On today’s MKD, we start the week off discussing updates with the Ketamine Queen and the mommy makeover death. Then we get into a woman's unusual paternity test situation, an elderly woman who had worms in her nose, a medical condition caused by thongs, and a unique rectal foreign body.
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Episode Transcript
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Speaker 1 (00:08):
Mother Knows Death starring Nicole and Jemmy and Maria qk Hi.
Everyone welcome to Mother Knows That. This is going to
be recorded, so if you're going to make any weird
bodily functions, they will be on our next episode.
Speaker 2 (00:31):
First, we're going to talk about some new updates with
Matthew Perry. So for you guys who have been listening
to us, he actually died a couple of days before
we launched Mother Knows Death, So this kind of just
worked out with this huge case we were able to
cover immediately from the start.
Speaker 1 (00:44):
Of course, as we know, it appeared as an accidental
drowning at first, and then it turned out that he
died from ketymine overdose. Yeah, so I guess we're talking
about it this week because the Kedemie queen that was
responsible for his death just got sentenced this week and
we'll get.
Speaker 2 (01:02):
More into that. But talk about kind of what you
guys see on your end when somebody like this comes in.
Speaker 1 (01:07):
All right, well, let's start off with his history. So
he has an extensive history of alcohol abuse. He started
when he was a very young teenager, what was he
fourteen when he started drinking, and then by the time
he was sixteen, he said he was a full fledged alcoholic.
Speaker 2 (01:25):
He had a very troublesome childhood. Has anybody here read
his memoir, It is very disturbing to read. He is
very open about his addiction issues, which honestly a lot
of celebrities are not, and we can very much tell
what's going on behind the scenes. But it's really sad
because he talks about how his parents had.
Speaker 1 (01:42):
Him really young.
Speaker 2 (01:43):
His mom lived in Toronto, his dad lived in la
He was always going back and forth between the two places,
and he just always felt very lonely. And then he
detailed at fourteen years old, he.
Speaker 1 (01:53):
Had alcohol for the first time, and that's when he
said was the first time in his whole life he
ever felt normal, which is a problem, and it just
kept going on from that.
Speaker 2 (02:02):
In ninety six, he was filming a film called Fools
Rush Fools, Russian.
Speaker 1 (02:08):
Fools Russian, and he got in this jet ski accident
when they were shooting off or not cheoting, but he
was off hours and then that's when the opioid addiction
started coming in.
Speaker 2 (02:17):
So he had these two things going against him at
really young age.
Speaker 1 (02:21):
So he said, during the height of his opioid addiction.
He was taking up to fifty five pills a day.
So anybody that's ever taken one after having a surgery
or something, you know that you can't even imagine taking one,
let alone fifty five a day. So as a result
of his drug addiction, he ended up getting Anybody that
(02:45):
has ever taken opioids also knows that it causes chronic constipation.
So when you're taking fifty five a day, he wasn't
going to the bathroom for multiple days, sometimes weeks, and
he ended up having severe constipation to the where he
had a perforation of his bowl because of it. And
so what happens is the poop just keeps on expanding
(03:08):
and making the bow dilate until the point where it
actually bursts, and then all of that poop goes inside
of the sterile abdominal cavity and it could lead to
an infection in the blood and then eventually to sepsis,
which is what happened with him. So he had to
have fourteen surgeries associated with that, including having a colostomy
bag until his bow was able to heal. So that
(03:32):
was something that he was dealing with, and then he
find he had this chronic pain because of the injury.
So he was still taking the medications. He said when
he talks about that surgery he had that he always
would contemplate doing drugs again because that was so bad.
But then as soon as he would leave the hospital,
he would call his dealer. So it just was like
(03:54):
this constant cycle.
Speaker 2 (03:55):
Yeah, I mean, he was getting to the point where
he was, you know, he's Matthew Perry's chandler, being on Friends,
huge actor. So he was making fake real estate, like
I guess, appointments, so he could go look at a
house and he would go to a house in Beverly Hills,
rebel Air, these ten million plus dollar houses, and he
was going in the people's bathrooms and stealing their pills
(04:15):
out of their cabinets because nobody was questioning him because
of who he was.
Speaker 1 (04:20):
So he was getting them. We'll get into a little later.
Speaker 2 (04:22):
He was getting them from doctors, taking advantage of them
when they wouldn't give him medicine anymore. He would find
these alternative outlets. He had been in and out of
rehab his entire life, spent nine million dollars in treatment
over his lifetime, and was in about fifteen times, it's insane.
Speaker 1 (04:37):
And he said there was only one There was only
one season of Friends that he was actually sober. He
was high, he just said, And then.
Speaker 2 (04:45):
What did he say he would so as far as
his memory of filming Friends, as you just said, he
only remembered filming one season. So as you can see here,
season six, episode twenty five is the season finale. It's
the episode Chandler and Monica get engaged. He's heavier in
this picture as you can see in this other one.
This is supposed to be the same day in the show,
(05:07):
but was in between seasons. He had lost a significant
amount of weight, so this is supposed to be the
same day in the show. Drastic appearances. So he detailed
in his book that when he was heavier, that meant
he was drinking. When he was really thin, that meant
he was on pills. And when he was really really
thin with a goatee, that meant he was about to
go to rehab on the verge of his obioid issues.
Speaker 1 (05:29):
So the day of his death, let's talk about that,
he went and played pickleball in the morning. Kind of
a boring day. He went pickleball and then just wanted
to get in his hot tub and all of a sudden,
his living assistant found him unconscious in the hot tub
in the afternoon. Well, he was he was pretty dead, yeah,
I mean, I don't think that he was really unconscious,
(05:52):
but they they because it appeared that he was, I mean,
they would say unresponsive probably, but he was. He was
dead for all while there. So he pulled them out
of the water and above water, and he was pronounced that.
They didn't even take him to the hospital. So it
came as a shock. You know that. I don't know
(06:13):
if a lot of you know that his dad is
his stepdad is pretty famous Keith Morrison from Dateline. So
they called his family and they were very shocked because
even though he had this history of this alcoholic opioid abuse,
he was cleaned. They all thought that he was clean,
so they didn't think that it was due to drugs. Obviously,
(06:35):
he's in a hot tub that is two to three
feet of water, so they didn't think that he just drowned.
There was no evidence that he was suicidal. There was
no drug paraphernalia at the scene, so they were actually
treating it as if it was potentially some kind of
foul play. Which is why they didn't. He was found
(06:56):
dead at about four o'clock in the afternoon, and they
didn't and take them to the Medical Examiner's office for
autopsy until two o'clock in the morning, so they were
really investigating for hours after his body was found. Now,
they did interview his therapist who said that she did
not believe that he was suicidal. He had anxiety and
(07:19):
depression and he was doing ketamine therapy as a result
of his anxiety and depression. So ketamine is a disassociative
anesthetic drug that's used especially in cases. Let's say, for example,
you're in a bad car accident and your bone pops
through your leg and you're screaming in pain. They would
(07:40):
give you a medication like this that could help you
actually disassociate your mind from your body. It's used as
an anesthetic. But there's this controversial but treatment that has
been proven to work for some patients where they found
if they give them a microdose of ketamine that it
could help them with anxiety and depression, So they take
(08:03):
it and they don't feel high, but it helps them
feel better. So so that was to be expected as
far as the work up goes for this autopsy. Also,
he was taking a drug called bupen norphreen. I can't
say that or whatever, but that that's because he had
an opioid addiction, and that's it. It is an opioid drug,
(08:24):
but they give it for people that have an opioid addiction.
So as far as the autopsy goes, we know that
we should have been looking for those those two drugs.
And then we did the autopsy so we could we
have some of the pictures that we could talk or
not his pictures, but they're what we would see. So
he we do know that he had all of the
(08:46):
history of this massive GI perforation surgery and just he
was a chronic He was also a chronic alcoholic and
also a chronic smoker. I did talk about this a
little bit last night in my lecture. So he had
on his external exam clubbing of the fingertips, which you
could see in this photograph here. This is a really
(09:07):
extreme example of it, but you could see when people
have fingertips that are rounding over the tips of the fingers.
It's funny because we were talking about this recently and
then Maria noticed that someone had it one day.
