
Phoebe interviews crime novelist Patricia Cornwell about spending years in an autopsy suite, and why she would have “run from the room screaming” had she known what her future would look like.
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Patricia Cornwell
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Phoebe Judge
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Patricia Cornwell
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Patricia Cornwell
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Phoebe Judge
hi, it's Phoebe. As you probably know, here on Criminal, we normally put out our episodes on Fridays, but starting today we have something new to share with you. Recently I've been interviewing writers, reporters and journalists about stories I'm curious about. We're going to be sharing these more casual conversations here in the podcast feed on Tuesdays. You can also watch these new episodes on the criminal YouTube channel. We've got the link right in the show Notes Today I'm talking with crime novelist Patricia Cornwell. She's written many books, including 29 novels about a fictional forensic pathologist named Case Carpetta, who, as it turns out, is based on someone she knows well. Patricia Cornwell recently published a memoir called True Crime, and I started out by asking her about the COVID It's a picture of her wearing a lab coat and gloves and standing next to what appears to be a dead body on a gurney. Can you tell me about this picture on the COVID of your book? This is not exactly what I would expect.
Patricia Cornwell
This picture was in 1997. Annie Leibovitz did. She was doing a photo shoot of me for Vanity Fair, and so we were trying to get just the right picture. So first we started in the Richmond medical examiner's office, and that picture, you may have seen it before, I'm at an autopsy table and I have a cigarette hanging out of my mouth. And that was sort of the picture she was looking for. But the one you're talking about was taken in the cooler of that of the Richmond Medical Examiner's Office. And yes, indeed, that is a dead body. And that was. Annie Leibovitz took that photo. And the funny thing is the picture that's on the COVID when she was trying to take Pictures of me, Dr. Fierro, Marcella Fierro, who was the deputy chief at that time and my mentor, she was across the room with her little Canon sure shot camera. And every time Annie Leibovitz, the great Annie Leibovitz, is trying to take one of her pictures, Marcella's going snap. And the little flash cube is going off. And Annie finally lowers her massive camera, and she looks across the room and says, could you please just not do that while I'm doing this?
Phoebe Judge
You worked there in the 80s. What first got you into the morgue?
Patricia Cornwell
Well, that was not anything that I ever planned on, and I'm glad you asked, because a lot of people, they've assumed that I was working there. And while I was working there, I got ideas for writing books. It was the total opposite. I started out a journalist after college, and within six or eight months of being at the Charlotte observer in Charlotte, well, you know, North Carolina. In Charlotte, North Carolina, they assigned me the police beat. And that is what began my, quote. Life of crime was running around, you know, the late hours of the night, reporting on all the crimes in the Charlotte area and ending up on homicide scenes and talking to rape victims and shooting victims and stabbing victims and all this sort of thing. And so. But the one thing that I never knew when I was doing the police reporting is when I would go to a crime scene and. And the body was whisked away. I didn't know where are they taking it and what are they doing with it. There wasn't really. This was 1980 and 1981. There wasn't much known about this sort of thing publicly except for the show Quincy, whenever. That was long ago and far away. When I finally wrote the Ruth Graham biography, I left journalism. I wrote a biography of my dear friend Ruth Graham. And then I thought, what am I going to do? I'm going to try writing books about crime. Maybe that's something I can do. But I'd never been to a medical examiner's office or a morgue. So somebody got me an interview at the Richmond Medical Examiner's office. And I met Dr. Fierro for the first time in 1984, and she gave me a tour of the morgue, and I began doing research there. I was already trying to write a murder mystery, and I Would go talk to her. I would use her library. And after about the better part of a year of that, I wanted to see autopsies. And that was not gonna happen unless I had some sort of validity for being in the autopsy suite. And I said, well, what would it take to give me that validity? And she said, well, if you could become a volunteer police officer, that might do it. So I did.
Phoebe Judge
Well, tell me about that, about seeing your first autopsy. I mean, I've always. I guess I shouldn't be surprised, but there are so many people who go through their whole lives never seeing a dead body. You know, maybe. Maybe you're with a loved one at the end of their life, but even. Even then, you know, what happens to you when you are surrounded by so many bodies?
