Prep for murder 6

Speaks for itself.  The plan as put in place by Dr Gabrielle Nuthall.  The Codman monitor began to show Melissa's brain pressure was improving "trending upward", at the stage Dr Nuthall ordered it be removed.  Dr Tavey Dorofaeef puts instructions in that no-one should perform CPR and to notify Dr Nuthall if this situation develops.  Dr Nuthall had already prepped Melissa for a morphine overdose though, so of course the situation was not going to arise.

Judge Lynton Stevens does a finger to the law for sentencing

Judge Lynton Stevens does a finger to the law for sentencing

Mr HJ, crown prosecutor (633) at summing up said “Crown says that the mechanism of death involved impact.  Involved impact!  It did involve impact and we are agreed on that.  The debate is not that impact involved death, but what caused the impact.  You can exclude shaking alone.  To be legally culpable, legally responsible for that, that mechanism has to have caused Melissa’s death.”
Judge Stevens repeated it was impact many times in summing up.  “I have set out what the Crown allegation is, that the unlawful act was an assault by the accused by impacting the head of the deceased” (T 694).

At sentencing Judge Stevens changed his story from impact to accepting as fact “solely shaking” and said “I accept that was the way in which the case was originally put to trial but…..(bla bla BS)”. Durrrrr Judge Stevens, it’s what you used to get me convicted at summing up because that’s all the evidence proved!!!!!!! (801)

The crown prosecutor persisted with impact for sentencing, but was totally disregarded by Judge Stevens.  (7, 8 crown submission for sentence).  Your honesty in this regard did not go un-noticed by me Mr HJ!

I have not given up on getting the truth out. You can all stonewall me as much as you can and you will not succeed. As that idiot judge told me at sentencing Melissa’s family deserve to know the truth.

Prep for murder 5

Melissa had fixed and dilated pupils when the opthamologist gave her eye drops. This was when the neurologist did his assessment, as well as when she was under paralytics and sedatives to keep her GSC low. He determined that Melissa was neurologically basically dead and gone of course. However, one of her eyes was functioning as it should when these eye drops wore off and research shows that there is favorable outcome with recovery when at least one eye is responding. Defence was never given a drugs chart for the day of the 07/03/2006, the day prior to Melissa's planned murder, but once again, notes began to record her eyes as fixed and dilated. It would seem the drops were reapplied prior to Melissa's parents being able to be with her. They most certainly have something to hide by not giving defence the drug chart of that day and refusing me it now, although I am entitled to it.

Prep for murder 4

This is part of a document the hospital sent CYFS straight after Melissa's operation, well before any neurological tests were completed as to prognosis. Melissa was to be kept alive, not to help her, but to run tests on her, gathering evidence.

Prep for murder 1

The use of Dexamethasone is strongly advised against in the case of traumatic head injury. "Corticosteroids increased short and long-term mortality in adults with traumatic head injury".--------------------- However, if the patient is not accustomed to morphine, this drug enhances the effects of the morphine. Melissa was taken off morphine straight after surgery so she would not get tolerant of small doses. Prior to being denied morphine, she was on 20 micrograms/kg/h. The Dexamethasone was given to her a few hours before her morphine overdose. The overdose rate was 2 milligrams! This is 100x the rate of the previous dose at the time of surgery for therapeutic purpose.------------------------------------------- As can be seen in the first picture Dr Tavey Dorofaeef, paediatric registrar, changed his mind about leaving a paper trail as he went to put the date in. It would totally seem he realised the death certificate would have time of death on it at this stage, and decided not to record the time for the lethal dose. However, the effect is clearly seen in Melissa's vitals graph.

Prep for murder 2

Fluid restriction to 30-40 mls/hr at 1250am of the 7th. This dehydration would concentrate the morphine overdose and make it work much more effectively. The urine output 6h before morphine overdose shows how very dehydrated they made Melissa.

Prep for murder 3

The Codman monitor measures intracranial pressure (ICP) in the head. It was inserted at surgery. As seen in the first picture, the staff were concerned that initially the readings were quite low. When the readings began to increase, showing improvement in Melissa at 0600 on the 06/01/2006, the monitor was removed. This ensured there would not be any recordings of improvement. Of course if the pressure rose too high it would also be concerning and would give them more motivation to make Melissa's parents agree to murder her, so what other reason would they remove it except that given she was shown to be improving and "very stable", that the pressure would not increase to a concerning level and they knew that.------------------------ When a person is critically injured or neglected by doctors to become critical, loved ones and media announce if there is hope that the person is "critical, but stable". That "but" means a huge amount of hope to loved ones and that there is most definitely hope that the person will recover.----------------------- The second to last picture shows how Melissa had improved so much she was trying to breathe independantly of the ventilator.----------------- The last one is what Dr Meadows said to encourage turning off the ventilator and murder of Melissa saying her SEP's (measure neurological function) were "absent and equivacal", but the actual result was absent on the haemorrhage side and 'normal" for her left side.