Justice for Henry – Part 4

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Dr. A led Chris and me out into the hall of the ER treatment area, and found a spot that was relatively quiet. He told us that Henry was in extremely critical condition, from both what appeared to be a drug overdose, as well as a major physical assault. He explained that he had aspirated into his lungs, and appeared to have a very critical case of what is called aspiration pneumonia. He told us that the fact that Henry was still alive was rather miraculous, and that the next few days would determine whether he would make it.

Dr. A asked us what we knew about Henry’s use of drugs. We told him that Henry was struggling with a significant drug problem, and that his primary drug of choice was opiate pain pills, but that he also abused sedatives like valium. We told him that we knew that he also smoked pot, and likely abused other drugs as well, but that opiate pills were what he seemed most addicted to. Dr. A thanked us for being so forthcoming, and he next asked us if we knew who had beaten him up or what the circumstances were. We told him that we had absolutely no idea what had happened to our son, or who was responsible.

Just then a law enforcement officer approached Dr. A, Chris and me. He introduced himself and said he was taking information on what had happened to Henry so that the criminal investigation could get underway. I can’t remember his name, or whether he was with the Knox County Sheriff’s Department or with the Knoxville Police Department. I have always assumed that he was with KCSO because it was a KCSO detective who contacted us the next day to let us know that he had been officially assigned to Henry’s case.

The officer was extremely nice and very compassionate. He asked Dr. A a few questions about Henry’s condition, and then asked Chris and me to join him in a private room off the ER waiting room to tell him what we knew. He told us that paramedics had been called to a private residence in South Knoxville just before noon that day. The residents of the house (NOTE: I actually don’t know if it’s a house or a trailer or a duplex or what it is because I’ve never been able to bring myself to drive by, but in order to keep things simple, I am going to refer to it as a house.) had apparently told the paramedics that Henry had spent the night at their house, and that they had discovered him unconscious in the morning when they woke up, at which point they had called 911. These two people also told the paramedics (who must have asked how Henry ended up bruised and bleeding, along with the overdose symptoms) that Henry had told them that he’d been beaten up the day before they brought him home to spend the night.

This story didn’t make any sense to me, but I didn’t ask too many questions at this point. I had complete confidence that law enforcement would get to the bottom of what had happened to Henry, plus my full attention was on finishing the conversation so I could go back to the room where Henry was being treated.

The officer then accompanied Chris and me back to be with Henry. When he saw our son, he gave me a hug and looked me right in the eye. He told me that I could focus on my injured child and I could count on law enforcement investigators to focus on arresting the person or people who had done this to Henry. I remember feeling very grateful.

In hindsight, I wish I’d known that the criminal investigator who came that day should have photographed all of Henry’s clearly visible physical injuries as evidence. I wish that Chris or I had known that WE should have done this, if the officer did not. But none of this occurred to me. All I could think about was that my son had to live. Dr. A had told us that the next 48 hours would be critical for him.

While no criminal investigator bothered to take any photos of my son’s physical injuries on admission to the ER that day, we do have the notes made by physicians in the first 10 days of Henry’s hospitalization. Here are some of the references to visible injuries that I have copied verbatim from Henry’s medical records. Specific quotes from doctors’ notes are in quotation marks. Each bullet point represents a separate written document within Henry’s medical record, although some of the doctors are the same across more than one piece of documentation. I have redacted doctors’ names for purposes of publishing this here, but they are, of course, available in Henry’s official medical records.

