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Shortly before he died, Bruce Chatwin found God. This was on top of Mount Athos, after which he left for Katmandu. Looking down from the bees and grapes, he had seen an iron cross on a wet rock. "I had no idea," he told his wife, Elizabeth. So he made time in his frenzied dying to hallucinate a Christos Pantokrator and convert to Greek Orthodoxy. The day after a memorial service for him in the Cathedral of St. Sophia in surprising Bayswater–where, as a matter of odd fact, a satanic Salman Rushdie first heard about the fatwa on his head–Elizabeth flew to Greece to bury her husband's ashes on the island of Kardamyli, next door to a ruined Byzantine chapel lapped at by olive trees, wild garlic and wild geraniums.
One wishes the end of the "songline" had been more subversive. About almost everything else in a lifetime of running away from his country, his marriage and his sexuality, Chatwin was unorthodox, with "the nomad's contempt for the pyramid." Once, on an undulating "leopard-spotted" savannah, he had declared an altogether different faith: "For whenever I went back to that Africa, and saw a camel caravan, a view of white tents, or a single blue turban far off in the heat haze, I knew that, no matter what the Persians said, Paradise never was a garden but a waste of white thorns."
Maybe he just liked smoky icons and singing monks. Maybe, with his legs paralyzed ("my little boys," he called them), there was nowhere else to run. Maybe a mind so far gone as to imagine that the filmmaker Werner Herzog had healing powers and that the blood of a Nubian slave was a cure for AIDS, needed divine help. Or maybe God was the ultimate item to be purchased with a postdated check on his last crazy shopping spree, like the Bronze Age armband, the Assyrian quartz duck, the Han tortoise inkwell, the wax bozzetto of Neptune, a portable twelfth-century altar from Lausanne and a Tibetan tiger rug. All of a sudden, the nomad wanted to possess everything, as if he were an Utz.
Aesthete, vagabond, crackpot, fabulist, fugitive: Nicholas Shakespeare's spellbinding biography allows us to hold all these Chatwins in kaleidoscopic focus simultaneously. In a Sotheby's uniform of silk tie, slip-on shoes and a gray suit from Henry Poole on Savile Row, or a Lawrence of Arabia djellaba, or hiking shorts with knee socks (to cover up his varicose veins), or the shawl he claimed was Freud's, babbling on about paleontology, John Donne and the influence of Simonides of Ceos on the memory techniques of Counter-Reformation Jesuits in China, he was a blue-eyed "compass without a needle," a masked harlequin, "arch improviser, zany trickster, master of the volteface…Mr. Chameleon himself"–the talking animal as performance artist.
Shakespeare, whose career as a novelist Chatwin encouraged, had access to the moleskin notebooks and the widow's good will. He spent almost a decade tracking the books across borders back to their author, from the black hills of Wales to the slave coast of Dahomey to the outback, the pampas and Prague. He's chatted up everybody with a peppy opinion, from old friends, extant relatives, former lovers, testy scientists and resentful natives, to the luminary likes of Sybille Bedford, Roberto Calasso, James Ivory and Susan Sontag, plus of course Rushdie, who was amazed in Australia to find himself traveling with someone who talked more than he did. Like a shamus, Shakespeare puzzles missing pieces, pounces on aggrandizement and evasion, plugs holes in cover stories and stops to marvel at mean-street seediness (for instance, the S/M bathhouse/leather bar/Mapplethorpe scene in seventies New York). Like an epicure, he luxuriates past the point of wallow in so much wanton artiness (an Etruscan bronze! an Ingres interior! a Ngoro lacquer snuffbox! an Easter Island canoe paddle!). Like a therapist, he empathizes and exorcises (Bruce was in denial the way Napoleon was itchy). And like, of course, a novelist, he relishes every contradiction–hypochondrias and mythomanias; the longing to lose yourself in sand dunes but only after having gone horseback riding with Jacqueline Onassis in black goldpajama pants; the walkabouts and vanishing acts that circled round to home. (This "mother of all grasshoppers," who desired men more than women and wrote his books in other people's houses anywhere but England, ended up back with the wife who never divorced him because she was Catholic.)


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At Christmastime and throughout the year, our military hat ornament proclaims your gratitude to our men and women in uniform. A powerful commemoration of your own hero's honorable service.
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- January 11, 2018
Pleased with ornaments, gave one to our Neighbor, really appreciated it, I like the ofact that any purchase helps our Veterans who all too often are forgotten.
- January 5, 2018
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- January 1, 2018
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- April 1, 2017
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subset: commoncrawl


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Jason DelaneyPittsburgh Pirates
Infielder | Ht: | Wt:
|Pirates | Delaney on minors' DL
Thu, 16 Apr 2009 06:08:59 -0700
Pirates.MLB.com's Jenifer Langosch reports Pittsburgh Pirates IF Jason Delaney (undisclosed) was placed on the disabled list at Triple-A Indianapolis.
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|Pirates | Delaney selected to Double-A All-Star team
Thu, 03 Jul 2008 12:08:53 -0700
Rob Biertempfel, of the Pittsburgh Tribune-Review, reports Pittsburgh Pirates IF Jason Delaney has been selected for the Double-A Eastern League All-Star team. The game will be played July 16.
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Fido and Me – Fido tries 'doga'
"I'd like to try yoga."
Fido lay at my feet, watching a yoga program on television.
"Well, it's not unheard of," I said. "People and dogs who do yoga together call it doga. They swear by it."
"Tell me more, please," Fido said.
"I will, but only if you tell me about this wild-hair of an idea first."
"Oh, I don't know, but I figure winter's coming up pretty soon. There will be lots of days that just won't be very pleasant outdoors, so I'm looking for something to do in here."
"Fair enough, Fido."
He leapt to his feet.
"Hey hey hey hey! When can we start?"
"No time like the present."
I fetched my yoga mat from the hallway and unrolled it on the floor. Fido hopped aboard, down on one end of the mat. The trick, I said to Fido, is to see if can relax together, matching breath for breath.
Fido stretched out beside me while I did savasna – the corpse pose.
By golly, he picked right up on it, although it was mostly impossible to tell of he was in a pose or merely dozing. I'd like to think he was in a pose, but that might have been wishful thinking.
As for me, I tried to connect with Fido's breath and heartbeat.
After a while I asked Fido if he wouldn't mind too much if I used him as a prop. He wanted to know what the payoff was going to be for him.
