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停屍間女王 Nicole Angemi

常常我們看到的法醫就是從電視上看到,每當命案發生時會出現,並協助家屬找出死因的那群人,

是的,Nicole Angemi大部分的工作是這一部分,但有更多部分是解剖因為生病而過世(非老死)的人們的身體。

在她解剖的的上千具屍體中,她發現其實很多死亡其實是可以避免的,

經過多番思考後,她決定拍下這些案例,並放在網路上分享,

比較有名的例子就是因為抽菸而把肺熏的黑黑的照片,

 

嗯不過礙於這些照片都非常可怕,所以小編們先~盡~~量找幾些張給大夥兒看

有興趣的朋友們可以直接點到instagram去看喔。

A little taste of things to come🔪🔪🔪 Photos @bquals @zoranzgonc Hair @ashleybigfun Makeup @kellyleerules #iheartautopsy #autopsy

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

36歲的單親媽媽妮可(Nicole Angemi),15歲時就懷孕生子了,當時的她對未來一切感到茫然,

直到19歲後,她因為照顧孩子才摸索出自己的興趣,於是妮可選擇去念護理學校,開啟了她的病理學之路。

💀❤️ATTENTION❤️💀 🔪DUE TO POPULAR DEMAND 🔪 I receive so many emails a day and I can not respond to all of them. The most common emails I receive on a daily basis are questions about my career. That is why I have decided to set aside some time to give individual career advice! My first career advice session was last week and it was awesome!! This will be a 1/2 hour, one on one Skype session with me. This is not just for people who want to work in pathology, but for anyone who is looking into going into the field of medicine. If this is something you would be Interested in: 1. Go to my website iheartautopsy.bigcartel.com . I am currently setting up sessions for tomorrow, Monday, January 30th, 5pm-9:15 EST and Sunday, February 5th, noon-4:15 EST. There are 6 time slots available for each day. 2. On The day of your Skype call, I will contact you at your designated time slot. You have a half hour for your Sykpe call. Use that half hour wisely. Do not be late. I will not extend your time slot. Come prepared with any questions and information you have for me to utilize your time well. 3. Sessions are non-refundable. All information discussed in career advice sessions are based on my experience working in medicine for 17 years. This advice is in no way a guarantee of your placement in a university or a job, but simply advice on steps to get there. These career advice sessions are great for any person who is interested in working in any field of medicine regardless of age, income or previous education. I am only familiar with careers and education in the medical field within the United States of America, therefore I can not give advice to international followers sorry. iheartautopsy.bigcartel.com

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畢業後的妮可在病理學家身邊擔任助理,第一天就獨挑大樑做驗屍解剖,

雖然過程緊張又刺激,但對妮可來說卻是意義非凡,

這也讓她確定自己的確喜歡探索人體與死亡的奧秘,

於是她決定透過instagram向大家介紹她病理學生涯的所見所聞。

People keep asking me about my skin, hair and makeup. So here goes. 👩🏻💄💋 1. I'm 37 years old. I have been taking care of my skin very well since I was a teenager. I wash my face everyday with an anti-blemish wash and also ocean salt scrub from @lushcosmetics . I don't get facials. Or use masks. I'm very scared of anything that may throw off the balance. I love makeup, but I do not wear a lot of it. In my opinion, liquid foundation is like putting paint on your face. I wear it on occasion like weekends/ special events, but for everyday use I just use a foundation powder. My favorite is MAC studio fix powder. I know I am aging pretty gracefully, but I am starting to get forehead wrinkles. I'm almost 40! Wrinkle creams don't work people. You know what does-BOTOX. I swear by it. Get it. It will change your life. I like to call it "preventative medicine". Typically people need Botox about 4x a year or every 3 months. Mine stays well and I get it about 2x a year. I have had no side effects but awesome skin and no wrinkles. My biggest skin secret of all though is avoiding sun, using SPF everyday and NOT SMOKING. I'll send an update next week when it kicks in. 2. The lipstick. I am typically a die hard MAC matte fan and I have almost every color. Recently I was sent a lipstick to try called LipSense. I do not like change and I was skeptical to use it. But I loooove it, and so does everyone else. I have been stopped almost 10x since I started using it this week. This lipstick is weird and takes a minute to apply- but it literally stays on all day. It does not bleed and it does not stick to your teeth or coffee cup. You can order it by contacting @lippies_by_liz and use code ANGEMI10 to get a 10% discount. (Color:Fly Girl) 3. My brows: microblading by @kellyhaneycosmetics 4. My hair: extensions I have had since July by @ashleybigfun . Cuts by @tami.ohh_hair I know this all seems super high maintenance, but- I'm actually a minimalist. I don't color my hair, and on a daily basis I can be ready to go out after showering within 10-15 minutes. I'm pretty lazy but I like to look cute everyday😊 I hope you enjoy these tips!❤️

