- 0:55Speaker 1: in that case could have severe repercussions moving forward. Today
- 1:03Speaker 1: we're going to be discussing autopsies, what they are, who
- 1:08Speaker 1: makes the determination as to when they occur, And I'm
- 1:12Speaker 1: going to tell you a little bit about my background
- 1:14Speaker 1: with autopsis. I'm Joseph Scott Morgan and this is Bodybags.
- 1:25Speaker 1: I've been involved in death investigation for the majority of
- 1:29Speaker 1: my adult life, either working in the morgue, out of
- 1:32Speaker 1: the field as an investigator or now as an academic
- 1:36Speaker 1: talking about medical legal death investigation every single day that
- 1:41Speaker 1: I walk into school. And my friend Jackie Howard, who
- 1:45Speaker 1: is the executive producer of Crime Stories with Nancy Grace.
- 1:49Speaker 1: Jackie We've talked about autopsies a lot, haven't we we have, Joe,
- 1:53Speaker 1: And the more that we talk about it, the more
- 1:55Speaker 1: that I want to know. As we'd laid out our
- 1:58Speaker 1: plans for what we wanted to discuss today, the questions
- 2:01Speaker 1: just started pouring. So I figure the best place to
- 2:04Speaker 1: start is with a simple question, what is an autopsy?
- 2:09Speaker 1: An autopsy is essentially, there's another way to put this,
- 2:14Speaker 1: it's essentially a post mortem examination. And that's in a
- 2:19Speaker 1: very very broad sense. But when you hear the term autopsy,
- 2:25Speaker 1: it conjures up images of an old, dilapidated morgue. You've
- 2:29Speaker 1: got more personnel running about, there's coolers where bodies are
- 2:34Speaker 1: stored in generally a stainless steel table, and that's not
- 2:37Speaker 1: too far off the mark. But we have to understand
- 2:42Speaker 1: that when we conduct an autopsy, we are trying to
- 2:48Speaker 1: determine what exactly happened, what brought about the death of
- 2:52Speaker 1: an individual that was not necessarily otherwise explained. And so
- 2:58Speaker 1: when you begin to go down this in the autopsy suite,
- 3:02Speaker 1: you know some people, interestingly enough, historically they've they've referred
- 3:06Speaker 1: to in the historic record as doctors that do autopsies.
- 3:10Speaker 1: They will refer to them as surgical pathology, and surgical
- 3:13Speaker 1: pathology now means like you've got a doctor that goes
- 3:16Speaker 1: up to surgery that's a pathologist and they look at
- 3:18Speaker 1: frozen sections of tumors that have been removed from people.
- 3:22Speaker 1: They'll look at them instantaneously and try to give you
- 3:24Speaker 1: a diagnosis. But there is a part to surgical pathology
- 3:28Speaker 1: that goes along with autopsy examinations where a pathologists will
- 3:33Speaker 1: engage in literally the dissection or pro section of human
- 3:38Speaker 1: remains to try to determine what exactly brought about to death.
- 3:42Speaker 1: Because it absent those clinical diagnoses that you arrive at
- 3:48Speaker 1: by virtue of doing these examinations, you don't actually have
- 3:53Speaker 1: a final or a fatal diagnosis. The biggest questions that
- 3:59Speaker 1: families have, that communities have is absolutely what happened, How
- 4:04Speaker 1: did they die, When did they die, What was the
- 4:08Speaker 1: mechanism that brought about their death, and hopefully through an
- 4:11Speaker 1: autopsy you can make that determination. One of the things
- 4:14Speaker 1: that you said just then, Joe, really caught my attention,
- 4:16Speaker 1: and it was having to do with when an autopsy
- 4:20Speaker 1: has done and when is it not done. I find
- 4:23Speaker 1: it really interesting in the Tammy day Bell case. As
- 4:26Speaker 1: you mentioned that an autopsy was not initially done, who
- 4:31Speaker 1: determines that and why would you not? I mean, I know,
- 4:35Speaker 1: in certain especially in the elderly, when it's thought to
- 4:39Speaker 1: be natural causes, they don't necessarily do an autopsy to
- 4:43Speaker 1: try to figure out why this person died. So who
- 4:46Speaker 1: makes that determination and why? Well, ultimately it's going to
- 4:50Speaker 1: be the lead medical legal authority in a jurisdiction. And
- 4:54Speaker 1: you got to back up and understand that in the
- 4:56Speaker 1: United States in particular, we have two separate types of systems. Here.
- 5:02Speaker 1: You have corner systems, which are elected officials and they're
- 5:06Speaker 1: not necessarily always physicians. As a matter of fact, most
- 5:08Speaker 1: of the the time they're not physicians. People will be surprised
- 5:11Speaker 1: to hear that. And then you have medical examiner systems,
- 5:15Speaker 1: which are essentially run by physicians who many times are
- 5:20Speaker 1: in fact forensic mythologists. So it really varies from state
- 5:26Speaker 1: to state who's going to make the determination. Most of
- 5:29Speaker 1: the time, the state statute, that is, the state law
- 5:33Speaker 1: will dictate who has the authority to make a decision
- 5:38Speaker 1: about an autopsy. And contrary to popular belief, I hear
- 5:41Speaker 1: and famously with the Tammy day Belle case, it was
- 5:44Speaker 1: stated that it was the family's wishes not to have
- 5:48Speaker 1: an autopsy performed in her case and be kind of
- 5:51Speaker 1: sitting there scratching her head and saying, I got a
- 5:53Speaker 1: healthy young woman here that's out and running every day
- 5:56Speaker 1: and seems vibrant and healthy. Why in the world would
- 5:59Speaker 1: you not one an autopsy? And there's a many layers
- 6:04Speaker 1: to that. Families don't want to think about their family
- 6:08Speaker 1: members undergoing this procedure. They don't want to think about
- 6:11Speaker 1: everything that's involved with it. They just want to go
- 6:13Speaker 1: to the funeral home with the remains. But unfortunately, if
- 6:18Speaker 1: it's not done, and it's not done in a timely fashion,
- 6:22Speaker 1: one or two things is going to happen. Either you'll
- 6:25Speaker 1: never have answers to those questions, or in Tammy Davell's case,
- 6:28Speaker 1: she had been in balm transport to another state and
- 6:31Speaker 1: had been buried. Even after her body is exhumed, in
- 6:36Speaker 1: that case, any kind of findings that there may have
- 6:39Speaker 1: been originally are going to be so compromised by that
- 6:42Speaker 1: time it's really going to be difficult to make heads
- 6:44Speaker 1: or tails. So most of the time it will be
- 6:50Speaker 1: depended upon what the medical legal authority again back to
- 6:53Speaker 1: medical examin or corner views as the best interest at
- 6:58Speaker 1: that point in time to come up with an answer,
- 7:01Speaker 1: scientific valid answer to try to determine what brought about
- 7:05Speaker 1: this person's sudden death. And it is not dependent upon
- 7:11Speaker 1: what the family wants. Okay, now that sounds cruel, but
- 7:17Speaker 1: you know most of the time families are in no
- 7:20Speaker 1: position to make that decision. And also they're a greater
- 7:23Speaker 1: interest at work here. And we can go down the list.