Speaker 2 (09:21):
Yeah, the person we were talking to just happened to
have I was like, I know she has a problem.
Also pointing out when people have medical conditions, it's quite
wild to watch. Can you imagine if a random woman
just went up to you and was like, you have
this problem going on?
Speaker 1 (09:36):
Maybe I would have saved their life. You never know.
So this is clubbing of the fingertips is seen in
chronic low oxygen states. So not only did he have
a history, he was just like a really really major
addict with the alcohol and the drugs. And he also
smoked two packs of cigarettes a day, so he had
chronic lung disease COPD. He was diagnosed with an emphysema,
(10:00):
so that on external exam would be completely normal to
see with a person that has a chronic low oxygen state.
And he also had nicotine staining on his fingers, yellow
nicotine staining on his right finger. Now, so at autopsy
they showed they they said, and this is this is
(10:21):
I'm showing pictures based upon what I read in his
actual autopsy report. So this isn't him, but this is
what they described was in the autopsy report. So he
had anthrocotic pigment in his lungs, which is black pigment.
So you look at these lungs as soon as you
look at the chest plate, the lungs look like they're
(10:42):
black anybody that lives because the most of the autopsies
I've done in my career have been in Philadelphia, and
most people have a certain amount of black in their
lungs just because of breathing in Philadelphia city air, unfortunately.
But when this black, they're always a smoker. They're never
(11:02):
this black and just a person living in a city.
So that's one of the things that you can tell
if a person smokes, your lungs really do turn black.
And if you look at the surface of the lungs,
you could see these bubbles and that is consistent with emphysema.
So he had he had a pretty advanced emphysema. And
(11:24):
just to give you a picture of this, I'm just
trying to show you an example that his lungs were
very compromised. So when a person is taking medications and
their lungs aren't working great, that could just further lead
to their death. Another really interesting finding that they found
on autopsy when they looked at his lungs under the
(11:45):
microscope was something like this does anybody have any idea
what this is? It's really it's really really interesting. So
this is a picture of lung tissue under the microscope,
and this pink, this big pink structure in the middle
is actually vegetable cells. So you would say, well, why
(12:07):
would anybody have vegetable cells inside of their lungs. Well,
in chronic alcoholics, you could get a condition called aspiration pneumonia,
which happens when alcoholics throw up a lot and when
you're asperating the food that you're throwing up. So it's
he ate something that had vegetables plant material in it,
(12:28):
threw up and aspirated it, and it was in his lung,
So it's not that doesn't mean he was drinking currently,
Like this has been in his lung for a very
long time. You know, when you're eating something and you
choke and you say it went down the wrong pipe,
like sometimes it stays there and then it forms a
foreign body reaction around it. So I just thought that
(12:49):
that was an interesting finding. Another thing that I just
wanted to say. At his autopsy as well, like obviously
they saw signs of his previous surgery, and his heart
was also very large. It was four hundred and sixty
five grams. Normally for a male it should be about
like three hundred dish grams, so it was big. But
he also had fifty to seventy percent narrowing of one
(13:10):
of his coronary arteries. So with all of these findings,
it just there's he was not in good health. But
this there was no smoking gun that is why he died.
He could have had a heart attack at some point,
but it wasn't narrow enough to cause it right then
and there. Maybe within a couple of years he would
have ended up having a heart attack, but there was
(13:30):
no smoking gun that said this is exactly why he died.
So that's why they had to really rely on the
toxicology in this case. When they did the toxicology, so,
like we said, we were expecting to see some ketamine
because we knew he was having the treatments he had
won one week prior to his death, and we also
(13:50):
were expecting to see the bubenor freeing from the drugs
that he was taking for his opioid addiction. But they
when the toxic came back, his ketamine was three thousand,
five hundred and forty micrograms per mill leaders which is
not considered to be a low therapeutic micro dose that
(14:12):
is enough that would be seen in a person that
just got that injected for anesthesia. So the first question
is while who gave him that? Because we know he
didn't have anesthesia that day, So now we know, okay,
he was illegally taking ketamine. And then that's where the
(14:32):
investigated investigated. Why can't I tell you? The investigations started
to go like where did he get where was he
getting this from? Did he give it to himself? And
Maria could get into a little bit about what went
down with that?
Speaker 2 (14:48):
All right, So here are the major players in this case.
So Matthew detailed in his book that from two thousand
and one until his death in two thousand and twenty three,
he was mostly sober, take a few mishaps. So during
one of his mishaps, he ended up in a detox
facility in Europe. I believe it was in Sweden, and
(15:09):
there they introduced him to the ketemine therapy, which he
said was like getting hit over the head with a
happy shovel. Not a good idea for an addict. So
he comes back to the United States, he starts doing
legit ketymine therapy, but it's not enough, so he wants
to do it on his own time. So that's when
he gets introduced first to doctor Chavez and doctor Placentia.
(15:31):
So Doctor Chavez is creating these prescriptions, handing them down
to doctor Placentia, who's then showing Matthew assistant Kenneth how
to inject him with him in the back of a
car in a parking lot, or injecting him himself. So
eventually Matthew's demand gets so great that they can't fake
the prescriptions anymore and they don't know what to do.
(15:52):
But before we get to the next steps, let's point
out that these people who are medical doctors are texting
each other. I wonder how much is more on will
pay for these drugs? Fully taking advantage of him, they
were charging him two thousand dollars a vile for something
that cost them twelve dollars, absolutely ridiculous. So when they
can't keep up with his demand, that's when he meets
(16:13):
Eric Fleming, who was a Hollywood director and had connections
to drug dealers in Los Angeles. He is the connection
to Jasvi and Sanga, who is also known as the
ketymine queen. So now we know in this case, after
they did the autopsy, they found all this connection through
the investigation. His fatal dose came from the ketymine queen.
(16:35):
So why we're talking about this now basically is because
she has now just been sentenced to fifteen years in
his death, which we don't often see in cases like this.
Speaker 1 (16:45):
And really just to summarize what happened with him, his
assistant had given him this injection, he went in the
hot tub, he was compromised both in his respiratory and
cardiovascular system because of the emphysema as well as the
coronary artery disease, and then he got a fatal dose.
(17:09):
It wouldn't necessarily be a fatal dose, like if he
was at the hospital and had kedymine as part of
anesthesia and was being monitored, this wouldn't have happened to him.
But because he was being injected and monitored by a
person who left him alone in a hot tub that
wasn't a medical professional, he likely was in a semi
(17:30):
unconscious or a completely unconscious state and then slipped into
the water and then ended up drowning as a result
of that. So it was it was a cascading effect
of what exactly happened to him that led to his death.
Speaker 2 (17:43):
And he was very young, right, fifty forty four. Yeah,
so doctor Placenta got two and a half years federal prison.
Ketymine Queen just sentenced to fifteen years. His assistant Kenneth,
and then Eric and doctor Chavez all pleaded a guilty
and their sentences are still pending. But it is amazing
in this case that they held these five people accountable
(18:06):
for their role.
Speaker 1 (18:07):
Okay, next case.
Speaker 2 (18:09):
All right, So we've covered this case a couple times
on the show. This is the Mommy Makeover death. So
for those of you unfamiliar with this story, this woman
had been detailing her journey getting a tummy tuck on TikTok.
She posted as recently as the morning of her surgery,
and then all of a sudden, a couple days later,
her husband posted that the surgery did not go well
and she was on hospice and now her surgeon, assuming
(18:31):
the surgical center, trying to put blame on them because
he's been drug through the mud over this case.
Speaker 1 (18:39):
Yeah, so we're just trying to figure out exactly what
happened in this case. He said that there was minimal
blood loss, and there was very low doses of pain
medication given throughout the procedure, and he's accusing the surgical
center of overdosing her. Gave her one hundred and fifty
micrograms of finol and zero point five milligrams delauded. Now
(19:01):
that is considered to be especially there was a state
board investigation of it that that is within the normal
range of drugs to give after having surgery like that.
So they were saying that they were all clear with
that they did just because she became unresponsive. They gave
(19:25):
her narcan, which is a medication that would allow for
if there's shallow breathing after given an opioid medication, you
could give a drug called narcan, which is kind of
an antidote in a way to that particular drug. But
they gave her the narcan and nothing happened, and she
didn't come back. She lost oxygen for too long and
(19:49):
she but he I guess the surgeons, claiming they didn't
call nine one one for four whole minutes, which is
a long time when a person isn't breathing, and the
way that they were using the bag mask was improper
for so she went without oxygen for six whole minutes.