"Tell you what: if you do that, I'll show you a great doga stretch."
I put by hands on Fido's back and moved into triangle pose. I put Fido on his tummy during a reverse tabletop pose.
From time to time I worked in a doggie stretch or twist during a seated side angle pose, which was darned tricky.
I held Fido's front paws together while lifting a hind leg for a deep hip stretch, and then switched to the other hind leg.
"Oh, that is just great," Fido said.
There is a lot of material on the Internet dealing with doga, as I found out after our first session.
Much of it, as you'd expect, is ridiculous, particularly the YouTube demos.
Then again, some of it is quite useful, at least for your own, selfish purposes. To the surprise of neither one of us, one of the more popular poses in doga is Downward-facing Dog.
"What's going be our routine?" Fido said.
"I'm figuring on twice a week, maybe three when we move into the winter. What do you think?"
"Think? I'm a dog. I don't think. But my impression is that twice a week would be good."
"As long as it doesn't interfere with college football."
"Hey hey hey hey!"


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Photo by Ken Howard
MUSICAL FAMILY FUN The Paper Bag Players present Dandelion, a musical adventure taking you from the beginning of the world to the beginning of civilization. Sun., April 1 at 2pm. ABRONS ARTS CENTER, Henry Street Settlement, 466 Grand St. $10-$30. 212-598-0400. www.thepaperbagplayers.org. Pictured above are Mike Metzel, Linda Larson and Tom Durkin.
THEATER AT THE CENTER Excerpts features 8 short plays examining the diverse issues of today created by the Village Playwright, a group of gay writers affiliated with the LGBT Center. Sat. & Sun., March 30 & 31 at 8pm. LGBT COMMUNITY CENTER, 208 W. 13th St. $15. 718-381-1487. Pictured above are Mark Becker and Tom Simonetti in the farcical Marriage, the Gay Way.
THE EXILES A new adaptation of the Orestes and Electra myth by Theodora Skipitares about a brother and sister who avenge the murder of their father and become outcasts in their own city. LA MAMA ANNEX, 74A E. 4th St. March 22-April 8; Thurs.-Sun. at 7:30pm & Sun. at 2:30pm. $18. 212-475-7710. www.lamama.org.
American Family Project, Recounts, mostly in their own words, the comings of age of an adopted Korean American woman, two Black women of mixed ethnicities, a bi-racial Korean American woman who is the child of divorced parents, and an African-American man raised by his mother. Thru March 12. Week 1: Thurs. - Sat. at 8pm; Sat. & Sun. at 2pm. Week 2: Tues. - Sat. at 8pm; Sat. & Sun. at 2pm. TEATRO LA TEA, Clemente Soto Velez Community Center, 107 Suffolk St., 2nd floor. $18. 212-868-4444.
Bad Plays Festival, NY Artists Unlimited is now accepting submissions for the 2nd annual Bad Plays Festival (naughty, satirical, politically incorrect, political satire). Scripts under 45-minutes running time are preferred. To apply, submit application, resume, cover letter, sufficient copies of script for readers, bios of any other artists involved, and $15 application fee (through April 30; $25 through May). Check or money order made out to NY Artists Unlimited, Inc. Mail to: Melba LaRose, Artistic Director, NY Artists Unlimited, 212 W. 14 St., #2A, NYC 10011. The festival will be presented for 3 weeks in September. www.NYartists.org. email@example.com.
BFF, The story of Lauren and her best friend forever Eliza. Lauren is a New Yorker, who is split in two by time, living in the past and the present. When she accidentally tells a lie, she is forced to complete a story that, until now, has remained cruelly unfinished. Thru March 17; Mon. Sat. at 8pm. DR2, 103 E. 15 th St., bet Union Square East & Irving Place. $25-35. 212-239-6200. www.wetweb.org.
The Devil and Billy Markham, You know Shel Silverstein from the childrens classics The Giving Tree and Where the Sidewalk Ends, but wait until you see The Devil and Billy Markham, which tells the story of Billy Markham who never met a bet he didnt take, including that of his own soul. D-LOUNGE, 101 E. 15th St. March 9-April 14; Fri. & Sat. at 8pm. $20, $12 students. 212-868-4444.
Frigid New York, An open and uncensored theater festival. March 7-18; Mon. - Fri. from 6pm - midnight; Sat. & Sun. from 1pm - 1am. $5-15. 212-868-4444. www.FRIGIDnewyork.info. Takes places at THE KRAINE THEATER & THE RED ROOM, 85 E. 4th St. and UNDER ST. MARKS, 94 St. Marks Place.
Goodness, What does it mean to tell, or even know, the truth? And who is able to tell the truth to another? Thru March 11; Tues. - Fri. at 8pm; Sat. at 3 & 8pm; Sun. at 3pm. PERFORMANCE SPACE 122, 150 1st Ave. at E. 9th St. $25. 212-352-3101.
The Honeymoon Period is Officially Over, Gemma Wilcox portrays 20 characters in her award winning one woman show. She transforms from male to female, and from frisky feline to mysterious fowl. March 9-18. THE KRAINE THEATER, 85 E. 4th St. $14, Opening night 2 for 1 tickets with discount code 241TIX. 212-868-4444. www.SmartTix.com.
Janyl, An ancient epic about a woman archer with a skill so refined that she never misses. March 9-11; Fri. - Sun. at 8pm & Sun. at 3pm. Also March 15-25; Thurs. - Sat. at 9pm & Sun. at 3 & 8pm. LA MAMA E.T.C., 74A E. 4th St. 212-475-7710.
Mary Rose, A little-known play by the author of Peter Pan. Its the haunting, lyrical tale of a young womans disappearance and her mysterious return to her family. Continues thru March 11. Tues. - Sat. at 8pm and Sat. & Sun. at 3pm. THE VINEYARD THEATRE, 108 E. 15th St. $60. 212-353-0303. www.vineyardtheatre.org.
Murder Uncensored, About the secret life and unsolved murder of silent film director William Desmond Taylor. March 12 - April 8; Fri., Sat. & Mon. at 8pm & Sun. at 3:30pm. $20, $16 students & seniors. WINGS THEATER, 154 Christopher St. 212-627-2961.
