Category Archives: Forensics

ROBERT “WILLY” PICKTON — THE PIG-FARMING SERIAL KILLER

From the early 1990s until his arrest in 2002, Robert William Pickton (aka Willy) murdered—to his admission—49 women who he lured from the notorious Downtown East Side of Vancouver, British Columbia, to his pig farm in suburban Port Coquitlam. Willy Pickton’s modus operandi (MO) was to handcuff and rape the women, then shoot or strangle them to death. To dispose of the bodies, he’d butcher them in the same slaughterhouse or abattoir he processed his hogs in, then he fed the severed remains to his live pigs.

The Pickton Case, as it’s well known in Canada, wasn’t just about criminal sensationalism—something as grotesque as feeding human being parts to hungry animals. It’s a sad story of wasted human lives and a misguided mess made by human investigators. Fortunately, some good came from the Pickton Case and the parallel BC Missing Women Investigation / Missing Women Commission of Inquiry. That was better communicative cooperation between police jurisdictions and more efficient file management in missing persons cases.

Before looking at the Pickton Case outcome, let’s review who Willy Pickton was, how he managed to remain criminally active so long, and how he came to now serving the rest of his life in a maximum-security penitentiary.

Robert William Pickton was born on October 24, 1949. He’s now 72. His parents owned the Port Coquitlam pig farm and raised Willy on it, along with his brother, David, and his sister, Linda. Willy Pickton was a reserved boy who dropped out of school at fourteen and remained working the farm after his abusive parents passed on.

Court records show him to be of average intelligence but with a psychological perversion shaped by “Mommy issues”. He was very attached to his mother, regardless of her neglect of him. One notable point in young Pickton’s life was a recorded incident where, as a teen, Willy Pickton bought a calf with his own money and became very enthralled with it.

One day, he returned home to find the calf missing. He asked his mother where the calf was. She told him to go look in the slaughterhouse. He did.

There was his dead, bled, gutted, and skinned pet hanging from a meat hook.

Besides operating a pork processing plant on the farm, Willy and David Pickton ran a side business called “Piggy’s Palace”. They’d registered it as a tax-free, not-for-profit service club that leased the property to community events. Under the surface, it was a free-for-all, illegal booze-can that catered to wild parties filled with underworld characters.

Piggy’s Palace was part of the allure for the Downtown East Side of Vancouver subculture. This drug and disease-infested, civic fester was riddled with addicts and unstables who congregated in a bubble of immediacy and anonymity. These people lived for the moment, not for the day, and were perfect targets for the pig-farming predator.

Pickton would prowl the place—generally boundaried through East Hastings with Powell Street on the north and East Pender on the south. This is right in the heart of Vancouver’s industrial waterfront. It’s only a stone’s throw from the business hub of Downtown Vancouver proper and the uber-wealth of the West End.

Willy Pickton didn’t stand out in the Downtown East Side. He fit right in. At least 49 women thought so as they accepted a ride in his beater truck back to the farm with promises of drugs and cash and fun and an escape from the streets. A permanent escape, as it happened.

A pattern developed in the Downtown East Side. A disproportionate number of women were reported missing. They were all in similar demographics—vulnerable women who lived at-risk due to many societal issues—drug and alcohol addictions, mental illness, homelessness, victims of domestic violence, poverty, poor health, lack of education and skills, unemployable as well as being sex workers and common criminals.

The Downtown East Side law enforcement jurisdiction is owned by the Vancouver Police Department. The VPD noticed their increase in missing women reports and cautiously dealt with the matter by appointing one officer as a missing persons coordinator. Here’s where internal and external politics favored Willy Pickton.

No one in power wanted to say the “SK-Word”—Serial Killer. This would have let an uncorkable genie out of the bottle, and no one in power wanted the workload, budget drain, and social stigma/media pressure of having a serial killer running amuck in the streets of Vancouver.

So, what do good cops do in the face of bad stuff? Downplay it. Better yet, pass it off to another jurisdiction like the Coquitlam Detachment of the Royal Canadian Mounted Police—the RCMP or the Mounties.

