JOHN R. HAIN, M.D. Forensic Pathologist Board Certified (831) 755-3792 POSTMORTEM EXAM (Preliminary Report) DECEDENT’S NAME: REGINALD DOUCET JR. CASE #PVT 11-001 DECEDENT'S AGE: 25 YEARS RACE: BLACK SEX: MALE DATE/TIMEISITE: 01/19/11, 1245 HRS, MONTEREY COUNTY CORONER FACILITY PATHOLOGIST: JOHN R. HAIN, M.O. ASSISTANTS: T. MOORE &R. DYCK EXTERNAL EXAMINATION “The body is recelved wrapped in plastic sheeting with identifying toe tags and ankle bracelet, Including a yellow ankle tag bearing the number 11-0372, The body is that of a young black male, 70° length and 170 pounds. The skin color is brown and the body build Is thin and muscular. No clothing is included in the wrappings or on the body. No personal affects are attached to the body. The body exhibits typical autopsy scalp and thoracoabdominal incisions, ‘sutured closed, as well as left thoracotomy surgical incision, transversely oriented beneath the left nipple, also sutured closed. Head hair is biack, uniform length, and approximately 1/16" in length, ‘The face bears a short black mustache and beard. The body appears to be normally developed and nourished and the general skin features are unremarkable, with no identifying scars or tattoos. Facial features, including eyes, ears, nose and mouth, appear to be normally formed and the eyes exhibit clouded comeas with brown iis color and no petechiae, exudates, or discolorations. The ooular globes are collapsed, apparently the result of postmortem vitreous humor fluid recovery. The dentition appears to be normally formed and free of significant deformities. No significant contents are observed in the mouth or nose. ‘The neck and torso exhibit typical deformities created by the preceding postmortem exam, The ‘external geritalia and anus are unremarkable in appearance. The upper extremities exhibit no deformities or evidence of disease and their surfaces and nails are unremarkable, with the ‘exception of areas of injury of the right forearm and hand to be described below. The lower ‘extremities exhibit no deformities or evidence of disease, with surfaces and nails appearing unremarkable, Evidence of attompted surgical treatment sil present atthe time of second autopsy include a 2° long, transversely oriented surgical incision ofthe right lateral chest wall, presumably a chest tube incision, with associated clamp and suture marks on tho skin margins. The let thoracotomy incision extends from the left armpit tothe anterior midline, There is a2 x 1" area of csiodged, crushed skin on the front ofthe upper left shoulder above the armpit that appears perimortem, "kely the result of emergency surgical clamp Injury to that area. Recent needle punctures are seen on the font of both forearms, including a cluster of three needle punctures onthe inner aspect of the front ofthe right forearm. A 4" diameter pink-red skin abrasion on the inner aspect af the front ofthe right forearm may have been the result of emargeney medical treatment.DOUCET, REGINALD PVT11-0001 EVIDENCE OF RECENT PHYSICAL INJURY: There is red bruising over the back of the proximal phalanx of right middle finger, associated with 3/8" superficial laceralion of the back of the middio joint. There Is a 1)" x 1 partially healed ‘skin abrasion of the outer aspect of the back of the right forearm a short distance below the elbow. There is a 1 x %" partially healed skin injury on the outer aspect of the mid right forearm, There is a %" pink-red abrasion of the inner aspect ofthe front ofthe right forearm, also described above as a possible emergency treatment injury. “There isa circular tom diameter bullet hole in the skin of the right center of the base ofthe neck located approximately 10° below the top of the head and 44 to 2" right of midine. Its surrounded by a 1% to 2 inch diameter zone of heavy gunpowder stppling typical of a near- Contact gunshot wound. There has been extensive postmortem dlssection and removal of tho underlying soft tissues and bones ofthe upper anterior and posterior chest wall and base of the neck. A gunshot hole surrounded by hemorrhage is seen in remnants of right lng apex. There are fractures of the mecial-posterior right 4” rib, ikely representing gunshot inury, behind and blow which are observed tiny fragments of gray metal, resembling lead. The bullet wound tract appears