Showing posts with label keogh. Show all posts
Showing posts with label keogh. Show all posts

Sunday, September 27, 2009

PUBLISHER'S NOTE: BRIEF RESPITE FOR THIS BLOG; ADELAIDE, HERE I COME!



PUBLISHER’S NOTE:

Dear reader: an explanation is due. I am about to leave for a journey to Australia and New Zealand and do not expect to be filing any posts on this Blog while I am away.

However, while in South Australia, I am going to have the opportunity to spend some time with Bob Moles, Bibi Sangha and some of the other impassioned lawyers, professors and fighters against injustice who have been involved in one of the most notorious cases involving forensic pathology gone wrong on this planet: The fight to free Henry Keogh- the subject of numerous posts on this Blog.

As I previously noted on this site:

“Dr. Moles and his colleagues have launched one of the most thorough, intensive attacks on pathology evidence in a criminal case that I have ever seen - and have come up over the years with cogent new evidence destroying the prosecution's forensic case, which the government stubbornly refuses to examine;

I am both saddened and horrified that a government - the Government of South Australia - could act with such manifest indifference in the face of such an apparent miscarriage of justice.

Dr. Moles writes that, "Despite the very serous allegations which have been made for years now, not one court has been able to look at the merits of the claims made by Mr Keogh. Such a situation could not arise in the UK, Canada, or the USA.”

Bob Moles is the author of “Losing Their Grip: The case of Henry Keogh” - a thoroughly researched and insightful book on the Keogh travesty which left no doubt in my mind that a terrible miscarriage of justice had occurred.

I have been intrigued by the many parallels between the all-too many cases involving the discredited pathologist Dr. Charles Smith - and the Henry Keogh case, where similar allegations have been made against Dr. Colin Manock and other prosecution “experts” connected with the case.

0: Both involve pathologists of huge stature in their specialties. (It was not uncommon for judges to treat Charles Smith as if God had entered the witness box - before the bubble burst and he became a pariah.) In several cases, innocent people pleaded guilty to lesser offences involving the taking of the lives of their children, in order to avoid the almost certain prospect that they would be convicted of murder by an expert witness of such elevated stature.

0: Both involved allegations of incompetence in the performance of their work as pathologists – and huge assaults on the accuracy of the opinions they gave in court. (Smith tended to see things that no other pathologist saw (people believed he saw them because he was Charles Smith), to find murder where none existed, and on several occasions he mistook artifacts from the autopsy as signs of foul play.)

0: Both involved perceptions that the respective pathologists were being shielded by police, prosecutors, the Courts, their professional governing bodies – and their superiors - in order to maintain the flow of convictions, to avoid the inevitable appeals, prevent the lawsuits, and to stem widespread lack of confidence by the public in their justice system.

0: Both raised significant questions about the qualification of expert witnesses, their role, the scope of their testimony - and the extent to which judges should be gatekeepers when expert testimony is involved.

However, there are some palpable differences between the way that Ontario and Australia have responded to the demonstrated injustice caused to individuals – and public confidence in their their respective criminal justice system – when their respective justice systems went so terribly wrong.

After press disclosures of several cases raising serious questions as to Dr. Smith’s competence and professional behaviour, Dr. Barry McLellan, Ontario's Chief Coroner, exercised public responsibility by ordering a review of 45 child autopsies in which Smith had concluded the cause of death was either homicide or criminally suspicious.

The review of Smith’s cases by a team of international experts uncovered mistakes in twenty of the autopsies he performed - twelve of which resulted in serious criminal convictions such as murder, and one finding of no criminal responsibility.

In his response to the Review's disturbing findings, Ontario Premier Dalton McGuinty also exercised public responsibility by setting up an independent public Inquiry - conducted by Ontario Court of Appeal Justice Steven Goudge - into forensic pediatric pathology in the province.

Justice Goudge in October 2008, found that Smith "actively misled" his superiors, "made false and misleading statements" in court and exaggerated his expertise in trials."

Far from an expert in forensic child pathology, "Smith lacked basic knowledge about forensic pathology," wrote Goudge in the inquiry report. "Smith was adamant that his failings were never intentional," Goudge wrote. "I simply cannot accept such a sweeping attempt to escape moral responsibility."

There was a public outcry for change even before Justice Goudge released his report in September, 2009, there was a public outcry for change - and police, prosecutor’s, the Coroner’s office and other institutions who had played a role in the miscarriages of justice involving Charles Smith, announced they had already instituted reforms aimed at preventing future miscarriages of justice.

As Smith’s victims launched their appeals Ontario's judges – the justices saw first hand the horrible damage caused by Smith and the failure of his superiors to reign him in -and became sensitized to the problems inherent in abandoning judicial decision-making to forensic scientists.

Many judges came to realize that they had not done enough to protect the public from so-called “expert witnesses” such as Charles Smith – and from the dangers of untested “scientific evidence.”

This skepticism and insight into the limits and frailties of forensic science is not unique to Ontario. It is at the heart of the recently released report of the National Academy of Sciences in the U.S.A and is found in the report of the British Law Commission, released in April, 2009, in the united Kingdom.

There is even doubt about forensic science in the State if Texas (I know that is hard to believe) - and throughout the United States - where there is awareness that an innocent man named Cameron Todd Willingham was executed on the basis of flawed “expert“ arson testimony.

Sadly, as I pack my bags for this journey, I have the impression that Australia is living in a vacuum far away from the rest of the world in which it holds on to the precepts of another era in which pathologists are Gods, courtroom science is infallible - and the need to make people feel that their criminal judicial system works well is viewed as more important than securing justice for the accused.

My ultimate fear is, now that Dr. Charles Smith has become a pariah in Canada, he is going to show up in Australia where he will be heartily welcomed.

But thanks to Bob Moles (who is currently writing yet another book on wrongful convictions) and his dedicated colleagues) this will not likely come to pass.

(I have read a draft of this book and am pleased to report that it is superb and will likely be required reading for anyone who is dedicated to avoiding wrongful convictions - and expeditiously and effectively remedying them - in many jurisdictions throughout the world.)

Keep me posted on developments which I should highlight upon my return at hlevy15@gmail.com.

Adelaide, here I come!

Harold Levy. Publisher. The Charles Smith Blog.

Monday, April 27, 2009

UP-DATE: SOUTH AUSTRALIA; HENRY KEOGH'S COMPLAINT AGAINST DR. COLIN MANOCK; HEARING BEGINS MONDAY MAY 4;

I am greatful to Professor Bob Moles for advising this Blog that the proceedings in this matter are set down for hearing in the Professional Conduct Tribunal to commence next Monday - 4 May 2009.

Professor Moles advises that it is now 7 years since Mr. Keogh first lodged his Complaint in relation to this matter with the Medical Board.

Professor Moles will be putting up a daily report on the progress of the hearing which can be accessed via:

http://netk.net.au/whatsnew.asp

and:

http://netk.net.au/ManockHome.asp

By way of brief background: Dr Manock is a forensic pathologist who gave evidence for the prosecution in the trial and retrial of Henry Vincent Keogh for the murder of his fiancé Anna-Jane Cheney in 1994. Mr Keogh was convicted in 1995 and sentenced to life imprisonment, with a 25-year non-parole period.

Harold Levy...hlevy15@gmail.com;

Saturday, February 14, 2009

THE HENRY KEOGH CASE: NEW EVIDENCE PRESENTED IN FOURTH PETITION CRIES OUT TO BE CONSIDERED BY COURTS; HOW CAN GOVERNMENT REMAIN INDIFFERENT?

"THE RESPECTIVE AND UNEQUIVOCAL CONCLUSIONS DRAWN BY THREE MEDICAL EXPERTS WHO WERE MEMBERS OF THE MEDICAL BOARD THAT HEARD THE COMPLAINT BY THE PETITIONER CONCERNING DR MANOCK IN NOVEMBER 2004 WAS THAT DR MANOCK’S CONDUCT OF THE AUTOPSY WAS INCOMPETENT.

THE MEDICAL BOARD HAS ASSERTED THAT DR MANOCK’S CONDUCT OF THE AUTOPSY WAS SO INCOMPETENT THAT NO CONCLUSION CAN SAFELY BE DRAWN AS TO BOTH THE CAUSE AND MANNER OF DEATH.

THE MEDICAL BOARD FOUND THAT DR JAMES WAS GUILTY OF UNPROFESSIONAL CONDUCT IN THAT HE FAILED TO DISCLOSE RELEVANT INFORMATION TO THE COURT CONCERNING THE HISTOLOGY OF ONE MARK ON MS CHENEY’S BODY."

FOURTH PETITION ON BEHALF OF HENRY KEOGH;

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This Blog has devoted numerous posts to the conviction and incarceration of Henry Keogh in August 1995 for the murder of his fiancée, Anna Jane Cheney in the face of what Dr. Bob Moles, who has deeply investigated the case, has called "a combination of fraud, deceit and manifest error."

Dr. Moles and his colleagues have launched one of the most thorough, intensive attacks on pathology evidence in a criminal case that I have ever seen - and have come up over the years with cogent new evidence destroying the prosecution's forensic case, which the government stubbornly refuses to examine;

I am both saddened and horrified that a government - the Government of South Australia - could act with such manifest indifference in the face of such an apparent miscarriage of justice.

Dr. Moles writes that, "Despite the very serous allegations which have been made for years now, not one court has been able to look at the merits of the claims made by Mr Keogh. Such a situation could not arise in the UK, Canada, or the USA.

The fourth petition, filed on February 4, 2009, is a lengthy document which is replete with new revelations which cry out to be heard by the Courts - and not stonewalled for years by the government while Mr. Keogh languishes behind bars.

I am providing for our readers some excerpts from this petition - having taken the liberty of removing having removed reference numbers and footnotes in order to facilitate reading of the text.

The full Petition can be found on the Networked Knowledge web-site at: http://netk.net.au/Keogh/Home.asp...

I heartily recommend it to our readers (And to the Government of South Australia!)

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Dr. Moles advises that:

"This Petition was lodged with the Governor of South Australia on 4 February 2009. It will be referred to the Government and then to the Attorney-General who will seek the advice of the Solicitor-General. A copy of the Petition was lodged with the Solicitor-General on the same day.

As you can see, the Petition states that circumstances such as this have never arisen previously in the legal history of Australia.

It asserts that the conviction of Henry Keogh was obtained by a combination of fraud, deceit and manifest error.

Henry Keogh lodged a complaint with the Medical Board of South Australia some 7 years ago. It is not due to be heard by the Medical Tribunal until May 2009.

With the third Petition it took some 4 years to obtain a response. Since then, the discovery of further non-disclosures by the Crown (forensic pathologists) have been discovered.

All of the legal proceedings to date have been concerned with procedural issues. Despite the very serous allegations which have been made for years now, not one court has been able to look at the merits of the claims made by Mr Keogh. Such a situation could not arise in the UK, Canada, or the USA.


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The Case at Trial:

In August 1995 the Petitioner was convicted of the murder of his fiancée, Anna Jane Cheney. The prosecution case was that when she was taking a bath he gripped one of her legs, raising it up and by pressing down on her head forced her head underwater, causing her to drown. The case included his alleged relationship with two other women at the time, alleged forged insurance policies, and statements he made subsequent to her death in relation to those policies. The motive, it was said, was to cash in her insurance policies and to acquire the benefit of those proceeds. The critical feature of the prosecution case was an observation by the pathologist who performed the autopsy that four alleged bruises on the lower left leg of the deceased constituted a grip pattern of a hand.

There were two trials – the first jury was unable to agree on a verdict.

The Petitioner appealed his conviction and in his judgment of 22 December 1995 Matheson J identified the “strands” of the evidence at trial as follows:

(1) “It was not disputed by the pathologists, nor by one’s common experiences of life, that it would be unusual, if not extraordinary, for a fit, healthy, 29 year old used to drinking alcohol to drown in her bath after drinking several glasses of wine.”

(2) “The appellant clearly had the opportunity to drown her deliberately, either before he visited his mother (if he did) or after, and was the last person to see her alive.”

(3) “He had a motive, namely to obtain his freedom, and the means to enjoy it.”

(4) “The evidence of Georgiou and Manzitti pointed to the drowning being deliberate.”

(5) “Bruising found on the deceased, and in particular on the left shin, pointed to the modus operandi demonstrated by Dr Manock.”

(6) “The opinions of Drs Manock and James supported such a modus operandi, and neither Dr Ansford nor Professor Cordner rejected it.”

(7) “Epilepsy and myocarditis appear unlikely.”

(8) “A faint, whether or not due to postural hypotension, would be unlikely to cause the number and situation of bruises on the deceased.”

(9) “Falling to sleep would probably have led to her coughing and awakening.”

(10) “The accused has clearly told some lies.”

