Thursday, March 03, 2005
Dying to meet me. (Or confessions of an Anatomical Pathology Technician.)
Introduction
I would like to take the opportunity to explain a few details, which are not known to most people concerning the process of death; I will refer throughout to the deceased as ‘patients’; this is because I believe that everyone, regardless of their status in life, is entitled to a modicum of respect; I do not like the term ‘body’ when referring to the deceased.
Some names have been changed to protect the innocent or protect me from the guilty.
Embalming is the process of preserving the patient after death, the process involves injecting the blood vessels with a formaldehyde based fluid, aspirating, or removing by suction, the body fluids, a process similar to that of liposuction, albeit more gentle, and the injection of the body cavities with another, stronger fluid.
A post mortem examination, or PM involves the removal of all the organs via a full length incision of the torso, and the removal of the brain. These procedures, performed by a skilled technician may be done ‘invisibly’; there is no reason for the family and friends of the patient to see any evidence of the examination having been performed.
There are many myths surrounding the process, many people believe that the patient may not be seen after the PM, this is not so: Most patients look better, not worse afterwards. Blood, which has suffused the face, often giving the impression of bruising, drains away. Facial injuries, left for the pathologist to note can be repaired and hair is shampooed and styled. Overall, the post mortem is not a reason for the family to worry. Any concerns should be raised with the mortuary staff prior to the PM, so that any special requirements may be taken into consideration when performing the examination.
Chapter 1
Ginns and Gutteridge.
On
In front of me a staircase rose to the upper floors, to the left was the small reception office, to the right, the splendid William Gutteridge memorial chapel.
I had, until then, spent a reasonably normal, uneventful life, doing little of note or notoriety, and had anyone suggested a year previously that I would be seeking to make my living doing anything remotely connected with dead people would have caused me to squirm!
In the intervening year, however, my interests had changed somewhat, my boyfriend at this time was an embalmer, and I became interested and read his textbooks. I thought it sounded far more interesting than the job I was doing at the time. So I sought a Youth Opportunities training programme. G & G agreed to interview me, and I was accepted for a six-month period as a trainee embalmer. Over the next 17 years I was to encounter literally thousands of deceased, their relatives and friends, their problems and their heartbreak.
On that first day, I spent most of my time typing, and sorting out arrangements for medical school funerals; people who leave their bodies to medical science are either buried or cremated after three years. I had been taken on as a trainee embalmer, and I had, secretly been a little disappointed at being shepherded upstairs and given paperwork to do, and hoped they weren’t intending to keep me from the ‘business’ end of things for very long.
As the day drew towards its close, “Mr Arthur” (Gutteridge) arrived and I was introduced. He asked me if I’d been 'downstairs’ yet, I replied that I hadn’t; ‘well how do you know if you’re going to like it then?’ he asked good-naturedly.
“Mr Paul” (Ginns) took the hint; ‘Well I have to go and check on Jeffrey’s handiwork, so would you like to come with me?’
We made our way down to the chapels of rest. He drew back the heavy brocade curtain of the nearest one, and before the words ‘you don’t have to look if you don’t want to’ were out of his mouth, I was in there, looking at my first dead person.
There they lay; in a coffin, wearing what appeared to be a dressing gown. It was like looking at a shop-window mannequin: pale, powdered and set-looking.
I cannot remember to this day whether it was a man or a woman, I do remember referring to them as ‘it’ – ‘it’s got dirty nails’ I said when Paul asked what I thought: ‘Ah, yes, I’ll get Jeffrey to sort that out’ he said. He called out, and Jeffrey came gangling through the concealed door at the other end of the passage, I remember thinking ‘Oh my God, what’s THAT?’ on seeing him; he was very tall and very thin, with a haircut that looked like it belonged to someone with a far smaller head.
I wondered what on earth I had let myself in for, I need not have worried, Jeff (or Jeffypoos, as he was to become known) had an outrageous sense of humour, as well as being a good and hard working colleague and teacher, we soon became firm friends.