My Trip to Al-Qaeda, Lawrence Wright brings his acclaimed book to the stage, weaving facts, figures and Powerpoint into a compelling and timely story. Thru April 14. CULTURE PROJECT, 55 Mercer St. 212-352-3101. www.theatermania.com.
Oklahoma, The American classic by Rodgers & Hammerstein presented by The Village Light Opera Group. It is a story of courtship & dreams in a faraway place where work was hard and pleasures were simple. Sat., April 21 at 8pm; Sun., April 22 at 2pm; Fri., April 27 at 8pm; Sat., April 28 & Sun., April 29 at 2pm. HAFT AUDITORIUM, Fashion Institute of Technology, 227 W. 27th St., bet 7th & 8th Aves. $20-40. 212-352-3101. www.theatermania.com.
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When someone dies under mysterious circumstances, what happens next? Most states in the United States have laws that require certain types of deaths be investigated:
- injury
- delayed complications of injuries
- poisoning
- infectious complications
- foul play
- people who die with no attending physician
If the death meets any of the above criteria, it must be reported to the local medical examiner or coroner for investigation and a legal determination of the cause of death. The main tool of this investigation is the autopsy.
The process of examining the dead to discover how they died is the subject of many TV shows and movies, but the facts aren't always so clear-cut. In an interview with Atlanta's Fulton County Deputy Chief Medical Examiner Eric Kiesel, HowStuffWorks cut through the mystery of this often misunderstood process and learned the details of the preparation, procedure, and tools needed to perform an autopsy.
Autopsy Basics
In order to understand how an autopsy works, it helps to first understand what they are and why they are done.
An autopsy is the medical examination of a dead body to determine the cause of death. Autopsies are performed when someone dies suddenly and unexpectedly while in apparently good health. Autopsies may also be performed at the request of the family of the deceased.
There are two types of autopsies:
- Forensic
- Clinical
The forensic autopsy or medical-legal autopsy is the kind you most often see on TV and in movies. According to Dr. Kiesel, "The forensic autopsy spends almost as much time on the external surfaces of the body as it does on the internal surfaces, 'cause that's where evidence is." Forensic autopsies try to find answers to the cause of death as part of an overall police investigation.
On TV shows like CSI or The X-Files, medical examiners seem to be a major component in the investigation and can use DNA evidence for just about everything. Dr. Kiesel commented on some of the more common TV-driven misconceptions:
We don't go out and do the entire investigation. We are not the police... We've got our part, the police have their part. The autopsy doesn't always tell you all of the answers. Somebody's who committed suicide -- the autopsy's going to tell you why they died, what killed them -- but it won't necessarily tell you why they did it. So, all of the answers aren't going to be there...
We can't do DNA on every case and match up every little thing. Even though it happens on TV, it's not within our capabilities. Very often it's not within the lab's capabilities. Sometimes there are financial constraints on what we can do.
The clinical autopsy is usually performed in hospitals by pathologists or the attending physician to determine a cause of death for research and study purposes. Dr. Kiesel explains:
They're really interested in the disease processes that are going on, and they're interested ... in making that clinical-pathological correlation. A person came in with these symptoms, here's the treatment they got and here are my findings. They try to put the whole package together to help inform people of what happened or may have happened.
In the eyes of the law, all deaths fall into one of five categories of causes. In the next section, we'll look at the five manners of death.
Manners of Death
In death investigations, autopsies are most often performed by a forensic pathologist. A pathologist studies the effects of diseases, medical treatments and injury on the human body. A forensic pathologist specializes in using these studies to establish a legally admissible manner of death in a court of law.
There are five legally defined manners of death:
- Natural
- Accident
- Homicide
- Suicide
- Undetermined
After careful examination of all the evidence at hand, the forensic pathologist acting as a medical examiner or coroner (more on the distinction later) will assign a cause of death as one of these five manners.
For example, if the autopsy reveals a natural disease process such as leukemia or cancer, then the death would be considered natural.
The answers are not always that clear. The pathologist must consider all of the information. Severe head injuries that result in death with no evidence of assault could be hard to explain. But when that evidence is added to the police report that states the body was found next to an ice-covered, fallen ladder, the manner of death is an accident.
It would be easy to assume a gunshot wound is the result of a homicide. But an autopsy could reveal that the wound patterns, angle of bullet entry and gun powder residue indicate that the gun was fired while being held by the victim. The wounds are self-inflicted, so that would be ruled a suicide.
Dr. Kiesel had an interesting example of the unique possibilities when assigning a manner of death.
Let's say, somebody 30 years ago received a gunshot wound to the head and they developed a seizure disorder. It's 30 years later, and they die from the seizure disorder. Well, the seizure disorder was caused by the gunshot wound; the gunshot wound is an unnatural event. That case would actually be classified as a homicide ... there's no time limit to that trauma. There's a time limit if you wanted to take it to court and sue somebody, but there's not a time limit as far as our making the call.
In the next section, we'll look at the difference between a coroner and a medical examiner.
Medical Examiner or Coroner?
While many types of medical doctors are capable of performing autopsies, most states or local government laws mandate that an appointed forensic pathologist do the work. These appointees are called medical examiners and have an official position in the county medical examiner system
Not all counties use the medical examiner system. Some counties use coroners and a coroner's system. There are two major differences between medical examiners and coroners and their corresponding systems.
Dr. Kiesel explains:
A medical examiner by definition is a physician ... In most cases, they are trained to be forensic pathologists... and are appointed to their positions. To be a coroner, you just have to be able to be elected to the job. You've got places where the local feed store operator is a coroner. I've got a friend out in Washington State who's a farmer, who's the coroner of his county.
Many coroners are qualified pathologists with years of experience. Some are physicians in unrelated fields. But depending on the county laws, a coroner may require no medical qualifications at all in order to perform his or her duty. This fact raises two questions:
First, why would a county opt for a coroner system over a medical examiners system if the differences in qualifications can be so great?
The answer is resources. In most rural areas, there may not be a whole lot of qualified forensic pathologists around nor the facilities needed for them to do their jobs properly. Additionally, rural areas with very little or no violent crime or unexplainable deaths don't need a full-time forensic pathologist.
The second question is: What is a feed store coroner going to do when faced with a dead body?
Dr Kiesel answers, "He's gonna go out and say, 'Well, he's dead.' That's the coroner's official duty."