- 7:25Speaker 1: You got a homicide, this happened. Family is not going
- 7:28Speaker 1: to have any weight given to their protest about an
- 7:32Speaker 1: autopsy not being performed in that case because it's obvious.
- 7:35Speaker 1: But you have to document it if you're going to
- 7:36Speaker 1: prosecute a case. And then you have these kind of
- 7:39Speaker 1: mysterious circumstances where you don't have any answers. And Joe,
- 7:42Speaker 1: let me ask you something here in relating to what
- 7:44Speaker 1: you're talking about. Can an autopsy be done even though
- 7:49Speaker 1: the family doesn't want it to be? I mean, like
- 7:52Speaker 1: in this case, the family said that an autopsy was
- 7:55Speaker 1: not necessary here, it could the corner or the medical
- 7:58Speaker 1: personnel have said, then, no, we're doing an autopsy anyway.
- 8:01Speaker 1: They have authority under state law to do that. They
- 8:04Speaker 1: can say, well, I respect what you're saying, I understand
- 8:07Speaker 1: why you might not want one done, but there's bigger
- 8:10Speaker 1: interest at work here. We have to make a determination
- 8:14Speaker 1: about manner and cause of death here and find out
- 8:17Speaker 1: what exactly happened, and there's reasons why you do that.
- 8:20Speaker 1: First off, it's a mystery that you have to have
- 8:23Speaker 1: an answer for the corner or the medical examiner is
- 8:26Speaker 1: going to be the one that actually, you know, you
- 8:28Speaker 1: hear the term of death certificate. People don't think about
- 8:30Speaker 1: that that means that death is being certified. Okay, Well,
- 8:34Speaker 1: if you don't have a reason that is put forth
- 8:39Speaker 1: as a result of a pathology finding where you're looking
- 8:42Speaker 1: for disease or some kind of mechanism of death, what
- 8:45Speaker 1: are you going to list as a cause of death
- 8:47Speaker 1: gunshot wound or MIoD cardial infarction or lung cancer, leukemia,
- 8:53Speaker 1: or whatever it is the person has going on in
- 8:55Speaker 1: dwelling within their body or some kind of external event
- 8:59Speaker 1: that occurred to bring about their death. If you don't
- 9:01Speaker 1: go in and actually examine that and make a note
- 9:06Speaker 1: of that and make an absolute diagnosis, how are you
- 9:10Speaker 1: going to do that. How are you going to list
- 9:11Speaker 1: the cause of death? I mean, you can't just like
- 9:13Speaker 1: it doesn't just come to you psychically out of the air.
- 9:16Speaker 1: You have to see it. It's a scientific procedure, it's
- 9:20Speaker 1: a study. And then how are you going to list
- 9:23Speaker 1: the manner of death? We've only got five that choose
- 9:25Speaker 1: from natural, suicide, homicide, unexplained, undetermined. You've got all of
- 9:32Speaker 1: those that you have to choose from as well. So
- 9:35Speaker 1: if you have nothing to put on the death certificate,
- 9:38Speaker 1: you're gonna have a death certificate. It's going to remain
- 9:40Speaker 1: probably incomplete for a protracted period of time because you're
- 9:45Speaker 1: asking for the official to put down an official diagnosis
- 9:49Speaker 1: and an official manner of death that they don't have
- 9:52Speaker 1: any insight into. And of course the autopsy itself is
- 9:55Speaker 1: the best way to do that. Gloria sadder Field having
- 9:59Speaker 1: to do the case of the Murdles over in South Carolina,
- 10:03Speaker 1: Gloria Sadderfield, the murds housekeeper, reportedly tripped over dogs going
- 10:11Speaker 1: down the stairs outside the home the brick stairway, Yet
- 10:15Speaker 1: her cause of death, if I'm not mistaken, was listed
- 10:18Speaker 1: as natural causes. Yeah, it is super bizarre, you know,
- 10:21Speaker 1: particularly with the case of Glorious Sadderfield. You've got a
- 10:24Speaker 1: woman that had obviously sustained some type of very specific
- 10:28Speaker 1: head trauma that brought her to the hospital. And one
- 10:31Speaker 1: of the ways I teach my students, there's that old
- 10:33Speaker 1: point that we talk about, and I don't know, folks,
- 10:36Speaker 1: I'm not going to recite the whole thing. I'll spare
- 10:38Speaker 1: spare the audience that the old the old point that goes,
- 10:41Speaker 1: you know, for the one of a nail, the shoe
- 10:44Speaker 1: was lost. For the one of the shoe, a horse
- 10:46Speaker 1: was lost. For the one of a horse, a rider
- 10:49Speaker 1: was lost, a message was lost, and so forth and
- 10:51Speaker 1: so on. So you have a genesis in the beginning
- 10:53Speaker 1: as to how all of these dominoes begin to fall.
- 10:59Speaker 1: And in Sadderfield's case, well, what brought her to the hospital.
- 11:03Speaker 1: Was it that she had a cardiac event? Was that
- 11:06Speaker 1: she had a stroke, Was that she got struck by lightning? Well,
- 11:12Speaker 1: none of the above. She fell and sustained head trauma.
- 11:17Speaker 1: But yet they're listing this whole event as a natural event.
- 11:20Speaker 1: And here's what's crazy about that case is that a
- 11:25Speaker 1: private attending physician signed her death certificate. And this case
- 11:30Speaker 1: was never reported to the corner. Listen, if a person
- 11:36Speaker 1: rolls into the hospital as a result of a traumatic
- 11:38Speaker 1: event and they don't exit that hospital and they die
- 11:42Speaker 1: inside the walls, and I don't care how long they've
- 11:44Speaker 1: been in the hospital. If they come in as a
- 11:47Speaker 1: result of trauma and that trauma's directly related to their death,
- 11:50Speaker 1: that is a reportable case. And it's my understanding the
- 11:53Speaker 1: case was never even reported to the coroner. And that's
- 11:57Speaker 1: a problem because the corner is not aware, they can't
- 12:00Speaker 1: make a decision about whether or not an autopsy should
- 12:03Speaker 1: be performed. Or she had been in for a while,
- 12:05Speaker 1: so they're going to request the records and examine the records,
- 12:09Speaker 1: all of the imaging, everything that comes along with that,
- 12:11Speaker 1: and they'll sign the death certificate. But you know, a
- 12:14Speaker 1: private physician can't list a traumatic cause of death, and
- 12:18Speaker 1: they can't qualify a traumatic cause of death. So a
- 12:21Speaker 1: private physician can't say blunt force trauma and the manner
- 12:25Speaker 1: of death is homicide or accident. That'll get rejected most
- 12:28Speaker 1: of the time. That's going to be rejected by the
- 12:30Speaker 1: state Health department or whoever handles all of the paperwork,
- 12:34Speaker 1: the public health agency that handles a paperwork for the state,
- 12:37Speaker 1: and that's why it always goes back to the corner.