Matheson J concluded:

The jury saw him [the Petitioner] cross-examined in the witness box. Their verdict indicates they did not believe him, and I am not surprised. On the whole of the evidence it was open to the jury to be satisfied beyond reasonable doubt that he deliberately drowned his fiancée. I think their verdict was correct. I would dismiss the appeal.

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The new information revealed:

At both trials both Dr Manock and Dr James claimed, or at the very least implied, that their examination of the tissue slides under the microscope (the histological examination) supported the evidence of the existence of the four alleged bruises on the lower left leg of the deceased which taken together formed a hand grip pattern and further that the alleged bruises were all caused at or about the same time which was shortly before death.

A report written by Professor AC (Tony) Thomas following his examination of the original histology slides in July 2000 stated that at least one of the slides showed no evidence of bruising.8 However, it was not completely understood at that time by the lawyers advising the Petitioner that there were in fact two slides which showed no evidence of bruising.

As a result, when Dr James and Dr Manock presented their evidence to the Medical Board during 2004, they were only asked about one slide. Dr Manock said that at the time of the trial he did not disclose the fact one slide showed no evidence of bruising because “It wasn’t part of the conversation” with the prosecutor.9 Dr James said that he did not make disclosure of that fact because he “didn’t think it was particularly relevant”.10 Neither Dr Manock nor Dr James volunteered or mentioned the existence of the second slide.

It is important to note that not only did the tissue slides referred to above reveal no evidence of bruising but as a result it was impossible to use the information on the slides to make any assessment of the age of the bruises. The above information was passed on to the former Solicitor-General by the Petitioner for consideration as part of the Petitioner’s Third Petition. What follows is material discovered by the Petitioner since the refusal of his Third Petition in 2006.

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Discovery of further material: PART 1: 2005-2008 Competency of autopsy:

By letter of 19 December 2005 the Medical Board of South Australia disclosed to the Petitioner the contents of their files concerning the complaints made by the Petitioner against Dr Manock and against Dr James. That disclosure produced inter alia (on or about 21 March 2006) memoranda prepared by the three pathologists on the Board that in November 2004 heard the complaint by the Petitioner against Dr Manock. The memoranda contain comments critical of the work of Dr Manock and opinions that the procedure by which Dr Manock conducted the autopsy was inadequate and substandard.

On 21 January 2008 the Medical Board of South Australia laid a complaint with the Medical Professional Conduct Tribunal that Dr Manock’s conduct of the autopsy was incompetent.

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Differential staining:

It can be demonstrated now that the ‘differential staining’ phenomenon described to the jury by Dr Manock as a “classical sign of fresh water drowning” had, at the time Dr Manock gave this evidence, no scientific basis.

Attempts which have been made by Professor Roger Byard of the Forensic Science Centre, Adelaide, to establish that haemolytic staining of the aorta with no staining of the pulmonary artery as described by Dr Manock is diagnostic of fresh water drowning have failed. Further, the phenomenon of ‘differential staining’ has been demonstrated to occur in cases of natural death other than drowning.

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Re-enactment:

An expert in photogrammetry has provided an opinion on the level of water in the bath at the scene. 16 It shows that the bath was about half full, not up to three quarters full as Dr Manock was asked at the trial to assume when he put his scenario of the manner of death to the jury.

A subsequent re-enactment of the scenario proposed by Dr Manock has found that it was not possible to re-create a situation which was consistent with or explained the alleged bruising. It has been found that with the calculated amount of water in the bath the nose and mouth of a person would not have been covered by the water when their legs were raised and then folded over. It has been further found that the arms would not be trapped by the side of the bath as stated and it would not be possible
for the right leg (shin) to make contact with the end of the bath.

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On 7 August 2008 Professor Thomas was provided with the opportunity to again examine the relevant tissue slides held at the Forensic Science Centre, Adelaide, and did so with Dr Harry Harding.

The fronts of the slides were labelled with stick-on labels. However Dr Harding observed marks on the front of the slides which caused him to examine the reverse sides of the slides. For the first time it became apparent that there were other notations on the slides...

Subsequent analysis alerted the Petitioner’s legal advisers that there were in fact two slides from the medial side of the left leg which revealed no evidence of bruising and not just one slide as the Medical Board had previously been told by Dr James and by Dr Manock.

These two slides are referred to as being ‘levels’. It can be inferred from the existence of the second slide that the second slide was a section cut at a deeper level of the tissue because there was concern about the result of the initial section which had been taken. To take a simple analogy -- if a scientist was asked to test the ingredients in a loaf of bread, it would be appropriate to test one of the first slices from near the top (level 1). If that gave rise to concern, it might be appropriate to take another slice from further down the packet (level 2) in order to confirm the original finding.

Accordingly, on 7 August 2008 the Petitioner became aware for the first time that there were in fact five slides relating to bruising, not four as he had been led to believe, and that two of those five slides showed no evidence of bruising, not just the one that had previously been discovered. This means that there were three slides from the left leg which were relied on by the prosecution to establish the alleged grip pattern and two of those slides do not show evidence of bruising.

The recognition of the second left leg medial slide together with its labelling allowed the Petitioner’s advisers for the first time to gain a proper understanding and interpretation of the reference to ‘levels’ by Dr James in his evidence.

This meant that for the first time it was possible to establish definitely that when Dr James told the jury that both of these slides showed “skin with bruising” he was wrong for both of them.

The recognition of these two slides also established for the first time that in his evidence Dr James did not tell the jury a histology result for the slide from the lateral (outer) side of the left leg. This non-disclosure is of significance in that it has always been understood by the Petitioner and those advising him, and it would have been so understood by the jury, that at least by implication one of the slides Dr James described in his evidence was from the lateral side of the leg.

The identification of the second slide coupled with the non-disclosure by Dr Manock and Dr James of its existence notwithstanding their knowledge of it and its significance demonstrates the presentation to the jury by them of a “false and distorted scientific picture” and confirms the extent of their dishonesty and deception.

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On 17 September 2008 a copy of the hand-written notes made by Dr James at the time he reviewed the work of Dr Manock in 1994 were disclosed to the Petitioner.20 This was the first time the Petitioner had access to these notes despite previous repeated requests. These notes show inter alia that Dr James not only saw but he also
examined during his review the photograph of the medial side of the left leg of the deceased which became Exhibit P53. This was contrary to his evidence at the trial.

On 17 September 2008 a report by Dr James to the Director of Forensic Science dated 6 November 2000 was disclosed to the Petitioner. In this report Dr James admitted that his view at the time of the trial was that the post mortem findings by themselves do not prove homicide and 19 James; second trial, “Clearly the slide labelled ‘Head’ shows skin with bruising and the one labelled ‘Skin’ shows bruising and I have also a note of levels 2 and 3 which are also of skin with bruising.”

The reality therefore is that Dr James agreed with the views expressed by the defence experts whereas the only inference that could be drawn from his evidence is that he agreed with Dr Manock. The jury was misled, as was the Court of Criminal Appeal.

On 17 September 2008 a report by Dr James headed “Review of histology slide re: Anna Jane CHENEY (dec’d 18/3/94)” and dated 9 November 2000 was disclosed to the Petitioner. This revealed that in 2000 Dr James had re-examined the original post mortem tissue slides that had been the subject of his evidence at the trial. In that re-examination he had found that only three of those slides in fact showed evidence of bruising. This was contrary to his evidence to the jury that there were four slides of bruising. This finding by Dr James has not been revealed at any hearing
or proceedings.

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Summary of the new evidence::

The following constitutes new evidence:

The respective and unequivocal conclusions drawn by three medical experts who were members of the Medical Board that heard the complaint by the Petitioner concerning Dr Manock in November 2004 was that Dr Manock’s conduct of the autopsy was incompetent.

The Medical Board has asserted that Dr Manock’s conduct of the autopsy was so incompetent that no conclusion can safely be drawn as to both the cause and manner of death.

3. The Medical Board found that Dr James was guilty of unprofessional conduct in that he failed to disclose relevant information to the Court concerning the histology of one mark on Ms Cheney’s body.

4. Dr James has admitted that it was always his opinion that the pathology evidence does not prove homicide.

5. Prior to 7 August 2008 those advising the Petitioner were only aware that there were four slides relating to bruising, one of which showed no evidence of bruising. As previously understood, there was one slide from the head, one slide from the right leg and two slides from the left leg. It has now been established that there are five slides relating to bruising, two of which show no evidence of bruising. It is known now that these two slides are from the medial side of the left leg. Thus there are in fact three slides which relate to the alleged grip pattern on the left leg, and two of those slides do not show bruising and therefore do not support the mark on the medial side of the left leg as being a bruise.

6. Attempts which have been made to establish that haemolytic staining of the aorta with no staining of the pulmonary artery (‘differential staining’) described by Dr Manock as diagnostic of fresh water drowning have failed.

7. The phenomenon of ‘differential staining’ has been demonstrated to occur in cases of natural deaths which do not involve drowning.

8. Dr James did see Exhibit P53, the photograph of the medial side of the left leg of the deceased and which was said to show the alleged bruise on that side of the leg, contrary to his evidence at both trials that he had not seen such a photograph.

9. It can be shown now that the bath was only about half full, not up to the three
quarters full that Dr Manock was asked to assume in his evidence.

10. A subsequent re-enactment of the manner of death scenario proposed by Dr Manock has found that it was not possible to re-create a situation that could re-produce either the alleged bruising or the alleged drowning.

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Incorrect Evidence:

A significant implication of the new evidence is that it can now be shown that when Dr James told the jury that histology slides “levels 2 and 3” were “of skin with bruising” he was wrong. It is known now that neither of these slides show skin and neither show bruising. Dr James in 2000 has himself confirmed this error (although this was not revealed to the Petitioner until 17 September 2008).

The Petitioner contends that this incorrect evidence by Dr James led the jury to believe that the four histology slides that he had described all showed bruising and therefore confirmed the mark on the medial side of the left leg as a bruise, when this was not so, and thereby supported Dr James’s evidence that the marks were a grip. The Petitioner pleads that this error by Dr James is sufficient of itself to have his conviction set aside.


Harold Levy...hlevy15@gmail.com;

Sunday, May 4, 2008

Part Four: Who is Edward Charles Splatt? More On The Guy Paul Morin Connection?

On January 23, 1995, Guy Paul Morin's appeal of his conviction for murder was allowed based on the DNA report, his conviction was set aside, and a directed verdict of acquittal was entered.

(The connection between Edward Charles Splatt and Guy Paul Morin - although continents apart - is explained in the previous post: Part Three: Who is Edward Charles Splatt? The Guy Paul Morin Connection; May 2, 2008);

Guy Paul Morin was free at last.

But as Jack King, wrote in "Champion: Magazine of the National Association of Criminal Defence Lawyers, "The real shock was yet to come."

"As appalled as Canadians were that an innocent man could be convicted of such a heinous crime after such ample proceedings...the Commission on Proceedings Involving Guy Paul Morin shook the entire Canadian justice system to its roots," this section of King's article, which appeared in August, 1998, under the heading, "The Ordeal of Guy Paul Morin: Canada Copes With Systemic Injustice," began.

"Public hearings were held from February 10 to December 18, 1997," the article by the Association's Public Affairs director, continued.

"During the hearings, which were covered extensively by the print and broadcast media, especially Kirk Makin, a reporter with The Globe and Mail (Toronto), a number of problems were identified.

But none, perhaps, were so important to the Canadian and U.S. criminal justice systems than the problems of prosecutorial subornation of perjury, from jail house informants particularly and forensic fraud by police experts.

"My approach at this inquiry was to receive such evidence primarily where it related to systemic issues, rather than findings of personal or institutional misconduct," Judge Fred Kaufman said.

Yet the components comprise the system, and that was where the case of Regina v. Guy Paul Morin failed, as when the simultaneous failure of a few parts causes a plane to crash.

The difference here was that, until the results of the DNA tests, prosecutors and the courts insisted that the plane had landed safely at last with Guy Paul Morin's conviction, and that all was well that ended well!

Bloggist's note: I am leaving aside Mr. King's comments on the jailhouse informant evidence as it is not directly relevant to this Blog. What follows are his observations on the Crown's forensic testimony, under the heading: "Whistleblower exposes crime lab fraud."

"The Crown's forensic testimony, especially the hair and fiber analysis supposedly linking the Morin family car and the body of Christine Jessop, was abysmally flawed," this section of the article begins.

"Aside from revelations of disclosure (discovery) abuse which abounded in the spring of 1997, it became ever more clear during the hearings that assertions that the necklace hair "matched" Guy Paul Morin's and that several fibers supposedly proving that Christine had been in the Honda, teetered on the edge of perjury, with further exaggeration by the Crown in closing argument," it continues.