The coroner is also responsible for:
- Identifying the body
- Notifying the next of kin
- Collecting and returning any personal belongings on the body to the family of the deceased
- Signing the death certificate
Some states, like Louisiana, require coroners to be forensic pathologists, but most county coroner systems do not. In the event that a non-medical coroner needs an autopsy performed, he or she can have it sent to a medical examiner. In some states, the government will provide the coroner with a medical examiner for the autopsy.
In the next sections, we will detail the process of examining a dead body inside and out.
Autopsy Procedure: External Examination
The body is received at a medical examiners office or hospital in a body bag or evidence sheet. If the autopsy is not performed immediately, the body will be refrigerated in the morgue until the examination.
A brand new body bag is used for each body. This is to ensure that only evidence from that body is contained within the bag. Body bags are closed and sealed to prevent any contamination or evidence loss during transportation.
Evidence sheets are an alternate way to transport the body. An evidence sheet is a sterile sheet that the body is covered in when it is moved. Just like the body bags, investigators use brand new sheets for every corpse.
The body is moved in the bag or sheet to the examination suite. The person responsible for handling the body is often called a diener. The diener is a morgue attendant who is responsible for moving and cleaning the body and, in some cases, assisting in the autopsy. The diener will also clean the exam suite after the autopsy is over. This job may vary from facility to facility.
When the body is received in a body bag, the seals of the bag are broken and the body is photographed inside the bag. In a forensic autopsy, it is important at this stage for the medical examiner to note the clothing of the deceased and the position of the clothing. This is because once the clothing is removed for the examination, any evidence pertaining to the position of the clothing cannot be documented.
Evidence is collected off of the external surfaces of the body. Hair samples, fingernails, gunshot residue (if present), fibers, paint chips or any other foreign objects found on the surface of the body are collected and noted.
If it is a homicide investigation, the hands of the deceased will be placed in bags at the scene. The medical examiner will open the bags and take residue and fingernail samples. Then the bags are removed, folded and submitted with the samples as part of the evidence.
In some cases, a special UV radiation is used to enhance secretions on the skin or clothes. The radiation causes the secretions to fluoresce so that they may be collected for samples.
If protocol dictates, the body will be X-rayed while still in the body bag. This is an important step. Dr Kiesel explains why:
I had a body the other day where the person had been shot. The body came in, we shot an X-ray through the body bag, we took the body out of the body bag, we did the autopsy and we found all the bullets except for one -- couldn't find it. Well, it was still in the body bag. It was actually through and underneath the body. So [on the X-ray] it looked like it was still in the body even though it wasn't.
Once the evidence is all collected, the body is removed from the bag or sheet and undressed, and the wounds are examined. This is done before the body is cleaned up.
After the body is cleaned, the body is weighed and measured before being placed on the autopsy table for reexamination. The autopsy table is typically a slanted, aluminum table with raised edges that has several faucets and drains used to wash away collecting blood during the internal investigation. The types of table used vary from facility to facility. The body is placed face up on the table, and a body block is placed under the patient's back. A body block is a rubber or plastic "brick" that causes the corpse's chest to protrude forward while the arms and neck fall back. This position makes the chest easier to cut open.
At this point, a general description of the body is made. All identifying features are noted including:
- Race
- Sex
- Hair color and length
- Eye color
- Approximate age
- Any identifying features (scars, tattoos, birthmarks, etc.)
These features are noted on a handheld voice recorder or a standard exam form. In addition to all normal features, any external abnormalities are noted in these reports. Dr. Kiesel describes the wrapping up of the external examination:
We usually separate out into different categories our general description from our evidence of trauma, from our evidence of medical intervention. We'll get a blood sample ... we begin to collect some specimens for toxicology [the study of the effects of chemicals on the human body] ... [and] then we'll open the body.
In the next sections, we'll talk about the internal examination.
Autopsy: Internal Examination
The internal examination starts with a large, deep, Y-shaped incision that is made from shoulder to shoulder meeting at the breast bone and extends all the way down to the pubic bone. When a woman is being examined, the Y-incision is curved around the bottom of the breasts before meeting at the breast bone.
The next step is to peel back the skin, muscle and soft tissue using a scalpel. Once this is done, the chest flap is pulled up over the face, exposing the ribcage and neck muscles.
Two cuts are made on each side of the ribcage, and then the ribcage is pulled from the skeleton after dissecting the tissue behind it with a scalpel.
With the organs exposed, a series of cuts are made that detach the larynx, esophagus, various arteries and ligaments. Next, the medical examiner severs the organs' attachment to the spinal cord as well as the attachment to the bladder and rectum. Once this is done, the entire organ set can be pulled out in one piece and dissected for further investigation.
During this dissection, the various organs are examined and weighed and tissue samples are taken. These samples take the form of "slices" that can be easily viewed under a microscope. Major blood vessels are also bisected and examined.
The examiner opens the stomach and examines and weighs the contents. This can sometimes be helpful in figuring out the time of death (more on time of death later).
The examiner will then remove the body block from the back and put it behind the neck like a pillow, raising the patient's head so that it's easier to remove the brain.
The examiner makes a cut with a scalpel from behind one ear, across the forehead, to the other ear and around. The cut is divided, and the scalp is pulled away from the skull in two flaps. The front flap goes over the patients face and the rear flap over the back of the neck.
The skull is cut with an electric saw to create a "cap" that can be pried off, exposing the brain. When the cap is pulled off, the dura (the soft tissue membrane that covers the brain) remains attached to the bottom of the skull cap. The brain is now exposed. The brain's connection to the spinal cord and tentorium (a membrane that connects and covers the cerebellum and occipital lobes of the cerebrum) are severed, and the brain is easily lifted out of the skull for examination.
Throughout this whole process, the medical examiner is looking for evidence of trauma or other indications of the cause of death. The process varies based on the nature of the case and is incredibly detailed -- the forensic pathologist has to adhere to an intricate, in-depth process to ensure the proper collection and documentation of evidence.
After the examination, the body has an open and empty chest cavity with butterflied chest flaps, the top of the skull is missing, and the skull flaps are pulled over the face and neck. To prepare the body for the funeral home:
- The organs are either put back into the body or incinerated.
- The chest flaps are closed and sewn back together.
- The skull cap is put back in place and held there by closing and sewing the scalp.
The funeral home is then contacted to pick up the deceased.