They said, now this is where this is where my
(20:11):
problem is. They said, they asked the husband for an
autopsy and he denied an autopsy. And I think that
that's gonna be a huge problem for him. Honestly, why
would he do that? Because people don't want to get
their family members caught up like that. Like, I understand
it's traumatic. Like your wife goes in to get plastic surgery,
(20:31):
which usually, let's talk about a Mommy makeover. I think
it's more than a Tommy talk, like a Mommy makeover.
Surgery is usually a Tommy talk and breast reduction or
some kind of breast augmentation and possibly light bosuction as well.
It's it's a very it's very it's it's like a
big deal of a surgery. It's multiple procedures done at once.
(20:54):
But you know your wife leaves and goes and does
that and she and you find out that she dying.
So he might just have been like you know what
I've had. It was emotionally too much for him to
deal with. I was not a good idea. Yeah, that's
what I was.
Speaker 2 (21:09):
Insane, Like I understand that from an emotional perspective. But
this is clearly going to be a lawsuit of some sorts,
and I feel like it's a massive oversight.
Speaker 1 (21:19):
Yeah, because if she if she went to the hospital
and was already had she had an anoxic brain injury,
which just means her brain was without oxygen for that long.
They're not really gonna work her up to see exactly
what led to that point. Was it the drug overdose,
but which they're saying that it wasn't a drug overdose
(21:40):
because the levels we were consistent.
Speaker 2 (21:45):
Well, it's a lot of back and forth because his
lawsuit is alleging that they have a history of oversedating
patients at the surgery center, and then he's also alleging
they try to cover it up by altering record tiding
the idea of the nurse involved pressuring the surge to
change his notes. But I guess we're gonna see over
time how this plays out, all right.
Speaker 1 (22:04):
So put up the next picture. So so, in addition
to I mean, one of the biggest complications obviously you
can become overdosed after a procedure, which is less likely
like the most common thing that would come of this
a person that has surgery and then just just goes
(22:27):
unconscious essentially right afterwards. The most common reason that that
would happen would be because of complications with the surgery itself,
so a pulmonary embolism of fat embolism or something like that.
So when you are when you're getting surgery, you're at
a risk for a pulmonary embolism. And we talked about
(22:48):
this in my lecture last night. It's actually the same
exact picture I used for my lecture last night. When
you develop a blood clot and that it could travel
into the lungs and can kill you, and that's what
we're looking at. And this picture over here to my
right your left, I guess, is that's a large blood
(23:09):
clot that traveled from the legs and then went up
into the pulmonary artery and got lodged there before it
could go into the lungs, and it caused a sudden
death like that. And that's how that would present a
person that was, you know, awake in talking and then
all of a sudden they just they're unconscious. And this
slide over here is a microscopic slide of lung tissue
(23:33):
and the red little globules are actually fat globules within
the lungs. So, like we were just talking about with
Matthew Perry, there should never be vegetable material in the lung.
There should never be fat in the lung either. But
fat embolism is a possibility during this surgery because they're
doing liposuction, and that's one of the complications that could
(23:54):
come with liposuction. So when they're sucking the fat out
with that particular instrument, they could accidentally hit the vascular
system and push fat into the vascular system, which can
travel to the lungs and the brain, and it could
cause death as well. Now we're kind of screwed in
this case because she didn't have an autopsy, so we
(24:15):
don't know what happened. And that's why I'm just telling
you guys as a PSA, if someone ever dies suddenly
like that, it's just better to do one. And I
do understand that people don't want to get their family
members autopsy. But another PSA I wanted to say is
that you have the right in a lot of cases
(24:37):
because sometimes if it's a homicide to medical examiner as
jurisdiction over the body and you don't really have any say.
But if you really talk to anybody that's doing the autopsy,
and you really voice your concerns. They could have just
done a like a heart and lung only autopsy that
would have been very minimally invasive with surgical incisions essentially,
instead of a whole huge thing, and most people will
(25:02):
really respect your decision in that. Like I've had to
do autopsies several times where they would say, you only
could go through this small incision in their abdomen that's
this big, and I would stick my arm up and
breach whatever I could get out of the hole because
that's that's just like what the family members wanted. So
it would have just been really a really good idea,
(25:24):
especially if he's deciding to try to sue them to
find out exactly what happened. All right.
Speaker 2 (25:31):
A woman got pregnant after having sex with identical twins
four days apart.
Speaker 1 (25:37):
She went to the court. She went to the courts
to have a paternity test, and the court said, you
both might be the father. Okay, So a lot of
people don't realize this, but identical twins have the same
exact DNA, which can be a problem for paternity, and
it also could be a problem when people commit crimes
(25:59):
because as we know, when you look up the DNA,
you know how they're they were. They always say it's
ninety nine point whatever percent. Well, that other percent is
it's too close for identical twins in most cases. So
what happens. The reason that they have the same DNA
is because you have the sperm from the dad and
(26:21):
the mom's DNA, and then you have the dad's DNA,
and when they come together and they make this they
make this embryo, it splits. That embryo could split in half,
and that so it's just the same exact DNA profile
that splits in half that causes the identical twins to
start growing. But once that egg, that uh embryo splits
(26:44):
in half. Even though those two embryos in theory have
the same DNA, as the cells keep dividing as those
individual humans are growing, there could be slight changes in
those DNAs that can differentiate between identical twins. You just
(27:04):
need to do a very specific test called ultra deep
next generation sequencing. So when you do a standard DNA test,
That's why I guess in this particular case, they said,
we can't tell who the father is with a standard
DNA test.
Speaker 2 (27:21):
All right, I guess my first question is which was
this a result of some trickery on behalf.
Speaker 1 (27:26):
Of one of the twins, or was she really having
tights with brothers. Maybe it's like a knk or something.
Speaker 2 (27:33):
It The whole thing is just totally weird. So yeah,
each of the twins had a fifty percent chance of
being the father, and then one the other twin. All right,
so let's say Twin A was listed as the father
on the paperwork, but then the woman and twin B
wanted to be the official parents, but they said, because
the court can't determine which one is the father, both
(27:55):
of them don't technically have rights.
Speaker 1 (27:56):
So she just gets like totally screwed out of child
support because they can't tell. I don't know, I just
think this it's so outrageous. People are also it's yeah,
get with him, Maria. Well, all right, let me tell
you about Let me tell you a little bit about
this this ultra deep next generation sequencing, because it's really
(28:20):
it's really interesting. When I was looking into this, so
a journal called Forensic Science International Genetics had a paper
from twenty fourteen that sequenced DNA from sperm samples from
two twins from a blood sample of the child of
one twin, and it revealed different changes that were present
in the twin father and the child, but not with
(28:42):
the twins uncle, which it just becomes complicated because then
the children kind of can have the same DNA with
the father. It's just like all complicated. But it's a
first of its kind. From a case from nineteen eight
eighty seven, there was a case solved, actually a criminal
(29:04):
case that was solved with this with the CC Moore
who's always you know, talking about genetic DNA and stuff.
So they were able to differentiate between identical twins using
this particular sequencing. So it is possible, but it's it's
kind of right now. Well, no, it is right now.
(29:26):
It's just expensive and it's very hard to do. And
that's why in like a paternity testing case, they probably
won't use the resources, but they can do it while
the babies in utero. No, I don't think, yeah, because
she's pregnant, right, Okay, well then there you go. After
the baby's born, they can figure it out, I suppose.
Speaker 2 (29:47):
But right now it's just the most ridiculous thing I've
ever heard.
Speaker 1 (29:50):
I just think it's so weird.
Speaker 2 (29:51):
Didn't anybody watch Palm Roel the Apple TV show. This
is a storyline on there. Kristen wigs twin sister comes
out of nowhere and has sex with her husband and
he has no idea.
Speaker 1 (30:00):
Well, and we had a similar story too. That's why
women especially should always stick to the role of like
one guy per month, because we had a story of
like last year of a woman that had a double
uterus and then she ended up getting pregnant by two
different guys in each side of her uterus. Remember that, Yeah,
(30:22):
So like, just don't do that. I guess it's not
a good idea, all right.
