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 have to agree with sweetcheekers. Some of the outrage directed to family members seems a bit harsh, in the absence of all the facts. If it turns out that the family chose to wash their hands of this woman without enllisting help from the proper authorities, then shame on them. I don't think it is safe to assume that is what happened, though. This woman may well have pushed away all the help that was offered to her. It happens. Sometimes when there are terrible tragedies and an ensuing rush to point the finger of blame, what is really going on is a sense of trying to frame the tragedy in a way that means it could never happen to us. The truth is, with many tragedies, there but for the grace of God go any of us!

Specializes in Public Health, DEI.
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

I didn't realize it wasn't an official "all nurses" poll, although given the way it is written, I should have. How can you tell who posts any given poll?

Specializes in Home Health.
I have to agree with sweetcheekers. Some of the outrage directed to family members seems a bit harsh, in the absence of all the facts. If it turns out that the family chose to wash their hands of this woman without enllisting help from the proper authorities, then shame on them. I don't think it is safe to assume that is what happened, though. This woman may well have pushed away all the help that was offered to her. It happens. Sometimes when there are terrible tragedies and an ensuing rush to point the finger of blame, what is really going on is a sense of trying to frame the tragedy in a way that means it could never happen to us. The truth is, with many tragedies, there but for the grace of God go any of us!

I don't think the "judgements" have been harsh. Whoever was feeding her had enough cognitive skill to buy/prep/order food for her. How could the same person allow feces to remain on the walls?? Sure the woman may not have allowed anyone to come near her or help her, and that is her choice, and her right, but why wouldn't anyone want to clean the surroundings, for their own sake, a bit?? The kids obviously had the brains to leave.

The sad thing is, help was a phone call away. The SO could have called 911 and said he couldn't take care of the woman anymore, and adult protective services could have done an eval. If she refused to be removed, maybe they could put an aide in for a few hours a day. If all offers for help are refused, at least someone would be tracking the situation, for the kids' sake.

You can report a person to adult protective services for putting their own lives in jeopardy. It doesn't have to be abuse/neglect by someone else. Unfortunately, not enough people know this. I didn't until I was a Home Health nurse.

Sweetcheekers, as such, I have seen some pretty nasty homes, but this is a tragedy. I agree w earle, we are just simply shaking our heads, not really judging.

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

I'm not trying to attack any posters for "judging". It is only natural to feel some of the things posted here initially. I felt some of them myself before thinking about the situation and reminding myself that everyone is not like me, does not think like me, or have the same support system and resources that I've had. I'm just saying that I've seen numerous posts blaming the husband and family and saying that they should be ashamed. They probably were ashamed and that's why help might have been avoided. My other point was that the woman had some responsibility in this as well, and was not simply an innocent bystander.

Specializes in LTC, assisted living, med-surg, psych.
Same here...didn't want to say anything....but.....

I'd thought the exact same thing. This poster has an agenda, as evidenced by his/her previous threads (not to mention the screen name). However, this is a cautionary tale that deserves some attention, if for no other reason than to expose the ignorance of the woman's so-called family and the lack of concern on the part of her neighbors. What is this world coming to, when a woman can sit on a couch for literally years and no one cares enough to wonder why? :o

Specializes in Public Health, DEI.

So, is the poll from the OP, then?

So, is the poll from the OP, then?

yes my dear.

Wow, I just cannot even comprehend living that way, well actually it's not even living- it's existing, and just barely. I don't know how to tell who started the poll, but I wonder if he/she was trying to inquire if gastric bypass and governmental involvement in obesity were increasing? I don't know. I guess the whole thing is a touchy subject... Personally, I have a problem with people destroying their lives and their health and expecting someone else to pick up the pieces and make them whole. And for someone else to pay for it (government programs, us!). I know, people will probably be mad, saying obestity is a disease, etc... but we all have to take some responsibility for ourselves! And what about how traumatized the people were who had to take her out of her house!!

Specializes in Public Health, DEI.

She didn't "expect" anyone to take care of her. If she had expected that, she would have made the calls and gotten help long before it came to this! I didn't see anything in the article that indicated she received government aid. Maybe she did, maybe she didn't. Are you a nurse? The people who "had" to deal with this have chosen this profession and understand that that they will face traumatic situations in the line of duty.

Specializes in Critical Care / Psychiatry.

I found this today, but in this case the guy is getting help! Good for him!

"(SIOUX FALLS, S.D.) - A Nebraska man has lost 321 pounds, and doctors say he's not even half-way there.

The man, Patrick Deuel, is hoping to lose another 450 pounds under the care of a team of doctors. He weighed 1,072 pounds when he checked in at a Sioux Falls, South Dakota, hospital two months ago.

The lead doctor says the 42-year-old would "be dead now" if he hadn't been in the hospital. Doctors now have him on a 1200-calorie-a-day diet.

The former restaurant manager has been bedridden since last fall. He's suffered heart failure, thyroid problems, diabetes, pulmonary hypertension and arthritis.

A group called the League of Human Dignity helped get the man to a local livestock scale so he could be weighed."

http://rdu.news14.com/content/headlines/?ArID=53100&SecID=2

Shel

I found this today, but in this case the guy is getting help! Good for him!

"(SIOUX FALLS, S.D.) - A Nebraska man has lost 321 pounds, and doctors say he's not even half-way there.

The man, Patrick Deuel, is hoping to lose another 450 pounds under the care of a team of doctors. He weighed 1,072 pounds when he checked in at a Sioux Falls, South Dakota, hospital two months ago.

The lead doctor says the 42-year-old would "be dead now" if he hadn't been in the hospital. Doctors now have him on a 1200-calorie-a-day diet.

The former restaurant manager has been bedridden since last fall. He's suffered heart failure, thyroid problems, diabetes, pulmonary hypertension and arthritis.

A group called the League of Human Dignity helped get the man to a local livestock scale so he could be weighed."

http://rdu.news14.com/content/headlines/?ArID=53100&SecID=2

Shel

I read about this case on another forum and another article about this man which also stated that it will cost in the range of a million to care for him in the hospital.

Actually, I was generalizing, not speaking of the specific case, if you read my post you would've noticed that I was wondering if maybe that was what the poll was about, the government and obesity issue, not the woman in the article!! Not that it has any relevance to this whatsoever, but I am a student nurse. Since you wanted to beat me up, I was referring to what it must have been like for an EMT worker to not be able to remove a person from a piece of furniture.

She didn't "expect" anyone to take care of her. If she had expected that, she would have made the calls and gotten help long before it came to this! I didn't see anything in the article that indicated she received government aid. Maybe she did, maybe she didn't. Are you a nurse? The people who "had" to deal with this have chosen this profession and understand that that they will face traumatic situations in the line of duty.
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