Tag Archives: Death

DID JEFFREY EPSTEIN REALLY KILL HIMSELF

On August 10, 2019, Jeffrey Edward Epstein—a 66-year-old American mega-millionaire and registered sex offender powerfully connected to presidents and royalty—died in his prison cell at the Special Handling Unit of New York’s Metropolitan Correctional Center. The coroner ruled the death a suicide but, shortly, the publicly-exposed mass of improprieties surrounding Epstein’s custody control and supervision within the detention facility raised a massive foul play speculation. Many properly wondered, “Did Jeffrey Epstein really kill himself?”

It wasn’t just the crazy conspiracy theorists who wondered if Epstein truly committed suicide. There were just too many suspicious circumstances to ignore. Switches in cellmate placements. Epstein left unchecked for nearly eight hours before his death while under a suicide watch. Security cameras on his cell being disabled. Guards “asleep” at their station. Falsified records. No cell search for contraband. A blatant disregard for prison policies and procedures set in place to prevent such a death. Plus, the horde of high-profile people Epstein had dirt on.

Then, there’s the autopsy review by America’s high-profile forensic pathologist, Dr. Michael Baden, who said Epstein’s broken neck bones could not have been caused by a self-inflicted, ligature hanging. In Baden’s opinion (who performed more than 20,000 autopsies in his 45-year career), it was far more likely Epstein was a homicide victim than a suicide statistic.

On June 27, 2023, the United States Department of Justice (DOJ), through its Office of the Inspector General (OIG), released a 128-page report on the Jeffrey Epstein in-custody death investigation. Before dissecting the report and reaching a conclusion, let’s review who Jeffrey Epstein was and the facts leading to his sudden and unnatural death.

Putting it bluntly, Jeffrey Epstein was an enormous con man and an extreme pervert. He was born in Brooklyn in 1953 and completed high school with skipped-grades but never sought a college degree. That didn’t stop him from getting a physics and math teacher’s position at the prestigious Dalton School in Manhattan. Epstein was quickly fired for inappropriate behavior towards underage female students.

Epstein reinvented himself as a banker. Given credit where credit is due, Epstein functioned at a near-genius level with figures. He worked his way toward the top of Bear Stearns but was “dismissed” for regulatory violations.

He went on his own, founding International Assets Group which specialized in money recovery for extremely wealthy clients. He once called himself a high-level bounty hunter. Because he excelled at this job, he quickly acquainted himself with some of the richest people in the world as well as those socially and politically elite.

In 1987, Jeffrey Epstein joined Towers Financial Corporation as a “consultant”. By 1993, Towers imploded in one of the biggest Ponzi schemes America had ever seen with over $900 million in today’s value simply gone. Epstein escaped unscratched and went on to an even bigger venture.

He founded J. Epstein & Associates in 1988. Its cover was to manage assets of clients with a minimum of $1 billion net worth—an exclusive club at the least. In 1996, he changed the name to the Financial Trust Company with a new headquarters in the U.S. Virgin Islands tax-shelter haven. Another venture was Liquid Funding Ltd. which was a novel and clever debt-repo service partnered with Bear Stearns that collapsed in the 2008 financial meltdown.

Through these years, Jeffrey Epstein amassed an unknown pot of wealth. Personal properties included a Manhattan mansion, one in Palm Beach, Florida, a New Mexico ranch, and an exotic island getaway called Little Saint James in the Virgin Islands. It was here that some of the sinister sexual seductions with underage girls took place.

Jeffrey Epstein surrounded himself with the elite of the elites. Tarred by the Epstein brush were people like Prince Andrew of the British Royal Family, U.S. Presidents Bill Clinton and Donald Trump, Israeli Prime Minister Ehud Barak, British Prime Minister Tony Blair, Saudi Crown Prince Mohammed bin Salman, Cuban Dictator Fidel Castro, financial titans like Bill Gates, Richard Branson, and Rupert Murdoch, and celebrities such as Harvey Weinstein, Woody Allen, Michael Jackson, Alex Baldwin, a host of Kennedys, and the beat goes on.

The Epstein sex scandals surfaced in 2005. The Palm Beach conducted a 13-month undercover investigation on Epstein that brought in the FBI because of its international scale. Eventually, sixty young females gave evidence of being sex-trafficked through Jeffrey Epstein, his properties, and his female co-conspirator, British socialite Ghislaine Maxwell (who is now serving 20 years for sexual offenses against minors).

One of the sworn allegations was that Epstein had 12-year-old triplet girls flown in from France who he sexually assaulted and had them returned the next day. Other girls came from Brazil, the Soviet Union, and across Europe. These minors were facilitated by Maxwell through her contacts in Jean-Luc Brunel’s MC2 Modeling Agency.

