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"The fearless memoir of a young forensic pathologist's "rookie season" as a NYC medical examiner, and the cases--hair-raising and heartbreaking and impossibly complex--that shaped her as both a physician and a mother. Just two months before the September 11 terrorist attacks, Dr. Judy Melinek began her training as a New York City forensic pathologist. With her husband T.J. and their toddler Daniel holding down the home front, Judy threw herself into the fascinating world of death investigation--performing autopsies, investigating death scenes, counseling grieving relatives. Working Stiff chronicles Judy's two years of training, taking readers behind the police tape of some of the most harrowing deaths in the Big Apple, including a firsthand account of the events of September 11, the subsequent anthrax bio-terrorism attack, and the disastrous crash of American Airlines flight 587. Lively, action-packed, and loaded with mordant wit, Working Stiff offers a firsthand account of daily life in one of America's most arduous professions, and the unexpected challenges of shuttling between the domains of the living and the dead. The body never lies--and through the murders, accidents, and suicides that land on her table, Dr. Melinek lays bare the truth behind the glamorized depictions of autopsy work on shows like CSI and Law & Order to reveal the secret story of the real morgue"--… (more)
User reviews
This is the tale of a woman's decision to switch over from her residency as a surgeon to training as a medical examiner. You know CSI, Criminal Minds, the other CSI, Rizzoli and Isles, the other other CSI, etc.? Forget them. They fit almost as well into the fantasy genre as
I grew up watching Quincy, M.E. I'm as fond of Jack Klugman from that show as I am of Oscar Madison. But I think it was mostly his fault that I was as shocked as I was – which was extremely – when I grew up a little and found out that doctors can't always diagnose illness or determine cause of death with certainty. Quincy and shows like it always made it seem like it was very basic puzzle–solving, like simple algebra: this symptom + another symptom – some other symptom = diagnosis; some were just more obscure than others, or perhaps there might be obscuring circumstances. Hey, I was young; I didn't quite have a handle on how vastly simplified the world is on the other side of the tv screen. It must be nice to live there, where the killer is always caught (in 48 minutes! Unless of course it's a featured serial killer who escapes and will be returning for the season finale) and the disease is always cured, or at least identified.
Honestly, I remember being very confused and gobsmacked the first time I saw something that was, you know, real. On CSI, there is impatient sighing when they have to wait a few hours for DNA results. In reality, it's more like months. Whatever it was, it wasn't as real as this book. Turns out a tox screen can take a couple of weeks – and that shocked me. Need a copy of a report from another department? Give it a few months.
It's been a little while since I bought this audiobook, so I don't remember whether the setting in time of the book had an impact on my decision to give it a try: Dr. Melinek changed her concentration from treating the living to examining the dead in 2001. She trained in New York City. If the idea that she was involved in the aftermath of 9/11 was one of the reasons I opted for the book, it was a moment of temporary insanity. To this day I flinch when a plane flies low. I live in Connecticut. I've visited NYC many times – and police and fire fighters from my area went to Ground Zero. I had friends and friends–of–friends who live and work in the City. I heard first–hand accounts, that weekend. It's emotional. Still. Of course.
Between that and the basic subject matter, this book is not for the squeamish. But it's a story well told, with humor and compassion – and passion. Even while I was cringing, I enjoyed it.
That it takes months for tox screens and how hard it can be to establish cause and manner of death was insightful. It has to be hard to have so many of the facts yet not be able to put it all together. Also the parents of those killed for whom she doesn't have an answer.
I found myself attached to Dr. Hirsch even before he used his 9/11 wounds as a teaching moment. What a humanization of 9/11 and the people involved. I felt for her friend who reported to a hospital to wait to treat the injured-and none came.
I also enjoyed the side stories: how her career changed from surgery as well as how her career affected her family. Autopsies over dinner: no thanks! A good, readable book on a topic not often covered in memoirs.
“Don’t jaywalk. Wear your seat belt when you drive. Better yet, stay out of the car, and get some exercise. Watch your weight. If you’re a smoker stop right now. If you aren’t, don’t start. Guns put holes in people. Drugs are bad…Staying
This is the advice of Judy Melinek, the author of Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner, gleaned from her experience as an assistant medical examiner in New York City. From 2001 to 2003 Melinek performed hundreds of autopsies on the victims of homicides, suicides, accidents, natural diseases, therapeutic complications, and undetermined causes, that crossed her table.
Melinek’s very first post mortem involved the death of a young man, a heroin addict diagnosed with sickle-cell trait who died in hospital, her second an elderly man who sustained severe burns in a house fire, the third a pregnant woman, the victim of a hit and run. In general, each chapter of Working Stiff groups together cases by manner of death, detailing Melinek’s examination of patients young and old, male and female, destitute and wealthy, and everything in between. The final chapters focus on the medical examiners office’s role in the wake of the Twin Towers collapse on September 11, and the crash of American Airlines flight 587.
The narrative is very readable, almost conversational in tone, and mostly free of the medical jargon one might expect. Melinek is at all times respectful but not humourless, sharing both professional perspective and personal observations. I do feel compelled to warn the unwary reader that this isn’t a book for the squeamish with its graphic record of gruesome injury and detailed descriptions of the forensic autopsy process.
What shines through is Melinek’s passion and commitment to her job as she works to investigate and determine the cause and manner of death, comfort the bereaved, provide assistance to the justice system and “speak for the dead”.
Informative, entertaining and engaging Working Stiff is a fascinating account of the work of a medical examiner, well told by Judy Melinek and her husband T.J. Mitchell.
