Miami-Dade County Medical Examiner Department

Number One on Bob Hope Road Miami, FL 33136 Phone (305) 545-2400 Fax (305) 545-2418

FREEMAN, Douglas

ME CASE #:2013-00069

1/21/1965 12:00:00AM

47 Years

White

Male

DATE:1/6/2013 11:36:40AM TYPE:ME

709 Wind River DR , Grafton, IL,

PLACE OF DEATH: Time of Death: Investigating Agency: Incident Location: Incident Date / Time: Autopsy Tech:

Baptist Hospital of Miami 1/6/2013 8:21:00AM Miami-Dade Police Department PD130106007156 Sgt. K. Gallagher

87200 Overseas HWY , Islamorada, Florida 33036 1/5/2013 3:27:00PM

Autopsy Other: Scene Dr.: Primary Police Inv.: Primary Photographer:

Davis, Jasmain

Miranda, Catalina

TERMINAL EVENT: The decedent is from Illinois and was spending the winter season in Islamorada, FL and stayed at his ex-wife condo. On January 5, 2013, he called his girlfriend in Texas and he was trying to make arrangements to visit her. The girlfriend told him that she did not want to see him because he was vacationing with his ex-wife; he replied " okay, Ill see you in the other side." The girlfriend called Monroe County Sheriff and request a welfare check. Officers responded to the decedent's ex-wife to check on him and his room was locked. They made force entry and upon entry to the room they found the decedent hanging from a loft hand rail with a nylon dock line rope. He was taken initially to Mariner's Hospital; then transferred to Baptist Hospital where he was admitted in respiratory arrest and ct scan revealed a diffuse brain edema in both cerebral hemispheres with loss of gray-white distinction. Despite medical efforts he was pronounced by the attending physician. MEDICAL HISTORY: According to the ex-wife, he suffered from hypertension, anxiety and at the age of 20 he was in car accident, where his vehicle caught on fire. MEDICATIONS: None SOCIAL HISTORY: The decedent was born in Illinois and was spending the winter season in Islamorada, Fl. He was staying at his ex-wife condo. He was divorced, had no children and lived alone. He was disabled due to car accident. The decedent did not smoke or use illegal drugs, but he drank wine and beer.

Cause of Death: Hanging

Due To: Due To: Due To: Contributory Cause: Manner: Suicide Mortuary:

Autopsy

1/8/13 9:00 am
Investigator:
IS SUBJECT TO CHANGE

Doctor: Grivetti, Janice Y. D.O.

STANFILL FUNERAL HOME

Marmolejo, Carlos 05/07/2013

THIS REPORT MAY CONTAIN NON-VERIFIED INFORMATION AND

CRFaceSheetRecords rev0509

Miami-Dade County Medical Examiner Department

Number One on Bob Hope Road Miami, FL 33136 Phone (305) 545-2400 Fax (305) 545-2418

FREEMAN, Douglas

ME CASE #:2013-00069

1/21/1965 12:00:00AM

47 Years

White

Male

DATE:1/6/2013 11:36:40AM TYPE:ME

709 Wind River DR , Grafton, IL,

PLACE OF DEATH: Time of Death: Investigating Agency: Incident Location: Incident Date / Time: Autopsy Tech:

Baptist Hospital of Miami 1/6/2013 8:21:00AM Miami-Dade Police Department PD130106007156 Sgt. K. Gallagher

87200 Overseas HWY , Islamorada, Florida 33036 1/5/2013 3:27:00PM

Autopsy Other: Scene Dr.: Primary Police Inv.: Primary Photographer:

Davis, Jasmain IDENTIFICATION: By: Sharon Freeman Method: Visual Relationship: Friend

Miranda, Catalina

Cause of Death: Hanging

Due To: Due To: Due To: Contributory Cause: Manner: Suicide Mortuary:

Autopsy

1/8/13 9:00 am
Investigator:
IS SUBJECT TO CHANGE

Doctor: Grivetti, Janice Y. D.O.

STANFILL FUNERAL HOME

Marmolejo, Carlos 05/07/2013

THIS REPORT MAY CONTAIN NON-VERIFIED INFORMATION AND

CRFaceSheetRecords rev0509

MIAMI-DADE COUNTY

MEDICAL EXAMINER DEPARTMENT Number One on Bob Hope Road Miami, FL 33136 Phone (305) 545-2400 Fax (305) 545-2439

FREEMAN, Douglas
January 8, 201309:00 A.M.