Speaker 2 (30:30):
Last September, a fifty eight year old woman in Greece
was working in the field near grazing sheep when suddenly
fly swarmed her face. This is not a picture of
this incident. This is just what I envisioned. But within
a week she developed pain in her upper jaws, started
having issues coughing. A couple of weeks go by, and
then she sneezed out when she believed to be worms
(30:51):
but which actually maggots.
Speaker 1 (30:54):
Yes, so she had surgery to remove ten of these
larvae at various stages, and one pupa out of her sinuses.
The pupa is so this, this one that is labeled
to see is what she actually sneezed out, which is
legit like a maggot in its metamorphous stage about to
(31:16):
be a fly. And she had these up inside of
her nostrils. So normally, so what happens in the hospital
is they they will do this this. I mean, this
happened in another country. I always like to say that
because the parasitic infections in general, they do happen here.
I've seen them, but but it's not like it is
(31:38):
in other countries, so that you could just like think
about that for a second. But when they do so,
we used to have a person in the microbiology lab.
This is when I was a when I was a student,
and also was I was working part time at Hannemann Hospital,
which isn't even a thing anymore, but we used to
(31:58):
have in the microbiology lab. We used to have a
person that was a parasitologist that just specialized in looking
at parasites. So if they did remove something like this
during surgery, they would send it down to him, so
not only would he look at the morphology of it
underneath of the microscope and that's how they're able to
determine what it is, which this was a sheep bought fly,
(32:21):
but also now with DNA they could actually send DNA
sequencing of it to find out exactly what species is it,
because whenever you have people that have parasitic infections, it
becomes a public health issue, and that's why they really
have to identify exactly where it came from. So this
sheep botfly, its natural host is a sheep, and what
(32:45):
happens and goats too. What happens is that the fly
goes up into the animal's nose and then it lays
eggs in the nose of a sheep or a goat,
which then they end up hatching. The eggs hatch and
turn into the larvae which looked like the maggots and
they're not. And then usually the animal will sneeze and
(33:07):
then that's when the life cycle continues in the dirt
where it turns into a pupa and then eventually a fly,
and then the life cycle just continues. It rarely affects humans,
and usually when it does, it deposits the eggs on
a human's eyes, not in their nose. So this particular
case is just weird, and they were trying to figure
(33:30):
out why this woman got it up inside her nose
like that, because normally our human noses don't have the
environmental requirements for this organism to thrive. But she had
a really bad deviated nasal septum which was allowing access
into her sinuses and that normally a person wouldn't have,
(33:53):
and that's how they figured out that she was able
to get this kind of infestation. There's the fly. But
all right, let's talk about butt floss.
Speaker 2 (34:10):
A TikToker is sharing a traumatic experience where she ended
up needing emergency surgery all thanks to wearing thongs.
Speaker 1 (34:18):
So yeah, so now doctors are saying that thongs are
causing women trouble because of the constant rubbing of the
butt floss in the in the cracks. So this particular
woman had to have something a surgery done on something
called a pilon idol cyst. I don't know if any
of you have ever heard of that, but it's caused
(34:39):
by friction and irritation in the gluteal cleft otherwise known
as the butt crack. And what happens is that an
hair and debris get pushed in to the skin. It
causes this is a really gross word in vagination. That's
that's a that's a word we used to describe when
the hair starts grow, it funnels down deep into the
(35:04):
soft tissue. So what's really interesting about pilon idol cysts
is this used to be called jeep disease because in
World War Two a lot of guys would get it
because they were sitting in the jeep and like bouncing
up and down. It was like rubbing on their their
butt cracks. So fifteen to thirty five years old is
the age range, and it's so we get them from
(35:27):
time to time. In surgical pathology, they just excize it
and hopefully it could just be taken out and that's it.
But a lot of people like it's kind of a
bit for a lot of people. They get absesses in it,
and they could drain and they could smell really bad,
and it's it's benign though it's not cancerous. It just
can be like a little life changing for people. So
(35:50):
I knew a guy that had one and he used
to have he used to have to like wear a
pad like in his underwear, like because it drained all
the time. And it smelled kind of bad. Eh. So
as with any Mother Knows Death show, we have to
wrap up with a rectal foreign body. This one's for you, Joe.
(36:12):
We couldn't believe we made you blush with the thermost stories.
We have one every week, all right.
Speaker 2 (36:19):
So a sixteen year old boy was having a persistent
fever and despite getting treatment, it wasn't going away for weeks.
This is thirty five days. This kid has a fever.
And finally he admitted, after his condition worsened, that he
inserted a smartphone stand up his butt. Yes, so I put,
(36:39):
I actually posted this in the gross room this week,
and I called the post tigger because I thought a
bet little curly tail on his butt. The CT scan
showed this. You could see this little coil that is
inside of the rectum. So they they were trying to
(37:00):
think if they could remove it by colonoscopy and that
just wasn't happening, so they had to open him up
and do surgery to remove it. So when they did
the surgery, this is what they found in their huge
and to the and it actually perforated the bell a
(37:21):
little bit, but it was in the retroperitoneal space. So
that's kind of behind the main abdominal cavity, so that's
why he was having a slow leak of fecal material
outside of there, but it was confined in that little space,
so that's why he was allowed to go all of
(37:42):
that time. He went thirty five whole days with this
thing inside of his ractum.
Speaker 1 (37:47):
So you don't think he fell on it and just forget,
because that's what they all said. They all say that exactly.
But it's it's a weird shape because normally when people
use this is like a weird wrecked a foreign body, honestly,
because usually it's it's like a shampoo bottle or something
that something normal, something that yes, something, it's something, but
(38:11):
usually when people do it, it it plugs you up completely,
so you're not able to go to the bathroom anymore,
which would make you have to go to the hospital
way faster than thirty five days. But because of this coil,
fecal material was able to get so he was able
to pass his stool through it, which is unusual, and
(38:31):
that's why he had a low grade fever for thirty
five days. But you know, he was able to not
die and get sick from that leak because it was
in that retroperitoneal space, luckily for him, so they've removed
it and closed up the perforation and he's fine. I mean,
I just said, you know, I showed you guys in
(38:55):
my lecture last night that I'll never forget. My mom's
back there. She'll she'll remember this story. I came home
from work. This is when, this is when I was
like still living at home a long time ago, and
I came home from work and I said to my dad,
you don't know this specimen we got today, like some
some wife stuck a pair in her husband's butt and
(39:15):
like started eating it out and it got stuck up
there like and my Dad's like, you what, like he
couldn't believe it, and he was just like, I would die.
I'll die with that pair up my butt. I would
not go to the hospital. Like he just was like
it was so funny like that. And then I'm thinking,
like with this kid, like imagine like not only the
(39:36):
embarrassment of going to hospital, but you have to tell
your parents like I did this and you have to
bring me to the hospital. I think about this constantly.
Speaker 2 (39:44):
Or Joe, in the case we covered that got the
police department had to find that thermis up that man's butt.
Speaker 1 (39:50):
So absolutely, this is just showing this is just showing you,
like a real a diagram of where this this spring
is blue. But how it actually worked to his benefit
in this case that it wasn't all of it was
all contained in that one space and wasn't able to
(40:10):
invade his abdominal organs there because that would have made
it worse for him. So it ended up being a
good thing. I guess.
Speaker 2 (40:21):
Well, thank you guys so much for coming this weekend.
Speaker 1 (40:25):
Yes, thanks for coming this weekend. It was really great.
Thank you for listening to Mother nos Death. As a reminder,
my training is as a pathologists assistant. I have a
master's level education and specialize in anatomy and pathology education.
I am not a doctor and I have not diagnosed
(40:46):
or treated anyone dead or alive without the assistance of
a licensed medical doctor. This show, my website, and social
media accounts are designed to educate and inform people based
on my experience working in pathology, so they can make
healthier decisions regarding their life and well being. Always remember
(41:08):
that science is changing every day and the opinions expressed
in this episode are based on my knowledge of those
subjects at the time of publication. If you are having
a medical problem, have a medical question, or having a
medical emergency, please contact your physician or visit an urgent
care center, emergency room, or hospital. Please rate, review, and
(41:31):
subscribe to Mother Knows Death on Apple, Spotify, YouTube, or
anywhere you get podcasts. Thanks
Mother Knows Death starring Nicole and Jemmy and Maria qk Hi.
