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Has bifurcated messenger muscles over developed allowing for a much stronger bite hello. My name name is dr joy carter. Ive been a practicing forensic pathologist for more than years.
I am what they call the doctor of the dead since i am examining deceased people. And i cant get their history. I have to do a complete evaluation of their body.
Which is called the autopsy and today. Im going to be looking at the realism of autopsy scenes in movies and tv shows music can we cut to the money shot. Its his heart.
So lets look at his heart opening post mortem incision beginning at the midline of the sternum. Um. First of all is either one of them.
A pathologist second of all a person is supposed to be confirmed dead by electrocardiogram third that no ones wearing a mask fourth. You do not open the body with a saw like that you make an incision with a scalpel unbelievable generally you have a mask over your nose and mouth you have eye protection on nowadays we i wear transparent shield over my glasses of goggles. So that i am protected from splashes of blood and tissue getting onto my skin uh you usually have an apron on and uh.
You dont want blood or tissue soaking through that very thin apron that hes wearing thats odd. Almost looks like hes music bleeding. Ive never heard of anyone waking up during an autopsy there have been a few close calls.
Ive actually had a case of someone got to the office. And they did have a minor uh fake pulse. They were immediately sent to the hospital.
They were not in the autopsy suite. But this is why youre supposed to make sure electronically by the ekg that theres no electrical activity of the heart. Well again.
There theres usually medical records. Whether it is from someone pronouncing. The person dead at the scene.
Which could be a home or in a hospital setting. I usually look for that pronouncement time and someone whos qualified to pronounce them dead is not just feeling for a pulse. As they do on some shows that doesnt always get it.
But generally those who need to be in the autopsy suite would only be allowed in the autopsy suite. Because youre taking a risk on exposure to disease blood borne pathogens and also everybodys not suited to view an autopsy. I have to give this a four hes been dead a long time and i can tell you it was not a poison.
He was hemorrhaging internally and there was a hematoma in the rectus and the transverse abdominis. So we did die by eating yes well at least. They are showing uh.
A proper y shaped incision on the uh. The seat theres the y shape. There coarsely sutured.
Hes trying to describe the fact that the stomach is distended with food and uh that it has it has burst from gluttony um. But hes pointing to something that doesnt even look like stomach. And hes using language.
That doesnt make any sense um. One thing that friends and pathologist is supposed to be doing is being a bridge between the medical community and the police so make them understand what youre talking about well. The condition is called morbid obesity.
And that is where you have a lot of fat not only under the skin. But surrounding your tissue and it actually can make it more difficult to even receive medical care. This is not unusual.
I i must say um. But the doctor said it took four orderlies to move the body. If their well trained autopsy system.
Probably two could do that well i have worked on a decedent that weighed over 710 pounds. The first problem was getting the the seat removed from the place of death. I was working and there was the the weight of the decedent was over 300 pounds and i had myself into assistance and we were actually trying to turn the body and photograph the back because there was an injury on the back of the body and the body began to shift the weight and was coming off of the autopsy tables.
Oh we all reached out to keep the body from from falling off the table. Um. I received a an injury.
I kind of pulled my my back out. But sometimes i have used a step stool or a step ladder. If i have a really really long large body and i need to get into body cavities.
Im gonna go back to the number four here two of her fingernails are broken off. And theres theres dirt or grit. I dont know it looks like shes trying to claw her way through something i worked with the military.
I was a military medical examiner and the fbi agents do not do not examine the bodies this is not appropriate. Its not realistic at all generally the forensic pathologist works closely with the local law enforcement and they have detectives who are specialized in investigating homicides or death scenes. Pretty much at the scene.
The body belongs to the medical examiner and the scene belongs to law enforcement. But theyre not really supposed to be touching the body. They are trying to depict a decomposed body.
Which has a very strong odor. Some people try to apply things like this vapor rug or something strong smelling within their safety mask just having it on the top of your lip does nothing. Shes got something in her throat.