  • The first handwritten notes taken immediately upon Henry’s admission to the ER  by attending medical staff note, “head trauma, Battle Sign.”
  • Henry was noted in the April 27 UTMC admission consult notes from Dr. B. to have “multiple bruising.”
  • In response to a recent email from me asking about the potential causes for the notable bleeding from Henry’s ears for almost two weeks after ER admission, one of the ENTs who treated Henry, Dr. C told me that the only possible explanation for the bleeding was external trauma of some kind. I specifically asked her whether a drug overdose or the resulting hypoxia and ischemia from an overdose could lead to bilateral bleeding from the ears for two weeks, and she said no, it had to be some kind of external trauma.
  • The consult notes from cardiologist Dr. E  dated April 28 (the day after Henry’s admission) note that Henry was suffering from a “large pericardial effusion with some pericardial tamponade.” Dr. E goes on to say that assault is suspected as the cause, “including blunt trauma to the chest as evidenced by bruising,” and also that, “he has bruising about the face, particularly periocular.” In the attached lab notes, Dr. E. wrote, “he has had elevated troponins, “likely secondary to trauma,” any where from 4.25, 4.27 to 2.57.”
  • Consult notes from Dr.  F on 4/29/2010 note that, “patient has periorbital ecchymoses and blood from both ears.”
  • Consult notes from Dr. G dated 4/28/2010 note, “blunt trauma to the chest, as evidenced by bruising.”  He further states, “He has bruising about the face, particularly periocular.  He  is intubated and does have an approximately 6cm area of ecchymosis on his chest.” Also states, “He has had elevated troponins, likely secondary to trauma.”
  • Consult notes from Dr. A dated 5/4/2010 note that when Henry was admitted to the ER on April 27th, he had a “troponin of 5.07.”  In his physical exam of 5/4/2010, Dr. A  detailed his observations of Henry’s physical condition on that date, stating, “Bilateral tympanic membranes obscured with blood. Bilateral orbital ecchymosis,” as well as “chest with areas of ecchymosis.”  Other specific  items from Dr. A’s consult notes that day that refer to evidence of physical trauma: “Status post assault. Imaging negative for fracture but bleeding from bilateral auditory canals with concern for tympanic rupture.”  Also, “Cerebral edema seen on imaging. Patient status post assault. “
  • Consult notes from Dr. A regarding MRI performed on 5/6/10 note, “Blooming artifact on gradient sequence along the inferior aspect of the anterior falx may reflect a sequel of remote hemorrhage.”
  • A separate consult note from Dr. A also dated 5/6/10 says of Henry’s MRI results that, “Blooming artifact in the midline of the low frontal lobes may reflect sequel of occult hemmorrhage.”
  • Consult notes from Dr. I  on 5/10/2010 note that Henry’s CT Scan when he was admitted on April 27, 2010 did not detect a skull fracture, although no specific scanning was done to look for a basilar or temporal skull fracture. Dr. I notes that Henry did have cerebral edema on his CT scan at admission. Dr. I writes in the “ASSESSMENT” section of his consult notes, “Henry suffered a traumatic brain injury with likely basilar skull fracture that caused the blood in external auditory canals, and the bilateral raccoon signs.” He further notes that, “He no longer has the Battle’s Sign that he had at admission, but his history for it is fairly classic, and it often does not show up on standard x-rays. He also suffered some hypoxic insult with cerebral edema. MRI scan would be helpful to define where there is ongoing brain insult from hypoxia. It is a more sensitive test, especially now that the cerebral edema has resolved.”
  • In his 5/10/2010 consult notes, Dr.. I wrote that, “Although CT Scan of the bones of the basal skull could help with making a diagnosis of fracture, I think it is clear enough clinically that the scan is not needed and we do not need to expose this young man to the amount of radiation necessary to do the study.”
  • Consult notes from Dr. J dated 5/6/10 state, “He is status post assault with bilateral auditory canal bleeding and evidence of initial hypoxemia and cerebral edema.” Dr. J goes on to state that, “It should be noted that he recovered from a myriad of problems. He did have pericardial effusion from his assault. He did have raccoon eyes. He did have multiple traumas, all recovering nicely. His brain function is returning to more of a normal level.” Dr. J then recommended discharge from UT Medical Center and transfer to the neuro rehab program at St. Mary’s.
  • Notes from Dr. I on 5/25/2010 (when Henry was discharged from St Mary’s neuro rehab unit and transferred back to UTMC’s acute neurology unit) state, ” “Findings that support beating include bilateral external auditory canal hemorrage, initial finding of raccoon’s eyes bilaterally, and the MRI scan showing late manifestations of bifrontal polar type injuries seen in traumatic brain injuries.”
  • Several different physicians included in their consult notes that Henry’s cardiac patterns clearly indicated that he had suffered cardiac arrest at some point during the series of events that landed him in the hospital. This could have been caused by drug use or by chest trauma. The clear bruising that was visible on his chest when he was admitted to UTMC on 4/27/2010 supports the possibility that it was trauma that caused the cardiac arrest. (Note from Katie: everyone in our family can tell you that the bruising and scrape on Henry’s chest looked like a shoe footprint. It never occurred to use that we needed to take photos of Henry’s injuries, but we should have since no one from law enforcement did.)
  • Consult notes dated 5/26/2010 from neurologist, Dr. K comparing MRI of the brain on 5/25/2010 compared to MRI of 5/6/2010 note that his review of Henry’s 5/6/2010 MRI (which Dr. K had not reviewed himself at the time) , “demonstrates some evidence of subtle areas of restricted diffusion consistent with bilateral watershed infarcts in the frontal parietal occipital lobes, as well as some  moving artifact in the frontal  lobes concerning for occult hemorrhage.”  Dr. K also notes  Henry’s “history of closed head injury.”
  • Henry’s official “Report of Death” from UT Medical Center which was transmitted to Knox County forensics examiners on May 31, 2010, and signed by Nurse A lists Henry’s admitting diagnoses as, “Seizures, CHI and H/A.” CHI refers to “closed head injury,” meaning head trauma.

