Latest / The Knife: A True Crime Podcast / Off Record: What Remains (with Dr. Paul Uribe)
Transcript
- 0:00Speaker 1: This story contains adult content and language. Listener discretion is advised.
- 0:06Speaker 2: It was my opinion that there was nothing else that
- 0:09Speaker 2: could have killed him. There is no other explanation that
- 0:13Speaker 2: makes even a shred of sense in this case.
- 0:31Speaker 1: Welcome to the Knife.
- 0:32Speaker 3: I'm Patia Eton, I'm Hannah Smith, and today we have
- 0:35Speaker 3: an interview for you with a forensic pathologist who worked
- 0:40Speaker 3: on a murder trial. But before we get into the interview,
- 0:43Speaker 3: we're going to give you some information about this case
- 0:46Speaker 3: because it's winding and intriguing and we've both been following
- 0:52Speaker 3: it for a couple of years now. Yeah, so we're
- 0:55Speaker 3: going to start the story. On March eighteenth, twenty twenty one,
- 0:58Speaker 3: a woman named Natalie Cochrane from Beckley, West Virginia was
- 1:02Speaker 3: sentenced to one hundred and thirty five months in federal prison,
- 1:05Speaker 3: which is over eleven years. And the reason that she's
- 1:09Speaker 3: sentenced to prison, she's charged with wire of fraud and
- 1:12Speaker 3: money laundry. She's been running a Ponzi scheme. She orchestrated
- 1:17Speaker 3: this scheme that defrauded victims over two million dollars and
- 1:22Speaker 3: she was ordered to pay two point five million dollars
- 1:25Speaker 3: in restitution and She would also serve a term of
- 1:27Speaker 3: three years of supervis released after the eleven year sentence.
- 1:31Speaker 3: You know, but this is actually just the beginning of
- 1:35Speaker 3: Natalie's problems, right, Like she sent to prison she was
- 1:37Speaker 3: caught for this Ponzi scheme. But once she's already been
- 1:41Speaker 3: charged and convicted, other things start to come out. So
- 1:44Speaker 3: she was arrested in October of twenty nineteen on this
- 1:48Speaker 3: indictment for her Ponzi scheme. But earlier that year, in
- 1:51Speaker 3: February of twenty nineteen, her husband Michael died suddenly. He
- 1:56Speaker 3: was only thirty eight years old, and his death was
- 2:00Speaker 3: very confusing and heartbreaking for his friends and family because
- 2:03Speaker 3: he had been this healthy young guy and then he
- 2:06Speaker 3: suddenly died.
- 2:08Speaker 1: Yeah, and Natalie and Michael had been married since the
- 2:10Speaker 1: early two thousands. They had two children. Natalie worked as
- 2:14Speaker 1: a pharmacist, Michael as a computer specialist. I even read
- 2:17Speaker 1: that they were actually childhood's sweethearts.
- 2:19Speaker 2: Wow.
- 2:20Speaker 1: Yeah, So they'd made this life for themselves in a
- 2:22Speaker 1: small town where you truly feel like you know everyone.
- 2:26Speaker 1: And when Michael passed, the community really rallied around Natalie
- 2:30Speaker 1: because she was suddenly this widow in her thirties, But
- 2:34Speaker 1: leading up to Michael's death in February of twenty nineteen,
- 2:38Speaker 1: there was a lot going on for Natalie and Michael.
- 2:40Speaker 1: Natalie had left her career as a pharmacist. She and
- 2:43Speaker 1: Michael had registered a company called Tactical Solutions Group or TSG,
- 2:48Speaker 1: and this idea for the company was that it would
- 2:51Speaker 1: been on contracts to sell weapons and other goods to
- 2:54Speaker 1: the US government. She needed to race capital, so she's
- 2:57Speaker 1: bringing on investors. Now, this was a company that they
- 3:01Speaker 1: jointly owned, but Natalie had the majority stake and she
- 3:04Speaker 1: was definitely the person at the wheel, and Michael trusted
- 3:09Speaker 1: her implicitly. So she leaves her career as a pharmacist
- 3:12Speaker 1: and she goes all in on TSG. They also opened
- 3:15Speaker 1: another company, TMG, which is Technology Management Systems, similarly working
- 3:22Speaker 1: with the US government. So both of these companies were fraudulent,
- 3:26Speaker 1: and Natalie would later admit in court that she never
- 3:29Speaker 1: invested any of the money and she instead spent that
- 3:33Speaker 1: investor money on things like, you know, real estate of
- 3:36Speaker 1: fancy car, personal items, classic classic. So Michael was totally
- 3:42Speaker 1: unaware of this, which I'm going to get into, which
- 3:46Speaker 1: was revealed later in text messages.
- 3:48Speaker 3: He thought that these companies that they'd started were legitimate
- 3:51Speaker 3: and probably thought they were doing really well. Yeah, or
- 3:54Speaker 3: he would have never consented to them having their friends
- 3:57Speaker 3: and family invest right.
- 4:00Speaker 2: Yeah.
- 4:00Speaker 3: So in the meantime, Natalie's living this high life, buying
- 4:04Speaker 3: real estate, jewelry, a sports car. Michael is unaware that
- 4:09Speaker 3: all of this is a Ponzi scheme. But in twenty nineteen,
- 4:12Speaker 3: the walls are starting to close in. You have to
- 4:15Speaker 3: imagine there's probably an investigation starting to happen behind the scenes.
- 4:19Speaker 3: And in February of twenty nineteen, Michael collapsed. He had
- 4:23Speaker 3: a seizure, and Natalie told a friend who had been
- 4:27Speaker 3: present that day that she was going to let Michael
- 4:29Speaker 3: sleep it off. So her friend said Michael should go
- 4:33Speaker 3: see a doctor, and Natalie and her sister were both there.
- 4:37Speaker 3: You know, Michael is unresponsive. He had fallen on the floor,
- 4:42Speaker 3: and there's an account that Nataline and her sister changed
- 4:44Speaker 3: his clothes because he'd lost muscle control. So hours go by.
- 4:49Speaker 3: By the time they took Michael to the hospital, he
- 4:51Speaker 3: was unresponsive, and then he died in hospice a few
- 4:55Speaker 3: days later, and the first cause of death was quick natural.
