Morbid - The Tragic Death Of Gloria Ramirez
Episode Date: January 11, 2026Just after 8:00 pm on the evening of February 19, 1994, thirty-one-year-old Gloria Ramirez was admitted to Riverside General Hospital with what Emergency Room staff believed were symptoms of a heart a...ttack. When Ramirez failed to respond to the medications and emergency treatments, medical staff began preparations for defibrillation; however, when they removed the woman’s shirt, they were surprised to find her skin covered in an oily sheen and her body seemed to be emitting an odd fruity odor. Stranger still, when a nurse took a blood sample from the woman’s arm, the blood smelled of ammonia and appeared to have slightly yellow particles floating in it. The nurse turned to leave the room, intending to take the sample for immediate analysis, but she didn’t even make it to the door before she lost consciousness and was caught by a coworker before her limp body hit the floor. Less than an hour after she was admitted to the Riverside General Emergency Room, Gloria Ramirez was pronounced dead, but her story was far from over.Within hours of Ramirez’s visit to the ER, medical personnel who attended her that evening became sick with symptoms typically associated with insecticide poisoning (tremors, apnea, burning skin), and several required hospitalization. In the days and weeks that followed, the doctors and nurses who’d come into direct contact with Ramirez continued to experience bizarre symptoms that seemed to defy logical explanation and left everyone wondering, how had a seemingly ordinary woman’s body been transformed into Trojan horse of toxicity most associated with chemical warfare?Thank you to the Amazing Dave White (of BRING ME THE AXE PODCAST) for research and writing assistance!ReferencesAyers, B. Drummon. 1994. "Elaborate precautions taken for autopsy in mystery fumes case." New York Times, February 25: A17.Ayers, B. Drummond. 1994. "After airtight autopsy, mystery lingers in case of hospital fumes." New York Times, February 26: 10.Boodman, Sandra G. 1994. "Was it a case of mass hysteria or poisoning by toxic chemical?" Washington Post, September 13.Gorman, Tom. 1994. "Victims of fumes still ill, and still seeking answers." Los Angeles Times, April 14: 1.King, Peter H. 1994. "Another funeral of note." Los Angeles Times, April 27: 3.Kolata, Gina. 1994. "Fumes at hospital baffle officials." New York Times, February 22: A12.New York Times. 1994. "Doctor faults state report on faintings." New York Times, September 4.—. 1994. "Doctor files lawsuit over mystery fumes in emergency room." New York Times, August 10: A14.—. 1994. "Kidney failure killed woman in fumes case." New York Times, May 1.Stone, Richard. 1995. "Analysis of a Toxic Death." Discover Magazine, April 1. Cowritten by Alaina Urquhart, Ash Kelley & Dave White (Since 10/2022)Produced & Edited by Mikie Sirois (Since 2023)Research by Dave White (Since 10/2022), Alaina Urquhart & Ash KelleyListener Correspondence & Collaboration by Debra LallyListener Tale Video Edited by Aidan McElman (Since 6/2025) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Transcript
Discussion (0)
Hey, weirdos, I'm Ash.
And I'm Elena.
And this is morbid with a side of refrigerator cigarette.
In case you don't know what that is.
I don't promote smoking.
I do promote Diet Coke.
Yeah, that's a thing.
People call Diet Coke's a fridge cigarette.
It's just a meme I saw once.
Yeah.
I think that's funny.
I do think it's funny.
Strawberry's and cream, Dr. Pepper, my fridge cigarettes.
All right. Well, I think Diet Coke is disgusting. You know what? No, you know which one I do like of the Dr. Pepper ones? The cream soda one. Oh, see, I think that's disgusting. Disgusting. Disgusting. But that's funny because they were in your fridge when I tried them. Yeah, because somebody, no, you know why they were in my fridge? Tell me. Because I think you thought that was the kind I liked and you got them for one of your get-togethers and then you gave me the rest of them and I felt bad. She's telling me it's my fault. You know why those are.
in my refrigerator?
My refrigerator?
You know why those are in my refrigerator?
Because of you.
No, and that's, no, because you were doing a kind.
You were doing a kindness.
And then I did a kindness back by taking them and not saying like, those are not the ones
they're like.
Until now.
Until now.
Like a year later.
You little.
You little.
Because I really don't like those.
But you drank them.
I like them.
And I think Aiden drank some.
So worked out.
Worked out for me.
Drink, drank.
Drunk.
Drink it.
Yeah.
What else is this new brother man?
You guys sold out the Sunday show in under four minutes.
You're outrageous.
It's insane.
Like, who are you?
Here's the thing.
There are tickets being resold.
That has nothing to do with us.
Yeah.
We get a proposal with how many seats and we say, yeah, that price sounds fair.
And then people can buy them and do whatever the fuck they want with them, which sucks, I realize.
It sucks a giant ass.
We have nothing to do with that.
Yeah.
So if you see tickets that are like
astronomical.
It's even on the Wilbur website
because you have to look under the thing
and it'll say verified resale ticket,
that tells you that someone's trying to resell that ticket.
Yeah.
Because there's like balcony seats that are sitting there right now
for like $1,200.
Whoever did that, go fuck yourself.
Yeah, that's such a dick move.
But like, that's not us.
No, I wouldn't have that.
You know we're not out here charging fucking...
No, and that's how it works.
We literally get a proposal with each seat and how much money it should cost.
And we actually went back a couple times and we're like, oh, let's be like a little more fair.
We would never do that to you.
No.
So anyway.
But there was just a couple of people that were concerned that we were like trying to.
Concern that we were out here thinking we're like Sabrina Carpenter or something.
So I'm not.
I wish.
And also those like those tickets that people were concerned about, those aren't like we're not.
Like the resale tickets.
Whoever's selling those tickets.
if somebody buys them, they get that money.
So, yeah.
Or not profiting off of them anyway.
It's just crazy.
It's a wild world.
Yeah, people are getting rougher and rougher out here in these streets.
But you know what?
You're all great.
So that's all that matters.
You're all fan for fantastic.
Yeah, we just like, it was only a couple people that like even noticed it and were so,
and mentioned it, but we just didn't want anybody thinking that we were out here
trying to sell tickets for like $700 and shit.