Everyone welcome to Mother Knows That. This is going to
be recorded, so if you're going to make any weird
bodily functions, they will be on our next episode.
Speaker 2 (00:31):
First, we're going to talk about some new updates with
Matthew Perry. So for you guys who have been listening
to us, he actually died a couple of days before
we launched Mother Knows Death, So this kind of just
worked out with this huge case we were able to
cover immediately from the start.
Speaker 1 (00:44):
Of course, as we know, it appeared as an accidental
drowning at first, and then it turned out that he
died from ketymine overdose. Yeah, so I guess we're talking
about it this week because the Kedemie queen that was
responsible for his death just got sentenced this week and
we'll get.
Speaker 2 (01:02):
More into that. But talk about kind of what you
guys see on your end when somebody like this comes in.
Speaker 1 (01:07):
All right, well, let's start off with his history. So
he has an extensive history of alcohol abuse. He started
when he was a very young teenager, what was he
fourteen when he started drinking, and then by the time
he was sixteen, he said he was a full fledged alcoholic.
Speaker 2 (01:25):
He had a very troublesome childhood. Has anybody here read
his memoir, It is very disturbing to read. He is
very open about his addiction issues, which honestly a lot
of celebrities are not, and we can very much tell
what's going on behind the scenes. But it's really sad
because he talks about how his parents had.
Speaker 1 (01:42):
Him really young.
Speaker 2 (01:43):
His mom lived in Toronto, his dad lived in la
He was always going back and forth between the two places,
and he just always felt very lonely. And then he
detailed at fourteen years old, he.
Speaker 1 (01:53):
Had alcohol for the first time, and that's when he
said was the first time in his whole life he
ever felt normal, which is a problem, and it just
kept going on from that.
Speaker 2 (02:02):
In ninety six, he was filming a film called Fools
Rush Fools, Russian.
Speaker 1 (02:08):
Fools Russian, and he got in this jet ski accident
when they were shooting off or not cheoting, but he
was off hours and then that's when the opioid addiction
started coming in.
Speaker 2 (02:17):
So he had these two things going against him at
really young age.
Speaker 1 (02:21):
So he said, during the height of his opioid addiction.
He was taking up to fifty five pills a day.
So anybody that's ever taken one after having a surgery
or something, you know that you can't even imagine taking one,
let alone fifty five a day. So as a result
of his drug addiction, he ended up getting Anybody that
(02:45):
has ever taken opioids also knows that it causes chronic constipation.
So when you're taking fifty five a day, he wasn't
going to the bathroom for multiple days, sometimes weeks, and
he ended up having severe constipation to the where he
had a perforation of his bowl because of it. And
so what happens is the poop just keeps on expanding
(03:08):
and making the bow dilate until the point where it
actually bursts, and then all of that poop goes inside
of the sterile abdominal cavity and it could lead to
an infection in the blood and then eventually to sepsis,
which is what happened with him. So he had to
have fourteen surgeries associated with that, including having a colostomy
bag until his bow was able to heal. So that
(03:32):
was something that he was dealing with, and then he
find he had this chronic pain because of the injury.
So he was still taking the medications. He said when
he talks about that surgery he had that he always
would contemplate doing drugs again because that was so bad.
But then as soon as he would leave the hospital,
he would call his dealer. So it just was like
(03:54):
this constant cycle.
Speaker 2 (03:55):
Yeah, I mean, he was getting to the point where
he was, you know, he's Matthew Perry's chandler, being on Friends,
huge actor. So he was making fake real estate, like
I guess, appointments, so he could go look at a
house and he would go to a house in Beverly Hills,
rebel Air, these ten million plus dollar houses, and he
was going in the people's bathrooms and stealing their pills
(04:15):
out of their cabinets because nobody was questioning him because
of who he was.
Speaker 1 (04:20):
So he was getting them. We'll get into a little later.
Speaker 2 (04:22):
He was getting them from doctors, taking advantage of them
when they wouldn't give him medicine anymore. He would find
these alternative outlets. He had been in and out of
rehab his entire life, spent nine million dollars in treatment
over his lifetime, and was in about fifteen times, it's insane.
Speaker 1 (04:37):
And he said there was only one There was only
one season of Friends that he was actually sober. He
was high, he just said, And then.
Speaker 2 (04:45):
What did he say he would so as far as
his memory of filming Friends, as you just said, he
only remembered filming one season. So as you can see here,
season six, episode twenty five is the season finale. It's
the episode Chandler and Monica get engaged. He's heavier in
this picture as you can see in this other one.
This is supposed to be the same day in the show,
(05:07):
but was in between seasons. He had lost a significant
amount of weight, so this is supposed to be the
same day in the show. Drastic appearances. So he detailed
in his book that when he was heavier, that meant
he was drinking. When he was really thin, that meant
he was on pills. And when he was really really
thin with a goatee, that meant he was about to
go to rehab on the verge of his obioid issues.
Speaker 1 (05:29):
So the day of his death, let's talk about that,
he went and played pickleball in the morning. Kind of
a boring day. He went pickleball and then just wanted
to get in his hot tub and all of a sudden,
his living assistant found him unconscious in the hot tub
in the afternoon. Well, he was he was pretty dead, yeah,
I mean, I don't think that he was really unconscious,
(05:52):
but they they because it appeared that he was, I mean,
they would say unresponsive probably, but he was. He was
dead for all while there. So he pulled them out
of the water and above water, and he was pronounced that.
They didn't even take him to the hospital. So it
came as a shock. You know that. I don't know
(06:13):
if a lot of you know that his dad is
his stepdad is pretty famous Keith Morrison from Dateline. So
they called his family and they were very shocked because
even though he had this history of this alcoholic opioid abuse,
he was cleaned. They all thought that he was clean,
so they didn't think that it was due to drugs. Obviously,
(06:35):
he's in a hot tub that is two to three
feet of water, so they didn't think that he just drowned.
There was no evidence that he was suicidal. There was
no drug paraphernalia at the scene, so they were actually
treating it as if it was potentially some kind of
foul play. Which is why they didn't. He was found
(06:56):
dead at about four o'clock in the afternoon, and they
didn't and take them to the Medical Examiner's office for
autopsy until two o'clock in the morning, so they were
really investigating for hours after his body was found. Now,
they did interview his therapist who said that she did
not believe that he was suicidal. He had anxiety and
(07:19):
depression and he was doing ketamine therapy as a result
of his anxiety and depression. So ketamine is a disassociative
anesthetic drug that's used especially in cases. Let's say, for example,
you're in a bad car accident and your bone pops
through your leg and you're screaming in pain. They would
(07:40):
give you a medication like this that could help you
actually disassociate your mind from your body. It's used as
an anesthetic. But there's this controversial but treatment that has
been proven to work for some patients where they found
if they give them a microdose of ketamine that it
could help them with anxiety and depression, So they take
(08:03):
it and they don't feel high, but it helps them
feel better. So so that was to be expected as
far as the work up goes for this autopsy. Also,
he was taking a drug called bupen norphreen. I can't
say that or whatever, but that that's because he had
an opioid addiction, and that's it. It is an opioid drug,
(08:24):
but they give it for people that have an opioid addiction.
So as far as the autopsy goes, we know that
we should have been looking for those those two drugs.
And then we did the autopsy so we could we
have some of the pictures that we could talk or
not his pictures, but they're what we would see. So
he we do know that he had all of the
(08:46):
history of this massive GI perforation surgery and just he
was a chronic He was also a chronic alcoholic and
also a chronic smoker. I did talk about this a
little bit last night in my lecture. So he had
on his external exam clubbing of the fingertips, which you
could see in this photograph here. This is a really
(09:07):
extreme example of it, but you could see when people
have fingertips that are rounding over the tips of the fingers.
It's funny because we were talking about this recently and
then Maria noticed that someone had it one day.
Speaker 2 (09:21):
Yeah, the person we were talking to just happened to
have I was like, I know she has a problem.
Also pointing out when people have medical conditions, it's quite
wild to watch. Can you imagine if a random woman
just went up to you and was like, you have
this problem going on?