- 12:40Speaker 1: But if the corner is not aware of it, the
- 12:42Speaker 1: death has not been reported, it's going to be a
- 12:45Speaker 1: problem going forward. So then the question begs to be
- 12:50Speaker 1: answered once a decision is made to do an autopsy,
- 12:54Speaker 1: is what kind of an autopsy is there going to be?
- 12:57Speaker 1: If it's an autopsy, is it always the same you
- 13:02Speaker 1: start with a through Z or are there truly different
- 13:06Speaker 1: kinds of autopsies? There are different degrees to autopsies. When
- 13:10Speaker 1: you bring a body into a morgue, for instance, you
- 13:13Speaker 1: can do what's called an external examination, which means that
- 13:16Speaker 1: the body will be completely photographed as is upon arrival.
- 13:22Speaker 1: That means with clothing on. Okay, some places actually do
- 13:28Speaker 1: X rays just so that they have them. You disrobe
- 13:31Speaker 1: the body, the pathologist and their assistant do a complete
- 13:35Speaker 1: and total examination of the body unclothed. Then in addition
- 13:39Speaker 1: to that, you're going to draw samples for toxicology, and
- 13:43Speaker 1: what these are going to be is you'll draw what's
- 13:46Speaker 1: referred to as hard blood. Most of the time you're
- 13:47Speaker 1: going to try to end this as externally and it's
- 13:50Speaker 1: drawn from the A order. So folks will find their
- 13:52Speaker 1: collar bone on the left hand side and go down
- 13:56Speaker 1: the intercostal spaces, which is kind of the muscle inween
- 14:00Speaker 1: each rib group, and go down about the third intercostal
- 14:03Speaker 1: space in the ribs on the front side, okay, adjacent
- 14:07Speaker 1: to the sternum. There will be a needle inserted there
- 14:10Speaker 1: and it will go into the A order, which is
- 14:12Speaker 1: the big vessel that comes off the curved vessel that
- 14:15Speaker 1: comes off of the top of the heart. And it
- 14:17Speaker 1: takes practice to learn how to do this, but over
- 14:19Speaker 1: a period of time's we do it by touch. It's
- 14:22Speaker 1: something that we can do. And then you draw blood
- 14:25Speaker 1: out of that area, and then we take another needle
- 14:28Speaker 1: and we draw externally. We will draw urine, and finally
- 14:31Speaker 1: we'll draw vitreous fluid which comes from the eye, and
- 14:35Speaker 1: all of those fluids are submitted for toxicology and we'll
- 14:38Speaker 1: run the entire panel. But to the broader question here,
- 14:43Speaker 1: that's the first kind of stop along the continuum where
- 14:46Speaker 1: we're doing an external examination and it doesn't rise to
- 14:51Speaker 1: the same level as a full autopsy or even a
- 14:53Speaker 1: partial autopsy, which I'm not a fan of, but you
- 14:57Speaker 1: just do the external examination. You draw the fluids, and
- 15:00Speaker 1: then those are submitted generally to either a local hospital
- 15:03Speaker 1: or state crime lab, and you run a drug panel,
- 15:06Speaker 1: and you already have a suspicion. If you're going to
- 15:09Speaker 1: do an external examination, you already have a suspicion that
- 15:11Speaker 1: you might know what cause of death is, but you
- 15:13Speaker 1: just want to rule out everything else, any kind of
- 15:15Speaker 1: external trauma. Maybe the person died and they weren't found
- 15:19Speaker 1: for a while, and then you'll move forward. Maybe you
- 15:22Speaker 1: can even get the private physician. If it's a natural death,
- 15:24Speaker 1: which if you're not doing an autopsy, it's probably a
- 15:27Speaker 1: natural death. The private physician can sign the death certificate
- 15:30Speaker 1: and they'll list a specific cause of death. Again, back
- 15:33Speaker 1: to acute mild cardial infarction, which is essentially a fancy
- 15:37Speaker 1: way of saying a heart attack, and that is a
- 15:39Speaker 1: natural classified as a natural death. Now you'll have events
- 15:43Speaker 1: that pathologists will make a decision or the enemy of
- 15:47Speaker 1: the corner will make a decision. We're only going to
- 15:48Speaker 1: a partial autopsy. And I have a problem with this
- 15:53Speaker 1: because it's like you've got one foot in the water
- 15:55Speaker 1: and one foot in the boat. If you're going to
- 15:57Speaker 1: do it, commit to it, do it. And they're even
- 16:00Speaker 1: cases like if you have suicides, for instance, subject has
- 16:05Speaker 1: sustained a gunshot one of the head, they might only
- 16:08Speaker 1: in certain jurisdictions they might actually only only open the head,
- 16:12Speaker 1: for instance, and retrieve a projectile, and then they don't
- 16:16Speaker 1: touch the rest of the body. And that's a problem.
- 16:19Speaker 1: It can be a problem everybody needs to understand. Foundationally,
- 16:23Speaker 1: in the medical legal world, our supposition is this, and
- 16:27Speaker 1: everything that we do we work under this big banner
- 16:31Speaker 1: that says every death, some deaths, not a few deaths.
- 16:36Speaker 1: We from jump Street. We go forward with this idea
- 16:41Speaker 1: that every death is in fact a homicide until we
- 16:45Speaker 1: can prove otherwise. Okay, Because if you start out at
- 16:49Speaker 1: that really intense high level of trying to make a
- 16:53Speaker 1: determination about homicide, as you kind of make your way
- 16:57Speaker 1: through these checklists that we have, you get to the
- 17:00Speaker 1: next level maybe accent or suicide, and then you get
- 17:03Speaker 1: to maybe natural and you've kind of checked the boxes
- 17:07Speaker 1: along the way. You have to be able to effectively
- 17:09Speaker 1: rule all these things out. So back to this idea
- 17:11Speaker 1: of a partial autopsy. If you're only going to do
- 17:14Speaker 1: a partial autopsy, why why not go ahead and do
- 17:17Speaker 1: the entire autopsy. In that way, it's complete. It's only
- 17:20Speaker 1: going to take you maybe another forty five minutes to
- 17:22Speaker 1: an hour to get everything done, and it can lead
- 17:26Speaker 1: to problems down the road. You'll have people saying, well,
- 17:28Speaker 1: they had this problem or they had that problem, why
- 17:31Speaker 1: didn't you look at this? And while you have the
- 17:33Speaker 1: body there in front of you, you go ahead and
- 17:36Speaker 1: you do the whole thing. I engage in these discussions
- 17:57Speaker 1: many times with my students at Jackson's a pre teach
- 18:00Speaker 1: and they'll say, how'd you know, Professor Morgan, how did
- 18:03Speaker 1: you get into this environment, how'd you start doing this?