Canadian policing structure in BC’s Lower Mainland region is rather convoluted, and this led to why Willy Pickton was hard to identify. Even harder to catch. Especially when competing jurisdictions weren’t playing for the same team.

The RCMP is Canada’s national police force They’re much like the United States FBI where they have federal responsibilities unless called or contracted by state / provincial / municipal (Muni) / civic authorities for help. Vancouver Police Department is its own LE agency, much like NYPD is or how Seattle PD operates independently of the multi-level support services like the DEA, BATF, CIA, ICE, DHLS, and a host of others.

British Columbia’s Greater Vancouver Area (GVA or the Lower Mainland) is a hodgepodge concoction of Mountie and Muni jurisdictions. The Munis have Vancouver, West Vancouver, Delta, Abbotsford, New Westminster, and Port Moody. The Mounties have Burnaby, Surrey, Richmond, North Vancouver, Coquitlam, Langley, Maple Ridge, and Mission. Not to mention Vancouver International Airport (YVR, which is a city of its own) and another sub-city, the University of British Columbia.

Greater Vancouver’s policing is a complex and wide-spread overlay. Vancouver’s Lower Mainland—the Fraser River Valley—population is over 3 million contained in 14,000 square miles for an average density of 214 people per square mile (PSM). That wildly ranges from 25,000 people PSM in Vancouver’s West End to practically zero on the watershed’s mountainsides.

British Columbia’s Lower Mainland has 6 municipal departments and 10 RCMP detachments. In 2002, the Munis and the Mounties had no common communication channel. Independently, they did their own thing.

The cities of Vancouver and Coquitlam-Port Coquitlam are close, distance wise. They’re 16 miles apart, as the crow flies, but Port Coquitlam is about an hour’s easterly drive in Vancouver traffic terms. Women were disappearing in Vancouver, but no bodies were being found. Vancouver women were dying in Port Coquitlam (PoCo), and their bodies weren’t being found either.

The missing persons coordinator at VPD was vigilant in her work. She knew what was going on in the Downtown East Side. But she had no idea what was going down in PoCo. Her list—a computerized spreadsheet of missing person names, dates of disappearances, and personal items associated with each woman—was detailed and available to any LE officer with access to the Canadian Police Information Center (CPIC).

The break came on February 5, 2002, when the RCMP in PoCo got informant information that something crazy was going on at the Pickton pig farm. They executed a search warrant and found items linked to several missing women the VPD coordinator listed on CPIC.

They also found human body parts including detached heads and limbs in Pickton’s freezer. In other places were severed dried skulls. They’d been Saw-zalled in half with mummified hands and feet bound inside.

The Pickton Case became a forensic first. The CSI team spent months processing dried and fresh pig manure looking for microscopic DNA profiles of Pickton’s victims. These women were:

Sereena Abotsway
Mona Lee Wilson
Andrea Joesbury
Brenda Ann Wolfe
Marnie Lee Frey
Georgina Faith Papin
Jacqueline Michelle McDonell
Dianne Rosemary Rock
Heather Kathleen Bottenly
Jennifer Lynn Furminnger
Helen May Hallmark
Patricia Rose Johnson
Heather Choinook
Tanya Holyk
Sherry Irving
Inga Monique Hall
Tiffany Drew
Sarah de Vries
Cynthia Feliks
Angela Rebecca Jardine
Diana Melnick
Debra Lynne Jones
Wendy Crawford
Kerry Koski
Andrea Fay Borthaven
Cara Louise Ellis
Mary Ann Clark
Yvonne Marie Boen
Dawn Teresa Crey

These 29 women are known Pickton victims identified through DNA. There are 13 other human female DNA profiles recovered—mired in pig shit—that haven’t been profiled to once-living women. That’s a victim count of 42. It’s 7 less than Willy Pickton confessed to killing and feeding to his pigs.

—–—

Hindsight is usually in focus. It’s been 20 years since the Pickton investigation. Learning is not just about what went wrong and improving. It’s about changing systems like communication between the Mounties and the Munis.

