Stage 1: Pallor Mortis

Pallor Mortis seen in Pablo Bartholomew's photo of the Bhopal Gas Disaster of 1984

Pallor Mortis seen in Pablo Bartholomew’s photo of the Bhopal Gas Disaster of 1984

The first stage of decomposition “Pallor Mortis” translates to “paleness” [pallor] “of death” [mortis] and generally occurs 15-25 minutes after death. Postmortem paleness of the skin is usually seen more immediately in those who are anemic and/or have less melanin in their skin and therefore were more pale in life. Pallor Mortis is caused due to lack of capillary circulation within blood vessels which run throughout our bodies. The constant flow of blood through a living being gives the skin a good amount of its color and “lifelike” quality. During Pallor Mortis, blood stops its flow and begins to sink to lower parts of the body due to gravity. This pooling of blood becomes more evident in the fourth stage of decomposition, Livor Mortis. Unfortunately, Pallor Mortis is little to no aid in determining time of death due to its sudden onset and is only able to indicate whether the death took place more or less than half an hour before discovery of the body. During the stage of pallor mortis, we also see a thin film appear over the cornea of the deceased if eyes are open. While this is not caused by lack of blood circulating throughout the body, it occurs within a few minutes of death. The paleness seen in pallor mortis can also be caused in life by shock, heart failure, a vitamin D deficiency brought on by lack of sunlight, vasoconstriction (narrowing of the blood vessels) and homeostasis, which occurs in extreme cold.
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Find out what happens immediately before the Pallor Mortis in Everybody Poops: The Post-Mortem Edition and Demystifying the Process of Dying
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Stage 2: Algor Mortis

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The second stage of decomposition, Algor Mortis translates to “coldness” [algor] “of death” [mortis]. Algor Mortis, sometimes refered to as the “death chill”, is marked by a steady decline in body temperature and continues until the corpse reaches “ambient temperature”, or matches the temperature of its surroundings. Algor Mortis usually sets in one hour after death, but many factors have significant influence on this phase of decomposition. Determining the correct time of death by way of body temperature can be difficult due to stability/fluctuation of ambient temperature, the thermal conductivity of the surface the corpse is on and what is known as a “temperature plateau”, a highly variable period of time in which the body does not cool. The rate of cooling may be increased if the deceased is thin or malnourished or if the body is exposed to low temperatures and/or a windy environment. On the other hand, if the person was febrile (running a fever), under the influence, obese or left in a warm environment, the rate of cooling will decrease. Clothing can also play a major role in speeding up or slowing down Algor Mortis. The corpse will cool faster if large amounts of skin are exposed or when wearing wet clothing. Dry, layered, heavy clothing keeps the body warm for a longer period of time after death. Once the body begins true decomposition, the temperature will rise again, making Algor Mortis most helpful in determining time of death within the first 24 hours. Temperature readings can be obtained from the rectum of the deceased or by inserting a meat thermometer under the ribcage on the right side of the corpse and into the liver. Investigators use the Glaister Equation to estimate the time of death. While the temperature change can vary anywhere between a 1 degree Fahrenheit drop in temperature per hour to a 12 degree F drop per hour, the average is 1.5 degree F drop per hour, each hour following death. The Glaister Equation uses 98.4 degrees F (average body temperature) minus the rectal (or internal) temperature in degrees F, divided by 1.5 degrees F, to equate time of death. During this stage of decomposition, we also usually begin to see full corneal cloudiness in eyes which remained open after death.
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Read about Stage 1: Pallor Mortis and Stage 3: Rigor Mortis
If you enjoyed this article, you may also like Everybody Poops: The Post-Mortem Edition and Demystifying the Process of Dying
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Stage 6: Decomposition

SallyMannBodyFarm

Decomposing corpse from Sally Mann’s series, ‘Body Farm’