Epstein was arrested in Palm Beach in July 2006 on child abuse charges. These serious allegations were plea-bargained down to one count of procuring a minor and one count of soliciting a prostitute. It was called the “sweetheart deal of the century by the U.S. Attorney General who eventually had the prosecutor fired for agreeing to an Epstein guilty plea resulting in 18 months of open custody.

Meanwhile, Epstein went back to work as a money-maker and a kiddie-diddler. Then the civil suits started, and the criminal investigation continued. He was again arrested by the FBI for sexual offenses against minor girls, this time in New York after returning from Europe. That was on July 6, 2019. He was denied bail and sent to the Special Handling Unit (SHU) at the Metropolitan Correction Center (MCC) operated by the Federal Bureau of Prisons (FBP). Epstein remained there for 35 days until he died on August 10.

To understand what led to Jeffery Epstein’s death, it’s vital to know the chain of events that occurred to allow this to happen. This timeline is clearly laid out in Chapter 3 of the DOJ-OIG report titled Timeline of Key Events. Here is a summary.

September 21-24, 2018 — The FBP at MCC contracts to have their video surveillance system updated from analog to digital recorders.

March 17, 2019 — Resources for video upgrades are temporarily reassigned to other work leaving the recording portion half-finished. Livestream cameras are operational for real-time surveillance but cameras in the Special Handling Unit (SHU), including those near Epstein’s future cell won’t record.

July 2, 2029 — A New York federal grand jury indicts Epstein on child sex trafficking charges. A warrant is issued.

July 6, 2019 — Epstein is arrested at a New Jersey airport as he returns from France. He is incarcerated as a pretrial detainee at MCC. The news stories are viral and he is assigned to the SHU for protection from other inmates.

July 8, 2019 — Epstein is arraigned and pleads not guilty. The MCC Chief Psychologist routinely interviews him and finds no evidence of suicidal thoughts.

July 10, 2019 — Guards report Epstein appears “distraught, sad, and a little confused”. A specific suicide risk assessment is done, and the MCC administration assigns Epstein a suitable cellmate as a safety precaution.

July 11, 2019 — Epstein is re-evaluated as a suicide risk. The psychologist minimizes the potential and orders weekly follow-ups.

July 18, 2019 — A federal judge denies Epstein bail even though he offered a $100 million surety. The judge found Epstein “a danger to the community and a flight risk.”

July 23, 2019 — At 1:21 am, guards hear a commotion coming from Epstein’s cell. Epstein was on the floor, semiconscious, with an orange bedsheet strip around his neck. There are notable skin injuries on Epstein’s neck. The cellmate says he woke up hearing Epstein in distress. Epstein said the cellmate tried to kill him. Epstein is moved to the Psychiatry Unit and placed on a suicide watch, alone in a cell.

July 24, 2019 — Epstein is removed from the suicide watch after another psychiatric assessment but is still left alone in a cell at the Psych Unit.

July 25-29, 2019 — Daily interviews are done. Epstein emphatically denies having suicidal tendencies and states he does not remember how he received injuries to his neck.

July 30, 2019 — Epstein is transferred back to the SHU and placed in a cell visible from the guard station. MCC administration orders that Epstein be assigned a new cellmate. A suitable candidate is found and housed with Epstein.

August 2, 2019 — MCC administration concludes its investigation into the suspected Epstein suicide attempt on July 23 and determined they cannot conclusively categorize it as a suicide attempt.

August 8, 2019 — Epstein has a private meeting with his lawyers and updates his will. The prison staff is not aware of this change.

August 9, 2019 — Epstein’s cellmate is moved out at the request of the U.S. Marshals and taken to an out-of-state facility. Epstein is once again alone.

August 9, 2019 — Over two thousand pages of evidence in proceedings against Ghislaine Maxwell are unsealed. They contain very damaging evidence against Epstein, and they receive international media attention. Epstein meets with his lawyers. He then makes an unauthorized phone call to an unknown person.

August 9, 2019 — The last known bed check on Epstein happens at 10:40 pm.

August 10, 2019 — Guards begin breakfast service at 6:30 am. They find Epstein semi-suspended with his buttocks 2 inches from the floor with his legs straight out. A torn prison sheet is noosed around his neck and tied to the upper bunk ladder. Epson is unresponsive. Resuscitation fails, and he’s taken to the morgue.

August 11, 2019 — The New York City Coroner’s Office autopsies Epstein and rules the death a suicide caused by hanging.

June 27, 2023 — The DOG-OIC report titled Investigation and Review of the Federal Prison’s Custody, Care, and Supervision of Jeffrey Epstein at the Metropolitan Correctional Center in New York, New York is released. They concluded there were “numerous and serious failures by MCC New York staff including multiple violations of MCC and BOP policies and procedures” that included falsifying records to cover up the lack of supervision on the night of August 9/10. The report upheld a suicide ruling and made eight recommendations to minimize a re-occurrence of the Jeffrey Epstein event.

