CHAPTER 17
(Excerpt)


April 1975
Department 10, Clark County Courthouse
Las Vegas, Nevada

..........The day’s testimony was nearing its end and the jury was excused for a few minutes while the court took care of some logistical matters. Those disposed of, Judge Goldman directed a question towards the Deputy District Attorneys, Harmon and Cooper.

..........“While the jury is still out, do we have a lengthy witness next? Seems to be a pointless question. All seem to be lengthy.”

..........Harmon chortled. “Your honor, we have Dr. Clarke who as been waiting all afternoon. We would like to get started with him.”

..........“We can take him on direct, at least,” the judge responded.

..........With that the jury returned to the courtroom and Dr. James Clarke, a physician specializing in pathology and the Chief Medical Examiner for Clark County, Nevada, was asked to step up to the witness box. At over sixty years of age, Dr. Clarke projected a scholarly, almost grandfatherly image and the prosecution knew the doctor would come across as a polished expert witness.

..........“Dr. Clarke, explain to the jury what a pathologist is, please,” asked Cooper.

..........Attorney Ahlswede interjected, “We will be glad to stipulate to his qualifications.”

..........Cooper turned to the judge, pleading, “May I ask my questions, Your Honor?” Cooper was not about to let the testimony of what was possibly his best witness be shortchanged, no matter how late it was.

..........“Ask your question, counsel.”

..........“Explain to the jury what pathology is,” Cooper requested.

..........“Well, pathology means the study of disease. It concerns laboratory work and general blood examinations, like microscopic examinations of tissue and so forth. In connection with medical examiner’s work, it consists principally of doing autopsies to determine cause of death.”

..........“How long have you been Chief Medical Examiner for Clark County?”

..........“I think about twelve years, officially.”

..........“Are there any special requirements in training or education in order to qualify you for this specialty of pathology?”

..........“Yes, sir.”

..........“Would you explain that to the jury, please.”

..........“First qualification is an MD degree. Following is at least four years post-graduate work in the specialty required, and to be certified as a specialist, and an examination is conducted by the American Board of Pathology, which I have passed.”

..........“Where did you receive your undergraduate training, Dr. Clarke?”

..........“At the University of Minnesota.”

..........“And where did you receive your medical training?”

..........“Also at the University of Minnesota at their medical school.”

..........“Could you give us an estimate, Dr. Clarke, how many autopsies you have performed?”

..........“In excess of four thousand autopsies.”

..........An audible wheeze was heard from somewhere in the courtroom but the prosecutor pressed on. “Would you explain, please, to the jury, what an autopsy is?”

..........“An autopsy is an examination conducted to determine the presence of any diseases or causes of death. It consists of opening the body cavities and examining the body organs and then is followed by various chemical tests of microscopic examinations.”

..........At that point the state introduced the autopsy photographs, all of which were taken in the presence of Dr. Clarke at the Spalding Mortuary in Las Vegas, and labeled them as state’s exhibits twenty through twenty-four.

..........“Dr. Clarke, did you perform an external examination and an internal examination upon the person who is depicted in State’s proposed exhibits twenty through twenty-four?”

..........“Yes, I did.”

..........“Would you describe the external examination you found in that examination?”

..........“The external examination showed multiple incise stab wounds to be present. In addition, there were some more superficial cutting wounds. From the head downward there was a deep stab wound into the scalp which penetrated the scalp at the skull. This was present in the back of the head, occipital area. More superficial wounds, which appeared to be cutting wounds, were present, one over the right knee and one over the right thigh. In addition, there was an incise cutting wound which appeared to be defensive in nature at the base of the right thumb.”

..........Dr. Clarke took a breath. “On the front of the body, or side, rather, there was a deep stab wound present over the right chest about the level of the seventh rib. Another stab wound was incurred, which appeared to be multiple, rather than a single stab wound, was present over the right upper abdomen near the rib margin. On the back there were three wounds. There were all, which, well, four of which were penetrating wounds. One was present on the mid-back on the right, about the level of the ninth thoracic vertebra, or one on the spinal column, near the spinal column. One was present farther up on the right, just below the shoulder blade and one lower down. There were two penetrating stab wounds on the left. One was located about the ninth thoracic vertebra in the middle of the back on the left chest. The other one was down lower and more lateral. All the penetrating wounds were similar in appearance. They had sharp margins and gaps. The cutting wounds varied in depth but were more superficial.”

..........The state then directed Dr. Clarke to take each photograph and explain what he found with relation to the picture. There appeared to be several stab wounds in the same area, which was later confirmed by the internal examination.