- 18:06Speaker 1: How did you start working in the more or why
- 18:07Speaker 1: did you choose to be in the Morgan, Let me
- 18:10Speaker 1: tell you something and hear me right. The best classroom
- 18:15Speaker 1: that I've ever been in, and I've paid a lot
- 18:17Speaker 1: of money for tuition over the years, the best classroom
- 18:20Speaker 1: that I was ever in that I was actually paid
- 18:23Speaker 1: to be in as opposed to having to pay tuition
- 18:25Speaker 1: for was an autopsy room. I learned more about death
- 18:29Speaker 1: investigation than I ever did out on a scene with
- 18:33Speaker 1: a deceased person or sitting around having coffee with an
- 18:37Speaker 1: old investigator and they're telling war stories. I've learned more
- 18:40Speaker 1: in the autopsy suite, actually getting my hand study and
- 18:44Speaker 1: being there to actually see these things before me demonstrated,
- 18:47Speaker 1: to see the mechanisms that are involved, to see all
- 18:50Speaker 1: of the underlying disease. You can't have a better environment
- 18:54Speaker 1: in which to learn in Okay, then lay this out
- 18:57Speaker 1: for me, Joe, you were talking for about a full autopsy.
- 19:02Speaker 1: Explain that to me. And how long does an autopsies
- 19:08Speaker 1: take you Remember how I'd mentioned we talked about an
- 19:11Speaker 1: external examination. Well, every autopsy starts off with an external examination. Now,
- 19:17Speaker 1: in some cases where you have what you suspect is
- 19:19Speaker 1: natural disease, it might begin an end with that and
- 19:23Speaker 1: then the body will be released. However, a full autopsy
- 19:26Speaker 1: will in fact start with an external examination, and you
- 19:29Speaker 1: go from stem to stern relative to the overall status
- 19:33Speaker 1: of the body. All of this is made nota throughout
- 19:36Speaker 1: the examination. I mean measurements. We go into great detail
- 19:40Speaker 1: relative to measurements, and a lot of this is actually
- 19:42Speaker 1: dictated by particularly if you've got traumatic cases, say, for instance,
- 19:46Speaker 1: like with Ellen Greenberg where she was stabbed. Some people
- 19:49Speaker 1: have said twenty times, some people have said more than
- 19:51Speaker 1: twenty times. You've got so much trauma there that each
- 19:55Speaker 1: individual insult that she has externally has to be measured
- 19:59Speaker 1: in orient it anatomically. Say, for instance, if someone has
- 20:02Speaker 1: been let's just say somebody has been shot to the
- 20:05Speaker 1: right of their sternum, which is the hard plate of
- 20:08Speaker 1: the breastbone on the anterior chest. They've been shot to
- 20:11Speaker 1: the right. Well, just for that gunshot wound alone, you
- 20:15Speaker 1: would have to get a measurement first off of the
- 20:18Speaker 1: overall circumference of the wound itself, and then you have
- 20:23Speaker 1: to measure Some people do from two points, some people
- 20:25Speaker 1: do from three, like from if it's on the right
- 20:28Speaker 1: side of the sternom, you would do a measurement from
- 20:32Speaker 1: the center of the wound to the apex of the
- 20:34Speaker 1: right shoulder, and then maybe from the center the wound
- 20:36Speaker 1: to the apex of the left shoulder, and then from
- 20:38Speaker 1: the center of the wound to the top of the head.
- 20:40Speaker 1: That takes time. And then if you have somebody to
- 20:42Speaker 1: stabbed multiple times, shot multiple times, each one of those
- 20:47Speaker 1: injuries dictates the speed at which you can do is
- 20:51Speaker 1: because you want to do a thorough examination. And I've
- 20:54Speaker 1: had people that have been stabbed well in excess of
- 20:56Speaker 1: one hundred times, and you can just imagine the external examination,
- 20:59Speaker 1: I'll loan it is a herculean task, to say the least,
- 21:04Speaker 1: and then you might have three or four other autopsies
- 21:07Speaker 1: that you're going to have to do that day. But
- 21:09Speaker 1: once you get done with the external examination, then the
- 21:13Speaker 1: body is of course, you're on a stainless steel autopsy table,
- 21:16Speaker 1: and these are either fixed on the floor or their
- 21:18Speaker 1: own rollers where and they're kind of set at a
- 21:21Speaker 1: pitch because you're going to lose fluid and the fluid
- 21:24Speaker 1: will run down the stainless steel table either into a
- 21:28Speaker 1: pre established drain that you have on a fixed table
- 21:31Speaker 1: or into this big kind of catch off sink. It's
- 21:33Speaker 1: a working station that you have, and all of that
- 21:36Speaker 1: fluid is washed away and you'll have multiple autopsy stations.
- 21:40Speaker 1: You go to one of these really big shops in
- 21:43Speaker 1: large metropolitan areas and they might have the ability to
- 21:46Speaker 1: have five autopsies, say for instance, going on at one time,
- 21:49Speaker 1: and you might have multiple physicians, multiple autopsy assistance photographers,
- 21:54Speaker 1: everybody doing these examinations all at one time. Particularly if
- 21:58Speaker 1: you're talking about like a mass casual event or if
- 22:00Speaker 1: it's a really really busy day. And so after the
- 22:03Speaker 1: external examination is done, essentially the chest and the abdomen
- 22:09Speaker 1: are opened and we use what's referred to as a
- 22:12Speaker 1: standard Y incision, and so it forms a Y where
- 22:17Speaker 1: you make a diagonal cut from the apex of the
- 22:21Speaker 1: left shoulder the apex of the right shoulder down to midsternal.
- 22:24Speaker 1: And why is that Joe, Well, because it enables us
- 22:28Speaker 1: to effectively remove back or retract that external layer of tissue,
- 22:35Speaker 1: which includes skin, the subc fat, all of the muscle
- 22:39Speaker 1: tissue that's in dwelling, and it reveals everything. And also
- 22:43Speaker 1: the body is on what's called it's blocked in the back.
- 22:46Speaker 1: You have kind of these rubber blocks. You put them
- 22:48Speaker 1: beneath the shoulder blades and it hyper extends hyper extends
- 22:52Speaker 1: the chest so that the shoulders kind of fall to
- 22:54Speaker 1: the side. The body really opens up, and you can
- 22:56Speaker 1: appreciate once you get the body open, you can shape
- 23:00Speaker 1: all of the viscera and that's the internal structures very well.
- 23:04Speaker 1: They can all be visualized in place, and you want
- 23:06Speaker 1: to be able to see it. I mean, just imagine,
- 23:09Speaker 1: if you will. You've got someone that has been shot
- 23:13Speaker 1: and let's say they're shot in the left side. If
- 23:18Speaker 1: people will put their finger beneath their armpit on the
- 23:22Speaker 1: left side, and that bullet travels from the left and
- 23:27Speaker 1: it travels maybe slightly upward from below to above, and
- 23:32Speaker 1: it almost transects the body, which means it cuts across
- 23:35Speaker 1: the entirety of the middle line of the body, and
- 23:37Speaker 1: it exits out beneath the right armpit. You've got all
- 23:40Speaker 1: of these structures that are impacted, and let's think what
- 23:43Speaker 1: structures might be. Well, you've got the left lung, which
- 23:45Speaker 1: has only two lobes because the heart's on the left side.