The whole process takes careful work. Dr Kiesel explains how long this can take:
An average autopsy case takes about four hours. That's including all the paperwork. There is about a half an hour before and after the autopsy for doing the external examination, the dictation, the paperwork. The autopsy can take anywhere from one hour to two hours if it's an uncomplicated case. If it's a complicated case like a homicide ... it can take many hours -- 4 to 6 hours.
Dr Kiesel continues, "The medical examiner will then take all of the information that they've received from the autopsy exam, all of the information they've received from the investigation, and they will determine a cause of death and a manner of death."
In the next section, we will learn about the examination of wounds and injuries.
Examining Wounds
One of the greatest challenges of an autopsy is examining the wounds. The essence of the medical examiner's job is to use his or her skill and experience to determine the true nature and cause of a particular wound. Depending on the type of wound or weapon used, this can get difficult. Dr. Kiesel talks about those difficulties:
[When] they weren't shot once, they were shot 13 times or 20 times ... you've got to sort out paths of all these bullets. You've got to figure out where each bullet went. The old way of doing it was, 'Well, he's got 10 holes on the front, there are eight holes on the back, and there's two bullets inside, we're done.' [The] legal system won't accept that anymore.
Homicide cases have to be examined carefully and thoroughly. A part of a medical examiner's job includes testifying in court. Medical examiners are often called upon to explain their findings on the stand. Their findings can have a large impact on the lives of all those who are part of the case.
Dr. Kiesel explains how tracing bullets gets really difficult when the police are the shooters:
They really want to know, "Okay, what bullet went where," especially if you've got multiple shooters and especially if it's a case involving the police. You know, you've collected this bullet. Which officer's gun does that go to? So this person's went here, this person's bullet went here. You really have to chase it down a lot of steps sometimes.
Dr. Kiesel explains how wounds have patterns that help to determine their origins:
Bludgeoning, where you have someone who's been physically assaulted and beaten, you've got a lot of different injuries. Sometimes these injuries have patterns. Sometimes the injury patterns give you a clue as to what weapon may have been used. Sometimes there's more than one weapon. I had a case where a person was done in by one individual, but that individual used at least four different weapons. So we had four different types of patterned injuries on that person.
Through years of education and experience, the medical examiner learns to recognize these patterns and the types of trauma with which they are associated.
In the next section, we'll look at the tools used to perform an autopsy.
Tools of the Trade
The tools used to perform autopsies have changed very little in the past 100 years. The only real major advance in tools is the addition of some electrical saws. But even those are still not used as often as the good old-fashioned hand tools.
- Bone saw - used to cut through bone or skull
- Breadknife - used to shave slices off of organs for examination
- Enterotome - special scissors used to open the intestines
- Hagedorn needle - a heavy needle used to sew up the body after examination
- Hammer with hook - used to pull skull cap off of skull
- Rib cutter - special shears used to cut through the ribs
- Scalpel - like a surgeon's scalpel but with largest blade possible for making long deep cuts or scraping away tissue
- Scissors - used for opening hollow organs and cutting vessels
- Skull chisel - used for helping to carefully pry the skull cap off
- Stryker saw - the electric saw used to cut through the skull to remove the brain
- Toothed forceps - used to pick up heavy organs
Dr. Kiesel discussed some of the alternatives to the traditional tools:
We don't always use nice, delicate, surgical tools. If you put the word medical or autopsy on something, the price triples, so ... I can go to a restaurant supply house and get some good knives that cost me just a fraction of what it would cost to buy them elsewhere.
Autopsy tool shopping doesn't stop at the restaurant supply house. The medical examiner may also visit a hardware store for supplies. Dr. Kiesel continues:
... things like pruning sheers tend to work better than surgical bone cutters for cutting through ribs. You know, a scalpel blade's only got an inch, inch and a half worth of cutting surface, whereas you can get a good, long knife that's got a 6-to-8-inch blade on it so you can cut more and faster.
... we're not doing very delicate surgical procedures where we have to worry about if we nick the wrong thing somebody's going to bleed. So, our tools aren't quite that delicate, but we can still do some reasonably sophisticated things ... It's not like doing delicate microsurgery.
While this may seem gruesome, medical examiners are forced to work on a budget, and saving money on tools frees up funds for use on other investigative resources.
In the next section, we will learn how medical examiners unravel the mystery of time of death.
Time of Death
On TV and in the movies, you've probably seen countless investigators refer with seeming accuracy to a time of death. Have you ever wondered how that is possible? Well, it turns out that investigators use what is called the Time of Death Certainty Principle -- and it's not nearly as scientific or as certain as it sounds.
It goes something like this: If you know with certainty when the person was last known to be alive, and if you know with certainty when they were found dead, then you know with 100% certainty that they died within that interval.
That is the foundation of the principle. That may seem obvious, but that is only the starting point. Once they have that interval, investigators begin to look at both medical and non-medical factors to get an approximation of the time of death.
Dr. Kiesel goes into detail:
There are changes that occur after death. Most of them are chemically related. Blood settles by gravity within the body, and there's a purple discoloration that occurs -- that's called lividity. The body will become rigid. That's called rigidity or rigor ... People have looked at vitreous humor, which is the fluid in the eye; the corneas become cloudy ... You can look at the gastric contents [food left in the stomach or intestines]. You know, when did they last eat, and that can be helpful. Do they have a full bladder or not?
All of these recognized chemical changes associated with death happen at intervals of time that are widely known. But these are not airtight indicators. Variables like ambient temperature, chemicals in the blood stream and other factors can affect the rate at which these changes occur.
Dr. Kiesel pointed out other things investigators look for when trying to establish a time of death:
Sometimes, non-medical things are more helpful to narrow the time of death. At the scene, when was the last mail that they received? The TV Guide, what page is it open to? The bottom line is: There's no one factor you can look at. There is no scientific way to determine exact time of death short of having it videotaped in front of an atomic clock.
Haunting Work
Having learned some of the grisly details of this job, it is easy to wonder how anyone could to do this for a living without suffering severe psychological side effects. Dr. Kiesel discussed the emotional and psychological side of this kind of work:
You've got to be the type of person who can emotionally disconnect [from] it. I mean, if you went into a case looking at it as, 'Geez, this is somebody's little girl or somebody's little boy,' you'd never be able to do the case. You can't personalize it in any way...
When you walk in, you never forget that this is somebody's loved one. You never forget that, but when you walk in to do the job, you kinda put that information aside. You look at them more as a puzzle, and your job is to sort out this puzzle.