In the 6th stage of decomposition, true decomposition or “biotic decomposition”, takes place. Biotic decomposition is breakdown of the body’s components into smaller and smaller components until the organic body is gone. This process is caused by living organisms, usually microorganisms. When the body is broken down by other, faster means such as cremation, alkaline hydrolysis/resomation, promessa, or other physical/chemical process, it is refered to as “abiotic decomposition”. The speed and success of biotic decomposition, as with most stages of the decomposition process, relies on many factors. Generally speaking, conditions which aid in the previous stage, Putrefaction also aid in biotic decomposition. The amount of bacteria in the body at time of death and ability to produce more bacteria postmortem plays a large role. For instance, if you eat a lot of meat, your corpse will contain and produce higher levels of bacteria than a vegan. The bodies of deceased newborns who have never been fed decompose very slowly because in most cases, they are “sterile”, or mostly void of bacteria in their system. However, if a newborn passes away but has been fed, their body tends to decompose much faster than average. If a corpse has been mutilated or obtained large, open wounds decomposition will take place more quickly because it allows easy entry for insects and microorganisms whereas clothing may slow the process. If a body is buried after beginning to decompose somewhat, it will complete more quickly than if the body was buried soon after death. Embalming will delay the process, as is its function, but if the body is left to the elements in open air with scavengers nearby to help the body breakdown, decomposition will complete very rapidly.

Decomposing corpse from Sally Mann's series, 'Body Farm'

Decomposing corpse from Sally Mann’s series, ‘Body Farm’

Decomposition begins and ends slower in water than in open air. Warm, fresh and/or stagnant water aid slightly in the process, while cold water, salt water and/or running water slow decomposition. Deep water may cause a delay in the onset of biotic decomposition. Water contaminated by sewage will speed up the process. When in water, the skin on the hands and feet of the cadaver may become swollen and bleached. Within 2-4 days, “sleeving” becomes possible. Sleeving, also called “skin slippage”, refers to the loosening of decaying skin to the point that it will slough off in one piece, or made able to pull off as though it were a sleeve. After several weeks in the water, this skin can easily by stripped off, or sleeved, by the current or contact with objects such as rocks. Once skin slippage begins and the upper layer of epidermis has been sleeved off, it is incredibly difficult, if not impossible to obtain fingerprints in order to identify the deceased. Mold can also begin to form on a deceased body in water or a moist area, but usually only on exposed patches of skin. Generally, bodies left in water do not remain intact long due to crustaceans, fish, and water rats feeding on the corpse. “Casper’s Law”, also known as “Casper’s Ratio” suggests that if all other factors (clothing, contents of digestive system, lesions/abrasions, weather conditions, temperature, etc) is equal, bodies with free access to open air decompose twice as fast as in water, and eight times as fast as when buried.

Decomposing corpse from Sally Mann's series, 'Body Farm'

Decomposing corpse from Sally Mann’s series, ‘Body Farm’

Find out what happens before Biotic Decomposition in Stage 1: Pallor Mortis, Stage 2: Algor Mortis, Stage 3: Rigor Mortis, Stage 4: Livor Mortis and Stage 5: Putrefaction
and in the final stage of decomposition, Stage 7: Skeletonization

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See more of Sally Mann’s series Body Farm

If you enjoyed this article, you may also like: Everybody Poops: The Post-Mortem Edition, Demystifying the Process of Dying and Burying the Dead is Killing the Planet

Stage 7: Skeletonization

Partially skeletonized corpse. Decomposing skin remains in some areas.

The 7th and final stage of decomposition, skeletonization, begins when soft tissue has dried and decayed to the point that parts of the skeleton are visible. Skeletonization is complete once all tissue has decomposed and all that is left of the corpse is bone. Remains may become reduced to bone in as little as three weeks but can take up to several years. Factors including temperature and environment determine the timeline of skeletonization. In a tropical climate the body may be reduced to bone in just a few weeks, in tundra, the process will take several years. Skeletonization may never occur if the corpse is in an environment with persistent subzero temperatures as seen in bodies left behind on Mt. Everest.

Body of George Herbert Leigh Mallory on Mt. Everest. Died on British expedition in 1924. His corpse (discovered May 1,1999) remains in pristine condition to this day due to extreme cold. Photo courtesy Atlas Obscura.