- 23:49Speaker 1: It may go through the heart, then it's going to
- 23:52Speaker 1: go through the right lung, which has got three lobes,
- 23:55Speaker 1: and then it's going to exit through all of that tissue.
- 23:58Speaker 1: And you have to track that wound see what structures
- 24:01Speaker 1: are impacted by this, because what you're looking for is
- 24:04Speaker 1: when you make that final diagnosis of what led to death,
- 24:09Speaker 1: was it simply the lung that was impacted, was it
- 24:12Speaker 1: the heart, or was it in total all of these
- 24:16Speaker 1: structures being impacted, Say, for instance, if it penetrated the heart,
- 24:19Speaker 1: was that injury that was sustained as a result of
- 24:22Speaker 1: that gunshot when sufficient to cause more of an instantaneous death,
- 24:25Speaker 1: or did this individual linger. What you're describing for me
- 24:28Speaker 1: here is an autopsy is a lengthy procedure. Oh yeah, yeah,
- 24:34Speaker 1: particularly when you've got these highly complex cases where you've
- 24:38Speaker 1: got multiple trauma. Now you might if you have a case,
- 24:41Speaker 1: for instance, where an individual is say it is very sad,
- 24:45Speaker 1: but we do more of these than anything else. I
- 24:48Speaker 1: would imagine as far as trauma goes, and those are suicides, Well,
- 24:51Speaker 1: you've got a single self inflicted gunshot when or at
- 24:54Speaker 1: least you think that it might be. But remember our
- 24:57Speaker 1: starting point is every death is a homicide until we
- 25:00Speaker 1: prove otherwise. You've got a single bullet in that case,
- 25:03Speaker 1: and you track that bullet and lets say it's a
- 25:05Speaker 1: self inflicted gunshot wound to the head. Well, maybe they're
- 25:07Speaker 1: right handed. It went from the right side of the
- 25:09Speaker 1: head to the left side of the head. Maybe it
- 25:11Speaker 1: stayed in, maybe it exited. You're going to track that
- 25:13Speaker 1: wound and beyond that, there's not too much more to discover.
- 25:18Speaker 1: You're going to try to rule out any other kind
- 25:20Speaker 1: of trauma that may or may not be present. And
- 25:23Speaker 1: this again goes to another underlined principle within forensics, negative
- 25:30Speaker 1: findings are just as important as positive findings, So an
- 25:34Speaker 1: absence of trauma is significant. Okay, all right, So if
- 25:38Speaker 1: I can say at autopsy that there's no trauma to
- 25:41Speaker 1: the neck, well that's something that has to be made
- 25:44Speaker 1: note of. You cannot just assume that people will understand
- 25:47Speaker 1: there was no trauma to the neck, because if this
- 25:50Speaker 1: thing were to go to court for whatever reason, one
- 25:52Speaker 1: of the questions that's going to be asked of the
- 25:55Speaker 1: person conducting the autopsy is, well, you don't say any
- 25:59Speaker 1: thing about what you saw with the neck. Does that
- 26:02Speaker 1: mean that it didn't examine the neck or does that
- 26:06Speaker 1: mean that you didn't see anything? Why would you fail?
- 26:08Speaker 1: I mean the next pretty significant, right, and you wind
- 26:11Speaker 1: up looking like an idiot on the stand. So you
- 26:14Speaker 1: cover that you have to document that there was no
- 26:16Speaker 1: trauma to the neck, or that there was trauma to
- 26:19Speaker 1: the neck. All of it is part and parcel of
- 26:21Speaker 1: a bigger picture. So you're right when you say that
- 26:25Speaker 1: these things take time. It's not just the individual trauma
- 26:28Speaker 1: that you can see. You also have to document those
- 26:30Speaker 1: things that are not there. And that's quite fascinating when
- 26:33Speaker 1: you think about it. There's not too many other things
- 26:34Speaker 1: in life that you document the absence of something in
- 26:38Speaker 1: that sense. I've always been fascinated by that one, that
- 26:41Speaker 1: one little point that's very significant in forensic pathology in particular,
- 26:46Speaker 1: you are describing autopsy suites in larger areas where they
- 26:52Speaker 1: can have multiple tables and autopsies going at the same time.
- 26:56Speaker 1: Given the amount of time that it seems to take
- 26:59Speaker 1: for each autopsy, and given how many deaths unfortunately that
- 27:04Speaker 1: most city see every day, the idea that we see
- 27:08Speaker 1: in some cop shows that hey, can you push this
- 27:11Speaker 1: to the top of the line. Does that work? I'm
- 27:14Speaker 1: going to be I guess kind of cheeky here. I'm
- 27:16Speaker 1: going to say that all depends on how many politicians
- 27:18Speaker 1: called the official. Most of the time, you'd want to think, no,
- 27:21Speaker 1: everybody awaits their turn. But if there are particular high
- 27:25Speaker 1: profile cases that are going on that particular day. You
- 27:29Speaker 1: look back historically, I think, and you think about cases
- 27:31Speaker 1: like Ron Goldman for instance, and Nicole Brown Simpson, Well
- 27:37Speaker 1: that was at the La County corner where those examinations
- 27:41Speaker 1: were done. You would like to think that that particular
- 27:47Speaker 1: forensic pathologists and their team that was involved in that
- 27:51Speaker 1: case would have been on those two cases, in those
- 27:54Speaker 1: two cases alone, and that they would have been given
- 27:57Speaker 1: as much time as possible. However, I don't think that
- 28:03Speaker 1: people appreciate the volume of cases that come through a
- 28:06Speaker 1: shop like La County. That same day, they may have
- 28:09Speaker 1: had twenty other autopsies that had to be done. And
- 28:12Speaker 1: there is a finite number of forensic pathologists out there,
- 28:16Speaker 1: as a matter of fact, depend upon who you ask.
- 28:19Speaker 1: At any point in time, you'll hear numbers like five
- 28:21Speaker 1: to fifty or six hundred board certified forensic pathologist nationwide. Okay,
- 28:28Speaker 1: just let that sink in. There's and I'm not saying
- 28:32Speaker 1: forensic pathologists are smarter than a neurosurgeon, but there are
- 28:37Speaker 1: more neurosurgeons out there practicing than there are forensic pathologists.
