Tag Archives: decomposition

HOW NOT TO EMBALM A POPE

Pope Francis recently passed away. He lay in state at the Vatican, in an open casket, for three days while over a quarter million people filed by and respected his body. Francis remained remarkedly well preserved unlike Pope Pius XII who died in 1958 and became the poster boy of morbid mortuary fails and the most grotesque example of how not to embalm a pope.

When I saw newsfeed afterlife photos of Pope Francis, eyes closed, dressed in red vestments, wearing a bishop’s miter, and lightly clutching a rosary in his bare hands, I was struck by how life-like he appeared. Having considerable experience around dead bodies and knowing the decomposition process, the first thing in my mind was, “Wow, they did a great job of embalming. I wonder what process they used?”

It was minimal invasive thanatopraxia, not the never-tried-before embalming method employed on Pius XII that resulted in the most undignified incident in papal history which horrified the faithful clergy and nauseated the public mourners.

We’ll look at what went ghastly wrong with incorpsing Pope Pius XII but first let’s review the history of human body preservation and the science of decomposition.

The Ancients and the Afterlife

The practice of embalming goes back more than 6,000 years. The Egyptians get most of the credit, and rightfully so. They mastered a method that mummified bodies so well we’re still unwrapping their secrets today. Of interest, read the Dyingwords article titled The Lost Art of Making Mummies.

Back then, embalming wasn’t just a medical procedure—it was a spiritual rite. The Egyptians believed in an afterlife that required a well-preserved vessel for the soul. So, they developed a meticulous process involving evisceration (organ removal), desiccation (drying), and resin-based sealing.

Here’s what that looked like:

  • The brain? Removed through the nostrils using a hooked instrument.
  • The intestines, stomach, liver, and lungs? Taken out through an abdominal incision and often placed in canopic jars.
  • The heart? Sometimes left in, sometimes not. That depended upon the dynasty and theology of the day.
  • The body? Packed with natron salt for 40 days to dehydrate the tissues before being wrapped in linen soaked in oils and resins.

The results? Bodies that could last for many millennia. Not pretty, but persistent.

Other cultures had their own versions. The Chinchorro of South America were embalming their dead a thousand years before the Egyptians. Greeks and Romans experimented with honey, spices, and lead-lined coffins. The Chinese used mercury. Everyone wanted to cheat time, but none did it with quite the same ritualistic precision as the Pharaohs’ embalmers.

From Sacred to Sanitary — The Middle Ages to the Renaissance

Once Christianity took hold in Europe, embalming practices changed. The early Church frowned on mutilating the body, which was seen as a sacred temple. Instead, burial became the norm, often with little more than prayers and herbs.

But during the Middle Ages, embalming resurfaced—this time for more pragmatic reasons than spiritual ones. Kings, nobles, and church leaders often died far from home, and the only way to get them back without stinking up the countryside was to pack the body with preservatives. That usually meant alcohol, myrrh, or wax, wrapped tightly to delay decay.

Then came the Renaissance. Along with new art and new ideas came new interest in human anatomy. Surgeons, scientists, and physicians began dissecting cadavers, and they needed a way to keep bodies from decomposing before their scalpels could learn anything.

This is when we saw the rise of arterial injection techniques, particularly in Italy. Instead of just treating the surface or packing the cavities, early anatomists began experimenting with injecting preservative fluids into the blood vessels—a precursor to modern embalming.

Modern Embalming Is Born — Thanks to War and a Cold Body Count

The real shift toward modern embalming came with the American Civil War (1861–1865). Thousands of soldiers were dying far from home, and grieving families wanted their boys brought back in a condition fit for burial. Enter Dr. Thomas Holmes, often called the “Father of Modern Embalming in America.”

Holmes developed a formula based on arsenic and alcohol, which allowed him to embalm bodies quickly and effectively. He reportedly embalmed over 4,000 Union soldiers during the war. Word got out. Embalming became a recognized profession, and traveling embalmers followed the carnage across battlefields.

After the war, funeral homes emerged as legitimate businesses, and embalming became standard practice. The U.S. in particular embraced it more than any other country. By the early 20th century, embalming was no longer a battlefield necessity—it was a cultural expectation.

