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

I work in the same county where this lady died.i was shocked to see this story from our area,as it is a hole in the wall little town.i work for the county jail,so this was closer to home than just picking up the paper.it was true about having to bring her to the hospital,sofa and all.very sad. :crying2:

Specializes in Oncology/Haemetology/HIV.
Just so I understand. If it was your mother, you would not take the intiative to pick up the phone yourself and call adult protective services? You would not event try to help her?

So, since she couldn't get up off the couch, it is her fault that the foods selected were not salads, cottage cheese, and lean meats? The best thing they could have done for her was to not come home, let her figure out how to fend for herself. They most certainly did play a role in this. While I do not feel they are entirely to blame, they certainly played a big part in enabling her addictive and dangerous behavior. Just like those fat babies on the talk shows. They aren't driving themselves to McDonalds and getting thier own Big Macs!

Well, you are not my mother. My mother is one that seeks help when needed and readily cooperates with treatment.

My father, on the other hand, used to backhand my sister and me regularly for even mentioning his smoking. When he finally died at 57 of terminal emphysema/cancer (74 inches tall and 72-82 lbs), he was still claiming nothing was wrong with him, and refusing most treatment.

I have bipolar sister that gets beaten by her husband regularly,. and the police/protective services have been called. Do they do anything, why no they can't because she declines assistance. And as long as she is A&Ox3, they cannot "force" her to file charges, or go for counseling, or leave the home. I used to fight hard to get her to leave him. But until she chooses to help herself, there is nothing legally we can do.

There is nothing in the story to indicate that this woman was mentally incompetent. There is nothing to indicate that she requested help, or would have even cooperated with help. And barring the SO sticking an NG tube in her and forcing gallons of ensure into her, she obviously ate what she desired, of her own free will to get in the condition that she was in. If adult protective services had come in, and she refused care, they can no more force the issue than the family can. And I am sure that if she wanted help, sometime during those past few years, she would have called out to a neighbor, spoken to a visiting child, called to the post man.

Am I saddened by this? Certainly. Do I think it is right? Of course not. But legally, are the family responsible for her neglecting herself? I don't think so. Ethically or morally may be another matter, but we are not given sufficient details to judge.

Specializes in Medical.
No one knows the exact circumstances of this situation, so some of the replies are without knowing the whole story.

Another report about this case gave a lot more details, including that Ms Grinds:

a) may or may not have hypothyroidism ("she told friends a thyroid problem made her obese");

b) fractured her left leg after a fall, required pinning, and spent a year regaining her mobility;

c) fell again four years later and fractured the same leg.

According to the report, her sister said she became so traumatised she was afraid to walk again; according to an acquaintance she became depressed; her carer/boyfriend is a barely functioning alcoholic.

http://www.palmbeachpost.com/localnews/content/martin_stlucie/epaper/2004/08/18/s1a_mcbody_0818.html

What I find most interesting is that, despite the fact that she had to be septic from the gangrenous ulcers, was malnourished, had asthma and EMS were called because of "trouble breathing," and the police are considering criminal neglect charges, her death certificate has her cause of death attributed to "morbid obesity."

Without getting into a rant on the attribution of every illness in an obese person being caused by their weight, put a skinny person in precisely those circumstances and you wouldn't see their CoD being "emaciation."

:crying2: We all must feel the sadness this poor women had to have felt for her last years on this earth and pray that we too do not look away from the terrible shame and grief these folks must be feeling whenever in public situations. I can imagine her pain in such a public way and then to have died only an hour after she was freed from her prison. But i fear after reading the article many are looking to place blame. Was the medical services at fault? was it human services lack of resources or was it all our fault for never having noticed her at all in those years and was she invisable as well?

I think society is to blame and we of the older generation for not keeping our truths and morals and sense of responsibility to our fellow man. We all failed this poor woman and her family. By becomming invisable she lived in her apt. and ate and slept and hoped and cried and for escape but was unable to seek help obviously. So why ? How could anyone live near her home and notice the smell or the lack of ever seeing an adult in 6 years. Who shopped for her who fed her? She didn't walk she didn't bath she didn't even use a commode...

Obesity is not a crime but it does create a prison around the person afflicted. They are ill and need help but in this woman's life help was never there or probable never aware she needed help cause her prison hid her so well she became invisable to even her landlord and her mate who clearly was not able to deal realisticly and can not be blamed either as it sounds as if he was not aware of her suroundings or her needs so again he was blind to her as a human being but he continued to feed her but that was it... We in the medical community know there is so much concern today with the amount of obessity in our communities but we never take a chance and try to make contact mostly cause we might embarrass the person or make them feel bad. Well in my opinion better to feel bad for a moment than dead and better to not have to spend her last moments of life in public like another whale beached to die. Please I am not beingrude or mean and not balming anyone I just hurt to hear about wasted chances to reach out to someone who needs a hand or a kind word. we all know too well the schedules and lack od staff in hospital but in our neighborhoods we have all seen people like this woman and maybe we felt ashamed for staring but we didn't reach out and try to talk or smile to let them know we do care after hours about each other. Isn't that why we all became nurses? So next time maybe we could try to reach out to a very lonely person like her before they too become invisable in another obease prison no one can see till its too late. Bless her soul I pray she is at peace now and at rest as well as her family I pray for them too.

Specializes in 6 years of ER fun, med/surg, blah, blah.

Very tragic situation. This is where family members need to turn to case management to help them cope with someone who won't let anyone else help them. Who's responsible for a person who actively refuses help & then dies or is horribly compromised but their own neglect? I have had to step in within my own family by telling stories of the sad cases EMS finds & brings in from homes around my area, which is middle/upper middle class. Now my own parents are regularly looked after. I live on the opposite coast than they do & try to visit once or twice a year to see them.

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