Autopsy
& 2nd opinions Many questions related to medical diagnosis and
treatment can be answered by careful examination of tissues and
biological specimens, including laboratory analysis of blood and
other body fluids In death situations, the forensic autopsy provides
the most comprehensive and accurate method of determining what
mechanisms led to the ultimate outcome for the patient. Even though an initial autopsy may have been
already performed, a second independent analysis may be helpful—particularly
if the first autopsy was done in the hospital where the patient
was treated. A second independent autopsy can effectively
add to the diagnosis and remove the perception of a possible conflict
of interest that may occur during the in-hospital autopsy situation It is often recommended that a patient seek a
‘2nd opinion’ when there may be a question as to the
medical diagnosis and treatment plan proposed by a treating physician.
This same rationale applies in situations where there is an unexpected
death during medical care and treatment. The actual performance of a second autopsy, or
critical review of an initial autopsy—including report,
photos, and tissues studied subsequent to the autopsy, as well
as microscopic sections—may result in a more comprehensive
and objective explanation of the reasons for the ultimate outcome.
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