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That’s the timeline of what led to Epstein’s death. Let’s deal with the highlights before wrapping up with the biggest issue of all—that the autopsy findings allegedly support a homicide ruling over a suicide.

Cell Search — The BOP has a policy of ongoing cell searches to locate contraband or items that an inmate could use to harm themselves or others. The report found no record that Epstein’s cells had ever been searched and that he had an excess of bed linens that he could use to make a hanging ligature.

Cell Checks — The last recorded cell check on Epstein was at 10:40 pm on August 9. He was found at 6:30 on the 10th. Checks are to be made hourly so that’s eight checks in a row that were missed. This is what the two night-shift guards falsify. However, they were caught by their own cameras.

Faulty Cameras — The conspiracy crowd made a lot of media and internet noise over the “disabled” cameras. The DOJ/OIG report takes a deep dive into this issue in Chapter 6. They found nothing intentional had been done to sabotage the cameras. Every camera aimed at Epstein’s cell was in proper working order except they were only on livestream mode. The recorders had never been updated. Typical bureaucratic inefficiency.

The only recorded video, though, was crucial. That was the camera with both Epstein’s cell door and the guard station in the viewfinder. It was clear evidence that no one had gone near Epstein’s cell door from 10:40 pm until 6:30 am. It was also clear that both guards in the recording never moved from their station during the same time. Apparently, they were asleep. Later, they were convicted of falsifying the bed check documents.

The Cellmates — The report does not name either of Epstein’s cellmates, but it does detail every move, the reasons for the move, and the concern the MCC administration staff had about a suitable watch person being with him at all time.

The Previous Suicide Attempt — The report overrules the MCC finding that there wasn’t sufficient evidence of a clear earlier suicide attempt. The OIG investigation notes this was a huge red flag and Epstein’s supervision should have been done accordingly.

The Ghislaine Maxwell Documents — This was the proverbial straw that broke Epstein’s back. He knew his case was hopeless and that he’d be spending the rest of his life in jail. It was now just waiting a suitable moment for him to hang himself. He found it on the night of August 9/10 when he was alone and unsupervised.

The Will and the Call — Both events seem suspicious, but the report lets the BOP and MCC off light here. There is no way prison officials could know what was going on in a meeting between Epstein and his attorneys. And there is no way to know what was said in a 27-minute private call that happened around 9:00 pm on August 9th despite that Epstein was supposed to be under outgoing call monitoring. He was using an unauthorized smuggled smartphone that should have been discovered if he’d ever had a cell search.

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So, let’s deal with the autopsy and the controversial broken neck bones. Dr. Kristen Roman, M.D. was the prosector (a person who dissects bodies.) She was a very experienced forensic pathologist employed by the New York City’s Medical Examiner Office. Her report’s final diagnosis is very clear, and the coroner has never deviated from it. Rather than paraphrase it, see the image below

 

The “broken neck bones” referred to by the news media through Dr. Michael Baden (who was hired by Jeffrey Epstein’s brother to second-guess the suicide ruling) are not bones at all—certainly not true neck bones like the thoracic and cervical vertebrae that make up the upper spine. Dr. Roman refers to “fractures of bilateral thyroid cartilage cornuae and left hyoid cornua”. These two anatomical features are soft cartilage in the throat—one supports the tongue, and the other supports the thyroid gland. They are almost always damaged or “fractured” in ligature hangings.

Let’s go to the source of this “broken neck bone” trouble. Dr. Baden gave an interview to Fox News on October 30, 2019. Here’s a Fox News quote from that show. 

Jeffrey Epstein’s autopsy is more consistent with homicidal strangulation than suicide, Dr. Michael Baden reveals. 

He noted that the 66-year-old Epstein had two fractures on the left and right sides of his larynx, specifically the thyroid cartilage or Adam’s apple, as well as one fracture on the left hyoid bone above the Adam’s apple, Baden told Fox News. 

“Those three fractures are extremely unusual in suicidal hangings and could occur much more commonly in homicidal strangulation,” Baden, who is also a Fox News contributor, said. 

While there’s not enough information to be conclusive yet, the three fractures were “rare,” said Baden, who’s probed cases involving O.J. Simpson, President John F. Kennedy, Martin Luther King, record producer Phil Spector, New England Patriots star Aaron Hernandez, and many others. 

“I’ve not seen in 50 years where that occurred in a suicidal hanging case,” the 85-year-old medical legend told Fox News.

There are three things wrong with the Baden/Fox release.

