Remembering and reading about September 11, 2001

Even though the September 11, 2001 terrorist attacks on the United States happened long ago, there are still lessons to remember and to learn. This post highlights some of the literature that preserves that knowledge.

The terrorist attacks on September 11, 2001 prompted a profuse body of literature, including one by a woman physician forensic pathologist trainee.

I reviewed her memoir here.

Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner

by Judy Melinek, M.D. and T.J. Mitchell

The author, Judy Melinek, M.D., wrote this account of her training as a forensic pathologist, a physician specialist who investigates sudden, unexpected or violent deaths. Her husband, T.J. Mitchell co-authored.

When she applied for a position in New York City at the NYC Office of the Chief Medical Examiner (OCME), Dr. Judy Melinek never imagined that decision would plunge her into the nightmare of September 11, 2001. She was at the ME office that day when the Twin Towers were attacked and fell, killing thousands of people.

The main job of a medical examiner is to investigate death by examining a corpse- an autopsy. They look for evidence of the cause of death, whether due to disease or trauma, and time of death, recent or remote. They hunt for signs that the death was self or other inflicted. Sometimes they need to establish the identity of the corpse. Such was the case after September 11.

She and the other staff collaborated with the team of investigators who worked night and day identifying the remains of victims, a task she vividly describes in the book. This was basically their only job since the cause of death was for the most part irrelevant, and impossible to determine.

Sometimes they had only a small body part, as little as a finger, to extract DNA to identity a victim. Such identification was critical to bring closure to the families who lost loved ones, people who left for work that day, and never came home.

DNA fingerprinting is a chemical test that shows the genetic makeup of a person or other living things. It’s used as evidence in courts, to identify bodies, track down blood relatives, and to look for cures for disease.

WebMD.com
The structure of DNA and genetic information. from U.S. Government Works
 

Dr. Melinek describes not only the science of what she was doing, but also the emotion behind it; how she and the other medical examiners and staff felt about their work. She describes how it affected her relationship with her husband and young son, the problem of explaining to him what she was seeing and experiencing on a daily basis. She didn’t have the heart to tell him how many trailers full of partial bodies there were, after he saw just one and was shocked.

She also discusses other cases she worked on.  As a forensic pathologist, Dr. Melinek  understands why and how people die, and therefore also knows how people can avoid dying unexpectedly. Pathologists tend to be blunt, straightforward and to the point, as when she writes,

  • “So don’t jaywalk.
  • Wear your seat belt when you drive.
  • Better yet, stay out of your car and get some exercise.
  • Watch your weight.
  • If you’re a smoker, stop right now. If your aren’t, don’t start.
  • Guns put holes in people. Drugs are bad.
  • You know that yellow line on the subway platform? It’s there for a reason.
  • Staying alive, as it turns out, is mostly common sense.” 

Working Stiff moves at a quick pace, in a conversational style. When she uses medical jargon, she explains it in simple terms. She describes the cases she investigated in detail so those with weak stomachs (no pun) may want to skip this read.

Having experienced her father’s unexpected death when she was 13 years old, she was no stranger to it, and she learned more from the 262 autopsies she did during her training. As she says in this engaging memoir,

To confront death every day, to see it for yourself, you have to love the living.” 

Dr. Judy Melinek
Visit Dr. Melinek’s website at Forensic Pathology Forum 
Other authors have written about the medical consequences of the terrorist attacks of 9/11/2001 in these books and articles.

City of Dust: Illness, Arrogance, and 9/11

by Anthony DePalma

“In City of Dust, Anthony DePalma offers the first full accounting of one of the gravest environmental catastrophes in United States history.

The destruction on 9/11 of two of the world’s largest buildings unleashed a vortex of dust and ash that blotted out the sun and has distorted science, medicine and public policy ever since. The likely dangers of 9/11’s massive dust cloud were evident from the beginning, yet thousands chose not to see. Why? As the sickening results of exposure became evident, many still refused to recognize them. Why? The consequences are still being tallied in the wasted bodies and disrupted lives of thousands who gave their all when the need was greatest, but whose demands for justice have been consumed by years of politics and courtroom maneuvers.

Separating reality from myth – and doing so with exceptional literary style and grace, DePalma covered Ground Zero for The New York Times for four years. DePalma introduces heroic firefighters, dedicated doctors and scientists, obsessive city officials, partisan politicians, aggressive lawyers, and compassionate judges and reveals the individual decisions that destroyed public trust, and the desperate attempts made to rebuild it.

The dust that was the World Trade Center has changed everything it touched. This is the story of that dust, the 9/11 disaster after the disaster, and what it tells us about ourselves and our future.”

(Amazon review)

mounted police officer
a New York City police officer and his horse represent the city proudly

Project Rebirth: Survival and the Strength of the Human Spirit from 9/11 Survivors

by Dr. Robin Stern and Courtney E. Martin

“Written in conjunction with the documentary Rebirth, a full decade in the making, an uplifting look at the lives of nine individuals whose lives were forever changed by the largest tragedy our nation has ever faced. 

In Project Rebirth, a psychologist and a journalist examine the lives of nine people who were directly affected by the events of September 11, 2001. Written concurrently with the filming of the documentary, it is uniquely positioned to tackle the questions raised about how people react in the face of crippling grief, how you maintain hope for a future when your life as you knew it is destroyed, and the amazing ability of humans to focus on the positive aspects of day-to-day living in the face of tragedy.”

