WHO REALLY MURDERED AND MUTILATED THE BLACK DAHLIA?

The Black Dahlia murder mystery is one of America’s—if not the world’s—biggest unsolved homicide investigations. On January 15, 1947, a pedestrian found 22-year-old Elizabeth Short’s body in Leimert Park’s district of West Los Angeles. Short was naked, bisected at the waist, viciously disfigured, and obviously posed in public display by her killer. Her case remains open despite more than 150 suspects surfaced and cleared—except for one who was the main person of interest. Did this man really murder and mutilate the lady nicknamed The Black Dahlia?

The Black Dahlia case wasn’t just a huge police investigation. It was a media frenzy as the public held a massive fascination with her body’s macabre and grotesque condition. The corpse was so shocking that I’m not going to publish photos in this post. If you’re curious, there are many Black Dahlia crime scene photos online.

Elizabeth (Betty or Beth) Short was born on July 29, 1924, near Boston Massachusetts. Her father disappeared after the October 1929 stock market crash and was believed to have committed suicide by jumping off a bridge into the Charles River. Beth Short’s mother raised her as a single working mother, however in 1942, the father turned up alive and living in Los Angeles.

Beth Short reacquainted with her father by moving to Los Angeles when she was 18. Their relationship turned rocky and she went to live on her own in 1945, surviving on waitress wages and with help from a few friends—mostly men. There was speculation Short was a prostitute/call girl but no evidence of that was found during her murder investigation.

She was more of a barfly/party girl and a little on the promiscuous side having numerous men-friends. One male suitor was an older gent, an Air Force pilot. He proposed marriage by letter but was accidentally killed in a plane crash before he could return to America and marry Beth Short.

The last man to see Short alive—at least the last man police could identify—was a married travelling salesman Short secretly dated. Robert “Red” Manley liaised with Short in San Diego and dropped her off back in Los Angeles at the downtown Biltmore Hotel. This was on Thursday, January 9, 1947, and Short intended to meet her sister who was visiting from Boston.

They never connected. There are some accounts Short was seen using the lobby telephone at the Biltmore as well as unverified sightings of Short at the Crown Grill Cocktail Lounge about 3/8-mile northwest of the Biltmore. Here Short’s trail went cold, and there was a week gap until her body was found.

At 10:00 am on Wednesday, January 15, Betty Bersinger was walking with her three-year-old daughter in an undeveloped area of Leimert Park midway between Coliseum Street and West 39th Street (GPS Coordinates 34.016 N and 118.333 W). Bersinger saw what she believed to be two parts of a department store mannequin lying just to the side of the roadway in a very exposed position. On closer inspection, Bersinger realized the ghostly-white corpse was human. She rushed to a nearby house and phoned the police.

As two detectives arrived at the crime scene, so did passerbys and reporters which soon grew to a crowd of onlookers and a throng of media. This was before the days of controlled CSI examination with yellow barrier tape and uniformed guards keeping the public and press from observing and releasing key-fact information such as the body condition.

Los Angeles pathologist and County Coroner Frederick Newbarr autopsied Elizabeth Short on January 16, 1947. His report described the body as a white female, early 20s, 5’ 5” tall, 115 lbs. with light blue eyes, dark brown hair, and badly decayed teeth. These are the highlights of Short’s autopsy report:

  • The body was completely devoid of blood.
  • There was minimal blood about the scene, amounting to a few drops.
  • The corpse had been washed with a mineral solvent, possibly gasoline.
  • The upper torso was horizontally severed from the lower abdomen and legs.
  • The anatomical point of severance was between the 2nd and 3rd lumbar vertebrae.
  • The upper torso organs were present and attached.
  • The intestines had been removed and coiled up underneath the buttocks.
  • There were injuries to the scalp and skull consistent with blunt force trauma.
  • Both corners of the mouth were incised and elongated approximately 4 inches.
  • The mouth incisions were made antemortem (before death), evident by ecchymosis or bruising to the wound edges.
  • Numerous postmortem (after death) cuts were made in random order about her torso, pelvis, and legs, evident by a lack of ecchymosis to the wound edges.
  • Antemortem ligature marks were evident on the wrists, ankles, and neck indicating she had been bound or restrained before death.
  • The anal orifice was fixed in dilated measurement of 1 and ¾ inches.
  • No semen or foreign trace evidence indicating an assailant was found.
  • General body condition indicated that death occurred approximately ten hours before body discovery making the death time somewhere over the night of January 14-15.
  • Official cause of death was shock from cerebral injuries and blood loss from the mouth.

The coroner, with the help of the FBI, identified Short’s body through fingerprints. Short had been previously arrested and processed in Santa Barbara for underage drinking (Yes, back in the 40s a minor in alcohol possession was a big deal). This opened the investigative trail to track Short’s whereabouts and develop leads.

In one of the lowest and most disgusting points in the entire history of journalism, reporters from William Randolph Hearst’s Los Angeles Examiner intercepted the identification information—thought to be through a police source—and telephoned Short’s mother in Boston before the police could make an in-person notification of death. The reporters roused the mother under the guise that Beth had won a beauty to which they wanted to run a feature story. Through this, they gained a lot of personal information which they fed to the drooling public.