"But an anonymous letter written by a whistleblower in the Ontario Centre of Forensic Sciences (CFS) toppled it over that edge the last weekend of April 1997, when it revealed that contamination in the hair and fibers unit of the CFS was a source of constant gossip in the lab as far back as 1985, when the Jessop and Morin samples were analyzed.

According to The Globe and Mail, Stephanie Nyznyk, a former CFS examiner who did the examinations in the Jessop investigation, told the commission in early April 1997 that she was under pressure from police and prosecutors to overstate her evidence.

She admitted during the inquiry that sets of similar fibers on Christine's remains and in the Morins' Honda did not necessarily mean Christine had been in the vehicle.

At first she denied that she told the jury in no uncertain terms that the fibers "matched," then she admitted under intense questioning several days later that she never told the jury -- or Crown prosecutors -- that her evidence was of little value because no one ever asked her that.

"As far as I can recall, I don't think that type of question came up," Nyznyk testified.

But under pressure from lawyers at the inquiry, Nyznyk admitted that she may have misled authorities -- who then unwittingly misled the court -- about the value of the hair and fiber samples.

Shortly after Nyznyk gave police her conclusions about hairs and fibers linking the Honda to Christine's body, Morin was arrested.

(Former Durham Regional Police detective Bernie Fitzpatrick agreed, months later in July 1997, that it was the hair "match" that led him to finally arrest Morin.

He testified that examiner Stephanie Nyznyk even let him look at the hairs under the microscope in early 1985 and explained to him that they "matched.")

Around April 15, 1997, a senior forensic scientist testified that he would have been "shocked, to say the least," to learn that prosecutors in the Morin case intended to rely heavily on hairs and fibers supposedly linking Morin to the crime.

The evidence was weak, at best, testified Norman Erickson, retired head of CFS's biology section. (Hair and fiber samples will typically have points of similarity, dissimilarity, or both. The more they share similar characteristics, the theory goes, the more likely they came from the same source. But it is highly misleading and patently unfair to testify that two such exhibits "match" as though they are identical.)

The bomb dropped two weeks later when Erickson, confronted with a letter from the anonymous CFS whistleblower sent to the commission a few days earlier, admitted he may have known as far back as 1985 that samples from the Honda and Christine's body were contaminated with foreign fibers within his lab.

At Morin's 1986 and 1992 trials, the prosecution relied heavily on several red wool fibers purporting to link the car and Christine's body.

Lab employees were already gossiping about the microscopic red "animal fibers" showing up on microscope slides and adhesive sample mountings tapes.

They speculated about two lab examiners known to wear red wool sweaters who refused to wear lab coats as far back as 1985.

When the Morin evidence was re-examined in preparation for retrial in 1990, the problem could have been common knowledge for at least five years.

The anonymous whistleblower revealed that Erickson telephoned Lynn Sedgewick, an analyst who worked closely on the Morin case several years ago, to ask whether she owned a red wool sweater, The Globe and Mail reported.

Such a call would mean that Erickson was far more concerned than he previously testified about the red fibers that contaminated the sticky evidence tapes.

Acknowledging that he phoned Sedgewick about her clothing, Erickson added that he visited another analyst involved in the Morin case at her new job to ask the same question.

Erickson said that both denied possessing a red sweater -- but James Lockyer, Morin's lawyer, revealed that he had asked Sedgewick the same question the previous Sunday after being informed of the letter, and she told him that she did own a red sweater.

Lockyer "expressed astonishment" that both Erickson and Stephanie Nyznyk managed to testify at both Morin trials while suppressing their knowledge of the contamination problem, The Globe and Mail reported.

"I don't know about suppressing it," Erickson responded. "I just didn't make it available."

"Interesting linguistics," Lockyer said. "So the two of you testified at the 1992 trial while knowing this?"

"It would appear so," Erickson admitted.

Contamination and Cover-Up Continued for Years;

As the hearings ground on, refueled by the allegations of fraud in Canada's premier crime lab, Bruce Durno, President of Ontario's Criminal Lawyers Association, told the press that the lab scandal shakes the system to the core.

"The inquiry has cast enormous light -- in some cases, new light -- on the workings of the Centre. In terms of defenses at trial, is this going to be a new avenue? Absolutely."

Durno said that the revelations of cover-up were "shocking on a number of levels."

"When you appear in court presenting evidence, it's a matter of trust. The Centre has been presenting evidence for years. Judges, juries and police have accepted it as gospel -- the Centre of Forensic Sciences has spoken."

In fact, the lab touted its reputation on the "fact" that it was supposedly neutral.

Its reputation was that it was devoted to science, favoring neither the Crown nor the defense, but seeking only neutral scientific proof, and its examiners often testified to that reputation in court.

But privately, and sometimes publicly, defense lawyers had dismissed the lab's supposed neutrality for years, complaining that in the vast majority of cases, they would never use it because it made the results of defense tests available to the prosecution, sometimes even before the defense received them.

And as the Morin Commission found, it would suppress exculpatory results of Crown evidence testing when it suited the prosecutors, and the defense would never know of it.

Although Shirley Stefak protested to her boss, Norman Erickson, that the Morin samples were "frighteningly" contaminated in 1990, the first anyone outside the lab heard of it was when she testified before the commission, May 8, 1997.

Cases May Be Reopened;

In mid-May 1997, James Crocker, a senior manager of the CFS, said that in the wake of the lab scandal revealed at the commission's hearings, a "long list of criminal cases" would be re-examined.

"It would be time-consuming, but I don't think it would be particularly difficult," he told The Globe and Mail May 12, 1997.

The cases that may have to be thrown out involve the work of Stephanie Nyznyk and Norman Erickson, he said.

Moreover, Crocker said he recalled that while sitting in the courtroom during Morin's 1992 retrial he thought how weak the fiber evidence seemed to him.

In that respect, he said, the problem was not with the quality of the microscopic fibers purported to link Morin and Christine Jessop, but what few points of similarity he noticed they shared.

No Closure;

Last January, as the hearings were winding to a close, Guy Paul Morin received a full apology from Ontario Attorney General Charles Harnick, and a $1.25 million (U.S. $822,500) settlement payable to him and his parents.

There was a feeling by some following the inquiry, Kaufman said, that Morin's defense counsel in the second trial "contributed to the miscarriage of justice primarily by the ill-advised, sometimes hostile, approach taken to witnesses and the undue prolongation of the trial, resulting in jury alienation."

Such sentiments are not uncommon, particularly when it seems there is guilt and blame enough to go around.

After all, how could a competent lawyer allow an innocent man to go to prison?

Don't the Crown prosecutors depend on defense lawyers to test their evidence?

Any such notions of ineffective assistance are dispelled by the commission report.

Let it be noted: Morin's defense lawyers won an acquittal at the first trial February 7, 1986.

Errors by the court, which seem trivial in retrospect, enabled the Crown to take its successful appeal in June 1987 (upheld by the Supreme Court of Canada in May 1990 and March 1991).

Morin's new trial team litigated pre-trial motions over seven months of hearings (and 7000 pages of transcripts) from April 2 to November 13, 1991.

The second trial, with over 120 Crown witnesses, lasted from November 13, 1991 to July 30, 1992.

"However well or ill-founded this criticism [of the defense lawyers] might be," Kaufman found, ". . . there is no doubt that a disquieting number of witnesses for the prosecution in this case gave evidence which could justifiably be regarded as suspect."

Fully convinced of Morin's guilt and blind to ample available evidence to the contrary, the Crown confidently built a dubious case on coached and perjured testimony from police, experts, and citizens; and it expended a great deal of resources to convict an innocent man.

Unthinkable?

When prosecutors and police violate citizens' rights under the delusion that it is for a greater good, when the state itself becomes a lawbreaker, or uses lawbreakers to achieve an aim, the words of Supreme Court Justice Louis Brandeis take on new life: "The greatest dangers to liberty lurk in insidious encroachments by men of zeal, well-meaning, but without understanding."

In a rush to judgment, there is equal danger that men of ill-will may never be brought to justice.

"The criminal proceedings against [Morin] represent a tragedy not only for Mr. Morin and his family, but also for the community at large: the system failed him -- a system for which we, the community, must bear responsibility," Kaufman writes.

"An innocent man was arrested, stigmatized, imprisoned and convicted. The real killer has never been found. The trail grows colder with each passing year. For Christine Jessop's family there is no closure.""


Bloggist's Note;

I have a reason for returning to this ugly blot on Ontario's criminal justice system.

Guy Paul Morin was arrested on April 22, 1985.

Dr. Charles Smith been working on suspicious death cases at the Hospital for Sick Children since 1981;

The Canadian Forensic Centre and the Chief Coroner's office were both under the jurisdiction of the Ministry of the Solicitor General;

It appears to me that the failure to reign in Dr. Charles Smith must be seen in the context of the prevailing political, bureaucratic and scientific culture that allowed Guy Paul Morin to be charged and convicted.

What if that whistleblower hadn't made the call?

Harold Levy... hlevy15@gmail.com;

Wednesday, April 30, 2008

Part One; Who Is Edward Charles Splatt? Wrongful Conviction by scientists; What Canadians Can Learn From This Terribly Troubling Case;

FROM EDWARD CHARLES SPLATT’S CELL, AUGUST 1, 1984, HOURS BEFORE BEING RELEASED FROM PRISON FOLLOWING HIS EXONERATION BY THE SHANNON ROYAL COMMISSION:

"4.30 PM LOCK UP JUST THE SAME AS EVERY OTHER NIGHT. I WAS UNDRESSED AND LAYING ON MY BED WATCHING TV WHEN, AT ABOUT 9 PM, THE KEEPER AND A SCREW CAME TO MY CELL DOOR.
GENERALLY WHEN YOUR CELL IS UNLOCKED THIS LATE IT’S A STRIP SEARCH OF YOURSELF AND YOUR CELL. THE KEEPER JUST SAID, ‘GET DRESSED, SPLATTY, AND COME WITH ME.’

MY MIND STARTED TO RACE. WHAT HAD I DONE WRONG? I KNEW MY WIFE WASN’T WELL. SURELY NOTHING HAD HAPPENED TO HER. THE KEEPER INSTRUCTED THE SCREW TO STAY IN THE NEW BUILDING AREA. ‘SPLATT WON’T BE LONG.’

WHEN I ARRIVED AT THE FRONT GATE, I WAS OVERWHELMED. STEWART COCKBURN (A PHENOMENAL JOURNALIST WHO INVESTIGATED THE CASE HL) WAS STANDING BETWEEN GATES, NEARBY WAS MY WIFE. ‘WE’VE WON, EDDIE!’ STEWART SHOUTED. STEWART HAD BEEN GRANTED PERMISSION TO BRING YVONNE INTO ADELAIDE GAOL AT 9 PM TO DELIVER THE GOOD NEWS.

I COULDN’T BELIEVE WHAT WAS HAPPENING. THE KEEPER CONGRATULATED ME AND EVEN SHOOK HANDS—THE FIRST TIME POSSIBLY FOR A KEEPER TO SHAKE HANDS WITH A PRISONER. I WAS TAKEN INTO THE VISITOR’S ROOM FOR AN EXCLUSIVE INTERVIEW WITH THE ADVERTISER.

NOBODY WILL KNOW THE FEELING THAT HAD COME OVER ME. I HAD TO PINCH MYSELF TO MAKE SURE I WASN’T DREAMING. ALL MY WRITING AND ARGUING HAD AT LAST PAID OFF. I HAD ALMOST DONE THE IMPOSSIBLE. I WAS NOW TO JOIN A VERY SELECT BAND OF PEOPLE. I WAS ONLY THE FIFTH PERSON IN AUSTRALIA’S 200 YEARS OF LEGAL HISTORY TO BE RELEASED FROM PRISON AFTER A ROYAL COMMISSION ON A ROYAL PARDON. I REALLY FELT PROUD OF MYSELF FOR ACHIEVING SUCH AN HONOUR, ALTHOUGH IT IS NOT A NICE WAY TO MAKE HISTORY. SERVING SIX AND A HALF YEARS IN SOUTH AUSTRALIA’S PRISONS IS HORRIFIC ENOUGH BUT HAVING TO SERVE THAT SENTENCE KNOWING FULL WELL YOU ARE INNOCENT MAKES THE SENTENCE OF LIFE IMPRISONMENT TURN INTO A DAILY NIGHTMARE."

GOD, IT FELT GOOD TO HOLD MY WIFE WITHOUT A SCREW YELLING ‘TIMES UP.’'