They took a photograph and then from the photograph of the main character says she can see something down in the throat. And you cant thats looking into the mouth. And then they pull out this thing from deep in the throat.
And theres no way you can see that from that picture decomposition begins uh in the mouth area theres generally bloating green black discoloration and gaseous distinction or swelling. The tongue. Usually is protruding from the mouth.
And its dark and the skin changes color. So this is not a realistic portrayal of a decomposed body in fact. This is like a tongue with some coloring on it its not the way it would look.
And it gives a misperception of how the postmortem should be conducted. Ill give this a three stumps looks on off looks like this way down hacksaw maybe the other body looks so fake. I have received bodies for examination.
Where limbs have been removed and theyre never that smooth and clean and the muscles. Usually a lot darker and redder these do actually look like i hate to say. But they look like ham.
Its like considered cutting with a both multiple ligature marks. Yeah choked in and out they are talking about ligature marks. And just you see some faint it looks like makeup on the on the body or mannequin whatever theyre using.
It it absolutely does not look real you would expect a more of a human skin tone. One ligature you can see theres a little area of roughing skin. The other just look like marks.
If you chop the legs off with a machete you would expect some irregularity in the skin and some blood oozing out maybe some fragments of foam. If you use a different type of saw you might have a different cup. But you would absolutely have what we call striations in the bone.
And that would give you some information as to what a tool was used so i have to give this one one its its just its not realistic. Theres a ligature mark that stretches across the victims neck the width looks consistent with the twine we found there are occasions where you have to examine whatever is found well ive come across similar scenarios. Where im presented with a part of the body that has to be examined whats really important is working closely with the police officers to try to determine the identity of the person.
So if you dont have the body and you cant get fingerprints. Then you can in this case. Theres a head.
So you would actually do a dental examination. First or if there is perhaps the body is somewhere else the torso was found somewhere else you want to see if those match up. Then you want to try to do dna you can still get dna evidence from the body from the mouth from the tongue from the skin music.
This is a very dramatic depiction of getting what we call. Vitreous fluid. Which is fluid obtained from the eyeball or the ocular globe.
That actually is what we do and pretty much only we do that but its very dramatic to show the needle enlarged like that it looks like they just got the fluid out of the eye and they automatically have an answer like within seconds. They know exactly whats in that fluid so unrealistic. I have dealt with body parts having been a military medical examiner investigating plane crashes.
Sometimes you have body fragmentation or explosions war crimes um. For me the challenging. Part is i want to make sure that the families get their loved one back this show uh gives a lot more power and authority to crimes and investigators than they actually have well.
I i would give this an eight out of ten no inflammation. No fluid and no foreign substances and ear canals are clear. Hes making statements of things he really cant see hes going over and peeking at the ear.
And saying. Nothings there his vision is not going into the ear itself. Im not saying that cannot happen.
But generally the flies coming out of the body. Theres usually uh maggot activity. Generally the flies lay eggs on the outside of the body and then the eggs hatch into maggots and the maggots actually do the additional work going inside of the body music the bell on the toe.
That actually was true back in the 19th century and the 18th century. When we didnt have electronic means of determining death had occurred. They actually would have things like bells.
They would even have a clear glass in the casket. Some caskets even had daggers that were applied and if they did if they werent uh dead. Then they moved around theyd actually be stabbed to death yeah back in the day before we had the electronic means you could have a brain stem injury.
You could have very shallow breathing that could be mistaken for you being dead. We dont put bells on on toes. We use things like toe tags that have their written identification information.
So i give it a a four micro probe thingamajig goes right here. Theres very little of merit. But whats interesting is theyre doing an autopsy and all those fluids hanging down and i dont know why you have bags of fluid hanging down to do an autopsy youre not resuscitating anybody so thats a surgical setup.
There all right now spread it very very gently let me get in disgusting. I i dont know what style of blade. This person is using well that blade looks like something you would use to fillet fish uh generally we use a scalpel and we have removable blades uh that looks like a very its curved so it tilts up not the kind of blade.