Nah. That's crazy.
That's fucking crazy.
But yeah.
So that's stupid.
Stupid of people to do.
I think that's really our only bit nasty, though.
I know.
I think that is.
I like that I've officially named our business.
Bidnesty.
That's pretty fun in my opinion.
Bid nasty.
And that commences.
Bid nasty.
Yeah, because I don't think there's anything else that really has come up.
No.
That you guys need to fucking know about.
boat.
You know?
Don't forget.
We lied.
Been nasty November.
More been nasty.
Don't forget tomorrow, actually, because I think this is Thursday's episode.
I was going to say, look at, look at Nike.
I don't know.
She looked at me.
She looked at me first.
Like I know anything thing.
She looked at me Blakely and shook her head.
I just went, oh, no.
I don't know those things.
So today is Thursday for you.
It's what, Tuesday for us?
So we're not even that far apart.
Don't worry.
We're not getting back into craziness.
No way.
But anyway, Friday is going to be our bonus episode where we are going to talk about
unknown number the high school catfish scandal.
Yes.
Which I actually, last night, we and Drew were watching TikTok together.
And people have been filming their reactions when they find out who the catfish is.
Oh yeah.
And I need you all to please do that if you don't know.
Oh, hell yeah.
If you somehow don't know who the catfish is at this point, you got to film yourself
watching it because your reaction will be insane.
I've been spoiled.
I already know.
I got spoiled ahead of time.
So I won't do it, but you guys should definitely do it.
I got spoiled ahead of time, but even still.
Still shocking.
Well, even still shocking.
And also I was like, well, I don't know.
You know, I didn't know exactly.
Yeah.
But we won't.
We'll talk about it on Friday.
I'm talking about it on Friday.
Yeah.
A.k.a. tomorrow if you're listening on Thursday.
Yeah.
All right.
So that wraps up.
Bit nasty.
Now bid nasty is done.
Pinky swear.
Let's go, girls.
Today, we are going to be talking about a very interesting case.
And one that, so we're going to be talking about Gloria Ramirez.
You might see her referred to sometimes as the toxic woman, which is shitty.
Not great to do that.
It's really not great to name somebody that.
After you hear the story, you'll understand why.
And her family does not want her to be known as the toxic woman.
Who would want that?
So we will not be calling her the toxic woman, but I just wanted in case you would
seen it, that that's the same Gloria Ramirez.
This, this story is wild.
I know, like, I know of this story, but I don't know all the details.
Very interesting, very tragic.
Yeah.
Very scary.
Yeah.
So let's start.
Within hours of Gloria Ramirez taking an unexpected visit to the ER in 1994, medical
personnel who, you know, rushed to her aid that evening, became sick with symptoms.
that are typically associated with like insecticide poisoning.
Oh, shit.
Like very strange like tremors, apnea, burning skin, like randomly.
So like if you like ingested like raid or something?
Yeah.
And like several of these people, several of these like medical personnel required
hospitalization themselves because of it.
Oh.
And in the days and weeks after this, the doctors and nurses who came into direct contact
with Ramirez continued to experience these crazy bizarre symptoms.
they were defying logical explanation at this point.
And they were leaving everyone wondering,
how had this seemingly ordinary woman's body been transformed into some kind of like
Trojan horse of toxicity?
That's what,
that's essentially what they were saying.
Like,
what happened here?
Because initially they had no idea.
They had no idea.
They didn't know what they had gotten into.
And honestly,
the symptoms and things that were happening were like associated with chemical warfare,
essentially.
What?
Yeah.
It's wild.
So let's start at the beginning.
It's the best place to start.
It always is.
On the evening of February 19th, 1994,
Gloria Ramirez complained to her boyfriend, Johnny Estrada,
that she was having some trouble breathing, which is scary.
Yeah.
She was only 31 years old.
She was a mother of two,
but she had been diagnosed with advanced stage cervical cancer
about six weeks before this.
Oh, wow.
So she was actually scheduled to begin some pretty aggressive chemotherapy
the following Tuesday,
but obviously this night, things took a pretty alarming turn.
And so when she started to say, I'm having trouble breathing,
it should never be something that's ignored,
but getting that diagnosis, it made it even scary.
Yeah, of course.
And she actually ended up collapsing.
She told her boyfriend, I had something's wrong, and then she collapsed.
Oh, that's so scary.
Johnny called the paramedics, and they got there really quickly,
and she was very quickly transported to Riverside General Hospital,
and this is in California.
Okay.
She was admitted at about 8.15 p.m. and taken to trauma unit one.
Emergency staff assessed the whole situation.
Everybody was moving at a rapid pace.
But by the time she arrived there, her breathing had gotten way worse.
It was super shallow, really quick.
It was causing her blood pressure to fall really, really rapidly.
That's so scary.
So just trying to determine what the cause of all of this was, doctors and nurses questioned Gloria as best they could.
Right. But by this point, she was barely conscious and she was only able to really provide some short answers.
And most of them were kind of unintelligible and frankly unhelpful at this point.
Yeah, she's not like totally with it at this point.
Yeah. So the doctors and nurses, the whole staff were questioning the paramedics as well who transported Gloria.
All they knew was that they had been told by Johnny Estrada that her name is Gloria Ramirez.
She's 31 years old. And she was recently diagnosed with cervical cancer.
So the attending medical staff started treatment, and they started by injecting a combination of benzodiazepines, Valium, Versid, and Ativan.
Oh, wow.
That was to sedate, Gloria.
Yeah, I would think so.
Obviously, and followed by more injections of lytocaine and an antirthmic called Bratillium to stabilize the irregular heartbeat that was happening.
Okay.
So the drugs started working their way through her system, and in the meanwhile, Nurse Maureen Welch,
began performing mouth-to-mouth resuscitation with an ambu bag.
God, this is like...
Because she was starting to really go.
Intense.
It is...
It's like one of those intense medical scenes that you're picturing in your head.
It was like chaos.
And picturing like something from the pit.
Exactly.
That's exactly what it is.
And the combination of the drugs and this forced air
should have been enough to stabilize glorious situation,
at least for a brief period of time.
You know, just trying to...
