Confessions of a GP

Dead people

I’ve seen loads of dead people but I’m still quite scared of corpses. As a hospital doctor, one of my jobs was to go and certify death. During a night on call, I would be covering ten or more wards and be up most of the night doing odd jobs and reviewing sick patients. I recall one night when, after having just got to bed at about 4 a.m., my pager went off. The nurse on one of the geriatric wards told me that one of the patients had died. It was an expected death so although there was no resuscitation and CPR necessary, a doctor needed to certify the death before the body could be taken to the morgue.

It was a cold dark night and I had to force myself out of my warm bed to make the long trudge from the on-call room to the hospital. ‘Room 12,’ the nurse said as I wandered on to the ward. Rubbing the sleep from my eyes, I stumbled into the darkened side room. To certify death, a doctor has to ensure the patient isn’t breathing, that his heart isn’t beating, that his pupils are fixed and dilated and that he doesn’t respond to pain. The pain response is usually elicited by rubbing your knuckles really hard onto the front of the person’s chest. It is call it a sternal rub. It hurts like hell and we also use it a lot on alive patients in A&E, as it wakes people from even the deepest drunken stupor. The room was dark and quiet and I was all alone with the body lying in the bed in front of me. Still half-asleep I decided to start with the pain response. As I pressed my knuckles hard onto the corpse’s chest, it jumped up, grabbed my hand and let out an ear-piercing scream. This was soon joined by an equally loud and terrified scream that was being emitted by me. The nurse then flew into the room and said, ‘Sorry, Doctor, did I say room 12? I meant room 10.’