I had a gentle introduction; for the most part the men I worked with treated me like a daughter, I being the only female ‘downstairs’. It was a while before I was deemed ‘tough’ enough to see someone who had had a post-mortem examination, and I was never allowed to see a dead baby, the men thought it might upset me.
That is not to say that I was always treated with kid gloves; I was ‘initiated’ – hung up by the feet with webbing straps used to lift people into their coffins, and left there, dangling upside down whilst they went for their tea-break! It wasn’t so much the initiation per se I minded; but I HATE being upside down!
One of the jobs Jeffrey and I had to do was vacuuming the chapels of rest, or ‘restrooms’ as they were known, at the end of the day; there were two sets, one on the ground floor, and one in the basement. I didn’t like doing the basement; the wind howled down the lift shaft making wailing noises, (funnily enough, one of the only things that ever spooked me). I used to go along and open all the curtains first, just to ensure that nobody was lurking behind them. It wasn’t the dead people that worried me, more the thought of some practical joker scaring me stupid and 'dining out' at my expense!
The chaps had taken great delight in telling me that restroom G was never used because it was haunted. This I did not believe; for one thing, what self-respecting spectre would limit itself to a small curtained cubicle when they could roam the entire premises?
The real reason it was never used was that it housed a magnificent, American-style casket; bronze, sumptuously padded and lined with primrose coloured satin. It looked very comfortable, and I felt there was the distinct possibility that some of my more fun-loving ‘uncles’ would find great amusement in incarcerating a certain trainee in it! My fear was entirely claustrophobic: I like enclosed spaces even less than I like being hung upside down!
One occasion when I was scared out of my wits occurred not long into my six-month stint there; Mr Paul was overseeing my embalming, I had completed the injection stage and was aspirating the fluids when, suddenly the little old lady upon whom I was operating, began to groan! I jumped and grabbed Paul’s arm, ‘She’s alive!’ I squealed.
Paul quickly explained that a) since I had just filled her blood vessels with embalming fluid, there was no way that she was anything but dead, and b) I had accidentally pushed the trocar into her windpipe, causing air to be sucked into her mouth, past her vocal cords, hence the sound. I swear had he not been there I would have run out so fast, no one would have seen me for dust!
Strangely the idea of finding someone ‘not dead’ remained my greatest fear. Some years later, an elderly lady was actually taken into G & G, having 'died' at home and been certified by her GP. She was noticed to be still alive just as they were putting her into cold storage, she was admitted to intensive care, and as I understand it, survived for quite some time before dying ‘for real’.
I was often asked if I was scared of dead people; I had my stock answer; ‘Why should I be? My patients are only going to hurt me one of two ways; 1: If they fall on me from a great height, which would be my own, or a colleague’s fault, and 2: If I contracted a communicable disease from them, which again, would be my fault, not theirs.
I did have an unpleasant encounter with some embalming fluid; Jeffrey and I were embalming a small boy who had died in a road accident, and his sister was in intensive care. Her doctors estimated that if she survived for a month, she would make it. With the dreadful realisation that they may have to bury both of their children, their parents held off their sons' funeral in case it had to be a double one.
We had to ensure that our embalmment of him was sufficient to preserve him for that long. Because his death was unexpected, in accordance with the law, he had had a coroner’s post-mortem. We injected each blood vessel and organ individually. As I was injecting his liver with an hypodermic syringe, without realising, my mouth had fallen open in concentration; I hit a returning blood vessel. The fluid squirted down my throat, burning as it went. Spitting into the sink, I stripped off my gloves and apron, and pelted across the yard to the garage, and into the mess-room, where I retched and gulped water, feeling sick at what I’d done, and wondering if I’d poisoned myself. I learned an important lesson that day; keep one’s mouth shut when one is embalming!
I learned to be meticulous about hygiene, protecting myself by treating all my patients as a potential source of infection, they could not warn me about any infection they carried; I had to protect myself.
