Death By...?

As the song 'American Pie' starts off...

"...long, long, time ago, I can still remember, when..."

It might have been 2002, and I was at an NHCAA conference in San Diego in June, perhaps. NHCAA stands for Nation Health Care Anti-fraud Association, I was there with another co-worker.

This is the annual convention and draws people from all types of fraud departments: State Insurance, Federal Law Enforcement, Commercial insurers, and from companies like mine Blue Cross Blue Shield plans across the nation. I think it runs 4 days.

Birds of a feather flock together, and after one day or so of presentations, a group of us from us went to one of the malls, Fashion Mall, I think.

It was accessible by the trolley, which is part of San Diego's mass transit system. There was trolley stop right behind the hotel,

San Diego the, and maybe still, uses an honor system fro paying the fare. You buy a ticket and show it, if asked to an enforcement individual, who might be on the trolley, or asking you for the ticket as you get off. But there not always there.

There are no turnstiles like the N.Y.C. subway. The trolley runs at ground level, powered by pantograph wires overhead. The ride is as smooth as a baby's bottom, because I think the trolley's wheels are rubber.

The station stops are almost sidewalks. You can walk across the tracks to the other side with no chance of any danger.

Being the New Yorker, I am I marveled at the system, especially the honor system for fare collection. I felt proud of myself when I was confronted at a bus stop for my ticket by uniformed fare enforcers. They almost seemed surprised I had one. I wasn't playing the wise guy, conniving New Yorker to beat the fare.

So, here we are at the Fashion Mall, and I can't get over the trolley and the ability to walk across, or along the tracks. 

Being who I am, I envisioned getting killed by a trolley. Further, I wondered how they would code the accident using the ICD-10 manual, International Classification of Diseases: Death by trolley? Death by trolley going uptown? Downtown? Electric trolley? Diesel powered?

I kept this patter up as we went to and from the Fashion Mall. "Death by trolley." A woman from the Louisiana Blue Cross Blue Shield thought this was quite funny. They don't come across many New Yorkers whose accent make then sound like a gangster, thinking out loud on how to code an unusual death. We can he a handful. We stayed in touch. Somewhat. 

Don't laugh, the ICD-10 manual is thick with codes to uses for all kinds of diseases. Toward the back are a series of alphanumeric codes that attempt to assign a code to an event causing death that is not a medical death. Maybe something like a car accident.

But the codes can be quite granular, and an event might need several codes to capture the cause of death, as we will see. 

The world runs on statistics, and having a uniform coding system for cause of death allows for research into causes. Medical reasons are understandable. Other types of events that might cause death are varied as well: violence, suicide, accidents by all sorts of conveyances, crime, there is quite a list.

There was quite a bit of teeth gnashing on how to code the deaths from the World Trade Center, the Pentagon, and Shanksville, Pennsylvania. Hijacked 767s not using a runway to land causing death was a coding challenge. Did NYC have a sudden surge in homicides? Oh boy.

I immediately thought of the investigator from Louisiana (who is now a manager of the unit) when I was putting the posting together about the assistant night club manager who was crushed to death by a piano that was accidently hydraulically lifting itself to the ceiling while he was on top of a stripper making whoopee. The assistant manger was crushed to death, and the screaming stripper was found the next morning with bruises, but otherwise not physically hurt. A janitor discovered the scene the following morning when he came in to start cleaning.

Being stuck for hours under a corpse on top of you while you're on a piano pressed against he ceiling, had to leave some mental damage. Eventually, more coding.

The woman from Louisiana was still working for the Blue Cross Blue Shield plan, which made me wonder how young was she when I was going on about "death by trolley?" No matter.

We connected via LinkedIn. I linked her to the blog posting about the assistant night club manager killed in a very unusual manner, and asked her if she'd use the ICD-10 book and code the event for me. The book is expensive and I have no need to have one.

She admitted she was not a coder (there are certified coders as a profession) but took a stab with T14.8, crushed, severe, unspecified site. Certainly fits.

I also asked her if she could also code the Central Park carriage accident where a young man fell out of the carriage attempting to help his mother when the carriage was tipped over because the horse felt a charge of stray electricity in its hoof from the pavement, and ran off. The young man hit his head on the pavement and died. Lots of news there. Louisiana passed on that one, but was a bit astonished that I still brought up "death by trolley" after all thee years. 

The coding of unusual deaths still niggled in my brain. It got me thinking. How would they code that? Why not ask AI? Well, ChatGPT reveals how much can go into capturing all the elements of a death precipitated by a horse feeling a stray electrical charge in its hoof and running off while tipping the carriage over, causing a passenger to fall out and fatally crack their skull on the pavement. You got to admit, a lot went into having a very bad day.

ChatGPT:

"If you mean the scenario you describe is unusually specific, but it actually fits the transport-accident classification quite well. The key external-cause code

"The best fit is:

"V80.02XA — Occupant of animal-drawn vehicle injured by fall from or being thrown from animal-drawn vehicle in non-collision accident, initial encounter.

"That category specifically includes an overturning animal-drawn vehicle without a collision, which is essentially what happened when the horse bolted and tipped the carriage.

"For a death certificate/mortality coding, however, the coding works somewhat differently. The CDC says that transportation accidents are classified primarily according to the victim's mode of transportation, and the underlying-cause code is generally selected at the three-character level rather than using the full clinical 7-character injury code.

"So the mortality coding would likely center on:

V80 — Animal-rider or occupant of animal-drawn vehicle injured in transport accident

with the circumstances further described in the record.

"But there is another important part

The actual cause of death would be the fatal head injury—not the horse's electrical sensation. For example, if the medical examiner determined that the passenger died from a traumatic skull fracture and brain injury, the medical cause would be something along the lines of:

Fatal traumatic brain injury due to skull fracture from fall onto pavement

and the V80 code supplies the external circumstances.

"The electrical charge that startled the horse is an additional causal circumstance. ICD-10 mortality coding is designed to capture the chain of events, and the CDC specifically notes that when transportation is involved, the transportation accident is coded as an external cause.