Patricia Cornwell
It's not the same as seeing it on the news or on TV or in photographs. When you're actually in the presence of a room full of dead bodies. There. There. There's a weird energy I. I used to feel. You know, the morgue is the. I call it the morgue. That's like calling Hollywood Hollywood when it's just a word that means a lot of things. The autopsy suite, the medical examiner's facility. But when you're in that autopsy suite with all those bodies. I used to get so tired. I would get just so exhausted. It's almost as if you felt like the dead were trying to suck the life out of you, because they're. They're there. And then here's these living people are coming in and tending to them. And most of these people, a lot of them have been traumatized. They've been in car wrecks or they've been murdered, or they've died all by themselves because they didn't have a doctor. Most people that end up there, it's not a good thing. It means something's happened that causes it to be a medical examiner's case. So I would find I was stunned by how tired I would get when I would leave at the end of the day. I felt like someone had literally sucked the life out of me when I would. And part of it, I'm sure, is my emotional shields of using a tremendous amount of energy not to let these things get to me while I'm standing there. Because you're no good for anyone if you let that get to you while you're there. You cannot. You don't cry in front of this. You don't get hysterical. You don't flee the room. I mean, these are patients who need to be taken care of someone needs to. To care about these people and the people they've left behind and figure out what exactly happened to put you here. Because it's not just about justice, because sometimes there's not a villain, but it's also about life insurance policies and people trying to move on with their lives, and they're needing the medical examiner to help them do that because of the legal complications and all that go with it. But it's. It is very. Pictures are hard to look at, but being there in person is a different experience altogether.
Phoebe Judge
Are there any. I mean, this was a long time ago. I know, but are there any cases that stick out to you from your time there?
Patricia Cornwell
Oh, I have many cases that stand out to me from, from, from being there. And also, you know, I didn't. When I stopped working there, I didn't quit going to medical examiner's office. I mean, I kept doing research there really throughout my whole career at various. Not just in Virginia, but met at other medical examiners offices and other areas where I would go do research and spend several days watching cases with them and going to scenes, all to keep myself. You know, it's keeping myself sort of trained, sort of like an athlete, where you need to keep doing stuff or you'll lose. You'll lose it. So if you told me when I was a kid that this would be how I spent my time, I would have not only told you you were crazy, but I would have probably run from the room screaming, because that was not how I envisioned my life. But it's so important if you're going to write about it, let people feel it for what it is. You know, your eyes play tricks on you. You're down there sometimes and you think somebody just moved on the table, but they didn't. Or there's a strange, strange energy in there. I mean, we don't know. There are theories about how long consciousness kind of almost circles the body. And so particularly if somebody hadn't been dead long, if they weren't even put in the cooler, they came straight from the crime scene and were put right into the autopsy room. And you're looking at this person who is still not even that cold yet, and you look at their photograph and you think they look just like themselves, except that the energy that's in them is gone. It's like a light bulb that's burned out. It still remains the same shape it was, but whatever was in it is gone. Where did it go?
Phoebe Judge
I was interviewing Sebastian Younger, who wrote this book In My Time of Dying, and I was fascinated.
Patricia Cornwell
He's such a great author.
Phoebe Judge
He's such a great author.
Patricia Cornwell
And you tell him I'm a fan.
Phoebe Judge
I will tell him. My mother had just died, and I just read his book, and I was with my mother when she died. And so I was very interested in this idea of what happens exactly after death because I was alone with her for a number of minutes. And I read his book, and he talks a lot about how for so long we've been concerned that when the heart stops, life is over. But actually, as you were talking, you're. The activity in your brain goes on for much longer. And so this idea that we're just counting death at when you have cardiac arrest, when we know scientifically that the brain continues to fire for sometimes hours after cardiac arrest, is a real. I mean, this is the stuff that we're just starting to get to the scientific breaking point of. What actually does death mean?
Patricia Cornwell
Well, it. You know, people think they would assume that I am a very fatalistic, morbid kind of person who is convinced that death is waiting around the corner every other second. And by the way, I do know that danger might be around the corner every other second, but I don't have the attitude about death that people would expect that I do. I actually have a very hopeful attitude that I would not have had had I not been around it so much. And I've been around it so much that I don't believe it. Not the way other people believe it. I believe it is the end of your biological existence right here and now. But I do not believe it's the end of you. And even if I weren't a religious person, a spiritual person, I would still believe that after what I've seen.