  1. Given credit to Dr. Baden for correctly identifying the hyoid and thyroid cartilages, it was Fox News that sensationalized them as a broken neck. ie – this couldn’t have happened in a suicide hanging so it had to be a murder.
  2. Dr. Baden is out-of-line stating the hyoid and thyroid cartilages fractures are extremely unusual in suicidal hangings and are more consistent with manual strangulations.
  3. Dr. Baden infers that he was physically present at the autopsy as an independent observer hired by the Epstein family.

Let’s examine these issues.

Dr. Roman’s autopsy report is very clear. She was the one who examined the body, and her findings are conclusive. She refers to the fractured hyoid and thyroid cartilages and never refers to them as neck bones or a broken neck as in vertebrae fractures. She clearly concludes Epstein hung himself with a torn bedsheet and no one else was directly or indirectly involved in intentionally causing his death.

In Chapter 7 of the OIG report titled Conclusions and Recommendations, the investigators deal with the Baden interview and his statement that fractured hyoid and/or thyroid cartilages rarely occur in suicide ligature suspensions. They interviewed Dr. Roman who contradicted Dr. Baden confirming that these fractures often occur in cases like the Epstein death. She pointed out that the ligature was a wide bedsheet fragment and not a small-diameter cord like the electrical connection on the C-PAC machine found in Epstein’s cell.

Dr. Roman explained the mechanism of the ligature and how the forces worked in this case. Because the fabric and the tied knot were wide, they created an upward furrow that was evident on Epstein’s neck. She stated the force was at the right location and would have exerted sufficient pressure in his suspended position to cause the cartilage fractures—she would have been surprised if the fractures hadn’t occurred.

The pathologist also commented in the OIG report that there was nothing on Epstein’s body to indicate defensive wounds usually seen in violent homicide deaths. There was no bruising except for the ligature location and what’s known as petechiae in the eyes which are small red dots or blood vessel ruptures caused by the circulation interference. Furthermore, there was no debris in his fingernails associated with a fight, and no contusions on his knuckles.

Nowhere in Dr. Roman’s autopsy report and interview with the OIG investigation does she confirm Dr. Baden being at the autopsy. This (in my experience as a homicide investigator and coroner) is highly unlikely. Autopsies, especially forensic autopsies like performed on Jeffery Epstein, are carefully controlled. Only those absolutely necessary may attend.

There would be no value in Baden being there. If he were contracted by the family for a review, he would be supplied with the entire material including photographs, documents, and whatever exhibits had been processed. Baden gave his Fox interview two months after the autopsy. By then, the entire autopsy results would be in and supplied to the family, ergo to Baden.

There’s one more reason that Baden probably wasn’t in that autopsy suite. He’s a publicity-seeking narcissist, and it’s well-known he’s never seen a camera or a mic he didn’t like. Anytime there’s a high-profile death, information processors like Fox News look for sensational sources. Dr. Michael Baden is on their speed dial.

And there’s a credibility issue over the suicide vs homicide conclusion in the Jeffery Epstein postmortem examination. Dr. Kristen Roman received her M.D. in 1999 and was board-certified as a forensic pathologist in 2004. When she autopsied Epstein, she had 15 years of operational experience with the New York Medical Examiner Office as an active prosector. Roman had nothing to gain by not being candid on the Epstein file.

You might want to read this Intelligencer article titled Why You Might Not Want to Believe Michael Baden, Celebrity Pathologist, on Epstein’s Death.

By Jeffrey Epstein committing suicide, he cheated dozens of innocent victims out of justice. It’s a travesty that this travesty developed into the widespread social mockery meme, “… and Epstein didn’t kill himself.”

WHAT REALLY KILLED HANK WILLIAMS SENIOR

They say you haven’t made it in country music until you’ve recorded a piece about a breakup, one about a jukebox, and a tribute to Old Hank. Without question, Hank Williams Senior, the Hillbilly Shakespeare, was one of the most influential people ever to perform in American music. As a singer and songwriter, he left an unmatched legacy. He was also a train wreck in his personal life which was a prime factor in what really killed Hank Williams Senior.

There’s controversy about the circumstances surrounding Hank Williams’s death. It was never investigated by the police but, truthfully, there’s no credible suggestion of foul play and no reason for police involvement. The problem lay with the autopsy and toxicology examination of which no written record is available in the public arena—which is so commonly the case in celebrity passings. There’s also trouble with certain witness evidence regarding where and when Hank died at 29 years old on New Years Day in 1953.

Before we look at the known case facts and reach a conclusion about what really killed Hank Williams Senior, let’s review a history of the man and his music.

