Karen Elizabeth Chancellor, Witness for the State
|
MR. PANOSH: Your Honor, Dr. Chancellor is here in
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regards to the autopsy. I'd like to take her out of order. And in
that regard, counsel for the defendant and State have reached an
agreement, a stipulation, that the body she examined was that of
Patricia Gail Blakley, without going into the dental records and
other items that are used to identify her.
MR. LLOYD: No objection.
THE COURT: Members of the jury, you may take that as being an
admitted fact by both the State and the defense, that the body that
was examined on that occasion was in fact Patricia.
MR. LLOYD: We so stipulate, Your Honor.
MR. PANOSH: Doctor.
THE COURT: This witness is being taken out of the normal sequence,
for the convenience of the witness. Please remember that as you try
to put the case together in your mind.
KAREN ELIZABETH CHANCELLOR, being first duly sworn, testified as
follows during DIRECT EXAMINATION by MR. PANOSH:
Q Would you
state your name, please.
A Karen
Elizabeth Chancellor.
Q And you
are a doctor, a medical doctor; is that right, Dr. Chancellor?
A Yes, I
am.
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Q And where did you do your training, please?
A I did my medical school training at Duke University Medical
School, where I graduated with my M.D. degree in 1985.
After
graduating from medical school, I specialized in the area of
pathology, which is the practice of diagnosing human diseases from
examining the tissues and body fluids from persons. Those persons
might be dead, or they might still be in the living state.
There are
various types of pathologists. First I practiced general pathology,
and I pursued that study at the University of Kentucky in Lexington,
Kentucky. Then I came to Chapel Hill in 1990, where I continued in
general pathology. And in the following year, July of 1991, I
decided to practice forensic pathology and accepted a position with
the Chief Medical Examiner's Office in Chapel Hill. I accepted the
position of assistant chief medical examiner for the state of North
Carolina.
As a forensic
pathologist, my job is to determine the cause and manner of death in
cases which fall into medicolegal jurisdiction in North Carolina.
Those deaths are generally ones that are either homicides, accidents
or suicides, or they might be suspicious deaths, or deaths in a
young person that are unexpected.
I
also have specialized training in the area of
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neuropathology, which is the diagnosis of diseases that affect the
brain and the spinal cord. I am Board certified in the areas of
anatomic pathology, clinical pathology, forensic pathology, and
neuropathology. I received my neuropathology training also at the
University of North Carolina in Chapel Hill.
I
have been in my present position as associate chief medical examiner
for the state of North Carolina since July of 1995.
Q And, of course, you've been recognized as an expert in the
field of forensic pathology on many occasions; is that right?
A Yes, I have.
Q And you've testified in state and federal court?
A I have testified in numerous state courts in North Carolina.
MR. PANOSH: Your Honor, we would tender her as an expert in the
field of forensic pathology.
THE COURT: Do you wish to examine her credentials?
MR. LLOYD: No objection, Your Honor.
THE COURT: The Court finds Dr. Karen Chancellor to be an expert in
the field of forensic pathology, and by education, training and
experience, she may express an opinion in that area.
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Proceed.
Q In the
course of your duties on or about October the 10th of 1995, did you
-- did your facility receive the body of Patricia Gail Blakley?
A Yes, we
did.
Q And
thereafter, did you conduct an autopsy?
A I did.
Q What date
did you conduct the autopsy?
A October
10, 1995.
Q And when you received the body and began to conduct your
autopsy, would you describe for the ladies and gentlemen of the jury
your procedures.
A Well, an
autopsy is the main tool that I use to determine the cause and
manner of death. And that's what I conducted on Ms. Kimble's body on
October 10th. This is an examination of the body after death has
occurred.
The first part of my examination is looking at the outside of the
body, noting certain physical characteristics, such as hair color,
eye color, that sort of thing, and looking at the outside of the
body for any evidence of injury or evidence of disease processes.
And that's called the external examination portion of the autopsy.
That's the first part.
Let's see. Would you like me to tell what I found on the external
examination at this point?
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Q Yes. Doctor, did you bring photographs with you of your
autopsy?
A I did.
MR. PANOSH:
May I approach the witness?
THE COURT: You
may.
MR. LLOYD: Your Honor, if we may approach briefly.
THE COURT:
Yes, sir.