Instead of decomposing, remains of climbers who perished have been preserved due to the extreme cold and now act as trail markers up the treacherous mountainside. The bodies of those who die on Mt. Everest usually remain because an attempt to reach and recover the corpse would most likely prove to be unsuccessful, possibly resulting in another fatality. When the corpse is left in a peat bog or salt desert, skeletonization may be delayed, or natural embalming or spontaneous mummification can occur. The body may saponify, or become “adipocere” if left in certain environments, including a peat bog. This is a rare form of spontaneous mummification seen in the Mutter Museum’s “Soap Lady” who saponified in an alkaline, warm environment which was lacking air. While it is not common, it is possible for a corpse to undergo skeletonization in one area of the body, while experiencing some form of natural preservation in another.

The Soap Lady saponified, causing the corpse to become a soapy, wax-like substance called adipocere. Photo courtesy of the Mutter Museum.

In an area void of scavenging animals, bodies buried in acidic soil will take approximately 20 years to complete skeletonization and for bone to decompose to the point that practically no evidence of the body is left. In soil with a neutral PH level, a corpse can last as long as 100 years before bone has decayed almost completely. There is also a possibility bone may not deteriorate and the skeleton could instead become a fossil or crude oil.

Fully skeletonized corpse. Bones have begun to deteriorate. Photo courtesy Bones Don’t Lie.

 

Read about the Stages of Decomposition leading up to Skeletonization Stage 1: Pallor Mortis, Stage 2: Algor Mortis, Stage 3: Rigor Mortis, Stage 4: Livor Mortis, Stage 5: Putrefaction, and Stage 6: Biotic Decomposition 

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If you enjoyed this article, you may also like Pray the Decay Away: Incorruptible Corpses and Other Forms of Natural Postmortem Preservation,  Everybody Poops: The Post-Mortem Edition, Demystifying the Process of Dying and Burying the Dead is Killing the Planet.

Pray the Decay Away: Incorruptible Corpses and Other Forms of Natural Postmortem Preservation

Ancient Egypt is widely recognized for their advanced process of “mummification” which successfully prevented natural decomposition. These purposefully preserved “anthropogenic mummies” have been found in various ancient civilizations throughout the world and were created by exposure to chemicals, extreme cold, extremely low humidity and/or lack of air. Spontaneous Mummification/natural embalming can occur under the same conditions. The oldest known natural mummification was observed in a 6,000 year old severed head discovered in South America in 1934 which was found to be of the Incan Civilization. Most people are familiar with the image of a “normal”, dried up mummy, a body which did not go through the process of Putrefaction due to dehydration of the corpse; However, there are many variations on spontaneous mummification/natural embalming which you may not be familiar with.

1. Consistently Cold Corpses

Mt. Everest, located in the countries of Nepal and Tibet is the highest mountain in the world and a frozen graveyard for over 200 bodies of climbers who perished during their expedition. Due to the severe temperatures and extremely high altitude, bodies of those who die on Mt. Everest are usually unable to ever be recovered. The persistent subzero temperatures prevent these bodies from fully decomposing and are used today as markers for climbers on their way to the peak. Take for example the body of George Herbert Leigh Mallory.

Body of George Herbert Leigh Mallory on Mt. Everest. Courtesy of Atlas Obscura.

Mallory and his companion died during a British expedition to the peak of Mt. Everest in 1924. Unfortunately, no one knew what happened to the two explorers until a team searching for their remains discovered Mallory’s corpse on May 1,1999. Despite having died more than 70 years prior, his remains were found in almost pristine condition, preserved by persistent subzero temperatures. If you make the death-defying trek to the peak of Mt. Everest, make sure to stop by and visit George Herbert Leigh Mallory.

2. Bog Bodies
Peat bogs, also known as “alkaline mires”, are wetlands abundant in mosses and wonderful environments in which to naturally preserve a corpse. In fact, the “Tollund Man”, considered to be the most well-preserved pre-historic corpse to have ever been discovered was found in a peat bog on the Jutland Peninsula in Denmark.