Speaker 1 (09:36):
Maybe I would have saved their life. You never know.
So this is clubbing of the fingertips is seen in
chronic low oxygen states. So not only did he have
a history, he was just like a really really major
addict with the alcohol and the drugs. And he also
smoked two packs of cigarettes a day, so he had
chronic lung disease COPD. He was diagnosed with an emphysema,
(10:00):
so that on external exam would be completely normal to
see with a person that has a chronic low oxygen state.
And he also had nicotine staining on his fingers, yellow
nicotine staining on his right finger. Now, so at autopsy
they showed they they said, and this is this is
(10:21):
I'm showing pictures based upon what I read in his
actual autopsy report. So this isn't him, but this is
what they described was in the autopsy report. So he
had anthrocotic pigment in his lungs, which is black pigment.
So you look at these lungs as soon as you
look at the chest plate, the lungs look like they're
(10:42):
black anybody that lives because the most of the autopsies
I've done in my career have been in Philadelphia, and
most people have a certain amount of black in their
lungs just because of breathing in Philadelphia city air, unfortunately.
But when this black, they're always a smoker. They're never
(11:02):
this black and just a person living in a city.
So that's one of the things that you can tell
if a person smokes, your lungs really do turn black.
And if you look at the surface of the lungs,
you could see these bubbles and that is consistent with emphysema.
So he had he had a pretty advanced emphysema. And
(11:24):
just to give you a picture of this, I'm just
trying to show you an example that his lungs were
very compromised. So when a person is taking medications and
their lungs aren't working great, that could just further lead
to their death. Another really interesting finding that they found
on autopsy when they looked at his lungs under the
(11:45):
microscope was something like this does anybody have any idea
what this is? It's really it's really really interesting. So
this is a picture of lung tissue under the microscope,
and this pink, this big pink structure in the middle
is actually vegetable cells. So you would say, well, why
(12:07):
would anybody have vegetable cells inside of their lungs. Well,
in chronic alcoholics, you could get a condition called aspiration pneumonia,
which happens when alcoholics throw up a lot and when
you're asperating the food that you're throwing up. So it's
he ate something that had vegetables plant material in it,
(12:28):
threw up and aspirated it, and it was in his lung,
So it's not that doesn't mean he was drinking currently,
Like this has been in his lung for a very
long time. You know, when you're eating something and you
choke and you say it went down the wrong pipe,
like sometimes it stays there and then it forms a
foreign body reaction around it. So I just thought that
(12:49):
that was an interesting finding. Another thing that I just
wanted to say. At his autopsy as well, like obviously
they saw signs of his previous surgery, and his heart
was also very large. It was four hundred and sixty
five grams. Normally for a male it should be about
like three hundred dish grams, so it was big. But
he also had fifty to seventy percent narrowing of one
(13:10):
of his coronary arteries. So with all of these findings,
it just there's he was not in good health. But
this there was no smoking gun that is why he died.
He could have had a heart attack at some point,
but it wasn't narrow enough to cause it right then
and there. Maybe within a couple of years he would
have ended up having a heart attack, but there was
(13:30):
no smoking gun that said this is exactly why he died.
So that's why they had to really rely on the
toxicology in this case. When they did the toxicology, so,
like we said, we were expecting to see some ketamine
because we knew he was having the treatments he had
won one week prior to his death, and we also
(13:50):
were expecting to see the bubenor freeing from the drugs
that he was taking for his opioid addiction. But they
when the toxic came back, his ketamine was three thousand,
five hundred and forty micrograms per mill leaders which is
not considered to be a low therapeutic micro dose that
(14:12):
is enough that would be seen in a person that
just got that injected for anesthesia. So the first question
is while who gave him that? Because we know he
didn't have anesthesia that day, So now we know, okay,
he was illegally taking ketamine. And then that's where the
(14:32):
investigated investigated. Why can't I tell you? The investigations started
to go like where did he get where was he
getting this from? Did he give it to himself? And
Maria could get into a little bit about what went
down with that?
Speaker 2 (14:48):
All right, So here are the major players in this case.
So Matthew detailed in his book that from two thousand
and one until his death in two thousand and twenty three,
he was mostly sober, take a few mishaps. So during
one of his mishaps, he ended up in a detox
facility in Europe. I believe it was in Sweden, and
(15:09):
there they introduced him to the ketemine therapy, which he
said was like getting hit over the head with a
happy shovel. Not a good idea for an addict. So
he comes back to the United States, he starts doing
legit ketymine therapy, but it's not enough, so he wants
to do it on his own time. So that's when
he gets introduced first to doctor Chavez and doctor Placentia.
(15:31):
So Doctor Chavez is creating these prescriptions, handing them down
to doctor Placentia, who's then showing Matthew assistant Kenneth how
to inject him with him in the back of a
car in a parking lot, or injecting him himself. So
eventually Matthew's demand gets so great that they can't fake
the prescriptions anymore and they don't know what to do.
(15:52):
But before we get to the next steps, let's point
out that these people who are medical doctors are texting
each other. I wonder how much is more on will
pay for these drugs? Fully taking advantage of him, they
were charging him two thousand dollars a vile for something
that cost them twelve dollars, absolutely ridiculous. So when they
can't keep up with his demand, that's when he meets
(16:13):
Eric Fleming, who was a Hollywood director and had connections
to drug dealers in Los Angeles. He is the connection
to Jasvi and Sanga, who is also known as the
ketymine queen. So now we know in this case, after
they did the autopsy, they found all this connection through
the investigation. His fatal dose came from the ketymine queen.
(16:35):
So why we're talking about this now basically is because
she has now just been sentenced to fifteen years in
his death, which we don't often see in cases like this.
Speaker 1 (16:45):
And really just to summarize what happened with him, his
assistant had given him this injection, he went in the
hot tub, he was compromised both in his respiratory and
cardiovascular system because of the emphysema as well as the
coronary artery disease, and then he got a fatal dose.
(17:09):
It wouldn't necessarily be a fatal dose, like if he
was at the hospital and had kedymine as part of
anesthesia and was being monitored, this wouldn't have happened to him.
But because he was being injected and monitored by a
person who left him alone in a hot tub that
wasn't a medical professional, he likely was in a semi
(17:30):
unconscious or a completely unconscious state and then slipped into
the water and then ended up drowning as a result
of that. So it was it was a cascading effect
of what exactly happened to him that led to his death.
Speaker 2 (17:43):
And he was very young, right, fifty forty four. Yeah,
so doctor Placenta got two and a half years federal prison.
Ketymine Queen just sentenced to fifteen years. His assistant Kenneth,
and then Eric and doctor Chavez all pleaded a guilty
and their sentences are still pending. But it is amazing
in this case that they held these five people accountable
(18:06):
for their role.
Speaker 1 (18:07):
Okay, next case.
Speaker 2 (18:09):
All right, So we've covered this case a couple times
on the show. This is the Mommy Makeover death. So
for those of you unfamiliar with this story, this woman
had been detailing her journey getting a tummy tuck on TikTok.
She posted as recently as the morning of her surgery,
and then all of a sudden, a couple days later,
her husband posted that the surgery did not go well
and she was on hospice and now her surgeon, assuming
(18:31):
the surgical center, trying to put blame on them because
he's been drug through the mud over this case.
Speaker 1 (18:39):
Yeah, so we're just trying to figure out exactly what
happened in this case. He said that there was minimal
blood loss, and there was very low doses of pain
medication given throughout the procedure, and he's accusing the surgical
center of overdosing her. Gave her one hundred and fifty
micrograms of finol and zero point five milligrams delauded. Now
(19:01):
that is considered to be especially there was a state
board investigation of it that that is within the normal
range of drugs to give after having surgery like that.
So they were saying that they were all clear with
that they did just because she became unresponsive. They gave
(19:25):
her narcan, which is a medication that would allow for
if there's shallow breathing after given an opioid medication, you
could give a drug called narcan, which is kind of
an antidote in a way to that particular drug. But
they gave her the narcan and nothing happened, and she
didn't come back. She lost oxygen for too long and
(19:49):
she but he I guess the surgeons, claiming they didn't
call nine one one for four whole minutes, which is
a long time when a person isn't breathing, and the
way that they were using the bag mask was improper
for so she went without oxygen for six whole minutes.