The Rise of Formaldehyde and the Funeral Industry

In the early 1900s, formaldehyde replaced arsenic as the go-to embalming chemical. Arsenic, after all, had a nasty side effect—it poisoned the ground and anyone who tried to exhume the body. Formaldehyde was seen as safer (relatively), more stable, and more effective at halting decomposition.

The technique was refined:

  1. Arterial injection of embalming fluid through the carotid artery.
  2. Drainage through the jugular vein.
  3. Cavity embalming with a trocar (a hollow needle) to remove and replace internal fluids with preservatives.
  4. Surface treatments and reconstruction, particularly for trauma or decomposition cases.

By mid-century, embalming was as routine in North America as brushing teeth. A new profession emerged—the embalmer as technician, equal parts chemist, artist, and psychologist.

But embalming wasn’t just about science. It became part of the “death care” industry, an entire system designed to sanitize and soften death’s realities for the viewing public.

Present Day — From Science to Aesthetics

Modern embalming is as much about presentation as preservation. The goal is often to create a “memory picture”—a final, peaceful image for loved ones. This is where cosmetic restoration comes in.

Today’s embalming fluids are far more sophisticated:

  • Formaldehyde-based solutions are still used, but often mixed with glutaraldehyde, alcohols, humectants (moisturizers), and dyes.
  • Specialized chemicals are used depending on the body’s condition—edema, jaundice, emaciation, or post-autopsy cases each require different formulations.

Prep rooms are sterile and methodical:

  • Embalmers wear PPE.
  • The process is documented.
  • Ventilation systems remove harmful vapors.
  • Green burial movements have also influenced the use of lower-toxicity chemicals.

But here’s the truth: no modern embalming is permanent. Today’s best results will preserve a body for 1 to 2 weeks in viewable condition. In extreme cases—with refrigeration, sealing, and advanced fluids—a month or more is possible. But eventually nature, or entropy, always wins.

The Best Modern Results — What Actually Works

If you’re wondering what produces the best results today, here’s the truth from someone who’s worked with too many dead to count:

  • Combination of arterial and cavity embalming is essential.
  • Formaldehyde-based fluids, when balanced with humectants and surfactants, remain the gold standard.
  • Rapid intervention after death—the sooner the body is embalmed, the better the result.
  • Refrigeration slows decomposition and supports the embalmer’s efforts.
  • Cosmetic artistry—restorative work, airbrushes, facial reconstruction—is often the difference between an acceptable viewing and a traumatic one.

It’s not just chemistry—it’s craftsmanship.

Final Thoughts from the Cold Side of the Table

Embalming isn’t a morbid curiosity. It’s a window into how we handle death, both literally and philosophically. From the sands of Giza to the stainless of modern morgues, embalming has always been a human response to the ultimate truth—that we’re here for a short while, and then we’re gone.

We embalm not just to preserve the body, but to hold on to meaning.

So, whether you see it as sacred, sanitary, or strictly scientific, embalming is part of the long story of what it means to live… and what it means to say goodbye.

The Science of Human Body Decomposition — When Nature Takes the Wheel

If embalming is our attempt to delay death’s effects, decomposition is nature’s way of reminding us who’s really in charge.

I’ve seen more bodies in more stages of decomposition than most folks care to imagine. And no two look—or smell—quite the same. But under all the grime, there’s a cold, clear science to what happens when the human machine shuts down and the decomp clock starts ticking.

Whether embalmed, buried, burned, or left to the elements, every body biologically breaks down. Understanding decomposition isn’t just a matter of curiosity—it’s crucial in criminal investigations, disaster recovery, and even public health. So, let’s walk through it, step by step, from the moment the heart stops to the final handful of dust.

The Moment of Death — The Clock Starts Ticking

Death, biologically speaking, is the point at which circulation and respiration stop, halting oxygen delivery to cells. Without oxygen, the body immediately begins to unravel. Two major processes take over:

  1. Autolysis – self-digestion by enzymes already present in the body.
  2. Putrefaction – microbial activity, mainly from bacteria in the gut and respiratory tract.

These aren’t horror movie concepts. They’re predictable, measurable, and driven by temperature, environment, and the body’s own internal makeup. Here are the five decomposition stages.

Stage One: Fresh (0–3 Days Postmortem)

This is the “quiet” phase. From the outside, the body may look peaceful. But inside, the breakdown has already begun.

