Many true criminal offence aficionado are intimate with the popular portrayal of coroners and medical inspector and their daily fundamental interaction with the idle . In the real universe , their essential task — sustain a end and cypher out what cause it — is far more involved than what you see on television system . Mental_flossspoke withGraham Hetrick , medical examiner for Dauphin County , Pennsylvania and virtuoso of Investigation Discovery ’s showThe Coroner : I utter for the Dead , as well as several other medical inspector , to get some insights about their work on the autopsy table and elsewhere .

1. THERE CAN BE A BIG DIFFERENCE BETWEEN MEDICAL EXAMINERS AND CORONERS.

The coroner organization dates to medieval England , when these official , then calledcrowners , worked for the tycoon investigating frauds , thefts , and death . These sidereal day , a coroner ’s main duty are to confirm and certify a decease , and to determine whether an investigation is warranted . prerequisite for coroners motley wide from body politic to state , with some commonwealth requiring that they be license pathologists while others allow jurisdictions to elect laypeople to the position . Other state , specially those with gravid urban core , have take systems employ medical examiners — who are always doc , never laypeople .

But while medical examiner in a few jurisdiction may hold little more than a gamy school sheepskin , many are highly dependent pro . Hetrick has a in particular wide-ranging background . He is also a aesculapian effectual expiry investigator ( an expert in examining the mode and cause of demise ) , thanatologist ( a specializer in the scientific subject of death ) , forensics consultant , and funeral manager , with in advance grooming in lineage pattern analysis , crime prospect management , and forensic sculpting . Hetrick say that while Pennsylvania use mainly coroners , his system is a intercrossed one in which he works closely with a forensic diagnostician .

2. MEDICAL EXAMINERS ARE DOCTORS—BUT FOR THE DEAD.

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Bruce Goldfarb , executive supporter toBaltimore’schief medical quizzer , explains that while all of the doctors in his department are board - certified forensic pathologists , other urban center have had medical quizzer who are obstetricians or dentists . But no matter what , Goldfarb says , aesculapian examiner are still “ doctors doing medico work . When we go to the doctor , they do a physical examination , maybe send you for a chest x - ray , arrange a urinalysis or stock tests , and then they figure out what , if anything , is wrong with you . Our doctors do the same affair , except the patient is dead and they ’re trying to figure out why . ” Unlike unconstipated doctor , however , medical examiners do n’t generally have to apportion with medical insurance or malpractice suits .

3. THEY MAY NEED TO CALL IN A BOTANIST.

coroner and aesculapian examiner join forces closely with other experts , let in forensic lensman , toxicologists , forensic anthropologists , and odontologists ( dental expert ) . Hetrick compares his persona as a medical examiner to that of an orchestra director , overseeing unlike instrument come together to play “ the music of the dead . ” He notes that specialists from fields that might seem unrelated to his work — such as entomologist and botanists — can be very helpful in determining clip of death base on the life history forms that have taken root in a cadaver . He describes one case , profiled inepisode 4ofThe Coroner , in which he called in a botanist to canvass a industrial plant arise through the eye socket of a skull in lodge to pinpoint how long the body had been in that smudge .

4. THEY ADVOCATE FOR THE DEAD.

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When most people cogitate of protagonism , they call back of efforts to protect the rights of disenfranchised population among the living . But multitude who have died under orphic condition or as a effect of force need advocates too . Dr. Marianne Hamel , a New Jersey - based aesculapian inspector and one of the creators of the projectDeath Under Glass , say of her oeuvre : “ It assist to look at the business as advocacy for the utter — they are , in many way , the most disenfranchised among us . They ca n’t take the stand for themselves or straight say a jury the story of their suffering . That ’s the job of a forensic pathologist . ”

Hetrick expands on this outlook , seeing it as his duty to listen to the stories that the dead tell through their physical comportment , including damage and decay to their dead body and their billet in a crime shot . “ I am a storyteller , ” he enjoin , “ but they are not my stories . ”

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5. THEY HAVE TO BE VERY CAREFUL AT A CRIME SCENE.