I would use to open up the body and of course generally we would uh cut the ribs or use a bone. Saw for the ribs of not the right instrumentation also looks like just one thin pair of gloves. And you have no idea what that alien uh substance is uh.
I always wear at least two pair of gloves sometimes three im gonna rated the two because they try to set up a surgical suite theyve tried to make it look scientific. Ill give an effort for that music. Oh my god you want me to um take a sample or yeah.
I want you to move away from the table. Well good they actually have on appropriate protection personal protection equipment. They have on mass.
They have on shield. They have a hair bonnet on it is realistic in that you actually can reflect the scalp. But then you have to take some time to open the skull and then say theres something wrong with the brain.
You do have to very carefully uh make an incision into the scalp usually way behind the head actually at the behind the ears. So that you can reflect the scalp and see what is underneath the scalp itself. Which is tissue and fibrous tissue.
There should be a bit more blood than that and then you take the bone saw and you actually have to open the skull. You would have to actually take the brain out of the body and dissect the brain to say there are problems with parts of the brain just by looking into the top of the head. So i expect to see um.
The skull. Which also contains blood vessels and then theres fiber thats attached to the skull. Which we call the dura base of the skull can have fractures and discoloration and you can expect that the brain would be soft.
Sometimes liquidy discolored perhaps a bloody film over it if somebody has an infectious disease. Well i would give this an 8 out of 10. It is more realistic in what is trying to depict you called me.
Doc. Yes. Yes.
My initial assessment of petty officer. Ketterings cause of death has proven to be correct. It was uh.
It was strangulation. I i i just dont understand um they pulled the sheet up on the cadaver. But theyre not showing any incision and you would have to have an incision and examination of the neck in order to talk about strangulation and you are looking at the neck organs to see if the hyoid bone is broken a damaged hyoid bone would be a telltale sign of strangulation.
But its not applicable in this case. And why is that because our victim is 26. Which is relevant because because the hyoid bone doesnt fully form until the age of 30.
Very good doctor thank you doctor why do i need to be here now uh. Were born with high wood vowels. Theyre just not fused so nothing is not formed its present.
And it can actually uh fuse in the late teen years. So that doesnt mean that it doesnt form until age 30. So that thats a misnomer during our examination.
We found this rash on her neck and lower back poison ivy. Oh not at this time of year. No whatever caused this is inorganic one doctor.
I presume hes a doctor. Im not sure the younger person i dont understand why theyre giving a cause of death in the way that they are and and changing. It hypoxia is lack of oxygen.
And thats the outcome of asphyxia. But you can have hypoxia from multiple forms and i dont understand how they switch over from that to talking about an inorganic rash. I think i would give this a ill give it a six for effort.
It has bifurcated massachusetts muscles over developed allowing for a much stronger bite. Neurotoxin scene is is so ridiculous first theres so many things wrong. The main one is you put the neurotoxin and smell it inhale it into your own nose that neurotoxin is going to go straight into the central nervous system second of all rigor mortis begins within generally two hours of death.
And it begins actually in the head region goes down from the head to the toes. And its all about the muscles being stiff. So when theyre talking about masseter muscles.
And the tongue is a muscle also that can get stiff as does the jaw can i give it a negative. If i cant then i will give this a one secondary injuries are post mortem basic skull was punctured by a broken tree branch. The doctor just reaches over and pulls out this big stick from the head well the first thing that i would do is an x ray to see where the tree branch is penetrating and then youd get good photographs.
I would probably shave the hair around where its entering so i can get a good look at that and i wouldnt just yank it out you want to determine what part of the skull is damaged what type of entrance. It was they have the the skin reflected. But the rib cage is not opened and so she didnt finish.
The first part of the job. The last thing you generally do is the head examination. If i were to rate this scene it would probably fit in the one category.
Its not realistic at all .
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