I have asked Arpad what it’s like to do this sort of work. “What do you mean?” he asked me back. “You want a vivid description of what’s going through my brain as I’m cutting through a liver and all these larvae are spilling out all over me and juice pops out of the intestines?” I kind of did, but I kept quiet. He went on: “I don’t really focus on that. I try to focus on the value of the work. It takes the edge off the grotesqueness.”
As for the humanness of his specimens, that no longer disturbs him.
Though it once did. He used to lay the bodies on their stomachs so he didn’t have to see their faces.
This morning, Arpad and I are riding in the back of a van being driven by the lovable and agreeable Ron Walli, one of ORNL’s media relations guys. Ron pulls into a row of parking spaces at the far end of the UT Medical Center lot, labeled G section. On hot summer days, you can always find a parking space in G section, and not just because it’s a longer walk to the hospital. G section is bordered by a tall wooden fence topped with concertina wire, and on the other side of the fence are the bodies. Arpad steps down from the van. “Smell’s not that bad today,” he says. His “not that bad” has that hollow, over-upbeat tone one hears when spouses back over flowerbeds or home hair coloring goes awry.
Ron, who began the trip in a chipper mood, happily pointing out landmarks and singing along with the radio, has the look of a condemned man. Arpad sticks his head in the window. “Are you coming in, Ron, or are you going to hide in the car again?” Ron steps out and glumly follows. Although this is his fourth time in, he says he’l never get used to it. It’s not the fact that they’re dead—Ron saw accident victims routinely in his former post as a newspaper reporter—it’s the sights and smells of decay. “The smell just stays with you,” he says. “Or that’s what you imagine. I must have washed my hands and face twenty times after I got back from my first time out here.”
Just inside the gate are two old-fashioned metal mailboxes on posts, as though some of the residents had managed to convince the postal service that death, like rain or sleet or hail, should not stay the regular delivery of the U.S. Mail. Arpad opens one and pulls turquoise rubber surgical gloves from a box, two for him and two for me. He knows not to offer them to Ron.
“Let’s start over there.” Arpad is pointing to a large male figure about twenty feet distant. From this distance, he could be napping, though there is something in the lay of the arms and the stillness of him that suggests something more permanent. We walk toward the man. Ron stays near the gate, feigning interest in the construction details of a toolshed.
Like many big-bellied people in Tennessee, the dead man is dressed for comfort. He wears gray sweatpants and a single-pocket white T-shirt.
Arpad explains that one of the graduate students is studying the effects of clothing on the decay process. Normally, they are naked.
The cadaver in the sweatpants is the newest arrival. He will be our poster man for the first stage of human decay, the “fresh” stage. (“Fresh,” as in fresh fish, not fresh air. As in recently dead but not necessarily something you want to put your nose right up to.) The hallmark of fresh-stage decay is a process called autolysis, or self-digestion. Human cells use enzymes to cleave molecules, breaking compounds down into things they can use.
While a person is alive, the cells keep these enzymes in check, preventing them from breaking down the cells’ own walls. After death, the enzymes operate unchecked and begin eating through the cell structure, allowing the liquid inside to leak out.
“See the skin on his fingertips there?” says Arpad. Two of the dead man’s fingers are sheathed with what look like rubber fingertips of the sort worn by accountants and clerks. “The liquid from the cells gets between the layers of skin and loosens them. As that progresses, you see skin sloughage.” Mortuary types have a different name for this. They call it “skin slip.” Sometimes the skin of the entire hand will come off. Mortuary types don’t have a name for this, but forensics types do. It’s called “gloving.”
“As the process progresses, you see giant sheets of skin peeling off the body,” says Arpad. He pulls up the hem of the man’s shirt to see if, indeed, giant sheets are peeling. They are not, and that’s okay.
Something else is going on. Squirming grains of rice are crowded into the man’s belly button. It’s a rice grain mosh pit. But rice grains do not move.
These cannot be grains of rice. They are not. They are young flies.
Entomologists have a name for young flies, but it is an ugly name, an insult. Let’s not use the word “maggot.” Let’s use a pretty word. Let’s use “hacienda.”
Arpad explains that the flies lay their eggs on the body’s points of entry: the eyes, the mouth, open wounds, genitalia. Unlike older, larger haciendas, the little ones can’t eat through skin. I make the mistake of asking Arpad what the little haciendas are after.
Arpad walks around to the corpse’s left foot. It is bluish and the skin is transparent. “See the [haciendas] under the skin? They’re eating the subcutaneous fat. They love fat.” I see them. They are spaced out, moving slowly. It’s kind of beautiful, this man’s skin with these tiny white slivers embedded just beneath its surface. It looks like expensive Japanese rice paper. You tell yourself these things.
Let us return to the decay scenario. The liquid that is leaking from the enzyme-ravaged cells is now making its way through the body. Soon enough it makes contact with the body’s bacteria colonies: the ground troops of putrefaction. These bacteria were there in the living body as well, in the intestinal tract, in the lungs, on the skin—the places that came in contact with the outside world. Life is looking rosy for our one-celled friends. They’ve already been enjoying the benefits of a decommissioned human immune system, and now, suddenly, they’re awash with this edible goo, issuing from the ruptured cells of the intestine lining. It’s raining food. As will happen in times of plenty, the population swells.
Some of the bacteria migrate to the far frontiers of the body, traveling by sea, afloat in the same liquid that keeps them nourished. Soon bacteria are everywhere. The scene is set for stage two: bloat.
The life of a bacterium is built around food. Bacteria don’t have mouths or fingers or Wolf Ranges, but they eat. They digest. They excrete. Like us, they break their food down into its more elemental components. The enzymes in our stomachs break meat down into proteins. The bacteria in our gut break those proteins down into amino acids; they take up where we leave off. When we die, they stop feeding on what we’ve eaten and begin feeding on us. And, just as they do when we’re alive, they produce gas in the process. Intestinal gas is a waste product of bacteria metabolism.
The difference is that when we’re alive, we expel that gas. The dead, lacking workable stomach muscles and sphincters and bedmates to annoy, do not. Cannot. So the gas builds up and the belly bloats. I ask Arpad why the gas wouldn’t just get forced out eventually. He explains that the small intestine has pretty much collapsed and sealed itself off. Or that there might be “something” blocking its egress. Though he allows, with some prodding, that a little bad air often does, in fact, slip out, and so, as a matter of record, it can be said that dead people fart. It needn’t be, but it can.
Arpad motions me to follow him up the path. He knows where a good example of the bloat stage can be found.
Ron is still down by the shed, effecting some sort of gratuitous lawn mower maintenance, determined to avoid the sights and smells beyond the gate. I call for him to join me. I feel the need for company, someone else who doesn’t see this sort of thing every day. Ron follows, looking at his sneakers. We pass a skeleton six feet seven inches tall and dressed in a red Harvard sweatshirt and sweatpants. Ron’s eyes stay on his shoes. We pass a woman whose sizable breasts have decomposed, leaving only the skins, like flattened bota bags upon her chest. Ron’s eyes stay on his shoes.