FROM EDWARD CHARLES SPLATT'S CELL: AUGUST 1, 1984; HOURS BEFORE BEING RELEASED FROM PRISON FOLLOWING HIS EXONERATION BY THE SHANNON ROYAL COMMISSION; PRISON; FROM CURRENTLY UNPUBLISHED BOOK TENTATIVELY TITLED "FORENSIC FAILURES" BY TOM MANN; I AM GRATEFUL TO DR. ROBERT MOLES FOR MAKING A MANUSCRIPT OF THIS IMPORTANT WORK AVAILABLE TO THE READERS OF THIS BLOG;
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"HE (COMMISSIONER SHANNON) SAID THAT SOME OF THE SCIENTISTS INVOLVED IN THE ORIGINAL CASE APPEARED TO HAVE HAD A DUAL ROLE.

THIS MEANT THAT WHEN ANALYSING WHAT THEY SAID AND WHAT THEY DID, IT WAS DIFFICULT TO DETERMINE WHETHER THEY WERE ACTING IN AN INVESTIGATIVE ROLE (LIKE THE POLICE) OR AS AN OBJECTIVE OBSERVER (LIKE A SCIENTIST)."

COMMENTS ON EDWARD CHARLES SPLATT CASE: NETWORKED KNOWLEDGE; DR. ROBERT MOLES; PROF. BIBI SANGHA;"
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While preparing yesterday's post on Dr. Ross James' court challenge to the Medical Board of South Australia's finding of professional misconduct in connection with his evidence in the Henry Keogh case, I was intrigued by the reference to a Royal Commission called into the conviction of a man named Edward Charles Splatt;

So, intrepid reporter that I am, I decided to learn more about this man, and turned to the Networked Knowledge Web-site operated by Dr. Robert Moles and Professor Bibi Sangha, and found a fascinating note which I concluded was, in many ways, directly relevant to the issues raised at the Goudge Inquiry;

""Edward Splatt was charged with the murder of Mrs Simper, a 77 year-old Adelaide woman who had been badly beaten, sexually assaulted and strangled in her bedroom," the note begins;

The case was complex, dealing with paint, wood, birdseed and biscuit particles found in her room," it continues;

"It was a rare case in that the only evidence leading to the identification of the accused was the scientific evidence. No one had ever seen Splatt with the deceased or in her house.

Splatt was convicted of the murder in 1978. His appeals were unsuccessful.

However, Stewart Cockburn, a journalist with the Adelaide Advertiser, became convinced of the unsatisfactory basis of the prosecution case.

He ran a campaign in the paper for about two years before the government agreed to a Royal Commission.

Splatt’s conviction was subsequently overturned in 1984 and he was paid some $300,000 by way of compensation.

The commissioner was highly critical of the conduct of the trial, especially the operations of the expert witnesses.

He put forward a number of principles concerning the way in which lawyers and expert witnesses should work.

Had they been adopted, they may have prevented many of the apparent miscarriages of justice that appear in these reports.

Recommendations from the Splatt case;

The Splatt case is important because it was an authoritative source by which proper procedures could be identified.

Judge Shannon, the commissioner, was critical of the procedures which had led to the conviction.

In his report he adopted the recommendations from the scientific experts that had been called from the United Kingdom, about how things should be done for the future.

He said that some of the scientists involved in the original case appeared to have had a dual role.

This meant that when analysing what they said and what they did, it was difficult to determine whether they were acting in an investigative role (like the police) or as an objective observer (like a scientist).

Judge Shannon pointed out that this sort of confusion could only happen in a system which was ‘an incorrect one with serious defects’.

He said that some of the original evidence which had been given by the expert witnesses involved completely non-scientific statements that were more like police investigatory suggestions.

He also emphasised that a system which did not distinguish between scientific observations and deductions by police in their investigatory capacity, was ‘a defective and therefore a non-acceptable forensic system’ and said that ‘in each instance the dual roles are, in my opinion, incompatible’.

The proper role of expert witnesses;

The commissioner said that every scientific operation or observation must be documented on the case-notes and documented in such a manner that they would still be comprehensible perhaps even years later.

He said that all major observations must be checked by an independent observer who must indicate, by initialling the notes, that the proper checks had been made.

In our view, these basic requirements should apply to forensic scientists and forensic pathologists alike.

The commissioner also said that it was not acceptable for the scientific expert witnesses to say that it was no fault of theirs if the court was left with the wrong impression of their evidence because they were not asked the right questions by the lawyers; they had a responsibility to ensure that their evidence was not misused in that way.

The proper role of lawyers;

The commissioner also expressed his view on the proper role of lawyers.

He said that during the conduct of a trial there is a serious obligation on the lawyers conducting the trial.

He said that the critical responsibility is that they should ask such detailed and probing questions of the scientists as are most likely to elicit the proper information.

Some of the cases that we discuss in these reports illustrate the results of the legal system of South Australia failing to adopt those sound principles across the range of forensic investigations."


More to follow on the legacy of the Splatt case and its meaning for Canadians;

Harold Levy...hlevy15@gmail.com;

Henry Keogh Case: Australia; James Appeal Of Professional Misconduct Finding To Be Heard Friday;

"THE SUPREME COURT'S DECISION WILL BE OF CRUCIAL IMPORTANCE IN KEOGH'S BATTLE FOR EXONERATION IN VIEW OF THE AUSTRALIAN GOVERNMENT'S ABJECT REFUSAL TO REMEDY THE INJUSTICE - LET ALONE TO LISTEN TO THE POWERFUL EVIDENCE THAN AN INNOCENT MAN IS IN PRISON AND A HUGE, DARK CLOUD HOVERS OVER THE COUNTRY'S CRIMINAL JUSTICE SYSTEM."

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Dr. Ross James' appeal of his conviction for professional misconduct in connection with evidence he gave, along with Dr. Colin Manock, in the Henry Keogh case - a flagrant Australian miscarriage of justice which cries out for remedy.

The Henry case has been the subject of several recent posts which raise the question: Why, after fourteen years is this man still who was convicted of the flimsiest forensic pathological evidence still in jail?

The "important development" referred to, is the recent decision of the Medical Board of South Australia to censure Dr. Ross James in connection with the evidence he gave - along with Dr. Colin Manock - at Keogh's murder trial.

At the heart of the professional misconduct allegations levied against Dr. James and Dr. Manock, whose own hearing is scheduled before the Medical Board of South Australia, for his work on the same case, is their evidence relating to so-called "bruising" which they said indicated Mr. Keogh's fiancee had been forcibly drowned.

(Like Dr. Charles Smith, both James and Manock enjoyed giant stature in their jurisdiction: Dr James was Manock's deputy for nearly 25 years and took over as Chief Forensic Pathologist in South Australia on his retirement.)

As Dr. Robert Moles, an authority on the Keogh case who has fought valiantly for Keogh's release and vindication, informed the readers of this Blog:

"In the judgment in relation to Dr Ross James, forensic pathologist, the Medical Board of South Australia stated that Dr James, “appeared to have a flawed and untenable understanding of his role as an expert witness.

The two pathologists who were called for the prosecution in the Keogh case said that they had seen three bruises on the outside of the left leg, and a single bruise on the inside of the left leg.

"The pathologist who did the autopsy, Dr Colin Manock, said that he took a tissue sample from one of those on the outside of the leg and another from the bruise on the inside of the leg.

Both pathologists had told the court that the microscopic examination of the bruises confirmed that they all looked about the same and had been caused shortly before death.

It was their view that the marks represented a hand grip on the leg and were an important part of the explanation as to how she had been forcibly drowned.

In the subsequent medical board proceedings, both Dr Manock and Dr James said that when they looked at a microscopic slide taken from the “bruise” on the inside of the leg, that it did not show any signs of its being a bruise.

However, they both said that they did not bring this finding to the attention of the court.

Dr Manock said that it was because “it did not come up in conversation”.

Dr James said that it was because he did not think it to be particularly relevant."


Moles also stressed that,“the Board did not consider that the failure to inform the Court amounted to either a trifling or harmless departure from recognised professional standards."

"Rather the Board considered that on the balance of probabilities, the respondent’s conduct in withholding the histology of the mark was unprofessional," he continued.”

“Regardless of what the respondent’s opinion was as to the importance, relevance or otherwise of the histology of the mark he should have provided this information to the Court.

The Board determined that the respondent failed in his duty to the Court and that by his conduct left himself open to the assertions put forward by the complainant that by his conduct he misled the court.”

In any further appeal by Dr James he cannot change the fact that he agreed in his evidence to the Medical Board that he did not inform the court of his observation concerning that slide."


Dr. Moles is currently engaged full time with the "Networked Knowledge project" which he established to investigate and report upon alleged serious miscarriages of justice which are said to have taken place in South Australia over the last 30 years.

He is the author of "A State of Injustice" which was published in October 2004, and "Losing Their Grip" – The Case of Henry Keogh published January 2006 - and his comprehensive Web-site can be found at http://www.netk.net.au...);

Several of the grounds of appeal to be raised by James at Friday's hearing have a bearing on Dr. Charles Smith who argues in his closing submissions to the Goudge Inquiry that his work must be judged in the context of professional standards at the time the work was performed - as far back as 1991.

For example, James' lawyers state in a notice of appeal filed in the Supreme Court of South Australia that: (“the Board”) erred in finding that non-disclosure of relevant material by Dr James was due to “his ignorance or disregard of his responsibilities;”

However, Mr. Keogh takes issue with this contention in a cross-appeal filed with the Court, as follows:

0: His experience as disclosed by his evidence given at both trials and before the Medical Board in November 2004 was not properly taken into account by the Board.

0: His reputation was not properly taken into account by the Board.

0: That Dr James was a former President of the South Australian Branch of the Australian and New Zealand Forensic Science Society and must have been fully aware of the relevant Code of Ethics was not properly taken into account by the Board.

0: His non-compliance with the most basic standards required of an expert witness was not properly taken into account by the Board.

Those standards include:

0: To comply with the oath taken to tell the truth and the whole truth.

0: A doctor must always maintain the highest standards of professional conduct towards both the individual and society. (References omitted);

0: "The vital obligation which lies upon the investigating scientists is that they spell out to the jury, in non-ambiguous and precisely clear terms, the degree of weight and substance and significance which is or ought properly to be attached to the scientific tests and analyses and examinations as to which they depose; and specifically the nature and degree of any limitations or provisos which are properly appended thereto.

…Of course, in the context of question and answer, the primary responsibility must always remain with the scientist; because it is he who should know the nature and scope of his scientific analysis and the limitations and exceptions properly attachable to the results he achieves.

Accordingly, in my view, it is not properly open to a scientist, on a later occasion when his Trial evidence is being re-assessed, to say, for example: “I answered correctly such questions as I was asked. If I had been asked other and more relevant questions I would also have answered them correctly. It is not my fault that the correct questions were not asked of me”. (Royal Commission Report concerning the conviction of Edward Charles Splatt, 1984, p52.]


The Supreme Court's decision will be of crucial importance in Keogh's battle for exoneration in view of the Australian government's abject refusal to remedy the injustice - let alone to listen to the powerful evidence than an innocent man is in prison and a huge, dark cloud hovers over the country's criminal justice system.

The Board had the strength and courage to fearlessly call the shots on the Keogh complaint.

Now it is up to the Courts;

Harold Levy...hlevy15@gmail.com;

Thursday, April 3, 2008

Part Four: Important Development: Media Coverage Of Board Decision Finding Pathologist Guilty Of Professional Misconduct In Henry Keogh Case;

GRAHAM ARCHER: (REPORTER) "PERHAPS OLD HABITS ARE HARD TO SHAKE. NONE OF THIS WOULD EVER HAVE COME TO LIGHT IF NOT FOR THE INTERVENTION OF AN EXPERT FROM OUTSIDE THE FORENSIC SCIENCE CENTRE AND AN ENQUIRING MEDIA":

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Over the past few days, Canadians have been exposed to national media coverage of three public inquiries relating to pathologists: The Goudge Inquiry probing cases involving Dr. Charles Smith and inquiries in Newfoundland and New Brunswick.

There has also been highly visible coverage of the workings of a pathologist in Australia in the last several days - in the aftermath of a decision by the South Australian Medical Board's finding a pathologist named Dr. Ross James guilty of professional misconduct for with-holding crucial evidence during Henry Keogh's two murder trials.

Here is a transcript of Channel 7's "Today Tonight" coverage on "Dr Ross James and the case of Henry Keogh."

It contains an interview with a rather thin-skinned Attorney-General - Michael Atkinson - who seems to be intent on punishing the reporter for revealing the bad news for the government that an independent body has found serious errors that have been alleged to have helped lead to the conviction of an innocent man.

Read on:

Rosanna Mangiarelli: Thank you Jane and John - good evening and welcome to the program which we'll begin tonight with a Henry Keogh murder trial bombshell - with a second senior state pathologist involved in the case now also in disgrace. This morning, the South Australian Medical Board found forensic pathologist Doctor Ross James guilty of unprofessional conduct for with-holding crucial evidence during both the Keogh trials. The question now is how many other South Australian cases have been based on flawed evidence. Graham Archer investigates.