I've got to find out what happened. Who, what, why, when, where. I mean, that's what my job is, to sort out and get those answers. And, do it in a respectful way.
A lot of people can't do this type of job. A lot of people don't want to do this type of job. There are a lot of jobs I wouldn't want to do either.
For more information on autopsies, medical examiners and related topics, check out the links on the next page.
Related Articles
More Great Links
- An Interview with Dr. Eric Kiesel, Fulton County Deputy Medical Examiner
- The Routine Autopsy by Ed Uthman, MD
- National Association of Medical Examiners
- American Society of Clinical Pathologists
- National Safety Council Report: What Are The Odds of Dying?


text: When: Wednesday, Oct. 30, 10 a.m. to 7 p.m. Where: Pet Adoption Center 813 Main Street Downtown Garland Garland Animal Services wants to place as many homeless pets as possible. That's why the City is opening a new Pet Adoption Center with a Grand Opening celebration on Oct. 30, 2013. The new facility will support Garland's partnership with Garland Pawsibilities and provide a high profile adoption center for homeless pets from the Garland Animal Shelter. Both Garland Animal Services staff and Pawsibilities volunteers will staff the facility which will also host regular low cost sterilization and vaccination clinics for family pets. Please join the Grand Opening Day fun by attending any of the events listed below. 9 a.m. – 7 p.m. – Open House with adoptable animals available all day at great discounts 10 a.m. – Grand Opening ceremony with ribbon cutting and refreshments 1 – 5 p.m. – Free registration and rabies vaccination clinic for Garland citizens 5 – 7 p.m. – Bring your kids by for trick or treats 6 p.m. – Pet Halloween costume contest with prizes for 1st – 3rd place Garland Animal Services strives to promote responsible pet ownership, find loving homes for adoptable animals, and to provide access to sterilization and vaccination services for pets.


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WASHINGTON – Seeking to shift blame onto President Obama's party for the looming budget cuts, House Speaker John A. Boehner said Tuesday it was about time the Senate "gets off their ass" and develop a way around the enormous automatic reductions.
The Ohio Republican reiterated Tuesday that he has no intention of putting forward his own alternative, arguing that the House twice passed proposals last year that would shift the burden of cuts away from Pentagon programs and onto other domestic accounts – including school lunches, food stamps and others.
"We should not have to move a third bill before the Senate gets off their ass and begins to do something," Boehner said. "The American people know if the president gets more money they're just going to spend it. The fact is, is that he's gotten his tax hikes. It's time to focus on the real problem here in Washington and that is spending."
QUIZ: How much do you know about sequestration?
It is unclear if Boehner could rally the votes in his chamber to pass an alternative, as the earlier proposals were approved last year with the slimmest margins. Those bills are no longer available as they expired when the new Congress began in January.


text:
With AWS Elastic Beanstalk, you can quickly deploy and manage applications in the AWS Cloud without worrying about the infrastructure that runs those applications. AWS Elastic Beanstalk reduces management complexity without restricting choice or control. You simply upload your application, and AWS Elastic Beanstalk automatically handles the details of capacity provisioning, load balancing, scaling, and application health monitoring.
Developer Guide
|API Reference
Describes all the API operations for AWS Elastic Beanstalk in detail. Also provides sample requests, responses, and errors for the supported web services protocols.
Getting Started Tutorials
Get started using any of the following application environments: Docker, Python, PHP, Node.js, .NET, Ruby, or Java.
For older versions of this documentation, see AWS Elastic Beanstalk Archive.


text:
We may not have a 4G network here in Blighty but that doesn't mean that we have to miss out on all the tasty 4G optimised phones that our buddies across the pond are going to be able to get their hands on.
And one of those very handsets is the Motorola Atrix, which first caught our eye over at CES, and is coming the the UK courtesy of T-Mobile.
The Atrix is an absolute monster of an Android phone. But it's more than just a phone; it's a laptop, multimedia player, video source for movies and much, much more.
Powering this Android 2.2 (for now) device, is a a dual core processor, with two 1GHz cores and 1GB of RAM. It also has a 4-inch qHD (960 x 540) touchscreen, a rear 5-megapixel camera, a front-facing VGA webcam for video calling, and 16GB of memory on board - with support for MicroSD up to 32GB.
But it's when docked that the Atrix really shows off. You can pop it into a media dock for 1080p video on a remote screen but, more impressively, you can also plug it into a custom made laptop which comprises of a screen, keyboard and battery.
When the Atrix is inserted into the back of the laptop, the screen fires up and, suddenly, you have a fully functioning net/notebook, running off of the phone. Convergence got crazy or what?
T-Mobile doesn't give a date of when the phone is likely to land, but we're hearing whispers about June. As ever, we'll keep you posted.
Take a look at our First Look: Motorola Atrix 4G review


text:
Rejuvenating Pure Carrot Soup
If you like it, save it!
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Click the heart, it's called favoriting. Favorite the stuff you like.Got it!
Author Notes: A perfect example of "less is more". Carrots abound at the greenmarket these days, and I wanted to create a carrot soup. A dear friend, and former chef, gave me a few tips on how to turn humble carrots - still dark with dirt - into a dynamite soup. It's all in minimal ingredients, careful cooking, and a few accessories at the end. Hope you enjoy. —nadiact
Serves: 4 generously
A few generous glugs of high quality olive oil
medium sweet onion (like vidalia), diced
good amount of salt
large carrots, peeled and cut into 1-inch chunks
quart organic chicken broth, like Pacific brand (or homemade stock)
squeeze of lemon
slick of heavy cream
salt to taste
- heat the olive oil in a large, heavy-bottomed pan over medium heat.
- add the diced onion with plenty of salt, and cook until softened, about 10 minutes. be sure to look carefully after the onions, as they should not brown. we want to bring out their sweetness slowly.
- add the cut-up carrots to the onion mixture, then cover with the quart of chicken stock. bring to a boil, then lower the heat to simmer.
- let the carrots cook until perfectly soft - not al dente and not too mushy, about 45 minutes.
- using an immersion blender, gently break up the carrots and puree soup until no more pieces are left. taste and adjust salt as needed.
- spoon into bowls, add a squeeze a lemon and a slick of cream. serve and enjoy.