This attitude became deeply, perhaps obsessively ingrained, and caused a strange juxtaposition when I was dealing with people I knew and loved. When my Grandma died, although I knew she had nothing I could catch, after touching her I still used my elbow on the door handles and used ‘non-touch’ technique until I had washed my hands. I was painfully aware of the conflict in my head; ‘don’t be daft, it’s Granny; Yes, but she’s still dead’. I could not kiss her goodbye.
Over the years I have witnessed an amazing array of mourning and grief; at G & G I experienced one of the most memorable. An elderly lady had died; A Mrs Smith, as I recall; she was apparently the matriarch of an enormously extended Romany Gypsy family, I wish I could remember her name, I’m sure it began with ‘L’. I’d never heard it before, it was beautiful: I wish I could remember!
Hers was the biggest funeral I have ever seen, as my memory serves me, there were literally hundreds of people there. She was one popular lady.
As I helped compile the list of all her hundreds of floral tributes, I noticed that several of them were from women or girls, also with the unusual name: they must have been named after her.
Having her huge family visit her in one of the usual chapels of rest was unthinkable! She lay in state in the William Gutteridge Memorial Chapel, and the family filed in through the rear doors, past her coffin, which lay in the aisle, and out of the door, I did not begin to attempt to count them all. Likewise I could not count the number of vehicles in her funeral procession. The company had borrowed vehicles and drivers from funeral directors far and wide, the limousines rolled slowly and sedately out of the front doors. Following the hearse bearing the lady herself was another containing floral tributes, these were followed by several open trucks, all bearing still more flowers. The traffic in the centre of Leicester was at a standstill for several minutes, as a steady flow of cars trundled out of the doors, queuing down the road at the rear of the premises, driving in through the back doors and processing out onto the ring-road, following this much-loved lady.
Although in the main, my time at G&G was a happy one, it was not all roses; the foreman who was in charge of the driver/bearers thought that it was “not the place for a young lady”; I strongly suspect what he really meant was that he didn’t like me!
He banned me from everywhere on the premises he could within his remit, including the driver’s mess. This meant that rather than eating with the chaps with whom I worked and got along, at the risk of seeing someone changing into their pinstripes, I was sentenced to eat my lunch in the shed with the carpenters. In those days G&G made most of the coffins they used, and had a coffin-shop and a full staff of chippies. Unfortunately some of them were not as refined as the drivers and I was witness to all manner of foul language and ribald commentary, not the sort of thing a ‘young lady’ should hear at all!
As my six months drew to a close, it was clear that there was no position for me to take up, but as fate would have it, Leicester Royal Infirmary was advertising for a mortuary technician.
Chapter 2
L.R.I.
I successfully applied for the post and began work on the 14th of January 1980 there were just two of us at that time, the senior member of staff, John was on sick leave having had part of one his lungs removed due to cancer. It was a busy time; it was a busy place. John briefly returned to work, he was a pleasant little man who had spent time in Australia; tea-breaks were always referred to by him as ‘smoke-oh’. He entertained me with stories of his travels and the fact that the metal pin he had in a broken bone in his neck set off the metal-detectors at airports.
Only a short time later John died, the surgery had bought him but a few short months.
The LRI was not only the main accident and emergency facility for the county, but also served as the public mortuary, therefore anyone who died at home, in the street, even in some of the smaller hospitals in the county, came to us. Some patients would subsequently have death certificates issued by their doctors, but many did not. In the winter we would perform up to 20 coroner’s post-mortems a day, with six tables and 2 members of staff. I quickly became versed in the procedures of opening and closing, and later learned to eviscerate and do intricate dissections such as removal of the spinal cord and the tiny bones of the inner ear. As well as learning the intricacies of human anatomy and physiology, I also had to learn the foibles of the pathologists. At that time there were four consultants, all with their little preferences and quirks, knives had to be razor-sharp, instruments and specimen containers laid out ready, and we had to be on the ball. Over the next few months two more staff were recruited and as the weather warmed with the approach of spring the workload eased.