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

在妮可的instagram中,沒有美食也沒有美景,有的就是染病的器官,或是血淋淋的大體照片!

甚至自稱自己為停屍間女王

「我現在有超過60萬粉絲,但也收到不少抱怨訊息說我po的照片太恐怖。我想教育大眾,instagram對我來說就是21世紀的醫學教科書,我po照片不是要讓大家感覺噁心,而是讓大家對疾病和死亡有更深一步的認識,如果你不喜歡就別看囉!」Nicole Angemi

不過現在她的IG早已經超過百萬人追蹤了….

怎麼說其實也是個正妹呢

Another 1 million follower giveaway!!!!!! "Dura Mater" limited enamel pin!!!! Not for sale!!! The dura mater is the thick fibrous layer that surrounds and protects the brain. Dura mater means "tough mother" in Latin. The first 3 people to answer correctly win a pin!!! Since being a mom is my most important job, I'll ask you a question about my babies! Questions: 1. What is Lillian and Lucia's favorite piece of taxidermy in our house? 2. What is Maria's major in college? First 3 correct answers win!!!! I'll contact you through direct messaging. Good luck!!! Glasses: old @marcjacobs just restored by @theeyeglasslass Lips: LipSense (bottom layer: Fly Girl, middle layer: B. Ruby, top layer: Party Pink) @lippies_by_liz

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

以下就讓我們看看幾張妮可po出的照片吧!

照片極度噁心慎入!!!

沒有錯!!!!!! 這就是抽菸黑掉的肺!!!!

Happy New Years!!! Did anyone make a resolution this year to stop smoking??? 🚫🚬🚫🚬🚫🚬🚫🚬🚫🚬 I hope so!!! By now, I think you all know it is a subject I am passionate about. Why? Because is is the NUMBER 1 cause of preventable disease. Sure I don't mind the job security, but I do mind the tobacco industry purposely creating a known harmful product because of its known addictive properties and preying on the public for their financial profit. If these black lungs don't bother you, then maybe the lies, manipulation and hidden files of the tobacco industry will change your mind. Join me and @susurrusdin at @theconventphilly on January 22 at 6pm for a FREE lecture about the real dangers of tobacco and the tobacco industry and governments role in your addiction. Let's fight them back together by quitting! The event is FREE. Tickets will not be available. It is first come, first serve. @theconventphilly only seats 35 guests, so the room will fill up fast- be there early!!!!

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

這張是壞掉的膽囊以及滿滿的膽結石

大範圍擴散的癌症轉移病患

This is something I have actually only seen once at autopsy. Carcinomatosis. This is basically wide spread dissemination of metastatic cancer.

This is something I have actually only seen once at autopsy. Carcinomatosis. This is basically wide spread dissemination of metastatic cancer. The woman was 60 years old and found dead at home. When we opened her up- we saw all of the abdominal organs caked with tumor. This is one of those autopsies where you can tell the person was in tons of pain and ignoring this for a while. Everything is caked with tumor. The original tumor was coming from her ovary. The reason we do not see this commonly in the hospital autopsy is because it doesn't happen often when a person is receiving treatment. Also- when a patient is stage 4 cancer (carcinomatosis is stage 4) there families do not typically request an autopsy because they know the cause of death. Photo credit: @esmarbv #iheartautopsy #cancer #ovariancancer #autopsy #dead #death #science #pathology #autopsy