More Great Recipes:
Vegetable|Soup|5 Ingredients or Fewer|Gluten-Free|Make Ahead|One-Pot Wonders|Serves a Crowd|Vegan|Vegetarian|Fall


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Try a few drops in whipped cream toppings for fresh strawberries and other fruit or add a 1/8 to 1/4 teaspoon to a carafe of white wine, lemonade, orange or apple juice.
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Billy Donovan was ready to make a defensive switch when Casey Prather begged his coach to let him keep his assignment.
Florida senior Casey Prather already had a close-up view of some offensive firepower in the first half, and the second half was not getting off to a much better start.
Auburn point guard Tahj Shamsid-Deen made 5 of his first 8 shots in the first half (4 of 6 from 3-point range), many of them coming over the outstretched hands of Prather.
The freshman had 14 points, and the Gators were down a season-high eight points at halftime (38-30). After Shamsid-Deen started the second half with another deep conversion within the first minute, Florida coach Billy Donovan had seen enough.
Donovan was ready to make a defensive switch when Prather begged his coach to let him keep his assignment.
"I basically said if (Shamsid-Deen) gets one more off, you're coming off him, and as a matter of fact you're going to come out of the game," Donovan said.
Prather and his teammates were up to the challenge, and the freshman remained at 17 points for the final 19 minutes of the game, as Florida went on to close out a 71-66 win.
"I begged my way back on him because I didn't want to go out like that," Prather said. "I think (coach) knew that I was going to get the job done. I feel like he had trust in me since I've been here four years, and I'm just glad he kept me on him."
Coming into the game ranked 13th in the SEC at 30.8 percent from 3-point range, Auburn found its stroke early and often at the O'Connell Center on Wednesday night.
"We have two of the best guards in the country in CD (Chris Denson) and KT (Harrell) and everybody game plans for those two, so tonight they just threw the extra pass and I was able to knock shots down," Shamsid-Deen said. "They made me a lot better tonight."
Led by Shamsid-Deen's outburst, the Tigers made 6 of their first 9 attempts (66.7 percent) to steal the early momentum.
"You've got to make some shots against Florida from behind the arc because of how they guard," Auburn coach Tony Barbee said. "They make it hard to score around the paint or in the paint."
The Tigers may have started fast, but finished the game with a series of late mistakes and misses that gave the Gators enough of an opening to seal their program-record 18th straight win.
"We struggled a lot defensively early in the game," Prather said. "I think it took us to the second half just to realize we had to crank it up a gear."


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text:
Awareness of the World's Greatest Creation
"The Human Body"
Your spiritual appreciation of the human body. If you are in touch with a Creator of Life, I can't think of a reason or excuse why you wouldn't show it by your "works" of treasuring the Gift that was given. Even if you believe the body is a product of evolution, your spiritual appreciation of what the body does or what the body can do will keep you in awe of this magnificent creation. We take our bodies for granted until we start having problems. Allow your spirituality to keep you in check to be progressive, to be proactive, and to be protective.
Your emotional ability to reciprocate a good deed or act. Stress is an emotion that kills. Hatred is an emotion that kills. Jealous fits of anger, and not being forgiving can also be added to the list. Chemically, the body is affected by these negative emotions. We must learn how to help one another, up-build one another, love one another, and be kind to one another.
Share your thoughts and plans for getting it tight. Learn how to receive these positive intentions and not sabotage another's goals with your lack of emotional support or lack of ability to reciprocate. Learn to give back positive energy. I know it's easier said than done, but we are supposed to be made in the image of a higher being or evolving into such. We must act like it! Stop just taking and not giving. There is not one positive emotion that makes you feel bad inside or out. So share a positive emotion daily with someone. Read More


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Monday , April 16, 2018 - 5:15 AM
OGDEN — Ogden City is still uncertain about how much it will cost to save the Marshall White Center's pool, but the facility's fate could ultimately lie in the hands of the community.
Sometime before March 5, the pool developed five large cracks in its concrete surface, and it has been closed ever since. Ogden Mayor Mike Caldwell said the city has finished analyzing the pool and will now seek repair and replacement bids from contractors.
RELATED: 'Save our pool': Marshall White users lobby to fix, keep community facility open
Keeping the facility in use will depend largely on the price of those bids and the public's subsequent response about using tax dollars to fix it, Caldwell said. Initial estimates indicated a fix could be realized for about $500,000.
"Now we are hearing numbers kicked around to the tune of potentially $2 million," Caldwell said. "But we don't want everybody to panic because we don't have legitimate bids yet ... we still don't know what the overall bill is going to be... Until we have a legitimate number, I don't think we can have a conversation with the public about how would you like to prioritize your public money."
But the discussion will take place, both informally and potentially even as a ballot measure, the mayor said.
"We have all options on the table and part of that might be a bond question," he said. "This is really important to the community — what do you want to do?"
RELATED: Nearly 50-year-old Marshall White Center swimming pool closed indefinitely
The pool is well-used, Marshall White Recreation Supervisor Juan Martinez told the Standard-Examiner in March. Swimming lessons, water aerobics, kayaking and open-swim sessions are all offered there. The community pool is also used by the Morgan High School swim team and the Ogden Preparatory Academy.
Caldwell said much of the programming (excluding the kayaking) has been moved to pools at Ben Lomond and Ogden High Schools.
On March 27, a large group of pool users attended the Ogden City Council meeting, urging the city administration and council to find a way to save the pool.
Caldwell said there have been rumors floating around that the city wants to get rid of the pool, filling it in with something that requires less cost and maintenance, like a pickleball court. The mayor insisted that talk is unfounded.
"We have not made a single decision," he said. "We think it's a fantastic facility and serves an area of our community that desperately needs it, and so we want to do everything we can to keep it in service."
The most pressing concern about keeping the pool open is safety, Caldwell said. Engineers have determined the pool is at risk of having a "catastrophic opening," he said, a scenario that presents "life safety issues." The mayor said if the city can't guarantee safety at the pool, the only responsible decision is to close it.
Council member Luis Lopez has publicly supported keeping the pool open or replacing it if a permanent fix is out of the question. At an April 17 council work session, Lopez asked Caldwell how receptive the city is to building an entirely new pool.
Caldwell again stressed that a decision like that, which would involve a major expense, should be decided by the community.
You can reach reporter Mitch Shaw at email@example.com. Follow him on Twitter at @mitchshaw23 or like him on Facebook at facebook.com/mitchshaw.standardexaminer.