There was no time or truck allowable for queasiness nor was there any of the kid glove treatment I had received at G & G regarding the babies. ‘The royal’ also has a large maternity hospital. On the contrary, being female, I was deemed to have ‘the touch’ when it came to dealing with parents who had lost a child, although I suspect that the men would just sooner not deal with bereaved parents. As a childless young woman, I was not especially upset by dealing with the dead babies; most of them were premature, tiny scraps of humanity, just born too soon to live. Later as a mother, I learned to distance myself as a defence mechanism, a necessary step as I discovered just how inhumane some people can be towards their own children.
Of suicide, homicide and infanticide
For many people, one would imagine that this is the area of the pathology technician’s job, which holds the most fascination. The truth of the matter is that for the most part, homicides mean a lot of ‘hurry up and wait’- often in the middle of the night! The technician needs to be on site to open up the department, ensure that all the required equipment is assembled, ready for the onslaught of police, Scene of Crime Officers, visiting pathologists etc. Working on homicide cases can be tedious, the minutiae of continuity of evidence, photography, measuring and taking clean specimens for analysis all takes so much longer than in a straightforward case, and far longer than portrayed on TV. And at the end of the day, the tech is always left behind to clean up and tidy away, long after everyone else has gone back home to bed. A mortuary in the wee small hours is one of the loneliest places in the world, and knowing that one needs to be back on duty in not many hours time is one of the less pleasant aspects of a particularly unpleasant job.
Another unpleasant aspect is that of having to deal with people one knows, this happened several times throughout my career; friends, acquaintances and colleagues have, unfortunately passed through my professional hands.
One occasion is particularly memorable; a funeral director brought a patient in, informing me that they had a ‘dirty body’ (this expression is not of my choosing, but unfortunately, is accepted parlance) meaning that the patient was badly decomposed. The funeral director handed me the wristband bearing the patients details - I nearly fell through the floor; it was a friend, who I had understood to have moved away a few weeks earlier, apparently he had not moved at all, but committed suicide.
He had talked to me about his depression, I had tried to help, but obviously I had failed. I’d even half jokingly, in one of his better moods, asked him not to kill himself in the county, as I did not want to have to deal with him, but here he was; bloated, blackened and beyond help. It was with a heavy heart that I set about undressing him and going through the process of searching his clothes and logging his possessions.
Copyright J.L. Rushin 2005
Tuesday, March 01, 2005
In the field
When I was a 'Sab' in th elate 70's and early 80's we did it a little more subtly; we had a long wheelbase Land Rover rigged out with spraying equipment for the purpose of squirting 'special'- a mixture of water, aniseed and citronella oils; a totally harmless, natural mixture which covers the scent of the Fox. Using the Land Rover and hand plant sprayers, we would go out early in the morning, and working on the location of the meet, and of 2nd horses, we would attempt to spray all the likely coverts that the whipper-in would be likely to put the pack into. After spraying as much as we could, we would then attend the meet. Dressed 'incognito' in tweeds, flat caps and green wellies, we would blend in with the bloodthirsty and continue our work to scupper their plans for killing that day.
The hounds are routinely starved for 24 to 48 hours before a hunt, so we would have the pockets of our tweed jackets laden with dog biscuits which we would slip to the grateful hounds. Also in every good sab's pocket was a rag, soaked in 'special';we would rub our hands in the scented mixture, then pet as many hounds as possible, all around the nose, in order to confuse their sense of smell.
One particular day, I thought my worst nightmare; a kill, would be played out before my eyes: The meet had been held at a farm on the side of a hill, whilst the riders took the stirrup cup, we did our stuff, feeding the pack. They moved off and put into a long covert which ran down the hill, we stood with foot supporters awaiting developments. A rider, late for the meet, had trotted up, enquiring as to the direction in which the hunt had headed.
