In a certain number of cases the matter is hopeless from the
beginning, but in the majority the autopsy may be secured by the
exercise of proper tact and patience. The laity should be educated
to ask for the autopsy; and even at the present time laymen often
show a greater willingness in this direction than some members of
the profession. That physicians and undertakers who discourage or
oppose autopsies should be avoided is a principle that should be
instilled into the minds of the public at large. Undertakers soon
come to recognize the aid given them by the autopsy in the matter
of embalming and preserving the body, and the prosecutor should
always show his readiness to allow the undertaker to profit by his
operations, and to render him such definite help as may be within his
power.
As a last resort the offer of a small amount of financial aid in
the burial expenses will secure sometimes a permission otherwise
refused. In extreme cases the physician may decline to sign the death
certificate, or the Coroner may be called in, or the case turned
over to the Board of Health. Under suspicious circumstances such
procedures are necessary, but threats to resort to these expedients
should not be made without good reasons.
With the request for the autopsy should be included the right to take
such portions of organs or tissues as is necessary for a microscopic
examination and for the complete diagnosis. It is, of course, never
necessary and certainly unwise in the majority of cases to make any
definite statements as to what or how much shall be taken away or
left. No specimens should be taken if this is absolutely forbidden;
and, while a half autopsy is better than none, the importance of the
microscopic examination should be urged, if necessary, as strongly as
the performance of the autopsy. The use of a written permission, such
as is given above, obviates the necessity of making a special request
for material and avoids the complications that such a request often
brings about. Moreover, the legal decision above quoted grants the
right to microscopic examination as included in the permit for the
autopsy when such an examination is necessary to complete the aims of
the autopsy.
Public-domain text, read in full here on John Shaqi.
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