So they could collect some more information even just to move forward.
Yeah.
But when it became clear she wasn't responding to the treatment at all.
Medical staff began preparing to shock glorious heart back into a normal rhythm with a defibrillator.
It was just going to hell.
Yeah.
Like everything was going haywire.
And she's 31 years old.
Jesus.
31 years old.
And the first indication that something was amiss came when the nurse cut away glorious t-shirt
to try to apply the electrodes.
And she found that the woman's body was like covered.
in what looked like an oily sheen, like an oily substance.
Like you put like VIX on your chest or something?
Yeah, like but one nurse described it as like an oil slick.
She said like you see on the ground of a gas station.
Oh.
You know like that kind of sheen, which is different.
Yeah.
I was like so not like when you put Vicks on your chest.
It was then that the medical staff noticed a faint odor coming from Gloria's body,
what they thought was probably coming from Gloria's body,
that some would later describe as fruit.
Well, others said it smelled more like garlic.
It's always like sickly sweet.
To me, how people can smell things differently or see things differently.
Or it's like just different notes of this odor hit someone different.
Someone more.
Yeah.
Like someone's going to sit there and say, well, it was sickly sweet like garlic.
And it's like they get the note of garlic.
Somebody else is like fruit.
It's like when you see people do like a wine tasting and they're like, oh, I'm getting notes of sandalwood.
Yeah.
And then you're drinking it and you're like, I'm getting notes of grape.
Grape.
Exactly.
Sour grape.
Now, by the time, by the time this was all going on,
Gloria was in full cardiac arrest, full cardiac arrest.
And there was no time to linger over this kind of odd discovery that they had all just
come across.
Yeah, they're like, we'll get to that when we get there.
Put a pin in that.
So medical staff continued the life-saving protocols.
And following the defibrillation, nurse Susan Kane swabbed Gloria's arm and inserted
the catheter, then attached the syringe to try to draw blood.
Once the vial was filled, Kane handed it to Maureen Welch.
It's important that you're getting this transfer of the chain of custody, essentially, of everything.
So it'll be important later.
So again, Susan Kane swabbed Gloria's arm, inserted the catheter, took the syringe, drew the blood,
and then she handed it to Maureen Welch, the nurse, who immediately noticed that the blood smelled of ammonia.
Oh.
Welch passed the vial off to medical resident Julie Gorsinski, who, in addition to the unusual ammonia smell, notice there appeared to be, quote, manila colored particles floating in the blood.
Oh.
They were probably all like, what the fuck is going on?
Yeah.
So moments after the blood sample was collected, trauma unit one was plunged further into chaos, if you can even believe it.
I was like, yeah, how?
As he continued his attempt to stabilize Gloria Ramirez, Dr. Umberto Ochoa heard someone shout,
catch her.
Catch her?
Catch her.
Okay.
Turning to see what the fuck.
Because I'm like, Gloria's on a table.
So turning to see where the fuck that's coming from.
Ochoa just barely managed to catch Susan Kane under the arms as her legs gave out and she dropped to the floor.
She like lost consciousness?
Yeah.
just like passed out.
Okay.
Kane had just been removed from the room on a gurney
when Gorsinski began to feel nauseous.
And these are all the people that were doing various things.
Yeah.
Feeling as though she was going to be sick,
she excused herself from the room
and went to sit down at the nurse's station.
But she wasn't there for long before she too slumped to the floor
and started exhibiting symptoms of apnea.
She was intermittently twitching and shaking.
Oh, my God.
And then she would stop breathing for several.
seconds. What the fuck? Like, picturing this scene from beginning to now even, and it's going to keep
going. It feels like something out of a television show. It doesn't, you would see this happening
in a show and be like, calm the fuck down everybody. It feels like something out of like ER,
like so dramatized, you know, but even ER, you'd be like, no, I know, exactly. Like,
you'd be like, guys, this is not, this doesn't make sense. Yeah. This is, no, no, it actually
feels like something out of house. Yeah. You know, and like crazy shit goes down in
house and then he gets to the bottom of it. This is a house episodes, which by the way,
fucking love that show. House is a great. I haven't seen that in forever. A great show.
Yeah, this is, because like we're going from, and it's also sudden. That's the thing. It's like all
happening very quickly. Yeah. Poor Gloria. It's just six weeks ago diagnosed. And then immediately
feels a little shortness of breath, passes out cold at her house, is rushed to the hospital.
And right when she gets there, she goes into cardiac arrest.
They're trying to do like mouth to mouth, trying to defibrillate her heart back into motion.
And now everybody starts dropping like flies.
Like, it just won't stop.
I don't, I feel like I would run out of that hospital crying.
No same.
Like, that's a lot.
Now, back in trauma unit one, Maureen Welch, another person who handled the vial, was the third person affected.
She later said, I remember hearing someone scream.
And she said, and then she passed out.
When Welch regained consciousness, she no longer had control over her arms and legs.
What?
Yep.
Yep.
Moments after that, the entire emergency room at Riverside General was evacuated.
Yeah, I was waiting for that.
Because like, what the fuck's going on?
And medical staff continued treating patients in the parking lot.
Holy canoly.
Well, and I quote, hazardous materials collectors.
dressed in protective clothing, tested the air in the emergency room for dangerous gases.
Because that would be my first thought.
I'd be like, this is a gas leak.
Yeah, something's up here.
Really bad is in this ventilation system, and we're all fucking breathing it in right now.
Evidently.
So in trauma unit one, Gloria's condition continued to worsen as all this was going on,
with her blood pressure dropping at an alarming rate.
And despite their efforts to stabilize her, and this is just so tragic,
amid all of this, Gloria Ramirez died at.
8.50 p.m. from what an autopsy would later identify as kidney failure brought on by cervical cancer.
Oh, wow. So she died as a result of that six weeks earlier and died. That is wild. And it's like,
she got in there at 815 p.m. and was dead by 8.50. Wow. As all around her, people are just
chaos and down. But they're also at the same time to treat her absolute best. Oh, it's awful. It's so tragic all the way
around. Oh, she's so young.
And she said she had two children. Yeah, she's a mother.