I was retired by the time the Pickton Case exploded. But I was a Mountie product who worked with first-rate Munis in serious crime investigations, and I have to say a murder cop is a murder cop—no matter what badge you’re wearing. We all wanted the same thing. Solve a case through admissible evidence. Bring closure to the families. And work the best we could through systematic differences.

No one in the Pickton Case investigation deliberately derailed the train. Far from it. The VPD missing persons coordinator saw the SK-Word pattern and reported it upline. Upline responded with, “Where are the bodies?” The coordinator said, “I don’t know. I just know this isn’t right and more women are going to disappear unless we dig into this.” Upline came back with, “Okay. Keep an eye, but don’t say anything to the media. We don’t need the SK-shit.”

———

Pickton was charged with a total of 27 counts of first-degree murder. First degree, in Canada, requires the prosecution prove Pickton acted in a planned and deliberate manner on each count. If the planning point isn’t proven, but the intentional killings are still established, then the charges fall to second-degree which allows the convict an earlier parole eligibility to a mandatory life sentence, regardless of first or second.

The trial judge severed the charges into two groups. Group A were 6 women whose evidence was materially stronger than the other 21 in Group B. The trial went ahead dealing with Group A. Group B was set aside pending the first trial’s outcome. (Note: The Group B trial never proceeded.)

A jury convicted Robert William Pickton of 6 counts of second-degree murder. How 12 jurors could think a pattern of murders was not planned but still deliberate, I can’t fathom. But whether first or second, planned or deliberate, or how many counts, is a mute legal point. Canada doesn’t have the death penalty, so Willy Pickton is going to spend the rest of his natural life in prison. There is no way this guy will ever get parole, although the law allows him to apply after 25 years of incarceration.

In the aftermath of conviction, the Pickton Case led to a lawyer-fest of appeals and inquiries. Some were cash grabs. Some were feel-goods. And some led to necessary improvements in legal and investigation procedures.

Interjurisdictional cooperation and communication were the big ones. It wasn’t just a Muni vs. Mountie thing. Munis weren’t talking to other Munis, and Mounties weren’t talking to other Mounties. In fact, the entire Vancouver Lower Mainland cop shops were acting alone. Automatously, you could say, and this was the result of years—decades—of independent police department growth in overlapping Lower Mainland communities.

Retired BC Supreme Court Justice Wallace Oppal headed the Missing Women’s Commission of Inquiry. Wally Oppal, or Stone Wally as he’s known by the police and the media, was the right man for this job. He was a highly experienced trial judge who went on to be the Attorney General of British Columbia. His 2012 report on the matter ran 1,448 pages and came back with 63 recommendations. The number 1 item, rightfully so, was amalgamating all Lower Mainland police jurisdictions—Mountie and Muni—into one regional police force.

Ten years later, this hasn’t happened. And it shows no sign of happening given the City of Surrey, the fastest growing Lower Mainland area, is forming its own police force and getting rid of the RCMP.

However, one major intercommunication and cooperation change did occur, and it was for the better. That was forming the Integrated Homicide Investigation Team (IHIT) that makes  secondments of select detectives from each department—Muni and Mountie—and has the team take over homicide cases throughout the Lower Mainland. Except for the Vancouver Police Department who still do their own thing.

The Pickton Case was a tragedy of mass proportions. It wasn’t just a fact of police failure to communicate or cooperate. It was a sad situation where a marginalized segment of vulnerable women were victimized by an unchecked demon. Here are some quotes from the Oppal report:

“The police investigation into the missing and murdered women were blatant failures.”

“The critical police failings were manifest in recurring patterns that went unchecked and uncorrected over many years.”

“The underlying causes of these failures were themselves complex and multi-faceted.”

“Those causes include discrimination, a lack of leadership, outdated police procedures and approaches, and a fragmented policing structure in the Greater Vancouver region.”

“While I condemn the police investigations, I also find society at large should bear some responsibility for the women’s tragic lives.”

“I have found that the missing and murdered women were forsaken twice. Once by society at large and again by the police.”

“This was a tragedy of epic proportions.”

