The Misery Machine - Gloria Ramirez: The Toxic Lady - Medical Malady or Mass Hysteria?

Episode Date: August 31, 2020

This week, Drewby and Yergy review the mysterious case of Gloria Ramirez, a cervical cancer victim, whose brief but dramatic emergency room stay  in Riverside, California and untimely death baffled the medical community in the mid 90's due to medical workers falling very ill just by being in the presence of her and her body, prompting concern that her body had turned into a chemical weapon, and this was further highlighted as a possibility due to her alleged self-administration of Dimethyl sulfoxide (DMSO). Later the county health department attempted to make the claim that the whole thing was simply a case of mass hysteria, as many of the workers who fell ill were women. The case was further complicated due to multiple autopsies with the majority done after her body had already badly decomposed. Several conspiracy theories have since arisen. We also discuss the need for continued funding to clinics that specialize in reproductive health in order to detect, treat, and eradicate diseases such as cervical cancer and HPV, the leading cause of this fairly preventable disease.  Join Our Facebook Group to Request a Topic: https://t.co/DeSZIIMgXs?amp=1 Support Our Patreon For More Unreleased Content: https://www.patreon.com/themiserymachine PayPal: https://www.paypal.me/themiserymachine Instagram: miserymachinepodcast Twitter: misery_podcast Discord: https://discord.gg/kCCzjZM #podcast #documentary #truecrime  Source Material: https://www.rxlist.com/dmso_dimethylsulfoxide/supplements.htm https://en.wikipedia.org/wiki/Cheyne-Stokes_respiration https://en.wikipedia.org/wiki/Death_of_Gloria_Ramirez https://www.discovermagazine.com/health/analysis-of-a-toxic-death

There's a couple of conspiracy theories with this case, but you'll have to let us know if you agree with the outcome of the case. I agree with the outcome of the case. And if you're listening on YouTube, please hit like and subscribe. We just hit 800 subscribers. So thank you so much to everyone that supported us thus far. Thank you so much, guys. But without further ado, The Toxic Lady. 31-year-old Gloria Ramirez was an American woman from Riverside, California, who was called The Toxic Lady, or The Toxic Woman.

when several hospital workers became sick after being exposed to Ramirez and her blood. She had been admitted to the emergency department while suffering from late stage cervical cancer. While treating Ramirez, several hospital employees fainted and others experienced symptoms such as shortness of breath and muscle spasms. Five of the workers required hospitalization, one of whom remained in an intensive care unit for two weeks. Shortly after arriving at the hospital, Ramirez died from complications related to her cervical cancer. The incident was initially considered to be a case of mass hysteria. An investigation by Lawrence Livermore National Laboratory proposed that Ramirez had been self-administering dimethyl sulfoxide as a treatment for pain, which converted into dimethyl sulfate, an extremely poisonous

and highly carcinogenic substance via a series of chemical reactions in the emergency department. DMSO, which is what we'll call dimethyl sulfoxide going forward, is a prescription, medication, and dietary supplement. Now, I hadn't heard of it prior to this. Me neither. It's not very commonly given, from what I understand. It can be taken by mouth applied to the skin or injected into the veins, and usually this is done by IV. One of the things that DMSO can be used intravenously is for the management of amyloidosis. I think I said that correctly and related symptoms to the condition.

However, there's conflicting evidence on the usefulness of this. Ameloidosis is a condition in which certain proteins are deposited abnormally in organs and tissues. As far as topically is concerned, DMSO is used to decrease pain and to speed up the healing of wounds, burns, and muscle and skeletal injuries. I'm not a medical health professional, so again, take all of this with a grain of salt, but basically what I've read is that DMSO is also used to treat painful conditions such as headache, inflammation, arthritis, rheumatoid arthritis, as well as severe facial pain. It's also used topically for eye conditions, including cataracts, glaucoma, and problems with the retina. For foot conditions, they can use it for bunions and calluses and fungus on the toenails.