Why do these physical injuries matter when everyone is in agreement (everyone, meaning our family, Henry’s treating neurologist and the Knox County Medical Examiner) that Henry’s ultimate cause of death, 38 days after he was admitted on April 27th was complication from a hypoxic brain injury? In other words, why do the physical injuries matter when they didn’t end up being the actual cause of his death?

  1. They matter because when a teenage boy is found unconscious, bleeding, bruised and suffering from a drug overdose inside the private residence of two sketchy adults who can’t reasonably explain how he ended up this way, law enforcement should realize that people don’t beat themselves up. Period.
  2. While Knox County authorities routinely ignore overdose victims, doing little to no criminal investigation into where the drugs that killed them came from, it seems like a teenage overdose victim found at midday on a weekday who ALSO HAD serious physical injuries would be suspicious enough to warrant their meaningful interest.
  3. They matter because the Knox County Sheriff’s Office, in speaking to the media about Henry’s case in the first days after his death left Knox County citizens with the distinct impression that because the Medical Examiner saw no remaining evidence of physical assault when she autopsied my son 6 weeks after he was first admitted to the hospital, that no physical injuries ever existed. This was, in my personal opinion, dishonesty by omission. (Note: In speaking to the media in the week after Henry’s death, a representative of the Knox County Sheriff’s Office actually referred to an “alleged assault” – emphasis mine – when discussing my son’s case.)
  4. To the best of our family’s knowledge, the house where Henry was found by paramedics in this condition was not treated as a crime scene at the time, was not secured or searched in any way, and still has never been searched. Again, even if  overdose injuries and deaths are ignored, it seems to me that law enforcement should have been called to the scene immediately, and used the correct protocols for a crime scene once paramedics saw the physical injuries accompanying the overdose. If they had found a teenage boy who had NOT overdosed, but who was unconscious and bleeding and bruised inside the home of two unrelated adults, wouldn’t law enforcement have been called to the scene immediately?
  5. While the physical injuries might not have been what eventually killed my son 38 days after he was brought into the hospital, their existence makes it clear that he was the victim of a serious assault, and the assault should be treated as a crime, and investigated as a crime.
  6. For reference, here are the specific criminal investigation protocols that the FBI recommends for law enforcement in the investigation of ALL .overdose injuries and deaths  These protocols were not followed in even a minimal way in my son’s case.