Outside of the trial and commission of inquiry, the Vancouver Police Department did an extensive internal review. Honorably, they owned the problem and vowed to change procedures in missing persons cases. Deputy Chief Doug LePard, who headed the probe, had this to say at a public news conference:

 “I wish from the bottom of my heart that we would have caught him sooner. I wish that, the several agencies involved, that we could have done better in so many ways. I wish that all the mistakes that were made, we could undo. And I wish that more lives would have been saved. So, on my behalf and behalf of the Vancouver Police Department and all the men and women that worked on this investigation, I would say to the families how sorry we all are for your losses and sorry because we did not catch this monster sooner.”

OTZI THE ICEMAN – THAWING A 5,000-YEAR-OLD HOMICIDE COLD CASE

In 1991, the mummified body of a 5,000-year-old murder victim uncovered itself in melting ice at a rock-gully crime scene high in the Italian Otzal Alps. Named Otzi, the approximately 45-year-old and his possessions were incredibly preserved. His skin, hair, bones, and organs were cryopreserved in time, allowing archeological researchers a phenomenal insight into human life in the Copper Age.

Otzi’s thawing corpse also gave modern forensic science an unprecipitated opportunity to investigate and, positively, determine how Otzi the Iceman was killed.

On a sunny September day, two hikers traversed a mountain pass at the 3210 meter (10,530 foot) level and saw a brown, leathery shape protruding from the ice amidst running melt-water. They closely examined, finding a human body they thought might be a mountaineering accident victim.

They reported to Austrian police who attended the following day, quickly realizing this was an ancient archeological site. A scientific team assembled and, over a three-day period, the remains were extracted and taken to the Institute of Forensic Medicine in Innsbruck.

Such an incredibly valuable find soon led to a jurisdictional argument between the Austrian and Italian governments and an immediate border survey. It found Otzi lay ninety-two meters inside Italian territory. Italy gained legal possession of the body and artifacts, however in the interests of science and history, everything was kept at Innsbruck until a proper, climate-controlled facility was built at the South Tyrol Museum of Archaeology in Bolzano, Italy, where the Otzi The Iceman now rests.

Many, many questions arose. Who was he? Where did he come from? How long ago did he live? And, of course, what caused his death? Natural? Accidental? Suicide? Homicide?

Technological  advances over the past thirty+ years answered many questions surrounding Otzi’s life and death and surely the next thirty+  will answer more. This, so far, is what science knows about the Iceman.

Hikers found Otzi lying face down with outstretched arms in a protected, rock depression near the Finail peak watershed at the top of the Tisenjoch pass which connected two forested valleys. The trench measured 40 meters (125 foot) long, between 5 and 8 meters (18–26 foot) wide, and  averaged 3 meters (16 feet) deep. For millennia, this area was covered by glaciers which, by the end of the twentieth century, had receded.

Four separate scientific institutes conducted C-14 radiocarbon dating on Otzi, equivocally agreeing he came from between 3350 and 3100 BC — more than 5,000 years ago. This was the oldest-known preserved human being; far older than the Egyptian and Inca mummifications or the corpses found pickled in peat bogs.

Something exceptionally unique about Otzi was that he was a “wet” mummy—an almost unheard of process for a cadaver of this age where humidity was preserved in his cells, unlike the intentional dehydration processes used in Egypt and Peru. As well, Otzi was perfectly intact and not dissected or embalmed by a funeral ritual. His entire body achieved a state of elasticity and, although shrunken, remained as in the day he died including vital clues stored in his digestive tract.

Researchers felt Otzi must have been preserved through a chain of coincidences. It was evident that no damage had been done by predators, scavengers, or insects so it was obvious that the body was covered by snow and/or ice immediately after death. Secondly, the gully lay perpendicular to the main ice flow, allowing the grinding action of the glacier to pass overtop. Thirdly, exposure to air and sunlight was only a brief period before being found by the hikers.

It was vital Otzi remain frozen to avoid an irreversible decomposition and remain intact to preserve his historical significance. This gave researchers limited ability to examine the cadaver as would be done in a conventional autopsy.