In addition to being connected to a wide raiment of forensic and other science , the work of coroner and aesculapian research worker is closely tie to sound investigations into specific deaths . Hetrick accent that forensics is “ science applied to law , ” meaning that all physical evidence reveal during a forensic investigation must hold up in royal court . “ Otherwise , ” he enounce , “ it ’s just thought . ”

In order for grounds foregather during a medical examiner ’s or aesculapian examiner ’s investigating to support up in court , the investigators must be thoroughly familiar with crime scene function and come after chain of evidence practices . Sir Ernst Boris Chain of evidence refers to proper collection and processing of crime panorama grounds , including exhaustive , uninterrupted documentation of who handled the evidence and when . Hetrick says that failure to correctly document treatment of grounds affected the outcome of the O. J. Simpson instance , make it impossible to convict Simpson in criminal court .

6. THEY ARE SLEUTHS.

Penn StateFaculty Cottages forensic science programme viaFlickr//CC BY - NC - ND 2.0

The job of a coroner or aesculapian examiner demands endless curiosity and a desire to extract the the true from every case . This process can take years , and many of these professionals discover being haunted by inhuman cause that were never solved . Naturally , persistence and a strong trouble - puzzle out aptitude are worthy attributes . Goldfarb says one of the most challenging types of cases is also one of the most common — somebody “ recover dead at home , no obvious injuries , no sign of loathly play . … It could be anything ; drug insobriety , heart plan of attack / stroke , head harm … could be suicide , could be accident , could be homicide . Every possibility has to be moot and ladder down . ” Hamel adds that cases are not always what they seem at first , and that she may encounter a lifelike end that turn out to be a drug overdose , or a suicidal hanging that is actually an autoerotic suffocation .

7. THEY ARE NOT ALWAYS PORTRAYED ACCURATELY ON TELEVISION.

Hetrick tell Investigation Discovery ’s show capture many important aspects of his profession , in particular the science behind it and the interactions of coroners with the rest of the probe . fabricated portrayals of coroners and medical investigators , however , are not always so precise . Hetrick says the typical television pathologist , laboring in a laboratory in closing off , often strike him as “ kind of disturbed . ” Goldfarb says that in real living , investigations usually do not roll up as quickly as they seem to on television . Plus , homicides — which represent about 4 to   5 per centum of the font the Baltimore OCME investigates — are overrepresented .

Hamel fit that television is prostrate to bend the truth in the name of dramatic event . “ I do n’t carry a gun , I ’ve never interrogated a live defendant , and , ” she says , “ I do n’t perform autopsy in the midsection of the Nox under a individual , barren , swinging tripping bulb . ”

8. THEY WORK WITH THE LIVING, TOO.

Paul Sablemanvia Flickr //CC BY 2.0

In improver to their interaction with law enforcement and forensics specializer , a big part of medical examiner ’ and aesculapian examiners ’ jobs entail communicating with grieving family appendage . Hamel emphasizes the need to remain even - tempered and compassionate toward family member who may become understandably distraught or furious . Goldfarb , who has a background in psychological medicine and crisis intervention , concurs . “ One of the challenges of the task is always go on in head that for me this is an average Monday , but the people I verbalize with on the phone are having one of the risky days of their life , ” he says .

Hamel adds that , contrary to the stereotype of the shy , solitary forensic pathologist , people in her area are often called on to bear witness before a jury or to lambaste death investigators or police trainees — so it help to be outgoing .

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9. DEATH INFORMS THEIR OUTLOOK ON LIFE.

Memento mori mosaic from Pompeii , Naples Archeological Museum viaWikimedia// Public Domain

Hetrick emphasizes that one of the main differences betweenThe   Coroner : I Speak for the Deadand other forensic investigation shows is its emphasis on what the dead have to instruct the aliveness . “ The reason I ’m doing the show , ” he says , “ is because of what the dead show us about how we dwell and how we should live . ” For Hetrick , this mean examining both the psychology of those who invest murders and what their action say about society , as well as the impact that deaths have on exist people . He describes his interaction with the family of the dupe limn in the show ’s first episode — a cleaning woman refer Iris who was killed while render to build a better spirit for herself — as emotional , but says it was gratifying to see Iris ’s daughter motivated to pursue her dreams in part because of the premature expiry of her female parent .

On a more personal stage , Hetrick says the invariant exposure to death prompts him to constantly reevaluate his own life history , and to avoid taking anything for award . “ It ’s a very flimsy line [ between spirit and expiry ] , consider me , ” he say . “ A mint of people on that autopsy table think today was just another solar day . ”

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