11:02/11:05 staff worker at Sauna see's Mike floating face down in a shallow pool. Thinks (according to different news reports) 1) he is bathing 2) he is joking around -Staff person doesnt check for either situation.
11:20 Staff worker sees Mike is same position. with help from nameless patrons, pulls Mike from the water. (had staff notified Stephannie THEN, Mike would have been recieving CPR at least 16 minutes earlier than he did)
11:28 EMT is called (what happened during those 8 minutes? Smoke break?)
11:36 EMT arrives. Claims they have proper equipment including a defibrillator and breath masks etc.
11:45 Staff at Sauna notify Mike's mom. Neither Corina nor Stephannie saw the defibrillator and there were no defibrillator marks on Mike's chest. There were no electrodes monitoring his condition. EMT didn't get breath mask out until half way to hospital, he never actually used it.
11:50 Teakyeung Medical Center ER declared Mike DOA. This is without a proper examination of Mike's eyes, brain activity, fingernails or core body temperature.
12:18 ER doctor wants to call it quits
12:06-1:44 Corina & Stephannie rotate doing CPR as they bully staff into draining Mike's lungs (so Mike COULD be rescuitated) and utilizing extreme measures so save his life. The staff half heartedly went through delayed, careless motions of giving Mike adrenaline shots... not done in a timely fashion along with the 3 defibrillator shocks. The ER never did drain Mike's lungs.
Mike's extremities maintaned good color, there is no full dialation of Mike's eyes as the doc claims in medical records (CYA) When his eyes were held open for a few seconds, there was dialation movement.
12:38am Mother's Day, staff FINALLY take a xray of Mike's lungs to determine if his lungs need draining. do you think doc?? still didnt drain his lungs
"23 pages" is a copy of Mike's pediatric records showing no history of liver disease. Due to increased securty around medical records (identity theft) we are still working on getting medical records from two other clinics in the US.
Copy of Mike White's Autopsy Report
Note: medical implications might be gruesome, sensitive readers please be advised and limit your reading accordingly.
Postmortem Report
Name: White, Stephen Michael (male/ 15yrs old) DOB 6-28-93
Requested Police Station: GyeongSan Police Station
Witnessed by: Park, In Kwon, Inspector
Date of Autopsy: May 13, 2008, 11:20 to 12:30
Place of Autopsy: Ulsan City Hospital
Requested for: Cause of death Post mortem investigation view
The body is that of a male which measures 180cm (Picture #1). The rigor-mortis remained in the elbow and the knee joint. Posteriorly, livor mortis (sinkage of blood after death in the direction of gravity) is fixed and dark red (Picture #6).
External Examinations
A frothy bloody fluid is present around the nose and the mouth (Picture #2 & #3). After wiping the fluid off of the face, there was no evidence of mentionable injury (Picture #4)
A frothy bloody fluid is present inside the nose and mouth (Picture #3 & #5).
Back and buttocks show no evidence of mentionable injury (Picture #6)
Evidence of Cardiopulmonary resuscitation (Electroshock) is present on the chest (Picture #7)
No abnormalities are present on arms and legs (Picture #8 & #9).
Internal Examinations
The scalp has no hemorrhage and the cranium is intact (Picture #10).
The ventricle weighs 1,524gm and aside from edema and congestion of blood, no abnormalities are exhibited (Picture #11, #12, #13, & #14).
Microscopic test of the ventricle (Cerebral white matter and gray matter) shows no abnormalities.
Aside from the congestion of blood, no abnormalities including the damage are shown in the soft tissues and the strap muscles of the neck (Picture #15 & #16).
Aside from the congestion of blood, no abnormalities are shown in the esophagus and throat (Picture #17).
The trachea is opened, and inside the white frothy lump formation is present (Picture #18).
No abnormalities are exhibited in the muscles of the chest and abdominal wall (Picture #19 & #20).
No abnormalities are exhibited in the diaphragm and the thoracoabdominal cavity (Picture #21).
The pericardium is opened and it was filled with 50cc of fluid (Picture #22 & #23).
The heart weighs 460gm which is large (normal heart weighs 300 – 350gm) (Picture #24 & #25).