Hiram (Hank) Williams was born on September 17, 1923, in the rural community of Mount Olive in Butler County, Alabama. His father was a railroader who was seriously injured and semi-permanently hospitalized leaving young Hank to be raised by his mother. When he was four, the family moved to Georgiana, Alabama, and at ten they settled in Montgomery. From then on, Hank Williams would call Montgomery home.

Hank’s musical talent was evident at an early age. He would sing in the church choir and busk on the street. Probably a dozen people have claimed to have given Hank his first guitar but in Hank’s own words, he bought it himself with money won in a talent show. In Georgiana, he was mentored by a Blues artist named Rufus “Tee Tot” Payne who, according to Hank, was the only music teacher he ever had. All else, from his rhythm guitar prowess to his genius with lyrics, was self-taught.

Hank’s radio debut came at age 13 when he had his own 15-minute live show. At 14 he formed his own band called Hank Williams and the Drifting Cowboys. By the early 1940s, Hank caught the attention of Nashville music executives. He quit school and took his band on the road with his mother as their manager.

World War II broke up the Drifting Cowboys. All the band members were drafted into military service. All members exact Hank Williams. He was born with a spinal defect termed spina bifida which excused him from the army. The defect caused him lifelong back pain to which he turned to alcohol and painkillers for relief.

In Nashville, Hank met Audrey Sheppard and married her. This produced a son who went on to be a very successful musician on his own—Hank Williams Junior. The marriage quickly dissolved due to Hank Senior’s increasing alcohol use which would seriously affect his career.

Over his short time in the music industry, Hank rightfully earned the name “The Father of Country Music”. He didn’t just change the direction of country—he invented it. His first hit, Move It On Over, was followed by a string of others like Jambalaya, There’s a Tear in My Beer, I’m So Lonesome I Could Cry, Hey Goodlookin’, and Lovesick Blues. In total, Hank Williams recorded 55 singles that reached Billboard’s Top 10 list including 12 that became Number 1 hits. Three Number 1s were released after his death.

Hank William’s back pain increased as he grew older. He had a spinal fusion in 1951 and that only worsened the condition. His alcohol and drug consumption also increased and this led to benders of drunkenness and fits of being totally stoned. As such, his fail-to-show rate at performances became out of control. He was finally banned from playing at the Grand Ole Opry because of chronic drunkenness.

Despite his popularity on the charts, Hank was forced to take second-rate gigs to pay the bills. One show was scheduled for New Years Eve, 1952, in Charleston, West Virginia. Due to an ice storm that prohibited flying, Hank canceled the Charleston show and made driving arrangements to attend a next-day performance in Canton, Ohio.

Williams hired a friend’s son, 17-year-old Charles Carr, to drive Hank’s baby-blue Cadillac convertible from Montgomery to Canton. The pair left Montgomery on the morning of December 31, 1952, under horrible road conditions. Hank rode in the back, stretched out to relieve the pain. He also consumed chloral hydrate capsules as well as an unknown quantity of beer.

When they reached Knoxville, Tennessee, the two took a break at the Andrew Jackson Hotel. Because Hank was inebriated, in deep pain, and relentlessly burping, hiccupping, and complaining of indigestion, Carr called a doctor to examine him. This doctor gave Hank a shot containing morphine and Vitamin B12 to reduce the pain and digestive distress.

They hit the road at about 11 pm, again with Carr driving and Hank in the back. By the time they reached Oak Hill, West Virginia, some 4 hours or 270 miles distant, Carr stopped for gas. He checked on Hank who was lying under a blanket and found him unresponsive, cold, and stiff with rigor mortis already setting in.

Carr then drove Hank’s lifeless body to the Oak Hill hospital where he was officially pronounced dead. The local coroner and mortician, Dr. Ivan Malinin, performed an autopsy on Hank at the Tyree Funeral House. Malinin, a Russian immigrant who barely spoke English, declared the cause of death as being “insufficiency of the left ventricle of (the) heart”.

There’s no available autopsy report on the internet. And there’s no record of any toxicology testing, although some articles refer to there being a sufficient quantity of alcohol being in Hank’s blood. There’s also no documentation on Malinin’s medical qualifications—whether he was an accredited MD in the United States let alone a board-certified pathologist with experience in conducting human autopsies.

The best evidence for drugs and alcohol in Hank William’s system comes from Carr, who observed him drinking beer during the trip, the Knoxville doctor who gave him the morphine injection, and the nearly finished chloral hydrate prescription on Hank’s person. The mixture of morphine, chloral hydrate, and alcohol (ethanol) is known to be deadly and a prime contributor to a fatal heart attack. The indigestion is also symptomatic of an oncoming cardiac event.

From what history has recorded, there’s little doubt that Hank Williams Senior died from cardiac failure/arrest. But that’s not what really killed him. I’ll defer to my days as a coroner and review how coroners determine the actual cause of a person’s death.