Bob Moles: This is actually the first finding that there has been improper conduct in the giving of evidence in the Keogh case.

Dr Tony Thomas: It is our duty to correct those potential errors and if appropriate to rectify them rather than sweep them under the carpet.

Graham Archer: the State's Medical Board rightly has dropped another bombshell - finding a second Senior State Forensic Pathologist to have withheld crucial evidence during the two Henry Keogh trials.

So that's now two former Chief State Forensic pathologists now under a cloud?

Bob Moles: Under a very dark cloud because one had been found guilty of unprofessional conduct and with regard to the other the Medical Board has formed the view that he is guilty of unprofessional conduct because that's the reason they are pursuing it before the medical tribunal.

Graham Archer: The latest casualty is Dr Ross James - Dr Colin Manock's deputy and successor as the State’s Chief Forensic Pathologist in 1995. Now found guilty of unprofessional conduct for what he did in the Keogh case.

Graphic of Medical Board ruling showing words "unprofessional conduct"

Bob Moles: Well, it’s the most serious finding you could have against a professional medical expert witness.

Graham Archer: It's what we have been raising for years. Official confirmation of the failure of due process in the case, and raises question about countless other criminal cases.

Bob Moles: By my calculation they have done 17,000 autopsies between the two of them. In the case of Dr Manock over 30 years – and with Dr James 25 years.

Graham Archer: Here's what happened. In December 1994 the DPP asked Dr James to review Dr Manock's autopsy of Anna Jane Cheney prior to the first Keogh trial. Though Dr Manock took minimal notes, photos or body tissue - Dr James did have three tissue samples - or histology as its called - of the important bruises to the deceased's legs, including that so-called crucial thumb bruise on the inside of the left leg, which we assume he examined. Author Dr Bob Moles.

Bob Moles: In relation to the bruise on the inside of the left leg, the slide was the only evidence he had of the possibility of there being a bruise and when he looked at it there wasn't a bruise.

Graham Archer: And yet, mysteriously, Dr James chose to tell the court all three tissue slides revealed almost identical bruising?

Graphic: trial transcript "there were histological sections of the three bruises and they all appear very similar”.

Graham Archer: And yet, seven year after the conviction, Dr James wrote to the DPP admitting he'd seen no proof of the key thumb bruise.

Graphic: extract from letter - ".... histology failed to confirm this was a bruise ."

Graham Archer: So, the juries in two trials had been led to believe there was physical evidence for the prosecution' s murder scenario when in fact no such thing existed. Now, at last, as they say, the jig is up with the Medical Board finding Dr James:

Graphic: Board’s determination "The Board determined by his conduct he misled the court"

Graham Archer: Dr James failed to inform the court. Is not all that relevant? It's now official his trials were conducted on the basis of evidence which was wrong; though the Board found Dr James did not intend to mislead the court. However Keogh's complaint was that was the result.

Bob Moles: If the court has been misled on a significant issue - and this is a very significant issue - then it means the conviction is unsafe and should be set aside.

Graham Archer: But as a society we need to know how such things can happen and why our authorities denied anything was wrong, One irony is that barrister Michael Abbott QC who first came to Dr James defence had once been scathing of the states forensic science credo.

Graphic: Michael Abbott article - "The Forensic Science Centre has a rule that one scientist from the Centre will not give evidence against another."

Graham Archer: Perhaps old habits are hard to shake. None of this would ever have come to light if not for the intervention of an expert from outside the Forensic Science Centre and an enquiring media:

Extract from ABC 4 Corners Program, Sally Neighbour: Dr Manock’s slides from the bruising have recently been examined by Professor Tony Thomas and the results are startling and appear to cast serious doubt on the Crown case.

Graham Archer: In 2001 expert histopathologist Professor Tony Thomas, having studied the tissue samples, revealed his alarming discovery on the ABC Four Corners program.

Extract from ABC 4 Corners Program, Dr Tony Thomas: This is the slide labelled as coming from the medial side of the left leg which was said to be the thumb prints. I see no evidence of a bruise whatsoever - I don't see how you could diagnose this as a bruise.

Graham Archer: His finding meant that without the key ‘thumb bruise’ the grip theory had been pure speculation.

Dr Tony Thomas: The then DPP said or implied that this was ‘the one indication of murder’. Now, if that is so, it makes the pathology of that mark of vital importance.

Graham Archer: Prof Thomas's expertise was such that no one doubted his diagnosis. It caused an instant flurry. A week after the broadcast Dr James made his startling admission in a letter to the DPP.

Graphic of letter from Dr James to Paul Rofe QC: 30th October 2001 "Professor Thomas .. claimed that histology (of the thumb bruise) failed to confirm this was a bruise. I agreed with him"

Graham Archer: What's more troubling is that, months earlier, Dr James had written to the DPP backing the claims made by his colleague Dr Manock in court.

Graphic: Letter from Dr James to Paul Rofe QC December 28 2000 "….examination has confirmed that the apparent bruises from the three areas (on the legs) were, in fact, bruises."

Graham Archer: It would appear Dr James did a backflip?

Bob Moles: He's supposed to be interpreting the same evidence. The evidence hasn't changed but his opinion appears to have changed.

Graham Archer: For the next 7 years our authorities have tried to sweep all this away. But now, this travesty has at last been officially acknowledged. The Medical Board finding Dr James to have had:

Graphic from Medical Board finding: "a flawed and untenable understanding of his role as an expert witness".

Bob Moles: It's quite a shocking finding because the Chief Forensic Pathologist for the State must have a clear and detailed understanding of the role of an expert witness because that's the principal task they have to undertake.

Graham Archer: Dr James added to the seriousness of his failings by telling the Board he didn't consider the truth about the bruise "particularly relevant". An attitude the board considered "remarkable".

Dr Tony Thomas: It is not his job to determine what is relevant or what is not relevant. That is for the court to decide - that is not the role of an expert witness.

Graham Archer: If the jury knew what we know now, what might they think?

Dr Tony Thomas: Well, I'd be very interested to find out, because I think that information whereby Dr Manock and Dr James both agree there is no evidence of bruising, that might be very influential to a jury. The Board in their decision go on to say: "….. it was (Dr James') ignorance or disregard of his responsibilities rather than a deliberate desire on his part to mislead the court which led to his conduct."

But Dr James' sin was not just failing in his duty to the court as the Board found, it in fact went further. He continued to back Dr Manock's speculation about a grip mark despite effectively conceding there was no proof. And it's not the only time Dr James has been criticised for indulging in unprofessional speculation.

Dr Tony Thomas: I think that was born out in the Straker v The Queen case where its stated quite convincingly that an expert witness should not speculate in this way.

Graham Archer: And that case involved Dr James as well didn't it?

Dr Tony Thomas: I gather it did - yes.

Graham Archer: Trouble is, who can we now trust to clean up this mess. Remember, it was partly Dr James whom our Attorney-General Michael Atkinson relied on when he addressed Parliament on April the first 2003 in his attempt to deny the very facts now confirmed by the Medical Board. Atkinson told the Parliament:

Graphic: "Today Tonight claims ... that important pieces of evidence were withheld from court. This is wrong. I deny it."

Bob Moles: It's a foolish and ignorant statement.

Graham Archer: Though we warned him, the Attorney-General chose to attach his name to this monumental disaster. His choice now is to resign - or repent.

Bob Moles: He must refer the Keogh case back to the Supreme Court as we have asked him to do in a number of petitions and let the court sort this out.

Graham Archer: And let's not forget how many warning signs there've been that a storm was brewing. It's well documented that the past cases of Dr Manock's that have come under scrutiny were found flawed - but nothing was ever done. Now Dr James who worked under him and took his place has also been found to not understand his role.

Graphic: Frits Van Beelen, David Szach, Emily Perry, Gerald Warren, Derek Bromley, John Highfold, Terry Akritidis, Kingsley Dixon, Joshua Nottle, Storm Deane, William Barnard, Henry Keogh.

Bob Moles: … and now we are seeing the price that might have to be paid for ignoring those warning signs .

Graham Archer: Of course we've also seen Dr James’ successor Dr Allan Cala quietly slip out of the State recently, after he too was found to have acted unprofessionally in the double murder of Pam And Bill Weightman in NSW, prior to his appointment here.

Alan from file tape: For 2 years we were told by Dr Cala, the forensic pathologist who's worked on some very high profile cases, a scenario of what happened to Pam and Bill that was totally bogus. It wasn't even in the ball park. How could we have a forensic pathologist get it so wrong?

Graham Archer: And as with Dr James, the Attorney-General used Dr Cala in his continued desperation to defend Dr Manock's flawed forensics.

more recently we've had a Government report into the Keogh case that's been kept secret, and 2 years ago the former Medical Board gave Dr Manock the all clear even though the notes prepared by it's own experts described his work as incompetent.

Graham Archer: There has to be an end to this soon before it sucks more people into this scandal doesn't there?

Bob Moles: There should have been an official investigation into this when it was first raised six or seven year ago, but unfortunately in the meantime, people have purported to have a look at it and say everything is okay.

Dr Tony Thomas: I very firmly believe now we have a moral obligation to the society and to the public to put an end to this and the only way I can see is to have a full judicial review into the case. I cannot see any other resolution.

Graham Archer: And while we should compliment the current Board, after a shaky start, for recognising what professional conduct demands, It's now time to face up to the whole truth.

Graham Archer: It's all on the record .This is not going to go away is it?

Bob Moles: No it's not going to go away. And if the officials in South Australia don't get on the right side of this they'll be subject to the enquiry the same as the rest of the people will be.

Rosanna Mangiarelli: And Dr James, who’s seeking leave to appeal the decision has been censured over his conduct. And whilst the Medical Board is responsible for maintaining professional medical standards, it’s our Chief Law Officer’s duty to ensure the criminal justice process is not perverted by flawed evidence. This afternoon, Graham Archer put this proposition to the Attorney-General, Michael Atkinson.

Press Conference
Graham Archer: Graham Archer from Today Tonight. Can I ask you for a comment on the Medical Board decision, announced today, that found the former Chief Forensic Pathologist, Dr Ross James, to be guilty of unprofessional conduct for misinforming the jury in the Keogh trials?

Michael Atkinson: My understanding of the Medical Board decision was that it found Dr James was wrong not to volunteer certain evidence. In fact, he wasn’t asked the question by Keogh’s defence counsel. I am also advised that Dr James who is now retired will be appealing against that decision and any comment from me will be most appropriate once that appeal is resolved and we have a final decision.

Graham Archer: But we now have two senior former Chief Forensic Pathologists under a cloud over this case. The fact that Dr James was an expert witness and was described by the Board as having an untenable understanding of the role of an expert witness means that he should have produced that evidence to the jury - and the Medical Board said that that was ‘remarkable’ and that it actually affected the outcome of the jury’s deliberations, now how much more do we need for justice to prevail and for due process to operate in this state?

Michael Atkinson: Due process is operating and the matter will be determined finally when Dr James’ appeal is heard and then you and I and everyone else can comment on that as a final decision.

Graham Archer: But due process is about providing evidence to the jury, scientific evidence, and Dr James is not denying that he didn’t do that. He claims that he wasn’t, asked but it is the duty of the expert witness to provide expert evidence.

Michael Atkinson: I understand what is at stake, but what I’m telling you is that I am not going to give a temporary comment while an appeal is in train and when an appeal is decided and the matter is finalised then I will be open for questioning as the Attorney –General at that time and I will not refrain from comment, but it would be highly inappropriate for me to canvass a decision which is subject to appeal.

Graham Archer: But in 2003 you told the Parliament that you denied – you personally denied that evidence had been withheld from the court.

Michael Atkinson: Well, I’ll have to have a look at that, you’ve misquoted me in the past, ..

Graham Archer: No I haven’t

Michael Atkinson: you’ve misquoted me …

Graham Archer: .. no we haven’t, no we haven’t …

Michael Atkinson: … you’ve misquoted me repeatedly and you have obscured from the public of South Australia, the evidence regarding Henry Keogh lying in the aftermath of the death of Anna-Jane Cheney, and you’ve obscured deliberately from the public of South Australia the evidence regarding the insurance policies and for the last few years you’ve refused to run in your program that Henry Keogh falsified and admitted falsifying the signature of the deceased on life insurance policies running into millions of dollars.

Graham Archer: Why would he make that admission if he was trying to hide something, why would he volunteer that information?

Michael Atkinson: Why won’t you let the people of South Australia know that information, Mr Archer?

Graham Archer: I’ve said it many times. We’ve actually …

Michael Atkinson: … not in recent years.