The killer was watching this all. On January 21, an unknown male phoned the Examiner’s editor congratulating them on their coverage, including publishing the crime scene photos of Short’s nude and butchered body. The caller told the editor to, “Expect some souvenirs from Beth Short in the mail”.

On January 24, the Examiner editor received a package with Short’s birth certificate, personal papers, and address book. A cut and pasted note gave clues to where Short’s shoes and purse were hidden. These were found and verifies as legitimate.

The Examiner got a hand-written note on January 26, dated January 24. This time the writer who claimed to be the Black Dahlia Avenger stated he would turn himself in, arranging a time and a place for coverage. It didn’t happen. The last contact with the killer was another cut and pasted letter on January 29 which read, “Have changed my mind. You would not give me a square deal. Dahlia killing was justified.”

In 12 days, from the body discovery to the killer’s last contact, the Black Dahlia story went from unknown to front-page headlines that lasted months. Where did the Black Dahlia name come from to immortalize a poor and innocent victim like Elizabeth Short? No one really knows, but there are two schools of thought.

One is that the news media simply made it up to further sensationalize an already over-the-top story. The other is possibly from drug store staff where Short shopped. Allegedly, Short always dressed in black and wore a flower in her hair. Combined with her striking white skin, she made a spectacle which the staff called The Black Dahlia, possibly a word-play on a 1946 movie titled The Blue Dahlia. It’s possible intrepid reporters picked up the nickname and used it to sell more papers.

LAPD detectives focused on Beth Short’s trail and her male acquaintances, especially those having recent contact with her before her death. Red Manley was eliminated after two polygraphs and an air-tight, sworn alibi. Others took a lot of effort by a lot of officers to satisfy them the person they were interested in was not responsible.

And the LAPD detectives focused on two absolutely unique aspects of the Black Dahlia crime scene and autopsy findings which, in this day and age, would have been critical hold-back evidence known only to the investigators and the killer—nor publically splattered and speculated on throughout every western media outlet.

First was the method Beth Short had been cut in half with. The pathologist/coroner, Dr. Frederick Newbarr, later testified at Short’s inquest that the severance was a surgical procedure that only could have been done by a highly-trained surgeon with the proper surgical equipment. Dr. Newbarr stated—under oath and on the record—the severance was a medical procedure developed in the 1930s and termed a hemicorporectomy.

A hemicorporectomy was a last-ditch effort to save a person’s life when the entire pelvic system was failing. To not remove the pelvis, buttock, and leg assembly (including the lower GI tract) would have meant certain death so surgeons would resort to, literally, cutting a person in half and discarding the lower region.

This radical surgical procedure left the patient alive and confined to a walker-like device for mobility and a colostomy bag for capturing waste exiting the stomach at the duodenum. The only place in the spine a hemicorporectomy could be achieved was between the 2nd and 3rd lumbar vertebrae.

In Dr. Newbarr’s words, “Whoever did this surgical procedure (to Elizabeth Short’s body) was a very fine surgeon.”

The second unique aspect of the crime scene findings was Short’s body positioning. From the onset, both press and police emphasized the body wasn’t just dumped at the discovery point—it was carefully and craftily posed for some definite purpose. There was no attempt to hide the corpse. No, it was the opposite. The killer wanted it found and publically published.

If you’re strong-stomached enough to view the crime scene photos, you’ll see Short’s remains lying supine (on her back) with her arms extended straight out from her shoulders with her elbows bent 90-degrees upward to make a football goalpost-like frame over her head. You’ll see Short’s lower segment offset to the right of her torso and her right hip in line with her left side. Also, you’ll see the torso/hip offset distance to be the same as the gap between her upper and lower segments. Then, you’ll note Short’s legs are positioned wide open in a 90-degree separation or a 45-degree split from the midline of her vagina.

There isn’t an experienced cop, coroner, or criminologist who wouldn’t see meaning in this crime scene. It’s painfully obvious the killer positioned Short’s body to send a message. But what bizarre message by what bizarre surgeon-killer could that be?

It seems the LAPD detectives had a person of interest in their sights early in the Black Dahlia murder investigation. The LAPD file is still open and ongoing, although cold, so they control information as they should. What’s known about their interest in Dr. George Hill Hodel Jr. is officially confidential but quite well-known in the internet, book, and movie world.

Dr. George Hodel was surgically trained in the 1930s. He was familiar with the hemicorporectomy procedure, and he was familiar with sexual deviancy. Hodel was charged with incest on his 14-year-old daughter who, by the way, knew Elizabeth Short’s sister. There was one degree of separation between Surgeon Hodel and Victim Short including the several-block distance from the Biltmore Hotel and the Crown Gate Cocktail Lounge to where Hodel’s clinic operated.

Although George Hodel was a trained surgeon, he made money though his clinic specializing in treating venereal disease. At the time, the forties, VD was rampant through sexually-promiscuous people and it was something held in shame and confidence. Was Elizabeth Short a VD patient of Dr. Hodel’s as well as being a through-family acquaintance?

