Thursday, August 18, 2011
Reginald Daye’s autopsy report is nothing more than a disgraceful shame…
LINK to flog: http://www.justice4nifong.com/direc/flog/flog7.html
The above flog is interactive to allow you to view documents at will.
Script for the flog is below.
Recently I examined two autopsy reports related to Reginald Daye, the early morning April 3, 2011 stabbing victim of Crystal Mangum… the Duke Lacrosse case victim and accuser. Documents included the Report of Investigation by Medical Examiner conducted on April 13, 2011 by someone whose signature I cannot decipher, and the Report of Autopsy Examination of April 14, 2011 performed by the Orange County medical examiner, Clay Nichols, M.D.
Beginning with the investigative report, it clearly shows that at the time of the stabbing he was intoxicated, as he had a blood alcohol level of 296 mg/dl. However, what I find highly curious is that of all media accounts I am aware of regarding the Daye stabbing and subsequent course of events, there was no mention of Daye’s drunken state. A prime example of media bias.
Supporting the intoxicated state of Daye is a passage from an article in the Newsweek’s “The Daily Beast.” It reads as follows: “A neighbor told The Daily Beast that Mangum and Daye had returned to Daye’s apartment after drinking at a cookout and began quarreling about money, eventually leading to the stabbing…”
Under Probable cause of death, the box “Pending” is checked. Lines are left blank where it states that death was “Due to...” No where is “stab wound” or “stabbing” indicated.
In the section “Manner of Death” the pending box is checked. Notice that the homicide box is not marked.
In the Medical History portion of the form, the box for smoking is checked, but notice that the one for alcoholism is left unmarked. It is my understanding from my sources that Reginald Daye was an alcoholic. He had a high blood alcohol level when medical personnel first obtained blood samples following the incident. Furthermore, I believe that the argument proceeding the stabbing had to do with Reginald Daye wanting to use money contributed by Crystal and intended to go towards rent, to purchase beer.
Under “Means of Death,” a sharp instrument is indicated as being utilized, however under description it reads only “knife per report.” There is no mention of what type of knife was used or the dimensions of the blade. My sources told me that a paring knife was used. However, the media again has elected to be as vague as possible by stating only that a kitchen knife had inflicted the damage. Had it been a butcher knife you can bet that the news reports would have said so… and not just said “kitchen knife.”
I looked below in the report’s “Narrative Summary of Circumstances Surrounding Death,” and not only was there no description of a knife, but there was no mention of a knife… the report reading “Mr. Daye… was reportedly stabbed in the flank at 3:15 am…”
The sections titled “Description of Body” and “Body Diagrams” were both left empty with a notice to “Defer to Orange County Medical Examiner.” Now, I do not know if this is standard procedure or not, but it strikes me as being baffling and quite curious.
The “Narrative Summary of Circumstances Surrounding Death” is where things really get mystifying. First it states that the incision wound is in the left 7th intercostals space of the chest… and that the CAT scan examination shows a laceration of the spleen and a small laceration at the superior pole of the left kidney. The exploratory laparotomy does not confirm any lesions to the left kidney or spleen… the only injury noted is to the splenic flexure of the colon.
The narrative of the operation Mr. Daye underwent states the following: “He underwent exploratory laparotomy, mobilization of splenic flexure, repair of splenic flexure lesion, and lysis of adhesions, and was admitted.” Notice that no where in this report is there any mention of a laceration to the left lower lobe of the lung. No mention of a perforation of the diaphragm. And no mention of an injury or repair to the fundus of the stomach.
Based on this report, what I believe the stab wound injuries to Reginald Daye consisted of is a laceration to the splenic flexure of the colon… period. The CT scan confirmed injury there, and the description of the operative procedures listed attention to the colon only. There was no mention of repair of a stomach laceration. There is no mention of repairs to the diaphragm, left kidney, left lung, or spleen.
You will also notice there is no mention of any lacerations, bruises or other lesions to the left upper extremity. This is in sync with media reports in which I did not find any mention of any defensive-type wounds to the left arm.
WRAL reported that Daye underwent surgery and was expected to make a full recovery. With Daye being at Duke Hospital, with its stellar reputation, I would expect nothing less. Newsweek commented that “a friend told ‘The Daily Beast’ on April 5 that he, Daye, was recovering.” This was one day before Reginald Daye unexpectedly went into cardiac arrest.