A thorough external exam was done in 1991 along with Xray radiography images. Notable was a cut to the back of the right hand which showed early signs of healing as well as breaks to the left ribcage, which had healed, and breaks to the right ribs which were fresh at the time of death. A depression in the skull was thought to be caused by the weight of ice compression and analysis of the only remaining fingernail found that the Beau-Reil Lines, which are like rings on a tree trunk, showed significant stress to his immune system in three periods—16, 13, and 8 weeks before death.

Other factors told of Otzi’s failing health, understandable for a 45-year-old in the Copper Age who’d then be considered elderly. He suffered from tooth decay, gum disease, and worn joints. What shocked the researchers were the amounts, designs, and placement of tattoos on Otzi’s body. There were 61 separate markings, all made by incisions and insertion of charcoal—not ink as has  been used by other cultures for centuries. The locations were consistent with known acupuncture points as practiced for pain relief starting with the Chinese two thousand years after Otzi’s existence and it seemed these markings were therapeutic, rather than symbolic.

Despite examination by many leading experts, no exact cause of Otzi’s demise was determined and it was speculated this old man may have fallen, injured himself, then succumbed to the elements. That was until new technology was developed.

One of the great challenges was to examine Otzi endoscopically—that is to look internally at his organs. Special high-precision titanium instruments were invented—steel probes that were inserted through tiny incisions in the back. Using computerized navigational aids the tools were guided to the exact spots were evidentiary samples could be taken. This was recorded with a hi-definition camera and an entire 3-D map of the mummy’s thorax and abdomen was made.

Lung and digestive tract contents told a time-of-year travel story through the presence of thirty different pollens which entered his body by the food he ate, the water he drank, and the air he breathed.

Most pollens were from trees and indicated that he ingested them during a bloom in the late spring or early summer. The locations and digested states of different pollens in different sections of the stomach and intestines showed Otzi had made a climb from the valley floor to the pass where he died within a twenty-four hour period. Pollens in the lower half of the tract were identified to low elevation trees and pollens in the upper area were from higher elevation species.

So, it was known that Otzi had left the populated valley and headed for high country where he met his death. Speculation rose that he might have been fleeing some danger.

This theory strengthened in 2001 when new Xrays identified a small, flint arrow head in Otzi’s left shoulder which had been missed ten years earlier. A close examination of Otzi’s back revealed a two-centimeter slash and established the path of the arrow which indicated he’d been shot from a rear and lower position.

In 2005, Otzi was put through a high-resolution, multi-slice CT scanning machine which enlightened the arrow wound. Clearly, the arrowhead had caused a one-centimeter gash in Otzi’s left subclavian artery which is the main circulatory pipeline that carries fresh oxygenated blood from the heart to the left arm. Such a serious tear would have caused massive internal bleeding and rapid death—probably within two minutes.

The CT scan showed something else. There was significant bleeding at the base of the brain which corresponded to the depression in Otzi’s skull. He’d suffered a serious head injury right at the time of death.

With the cause of death now certain to be from a violent act of homicide, the prime question centered on the circumstances of how all this went down. Researchers felt the answer may lay in the Iceman’s possessions.

Among the artifacts found on and around Otzi’s body were a copper ax, a flint dagger, a quiver with twelve blank arrow shafts and two completed arrow shafts with stone heads. There was also winter clothing and supplies to support wilderness survival.

This speaks to motive, for if robbery was behind Otzi’s murder, it’s certain that the perpetrator(s) would have made off with these valuables. Glaringly missing was the shaft of the fatal arrow, especially in light of Otzi’s quiver arrows being perfectly preserved.

Egarter Vigl, a leading archeological expert on the Iceman, believes that the assailant tried to pull out the arrow to destroy evidence, only to snap off the arrowhead inside. Vigl was quoted in the archeology magazine Germani, “telltale markings in the construction of prehistoric arrows could be used to identify the archer much in the way modern ballistic can link a bullet to a gun. The killer yanked out the arrow to cover his tracks. For similar motives, the attacker did not run off with any precious artifacts that remained at the scene, especially the distinctive copper-bladed ax; the appearance of such a remarkable object in the possession of a villager would automatically implicate its owner of the crime.”

I’d have to agree with Mr. Vigl and I’d like to add an observation of my own.

