Obesity: The Post Mortem Page #6
- Year:
- 2016
- 217 Views
[Meg] My motivation to now
tackle my weight and to try and
reach a healthier weight
is because I have now recovered
from my binge-eating disorder.
It is a shame that it had to get this bad
for me, you know, to get to this point,
but I did need to access that
psychological health first in my case
You know, I have now seen the limits that
being overweight has put on my life
and I want to reverse those
and get back out there and
just live life to the full.
[Chanel] I am quite conscious these days
of what I eat.
I do go to the gym.
I do what I can to lose weight
or at least maintain it even if
I cant lose it drastically.
[photographer] Okay,
turn a little bit.
I am a plus-size style beauty
and lifestyle blogger.
People do get inspired
by those sort of things
so I think it is quite useful for me
to kind of get out there.
It actually helps me boost my confidence.
-Perfect. Yep.
-[shutter clicks]
Exercise is not my best friend.
Its quite a chore for me in a sense.
But I feel that in life with a lot
of things, youve just go to,
you know, make the effort to do things
that you dont necessarily love.
[Joey] In January,
I decided to join a running club
called Too Fat to Run and it was really,
really scary at first.
I went out and I ran for like ten minutes,
which doesnt sound long,
but when you havent run
and then you suddenly you can run
for ten minutes, you are like,
"Oh, crap, I can do that.
That was kind of cool."
Then I did my first 5K race.
Finishing a race feels
so much better than...
I dont know, it sounds really, really
cheesy, but it feels so much better
than finishing a pack of crisps.
Every race I do, I cant believe
that I have finished it.
[Vinette] Next, Carla will remove
the final group of organs.
But even in the last stages
of the post-mortem,
she takes nothing for granted.
People who donate their bodies to
medical science really are giving a gift.
It is the gift that keeps on
giving actually,
because as a patient I think we all would
prefer that our doctors and our surgeons
have learned on something realistic
to their job
before they are let loose
on a human patient.
You wouldnt really let a mechanic
take care of your car
if he had never touched an engine.
And it is very much
the same thing with this.
Real bodies are very unpredictable
and very chaotic
compared to anything fake, you know,
anything like virtual reality
or a fake cadaver.
Because if you look here, what
you should be able to see are the kidneys.
Granted, they always have
a tiny capsule of fat around them,
a bit like a sort of edamame
bean that you can pop out.
But these fatty capsules are
very, very large,
so all you can really see at this point is
a kind of yellow glistening mess.
So this again is indicative of the fact
that she has an awful lot of extra fat
around her organs.
So I am just slicing through the
fibrous tissues and the bits of muscle
that are keeping the kidneys attached
to the spine.
And it is really exactly the same thing
as I have been doing
with the rest of the organs
and that is releasing them from the spine
which is what anchors them in place
and then I can just reflect them all
the way down and pull them out
and this is the genito-urinary block.
And this is at least slightly smaller,
slightly easier to manage
because you have only got
the kidneys in this...
There is so much fat. It's just...
[Vinette] Mike needs to dissect the
kidneys to find out just how much damage
has been caused by all that excess fat.
[Mike] This is the right kidney,
this is the left kidney
and this in the middle is the big
blood vessel that carries blood
all the way down the body
and the most important and the
first thing I can see is,
theres an unusual amount of fat
around these kidneys.
Now the kidneys always
have fat around them.
The kidneys they are
not protected by bone,
which means that they can be bashed
and they can be hit
if you walk into something or something
hits you, so this fat protects them,
but this lady has much, much more fat
than I would expect.
What I am going to do first
is just cut through this fat,
which is called the perirenal fat.
And you can see quite clearly how
much fat there really is.
In a thin person, this would probably be
a half or a third as thick as
I can see here.
This is bad news for this lady,
as it means that she is more likely
to have the complications of obesity
because of the way
she is carrying the fat.
This pale area here is the kidney.
I am just going to cut into the kidney.
So the kidney has got a thick capsule
around it.
Now there is a small amount
of fat in the middle of the kidney
that is completely normal. That is where
basically the kidney is responsible for
filtering your blood and making the urine.
That urine has to go somewhere
so your kidneys got a funnel
that collects all the urine
from all the bits of the kidney,
takes it down through your urethra
into the bladder
and then when you want to go to the loo,
it goes out.
So this bit of fat sits around that
funnel area and is quite normal.
I am going to take the thick capsule
off of the kidney surface
to see what the surface of the kidney
looks like.
The surface of the kidney ideally
should be very, very smooth.
This kidney has got some
scarring on the surface.
Theres areas of indentation
and pock marking
and there is clear damage to this kidney
which would be associated
with high blood pressure.
And we know this lady had high
blood pressure,
which is what led to the changes within
her heart and which led to her death.
[Vinette] The visible scarring
and pock marking
weve discovered on our donors kidneys
are the last of the revelations
she will yield
before Carla completes the post-mortem
and closes the body forever.
When Mike has finished his examination,
I then begin the reconstruction
and in a way that is one of the most
important parts of the post-mortem.
What I do is place all of the organs
into a special viscera bag,
which will contain all of the elements
that we have removed
in the different blocks
and I place that into the body cavity.
And then I use very heavy post-mortem
twine to stitch as neatly as I can
right along the incision that I made and
we describe this as a baseball stitch.
It does look very much
like a zig-zaggy stitch.
[Vinette] Each post-mortem is unique
and everything they reveal valuable.
This donors gift was an opportunity
for Mike and Carla
to unveil the shocking truths
hidden inside one body
irreversibly damaged by too much fat.
The evisceration occurred
and it wasnt as easy to do
as it would be with a slightly
smaller patient.
It takes a lot more strength to cut
through this yellow adipose tissue,
which kind of blooms out of the abdomen
in this practically neon yellow
and it looks very much like butter
and it has a greasy feel
and it makes you suddenly very aware
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"Obesity: The Post Mortem" Scripts.com. STANDS4 LLC, 2024. Web. 22 Dec. 2024. <https://www.scripts.com/script/obesity:_the_post_mortem_15058>.
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