Louisville Medicine Volume 67, Issue 3 | Page 33

DR. WHO (continued from page 29) appear, let’s say it was a strangulation. I’d go read the chapter on strangulation, then I’d do the autopsy. If I didn’t see what I thought I was supposed to see from reading the book, I’d get on the phone and call the author of that chapter. So, I was in direct contact with the people who wrote the damn book while I was training.” I could. The bodies were all in the same building, they were just being examined by different corporate entities. I was working with the same people and equipment. There was just a different sign on each table.” He next went across the river to Cincinnati for a fellowship in forensic pathology. “I probably did 500 autopsies that first year in Cincinnati and spent a huge amount of time going to crime scenes.” In 1991, a media circus came to Louisville as the body of President Zachary Taylor was exhumed to confirm his cause of death. Some suspected poison, but the exhumation would determine no poison was used. Still, the media was prepared to get every minute of coverage they could. Upon completion of his fellowship, the Kentucky Medical Examiner’s Office was established, and Dr. Nichols was hired by Governor Julian Carroll to be Chief Medical Examiner. Tragedies don’t wait for board certification however, and his training was put to the test immediately. “I’m on the phone with a guy who used to work with me. ‘Hi Phil, nice to talk to you. Let me guess: whatever it is, its buried or alleged to be buried in the Commonwealth of Kentucky. Who is it?’ He said, ‘Zachary Taylor.’ I said, and I quote, ‘Fuck.’ Because I knew it was going to be a circus.” “That Memorial Day was the Beverly Hills Supper Club Fire in the Cincinnati suburbs on the Kentucky side. I got a call from the governor’s office while in my girlfriend’s bed. I still have no idea how they got that number. They said, ‘We have a problem. Can you come up here?’ That’s how I spent Memorial Day 1977. 163 dead.” Not that the examination itself was that troublesome; President Taylor had been mummified and therefore had not significantly decomposed in the 140 years between his death and his exhumation. The trouble instead came from the interference by everyone else. In the case of a mass casualty event such as this one, the process of examination is to take selected cases and use them as a sample. A forensic pathologist doesn’t examine all 163 bodies. They examine 10 or 12. “I knew people from Cincinnati, having just finished fellowship there, and I pulled some residents from UofL to come and help. I worked directly with a man named David Jones. By trade, he was a funeral director but in the old days, all the ambulances were owned by funeral directors, so he was an early EMS guy as well. He was hired to become the first director of the Medical Examiner’s Office, and he worked with me for a gazillion years.” Beginning with that Cincinnati Supper Club Fire, Dr. Nichols’ career was off and running. The pace would remain constant and relentless for more than 20 years. “I was on call 24/7 for the entire state, from Paducah to Pikeville. When I look back on it, it was an incredibly stressful time simply because of the demands of the telephone,” Dr. Nichols said. The Standard Gravure Printing Company Shooting took place on September 14, 1989. Nine died, including the gunman. Dr. Nichols was in western Kentucky at the time, taking care of a coal mine disaster from the previous day when he got the call. “The very next day, a private plane crashed. I’d later give a presentation to the National Association of Medical Examiners entitled ‘Lightning Strikes Thrice’ about the events of that weekend,” Dr. Nichols said. “If you manage a relatively large jurisdiction like I did, you have to be very nimble to respond to multiple disasters simultaneously. You learn how to drive fast, and you come to rely on anyone who’s available.” In addition to his role as Chief Medical Examiner for the Commonwealth, Dr. Nichols also held the title of Medical Director of Laboratories for four different organizations simultaneously. “Forensic pathology is the only career I know where you take more education to make less money. So, I moonlit to make cash where “The cemetery is right down the road, and it’s a little place. There must have been a couple thousand people standing in it. The producer for the Today Show was in my office and said, ‘We want you at the cemetery at 6 o’clock.’ I said, ‘It’s my day to get the kids from daycare. My wife’s at the hospital.’ He said, ‘How about if we get somebody to pick them up for you?’ I said, ‘You’re kidding, right? Get out.’ Before we proceed, we must mention how Dr. Nichols met his wife of 37 years, Dr. Janell Seeger. “We met over a dead body,” he laughed. “This patient was kept in an un-airconditioned room during a heat wave. He collapsed, was put in a car and dropped at the back door of the old General Hospital. He was hyperthermic and had kidney failure. The admitting resident was Dr. Seeger. She stayed with him for 72 hours trying to keep him alive as best she could.” “The patient had lots of bed sores, some in places I’d never seen before including his scrotum, some infested with maggots. It’s not all that bad, but it looks bad. In those days, to kill maggots, we would pour ether on them to asphyxiate them. The problem is that ether is highly volatile. It causes an exothermic reaction, so your skin gets burnt from the extreme cold. You really don’t want that.” “This guy finally dies, and the county coroner won’t deal with him. Dr. Seeger is pissed off and eventually calls me. I look at the medical record which shows a tall skinny lady doctor, whom I’d seen in the hospital and was very pretty, is barehandedly squishing maggots to death off this guy’s scrotum. I figure, if she’s nice enough not to pour ether on that old man’s scrotum, she’s probably nice enough to put up with me. That’s absolutely how we met,” Dr. Nichols swore. “Then she fell asleep on our first two dates. On our third, we flew to the Bahamas.” The couple now has three children and three grandchildren. They survived 20 plus years of grueling medical work. “My wife, as a breast oncologist, took a much more stressful job than me. None (continued on page 32) AUGUST 2019 31