The detectives thought so. They thoroughly investigated Hotel including bugging his home where they heard this:

“Supposin’ I did kill the Black Dahlia. They couldn’t prove it now. They can’t talk to my secretary anymore because she’s dead. They though there was something fishy. Anyway, now they may have figured it out. Killed her. Maybe I did kill my secretary.”

Those statements were suspicious enough to make detectives look into the death of Ruth Spalding. She was Dr. Hodel’s clinic assistant who died of a mysterious drug overdose shortly after the Dahlia case happened. Speculation by detectives is Spalding recognized Elizabeth Short as a patient, knew Hodel’s surgical experience, and put 2&2 together.

The detectives, and possibly Ruth Spalding, weren’t the only ones who suspected Dr. George Hodel was the Black Dahlia’s killer. In 1950, when the heat was on George Hodel and the Dahlia recording was intercepted, Hodel moved to the Philippines where died in 1999. Hodel remains an LAPD person of interest in the Dahlia case.

Someone else also considers Dr. George Hill Hodel as the Dahlia killer. That’s his son. Steve Hodel who, coincidentally, is a retired LAPD homicide detective. It wasn’t until he retired that Steve Hodel put 2&2 together when he reviewed property from his father’s estate and found highly-suspicious material linking his father as the Dahlia killer.

One was photographs of a young woman similar to Elizabeth Short. Two was handwriting samples similar to the Examiner hand-written note. Then, the fact his father worked so close to the scene where Short was last seen and, in all probability knew and possibly treated Short. And then there was the coincidence Short’s body was posed close—very close—to Hodel’s estranged wife’s house.

Certainly Dr. George Hodel had the means and opportunity to be the Balck Dahlia killer. Motive isn’t an included element in any murder trial. There’s no burden for the prosecution to prove motive in any case—corporal or capital—but proving motive tips the scale in persuading a jury to convict beyond all reasonable doubt.

Assuming George Hodel—who had the surgical means to perform a hemicorporectomy and was lurking in the vicinity when Beth Short disappeared along with his history of sexual deviance and a hint of homicide—was the Black Dahlia killer, the question is why?

His son, Steve Hodel, supplies it. Art work. George Hodel had a close friend named Man Ray who was a 1930s-1940s surrealist artist—a prominent who worked with greats like Salvador Dali.

Steve Hodel identifies two hard-to-ignore similarities between Man Ray’s art and the Black Dahlia’s posing. Ray’s 1936 piece Les Amoureux shows an elongated woman’s mouth with slit-like extensions and a corpse-like figure below and admiring it. Ray’s 1934 Minotaur shows a naked woman’s torso with the goalpost-like arm-posing.

Something I can’t ignore is the mathematical connection between Man Ray’s surrealist art and the Black Dahlia’s pose. Elizabeth Short’s arms were 90-degrees from her shoulders to her forearms, and her forearms were 90-degrees upward from them. Her torso was 90-degree offset, equidistant from the separation of her lower section. And her legs were a 45/90-degree posing from her pubis.

This posing was no accident. It was no coincidence. It was a purposeful display of artistic impression.

In my death investigation experience, I’ve never seen anything close to the Black Dahlia case. I’ve never seen intentional grotesque mutilation like this, and that’s why I haven’t posted pictures. But, I do see hard-to-deny facts.

Two principles guide homicide investigations. First—the more bizarre the case, the closer the answer is to home. Second—Occam’s razor. The Principle of Parsimony. When faced with multiple explanations, the simplest answer is usually the right answer.

On the balance of probabilities—with no better solution—I believe Dr. George Hill Hodel really murdered and mutilated the Black Dahlia.

DO YOU TRUST YOUR GUT FEELINGS?

Everyone—you and me included—has heard their small inner voice speak. It might have been a muffled word of sage advice, a loud yell of urgent caution, or a simple suggestion towards the right move. Evolutionary, our subconscious source of wisdom has served us well—“Whoa! Don’t step outside the cave right now” to “Hey! This wheel and axle invention will be big.” But as real as intuition is, many people choose to ignore their instincts. How about you? Do you trust your gut feelings?

There are lots of terms for gut feelings. Intuition is the main one, but there’re differences of opinion as to what constitutes raw instinct, subtle intuition based on life experience, and plain old gut feelings—also known as the sixth sense, vibes, foresight, precognition, visceral nudges, being-in-the-world, hunches, and downright lucky guesses. These are socially-acceptable labels, not to be confused with pseudoscience stuff like tactic knowledge, remote viewing, morphic resonance, ESP, clairvoyance, and cryptesthesia. Then there’s a half-way, new-age idea called Grok. You might want to Google that.

What got me going on today’s post is a recent comment left on an old DyingWords thread where a fellow made a statement that relying on gut feelings amounted to as much as taking a ride on a Ouija board. “Hang on a moment,” I replied. “I have decades of investigation experience and, if there’s one thing I’ve learned, I’ve come to rely on my gut feelings—hunches, intuition, Grok, or whatever you wanna call them.”