  • Algor mortis – body temperature drops about 1.5°F per hour until it matches ambient surroundings.
  • Livor mortis – blood settles in the dependent parts of the body, creating purplish staining.
  • Rigor mortis – muscles stiffen due to a lack of adenosine triphosphate (ATP) and calcium ion accumulation. This starts 2–6 hours after death and fades after 24–48 hours.
  • Internally, cells burst. Digestive enzymes start dissolving organ linings. The gut bacteria—primarily Clostridium and E. coli—begin a feeding frenzy.

There’s no smell yet. But it’s coming.

Stage Two: Bloat (3–7 Days Postmortem)

This is where decomposition makes itself known. Gas accumulation, driven by bacterial metabolism, swells the body like a balloon.

  • Hydrogen sulfide, methane, cadaverine, and putrescine are released—these are the famous “death gases” responsible for the foul odor. You’ll never forget that rotting flesh smell.
  • The face distorts. Tongue protrudes. The abdomen balloons.
  • Skin may blister, slough, or split. Marbling of the skin (a green-black web-like pattern) forms due to hemolysis of red blood cells and gas tracking along vessels.
  • The body may leak fluids from the nose, mouth, orifices, and ruptured skin.

Under pressure, a body may rupture or even partially explode—especially in sealed environments or warm temperatures. Yes, this really happens. I’ve seen it, and it happened to Pius XII.

Stage Three: Active Decay (7–20 Days Postmortem)

Now the body is collapsing in on itself.

  • Tissues liquefy. Organs turn to mush. The skin turns green-black or slips off in sheets.
  • Maggots (from blowflies and flesh flies) are often present unless the environment is sealed or too cold.
  • The volume of insect activity and gas discharge peaks.
  • Skeleton begins to show through as soft tissue breaks down.

The odor is at its worst here. It’s a cocktail of ammonia, sulfur, and organic acids—one that clings to your nose hairs and your long-term memory.

Stage Four: Advanced Decay (20–50 Days Postmortem)

Most of the soft tissue is gone.

  • Insect activity slows as the body becomes less nutritious.
  • Fluids are mostly gone. What’s left is dried tissue, skin, cartilage, and partially skeletonized remains.
  • Soil beneath or surrounding the body may show cadaver decomposition islands—patches rich in nitrogen and fatty acids, often visible to forensic searchers.

Stage Five: Dry/Skeletal (50+ Days Postmortem)

Now we’re down to bone and maybe some desiccated tendons or ligaments. This is the final state, though the timeline can vary wildly depending on conditions.

  • In dry, cold, or arid environments, skeletonization can take years.
  • In hot, humid, or insect-rich environments, it can occur in weeks.

Bones themselves can persist for centuries, but they don’t escape the laws of nature. Eventually, they weather, flake, and return to the earth—especially in acidic soil.

Factors That Influence Decomposition

Decomposition is not a fixed timeline. It’s shaped by many factors:

  • Temperature – heat speeds it up; cold slows it down.
  • Moisture – promotes bacterial and insect activity.
  • Oxygen – essential for some microbes; absence can slow decay.
  • Burial depth – deeper bodies decompose slower.
  • Container – sealed caskets trap gases; open-air exposure accelerates breakdown.
  • Body fat – fatty tissue decomposes faster and can promote adipocere formation (a soap-like substance often called grave wax).
  • Injuries or trauma – open wounds speed microbial and insect access.

Postmortem Chemistry: What’s That Smell?

That unforgettable odor of death? It comes from a chemical symphony:

  • Putrescine and cadaverine – produced by amino acid breakdown.
  • Hydrogen sulfide – rotten egg smell and the odor added to natural gas.
  • Methanethiol – stinks like rotting cabbage.
  • Dimethyl disulfide and trisulfide – pungent sulfur smells.
  • Butyric acid – rancid butter or animal vomit.

All are volatile organic compounds (VOCs), and all are part of the forensic signature that trained dogs, insects, and even analytical devices can detect.

Final Thoughts on Final Decay

There’s something brutally honest about decomposition. It strips away pretense, makeup, and all our biological illusions. It’s not pretty. It’s not poetic. But it’s real. And it’s one of the few universal truths you can bet your bones on.

From a coroner’s point of view, decomposition isn’t just a horror show. It’s a clock, and every stage offers clues: time since death, cause of death, even location and movement of the body. It’s nature’s forensic diary—and if you know how to read it, it speaks volumes.