Case No. 2013-00069

CAUSE OF DEATH: Hanging

Janice Y. Grivetti, D.O. Associate Medical Examiner Mark J. Shuman, M.D. Associate Medical Examiner JYG/MJS ATTENDEES: FORENSIC TECHNICIAN: Jasmain Davis PHOTOGRAPHER: Catalina Miranda EXTERNAL EXAMINATION: The body is that of a 5 foot 8 inch, 247 pound (body mass index of 37.63 kilograms per meter

squared), adult male who appears the reported age of 47 years. The body is refrigerated and not embalmed. Livor mortis is purple-red and does not blanch with pressure. Rigor mortis is absent. Extensive scars (remote thermal injuries) and skin grafts are on the head, neck, upper chest, and the extremities. The head is symmetric. The scalp is covered by 1.0 centimeter in length grey and brown hair. The corneas have been harvested. The conjunctivae and sclerae have no ecchymoses or petechiae. The right eyebrow has sparse brown hair. The nose has flattened nasal alae and a shortened columella. The nose has an intact bridge and septum. The nares are patent bilaterally and have no lesions, foreign materials or abnormal secretions. The atraumatic mouth has native dentition. The external ears are scarred and appear to have been reconstructed. The external auditory canals are normal. The neck is symmetric and has no masses. The chest is symmetric and the breasts are free of palpable masses. The abdomen is protuberant and soft. There are no palpable cervical, axillary or inguinal lymph nodes. The penis is circumcised. Two testes are palpable within the scrotum. The anus has no abnormalities. The back is straight. The lateral aspect of the left lower back has a 9.0 x 4.0 centimeter area of ecchymosis. The right arm has a 7.5 x 4.0 centimeter ecchymosis. The anterior aspect of the right forearm has a 6.4 x 3.2 centimeter ecchymosis. The anterior aspect of the left forearm has 4.5 x 3.4 centimeter and 7.5 x 3.0 centimeter ecchymoses. The posterior aspect of the left arm has 3.3 x 2.0 centimeter and 10.0 x 3.5 centimeter ecchymoses. The posterior aspect of the left forearm has a 4.5 x 2.5 centimeter ecchymosis. The anterior aspect of the right upper leg has a 4.0 x 3.0 centimeter ecchymosis. The anterior aspect of the right lower leg has a 4.0 x 2.3 centimeter ecchymosis. The lateral aspect of the right ankle has a 4.0 x 3.0 centimeter ecchymosis. The first digit of the left hand is unremarkable. The remaining digits of the right and left hands are status post amputation. The upper and lower extremities have no palpable fractures. A green plastic bracelet is attached to the left foot and has the inscription 254178. EVIDENCE OF MEDICAL INTERVENTION: A blue hospital identification bracelet is attached to the left foot. An endotracheal tube protrudes from the mouth and is appropriately placed in the trachea through the oropharynx. An orogastric tube protrudes from the mouth and is appropriately placed in the stomach. A cervical immobilization collar and a Foley catheter accompany the decedent separately. The Foley catheter is attached to a collection unit that contains 30 milliliters of yellow urine. EVIDENCE OF CORNEA, TISSUE, AND BONE DONATION: The right and left corneas have been harvested. Sutured incisions extend along the midline back, the anterior aspects of the right and left arms, and the anterior aspects of the lower extremities. Sutured, oblique, incised wounds extend from the right and left acromioclavicular joints to the midline, below the xiphoid process. Multiple ribs have been excised bilaterally. The long bones of the extremities, sternum, thoracic spine, and hemipelves have been harvested. The heart has been harvested. EVIDENCE OF INJURY: A ligature mark is difficult to discern due to extensive scarring of the skin and imprints by the straps from the endotracheal tube holder. The anterior aspect of the left side of the neck has a faint 14.0 x 1.5 centimeter ligature mark that is depressed approximately 0.1 centimeters below the surface contour of the skin and has an associated 1.6 x 0.5 centimeter ecchymosis. The ligature mark is 24.0 centimeters below the top of the head. The ligature depression is associated with an adjacent 23.0 x 0.2 centimeter red abrasion that courses the neck from just right of midline, across the front of the neck at the level of the thyroid cartilage prominence, and courses upwards and backwards on the left side of the neck. The left side of the neck has a 2.5 x 0.5 centimeter ecchymosis and at this level the ligature mark is 8.0 centimeters inferior to the left external auditory