Graham Archer: Yes we have, but the key thing here is that two senior forensic pathologists …

Michael Atkinson: Yes I know …

Graham Archer: … misinformed the juries in this state, is that OK by you?

Michael Atkinson: No, it isn’t

Graham Archer: and you denied that it happened in Parliament in 2003.

Michael Atkinson: I will check the quote because you have misquoted me before and you have ….

Graham Archer: Well, you’re on a mission of misinformation about this and you have not done the public or the justice system …

Michael Atkinson: … any you’ve lost two defamation actions just recently … and your program fails to tell the public what happened in the High Court and what happened in the Supreme Court, you cover up …

Graham Archer: … what rubbish, that was merely an argument …

Another reporter asks a question:

Rosanna Mangiarelli: Well, as you saw there, Graham’s questioning was interrupted by another reporter, but after the break see the Attorney-General get even nastier when asked about another controversial issue in which he backs the wrong side.

Atkinson and Archer speaking at the same time

Michael Atkinson: Graham Archer, you are so dishonest ….

Graham Archer: I was asking the question, so how do you know ….

Break
Rosanna Mangiarelli: Well, now for another real eye opener, following on from questions about Henry Keogh, Graham Archer quizzed the Attorney-General Michael Atkinson about his dismissive attitude towards an inquiry into child abuse when it was first proposed five years ago. As you will see, the Attorney-General completely lost his cool, showing that playing dirty comes so naturally to our Chief Law Officer. Here’s the whole exchange.

Graham Archer: On the Mullighan Inquiry, you sneered at my program and me personally on the radio …

Michael Atkinson: That’s another one of your lies Mr Archer …

Radio interview 5AA file tape: Mr Atkinson – “Graham Archer from Channel 7’s Today Tonight was calling for a Royal Commission into child abuse in South Australia covering a period of thirty to forty years and barristers were all joking that, tongue in cheek, this was a tremendous idea because it meant that 35 million dollars would be spent on them”

Michael Atkinson: I didn’t sneer, I just commented ..

Graham Archer: Yes you did, you sneered – no let me ask the question

Michael Atkinson: Can I answer the question, because Mr Archer you are so dishonest …

Graham Archer: I haven’t asked the question, so how do you know …

Michael Atkinson: … because I know what its going to be

Graham Archer: … well, no you don’t …

Michael Atkinson: … because what you’ve done …

Graham Archer: … that is unprofessional …

Michael Atkinson: … is you have said that I answered one particular question when in fact that wasn’t the question at all, what you do is ..

Graham Archer: What rubbish, what rubbish,

Michael Atkinson: … you misalign questions with answers to obtain what you want …

Graham Archer: … you were on the radio, you were on the radio …

Michael Atkinson: … yes, 5AA and I was discussing a Royal Commission, the proposal was your proposal that the allegations from wards of the state ought to be before a Royal Commission, that they ought,

Graham Archer: .. a commission of inquiry ..

Michael Atkinson: .. to be able to make these allegations in public before a television camera …

Graham Archer: … no, I didn’t say any of that …

Michael Atkinson: … before television cameras under privilege …

Graham Archer: … what nonsense …

Michael Atkinson: … so that in particular you could broadcast without liability Wendy Utting’s allegations …

Graham Archer: … rubbish, oh shut up …

Michael Atkinson: … well, is that professional?

Graham Archer: … well no, but you were just talking rubbish …

Michael Atkinson: “Oh shut up”, is that professional?

Graham Archer: …and you know you are …

Michael Atkinson: … so, my answer was, what was my response was to a Royal Commission and you know, I was opposed to a Royal Commission then, and I’m opposed …

Graham Archer: … you scoffed - you scoffed over a long period of time …

Michael Atkinson: … to a Royal Commission now, but I was a member of the cabinet which brought in the Mullighan Commission, we achieved it, against you we achieved it …

Graham Archer: … it was forced upon you by public demand …

Michael Atkinson: … not by you …

Graham Archer: … but you scoffed at the notion …

Michael Atkinson: … no, I didn’t scoff at it, but that’s just part of your deliberate campaign of misinterpretation, you are not bound by the journalist’s code of ethics and you behave accordingly ..

Graham Archer: … well, what about the rules of Parliament, what about misleading the Parliament?

Michael Atkinson: Yes, well, I haven’t done that …

Graham Archer: … you are famous for it, and I can give you, if you like I can give you chapter and verse …

Michael Atkinson: … very few journalists threaten politicians with solicitor’s letters, that’s how courageous you are Mr Archer …

Graham Archer: … well now, not so may as I’ve got from you and you get the government to pay for yours …

Michael Atkinson: … no, that’s a lie, a complete lie, …

Graham Archer: … oh you don’t, I thought you …

Michael Atkinson: … another lie from Graham Archer …

Graham Archer: … yes, that’s right, Mr Kourakis used to do it for you for nothing …

Michael Atkinson: … the government hasn’t paid any of my legal bills …

Graham Archer: … Mr Kourakis did do it for nothing, didn’t he, he did do it for nothing?

Michael Atkinson: Any questions from legitimate journalists as distinct from propagandists and Pilgerisers

Rosanna Mangiarelli: Graham Archer there with a flustered Attorney-General.


Harold Levy...hlevy15@gmail.com;

Wednesday, April 2, 2008

Part Three: Important Development: Henry Keogh; Why Dr. James' Evidence On The "Bruise" - (Professional Misconduct) - Was So Significant;

This Blog has been running a series of postings which raise the dumbfounding question - Why is Henry Keogh still in jail?

As previous postings have indicated, Henry Keogh remains behind bars - after fourteen years- even though the forensic evidence in the case is disturbingly suspect.

See earlier postings: (Part One: The Henry Keogh Case: A disturbing research paper from Australia; Why is this man still in jail? March 24, 2008; Part Two: Why is this man still in jail? March 25, 2008);

The "important development" referred to, is the recent decision of the Medical Board of South Australia to censure Dr. Ross James in connection with the evidence he gave - along with Dr. Colin Manock - at Keogh's murder trial.

Dr. Robert Moles has very kindly provided me with an explanation as to the significance of Dr. James' impugned evidence in the case:

(Dr. Moles is currently engaged full time with the "Networked Knowledge project" which he establshed to investigate and report upon alleged serious miscarriages of justice which are said to have taken place in South Australia over the last 30 years. He is the author of "A State of Injustice" which was published in October 2004, and "Losing Their Grip" – The Case of Henry Keogh published January 2006. His extremely comprehensive Web-site can be found at http://www.netk.net.au...);

I first became familiar with his work through an extremely informative paper he prepared for the Goudge Inquiry entitled, "Comparative Experience with Pediatric Pathology and Miscarriages of Justice in Australia";

"In the judgment in relation to Dr Ross James, forensic pathologist, the Medical Board of South Australia stated that Dr James “appeared to have a flawed and untenable understanding of his role as an expert witness," Dr. Moles wrote for the readers of this Blog.

"The two pathologists who were called for the prosecution in the Keogh case said that they had seen three bruises on the outside of the left leg, and a single bruise on the inside of the left leg," he continued.

"The pathologist who did the autopsy, Dr Colin Manock, said that he took a tissue sample from one of those on the outside of the leg and another from the bruise on the inside of the leg.

Both pathologists had told the court that the microscopic examination of the bruises confirmed that they all looked about the same and had been caused shortly before death.

It was their view that the marks represented a hand grip on the leg and were an important part of the explanation as to how she had been forcibly drowned.

In the subsequent medical board proceedings, both Dr Manock and Dr James said that when they looked at a microscopic slide taken from the “bruise” on the inside of the leg, that it did not show any signs of its being a bruise.

However, they both said that they did not bring this finding to the attention of the court.

Dr Manock said that it was because “it did not come up in conversation”.

Dr James said that it was because he did not think it to be particularly relevant.

Dr Manock is now being prosecuted before the Medical Tribunal by the medical board in relation to this point and a number of others.

Dr James was the subject of an inquiry by the medical board which found as follows.

In the context of a slide of bruising which was said to be part of a “hand-grip”, the Board said “the slide was the only direct information that the respondent had in regards to the mark.

He did not see the body, he did not see a photograph of the mark or have any other direct information in relation to the mark.

The histology of the mark was realistically the only information that the respondent had, so to speak, first hand to directly assist the Court.

That the respondent did not think that this information could potentially impact on an assessment of the bruises or that the Court should be informed of it appeared to the Board remarkable”.

It added “the respondent’s final reason for not disclosing the histology of the mark was that he didn’t think it was particularly relevant.

The Board struggled with the possible rationale behind the respondent’s comment especially given the circumstances of the case.

Much was made in the transcript of potential grip marks and prominence and significance was given to the bruises on Ms Cheney’s legs.

That the respondent therefore considered that the histology of the mark was not relevant is [to] the Board’s mind very surprising”.

“The Board did not consider that the failure to inform the Court amounted to either a trifling or harmless departure from recognised professional standards. Rather the Board considered that on the balance of probabilities, the respondent’s conduct in withholding the histology of the mark was unprofessional.”

“Regardless of what the respondent’s opinion was as to the importance, relevance or otherwise of the histology of the mark he should have provided this information to the Court. The Board determined that the respondent failed in his duty to the Court and that by his conduct left himself open to the assertions put forward by the complainant that by his conduct he misled the court.”

In any further appeal by Dr James he cannot change the fact that he agreed in his evidence to the Medical Board that he did not inform the court of his observation concerning that slide.

In any further appeal by Dr James he cannot change the fact that he agreed in his evidence to the Medical Board that he failed to do this because he did not think it to be particularly relevant.

It is also the case that the Medical Board is prosecuting Dr Manock, the former Chief Forensic Pathologist, before the Medical Tribunal, for giving similar evidence in relation to the same issue in the same case.

The Attorney-General would be aware that the appropriate forum for determining the significance of that evidence for the trial of Mr Keogh is in fact the Supreme Court and not the Medical Board or the Medical Tribunal.

Given that this issue goes directly to the conviction of a person who has already spent nearly 14 years in prison based upon such flawed evidence, will the Attorney-General agree to make and urgent reference of this matter to the Supreme Court for its consideration?


Harold Levy...hlevy15@gmail.com;

Part Two: Important Development": Henry Keogh Case: Complete Decision Of Medical Board Of South Australia Censuring Dr. Ross James;

THE RESPONDENT’S FINAL REASON FOR NOT DISCLOSING THE HISTOLOGY OF THE MARK WAS THAT HE DIDN’T THINK IT WAS PARTICULARLY RELEVANT. THE BOARD STRUGGLED WITH THE POSSIBLE RATIONAL [RATIONALE] BEHIND THE RESPONDENT’S COMMENT ESPECIALLY GIVEN THE CIRCUMSTANCES OF THE CASE. MUCH WAS MADE IN THE TRANSCRIPT OF POTENTIAL GRIP MARKS AND PROMINENCE AND SIGNIFICANCE WAS GIVEN TO THE BRUISES ON MS CHENEY’S LEGS. THAT THE RESPONDENT THEREFORE CONSIDERED THAT THE HISTOLOGY OF THE MARK WAS NOT RELEVANT IS [TO] THE BOARD’S MIND VERY SURPRISING.

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MEDICAL BOARD OF SOUTH AUSTRALIA;
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The Medical Board of South Australia's decision to censure Dr. Ross James, a pathologist, for evidence he gave at Henry Keogh's murder trial will hopefully be an important first step toward Keogh's release an exoneration;

Rather than providing the readers of this Blog with my comments based on edited version I prefer to lay out the entire decision, as follows:

(A word of caution: The reader will have to wade through some technical jurisdictional groundwork before getting to the meat of the decision);

In the Medical Board of South Australia;

Adelaide;

Complaint pursuant to Section 51(1)(d) of the Medical Practice Act 2004;

Henry Vincent Keogh;

Complainant;

Ross Alexander James;

Before the Board Comprising;

Presiding Member: Ms C Cashen;

Members: Dr P Henschke – Mr P Laris – Dr M Slattery;

Reasons for Decision;

16 August 2007;

Background:

This matter arises from two complaints (identified as 18 November 2004 and 21 April 2005) brought to the Medical Board (the Board) by Mr Keogh (the complainant) against Dr James (the respondent) pursuant to section 54 (1) (d) of the Medical Practitioners Act 1983 (the 1983 Act).

The complainant asserted that pursuant to section 5 (1) of the 1983 Act the respondent’s conduct in relation to the practice of medicine had been at relevant times “improper, and or unethical, incompetent and or negligent” and that in consequence was unprofessional.

The relevant time related to the respondent’s involvement in the Keogh criminal proceedings in 1994 and 1995.