"So, in plain English, your hypothetical could be represented as:

Horse receives stray electrical shock → horse bolts → carriage overturns → passenger is thrown/falls from carriage → strikes head on pavement → fatal skull/brain injury.

"ICD-10-CM external cause: V80.02XA (for the injury encounter)
Underlying mortality classification: V80 (animal-drawn vehicle transport accident)

"One wrinkle: because you specifically said “death precipitated by a horse feeling a stray electrical charge in its hoof,” there may be an argument for separately coding the electrical event. If you're asking this because you're trying to reconstruct how an actual historical death would have been coded, I can dig into the ICD-10 Index and show exactly how the electrical shock → runaway horse → overturned carriage → skull fracture chain would be coded on a death certificate.

"Factoring in the electrical charge causing the bolting:

"Yes — the electrical shock is a separate part of the causal chain, and I would distinguish it from the carriage accident.

"If the horse itself received an accidental electrical shock from, say, a live wire or electrified rail, the ICD-10-CM external-cause category for the human victim is not simply “electrocution.” The passenger was not electrically shocked; the electricity caused the horse to bolt, which caused the transport accident.

"So I would code the chain approximately as:

"Electrical current → horse startled/bolts → animal-drawn carriage overturns → passenger thrown out → fatal head injury.

"The passenger's principal external-cause code would remain in V80, for an occupant of an animal-drawn vehicle injured in a non-collision accident. The ICD-10-CM classification specifically has V80.0 for someone injured by falling from or being thrown from an animal-drawn vehicle in a non-collision accident.

"But if you're asking what code describes the electrical event itself, that's where it gets interesting. The appropriate electrical-current code depends on what supplied the current—for example, a power transmission line, electrical wiring, railway equipment, etc. ICD-10-CM has separate external-cause categories for those circumstances.

"And there's an important distinction:

• Person receives electric shock: an electrical-injury code such as W85–W87 may apply, depending on the source.
• Horse receives shock and a person is subsequently killed: the electrical event is an antecedent circumstance, while the person's injury is the consequence of the animal-drawn-vehicle accident.

"The CDC's mortality guidance emphasizes that the external-cause classification follows the circumstances that produced the fatal injury, and transportation accidents are separately classified.

"If this is for the historical death you have in mind, I can go one step further and find the exact ICD-10 code for “horse struck by electric current” and then construct the complete death-certificate causal sequence.

"Horse struck by electrical current makes it:

"Ah — if you mean the horse itself was struck by an electrical current, rather than the passenger, then I would not use an ICD-10-CM “electric shock” code as though the horse were the patient. ICD-10-CM is a classification for human morbidity/mortality.

"For the human death, however, the electrical event can be described as an antecedent circumstance. The ICD-10-CM Index identifies “Exposure — electric current” as W86.8, with the more specific W86.8XXA being “Exposure to other electric current, initial encounter.”

"But in your exact scenario:

Horse's hoof contacts stray electrical current → horse bolts → carriage overturns → passenger is thrown → passenger sustains fatal skull fracture

"I would not make W86.8 the principal external-cause code for the passenger, because the passenger wasn't exposed to the electricity.

"The most natural coding description would be:

V80 — occupant of animal-drawn vehicle injured in transport accident

with the electrical current recorded as the precipitating circumstance.

"And I think this is what you were getting at originally: “death precipitated by a horse receiving an electrical shock”, rather than “death by electrocution.” That's an important distinction."

WOW! You can see there are a lot of events, and sequence of events, to consider. I watch some of those British detective shows and there's one called 'The Coroner' where a verdict comes in: "Death by misadventure."  How boring. 

---------------------------------------------

Okay, perhaps the most unusual death ever is the woman in NYC who opened her car door and fell into a manhole because the cover had been dislodged. She fell to the bottom of the manhole and was scalded to death.

ChatGPT

"On May 19, 2026, a 56-year-old woman died after stepping out of her Mercedes-Benz SUV and falling 10 feet into an uncovered manhole on East 52nd Street near Fifth Avenue in Midtown Manhattan. 

"Incident Details: Dislodged Cover: Surveillance video reviewed by Con Edison and the NYPD showed that a multi-axle truck turned onto the street and drove over the manhole cover roughly 12 minutes prior to the incident, unseating and dislodging it.

"Legal and Official Response: City agencies and Con Edison opened joint safety investigations, and the victim's family subsequently filed a lawsuit regarding the hazardous, uncovered condition of the street.

"If you mean how I would code this event in ICD-10-CM I would treat the fatal thermal/steam injury as the principal injury with the fall into the manhole as an external-cause code. The exact burn code cannot be finalized from the narrative alone because the anatomic burn sites and degree of burn are not specified. For 2026 ICD-10-CM, the CDC guidelines say burn codes should identify the site and degree, and that separate codes should be assigned for separate burn sites. Likely coding structure: Coding element ICD-10-CM approach Primary injury coded to the documented body site(s) and burn degree. Add T31 if the percentage of total body surface area burned is documented/needed Steam exposure— exposure to ignition of highly flammable materials / hot vapors/steam category should be verified against the final 2026 tabular listing. 

"An appropriate W17/W18.- fall code depending on the documented mechanics of the fall Cardiac arrestI46.9 may describe cardiac arrest, but it generally would not be the underlying cause of death when the arrest resulted from the fatal thermal injury assuming the medical examiner determined this was an accident. The CDC's ICD-10-CM index specifically recognizes burn from steam as a thermal burn and directs coding according to the burn site.

"If this is for a death certificate that's slightly different from hospital ICD-10-CM coding. Based on the facts you supplied, the causal chain would conceptually be: 

"Underlying cause: Accidental fall into an uncovered utility manhole → exposure to extremely hot steam → severe thermal/scald burns → cardiac arrest → death,. not code “cardiac arrest” as the underlying cause simply because she went into cardiac arrest. Cardiac arrest is the terminal mechanism; the fatal injury that precipitated it is what matters for the causal sequence. Also, I would not assign a specific T20/T21/T22/T23/T24/T25/T26/T27/T28 code from this narrative alone, because doing so would require knowing where she was burned and the documented degree. The CDC specifically cautions that T30 (unspecified body region) should rarely be used when the burn site can be determined. 