Just a quick personal story before we move on to look at the philosophy, psychology, and physiology behind intuition as well as taking a test to see how much you trust your gut feelings. In 1985, I was part of a police Emergency Response Team (ERT or SWAT for Americans). We were sent to the frozen wilds of the Canadian north to arrest an armed and murderous madman. Michael Oros, the bad guy, got the drop on my partner and me just as I had this incredible gut feeling that he’d silently crept up behind us. I spun around right as the fire-fight started. Because of this intuitive gut feeling—this overpowering presence of imminent danger—I was able to react to save my life and probably the lives of other teammates.

I didn’t imagine that gut feeling. It was as real as the keyboard I’m writing this on, and I have no explanation for it other than we, as human beings, are hard-wired to receive subconscious information through a process best known as intuition. Whether we use our gut feeling’s information or discard it is a matter of personal choice.

Gut feeling intuition has fascinated scientists and philosophers. It fascinates me, as well, and I don’t qualify as either a scientist or a philosopher. It’s not just people who have intuition and gut feelings. Why do dogs seem to know when their owners are coming home, and why do horses naturally understand what people to trust and what people to mistrust? Is it animal common sense?

Surely there’s more to human intuition/gut feeling than common sense. Something else is at work here, and the philosophical theories go back as far as Plato. In his book Republic, Plato defined intuition as “a fundamental capacity for human reason to comprehend the true nature of reality—a pre-existing knowledge residing in the soul of eternity—truths not arrived at by reason but accessed using a knowledge already present in a dormant form and accessible to our intuitive capacity”. Plato called this concept anamnesis.

Ancient Eastern and old Western philosophers intertwined intuition with religion and spirituality. From Hinduism’s Vedic, we get two-fold reasoning for human gut feelings (mana in Sanskrit). First, is imprinting of psychological experiences constructed through sensory information—the mind seeking to become aware of the external world. Second, a natural action when the mind is aware of itself, resulting in humans being awareness of their existence and their environment.

In Buddhism, you’ll find a similar take on intuition. Monks teach that intuition is a faculty in the mind of immediate knowledge that’s beyond the mental process of conscious thinking, as conscious thought cannot necessarily access subconscious information or render such information into a communicable form. Gut feelings, according to Buddhism, are mental states immediately connecting the Universal Mind with your individual, discriminating mind.

More modern-day philosophers, like Descartes, say intuition is “pre-existing knowledge gained through rational reasoning or discovering truth through contemplation that manifests in subconscious messaging.” Descartes goes on to say, “Whatever I clearly and distinctly perceive to be true is true no matter if I see it subconsciously.”

Immanuel Kant offered this: “Intuition consists of basic sensory information provided by the cognitive faculty of sensibility equivalent to what loosely might be called perception through conscious and subconscious.”

In Psychological Types written in 1916 by Carl Jung, you’ll read this: “Intuition is an irrational function, opposed most directly by sensation and less opposed strongly by the rational functions of thinking and feeling. Intuition is perception via the unconscious using sense-perception only as a starting point to bring forward ideas, images, possibilities, ways out of a blocked situation, by a process that is mostly unconscious.”

Freud—always the contrarian—called bullshit on Jung. Freud said, “Knowledge can only be attained through the conscious intellectual manipulation of carefully made observations. I reject any other means of acquiring knowledge such as intuition (gut feelings).”

That’s a short canvassing of philosophers. So, what do the scientists say about gut feelings?

Well, neurologists have a lot to offer about how intuition is biologically tied into the gut. They say our gut, our gastrointestinal (GI) system, has an entire mind of its own called the Enteric Nervous System (ENS) that operates alongside, but independent of, our brain and Central Nervous System (CNS) functions. Our ENS is two layers of more than 100 million nerve cells lining the entire GI system from start to finish—from our esophagus to our anus, or from our yap to our hoop as a layperson might say.

This incredibly complex ENS has a full-time job of regulating our GI tract whose main purpose is to keep us alive through sustainable nutrition. Neurologists say the ENS acts on instinct and constantly exchanges information to our brain through our CNS. When the ENS senses something awry, it immediately alerts the brain that can choose to react consciously or subconsciously.

That works both ways. When the brain consciously or subconsciously alarms, it notifies the ENS which just might explain why you get that feeling in your stomach—that gut feeling. It’s why anxiety can bung you up or make you throw up. In the end, it might be diarrhea that ultimately lets you know to trust your gut feelings.

Okay, that explains the neuroscience behind the ENS gut feeling reaction. But it doesn’t explain what intuition is, and it’s probably worthwhile to look at a definition of intuition which seems to be a different process than a physical gut feeling. Here’s the best differentiating explanation I could find about instinct, gut feeling, and intuition.

Instinct — our innate inclination toward a particular behavior as opposed to a learned response.

Gut Feeling — a hunch or a sensation that appears quickly in consciousness (notable enough to be acted upon if one chooses) without us being fully aware of the underlying reasons for its occurrence.

Intuition — the process giving us the ability to know something directly without analytic reasoning, bridging the gap between the conscious and subconscious parts of our mind, and also between instinct and reason.

If I understand this correctly, gut feelings are short flashes of raw sensory alerts while intuition is a higher-evolved mechanism of subconsciously processing information without stopping to run reams of paper through the mental printer. So, my reasoning goes, intuition must be more of a learned behavior manufactured through experiences, both consciously built and subconsciously retained. Gut feelings, on the other hand, are more instinctive and primal.