That's awful. Now, once Dr. Ochoa had pronounced Gloria dead,
her body was sealed into an airtight bag and moved to an isolated room in the hospital,
because again, they don't know what's going on. Nobody knows, yeah.
Among those who helped move the body was ER nurse Sally Baldaris, who had been in
trauma unit one and helped to collect the blood sample from Gloria.
Once she'd returned to the parking lot after moving Gloria to where she needed to be,
Balderas felt ill and then started retching and complaining of, quote, a burning sensation on her skin.
Oh.
And then she too needed emergency medical attention.
This is like the fourth or fifth person at this point.
In total, 23 of the 37 members of the emergency department who worked the night Ramirez was brought in complained of experiencing at least one symptom.
Whoa.
23 of the 37 members of the emergency department.
Is that like mass hysteria?
Well, that's one of the, that was one of the thoughts that people had.
Because I'm like, that's an insane amount of people who weren't even in the room.
This is also too, though, it's like people are experiencing real symptoms.
Yeah.
Like this, you know, they're not just like, you know, Salem witch trials style like throwing themselves saying they see like monkeys on the wall and stuff.
Yeah.
Like, they're experiencing, like, actual medical emergencies, which is wild.
Yeah.
Now, Baldurz, whose symptoms were initially described as little more than a headache,
required a 10-day hospital stay to treat the symptoms of apnea she began experiencing
after exposure.
So that's another person with apnea.
Yeah.
Susan Kane also continued to experience apnea in the days following and was hospitalized
at Corona Regional Medical Center until her symptoms subsided.
and three days later.
I wonder if they renamed that place.
I know.
I was thinking that too.
It was like, woof.
But also, holy shit.
Yeah.
By far the most affected from the exposure to Gloria Ramirez was Dr.
Julie Gorgensky, who suffered a number of serious symptoms and even underwent surgery
on her knees several weeks later to treat avascular necrosis, which is a condition where
the bones that make up the joints begin dry, basically dying for lack of blood circulation.
I knew like the curses.
What the fuck?
Gorkinsky's other symptoms included hepatitis,
pancreatitis, and quote,
chest seizing muscle spasms and breathing relapses
that necessitated use of a respirator.
Holy shit.
I just keep saying that, but like,
holy shit.
She was only 33 experiencing all this.
And she couldn't draw a full breath for like months after exposure.
And so what was the thing called that she had?
necrosis thing. Avascular necrosis. So like the nerves and her knees were dying off.
The bones that make up the joints start dying from lack of blood circulation.
Holy. And she's 30 something years old. 33. Like is she going to be able to use her legs?
Now among the more baffling elements of the case, at least in the earlier days of this whole
investigation, because now they're like, what the fuck happened here? Yeah. Was that the paramedics
who transported Glory to Riverside General,
who'd presumably been in close contact with her body,
and experienced none of the symptoms present among the ER stuff.
I just pulled my head back and went to the side, like, huh?
This led investigators from Riverside County agencies and Cal OSHA
to focus their attention on the hospital itself,
believing that something was circulating in the hospital,
possibly in the ventilation system.
Because a lot of times, like in the,
and I don't know obviously what happened here,
but a lot of times they're like putting up.
oxygen on you, like that close, that close.
Oh, I mean, they were doing all the things.
She was in full, like, she was in very, very much distressed on her way to cardiac arrest
in the ambulance.
So they were doing a hell of a lot.
And think about a trauma unit compared to the, like the size of that compared to an ambulance.
The back of an ambulance.
And a closed in, probably not that well ventilated space in ambulance.
Well, that's why they're thinking it has to do with the ventilation in the hospital.
Yeah.
In fact, this wasn't the first time we ever.
side general had trouble with toxic fumes.
That's like not something you want on your Yelp reviews.
No. You don't want like one that says toxic fumes, let alone multiple.
One time having toxic fumes is like too many.
Yeah.
You know? Yeah.
In 1991, so only a couple of years before this, two employees required treatment for exposure
to what was believed to be a toxic gas leak from a sterilizer.
The fuck.
Not a sterilizer leaking toxic.
fumes. Just one year later, a federal inspection discovered that algae growing in a water
reservoir was also causing issues. Babe, we got algae? Yeah. We got algae. And a year after that,
an inspection found the emergency room was permeated with sewer gas from a drain. That can kill you.
Sewer gas will fucking kill you. Yep. Yep. Yep. Not sewer gas in the emergency. Don't you tell me there's more.
comma there? No. Okay. I mean, let alone. Jesus Christ. We got enough commas.
So the hazmat team began by searching for a variety of toxins capable of causing the symptoms
that the hospital staff were dealing with, particularly hydrogen sulfide, which is an insidious
poison that smells like rotten eggs and at high concentrations can kill a person after one or two whiffs.
Insidious.
Insidious. People who go into hazmat are just like straight up heroes.
Yeah.
Like, imagine, like, risking your shit like that.
I know.
And fast gene, a chemical commonly used in the creation of organic chemical compounds,
but one that can also be used to create a chemical weapon.
Oh, good.
Yeah.
Don't write that down.
It tears open capillaries in the lungs, drowning its victims in their own blood.
Oh, that is, like, chemical warfare.
Chemical weapons are so scared.
Or the scariest thing in the entire universe.
And they sound made up.
No, they do.
It sounds like something out of like a futuristic novel.
I'm horrified right now.
So where hazmat team is looking for hydrogen sulfide, insidious poison that smells like rotten eggs and can kill you with a couple whips,
whips or phasgene, which is literally something that will tear open capillaries in your lungs and drown you in your blood.
Fortunately, neither was found at the hospital.
Well, that's riveting.
that fantastic news.
So in addition to the negative results from the tests looking for toxins in the air,
the theory that those affected had been exposed to something circulating in the vents or other
hospital symptoms, while certainly like a reasonable theory, was undermined by other obvious
factors.
For one, Dr. Ochoa, who'd probably spent more time with Gloria Ramirez than anyone else,
was totally fine, never experienced any ill effects from exposure to Gloria's body.
Interesting.
And that is like something you need to understand.
He was closest, probably spent the most time,
and he did not experience anything from Gloria Ramirez's body.