- 28:41Speaker 1: And if you want that level of skill to be
- 28:42Speaker 1: performed for an autopsy, you're going to have to really
- 28:46Speaker 1: look for these people and attract them to work in
- 28:48Speaker 1: a particular area, because, let's face it, you go to
- 28:51Speaker 1: the large urban areas, people will apply for those jobs
- 28:55Speaker 1: and they will have availability, they'll have a need for
- 28:57Speaker 1: forensic pathologists. But you go to a more rural area,
- 29:00Speaker 1: they're not going to have access necessarily to a forensic
- 29:02Speaker 1: pathologist because there's so very few. It just the numbers
- 29:05Speaker 1: just dictate that, and so it's really an odd position
- 29:10Speaker 1: to be in. And then even if you have a
- 29:12Speaker 1: full staff, you get to these areas, these big urban
- 29:15Speaker 1: areas where they have huge volumes of deaths and autopsies
- 29:17Speaker 1: that have to be performed, those staffs are overworked many
- 29:21Speaker 1: many times, and it's hard to get people to come
- 29:23Speaker 1: into the field. It looks really sexy on TV and
- 29:25Speaker 1: people talk about it, and I have kids that come
- 29:27Speaker 1: to me all the time say they want to be
- 29:28Speaker 1: a forensic pathologist. But what's fascinating is I've talked to
- 29:33Speaker 1: people over the years and one of the interesting things
- 29:36Speaker 1: is is that when friends of pathologists go through their training,
- 29:39Speaker 1: it's one of those unique kind of educational journeys where
- 29:43Speaker 1: the more education you get essentially the less you get paid. Okay,
- 29:46Speaker 1: so if you just stop at a fellowship or an
- 29:49Speaker 1: internship will be in a clinical pathologist and anatomical pathologist,
- 29:53Speaker 1: you're work in a hospital, You're going to make a
- 29:55Speaker 1: lot more than the guy that goes on beyond that
- 29:58Speaker 1: training and doesn't one year fellowship up in forensic pathology,
- 30:01Speaker 1: and you're going to wind up working any more, work
- 30:04Speaker 1: in a city, in an urban area most of the time,
- 30:07Speaker 1: dealing with most unpleasant cases you can imagine, and then
- 30:10Speaker 1: traveling around and going to court, and you're gonna get
- 30:12Speaker 1: paid as a government employee. That's kind of one of
- 30:15Speaker 1: the little dynamics that you know that you're kind of
- 30:18Speaker 1: faced with in the medical legal community. Joe, you mentioned
- 30:22Speaker 1: surgeons just a second ago. Is an autopsy considered surgery?
- 30:27Speaker 1: I think for years it has been regarded as a
- 30:31Speaker 1: type of surgery, and you will hear the term autopsy surgeon,
- 30:34Speaker 1: particularly going back years and years. I love history, and
- 30:38Speaker 1: what's really kind of fascinating about the trajectory that you
- 30:42Speaker 1: see with gross anatomical dissection is that even up until
- 30:47Speaker 1: I guess probably the early eighteen hundreds, the first part
- 30:51Speaker 1: of the nineteenth century, it was illegal in many places
- 30:54Speaker 1: to do dissections on human remains period. And you know,
- 30:58Speaker 1: there's all kinds of stories about grave robbers that would
- 31:01Speaker 1: go and disinter bodies and they would bring them back
- 31:03Speaker 1: to medical schools and by the light of a whale
- 31:06Speaker 1: oa lamp or whatever, medical students in order to try
- 31:10Speaker 1: to learn anatomy, would dissect these bodies that have been
- 31:14Speaker 1: removed from the ground just to try to understand anatomy.
- 31:17Speaker 1: And so it has not been something that has been
- 31:21Speaker 1: done for centuries and centuries and centuries because it was
- 31:24Speaker 1: so prohibited for so long. Now through the twentieth century
- 31:28Speaker 1: and obviously into the twenty first now you know autopsies
- 31:31Speaker 1: are common. They are in necessity. A very small percentage
- 31:35Speaker 1: of the cases that a medical examiner or a corner
- 31:37Speaker 1: deal with are homicides. And that's what you always think
- 31:40Speaker 1: about with people in my field, and that's not the case.
- 31:44Speaker 1: It's just not the lines share cases we deal with
- 31:47Speaker 1: are some kind of natural event. If you don't have
- 31:52Speaker 1: an interest in natural disease pathology, looking at bodies where
- 31:57Speaker 1: you're trying to make a determination about manner and cause
- 31:59Speaker 1: it death, it's not going to be gunshot wounds. Most
- 32:02Speaker 1: of the time, you're going to be dealing with natural
- 32:05Speaker 1: disease and trying to make a determination. And there's beer
- 32:07Speaker 1: considerations here. Number One is the community in which these
- 32:10Speaker 1: people live. Did this person suddenly die because there's some
- 32:13Speaker 1: kind of public health issue. I was in Atlanta when
- 32:15Speaker 1: we were at the height of one of the biggest
- 32:17Speaker 1: TV scares in the nation. We were like the TV
- 32:20Speaker 1: capital of the nation in like the nineties or something,
- 32:24Speaker 1: and we had all of these people that were homeless
- 32:27Speaker 1: and other people that were dying of TV, and that's
- 32:29Speaker 1: a public health concern, and then you think about broad
- 32:33Speaker 1: ranging other diseases that are out there. I started my
- 32:36Speaker 1: career at the height of the AIDS epidemic, and we
- 32:38Speaker 1: were terrified to be in the morgue because we didn't
- 32:41Speaker 1: know what was going to happen if we stuck ourselves
- 32:42Speaker 1: with a dirty needle or cut ourselves with a dirty scalpel,
- 32:45Speaker 1: and that does happen. We've all been nick in the morgue.
- 32:48Speaker 1: It's not as clean as people think, it's as necessarily precise.
- 32:52Speaker 1: It's like a standard of surgery, you know, when you
- 32:55Speaker 1: go into these environments because you're doing multiple cases, you're
- 32:57Speaker 1: doing them quickly. It's a different world to kind of
- 33:01Speaker 1: be a part of. But absolutely grateful that I was
- 33:05Speaker 1: part of that world because I learned more. Now I
- 33:07Speaker 1: have an opportunity to teach. When people found out what
- 33:30Speaker 1: I did for a living, i'd get one of two reactions.
- 33:35Speaker 1: Either people would lean in and want to hear more
- 33:41Speaker 1: because by our nature as humans, we have morbid curiosity
- 33:45Speaker 1: about things. Or I've actually answered the question of what
- 33:50Speaker 1: I did for a living at a party and had
- 33:53Speaker 1: people immediately turn on their heel and walk away. They
- 33:57Speaker 1: don't want to hear anything else about death. There's rarely
- 34:00Speaker 1: middle ground when that conversation starts. You know, I never
- 34:04Speaker 1: thought that I had a morbid curiosity about me, but
- 34:08Speaker 1: I have been proven wrong. The more I talk about you,
- 34:11Speaker 1: the more I want to know. So let's play twenty questions,
- 34:15Speaker 1: so to speak with Joe Scott Morgan. What makes a
- 34:19Speaker 1: person want to deal with dead bodies? And how do
- 34:24Speaker 1: you get into that profession? How do you get to
- 34:27Speaker 1: work in a morgue? For me, it was a curious
- 34:31Speaker 1: set of circumstances. Now it's really actually difficult to get
- 34:35Speaker 1: into a more to even view an autopsy because of
- 34:38Speaker 1: all of the health considerations and all these sorts of things.