- 4:59Speaker 3: It was a termine to be a natural death. Natalie
- 5:02Speaker 3: cochrane was then arrested for the Ponzi scheme months later
- 5:06Speaker 3: in October of twenty nineteen. She pled guilty to the
- 5:08Speaker 3: charges against her in September of twenty twenty. She was
- 5:12Speaker 3: ready to serve this eleven year sentence, but as the
- 5:15Speaker 3: investigation unfolded, Michael's death became more and more suspicious to
- 5:20Speaker 3: law enforcement as they started to look at all of
- 5:22Speaker 3: the events that led up to his death and that
- 5:25Speaker 3: eventually led to her murder trial. One of the things
- 5:29Speaker 3: that came out through this investigation is that Michael had
- 5:32Speaker 3: been totally unaware that either of these businesses were actually
- 5:35Speaker 3: Ponzi's schemes, and this was revealed during the trial and
- 5:38Speaker 3: text messages that were exchanged between Natalie and Michael. Natalie
- 5:43Speaker 3: was the majority owner, as you said, with the fifty
- 5:45Speaker 3: one percent stake in TSG, and she secured the startup
- 5:49Speaker 3: capital through mostly friends and family, many of whom made
- 5:52Speaker 3: investments repeatedly and then just never saw a return, which
- 5:57Speaker 3: is heartbreaking, but not as heartbreaking as his death. Obviously,
- 6:00Speaker 3: it just gets worse and worse. So first she got
- 6:03Speaker 3: all of the startup capital from friends and family, and
- 6:05Speaker 3: then she got it through loans, which were designed to
- 6:08Speaker 3: help companies in trouble, so she portrayed her company was
- 6:11Speaker 3: in trouble. She secured all of these loans. Michael knew
- 6:14Speaker 3: about the investors and about the loans, but Natalie told
- 6:17Speaker 3: him that the loans were grants that they wouldn't have
- 6:20Speaker 3: to repay. Michael was being extremely generous, thinking that they
- 6:24Speaker 3: had been making a lot of money and that their
- 6:26Speaker 3: companies were like thriving financially, because that's what Natalie had
- 6:29Speaker 3: told him, And so he donated a weight room to
- 6:32Speaker 3: a local middle school. He bought a house for a
- 6:34Speaker 3: local youth pastor. Like he was just like very generous,
- 6:37Speaker 3: which was really sweet.
- 6:38Speaker 1: Yeah, I mean, he truly had no idea. So that
- 6:41Speaker 1: changes in August of twenty eighteen when Michael gets into
- 6:45Speaker 1: Natalie's phone and reads her text messages and starts to
- 6:49Speaker 1: see the extent of the investors and the promises she's
- 6:53Speaker 1: making to people about the returns on those investments, and
- 6:56Speaker 1: he could tell that something was not right. So Natalie
- 7:01Speaker 1: and Michael gets together and they put their heads together
- 7:04Speaker 1: about this and try to come up with a way
- 7:06Speaker 1: to pay people back. And at this point, the more
- 7:08Speaker 1: that they discuss it, the more Michael realizes we will
- 7:11Speaker 1: never be able to pay these people back. But Natalie
- 7:14Speaker 1: has a solution. She tells Michael that they are just
- 7:18Speaker 1: on the cusp of receiving millions of dollars in grants
- 7:21Speaker 1: and bonds and government contracts. So Michael's like, okay, well great,
- 7:25Speaker 1: let's make sure that happens and let's get these people
- 7:27Speaker 1: paid back. And this is becoming very stressful for him
- 7:31Speaker 1: because he doesn't want to, you know, have taken money
- 7:36Speaker 1: from friends and family fraudulently or even not fraudulently, and
- 7:40Speaker 1: then not being able to pay them back. Both options
- 7:42Speaker 1: horrible feeling, I imagine horrible feelings. So Natalie comes up
- 7:46Speaker 1: with this grand plan and tells him that the money
- 7:50Speaker 1: is on the way, but in September of twenty eighteen,
- 7:53Speaker 1: so in August he sees the text in her phone.
- 7:57Speaker 1: He has this little bit of a reckoning with her
- 8:00Speaker 1: in September. Michael's noticing that Natalie's continuing to lie to
- 8:03Speaker 1: people and tell them the money's coming in when he's
- 8:05Speaker 1: never seen any proof of that. So Natalie then tells him, well,
- 8:09Speaker 1: this is actually because of a government audit. So they're
- 8:11Speaker 1: auditing the company and it's just going to be a
- 8:13Speaker 1: while before they can pay us out. But the amount
- 8:16Speaker 1: is huge. Michael believes they're waiting on two hundred and
- 8:20Speaker 1: forty eight million dollars.
- 8:22Speaker 3: That's wild.
- 8:24Speaker 1: It's a lot of money. And so Natalie says, this
- 8:27Speaker 1: is all going to be in our account by October
- 8:30Speaker 1: twenty ninth. Okay, great things are looking up, thank god.
- 8:35Speaker 1: Well then it doesn't happen on October twenty ninth. She
- 8:38Speaker 1: has some reason for it. This is super stressful for Michael,
- 8:42Speaker 1: and on October thirty first, he actually gets really sick
- 8:46Speaker 1: and goes to the hospital. Now that's a hospital. They're
- 8:49Speaker 1: not sure what's going on, but he's sick and he
- 8:53Speaker 1: gets sent home. Then he goes back to the hospital
- 8:55Speaker 1: on November second. Natalie tells the hospital staff that Michael
- 8:59Speaker 1: has a history of seizures, but no one else in
- 9:02Speaker 1: Michael's life knows this about him, which you know, probably
- 9:05Speaker 1: means it's not true. They all now think, in hindsight,
- 9:09Speaker 1: this was Natalie laying the groundwork for Michael's murder, because
- 9:13Speaker 1: he was starting to ask more and more questions.
- 9:15Speaker 3: Trying to create this history of medical problems exactly.
- 9:19Speaker 1: So in the fall, in November and into December, more lies,
- 9:23Speaker 1: more lies, and then in December there's a federal government
- 9:26Speaker 1: shut down. Great, they can't pay us, So sorry, Michael,
- 9:29Speaker 1: We're going to have to wait. Michael's really upset and
- 9:33Speaker 1: stressed in not acting like himself. He's easily angerd he's irritable.
- 9:38Speaker 1: But I think anyone who thinks they're waiting on hundreds
- 9:40Speaker 1: of millions of dollars and has investors that want to
- 9:44Speaker 1: be paid back, it is nerve wracking and it would
- 9:46Speaker 1: be very stressful.
- 9:47Speaker 2: Sure.
- 9:48Speaker 3: Yeah.
- 9:49Speaker 1: And so they get through December and the federal government
- 9:54Speaker 1: is going to open back up and release funds the
- 9:56Speaker 1: sol according to Natalie, in February. So they're going to
- 9:59Speaker 1: get everything in February of twenty nineteen, which we now
- 10:02Speaker 1: know is the month that Michael was murdered. So there's
- 10:05Speaker 1: an incident at the bank. When Michael believes that the
- 10:07Speaker 1: funds are supposed to be released. He goes to the
- 10:09Speaker 1: bank where they have their business accounts and he finds
- 10:12Speaker 1: out they're closing these accounts because these accounts don't have
- 10:14Speaker 1: any money in them, and they don't know what's going on,
- 10:16Speaker 1: and they're going to close the accounts. Well, this is
- 10:19Speaker 1: very upsetting for Michael because he's like, well, if you
- 10:21Speaker 1: close the accounts, where are they going to put all
- 10:23Speaker 1: of this money that they're going to pay us. So
- 10:25Speaker 1: he actually becomes so distressed by this and so angry
- 10:29Speaker 1: about this that he gets really upset and the police
- 10:32Speaker 1: are nearly called to sort of subdue him.
- 10:35Speaker 2: Wow.