MR. LLOYD: Well, maybe Mr. Panosh can alleviate the problem.
(Mr. Panosh showed exhibits to Mr. Lloyd and Mr. Hatfield.)
MR. LLOYD: Your Honor, at this point, we would renew our earlier
objection.
MR. PANOSH:
May I approach the witness?
THE COURT:
Yes, sir.
MR. PANOSH:
I'll pare them down.
Q
Doctor, would you select from these photographs those that you feel
are necessary for you to describe the course of your autopsy to the
jury, and the least number, please. (Mr. Panosh handed exhibits to
the witness, and time was allowed for the witness.)
Q Would you please hand me the photographs you want to use.
(The witness complied.)
Q Is that basically the order you want them in?
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A Yes, uh-huh.
MR. LLOYD:
Your Honor, we'd simply ask that the Court view the photographs. If
we could approach.
THE COURT:
Well, I am in a position, if the doctor tells me that she's picked
the ones she needs for her testimony.
MR. PANOSH:
Your Honor, the doctor selected four photographs, 68 through 71, and
I'll show them to counsel. (Mr. Panosh showed exhibits to Mr. Lloyd
and Mr. Hatfield.)
MR. LLOYD: Judge, if we may just approach the bench for a minute.
THE COURT:
Okay. Approach the bench, please. (The following proceedings were
had by the Court and all three counsel at the bench, out of the
hearing of the jury.) (Mr. Panosh showed the exhibits to the Court.)
THE COURT: Do you wish to be heard?
MR. LLOYD: Yes, sir, Your Honor. Your Honor, the ruling is
discretionary with this Court. And, you know, we all know that
whatever happens is going to be upheld. And I -- but my appeal to
you is, these are gruesome photographs.
THE COURT: The crime is gruesome.
MR. LLOYD:
Well, I understand that, Your Honor. We've had crime scene
photographs. I just don't see why that we can't -- we're stipulating
to the identification. There's no --
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THE
COURT:
Does it show the
gunshot wound to the head?
MR. PANOSH:
Yes, sir.
THE COURT: The
Court makes the following findings: That this is being conducted at
the bench conference with the attorneys. The objection has been
lodged. The Court's going to overrule the objection and find that
Dr. Chancellor, the pathologist, has gone through a number of
photographs, that she's picked four photographs which she's
indicated that she would need to be able to illustrate and explain
her testimony. The Court has looked at the photographs, and finds
that the four photographs are illustrative of the condition of the
body, also will be illustrative for the purpose of showing any
wounds to the body that may have been the cause of death, and would
find that the probative value would outweigh the prejudicial aspect
of having the jury see these photographs, and will allow them to see
the four photographs. Also, find that they're relevant.
(Proceedings continued in open court.)
MR. PANOSH:
Your Honor, we'd seek to introduce into evidence 68 through 71 as
the autopsy photographs the doctor's indicated illustrates her --
the course of her autopsy.
MR. LLOYD:
Object on grounds previously raised,
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Your Honor.
THE COURT: Overruled. The Court will allow the introduction of
State's Exhibits 68 through 71.
Q (By Mr. Panosh) Doctor, would you feel comfortable stepping
before the jury?
A Yes, I
do.
MR. PANOSH: May she do that?
THE COURT: Yes.
Q Using those photographs, Dr. Chancellor, would you describe the
examination of the body in the course of your autopsy.
(The witness
approached the jury box.)
A Yes. I
just finished describing to you the first part of the autopsy
examination, which is the external examination. That's looking at
the outside of the body.
And here I
have before you as what's labeled State's Exhibit 68. This is a
photograph of Ms. Kimble's body as it appeared at the time of
autopsy. In each of the photographs that you see, there's an autopsy
number, A95-901. This allows me to identify this photograph as
belonging to Patricia Kimble.
THE COURT: Dr. Chancellor, you'll need to move up and down in front
of the jury box, so that all the jurors can see.
THE WITNESS: Yes, sir.
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A What I'm showing you here in this State's Exhibit 68 is a
photograph of Ms. Kimble's body. And you can see that it is severely
charred. For purpose of orientation, I'm pointing with my index
finger to her head. And this is one of her arms here. (Indicated.)
This is the lower body. (Indicated.) It's severely burned.
I'll move over to the mid-portion of the jury. (The witness moved to
the center of the jury box.)