meatus and 20.6 centimeters below the top of the head. The ligature mark on the left side of the neck terminates below the mid aspect of the occipital hairline, 21.0 centimeters below the top of the head, and is associated with a 3.5 x 0.9 centimeter ecchymosis. On the right side of the neck, the ligature mark merges with the previously described scars and is not discernible. The right side of the neck has 1.0 x 0.5 centimeter, 0.4 x 0.4 centimeter, and 1.0 x 0.4 centimeter ecchymoses. The chin has a 6.5 centimeter in length area that is depressed 0.3 centimeters below the surface contour of the skin. A layered dissection of the anterior neck reveals hemorrhage of the right and left sternocleidomastoid, omohyoid, sternohyoid, sternothyoid, and thyrohyoid muscles. Hemorrhage surrounds the right and left lobes of the thyroid gland but does not involve the thyroid gland parenchyma. There is extensive extravasated blood of the left neck extending superiorly to the mandible, inferiorly to the level of the carotid bifurcation, and surrounding the left carotid sheath structures. INTERNAL EXAMINATION: The subcutaneous fat of the anterior abdominal wall is 5.1 centimeters thick. The reflected scalp has no extravasated blood. The skull has no fractures in the calvarium or the base. There are no epidural, subdural or subarachnoid hemorrhages. The 1420 gram brain has symmetric cerebral and cerebellar hemispheres covered by smooth, transparent leptomeninges. The cerebral cortex is tan, uniform, and has a normal gyral pattern but with flattened gyri and compressed sulci. The cerebrum, cerebellum, and brainstem have no external cortical contusions or abnormalities. There is no evidence of herniation of the uncus or cingulate gyrus. There is loss of distinction between the cerebral white matter and grey matter. The caudate nuclei, basal ganglia, and thalamus are tan, uniform, and symmetric. The corpus callosum is normal and intact. The ventricles are not enlarged and contain clear, colorless cerebrospinal fluid and normal choroid plexus. The midbrain, cerebellum, pons, and medulla oblongata are free of external and intraparenchymal abnormalities. The substantia nigra is normally pigmented. Both hippocampi are symmetric. The mamillary bodies are not discolored or decreased in size. The cranial nerves are symmetric and normal. The Circle of Willis is complete, has no berry aneurysms, and has minimal atherosclerosis. The cerebellum has its normal foliated appearance and intact dentate nuclei and no abnormalities. The proximal cervical spinal cord is firm, symmetric, and normal. The atlanto-occipital ligaments and cervical spine are intact and have no fractures or deformities. The thyroid gland is symmetric and composed of the usual two lobes and isthmus. The thyroid gland has firm, tan-red parenchyma, and the right lobe has a 1.6 x 1.4 x 0.6 centimeter, tan, well circumscribed nodule. The parathyroid glands are inconspicuous. The hyoid bone and thyroid cartilage are intact. The tongue is soft, red-brown, and has no injuries or intramuscular masses. The larynx, trachea, and mainstem bronchi are unremarkable. The right and left pleural cavities contain no free fluid. The 520 gram right lung and 490 gram left lung have smooth pleura. Both normally lobated lungs have dark red-pink parenchyma and are free of consolidation or masses. The cut surfaces of the lungs exude blood tinged fluid upon compression of the tissue. The pulmonary arteries and veins are patent, free of emboli, and have smooth intimal surfaces. There is no hilar lymphadenopathy. The diaphragm is smooth, muscular, and unremarkable. The esophagus, stomach, and duodenum are lined by tan mucosa and have no ulcers or masses. The stomach contains 250 milliliters of thick, dark brown fluid and partially digested food. The small intestine, colon, and rectum are normal in configuration. The small bowel has a smooth, tan serosal surface and is not dilated or obstructed. The large bowel has a tan serosal surface and normal haustral markings. The bowel has no palpable masses. The rectum has a smooth, tan

mucosa, and has no ulcers or masses. The vermiform appendix is unremarkable. The 1740 gram liver has a smooth, intact capsular surface, and normal configuration. The hepatic parenchyma is red-tan, has a normal consistency, and has no nodules or masses. The hepatic artery, hepatic vein, and portal vein are patent and do not have thrombi. The gallbladder is smooth, has thin walls, and contains 32 milliliters of viscid, dark green-brown bile and no stones. The pancreas is tan-red, lobulated, moderately firm, and has no pseudocysts, calcification or masses. The 150 gram right kidney and 150 gram left kidney have finely granular cortical surfaces. The red-brown renal cortices are well demarcated from the medullae. The pyramids and papillae are well preserved. The renal pelves and calyces are lined by smooth, opaque, and tan mucosa and have no calculi. The ureters are normal in conformation and do not have stenosis or calculi. There is no atherosclerosis of the renal vasculature. The urinary bladder has a finely trabeculated, tan mucosa, and contains no urine. The prostate gland is symmetric, firm, and not enlarged. The seminal vesicles are normal. The testes are both present in the scrotum and have tan homogeneous parenchyma with soft elastic seminiferous tubules that string out with ease. The 120 gram spleen has a finely wrinkled, grey-blue, capsular surface. The parenchyma is partially autolyzed, soft, purple-red, and has no tumor nodules or infarctions. The splenic artery has no atherosclerosis. The splenic vein is patent. The periaortic and retroperitoneal lymph nodes are inconspicuous. The adrenal glands are partially autolyzed. All examined skeletal and muscle groups are symmetric and normally developed. Per the Tissue Bank personnel, the second through sixth right and left ribs are fractured. AUTOPSY FINDINGS: 1. 2. 3. 4. 5. 6. Abrasions and ligature mark of the neck Hemorrhage of the anterior strap muscles of the neck Cerebral edema Pulmonary congestion, bilateral (right 520 grams; left 490 grams) Nodule of the right lobe of the thyroid gland Obesity (body mass index of 37.63 kilograms per meter squared)

TISSUES TAKEN FOR HISTOLOGY: Lung, Kidney, Liver, Thyroid Gland Janice Y. Grivetti, D.O. Associate Medical Examiner Mark J. Shuman, M.D. Associate Medical Examiner Date:____________________ JYG/MJS
NOTE: The cause of death is based on the totality of the investigative data to date, which may not be included in the autopsy or external examination protocol.