- 10:35Speaker 1: Yeah, and he's not like a violent person. He was
- 10:38Speaker 1: just extremely stressed out about this and visibly angry that
- 10:42Speaker 1: the bank was going to close these accounts. Well, of
- 10:45Speaker 1: course that's because there was never any money in the accounts.
- 10:48Speaker 1: Natalie had lied about everything. So Michael goes home and
- 10:52Speaker 1: he's very upset, and they have this heated text exchange
- 10:55Speaker 1: and Natalie knows he's about to find this out. So
- 10:58Speaker 1: in the early days of February, Natalie goes to the doctor.
- 11:01Speaker 1: She says she's not feeling well. She thinks she has
- 11:03Speaker 1: the flu. The doctor says, you don't have the flu.
- 11:06Speaker 1: She picks up her prescription that I believe was an
- 11:08Speaker 1: anti histamine, but it was a prescription anti histamine, something
- 11:13Speaker 1: that Michael was known to be allergic to. And by
- 11:16Speaker 1: February sixth, Michael is unconscious, and Natalie sees that he's
- 11:22Speaker 1: unconscious and does not immediately seek medical care for him.
- 11:26Speaker 1: She has people move him to the sofa and lets
- 11:29Speaker 1: him lay there for six to seven hours until one
- 11:32Speaker 1: of his friends says he needs to go to the hospital.
- 11:34Speaker 1: So Michael officially passes away February eleventh, twenty nineteen, on hospice.
- 11:41Speaker 1: And we're going to talk today to doctor pauli Rebe,
- 11:44Speaker 1: a forensic pathologist who did the second autopsy on Michael
- 11:48Speaker 1: Cochrane's remains for Natalie Cochrane's murder trial.
- 11:52Speaker 3: Let's get into it today. We're speaking with doctor Paul
- 12:08Speaker 3: Eurebe about his work as a forensic pathologist and his
- 12:11Speaker 3: role in a murder triald that was years in the making,
- 12:15Speaker 3: the murder of Michael Cochrane and Beckley West Virginia, back
- 12:18Speaker 3: in twenty nineteen. Paul, Hi, can you please start by
- 12:22Speaker 3: introducing yourself.
- 12:23Speaker 2: Hi. My name is doctor Paul Eurebe. I am the
- 12:27Speaker 2: current Deputy Chief Medical Examiner at the Fort Benk County
- 12:32Speaker 2: Medical Examiner's Office, which is located southwest of Houston. I
- 12:37Speaker 2: also work as a locum Tenans forensic pathologist, which is
- 12:40Speaker 2: a part time forensic pathologist and a couple of jurisdictions,
- 12:43Speaker 2: namely Clark County, Nevada, which incorporates Las Vegas and southern
- 12:48Speaker 2: Nevada as well as the state of Mississippi. And as
- 12:53Speaker 2: a third part time job, I have my own forensic
- 12:56Speaker 2: consulting company PMH Forensics or dead Man's Hand and Forensics WOW.
- 13:02Speaker 3: And So for people who might not be familiar, what
- 13:05Speaker 3: is the sort of brief explanation of what a forensic
- 13:09Speaker 3: pathologist does?
- 13:11Speaker 2: So how I explain it in court? For juries is well,
- 13:14Speaker 2: pathology is the study of disease. Forensic pathology is the
- 13:18Speaker 2: specialization that studies unnatural, unexpected or violent death. So, in
- 13:25Speaker 2: a nutshell, we study death and see what we can
- 13:29Speaker 2: learn from it, and we do that, namely by performing autopsies.
- 13:33Speaker 3: And so we're going to get into Natalie Cochrane's trial,
- 13:36Speaker 3: the death of Michael Cochrane. When you were brought onto
- 13:40Speaker 3: this case, you know, before we get into your involvement specifically,
- 13:43Speaker 3: how that happened, What did you know, like what had
- 13:46Speaker 3: happened with the case so far, What was this sort
- 13:48Speaker 3: of understanding of yours at that time of what this
- 13:51Speaker 3: case was all about.
- 13:53Speaker 2: So I was contacted by the Rawleigh County prosecutor who
- 14:00Speaker 2: heard of me from my involvement in another high profile
- 14:04Speaker 2: insulin case in West Virginia, which was the prosecution of
- 14:09Speaker 2: Rita Mays. She was a nursing assistant who was accused
- 14:13Speaker 2: of essentially poisoning VA patients at the Clarksburg VA with insulin.
- 14:21Speaker 2: And this was a case that I did while active
- 14:23Speaker 2: duty in the military with the Armed Forces Medical Examiner's Office,
- 14:27Speaker 2: and because of my involvement in that case, which was
- 14:30Speaker 2: relatively high profile, they reached out to me because I
- 14:34Speaker 2: had done a lot of research and testimony in terms
- 14:36Speaker 2: of insulin homicides, and they reached out to me saying, hey,
- 14:40Speaker 2: can you help out with this. We think that she
- 14:44Speaker 2: may have poisoned her husband with insulin, but we're not
- 14:48Speaker 2: sure we can prove it. So I got involved probably
- 14:52Speaker 2: two to three years I think it was over three
- 14:55Speaker 2: years after Michael's death, and they brought me in to
- 14:58Speaker 2: take a look at everything that had been done at
- 15:01Speaker 2: that point. The first autopsy was already done and they
- 15:07Speaker 2: just wanted me to take a look at it to
- 15:09Speaker 2: essentially see what I could see well, can.
- 15:11Speaker 3: You tell us about that first autopsy, you know, as
- 15:14Speaker 3: you opened it and looked at what had been done,
- 15:16Speaker 3: kind of walk us through what you saw there.
- 15:19Speaker 2: So the first autopsy was not done by me. And
- 15:23Speaker 2: there's a little bit of a backstory here because when
- 15:27Speaker 2: Michael died, he was technically on hospice care already, and
- 15:34Speaker 2: because he was on hospice care, that did not generate
- 15:37Speaker 2: a flag for the West Virginia State Medical Examiner's Office. Now,
- 15:42Speaker 2: once again, I know a lot of the docks at
- 15:44Speaker 2: West Virginia. I'm not saying this to throw shade at
- 15:46Speaker 2: them or anything, but I do think the case was missed.
- 15:48Speaker 2: When you have a thirty eight year old male on
- 15:51Speaker 2: hospice for reasons that aren't really clear. It's different if
- 15:55Speaker 2: someone has like ALS, which is amiotrific lateral loleurosis, the
- 16:00Speaker 2: same disease that Stephen Hawking had, or Huntington's disease, or
- 16:04Speaker 2: like some progressive neurologic condition that causes someone of relatively
- 16:09Speaker 2: young age to die when they're younger. That's a legitimate
- 16:13Speaker 2: reason for a younger person to be on hospice. But
- 16:15Speaker 2: he didn't really have a great diagnosis. But anyway, regardless
- 16:19Speaker 2: of how that was missed. The prosecutors started looking into
- 16:23Speaker 2: it in the months after his death, and they found
- 16:27Speaker 2: his death really, really suspicious because at that point she
- 16:30Speaker 2: was being investigated for the Ponzi scheme and so forth.