A And this
is State's Exhibit 68, shows Ms. Kimble's body as it appeared at the
time of autopsy. This is her head I'm pointing to. She's face up
here. Her body is severely charred, especially the lower leg areas.
(Indicated.) And also, the mid-portion of the body is severely
charred. (Indicated.)
(The witness
moved to the other end of the jury box.)
A State's
Exhibit 68 shows Ms. Kimble's body at -- when I did the autopsy.
She's lying face up. This is her head I'm pointing to with my index
finger. This is her lower body and lower extremities which mostly --
or partially has been burned away. (Indicated.) See there's a severe
amount of charring of the body, and that's exhibited here by the
charred flesh. Also note that some of the skin is split in these
photographs. And I'll show you that a little bit better in the next
photograph, which is State's Exhibit 69. (Held up an exhibit.)
370
This is the photograph of her upper head and upper chest area.
Again, it has a unique autopsy number, 95-901. And the photograph of
her head and chest shows the charring of the right side of the face.
Notice that the left side of the face, there is some sparing from
the burning effect, and you can see some of her white skin that's
not burned. Also notice that on this photograph, that the skin of
the chest is split. This is an artifact that occurs when a body is
burned. The skin becomes extremely dry and stretches so that it
bursts. (Indicated.)
(The witness
moved to the center of the jury box.)
A Okay.
This is State's Exhibit 69. Shows the head and upper chest of Ms.
Kimble. On the right side of the face, there is severe charring and
blackening of the face. The left side of the face is somewhat spared
from the burning. The upper part of the chest is also burned. And
the skin is split apart, where the skin has burst from the drying.
(The witness moved to the other end of the jury box.)
A State's
Exhibit 69 shows the head and upper chest of Ms. Kimble. The right
side of the face is more charred than the left side. The left side
has some sparing. The skin is still white and not blackened like the
right side. Some of the skin is split, and this is an artifact of
the burning.
State's Exhibit 70 is a photograph of the left side of Ms. Kimble's
head. And for purposes of orientation, I'm
371
pointing
to the front of her face with my index finger. This is her face and
nose area. This is the back of her head. Much of the scalp hair has
been burned away, although there is some scalp hair remaining that
is somewhat singed. I'm pointing to with my index finger an entrance
gunshot wound on the left side of the head. It's just behind the
left ear. This is a round defect, a round opening, where a bullet
entered her head, just behind the left ear. And you can see some
hemorrhage or bleeding at that site. It's a round opening. It
measured one-half inch in diameter. (The witness moved to the center
of the jury box.)
A Again,
State's Exhibit Number 70. This is the left side of Ms. Kimble's
head. You can see the front of her face I'm pointing to with my
index finger. This is the back of her head. (Indicated.) Most of the
scalp hair has been burned away. Some that remained is singed. I'm
pointing to with my index finger the entrance gunshot wound on the
left side of the head, just behind the left ear. It's a round
opening, with bleeding at that site.
(The witness
moved to the other end of the jury box.)
A This is
State's Exhibit Number 70, and shows the left side of Ms. Kimble's
head. This is the front of the face. (Indicated.) This is the back
of the head. (Indicated.) And you can see some burning and charring
of the flesh. Most of the scalp hair has been burned away. Some of
it
372
remains. On the left side of the head, just behind the left ear, is
a round gunshot wound entrance I'm pointing to with my finger. It's
round and has some hemorrhage.
This is State's Exhibit 71, and shows the right side of Ms. Kimble's
head. This is the front of the face. (Indicated.) This is the back
of the head I'm pointing to with my index finger. The right side
shows more charring than the left. And notice there is some
splitting of the skin on the right forehead area I'm pointing to
here. There's also an area of splitting behind the right ear.
This is the
right ear. (Indicated.) There's some splitting here. And from this
point, just underneath the scalp area, I recovered a bullet and
fragments of bullet from the gunshot wound, just under this area of
splitting of the skin. (Indicated.)
(The witness
moved to the center of the jury box.)
A This is
State's Exhibit Number 71. Shows the right side of Ms. Kimble's
head. It is more charred than the left side. This is the front of
her face. (Indicated.) This is the back of the head. (Indicated.)
There is some splitting of the skin over the right forehead area.
