Sad story 480-pound woman dies after six years on couch

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From Palm Beach Post

480-pound woman dies after six years on couch

By Pat Moore

Thursday, August 12, 2004

She lived in filth, so large she couldn't move from her sofa, even to use the bathroom.

Early Wednesday, still fused to the couch, Gayle Laverne Grinds died following a six-hour effort by rescue workers who struggled to lift the 480-pound woman and get her to a Martin County hospital.

Unable to separate the skin of the 39-year-old woman from her sofa, 12 Martin County Fire-Rescue workers slid both onto a trailer and hauled her behind a pickup to Martin Memorial Hospital South. She died a short time later.

Sheriff's investigators questioned how Grinds lived in such conditions without more help from family or authorities.

"We're not treating her death as suspicious at this point, but we do have an investigation started because the circumstances surrounding her death are so unusual," Martin Sheriff's Sgt. Jenell Atlas said.

The Treasure Coast medical examiner performed an autopsy of the 4-foot-10 woman and listed her cause of death as "morbid obesity," officials said. Results of toxicology tests will take several weeks.

"I tried to take care of her the best I could," said 54-year-old Herman Thomas, who lived with Grinds in the duplex apartment in Golden Gate, south of Stuart. "I tried to get her to get up, but it wouldn't do no good."

He said the woman that he called his wife hadn't been off the couch for six years. No record of their marriage could be found.

"I wish I could have pulled her off the couch, but she wouldn't let me," he said, covering his face and sobbing.

Inside the home, the floor and walls were matted with feces, and trash was strewn across the floors, some which were bare concrete. Furniture was toppled, and pictures were knocked off walls.

Atlas said sheriff's detectives will look for potential "negligence issues" related to her care and death.

"We want to know what happened to her, how she ended up this way, and is she supposed to have been receiving any care," she said.

Rescue workers were called to the home at 8:44 p.m. Tuesday by Grinds' brother and his girlfriend, who reported the woman had trouble breathing and "emphysema problems." The crew initially tried to remove her from the couch, but the pain was too excruciating.

Workers wore protective clothing and installed large air handling hoses to ventilate the horrendous odor emitting from the home while trying to figure out how to get the woman and her couch to the hospital.

The street in front of the row of duplex apartments turned into a makeshift construction site as rescue crews used hammers and chain saws to build a large wooden stretcher with handles cut around the perimeter so firefighters could lift the woman and the couch, Martin County Fire-Rescue District Chief Jim Loffredo said.

After several failed attempts, including building one plywood plank that was too small to hold her, workers removed sliding glass patio doors at the back of the home, leaving a 6-foot opening large enough to get her out.

They slid the couch with her on it onto the larger wooden plank supported by 2-by-4 boards, which were slid onto a utility trailer.

"We couldn't get her in the ambulance," Loffredo said.

The trailer was hooked to the back of a pickup, leaving the scene sometime after 2 a.m., witnesses said. Grinds died at 3:12 a.m., still attached to the couch, officials said.

Neighbors who watched the lengthy rescue effort said they had never seen Grinds out of the home.

Jerry Thomas, who lives across the street for six years, said he has seen young girls at the home on occasion but never knew Grinds was inside.

"All we knew was the old man lived there," Thomas said. "I had no idea a woman ever lived in that house. Apparently she'd been on that couch a long time."

Unidentified relatives expressed anger at the scene.

"Family members are upset.... It's a difficult position," Martin County Fire-Rescue specialist Chris Wisniewski said.

Clifford Grinds, who is believed to be Gayle Grinds' brother, refused comment and slammed a door when contacted by a reporter at his Hobe Sound home Wednesday afternoon.

Court records show Gayle Grinds cared for a young niece and nephew after the death of her sister in 1992. Those children are now 19 and 15, but their whereabouts were unclear Wednesday.

"We are used to going to people's houses when things are at their worst... and that's fine, we're trained for it," Atlas said. "But there is no warning for something like this."

Atlas said a community policing deputy who worked the neighborhood a few years ago knew of Grinds but never had any dealings with her, and no deputy had ever been called inside the home.

In June 2003, 911 dispatchers received a call from the home for medical assistance, but Martin County Fire Chief Tom Billington said he could not reveal the nature of that call, citing federal medical privacy laws and the ongoing investigation.

The Department of Children and Families can intervene to help adults who are unable to care for themselves, but DCF officials said Wednesday they did not know about Grinds.

Christine Demetriades, agency spokeswoman for the Treasure Coast, said DCF has no record of calls to the abuse hot line or reports before she died.

(link no longer works) www.palmbeachpost.com/localnews/content/martin_stlucie/epaper/2004/08/12/m1a_mcbody_0812.html

Specializes in Public Health, DEI.
I agree, mercy. P. E. and healthy lunches are a MUST! That is partly why I homeschool. See, my kids DO eat healthy lunches (and breakfasts/dinners too), and each is involved in at least ONE youth sport/gynmastic class at all times. It's hugely important---- but it's a parental responsiblity, not that of the US government to ensure our kids' health is cared-for.