- 16:34Speaker 2: So I believe about seven months after Michael's death, the
- 16:39Speaker 2: state office in West Virginia went back and they exhumed Michael,
- 16:43Speaker 2: and they did an initial autopsy of him, and they
- 16:48Speaker 2: found nothing particularly significant. The medical examiner of record who
- 16:55Speaker 2: did it there wasn't really good sample to check for
- 16:59Speaker 2: insulin or seapeptide. We'll talk about the importance of those
- 17:03Speaker 2: two things later, and he didn't really look for insulin
- 17:07Speaker 2: injection sites either. Now, whether or not you can find
- 17:11Speaker 2: insulin injection sites and someone who's been essentially buried for
- 17:15Speaker 2: seven months, it's very tough.
- 17:18Speaker 3: Yeah.
- 17:18Speaker 1: That actually prompts a question for me, which is, you know,
- 17:21Speaker 1: this is all pretty morbid, but after seven months, because
- 17:26Speaker 1: the initial autopsy happened after he was buried, so his
- 17:31Speaker 1: remains were exhumed, is that correct?
- 17:36Speaker 2: Yes, Okay, I don't think he was buried in the ground.
- 17:39Speaker 2: I think he was interred in a mausoleum. Oh, Okay,
- 17:41Speaker 2: basically above ground.
- 17:43Speaker 1: Okay, and so seven months after his death, what state
- 17:48Speaker 1: or someone's remains in It depends.
- 17:51Speaker 2: It depends on the level of embalming. It depends on
- 17:53Speaker 2: the environmental temperatures. It depends on if it's an above
- 17:57Speaker 2: ground mausoleum or you know, below ground and under the earth.
- 18:01Speaker 2: It depends on the humidity, It depends on the temperature,
- 18:03Speaker 2: It depends on lots of things. From my review of
- 18:06Speaker 2: the first autopsy, he seemed to be in pretty decent shape.
- 18:10Speaker 2: There was some decomposition, which naturally you would expect, but
- 18:13Speaker 2: it wasn't terrible. So there was some information that could
- 18:18Speaker 2: be obtained from the primary autopsy, which, once again, any
- 18:22Speaker 2: information is helpful in a case like this. But once again,
- 18:26Speaker 2: if you have a body that's not embalmbed and is
- 18:29Speaker 2: in the ground and then you have water that leaks
- 18:32Speaker 2: into the casket and everything, that just accelerates decomposition.
- 18:36Speaker 1: In this case, for the first autopsy in Michael Cochrane,
- 18:38Speaker 1: they had remains that were in a state they felt
- 18:41Speaker 1: like they could conduct an autopsy on and get strong
- 18:45Speaker 1: results or decent results.
- 18:47Speaker 2: Yes, And when it comes to post mortem detection of insulin,
- 18:52Speaker 2: that's where things get really really tricky because insulin levels
- 18:57Speaker 2: in blood are not stable. Insulin levels, just normally in humans, vary,
- 19:03Speaker 2: like you know, it varies on what you eat, it
- 19:06Speaker 2: varies with your circadium rhythm. Sometimes you're pancreas secretes insulin.
- 19:11Speaker 2: When you wake up in the morning, you have an
- 19:13Speaker 2: insulin spike. So there is no like really tight, nice
- 19:18Speaker 2: normal range of insulin because if you have a couple
- 19:21Speaker 2: donuts in the morning, then guess why your insulin's going
- 19:24Speaker 2: to spike after that. If you wake up in the morning,
- 19:26Speaker 2: your insulin's going to spike. So there's no real good
- 19:29Speaker 2: range for normal.
- 19:30Speaker 3: I want to go back actually to something that you
- 19:32Speaker 3: talked about before, where he was on hospice. Can you
- 19:36Speaker 3: kind of explain what was going on, because when I
- 19:39Speaker 3: had read about the case, it seemed like he was healthy,
- 19:41Speaker 3: and then there was an incident where he collapsed, he
- 19:45Speaker 3: wasn't responding. It took a while for his wife, Natalie
- 19:49Speaker 3: to actually call you know, naimon one or to bring
- 19:52Speaker 3: him into a hospital, way too late, some would say,
- 19:55Speaker 3: and it was suspicious that he was this supposedly overall
- 19:59Speaker 3: healthy thirty eight year old who died. So I'm curious
- 20:03Speaker 3: if you can explain a little more about what the
- 20:05Speaker 3: circumstances were of him being on hospice, as well as
- 20:09Speaker 3: how this idea of insulin ever arose in the first place.
- 20:13Speaker 2: So how we got on the hospice. So going back
- 20:17Speaker 2: to the circumstances that I understood that and once again,
- 20:20Speaker 2: these circumstances, when you look at them retrospectively, are incredibly suspicious.
- 20:27Speaker 2: Let's put it that way. The history that I received
- 20:31Speaker 2: was that Michael was found down around eleven thirty noonish
- 20:37Speaker 2: in the morning one day Natalie. She was the only
- 20:41Speaker 2: one home at the time. Natalie suspected that he either
- 20:44Speaker 2: had a seizure or hid his head on the counter
- 20:48Speaker 2: on the way down, and she found him unconscious on
- 20:52Speaker 2: the kitchen floor. Then she took pictures of his unconscious
- 20:58Speaker 2: body and sent it to friends and family, which is
- 21:03Speaker 2: sort of bizarre and strange, very weird. She had some
- 21:06Speaker 2: contractors who happened to be doing some work at the house.
- 21:10Speaker 2: I'm not sure when the contractors got there, I can't
- 21:13Speaker 2: remember that detail, but she had them move him to
- 21:16Speaker 2: the couch where he stayed there for approximately seven hours.
- 21:22Speaker 2: The only medical intervention that she testified to was she
- 21:28Speaker 2: reported checking his blood sugar twice and reported that those
- 21:34Speaker 2: levels were normal even though he's unconscious on the couch.
- 21:38Speaker 2: She had one family friend who was in healthcare come
- 21:43Speaker 2: by and or that friend came by anyway and said,
- 21:47Speaker 2: you really need to take him to the hospital. This
- 21:49Speaker 2: is not well, and she's like, oh, he'll sleep it off,
- 21:51Speaker 2: that's fine. And then apparently one of Michael's friends who
- 21:55Speaker 2: couldn't get a hold of him, came by the house,
- 21:58Speaker 2: found him unresponsible on the couch. Coach basically ordered, Natalie,
- 22:02Speaker 2: you know, we are taking him to the hospital right now.
- 22:06Speaker 2: So he loaded him up in the car, got him
- 22:08Speaker 2: to the hospital. When he got to the hospital, his
- 22:11Speaker 2: blood glucose was under thirty milligrams per desolader. Now, normal
- 22:17Speaker 2: blood glucose ranges from like eighty to one hundred. So
- 22:21Speaker 2: a blood glucose in someone, especially someone who's not a diabetic,
- 22:26Speaker 2: anything below sixty in an otherwise healthy person, there's usually
- 22:31Speaker 2: something going on, like you know, hey, there might be
- 22:34Speaker 2: septic or something like that, or have an overwhelming bacterial infection.