- 34:41Speaker 1: But I happen to be working at a hospital in
- 34:45Speaker 1: security and working also as an ear tech while the
- 34:49Speaker 1: morgue in our parish down there was being renovated and
- 34:53Speaker 1: they started bringing bodies to our hospital to do the
- 34:55Speaker 1: autopsies for the parish, which is the same as a county,
- 34:58Speaker 1: and I became friends with the p well at the
- 35:00Speaker 1: coroner's office, and I would be the one that would
- 35:03Speaker 1: shuffle bodies in and out the door, and there were
- 35:05Speaker 1: a huge volume of them, and I just became friends
- 35:08Speaker 1: with these folks and started, believe it or not, I
- 35:10Speaker 1: started attending autopsies on my free time, not getting paid,
- 35:13Speaker 1: but I was just fascinated by it because I'd always
- 35:15Speaker 1: been a science guy. And the next thing I knew,
- 35:18Speaker 1: I was taking notes for them, and eventually they allowed
- 35:21Speaker 1: me to participate an autopsy. O go wait, wait, taking
- 35:23Speaker 1: notes for them? What does that mean? Well, I would
- 35:26Speaker 1: work as a scribe for the forensic pathologists. If you
- 35:29Speaker 1: can imagine the stupid young kid who had no background
- 35:32Speaker 1: in it, but was willing to sit there with bloated,
- 35:38Speaker 1: decomposing remains. Horrible traumatic cases, the worst of the worst
- 35:44Speaker 1: cases you can possibly see. And I didn't necessarily retract
- 35:48Speaker 1: or retreat from it. And that's not always the circumstance
- 35:51Speaker 1: when people go to an autopsy for the first time.
- 35:53Speaker 1: I've had one of my best friends that became a
- 35:55Speaker 1: fantastic homicide investigator. I was in the middle of opening
- 36:00Speaker 1: gunshot wounded victim's head in the middle of it, and
- 36:03Speaker 1: he my friend just kind of back up. My friend
- 36:05Speaker 1: was actually a burglary detective in the jurisdiction where I
- 36:10Speaker 1: was working, and he and I had played golf together
- 36:12Speaker 1: over the years and whatnot, and he wanted to transition
- 36:14Speaker 1: the homicide. One of the requirements is you had to
- 36:16Speaker 1: go to autopsies. He'd never been and famously I'd used
- 36:21Speaker 1: that kind of high pitched saw it's called striker saw
- 36:23Speaker 1: and agitating saw its like cas saw, and I was
- 36:26Speaker 1: open to the skull and the friends of pathologists looked
- 36:29Speaker 1: up at me over his mask and he said, you
- 36:31Speaker 1: better check on him. And I looked over and my
- 36:32Speaker 1: friend was turning green. And he stood up. And he's
- 36:38Speaker 1: a big guy, I mean just really big, bold, tough guy.
- 36:41Speaker 1: He's the kind of guy you'd worn on your side.
- 36:43Speaker 1: There was a fight, and he's always dressed to the nines.
- 36:46Speaker 1: And he begins to back up and retreat away from
- 36:50Speaker 1: the autopsy area down a little hallway, and he collapsed
- 36:54Speaker 1: and went up against a tiled wall in this old
- 36:57Speaker 1: hospital and slid down the wall. I look back now
- 36:59Speaker 1: and I laugh at it, because I was covered. You
- 37:02Speaker 1: can't imagine. I was doing autopsy, had blood on me,
- 37:04Speaker 1: and we used to wear these big yellow gloves that
- 37:06Speaker 1: just made the blood pop even more. And he's my friend.
- 37:10Speaker 1: I was concerned. I thought he'd hurt his head. And
- 37:13Speaker 1: I was approaching him, walking toward him, saying, are you okay?
- 37:17Speaker 1: Are you okay? And he automatically still nauseated, and Dizzy
- 37:21Speaker 1: throws his hands up like I'm a monster, and he
- 37:23Speaker 1: says no, no, back away, back away, because I'm coming
- 37:26Speaker 1: at him and I've gotten blood all over, and it
- 37:29Speaker 1: was just it's one of those curious environments that only
- 37:32Speaker 1: certain people have the ability to be able to to
- 37:37Speaker 1: go into and maintain their focus. Well, that's the key.
- 37:44Speaker 1: It's hard to kind of measure that until you've been
- 37:46Speaker 1: in that environment. Some people think they want to do it,
- 37:50Speaker 1: but then they get in there and they realize from
- 37:53Speaker 1: jump Street that they don't have the And it's not
- 37:57Speaker 1: a judgment of them, it's just some people react differently
- 38:00Speaker 1: to seeing a human being that is being opened on
- 38:04Speaker 1: a table. And I think that's that's natural, but you
- 38:08Speaker 1: kind of, I think I've said that, you kind of
- 38:11Speaker 1: develop a callous to it. And I don't mean you
- 38:14Speaker 1: become callous. You just develop almost like if you're a
- 38:17Speaker 1: carpenter and you're swinging a hammer, your hands are suited
- 38:20Speaker 1: to that. After a period of time, you build up
- 38:23Speaker 1: a callous on your hands so you can handle the hammer.
- 38:25Speaker 1: And for us, we build up a kind of a
- 38:27Speaker 1: callous to those things that are required of us to do,
- 38:30Speaker 1: because who else you're going to get to do it?
- 38:33Speaker 1: You know, people say they want to do it, but
- 38:35Speaker 1: there's one thing about saying you want to do it,
- 38:37Speaker 1: and there's no part to it doing it. You know.
- 38:40Speaker 1: Over the course of my career, I wound up participating
- 38:42Speaker 1: in over seven thousand autopsy so I stuck around a
- 38:45Speaker 1: little while. That is a lot of bodies. You've seen
- 38:50Speaker 1: those bodies in all stages of things that would fit
- 38:54Speaker 1: inside a horror movie. Yeah, yeah, you have. And sometimes
- 38:58Speaker 1: if I happen to watch horror movie, which I generally don't,
- 39:02Speaker 1: I look at it immediately and say that doesn't look real.
- 39:04Speaker 1: All right, I'll say, wow, somebody really did their research this,
- 39:07Speaker 1: this looks very accurate. It's weird how you kind of
- 39:10Speaker 1: judge things like that when you know you've been involved
- 39:12Speaker 1: in a field. But yeah, you really do they run
- 39:14Speaker 1: the gamut. I talked about it in my memoir Blood
- 39:17Speaker 1: Beneath My Feet. I talked about a horrible kind of
- 39:20Speaker 1: event where we had a barge that capsized in the
- 39:23Speaker 1: Gulf of Mexico. They were trying to outrun a hurricane
- 39:28Speaker 1: that was inbound and they didn't make it, and I
- 39:31Speaker 1: think we had sixteen sixteen men that lost their lives,
- 39:34Speaker 1: and they came in slowly. They were able to be
- 39:38Speaker 1: recovered because they some of them weren't still on board
- 39:41Speaker 1: when the thing capsized. They went over, and of course
- 39:44Speaker 1: the bodies were sitting in the heat in the Gulf
- 39:47Speaker 1: of Mexico, subject to everything that's in the Gulf of Mexico,
- 39:51Speaker 1: and so you get partial remains, then you get intact
- 39:53Speaker 1: remains that are severely bloated and compromised. We had a
- 39:57Speaker 1: very small facility and did a highvolume of cases, and
- 40:00Speaker 1: we still had our other cases we had to do.