The Tollund Man

The Tollund Man, discovered in 1950, most likely lived between 375 BC and 210 BC during the Pre-Roman Iron Age. Although his body has shrunk and his arms and hands (aside from one finger) have skeletonized, his facial features were preserved perfectly. The right side of the Tollund Man’s body, which was fully submerged in his alkaline grave, shows less skeletonization and shrinking than the left. He was discovered wearing a pointed cap of sheepskin secured to his head with two leather straps tied beneath his chin, a leather belt and a leather noose around his neck. It was determined the noose had been cut from the remainder of the rope with a knife. Indentations found on the front of the Tollund Man’s neck indicate he died by hanging. It is unclear why he died by hanging (execution, suicide, etc.) and whether or not his body was intended to be preserved by the bog. Today, the Tollund Man is on display at the Silkeborg Museum in Denmark.

3. Soap People
Adipocere, also known as Saponify is an incredibly uncommon and fascinating form of postmortem preservation which occurs in an alkaline and/or warm, airless environment containing moisture. Saponification is a modification on Putrefaction in which the body’s fat converts into an acidic, insoluble soap which inhibits the growth of bacteria necessary for the body to putrefy. Generally, at the time of death a body contains 0.5% fatty acid, but in adipocere, levels of fatty acid rise to 20%. Within three months, bodies that saponify will contain 70% fatty acid. At first, saponified bodies will smell strongly ammoniacal. Curiously, people who have examined saponified bodies note that this smell will eventually wear off, but will return once more if the body is exposed to fresh air for two minutes or longer. Fresh adipocere appears soft, moist, white and translucent. Eventually, the body will become very brittle appearing to be hard, dry, cracked and will take on a yellowish color. Some internal organs may saponify as well, others will become similar to parchiment paper. Although the body may eventually decay if environmental conditions alter, usually the corpse will remain in a state of adipocere for at least a few decades after being relocated. A human body takes approximately 3-6 months to saponify completely, but it can begin to form in three weeks, given the right conditions. While it is unconfirmed, reports from India claim saponify has begun to form in as little as 3-4 days. The most well-known example of adipocere is the “Soap Lady”, whose saponified body was exhumed in Philadelphia in 1875.

The Soap Lady. Photo courtesy the Mutter Museum.

Originally believed to have been an elderly victim of the 1790’s Yellow Fever Epidemic (due to her lack of teeth), it was discovered in a 1987 X-ray that her clothing contained buttons and pins which were not manufactured in the United States until the 1830s. It was also determined this toothless woman was much younger, having died no later than her 40s, possibly as young as her late 20s. The Soap Lady is currently on display in Philadelphia’s Mutter Museum.

4. Volcanic Ash
In 79 AD (most likely August 24th, around noon) Mt. Vesuvius erupted destroying the cities of Herculaneum and Pompeii. While Herculaneum was immediately incinerated by the initial pyroclastic surge, at least 1,150 citizens of Pompeii were encased in a porous pumice shell leaving behind a macabre cast of their position at the time of death.

Bodies in Pompeii

Many people are under the impression that the bodies of those killed in the destruction of Pompeii remain encased in the pumice however, this is false. While their skeletal remains are inside, the soft tissue decomposed and eventually leaked out of the hardened ash. In 1864 Giuseppe Fiorelli was serving as executive director of excavations at Pompeii. He instructed his team to not remove bones of the volcano’s victims and to instead pour plaster into the pockets of ash left behind where the soft tissue had once been. After a few days the plaster hardened, leaving us with 150 “statues” of Vesuvius’s victims immortalized in the final, terrifying moments of their life.