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

癌症第四期 瞧瞧那些腫瘤們

被絞肉機絞進去的手掌!!!!! 😱😱😱

Man vs machine Industrial accidents happen and occasionally we receive these types of specimens in the pathology lab. The most common specimens we receive are finger tips, and fingers but from time to time we get hands, an arm, both arms, a leg, etc. depending on the trauma. In certain cases like this, the specimen will be so intertwined within the machine we will actually get a part of the machine along with the body part. When we get this there is really not much for us to do with it besides document the amputation site. This documentation is important because many of these cases end up in court. Photo cred: @jmgardnermd #iheartautopsy #trauma #accidents #saw #amputee #amputation #arm #hand #er #ed #pathology

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

這是多發性囊腫腎病患者的腎臟。

這是因缺血性疾病而切除的小腸。

同時間她告訴大家

當到達犯罪現場時,所有的物證都需要在屍體之前進行檢查。

’唯有如此才能把命案是如何發生和什麼致死的拼圖一一拼上…..

When arriving to a crime scene, all things need to be examined before the body. This needs to be done to put the puzzle pieces of what happened and what caused this death.

Forensic Friday!!!! The benefit to having multiple Instagram accounts deleted is that you have many photos and posts that your new followers have not seen!!!! Here is an oldie but goodie! Blunt force trauma and blood spatter analysis! When arriving to a crime scene, all things need to be examined before the body. This needs to be done to put the puzzle pieces of what happened and what caused this death. A story can be concluded and is important when the medical examiner and/or investigators have to testify in a murder trial. The top left photo shows a dead woman in a significant amount of blood with adjacent blood spatter on the wall. This pattern shows the woman was struck in the head in the same place her body lays. One hit to the head usually does not cause spatter, but an object continuously hitting a blood covered body picks up blood and sprays it as the suspect swings it. The top right photo shows the victims shirt. It is covered with a linear blood pattern, which indicates she was struck on the back, after being bludgeoned in the head. The shirt is lifted, and the bottom left photo shows multiple linear patterned contusions. These pattern contusions matched exactly with a blood stained baseball bat found in the yard, as seen to the bottom right. At autopsy, multiple skull fractures were found. Most likely, the suspect hit the woman in the head, with a large blow that was enough to make her collapse. Several more blows to the head were delivered while she was on the floor, causing multiple skull fractures. To make sure the job was done, he delivered several more blows to her back. #iheartautopsy #forensicfriday #forensic #forensics #tgif #autopsy #csi #crimescene #police #detective #trail #murder #homicide #trauma #bluntforcetrauma #bloodspatter #blood #bloody #dexter #baseball #bat #baseballbat #pattern

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

當然這也包含了重大車禍現場

屍體是不能隨便移動的

💰👊🏻💀T I P J A R💀👊🏻💰 Hi all! Thank you so much for participating in my feed. 💀🔪Having 1 million people enthusiastic about science and pathology has truly been the most exciting part of all of this since I started my first account in late 2013. As many of you know, I do not get paid to run this Instagram account. I have done over 2700 posts, most of which require reading and researching through various educational resources. More importantly, I'm spreading my own intellectual material that I learned throughout my experience as a PA and 6 years of college that I'm still paying for! The amount of time and energy I have dedicated over the past 3 years to this project is enough that I could easily be working another part-time job or have went back to college for more advanced degrees. I love this forum of education. I choose not to work for a university just teaching students who are studying medicine. I want to teach anyone who wants to learn regardless of age, financial situation, life situation, or education level. This is why I have created a digital "tip jar". I have been thinking of the countless people I tip a day (servers, hair stylists, nail technicians, bartenders, tattoo artists, etc.) for a service I enjoy. If you think what I'm doing on Instagram is educational, helping you in any way (personal life, with school, etc.) and you enjoy my feed, throw me a tip. If not, that's cool too- I'll still be here posting! 📱💀 Many of you have been asking if I am receiving the tips from the digital tip jar and I am!!! Thank you everyone for following!!!!!!!🙌🙌🙌🙌🙌🙌🙌🙌🙌🙌🙌🔼🔼🔼🔼🔼🔼🔼🔼🔼🔼🔼🔼🔼🔼🔼🔼 link in bio https://digitaltipjar.com/iheartautopsy 💀💀🔪🔪 This is a motorcycle accident with injuries not consistent with life. This is called transection. The reason I am showing you this is not because I am anti-motorcycle. I actually grew up in a Harley house with a dad who rode my whole life. When I interned at the medical examiners office I was surprised how many deaths from motorcycles happened!!! Nothing could have helped this man, but notice no helmet, no leather. When a person hits the street going fast, bad things happen.