"If you want, I can also turn this into a complete ICD-10-CM code set (principal diagnosis + secondary diagnosis + external-cause codes) and identify the most likely specific codes for the steam exposure and 10-foot fall using the 2026 code set."

That's okay. I don't blame Louisiana for taking a hard pass on that one. They did however come up with a code for the next one.

Yes Virginia, there is one more.

------------------------------------------

Now, for the cherry on top. The pièce de resistance: How would ChatGPT ICD-10 code the horny assistant manager who climbed on top of a piano while having sex with a stripper underneath him, who accidently (we think it was his foot) tripped the "on" switch with his foot, and was oblivious to the piano rising to the top, crushing and killing him against the ceiling, and leaving the stripper in hysterics until the morning?

The description of the circumstances of the death were described to ChatGPT as stated above. Initially, the little AI guy thought I was pulling their leg—thought it was fiction. On no, mon ami, this actually happened. ChatGPT thought I was writing a screenplay:

ChatGPT:

"If this is for a fictional story, the cause-of-death certificate version could get considerably more darkly funny while still sounding authentically medical."

No, this happened. Not fiction Thus, I got:

"Ah—understood. If this was a real death, then I should treat it as an actual medical-coding question rather than a fictional scenario.

"For the circumstances you describe, ICD-10-CM would not code him as “horny,” nor would the fact that he was having sex be the principal diagnosis. The coding would center on the fatal traumatic injury and its accidental mechanism.

"The exact code depends on the injuries documented by the medical examiner/autopsy. For the external cause, the scenario sounds particularly consistent with caught/crushed between a moving and stationary object. ICD-10-CM specifically has the W23 category for being caught, crushed, jammed, or pinched between objects; the classification distinguishes moving/stationary-object circumstances.

"So, in plain English, the death certificate/coding narrative might be along the lines of:

Cause of death:

Multiple traumatic injuries due to crushing/entrapment between a mechanically elevated piano and the ceiling.

Manner of death:

Accident (assuming the medical examiner concluded that the activation was unintentional).

"The piano rising while he was on it is an unusually important detail because the external-cause code should describe what actually produced the injury, rather than simply calling it an unspecified accident. CDC describes ICD-10-CM external-cause codes as a framework for classifying both the mechanism and intent of injuries.

"And I wouldn't assign a psychiatric diagnosis from the word “hysterics” describing the stripper's reaction. Nor would I infer intoxication, sexual disorder, or anything else unless the actual medical/legal record establishes it.

"If you give me the actual injuries listed in the autopsy or death certificate (you can redact names and identifying information), I can tell you much more precisely how I'd map the case to the current FY2026 ICD-10-CM codes. The CDC has the FY2026 code set and official coding guidelines available."

-----------------------------------------------------------

I followed up with stating the cause of death was getting crushed by the piano against the ceiling. I offered that my Blue Cross Blue Shield contact suggested: "T14.8, crushed, severe, unspecified cite." Would this fit?

ChatGPT:

"Yes— T14.8 is a defensible description of the injury if all you know is “crush injury, unspecified body region.” The ICD-10-CM inclusion terms for T14.8 explicitly include “crush injury NOS.”

"But there are two important qualifications:

1. “T14.8” by itself isn't a billable ICD-10-CM code. For a clinical encounter, it expands to something such as T14.8XXA (initial encounter), T14.8XXD, or T14.8XXS, depending on the circumstances.
2. It isn't the best description of the mechanism of this particular death. ICD-10-CM has W23.2 — “caught, crushed, jammed or pinched between a moving and stationary object.” A person crushed between a rising piano and a stationary ceiling is remarkably close to that wording.

"So I'd distinguish them this way:

What you're trying to code	Likely approach
The injury itself	T14.8 can encompass an unspecified crush injury
How the injury happened	W23.2 is much more specific
Underlying fatal injuries	Specific S-codes would be preferable if the autopsy identifies the injuries (e.g., skull, chest, abdominal, etc.)

"And there's a subtle issue with your contact's wording: “T14.8, crushed, severe, unspecified cite” isn't the official long description. The official-style description is “Other injury of unspecified body region,” with crush injury NOS as an inclusion term.

"So if you're asking, “Was the Blue Cross contact completely off base?” — no. T14.8 does encompass an unspecified crush injury. But if you're asking, “Is T14.8 the most informative ICD-10-CM coding for a man who was specifically crushed between a rising piano and a ceiling?” — probably not. The mechanism and the specific injuries would ordinarily allow substantially more precise coding.

"One other distinction: if you're dealing with an actual death certificate, rather than an insurance claim/clinical diagnosis, the medical examiner's cause and manner of death are a separate matter from selecting an ICD-10-CM diagnosis code for billing."

---------------------------------------------

ChatGPT has done an admirable job of dissecting the events that lead to the death. They are a talkative little guy. They accorded my Louisiana contact an "E" for effort, but basically tell them to keep their day job. Which is fine. A manager of Fraud Investigations is an important role in society.

Paul Simon has sung, "there are 50 ways to leave your lover." There are waaaay more ways to code your demise.

http://www.onofframp.blogspot.com

Pittsburgh Phil

Pittsburgh Phil/George Smith

If everyone thought racing was on the up-and-up, what fun would that be?

The X Universe is alive this morning with good observations on betting patterns and outcomes. An intelligence agency would call it "lively chatter." Thoughts of conspiracy and shenanigans follow like a sunrise.  A catchy name has even emerged: 'The Fair Hill Five.' The name mimics the great British WW II spies in the U.K. that were double agents for the Soviets: 'The Cambridge Five.' I love it.

There is a difference. The Fair Hills five is not five people, but rather 5 horses that ran at two tracks on Sunday—Monmouth and Saratoga—that won from two obscure trainers, sporting workouts at Fair Hill Training Center in Maryland.

The training center is a combination of a spa, retreat, workout center, and rehab facility for thoroughbreds. It boasts of a lot of horses who have passed through it and gone on to do great things, or are coming from great things and want to get back there.

Fair Hill is not unique. There is Payson Training Center in Virginia; a similar facility devoted to getting a horse in top shape. Workouts are published in the Racing Form when they come from these facilities: "Fai"; "Pay" are the initials. Sort of like airports. There are other training centers as well. 