Also, if something had been circulating in the vents or the water supply there,
it almost certainly would have affected more than just those working in the ER.
It would have also affected patients and visitors.
Because it's not just like the only people in the ER are the people working there.
There's a ton of civilians walking around.
Well, and even probably other areas of the hospital, too.
It's not always just one.
building. I don't know. Maybe it is in this case.
So because of that, investigators
returned to the only lead they had,
which was Gloria Ramirez's body.
Might have had something going on. Which I
understand needing to check all the boxes.
Oh yeah. I don't think anybody faults them for having
to look at that as an option.
So after several delays, the
autopsy of Gloria Ramirez took place
on February 25th. And from the
start, it was clear that it was
going to be anything but a typical
autopsy. Okay. Working in
a specially sealed room, the
90-minute autopsy was conducted by a team of four pathologists, all dressed in airtight,
toxin-proof safety suits.
How long does a typical autopsy take?
Honestly, it can take.
It varies.
That's a thing.
90 minutes is like, sure.
Like, it really depends on, like, so many factors in an autopsy.
If it's a complete autopsy, if it's a keep, if it's a return, like, what is the difference
between the hands for research or you're returning them to the body?
If it includes the head, like if it's a neuro case, if they want, you know, the spinal cord taken out.
If they want, you know, bone marrow taken.
So they want so many things.
For lack of a better term, like the works.
How long does that take?
That could take hours.
Okay.
So this one isn't really insanely long.
This is pretty, this is a pretty decent one, I would say.
Like, this is.
And again, somebody very skilled and capable can probably do a complete one in less time than I probably.
could. And like when you were performing them, how many people were working at the same time?
Is four people working on the same body?
Four pathologists is a lot of pathologists to have in the room, but I understand why they did it in
this case because if it's a, I've never worked with four pathologists on an autopsy.
How many would you typically? Usually I was only alongside one. And if it was a neuro case,
maybe two, because it was like a neuropathologist with us. And the pathologist is like the doctor,
right? Yeah, they're like the medical examiner. They're the specialist there. So four.
Pathologists, like, that's a lot.
Yeah.
Unless it's like they, unless they, you know, maybe confused four pathologists with a couple of texts too, but I could see why they would have four pathologists here because what the fuck's going on.
Yeah.
You know, like, also at the same time, I'm like, if this is coming from Gloria's body, which it sounds like it's probably not, four pathologists, like you want to take all those people out?
I know.
You want to take all those pathologists?
Well, they're wearing their safety suits.
They're wearing the PE required, I guess.
So that's good.
They're wearing like airtight, talk.
oxen-proof safety suits.
Kind of like what you wore during COVID.
I was just going to say, during COVID, we wore those.
I remember seeing you in your full garb.
It's crazy.
And it sucks.
Like your sweat, very necessary, won't ever knock it.
But damn, you sweat.
Oh, yeah, I bet.
You sweat, and it's hard to do things.
And it's like, you don't get to be as precise as you want to be
because you're in this really bulky thing.
Yeah.
We had, like, special, like, bubbles, like plastic bubbles
that would go over the person's head.
so you had to like reach into the bubble to do the brain removal and it was not great.
Wow.
Yeah, COVID was a fucking time for for autopsies.
COVID was a fucking time for autopsies.
And you're also just a wild bitch.
You're just a wild bitch.
You're like, we'd have to reach into the bubble to do the brain.
Like she's just like, I'll take a mediumized regular.
I'm like, oh, okay.
Totally.
It was crazy.
Damn.
I know.
Like I said, you're a wild bitch.
It's pretty standard.
otherwise, but like, you're not.
You had a bubble in some crazy suit and it's harder.
But yeah, so although the situation that occurred in the ER was highly unusual,
it was in fact not the first time that had happened also.
Wait, like everybody going down like that?
Well, several years earlier, emergency room workers in Perth, Australia,
were kind of similarly affected, to a less dramatic extent, I will say,
during the examination of a man who had killed himself by ingesting weevil poison.
Oh, fuck.
Yeah.
With that in mind, so there was some kind of precedent for this.
I won't say it's a direct precedent, but there's some kind of precedent.
Yeah.
With that in mind, the pathologists expected to find something in Gloria Ramirez's body
that could wreak similar havoc, like an organophosphate pesticide, but neither the search of her apartment or the autopsy turned up
any chemicals like that.
Okay.
Also, although she had been diagnosed with the advanced stage cancer only recently,
she hadn't started chemotherapy and had only been taking copazine,
a drug used to control nausea.
Okay.
So she wasn't even on any, like, the crazy, like, chemo drugs, you know what I mean?
Yeah, yeah.
As the evidence collected during the autopsy was being analyzed,
Gloria's body was put back into airtight storage,
and county officials continued the investigation.
The family, meanwhile,
was left in kind of a limbo state,
which must have been really hard.
They still had no explanation for what the fuck had happened.
And with the investigation still open,
they couldn't bury Gloria and start the grieving process.
That's tough.
And I imagine that somebody was close by
when all the chaos was happening in the ER,
and that must have been really traumatic.
That must have been really traumatic.
Now, by mid-April,
the Ramirez family hired an attorney
and filed a request for a court order
that would allow for an independent pathologist to conduct another autopsy.
Good for them.
Also, others in the Riverside communities started to wonder whether the county's refusal to release
their findings or update the public was perhaps an indication of a cover-up.
That was them wondering that.
I could see why people would be curious like that.
Robert Schwartz, an environmental attorney, told L.A. Times,
the county is destroying the single most important piece of evidence.
They're destroying Gloria Ramirez's remains.
by having delayed things this long.
Tom DeSantis, a representative from Riverside County,
responded to the public pressure and said,
this investigation isn't as simple as testing a hypothesis
by checking for the presence of a particular chemical.
The testing that is being performed is designed to rule out
the thousands of possible chemical compounds
and narrow the focus of the investigation.
You can kind of see both sides here.
Yeah, you really can,
but he couldn't provide any additional information at that time.
But it's also like, if you don't have the answer, what are you supposed to say?