In the hundreds and hundreds of dead bodies I’ve examined as a cop and a coroner, I’ve never seen a cadaver with its arms outstretched in a hyperextended position like how Otzi the Iceman was found. This is absolutely unnatural and shrieks to me that someone placed the arms in that position after death.

I think it’s safe to speculate on what might have happened and here’s what Otzi’s crime scene evidence suggests to me.

The day before Otzi’s death, he was in a physical altercation down at the village on the valley floor where he suffered the cut hand and possibly the broken right ribs. This caused him to pack up and flee, climbing to the elevated pass where he was overcome by his attacker(s) and shot with the arrow from behind and below. This wound would have put Otzi into hemorrhagic shock and he would have quickly collapsed and internally bled out. Following his collapse, the murder(s) went up and caved-in the back of Otzi’s head to finish him off.

I don’t believe this happened in the gully. I’ve looked at the scene photos and can’t envision how Otzi could have been shot from below in that tight gully, which is what the forensic evidence clearly shows on arrow’s track through the body—even if Otzi were bending over.

No, I suspect Otzi was shot elsewhere, dragged by the arms, dumped in the gully with all his possessions, and then covered with ice and/or snow to hide the evidence.

After 5,000 years, the answers to “By who?” and “For what reason?” are unlikely to be known, despite futuristic technology, and the murder of Otzi the Iceman will always remain a really cold case.

*   *   *

For a fascinating look at the whole Otzi stories, including the exceptional photos, visit the official website www.Iceman.it at the South Tyrol Museum of Archaeology in Bolzano, Italy.

THE TRUE CAUSE OF ELVIS PRESELY’S DEATH

Elvis Presley suddenly dropped in the bathroom of his Graceland mansion on the afternoon of August 16, 1977. He was rushed to Baptist Memorial Hospital in Memphis, Tennessee, pronounced dead, then shipped to the morgue and autopsied the same afternoon. Three days later, the coroner issued Elvis’s death certificate stating the cause as “hypertensive cardiovascular disease with atherosclerotic heart disease” — heart attack for short.

However, toxicology results soon identified ten pharmaceutical drugs in Elvis’s system with codeine being ten times the therapeutic level. This revelation started accusations of a cover-up and suggesting conspiracy theories of a sinister criminal act.

Pushing forty years after, modern medicine and forensics took a new look at the Presley case facts and determined something entirely different from a heart attack or a drug overdose really killed the King of Rock & Roll.

Hindsight being twenty-twenty, let’s first look at how death investigations should be conducted. Then we’ll explore the true cause of Elvis Presley’s death.

Coroners are the judge of death. It’s their responsibility to establish six main facts surrounding a death. (Coroners are not to assign blame.) In the Presley case, the facts determined at the time were:

Identity of Deceased — Elvis Aaron Presley.
Time of Death — Approximately 2:00 p.m. on Tuesday, August 16, 1977.
Place of Death — 3754 Elvis Presley Boulevard, Memphis, Tennessee.
Cause of Death — Heart attack.
Means of Death — Chronic heart disease.
Manner of Death — Natural

There’s a distinct difference between Cause of Death and Means of Death. Cause is the actual event. Means is the method in which death happened. Examples are cause being a ruptured aorta with means being a motor vehicle crash, or cause being massive cerebral interruption with means being gunshot wound to the head.

Once the first five facts are known, it’s the coroner’s duty to classify the Manner of Death. There are five universal death manner classifications:

  • Natural
  • Homicide
  • Suicide
  • Accidental
  • Undetermined

Elvis Presley’s death was ruled a natural event, thought at the time as being an acute cardiac event resulting from existing cardiovascular disease. If the coroner determined Elvis died from a drug overdose, the ruling would have been accidental. No one ever claimed it was suicide or homicide.

One principle of death investigation is to look for antecedent evidence—pre-existing conditions which contributed to the death mechanism or was responsible for causing or continuing a chain of events that led to the death.

Another principle of death investigation is examining the triangle of Scene—Body—History. This compiles the totality of evidence.

 

Let’s look at the evidence in Elvis Presley’s death.