Next: Justice for Henry – Part 5

Previously:

If you are on Twitter (you can follow me at @kgranju),  please share a link to this blog post using the hashtag, #justiceforhenry


 

 

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45 thoughts on “Justice for Henry – Part 4

  1. I don't even know what to say – but wanted you to know that I am praying for justice for Henry.

  2. And earlier intervention might have prevented the overdose from progressing so far, right? If the two sketchy adults had called 911 sooner, perhaps medical personnel could have taken steps to minimize the impact of the overdose? I'm not a lawyer, but couldn't that amount to criminally negligent homicide?

    Reading parts 1-3 made me feel so sad. But this one makes me angry.

    You are so strong to have come through all of this. The fact that you are able to keep putting one foot in front of the other as all of the other turns of events you've been experiencing just keep coming is incredible. Keep on going!

  3. With greatest respect, I don't understand why you have not been to the "house". Have you confronted these people? I think (but I could be wrong) I would camp out on their doorstep. Thank you for sharing all the details.

  4. Kristin – I will be sharing all of the highly specific and provable details of the lengthy delay in calling 911 for my son in upcoming blog posts. I just can't fit it all into one blog post. Thanks so much for reading and commenting. – Katie

  5. Katie, I cannot begin to understand how hard it must be to type these documents. You are the mother bunny who knocks on every door.

    You are not alone. We all want justice for Henry.

    If anything can shake up authorities, this report should do it.

  6. Tess – There are two reasons I haven't driven by: number one, I felt that even driving past the house could possibly compromise the KCSO investigation. I wanted to stay completely out of their way. Number two – like any parent, I feared that I could do something I would regret if I came near the house, and the people who live there. So I've stayed away. I wanted to be responsible and respectful of the work of the criminal investigators over the past nine months. – Katie

  7. I'm a little confused, I know you have said Henry was assaulted by the boys who he met to either buy or sell drugs. Did they cause these injuries or are you thinking Henry was assaulted again, by someone else? As a Mother, I would be mad as hell (and I know you are) that my child was written off as just another drug overdose when he clearly had substantial injuries.

  8. Brandy – We have no idea what caused these injuries. We had a theory at first, which KCSO told the media they fully investigated, and as a result, rejected. So criminal investigators have only told us what they believe did NOT cause the injuries. That was the week Henry died (and they told the media, not us directly). Since then, there has been no effort by law enforcement to figure out what DID cause the injuries. Our family's original theory might have been erronious, but that doesn't relieve law enforcement of responsibility to figure out the crime, which was not "alleged" in any way. – Katie

  9. This must be so tough for you. You are an incredibly strong woman and momma. Thank you for sharing your story.

  10. Katie – Ok, thanks for answering my question. I hope you get the answers you are looking for, your entire family deserves to know what happened.

  11. Lauren – It's incredibly difficult, but there is also some catharsis in finally sharing all of the details, evidence and information that I've declined to discuss publicly for the past 10 months (in the vain hope that by remaining silent, authorities would be more likely to pay attention to Henry's case). My ONLY GOAL in sharing all of this here is to try to get Knox County authorities to do what they should have done almost a year ago and fully investigate the circumstances of my son's death, and make arrests of those responsible. Thanks for reading and commenting. – Katie

  12. I cannot stand to think about the fear, sadness and pain he endured at the hands of the animals who did those things to him.

  13. I simply do not see how you have not yet gone insane. I am so angry and frustrated just reading the details that it makes me want to drive down to Knoxville and just scream at anyone associated with the KCSO. You are much stronger than I am and I truly hope you find your answers and that the people that WE pay with our taxpayer dollars do their jobs.