- 40:02Speaker 1: But we had to bring in a refrigerated truck and
- 40:07Speaker 1: store these bodies, and we had to do all kinds
- 40:09Speaker 1: of intense exams, I mean everything to removing the jaws
- 40:13Speaker 1: on the bodies, to do odent logical examinations, to try
- 40:16Speaker 1: to determine who these people were. And I was around
- 40:19Speaker 1: those bodies for so long, and this is not the
- 40:21Speaker 1: first time that had happened to me or on one
- 40:24Speaker 1: of my colleagues. I was around those bodies for so
- 40:26Speaker 1: many days, and in that environment, I couldn't get rid
- 40:29Speaker 1: of the smell. I couldn't. I literally wound up having
- 40:34Speaker 1: to shave my entire body because no matter how much
- 40:39Speaker 1: showered and bathed and all these sorts of things, even
- 40:42Speaker 1: using vinegar and all those things that they tell you,
- 40:44Speaker 1: I couldn't get rid of it. I think that part
- 40:47Speaker 1: of that goes to there's an actual physical thing that happens,
- 40:50Speaker 1: but I think there's a scarring. I think that happens
- 40:53Speaker 1: emotionally with that too, where you kind of bear that along.
- 40:56Speaker 1: And we had this kind of weird culture in the
- 40:59Speaker 1: medical community. We would walk up almost like you see
- 41:02Speaker 1: these apes in these National Geographic documentaries where they pick
- 41:05Speaker 1: at knits and that sort of thing, and we had this.
- 41:08Speaker 1: We would check one another before we would go out.
- 41:11Speaker 1: Maybe we'd gone out on a case where we had
- 41:12Speaker 1: a decomposing body and we would smell each other would say,
- 41:15Speaker 1: I've got to go talk to a family how do
- 41:17Speaker 1: I smell? And that's a weird just think about that
- 41:19Speaker 1: dynamic within an office and you become friends with these
- 41:22Speaker 1: people you know and say, yeah, do I smell bad?
- 41:25Speaker 1: And it's not because you haven't bathed or use the odorant,
- 41:28Speaker 1: but if you've been in the presence of a decomposed body,
- 41:30Speaker 1: you don't want to expose the public to that. And
- 41:32Speaker 1: so that's kind of a weird little nuance that we
- 41:35Speaker 1: have in our community. Joe, you were talking about your
- 41:39Speaker 1: friends and getting to be friends with these people and
- 41:41Speaker 1: how they deal with it, but how did your family
- 41:44Speaker 1: deal with it? Well, interesting little aside. My wife Kim,
- 41:51Speaker 1: that you know and have met and we've hung out
- 41:53Speaker 1: and y'all of friends. We actually met on a blind date,
- 41:56Speaker 1: and of course, being on a blind day, it's very
- 42:00Speaker 1: uncomfortably anyway. And when I look on a little aside here,
- 42:04Speaker 1: when I saw her, she's the most beautiful quick joys
- 42:06Speaker 1: in my life, and I'm thinking, you better make the
- 42:08Speaker 1: most of this, boy, or You're you're never gonna have
- 42:10Speaker 1: another shot with a woman that is this beautiful. And
- 42:12Speaker 1: we okay, enough of the brownie pot, enough of the
- 42:15Speaker 1: brownie points. Jack. Well, we went on we went on
- 42:18Speaker 1: a date, and after we went to a ball game together,
- 42:21Speaker 1: and afterwards we go to a restaurant, actually a pizza place,
- 42:26Speaker 1: and we're sitting across from one another having a conversation
- 42:29Speaker 1: and she's saying, now, tell me again, what is it
- 42:32Speaker 1: that you do for a living. And I'm sitting there
- 42:36Speaker 1: and I'm describing to her that I work for the
- 42:39Speaker 1: medical Examiner, which is like the corner and we go
- 42:43Speaker 1: out and examine the dead and make determinations about who
- 42:47Speaker 1: they are because they might be unidentified, and we also
- 42:50Speaker 1: do autopsies. That's that's the way we go about this.
- 42:53Speaker 1: And she's kind of sitting there with this open jawed
- 42:58Speaker 1: expression on her face, and I'm thinking, oh my gosh,
- 43:00Speaker 1: I've really blown this. And then all of a sudden,
- 43:04Speaker 1: she looks at me and she says, until I met you,
- 43:08Speaker 1: I never thought about death. And you know, you can
- 43:11Speaker 1: take anything you want to away from that story, but
- 43:15Speaker 1: it's not a good beginning to a blind date. But
- 43:17Speaker 1: she found it interesting because most people, most people out there,
- 43:22Speaker 1: they don't think about death. They think about their life.
- 43:25Speaker 1: And the same with my wife. She didn't think about death.
- 43:30Speaker 1: But when you're sitting there with someone that engages in
- 43:34Speaker 1: this work every single day. It suddenly comes to a
- 43:37Speaker 1: full form before you, and you have to consider it
- 43:40Speaker 1: one way or another. This is the bottom line for it.
- 43:44Speaker 1: It's horrible, horrible business, and you have to make a
- 43:49Speaker 1: decision of your own free will if you want to
- 43:51Speaker 1: be there or not. And if you decide to be there,
- 43:54Speaker 1: then you do the job to the best of your ability,
- 43:57Speaker 1: and you understand that you have a unique space that
- 44:00Speaker 1: you occupy providing a service that a few other people
- 44:03Speaker 1: are equipped to deal with. It doesn't mean that we're
- 44:06Speaker 1: any better than anybody else. It just means that we
- 44:10Speaker 1: have a set of skills that enable us to tolerate
- 44:13Speaker 1: that environment within reason. But on the human side of it,
- 44:18Speaker 1: and this happened to me, it wears on you. The
- 44:22Speaker 1: human mind is only equipped to deal with so much horror.
- 44:31Speaker 1: You're We're not created that way, We're not equipped that way.
- 44:35Speaker 1: You hit tolerances, and I know personally, I can't speak
- 44:38Speaker 1: for any of my colleagues, but I know personally I
- 44:41Speaker 1: paid a tremendous price with constant nightmares and panic attacks
- 44:47Speaker 1: and all those things that came along with a diagnosis
- 44:49Speaker 1: of PTDST At the end of my career. But even
- 44:54Speaker 1: though I went through all of that, I wouldn't trade
- 44:57Speaker 1: it for anything in the world because now I'm at
- 45:02Speaker 1: a point where I get to talk about it, where
- 45:06Speaker 1: I get to teach about it, and it is quite
- 45:12Speaker 1: possibly the best thing in the world for me. I'm
- 45:18Speaker 1: Joseph Scott Morgan and this is body Backs.