I looked around for scientific studies on intuition and found credible works by Daniel Kahneman who won a Nobel Prize for his work on human judgment and decision-making. Without going into detail, Dr. Kahneman and his group conclusively proved there was a valid science behind human intuition which included—not surprisingly—gut feelings.

Another scientific study led by Dr. Gerd Gigerenzer of the Max Plank Institute for Human Development, agreed. Dr. Gigerenzer stated, “People rarely make decisions on the basis of reason alone, especially when the problems faced are complex. I think intuition’s merit has been vastly underappreciated as a form of unconscious intelligence.”

These intuition studies tie into works done by Dr. Gary Klein’s organization at the Natural Decision Making Movement who studied real-life decision processing by people in high-stress situations. They observed police officers, soldiers, paramedics, nurses, and fighter pilots coming to the conclusion that these professionals’ intuitive abilities developed from recognizing regularities, repetitions, and similarities between information available to them combined with their past experiences.

Out of their scientific work of studying intuitive reactions under stressful and challenging situations involving time pressure, uncertainty, unclear goals, and organizational restraints came a fighter pilot training model called the OODA Loop or the Circle of Competence. It’s a simple formula every high-performance jet jockey now memorizes to the point of being instinctive, intuitive, and gut-felt. It goes like this:

O — Observe
O — Orient
D — Decide
A — Act

So, is developed intuition, or its cruder form of visceral gut feeling, reliable? I’d say if it’s good enough to train fighter pilots with then it’s good enough for us. Let’s put it to the test.

I found a terribly non-scientific (but totally fun) click-bait site with a ten-question roll-through called the Queendom Gut Instinct Test. You can take it for a spin here:

https://www.queendom.com/queendom_tests/transfer

To score your results, you have to click the boxes at the site, but don’t worry—there’s no cost involved, and it’s an interesting self-perspective based on your gut reaction answers. These are the ten questions and multiple choice answers:

1. Did you ever get the sense that something was wrong or someone was in danger and ended up being right?
Yes ———  No ———

2. Do you believe that your gut instinct is at least as reliable as your rational mind?
Yes ———  No ———

3. Do you believe that a person can give off good or bad “vibes?”
Yes ———  No ———

4. You’re shopping with your partner for a new home. The real estate agent you’re working with pulls up to a beautiful house in the exact style you are looking for. However, when you walk through the front door, you are suddenly overcome with a sense of dread and foreboding. The place has a really creepy ambiance. What would you do?
A ——— Walk right back out. There is definitely something wrong with this place.
B ——— Ask the agent about the house’s history. If something bad happened here, I am not      buying it.
C ——— Do a tour of the place, since I am here anyway. If I can’t shake the negative feeling       AND there are major structural issues with the house, then I won’t buy it.
D ——— Shake it off. Even if something occurred, my partner and I will fill it with better memories.
F ——— Make an offer. Who cares about the house’s history? This is my dream home!

5. Two weeks before you’re about to go on a trip overseas, you have a recurring dream that the airplane you’re on needs to make an emergency landing due to a technical failure. What would you do?
A ——— Ignore it. It’s just a sign that I am nervous about flying.
B ——— Go on the trip, but say a few prayers or bring my lucky charm.
C ——— Reschedule my flight. There’s obviously a reason why I am having this dream every night.

6. Your friend introduces you to his or her new significant other. From the first conversation, you get the sense that there is something off about this person – like he/she is hiding something, or not being genuine. What would you do?
A ——— Dismiss it as paranoia. I barely know this person, so I have no right to judge him or her so quickly.
B ——— Put the feeling aside for now, but keep an eye out for suspicious behavior.
C ——— Try to probe a bit and/or do some research to see if there is something to my hunch.
D ——— Warn my friend to be careful and not to trust this person too quickly – my gut is never wrong.

7. Time to upgrade your wheels. How would you most likely approach this purchase?
A ——— I would conduct some research, weigh the pros and cons of different models, and then find a car that fits my needs and budget.
B ——— I would do some research on different models, then test drive the car to see how I feel in it.
C ——— I would have a general idea of what I want, but it would come down to one thing: if it’s the right car for me, I will know it when I’m in it.

8. You’re out buying coffee when you come across an old colleague who left the company to start his own business. He had a major fallout with management when he was turned down for a promotion. He says his startup is doing great, and he offers you a job on his team with a lucrative salary as well as benefits. It sounds like an amazing opportunity – but your gut is telling you to turn it down. What would you do?
A ——— Thank him for the offer, but decline. My gut is obviously picking up on something that he’s not telling me.
B ——— Ask him to give me some time to consider the offer, and then do some research on his company to see if it’s doing as well as he says it is.
C ——— Jump on the offer. There is no way I would turn down this amazing chance for a better job!