Now, while the county struggled under increasing pressure from the public,
the evidence and samples collected from the autopsy were sent to the Forensic Science Center
at the Lawrence Livermore National Laboratory,
which is a former nuclear weapons production and testings lab
that was transformed and rebranded in the early 90s to focus on, you know, areas of natural sciences.
Okay.
The technicians at the Forensic Science Center had expected to find the culprit in gases
contained in the headspace of the containers, if not in the liver itself.
But all they found was nitrogen, oxygen, carbon dioxide, and argon, normal constituents of air.
Yeah.
Just nothing out of the ordinary.
Right.
Among the mysteries the technicians at the lab were able to solve, though, was the ammonia
smell that many of the emergency room personnel noticed emanating from Gloria's body and the blood that was taken.
According to Brian Anderson, a director at the forensic science,
Center, the odor was most likely caused by Gloria's body breaking down that anti-nause
medication that she was taking at the time. Oh, okay. That's interesting. It is interesting.
Ultimately, the team at the center was able to identify and explain many of the unusual compounds found
in the blood and tissue samples submitted by the county. In fact, the only thing Anderson and his team
couldn't explain was the heavy presence of dimethyl sulfone, which is a naturally occurring chemical
compound found in everything from plant and marine life to food and beauty products.
Oh, okay.
As far as Anderson knew, this compound was a relatively harmless chemical, and it really couldn't
have caused the damaging effects that people in the ER were suffering from that night.
So he returned to the Riverside Coroner's office and reported his findings, confirming that
no toxins were found in Gloria Ramirez's body.
So anyone calling her the toxic woman is fucking stupid.
It's not real.
Exactly.
So the technicians at the Forensic Science Center had done as thorough an analysis as possible in 1994.
So Anderson's findings were more or less the final word.
Despite having no explanations for what had happened at Riverside General,
county officials were confident there was no existing threat at the hospital,
and the strange case of Gloria Ramirez was effectively closed,
at least as far as the county was concerned.
Okay.
The coroner's office released the body to the family in late April,
and Gloria Ramirez was buried at Olivewood Cemetery in Riverside on April 27, 1994.
Almost two full months after she passed away.
Like, that's tough on that family.
So if Riverside County officials had hoped that releasing Gloria's body would put an end to the chaos and the mystery surrounding this case,
they were definitely disappointed in the weeks after that.
Yeah.
The family still pressed the coroner's office for answers, rightfully so.
And they were unfortunately never going to really get any.
And in August, Dr. Gorsinski filed a $6 million lawsuit against Riverside General Hospital,
alleging that conditions at the hospital and failure of safety protocols had left her with more than one debilitating condition preventing her from working.
And she was a 33-year-old doctor.
Right.
According to her lawyer, Russell Cousman, the suit was filed in part to compel the hospital in the county
to release whatever information they had related to the case.
He said later to reporters, clearly she's the victim.
of some kind of toxic poisoning. The question is, where did it come from and who is responsible?
Now, officials from the county and Riverside Hospital immediately took a defensive position,
contacting the California Department of Health and Human Services to undertake a study to determine
the cause of the symptoms. So they were like, we're going to try to figure this out. After reviewing
the medical information from most of those affected by it that night, and interviewing 34 of the
staff members working at the hospital that evening.
The DHS concluded the symptoms experienced by those who came in contact with Gloria
was a case of mass psychogenic illness, a situation in which symptoms of physical illness
are experienced by large groups of people for psychological reasons.
Right.
That's kind of what I was thinking.
Exactly.
Now, although the study allowed for the possibility that a small number of those affected,
particularly those who came in close contact with Gloria Ramirez's body,
were, quote, exposed to a poisonous substance, they did not know the origin of the poison.
It's important to note that mass psychogenic illness tends to be applied with bias, though,
and is ascribed far more often to women than it is to men.
A lot of women went down.
That's kind of the case here.
Yeah.
Now.
So maybe it wasn't necessarily that is what you're kind of implying.
Nobody, yeah, nobody really knows here.
So as one would expect, the county's official explanation of mass psychogenic illness was poorly received.
I bet.
Especially by those directly affected.
When Riverside ER nurse Maureen Welch read the report, she went to the forensic science center and implored Anderson to take a second look at the case.
Because she was like, this is bullshit.
Yeah.
And I mean, you can kind of understand why people thought that just because this is like such an insane case.
Yeah, of course.
But the people who experienced it are piss.
Exactly what I was just going to say.
Now, upon review, it was discovered that what was initially identified as dimethyl sulfone,
remember the thing that wouldn't have caused issues.
Found in a lot of things.
In cosmetics and everything.
Yeah.
Was in fact dimethyl sulfoxide or DMSO.
The only difference between those two chemicals is that DMSO has one oxygen atom, not two.
So that changes the compound completely.
Yeah.
Oh, God, not physics.
Let's talk about it.
Or chemistry.
LL.
I was like, no, it's not.
You said no, in fact.
I was like, you're in luck.
I was bad at both.
Fortunately, it's not.
But unfortunately, it is chemistry.
Organic chemistry, in fact.
Boom.
So since the 1960s, DMSO has been sold as a gel solvent used in industrial cleaning products.
What?
But it's also used by some as a kind of folk remedy for pain relief.
And it's occasional use in the treatment.
of interstitial cystitis, excuse me,
a condition causing painful urinary tract lesions in women.
Ouch.
The presence of DMSO would explain the oily sheen discovered on Gloria Ramirez's body,
assuming that she may have used it for pain relief.
Oh, like a topical pain relief.
Right, because she's sick.
This would also explain the aroma of garlic described by several of the workers present in the room
with Ramirez because these are both hallmarks of this product.
Oh, wow.
I mean, I love the smell of garlic.
I do too.
But I don't have a toxic thing.
The presence of DMSO alone didn't explain the symptoms supposedly caused by exposure to Gloria, though.
Okay.
That alone.
It was only when Anderson checked the chemical index text to review DMSO that he noticed
an adjacent entry for a different chemical that seemed the most likely explanation for
what had caused the medical mystery surrounding the death of Gloria Ramirez.
Okay.
Dimethyl sulfate.
We have,
there's so many dimethyls.
There is.
In most cases,
dimethyl sulfate is used in small quantities
in the manufacturing.