Everywhere in the civilized death investigation world, coroners have the same mandate. Once they’ve fulfilled this responsibly, the case is closed and never revisited unless there are extreme circumstances to require a second look. In the Hank Williams case, the findings seem pretty simple. He died from heart failure due to excessive drug and alcohol consumption. But it’s not that simple.

Coroners have a duty obligation to find the deceased’s identity, where they died, when they died, how they died, by what means they died from, and what classification their death falls into.

With Hank Williams, there’s no question about identity. His death location cannot be positively established—it was in the back of a car somewhere on the road between Knoxville and Oak Hill. The time of death is somewhat gray—somewhere between 11 pm on December 31, 1952, and 3 am on January 01, 1953. How Hank died is, in all liklihood, a heart attack or what’s medically known as a myocardial infarction. That’s a very acceptable conclusion.

But what’s not so easy to conclude is by what means Hank died. “By What Means” refers to the root cause or underlying event that brought on the heart attack. For example, a person killed by a bullet to the head would have the cause being massive cerebral interruption and the means being a gunshot wound to the head. In Hank’s case, the cause being the heart attack and the “by what means” being brought on by excessive drugs and alcohol intake or what’s medically known as a poly-pharmacy overdose.

There are five death classifications available to a coroner: Natural, Suicide, Accident, Homicide, and Undetermined. There’s no suggestion that Hank Williams’ death was a suicide or a homicide. Those can be eliminated. This isn’t an undetermined death—his heart suddenly stopped working as the result of too much booze and too many pills. The question becomes whether Hank died from natural causes or if he died as the result of an accidental overdose.

Let’s revisit “By What Means”. It’s not sufficient to stop at concluding it was an overdose-related heart attack. There’s more to the story and the root cause or primary contributing event. Hank Williams Senior was a well-known alcoholic and pain pill popper. There’s gobs of history to support that—overwhelming evidence of his addiction.

Addiction is classified as a mental disease under the Diagnostic and Statistical Manual Five (DSM-V). Alcoholism is a subcategory of addiction and so is drug abuse whether it’s illegal narcotics or pharmaceutical prescriptions. Today, addiction is generally referred to as substance use disorder or SUD. There’s absolutely no doubt Hank suffered from SUD.

So taking SUD into account, if I were the coroner ruling on the “By What Means” in this case I’d say Hank died from a massive coronary event, antecedent to polypharmacy excess, antecedent to the pre-existing disease of substance abuse disorder. Because a disease is a medical condition, I’d classify the death as a natural event. And I’d also make a comment on what brought on his SUD. Lifestyle and pain.

I’ll end this by saying that a poor lifestyle and chronic pain mismanagement are what really killed Hank Williams Senior.

ELISA LAM’S GHASTLY DEATH AT THE NOTORIOUS CECIL HOTEL IN L.A.

On February 19, 2013, Elisa Lam was found dead inside a 1,000-gallon water cistern on top of the notorious Cecil Hotel in the Skid Row District of downtown Los Angeles. Elisa, age 21, was reported missing 19 days earlier and was last seen in an elevator in the 14-story, 700-room hotel where she’d been staying. The L.A. Coroner ruled Elisa’s death an accident compounded by bizarre behavior caused by her previously diagnosed bipolar disorder. Her ghastly death was one more in a long series of outrageous events at The Cecil. As an LAPD officer put it, “The place is haunted. Tell me in which room a death hasn’t occurred.”

Elisa Lam’s bizarre death circumstances caught worldwide attention. Over the years, it’s developed an internet cult where outlandish theories are tossed about like a ghoulish parlor game. Some speculate on a paranormal event. Some speculate Elisa was part of a black-web Asian practice called the elevator game. There’s been so much macabre interest in the “Dead Lady in the Hotel Water Tank” case that in 2021 Netflix produced a 4-part series on it titled Crime Scene: The Vanishing at the Cecil Hotel.

There are two distinct stories in the Elisa Lam death case, and they merge in the end. One is the truly terrifying, final moments of Elisa’s death. The other is the horrible history of the hotel that housed at least two serial killers including the Night Stalker himself, Richard Ramirez. Let’s start with examining Elisa’s case facts and then look at the craziness confined in a haunted hotel.

The Death Investigation

Elisa Lam was born in Hong Kong and immigrated to Vancouver, Canada with her parents and sister. Elisa was a bright young lady and had been enrolled in the University of British Columbia. She ran several popular blogs and was a budding writer. However, Elisa suffered from depression and was clinically diagnosed with bipolar disorder. She was prescribed the usual medications—Lamotrigine, Quetiapine, Venlafaxine, and Bupropion (Wellbutrin). Although she’d been hospitalized for a psychotic event, Elisa had no background of suicidal tendencies.

