Post-mortem examinations often involve the pathologist taking samples from the body for further testing. For standard post-mortem examinations the testing process can take up to 12 weeks depending on what type of analysis needs to be done.
Histology
In most cases the process is very much like having a biopsy in life; the samples are approximately the size and thickness of a little fingernail. The pathologist will look at them under the microscope either to confirm what was seen with the naked eye or to look for conditions or diseases that couldn’t be seen with the naked eye.
Organ retention
In a small number of cases it is necessary to retain a whole organ or part of an organ to allow for more detailed examination.
Toxicology
Small quantities of blood, urine or other body fluids may be taken if the pathologist needs to check for the presence of alcohol, medications or drugs of abuse. If such samples are taken a full toxicological screen is performed regardless of an individual’s lifestyle or circumstances.
The Human Tissue Act 2004 sets down strict regulations for dealing with samples of human material. Your Coroner’s Officer will ask you how you would wish any samples to be handled once testing is complete and you have a choice of four options;
- The hospital should lawfully and sensitively dispose of any samples (which may include cremation)
- The hospital should retain any samples either as part of the deceased’s clinical record only or for use in education and training
- The samples should be reunited with the body prior to release for funeral which may delay funeral arrangements
- The samples should be returned to the family in the future for a separate funeral at your own expense.
Although we will talk to you about this before the post-mortem examination when we are giving you the post-mortem results, we will always inform you if samples have been taken and if so, you will be asked to sign a form confirming your wishes.