to end within an area of extensive soft issue hemorrhage and postmortem dissection located approximately 2 to 3" right of midline and 14 to 18" below the top of tho head, The bullet jectory in the body appears to hava beon front to back and downward. Mutiplo great vessels inside the base of the neck and upper right chest, kely damaged by the gunshot, pear to have bbeen removed during the original autopsy and are not identified in tissues avaiable for examination. ‘Thore is a 1% xX area of excised skin over the Jeft lower flank area 28" below the top of the ‘head within the posterior axillary line. Itis surrounded by a 4" diameter area of sparse ‘gunpowder stippling, indicating it was the site of @ relatively close, range gunshot entrance wound. ‘The tract of the wound passes through the soft tissues of the lower back leaving a single residual tiny metal fragment, resembling lead, within the muscle and resulting ina x "triangular exit hole through the skin of the center of the lower back approximately “A” to the right of midline and 27" below the top of the head. The tract of the wound involves soft tissues only and does not result in injury to the spine. The bullet trajectory is left to right, INTERNAL EXAMINATION Fragments of dissected viscera and soft issues contained within a plastic bag inside the body are examined, The organ tissues, all thoroughly dissected and cross-sectioned, are unremarkable in appearance, without evidence of any significant non-injury pathology. The ribcage has been removed and the ribs appear to be normally configured and non-britte without tumors or significant lesions, The chest cavities contain a small amount of residual bloody fuid, some of which (about 5 ec) is retained for possible adaitional toxicologic testing. The organ tissue remains are weighed. The remaining right lung is 270 grams, left lung 350 grams, heart 300 ‘grams, with left and right ventricular thickness 1.5 and 0.4 om respectively and heart valves 12, 8,, 11, and 7 cm In order of flow, The remaining spleen is 100 grams, combined kidney waight 280 grams, liver 1125 grams, and brain 1225 grams. The upper and lower spinal cord segments have been removed by an anterior approach. The neck has been extensively dissected as have the internal genitalia, urinary bladder, and rectum. The entire gastrointestinal tract has been ‘opened and examined and extensively incised revealing no remarkable features. The adrenal ‘glands are normal in sizo and cross sectional appearance. The air passages and major blood vessels also have been extensively dissected and reveal no remarkable features, with the possible exception of small amounts of very early aortic atheromatous changes of the aortaDOUCET, REGINALD TOXICOLOGY SPECIMENS: HISTOLOGY SPECIMENS: EVIDENCE COLLECTED: RADIOGRAPHIC EXAM: TOXICOLOGY RESULTS: MICROSCOPIC EXAM: RECORDS REVIEWED: PERTINENT AUTOPSY FINDINGS: ‘CAUSE OF DEATH: MANNER OF DEATH: SRH: Dd PYTII-0001 Blood from the posterior right chest cavity, liver tissue, kidney tissue, psoas muscle, brain tissue, and spleen tissue. Representative sections of all major organs as well as ‘skin from around entrance gunshot holes are retained in formalin Hair and blood samples are taken for possible DNA testing, No radiographic exams are performed. Positive for THC and atropine, but negative for other rugs of abuse and ethyé alcohol. See Central Valey Toxtcology report. None performed. ‘Two page LA County Coroner Investigator’s Narrative, Case #: 2011-00372, undated, bearing names of Stacy Ball #534662 and Lary Dietz, Gunshot to right-center of lower anterior neck, very close range (about 1 inch distance), exhibiting downward and ‘front to back bullet trajectory, probably disrupting major subclavian blood vessels and perforating lung, Gunshot to lateral left lower back, intermediate range (probably fess than 12 inches), with injury limited to subcutaneous and muscle tissue perforation, and bullet ext through center of lower back (left to right trajectory). Recent bruising with small superficial skin laceration of back of tight middle finger. Recent superficial skin abrasion, 4 front of ight forearm, in media forearm crease. Partially healed skin abrasions of back of right forearm. Multiple (2) gunshot wounds. JOHN RAIN, MD, FORENSIC PATHOLOGIST Homicide. DATE: O31 1/11