In early January 2013, Elisa took a post-Christmas sabbatical from her studies. She traveled alone via Amtrak and busses to Southern California, first to San Diego and then arriving in Los Angeles on January 26. Why she picked the Cecil Hotel is not known. Probably because The Cecil had been rebranded as Stay on Main (address 640 S. Main Street) to clean up its image as the worst lodging in the worst region of L.A. Bottomline—as a designated hostel, the price was now right.

Elisa initially roomed with two other young women. This quickly ended because of her behavior—giving entry passwords to the others and locking them out as well as leaving strange notes on their beds. Hotel staff moved Elisa to a single room where she could be alone. Then there was an episode in late January at a film studio (taping of Conan O’Brien) where Elisa was removed by security for disruptive behavior.

Elisa was last seen in person on January 31 in the hotel lobby. She’d kept in daily touch with her parents and sister. When she failed to connect on February 2, Elisa’s folks filed a missing persons report with LAPD.

Investigators checked the hotel’s video file and were satisfied Eliza never left the building through the main doors or fire escapes. What they did find was footage from February 1 where Elisa was alone in an elevator. In the 2-minute reel, Elisa portrayed seriously disturbed behavior. The video was released to the public before Elisa’s body was found, and it went viral, being viewed 33 million times on YouTube.

Before reading on, you must watch the clip to appreciate Elisa’s mental state. A picture is worth a thousand words and a video is priceless.

On February 19, a hotel maintenance worker responded to guest complaints that their water smelled bad, was a funny color, and the pressure was low. He checked the hotel’s four cisterns that were roof mounted to accommodate gravity pressure. These cisterns were steel tanks measuring 8 feet high and 4 feet in diameter. Access was through a removable upper hatch that could easily be removed by one person.

The worker found the lid open on the northeast tank. He looked inside and saw Elisa’s bloated and decomposing body floating face up on the surface—the water level being approximately 2 feet down from the top or 6 feet from the bottom and no way that 5-foot, 6-inch Elisa could have stood on the tank floor with her head in the air.

The L.A. Fire Department drained the tank and cut it open as removing Elisa’s body through the upper portal was impossible. Elisa was naked and her saturated clothes lay loose on the tank floor along with her watch and her hotel room key card. Inside her room, the rest of her belongings remained including her money, identification, and medications.

Elisa was autopsied on February 21. Aside from a ¼ inch round abrasion on her left knee, there was no sign of physical trauma. Her cause of death was clear—drowning. “Both pleural cavities contain dark brown fluid; 300 cc on the right and 200 cc on the left.”

Her toxicology testing was not so clear. Her advancing state of decomposition—being dead approximately 21 days by autopsy time—left little blood in her heart or major arteries to examine. The toxicology report (considering blood, bile, and liver tissue) was conclusive that no normal street drugs were present in her system, i.e. cocaine, opiates, amphetamines, and even THC. Traces of her prescriptions—Lamotrigine, Quetiapine, Venlafaxine, and Bupropion (Wellbutrin)—were identified but the quantity was not sufficient to make a proportional analysis.

It was the pill count in Elisa’s room that was telling. She’d had her prescriptions refilled in Vancouver on January 11, 2013, and what remained was a leading indicator as to what might have triggered a psychotic episode that led Elisa to willingly crawl inside a water tank.

Lamotrigine (anti-seizure meds)                60 issued       70 remaining

Quetiapine (bipolar/mood meds)              30 issued       20 remaining

Venlafaxine (anti-depression meds)         60 issued       64 remaining

Wellbutrin (anti-depression meds)            60 issued       57 remaining

The autopsy report’s conclusion is careful about speaking to Elisa’s undermedication:

Opinion: The decedent died as a result of drowning. A complete autopsy examination showed no evidence of trauma, and toxicology studies did not show acute drug or alcohol intoxication. Decedent had a history of bipolar disorder for which she was prescribed medication. Toxicology studies were performed for the presence of these drugs. However, quantitation in the blood was not performed due to the limited sample availability. Therefore, interpretation is limited. Police investigation did not show evidence of foul play. A full review of the circumstances of the case and appropriate consultation do not support intent to harm oneself. The manner of death is classified as accident.

Something to note in the autopsy report is Elisa’s death classification was listed as Undertermined upon conclusion of her physical examination on February 21. On June 18, the classification was changed to Accident. This was after the tox results came back and there was no sign of any overdose or poisoning. There is nothing to read into the change—this is routine to change a conclusion upon receiving further evidence or absence of evidence.