However, it appears that Daye’s problems began on the evening of Wednesday, the third post-op day, when the report implies that Daye vomited, and aspirated – vomitus entering his airway – which led to respiratory distress and his cardiac arrest.
Then, according to the report, after 20 minutes of CPR, his heart and lungs were functioning, but he was brain dead. So, on the evening August 6, 2011, Reginald Daye was in a deep coma, and remained in a coma for a week until he died the following Wednesday evening of April 13, 2011… and the media never mentioned it once. Remember, Daye was expected to make a full recovery.
There is no mention of how Daye died, but I have been told that he passed away after he was taken off life support.
This report is deficient in explaining what procedures Mr. Daye underwent, other than the emergency exploratory laparotomy. It is my understanding that he underwent some major procedures which may have contributed to his cardiac arrest.
Finally, on July 28, 2011, a reviewer lists “Stab wound to chest” as the cause of death. A vague and totally inadequate finding. There is no nexus between the stab wound and the cardiac arrest. The cardiac arrest which allegedly occurred on April 6th obviously contributed to his grave neurological condition. And, was he removed from life support?
As problematic as this report is, I believe it to be, by far, more accurate and reliable than the Report of Autopsy Examination which was conducted the following morning, on Thursday, April 14, 2011.
It lists the cause of death as “Complications of stab wound to chest.” However, it fails to list what any of those complications were, or how they were related to the stab wound.
Then, under diagnoses, the fantasy begins with the following entry:
“Stab wound to chest with: Perforation of left lower lung lobes; Perforation of diaphragm; Perforation of stomach; Perforation of colon; Perforation of left kidney; and Perforation of spleen (clinical).”
I’m assuming that a clinical perforation of the spleen is a phantom lesion that somehow produces a laceration within the organ without interrupting its capsule. Actually, I’ve never heard of such.
The paragraphs under “Injuries” I find most curious… especially involving the stab wound itself which the medical examiner described as “gaping.” I would hardly call an incision less than three quarters of an inch in length gaping, but if it were open, more than a quarter of an inch wide, then why was it not sutured closed at the time of surgery to prevent infection? Surgical intervention was well within time for primary closure… and if the wound was not closed at the time of the operation, it would have been well on its way to healing itself by granulation. There is no explanation I can see for the stab wound to be “gaping.”
It then claims that there are sutures on all of the following sites: left lower lung lobe, diaphragm, stomach, colon, and kidney. No mention of surgical intervention on the spleen.
Now if there were sutures to the left lower lung, would they have been performed by a thoracic surgeon, or would a trauma surgeon have been charged with its repair?
Regarding the stab wounds to the left arm, which first appear in this report, there is no mention as to the number of wounds. They are stated to run from the biceps to the wrist with 5 inches the greatest in length.
Under Internal Examination, the left lung does not mention any suture material, as stated was present earlier in the report. The tracheobronchial tree is described as having no abnormalities, which would contradict an aspiration. There is no sign of pulmonary embolism, either. These findings beg the question of what caused the cardiac arrest.
The Gastrointestinal System claims to show sutures in the fundus of the stomach and in the splenic flexure of the colon… sigmoid flexure being an obvious mistake.
The spleen does not show any signs of sutures or disruption of the organ’s capsule.
The left kidney supposedly shows signs of hemorrhage under the upper pole of the left kidney, which the medical examiner attributes to a stab wound… but there is no gross lesion observed on the organ’s capsule or any suturing. Also the adrenal gland which sits like a cap over the upper pole of the kidney is intact and normal in appearance.
The diaphragm is not specifically mentioned in this report… so there is no confirmation by report of the gross exam that sutures are present.
The examination of the brain exhibited no signs of pathology to help explain why Reginald Daye went into a comatose state. Most likely, the brain was deprived of oxygen for an extended time prior to the cardiac arrest, but the reason is unknown. Many people who are successfully resuscitated with CPR lasting twenty minute or longer, usually do not end up brain dead. The cause of his brain death is at the crux of his death, and I can find no nexus with the stab wound.
