Tag Archives: Death

DID MARILYN MONROE REALLY COMMIT SUICIDE?

No movie star lived on after death like Marilyn Monroe. She was far more than a bleached-blonde bombshell with a voluptuous frame and a lusty voice—she intuitively knew her craft. Born in poverty as Norma Jean Mortenson (aka Baker) to a mentally unstable mother, Marilyn Monroe rose to Hollywood glamor, fame, and idolization beyond what few ever reach. Tragically, by the time she died at age thirty-six, her performing career had spiraled into the same abyss that her personal relationships and head space were already in.

Marilyn Monroe was found dead in her Beverly Hills bed at 3 a.m. on Sunday, August 5, 1962. The scene (at the time) suggested nothing suspicious—no foul play or culpable act, that is—and the toxicology results from her autopsy proved she’d succumbed to a lethal dose of prescription drugs. The coroner ruled her death as “probable suicide” but, like the deaths of other uber-celebrities, many people mumbled murder. Monroe’s death was reinvestigated in 1992 by the Los Angeles District Attorney who came to the same conclusion — “probable suicide”.

“Probable” is not in the official vocabulary of today’s coroner-speak. Neither is “possibly”. Everywhere in the civilized world, coroners are mandated by legislation to rule classifications of death as being in one of five definite categories: Natural, Homicide, Accident, Suicide, or Undetermined. Now, nearly sixty years later, an impartial look at Monroe’s case facts indicate her death classification definitely was not natural and cannot conclusively be classed as an accident or a suicide.

Does that mean Marilyn Munroe’s death was actually a homicide?

On the day of her death, many people were in Marilyn Monroe’s company. None reported any immediately implied threat or perceived action from Monroe that suggested an imminent danger of suicide, nor any behavior that was outside of her already troubled mental state of manic highs and depressive lows. She’d a history of emotional instability that, today, would likely be classified as Bipolar II Disorder, and she was under the continual care of a general physician and a psychiatrist. Monroe was no stranger to prescription pharmaceuticals, specifically anti-depressants and sleeping pills, but she was a relatively light alcohol drinker.

Marilyn Monroe had a difficult year in 1961. She worked very little due to health issues. Besides her emotional imbalance and substance dependency, she underwent surgery for endometriosis (uterus ailment) and a cholecystectomy (gall bladder removal), then suffered a painful attack of sinusitis. Her stress level soared from a lawsuit with 20th Century Fox where they sued Monroe for breach of contract—her erratic behavior led to delays in filming, disputes with cast and crew, then finally a stop of production.

On Saturday morning, August 4, Marilyn Monroe met with her official photographer and discussed an upcoming Playboy deal, then kept a massage appointment, a meeting with her publicist, talked with friends on the phone, and signed for deliveries for her house renovation. She was visited by her psychiatrist, Dr. Ralph Greenson, in the late afternoon for a scheduled therapy session. Greenson left around 7 p.m. and reported no alarming behavior, however he ensured that Monroe’s housekeeper, Eunice Murray, would be staying overnight.

Marilyn Monroe retired to her bedroom around 8 p.m. The last person to have contact with Monroe was actor Peter Lawford who invited her to a Hollywood party. He reported that in their phone conversation Monroe sounded tired—sleepy—as under the influence of drugs. After their call, Lawford became alarmed and phoned back to the house where he got Murray. She assured him everything was fine with Monroe.

At 3 a.m. on Sunday morning, Eunice Murray woke and noticed light coming from under Monroe’s bedroom door. Sensing something not right, Murray tapped on the door. There was no response, so she tried the handle and found it locked, which she stated was unusual.

Now alarmed, Murray phoned Dr. Greenson who instructed her to go outside and look through the bedroom window. She did and observed Marilyn Monroe lying facedown on the bed, covered in a sheet, and clutching a telephone receiver in her right hand.

Greenson arrived at approximately 3:20 a.m., broke the window with a fireplace poker, and climbed in. Immediately, he could tell Monroe had been dead for some time and it was pointless to call an ambulance or attempt resuscitation. Greenson phoned Monroe’s physician, Dr. Hyman Engelberg, who arrived at around 3:50 a.m. Engelberg examined Monroe by removing the phone receiver and rolling her over, officially pronouncing death. At 4:25 a.m. they notified the LAPD.