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text:
Tuesday, November 9, 2010
Capitals 5, Rangers 3
18 comments:
- Evan S said...
At 6'8, Boogaard probably has a cannon. If he were to practice shooting more then he probably wouldn't be a bad shot.
Someone want to tell me what Sauer did? I missed most of the game.
- November 9, 2010 at 11:40 PM
- Kevin DeLury said...
He jumped Hendricks after the Caps forward threw a dirty trip at Eminger temporarily injuring his knee.
- November 9, 2010 at 11:59 PM
- Ryan Taussig said...
Sauer jumped all over Hendricks after he got Eminger in the knee during a collision. The hit was obviously accidental when looking at the replay, but Sauer didn't like it and he threw off the gloves. Got a double minor for roughing leading to a PP for the Caps, but it was worth it as Eminger was slow to get up.
That phantom tripping call that lead to the Caps first goal was crap. The unsportsmanlike was crap. Numerous non-calls on trips on both sides, but more in favor of the Caps.
I don't care if we lose as long as the officiating is good. These results pissed me off because the game should have been 4-3 Rangers. Lose the EN, and the first Cap PPG and give back the Fedetenko goal. Boy is he getting screwed over by the refs night in and night out.
- November 9, 2010 at 11:59 PM
- James said...
"...Lundqvist is just not good against the Caps."
In all honesty, no goalie is good against the caps. In Henrik's defense, he almost single-handedly stole the series from the Caps in '09. I missed the game, but the highlights show he made some pretty great saves and looked pretty blameless on most of the goals.
- November 10, 2010 at 12:06 AM
- Kevin DeLury said...
James, I've got to disagree on the Lundqvist almost stole the '09 series.
He was as bad at the end of the series as he was good at the beginning of the series.
The second goal against tonight was bad.
- November 10, 2010 at 12:12 AM
i thought we signed staal too much money because he can contain ovechkin like players.
- November 10, 2010 at 1:05 AM
i was watching at a bar with the sound off, but to me the fedotenko non-goal seemed like the right call. he wasn't really pushed in, and the net was off it pegs when the puck went in anyway.
the call that led to the first caps goal was lousy, and i have no idea why there was another penalty right after that.
- November 10, 2010 at 1:16 AM
- Dave said...
Man Fedatenko almost 1-1 at 3-4 was a stinker of a miss!
- November 10, 2010 at 7:50 AM
- alex said...
how often does frolov keep on missing the rebounds in front of the net.
- November 10, 2010 at 8:29 AM
- Puck Central said...
Alex - pretty simple. Everytime he gets the puck he hesitates for a second b/c he wants to do a wraparound ;)
- November 10, 2010 at 8:37 AM
- William said...
frolov wraparound. hilarious, but sadly true... He keeps geeking those shots in tight high over the cross bar or directly into the goalie's mitt at 2 mph...starting to really piss me off.
Fed's 1-1 slash 2-1, slash 1-0 rushed shot 3feet over the cross bar, was pathetic. his strong move to the net, however, was not, and certainly could've been a goal. Whoever it was - Shultz, Alzner - seemed to be the driving force behind contact with the goalies. in fact, it was mostly the caps d-man who interfered.
really thought they deserved to get at least a point in this one. bad officiating didn't help matters.
Boo's shot was incredible. upper left corner. rise at ~97 mph, im guessing. top 3 moment of the season so far
- November 10, 2010 at 9:30 AM
WTF is up with MDZ?!?! his play this year has been appalling to say the least...
last year he had all those great lead passes up the ice setting up goals. Meanwhile the amount of giveaways courtesy of MDZ this year which have led to other team goals is ridiculous.
I dont know how you all feel but I personally think a night of two as a healthy scratch might not be a bad idea. Obviously he hasnt been lookin at the tapes of his caliber of play... Just givin my two cents
- November 10, 2010 at 9:38 AM
Actually MDZ looks better this year than last year. Last year he had the third worst +- rating in the league. While not a good stat in judging a player on a daily basis, it is a good, indicative stat for seasonal comparrisons. Being young and skilled-its going to be a work in progress to take care of his own end. He will definitely need a stay at home partner who is VG.
- November 10, 2010 at 9:51 AM
- Chris said...
The rangers werent so-outplayed in either of the last 2 games that they 'deserved' to lose... and thus, it makes the frolov no-goal and the fedotenko no-goal that much harder to swallow.
Both of those goals, had then been allowed would have had a significant impact on the final score of the game.
the caps d-man made more contact with the goalie than fedotenko did and fedo only made contact because he was forced there by the defender.
also, @cb1... the goale is only considered to be 'off' if the net has fully dislodged from the moorings... on that goal, it had lifted up, but had not fully dislodged.
it was a good goal, that was disallowed and had a direct impact on the outcome of the game.
- November 10, 2010 at 10:14 AM
- rusty said...
Actually they played a pretty solid game except for a few breakdowns, which you can't make against a team like like the Caps. 2nd goal- no winger gets out to thepoint after a face off win to the right point, a d to D pass to the left point and a step ti for a shot. 3rd goal - Avery and girardi looked like a cone drill for Ovechkin. 4th goal - battle for the puck behind the net , puck comes out in front to a Cap all alone.
- November 10, 2010 at 12:05 PM
it was frolov's fault on the winning goal. He had it on the blueline and couldnt get it out. That set the wheels in motion.
- November 10, 2010 at 1:10 PM
- rusty said...
You're right DME, I forgot to include the failure to clear the puck on the 4th goal as one of the breakdowns.
- November 10, 2010 at 1:21 PM
the no goal call was a good one. fedotenko was barely nudged and can't have guys going into goalie before puck crosses. so i for one won't cry about that one since the refs got it right
- November 10, 2010 at 1:24 PM


text:
Online Advocacy Guide
When local health officials and staff become involved in the legislative process and share their expertise and experiences with members of Congress and the administration, local health departments collectively have a stronger voice.
NACCHO serves as the voice of local health departments in our nation's capital. NACCHO builds relationships with congressional and administration staff and develops advocacy strategies to influence federal action that affects local health departments. Together, we have the opportunity to influence the outcomes of federal policy debates affecting public health.
NACCHO's online advocacy guide can help you understand the process and provide the necessary tools to communicate effectively with federal policymakers. The links above take you to different sections of the guide.