9. As you’re leaving your friend’s place and walking to your car, you hear a clear voice in your head say, “Don’t drive home. Stay here for the night.” You decide to listen and sleep over. The next morning, you find out that there was a fatal 8-car accident the night before – on the exact road you were planning to take, at the exact time you were about to leave. What would you most likely be thinking?
A ——— “Interesting coincidence.”
B ——— “That’s so strange. Maybe someone is looking out for me.”
C ——— “I am so grateful I listened to that warning in my head.”

10. You’re at a convenience store to pick up a lottery ticket. How do you choose your numbers?
A ——— I let the machine pick them at random.
B ——— I play the same numbers every time.
C ——— I pick the numbers based on what my gut tells me.

Again, you’ll have to take the test at its online site to get your Gut Instinct Score. How did I make out? I got an 85, and here’s what the site said about me:

Your gut instinct has been your ally. It’s that older, wiser friend who always has your back and stops you from making stupid decisions. When your gut tells you to pay attention, to be careful, to not trust someone, or to go right instead of left, you won’t question the information. You are in tune with your intuition. Chances are that on those rare occasions when you didn’t trust your gut, you regretted it. Just keep in mind that your logical reasoning is your ally too. It is not the antagonist to your intuition, it’s simply an additional source of information and a way to process it all. Just as you shouldn’t rely solely on your intuition to make major financial decisions, you also shouldn’t rely on logic alone as a survival mechanism. Make good use of both. When you use analytical reasoning to evaluate a problem and your intuition to pick up on deeper, more hidden sources of information, you’ve got the best of both worlds.

The Gut Instinct Test doesn’t tell you which questions you got “right or wrong”. I think there’s some sort of algorithmic scoring process that gives you a value which is why I got an 85 or an 8.5 out of 10. I know which one I bombed (for sure) and that was the lotto number thing. I always use the machine quick-pick because I’m too lazy to think it out for myself.

How about you DyingWords followers? Do you trust your gut feelings? And if you take the test, how about sharing your results?

THE BIZARRE DEATH OF THE TOXIC LADY — GLORIA RAMIREZ

At 8:15 pm on February 9, 1994 paramedics wheeled 31-year-old Gloria Ramirez—semi-conscious—into the Emergency Room at Riverside General Hospital in Moreno Valley, California. Forty-five minutes later, Ramirez was dead and 23 out of the 37 ER staff were ill after being exposed to toxic fumes radiating from Ramirez’s body. Some medical professionals were so sick they required hospitalization. Now, 27 years later, and despite one of the largest forensic investigations in history, no conclusive cause of her toxicity has been identified. Or has there?

The Toxic Lady case drew worldwide attention. No one in medical science had experienced this, nor had anyone heard of it. How could a dying woman radiate enough toxin to poison so many people yet leave no pathological trace?

The medical cause of Ramirez’s death was clear, though. She was in Stage 4 cervical cancer, had gone into renal failure, which led to cardiac arrest. Anatomically, the fumes had nothing to do with Gloria Ramirez’s death. But what caused the fumes?

“If the toxic emittance was not a death factor, then what in the world’s going on here?” was the question going on in so many minds—medico, legal, and layperson. To answer that, as best as is possible, it’s necessary to look at the Ramirez case facts both from what the eyewitnesses (and the overcome) said and what forensic science can tell us.

Gloria Ramirez, a wife and mother of two, was in terrible health when she arrived at Riverside Hospital. She’d rapidly deteriorated after being in palliative, home-based care with a diagnosed case of terminal cervical cancer. In the evening of February 9th, Ramirez developed Cheyne-Stokes breathing and went into cardiac arrhythmia or heart palpitations. Both are well-known signs of imminent death. Her home caregivers called an ambulance and had her rushed to the hospital as a last life-saving resort.

A terminal cancer patient, like Gloria Ramirez, was nothing new to the Riverside ER team. She was immediately triaged, and time-proven techniques were quickly applied. First, an IV of Ringer’s lactate solution was employed—a standard procedure for stabilizing possible blood and electrolyte deficiencies. Next, the trauma team sedated Ramirez with injections of diazepam, midazolam, and lorazepam. Thirdly, they began applying oxygen with an Amb-bag which forced purified air directly into Ramirez’s lungs rather than hooking up a regular, on-demand oxygen supply.

So far, Ramirez’s case was typical. It wasn’t until an RN, Susan Kane, installed a catheter in Ramirez’s arm to withdraw a syringe of blood that circumstances went from controlled to completely uncontrollable. Kane, a highly experienced RN, immediately noted an ammonia-like odor emanating from the syringe tip when she removed it from the catheter. Kane handed the syringe to Maureen Welch, a respiratory therapist, and then Kane leaned closer to Ramirez to try and trace the unusual odor source.

Welch also sniffed the syringe and later agreed with the ammonia-like smell. “It was like how rancid blood smells when people take chemotherapy treatment,” Welch would say. Welch turned the syringe over to Julie Gorchynski, a medical resident, who noticed manila-colored particles floating in the blood as well as confirming the ammonia odor. Dr. Humberto Ochoa, the ER in-charge, also observed the peculiar particles and gave a fourth opinion that the syringe smelled of ammonia.

