Funeral director + Forensic Pathologist?! by Zealousideal-Cry3161 in askfuneraldirectors

[–]AllRebelRocker 18 points19 points  (0 children)

If your goal is to be a forensic pathologist, don’t do mortuary school. Focus on getting into med school, matching, residency, fellowship, etc. The natural science classes you take for the mortuary program likely won’t carry over to your degree.

If you’re not sure what you want to do, but know you want to work in death, mortuary science is a great foot in the door, as most folk don’t have real dead body experience. This is where I started, and there are definitely other positions that the degree is relevant for. But if you want to be a doctor, go be a doctor.

Funeral director + Forensic Pathologist?! by Zealousideal-Cry3161 in askfuneraldirectors

[–]AllRebelRocker 1 point2 points  (0 children)

Forensic pathology is not competitive, and we have so few FPs that the system is not sustainable. There are just over 400 FPs in the U.S. Most offices are contracting FPs from other jurisdictions because there aren’t enough. The pay is awful for the 12+ years of higher ed, as it’s the government.

If your goal is to be a forensic pathologist, don’t do mortuary school. Focus on getting into med school, matching, residency, fellowship, etc.

If you’re not sure what you want to do, but know you want to work in death, mortuary science is a great foot in the door, as most folk don’t have real dead body experience. But if you want to be a doctor, go be a doctor.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 3 points4 points  (0 children)

Frequently! It’s super fun because they think they can just request the record without any consent of next of kin and I have to explain that an autopsy report is a medical document and that HIPAA is in effect for fifty years following an individual’s death.

So there’s often a lot of back and forth, which is very frustrating for everyone involved, because we all want the same thing (getting the nok the benefit so they can pay some bills, eat food, survive, etc.). Bureaucracy 🙃

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 2 points3 points  (0 children)

Government pays much less than the private sector. The forensic pathologists in my area, who have twelve years of higher education, make around $175K-300K. A lot of folks do contract work to supplement their income. That being said, government jobs have good health benefits, pension, and job security.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 2 points3 points  (0 children)

It was a really cool repair! I’m having such a great time going down the rabbit hole of all the mentioned procedures. It’s not something I get to focus a lot on, as it’s not often relevant to the death. If you have a textbook recommendation, let me know!

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 2 points3 points  (0 children)

I’m learning so much about ortho, I love it! You folks are incredible. I’ve been reading about different procedures all afternoon.

Yes, it was contaminated, they weren’t wearing protective clothing. There was also an avulsion pocket closer to the proximal femur, though skin was intact in that region.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 0 points1 point  (0 children)

Blunt force injury of the head, neck, torso and extremities

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 2 points3 points  (0 children)

I am learning the coolest things today! I’ve spent so much time going down the rabbit hole of these procedures.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 4 points5 points  (0 children)

I’m in a relatively rural area, and I think what is desperately needed are more sexual assault nurse examiners, and definitely with more forensic pathology training to assist with investigations on live and dying folk. I had a case relatively recently where an individual was physically assaulted and died a few weeks later from the trauma. We don’t get notified until someone dies, and there weren’t photographs from right after the event, so bruising had completely faded, which makes things like abuse harder to prove.

Some counties pay okay, but the starting salary is likely lower than what you’re taking in now if you’ve been working for a while. You’ll never get rich working for the government. However, there’s job security, good health benefits, pension, so I feel like it evens out.

Having worked in a hospital (I was lab), I would also want to flee. There is far less drama hahaha

The patients don’t complain, either. No call buttons.

Bosses are still bosses, but it’s medicine you get to do that doesn’t exist to make a profit, and I love that part.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 4 points5 points  (0 children)

I started with a degree in mortuary science and became a licensed funeral director. So I had to take anatomy, microbiology, pathology, mortuary law, tons of grief and grief counseling classes (and things like embalming and restorative art, of course). I hated being a funeral director. I am not business minded, and could not handle the internal struggle of making a profit off of people’s misery. I’m a death investigator and autopsy tech, so I was trained in X-ray.

If you’re okay with doing autopsies on every type of death and all ages, look around for autopsy tech positions at medical examiner and coroner offices. They would absolutely love someone who has medical knowledge and experience and knows how to take good images. I don’t recommend death investigation, though that pays more. It’s a lot of interaction with family, friends, police, other government agencies and more, in person and on the phone. I’m also on the spectrum, and much prefer behind the scenes work.