In the end, decomposition is the great equalizer. It doesn’t care if you were a pope or a pauper, a saint or a sinner. You’ll break down just the same.

Unless, of course, an embalmer gets to you first.

How Not to Embalm a Pope — The Case of Pius XII

You’d think the Vatican—of all institutions—would have mastered the art of saying goodbye. After all, they’ve been burying popes for centuries. But in 1958, when Pope Pius XII died, his body’s final chapter became the most infamous embalming apocalypse in modern history.

It wasn’t just a bad job. It was a botched-beyond-belief spectacle that left mourners gagging, clergy horrified, and even hardened coroners shaking their heads. The embalming of Pius XII was so catastrophically mishandled, it didn’t just mar his memory—it changed the way popes have been prepared for viewing ever since.

The Death of a Pope

Pope Pius XII died on October 9, 1958, at Castel Gandolfo, the papal summer residence outside Rome. He was 82 years old and had ruled the Church through the Second World War and into the height of the Cold War.

According to Catholic tradition, the body of a deceased pope is to be displayed publicly for several days so the faithful can file past and pay their respects. This requires excellent preservation—not just for the dignity of the Church, but for the viewing masses who line up for hours in the Roman heat.

So, what went wrong?

The “Secret” Embalming Method

Instead of entrusting the body to an experienced mortician or medical professional, the task was assigned to Riccardo Galeazzi-Lisi, the pope’s personal physician. Galeazzi-Lisi, whose ego reportedly rivaled his credentials, decided to use a method that was unorthodox, untested, and ultimately disastrous.

He called it a “natural embalming technique.” In reality, it was frightening—an amateurish blend of foundationless folklore and stunningly stupid science.

Here’s what this guy did:

  • He refused to use formaldehyde or traditional embalming chemicals.
  • Instead, he wrapped the pope’s body in plastic sheeting. Basically, he put the pope in a plastic bag.
  • Inside the bag, he inserted sacks of herbs and spices, supposedly mimicking ancient Roman and Egyptian preservation techniques.
  • To prevent putrefaction, he reportedly coated the body with oils and resins, then placed the pope-in-a-bag in a room cooled only by open windows—not refrigeration.

He claimed this “natural mummification” would slow decomposition while maintaining the pope’s appearance. It didn’t.

The Results: A Decomposition Disaster

Within 24 hours, the signs of failure were obvious. The bound body rapidly generated runaway heat and began to bloat. By the time Pius XII was moved to St. Peter’s Basilica for public viewing, the damage was irreversible.

Here’s what witnesses saw and smelled:

  • The pope’s skin turned greenish-black.
  • His facial features swelled grotesquely from trapped gases.
  • The stench was so overpowering that Swiss Guards reportedly fainted.
  • Fluids leaked from the orifices.
  • His nose and his fingers detached.
  • His edematous (bloated, distended, engorged) abdomen ruptured from extreme internal gas pressure, emitting a giant and long-lasting juicy wet-fart sound, causing one priest present to later say “he actually exploded.”

There are credible accounts that the onlooking public recoiled in horror. Vatican officials tried to cut the viewing short and limit media access, but the damage—both physical and reputational—was done. Pius XII’s once-solemn lying-in-state turned into a macabre cautionary tale.

The Fallout: Scandal and Reform

The scandal reached international press. Photographs were suppressed. Riccardo Galeazzi-Lisi was quickly discredited and banned for life from practicing medicine by the Italian Medical Council. He was also dismissed in disgrace from the Vatican.

But the greater consequence was institutional. The Catholic Church quietly but firmly re-evaluated its postmortem protocols for papal embalming. The old approach—personal physicians using eccentric methods—was scrapped in favor of professional, discreet, and clinically proven techniques.

From that point forward:

  • Certified embalmers and anatomical experts were brought in.
  • Formaldehyde-based arterial embalming became standard.
  • Refrigeration and climate control were mandated for extended viewings.
  • Papal funeral procedures were tightened and codified.

In effect, the failure of Pius XII’s embalming modernized the Vatican’s death care procedures.

The Legacy of a Botched Job

Pius XII was known for his solemn intellect and his deep concern for order, tradition, and dignity. Ironically, his final public appearance became a chaotic debacle that overshadowed the sacred rite it was meant to uphold.