There's also splitting of the skin behind the right ear. And this is
the point from which I recovered the bullet and fragments thereof.
(The witness
moved to the other end of the jury box.)
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A This is State's Exhibit Number 71. This shows the right side of
Ms. Kimble's head. This is the front of her face. (Indicated.) This
is the back of her head. (Indicated.) The black marks are the
charring of the body. On the right side of the forehead, you can see
some splitting of the skin. There's also an area of splitting and
bulging of the skin behind the right ear. This is the point from
which I recovered the bullet and fragments of bullet from the
gunshot wound that entered on the left side.
Q Thank
you.
(The witness returned to the witness stand.)
Q Now,
doctor, on external examination, you noted that her weight was 101
pounds; is that correct?
A Yes.
Q What, if
any, effect would the condition of her body have on that weight?
A Sometimes
charred bodies can weigh less than the weight that the person
weighed in life, because part of the body has burned away, and the
tissues are very dried.
Q And
doctor, I note that you didn't make an indication of her height. Is
that -- why was that?
A Because
her feet were partially burned away, and we could not get an
accurate height of the body. Usually this is what is recorded as the
height, but in this case, it was not -- could not be accurate.
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Q Could you -- based upon your examination of the body, could you
give the jury an estimate of her stature? A I don't recall. I
know it -- no effort was made to make an estimate of her stature.
Q You were
able to measure the location of the wound in reference to the top of
the head; is that correct?
A Yes.
Q And how
far below the top of the head was the wound?
A The
entrance gunshot wound on the left side of the head, behind the left
ear, was located at a point that's four and a half inches from the
top of her head and four inches from the anterior, front of the
face.
Q
Basically, pretty much centered on the skull?
A Well, if
I could demonstrate on my own body. The location of the entrance
wound would be approximately here, behind the ear, four inches from
the top of the head and four inches from the front of the face.
(Indicated.)
Q And the
track of the wound was?
A The wound
track went through the head, towards the right side of the head. It
went from the left side of the head to the right. It did not have
any significant deviation to the front or back of the head or any
significant deviation up or down. It went from the left side to the
right side of her head. And the track of this bullet was through the
brain, through the, what's called the
375
left temporal lobe, through the brain stem, and then through the
right temporal lobe of the brain.
Q
Based upon your examination of the wound and the wound track, did
you form an opinion as to -- Or let me ask you this. Would your
opinion as to the location of the weapon be consistent with it being
at approximately the height of the wound and parallel to the floor?
A
The barrel of the gun that fired the wound (sic) that killed Ms.
Kimble would be somewhat parallel with what I'm demonstrating here
on my own head. I don't know how close it was to her head, but it
would be in somewhat this
alignment with respect to her head. (Demonstrated.)
Q And it
would be essentially the height of the wound, is that correct, since
there was no upward or downward track?
A I'm
sorry. Would you repeat that.
Q It would be -- the gun would be at essentially the height of
the wound, since there was no upward or downward track?
A Well, the
gun would be held in relationship to her head in this position.
(Demonstrated.) It might be further away, but it wouldn't be up like
this, unless her head were turned this way. (Demonstrated.) In other
words, I can make a statement about the relative position of the gun
and the head.
Q Assuming the normal position of a person when they're
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walking, it would be at essentially the height of the wound; is that
correct?
A If her
head was in a normal upright position when the gun was fired, then
the gun would have had to be in this type position, apparently --
approximately horizontal with the ground. (Demonstrated.)
Q Now, one
of the things that forensic pathologists can do on autopsy is to
determine to some extent how close the weapon was at the time it was
discharged, but you were unable to do that in this case; is that
correct?
A That
determination was made very difficult by the charring of the body.
In other words, what we are looking for, as far as getting an
estimate of how far the gun was from the body when it was fired, we
were looking for evidence of gunshot residues on the body. These are
particles of powder and other sooty residues which are discharged
from the end of a gun when it's fired. Now, I did not find any of
those residues on Ms. Kimble's body. However, her body was severely
charred and it did make that examination difficult.
Q Now, at
one point in your examination, you said, "Examination of the dura at
this entrance point reveals the absence of soot stain." What did you
mean by that?
