MA - Remains of 3 infants found, Erika Murray charged, Blackstone, Sept 2014

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I will be here this afternoon to catch up on the tweets. If someone else wants to do them please go ahead and do so.
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
The first defense witness of the day is Dr. Howard Kay, a pediatrician. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay says he reviewed the medical records of Erika Murray’s 3yo & 5 month old daughters, as an expert witness for this trial. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay says “we are drastically overestimating vitamin D deficiency” - the prosecution had suggested Murray’s daughters might be deficient because they never left her home and their vitamin D levels were lower @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay says both the 3yo & 5 month old girls likely had a sufficient amount of vitamin D in their systems, based on their numbers. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay is now discussing “plagiocephaly” - a flattening of a baby’s head. He says they see it “virtually every day” because of the recommendation to have infants sleep on their backs to prevent SIDS. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay: “in the absence of stimulation...for a couple of months” you could see the kind of muscle issues that the 5 month old had. “My understanding is it resolved certainly within 6 weeks of when she was discharged.” @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Defense attorney Keith Halpern is now going through the 3yo’s symptoms, he has suggested were due to autism. Dr. Kay agrees they are consistent with autism. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay agreed the 3yo’s symptoms could also be caused by neglect, a combination of autism & neglect, or autism alone. He says it’s impossible to know. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
But Dr. Kay testifies the 3yo’s lack of speech, finger fanning & fixation on lights are likely autism-related. @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay testifies that even if the children were exposed to, or ingested feces, the risks are not as high as other countries where diseases like Typhoid fever are more common. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay on the risks of living in Murray’s home among filth, feces: “I think realistically it would not be very great” because the children “would have normal immunity” due to their ages. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Direct questioning of Dr. Kay is done. Prosecutor Christopher Hodgens begins cross examination. @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay says under cross examination he never visited Murray’s home, never talked with anyone from the Board of Health, nor anyone who lived in the Murray home. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Prosecutor: “so it would be fair to say you have no personal knowledge of the circumstances of living in the home?” Dr. Kay: “correct” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay agrees under cross examination that the home had fly infestations, feces (which the CDC says is dangerous for infections and can cause diseases) @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay agrees with the prosecutor that “insects, such as present in the home, can spread disease.” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay says he “absolutely” believes vaccinations are important for children - the 3yo & 5 month old girls never saw a doctor before they were discovered in Murray’s home. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay says “babies are typically fed within the first 3 hours of life” by nursing or bottle (formula) but they can survive for roughly 2 days on the fluid they’re born with. Then fed “roughly every 3 hours.” @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay says a 5 month old might also be eating food (puréed). A 3yo would eat 3 meals a day with some snacks in between. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Prosecutor: “are you aware those children were left alone in the home for 6 hours?” Dr. Kay: “I believe that that’s the case.” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Prosecutor: “Increased extensor tone (like seen with the 5 month old) can be from a baby lying on their back with no simulation, correct?” Dr. Kay: “Yes.” @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay: “all newborns are examined within the first 24 hours of life by a pediatrician” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay: “typically we begin screening for autism at 18 months...we like to diagnose autism as early as possible” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Prosecutor: “at 2 months a baby begins to smile...look for a parent...turn his/her head towards sound...pay attention to faces” Dr. Kay agrees. @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Prosecutor says at the age of 2 months a baby should be able to push up their arms & hold up their heads. Dr. Kay says not necessarily because they aren’t encouraged to be put on their abdomen. (I think he’s forgetting “tummy time.”) @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay says a baby likely wouldn’t start rolling over both ways until 4.5-5.5 months. Prosecutor suggested it would occur earlier. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
After a brief sidebar, the prosecutor continues to go through typical baby milestones with Dr. Kay. @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Prosecutor: “by 18 months a child should be able to walk alone, correct?” Dr. Kay: “yes” Prosecutor: “by the age of 2 you typically see children starting to run” Dr. Kay: “yes” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Prosecutor shows Dr. Kay the 3yo & 5 month old’s medical records. He reads from the records that the 3yo prefers to lay down as often as possible, would bite down on a spoon as if she’d never been spoon-fed. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay reads from the 5 month old’s medical record, “has profound increased extensor tone...prefers to lay on her back” and doesn’t grip her hands (as is age-appropriate) @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay is shown this photo by the prosecutor - “you agree that’s not a healthy condition to have in a home, correct?” Dr. Kay: yes @NBC10Boston @NECN #Blackstone #HouseofHorrors