Despite internet sleuths pontificating about conspiracy theories from a serial killer loose in the hotel to a poltergeist practicing the paranormal, it’s clear from the official investigation that Elisa went into some sort of psychotic event and intentionally—on her own—entered the insecure, water-filled cistern. With no way out and only treading water to temporarily survive, she succumbed to drowning. It must have been a ghastly way to go.

The Cecil Hotel

In reading up on the Cecil Hotel’s history, I found quotes like these describing its past:

“Insanity within its walls. A hotbed of death.”
“Guests ranging from drug dealers to prostitutes to rapists.”
“A lot of safety issues. Thousands of 911 calls to there, normally three a day.”
“If you didn’t watch yourself, you might be flying out the window without wings.”
“The most infamous building in horror lore.”
“Unparalleled reputation for the macabre.”
“A meeting place for junkies, runaways, and criminals where they played in violence and death.”
“Murders, and suicides, and unexplained paranormal events.”
“The most dangerous place in Los Angeles, especially above the seventh floor.”
“A place where serial killers go to let their hair down.”

Yes, serial killers.

At the height of his spree, Night Stalker Richard Ramirez stayed on The Cecil’s top floor. Staff and residents would see Ramirez stash his bloodied clothing in the hotel’s trash receptacle and then walk through the lobby in his underwear or sometimes naked. No one reported Ramirez because, back then, who was to say what was normal or abnormal at the Cecil Hotel.

Another Cecil resident serial killer, although less known than the Night Stalker, was Jack Unterweger. He had a different distinguishment, though. Unterweger was an international serial killer who started his murderous career in Austria before moving shop to LA. His MO was to pick up prostitutes and strangle them with their own bras.

Getting back to The Cecil’s history. It was built in the Roaring Twenties as a luxury, but affordable, hotel. Centrally located in the Skid Row area of Los Angeles, The Cecil was perfectly positioned to suffer decline in the Great Depression then dilapidate into a festered urban sore through the later part of the twentieth century and into the early 2000s.

Just a side note on Skid Row. Skid Row is now an urban language term for any rundown part of a city where rubbies reside. LA’s Skid Row is an officially-listed civic region just like SoHo is in Manhattan or the French Quarter is in New Orleans. But LA’s Skid Row set the gold standard for a pit of poverty that made the Skid Row term a household name for the destitute and down-in-the-dumps. At one time, approximately 10,000 homeless people occupied a 4-mile radius around The Cecil.

By 2013, when Elisa Lam died at The Cecil, the hotel had improved. It was renamed, rebranded you could say, into the Stay on Main and billed as an affordable housing complex. Despite renovations and staff improvements, the Cecil Hotel remained lacking on one vital level.

Safety.

And this is where the stories of Elisa Lam’s death and the Cecil Hotel’s history merge.

I’m sure Elisa Lam chose the Stay on Main (the old Cecil Hotel) because of the location and the price. Can’t argue with that logic when you’re a traveling youth. But other things were going on in Elisa’s life which, to me, seem typical of a bipolar person experiencing their manic and adventuresome stage. That’s reducing or quitting their meds because they don’t think they feel the need at the time.

You can see in watching the now-famous Elevator Video that Elisa was in mental distress. She appeared paranoid, as if someone was out there wanting to harm her. It’s a classic case of psychosis. Somehow from the elevator Elisa made her way to the roof and the tank where she died.

Here’s where the hotel part enters. Elisa had to pass through two barriers to experience her demise. First—getting onto the roof. Second—getting into the tank. Both points should have been locked barriers and impossible for a young lady like Elisa to penetrate.

I’m not sure about the roof access method. I’ve been in a lot of hotels over the years, and I’ve never noticed one that has a public elevator portal to the roof. P for Parkade, yes, but not R for Roof on the buttons. She must have taken the stairway and that, in any case, should have been locked and not accessible with her room key card that was found in the death tank.

The Death Tank

The United States Occupational Safety and Health Administration (OSHA) clearly defines the cistern or water tank on top of the hotel a “Confined Space”. OSHA has extremely strict rules regulating entry into confined spaces where a person could be trapped and killed. OSHA takes confined space entry so seriously that, not only does a confined space have to be clearly signed and sufficiently locked, OSHA requires a written permit for a worker to enter. That permit must outline the purpose and method of entry and also a rescue plan if things go bad.

In utter basic, OSHA deals with common sense safety procedures like preventing access to dangerous places. For example, a 14-story hotel roof and a potentially lethal water cistern. The Cecil Hotel (sorry, in 2013 the Stay on Main) was utterly negligent in allowing a psychotic young lady to get onto its roof and drown in their tank.

Both access points should have had locked barriers, and Elisa’s host failed to protect their guest’s safety. But I guess preventing things like Elisa Lam’s ghastly death at the haunted Cecil Hotel has never been part of the company culture.