- 22:37Speaker 2: There's a couple natural disease processes that cause that, but
- 22:41Speaker 2: he wasn't demonstrating any of those. And one of the
- 22:45Speaker 2: first imaging studies that they did. When they did do
- 22:48Speaker 2: an MRI, they saw no evidence of trauma. But the
- 22:52Speaker 2: radiologist called it, and this is a really interesting term,
- 22:56Speaker 2: he called it diffuse hypoglycemic encephalopathy, meaning he was having
- 23:02Speaker 2: cerebral edema, likely related to the low blood glucose. So
- 23:07Speaker 2: when you have blood glucose that's too low for too long,
- 23:10Speaker 2: your brain starts to freak out and it starts to swell.
- 23:13Speaker 2: And that's exactly what was happening. And when Natalie got
- 23:17Speaker 2: to the hospital, I think it was probably within a
- 23:21Speaker 2: matter of hours where she wanted him put on hospice care.
- 23:25Speaker 2: Oh wow, which once again, your husband comes into the hospital,
- 23:28Speaker 2: if you're not entirely sure why he's there, you just
- 23:31Speaker 2: walk in and be like, yeah, we want to put
- 23:33Speaker 2: him on hospice, even though we don't know exactly what's
- 23:35Speaker 2: going on. That whole situation just seems really weird.
- 23:49Speaker 3: So I imagine when you're getting this information, you're assessing
- 23:54Speaker 3: her behavior, Michael's blood glucose level when he died, the
- 23:59Speaker 3: request from now to put her thirty eight year old husband, who,
- 24:03Speaker 3: you know whatever, a day two days before was completely healthy.
- 24:06Speaker 3: That seems super weird, like you would think you would
- 24:08Speaker 3: be like save his life, please, but she requests for
- 24:11Speaker 3: him to be put on hospice. And so are you
- 24:13Speaker 3: looking at all of these factors plus the medical autopsy
- 24:16Speaker 3: when you're looking at the case.
- 24:18Speaker 2: Yes, absolutely, because autopsy is only one part of the equation.
- 24:23Speaker 2: There's the scene investigation, there's medical history. All of that
- 24:29Speaker 2: goes into it. Like the autopsy is just one part
- 24:31Speaker 2: of it. We also have post mortem samples that we
- 24:34Speaker 2: can send out, like toxicology. We can look at tissue
- 24:37Speaker 2: under the microscope for histology. And it's our job as
- 24:40Speaker 2: forensic pathologists to take the autopsy and the scene investigation
- 24:46Speaker 2: and the ancillary studies and put it all together to
- 24:49Speaker 2: figure out what happened. So I had a lot of
- 24:53Speaker 2: that history. Now once again, you have to be careful
- 24:56Speaker 2: and not let the history bias you too much. Right,
- 25:00Speaker 2: you know, the whole topic of cognitive bias. That's a
- 25:03Speaker 2: whole separate thing that I lecture on, but that's outside
- 25:05Speaker 2: the scope of this. But you don't want to let
- 25:08Speaker 2: the scene investigation bias you too much, if you know
- 25:12Speaker 2: what I mean, Because you have to look at the
- 25:13Speaker 2: big picture, and you know, like an example of it
- 25:16Speaker 2: is relying on someone's confession. If you're rely on someone's
- 25:19Speaker 2: confession that they smothered someone, but you have no other
- 25:22Speaker 2: findings to go against that, then if they recant their confession,
- 25:26Speaker 2: you're left with nothing and you're just like, Okay, what
- 25:29Speaker 2: do I do with this? The bottom line is you
- 25:31Speaker 2: have to look at the big picture, right So in
- 25:33Speaker 2: this one of the things that I suggested to the
- 25:37Speaker 2: district attorney was to take a second look at Michael,
- 25:41Speaker 2: which meant a second exhamation, because my thought process here
- 25:47Speaker 2: is there are some things that they did not look
- 25:49Speaker 2: at in the first autopsy, like they didn't do soft
- 25:52Speaker 2: tissue dissections of the arms and abdomen and legs to
- 25:56Speaker 2: look for possible injection sites. Once again, is it low
- 25:59Speaker 2: ye or not? I don't know. I mean my opinion
- 26:02Speaker 2: also is you don't know if you don't look. So
- 26:04Speaker 2: we had to exhaust all the options there. Yeah, I'm
- 26:07Speaker 2: pretty sure that's the point in time when we decided, Okay,
- 26:10Speaker 2: I'm going to go out to West Virginia and we're
- 26:12Speaker 2: going to do a second autopsy and a second exhamation.
- 26:16Speaker 1: So, as you mentioned, the first autopsy was done seven
- 26:19Speaker 1: months after Michael died and at that point the cause
- 26:22Speaker 1: of death was listed as undetermined. So I was reading
- 26:26Speaker 1: about how the case was actually dropped by the Raleigh
- 26:28Speaker 1: County DA's office the first time around, because it's really
- 26:31Speaker 1: hard to bring homicide charges against someone when you don't
- 26:34Speaker 1: have the cause of death listed as a homicide, let
- 26:37Speaker 1: alone any cause of death. But then two years later
- 26:40Speaker 1: the case was refiled when you were brought in to
- 26:42Speaker 1: take a second look. You've explained how difficult it is
- 26:45Speaker 1: to get physical evidence of someone being killed by insulin
- 26:49Speaker 1: injections during an autopsy. So what were you hoping to
- 26:53Speaker 1: find in the second autopsy that might have been missed
- 26:56Speaker 1: the first time around.
- 26:58Speaker 2: So I don't mean this to like, once again throw
- 27:02Speaker 2: shade at the West Virginia office, because post mortem detection
- 27:05Speaker 2: of insulin it's been problematic for forensic pathologists ever since
- 27:09Speaker 2: the discovery of insulin over sixty years ago. So figuring
- 27:13Speaker 2: out post mortem insulin levels and whether or not it's
- 27:17Speaker 2: an insulin suicide or homicide, it's such a tricky issue.
- 27:21Speaker 2: So one of the things they did not do in
- 27:23Speaker 2: the first autopsy was they didn't do a soft tissue dissection,
- 27:29Speaker 2: basically cutting into the skin looking for subcutaneous hemorrhage that
- 27:34Speaker 2: could be consistent with a insulin injection, because that's how
- 27:40Speaker 2: insulin is administered. It's administered subcutaneously. It's not administered orally.
- 27:45Speaker 2: It's not administered by IV generally, but when you inject insulin,
- 27:51Speaker 2: you inject it under the skin and then it creates
- 27:54Speaker 2: a little pocketive insulin that acts as a depot and
- 27:56Speaker 2: it's sort of released over time and usually works for
- 27:59Speaker 2: like four to six So there are ways where you
- 28:02Speaker 2: can do soft tissue dissection to look for that, and
- 28:07Speaker 2: if you see a possible injection site, then you can
- 28:12Speaker 2: take that tissue, look at it under a microscope and
- 28:16Speaker 2: do a process called aminohistochemistry where you can stain the
- 28:20Speaker 2: slide for insulin. Now, this is the technique that we
- 28:24Speaker 2: did in the Rida May's investigation, and we actually had
- 28:29Speaker 2: some success with it, even in patients who were exhumed
- 28:34Speaker 2: a year and a half after the fact. So that
- 28:39Speaker 2: is a pretty decent way to do it if you
- 28:41Speaker 2: can find a suspected insulin injection site. But that was
- 28:44Speaker 2: not done in the first autopsy, and they also did
- 28:47Speaker 2: not send out special testing for insulin or cepeptide, just
- 28:51Speaker 2: because I don't think the West Virginia office, and actually
- 28:53Speaker 2: most medical examiner offices just don't have access to that.