So I know of treatments for all these things, but I've never heard of DMSO being one of them. So I don't know if this is an outdated treatment for a lot of these. I would say so honestly, when you have something here that is a catch-all, for all of these things, something just tells me that it's snake oil, personally, especially because this stuff can be used in, like, not really manufacturing. It was more of, for industrial purposes. I think I've read that it can be used when making paper, or it's a byproduct of making paper. Don't quote me on that. But I don't want to say this is snake oil. I just think there are better, more targeted things out there. When I was looking up things that it treated,

not many things were listed as this being highly effective on, other than bladder inflammation. I would say that might have been for our victim here, maybe something that was good for her, where she had late stage cervical cancer. That spreads outside of the cervix and into the surrounding tissue, so maybe she had a little bit of that. So what I've also read is what they'll sometimes do

with people who are on keen, chemotherapy, they'll give them DMSO if it starts to bother their skin. Apparently, it can leak out the IV and affect your skin somehow. Yeah, it would burn your skin. Yeah, so they'll use DMSO on that specifically for people on chemotherapy. But other than that, I didn't see many things in which it was considered highly effective. However, I'm not a pharmacist. I'm not a medical health professional. So take all this with a grain of salt. This is just what I've found. And mind you, this was the 90s as well. Based on what you'll find out later in this episode, I would assume it was probably self-prescribed due to the overdosed of it. So at about 8.15 p.m. on the evening of February 19th, 1994, Ramirez, who was suffering from severe heart palpitations, was brought into the emergency department of Riverside General Hospital by paramedics. She was extremely confused and was suffering from tachycardia and Shane Stokes' respiration. So if you're not familiar with Shane Stokes, It's an abnormal pattern of breathing characterized by progressively deeper, sometimes faster breathing, followed by a gradual decrease that results in a temporary stop in breathing. You probably know this as apnea.

The pattern will repeat. Each cycle usually takes 30 seconds to two minutes. The medical staff injected her with diazepam, midazalam, and laurasopam to sedate her. When it became clear that Ramirez was responding poorly to treatment, the staff tried to defibrillate her heart. At that point, several people saw an oily sheen covering Ramirez's body, and some noticed a fruity garlic-like odor that they thought was coming from her mouth. A registered nurse named Susan Kane attempted to draw blood from Ramirez's arm

and noticed an ammonia-like smell coming from the tube. The syringe was passed from Kane to a medical resident named Julie Gorsinski, who noticed manila colored particles floating in the blood. At this point, Cain fainted and was removed from the room. Shortly thereafter, Gortinski began to feel nauseated. Complaining that she was lightheaded, she left the trauma room and sat at the nurse's desk. A staff member asked her if she was okay, but before she could respond, she also fainted. Maureen Welch, a respiratory therapist who was assisting in the trauma room, was the third to pass out.

Following this, the staff was then ordered to evacuate all emergency department patients to the parking lot outside of the hospital. So they all had to strip down to their underwear because they weren't sure what was causing this. They assumed it was a noxious gas was taking out their staff. So they all had to, even the patients, go out into the parking lot to be treated. There's pictures of this. They're very, very grainy, obviously, because this is 1994. I found a couple on the internet we can include in the slideshow for YouTube, but, I mean, obviously they're not very great. So overall, 23 people became ill and five were hospitalized.

A skeleton crew of staff stayed behind to stabilize Ramirez. And at 8.50 p.m. 45 minutes of CPR and defibrillation later, Ramirez was pronounced dead from kidney failure related to her cancer. 23 of the 37 emergency room staff members experienced at least one symptom. Five were hospitalized for the rest of the night. Gorkinski continued to experience tremors and apnea. Kane could not control her limbs. reportedly flailing her arms and legs and her face still burnt.

Meanwhile, a vocational nurse named Sally Baldaris, I think I said it correctly, had gone back inside to help take Ramirez's body into the isolation room. Upon doing this, she began retching and felt a burning sensation on her skin. Soon she too was laid out on a gurney. Balderas endured bouts of apnea during a 10-day hospitalization. Gorsinski, who was the most severely ill, spent two. weeks in intensive care. And there's interviews with her on YouTube. I think 2020 did an interview with her. She suffered not only from apnea, hepatitis, pancreatitis, and evascular necrosis. And if you don't know what that is,

that's a condition in which the bone tissue can't get blood, so it starts to die. So she's having bone tissue just dying from exposure to this woman. In her case, the vascular necrosis attacked her knees. So this restricted her to crutches for months. And from what I understand, she was a professional level surfer as well. So I don't know what happened to her career or surfing career after that. But I... That's pretty cool to be a doctor and a professional level surfer. Yeah, I know, right?

