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 Telemetry/Med Surg.
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!!

I have a problem with this bit of your post. There was obvious neglect here, dysfunctional circumstances, shame, depression, hopelessness. Sometimes obese people just give up feeling that there is nothing or no one who can help them and really don't have the capability of caring for themselves or even calling someone for help. This is a very tragic situation but stating that you have a problem with people destroying their lives and expecting someone else to pick up the pieces and make them whole......????? You're a student nurse. I hope you learn some compassion for others and not be so judgmental about those in situations like this.

Well guess what? I have compassion, and a lot of it. And I thought people were able to come to this site to voice their opinions without getting chastised!! I think you're misunderstanding the point I'm trying to make. I couldn't agree with you more, that it is a tragic situtation, and ok- I guess I didn't think about the fact that someone could feel so alone that they just gave up, didn't seek help. So OK! You're right, and I will keep that in mind... sometimes I do have a hard time comprehending that things could get that horrible.

I have a problem with this bit of your post. There was obvious neglect here, dysfunctional circumstances, shame, depression, hopelessness. Sometimes obese people just give up feeling that there is nothing or no one who can help them and really don't have the capability of caring for themselves or even calling someone for help. This is a very tragic situation but stating that you have a problem with people destroying their lives and expecting someone else to pick up the pieces and make them whole......????? You're a student nurse. I hope you learn some compassion for others and not be so judgmental about those in situations like this.
Well guess what? I have compassion, and a lot of it. And I thought people were able to come to this site to voice their opinions without getting chastised!! I think you're misunderstanding the point I'm trying to make. I couldn't agree with you more, that it is a tragic situtation, and ok- I guess I didn't think about the fact that someone could feel so alone that they just gave up, didn't seek help. So OK! You're right, and I will keep that in mind... sometimes I do have a hard time comprehending that things could get that horrible.

and theresa, you're still a student nurse.

those of us who are quite experienced, also have a hard time comprehending such horrific situations, such as this one.

sadly it is something you'll never get used to.

in your nursing career, you are going to come across patients that leave a hole in your heart (and your stomach) and just leave you speechless....human beings living in inhumane conditions.

i wish i could have the answers and see everything in black and white; that what we might perceive to be easy or preventable interventions, just do not develop as they should. i think that is one of the most frustrating aspects of my nursing career.

it will serve you well to keep an open mind, as you will encounter many different types of situations......goodness, especially if you ever go into public health. oy.

best wishes.

leslie

Specializes in LTC,Hospice/palliative care,acute care.
Well guess what? I have compassion, and a lot of it. And I thought people were able to come to this site to voice their opinions without getting chastised!! I think you're misunderstanding the point I'm trying to make. I couldn't agree with you more, that it is a tragic situtation, and ok- I guess I didn't think about the fact that someone could feel so alone that they just gave up, didn't seek help. So OK! You're right, and I will keep that in mind... sometimes I do have a hard time comprehending that things could get that horrible.
You certainly ARE welcome to voice your opinion here...and be ready to defend it rationally. But please don't forget that if everyone stopped messing themselves up and expecting the rest of us to pick up the pieces most of would be out of a job...Substance abuse and it's results (drugs,alcohol or food) takes a lot of our health care resources and that is not going to change.I don't want to live in a George Orwellian world-do any of you? Obviously there were some mental health issues in this particular case. If we are honest with ourselves we should admit that most of were disgusted when we first saw this story... I believe that ALL addiction is the same.....Be it picking up that donut,crack pipe or booze...All addicts do it for some of the same"reasons" I don't feel sorry for anyone this profession.we are in it because we love it and we all see horrible things on a regular basis.Hopefully we have a good support system and have learned how to cope and to relieve stress.....I will be the first to admit that I have lost it more then once while trying to care for a verbally abusive and filthy dirty alcoholic or junkie or non-compliant diabetic s/p amputation...It's hard to give someone like that the time they need when you have pts maybe suffering and dying through no fault of theirown....But it's our job to care for everyone equally without judging them....It's a difficult skill to learn but you will....life experiees will help....

Thank you, I was afraid to open my email!! I will try to keep a more open mind, and will TRY not to judge; maybe in time, I will look at things differently? I hope so, otherwise I will have a hard time taking care of people who I think should be living their lives differently.

Specializes in ER.

theresa, I don't know anything about that woman, and agree with your initial reaction.

The reason I withhold judgement is that I don't know what got her to the place she is now. For example- if she had an abusive childhood, then married a man who used her as a maid and punching bag when she was a teen, finally got the strength to leave him and moved in with her brother, who only took her in for her SS check, and told her she was a fat useless slob, her husband was too good for her, and she'd never do anything with her life etc. Then she sits on the sofa and eats, lands in an untreated depression, has no one who encourages her to wash or get moving, no medical care except aforementioned brother's unkind assessments, yeah, I can see where someone could keep going downhill to that point.