- 28:57Speaker 1: Yeah, the second autopsy that you end up doing, you
- 29:00Speaker 1: have to exhume his remains. I'm curious if you heard
- 29:04Speaker 1: anything about how has family felt about a second autopsy.
- 29:09Speaker 1: How did they feel about it?
- 29:10Speaker 2: Did you ever hear They were absolutely on board with it,
- 29:14Speaker 2: and they suspected pretty much from the beginning that she
- 29:17Speaker 2: did something to Michael and they wanted to prove it.
- 29:21Speaker 2: So could we have done it without the family consent? Yes,
- 29:25Speaker 2: but generally when you do exhamations, it's usually good to
- 29:28Speaker 2: have the family permission and consent on board. Yeah. I
- 29:33Speaker 2: really like providing reasonable expectations to family members too, because
- 29:37Speaker 2: exhumations are incredibly traumatic, and I want them to be like, look,
- 29:41Speaker 2: this is why we're doing this, this is what I
- 29:44Speaker 2: hope to gain from this, this is what we're specifically
- 29:47Speaker 2: looking for, just so they are on the same page
- 29:51Speaker 2: with what we're doing and why. But they were absolutely
- 29:55Speaker 2: on board with this.
- 29:56Speaker 1: Yeah, that's really good to know. So Michael, the that
- 30:00Speaker 1: he actually passed, and you mentioned he was on hospice
- 30:02Speaker 1: was February eleventh, twenty nineteen, and you performed your autopsy
- 30:06Speaker 1: in July of twenty twenty three, so you know, there's
- 30:10Speaker 1: a pretty significant passage of time between his death and
- 30:13Speaker 1: the second autopsy. You told us a little bit about
- 30:17Speaker 1: what the state of their remains were for the first autopsy.
- 30:21Speaker 1: What was the state of his remains by the time
- 30:23Speaker 1: you did your autopsy.
- 30:26Speaker 2: There were significant amounts of decomposition, and really the only
- 30:33Speaker 2: soft tissue left was in a form that we call
- 30:37Speaker 2: it adipis here, which is when skin and soft tissue
- 30:42Speaker 2: turn into like a white, waxy soap like substance, And
- 30:47Speaker 2: there wasn't much to be gained from it. There wasn't
- 30:50Speaker 2: much to analyze. It was largely skeletonized remains with some
- 30:54Speaker 2: adipis here type soft tissue, so was not able to
- 30:58Speaker 2: get that much information from it. But once again, if
- 31:02Speaker 2: we're looking for something that wasn't done in the first autopsy,
- 31:05Speaker 2: I'm generally of the opinion if you're going to exhaust
- 31:08Speaker 2: all options, exhaust all options if you don't know, if
- 31:11Speaker 2: you don't look right.
- 31:12Speaker 1: And so you did look, you did test the remains
- 31:15Speaker 1: for insulin, and what did you find?
- 31:19Speaker 2: I did not test the remains for insult. You did
- 31:21Speaker 2: not test the remains, did not that there was there
- 31:23Speaker 2: was there was nothing useful to.
- 31:25Speaker 3: Test, Okay.
- 31:26Speaker 1: So then in that case, because the prosecutor had called
- 31:29Speaker 1: you and said we suspect that you know, he was
- 31:32Speaker 1: given insulin and that led to his death. So what
- 31:34Speaker 1: do you do with the remains then? Since you couldn't
- 31:38Speaker 1: test for insulin at that point.
- 31:39Speaker 2: So the remains got sent, they got reintered, and you know,
- 31:44Speaker 2: at some point the prosecutor changed, so we had a
- 31:48Speaker 2: different prosecutor. So once again I worked on this case
- 31:51Speaker 2: with both prosecutors and just to make sure we're on
- 31:55Speaker 2: the same page. And the question that we had to
- 31:58Speaker 2: answer was, well, we have a lot of circumstantial evidence,
- 32:03Speaker 2: but do we have enough to get a conviction because
- 32:06Speaker 2: we don't have the proverbial smoking gun, we don't have
- 32:10Speaker 2: evidence of an insulin injection site. But we have really
- 32:14Speaker 2: good medical history where you have someone who's thirty eight
- 32:18Speaker 2: year old male, otherwise healthy, not taking insulin, who comes
- 32:24Speaker 2: in after being unconscious for seven hours, coming into the
- 32:29Speaker 2: hospital with the blood glucose level of less than thirty.
- 32:33Speaker 2: There is not a whole lot of other things that
- 32:36Speaker 2: can do that, and unfortunately, there was no samples that
- 32:42Speaker 2: we could retrospectively send out for testing. All of the
- 32:45Speaker 2: stuff that was collected from the West Virginia Medical Examiner
- 32:49Speaker 2: Office from the first autopsy that was already destroyed because
- 32:53Speaker 2: we were already a couple of years out. So we
- 32:56Speaker 2: realize this is a circumstantial case. Question is do you
- 33:01Speaker 2: have enough circumstantial evidence to even try for a conviction
- 33:05Speaker 2: in this case?
- 33:06Speaker 1: Yeah? And so given that, how did that impact what
- 33:10Speaker 1: you were able to testify about as a forensic pathologist
- 33:14Speaker 1: that looked at his remains.
- 33:17Speaker 2: So going back a step in the Rita May's case,
- 33:21Speaker 2: we consulted with a clinical endocrinologist, doctor Dian Krieger, who
- 33:27Speaker 2: specializes in the treatment of diabetic patients. Her help in
- 33:32Speaker 2: that case and this case as well was absolutely essential
- 33:36Speaker 2: because she understands the clinical aspects of treating diabetics, the
- 33:41Speaker 2: clinical aspects of hypoglycemia and what causes this profound hypoglycemia
- 33:47Speaker 2: in someone which I don't necessarily see as a forensic
- 33:51Speaker 2: pathologist because all my patients are dead. So we recruited
- 33:56Speaker 2: her on this case too and got her opinion, and
- 33:59Speaker 2: she was of opinion that yeah, this is likely insulin related, right,
- 34:05Speaker 2: And going back another step, because one of the questions
- 34:08Speaker 2: that you asked is, well, how was insulin brought up
- 34:12Speaker 2: to begin with? In talking with one of the main
- 34:15Speaker 2: investigators about this, the first time insulin was even put
- 34:20Speaker 2: on his radar was in one of his interviews with Natalie.
- 34:27Speaker 2: She just brought up insulin sort of out of the blue, really,
- 34:32Speaker 2: and it kind of struck him as really odd because
- 34:37Speaker 2: he wasn't thinking about that beforehand.