Subsequent to the laying of the complaints the respondent initiated proceedings in the Supreme Court seeking orders including that the MBSA proceedings be permanently stayed; that they were an abuse of process and or ultra vires. As this action (James v Medical Board of South Australia and Keogh Full Court [2006] SASC 267) was unsuccessful the complaints proceeded before the Board.

Given the complexity of the case including having regard to the volume of materials required to be considered and the time frame over which the complaint ranged, pre hearing conferences were held with the aim of crystallising the complaints and appropriately managing the hearing. This process resulted in the preparation of accepted materials and agreement that the matter would proceed to hearing by way of submissions on the documents. The matter was thereafter scheduled for a two day hearing.

Consequently in August 2007 in accordance with section 54 (1) of the Medical Practice Act 2004 (the 2004 Act) a panel of the Board was constituted to hear the complaints. The hearing was completed on the first day and the decision was reserved.

Subsequently the Board reconvened on 22 November 2007 in response to a letter dated 24 October 2007 from Mr Hegarty (for the complainant). The letter raised 3 points; it referred to comments made by Dr Mudge in an article in “The Australian”, it referred to certain submissions of a personal nature allegedly made by Mr Edwardson during the hearing and it raised a query concerning the publication of the transcript.

Dr Mudge whilst in no way conceding bias, indicated his intention to voluntarily withdraw from the hearing on the basis of a possibility of a perception of bias. Mr Borick then made assertions implying bias on the part of the whole Board and suggested that the Board should disqualify itself however after some discussion Mr Borick withdrew his application, content that the Board should continue with the matter. The Board did not hold to the view that it was subject to bias or perceived bias or that it should disqualify itself. Subsequently the presiding member under Section 54 (3) of the 2004 Act and with the consent of the complainant and the respondent determined that the remaining four members of the Board panel would continue and complete the proceedings.

As regards the second issue raised in the letter (Mr Edwardson’s submissions) Mr Borick, in effect, argued that to correct the misinformation supplied by Mr Edwardson the Board should allow Mr Borick to submit written submissions on the issue of haemolytic staining. Mr Edwardson opposed this and indicated his willingness to withdraw the alleged offending submissions. After some further discussion Mr Borick sought to provide the Board with a detailed analysis of the scientific literature regarding haemolytic staining however, the Board resolved not to receive the material, the hearing having been completed. The Board did indicate its willingness to seek additional information from the parties if it considered it necessary in dealing with the matter. The issue concerning the transcript was not fully developed however it appeared to resolve on the basis of proposed communication between the parties.

A further letter was received by the Board from Mr Hegarty dated 14 December 2007 whereby he again raised the issue of Mr Edwardson’s submissions and sought that the Board reconvene or receive written submissions. The Board declined, it being satisfied that the parties had had ample opportunities to provide the information to the Board and itself being satisfied that it had been provided with sufficient relevant information upon which to base its decision.

The Hearing

Mr Borick QC appeared for the complainant and due to the unavailability of Mr Hegarty his instructing solicitor sought and was given leave with the consent of the respondent to be assisted by Dr Harding. Mr Edwardson QC and Mr Selley appeared for the respondent who also attended.

Prior to the commencement of the hearing the Board entertained submissions from Mr Campbell on behalf of Channel 7 who was seeking to be present at the hearing. The Board declined Mr Campbell’s application and proceeded to deal with the complaints in his absence. Subsequently Mr Campbell with the consent of the Board and the parties attended at the reconvened hearing in November.

In considering this matter the Board noted that under section 19 of the 2004 Act (which is in part similar to section 17 of the old act) the Board is not bound by the rules of evidence and may inform itself on any matter as it thinks fit and must act according to equity, good conscience and the substantial merits of the case without regard to technicalities and legal forms.

Pursuant to section 54 (2) of the 1983 Act (S51(2) of the 2004 Act) the Board is directed to “enquire into the subject matter of the complaint”. The Board holds to the view as stated by Chief Justice Doyle in Keogh v the Medical Board of South Australia and Anor [2007] SASC 342 paragraph 94 that it is … “not obliged to conduct an inquiry into the subject matter of the complaint in the manner in which, for example, the coroner conducts an inquiry into the circumstances of the death.” “The provisions of the act do no lead to the conclusion that when conducting proceedings under section 54 the Board must assume the responsibility for assembling and presenting the relevant evidence in support of or in opposition to the allegations made, subject only to such evidence as the parties might choose to present.”

The Board as discussed in the pre trial process was relying on Mr Borick to make good the complaints that had been laid against the respondent. However, the Board held the view that if there was additional information which the Board considered necessary or relevant to the complaints that this would be raised with the parties and investigated.

The respondent in their outline of argument and submissions raised certain threshold questions including the issue as to whether the complainant was an aggrieved person pursuant to the Act and whether the matter should be stayed as an abuse of process. These issues are dealt with in the decision.

Pertinent Legislation

Although the complaints in this matter were brought pursuant to Section 54 of the 1983 Medical Practice Act (the 1983 Act) the Board which dealt with the matter was a product of the 2004 Act and subject to the general functions and powers and procedures as set out in divisions 4 and 5 sections 13 to 21 of that Act. In managing the interplay of the past and present Acts the Board was guided by the Medical Professional Conduct Tribunal decision of Mauro (4) [2006] SAMPCT 1. A decision which considered the background to and the consequences of the different sanctions in the 1983 and 2004 Medical Acts. Noting that “Although commenced pursuant to section 58 of the 1983 Act, the proceedings, for all purposes, are continued as if under the 2004 Act.”

Section 3 of the 2004 Act defines unprofessional conduct as including:

“(a) improper or unethical conduct in relation to professional practice; and
(b) incompetence or negligence in relation to the provision of medical treatment; and
(c) a contravention of or failure to comply with -
(i) a provision of this Act; or
(ii) a code of conduct or professional standard prepared or endorsed by the Board under this Act; and
(d) conduct that constitutes an offence punishable by imprisonment for 1 year or more under some other Act or law.”

Section 51 (1) of the 2004 Act stipulates who may lay a complaint alleging unprofessional conduct before the Board.

(d) a person who is aggrieved by conduct of the medical practitioner…..

Sectio 51 (2) of the 2004 Act stipulates

Where a complaint has been laid before the Board under this section, the Board must inquire into the subject matter of the complaint unless the Board
(a) considers that the complaint is frivolous or vexatious; or
(b) lays a complaint before the tribunal…

Section 46 of the 2004 Act stipulates that unprofessional conduct is a proper cause for disciplinary proceedings and

Section 51 (6) of the 2004 Act stipulates

“If, after conduction[of] an inquiry under this section, the Board is satisfied on the balance of probabilities that there is proper cause for taking disciplinary action against the respondent, the Board may, by order do one or more of the following:

(a) censure the respondent

(b)require the respondent to pay to the Board a fine not exceeding $5,000

(c) if the respondent is a registered person –
(i) impose conditions of [on] the person’s registration restricting the respondent’s right to practice medical treatment.
(iii) suspend the respondent’s registration on a specified register or in a specified speciality for a period not exceeding 1 month.

The Complaints

In support of the claims of unprofessional conduct Mr Borick provided the Board with a large and somewhat wide ranging collection of grounds and particulars with numerous alleged inconsistencies and deficiencies relating to the respondents conduct identified, itemised and reframed.

The complaint dated 18 November 2004 included 12 particulars with annexures, the Supplementary Complaint contained 6 complaints with 37 particulars, and the complainants outline of argument dated 20 April 2007 included further claims of unprofessional conduct.

At the hearing Mr Borick provided to the Board a written submission [C1] which while it appeared to refer to most of alleged unprofessional conduct did not specifically loop back to or tie up with the complaints.

The Board determined that some of the alleged grounds of unprofessional conduct as for example the assertions that the respondent misled the Defence Counsel and the DPP in the course of their preparation for the trial (Outline of argument 20 April 2007) went beyond the capacity of the Board to meaningfully or realistically explore and as they were not pursued in submissions the Board did not specifically address them.

The Complaints focused on only two aspects of the evidence provided by the respondent arising from the autopsy of Ms Cheney namely the mark on her medial left ankle (the mark) and the issue of haemolytic staining of the aorta.

The complainant’s case

Mr Borick asserted that the respondent although, he was aware and or should have been aware that there was no histological evidence to support the fact that the mark was a bruise never declared that when he provided a report to the DPP in December 1994, nor when he gave evidence in the two Keogh murder trials.

Further Mr Borick asserted that the respondent misled the Court by providing them with incorrect or incomplete information and that he failed to correct the impressions and implications created by his omissions and or incomplete provision of information such that they (the Court and relevant persons) were left with a flawed and or incorrect understanding / appreciation of the cause of Ms Cheney’s death.

As regards the issue of haemolytic staining in the aorta Mr Borick asserted that the respondent gave evidence that such staining was a classical sign of freshwater drowning when it wasn’t and when he knew or should have known that it wasn’t.

Further that the respondent misled the jury because he was aware at all relevant times that his opinion in regards to haemolytic staining or the aorta and freshwater drowning was not supported in medical and scientific literature. Asserting that it was relevant that the respondent had not, himself, conducted any experiments or tests to support his view and that he had no independent professional support for his opinion. Further that the respondent had co authored a paper entitled “Characteristic Features of Fresh Water Drowning” which Mr Borick claimed did not support “differential staining” as an observation of value.

The respondent’s case

Mr Edwardson counsel for the respondent disputed all of Mr Borick’s assertions. He argued that the respondent had acted appropriately at all times and that the evidence provided by the respondent was valid, accurate and not misleading.

He did not dispute that at the time of the murder trials the respondent was aware that the histology of the mark did not confirm it as a bruise however he stressed that negative histology itself did not mean that the mark was not a bruise merely that the histology did not confirm it as a bruise. That the respondent’s view of the mark was that it was one component of the picture concerning Ms Cheney’s death and the histology was not critical to that overall picture. He stressed that there was no intention on the part of the respondent to mislead the jury; that the mark was just one aspect of the case but that it had been given excessive prominence.

He asserted that the evidence which the respondent provided at the trials was the best that he could provide given the circumstances in which he was required to give his evidence. He argued that the respondent’s involvement in the matter was very much after the event, (in the nature of peer review) that he had not conducted the autopsy, and in consequence was not responsible for the collection of specimens or the recording of outcomes.

He noted apparent discrepancies in the number and subject matter of the histological slides available at the two trials, noting doubts as to what information the respondent actually had available to him. He noted that Dr Cordner had made a similar response to that of the respondent concerning the identification of the disputed mark. He referred the Board to where the respondent had referred to “no cells” (as in meaning no bruising), where he had been measured in his responses, sought to refer to notes and advised that he was uncertain.

As regards grounds concerning haemolytic staining Mr Edwardson argued that the defence had ample knowledge and opportunity at the time of the criminal trials to question the respondent’s assertions in this area including available scientific support, but that did not occur. He noted that the respondent’s evidence regarding freshwater drowning was in any event based on other evidence in addition to haemolytic staining.

He disputed that Dr James sought to mislead the jury or that his conduct in the Keogh proceedings was in any way unprofessional.

Preliminary issues

As to the issue as to whether Mr Keogh was an aggrieved person the Board considered the arguments put by Mr Edwardson but was not swayed to his view. The Board considered that Mr Edwardson put far too narrow a definition on “aggrieved person” including his assertion that “the complainant could only be “aggrieved” by what was said or done by the respondent in connection with the criminal trials if he satisfied the Board that he did not murder the deceased… “

The Board considers that such a narrow and rigid qualification would be contrary to the intention of the Act in particular as regards the Boards function of protecting the public.

In relation to the abuse of process argument the Board considered the Full Court decision in James v Medical Board of South Australia and Keogh [2006] SASC 267 and determined that the complaint proceedings were not an abuse of process not that they are frivolous or vexatious. The complaints were not so obviously untenable or manifestly groundless as to be utterly hopeless. Attorney-General v Wentworth (1988) (5) 14 NSWLR 481 at page 491.

In line with the judgement of Bleby J in the above 2006 Full Court decision “… there is a much wider public interest to the served by disciplinary proceedings such as those specified by the Medical Practitioners Act … and that appropriate standards of professional conduct or [are] observed by medical practitioners.” The functions given the Board under the Medical Practice Act 2004 clearly dictate the Board’s obligation to regulate the practice of medicine in the public interest. Consistent with that is the hearing of complaints brought against practitioners. In consequence the Board determined to hear the complaints.

In dealing with the complaints the Board was not concerned with the Keogh trials as such but rather the respondent’s conduct in those trials. Noting Anderson J’s comment in the above 2006 Full Court decision “The Board can discern if it (the issue of the mark) was relevant and if so whether the fact that it was not mentioned amounted to unprofessional conduct. It is simply a matter for the Board to determine on the basis of the earlier evidence. It is not a challenge to that evidence.” James v Medical Board of South Australia and Keogh [2006] SASC 267.