* I gave the book an extra 1/2 star for Judy’s admission she wears “sensible shoes and a Medical Examiner windbreaker” during her rare visits to crime scenes – not six inch stiletto’s and Armani suits.
This would be just an enjoyable book about an interesting profession had Melinek not been partway through her training on September 11, 2001. Located in lower Manhattan, the building she worked in became the central area for the processing of all the remains found in the wreckage of the twin towers. Her account of that experience made this book more substantial and much more difficult to read.
Judy Melinek and her husband, T.J. Mitchell have chronicled her two years working as a New York City medical
I mostly listened to this on audio, narrated by Tanya Eby. I had both the Kindle and audible narration but found it was easier to listen to than to read. I will warn you that the material is quite graphic. Melinek does not hold back with her descriptions of the death scene or examination of the body. If you are at all squeamish, this book would NOT be for you. But, I found it easier to listen to the graphic descriptions rather than to read them. I did find myself cringing a bit while driving though at the descriptions. Eby's voice was easy to listen to and even found ways to change her voice for the various medical doctors and law enforcement that were on each scene. Eby was actually an Earphones Winner for her narration of WORKING STIFF.
Melinek obviously meets the various people after their life has ended, but finds ways to bring each of them to life by offering various background information either through the police reports or conversations with family. Melinek's own father committed suicide and she spends several pages discussing that impact on her life and attending other suicides while on her job. She even found a way to offer support to one grieving family which, I'm sure, gave her a sense of comfort as well.
The most difficult part of the book to listen to was her chapter discussing her work after 9/11. Even when I started the book and knew what year she was working in New York City, it never even occurred to me that she would be working on September 11, 2001. So, as she started describing her morning I realized the horror she was going to take the readers through on the following pages...and it was beyond horrific. I can't imagine what the first responders, fire department professionals, and law enforcement went through in the days, months, and years following 9/11. What they had to witness and go through was disastrous and life-changing. Listening to this section of the book actually caused me to pull my car over as I was crying too much to drive while listening. This part of the book has left quite an impact on me and will forever change how I view 9/11.
What most impressed me about Melinek was that she was able to separate her work life from her home life. During these early years in her career, she was a wife and mother to a toddler and then pregnant again. After viewing the unimaginable every day, she seamlessly went home and led the role of wife and mother. I, on the other hand, would have had a difficult time separating the two. She talked about her day just like any other spouse would and then got on with the business of motherhood. She is a great example for working parents in stressful careers.
Dr. Melinek is a forensic pathologist who spent two years as a fellow working in the New York City’s Office of the Chief
It makes sense that this book would interest me. A couple of years ago in a Pajiba comment diversion, I shared a bit about what I do for a living. I still do that work, and am still learning, so the parts of this book that I found myself highlighting were in the chapter on the response to 9/11. There were a few comments in there that I found to be pretty helpful and that I’m going to look into incorporating into our plans. So from that perspective, the book was quite helpful.
But it was also well written. While I’m sure each chapter has some cohesive theme (as Dr. and Mr. Melinek don’t just write chronologically), I don’t think it was necessarily broken down into obvious chunks. And yet the topics all flowed well, and flowed naturally. The storytelling was engrossing, fascinating and, from my experience working with MEs, not fantastical or exaggerated at all.
A couple of quibbles: autopsy reports are generally public information, so I recognize that Dr. and Mr. Melinek aren’t breaking any laws in sharing this information, but some parts felt a bit like a breach of ethics. Mostly, her interactions with grieving family members. Unless names were changed, or permission granted (which I doubt), some of the stories she told seemed like they could really cause additional pain for the family members. Who knows if any of them will read this book (probably unlikely), but it made me think a little bit of that ABC hospital documentary that showed the death of someone whose wife unsuspectingly saw it on TV a couple of years later. It was traumatic. Obviously stumbling on a TV show is easier than deliberately reading a book, but what if a friend or relative of one of the cases discussed reads about it? I’m not saying that the book shouldn’t be written, or that the concerns of a couple of people should prevent sharing information that sheds light on this very important field, but I did think about it.
I’m also a bit frustrating with the Dr.’s constant reference to death by suicide as selfish. I cannot directly relate to her direct experience with death by suicide (her father’s), and she is certainly entitled to view her father’s decision as selfish, but that characterization always strikes me as reeking of victim blaming, and I found it especially off-putting when she projected her feelings about it onto others who died by suicide.
Even with those reservations, I do still strongly recommend this book for anyone looking for a surprisingly quick read on this topic that is both interesting and thorough.
There were some tough bits. The unfortunate side effect of working in the medical world is that all of your patients
The author does have humor in all the right places. There's a section of the book dedicated to 9/11/2001, as she was living and working in Manhattan at that time. It is respectful while being informative.
10/10. There are some nice things that the author ties up for us, and there are some things that made me see red (not b/c of the author, but humanity can be disgusting sometimes...) that were treated well in the narrative.
I would recommend this to anyone.
Surprises-that she knew the importance of foot length in fetal pathology, that she used names of patients. I guess HIPPA laws do not apply to MEs. I was also surprised at the number of complete autopsies they did. Most ME I have known do more toxicology and external exam cases only.
Not surprised- while most docs want to stay out of court the ME sure does not. There was essentially little to no discussion of histology. I would like to know what histology does on the decomp cases and how it may help. Also how do fellows finish cases when toxicology or other studies may not be done till after the fellow is gone
Clearly Dr. Hirsch is a giant in forensics and he casts a big shadow. in a large way most doctors are products of our training. This is obvious in this book.
All in all a very interesting look at forensic pathology with some insight into the 9/11 tragedy from an insider.