The attending detective agreed with the two doctors that there was nothing to indicate foul play and the death was most likely a drug overdose. The detective photographed the scene and recorded the “pill count” of the pharmaceutical vials on Monroe’s nightstand. Dr. Engelberg noted a vial containing twenty-five capsules of the barbiturate Nembutal that he’d prescribed two days earlier was empty. Vials with other prescriptions appeared in order including one containing the sleeping sedative Chloral Hydrate.

Marilyn Monroe was autopsied on the morning of August 6 by pathologist Dr. Thomas Noguchi who would later be known as “Coroner To The Stars” for his many postmortem exams on celebrities. His original autopsy report for Marilyn Monroe is on the public record and can be downloaded.

Noguchi is very clear in his report, and in many subsequent interviews, that he found no evidence of physical trauma—specifically needle marks—on Monroe’s body. Based on his observations and those of Drs. Greenson and Engelberg regarding Monroe’s rigor, livor, algor, and palor mortis conditions, he felt reasonable to estimate her time of death between 8 and no later than 10 p.m. the previous night. Noguchi found no natural cause of death and waited for the toxicology report before forming his final conclusions.

The tox screen was done by the LA County Coroner’s laboratory and released on August 13. The results concluded Monroe’s blood contained 4.5 milligrams (percent) of Nembutal and 8.0 milligrams (percent) of Chloral Hydrate. Her liver contained 13.0 milligrams (percent) of Pentobarbital. Blood ethanol (alcohol) was absent.

Noguchi was satisfied the combination of Nembutal and Chloral Hydrate levels in Monroe was sufficiently high to cause her death through respiratory and central nervous system failure and he knew the Pentobarbital stored in her liver was simply indicative of someone who had long exposure to barbiturates and developed a “tolerance”. Noguchi certified the cause as “acute barbiturate poisoning due to ingestion of overdose” but he was reluctant to rule the classification as “suicide”. Though Noguchi was certain no evidence existed to suggest the death was an intentional homicide, he was uncomfortable with there being no clear evidence that Monroe intended to take her own life.

There were no immediate threats, no suicide note, no warning behavior, and not all the Chloral Hydrate pills were consumed, not like the Nembutal.

It might be an accidental OD, Noguchi thought, and he was troubled by the fact Monroe had been prescribed the amounts of Nembutal and Chloral Hydrate at the same time—her physician had to have known they’d be lethal if mixed a large quantity.

Noguchi was under pressure—political pressure, if you will—from the elected Chief Coroner of Los Angeles County to shut down media speculation that there might be more to Monroe’s death than a sad case of a despondent star intentionally extinguishing her light. The Chief and Noguchi reached a temporary compromise that they’d say Monroe’s death was a “probable” suicide.

Noguchi didn’t go so far as to insinuate negligence by Monroe’s caregivers might be the smoking gun, yet he requested a “psychological autopsy” to investigate Marilyn Monroe’s mental state leading to her death. Without clear evidence of an intentional suicide, the pattern of Monroe’s behavior was crucial in corroborating a suicide rule.

This statement was issued by LA County Chief Coroner Theodore J. Curphey. It’s an addendum to Noguchi’s final autopsy report:

“Following is the summary report by the Psychiatric Investigative Team which assisted me in collecting information in this case. The team was headed by Robert Litman, M.D., Norman Farberow. Ph. D., and Norman Tabachnick, M.D.:

‘Marilyn Monroe died on the night of August 4th or the early morning of August 5th, 1962. Examination by the toxicology laboratory indicates that death was due to a self-administered overdose of sedative drugs. We have been asked, as consultants, to examine the life situation of the deceased and to give an opinion of the intent of Miss Monroe when she ingested the sedative drugs which caused her death. From the data obtained, the following points are the most important and relevant:

Miss Monroe suffered from psychiatric disturbance for a long time. She experienced severe fears and frequent depressions. Mood changes were abrupt and unpredictable. Among symptoms of disorganization, sleep disturbance was prominent, for which she had been taking sedative drugs for many years. She was thus familiar with and experienced in the use of sedative drugs and well aware of their dangers.