But in the strange way history works, his botched embalming wasn’t entirely in vain. It forced the Church to confront the realities of death—not in theology, but in biology.

Since then, no pope has decomposed in public. And when Pope John Paul II, Pope Benedict XVI, and even Pope Francis lay in state for days, their bodies appeared serene, preserved, and untroubled by the putrified rot that defamed Pius XII.

After Pius XII, the Vatican accepted what every coroner knows. Death and decomposition are natural and unforgiving. And if you want to embalm a pope, there’s no substitute for doing it right.

THE TRAGIC DEATHS OF GENE HACKMAN AND BETSY ARAKAWA

On February 26, 2025, the decomposing bodies of legendary Hollywood actor Gene Hackman and his wife Betsy Arakawa were found inside their cloistered estate at Santa Fe, New Mexico. The medical investigator ruled both died of natural causes approximately five days apart—Arakawa passing on February 12, and Hackman being deceased on February 17. There was no evidence of foul play or accident, but there is a sad and compelling story behind the tragic deaths of Gene Hackman and Betsy Arakawa.

The bodies were discovered by maintenance workers who became suspicious as neither Arakawa nor Hackman had been seen in some time. They peered through a window and saw a body on the floor. Police immediately attended as did death scene examiners from the New Mexico Office of the Medical Investigator.

Autopsy and investigation information was released to the public on March 7. “It is unprecedented for the Office of the Medical Investigator to make public statements about sudden death investigations so soon in the process. However, the circumstances surrounding these two deaths require accurate dissemination of important information,” the New Mexico Chief Medical Investigator Dr. Heather Jarrell said at a press conference.

This was a prudent move given the high-profile nature of the Hackman-Arakawa case. In the nine days between the body discoveries and the conference, the media—especially social media—was alive with rumours and false assumptions. It’s to be expected with someone as well known as Gene Hackman and the strange circumstances of this death case.

Although the autopsy reports and scene imagery were quickly sealed by a judge acting on a petition from the Hackman-Arakawa estates, the medical investigator did offer a clear account of the death causes and the circumstances leading up to their tragic demise. Here’s what’s publicly known.

Betsy Arakawa, age 64, was last seen alive between 3:30 and 5:00 pm on February 11. She was filmed on surveillance cameras at Sprouts Farmers Market, CVS Pharmacy, and a pet food store in downtown Santa Fe. Her car entered the couple’s gated community at 5:15 pm using the remote control assigned to her. Cell phone records and inquiries established she’d called a private medical clinic on the morning of February 12 and made an afternoon appointment with a doctor. She never showed up.

Arakawa’s body was positioned on the floor of one of their home’s bathrooms. An open vial and scattered pills were near her, but the medical examiner determined they were a routine prescription for a thyroid condition and had nothing to do with her death. It seemed she’d suddenly collapsed, became unconscious, and shortly died.

Her autopsy showed a serious lung condition, and she suffered from an escalating case of hantavirus infection. Without question, this proved fatal and Hantavirus Pulmonary Syndrome (HPS) clearly was the cause of her death. Hantavirus primarily infects rodents and is highly transferable to humans. The death scene property outbuildings showed evidence of deer mouse infestation which results in airborne particles from droppings or discharges being human-inhaled. HPS can manifest in the body for weeks before sharply increasing in respiratory difficulties and then sudden death.

Hantavirus Pulmonary Syndrome is rare, but the State of New Mexico Health Department recorded 136 infections over the last 50 years. Nearly half of the cases were fatal. HPS is treatable if caught in the early stages, but the autopsy conclusions found Betsy Arakawa was in an advanced, chronic condition. Likely, the rapidly escalating symptoms is why she made the doctor appointment and why she expired so quickly.

Gene Hackman was already aged and frail. He was 95 when he died, and his autopsy showed he was in an advanced stage of dementia—confirmed in the brain dissection and MRIs as Alzheimer’s Disease. Hackman also suffered from significant atherosclerotic cardiovascular disease (plaque-clogged heart arteries) as well as renal disease (failing kidneys).

The medical investigator ruled Gene Hackman’s cause of death was due to complications from heart failure, dementia, and his kidneys shutting down. This is also known as Multiple Organ Dysfunction Syndrome (MODS) and is a common end-of-life condition for the very elderly. Basically, the body progressively quits.

