Lindsay Clancy Trial- Day 5

Witness #19- Dr. Micheal Snyder- called by the prosecution

Physician at Beth Israel

• Treated Cora Clancy on Jan 24th 2023, was informed prior to arrival she was in cardiac arrest and CPR as well as advance life saving methods like medications were being preformed on route.

• First observations were she wasn't breathing on her own and had no heartbeat, blueish tint to skin. Pupils fixed and enlarged, bruising around the neck.

• Intubated her, looked at heart via ultrasound confirmed what paramedics noticed about out of sync rhythm and the hospital staff used a defibrillator to try and get it back into rhythm. EMS had used it twice in the ambulance prior.

• Consulted with Intensive care doctors at Boston Children's Hospital via phone

• Continued to try and revive her for 30 minutes and at 7:28pm declared Cora deceased.

NO CROSS EXAMINATION

Witness #20- Dr. Andrea Caparo- called by the prosecution

Attending Physician at Boston Children's Hospital

• the night of Jan 24th, was informed of incoming patient Callen Clancy and his treatments up to that point

• Inital observations: Cold, quite limp, pupils fixed and enlarged, not making any purposeful movements, Ligature marks around the neck and swelling of the neck.

• Required and epinephrine drip to stabilize heart rate and blood pressure and to be placed on a ventilator. could take sporadic breaths on his own but not enough to come of the ventilator.

• Ran standard tests and imagine, Noted hypoxic ischemic injury to the brain ( basically lack of oxygen and blood to the brain)

• Transferred to the Intensive care unit for further care

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NO CROSS EXAMINATION

Witness #21- Dr. David Civant- called by the prosecution

ICU Physician at Boston Children's Hospital

• Jan 26th 2023, takes over care and treatment of Callen Clancy

• reviews reports, tests and records associated with the case

• Determines the injury is severe and notes that he intubated while not being sedated which normally would happen because it would be too painful for patients.

• Preforms Physical exam, including response to touch and pain, No response to either test

• Begins Brain death testing, after 24 hrs preforms the test again both tests showed no reactions and increasing carbon dioxide, he was declared brain dead.

• On jan 27th 2023, family was given the opportunity to see him and say goodbye and he was then removed from life support and declared deceased.

NO CROSS EXAMINATION

My opinion so far on the day: overall quick yet sad testimonies of attempting to save the children's lives. Lindsay can be seen crying and wiping tears through this time

Witness #22- Dr. Kelly McDonough- called by the prosecution

Emergency Medical Physician at south shore hospital

• Jan 24th 2023, received a call of incoming trauma one patient and began to ensure everything was prepped and ready for arrival

• Recalls being told the patient was unresponsive, fell outside the home and might have a spinal injury. she was moving her arms and head at times but not her legs

• Patient was breathing on her own but due to her head injury they wanted to protect her airway so they intubated her

• She observed no obvious head injury but noted she did observe superficial cuts to the neck and wrist. noting no injuries to arteries or veins.

• Ordered imaging tests for the spinal cord and head injury reports. nurses drew blood upon arrival as per protocol

• can't remember if she had more then one CT scan but assumes based on her trauma level she would have had one CT plain image.

• CT scan results: Head- nothing remarkable

Spine- thoracic spine injury

Chest- doesn't recall, intially but is shown the record and notes the same spinal injury

• The decision was made by staff to stabilize her and transfer her to another hospital as her injuries were to severe for South Shore to handle.

• testifies that her and her colleague stabilized Lindsay.

• Remembers Lindsay being hypothermic, unsure when in the treatment process it was noticed but explains they put a "bear hugger" on her which is a warming blanket.

• Explains temperature drop can be caused by metabolic disarray or exposure to cold. Can't recall which caused Lindsay's

• Thinks Lindsay was in their ER for about 4 hours before being taken to Brigham Hospital

• Can't recall if the warming blanket was able to raise her temp back to normal.

CROSS EXAMINATION

• Asks if patient was conscious at time of arrival, Dr. McDonough says her eyes were opened but she wasn't verbally responsive and notes typical symptoms of unconciousness is closed eyes, no verbal, but could respond to pain stimuli

• asked if her pupils were equal and reactive to light, she can't recall

• questions a note on the chart saying PERL indicating pupils equal and reactive to light

• Doesn't remember if she was on any pain medications but then admits that they don't intubate without providing some sort of pain med or sedation. but still can't remember the med given to Lindsay on the account that the physician assisting her did the intubation.

• ASked to confirm if her body temperature was 82 degrees, she says if thats what it says in the records then yes.