Recently, one of the main objectives of her psychiatric treatment had been the reduction of her intake of drugs. This has been partly successful during the last two months. She was reported to be following doctor’s orders in her use of drugs; and the amount of drugs found in her home at the time of her death was not unusual.

In our investigation, we have learned that Miss Monroe had often expressed wishes to give up, to withdraw, and even to die. On more than one occasion in the past, when disappointed and depressed, she made a suicide attempt using sedative drugs. On these occasions, she had called for help and had been rescued.

From the information collected about the events on the evening of August 4th, it is our opinion that the same pattern was repeated except for the rescue. It has been our practice with similar information collected in other cases in the past to recommend a certification for such deaths as a probable suicide.

Additional clues for suicide provided by the physical evidence are:

(1) the high level of barbiturates and chloral hydrate in the blood, which, with other evidence from the autopsy, indicate the probable ingestion of a large amount of drugs in a short period of time;

(2) the completely empty bottle of Nembutal, the prescription for which was filled the day before the ingestion of drugs; and

(3) the locked door which was unusual.’

Now that the final toxicological report and that of the psychiatric consultants have been received and considered, it is my conclusion that the death of Marilyn Monroe was caused by a self-administered overdose of sedative drugs and that the mode of death is probable suicide.

– Theodore J. Curphey, M.D. Chief Medical Examiner-Coroner for the County of Los Angeles, August 13, 1962.”

There’s that word “probable” again.

In my time as a police officer and coroner, I’ve attended many drug overdose deaths. Some were clearly suicides, backed-up by recorded threats and present notes. Some were accidents by misadventure, usually mixed with alcohol. And some were undetermined—not shown to have a definite intent by the decedent to take their own life.

I’d say some of the undetermined deaths were probably suicides—if I could say it. But a coroner doesn’t have the legal option to say “probably”. There’s a long-held court ruling called the Beckon Test that states a death can only be classified as a suicide if it can be determined that the individual knew the consequences of their actions would end in death and intentionally carried them out. There is a high standard of proof required for a finding of suicide as the ruling states:

“In most legal cases the test to be satisfied is a balance of probability. But a determination of suicide can only be made where there is clear and convincing evidence. There is to be a presumption against suicide at the outset and one must be certain beyond a high degree of probability that the death was a suicide. Where one cannot be absolutely certain, the death must be classified as undetermined.”

Based on my death investigation experience, there are three points about Marilyn Monroe’s suicide ruling that bother me.

First, in all the polypharmacy overdoses I’ve seen where suicide was obvious, the deceased downed the whole darned stash. They wanted to end it all and get it done.

In Monroe’s case, Dr. Engelberg prescribed her 50 caps of 500 mg Chloral Hydrate on July 31 as a refill for a previous Chloral Hydrate order on July 25. She was taking 10 per day. At her death scene, there were still 10 Chloral Hydrate caps left in her bedside vial. 40 were gone and, at a rate of 10 per day from July 31 till August 4, the pill count is right in order.

In the toxicology world, the effects of drugs are rated on a range scale of Therapeutic, Toxic, and Lethal. In the Lethal range, the substance is given a value called LD50 where it’s expected that 50 percent of the population would be expected to die from the drug’s effect at a certain point based upon the drug’s milligram blood content per the kilogram weight of the person.

Marilyn Monroe’s autopsy report recorded her weight at 117 pounds or 53.2 kilograms. The Chloral Hydrate level in her blood was determined to be 8.0 milligrams (percent) based on her weight or 80 parts per million (ppm). Looking at my toxicology scale from my coroner days, I see that Chloral Hydrate has a Therapeutic range to 30 ppm and an LD50 value at 100 ppm, so Monroe was 20% under the Chloral Hydrate lethal bar.

Looking at her barbiturate blood content from the Nembutal, it’s recorded to be 4.5 mg (percent) or 45 ppm. My chart says the barbiturate Pentobarbital, which is what’s in Nembutal, has a Therapeutic range to 12 ppm and an LD50 at 40 ppm. So, Monroe was only 12.5 % over the average barbiturate lethal threshold, not taking into account that she was a very “tolerant” user.