They said, now this is where this is where my
(20:11):
problem is. They said, they asked the husband for an
autopsy and he denied an autopsy. And I think that
that's gonna be a huge problem for him. Honestly, why
would he do that? Because people don't want to get
their family members caught up like that. Like, I understand
it's traumatic. Like your wife goes in to get plastic surgery,
(20:31):
which usually, let's talk about a Mommy makeover. I think
it's more than a Tommy talk, like a Mommy makeover.
Surgery is usually a Tommy talk and breast reduction or
some kind of breast augmentation and possibly light bosuction as well.
It's it's a very it's very it's it's like a
big deal of a surgery. It's multiple procedures done at once.
(20:54):
But you know your wife leaves and goes and does
that and she and you find out that she dying.
So he might just have been like you know what
I've had. It was emotionally too much for him to
deal with. I was not a good idea. Yeah, that's
what I was.
Speaker 2 (21:09):
Insane, Like I understand that from an emotional perspective. But
this is clearly going to be a lawsuit of some sorts,
and I feel like it's a massive oversight.
Speaker 1 (21:19):
Yeah, because if she if she went to the hospital
and was already had she had an anoxic brain injury,
which just means her brain was without oxygen for that long.
They're not really gonna work her up to see exactly
what led to that point. Was it the drug overdose,
but which they're saying that it wasn't a drug overdose
(21:40):
because the levels we were consistent.
Speaker 2 (21:45):
Well, it's a lot of back and forth because his
lawsuit is alleging that they have a history of oversedating
patients at the surgery center, and then he's also alleging
they try to cover it up by altering record tiding
the idea of the nurse involved pressuring the surge to
change his notes. But I guess we're gonna see over
time how this plays out, all right.
Speaker 1 (22:04):
So put up the next picture. So so, in addition
to I mean, one of the biggest complications obviously you
can become overdosed after a procedure, which is less likely
like the most common thing that would come of this
a person that has surgery and then just just goes
(22:27):
unconscious essentially right afterwards. The most common reason that that
would happen would be because of complications with the surgery itself,
so a pulmonary embolism of fat embolism or something like that.
So when you are when you're getting surgery, you're at
a risk for a pulmonary embolism. And we talked about
(22:48):
this in my lecture last night. It's actually the same
exact picture I used for my lecture last night. When
you develop a blood clot and that it could travel
into the lungs and can kill you, and that's what
we're looking at. And this picture over here to my
right your left, I guess, is that's a large blood
(23:09):
clot that traveled from the legs and then went up
into the pulmonary artery and got lodged there before it
could go into the lungs, and it caused a sudden
death like that. And that's how that would present a
person that was, you know, awake in talking and then
all of a sudden they just they're unconscious. And this
slide over here is a microscopic slide of lung tissue
(23:33):
and the red little globules are actually fat globules within
the lungs. So, like we were just talking about with
Matthew Perry, there should never be vegetable material in the lung.
There should never be fat in the lung either. But
fat embolism is a possibility during this surgery because they're
doing liposuction, and that's one of the complications that could
(23:54):
come with liposuction. So when they're sucking the fat out
with that particular instrument, they could accidentally hit the vascular
system and push fat into the vascular system, which can
travel to the lungs and the brain, and it could
cause death as well. Now we're kind of screwed in
this case because she didn't have an autopsy, so we
(24:15):
don't know what happened. And that's why I'm just telling
you guys as a PSA, if someone ever dies suddenly
like that, it's just better to do one. And I
do understand that people don't want to get their family
members autopsy. But another PSA I wanted to say is
that you have the right in a lot of cases
(24:37):
because sometimes if it's a homicide to medical examiner as
jurisdiction over the body and you don't really have any say.
But if you really talk to anybody that's doing the autopsy,
and you really voice your concerns. They could have just
done a like a heart and lung only autopsy that
would have been very minimally invasive with surgical incisions essentially,
instead of a whole huge thing, and most people will
(25:02):
really respect your decision in that. Like I've had to
do autopsies several times where they would say, you only
could go through this small incision in their abdomen that's
this big, and I would stick my arm up and
breach whatever I could get out of the hole because
that's that's just like what the family members wanted. So
it would have just been really a really good idea,
(25:24):
especially if he's deciding to try to sue them to
find out exactly what happened. All right.
Speaker 2 (25:31):
A woman got pregnant after having sex with identical twins
four days apart.
Speaker 1 (25:37):
She went to the court. She went to the courts
to have a paternity test, and the court said, you
both might be the father. Okay, So a lot of
people don't realize this, but identical twins have the same
exact DNA, which can be a problem for paternity, and
it also could be a problem when people commit crimes
(25:59):
because as we know, when you look up the DNA,
you know how they're they were. They always say it's
ninety nine point whatever percent. Well, that other percent is
it's too close for identical twins in most cases. So
what happens. The reason that they have the same DNA
is because you have the sperm from the dad and
(26:21):
the mom's DNA, and then you have the dad's DNA,
and when they come together and they make this they
make this embryo, it splits. That embryo could split in half,
and that so it's just the same exact DNA profile
that splits in half that causes the identical twins to
start growing. But once that egg, that uh embryo splits
(26:44):
in half. Even though those two embryos in theory have
the same DNA, as the cells keep dividing as those
individual humans are growing, there could be slight changes in
those DNAs that can differentiate between identical twins. You just
(27:04):
need to do a very specific test called ultra deep
next generation sequencing. So when you do a standard DNA test,
That's why I guess in this particular case, they said,
we can't tell who the father is with a standard
DNA test.
Speaker 2 (27:21):
All right, I guess my first question is which was
this a result of some trickery on behalf.
Speaker 1 (27:26):
Of one of the twins, or was she really having
tights with brothers. Maybe it's like a knk or something.
Speaker 2 (27:33):
It The whole thing is just totally weird. So yeah,
each of the twins had a fifty percent chance of
being the father, and then one the other twin. All right,
so let's say Twin A was listed as the father
on the paperwork, but then the woman and twin B
wanted to be the official parents, but they said, because
the court can't determine which one is the father, both
(27:55):
of them don't technically have rights.
Speaker 1 (27:56):
So she just gets like totally screwed out of child
support because they can't tell. I don't know, I just
think this it's so outrageous. People are also it's yeah,
get with him, Maria. Well, all right, let me tell
you about Let me tell you a little bit about
this this ultra deep next generation sequencing, because it's really
(28:20):
it's really interesting. When I was looking into this, so
a journal called Forensic Science International Genetics had a paper
from twenty fourteen that sequenced DNA from sperm samples from
two twins from a blood sample of the child of
one twin, and it revealed different changes that were present
in the twin father and the child, but not with
(28:42):
the twins uncle, which it just becomes complicated because then
the children kind of can have the same DNA with
the father. It's just like all complicated. But it's a
first of its kind. From a case from nineteen eight
eighty seven, there was a case solved, actually a criminal
(29:04):
case that was solved with this with the CC Moore
who's always you know, talking about genetic DNA and stuff.
So they were able to differentiate between identical twins using
this particular sequencing. So it is possible, but it's it's
kind of right now. Well, no, it is right now.
(29:26):
It's just expensive and it's very hard to do. And
that's why in like a paternity testing case, they probably
won't use the resources, but they can do it while
the babies in utero. No, I don't think, yeah, because
she's pregnant, right, Okay, well then there you go. After
the baby's born, they can figure it out, I suppose.
Speaker 2 (29:47):
But right now it's just the most ridiculous thing I've
ever heard.
Speaker 1 (29:50):
I just think it's so weird.
Speaker 2 (29:51):
Didn't anybody watch Palm Roel the Apple TV show. This
is a storyline on there. Kristen wigs twin sister comes
out of nowhere and has sex with her husband and
he has no idea.
Speaker 1 (30:00):
Well, and we had a similar story too. That's why
women especially should always stick to the role of like
one guy per month, because we had a story of
like last year of a woman that had a double
uterus and then she ended up getting pregnant by two
different guys in each side of her uterus. Remember that, Yeah,
(30:22):
So like, just don't do that. I guess it's not
a good idea, all right.