A Well,
when I do the internal part of the examination, I'm looking at the
inside of the head. One part that I
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examined is what's called the dura mater. It's a covering of the
brain tissue, a very sort of thick, fibrous covering. And the bullet
passed through the dura mater before it went through the brain. Now,
if the bullet had been -- if -I'm sorry. If the gun had been held
in tight contact against the skin when it was fired, we might expect
some sooty residues to be present within the wound track. And I also
might expect there to be some sooty residues on the dura mater. I
did not find any such residues inside the wound or on the dura mater
or on the skull.
Q But based
upon those observations, you can't consistently state the distance
-- or you can't positively state the distance of the gun?
A I know
that the wound -- the gun was not in tight contact with the head,
but it may have been a very close range from the body, or it may
have been a distance of some feet.
Q So your findings just simply say that it was not in physical
contact with the skull at the time it was discharged?
A It was
not -- most likely not in tight contact with the head at the time it
was discharged.
Q And would
you define "tight contact."
A Tight
contact would mean right up against -- the end of the barrel would
be right up against the head. (Indicated.)
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Q In the course of your internal examination, were you able to
determine whether there was any evidence of any type of sexual
assault?
A
We looked for evidence of sexual assault. I did not find any. I
examined the external genitalia and internal genitalia of Ms.
Kimble. I also collected swabs from the vaginal and rectal cavity,
to look for the presence of
spermatozoa. I did not find any of evidence of sexual assault.
Q Based on
the nature of the wound and the extent of damage caused as a result
of the wound, could you give an estimate as to how quickly death
ensued after the wound was inflicted?
A After Ms.
Kimble received this gunshot wound to the head, death would have
ensued very rapidly. She would be immediately unconscious, and all
signs of life, including respirations and heartbeats, would cease
after a few seconds or a minute.
Q And you did do an examination of the lungs --
A Yes.
Q -- for the purpose of determining whether there was soot,
evidence of smoke; is that correct?
A Yes.
Q And
what did you find?
A I did not
find the presence of any soot in the lungs or
379
in
the trachea. When I examine any burned body, there are certain
things that I look for, to determine whether the person was alive at
the time of the fire or dead. One of those things is the presence of
soot in the upper airways or lung tissue. If the person breathed in
air that contained soot during a fire, I would expect to see those
inside the lung or in the airway. I did not see those in Ms.
Kimble's body.
Q And that
would be consistent with death occurring prior to the burning?
A Yes.
Q Doctor,
did you make any other significant findings in the course of your
autopsy?
A No.
MR. PANOSH: Thank you, doctor.
THE COURT: Mr. Lloyd, do
you wish to cross-examine her?
MR. LLOYD: Yes,
sir, Your Honor.
THE COURT: All
right, sir.
MR. LLOYD: Just a
few questions.
CROSS-EXAMINATION
by MR. LLOYD:
Q Dr.
Chancellor, is it fair to say, consistent with your findings in this
case, that death occurred before any burning of Patricia Kimble?
A Now --
yes, the death occurred before the burning of
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her body.
Q All
right. And I note on your autopsy report that you got an entry that
there was less than five percent carbon monoxide present?
A Yes. We
also look for the presence of carbon monoxide in the blood of any
person who dies during a fire. One of the reasons we're looking for
this is, also to tell us if the person was alive or dead. If the
person was alive and breathed in air that contained carbon monoxide,
which is a product of combustion in house fires, we would expect to
see carbon monoxide in the blood. And we did not see it in Ms.
Kimble's blood.
Q So that's
consistent with death prior to the burning of the body?
A Yes, it
is.
Q All
right. And also, consistent with death prior to the existence of the
house fire; is that correct?
A I -- no, I
can't say that. It was -- her death occurred prior to the burning of
her body.
Q Well, had
there been a house fire -- and I know you don't know all the facts
of the case, Dr. Chancellor. And had she been alive, then you would
expect in those cases to see carbon monoxide present; is that right?
A If there
is a house fire, we generally expect to see carbon monoxide present
in the blood of persons present in
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that house, yes.
Q And you
didn't see that in this case?
A There was
not carbon monoxide present.
Q And as you
indicated on direct examination, death from a gunshot wound, as Ms.
Kimble had in this case, would have been very rapid?
A Yes, it
would have.
Q And
unconsciousness, I believe you stated, would be that she would be
immediately unconscious, as a result of this gunshot wound?
A Yes, she
would.