What has got the X people jumping is two horses, trained by Ernesto Ochoa, who won races at Saratoga on Sunday, with ease, sporting fairly lousy looking past performance form and coming off significant layoffs, but showing workouts at Fai.

In Saratoga's 4th race, Classic Rock went wire-to-wire after last racing November 7, 2025 at Churchill Downs. Classic Rock won the $35,000 maiden claiming race by nearly 9 lengths with Ricardo Santana riding, paying $18.68 to win for $2.

According to some people on X, the workouts at Fai are reported on an "honor system." That would imply there are no Daily Racing Form, or track clockers at this facility timing morning workouts. Thus, a workout might be reported, but the timing concocted; or, there can even be a workout that goes unreported. 

There was a legendary gambler, horseplayer, Pittsburgh Phil, who was really George Smith, who made over a $1 million betting on races in the 19th and early 20th centuries. Phil was the first human Racing Form, acquiring statistics on horse that no one was paying attention to. In horse racing, like the stock market—both played at by the same individuals—information is king. Google tells us:

"Pittsburgh Phil," born George Ellsworth Smith (1862–1905), was America's greatest and most methodical Thoroughbred horse racing handicapper. He won an estimated $1.7 million (a massive fortune at the turn of the 20th century) by treating the racetrack like a precise business rather than a game of chance. 

He was the first Quant of racing. He compiled all the information, and more, that is now available in a past performance. He made his own past performances, when no one else did.

In Saratoga's 7th race, also a maiden claiming, this one for $85,000, M Bs Melanie Cares also went wire-to-wire with Ricardo aboard, paying a plump $27.70 for $2 to win. They last raced January 4, 2026 at Gulfstream Park.

At Monmouth's 3rd race on Sunday, in a maiden claimer for $25,000, The Great Amira took the lead after the ¼ pole and won by 9 lengths with C.D. Lugo aboard, and trained by Angel Quiroz, a trainer with few starts and only $70,645 in earnings for the year. The Great Amira was coming off a layoff, and last race February 8, 2026 at Gulfstream Park, paying a very nice $37.20 for $2.

The 4th race at Monmouth, an open claimer, thus not a maiden race, was for a $16,000 claiming price. Tepeyac took the lead in the stretch after moving up through the field, and won by 1½ lengths with C.D. Lugo, also trained by Angel Quiroz, with only 20 starts this year. Another lightweight. Tepeyac was coming off a bit of a layoff, not having raced since April 5, 2026 at Gulfstream Park.

There is such a thing as "Rolling Daily Doubles", meaning starting with the 1st race and 2nd race; there is also a Double that starts with the 2nd race and links the 3rd race, and so on.

Consider the second daily double on the card at Monmouth, consisting of the 2nd and 3rd races won by horses that paid $9.20 and The Great Amira's $37.20, and you've got a $101.00 Daily Double payout for $2. 

Double pools are separate from win pools, but should reflect either the high or low payouts of the horses in the double, paying $101.00. A $9.20 horse, and a $37.20 horse linked in a Double paying $101.00 sounds about right. The trainer for the winner of the 2nd race was Antonio Arriga and the rider was Ruben Silvera. Thus, the winning trainer of the 2nd and 3rd races was not the same.

The rolling daily Double for the 3rd and 4th races, comprised of the Fair Hill trained winners, paid $25.60 for horses that paid $37.20 and $$9.60 to win, almost identical in payouts for the previous Double, that included The Great Amira at $37.20, and Johnny Hockey in the 2nd at $9.20 for a Daily Double that was a not eyebrow raising $101.00.

Thus, the 3rh and 4th races rolling double paying $25.60 is less than the payout for one of its legs. This is unusual, and speaks to a Double pool skewed to the two winners. You can get the justifiable feeling that someone has put "one over" on the public. It is not impossible.

I can't find my Pittsburgh Phil book right now. It is filled with his axioms, one of which was maybe the best one: never play a horse (especially a favorite) that is trying something for the first time, a distance, carrying weight, or a change of surface, or condition of that surface..

The voluble Andy Serling on the Fox racing broadcasts once attributed this to Harvey Pack, a legendary racetrack bettor and personality. Well, if Harvey said it, and he probably did, he got from Pittsburgh Phil, although not personally, since Phil lived from 1862-1905.

(After Serling quoted Harvey as coming up with that bit of advice, I X'd Andy and told him Pittsburgh Phil said it first. No response from Andy. None expected.)

I like to think that if Pittsburgh Phil were around today, he would know if something was up with Fair Hill trained runners and their reported or unreported works.  In his era, there would have been no rolling Doubles, only Win, Place and Show bets and maybe one Double at the start of the card.

$18.68 and $27.70 win scores are nothing to sneeze at. Phil would have been smiling.

http://onofframp.blogspot.com

Sharp Force

"Sharp Force." The book? Not so sharp.

I took a chance of reading this book because of he Scarpetta miniseries on Prime Video starring Nicole Kidman and Jamie Lee Curtis.

Initially, I wouldn't recommend the series to anyone, but I've since revisited it after reading "Sharp Force" and find it worth the bother if you can get past Jamie Lee Curtis and her wrinkled breasts trying to escape from the hardly age appropriate clothing she's wearing. Kay, played by Nicole Kidman, is her sister, and has basically retorted that Dorothy is just plain "cock-happy." Oh boy.

I just finished a book and was looking for another to read. I got the book in hardcover, which I prefer, for around $14 on Amazon. There is one thing about a best-selling author, even hardcover books are cheap.

The Scarpetta miniseries helps in identifying the characters in "Sharp Force". The miniseries rocks back and forth though time, necessitating another actress to played the younger Kay Scarpetta, the Chief Medical Officer of Virginia

There is a long-running BBC series called Silent Witness that's been playing out for decades with a female forensic pathologist headlining the cast. Lately that's been Emilia Fox, playing Nikki Alexander as the pathologist who we see doing the cadaver cutting, extracting and weighing of organs as they are placed dripping on a handy scale.