(Amazon review)

NYFD engine
honoring the brave FDNY firefighters who rescued survivors and those who lost their lives doing so

Public health and medical disaster responses: The untold story of 9/11

By Kelly B. Close, MD

former National Coordinator of Disaster Volunteers for the American Red Cross

“You never know when your life is going to change.

My red business suit was almost buttoned, and I was rehearsing my presentation for the Milford, Connecticut Red Cross board of directors, even though my mind kept wandering to my wedding just nine days earlier in Walt Disney World. An urgent call from my new husband to come to the television interrupted my wedding day dreams.

As soon as I saw the images of the first plane hitting the World Trade Center, I knew that my plans for the day – maybe even my life – had changed.” (excerpt from article)

Triumph Over Terror

by Bob Ossler with Janice Hall Heck

“What do Ossler’s insights reveal about finding meaning and purpose in the thick of chaos and personal tragedy?

Chaplain Ossler chronicles the best of humanity—acts of courage and goodness in the midst of unimaginable devastation. As terrorist attacks continue to assault humanity, Triumph Over Terror reveals how your spirit can triumph over terror’s reign, and how you can help others suffering from trauma and loss.”(Amazon review)

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One World Trade Center
One World Trade Center, photo taken 8/16/2013 by Dr. Aletha

exploring the HEART of health in history

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Why women physicians are good for health care

The first woman graduate of a United States medical school was born in Bristol England in 1821. Elizabeth Blackwell came to this country as a child and originally had no interest in medicine. But when a dying friend told her, “I would have been spared suffering if a woman had been my doctor”, she found her calling.

By the most recent statistics published by  the Kaiser Family Foundation, 48% of United States medical school graduates  are women; in some states, over 50% are women. If that trend continues, eventually at least half of all practicing physicians in the United States will be women. Currently about one third are female.

class reunion
My medical school graduating class at our 30th reunion; the original class was larger, 150 students, but the percentage of women was the same as in this photo. (I’m in the pink dress)

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Dr. Elizabeth Blackwell

The first woman graduate of a United States medical school was born in Bristol England in 1821. (thank you, UK readers). Elizabeth Blackwell came to this country as a child and originally had no interest in medicine. But when a dying friend told her, “I would have been spared suffering if a woman had been my doctor”, she found her calling.

She was denied admission to multiple medical schools. The Geneva Medical College of New York submitted her application to the student body for a vote, and, as a joke, they voted to admit her. Well, the joke was on them as she enrolled, completed medical school and graduated in 1849.

Read more detail about How Elizabeth Blackwell became the first woman doctor in the United States

With her sister, Emily Blackwell , who also  graduated from medical school, and a German physician, Marie Zakrzewska, they opened and ran the New York Infirmary for Women and Children in 1857.

Dr. Emily Blackwell  managed the Infirmary for 40 years. Dr. Marie Zakrzewska moved to Boston when she founded the New England Hospital for Women and Children, which trained  women physicians and cared for the poor.

Due to failing health, Dr. Elizabeth Blackwell retired from practice in the 1870s.

The Physicians Mom Group (PMG) declared Dr. Blackwell’s birthday February 3 as National Women Physicians Day. This day celebrates all the significant contributions that women physicians make daily, none of which would have been possible without Elizabeth Blackwell.

Dr. Blackwell embodied the ABC characteristics of extraordinary women physicians-

Attentive, Brave, Compassionate

Women physician members of CMDA providing medical care in Ecuador

Dr.Rebecca Lee Crumpler

Prior to founding her hospital, Dr.Zakrzewska served as professor at the New England Female Medical College. That school produced another notable women physician, Dr. Rebecca Lee Crumpler.

Dr. Crumpler graduated in 1864, becoming the first African-American woman to earn the M.D. in the United States.  After practicing in Boston, she moved to Virginia where she and other black physicians cared for freed slaves, who otherwise would have had no access to medical care. In 1883 Dr. Crumpler wrote a book of medical advice for women and children, titled Book of Medical Discourses, one of the earliest medical publications by an African American.

Dr. Virginia Apgar

More recently, a woman physician’s work has impacted the lives of countless babies and their families. If you have had a baby, or been born within the past 60 years, you benefited from the work of Virginia Apgar, M.D.

She was neither an obstetrician or a pediatrician, but an anesthesiologist. As she observed deliveries of infants she proposed a scale to rate how well a newborn was adapting to life outside the mother.

crying baby
courtesy Pixabay

She considered 5 factors:

  1. heart rate
  2. respiratory (breathing) rate,
  3. muscle tone,
  4. reflexes, and
  5. color-pink (warm) or blue(cold)

And assigned each a score- 0, 1, or 2, at 1 minute of age, and again at 5 minutes.

So a newborn had a potential score as low as 0 and as high as 10.

The higher the score, referred to as the Apgar score, the more likely the baby was healthy and would do well. The lower the score meant the baby was in trouble, and needed intensive medical attention.

After testing the use of the rating scale over several years, doctors starting using it routinely; so for the past 50-60 years almost all babies have been “graded” with an Apgar score at birth. The Apgar score  is used widely throughout the world.

Dr. Apgar, who played violin and cello in her college orchestra, was appointed the first full professor of medicine at Columbia University and also was a director for the March of Dimes.

The National Library of Medicine profiles

these and many other women physicians at

 Changing the face of Medicine –

celebrating America’s women physicians.

exploring the HEART of women physicians

Dr. Aletha