• Reddington becomes irritated at this point and wonders why she can't confirm it, she replies "I saw her three years ago. I see about 200 patients a day."

• Reddington's reply: I'm sure you're very busy, but this is a murder trial. Doctor, did you review your records and your notes?

• Claims she did review but doesn't have a photographic memory

• Asked what CSF means, Says maybe cerebral spinal fluid but she's not sure the context he is referring to but says a massive leakage of CSF from the nose could indicate a skull fracture. Says she didn't see any fluid leaking from the nose

• Recalls the Thoracic Spinal Injury and says she could with a certain test asses the level of it but doesn't remember the results in Lindsay's case

• Can't recall if Lindsay's thyroid was crushed, if her cervical u spine vertebrae in the spine was fractured destroyed. but agrees that injury could effect a persons breathing

• Testifies she remembers a Thoracic Spinal Injury but says agian she can't remember the level

• Asked if she was aware of complete transection of t5 and t6. She says she sure she did at the time

• Asked if she recalls the significant edema noted in her chest. once again refers to if it's in the report then must have been. This can mean fluid but she would have to look at the report to say for sure.

• Can't confirm edema around C7, T1,T2, T3 and T4 without the records

• discusses body temp asked what the normal temperature is (98.6) Lindsay was at a 82 according to reports and she notes anything outside of the 98.6 is not ideal.

• Claims she wouldn't classify the lacerations on the wrist as deep.

• Can't recall noticing any injuries to other parts of Lindsay's body and can't recall if she went into cardiac arrest while at south shore hospital. Can't recall if a blood transfusion was done.

• was unaware that when reaching Brighams in Boston she went into cardiac arrest and needed a massive blood transfusion

• can't recall if police were with her or if she was handcuffed to the bed at any point.

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REDIRECT

• prosecution allows her to briefly flip through her notes and questions about the CSF, restraints, head injury notes the records answers

• Testifies she would discuss the lacerations as superficial due to the fact that she couldn't see muscle or injury to tendons or active bleeding.

My opinion on this particular witness:

this is the first witness to really get a lot of attention publicly aside from Patrick Clancy.

people are dived on if she should have been able to answer questions better or not.

In my opinion she entered the court with s sense of confidence but unprepared. It came of as unprofessional or like she had a strong bias against the defendant.

my reasons for thinking she should have recalled more things:

1. doctors and other witnesses before and after her all were able to answer a vast majority of the questions asked without needing records

2. While yes she sees a lot of patients as a human being we all know some experiences or incidents stick out in your brain even years later. Being one of the people to treat a women who killed her kids and had her case have national attention would likely be one such situation.

3. the demenor she presented indicated that she was confident in her ability to testify but in reality she did not make a good witness and i think kind of hindered the Prosecution.

4. Lastly the prosecution should make sure all witnesses are prepped and ready for trial or shouldn't call them.

Witness #23- Rose Stofers- Called by the prosecution

Srg. with state police

• Answered questions regarding evidence collection and procedures.

• confirmed certain evidence came from the Clancy home

• confirmed all evidence was handled in the appropriate matter.

Witness #24- Rachelle Amity- Called by the Prosecution

Surgical ICU nurse at Brigham's Hospital

Complete testimony + Cross+ redirect

• testified about Lindsay's condition after she was transferred to Brigham and Women's.

• Lindsay went into cardiac arrest and required CPR/chest compressions.

• She received multiple blood transfusions.

• described Lindsay as emotionally "flat", showing little visible emotion during the hospitalization.

• Police officers were stationed outside her hospital room.

Witness #26- Meghan Collins- Called by prosecution

Surgical ICU nurse at Brigham's Hospital

Complete testimony + Cross

• worked the opposite shift of Rachelle

• states Lindsay was a 1:1 ratio due to how critically ill she was

• First day goals were keeping her stable, getting additional test

• Testified about care she gave Lindsay, checking chest tubes , keeping her sedated

• Discussed how Lindsay requested to change her health care proxy and wanted to sign a DNR order

Opinion on ICU Nurses testimony:

Showed how critically injured Lindsay was and what happened in the initial days following that night.

Witness #27- Dr. Sejal Shah- Called by Prosecution

Psychiatrist at Brighams Hospital

• Shah evaluated Lindsay multiple times at Brigham and Women's Hospital.

• She first evaluated Lindsay several days after the incident.

• An early evaluation included confusion and cognitive difficulties.

• Lindsay also experienced visual hallucinations during part of her hospitalization, which Shah attributed to possible medical causes such as anesthesia, oxygen issues, or elevated heart rate.

• Those symptoms resolved relatively quickly.