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如此一來才能去清楚的還原現場

Forensic Friday!!! Kickin it old school this week! The cool thing about pathology is that things don't change! A heart attack looks the same now as it did in 1816!!! The same goes in this example of a pedestrian vs car accident. The only thing that has changed over time is the models of cars we drive, the patterns of injuries would be same in this text book as it would be in a text book printed today. The top 2 left photos show what is called a basilar skull fracture or a fracture at the base of the skull. The eyes may look like he got punched in the face, but that is really what we call "raccoon eyes" and is a sign a patient that has a base of skull fracture. The bottom 2 photos show lower extremity injuries including a headlight injury against the thigh and fractures/ lacerations of the lower legs from the bumper. #iheartautopsy #forensicfriday #forensicfiles #carvsvehicle #vehicularhomicide #dead #death #accident #vintagepathology #med #medical #medschool #medstudent #pathology #caraccident

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

我們甚至可以從她的IG看到許多器官細節構造

腳掌

眼球

❤️U @ange_261

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

20週的孩子

20 week old miscarried fetus with omphalocele . Omphalocele and gastroschisis get confused ALL the time, and it is super easy to remember (along with ALL medical words) if you know medical terminology. These are both congenital conditions that are categorized as defects in the abdominal wall during development. Gastroschisis is when part or all of the GI tract is outside the body. (gastro means "abdomen" and schisis means "division") Omphalocele is when this occurs, but the organs are contained in sac. (ompha means "navel" and ocele means "hernia") As you can see this defect contains a very thin, translucent sac that is carrying the intestines. Both of them are repairable by surgery but unfortunately this little fetus didn't make it. This can be diagnosed on ultrasound. #iheartautopsy #fetus #miscarriage #omphalocele #gastroschisis #congenitaldefect

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

她還分享那些電視節目法醫解剖和實際上的模樣差別……

Death investigation TV vs real death investigation @johnstamos on set performing an autopsy. 1. Another dark morgue. We usually need lights to see. 2. No livor mortis? Is this person really dead? A dead body is pale because all of the blood pools to dependent surfaces. The bottom shows a purplish appearance of the skin. 3. This Y incision sucks.you would only be able to access the chest and abdomen organs with this cut. So- hopefully he doesn't have pathology in the neck or pelvis! 4. The fat is way too orange and lobulated. It looks more like omental (internal) fat. 5. PPE anyone? Hope this dude doesn't have HIV or Hep C bro! Or how about TB @johnstamos ! You are all up in those lungs! 6. What exactly are they looking at so intensely. These "organs" look relatively normal. 7. I'm done here🎤 #iheartautopsy #autopsy #specialfx #makeup #realvsfake #tv #csieffect #pathology #morgue #science #actors #ppe #disease #medicine

A post shared by Nicole Angemi, MS, PA (ASCP) (@mrs_angemi) on

被問到工作是否會影響情緒時,妮可表示她就是有辦法在工作時抽離自己的情緒

「就算我遇到跟我女兒一樣大的解剖對象也是一樣,不管祂是因為疾病或暴力而死亡,我告訴自己這一切都不會發生在我女兒身上。」Nicole Angemi

雖然妮可的instagram經常遭人檢舉而關閉,然而她認為有許多照片其實有著「警惕」作用,

例如愛抽菸的人若看到得了肺癌的肺後,對他們的戒菸之路會更有幫助。

相較於過去用日記寫下生活趣事,現代人則使用app來記錄生活,

如許多人都有instagram帳號,會在上面po些美食、風景等照片,來紀念生活中值得懷念的一切。

但小編還真是沒有聽過有人用instagram來當作醫學解剖日記的……

如果你膽子夠大,也對病理學有興趣,那關注Nicole Angemi的instagram,或許能讓你有不同的收穫喔!

 

©Cite Sources/Credit Images:  Nicole Angemi instagram


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