Phoebe Judge
When you were back there with all these surrounded by dead bodies and the morgue, you decided that you should maybe write about a medical examiner. Tell me about the decision to create a character around a medical examiner.
Patricia Cornwell
It was all because I couldn't get published. Postmortem was my fourth attempt, and if that hadn't been accepted, I would think I might have quit. It's hard to say because I sometimes don't know when to give up. But that would have been four attempts at crime novels that nobody wanted. But an editor who had rejected three of my books suggested I make Scarpetta the main character because she was a minor character in my earlier ones. And the person told me, that is your best character. That's who I want to hear about. And by the way, these fanciful stories you're writing about buried treasure and cheated wills and you know, and archeology digs where something bad happens. Is that what you see at the medical examiner's office? I said never, never. Death there is ugly. She said, but I want to see what you see. So that's how post mortem started.
Phoebe Judge
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Patricia Cornwell
That's about the age I was when I. I didn't get my pilot's license till I was, like, 43. I think I was 43 when I got it.
Phoebe Judge
Okay, well, it's not too late.
Patricia Cornwell
No, it's not, honey. You're just getting started. You're. As my mother used to say, you're a spring chicken.
Phoebe Judge
Well, I've just. But here's the wonderful thing that I think that you've been able to do, and I hope what I like so much about what I get to do is this morning I was talking to people who disentangle whales from fishing equipment. And yesterday I was talking about a wholly different. I was talking about cyber crimes. And the wonderful thing is that it's always different and you get to have these new experiences. But what you've done is you have jumped in the deep end. If you're gonna write a book, it seems to me you need to know what you're writing about. You know, for example, the scuba diving. You wanted to. You decided one day, I wanna. How about underwater crime?
Patricia Cornwell
Why not happen.
Phoebe Judge
Why not? But I better go scuba diving. And you did it.
Patricia Cornwell
Yeah. Now I want to set something on us, on the moon, but I think that I'm not sure rockets are going to be in my future. But, I mean, if I could. But I'm just going to tell you, and I bet you would, too, if someone said, if you can take a rocket to the moon and write a story about it, would you do it in one second. There you go. Me, too. Just go out and experience whatever anybody lets you. And as a writer, use your. Your research interests as an excuse to do something that you wouldn't do otherwise. I would never have gone scuba diving had I not wanted to do it, for it wouldn't occur to me. It's a lot of work. It's a lot of training, and it's scary. I find it scary trying to breathe underwater. Even now, after all the times I've done it and I haven't been in a number of years now, who knows if I will again? But when I first jump in the water and I'm floating and waiting to go down the line down to. Do you scuba dive?
Phoebe Judge
Yeah, I just did 110ft through a cave. And I thought, phoebe, the goal here is not to panic.
Patricia Cornwell
And you're talking about me. I'm not going in no cave. But don't you agree that if you didn't do it, you would never write it the way you could write it because you've experienced it?
Phoebe Judge
Well, that was so interesting when you went to the body farm. We also did a story about a body farm in Texas, not the original in Tennessee, but there's enough question. Yes, you said something about when you first got there, and it was the same experience that I had. I thought there was gonna be big protocols with suits that I was gonna have to wear. And I walked in there and they gave me a little pair of boots to wear on top of my shoes, and they said, this is for the decomp fluid and nothing else. And here we go. And they just gave you a little pair of gloves.
Patricia Cornwell
Yeah, well, exactly. And what they don't give you is a surgical mask and clue for the future. If they suggest that you put Vicks up your nose. Oh, no, no, no. Do not ever do that. The real pros know you don't ever put Vicks up your nose when you get into a stinky situation, whether it's a decomp in the morgue or at the body farm or at a crime scene. Because the science of odor is molecular. And so what you're smelling is particulate that's causing the stink. It may be invisible and microscopic, but that the putrefaction element of this is something. Those molecules then get stuck in the ointment you've just put up your nose. So now what you've done is you put a fly catcher right in your face instead of across the room. So don't use Vicks or anything up your nose. No petroleum jelly, nothing up your nose. The other thing is as awful as it. And the smells are the thing that I have the hardest time with. I really do. I cannot stand it. And the body farms are terrible because decomp is awful. But if you don't experience something, if you have a reason to want to experience something, then you should do it as long as it's appropriate. I mean, don't break the law or kill somebody or do something awful. But there's no substitute for showing up. And don't forget, that's what autopsy means. Autopsia is the Greek word to mean to look for yourself, to see for yourself. And I encourage anybody that's doing anything that requires research. If you can do something that helps you understand it better by participating, whether it's flying a plane or scuba diving or walking through a certain area or explore. I mean, as kids, we explored and then we get to be adults, and we're not supposed to do that anymore. Yes, we are.