5. Incorruptible Corpses
Until rather recently, the Catholic Church considered “Incorruptible Corpses”, bodies that do not decompose after death, to be a miracle. Once upon a time, holy figures which remained immaculate long after their demise quickly gained Sainthood. While lack of decomposition is no longer officially considered a “miracle” in itself, there is still the belief within Christianity that these faithful few whose earthly bodies are spared decomposition are still in some way touched by God. There have been many claims that these bodies smell sweet and floral and at times appear better postmortem than they did in life… Those of us who are not quite as full of… “The Holy Spirit” realize there are legitimate scientific reasons behind these bodies that for whatever reason, do not putrify. In modern times, it has been discovered that some of the tombs used as a resting place for devoted Catholic nuns and priests are more conducive to natural embalming than others. Temperature, moisture and even architecture all influence the tomb’s ability to naturally preserve a corpse. One of the most famous Incorruptible Corpses is that of Saint Paula Frassinetti who was buried in one such a tomb in 1882.

Body of Saint Paula Frassinetti. Photo courtesy of The Order of The Good Death

In 1906 her body was exhumed to be moved to another location. At that time it was discovered that St. Paula’s body had only slightly decomposed in 24 years time. In light of this, her corpse was displayed at Saint Onofria, the Dorothean motherhouse in Rome, Italy. Unfortunately, after her body was removed from its original tomb, St. Paula did begin to decompose. In an attempt to keep her body in its state of incorruptibility, Sisters at the convent washed St. Paula Frassinetti with acid which slightly melted her skin. It did, however, prevent any further decomposition. Incorruptible Corpses often receive such treatments in an effort to maintain the body. Her corpse remains on display to this day and those who have handled the body of Saint Paula Frassinetti claim she is still quite flexible.

Learn more about The Mutter Museum
Learn more about The Silkeborg Museum

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From the same demented mind that brought you The Post-Mortem Post: FREAK

If you enjoyed this article, you may also like Burying the Dead is Killing the Planet, Everybody Poops: The Post-Mortem Edition and How to Decay the Good Ol’ Fashioned Way

Dying with Dignity: One Woman’s Willful Journey into Death

The following video documents the final days of a woman who opted for physician-assisted suicide in 2010. Seventy-four year old Michele Causse Deriaz, a resident of Toulouse, France traveled to Switzerland with her partner and a friend in order to die on the day of her birth, July 29th. Michele’s story is very intriguing; She speaks bluntly, even joyfully, on the subject of her death and has strong yet simple views on the topic of Dying with Dignity. Michele volunteered for cameras to follow her in the days leading to her scheduled death and to be present as she chose to take a lethal dose of pentobarbital, prescribed by her end of life physician. She hoped that by participating in the documentary, physician-assisted suicide would be a more available option for others like her who wish to end their life. On the day before her death she left a message for viewers, “Let me say before dying that people really cherish life… I have to be really suffering to leave it; I wanted to live just like everyone else… There won’t be crowds of people lining up to die. The few who wish to die will certainly have good reasons.”

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If you enjoyed Michele’s story, you might also like Dying with Dignity, Demystifying the Process of Dying, Everybody Poops: The Post-Mortem Edition, Karl Wallenda’s Fatal Tightrope Fall, Possible Relatives: Tina Enghoff Photographs Homes of the Recently Deceased and Joshiah: We are the Creators of Our Universe