- 34:40Speaker 1: Do you know what she said about it?
- 34:41Speaker 2: I don't remember exactly.
- 34:43Speaker 1: Yeah, okay, So that's interesting. So the first time investigators
- 34:46Speaker 1: ever even took note of insulin was just from an
- 34:51Speaker 1: interview with Natalie Cochrane that she had brought it up, okay,
- 34:54Speaker 1: and then that is what got on their radar.
- 34:56Speaker 3: Is like a potential cause of death?
- 34:58Speaker 2: Potentially, yes, And I believe it was a couple months
- 35:04Speaker 2: after Michael's death they finally got a search warrant for
- 35:08Speaker 2: the house. Now, once again you can argue, you know, well,
- 35:12Speaker 2: how useful is the search warrant a couple months after
- 35:14Speaker 2: the fact, and if that is what it is. But
- 35:17Speaker 2: in the search of the house, in the refrigerator, ironically
- 35:23Speaker 2: under a candy bar. They found a vial of insulin Wow,
- 35:29Speaker 2: with one hole punched in the top of it, and
- 35:34Speaker 2: you could tell It's hard to tell exactly how much
- 35:37Speaker 2: was missing, but it was not a full bump.
- 35:41Speaker 3: And was Natalie taking insulin.
- 35:44Speaker 2: So the story how this goes is her her testimony.
- 35:49Speaker 2: In her statements, she said that she got the insulin
- 35:53Speaker 2: vile from her neighbor. Her neighbor had a child who
- 35:58Speaker 2: was a Type one diabetic and was prescribed insulin. She
- 36:01Speaker 2: had asked the neighbor, Hey, do you have any insulin?
- 36:05Speaker 2: I ran out because I need the insulin for side
- 36:10Speaker 2: effects of my chemotherapy for my treatment of breast cancer.
- 36:15Speaker 2: Her neighbor says, oh, yeah, of course she can borrow
- 36:18Speaker 2: one of these. That was I believe the day before
- 36:21Speaker 2: Michael died.
- 36:22Speaker 3: Wow.
- 36:23Speaker 2: And it turns out she was not on chemotherapy for
- 36:27Speaker 2: breast cancer, she was not prescribed insulin, and she did
- 36:30Speaker 2: not have breast cancer. So once again, just red flags
- 36:35Speaker 2: all over the place. And it's circumstantial evidence, But circumstantial
- 36:39Speaker 2: evidence in the right context can be incredibly powerful.
- 36:44Speaker 1: Yeah, and you know something that in the child the
- 36:47Speaker 1: defense was really at least from my perspective leaning on
- 36:51Speaker 1: is that Michael cochrane was really into fitness and bodybuilding,
- 36:57Speaker 1: and he took a lot of supplements and also supposedly
- 37:01Speaker 1: took steroids. Did you take that into account when you
- 37:06Speaker 1: were conducting the autopsy or speaking with the endocinologist you mentioned.
- 37:12Speaker 2: Absolutely, And the substances that Michael was taking, they were tested,
- 37:20Speaker 2: you know, by the FBI. It turns out they were
- 37:23Speaker 2: other medications, not what he was supposedly taking. But I
- 37:27Speaker 2: don't know. I think it was more inert substances than
- 37:31Speaker 2: when he was prescribed, but I did take that into consideration. Now,
- 37:34Speaker 2: one of the things that I have learned since the
- 37:36Speaker 2: trial is that if you are on heavy anabolic steroids
- 37:44Speaker 2: and actively bodybuilding, like actively building muscle bodybuilders who are
- 37:50Speaker 2: in that sort of cycling phase, they consume enormous amounts
- 37:57Speaker 2: of calibers, like we're talking eight to ten thousand plus
- 38:00Speaker 2: calories a day. And those higher end bodybuilders can take
- 38:06Speaker 2: insulin to help with their insulin spikes or things like that,
- 38:10Speaker 2: because you know, when you're eating like three full plates
- 38:13Speaker 2: aposta at a time to get the calories that you
- 38:16Speaker 2: need to build the type of mass that you're talking
- 38:18Speaker 2: about that is a consideration. Michael, it doesn't seem like
- 38:22Speaker 2: he was that type. He was never prescribed insulin, he
- 38:24Speaker 2: wasn't doing heavy anabolic steroids. I believe he was on
- 38:28Speaker 2: testosterine supplementation and got some other supplements from Mexico. One
- 38:32Speaker 2: of them, I believe was something called enclomaphene or clomid,
- 38:37Speaker 2: which you know bodybuilders do use, but they use that
- 38:41Speaker 2: to sort of kick in natural testoster and production. But
- 38:44Speaker 2: to my knowledge, he was not a heavy anabolic steroid user.
- 38:48Speaker 2: There was no evidence that he had used insulin before,
- 38:51Speaker 2: and this sort of played into I guess one of
- 38:55Speaker 2: the games that the defense was playing was that, oh, yeah,
- 38:58Speaker 2: well Michael was you know, now sick and had a
- 39:01Speaker 2: bad heart and was very ill. But then on the
- 39:06Speaker 2: other hand, he was actively health conscious and taking lots
- 39:10Speaker 2: of supplements to take care of himself in actively bodybuilding.
- 39:13Speaker 2: So it's like, Okay, which one is it? Is he
- 39:16Speaker 2: on the sick side and could have died at any time,
- 39:19Speaker 2: or is he actively health conscious and doing what he
- 39:23Speaker 2: can to take care of himself and actively health not bodybuilder,
- 39:26Speaker 2: So it's like which one? And I remember during the trial,
- 39:30Speaker 2: the defense couldn't really make up their mind in terms
- 39:32Speaker 2: of which way they wanted to go with that, so
- 39:35Speaker 2: they were trying to play both of those cards at
- 39:36Speaker 2: the same time.
- 39:37Speaker 1: Yeah, and there's probably a more elegant way for me
- 39:41Speaker 1: to ask this question. But given that you were not
- 39:44Speaker 1: able to test for insulin because of the state of
- 39:46Speaker 1: his remains and your role here as you're a forensic pathologist,
- 39:51Speaker 1: why does the state then still bring you in to
- 39:53Speaker 1: testify if you essentially couldn't come to a definitive like, hey,
- 39:58Speaker 1: I tested for this, it's here.
- 40:01Speaker 2: Because there was enough circumstantial evidence to go forward with it,
- 40:08Speaker 2: even though you did not have the proverbial smoking gun,
- 40:12Speaker 2: which is, you know, obviously the best smoking gun would
- 40:14Speaker 2: be video of her injecting him. I mean, of course
- 40:17Speaker 2: we're not going to have that. The next one would be, well,
- 40:20Speaker 2: if there were samples that were taken and we can
- 40:23Speaker 2: test for that and they would show evidence of insulin
- 40:27Speaker 2: poisoning something like that. In that case, we didn't have
- 40:30Speaker 2: that either. So my testimony was, well, this is what
- 40:35Speaker 2: they could have done to look into it, namely on
- 40:39Speaker 2: the clinical side, which is it is very tricky to
- 40:42Speaker 2: pick up insulin intoxication or insulin overdose on the clinical side,
- 40:48Speaker 2: because you have to suspect it immediately. You have to
- 40:51Speaker 2: suspect it, like right when the person walks in to
- 40:55Speaker 2: the emergency room and they're crashing in front of you.