That's pretty cool. I only heard about that on 2020, on the 2020 interviewer or parts of it I saw. I couldn't find the whole thing. I'd have to look again. But yeah, they mentioned that she was a professional level surfer, which is cool. So hopefully after all of a sudden done, because she did fully recover from what I understand. As much as you really can from losing tissue in your knees. Yeah, bone tissue is not the most regenerative thing in your body.

That's for sure. The Riverside County has met team arrived at about 11 p.m. that night. They searched for any of a host of noxious chemicals, but none could be found. Despite this, the Riverside Coroner's office was still suspicious and put an airtight moon suits, taking roughly 90 minutes to retrieve samples of blood, tissue, air from the body bag, and the body itself. The County Health Department called in California's Department of Health and Human Services, which put two scientists, doctors Anna Maria Osorio, I hope I said that right,

and Kirsten Waller on the case. They interviewed 34 hospital staff who'd been working in the emergency department on February 19th. Using a standardized questionnaire, they found that the people who had developed severe symptoms such as loss of consciousness, shortness of breath, and muscle spasms tended to have certain things in common. People who had worked within two feet of Gloria Ramirez and handled her IVs had been at high risk, but other factors that correlated with severe symptoms did not appear to match a scenario in which fumes had been released.

The survey found that those afflicted tended to be women rather than men, and they all had normal blood tests after the exposure. They believe the hospital workers suffered from mass hysteria. This is in the 90s. That is so gross. Just your uteruses. They're infecting other people with other uteruses and making them go crazy. Your mind is in your uterus.

Like what? I don't even understand. Kortinski denied that she had been affected by mass hysteria. Good on her. Obviously. And pointed to her own medical history as evidence. After the exposure, she specifically. spent two weeks in the intensive care unit with breathing problems.

She developed hepatitis and vascular necrosis in her knees, as we said earlier. The Riverside Coroner's Office contacted Lawrence Livermore National Laboratory to investigate the incident. Livermore Labs postulated that Ramirez had been using DMSO, a solvent uses a powerful degreaser as a home remedy for pain. Users of this substance report that it has a garlic-like taste sold in gel form at hardware stores. it could also explain the greasy appearance of Ramirez's body. The Livermore scientists theorized that the DMSO in Ramirez's system might have built up owing to urinary blockage caused by her kidney failure. Oxygen administered by the paramedics would have combined with the DMSO to form dimethyl sulfone

or DMSO2, which is known to crystallize at room temperature, and crystals were observed in some of Ramirez's drawn blood. Electric shocks administered during emergency defibrillation. could have then converted the DMSO2 into dimethyl sulfate, which is known as DMSO4, which is the highly toxic dimethyl ester of sephyric acid, exposure to which could have caused some of the reported symptoms of the emergency department staff. Livermore scientists postulated that the change in the temperature from the blood drawn from your normal 98.6 degrees Fahrenheit, which was of her body, to the 64 degrees Fahrenheit of the emergency room department may have contributed to its conversion. from DMSO2 into the DMSO4. This, however, has not been confirmed. An alternate theory proposed was that Gloria Ramirez could have been exposed to chemicals used in the production of methamphetamine.

Riverside County has been reported as one of the largest methamphetamine distribution points in the U.S. and as such. It was theorized that the hospital workers were smuggling chemicals and IV bags and that one could have mistakenly given one to Gloria Ramirez. element in support of this theory is that meth precursors have a distinctive ammonia smell. That seems like a bit of a stretch. Yeah, it's kind of an offensive theory. I mean, I don't know if this is still a big meth location. I don't even know if it was then or if they were just trying to write it off as such.