I'm like,
you're nerding out so hard over there.
I have my finger up.
She's like,
immersed cases with a little pointer finger.
I'm like, hey,
I just wanted to point out.
I could see your face immediately
when my finger went up.
I was like,
I think it's so funny.
So in most cases, figure it up again,
dimethyl sulfate is used in small quantities
in the manufacturing of dyes, perfumes, and certain drugs.
But the chemical has an unpleasant history
as one of the main components of this thing called nerve gas
used in chemical warfare.
Not more chemical warfare.
Nerve gas?
Dyes, perfume, certain drugs.
Oh, also nerve gas.
nerve gas, I'm thinking that whole thing that the...
Seems kind of...
Seems kind of legit.
Or not are...
Yeah.
Kind of a very unpleasant history, for sure.
In vapor form, dimethyl sulfate can, quote, kill the cells and exposed tissues,
such as the eyes, mouth, and lungs.
Yeah.
When absorbed into the body, dimethyl sulfate causes convulsions, delirium, paralysis,
coma, and delayed damage to the kidneys, liver, and heart.
And somebody have kidney failure?
Gloria did.
Oh, Gloria did.
Given its uses and the knowledge and skill required to handle it,
no one suspected dimethyl sulfate in the case of Gloria Ramirez,
because that's like fucking chemical warfare.
Like, no.
After all, why would, like a mother of two,
housewife, just normal, everyday human being,
why would she have come in contact with such a volatile chemical?
Like, where would she have come in contact with that?
I don't know.
But just as dimethyl sulfone can be transformed into dims, the DMSO compound,
with the addition of just one oxygen molecule.
It doesn't take a lot to transform it.
Dimethyl sulfate can be created by adding one more oxygen molecule to DMSO.
Oh.
So it's very, it's so delicate.
Yeah.
And it transforms a fairly innocuous chemical into a literal toxic gas.
capable of killing a person.
Like that.
That's so scary.
One extra oxygen molecule.
That reminds me of an episode of Below Deck where I forget which...
I'm very interested to see where it goes.
No, it's actually funny.
I forget which Chief Stewart was and which, like, lower stew it was, but she kept mixing
cleaning products that they were telling her not to mix.
Oh, fuck no.
And she was like, you're literally going to create mustard gas and blow the boat up.
And it's so easy to do.
Yeah, they were like...
And they told her a couple times and finally she had to go to the...
captain. She was like, oh, hey. Yeah. It's like, and the girl's like, oh yeah, I'm sorry.
You have to be, and I'm telling you right now, be so careful with that shit.
Yeah. When you are cleaning, do not mix shit, have a open window. It's so easy for people to get so
sick from that shit. I don't want any of you getting sick, so be careful. No, we love you.
Just use, um, oh, fuck, I'm trying to think of the lady on the commercials. I love her.
What's the, what's the floor? Oh my God. I love that woman on the commercials.
Palm olive.
No.
Pine saw.
Pine saw.
I love pine salt.
I was thinking pine saul, but I said palm olive.
No, that's actually funny because my brain was doing the same thing.
Because I could smell pine saul while I said palm olive.
Oh, bitch.
I love pine saw.
I mix it with warm water.
Do you think that's okay?
That's fine.
Okay.
Yeah, you're okay there.
All right, cool.
So, yeah, be careful, everybody.
Yeah.
But because they had taken the case pro bono, which is pretty great.
Anderson and his team had to work nights and weekends over an extended period of
time before they finally arrived at the best possible explanation for what the fuck had happened
at Riverside General.
Yeah.
The team theorized that like many cancer patients, Gloria Ramirez had turned to DMSO, the one that
wasn't okay, to help manage her cancer-related pain, which would account for the oily sheen
on her skin.
And you said that was okay.
That was okay.
When the paramedics placed the oxygen mask on her in the ambulance, Gloria's bloodstream
was flooded with oxygen.
creating the highly unusual set of fucking circumstances
required to transform the DMSO into dimethyl sulfate.
Blue my fucking mind when I heard that.
No, my mind is, wow.
Because they did exactly what they were supposed to do.
They put oxygen on her because she wasn't breathing.
They did nothing wrong.
Yeah, because they didn't.
How would they know?
They would have no idea.
That is not a common question that you have to ask someone.
like, do you have DMSO on you?
I've never been asked that. And also, she wasn't able to really respond to a lot anyways.
Yeah.
So they didn't do anything wrong. This was not them being like negligent.
No.
But it's just a wildly unusual and freak fucking set of circumstances here.
Well, and also realistically, I would assume that that could have affected as many people as it did because it's, did it like spread through the, how does that work actually?
Well, where like so many of the ER staff went down.
Because her blood was now.
filled with toxic gas essentially.
Okay.
Because our bloodstream was now flooded with oxygen.
And that added the extra oxygen molecule to DMSO to turn it into that essential nerve
gas.
So like even holding a vial of her blood, it could kind of like go through the vial.
Well, it's going to be exposed to the air somehow because it's going to be transferred
into the vial.
I see.
So there is going to be some kind of, you know.
And she's even just from that little pinprick to ensure.
assert the catheter to put the syringe in.
It went into the air.
Exposure to the air.
Like, it's vapor, essentially.
Like, it can travel.
But it just blew my fucking mind.
That's shocking.
What are the goddamn odds of this?
I would say they're very insane.
Yeah.
So the chemical reaction, well put.
I was like, in my head, I went to say they're low.
And then I was like, yeah, no, they're not high.
But I'm like, they're wild.
That's what they are.
I was like, they're crazy.
So the chemical reaction would.
also explain the presence of the white or off-white, like manila, is what they described them.
All the particles.
Crystals observed and the blood samples taken in the ER.
When the blood sample was drawn, small amounts of the lethal gas, like I said, leaked from the syringe,
which explains why those closest in proximity, Kane, Welch, and Gortinski were the most affected.
Oh, because they all had.
And as they went out further, people experienced considerably less symptoms of exposure.
So it would be the same as chemical warfare.
This is horrible, but incredibly fascinating.
And just what the fuck are the odds that all this would happen?
It's just like, it really is wild.
It really is an episode of fucking house.
I'm like, has House done an episode on this?