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Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Kay just said “typically a 5 month old doesn’t pick things up and put them in their mouth” (As the mother of a 6 month old, I can attest that is simply not true - they are CONSTANTLY putting everything in their mouths) @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Prosecutor is done with cross examination of Dr. Kay. Defense begins redirect. @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Defense shows this photo again: “how do you account for a child sleeping every night next to that pile & not becoming ill?” Dr. Kay: “it depends on what disease is in those diapers...if there’s not...the body will protect her” @NBC10Boston @NECN #Blackstone #HouseofHorrors

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Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Defense: “would the failure of a parent to read to a child...resulting in impairment be a physiological injury?” Dr. Kay: “I wouldn’t consider it physiological injury” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Defense is done with redirect. Prosecutor has no recross. Dr. Kay is excused. @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
The next defense witness is Dr. Lisa Rocchio, a clinical and forensic psychologist. @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio: “coercive control really extends the abuser’s power...where the victim feels entrapped in the relationship...physical abuse is not an essential component” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio is discussing how she does an assessment for “intimate partner violence” - looking at “elements of coercive control...cycles of more positive interactions...impediments to extricate themselves from the situation” @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio: “there are also structural barriers such a poverty...access to transportation, if there are children involved” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio: “There’s this whole climate of secrecy that really takes place in these relationships” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio says she spent about 5.5 hours interviewing and examining Erika Murray, also spoke with her mother. @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio: “you have to assess for malingering...there is an incentive for someone to misrepresent their symptoms” in a criminal case - she says she uses tests/measures to account for that @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio on Murray: “She was not malingering & she was not exaggerating...was honestly responding and at times minimizing” mitigating factors @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio say she examined police interviews, grand jury testimony to prepare for Murray’s evaluation - “it helps me to get a fuller picture of the whole circumstances” @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Back from the morning break, Dr. Lisa Rocchio returns to the stand. “I was called in to evaluate Erika’s state of mind...presence of intimate partner violence” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio: “The relationship was consistent with a pattern of intimate partner violence...coercive control and psychological abuse” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio says Ray (Murray’s boyfriend) would isolate her from family & friends, he would track her down while she was out, would become very angry, pressured her to quit her job so she had no access to resources @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio says “the rules were always changing which creates an environment where she could never get it right...he would check in with her throughout the day...surveillance behaviors” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio: Erika Murray’s mother “had significant concerns about Ray’s controlling behavior” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio: “when angry Ray would refer to Erika in dehumanizing ways...Erika has no access to the bank accounts...she did not have transportation...she had no independent access to funds whatsoever” @NBC10Boston @NECN #Blackstone #HouseofHorrors
 
Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio: “you had this perfect storm if you will of interaction” with Ray’s coercive control and Murray’s intellectual abilities @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio testifies she was concerned about “Erika’s isolation and her preexisting conditions but also the family’s poverty...Erika was unaware of resources available to her and had no way to access them” @NBC10Boston @NECN #Blackstone #HouseofHorrors

Alysha Palumbo NBC10 Boston‏Verified account @AlyshaNBCBoston
Dr. Rocchio on the condition of Murray’s home: “there’s no real appreciation...of the extent of the problem...a sense of being overwhelmed...and then the problem generally gets worse over time.” @NBC10Boston @NECN #Blackstone #HouseofHorrors
 

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