A lot of things have a distinctive ammonia smell. Yeah, I know, right? I just don't think this is a very strong theory. Two months after Ramirez died, her badly decomposed body was released for an independent autopsy and burial, the Riverside Coroner's Divermore's DMSO conclusion as the probable cause of the hospital worker's symptoms while her family disagreed. The Ramirez family's pathologist was unable to determine a cause of death because her heart was

missing, her other organs were cross-contaminated with fecal matter, and her body was too badly decomposed. on April 20th, 1994, 10 weeks after her death, Gloria Ramirez was buried at Olive Wood Memorial Park in Riverside, California.

You had mentioned that we talked about this in the Kendrick Johnson case about decomposed organs and what they do to preserve it. So why would she be kept in a place where she's so badly decomposed? Why are some organs contaminated with fecal matter

besides the ones that would obviously be contaminated? Why would a heart be missing? not everything's going to be covered in fecal matter that isn't related to the digestive system, right? Right. So I don't exactly know what was cross-contaminated with fecal matter. My guess just with the information that we have is that her body might have been left out too long. And organ decomposition starts very quickly within 24 hours. So that combined with the fact that she had late stage cervical cancer, she probably, because that leaves your womb at that point, it was already affecting her kidneys. It could have possibly been in her intestines at that point, too.

That's true. So you have a badly decomposed body. If she had any fecal matter within her intestinal tract, it's going to come out. So if they're trying to look at her kidneys, they're trying to look at her stomach, anything, anything that's in like the gut cavity is going to be contaminated. So it can rupture open in the body instead of just, you know, go out the normal passageways upon death. So it's hard to say with this because normally you do have your corpse pooping. that can happen when normally a funeral practitioner comes to pick up the body. There was an ask a mortician about this recently.

We were watching that. But it just sounds like her body's badly decomposed at this point. I'm just guessing. I don't know. They didn't give us the details that her organs had started to decompose and everything started to become, for lack of a better term, a mush. Yeah. And there's not a ton of details in this.

I had a hard time finding coroner's reports. But don't quote me on this. I believe I read. three different autopsies. The first two were performed by the same pathologist. And allegedly, the first autopsy, he concluded that the death was not of natural causes. And he may have suggested foul play. There was only one source I saw that was claiming this. So if I got this wrong, I'm sorry. That's why I'm saying allegedly. But then after he had claimed this on the second one he called

it natural causes but refused to clarify what led him to his conclusion on the first one if there was a third one which I believe I read there was it was done through somebody else independently that the Ramirez family hired on and this

was when they found oh her organs are missing they're cross-contaminated the body's too badly decomposed what's up with all these organs missing in all these cases that we're doing but don't you keep They should be in specimen bags. Yeah, because aren't bodies kept in certain temperatures?

Yes, they should be kept in refrigeration. When you're done with the organs, they're usually put back in bags and put back in the body cavity just in case. I know we had some weirdo comments on the Kendrick Johnson case about how, of course, the organs are going to be decomposed. Like, of course they'll throw out the organs. No, they don't. They generally do not do that. They don't throw out the organs. In that one, they stuff the body with newspaper.

Because you've got to think about it, if you're running into a situation where there are going to be multiple inquests about the body, you're going to need the organs there. So that's why they put them in the bags and put them back in the body. I don't know the difference between this case and a bunch of other cases where they're able to run all these tests on different organ systems. I mean, this was 1994 as well. Maybe they didn't have very good best practices back then. In California, I thought they had a pretty good medical system. It's hard to say. Riverside's not a small town by any means.

I don't know. This is just my best guess on this. I'm not from there and I don't know a whole ton about it. I just know what I've heard in passing, not about Riverside, but about the California medical system in general. This just seems sloppy, as you said, in a situation where there was going to be multiple inquests. And something like this, where the team goes in there in moon suits to take the body out because they think she's releasing some kind of noxious gas. They even took air from the body bag.

So if you go through this much trouble, wouldn't you think that it's not going to be just a one and done sort of thing? No, why wouldn't they keep her in proper refrigeration? Yeah, right. I mean, if you're that badly decomposed, I know even if you're in proper refrigeration after a while, your body's going to do whatever, but take some just extra steps to preserve, I guess. And why did it take two months? Yeah, that doesn't make any sense either, especially when, like, you have people in the high. hospital. One person who took a while to get out and is still recovering, don't you want to know exactly what this is so these people can get the proper treatment for whatever they were exposed to?