:Silent Witness: is a great series. The author of the Scarpetta series of book is Patricia Cornwell, who worked in a chief medical officer's office in Virginia. She wasn't a medical person, but was certainly in the room when bodies were examined.

"Sharp Force" is basically a straight narrative starting on Christmas Day in what can be described as a day in the life of Kay Scarpetta. It's easy to follow, and there are just enough characters that you don't get confused as to who's who.

The arc of the story will challenge your sense of reality when the "Slasher" is following their victims with a drone that produces a hologram that goes through walls and doors to torment the victim.

This is not a science fiction book. It is a crime mystery will all the bells and whistles of what we read about every day: AI brought to life.

Kay Scarpetta's niece is Lucy, Dorothy's child who lives with Kay and her husband because, well, Dorothy is a "shit mother." Kay and her husband have no children.

Lucy is a lesbian who is a cyber special agent and technical expert for the F.B.I., and is mourning the loss of her wife, who she has replaced with an AI agent avatar, Janet, who is Wi-Fi'd into seeing and hearing everything Kay and her husband do, in the house or even in their Tesla car, and who they consult online for background checks.

Lucy can fly the Bureau's helicopter and chases away the news drones from the pain-in-ass news personality, Dana Diletti, who has also been personally threatened by a hologram, that has flooded the sky over the murder scene, a psychiatric hospital on the fictional Virginia Mercy Island with great views of the Potomac, near Ronald Regan International Airport.

Lucy's AI avatar, Janet, is so realistic that she talks and moves as if she's in the same room, listening to the background conversations. Janet has a soothing British accent in the miniseries. Benton, who is a Secret Service profiler, even asks Janet to complete an assignment to get the background information on an individual. Result? "Thank you Janet. Please download your complete report to me and Lucy." I kid you not.

The book is 384, and it's not until Page 246 that Kay and her husband reach to scene of the murdered psychiatrist, Georgine Duvall, who lives in a house on the fictional Mercy island that also has a psychiatric hospital on the grounds.

Georgine is known to Kay, and it turns out was Lucy psychiatrist when Lucy was having trouble in there early college years adapting. In addition to that connection, the house where Georgine was killed is one in which Kay and her husband Benton were looking at to buy when Kay was moving back to Alexandria, Virginia.

Along with Georgine, the Slasher's victim is another person who was in the house at the time and who was nearly killed by the Slasher, Zain Willard, a young man who was staying with the psychiatrist. No sexual relation there apparently, but Zain in the nephew of Senator Calvin Willard, an expected nominee for president.

Pete Marino is first on the scene with the police and the F.B.I. Marino has seen the hologram float outside the victim's house. It is real, and not a product of the imagination.

Why Benson is on the scene is not really understood. He's given Kay a ride from home because she left her car at the morgue the night before and got a ride with her investigator, Pete Marino, a former homicide detective who is married to Kay's sister Dorothy. This is not a soap opera, but a group of people who have a lot of history together. Pete is Kay's investigator on the job.

Patricia Corrnwell must be a vastly popular best-selling author, because I got the hardcover edition on Amazon, new, for $14. Any more, and I wouldn't have bothered. I like a hardcover book, but I think I'm going to drop this one off at the train station when I'm done. It should go before I even get on the train.

Kay's husband is allowed onto the murder scene despite being a Secret Service officer with no apparent reason to be part of the investigation other than to give Kay a ride to Mercy Island because she has been driven home the night before because of raging snow storm by her chief investigator, Pete Marino, a former homicide detective, who undoubtedly has the hots for Kay and is Lucy's step-dad, Marino  is coincidently married to Kay's somewhat hysterical and argumentative sister, Dorothy. No, this is not a soap opera either.

A Senator's nephew was staying in the house on the grounds of the psychiatric hospital with the murdered psychiatrist, making him a possible suspect, except for his nearly fatal wounds suffered from the Slasher. There was nothing sexual going on between him and the psychiatrist. 

His uncle is a strong candidate to gain the nomination for president, and maybe this is why the Secret Service can be there. Benson has seen Zain at White House events, even demonstrating his robot. It's nice he gave his wife a ride and acts as an investigator, with uncertain authority to be there.

All those pages to get to the principal crime scene are taken up by Doc Scarpetta investigating a dead guy who went fishing off a pier at night in December and landed in the drink and died, who may, or may not be related to the bigger picture coming up. Oh, the dead guy fired two shots at something. 

I only came to choose this book because I was just finishing a book and needed another to read when I came across the Prime Video miniseries of Kay Scarpetta, via Amazon. I took in the first episode and stayed away from the rest of them because I couldn't stand watching Jamie Lee Curtis play Kay's sister, who always seems to be theatrically overwrought over something. As portrayed, Nicole Kidman as Kay Scarpetta and Jamie Lee as Dorothy, could in no way have been sisters who have reached adulthood together. Kay would have found a away to kill Dorothy and fudge the cause of death and gotten away with it before either of them was 23.

At another point, as the red herrings get introduced, Benson actually starts to interrogate the robot that the Senator's nephew has in the closet in the psychiatrist's house. Zain is a robotics expert, who has demonstrated his robot dog at the White House. Benson has seen Zain and his robot before. During the "interrogation" the robot's batteries start to run low and he goes to sleep mode. Again, I kid you not. He does prove useful though, if you can imagine that.

I will not introduce any spoilers here for you to avoid. I will tell you the ending is idiotic and is brought to a head by an escaped orangutan who glows on UV light in a greenhouse where legal pot is being grown. Again, I kid you not.

This denouement occurs at the end of the penultimate chapter. The last chapter is a week after the narrative of what has truly been a busy day. for all involved.

http://www,onofframp.blogspot.com

Carol Double-D II

Jeanette Etheredge

I've experienced yet another example of living on a Möbius Strip. We are all connected.

Just a few days after writing about how my posting of December 1, 2015 on the passing of Carol Doda has recently surged in views—for unknown reasons—Ms. Doda's name appears in the  New York Times August 3, 2026, print edition obituary by Penelope Green, of Jeanette Etheredge, 85, a legendary owner of a North Beach San Francisco bar. 