Susan Kane stood up from Ramirez (who was still alive) and felt faint. Kane moved toward the door and promptly passed out—being caught in the nick of time before bouncing her head off the floor. Julie Gorchynski also succumbed. She was put on a gurney and removed just as Maureen Welch presented the same symptoms of being overcome by a noxious substance.

By now, everyone near the dying Gloria Ramirez was feeling the effects. Ochoa, himself now ill, ordered the ER evacuation and for everyone—staff and patients—to muster in the open parking lot where they stripped down to their underclothes and stuffed their outer garments into hazmat bags.

Ramirez remained on an ER stretcher. A secondary trauma team quickly donned hazmat PPE (Personal Protection Equipment) and went back to give Ramirez what little help was left. They did CPR until 8:50 pm when the supervising doctor declared Gloria Ramirez to be dead.

Taking utter precaution, the backup trauma team sealed Gloria Ramirez’s body in multi-layers of body shrouds, sealed it in an aluminum casket, and placed it in an isolated section of the morgue. Then they activated a specially-trained hazmat team to comb the ER for traces of whatever substance had been released and caused such baffling effects to so many people. They found nothing.

Meanwhile, Riverside hospital staff had to treat their own. Five workers were hospitalized including Susan Kane, Julie Gorchynski, and Maureen Welch. Gorchynski suffered the worst and spent two weeks detoxifying in the intensive care unit.

The Riverside pathologists faced a daunting and dangerous task—autopsying the body which they considered a canister of nerve gas harboring a fugitive pathogen or toxic chemical. In airtight moon suits, three pathologists performed what might have been the world’s fastest autopsy. Ninety minutes later, they exited a sealed and air-tight examining room with samples of Gloria Ramirez’s blood and tissues along with air from within the shrouds and the sealed aluminum casket.

The autopsy and subsequent toxicology testing found nothing—nothing remotely abnormal that would explain how a routine cancer patient could be so incredibly hostile. The cause of death, the pathologists agreed, was cardiac arrest antecedent (brought on by) to renal (kidney) failure antecedent to Stage 4 cervical cancer. The Riverside coroner concurred, and his mandate was fulfilled with no doubt left about why and how Gloria Ramirez died.

For the coroner, that should have been it. There was no evidence linking the mysterious fumes to the cause of death, and whatever by-product was in the ER air was not a contributor to the decedent’s demise. That problem should have been one for the hospital to figure out on their own. However, the Riverside coroner was under immense public pressure to identify the noxious substance for no other reason than preventing it from happening again.

The coroner worked with the hospital, the health department, the toxicology lab, and Gloria Ramirez’s family to come to some sort of reasonable conclusion. The Ramirez family had no clue—no suspicions whatsoever—of any foreign substance Ramirez had ingested or been exposed to that could trigger such a toxic effect. The toxicology lab was at a wit’s end. They’d never seen a case like this, let alone heard of one. And the health department went off on a tangent.

The county’s health department appointed a two-person team—a team of medical research professionals—to interview every person exposed to the ER and surrounding area on February 9, 1994. They profiled those people so closely that the two-expert team even cross-compared what everyone did, or didn’t, have for dinner that night. When that preeminent probe was over, and no closer to a smoking gun than the struck-out hazmat team failed to find on the night of the fright, the interviewers came to a conclusion—mass hysteria.

The team of two medical doctors, both research scientists, concluded there was no poisonous gas. In their view, in the absence of evidence, there was only one explanation and that was that 23 people simply imagined they were sick. Some, they concluded, had such vivid imaginations that they placed themselves into the intensive care unit.

This was the report the health department delivered to the coroner. While the coroner was now scrambling for damage control, some of the “imaginary” health care workers who could have died during exposure, launched a defamation lawsuit against the hospital, the health department, and the two investigators who concocted the mass hysteria conclusion.

Frustrated with futility, the coroner (who was way outside his jurisdictional boundaries) turned to outside help. He found it at Lawrence Livermore National Laboratories (LLNL) near San Francisco.

Lawrence Livermore initially wasn’t in the medical or toxicological business. They were nuclear weapons makers with a busy mandate back in the cold war era. Now, by the 90s, their usefulness was waning, and so was their funding, so they decided to broaden their horizons by creating the Forensic Science Center at LLNL.

Brian Andresen, the center’s director, took on the Toxic Lady case. The coroner gave Andresen all the biological samples from Ramirez’s autopsy as well as the air-trapping containers. Andresen set about using gas-chromatograph-mass spectrometer (CG-MS) analysis which would have been the same process the Riverside County toxicologist would have used to come up with a “nothing to see here, folks” result.

But Andresen did find something new to see. He found traces dimethyl sulfoxide (DMSO) in Ramirez’s system. Not a lot—just traces—but clearly it was there. Andresen felt he was on to something.

Dimethyl sulfoxide, on its own, is stable and harmless. It’s an organic sulfur compound with the chemical formula (CH3)2S0, and is readily available as a degreasing agent used in automotive cleaning. It’s also commonly ingested and topically applied by a cult-like, self-medicating culture of cancer patients. At one time, there was a clinical trial approved by the FDA to use DMSO as a medicine for pain treatment, and it was dearly adopted by the athletic world as a miracle drug for sports injuries. The FDA abruptly dropped the DMSO program when they realized prolonged use could make people go blind.