- 40:58Speaker 2: That's when you have to test for it. I see,
- 41:00Speaker 2: and that didn't happen, which is not terribly surprising. At
- 41:05Speaker 2: autopsy from when he collapsed to when he died was
- 41:09Speaker 2: several days, so post mortem insulin testing three to five
- 41:16Speaker 2: days after the hypoglycemic event, so after your blood sugar tanks.
- 41:21Speaker 2: It's very very low yield. With that, your best option
- 41:24Speaker 2: would probably be to try and find an insulin injection site.
- 41:28Speaker 2: That wasn't done either. But even though you don't have
- 41:32Speaker 2: the smoking gun. My testimony was, well, there's nothing else
- 41:38Speaker 2: that really explains this, because when you have a blood
- 41:42Speaker 2: glucose level of less than thirty in an otherwise healthy person,
- 41:48Speaker 2: there's only a couple things that can do that, and
- 41:51Speaker 2: some of them were able to rule out, like he
- 41:54Speaker 2: was not rampagingly septic, he didn't have a huge bacterial infection.
- 41:58Speaker 2: That was overwhelming as there was no evidence that he
- 42:02Speaker 2: was taking other drugs like you know, some of the
- 42:06Speaker 2: oral hypoglycemic agents. There was no history of that. But
- 42:10Speaker 2: we have this weird history of insulin and how Natalie
- 42:13Speaker 2: got it, and there was a used insulin vile in
- 42:17Speaker 2: the house even though no one was using insulin, And
- 42:20Speaker 2: you have no other viable explanation for why a healthy
- 42:26Speaker 2: male comes in with a blood glucose of less than
- 42:29Speaker 2: thirty And based on that circumstantial evidence, I want to
- 42:33Speaker 2: say that circumstantial evidence alone, because we didn't have the
- 42:36Speaker 2: smoking gun evidence from autopsy. It was my opinion that
- 42:40Speaker 2: there was nothing else that could have killed him. There
- 42:43Speaker 2: is no other explanation that makes even a shred of
- 42:46Speaker 2: sense in this case.
- 42:47Speaker 3: Yeah, that's a pretty strong assessment. And I imagine that
- 42:51Speaker 3: was impactful in the courtroom. And do you recall how
- 42:54Speaker 3: long the jury deliberated and what was the outcome.
- 42:58Speaker 2: I don't recall how long they deliberated, but they found
- 43:01Speaker 2: her guilty.
- 43:03Speaker 1: Yeah. So she was found guilty of first degree murder
- 43:06Speaker 1: from the murder of her husband, Michael cochrane, and she
- 43:08Speaker 1: was sentenced to life in prison without pearl.
- 43:12Speaker 2: Yep. That sounds about right.
- 43:14Speaker 3: Was there anything else about the case that stood out
- 43:16Speaker 3: to you as strange, unusual or notable from a forensic
- 43:19Speaker 3: pathologists standpoint.
- 43:21Speaker 2: I think the most significant thing about this case in particular,
- 43:26Speaker 2: and how it differs from the riad A Maze investigation,
- 43:30Speaker 2: is we got a successful prosecution for murder using insulin
- 43:39Speaker 2: on just circumstantial information. Now, circumstantial evidence can be just
- 43:45Speaker 2: as powerful as objective autopsy evidence if it's in the
- 43:49Speaker 2: right context, and in this particular case, there was literally
- 43:54Speaker 2: mountains of circumstantial evidence, like literally so many things that
- 43:59Speaker 2: didn't make sense, Like, you know, you find your husband
- 44:01Speaker 2: down in the kitchen. You know, what do you do?
- 44:03Speaker 2: Oh well, let's just leave him there. It's like, wait, no,
- 44:05Speaker 2: that's not a normal reaction. You go to the hospital
- 44:09Speaker 2: and be like, yeah, we don't know what's wrong, but
- 44:11Speaker 2: we just want to put on hospice and you know,
- 44:14Speaker 2: oh yeah, I got this insulin vile from the neighbor
- 44:17Speaker 2: for the chemotherapy and breast cancer that I don't have.
- 44:21Speaker 2: And ironically, the thing that astounds me the most is
- 44:25Speaker 2: even months after Michael's death, when they searched the house,
- 44:29Speaker 2: the insulin vile was still there.
- 44:32Speaker 3: That is bananas.
- 44:33Speaker 1: That is like someone who is so confident that they
- 44:36Speaker 1: are just so smart that they can get away with anything.
- 44:39Speaker 3: Or like dumb like why don't know? Right, Yeah, what
- 44:42Speaker 3: in what world would you not get rid of that?
- 44:45Speaker 2: I don't know, I really don't. But that's one of
- 44:48Speaker 2: the little factoids about this case that just it blows
- 44:52Speaker 2: me away.
- 44:53Speaker 3: She was not careful to like cover her track. She
- 44:56Speaker 3: really wasn't texting, going to the neighbors. And I guess fortunately,
- 45:00Speaker 3: right that all of that happened so that she was
- 45:02Speaker 3: able to be found guilty for killing her husband.
- 45:05Speaker 1: Yeah, which I'm sure Michael Cochrane's family was just like
- 45:09Speaker 1: so relieved by that verdict.
- 45:11Speaker 2: Yeah, I think so. I've not spoken with the Cochran family,
- 45:15Speaker 2: but I can imagine it's relief on all fronts from them.
- 45:19Speaker 2: Once again, it's not going to bring Michael back, but
- 45:22Speaker 2: at least it provides some type of closure.
- 45:25Speaker 1: Yeah.
- 45:26Speaker 3: Well, this has been really interesting. We really appreciate you
- 45:28Speaker 3: joining us and walking us through all the technical aspects
- 45:32Speaker 3: of this case and your involvement in the trial.
- 45:35Speaker 1: Yeah, thank you so much.
- 45:37Speaker 2: Well, thank you for having me.
- 45:40Speaker 1: If you have a story for us, we would love
- 45:42Speaker 1: to hear it. Our email is the Knife at exactly
- 45:45Speaker 1: rightmedia dot com, or you can follow us on Instagram
- 45:47Speaker 1: at the Knife Podcast or a Blue Sky at the
- 45:50Speaker 1: Knife Podcast.
- 45:51Speaker 3: This has been an exactly right production, hosted and produced
- 45:54Speaker 3: by me Hannah Smith.
- 45:55Speaker 1: And me Patia Eating. Our producers are Tom Bria Bogel
- 45:58Speaker 1: and Alexis Amorosi.
- 46:00Speaker 3: This episode was mixed by Tom Bryfogel. Our associate producer
- 46:03Speaker 3: is Christina Chamberlain. Our theme music is by Birds in
- 46:06Speaker 3: the Airport, artwork.
- 46:07Speaker 1: By Vanessa Lilac.
- 46:09Speaker 3: Executive produced by Karen Kilgarriff, Georgia Hardstark and Danielle Kramer.