Scene

Elvis was found on his bathroom floor, face down in front of the toilet. It was apparent he’d instantly collapsed from a sitting position and there was no sign of a distress struggle or attempt to summon help. When the paramedics arrived, he was cold, blue, and had no vital signs. Rigor mortis had not set in, so he’d probably expired within the hour.

He was transported by ambulance to Baptist Memorial Hospital where a vain attempt at resuscitation occurred because “he was Elvis”. He was declared dead at 3:16 p.m. and was shipped to the morgue where an autopsy was promptly performed.

There was no suggestion of suicide or foul play so there was no police investigation. The scene wasn’t photographed, nor preserved, and there was no accounting for what medications or other drugs might have been present at Graceland.

Body

Elvis was in terrible health. His weight was estimated at 350 pounds, and he was virtually non-functional at the end, being mostly bed-ridden and requiring permanent nursing care. He suffered from an enlarged heart which was twice the size of normal and showed advanced evidence of cardiovascular disease in his coronary vessels, aorta, and cerebral arteries—certainly more advanced than a normal 42-year-old would be.

His lungs showed signs of emphysema, although he’d never smoked, and his bowel was found to be twice the length of normal with an impacted stool estimated to be four months old. Elvis also suffered from hypogammaglobulinemia which is an immune disorder, as well as showed evidence of an autoimmune inflammatory disorder.

Toxicology tested positive for ten separate prescription medications but showed negative for illicit drugs and alcohol. The only alarming pharmaceutical indicator, on its own, was codeine at ten times the prescribed manner but not in lethal range.

History

Elvis was born on January 8, 1935, in Tupelo, Mississippi. He had a twin brother who died at birth. As a youth, Elvis was active and healthy which continued during his time in the army and all through his early performing stage when he was a bundle of energy. He began experimenting with amphetamines, probably to enhance his performances, but shied from alcohol as it gave him violent tendencies.

In 1967, Elvis came under the primary care of Dr. George Nichopoulos who was well-known to celebrities. Then, Elvis was 32 and weighed 163 pounds. His only known medical ailment was slightly high blood pressure, presumably due to his high-fat diet.

Also in 1967, Elvis’s health took a sudden turn with progressive chronic pain, insomnia, hypertension, lethargy, irrational behavior, and immense weight gain. Over his remaining years, Elvis was seen by many different doctors and was hospitalized a number of times, all the while resorting to self-medication with a wide assortment of drugs from dozens of sources.

Doctor Nick, as Nichopoulos was called, stayed as Elvis’s personal physician till the end. He was present at the death scene, as well as during the autopsy. Doctor Nick concurred with the coroner’s conclusion that the cause of death was a natural cardiac event resulting from an arrhythmia, or sudden interruption of heartbeat, and agreed that Elvis’s death was not due to a drug overdose.

When the toxicology report was released, it came with a qualifier:

“Diazepam, methaqualone, phenobarbital, ethchlorvynol, and ethinamate are below or within their respective ranges. Codeine was present at a level approximately 10 times those concentrations found therapeutically. In view of the polypharmacy aspects, this case must be looked at in terms of the cumulative pharmacological effect of the drugs identified by the report.”

Because the tox report appeared to contradict the autopsy report’s stated cardiac cause of death, a prominent toxicologist was asked to review the findings. His opinion was:

“Coupled with this toxicological data are the pathological findings and the reported history that the deceased had been mobile and functional within 8 hours prior to death. Together, all this information points to a conclusion that, whatever tolerance the deceased may have acquired to the many drugs found in his system, the strong probability is that these drugs were the major contribution to his demise.”

The Tennessee Board of Health then began an investigation into Elvis’s death which resulted in proceedings against Doctor Nick.

Evidence showed that during the seven and a half months preceding Elvis’s death—from January 1, 1977, to August 16, 1977—Doctor Nick wrote prescriptions for Elvis for at least 8,805 pills, tablets, vials, and injectables. Going back to January 1975, the count was 19,012.

These numbers might defy belief, but they came from an experienced team of investigators who visited 153 pharmacies and spent 1,090 hours going through 6,570,175 prescriptions and then, with the aid of two secretaries, spent another 1,120 hours organizing the evidence.