Full thing seems rather sloppy. So you may remember Dr. Nathan from our Kanika Jenkins episode. He's a clinical pharmacist. And I couldn't help but run this case by him as I'm not familiar with DMSO. And while this isn't an official clinical opinion, he gives some. possibilities, what possibly could have happened here. So as long as you just remember, this is not diagnosis or medical advice, just possibility. So it can be summed up as follows. DMSO is used topically to reduce pain and inflammation. This lady must have used a lot of it for a while. When she passed out due to complications of her cancer, the first responders gave her oxygen. The DMSO in her body reacted with the high oxygen load that the paramedics gave her and it formed dimethyl sulfone.

Then they speculate that the dimethyl sulfone broke down into its basic components, which are hydrocarbon and SO2. They speculate that the hydrocarbons in SO2 reacted with her body's natural sulfates, S.O.4, adding enough oxygen molecules to form dimethyl sulfate. which is the noxious gas. However, because of the warm temperature of her body, the dimethyl sulfate could have been unstable and would quickly break down into the basic components. So it would have been no harm to her or the people around her. But when they drew her blood, the drop in temperature from her body temp to the colder room air, stabilized some of the dimethyl sulfate, which then partially vaporized into the air, which could have caused the symptoms. of the health care workers. And as far as the resident physician, Julie Gorkinsky is concerned, she was the one with the ovascular necrosis and probably ended up worse for wear compared to everyone else. So Dr. Nathan says her outcome is partially consistent with dimethyl sulfate exposure. Take that for what it's worth. I really do appreciate his thoughts on the matter, but that's basically it from a clinical perspective. I've really seen much in other conspiracy theories. I personally

believe the meth one is a bit of a stretch. I've also seen some people theorize that in the circumstances they were in, the conversion of DMSO2 to DMSO4 isn't possible, but I don't know anything about that. If you do and would like to shed some light on that, leaves comment down below if you're listening on YouTube or send us an email. But, yeah, is there a conclusion we haven't considered? Again, let us know. We'd love to hear about it. Yeah, kind of my closing thoughts on this is, yeah, 1994 was a long time ago and things

have changed a lot, you know, since then. But vagina-owning folks, definitely go get your annual PAP tests because if you do, this is a very preventable disease to have, and it's not a nice way to go out. So this is definitely why we should keep clinics funded. so everyone has a chance to get these tests done. Yeah, absolutely. For somebody that young and for it to be progressed that far to the point where she's coming into the emergency room because she's literally dying of it, I've just, I've not heard of cases like that. You don't really see that anymore because you can, well, first off, we now have the HPV vaccine that is being given to younger children when they're in middle and high school to kind of prevent that because HPV, the two of the nastier strains are,

of the number one causes is cervical cancer. Yeah. And there's more places you can go get screened now. And screened more often and screen younger. I've known countless women who have had part of their cervixes. I don't want to say removed, but they've had tissue removed because it was showing pre-cancerous behavior. I feel like they're more on top of that now.

Yeah. I mean, I've had friends that have had similar things happen. Actually, every woman in my family, aside from my sister and I, have completely lucked out. They've all had to have full hysterectomies. Aside from my mom, my mom has some other issues where she can't have major surgery. So she had to have like the ablations and everything. But everybody else in my family, you know, very young 30s, had to completely have everything come out due to that. This was not long ago.

Here I am thinking, how are they so behind the times? But at the same time, I'm like, man, if this was the standard, how far have we come in such a short amount of time, all things considered in the medical community? Well, think about it. How quickly HPV can spread around? So when they didn't have the vaccine back, then you have more and more and more chances that it's just out and about in the wild. Yeah, and it transmits other ways, not just sexually. Right.

So that can be, I feel like dangerous might be overstating it. But I think in this case, as far as cancer and other diseases are concerned, it is dangerous. I mean, it infects women more than men. I have heard of men have HPV. And there's not a whole lot of treatment for the men. And you get to a certain age, you're not allowed to get the vaccine. but they can get certain cancers as well due to HPV from what I understand. Yeah, and not only just the cancer, it's just the high rate of infertility after.

