If These Bodies Could Talk: True Tales of a Medical Examiner

If These Bodies Could Talk: True Tales of a Medical Examiner
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What happens to your body after you die? Ask forensic medical examiner Alexey Reshetun. For more than twenty years he has spent every day with the newly dead, conducting autopsies and searching for the cause – or causes – of their death. In layman’s terms – and with some dark humor from time to time – he explains what forensic medical examiners do, how they dier from pathologists, how an autopsy is carried out, and what happens to organs after they are removed. Along the way he gives a brief overview of the history of forensic medicine and procedural basics – from examination of a body at the scene of death to exhumation and examination months after burial. He shares his own stories from his practice – how he knew the old woman in the village was murdered in her bed, or how he and his team discovered that the man who keeled over on his porch was not killed by a heart attack but by a stray bullet shot by a neighbor down the street. Death is a topic we often try to avoid, but Reshetun makes it as fascinating as life. And, in the process, he sheds new light on an old truth: our lives – and deaths – are in our own hands. After reading this book, you might drop some of your bad habits – and take up some good ones. If These Bodies Could Talk is for anyone who is curious about the real – not fictional – life of medical examiners. Why read this book? • The author enthusiastically describes in simple, lively, and even droll terms (yes, there can be humor, even in death) why and how people die and what happens to our bodies after death. • This is not a textbook, though you will get a brief overview of the history of forensic medicine and some forensics basics (for example, how a body is examined at the crime scene). • Everything in this book is true, which makes it all the more interesting (and sometimes frightening). But, paradoxically, you will come away with a deeper appreciation for your own life and the lives of your loved ones. • QR codes available to photos from the autopsy suite. While this book is certainly fascinating for doctors and medical students, it is primarily intended for people without a medical or forensic background, as a reminder that we are all mortals, life is finite, and what we spend it on is important.

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Алексей Решетун. If These Bodies Could Talk: True Tales of a Medical Examiner

FOREWORD TO THE NEW EDITION

INTRODUCTION

PART ONE. LAYING THE GROUNDWORK

1. WHAT EXACTLY IS FORENSIC MEDICINE?

2. JUST WHO IS A MEDICAL EXAMINER?

3. PATHOLOGIST OR MEDICAL EXAMINER? WHAT IS SIMILAR, WHAT IS NOT

4. TO CUT OR NOT TO CUT? THAT IS THE QUESTION

PART TWO. THE PROFESSIONAL

1. OUR TOOLS

2. PUT ON YOUR LAB COAT

3. WHEN THE CURE IS WORSE THAN THE DISEASE

4. LAND OF THE LIVING

5. STUDENT LIFE

PART THREE. WORKING WITH THE DEAD

1. PHENOMENA OF PHENOMENA

2. EXAMINING A BODY: EXPECTATIONS AND REALITIES

3. EXHUMATION

PART FOUR. TRAUMA

1. A BAT, A HAMMER, A STICK, AND OTHER WAYS TO DIE: BLUNT HARD OBJECTS

2. FORKS OVER KNIVES: ONE HOLE VERSUS FIVE – SHARP INSTRUMENTS AND THE WOUNDS THEY LEAVE BEHIND

3. BUCKLE UP FOR SAFETY, BUCKLE UP!

4. GUNSHOTS AND EXPLOSIONS IN TIMES OF PEACE

5. MASS CASUALTY INCIDENTS

6. OFF WITH HER HEAD!

PART FIVE. ASPHYXIATION

1. HANGING: FACT AND FICTION

2. STRANGULATION: "EVENTUALLY, IT ALL COMES TO LIGHT"

3. DEATH IN THE WATER: SOMETIMES IT IS DROWNING, SOMETIMES IT IS NOT

4. THERE'S NO LIFE WITHOUT AIR

5. WARNING! CHOKING HAZARD

PART SIX. HEAT AND ELECTRICITY

1. FAIR HEAT BREAKS NO BONES

2. THE COLD NEVER BOTHERED ME, ANYWAY

3. I AM IN SHOCK

PART SEVEN. DRUGS AND ALCOHOL

1. DRINK LIKE A FISH

2. SAY NO TO DRUGS!

PART EIGHT. CHILDREN

1. CANNIBAL PARENTS

2. YOU ARE GOING TO POKE AN EYE OUT!

3. PARENTAL NEGLECT

PART NINE. DISEASE

1. SUDDEN DEATH: CARDIOVASCULAR DISEASES

2. CANCERS

3. TUBERCULOSIS AND HIV

PART TEN. MYTHS

1. OLD WIVES' TALES

2. WORMS AND FECAL STONES

3. SMELLS

PART ELEVEN. MISCELLANEOUS

1. MORGUE-TURNED-ABORTION CLINIC

2. A BAD NEIGHBORHOOD

3. TRANSGENDER AND INTERSEX CASES

4. TRAIN AND QUARRY

5. A FUNNY STORY

6. SPIRITUALITY

CONCLUSION

BIBLIOGRAPHY

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It has been over a year since the first edition of my book was published. During that time, I have given many talks in several cities, given media interviews, and even been recognized in the street a few times (I am famous!). I have received over one hundred letters, both emails and handwritten, two of which invited me to join an organization to save the universe, the others simply expressing gratitude. I answered all of them, other than the two from another realm. It is nice when all kinds of people you do not even know like your work. That was a new feeling for me, something I was not used to. Before the first edition came out, I had no idea what kinds of things readers would share with me. I learned that many of them were really interested in finding out more about my specialty, that they were able to look beyond old prejudices, and some were even able to re-evaluate their lives. It would seem that my work was done. After all, the book came out, and people liked it. But, my dear readers, you have rightly pointed out to me that some things were missing from the book. I have tried to include them all here.

In this new edition, I will talk about the many types of tools we use at work. Each of them has a specific purpose. I will also talk about what we do in the lab, about exhumations, motorcycle injuries, dismemberment, and iatrogenesis, and, finally, about some of my favorite students.

.....

It is necessary to distinguish what exactly constitutes a "violent death." Most people assume that if someone is not found with an axe sticking out of their head, their death was not violent. In fact, things are not that simple. Any death that occurs due to factors in someone's external environment – cold temperatures, alcohol, carbon monoxide, or, yes, an axe wound – is considered violent. Intent does not matter here – if someone died from alcohol poisoning, whether he drank too much of his own free will, if someone poured vodka down his throat, or he drank it by accident is of little importance. In any case, the death will be considered violent.

In fact, only three types of death are considered non-violent: (1) death from disease (for example, our heart attack patient above, or someone who dies of pneumonia, a stroke, etc.); (2) death from old age (medical examiners will only see one of these cases every couple of years); and (3) death as the result of a stillbirth caused by congenital anomalies.

.....

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