Life Before Death: Overcoming the Fear of Death Through Postmortem Photography

 German photographer Walter Schels and journalist Beate Lakotta set out to dispell their shared fear of death by photographing terminally ill people perimortem and postmortem in the series “Life Before Death”. Beate Lakotta and Walter Schel have been married for over twenty years; Schel is 30 years her senior. The two are well-aware Schels will most likely die long before Lakotta, an event which they both fear. Walter Schels grew up near Munich, Germany during the final years of World War II; His own home was bombed as a child and he saw many victims of the air raids. He said the horrors he witnessed in childhood caused him to spawn a deep fear of death, “I was afraid of death and coffins my whole life and I avoided seeing any dead bodies, even those of my parents.”. In order to find subjects willing to participate in the project, the couple visited hospices in Hamburg and Berlin. Surprisingly, many patients near death wanted to participate in the project, eager to speak about their prognosis with someone outside of friends and family. Both subjects and loved ones had to agree upon participating, and only a small few chose to back out of the project. In the end, Schels and Lakotte interviewed and photographed 26 people who were severely ill and near death. For an entire year as the project was underway, the two were unable to work on any additional projects; They were on-call 24/7, ready to complete the postmortem photography portion in the event one of the subjects passed. Schels had previously worked on a series depicting birth, stating his fear of death was so intense all he could think was, “At the end of this birth will always be death.”. Although the series has had a deep reaction with many people, Schels insists he wasn’t trying to get across any message with the touching photos, only trying to “selfishly” rid himself of his fear, stating, “I hoped to lose my fear by doing this project where I had to confront myself with death. I am old enough to think about my own death so it was obvious to for me to close the circle between birth and death by doing this project.”. The powerful black and white portraits have been published into a book; The artist chose to use black and white photography to focus more on form and color. Lakotta said of the series, “Its like cement. That cold, that hard, and that heavy.”. According to Schels, “We both cried during this time more than ever before. It was impossible for either of us to deal with the physical death and, even more, the mental pressure on our own. Even now we still have to fight against tears when we get touched at certain points [in the series].”. Although the fear of death may still remain for the two, now Schels knows, “Death is ruthless. It is better to be prepared.”.

Elly Genthe, 83

First Photographed December 31, 2002
Elly Genthe was a tough, resilient woman who had always managed on her own. She often said that if she couldn’t take care of herself, she’d rather be dead. When I met her for the first time, she was facing death and seemed undaunted: she was full of praise for the hospice staff and the quality of her care. But, when I visited again a few days later, she seemed to sense her strength was ebbing away. Sometimes during those last weeks she would sleep all day: at other times, she saw little men crawling out of the flower pots who she believed had come to kill her. “Get me out of here”, she whispered as soon as anyone held her hand. “My heart will stop beating if I stay here. This is an emergency! I don’t want to die!”
Died January 11, 2003
Gerda Strech, 68

First Photographed January 5, 2003
Gerda couldn’t believe that cancer was cheating her of her hard-earned retirement. “My whole life was nothing but work, work, work,” she told me. She had worked on the assembly line in a soap factory, and had brought up her children single-handedly. “Does it really have to happen now? Can’t death wait?” she sobbed. On one visit Gerda said, “It won’t be long now”, and was panic-stricken. Her daughter tried to console her, saying: “Mummy, we’ll all be together again one day.” “That’s impossible,’ Gerda replied. “Either you’re eaten by worms or burned to ashes.” “But what about your soul?” her daughter pleaded. “Oh, don’t talk to me about souls”, said her mother in an accusing tone. “Where is God now?”
Died January 14, 2003


Michael Lauermann, 56 

First Photographed January 11, 2003
Michael Lauermann was a manager. A workaholic. One day he just keeled over. At the hospital they said: “Brain tumour, inoperable.” That was six weeks ago. Lauermann doesn’t want to talk about death, he’d rather talk about his life. How he managed to escape the narrow confines of his native Swabia and go to Paris. Studies at the Sorbonne. Baudelaire, street riots, revolution, women. “I really loved life,” says Lauermann. “Now it’s over. I’m not afraid of what’s coming.” There is no one by his side, that’s his choice. That’s not the way his life was. But he has no regrets. He even derives a certain enjoyment from this advanced stage of the illness. Free and easy, a kind of weightlessness. He feels as if his body were fading away. He is not in pain. “I will soon die”, Lauermann says. Three days later there is a candle burning outside the door of his room. It indicates he has passed away.
Died January 14, 2003

Michael Föge, 50

First Photographed January 8, 2003
Michael was left part-paralysed and unable to speak by a brain tumour. His wife communicated with him by squeezing arm: “I could feel his vitality. We had fun,” she said.
Died February 12, 2003
Roswitha Pacholleck, 47
  