If she ever had an illness at that weight she wouldn't be able to get up, and with no assistance, and in a filthy home to begin with, low personal hygiene standards, it's an easy downhill slide. Frankly, I can see a LOT of our admitted patients landing in the same mess (literally) if someone didn't push them to get up and get moving every day.

Specializes in Public Health, DEI.
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.

Beat you up? I am dumbfounded. I disagreed with your post. I said nothing unkind or harsh to you. And your status as a student is both relevant and revealing. Frankly, I would have found your post alarming if you were already a professional.

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.

This is a myth.

It is true that muscle requires more energy to sustain than fat, and for two individuals of the same weight, one with a higher percent of bodyfat weight will have a lower BMR than one with a higher percent of muscle weight. However, neither the amount of food intake nor how much fat or muscle you carry changes the energy required *per pound* of fat and *per pound* of muscle to sustain it. That is, a 'starving' person requires just as much energy, per pound of fat and per pound of muscle (and per pound of other tissues), to sustain his or her weight as an obese person or as a healthy person. Of course, additional energy can be expended by increasing activity level. Obese or staving people probably may spend less energy then healthy individuals, due to a reduced activity level. That is, all humans have essentially the same efficiency in their ability to sustain fat, muscle, and other tissues. Thus, reducing caloric intake is just as effective in one individual as another in weight reduction.

(For one fairly recent study, see Shetty and Soares, 1988: "Recent evidence thus supports the conclusion that within-subject variations in BMR [more or less the same as RMR] are small and insignificant, even when energy intake and physical activity are uncontrolled,")

Specializes in Pediatrics, Nursing Education.

i've noticed the OP posting to specifically get information from nurses on how they feel about the overweight... for example, the thread about nurses not caring for the overweight when they have skinny people to take care of.

it is almost like he's doing some study or something. everything has a negative spin on it. the polls he puts out are totally slanted towards the results he/she hopes to see. they aren't even real polls. make sure you guys look at the poll he put up on this thread. i didn't poll, thats for sure.

I really don't like this posters agenda.

i've noticed the OP posting to specifically get information from nurses on how they feel about the overweight... for example, the thread about nurses not caring for the overweight when they have skinny people to take care of.

it is almost like he's doing some study or something. everything has a negative spin on it. the polls he puts out are totally slanted towards the results he/she hopes to see. they aren't even real polls. make sure you guys look at the poll he put up on this thread. i didn't poll, thats for sure.

I really don't like this posters agenda.

agreed.

proceed cautiously.

leslie

Specializes in Pediatrics, Nursing Education.

there's a ton of evidence to suggest that it is NOT a myth. i'll dig up some stuff later, as I don't have time right now...

but you're not even taking into account different metabolic disorders that cause people to gain weight. and it is commonly supported that when food is in short supply (ie: dieting or starvation) then metabolism actually slows down, leading to a "yo yo" in weight when the person goes back up to a regular (not excessive) calorie intake.

btw, 1988 is 16 years ago. i would NOT say it is recent!

This is a myth.

It is true that muscle requires more energy to sustain than fat, and for two individuals of the same weight, one with a higher percent of bodyfat weight will have a lower BMR than one with a higher percent of muscle weight. However, neither the amount of food intake nor how much fat or muscle you carry changes the energy required *per pound* of fat and *per pound* of muscle to sustain it. That is, a 'starving' person requires just as much energy, per pound of fat and per pound of muscle (and per pound of other tissues), to sustain his or her weight as an obese person or as a healthy person. Of course, additional energy can be expended by increasing activity level. Obese or staving people probably may spend less energy then healthy individuals, due to a reduced activity level. That is, all humans have essentially the same efficiency in their ability to sustain fat, muscle, and other tissues. Thus, reducing caloric intake is just as effective in one individual as another in weight reduction.

(For one fairly recent study, see Shetty and Soares, 1988: "Recent evidence thus supports the conclusion that within-subject variations in BMR [more or less the same as RMR] are small and insignificant, even when energy intake and physical activity are uncontrolled,")

there's a ton of evidence to suggest that it is NOT a myth. i'll dig up some stuff later, as I don't have time right now...

but you're not even taking into account different metabolic disorders that cause people to gain weight. and it is commonly supported that when food is in short supply (ie: dieting or starvation) then metabolism actually slows down, leading to a "yo yo" in weight when the person goes back up to a regular (not excessive) calorie intake.

btw, 1988 is 16 years ago. i would NOT say it is recent!

Of course you may believe what you wish. I have provided a peer-reviewed, scientific source (and can provide others) that supported my statements and directly refuted yours. Merely asserting that something is true does not make it so, no matter how strongly you state it.

However, perhaps my data are out of date, as you believe. I am certainly willing to retract my statement, admit error, and change my view if legitimate evidence (via peer-reviewed scientific journal papers) is provided that refutes it. I will be waiting for your ton of evidence.

Peace and kindness.

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