Suddenly the air was filled with an unearthly, chilling sound; the pack in full cry. To this day, the thought of that sound makes me go cold. The sound of the baying hounds echoed along the hillside; the pack had split! By sheer chance; 3 foxes had been put up at once, the whipper-in had lost control of the pack and the hounds were running uncontrolled. We could hear the futile efforts of the whippers-in trying to gather the pack and contol it, but to no avail. Suddenly, in full view of the supporters, the late rider and my fellow Sab, Nigel and I, trotting out of the wood came a beautiful vixen. I grabbed Nigels arm and hissed, "What are we going to do? If the pack comes after her, I can't stand here and let them kill her!" "Just wait" he replied. Trembling, we waited; the supporters were visibly bothered, presumably they also did not relish the climax of their 'sport' being carried out before their eyes. As we stood there, the little Fox came trotting towards us, no hounds followed her. She continued coming towards us, stopped and checked us, and then proceeded straight on through a field of ewes and their lambs, neither animal gave the others a second glance. Seconds later, a few couple of hounds came out of the covert and milled around aimlessly, I heard the 'gone away' blown on a hunting horn, and I heaved a huge sigh of relief.
Whilst I am aware that Foxes have to be controlled; hunting them with hounds on horseback has never been an effective method of control, and witnessing that piece of total incompetence on the part of the hunt 'staff' only served to illustrate my belief.
Copyright J.L.Rushin 2005
Thursday, February 24, 2005
Profile for educational purposes??
Profile : Dirty Gertie
Prisoner no. 140662
Age : 12 and a bit (quite a substantial bit actually)
Physical description : Short of leg, large of mouth.
Hair : yes,usually. Colour : variable.
Can be identified by random metal artefacts, inserted, or otherwise dangling from various bodily appendages, and the hallmarks of various ‘skin artistes’ work.
Reason for attending college : N.H.S. professional kick-out and general social inadequate.
General information : Bit of a show-off, can be found on stage, wherever and whenever the opportunity arises, er, showing off. (Typical ‘youngest child’ behaviour)
Personal quote : “Hey, everybody, look at MEEEE.
Mothers’ quote : University, YOU?, HA HA HA HA HA HA”.
Most likely to be voted ‘girl most likely to be ‘in’ if she had to pay to get out'.
Ambition : To take on the world and win !
Copyright J.L.Rushin 2005
In the name of Sport
The subject of Fox Hunting has always been close to my heart as a former, and very active member of the Hunt Saboteurs Association in the late 70's and early 80's.
Obviously since the ban on hunting with hounds, which has recently come into force some things may have changed, but at the time of writing we have hunt supporters braying loudly about how they will defy the law; the future remains to be seen
“ALL IN THE NAME OF SPORT”
It is high time the Government kept the promise they made in their election manifesto, and outlawed the hunting of foxes in the name of Sport.
How the epithet ‘Sport’ can be attached to this barbaric pursuit is beyond my comprehension. As defined by the shorter Collins dictionary; sport is an exercise pursued for relaxation and enjoyment, particularly if there is an element of competition involved. So perhaps a hunt supporter could enlighten me regarding what competitive element there is in one small mammal being chased, in fear of its life, by sixty or so other, far larger mammals:
This, in the name of Sport.
Those who engage in this bloodthirsty pursuit are economical with the truth to say the least, regarding the unsporting practices in which they engage, in order to tip the odds in their favour.
The killing of young cubs is legitimised by the label of population control, before the season proper begins. They do not tell of how many nursing vixens are bludgeoned to death, in this so-called closed season: Often leaving young cubs to suffer a long, drawn-out death by starvation.
This, in the name of Sport.
They do not tell of the midnight forays into the coverts upon which they plan to draw the next day, with shovels, blocking the entrances of earths, in order to prevent the quarry going to ground- the ‘sporting chance’ of which they make so much.
They do not tell of the insidious terrier men, who, in the event of the hapless fox finding sanctuary in a culvert or Badger sett, (which it is illegal to block) are summoned by the master, and the terriers are put into the bolthole, where they savage the fox. The fox is then dug out, often still in its death-throes, and flung to the baying pack:
This, in the name of Sport.
