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I've seen a lot of sources quoting Custer's allegedly accurate accounts of the autopsy, but William Matson Law's In The Eye Of History, published in 2004, has a bit where Custer claims to have seen a whole bullet fall out of the back wound. This is the first time he ever made this claim, right? http://www.krusch.com/books/kennedy/In_The_Eye_Of_History.pdf On page 132 (156 of the pdf) Palamara: Were you aware of the allegations of—I don't know if it was Admiral or Captain David Osborne—about the bullet falling out of the body? During the autopsy? Did you see a whole bullet or a fragment fall out of President Kennedy? Custer: Well, I wouldn't call it a fragment, I'd say it was a pretty good sized bullet. Because it created such a fuss. They ran over with a set of forceps—and they grabbed it, picked it up and put it in a little basin of water. Law: Now is this the bullet—when you were doing the X-rays, and you had him on the table and moving him around, didn't you tell me at some point in an earlier conversation that a bullet fragment fell out of the president? Custer: This was the time that they found that. Law: Okay. And what happened? What was their demeanor? What happened when that bullet fragment fell out? Custer: I called one of the pathologists over and said, "Hey, we have a bullet here." Soon as they heard that, they came down off the raised platform and they ran over and they picked it up. Then Sibert and O'Neill also came over and said, "Well, we want that, that's—"" Palamara: Yes, they wrote out a receipt for a missile so people think it's seman- tics—was it a fragment? So you're saying it wasn't a whole bullet? It was a sizable fragment of a bullet? Custer: It was about—see, you're getting in semantics here about the size. It was distinguishable enough to know it was a bullet. It wasn't complete because there was some fragmentation. Some area of destruction on the bullet. Law: Just for clarification, what area of the body did it fall out of? Law: Just for clarification, what area of the body did it fall out of? Custer: That was the upper thorax. The upper back. Law: It literally fell out of the back wound. Custer: Right.
Given the fact that all the evidence is fuzzy and inexact (I am being polite here), it is entirely possible that a bullet entered JFK's back and exited near his throat. A doctor friend told me about this case. A guy was involved in a bar brawl (back home in Venezuela) and was shot point blank near the middle of the forehead, between the eyes. When my friend received the patient in the E.R. he was in obvious shock, scared, etc but otherwise in perfect shape. There was very little blood. No exit orifice anywhere. The resting place of projectile was finally located in the middle of his back, it had traveled between the cranial bones and the skin. It is a well known fact that water, electricity and bullets are lazy: they follow the path of least resistance.