Yes, that is also a possibility. And some don't even realize. I remember when I was younger and my grandmother was telling me how she would just know some kids, like kids. Like I'm talking about like single digit age. Get the mumps and they would be rendered sterile afterwards, apparently is what she said. And that just was like, oh, my God, it's decided that young that you can't have children anymore. What an awful thing to be told at a time where it's expected that you raise a family and have kids. How crazy is that that we don't have that in our age?

But I guess we do just to a lesser extent with HPV. We have it in a lot of different ways. So it's not just HPV and cervical cancer. There's a really high rate I've noticed with folks that have vaginas in my age group with different disorders such as PCOS, which I have a lot. And it seems like our age group was just kind of cursed. It seems as I've gotten older, like in my teens, this was something that I vaguely knew about. I knew of one person who had it in my graduating class. Then after I get out of high school, I know countless numbers of people who have had it. It just seems like the millennial generation has been

plagued with it. And I just wonder why that is because it didn't seem like this. was something that was incredibly active in prior generations. I could be wrong. I'm not a medical professional on this. I theorize. It has to do with growth hormones and milk. But that's just my own like crazy theory. We're getting off a little topic here, but we're, you know, we're talking about health issues. When I was younger, I developed very, very early and a lot of girls in my age group did. But now that I look back, I started going through puberty at seven years old. And I look at like seven-year-olds to 10-year-olds and they're just tiny babies now. Yeah. No, I noticed that too growing up.

What happens between the children now and when I was growing up having to wear a bra and, you know, getting body hair and starting menstruation very early? Yeah, there was a lot of girls with developed bodies and my grade when I was in second, third, fourth grade. And I can't help but think that is why. Like a lot of us have this now. I don't know enough about growth hormones and milk. I will say that it was really pushed on us to drink milk when I was growing up. You had all those milk does the body good commercials. It was forced on us at school. I remember every night at dinner, I had to drink a big

glass of milk. It was just second nature at that point. People who didn't drink milk, I was like, oh my God, you're going to have really brittle bones until they find out that might not actually be true. So I don't think milk consumption is as huge now as it was back then, speculating, but that's just what it seems like. So maybe your correlation has some merit. I don't know this for certain. I haven't researched this, but just off-the-cuff conjecture,

it seems like it could be plausible. Yeah, I don't really have anything else other to kind of add to this. I know I went off topic here for a moment, but it kind of all circles back. Hey, we got... We've been good about looking on topic, though. We finished the case. So if you stuck around this far and like hearing us talk about it,

and people have been, being like, why don't you shoot the shit anymore? Why don't you just go off topic? We miss that from the old days. Well, I'd love to. We do that on our Patreon episode. So if you want to hear those, and we do weekly check-ins most weeks,

patreon.com slash the misery machine. And if you want us to get more off-topic on these episodes, we'll probably do it closer towards the end and, you know, throw us some ideas. I don't want to go crazy, but maybe if you have an idea for some off-topic episode that isn't true crime, let us know we're over.

open to it. Truly we are. Yeah, I miss being funny on episodes. I really do. I guess short tangent is that if we laugh about something non-related, we get absolutely torched in the comment sections because they think we're laughing at the case. But yet many big podcasts will, and I'm not going to name names, will say the most problematic stuff and literally make fun of victims and victim's shame. and everybody eats it up. Everybody loves it. And I'm not just talking about problematic people love it. No, the same people that complain about us that love, there's one podcast in particular that I can

think of. They just give these people a pass unsane. Oh, so and so being so and so-cancel worthy stuff basically. So, you know, I don't- It sucks because I actually, I love that podcast. I'm not, we're not throwing any hate here. I am a big fan of this podcast. I'm just wanting to know what the double standard is.

It's worse than a double standard because we don't victim shame. Like my problem with true crime is that it glorifies killers and it just glosses over the victim without any sort of focus on them. And I feel like even despite that, people think we're making fun of a victim somehow or the worst one. They don't agree with what we think could have happened in the case. So they think we have no empathy for the situation. That's my favorite one. That's my favorite one as well. Anyway, I'm not going to rant over.

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