They do not tell of the hounds, starved for forty-eight hours prior to a hunt, in order to whet their appetites and sharpen their bloodlust. Used for a few seasons, and then destroyed when they are no longer useful. These beautiful dogs cannot be re-homed as family pets due to the unnatural, in this day and age, lifestyle to which they have been subjected. So once they are surplus to requirements, they are simply disposed of, all life, it would appear, is disposable to the barbarians who engage in these heinous practices:
All this in the name of Sport.
Even the arguments put forward by the pro-hunt lobby in defence of this pursuit of the inedible are lame and inaccurate. The ‘pros’ claim that hunting is necessary, in order to protect livestock from the predator, in reality, the number of foxes killed each season by hunts has little effect upon numbers, and can in no way be held to be selective population control. Personally I have no objection to a farmer taking a shotgun to a rogue fox that is known to be responsible for killing livestock and despatching it, quickly and cleanly.
I grew up in the country, and our chickens were shut in every night, in their little house, after they had gone to roost at dusk, safe from whatever marauders may have been roaming the night.
The pro-hunt lobby claim that outlawing hunting would cause an employment crisis in country communities, in actual fact, the effect upon nation wide unemployment statistics would be very small indeed. Whilst it is true to say that a small number of people are employed to make good the damage that hunts regularly do to the countryside, surely it would be better for our countryside, and its indigenous wildlife if this damage was not inflicted to begin with. And whilst much has been made in the Tory benches and the House of Lords about this small, and as yet, unrealised increase in our dole-queues, what did we hear from them concerning the plight of many, many more facing unemployment due to the closure of our once-proud national industries? Margaret Thatcher appeared to positively relish the closure of still-profitable coal mines, and the throwing upon the slag heap of thousands of miners. At least the fence-menders and hedge –layers will still have work to do, just not as much; the miners did not have that luxury. But then, they had no connection with the upper classes and their leisure pursuits, noblesse oblige it would appear is alive and well in Cool Britannia.
And all in the name of ‘Sport’.
Wednesday, February 23, 2005
Hmmm, writer's blog?
Maybe it's a chromosomal abnormality?
I've always been a little wierd. I, partially at least, blame the late Hunter S Thompson; I'm convinced that reading "Hell's Angels" at the age of 14 or so, set my mind to having a motorcycle at the earliest opportunity; a determination which met with absolute opposition from my parents: "You won't have a motorbike while you live in this house" my Dad declared upon hearing the news that his 17 year old daughter planned to spend a newly acquired dollop of back-pay on a Honda 50.
So I left. I rented a bedsit in Leicester, and 'Gerald' and I set off on the road!
Gerald (don't ask my how or why he got called that!!) was a stop-gap, a semi-automatic, which was technically classed as a motorcycle since he had a centrifugal clutch, in the 'good old days' prior to CBT he was enough to pass my test on.
I suppose going back to the training centre on my next bike, a minature chopper, built especially for me, was a little incongruous, but I had to learn to use a clutch!!!
Now I know that girls on bikes are not particularly unusual, but that wasn't the only thing I did which was a little strange for a female. I also worked with dead people.
I embarked on this career direction when I became bored with my clerical job at a jewllery wholesalers; my boyfriend at the time was an embalmer, and I thought his job sounded a darn sight more interesting than mine, so I thought I would do that too: It was 1979, the year of mass unemployment, one in ten on the dole; 'Maggies millions' queued, despondently, for their giros.
An initiative for youth employment the Youth Opportunities Programme offered 6 month training schemes with employers, there was no definite job offer at the end, but valuable experience to be gained, nonetheless.
I worked for my 6 months at a large, family owned funeral directors, and, as luck would have it, at the end of it, a local hospital was advertising for a mortuary technician; I walked straight into the job.
More of this later.
In 1998, my career in the NHS pathology service came to an end. I had no intention of ever having anything to do with dead people ever again, however, fate has a strange way of biting one on the buttocks, and I now find myself working as the northern hemisphere's first female motorcycle hearse rider.
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Unusual? Yes, but that's just me!!