I agree that it is parental responsibility, with a big caveat. I don't think that children who have irresponsible parents should have to suffer the consequences. It isn't a matter of the gov't protecting us from ourselves, it is a matter of the gov't protecting children from adults who can't or won't behave responsibly. If they're going to use tax dollars to subsidize school meals (which I don't object to), then IMHO, they should also exercise some authority and insist that these meals be well balanced. I keep reading that they have passed stricter standards, but I see the cafeteria menus from my son's school, and the meals are still loaded down with refined carbs and saturated fat and sometimes little or no real nutritive value.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I agree, school lunches are horrid. They are no better than sending a kid to Taco Bell. I just wish the government were not seen as the entity to solve all our social and physical ills. It's a co-dependent relationship at its worst---just like the one likely to have existed between the woman in the OP and the people feeding/seeing her daily. Sad and sick. It has to stop someplace! The buck stops at MY door, here.

i wouldn't even acknowledge the poll as i am not comfortable quite yet, with the poster's intentions. i have read his/her other threads and the persistence in theme, i find unsettling.

but i am appreciative of this particular story.

and i agree with mitzi about the gradual then crashing all at once.

i just want to cry...

leslie

Specializes in midwifery, ophthalmics, general practice.

how sad.

we have a patient who had a gastric bypass...........big problem is it worked so well she cant stop losing weight and is now malnourished and too thin... and we dont seem to be able to help her to maintain a healthy weight. she looks truly awful.

Karen

People who are morbidly obese can end up eating far fewer calories that a normal weight person and still gain weight. Metabolism slows down in these folks and they are in starvation mode so they just do not burn calories. Dieting can't help them.

There is the added curse that their stomachs become so stretched that they cannot return to a normal size so even if they did manage to somehow go slow enough to not trigger that starvation mode, they never fell full, so they are always feeling true hunger.

I've worked with several people who have had gastric bypass and have told me about how difficult it is to lose weight even with sensible diets and portion control. My gastric bypass patients would say the same thing.

You don't think the government's stand on making ketchup a vegetable on school lunch menus is responsible? Surely our wise government will add mustard to that list next! My son's high school even has a "fast food line" in the cafeteria now. They also now have vending machines with the fat laden, carb swilling, artery clogging "good stuff" kids love to waste their lunch money on right there at the entrance to the cafeteria. Which way is a teenager going to turn?

I used to care for gastric bypass patients on occassion. It's so incredibly sad to see how large and how young these people are. I don't recall having cared for anyone over 45 with this surgery. I remember one lady who fell getting out of the Magnum bed. She was so extremely large it took seven nurses from two units to get her up. There was another lady who obviously shouldn't have had the surgery who had family members sneak her food in when she thought we wouldn't see. This same lady would suck water from wash cloths because she couldn't follow the guidelines of 30 cc fluid qh. This woman died. So sad.

Specializes in Telemetry/Med Surg.
i wouldn't even acknowledge the poll as i am not comfortable quite yet, with the poster's intentions. i have read his/her other threads and the persistence in theme, i find unsettling.

Same here...didn't want to say anything....but.....

Specializes in Med/Surg, Geriatrics.

This is a very bizarre story. I don't see how someone that obese could live that long, immobile for 6 years, without developing a fatal sepsis of her wounds, or DVT, or a PE or pneumonia, or heart failure. What is the link to the the story?

Specializes in Med/Surg, Geriatrics.
i wouldn't even acknowledge the poll as i am not comfortable quite yet, with the poster's intentions. i have read his/her other threads and the persistence in theme, i find unsettling.

leslie

I agree. I've noticed the exact same thing.

People who are morbidly obese can end up eating far fewer calories that a normal weight person and still gain weight. Metabolism slows down in these folks and they are in starvation mode so they just do not burn calories. Dieting can't help them.

There is the added curse that their stomachs become so stretched that they cannot return to a normal size so even if they did manage to somehow go slow enough to not trigger that starvation mode, they never fell full, so they are always feeling true hunger.

I've worked with several people who have had gastric bypass and have told me about how difficult it is to lose weight even with sensible diets and portion control. My gastric bypass patients would say the same thing.

That's really horrible. So is there any way to help them? What if they went a diet of fruits and vegetables?

One thing we all need to keep in mind is that human beings are very diverse. Not everyone would respond to this situation in the manner that seems obvious to us. I agree that the people involved in this story may have been cognitively impaired. That could range from lower than average intelligence or severe depression. Regardless of intelligence I can see how overwhelming a situation such as this could be. Ever heard of the nursing diagnosis "caregiver role strain?" I think there probably was a degree of shame involved as well. I do think the woman's husband should have acted on her behalf to get her some help but I also think we are overlooking her own role in the situation. She may have been unable to get up at this point, but what about her role in becoming this obese? Could she have done something earlier when she still had some options? She surely could have used a phone to call for some help. I doubt that her family was holding her hostage since they obviously cared enough to still feed her. That also brings up the point of what were they feeding her. I don't think it would have mattered what quantities she was getting at this point. She could have probably been eating less than I do each day and still remained obese due to being completely stationary and a messed up metabolism. I think that many people are in situations that are beyond their control (or at least it feels that way.) Not all people have the knowledge or access to resources that we may have. Its easy to judge when you look at a situation from your own perspective but this family may have had a life with circumstances that we cannot even comprehend. I believe that many people live lives that would be shocking to me because I have been fortunate and blessed to have experienced a rather cushy life. As for how this woman survived this long in these conditions, all I can say is I have always been amazed at the resilence of the human body and its fierce drive to stay alive. God bless all people who are suffering trapped in their own bodies and too ashamed or uniformed to get themselves some help.

i see posters asking questions sweetcheekers, but i've yet to see anyone come across as harsh or critically judgemental.

i think we all agree that this story is too tragic for words, recognizing that there are many variables, including huge knowledge deficits, ineffective coping/hopelessness and all sorts of altered and unhealthy dynamics.

furthermore, even though we recognize that practically everything in this story should have been readily preventable, it is the evident dysfunction of the individuals involved that led to this tragic outcome.

and we do agree on the bottom line, as i 'see' each and everyone of us shaking our heads as we read the outcome of this human atrocity.

leslie

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