Posted in Psychology & Medicine

How To Feign Death

Usually to check if a person is dead, one checks their pulse and breathing. If you want to fake your death properly, you must be able to stop both of these. You can easily hold your breath, but how can one stop their own heart? The answer lies in a ball.

If you wedge a tennis ball, squash ball, baseball or any small but firm ball in each of your armpits and squeeze tightly, the pulse at your wrist will disappear. This pulse is the radial pulse, and the radial artery is a branch of the brachial artery further up the arm. If a ball is squeezed in the armpit, it compresses the brachial artery, stopping the blood flow to the radial artery and obliterating the radial pulse. Most people who are not medical professionals tend to use the radial pulse for taking a pulse, so this method can be used to make it look like you do not have a pulse. But as this trick only causes the radial pulse to disappear, it is ineffective if the other person takes the pulse at another site such as the carotid artery or femoral artery. However, if you can control the situation and the person checking to see if you are alive is not a doctor or nurse, then it is quite a useful trick to use.

Posted in Psychology & Medicine

Munchausen’s Syndrome

Some people are known to overreact regarding their health, such as a hypochondriac thinking that she has kidney failure because her urine looks slightly frothier. However, some people far surpass the level of hypochondrias to the level of psychiatric disease.
Münchausen’s syndrome patients are known to exaggerate or create symptoms so that the doctor would pay attention to them. When the doctor investigates, treats and sympathises with the patient they gain satisfaction from all the attention they are receiving.
Although this may sound like hypochondrias, Münchausen’s is far more serious.

A Münchausen’s patients are known to cause symptoms just to get attention from others. For example, a common manoeuvre used is the injection of insulin to induce a hypoglycaemic seizure. When their symptoms are “treated”, the patient will most likely invent another factitious disease to be treated for a longer time. They will also seek out many different doctors when the attending doctor catches on to their act. In fact, a Münchausen’s patient will do almost anything to prolong medical care, even accepting unnecessary and risky procedures such as surgeries.

The key difference between Münchausen’s syndrome and hypochondriasis is that the patient is aware that they are not actually sick (hypochondriacs actually believe they are sick). The fundamental basis for Münchausen’s syndrome is the desire for attention. Thus, the main risk factor for developing Münchausen’s is childhood experience of seeing someone close (typically a family member) suffering a debilitating disease. For example, if a girl sees her sister suffering from leukaemia and receiving all the attention of everyone around her, she may develop feelings of jealousy and later try to duplicate the scenario. As a patient, the person feels safe and comfortable and this feeds their addiction to medical care.

As Münchausen’s patients are very proficient liars and act completely like an actual patient, doctors must rule out any diseases before suspecting that their patients have a psychiatric problem. However, some signs such as the patient being overly keen on receiving procedures such as biopsies or continuously developing random symptoms may indicate Münchausen’s.

Interestingly, a similar condition called Münchausen’s syndrome by proxy also exists, where a caregiver (e.g. mother) convinces a doctor that the person they are caring for (e.g. child) are sick. Unfortunately, as these patients actually cause illness in the child, it is considered a form of child abuse. Common “symptoms” include: growth problems, asthma, allergies, vomiting, diarrhoea, seizures and infections. This may lead to the child developing Münchausen’s syndrome in the future.