There was strong evidence for Hackman’s death date of February 17. That was the day his pacemaker stopped which is proof of death. Although there’s no doubt about where, when, and how Hackman died, the disturbing and unanswered question is what he knew—what he was aware of—while his wife—his sole caregiver and life support system—lay deceased and decomposing on the bathroom floor. This is truly tragic. Just awful to think of that helpless and alone old man.

Additionally tragic is that one of the couple’s dogs also died during the time Hackman and Arakawa went undiscovered. The animal was recovering from a veterinary procedure and was kept caged. The poor pet probably succumbed to dehydration.

In the time after the body discoveries on February 26 and the official information release on March 7, a lot of media speculation went on about the states of the Arakawa and Hackman corpses, specifically around the reports/rumors of mummification. This has been clearly addressed by forensic pathologist Dr. Judy Melinek in her article on MedPageToday.

Long-term followers of DyingWords.net may remember Judy when she guest posted on this site corresponding to the release of her first book Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner which documented her World Trade Center bombing experience.

Here’s Dr. Melinek’s piece titled Gene Hackman’s Death: How the Mystery Unfolded — Determining time of death can help inform the cause of death.

When actor Gene Hackman and his wife, pianist Betsy Arakawa, were found dead and decomposed in their Santa Fe, New Mexico home on February 26, much of the media fixated on a phrase in the police report describing “mummification” of their hands and feet. People who hear that phrase tend to immediately think of embalmed cadavers from ancient Egypt, as seen in bad movies.

The medical term, however, describes a natural process of postmortem change. Mummification of the extremities occurs as a process of desiccation: the skin dries out, turns brown, wrinkles up. We usually find it in a warm, dry environment, and though it can happen over the course of weeks, it might also set in as quickly as a matter of days.

Given that these two decedents were found indoors in arid Santa Fe, and that there was a space heater in the bathroom near Arakawa’s body, the finding of mummification is not surprising. Subsequent interrogation of Hackman’s pacemaker indicated that the last cardiac activity was on February 17 — 9 days before the bodies were found — and that workers had last been to the residence approximately 2 weeks prior. Meanwhile, Arakawa was last seen on the gated community CCTV and was communicating via e-mail on February 11.

It’s these circumstantial bits of information from the scene that are often the most helpful clues in narrowing down the time of death in the early phases of a death investigation. Let’s dive deeper into the role of a forensic pathologist and other key players in a mysterious case like Hackman and Arakawa’s.

Narrowing Down Time of Death

Time of death estimation is a complex process that depends on multiple factors both intrinsic to the body and found in the immediate environment around it. These variables can include the body’s weight and clothing, the ambient temperature, whether the death occurred indoors in a controlled environment or outdoors where temperatures fluctuate, the health status of the individual just prior to death, and the presence or absence of animals (including insects) that can feed on the body.

Experienced forensic pathologists carry around a mental library of cases that inform us over the course of a career of what a decomposing human body will look like after 24 hours, 48 hours, weeks, and months — and in all different ambient conditions. Death scene investigators can also take a measurement of the core body temperature at the scene that we can compare to published data to help narrow down a tighter death interval using nomograms opens in a new tab or window.

Post-mortem interval estimation isn’t perfectly empirical, but its reliability increases with each bit of information gleaned about a case, the forensic expertise of the person doing the assessment, and the thoroughness of the police investigation. It’s often our role early on to help the police focus their investigation on a reasonable time frame by providing a ballpark estimate of when the person died, and to help them dismiss incompatible testimony or unlikely suspects.

The Cause of Death

What about the cause of death? You have to be concerned about an environmental toxin like carbon monoxide or natural gas when two people and a pet are dead in the same enclosed residence. So, hazardous-materials crews would need to assess such a scene prior to arrival of medical first responders, who might otherwise be putting their own lives at risk. Environmental testing was performed at the residence of Hackman and Arakawa, and additional carbon monoxide testing was also performed on the human remains. All these tests were negative.

The deaths remained a mystery until Friday, March 7, when the medical examiner held a news conference to report that Arakawa had died from hantavirus, a rare pathogen that can be transmitted from rodent droppings, and that Hackman, who had been suffering from Alzheimer’s and cardiovascular disease and had relied on his wife’s care, likely died of heart disease opens in a new tab or window in the same house a week later. It’s not clear if Hackman knew his wife was dead.