The drugs included uppers, downers, and powerful painkillers such as Dilaudid, Quaalude, Percodan, Demerol, and Cocaine Hydrochloride in quantities more appropriate for those terminally ill with cancer.

Doctor Nick admitted to this. His defense was because Elvis was so wired on pain killers, he prescribed these medications to keep Elvis away from dangerous street drugs, thereby controlling Elvis’s addiction—addiction being a disease.

One of the defense witnesses was Dr. Forest Torrent, a prominent California physician and a pioneer in the use of opiates in pain treatment who explained how the effects this level of codeine would have contributed to Elvis’s death.

Central to misconduct allegations was the issue of high codeine levels in Elvis at the time of death—codeine being the prime toxicological suspect as the pharmaceutical contributor. It was established that Elvis obtained codeine pills from a dentist the day before his death and Doctor Nick had no knowledge of it.

The jury bought it and Doctor Nick was absolved of negligence in directly causing Elvis Presley’s fatal event.

Continuing Investigation

Dr. Torrent was convinced there were other contributing factors leading to Elvis’s death. In preparation for Doctor Nick’s trial, Dr. Torrent had access to all of Elvis Presley’s medical records, including the autopsy and toxicology reports. Incidentally, these two reports are the property of the Presley estate and are sealed from public view until 2027, fifty years after Elvis’s death.

Dr. Torrent was intrigued by the sudden change in Elvis starting in 1967. He discovered that while in Los Angeles filming the movie Clambake, Elvis tripped over an electrical cord, fell, and cracked his head on the edge of a porcelain bathtub. Elvis was knocked unconscious and had to be hospitalized. Dr. Torrent found three other incidents where Elvis suffered head blows and he suspected Elvis suffered from what’s now known as Traumatic Brain Injury—TBI—and that’s what caused progressive ailments which led to his death.

Dr. Torrent released a paper titled Elvis Presley: Head Trauma, Autoimmunity, Pain, and Early Death. It’s a fascinating read—recently published in Practical Pain Management.

Dr. Torrent builds a theory that Elvis’s bathtub head injury was so severe that it caused brain tissue to be jarred loose and leak into his general blood circulation. This is now known to be a leading cause of autoimmune disorder which causes a breakdown of other organs. But this was unknown in 1967, and Elvis went untreated. Side effects are chronic pain, irrational behavior, and severe bodily changes such as obesity and enlarged organs like hearts and bowels.

Today, TBI is a recognized health issue in professional contact sports.

With a change in mental state and suffering chronic pain, Elvis Presley entered a ten-year spiral towards death. He became hopelessly addicted to pain killers, practiced a terribly unhealthy diet and lethargic lifestyle, and resorted to the typical addict’s habit of sneaking a fix wherever he could. This led to early coronary vascular disease and, combined with his escalating weight and pill consumption, Elvis was a heart attack ready to burst.

Recall that I used the term antecedent, like all coroners do when assessing a cause of death. Given Dr. Torrent’s observations—and all the facts compiled from forty years—if I were the coroner completing Elvis Presley’s death certificate today, I’d write it like this:

Identity of Deceased — Elvis Aaron Presley.
Time of Death — Approximately 2:00 p.m. on Tuesday, August 16th, 1977.
Place of Death — 3754 Elvis Presley Boulevard, Memphis, Tennessee.
Cause of Death — Cardiac arrhythmia, antecedent to hypertensive cardiovascular disease with atherosclerotic heart disease, antecedent to polypharmacy, antecedent to autoimmune inflammatory disorder, antecedent to traumatic brain injury.
Means of Death — Complications from Cumulative Head Trauma.

Therefore, I’d have to classify the manner or classification of Elvis’s death as an Accident.

There’s no one to blame—certainly not Elvis. He was a severely injured and sick man. There’s no specific negligence on anyone’s part and, definitely, no cover-up or conspiracy in a criminal act.

If Dr. Forrest Torrent is right, which I believe he is, there simply wasn’t a proper understanding back then in determining the true cause of Elvis Presley’s death.