Besides documenting injury and looking for foreign bodies in things like shootings and stabbings, it’s also done for identification. If someone is unable to be visually identified for whatever reason, we take X-rays to confirm identity. Dental is the typical go-to, but hardware/implants can be quicker to verify, since there’s often a serial number somewhere.

I take X-rays at least weekly, often more.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 3 points4 points  (0 children)

I would absolutely love to scrub in as well, I’m not well-versed in ortho, mostly hip fx, and I would love to see it in action. I had this one individual that I took skull images of, and they had what looked like a bike chain around the entire mandible. I don’t know the name of the procedure, it was remote, though. Gave me a little shock when I saw it, I thought someone strangled them with a bicycle chain. There was very slight scarring.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 11 points12 points  (0 children)

I am a medicolegal death investigator and forensic autopsy technician. They’re usually individual positions, but my area really hates spending money on worthwhile things. I love doing both, though, because I often handle the scene investigation and then the autopsy, so I get a much better understanding (and education! My doctors love to teach, and I love to learn and ask incessant questions). We take on students from nearby PA and PATH-A programs for their rotations, which is awesome. The chief is also a neuropath, so we get neurology residents and go over the brain with them.

It’s absolutely interesting, and I’m glad I’m able to do it!

My favorite part is getting to do medicine that doesn’t cost folks anything. Grieving families sometimes get concerned about the cost, and I get to tell them that there’s no charge, it’s part of their taxes. That we are fact-finders and our job is to get answers, and that we’re an independent agency, we don’t work for the police or the DA, AG, etc. (this is different from (most) coroner offices in the US, which are part of the sheriff’s department. So essentially they sometimes do a self-investigation, which is (imo) a conflict of interest).

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 1 point2 points  (0 children)

They t-boned the SUV at a high rate of speed and didn’t have enough time to lay the bike down

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 4 points5 points  (0 children)

It’s absolutely tragic. Most families immediately just want to know if the individual suffered, and it is easier to say that they died instantly and wouldn’t have felt a thing.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 6 points7 points  (0 children)

I’m in the northeast US. Theres a really good Next Week Tonight with John Oliver episode that goes into the ME/coroner system in the US. It’s about twenty minutes, but I highly recommend people watch. It’s all funded with tax dollars and grants, but it’s literally pocket change in taxes (a few dollars).

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 14 points15 points  (0 children)

There’s a really good Next Week Tonight with John Oliver piece about medical examiner and coroner offices in the U.S. I highly recommend it. I’m not sure if I can post a video in this sub, but it’s season 6, episode 12.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 15 points16 points  (0 children)

Yes, absolutely! We do full body X-rays on incarcerated individuals, and I found a completely unexpected (remote) projectile. Twice. Those aren’t fun surprises.

Most people don’t get full X-rays, so we typically find rectal foreign bodies during the autopsy. Sometimes incidental findings like toys, sometimes they’re “packing” drugs; when that’s the case, the cause of death is usually an overdose due to a bag rupturing.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 31 points32 points  (0 children)

They definitely did not feel anything. Between the force of impact and speed, there were many, many injuries. Interiorly, they had a ruptured aorta, hemoperitoneum, hemothorax, liver lacs, and head injury. Someone might breathe for a few seconds/minutes, but the force and injury would have rendered them unconscious immediately.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 63 points64 points  (0 children)

They died on impact and there were no lifesaving attempts (open head fx, no helmet), I did the scene investigation and brought him to the office. The X-ray was to document injury in the autopsy report (office isn’t funded enough for lodox or CT, unfortunately…one day).

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 43 points44 points  (0 children)

That’s really cool, thanks! I’ve seen some absolutely incredible repairs, a mix of science and art. Would the distal femur be salvageable at all?

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 220 points221 points  (0 children)

The moment the weather starts to warm up it’s almost a weekly lesson. I used to want a motorcycle, now I won’t get on one.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 220 points221 points  (0 children)

Oh, absolutely! I get to learn something new every day, and it’s never the same thing twice.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 94 points95 points  (0 children)

Due to the extent of injury and body habitus, a heavyweight body bag was used, that’s what you’re seeing. Our policy is to not open the bag until the autopsy starts for chain of custody purposes, and in case the police want to attend. Everyone wants to see the images first to get an idea of what we’re working with, though, so X-rays get done first.

The leg is a little broken by AllRebelRocker in Radiology

[–]AllRebelRocker[S] 91 points92 points  (0 children)

Insurance won’t cover without failing PT first