Phoebe Judge
You haven't been to the moon, so you haven't set a crime on the moon yet. Is there any other. Is there any other experience you want to have?
Patricia Cornwell
I'm jealous of Agatha Christie because there was so many cool things she got to do that you can't. I mean, I don't know that you can do now, like going on archeology digs, you know, going to archeology things like in Egypt, like she did. And these wonderful pictures of her on a balcony overlooking the pyramids. And I would love to see things like that, but I. You know, I don't know what may be ahead, but I do know that the world is not that open like it once was. You've got to be careful where you go. I would love to be on a safari in Africa. Not, I mean, not the bad kind, but to see these majestic animals in person in a safe way. Because I love elephants, tigers, bears. I love them all.
Phoebe Judge
We talked about this. But you started out, you know, your journalism career started out. You were doing crime reporting. I still, to this day, sometimes I don't know what this says about me, but I'll turn the police scanner on because they have these apps now on your phone. You don't have to just have one in your car. And I listen to the police scanner from Chicago, where I'm from, and I don't know why it gives me comfort in this odd way, but I also just think it's such a weird, interesting look into humanity, into just the stuff that you hear. What was it like when you turned that scanner on for the first time when you were doing the crime beat, to just hear all the things that go on that we don't hear about every day?
Patricia Cornwell
It completely shattered my view of reality when I began to see the kind of crimes that were going on that you don't know about if you're just your average person. But if you're listening to the scanner, and I had one on my desk in the newsroom, and I had one in the staff car, I drove so everywhere I was when I was on duty on my beat that, you know, I was listening to a scanner. And that absolutely shattered my worldview. I mean, I would drive home from work, and now I'm scared. And I didn't used to be, you know, a shadow could fall across my windshield, and I'd jump in the car because something. I'm startled easily. Had I not been a police Reporter. I really don't think I would be sitting here today. I don't know. I mean, it never occurred to me to write about crime. I never read a murder mystery in my life. I never had. I never did. Till I started trying to write them. I still don't read much in the way of that. I never have. And it's not a disparagement of the genre. It's more a statement of how poorly read I am. But it. But, yes, you. You can't see what. You cannot look death in the face and violence in the face and walk away unchanged unless there's something not quite right with you. In my opinion, you can't be a naive person and think that bad things don't really happen. If you're nice, it's not true. But you also can't forget there's a lot of good people in the world. And I know plenty of them too.
Phoebe Judge
If you had to think about. And I get not reading a lot of crime. People say that to me too. Phoebe, aren't you. You're surrounded by crime all the time. And I think, well, it's like if you sold shoes every day, you wouldn't come home and read about shoes. You wouldn't want. You know, I mean, I'm so interested in a million other things besides crime. But if you had to recommend a crime novelist, you know, that you admire, would it be Agatha Christie? Who would it be?
