A brief memoir on cutting up dead bodies
8 02 2007Will two washing tablets and two cupfulls of perfumed conditioner be enough to get the stink out? Maybe three. Even as I pushed my stained-and-minging-with-blood-and-formalin labcoat into the washing machine, I felt a smile break somewhere inside me of how matter-of-factly I manage to go about my motions during the weeks of dissection. Maybe I really have taken the leap of being totally nonplussed about the whole slasher routine that unfolds through my fingers every morning. Strange what routine does to you. Which calls for a perfect reminder of the journey that’s turned me into this relatively hard-skinned butcher that I am today.
Signing up
However much this might surprise you, dissection at my med school has always been optional (blame the lack of funding and a renewed interest in empowering doctors with psychosocial crap in the latest white papers which don’t seem to mind if the newly graduated clinicians can’t differentiate between a nerve and a string of fascia). About a quarter of a cohort signs up for the intensive two week module every year and attends it in an anatomy lab where eight corpses lie covered on separate stretchers and each cadaver is shared between 6-7 people. With a brief intro in the morning and afternoon, 2-4 hour long sessions involve novice med students poking with their scalpels, scissors and fingers, laughing and grimacing, getting disgusted and awed in perfect tandem.
The first year
This is the year of the hype. The build-up. The tension and the anxiety. Its the year when you, for the first time, legitimately slash another person (albeit a dead one) to pieces. First comes the dreaded unveiling. Wrapped in two layers of white sheet, as the covers come untucked, the first thing to chill every bone of your body is the expression on the cadaver’s face. The first impression of watching someone frozen in a half-scream: the lips fixed open, only some creases and lines fixedly pronounced and the stiff half-open eyelids revealing an eye-less black nothingness isn’t admittedly a pleasant one. Top that with the fact that as you touch the shaved head, the sprouted hair feel as alive as your weekly stubble and the surreal moment of realisation of a key emotion felt is complete. Its the defining moment when you tell yourself that you are indeed governed by your biology. Life is finite, fragile; death is one of its biggest truths; and at the end of the day, the human body is basically a machine. After this brief 10-15 seconds of silent existential awakening, from which you are rudely awaken by the stench of the formalin and tissue, you begin the routine.
The first cut begins with you holding the scalpel in one hand, and shouting to yourself inside “Its alright, you are just cutting a non-living doll open” close to 30 times before the blade touches the ashen skin and just like that, you run your blade down like slicing away a birthday cake. The fact that no blood comes gushing out is a huge contributory factor in you getting “warmed-up” to this small miniplex of slaughter within the first half an hour.
In the first year we basically have to cut open the limbs which starts with first peeling the skin away after we have made the guiding cuts. You begin the skinning by first revealing a corner of the cut skin and pulling on it to let it tear away from the underlying muscle. The greasy layer of fat just beneath the skin and the sound effects of you cruelly ripping away the skin are just two of the things that make the squeamish around the corpse-table squeal and run. Still, of the two weeks, peeling the skin off remains an absolute favourite amongst the dossers of the groups. With one person holding fat pads and fascia layers with tweezers and the other casually slicing it all with his scalpel, its one of the few jobs that’s as smooth as applying butter on the bread, gives quick results and allows a lot of free mental bulk for chattering away to your heart’s content .
The first two days go about finding and naming every muscle and its respective tendon in the upper arm, then the lower arm, then the hand (skinning the palm and the fingers is strangely goosebump inducing), then the thigh and the lower limb along with the feet. The last two days involve butchering every bit of muscle and exposing the bones. And it doesn’t end there; to have a good look at the insides of the knee, hip, elbow and shoulder joints, the last day involves some serious pulling and jerking of bones to snap them out of place and poke into the gooey synovial joints.
7 more memorable things about the 1st year dissection:
1. Not having non-vegetarian food for the first week of dissection (its like your eyes and nose are stuck in a weird synaesthetic loop. You see any meat and you smell the stink of your anatomy lab).
2. Wishing you had bleach to wipe the foul smell away from your hand everyday at the washing-up sink.
3. Getting over-zealously confident in the 2nd week and accidently making a minor cut on your finger that makes everyone’s jaw drop with worry that you have contracted every virus on the planet. Subsequently, getting freaked out yourself at the possibility of what if you really have contracted any.
4. Coming home and explaining the tiniest gory detail to the family and then laughing at their grossed out expressions.
5. Naming the cadaver “Juicy Lucy” on account of the fact that every cut made on her body leaked out more formalin mixture which used to sting the eyes.
6. Not even daring to think about female genitalia within any sexual context (imagine!) for weeks after butchering away in its vicinity during lower limb dissection and staring at a dead woman’s pubes for days together.
7. The hair-pullingly hard exam at the end of the module. 100 true/false statements with stuff like “Does the proximal branch of this and this nerve runs medially to this and this artery below the middle arm of so and so muscle?”
In the next post: The second year.
Categories : Medicine, Random Ramblings


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