Q All
right. Now, you indicated that you checked for the evidence of
sexual assault, and basically, you didn't find the presence of any
sperm when you examined Ms. Kimble; is that correct?
A That is
correct.
Q All
right. And as you indicated on direct examination, in terms of the
tilt of the gun that fired the fatal shot in this case, basically,
that is going to be contingent on, among other things, the tilt of
Ms. Kimble's head at this time; is that right?
A Yes. If I
could clarify. I can make a statement about the position of the gun
relative to the position of her head.
Q All right.
And relative to the position of the head,
382
in other words,
you could say, if her head were tilted this way, then the gun would
have to be tilted in the same direction; is that correct?
(Indicated.)
A Yes. If the
-- when the gun was fired, the orientation of the barrel of the gun
with respect to her head would have been such as I'm demonstrating
now, with the barrel pointing from the left ear to the right ear.
(Demonstrated.) If the head was in a different position, the gun
would have had to
have been at a
different position also. (Demonstrated.)
Q All
right. And that would be true on the opposite end of the spectrum,
so that if her head were tilted this way, the gun would be tilted in
a like manner? (Indicated.)
A Again, it
would have to be pointed from her left ear to her right ear, no
matter what the position of her head.
Q And all
this is based on the fact that the wound track was basically
straight across from the left to the right and did not deviate up or
down; is that right?
A That's
correct. The bullet traversed in a path from the left ear to just
behind the right ear.
Q And you
indicated that you checked the wound site for the presence of
powder, sometimes called stippling; is that right?
A Yes.
Q Did not
find it in this case?
A I did not
find any powder stippling, although it's
383
possible that it
could be obscured by charring of the body.
Q But you
might expect to see it in a case where the proximity of the barrel
was very close to the wound itself? A Powder stippling is
produced when the end of the barrel is close enough to the person
who's been shot, such that powder particles are emitted from the end
of the barrel and strike the skin near the gunshot wound. They form
tiny, little pinpoint abrasions, and they're called stippling marks.
So that's what I might expect to see on a body, if the barrel of the
gun was held in a range of at least many inches away from the head.
And I didn't find those marks on Ms. Kimble's body. However, her
body was charred, and marks of such a nature might be obscured.
Q But you
also checked inside the wound itself, did you not, Dr. Chancellor?
A Yes.
Q And that part
inside the wound was not actually charred, was it?
A The
inside of the head was not charred.
Q All
right. And of course, the way -- a bullet with its shell casing,
where the powder comes from, is behind the actual lead projectile,
is it not?
A When a
gun is fired, not only is the bullet released from the end of the
barrel, but there's also sooty residues and products of combustion
of the gunpowder and actually
384
particles of
gunpowder itself.
Q But the
actual projectile would be the first to go out of the barrel of the
gun, and then the powder particles would follow along behind it; is
that correct, Dr. Chancellor?
A If the
gun is in normal working condition, that's true, the bullet should
emerge first, and then later, the powder particles emerge.
Q So you
would expect that the powder particles could come in and follow the
bullet's path and come in behind the bullet and lodge inside the
wound, if the barrel were close enough for it to do that?
A Sooty
residues would be deposited on the inside of the wound track only if
the end of the barrel of the gun were held in tight contact with the
skin. In other words, only if the end of the barrel were up against
this point on Ms. Kimble's head, behind the left ear, would there be
sooty residues on the inside. (Indicated.)
MR. LLOYD: Thank
you, Dr. Chancellor. That's all I have.
THE COURT: You may step down, doctor.
REDIRECT EXAMINATION by MR. PANOSH:
Q Doctor --
if I -- just one point of clarification. When you indicated with
your hand that the gun was in this position, you were in no way
indicating that that was the
385
distance from the head to the gun?
A No, not at all. I am only indicating a relative position of the
gun, with respect to her head. I don't know if the gun were held
this close or this close or further. (Indicated.) But it would have
been in alignment from her left ear to her right ear.
MR. PANOSH:
Thank you.
THE COURT: You may step down, Dr. Chancellor.
THE WITNESS: Thank you, Your Honor.
(The witness left the witness stand.)
MR. PANOSH: May she be excused, Your Honor?
THE COURT: Any objection, gentlemen?
MR. LLOYD: No
objection, Your Honor.
THE COURT: You
may be excused.
THE WITNESS:
Thank you.
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