In dealing with this matter the Board considered the criticisms raised in regard to the respondents conduct, determined if any of them were made out and then determined whether the conduct amounted to unprofessional conduct.

The Board’s findings

The Board considered it worth noting that but for the respondent’s assertion in 2001 that he knew the mark was not a bruise; it seemed highly unlikely that the matter would have come before it. In consequence the Board observed that it was the respondent’s own action which had generated the complaints of unprofessional conduct. The Board further noted that the respondent had at all times consistently refuted the assertion that he had given false evidence or misled the court.

It appeared to the Board that the complaints generally centred around the following assertions:

- that the respondent did not disclose relevant information (the histology of the mark) during the criminal proceedings ….

- that the respondent gave false and or misleading answers during the Keogh criminal proceedings in regards to the mark and that the non disclosure alone or coupled with the provision of false information created the incorrect impressions or assumptions in the mind of the Court (jury …) and that the respondent did not correct those wrong impressions / assumptions

- that the respondent gave false and misleading information regarding the issue of haemolytic staining.

“Disclosure of information”

There is no doubt and indeed the respondent has never denied that he did not inform the court that the histology of the mark did not confirm it as a bruise. The issue for the Board was therefore whether the respondent’s failure to inform, constituted unprofessional conduct.

The respondent clearly articulated his reasons for his non disclosure when giving evidence before the Medical Board in 2004 stating “I don’t think that it was asked of me and I don’t think it was something that would alter the assessment that these were indeed bruises ………..I didn’t think it was particularly relevant.” (page 305 of the transcript)

The Board considered the transcript of the respondent’s evidence in the two Keogh trials, the report which he gave leading up to the trial dated 22/12/94 and the materials provided by the parties in their submissions.

The Board considered whether the respondent was questioned regarding of the histology of the mark. The Board concluded that there was no manifest question put to the respondent which specifically required him to give a direct answer in regards to the histology of the mark. However there were many general questions about the bruises, specifically questions about bruising on the legs as illustrated in the first trial where the respondent was asked “as far as the bruising on the legs was concerned, you had the benefit of slides did you not, … Yes, two of them” he continued “one section was taken from … and the third section was from the bruise on the medial side of the left ankle”. (transcript page 533) The Board considered that the respondent, as an expert witness, could have and should have taken this opportunity to inform the court that the histology of the mark did not confirm it as a bruise. As an expert the respondent had an overriding duty to assist the Court on matters within his area of expertise.

Further in the second trial commencing on page 221 and concluding on page 223 of the transcript there is quite an intensive dialogue regarding the histology of the bruises. The Board was again surprised and (sic) that the respondent did not reveal the histology of the mark.

The Board was on [of] the view that the respondent as an expert witness and an experienced pathologist should not have required a specific direct question as a trigger for disclosure about the histology of the mark. On reading the transcript it was clear to the Board that the Court was seeking information about the mark, it was reasonable to conclude that the respondent would have been aware of this and that the respondent should have provided it.

The second explanation offered by the respondent was that “he did not think that it would alter the assessment that they were bruises”.

The Board found this statement concerning as it indicated that the respondent appeared to have a flawed and untenable understanding of his role as an expert witness. This is especially so when it was remembered that the slide was the only direct information that the respondent had in regards to the mark. He did not see the body, he did not see a photograph of the mark or have any other direct information in relation to the mark. The histology of the mark was realistically the only information that the respondent had, so to speak, first hand to directly assist the Court. That the respondent did not think that this information could potentially impact on an assessment of the bruises or that the Court should be informed of it appeared to the Board remarkable.

The respondent’s final reason for not disclosing the histology of the mark was that he didn’t think it was particularly relevant. The Board struggled with the possible rational [rationale] behind the respondent’s comment especially given the circumstances of the case. Much was made in the transcript of potential grip marks and prominence and significance was given to the bruises on Ms Cheney’s legs. That the respondent therefore considered that the histology of the mark was not relevant is [to] the Board’s mind very surprising.

The Board in determining the meaning of unprofessional conduct was guided by the decision of Chief Justice Doyle in Keogh v The Medical Board of SA & Anor [2007] SASC 342. The Board accepted that recognised professional standards and practices will provide a guide without being definitive as to what amounts to unprofessional conduct in the practice of medicine and that a “trifling or harmless departure from recognised professional standards probably is unlikely to amount to unprofessional conduct of [for] the purposes of the act.”

The Board did not consider that the failure to inform the Court amounted to either a trifling or harmless departure from recognised professional standards. Rather the Board considered that on the balance of probabilities, the respondent’s conduct in withholding the histology of the mark was unprofessional.

Regardless of what the respondent’s opinion was as to the importance, relevance or otherwise of the histology of the mark he should have provided this information to the Court.

The Board determined that the respondent failed in his duty to the Court and that by his conduct left himself open to the assertions put forward by the complainant that by his conduct he misled the court.

“False and misleading evidence / assumptions”

The Board again considered all of the evidence but whereas previously the respondent had himself brought his unprofessional conduct to light and admitted it, in regards to these allegations the respondent was adamant that he had done nothing wrong, that he had not given false evidence and that he was not responsible for any incorrect assumptions that may have come from his evidence.

The Board considered that the allegations were problematic being inextricably mixed with the other allegations of failure to inform. This was especially the case as it appeared to the Board that all the allegations (the omission of correct information and the provision of wrong information) were used as a platform to support the second tier or flow on allegations of unprofessional conduct namely the respondent’s failure to correct false or incorrect assumptions.

The assertions that the respondent gave false evidence all related back to the respondent’s oral evidence at the two murder trials. Although there was mention made of the December 1994 statement in submissions, it was flagged as evidence of a failure to inform not as a false answer.

The Board examined the evidence of the respondent and on the face of it registered some concern that aspects of his evidence could have been viewed as false or misleading. For example as illustrated when the respondent discussed the aging of bruises and healing changes and when he responded “no” when he was effectively asked if there was anything else of significance arising from his information or involvement. (transcript page 215)

However on balance and for the following reasons the Board was not satisfied that the respondent’s conduct constituted unprofessional conduct.

The Board found it a difficult process to examine the respondent’s evidence given at the trials (via transcript) in part because it was oral evidence. There was no static written statement which the Board could consider, dissect and analyse rather there was record of a complex interaction between the respondent and others.

By examining the transcript the Board obtained a glimpse of a very complex scenario, a situation where ‘the spoken word belongs half to the speaker and half to the listener’. Counsel for the accused, the DPP and the judge all questioned the respondent in a dialogue that was fast moving and dynamic and with changing emphasis. There was obvious interaction between the respondent and the various active participants in the Court however the transcript was one dimensional when the court room had multiple dimensions. It was not clear to the Board how the Court generally reacted to or utilised the respondents evidence or what assumptions they drew from it or how this fed back into their questioning of him. Nor whether the respondent’s evidence and or other factors impacted on how his evidence was pursued or marshalled.

Accordingly, it was difficult for the Board to feel confident that its examination of the transcript enlightened it to the subtleties and nuances of the trial. In short, that it had a sufficiently accurate understanding of the respondents conduct.

Further, as a general observation, the Board noted, that the caution which should be exercised when considering a witnesses apparent response, is equally as relevant to the consideration of the transcript. Meaning that people have different communication styles; some are slow in answering questions put to them, some appear to be evasive when responding, some are direct, some more ponderous and those that meander may deliver or intend to deliver the same answer as someone who is more direct.

Added to this the Board considered that the actual role undertaken by the respondent, that of peer reviewer of Dr Manock’s work, further increased the complexity of the Board’s task. The reality of the respondent’s role meant that during the hearing he was called upon and required to speak to, not only his own evidence but to recall and to report on Dr Manock’s evidence, differentiate and compare that evidence with his own, reach conclusions based on his and Dr Manock’s information and articulate these to the Court. The Board considered this to be a very difficult task. That the respondent did do this is illustrated in the following extract from his evidence given at the second trial. The respondent stated “I’ve seen the photographs of the 3 bruises on the lateral side of the left ankle. I haven’t seen a photograph of the bruise on the medial side. But if it was present as he (Dr Manock) suggests, then a grip mark is the obvious explanation …. The four bruises that he (Dr Manock describes – 3 on the outside and one on the inside – collectively would suggest a grip mark I think that you can express that as the … )“ (page 207 second trial). The Board found the dialogue confused and confusing and considered it indicative of the difficulties under which the respondent gave his evidence. And this in consequence again made it difficult for the Board [to] determine the conduct of the respondent.

Additionally the Board considered that an examination of the transcript evidence revealed levels of confusion and inconsistency which was especially so in the area of histological evidence. For example in the first trial there appeared to be 3 histology slides involving bruising but in the second trial there was mention of four. The difference was never examined or explained. There was uncertainty in relation to sections of the discussion focussed on the identification and ageing of bruising and that the histological evidence was not specifically discussed on a slide by slide basis. The Board was mindful that such apparent uncertainty may have impacted on the respondent’s evidence, conceivably affecting its direction quality and clarity.

Having considered all the difficulties associated with the respondent’s evidence the Board could not on balance accept that his conduct amounted to unprofessional conduct.

“Haemolytic staining”

The Board did not consider that the evidence concerning the issue of haemolytic staining was as fraught. Again the Board considered all of the evidence provided including the supplied list of textbook references and literature re differential haemolytic staining in helping discern the type of drowning.

The Board concluded that given the state of knowledge at the time of the Keogh trials it was open to the respondent to conclude and state as an expert that there was notable (as in more than trivial) expert opinion and scientific rationale to support the finding of differential haemolytic staining of the aorta as being of diagnostic value.

The Board did not agree with the complainant’s assertion that the respondent (as an expert) must conduct experiments personally to support his views, nor that there was no support for the respondent’s then held views. The Board determined the leading texts to which it was directed (5 of the 10 predating 1995) indicated that there was a measure of peer support for the respondent’s remarks. Such substantive texts repeated the evidence provided.

As regards the complainant’s criticism of the respondents article the Board noted that the 2001 article co authored by the respondent was not specifically directed to the point at issue. The article cited with James as a minor contributor (3rd of 4 authors) was not an analytical paper on such a matter but merely a 20 year audit of suicidal drownings in SA. The paper had a single sentence in a brief discussion which recorded: “The diagnosis of drowning itself may be difficult as there are no specific diagnostic features at autopsy”. The word specific in a scientific sense needs explanation. Specificity means the degree to which a test or observation (eg staining) has force in ruling in an event such as fresh water drowning. A highly specific test or observation has few false positives. The sentence reminds the reader that this observation does not have a high degree of specificity or certainty in reaching the conclusion of fresh water drowning. It does infer that it needs to be linked with other observations as occurred here.

Additionally the respondent in his evidence to the Medical Board hearing gave ample comment to reveal that he was aware of other causes of haemolytic staining and at the second Keogh trial he gave evidence of his other observations supporting fresh water drowning including the appearance of the lungs, fluid in a fit person’s chest cavity and the circumstances in which the deceased person’s body was found, all thereby reducing reliance on haemolytic staining as the sole basis for the offered mode of death.

In consequence the Board was not satisfied on the balance of probabilities that the respondent’s evidence around the issue of haemolytic staining could support a finding of unprofessional conduct.

Summary

The Board determined that the respondent was guilty of unprofessional conduct in that he failed to disclose relevant information to the Court concerning the histology of one mark on Ms Cheney’s body.

The Board did not find that the respondent was guilty of any other complaints of unprofessional conduct. The Board was not satisfied that the respondent gave false evidence to the Court or that his evidence concerning haemolytic staining was unprofessional.

The Board considered that the evidence which the respondent gave to the Medical Board clearly articulated his flawed understanding of his role as an expert witness and that it was his ignorance or disregard of his responsibilities rather than a deliberate desire on his part to mislead the court which led to his conduct.

The Board noted that the finding of unprofessional conduct related back to events that occurred in 1994 and 1995. That in the intervening 13 years plus, there have been significant changes in pathology and forensic medicine and that there is now a sharper focus on the duties and obligations of medical practitioners, and their responsibilities to the Court as evidenced by available guidelines, the guides / rules for expert witnesses and the Medical Board publications.

The Board is aware that the Keogh proceedings have continued for many years and that they have generated a significant level of public debate. The Board acknowledges that this is a high profile matter; the parties were advised that the decision would be published and the respondent will no doubt be entrained in media commentary.

Having found the respondent guilty of unprofessional conduct and noting the disciplinary measures available under S 51 (6) of the 2004 Act the Board will reconvene to hear submissions from the parties as to possible sanctions."


More on this decision to follow - including the Board's eventual decision on a similar application made by Mr. Keogh in connection with Dr. Manock;

Harold Levy...hlevy15@gmail.com;