Speaker 2 (30:30):
Last September, a fifty eight year old woman in Greece
was working in the field near grazing sheep when suddenly
fly swarmed her face. This is not a picture of
this incident. This is just what I envisioned. But within
a week she developed pain in her upper jaws, started
having issues coughing. A couple of weeks go by, and
then she sneezed out when she believed to be worms
(30:51):
but which actually maggots.
Speaker 1 (30:54):
Yes, so she had surgery to remove ten of these
larvae at various stages, and one pupa out of her sinuses.
The pupa is so this, this one that is labeled
to see is what she actually sneezed out, which is
legit like a maggot in its metamorphous stage about to
(31:16):
be a fly. And she had these up inside of
her nostrils. So normally, so what happens in the hospital
is they they will do this this. I mean, this
happened in another country. I always like to say that
because the parasitic infections in general, they do happen here.
I've seen them, but but it's not like it is
(31:38):
in other countries, so that you could just like think
about that for a second. But when they do so,
we used to have a person in the microbiology lab.
This is when I was a when I was a student,
and also was I was working part time at Hannemann Hospital,
which isn't even a thing anymore, but we used to
(31:58):
have in the microbiology lab. We used to have a
person that was a parasitologist that just specialized in looking
at parasites. So if they did remove something like this
during surgery, they would send it down to him, so
not only would he look at the morphology of it
underneath of the microscope and that's how they're able to
determine what it is, which this was a sheep bought fly,
(32:21):
but also now with DNA they could actually send DNA
sequencing of it to find out exactly what species is it,
because whenever you have people that have parasitic infections, it
becomes a public health issue, and that's why they really
have to identify exactly where it came from. So this
sheep botfly, its natural host is a sheep, and what
(32:45):
happens and goats too. What happens is that the fly
goes up into the animal's nose and then it lays
eggs in the nose of a sheep or a goat,
which then they end up hatching. The eggs hatch and
turn into the larvae which looked like the maggots and
they're not. And then usually the animal will sneeze and
(33:07):
then that's when the life cycle continues in the dirt
where it turns into a pupa and then eventually a fly,
and then the life cycle just continues. It rarely affects humans,
and usually when it does, it deposits the eggs on
a human's eyes, not in their nose. So this particular
case is just weird, and they were trying to figure
(33:30):
out why this woman got it up inside her nose
like that, because normally our human noses don't have the
environmental requirements for this organism to thrive. But she had
a really bad deviated nasal septum which was allowing access
into her sinuses and that normally a person wouldn't have,
(33:53):
and that's how they figured out that she was able
to get this kind of infestation. There's the fly. But
all right, let's talk about butt floss.
Speaker 2 (34:10):
A TikToker is sharing a traumatic experience where she ended
up needing emergency surgery all thanks to wearing thongs.
Speaker 1 (34:18):
So yeah, so now doctors are saying that thongs are
causing women trouble because of the constant rubbing of the
butt floss in the in the cracks. So this particular
woman had to have something a surgery done on something
called a pilon idol cyst. I don't know if any
of you have ever heard of that, but it's caused
(34:39):
by friction and irritation in the gluteal cleft otherwise known
as the butt crack. And what happens is that an
hair and debris get pushed in to the skin. It
causes this is a really gross word in vagination. That's
that's a that's a word we used to describe when
the hair starts grow, it funnels down deep into the
(35:04):
soft tissue. So what's really interesting about pilon idol cysts
is this used to be called jeep disease because in
World War Two a lot of guys would get it
because they were sitting in the jeep and like bouncing
up and down. It was like rubbing on their their
butt cracks. So fifteen to thirty five years old is
the age range, and it's so we get them from
(35:27):
time to time. In surgical pathology, they just excize it
and hopefully it could just be taken out and that's it.
But a lot of people like it's kind of a
bit for a lot of people. They get absesses in it,
and they could drain and they could smell really bad,
and it's it's benign though it's not cancerous. It just
can be like a little life changing for people. So
(35:50):
I knew a guy that had one and he used
to have he used to have to like wear a
pad like in his underwear, like because it drained all
the time. And it smelled kind of bad. Eh. So
as with any Mother Knows Death show, we have to
wrap up with a rectal foreign body. This one's for you, Joe.
(36:12):
We couldn't believe we made you blush with the thermost stories.
We have one every week, all right.
Speaker 2 (36:19):
So a sixteen year old boy was having a persistent
fever and despite getting treatment, it wasn't going away for weeks.
This is thirty five days. This kid has a fever.
And finally he admitted, after his condition worsened, that he
inserted a smartphone stand up his butt. Yes, so I put,
(36:39):
I actually posted this in the gross room this week,
and I called the post tigger because I thought a
bet little curly tail on his butt. The CT scan
showed this. You could see this little coil that is
inside of the rectum. So they they were trying to
(37:00):
think if they could remove it by colonoscopy and that
just wasn't happening, so they had to open him up
and do surgery to remove it. So when they did
the surgery, this is what they found in their huge
and to the and it actually perforated the bell a
(37:21):
little bit, but it was in the retroperitoneal space. So
that's kind of behind the main abdominal cavity, so that's
why he was having a slow leak of fecal material
outside of there, but it was confined in that little space,
so that's why he was allowed to go all of
(37:42):
that time. He went thirty five whole days with this
thing inside of his ractum.
Speaker 1 (37:47):
So you don't think he fell on it and just forget,
because that's what they all said. They all say that exactly.
But it's it's a weird shape because normally when people
use this is like a weird wrecked a foreign body, honestly,
because usually it's it's like a shampoo bottle or something
that something normal, something that yes, something, it's something, but
(38:11):
usually when people do it, it it plugs you up completely,
so you're not able to go to the bathroom anymore,
which would make you have to go to the hospital
way faster than thirty five days. But because of this coil,
fecal material was able to get so he was able
to pass his stool through it, which is unusual, and
(38:31):
that's why he had a low grade fever for thirty
five days. But you know, he was able to not
die and get sick from that leak because it was
in that retroperitoneal space, luckily for him, so they've removed
it and closed up the perforation and he's fine. I mean,
I just said, you know, I showed you guys in
(38:55):
my lecture last night that I'll never forget. My mom's
back there. She'll she'll remember this story. I came home
from work. This is when, this is when I was
like still living at home a long time ago, and
I came home from work and I said to my dad,
you don't know this specimen we got today, like some
some wife stuck a pair in her husband's butt and
(39:15):
like started eating it out and it got stuck up
there like and my Dad's like, you what, like he
couldn't believe it, and he was just like, I would die.
I'll die with that pair up my butt. I would
not go to the hospital. Like he just was like
it was so funny like that. And then I'm thinking,
like with this kid, like imagine like not only the
(39:36):
embarrassment of going to hospital, but you have to tell
your parents like I did this and you have to
bring me to the hospital. I think about this constantly.
Speaker 2 (39:44):
Or Joe, in the case we covered that got the
police department had to find that thermis up that man's butt.
Speaker 1 (39:50):
So absolutely, this is just showing this is just showing you,
like a real a diagram of where this this spring
is blue. But how it actually worked to his benefit
in this case that it wasn't all of it was
all contained in that one space and wasn't able to
(40:10):
invade his abdominal organs there because that would have made
it worse for him. So it ended up being a
good thing. I guess.
Speaker 2 (40:21):
Well, thank you guys so much for coming this weekend.
Speaker 1 (40:25):
Yes, thanks for coming this weekend. It was really great.
Thank you for listening to Mother nos Death. As a reminder,
my training is as a pathologists assistant. I have a
master's level education and specialize in anatomy and pathology education.
I am not a doctor and I have not diagnosed
(40:46):
or treated anyone dead or alive without the assistance of
a licensed medical doctor. This show, my website, and social
media accounts are designed to educate and inform people based
on my experience working in pathology, so they can make
healthier decisions regarding their life and well being. Always remember
(41:08):
that science is changing every day and the opinions expressed
in this episode are based on my knowledge of those
subjects at the time of publication. If you are having
a medical problem, have a medical question, or having a
medical emergency, please contact your physician or visit an urgent
care center, emergency room, or hospital. Please rate, review, and
(41:31):
subscribe to Mother Knows Death on Apple, Spotify, YouTube, or
anywhere you get podcasts. Thanks
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