First Photographed December 31, 2002
“It’s absurd really. It’s only now that I have cancer that, for the first time ever, I really want to live,” Roswitha told me on one of my visits, a few weeks after she had been admitted to the hospice. “They’re really good people here,” she said. “I enjoy every day that I’m still here. Before this my life wasn’t a happy one.” but she didn’t blame anyone. Not even herself. She had made peace with everyone, she said. She appreciated the respect and compassion she experienced in the hospice. “I know in my mind that I am going to die, but who knows? There may still be a miracle.” She vowed that if she were to survive she would work in the hospice as a volunteer.
Died March 6, 2002  Barbara Gröne, 51
  
First Photographed November 11, 2003
All her life, Barbara had been plagued by the idea that she has no right to be alive. She had been an unwanted baby: soon after her birth, her mother had put her into a home. But she had a strong survival instinct, and became very focused, she said, very disciplined in the way she lived. After much hard work, it seemed that life was at last delivering her a better hand. But then the cancer struck: an ovarian tumour, which had already spread to her back and pelvis. Nothing could be done. Abruptly her old fears returned: the familiar sense of worthlessness and sadness. At the end of her life, Barbara told me that she was overwhelmed by these feelings. “All my efforts were in vain”, she said. “It is as though I am being rejected by life itself”.
Died November 22, 2003
Heiner Schmitz, 52
First Photographed November 19 2003
Heiner was a fast talker, highly articulate, quick-witted, but not without depth. He worked in advertising. When he saw the affected area on the MRI scan of his brain he had grasped the situation very quickly: he had realised he didn’t have much time left. Heiner’s friends clearly didn’t want him to be sad and were trying to take his mind off things. They watched football with him just like they used to do: they brought in beers, cigarettes, had a bit of a party in the room. “Some of them even say ‘get well soon’ as they’re leaving; ‘hope you’re soon back on track, mate!’” says Heiner, wryly. “But no one asks me how I feel. Don’t they get it? I’m going to die!”
Died December 14, 2003
 Peter Kelling, 64
  
First Photographed November 29, 2003
Peter Kelling had never been seriously ill in his life. He was a civil servant working for the health and safety executive, and didn’t allow himself any vices. And yet one day he was diagnosed with bowel cancer. By the time I met him, the cancer had spread to his lungs, his liver and his brain. “I’m only 64,” he muttered. “I shouldn’t be wasting away like this”. At night he was restless, he told me, and kept turning things over in his mind. He cried a lot. But he didn’t talk about what was troubling him. In fact he hardly talked at all and his silence felt like a reproach to those around him. But there was one thing that Peter Kelling followed to the very last and that was the fortunes of the local football team. Until the day he died, every game was recorded on the chart on the door of his room.
Died December 22, 2003 Edelgard Clavey, 67
First Photographed December 5, 2003
Edelgard was divorced in the early eighties, and lived on her own from then on; she had no children. From her early teens she was an active member of the Protestant church. She contracted cancer about a year before she died, and towards the end she was bed-bound. Once she was very ill she felt she was a burden to society and really wanted to die. “Death is a test of one’s maturity. Everyone has got to get through it on their own. I want very much to die. I want to become part of that vast extraordinary light. But dying is hard work. Death is in control of the process, I cannot influence its course. All I can do is wait. I was given my life, I had to live it, and now I am giving it back”.
Died January 4, 2004Jannik Boehmfeld, 6 
First Photographed January 10, 2004
Jannik was only four years old when doctors detected a rare type of brain tumour. Four months later his mother, Silke was diagnosed with breast cancer. She was determined to stay strong for the sake of Jannik and his little brother Niklas, but her prognosis was bleak; She survived her son who died just 25 days after his 6th birthday.
Died January 11, 2004    Wolfgang Kotzahn, 57
Fist Photographed January 15, 2004

There are colorful tulips brightening up the night table. The nurse has prepared a tray with champagne glasses and a cake. It’s Wolfgang Kotzahn’s birthday today. “I’ll be 57 today. I never thought of myself growing old, but nor did I ever think I’d die when I was still so young. But death strikes at any age.”. Six months ago the reclusive accountant had been stunned by the diagnosis: bronchial carcinoma, inoperable. “It came as a real shock. I had never contemplated death at all, only life,” says Herr Kotzahn. “I’m surprised that I have come to terms with it fairly easily. Now I’m lying here waiting to die. But each day that I have I savor, experiencing life to the full. I never paid any attention to clouds before. Now I see everything from a totally different perspective: every cloud outside my window, every flower in the vase. Suddenly, everything matters.”

