Chapters (23)
Attention turned, then, to the head, a head-block placed under the neck to raise it from the table. An incision was made at the back running from one ear to the other, and the skin peeled down over the face to reveal the skull. Using a circular saw, one of the assistants cut through the skullcap so that it could be removed, with a sucking and popping sound like feet being withdrawn from mud, to reveal the brain. Margaret had warned everyone to stand back as the saw cut through bone. “Try not to breathe this stuff,” she said. “It smells kind of smoky-sweet, but latest thinking is that it might carry HIV and other viruses.”
She examined the skull. “Reflection of the scalp reveals a 2 x 3.2 centimetre area of subgaleal haemorrhage over the left parietal bone, with a possible contusion of approximately the same dimensions of the scalp—impossible to say for sure because of heat artifact. There is a small amount of subdural haemorrhage deep to the area of subgaleal haemorrhage. On removal of the dura, an irregular-shaped fracture, measuring 2.6 centimetres in length, is clearly visible. There is no charring or eversion of the fracture.”
She concentrated then on removing the brain from the skull, pulling it gently back towards her, examining its worm-like surface as she did. “The meninges are slightly dried, but thin and translucent. There is a small contusion of the left parietal lobe, with a trace of haemorrhage.” She snipped it off at the stem and it plopped out into her hands for weighing. Lily put a hand over her mouth and fled from the room.
Margaret let out a deep breath as she relaxed her concentration. “Well, apart from breadloafing the organs, there’s not much else we can do just now. It’ll take some time to prepare permanent paraffin sections for microscopic examination . . .”
Professor Xie interrupted her. “If you wished, we could examine fresh frozen sections in about fifteen minutes.”
“You’ve got a cryostat here?” She was unable to hide her surprise.
He smiled. “This is a very modern facility, Doctor. We are not so far behind the Americans.”
The cryostat was about the size of a small washing machine with a crank handle on its right side and a window on top with a view into its icy interior, kept at a chilly minus 22°C. Margaret was happy to let Professor Xie demonstrate his expertise, and watched as he prepared sections of lung tissue and skin from the left foot for freezing. He squeezed globs of a jelly-like support medium into metal chucks that would provide holding bases for the tissue. The tissue samples were then placed on the chucks which were, in turn, set on a rack in the cold working area in the cryostat. Working with practised ease, the professor pressed metal heat sinks against the face of the tissue samples, both to flatten and to freeze them.