However, the combination of Chloral Hydrate and Nembutal was deadly, and this had to be known by Dr. Engelberg when he ordered Monroe’s prescription. This brings me to my second point.

A physician has a professional duty of care to their patient, especially when prescribing medication to a person with Monroe’s mental history. I find it irresponsible, actually negligent, that Dr. Engelberg failed to ensure Monroe no longer had Chloral Hydrate in her possession when he issued her a prescription for 25, 1500 mg caps of Nembutal four days later, knowing her supply of Chloral Hydrate wasn’t exhausted based on her prescribed consumption.

My third point deals with the “rescue” issue.

This very much applies to the Beckon Test. Intentional overdoses as attention-getting devices are common and always rely on the person’s backup plan that someone will intervene. This was part of Monroe’s previous overdose episodes as noted in the “psychological autopsy” report. And they referenced Monroe’s locked door as being unusual.

I think the locked door issue is completely negated by the fact that Monroe was found with her telephone receiver in hand. This was stated by Eunice Murray, Dr. Greenson, Dr. Engelberg, and corroborated by the investigating detective who verified they reported this to him and suggested she was phoning for rescue—which was her pattern—but was overcome.

If I were the coroner ruling on Marilyn Monroe’s death classification, I’d be legally bound to consider how the facts apply to the category parameters.

A natural cause determination is completely eliminated by the autopsy and toxicology evidence. Monroe clearly died as the result of a drug overdose.

Despite kooky conspiracy theories that Bobby Kennedy snuck in and injected Marilyn Monroe to cover up her alleged affair with President Jack or that mobsters Jimmy Hoffa and Sam Giancana knocked her off to keep from ratting them out, no sensible person can make a case that Monroe was intentionally murdered. But a homicide ruling doesn’t just apply to murder. The definition of homicide is “the killing of a human being due to the act or omission of another”.

I believe Dr. Engelberg was professionally negligent in his duty of care to Marilyn Monroe. He had to know—certainly ought to have known—that he was treating an emotionally unstable patient with a history of suicide attempts through polypharmacy. By giving Monroe a potentially lethal amount of barbiturates and not ensuring her chloral hydrate was gone, Engelberg effectively signed her death warrant.

However negligent Engelberg may have been, though, my suspicion falls short of the burden necessary for establishing a homicide classification.

That Monroe accidently died from a self-administered overdose is a distinct probability but, again, the Coroners Act and court precedents won’t allow me the liberty to rely on probabilities regarding suicide. I have to come to a clear conclusion based on facts.

Setting aside the locked door and phone receiver in hand—these two negate each other—I must defer to one other glaring fact. There were still 10 caps of Chloral Hydrate left in her pill vial. Marilyn Monroe was a very experienced and tolerant prescription pill user. She knew exactly what she was taking, what their effects were, and she failed to down her whole darned stash which is always proof of a polypharmacy overdose suicide.

So, deferring to the Beckon Test, I have to presume against Marilyn Monroe’s suicide classification from the outset and must be satisfied beyond a high degree of probability that her death was a suicide—I must be certain—and I can’t—because no clear evidence exists that Monroe’s death was an intentional act to end her own life. It may well have been an unfortunate, un-rescued accident (which I suspect), but I can’t support that classification through the facts.

Therefore, I find Marilyn Monroe’s death classification as Undetermined.

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.

WAS AMANDA KNOX REALLY INNOCENT OF KILLING MEREDITH KERCHER?

The Amanda Knox story captured worldwide attention during the years she passed through the Italian legal system and was convicted—twice—of complicity in murdering her college roommate, Meredith Kercher. Now, the international spotlight is again upon Amanda Knox with the new Matt Damon movie Stillwater being based on her case. In Stillwater, Matt Damon’s fictional  character pursues justice for his daughter who is wrongfully accused and falsely imprisoned for murder. It leads to questioning if this was the truth in the real Amanda Knox story and that Knox was really innocent of killing Meredith Kercher.