This is a heartbreaking conclusion. It came after extraordinarily intensive and quick work by New Mexico’s state Office of the Medical Investigator (OMI) and underscores their dedication and professionalism. The New Mexico OMI has extensive experience with infectious diseases and is one of the select death-investigation facilities in the U.S. with a BSL-3 biosafety level morgue where they can handle infectious agents that spread through airborne transmission.

I suspect that there might have been signs at autopsy that pointed to a lung infection, and that hantavirus was then detected by identifying its genetic signature through polymerase chain reaction (PCR) testing of a nasopharyngeal or lung tissue swab. The Hackman-Arakawa property was in a remote area of Santa Fe, and there was evidence of rodent activity there. The couple had three dogs, and sometimes pets can come in contact with wild rodents and bring them into the house. The necropsy on the dead dog is still pending and may answer more questions about the source of viral exposure.

The Risk of Isolation

I know a lot of gut-wrenching death stories, and the worst ones always involve either the feeling that death may have been preventable, or that the decedent suffered. Everyone who’s been following this shocking and complex public mystery should be grateful to the New Mexico OMI for giving us — and the Hackman-Arakawa family — a speedy and decisive resolution.

If you have people in your lives who are the sole caregivers to a medically fragile patient, please reach out frequently to give them as much help and support as you can. Balancing their need for privacy with your own concerns for their wellbeing is never simple, but maybe these public deaths will open conversations with them about a less isolated environment for their end-of-life care.

Judy Melinek, MD, is an American forensic pathologist currently working as a contract forensic pathologist in Wellington, New Zealand. She is the co-author with her husband, writer T.J. Mitchell, of the memoir Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner, and the forensic-detective novels First Cut and Aftershock. You can follow her on BlueSky @drjudymelinek and Facebook/DrJudyMelinekMD.

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Tragic is an appropriate word to describe the Hackman/Arakawa death case. Here was once an A-List, Oscar-winning movie star and now a very wealthy man living a recluse life with his also-accomplished wife of 30 years. They have no contact with the outside for two weeks, and no one in the family or friend sphere thinks to check on them. An old, frail, and demented man and his increasingly ill younger wife die alone, days apart, and rot on the floor of their multi million-dollar mansion.

The magazine Architectural Digest once ran a feature on the Hackman/Arakawa Santa Fe home. Here’s some pictures of it. It makes one think.

EIGHT EFFECTIVE WAYS TO DISPOSE OF A BODY

A19According to the Central Intelligence Agency’s World Factbook, the worldwide human death rate averages nearly 8 per 1,000 in population. With over six billion people on the planet, that’s about 55.3 million deaths per year — 151,600 a day, 6,316 an hour, 105 a minute, and nearly 2 per second. That’s a lot of bodies to dump.

Conventional cemetery burial and fossil-fuel cremation are the two main means of corpse disposal but both have drawbacks by way of cost, use of natural resources, and effects on the environment. Today, many people are looking for alternate solutions in sending-off their dearly departed.

Here are eight other effective ways to dispose of a body.

A231. Promession is the process of freeze-dying human remains. Whereas cremation incinerates a body resulting in ash (ashes to ashes—dust to dust, as the saying goes), promession produces .04 inch (1 millimeter) diameter particles of organic material that can be returned to the earth in many ways.

The process is relatively simple… and gentle.

A24First, the corpse is frozen at 0 degrees Fahrenheit (-18 Celcius) and then placed in a vat of liquid nitrogen where the temperature drops to -320 Fahrenheit (-196 Celcius). A mechanical device vibrates the body which disintegrates in minutes, then the material is freeze-dried in a vacuum chamber, removing the water and reducing the weight to thirty percent of the original mass. Metals such as fillings and artificial devices are picked-out then the dry powder is placed in an urn and returned to the family.

2. Biodegradable caskets and burial shrouds are replacing exotic wood and metal coffins which used to be buried six feet underground in crowded, designated cemeteries. The thinking was to preserve the body as long as possible and delay the natural decomposition process.

A5

Today, innovative interment containers made of wicker, bamboo, seagrass, cotton, or banana leaves break down quickly when laid in the earth’s organic layer which averages two feet in depth.