Died February 4, 2004 Maria Hai-Anh Tuyet Cao, 52

First Photographed December 5, 2003
“Death is nothing,” says Maria. “I embrace death. It is not eternal. Afterwards, when we meet God, we become beautiful. We are only called back to earth if we are still attached to another human being in the final seconds.”. Maria’s thoughts on death are permeated with her belief in the teachings of her spiritual guru, Supreme Mistress Ching Hai; She believes she has already visited the afterlife in meditation. What Maria hopes is that she can achieve a sense of total detachment at the moment of death: she spends most of her time in the days leading up to her death preparing mentally for this
Died February 15, 2004   Klara Behrens, 83
  First Photographed February 6, 2004
Klara Behrens knows she hasn’t got much longer to live. “Sometimes, I do still hope that I’ll get better,” she says. “But then when I’m feeling really nauseous, I don’t want to carry on living. And I’d only just bought myself a new fridge-freezer! If I’d only known! I wonder if it’s possible to have a second chance at life? I don’t think so. I’m not afraid of death — I’ll just be one of the million, billion grains of sand in the desert…”
Died March 3, 2004

  Beate Taube, 44 

First Photographed January 16, 2004
Beate had been receiving treatment for breast cancer for four years, but by the time we met she had had her final course of chemotherapy, and knew she was going to die. She had even been to see the grave where she was to be buried. Beate felt that leaving her husband and children behind would be too difficult and painful if they were with her. At the moment of her death she was entirely alone — her husband was in the kitchen making a cup of coffee. He told me later that he was disappointed that he couldn’t be with her, holding her hand, but he knew this is what she had always said, that dying alone would be easier for her.
Died March 10, 2004  Elmira Sang Bastian
  First Photographed January 14, 2004
Elmira Sang Bastian was most likely born with the tumour that, by the age of 17 months, had taken over almost her entire brain. Her mother, Fatemah, refused to give up hope. She prayed: “Dear God, now it is in your hands. If it be your will, let a miracle happen. Or is it selfish of me to want to keep my daughter? Was it your plan that she wouldn’t remain with us for long?”
Died March 23, 2004  Rita Schoffler, 62

First Photographed February 17, 2004
Rita and her husband had divorced 17 years before she became terminally ill with cancer. But when she was given her death sentence, she realised what she wanted to do: she wanted to speak to him again. It had been so long, and it had been such an acrimonious divorce: she had denied him access to their child, and the wounds ran deep. When she called him and told him she was dying, he said he’d come straight over. It had been nearly 20 years since they’d exchanged a word, but he said he’d be there. “I shouldn’t have waited nearly so long to forgive and forget. I’m still fond of him despite everything.” For weeks, all she’d wanted to do was die. But, she said, “now I’d love to be able to participate in life one last time…”
Died May 10, 2004

 Jan Anderston, 27

 First Photographed April 8, 2005

Jan Andersen was 19 when he discovered that he was HIV-positive. On his 27th birthday he was told that he didn’t have much time left: cancer, a rare form, triggered by the HIV-infection. He did not complain. He put up a short, fierce fight – then he seemed to accept his destiny. His friends helped him to personalize his room in the hospice. He wanted Iris, his nurse, to tell him precisely what would happen when he died. When the woman in the room next to him died, he went to have a look at her. Seeing her allayed his fears. He said he wasn’t afraid of death. “You’re still here?”, he said to his mother, puzzled, the night he died. “You’re not that well,” she replied. “I thought I’d better stay.” In the final stages, the slightest physical contact had caused him pain. Now he wants her to hold him in her arms, until the very end. “I’m glad that you stayed.”

  Died June 14, 2005

 More Photos from ‘Life Before Death’
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