There’s a lot of internet information on the Amanda Knox murder case. Some of it’s factual. Much is sensational tabloid junk about “Foxy Knoxy”—the “Ice Lady”—disseminated by socially dysfunctional trolls operating from surplus metal sea-cans converted into dwellings via an extension cord hooked to one bare light bulb. To find out the truth, it’s necessary to first look at the overall facts and then examine how the Italian legal system handled the case through a dragged-out, eight-year-long process.

In 2007, Amanda Knox was a 20-year-old student from Seattle, Washington. She moved to Perugia in central Italy (slightly north of Rome) to further her journalism studies as Perugia was well-known for outstanding universities and educational opportunities—a popular place for foreign students. Here, Knox met a British exchange student, 21-year-old Meredith Kercher, and they shared a ground-floor, four-bedroom apartment with two other young ladies.

Quickly, Knox became romantically involved with a young Italian man, Raffaele Sollecito, and Kercher did the same with Giacomo Silenzi. At the time, Knox also worked part-time in a nightclub run by Patrick Lumumba. It was this pentagon of five that the Italian prosecutors would present as a sex game gone wrong that resulted in Meredith Kercher’s death.

Meredith Kercher

On the evening of November 1, 2007, Knox, Sollecito, Silenzi, and Kercher socialized with others at Sollecito’s apartment near to where the ladies roomed. Present was a man named Rudy Guede who was invited by one of the group but who was unknown to Knox and Kercher. Around 9 pm, Kercher excused herself from the gathering and walked back to her residence alone. Bit by bit, the gathering broke up leaving Knox and Sollecito to overnight there together.

At midday on November 2, Knox repeatedly tried to phone Meredith Kercher. She got no answer and became concerned so Knox and Sollecito went to the co-habitation and found Kercher’s bedroom door locked. Knox tapped on the door and called out but Kercher didn’t answer. Then Knox and Sollecito noticed some bloodstains, including a bloody footprint, in the bathroom.

Being alarmed, Knox called her mother in America who directed Knox to call the Italian police. She did so. However, there was a significant delay which was advanced as part of the prosecution’s later case against Knox and was supported by a timeline presented through cell phone records.

The first attending police officers were not homicide detectives. They were an Italian version of postal inspectors crossed with communication fraud investigators. There hadn’t been a murder in Perugia in over twenty years, so it was a considerable time before “competent” scene processors and trained murder cops arrived. Naturally, the scene was contaminated and the ensuing DNA evidence used in convicting Amanda Knox of murdering Meredith Kecher was compromised.

What the scene processing showed was Kercher had been attacked, raped, and had her throat cut in her bedroom. Her official cause of death was exsanguination (bleeding out) after being injured with a sharp-edged weapon. Kercher’s bedroom window was open and the investigators deduced that to mean that a break-in had been staged with the real killer setting the crime up to appear that a stranger was involved.

Police initially treated Amanda Knox as a witness. She was questioned on different occasions, but the homicide investigators slowly formulated a theory that Knox was lying to protect the actual murderer. They also developed a motive theory that Kercher was killed because she refused to take part in a multi-person sexual trist. An orgy.

On November 6, the Italian homicide detectives again brought Knox in for questioning. This time it turned into a full-on, hard-core interrogation that lasted hours. This is a complex and controversial part of the Amanda Knox story and precise details—at least as precise as possible because the authorities did not audio or video record it (rather they elicited a written confession from Knox)—can be read on the website amandaknoxcase.com under The Interrogation of Amanda Knox.

In Amanda Knox’s written confession, she states to have been present while her nightclub boss, Patrick Lumbumba, raped and murdered Meredith Kercher. Knox did not supply any motive or any details which only an involved person would know. Lumbuba was arrested on the strength of Knox’s statement and it was shortly proven, beyond all doubt, that Lumbumba had an air-tight alibi and he was flat-out innocent.

Rudy Guede

 

Amanda Knox was held in custody while the prosecution put an indictable case together. Meanwhile, the scene forensic evidence identified a DNA profile from semen on Kercher’s body. They conclusively linked it to Rudy Guede who had been at the social gathering on the evening when Kercher was last seen alive. Guede was arrested in Germany where he confessed and indicated that Amanda Knox had nothing to do with Kercher’s murder.

