“Like Butcher,” Ctd

A reader writes:

I am a surgeon, and to me, that photo shows someone who has had an emergency room thoracotomy as an attempt at control of bleeding or for resuscitation, not an ax wound. Other signs that medical care was given are the EKG lead over the eye, and the angiocath placed just below the left clavicle, probably in an attempt to access the subclavian vein. If I am right about the incision being surgical, I don’t see an obvious cause of death here.