The coronary arteries are opened and the left ventricle’s front branch and the right aorta exhibit a partial mild arteriosclerosis, other than that no other abnormalities are exhibited (Picture #26, #27, & #28).
The heart is opened in the direction of the blood flow, left ventricle’s lower endocardial exhibits partial endocardial fibrosis (Picture #29).
The muscles of the heart is opened, left ventricular wall is 1.6cm thick, interventricular septum is 1.8cm thick(Picture #30 & #31).
Microscopic examinations of the muscles in the heart exhibit no abnormalities other than the myocardial cells’ thickening. Examinations of cardiac conducting system (SA node, AV node) exhibit no abnormalities.
The secreted fluid that forms the frothy lump is present in bronchi (Picture #32).
The congestion of blood and edema is present in lung parenchyma (Picture #33).
The liver weighs 2,600 grams. The microscopic examination exhibit the formation of microvesicular fatty change and the severe intrahepatic cholestasis (Picture #34 & #35).
Other than the congestion of blood no abnormalities are present in the kidney (Picture #36).
The gastrointestinal fluid, the mixed solid matters in the stomach, and the fluid in the duodenum (suspected to be the drowned water) are present (Picture #38).
Examiner’s view
Methamphetamine salts, Carboxytetrahydrocannabinol, opium alkaloids, cocaine alkaloids, Benzodiazepams, salicylate derivatives, other alkaloids, phenochiazine derivatives, organic phosphorus derivatives, organic chlorine derivatives, carbamate derivatives, and cyanide are not detected in the coronary blood and in the stomach content (Tested by Park, Chan-Ho and Park, Mi-Jung, Department of Forensic Medicine, Southern Branch of the National Institute of Scientific Investigation).
The coronary blood’s alcohol level is below 0.01% (Tested by Lee, Dong-Gye, Department of Forensic Medicine, Southern Branch of the National Institute of Scientific Investigation).
Opinion
The cause of death in this case can be speculated as;
Relating to the cause of death, it can stated that External and internal examinations exhibit no abnormal damages.
The formation of the discharge that resulted in the froth in the trachea and bronchi, the presence of water most likely from drowning in the stomach and duodenum, and the fact that he was found in the cold water bathtub in the public bath, all lead to the primary cause of death to be speculated as drowning.
Examinations of the liver through microscopic and through the naked eye show the microchronic formation of microvesicular fatty change (in microchronic cases, Reye’s syndrome or deficiency of carnitine can be considered. If it is central lobule, the alcohol component’s frothy metamorphosis or tetracycline intoxication can be considered).
By looking at the brain’s edema, the possibility of Reye’s syndrome can be considered. However, as the liver tissue’s microscopic examinations show, the severe intrahepatic cholestasis does not match with Reye’s syndrome, so the change in the liver (liver cell’s damage) can be speculated to the chronic change relating to drugs.
Enlargement of the heart (460gm), the thickening of the muscles of the heart, partial arteriosclerosis of the right aorta, and partial endocardial fibrosis in the left ventricle are exhibited.
Regardless of heart disease, if the heart weighs over 450gm, this leads to an instable state and external or internal stimuli may cause fatal ventricular (cardiac) arrhythmia.
No special drugs and/or poisons that could be related to the cause of death have been found in the blood in the heart and the stomach content
According to the case’s summary, “Stephen Michael White was found face down in a cold bathtub on the 4th floor male bathing area around 23:20 on May 10, 2008 at the Royal Hawaii Public Bath located in OkSan-Dong, GyeongSan-City.
He was discovered by a sauna cleaner who attempted to wake him but because of the lack of response dialed 119 right away.
An ambulance arrived and took him to Dae Kyung Hospital located in JungBang-Dong, GyeongSan-City and was pronounced dead (Refer to the autopsy request, requested by the chief of police on May 13, 2008)”.
The cause of death in this case is viewed as drowning.
Enlargement of the heart leading to arrhythmia and/or damaged liver cells leading to the loss of consciousness were contributory causes of death.
The manner of death is determined to be: DROWNING (refer to Opinion section)
Examined on: June 3, 2008
Examined by: Ami-dong 1-10 Seo-gu, Busan, Medical Jurisprudence Lab of the School of Medicine, Busan National University Lee Sang Yong, M.D. Hur Ki Young, M.D.
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