  • In a January 30 evaluation, Lindsay:

    • Denied suicidal intent.

    • Denied homicidal intent.

    • Denied hallucinations or delusions.

• Displayed organized and goal-directed thinking.

• Shah described Lindsay as calm and cooperative during later evaluations.

• In February, Lindsay was focused on her physical condition, legal situation, and rehabilitation.

Cross Examination

• The defence asked whether someone experiencing psychosis necessarily has to appear obviously disconnected from reality.

• Shah agreed that a person experiencing psychosis can still communicate, make plans and act on those plans.

• She also agreed that a person doesn't have to appear obviously incapacitated to be experiencing psychosis.

  
  

Why I think it mattered:

• This challenged the idea that Lindsay's ability to communicate or organize herself automatically rules out psychosis.

• Shah agreed that Lindsay was an honest patient and wasn't simply exaggerating symptoms for legal purposes.

• The prosecution, however, emphasized what Lindsay actually reported during those later evaluations and her organized thought process.

Witness #28- Dr.Jhilam Biswas- Called by Prosecution

Forensic Psychiatrist

Testimony + Cross +redirect

Biswas evaluated Lindsay at the hospital shortly after the incident.

• Lindsay was unable to speak at the time because she was on a ventilator.

• She communicated by writing answers on paper.

• During the evaluation, Lindsay reportedly asked questions about:

  • Her physical condition.

  • Whether her body was broken.

  • Her legs.

  • Where her family was.

  • Whether she could have visitors.

  • Getting an attorney.

• Biswas described Lindsay as anxious but able to understand and respond to questions.

• Biswas did not observe obvious psychosis or hallucinations during that particular evaluation.

• The evaluation occurred only days after the killings.

The effect it could have In my opinion:

• The prosecution can point to this as evidence of Lindsay's apparent organization and awareness shortly after the incident. Also Alot of attention was on the fact that she asked for a lawyer. while it seems she was able to understand the severity of the case and ask for a lawyer before speaking to police. It could come off as cold to the jury and show that she knew what she did was wrong during it.

• The defence can point out that being able to communicate or appear organized after the event doesn't necessarily establish what someone's mental state was at the exact moment of the killings.

Witness #29-Robert Flyn- Called by the prosecution

patrol sergeant duxbury police

• Called in the state police to the scene as they have jurisdiction for death investigations

• him and other officers then did a security sweep of the house to ensure there were no other individuals in the house

• Remained on scene until the State troopers arrived , came back on scene later to be present during the state troopers execution of the warrant

Witness #30- Mark Feroli- called by the prosecution

Mass. State Police Officer

• Obtained the blood and urine samples from hospital

• delivered them to state lab

Witness #31- Leah O'Conell- called by the prosecution

Forensic evidence technician state Crime Lab

logged the evidence into the lab with case number

Witness #32- John Santos- Called by prosecution

Mass. State Police

Collected 5 books from the kitchen during the execution of the warrant and two laptops from basement office and an external hard drive

later logs a apple watch that was handed in by patrick clancy

Witness #33- Cory Melo- Called by the prosecution

State police detective

Assited in Witness interviews , neighbourhood canvases, search warrants

Was asked to review books and a journal that were seized

The entries described:

• Feeling overwhelmed by caring for three children.

• Severe anxiety.

• Significant insomnia.

• Feeling guilty.

• Becoming intensely focused on Callan's sleep schedule.

• Feeling like she was drowning under the demands of caring for the children.

• Wanting a mental break.

• Worry about returning to work.

• Feeling as though her mind wouldn't shut off.

One particularly important theme was Lindsay documenting her own awareness that something was wrong and that she wanted help.

The defence highlighted portions of the journals that supported its argument that Lindsay was deteriorating and actively struggling with her mental health.

The last bit of the day in my opinion:

• witnesses 29-32 were useless and didn't need to be called considering the defence already stipulated and allowed the evidence they spoke to into evidence

• This annoyed me because it came off as the prosecution really trying to paint a different picture of Lindsay almost as if to say, they want to try this case like a regular case and ignore the stipulations because other wise the jury will see it as Lindsay taking accountability

• The prosecution used her log of callens schedule to suggest she was controlling, yet so many mothers track thier baby's schedules and patrick found it helpful......

• the also seemed to use he obvious struggle with being overwhelmed and exhausted as she's just tired of being a mom and wanted a change

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• I think the defence really came out on top today. the state was basically proving the defences case multiple times and in my opinion they seemed as if they didn't think mental health is a serious concern and she was just faking it which i don't think would sit well with some members of the jury who may have thier own struggles or have loved ones with struggles.

END OF DAY 5