Title: The Autopsy
Author: Michael Shea
Waiting behind him, Dr. Winters heard the river again - a cold balm, a whisper of freedom - and overlying this, the stutter and soft snarl of the generator behind the building, a gnawing, remorseless sound that somehow fed the obscure anguish that the other soothed.This is one of the most chilling stories I've ever read.
The main character, Dr. Winters, is called on to act as a coroner for a small, rural town where a blast in a mine has resulted in multiple deaths. The explosion wasn't an accident.
The investigation is one of the last that Winters will participate in, because he is dying of cancer. The image of abnormal cells destroying healthy tissue and taking over the body hints at something else that Winters will experience before the story ends. (Winters, in a wry way, sometimes talks to his cancer, as if it's an entity with some degree of awareness.)
Among the chilling details are the visceral descriptions of an autopsy. Winters is sinking his hands into the aftermath of violent death. The language is elegant as it describes inelegant things. Winters' interactions with the bodies he examines also sets the stage for what he will experience by the time the story ends.
This story wouldn't have been worth reading if it was all about mindless gore. As awful and vivid as the physical details are, the atmosphere of psychological horror – the entrapment, helplessness, aloneness, and torture – is what lingers. Also, the story is excellent in how it uses the setting to enhance the horror: Winters, alone among the bodies in a small examination office ("... the generator's growl, and the silence of the dead, resurgent now").
It's also worth noting that the victims get a chance at the end to make a final spasm of effort to defeat the evil entity that has no pity for their poor flesh and for their minds and spirits.