A73. Green or woodland burials are becoming popular throughout North America where land space in rural areas is still readily available. Recognizing that a human body is designed to naturally recycle in the earth after death, families choosing green burials have their member return to the earth.

Green burial spaces respect the natural environment by encouraging grass and tree growth which are fertilized by organic compounds in human bodies. Gravesites are marked through GPS coordinates rather than by headstones.

4. Eternal Reefs combine a cremation urn, ash scattering, and burial at sea into one meaningful, permanent environmental tribute to life.

A3Reef balls have been used for years. There are over 700,000 reef balls used in more than 4,000 projects in over 70 countries and are considered the gold standard in artificial reef development and restoration—particularly in building coral reefs.

Brilliantly designed, the balls are made of Ph-neutral concrete and are round, hollow, and perforated to allow the flow of water and population by marine life. Eighty percent of the weight is built into the bottom of the balls preventing them from being washed away by currents or storms.

A26Human remains, whether diminished by cremation or promession, can be mixed with the concrete or set in individual pockets built into the reef ball. Creating a healthy and sustainable marine environment is a wonderful tribute to a passed friend.

4. Green Embalming replaces the toxic, carcinogenic method of using formaldehyde fluids in preserving a cadaver whether the purpose is to make viewing presentable or long distance shipping possible.

A27For thousands of years, civilizations have been using organic compounds in their mortuaries. They include essential oils like pine, juniper, onion, and palm, as well as resins like lichen, oloeo-gum, beeswax, cassia, bitumen, and myrrh. Frankincense was used to mask odors and bodies were washed in wine.

These naturally occurring precursor agents are non-polluting and environmentally stable, unlike the chemicals found in traditional embalming fluid. While initially retarding a body’s breakdown, the effects quickly wear off and allow decomposition to proceed, which is what mother nature intended.

A105. Bios Urns allow someone become a tree. This patented product is essentially a cone or a sphere which contains soil, the deceased’s ashes, and a seed. The urn itself is biodegradable so you just plant the entire container, water it, and watch a sapling tree sprout from what used to be a relative.

The Bios Urns website offers a choice of plantings including maple, pine, gingko, beech, or ash as well as providing for custom orders. There’s also an app which alerts your smart phone of a need for hydration or an automatic watering system can also be bought.

A86. Donating a body to medical science has been an option available for years and it’s always in demand. Anatomical students need actual human cadavers for study and dissection and it’s an honorable use of deceased remains to provide schooling for the next generation of doctors and researchers.

Although there’ve been huge technological advancements in anatomical models and computer generated simulators, there’s nothing quite like the real thing for practicing professionals.

A207. Donating a body to forensic science is another option and something relatively new. Since the success of The Body Farm, which was pioneered by Dr. Bill Bass of the University of Tennessee Anthropological Research Facility near Knoxville, six more farms were developed to study the decomposition process of human remains to aid in the forensic investigation of human deaths.

These farms accept over one hundred bodies per year and currently have in excess of thirteen hundred registered donors—when their time comes.

8. Human composting is a concept that’s proposed but not yet in operation. Architect Katrina Spade’s Urban Death Project is a dignified way to turn remains into nutritive compost as quickly as possible.

A15

The Urban Death Project is more than just a compost-based renewal system. It’s a new model for death care in overcrowded cities and is replicable, scalable, not-for-profit, and totally beneficial to the planet.

A25In a bold departure to the status quo—never before have humans been composted—the Urban Death Project will be an architectural first that’s built as a three-storey compost core. Ramps will allow a funeral procession to carry a shrouded deceased to the top of the bin and conduct a service before “laying-in”.

The body is not embalmed as fast decomposition is essential to the process. Over the span of a few months, aerobic and microbial activity transforms the deceased—along with others—into a rich, organic compost that can be used to fertilize urban spaces such as rooftop edible gardens.

A17The Urban Death Project is working with Western Carolina University’s Forensic Osteology Research Station (FOREST) in studying the human composting process to develop a safe, effective, and dignified way of caring for the deceased. Osteology is a specialized branch of anthropology that deals with studying bone structure.

The organization aims to “fundamentally alter the way that Western Society thinks about death. The goal is to un-do the over-commercialization and needless distance currently created between ourselves and this inevitable human event”.

The first human composting facility is being planned for the city of Seattle in Washington State. Check out their website at www.urbandeathproject.org.