By now, the Italian legal system had a freight train rolling along the justice track. Instead of applying the brakes, the police, prosecutors, and judges threw more coal on the fire and kept on persecuting Amanda Knox. This was due to the archaic inquisitional system Italy was trying to gentrify into a western adversarial legal framework.

The common US-style evidence rules didn’t apply in the Italian arena. Despite Amanda Knox being hardline interrogated for hours without legal representation, being informed of her rights, denied food, water, and toilet facilities, slapped around, and breaking down in the middle of the night, the Italian court accepted Knox’s coerced confession as solid evidence that had to be admitted under their law structure. It didn’t matter that the prosecution’s perceived motive—some kinky sex game—had no factual basis, and it didn’t matter that Knox’s boyfriend, Raffaele Sollecito, provided Knox with her air-tight alibi. No, the Italian legal machine went right on persecuting Amanda Knox.

Knox stood trial through the summer and fall of 2009. Her case received massive public attention and the British tabloids sensationalized it like nothing ever seen. This was now the day of the emerging internet where chatrooms and social media made a spectacle of the trial and a massive mess of Amanda Knox’s life.

Amanda Knox was convicted of Meredith Kercher’s murder on December 4, 2009. She was sentenced to 26 years in jail. She appealed and had her murder conviction overturned on October 3, 2011, now having served nearly two years in an Italian prison.

In March of 2013, Italy’s Court of Cassation ordered a new trial and on January 30, 2014, she was once again convicted for killing Meredith Kercher. By now, Amanda Knox was back in America and was not returned to Italy during her new appeal. On March 27, 2015, Italy’s highest court again overturned her conviction and her legal persecution was over.

Any rational person would have to ask how this miscarriage of justice could possibly happen. The answer to that is as complicated as the Amanda Knox story, if that’s possible to fully tell. It’s a murky mix of systematic incompetence and utter lack of regard for the truth. In the high court final ruling, the judge cited “sensational failures”, “glaring errors”, “investigative amnesia”, “guilty and culpable omissions”, “ignorance of expert forensic testimony that demonstrated contamination of evidence”, “outright falsification of forensic evidence”, and “a case without any foundation”.

The horrific Amanda Knox wrongful conviction story is best told by Amanda, herself. In a recent interview with The Atlantic titled Who Owns Amanda Knox? , Amanda says:

Does my name belong to me? Does my face? What about my life? My story? Why is my name used to refer to events I had no hand in? I return to these questions again and again because others continue to profit off my identity, and my trauma, without my consent. Most recently, there is the film Stillwater, directed by Tom McCarthy and starring Matt Damon and Abigail Breslin, which was, in McCarthy’s words, “directly inspired by the Amanda Knox saga.” How did we get here?

In the fall of 2007, a British student named Meredith Kercher was studying abroad in Perugia, Italy. She moved into a little cottage with three roommates—two Italian law interns, and an American girl. Less than two months into her stay, a young man named Rudy Guede, an immigrant from the Ivory Coast, broke into the apartment and found Meredith alone. Guede had a history of breaking and entering. A week prior, he had been arrested in Milan while burglarizing a nursery school, and was found carrying a 16-inch knife. He was released. A week later, he raped Meredith and stabbed her in the throat, killing her. In the process, he left his DNA in Meredith’s body and throughout the crime scene. He left his fingerprints and footprints in her blood. He fled to Germany immediately afterward, and later admitted to being at the scene.

I am the American girl in that story, and if the Italian authorities had been more competent, I would have been nothing more than a footnote in a tragic story. But as in many wrongful convictions, the authorities formed a theory before the forensic evidence came in, and when that evidence indicated a sole perpetrator, Guede, ego and reputation led them to contort their theory to maintain that I was still somehow involved. Guede was quietly convicted for participating in the murder in a separate fast-track trial, and then I became the main event for eight long years.