..........“Thank you, Dr. Clarke. Did you perform an internal examination, Dr. Clarke, on the body of the deceased?”

..........“Yes, sir.”

..........“Would you describe the examination and state your findings as a result of that examination?”

..........“The findings of the internal examination showed extensive hemorrhage into the abdominal cavity associated with the abdominal knife wound and also the wound on the side which, going downward, penetrated the liver as well as the lung. There were also three lacerations of the liver. There was also laceration in the area of the adrenal gland, which is above the kidney, and a laceration or hemorrhage about this area, about the kidney. The hemorrhage appeared to be about 1100 centimeters in the abdomen or about two pints. The stab wounds of the right side and of the back penetrated the lung. The more penetrating wounds were on the right side, with hemorrhage into the right chest, about 600 centimeters. Called hemothorax. There was a lesser hemorrhage in the left—two back wounds on the left penetrated the left lung superficially. The head examination was negative. The skull was not fractured. The only finding was the scalp laceration.”

..........With that report Dr. Clarke put down the last photograph and folded his hands. “The microscopic finding showed no other disease to be present. There was pulmonary congestion and edema, which means collection of fluid and blood in the lungs.”

..........“Dr. Clarke, based on your examination and your experience as a medical examiner and pathologist, are you able to form an opinion as to the type of instrument used which inflicted these wounds?”

..........“Yes, sir, I am.”

..........“And what is that opinion?”

..........“The instrument used was sharp-edged, sharp-pointed instrument, tapered down to a sharp point.”

..........“Would a hunting knife with a blade approximately six inches fall into that category?”

..........Ahlswede jumped in. “Objection. Counsel is leading the witness."

..........“Sustained.”

..........Cooper resumed his questioning. “Would you describe any instrument that you feel would fall into that category that would have been of common usage?”

..........“Well,” the doctor responded, “the width of the instrument from the penetration would appear about two point four centimeters or about an inch. The deepest penetration was about nine centimeters or around four inches, so the instrument would have to have been about one inch wide and over four inches long.”

..........“As a result of your internal and external examinations, Dr. Clarke, of the person depicted in state’s exhibits 22, 23, 24 and 30, were you able to form an opinion regarding the cause of her death?”

..........“Yes sir.”

..........“What is that opinion?”

..........“Death was caused by hemoperitoneum and hemothorax hemorrhage into the abdomen and chest, due to the laceration of the lung, kidney, adrenal and liver due to multiple penetrating stab wounds. Counting the superficial wounds there, I think there were around twelve total.”

..........“Dr. Clarke, did you extract any blood from the person upon whom you performed the autopsy?”

..........“Yes sir. I obtained some blood samples for toxicological examination,” replied Dr. Clarke, who related how he submitted the blood samples to the Coroner’s Office who in turn submitted them to the toxicologist in the pathology department of Southern Nevada Memorial Hospital for the preparation of the toxicology report.

..........“Does the toxicology report indicate to you the alcoholic content of the blood you submitted to the Southern Nevada Memorial Hospital pathology department?”

..........“Yes sir. Point 125 percent.”

..........“Dealing with the size of the person upon whom you performed the autopsy, what would that alcoholic content indicate to you?”

..........“It would indicate the consumption of a certain amount of alcoholic beverage. Not excessive, but a certain amount.”

..........“Do you recall the size of the person of the victim, the length and the weight?"

..........“Yes sir. She was of quite small build. I think sixty inches in length and weighing about 110 pounds.”

..........“Did you examine the vaginal area?”

..........“Yes, sir, I did.”

..........“What were your findings, Doctor?”

..........“There was no evidence of injury or rape.”

..........“Did you examine the anal area?”

..........“Yes, sir. It was normal. No evidence of traumatic injury.”

..........“Did you determine whether or not there was the presence of sperm in these areas?”

..........“Yes, sir. There were none, on microscopic examination.”

..........“Were you able to determine whether or not there was any trauma to the vaginal area?”

..........“Yes, sir, I was. There was no trauma.”

..........
“Could you tell us if there were sperm present in the vaginal cavity, how long that sperm would remain susceptible to examination?”

..........“At least twenty-four hours.”

..........“Pass the witness, Your Honor,” Cooper announced assuredly as he stepped back to his table. He would be surprised if the defense could rally any kind of attack on this witness.

Copyright © 2007 Paradise City™ Publishing
[SAN: 853-1315]
ISBN 978-0-9793247-0-3

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