Patricia Cornwell
Oh, well, listen, there's nobody like Agatha Christie. And, you know, and it's funny. One of the things, the stories I tell in my books, in my memoir, I mean, is that it was probably about 1984 and I was trying my hand at writing my first murder mystery. And I did not know what I was doing. I couldn't. I had no earthly idea. And it's a terrible feeling when you sit down and it doesn't talk to you. It's like you're playing a dead keyboard. And I just. I thought, I don't know where to go with all this. I'm not good at this. I'm never going to be good in this. I'd already started doing, I think, some of the research at the Emmy's office. But I still couldn't figure out how to tell the story. I mean, how do you write about autopsies but tell a. Who done it at the same time? There was no formula for what I was trying to do. I didn't realize I was kind of creating a new one. And so I had this dream one night where Agatha. I was Waiting in a line. And Agatha Christie was doing a book sign. And it was so real, it was like I was watching it. I was awake and asleep at the same time. My eyes were shut, but I couldn't move. And there's this movie playing in my head like this. And I'm in that line and I get up to the table and there's Agatha Christie and looks just like her with the big hat and she had on all black. And she's just signing books and not looking at anybody. So when I get to her, I just said, thank you. It's an honor to meet you. And she's signing and she says something. She says, you will take my place. And I said, excuse me. And she looked up at me briefly and she said, you will take my place. And she pushed the book back to me. And that was it. The dream was over. And I woke up and I thought, what the hell was that? And I looked her up in our World Book Encyclopedia, and she looked just like the picture in there that I'm not sure I'd ever seen before. But the point was, of course, I've never taken her place and could never take her place. Nobody will take her place. But it's almost like something from beyond through that entity that was in my head. You know, we talk about, where do people go when they die? I don't know, but it was like something said, don't give up. Don't give up. You're going to do better than you think. Just hang in there.
Phoebe Judge
Well, you figured you figured it out.
Patricia Cornwell
Well, I don't know that I figured it out, but I always would recommend Agatha Christie to people because she's not just a mystery writer. She's very scientific. She's exact. And she is a Rubik's cube. You know, she's a walking Rubik's Cube. I mean, seriously, how she comes up with her puzzles. I don't know. What a mind that woman had. I love Thomas Harris. If anybody's not read Silence of the Lambs, to me, that's probably one of the very best crime novels ever written. Truman Capote, In Cold Blood is worth reading, but I don't read a lot of crime. See, it's like you said, about the person who sells shoes. Maybe. I tend to. I love nonfiction. I love to read good biographies. I. Let's see, what else do I like to read? I like to read poetry, believe it or not. I have a copy of T.S. eliot's the Wasteland on my shelf over here now. And then I'll pull it out because it's most beautiful writing I've ever read in my life. Is that is my favorite, favorite poem and how on earth somebody wrote something like that? Because, you know, in my heart of hearts, as much as I love my research and being able to explore things that most people don't know about and finding a way to to incorporate them into a story, at the end of the day, what I always dreamed of when I was young and writing was I wanted to be a good writer. And so to read people like Hemingway or T.S. eliot and to look at what they do and to study the way they put a sentence together, it's like watching Roger Federer play tennis. It's like watching the Cirque du Soleil or Olympic gymnasts do things that I go how on earth did you just do that?
Phoebe Judge
Patricia, thank you very much for talking.
Patricia Cornwell
Well, it's been my pleasure.
Phoebe Judge
Patricia Cornwell's new memoir is called True Crime, and since we talked, I've officially signed up for my first flying lesson. If you'd like to watch the video of this interview and our other upcoming video interviews, follow us@YouTube.com criminalpodcast or just click the link in our show Notes I'm Phoebe Judge. Thanks for listening.
Patricia Cornwell
When I scraped my car in that
Phoebe Judge
parking garage, I was worried that it
Patricia Cornwell
could be a long process to take care of it.
Phoebe Judge
Like a landscaper's first day trimming a hedge maze.
Patricia Cornwell
I have definitely already been here. Now, was it left right or right left? Well, maybe I'll cut a path out and find my way back later. But it wasn't like that. I filed a claim in under two
Phoebe Judge
minutes on the Geico app and they
Patricia Cornwell
handled it from there. It was taken care of almost as quickly as it happened.
Phoebe Judge
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Host: Phoebe Judge
Guest: Patricia Cornwell
Date: June 30, 2026
In this special episode of Criminal, host Phoebe Judge has a candid conversation with bestselling crime novelist Patricia Cornwell, renowned for her Kay Scarpetta series. Cornwell discusses the realities of working in medical examiners' offices, her path from journalism to forensic fiction, and how first-hand morgue experiences shaped her writing. The episode is a rich blend of memoir, science, inspiration, and practical advice, providing a rare, “backstage” look at both true crime investigation and the evolution of crime writing.
On the energy of the morgue:
On experiencing life for research:
On reading crime fiction:
Fans of true crime, writing, and forensic science will find this episode both enlightening and inspiring, offering a window into the world behind Patricia Cornwell’s celebrated novels and philosophy.