While I was on trial for the murder of Meredith Kercher, from 2007 to 2015, the prosecution and the media crafted a story, and a doppelgänger version of me, onto which people could affix all their uncertainties, fears, and moral judgments. People liked that story: the psychotic man-eater, the dirty ice queen, Foxy Knoxy. A jury convicted my doppelgänger, and sentenced her to 26 years in prison. But the guards couldn’t handcuff that invented person. They couldn’t escort that fiction into a cell. That was me, the real me, who returned to that windowless prison van, to those high cement walls topped with barbed wire, to those cold, echoing hallways and barred windows, to that all-consuming loneliness.

Ten years ago, at the age of 24, I was acquitted, and I tumbled into a kind of purgatory. I left one cell and immediately entered another: the quiet of my childhood bedroom. Outside, the telephoto lenses were fixed on my closed blinds. Prison had given me an appreciation for all the freedoms I’d taken for granted. Freedom showed me how many I still lacked.

As I walked back into the free world, I knew that my doppelgänger was there alongside me. I knew that everyone I would ever meet from then on would have already met, and judged, her. I had been acquitted in a court of law, but sentenced to life by the court of public opinion as, if not a killer, then at least a slut, or a nutcase, or a tabloid celebrity. Why doesn’t she just go away already? Her 15 minutes are over.

In freedom, I had become a pariah. Looking for work, going back to school, buying tampons at the pharmacy, everywhere I went I met people who already thought they knew who I was, what I’d done or not done, and what I deserved. I was threatened with abduction and torture in broad daylight; I was threatened with having Meredith’s name carved into my body. Strangers sent me lingerie and bizarre love letters. All over the world, people believed they knew me, a warped assumption that turned me into a monster to some and a saint to others. I felt like I was always standing behind that cardboard cutout, Foxy Knoxy, saying, Hey, back here, the real me! Even most of the strangers who offered kindness and support didn’t truly see me. They loved her.

It’s hard to make friends, to date, to be a regular person when everyone you meet has a preconceived notion of who you really are, whether positive or negative. I could have chosen to hide out, to change my name, to dye my hair, and hope no one recognized me ever again. Instead, I decided to embrace the world that had dehumanized me, and all those who turned me into a product.

From the moment I was arrested, my name and face and trauma became a source of profit for news organizations, filmmakers, and other artists, scrupulous and unscrupulous. The most intimate details of my life, from my sexual history to my thoughts of death and suicide in prison, were taken from my private diary and leaked to journalists. Those journalists turned my darkest fears into fodder for hundreds of articles, thousands of blog posts, and millions of hot takes. People speculated about my mental state and sexuality, they diagnosed me from afar, they used my predicament as a metaphor, they made TV movies about me, based characters in legal shows on me, and the worst of them took every opportunity they could, while I was in prison and while I’ve been out, to shame me for something I didn’t do, to shame me for living while Meredith is dead, to shame me for being in the very headlines they write, for being in the photographs they take without my consent. The hypocrisy and the cruelty are maddening. And yet, being under that microscope has given me insight into how wrong a media narrative can be, how easy it is for all of us to consume other people’s lives as if they were mere content to fill up our Twitter feeds.

This focus on me led many to complain that Meredith Kercher had been forgotten. But whom did they blame for that? Not the Italian authorities. Not the press. Somehow it was my fault that the police and media focused on me at Meredith’s expense. The result of this is that 14 years later, my name is the name associated with this tragic series of events I had no control over. Meredith’s name is often left out, as is Rudy Guede’s. When he was released from prison in late 2020, the New York Post headline read: “Man Who Killed Amanda Knox’s Roommate Freed on Community Service.” My name is the only name that shouldn’t be in that headline.

I never asked to become a public person. The Italian authorities and global media made that choice for me. And when I was acquitted and freed, the media and the public wouldn’t allow me to become a private citizen again. I have not been allowed to return to the relative anonymity I had before Perugia. I have no choice but to accept the fact that I live in a world where my life, and my reputation, are freely available for distortion by a voracious content mill.

———

There is no doubt—no doubt whatsoever—that Amanda Knox really is innocent of killing Meredith Kercher, She’s a true victim of crime, a victim of commercial tabloids, and a victim of vicious trolls.