This leads to the “Summary and Interpretation.” The summary is inconclusive and there is no interpretation. The medical examiner explains that Reginald Daye sustained a single puncture laceration that penetrated a slew of organs in the thoracic and abdominal cavities, with hemorrhaging into them. It is evident that Daye did not die due to shock or blood loss. If there was a hemothorax, or bleeding into the chest cavity, or pneumothorax, air in the thoracic cavity, a chest tube would have been inserted. Repairs to lacerated organs should have put an end to the bleeding into the abdominal cavity. There is no mention as to why Daye was brain dead, why he went into cardiac arrest, which preceded which, and whether or not the patient was taken off life support. These questions are all the more baffling when it was reported post-operatively that he was expected to make a full recovery.
From the type of trauma he sustained, he should have made a full recovery. I believe that only the colon at the splenic flexure was penetrated by the stab wound, and that the Autopsy report embellished the injuries to make a better case for a death secondary to complications of the stab wound. The investigative report of April 13, 2011 is by far the more factual report.
The autopsy report of April 14, 2011 does nothing to shed light on why Reginald Daye died. The only thing that is obvious is that he did not die due to the stab wound he received… which penetrated his colon only.
The media, of course, is in cahoots with the police and prosecutors, and the medical examiner, Dr. Clay Nichols. This was evident from the very beginning when ABC-11 News stated that the warrants read that Mangum repeatedly stabbed her boyfriend. The online video of that news report titled: “Warrants: Mangum repeatedly stabbed boyfriend.” Posted the day following the incident, ABC-11 News went on to state that Daye was stabbed seven times. By misleading the public about the number of times Daye was stabbed, the ABC-11 was trying to make a self-defense scenario seem less likely.
The media also attempted to make the damage from the single stab wound seem more severe than it actually was. Whereas only the colon was penetrated by the knife, in my opinion based on the initial investigative report of April 13, 2011, the media wants the public to believe that six organs were penetrated… and to help do that, they refer to the diaphragm, which is nothing more than a very large muscle, as an organ. And the left kidney and spleen show no indication on gross examination that they were lacerated or repaired.
In short, the Autopsy report of April 14, 2011 is a sham, and does not even list any complications of the stab wound or surgery other than a cardiac arrest which mysteriously appeared and which, upon resuscitation left the patient brain dead… it is not even clear if Mr. Daye was brain dead prior to the cardiac arrest.
The media has done such a terrific job of sowing a culture of hatred against former District Attorney Mike Nifong, Crystal Mangum, and those who are considered by the Powers-That-Be to be on the wrong end of the Duke Lacrosse case, that I would not be surprised if a sinister hand at the hospital was responsible for the death of Reginald Daye. And although this is a very real possibility, the Durham Police never treated Mr. Daye’s death as a possible homicide. Instead the prosecutor was quick to upgrade the charge against Crystal Mangum to include first degree murder… months before the medical examiner even determined a cause of death.
Anatomically there are reasons to doubt the April 14, 2011 Report of Autopsy Examination. According to both reports, the stab wound would have been in the left seventh intercostal space… here. It is very likely that a puncture could have easily penetrated the colon and/or stomach. The April 13, 2011 investigative report well documents that the colon at the splenic flexure was injured.
However, the April 14th report states that the fundus of the stomach had a sutured lesion. This is fundamentally impossible as the fundus of the stomach, which is the part most superiorly positioned, is no where near the colon. Both organs could not be penetrated with a single stab wound.
The April 14th autopsy report is also flawed when it suggests that the knife traveled in a downward direction after penetrating the skin. Notice the position of the diaphragm… and the lungs are sitting atop them. In order to pierce the diaphragm and the lung from the 7th intercostal space, a knife would have to proceed in an upward direction.
The left kidney is located along the back wall of the abdominal cavity, and would require a strenuous thrust up to the hilt of a paring knife to possibly reach the left kidney, and I do not believe it could be reached without first going through the spleen.
And it could not be reached if the blade followed a downward course as determined by the medical examiner.
It is not only the discrepancies between the two reports that makes me doubt the April 14th report’s accuracy, but issues involving human anatomy. The April 14, 2011 autopsy report is nothing more than fiction designed to garner Crystal Mangum a first degree murder charge. The medical examiner is not at fault in the fabrication of this false report. Fault lies with the state and the media, working in conjunction with the Carpetbagger families of the Duke Lacrosse defendants in carrying out their vendetta against Mike Nifong, Crystal Mangum, and those whom they consider to be on the wrong end of the Duke Lacrosse case.
In the pursuit of justice, serious problems with reports by the medical examiners in the autopsy of Reginald Daye demands that the first degree murder charge against Crystal Mangum be dropped.