Probably.
I'm about to Google it.
I'll let you know.
It would be impossible for Anderson and his team to recreate the exact circumstances
necessary to, like, concretely approve this theory.
So when they submitted the report to the coroner in the case,
it was only so they could get the county's feedback.
Nevertheless, the Riverside County
Coroner's office accepted the Forensic Science Center's
explanation because it makes so much fucking sense
and released the report as the final word on the matter.
Although some people were skeptical of the results
pointing out that a reaction like that would have required
an enormous amount of DMSO,
Oregon State toxicologist Frank Dost pointed out
in that stage of fighting for her life, Ramirez,
may have really overloaded on.
it. Creating the precise set of circumstances under which the chain reaction could occur. And I fully
believe that. I think this was just a freak set of circumstances that absolutely no one is at fault for.
Totally. I mean, you think of like the products that are available that you don't realize how
like dangerous they can be. I'm 29 years old. I just found out that you can't put Vicks under
your nose every night. Yeah. That's I had no idea. Like that is something we used to do if we were like
younger. Yeah. And it's these home remedy things.
But when you start looking into them, you realize how dangerous this shit can be.
Yeah.
I'm so glad I'm related to you because you're so science-y.
I would have no idea.
It's scary.
Even things like dry shampoo, aerosol dry shampoo.
I know.
The fact that that's been connected to so much cancer and different stuff, it's so scary.
You're better off with like the really natural like pump powder ones.
Yeah.
But you also have to be careful of those.
So like be really careful when you're picking this shit.
Because you just don't want to put yourself in that position.
Now, for the last, you know, over 25 years, Gloria Ramirez has been called the toxic lady,
someone whose existence was only significant in death, essentially.
Because of like what people said about her.
The curiosity, of course, is only natural.
I mean, it's a fascinating case, like I just said.
The circumstances of her death are bizarre, they're incredibly complex, easily lending themselves
to fantastical interpretations of it.
But from the moment she died, Gloria's family had to face.
a seemingly endless stream of reporters,
media personalities, and headlines that accused Gloria,
who was not here to offend herself,
of everything from PCP addiction to being an alien.
I'm sorry, are you fucking kidding me?
Yeah.
If you're rolling up to somebody's house as a reporter,
like, listen, I get it, reporters are a thing.
If you're rolling up to somebody's house
who has just lost their family member
and asking if they're a fucking alien,
go, fuck.
yourself. Re-evaluate your fucking life choices.
Re-evaluate your entire existence as a human. Are you joking?
And PCP addiction? Like, what?
Yeah. Where do we even get that from?
It's just grasping at sensational headlines. It's not so shitty.
It's outrageous. I mean, the speculation was ridiculous and it obscured her humanity.
Yeah, it did.
Gloria Ramirez was a single mother of two young children. She was described as, quote, a simple
homemaker, according to Reverend Brian Taylor, who spoke at her graveside.
She was also a sister, a girlfriend, and a member of the community whose life was
tragically cut short very quickly by cancer.
Like so many of us, her life was just ordinary, hard, like, just a life.
Yeah. Hardly befitting the science fiction narrative that she is so often involuntarily
inserted into.
Yeah. When Gloria was finally laid to rest on April 27th, more than
than two months after her death. It was under the invasive eye of journalists, photographers,
a whole host of people who were shouting questions at the grieving family. At the funeral?
Setting a disrespectful and thoughtless tone that honestly permeated her legacy for more than two
decades at this point. Yeah, get the fuck away from people's gravesides unless you're related or
friends with that. Like, get out of here. In a brief article for the Los Angeles Times,
Peter King's summation of the funeral is something that we should probably all keep in mind today.
They wrote, speaking well of the dead, allowing them a final dignity is a basic human courtesy.
Gloria Ramirez just got cheated.
Yeah, she absolutely did.
And it's so true because I fully believe the theory that the Forensic Science Center came up with and Anderson and his team.
It makes so much sense.
Just from a scientific standpoint.
And it's just a freak set of circumstances that can happen, but obviously don't happen often.
Yeah, no, right.
And no one is at fault.
It was, no one was doing anything that they shouldn't have been doing.
No.
Gloria was in pain.
She was doing what she was probably, she might have been, who knows, maybe she was grown
up with that remedy.
You know what I mean?
Like, was taught that by some fucking Vicks under my nose.
Yeah.
Like, she was just doing what she had to do to get relief, which any of us, none of us
who have not experienced cancer, like personally, can speak to because I can't imagine that.
No.
And the paramedics were just doing their job, getting oxygen to her brain and her lungs when she was losing it rapidly.
Right.
Doing their job.
And the ER staff was doing their job.
And it's like, and it just, nobody did anything wrong.
Every, it just was a shit set of circumstances that happened to fall into an even shittier one.
Yeah, 100%.
But Gloria Ramirez is not the toxic lady.
No, she's a, like you just said, she was like a family member of many people and a friend.
She's a friend, a sister, a girlfriend, a community member,
and somebody who got sick and a shit set of circumstances happened.
Yeah, that's it.
But it's like, let's give people dignity in death.
Yeah, it's more fascinating what happened to make all of that occur
than it is to sit here and call her the toxic woman and say that it was something
ask if she's an alien or like things like that.
Like something naturally occurring in her body or something like that.
Like, no, this is just fucking organic chemistry, really.
People are such dix.
Wow.
But that's the tale of Gloria Ramirez,
and I hope her family has gotten some kind of release
over the past couple of decades here.
Yeah.
Because...
I'd hope so.
And here we are to set the record straight.
She's not a toxic woman.
Get the fuck out of you with that.
She's Gloria Ramirez.
That really was a fascinating case that I had heard of it,
but I did not know everything that went into that.
Yeah, I had only heard her called the toxic lady.
Me too.
So, yeah.
Wow.
All right.
Well, thanks for listening.
We hope you keep listening.
And we hope you keep it weird.
But not so weird that you're rolling up to people's houses or their gravesites asking stupid questions.
I had to sing during the episode and here it is.
Yeah, don't do that.
Don't do that.
Don't do that.
I won't actually punch you, but I'll, like, metaphorically punch you.
Yeah.