Ms. Doda was San Francisco's most famous stripper, and maybe the most famous stripper of her time. Ms. Doda's names appears in Ms. Etheredge's obituary as an example of the eclectic, celebrity crowd of A-Listers, B-Listers, No-Listers, and likely ex-cons, who favored going to Tosca. It was the West Coast Elaine's, the famous bar, eatery on Second Avenue in New York that was hosted by the ineffable saloon keeper, Elaine Kaufman. 

Elaine's is no longer there since Elaine passed away, but Tosca remains, and now serves food. With Ms. Etheredge, there was no food served.

Ms. Doda's names is dropped: "Carol Doda—once San Francisco's most famous stripper—who in the 1960s danced at the nearby Condor Club in a Rudy Gernreich monoskin, showcasing her newly enhanced breasts, was a regular."

Rudy Gernreich was a famous fashion designer in the 1960s who designed swimwear, amongst other articles of clothing for women. He was famous for designing the topless bathing suit. (It is California.)

But Penelope Green's obit is about Ms. Etheredge, and what a backstory. It almost reads like a spy novel.

Jeanette "was born in China. Her grandparents were Armenian refugees who fled the Ottoman genocide of 1915, settling first in Manchuria, and then in Qingdao on China's eastern coast, but their community was Russian—Jeanette's first language.

"During WW II, the family was interned in a Japanese prison camp in northern China. When is was liberated by American troops, they returned home, only to be exiled again after the Communist Revolution in 1949, when they fled China and spent a year at a refuge camp in the Philippines. In 1950, when Jeanette was 9, they immigrated to San Francisco." You don't have to own a bar to be able to tell stories.

Jeanette was famous for only remembering customers' first names. Like the fictional Boston bar Cheers, everybody knew your name.

I was only in San Francisco once, in1971, when I could ride the streetcars for 25¢, and the subway BART, Bay Area Rapid Transit, was still on the drawing boards. I never got to North Beach.

The Condor Club, mentioned as where Ms. Doda danced, was the scene of her grand entrance being on a piano lowered from the ceiling. The Club, and the piano continued to be famous for a most unusual death.

Read on, McDuff. It's California.

http://onofframp.blogspot.com

The Hundred Grander

I'm an old guy with a long memory, and for some reason I remember the Horsemen's strike at Aqueduct in 1967 when the Horsemen's Benevolent Protective Agency (HBPA) went on strike and refused to enter horses for Aqueduct's races for 4 days, April 4-9, 1967. I wasn't even remotely interested in horse racing then. 

This was during the Mayor John V. Lindsay administration, and was yet another strike that occurred under the boy/man from Yale. There would be so many strikes during his administration, which ran for an improbable 8 years, that the tabloid nickname for the city was STRIKE CITY.

So, in addition to teachers, transit workers, police, firemen, and sanitation workers, the horses, under the guidance of their trainers, refused to be entered for races, thereby shutting the track down.

So what you might ask. Who cares if racing takes a siesta for a few days? Turns out it was the New York State's Department of Taxation. I kid you not.

No races, no horses claimed. No horses claimed meant no transfer of ownership, and no sales tax that went along with claiming a horse. You're kidding? No.

Mayor Lindsay started a city income tax. He invoked a tax for meals under $1.00 (there was such a thing in the '60s) and made a sales tax apply for what was once a sales tax free hot dog. The tabloids,  the New York Daily News and The New York Post promptly called the mayor's meal tax, "The Hot Dog Tax."

That I remember, the trainers Bobby Frankel, and Buddy Jacobson were quite vocal during the strike. After the strike, it seemed Frankel disappeared from New York racing and took up training in California. Shutting down Aqueduct had consequences.

Racing in that era was heavy with claiming races. Of course there were allowance races, maiden special weight races and stake races, but the daily card held several claiming races. And there was active trading activity in claiming horses.

When I started handicapping in the latter part of the 1960s, an angle always was if was a horse moving up or down the claiming price? What did it mean? It's still an angle, but with all the races in which there are no claims to be made, there is less need to have to consider fluctuating claiming values.

I once was talking to the NYRA racing secretary, asking how did he come to create the races that were proposed in the condition book? The condition book covers a two week span of dates indicating the races that the racing secretary is proposing to be filled. Stake races are already scheduled and have their own set of eligibility criteria, nominating fees and entry fees.

These are the other races on the card, and they can be quite varied as to quality and competitiveness amongst the entrants.

Does the racing secretary propose allowance races for state-breds who have never won a race other than their maiden? A non-state bred race? A second level allowance for horses who have never won two races other than their maiden; maybe non-winners of two lifetime starts; perhaps three starts if toward the end of the year; a more complicated optional claimer with several provisos for eligibility; starter allowances for horses who have started at a maximum or minimum claiming price level. There are even more possibilities. How is the racing secretary seeing into the future as to who might be interested in entering under his proposed conditions in the Condition Book?

At any one time there are hundred of horses stabled on the grounds. Every day they gallop out for exercise. A certain percentage are given workouts of varying distances and intensity. The workout horses signal a trainers intent to getting a horse in shape to race.

The racing secretary makes note of all the remaining eligibility conditions of the horses working out, and then creates a proposed race that might see a reasonable number of these horses be entered by their trainers. Fill out the future card.

On Saturday's Saratoga card, the third race was for four-year olds and up for a claiming price of $100,00. This is an astonishingly high claiming price, and one in which horses with winning records will be attracted to enter, and if claimed, the owner will unload/sell the horse for $100,000 to whomever gets the claim.

There is a claiming box that before a race trainers can put in a claiming slip signaling their intention to claim/buy the horse for their owner. There can be no slips, or several slips for the same horse. When there are several claiming interests there is a "shake" that occurs after the race.

The "shake" is numbered pills, or cubes that are poured into a container and shaken. Each claimant is assigned a number for their claim. If the pill that tumbles out matches the number they were assigned, then they "won the shake" and get to buy the horse. 

The ownership trade occurs right on the track. A horse that is successfully claimed is led off to their new barn, but only is the veterinarian finds no reason to "void" the claim.

And there's the new rub. It used to be that no matter what condition the horse was in after the race, lame, even dead I think, if you won the claim you owned the horse. A tough game.