Brian Andresen developed a theory—a theory adopted by many scientists who desperately wanted some sort of scientific straw to grasp in explaining the bizarre death of the Toxic Lady—Gloria Ramirez. Andresen’s theory went like this:

Gloria Ramirez had been self-medicating with DMSO. When she went into distress at home, the paramedics placed her in an ambulance and immediately applied oxygen. Ramirez received more oxygen at the ER which started a chemical reaction with the DMSO already in her body systems.

Note: Chemically, DMSO is (CH3)2SO which is one atom of carbon, three atoms of hydrogen, two atoms of sulfur, and one atom of oxygen—a stable and harmless mix.

However, according to the Andresen theory, when medical staff applied intense oxygen to Ramirez, the DMSO chemically changed by adding another oxygen atom to the formula—becoming (CH3)2SO2—dimethyl sulfone (DMSF).  DMSF, also, is harmless and it’s commonly found in plants and marketed as a dietary supplement. So far, so good.

It’s when four oxygen atoms are present that the stuff turns nasty. The compound (CH3)2SO4 is called dimethyl sulfate, and it emits terribly toxic gas-offs. This is what Andresen suspected was the smoking gun. The amplified oxygenation turned the self-medicating dimethyl sulfoxide Ramirez was taking into dimethyl sulfone which morphed into the noxious emission, dimethyl sulfate.

The coroner liked it. So did many leading scientists. The coroner released Andresen’s report as an addendum to his final report, even though all agreed that if dimethyl sulfate was gassed-off by Ramirez in the ER that made so many people sick, it had absolutely nothing to do with the Toxic Lady’s death. The coroner closed his file, and the finding went on to be published in the peer-reviewed publication Forensic Science International.

There were two problems with Andresen’s conclusion. One was more scientists were disagreeing with it than agreeing. Some of the dissenters were world-class toxicologists who said it was chemically impossible for hospital-administered oxygen to set off this reaction. Two was Ramirez’s family adamantly denied she was self-medicating with DMSO.

The Toxic Lady case interest was far from over. Many people knew DSMO would be present in minute amounts in most people’s bodies and called bullshit. It’s a common ingredient in processed food and metabolizes well with a quick pass-through rate in the urinary tract. In Ramirez’s case, she had a urinary tract blockage which triggered the renal failure which triggered the heart attack. If it wasn’t for the blockage, the DSMO probably wouldn’t have been detected.

On the sidelines, there were people—knowledgeable people—strongly saying another chemical would give the same ammonia-like, gassing-off toxins that ticked all the 23-person symptom boxes.

Methylamine.

Methylamine isn’t rare. It’s produced in huge quantities as a cleaning agent, often shipped in pressurized railroad cars, but it’s tightly controlled by the government. That’s because methylamine can be used for biological terrorism and for cooking meth.

Yes, methylamine is a highly sought-after precursor used in manufacturing methamphetamines. Remember Breaking Bad and the lengths Walt and Jesse go to steal methylamine? Remember the precautions they take in handling methylamine?

Well, back before Breaking Bad broke out, the New Times LA  ran a story giving an alternative theory of what happened to make the Toxic Lady toxic. Whether the Times got a tip, or some inside information, they didn’t say. What they did say was that Riverside County was one of the largest methamphetamine manufacturing and distribution points in America, and that Riverside hospital workers had been smuggling out methylamine to sell to the meth cookers. (Hospitals routinely use methylamine as a disinfectant in cleaning agents, including sterilizing surgical instruments.)

The Times report said Riverside hospital workers used IV bags to capture and store methylamine as the IV bags were sealed, safe to handle, and entirely inconspicuous. The story theorized that an IV bag loaded with about-to-be smuggled methylamine accidentally found its way into the ER and got plugged into Gloria Ramirez’s arm. Because methylamine turns to gas so quickly when exposed to oxygen, this would explain why no traces were found in the toxicology testing—it all went into the air and into the lungs of 23 people.

———

As a former coroner, I’d be skeptical of this methylamine theory except for personal knowledge of a similar case. My cross-shift attended a death where a meth cooker had methylamine get away from him in a clandestine lab. The victim made it outside yelling for help but shortly succumbed. The civilians, hearing his cries, rushed over and were immediately overpowered with the exact symptoms as the Riverside medical people experienced.

The first responders also succumbed to toxic fumes and had to back off. By the time my cross-shift arrived to view the body, many contaminated people were already at the hospital. My colleague made a wise decision. He signed-off the death as an accident, declined to autopsy, and sent the body straight to the crematorium—accompanied by guys in hazmat suits with the body sealed in a metal container and strapped to a flat deck truck.

Do I buy the Times methylamine theory? Well, I’m a big believer in Occam’s razor. You know, when you have two conflicting hypotheses for the same puzzle, the simpler answer is usually correct. Some one-in-a-billion, complex chemical reaction that world-leading toxicologists say can’t be done? Or some low-life, crooked hospital drone letting an IV bag full of stolen methylamine get away on them?

You know which one I’m going with to explain the bizarre death of the Toxic Lady — Gloria Ramirez.