Not so anymore. The claimant is protected by the vet's decision that the horse is sound and can be awarded to its new owner. Sort of like a warranty.

But a claim can be voided for a variety of reasons with regard to the horse's soundness. In that case, new ownership does not take place and the horse is placed on the "vet list."

This is somewhat like the N.F.L.'s concussion protocols. A player has to be medically cleared to get back in the game, right away, or down the road.

A horse on the vet list has to complete a workout supervised by the vet who again evaluates the horse for soundness. If cleared, the original owners can enter the horse wherever they want. The horse might be claimed again, and the process repeats, or the owners don't put the horse in an unrestricted claiming race, and hold onto the horse. Or, they retire the horse from racing. 

An unrestricted $100,000 claiming race is rare. It means any horse entered is exposed to being claimed by someone else. And guess what, you claim the horse, you pay sales tax. It's as if you just bought a $100,000 car with four legs.

There were 5 horses entered in this $100,000 claiming race for a generous $125,000 purse; three were claimed; two claims were voided, including the claim on the winner, Tuscan Sky, who won by a head.

Tuscan Sky is a 5-year-old gelding who has a 14-4 record, with $329,115 in earnings. Their high water mark was winning the 2024 Pegasus Stakes at Monmouth. They are from the Mike Repole Stable, trained by Todd Pletcher. These are top connections.

A gelding has no value in the stud market, so whomever claimed the horse was intent on racing them, at least until the vet, on post-race examination, voided the claim. 

Every race run is summarized by a "chart" showing how the entrants ran the race; what position they were in at certain poles of the race, who was riding, the odds, and an index number to their last race. In addition to this information, there is a narrative describing how the race was run, what happened in the running.

There is nothing in the chart that indicated Tuscan Sun suffered any injury. But that doesn't mean they didn't. Something is out of place that warranted a placing on the vet list. But that something is not described.

If Tuscan Sky runs again, the past performance will indicate that there was a claim, '-cv', claim voided, but you're not going to know why there was a void, and what did they recover from? Some information, but not all. I have no information how voided claim horses do if they get back to racing.

In addition to Tuscan Sun being claimed, and voided, Dreamlike was also claimed and voided. Dreamlike, trained by Linda Rice for Ronald P. Stewart, finished third, beaten by a head and a neck in the mile dirt race, finishing nearly 12 lengths ahead of the 4th place horse. Nothing in the chart tells of any trouble.

Dreamlike, is a 6-year-old, also a gelding, with over $708 475 in earnings; multiple stakes placed, with a 25-3-10-7 record. This is a so-called war horse, expected to compete at high levels with generous purses offered. 

The third horse claimed—and at this point we're into outlier territory for a rich claiming race with three horses claimed—Gewurztraminer is a 5-year-old gelding, trained by Kinnon LaRose, who just took over the Tom Amoss operation. The horse finished 4th, beaten by over 12 lengths. Gewurztraminer is another war horse with 34 starts, $470,321 in earnings and a 10-9-0 record. They are a solid allowance, starter allowance, optional claimer-type horse. They were claimed by WinStar Farm, William Walden trainer; top connections. Not placed on the vet list. Obviously, Gewurztraminer is expected to keep running.

If anyone remembers the Seabiscuit movie, they will remember that a "Hundred Grander" was the top stakes race amount of the era. The famous Seabiscuit-War admiral match race was for only a $15,000 purse.

Now we have a $100,00 claiming race with a $125,000 purse. And don't forget the sales tax.

http:://www.onofframp.blogspot.com

Blogspot Stats

I've been using blogspot to create blog posting since 2009. I marvel that it's free, and that it is still around, meaning I'm hardly the only one using it. There must be millions of users.

My wife pretty much laughs at my diligence in writing something as often as I do. She tells me, "who reads it?" She doesn't, and my two adult daughters only occasionally might read something I've written if I send them a link. And even then, their attention might stray elsewhere.

I tell my wife, there are people who read what I write. I don't get many comments, but I really don't expect any. If you're familiar with the application you know blogspot, offered by Google, will display a separate page  count of views to the right of your recent entries.

I marvel that everything I've written since 2009 is still available online. There are search capabilities which I sometimes use myself to take me to something I'm trying to remember. Annually, I take advantage of a printing service that scans a body of the postings and creates a hardcover book, with vellum pages. I have a stack of these annual books.

It's nice to see the count go up for a few days. It at least tells me someone has viewed what I wrote. They might have even read the whole thing. Over time, the older postings recede into the background and a view count is not readily available there. That's fine.

There is a function in blogspot that tells you the Stats for recent activity. Lately I've been viewing this feature regularly, because in addition to telling me the activity of the recent posting, it will tell me surges of views for what can turn out to be older—and sometimes much older—postings.

I was struck one day to see that a posting I made about the racetrack personality, Harvey Pack, was surging. I made the posting on July 9, 2021 when Harvey passed away. I basically took exception to the NYT for ignoring his passing, thus the title, Where Have All the Characters Gone? But the famous obituary writer Robert McG. Thomas Jr. is no longer with us, so Harvey didn't get the tribute obit I thought he deserved.

In my posting, I mentioned that the New York Racing Association, NYRA, should name a race after him. Well, in 2026 they did, and that I assume is what created the spike in views. People who didn't know who Harvey was, wanted to know more about him, and my posting came up in search engines. I'm chuffed.

Right now, the view count is 567, so as an answer to my wife, there are lots of people who read my postings.

But so far, my all-time astonishment is the 3,337 views I've recorded for a posting made on October 19, 2010. That's nearly 16 years ago, and it's still getting hits. It should be a song, and I should be getting royalties. If only.

Graphs are part of the features of blogspot. The historical one for this posting, about a famous murder trial in Florida, in the 1960s, in which the defendants were acquitted, —the Candace Mossler trial—shows a steady climb after maybe 5 years in cyberspace.

The count seems to take off and gain traction. There is even a feature that shows a  daily hit rate. No one day exceeded 54 views. Something is driving the interest, maybe a tabloid-type TV journalism feature about the trail. I do not know.

The two defendants are pictured above, nephew and aunt lovers who were accused of bumping off Candace's wealthy husband,  Jacques, heir to the Mossler Safe fortune. They were acquitted, seen smiling at each other in a car after the trial.

Candace Mossler passed away in 1976, and is perhaps astonishingly buried in Arlington National Cemetery. Her nephew-lover passed away in 2010, and it was his obituary that prompted the blog posting afterward.

It is possible there are other archival postings that have garnered outsized numbers, but are not getting current hits. I'm not looking for them.

One more archival posting has been getting hits, Double-D Doda, is a posting I made on December 1, 2015 on the news of Ms. Doda's passing. It has recorded 397 views. Carol Doda was a topless pole dancer who was greatly enhanced in her upper reaches. You can guess where.

This revelation made me look back at the posting. There was a comment from Stephen Miller that I completely forgot about. Mr. Miller used to be an obituary writer for the Wall Street Journal, and is featured in Marilyn Johnson's book The Dead Beat. I met Stephen at an event in perhaps 2009.

It's nagging at me and I can't seem to find where I think I once again made reference to a couple at a Christmas party whose venue was held in an old Pennsylvania Railroad car parked on a low-numbered track in Penn Station, where there would be live cantenary wires overhead for Amtrak and Jersey Transit trains. Lots of voltage going through there. 

As can happen at a Christmas party that serves booze, a couple wanted to get better acquainted with each other, and rather than get a room, they climbed outside to the top of the railroad car.  Two bodies, no doubt one getting on top of the other, left no room for clearance to avoid touching the live wires overhead. Both were fried.

I don't get many comments to any posting, and that hardly discourages me. But looking back at Double-D Doda I read Stephen Miller's rather long comment.

In my posting I made reference to an incident at a strip club that Carole worked that involved the club's assistant manager getting amorous after hours with one of another club's  performers on top of a piano, that for some gimmick feature of the club, could be hydraulically lifted, or lowered, from the ceiling.

As with anything, there can be unintended consequences, and this one took the form of the assistant manager's foot hitting the lift switch and levitating the piano with the oblivious two love-makers on top, inching ever closer to the ceiling.

Again, two bodies in the throes of love-making did not allow for enough clearance when the piano kept going up, resulting in squashing the assistant manger who was on top, killing him.   The hysterical stripper was not found until the next morning, screaming, with no memory of getting on top of the piano, but certainly being dragged into sobriety when her late-night date was crushed to death. She was basically physically unharmed, but certainly may have started to think about her choices in life. Maybe.

I gleaned the story from an obituary of Carol Doda written in a British newspaper. Stephen Miller provided more details on the "stairway to heaven" couple:

"The dead assistant manager was James 'Jimmy the Beard' Ferrozzo. Ferrozzo, a well-known figure on the North Beach nude night-spot strip, was found partly draped over his naked, screaming girlfriend, Teresa Hill, 23, when the Condor club in the North Beach area was opened at 7 a.m. Wednesday by a janitor. 

"Hill, a nude dancer at another establishment, was not freed until about 10 a.m. Wednesday, police said, because the motor running the lift had apparently burned out.

"The dead man's body apparently provided 2 or 3 inches of space that kept Hill from being crushed, police said. Hill was briefly treated at Mission Emergency Hospital where attending physician Paul Auerbach said she suffered only bruises.

"'She was so intoxicated she doesn't even remember getting on the piano,' said detective Whitey Gunther. 'She just remembers waking up and being pinned on the piano.' Ferrozzo got his nickname from the bushy beard he favored. Hill said she dated him since her arrival in San Francisco from Seattle two weeks ago."

The piano was a gutted Steinway used as a prop that descended from the ceiling, allowing Carol, Double-D Doda, to make a splashy entrance.

I wonder how the ICD-10 coding went for the cause of death. Compressed by machinery? Workplace accident?

Death during coitus in a topless bar will certainly make a newspaper story, in this case Page 1.

James "Jimmy the Beard" Ferrozzo died on November 23, 1983, at the age of 40 in a bizarre accident at the Condor Club in San Francisco, California. He was an assistant manager and bouncer at the famous North Beach topless bar. [1, 2, 3, 4, 5]

The Incident

Date: November 23, 1983
Location: The Condor Club, 560 Broadway, San Francisco, CA
Cause of Death: Asphyxiation and crushing injuries after being pinned against the ceiling [1, 2, 3, 4, 5]

Event Details

Ferrozzo and his 23-year-old girlfriend, dancer Theresa Hill, were on top of the club's signature hydraulic elevator piano after hours.
Investigators concluded that the couple accidentally triggered the lift switch, causing the piano to rise slowly toward the ceiling.
Ferrozzo took the brunt of the crushing force against the ceiling beams, which tragically killed him while shielding Hill, who survived with injuries.
The medical examiner officially ruled the death accidental. [1, 2, 3, 4, 5, 6]

If you are looking for specific genealogical records or a full newspaper print of James Ferrozzo's formal obituary notice, let me know the exact archive or year you want to target so I can assist further.

The formal death notices and local news archives from November 1983 provide additional background on James Ferrozzo's life prior to his career in San Francisco:

• Athletic Background: Newspaper archives show Ferrozzo was originally from Minnesota, where he was a standout football star at Johnson High School in St. Paul. [1]
• NFL Ambitions: According to family members interviewed after his death, he was a talented athlete who once tried out for the Minnesota Vikings. [1]

And lest you think West Coast news doesn't reach the East Coast, consider that the Club Condor was still open in 2025 when its manager was killed by two former employees. The New York Post carried the story extensively, and described the manger as Mark...

"Calcagni, a fixture in San Francisco’s adult entertainment scene, managed both the Condor Club and Vanity San Francisco, another nearby jiggle joint, according to police and colleagues." 

[You gotta love the Post's use of alliteration.]

The club claims to be the first topless bar in the United States, opening in 1964. There should be a landmark plaque somewhere.

As for the view count on Double-D Doda, it's been inching up to 398 since 2015. It's not 3,337, like Come on Down, because it tells us sex sells, but sex and murder sell better.

The lesson here? You should always read obituaries. And get a room.

http://www.onofframp.blogspot.com