  14. Meg W. – Thank you. It's been really hard. And I have really only scratched the surface as to how badly this has been handled, and how horribly our family has been treated. But I really, really thought that if I spoke out clearly and told Knox Countians what was really (not) happening with the investigation, KCSO and the DA's office would be so mad at me that they would be less likely to pursue justice for Henry. I thought I was doing the right thing. Thanks for reading and commenting. – Katie

  15. I think you have done an amazing job at keeping it together and doing your part to find justice for Henry. We all wish that the authorities would have done their part without you needing to make it all public, and you waited a long time for that. Now its our turn to help and I admire you for taking that next step to ask for it. I know I will do my part as a Tennessean, with much of my family still in Knoxville, to support you in demanding answers. We all want justice for not just Henry, but for anyone that gets brushed aside like this. Its not okay and I'm so so sorry this has happened to your family.

  16. Katie, I haven't commented on any of the previous installments but I've read them all. I've been a long-time reader of your blog, well-prior to Henry's hospitalization and death, and just wanted to say that you continue to amaze me with your tenacity and determination to get justice for your son. We're all with you in spirit.

  17. My heart to you.

    Your purpose in sharing this… getting the story heard and your concerns addressed. Beyond spreading, what action from your readers are you asking? Is there a petition, contact information, or something?

  18. My God, what a train wreck.

    Do you know the names of the people who, er, sheltered Henry? Do the police know their names? Have they been questioned at all by the police, or are they just sitting there, fat and happy, helping others along to their demise?

  19. Katie, it's likely you'll write about this, but it keeps occurring to me, so I'll go ahead and mention it. If Henry had not been assaulted in such a devastating manner, it seems unlikely that he would have overdosed that day. It was, really, a foreseeable consequence of the assault.

    There's punishment due to whoever assaulted him, whoever failed to help him, and whoever provided him the drugs.

    My heart aches for you, and for what Henry went through.

    Also, my prayers are with Mama/Nanny, who I know shares your deep grief.

  20. e – I believe that the assault and overdose are closely connected, and I plan to discuss that in detail in upcoming blog posts. Thank you for your kind words. – Katie

  21. sscarbrough – Yes, I know their names, law enforcement knows their names, and in fact, their names were reported in the media during the first week following Henry's death. I will be discussing LOTS more about these people, their involvement in what happened to Henry, and law enforcement's attitude toward them in upcoming blog posts. Thanks so much for caring enough to read and comment – Katie

  22. mrtl (and anyone else who would like to help) – the biggest help right now that you can offer is to post a link to this blog post on your own Facebook page, Twitter feed or blog. You could also email it to everyone you know, asking them to read and become aware of Henry's case. By spreading the word this way, I hope to get the media interested in covering this story. And of course, my only ultimate goal is a full, highly professional and completely unbiased investigation into how my son was fatally injured, with arrests made as a result. Here's the link to share if you want to help: http://mamapundit.com/2011/03/justice-for-henry-p

    THANK YOU! – Katie

  23. Kate, I can't imagine reading these details, let alone re-reading and typing this out. My heart absolutely aches for you, your beautiful, beautiful boy, and all those that love him. I have been impressed by your restraint and your diplomacy in your discussions of this investigation, and you are truly doing the right thing by exposing this all to the sunlight. On behalf of mothers everywhere, I thank you for your willingness to get out of bed each day, and your telling of this difficult, heart crushing story.

    God bless you, and thank you.

  24. Katie, to have someone violate your child's body like this… there are no words. I admire you for how you are handling this; I am not sure that I would have been able to muster half as much grace.

    As for the investigation… I am getting ahead of your installments, but it is so painfully obvious what happened, and what the relationship was between Henry and these 2 adults, that I cannot understand why they haven't been charged, and moreover, why a proper, thorough, investigation was never done. These were in all likelihood the people who had Henry sell the drugs, and who beat him up in order to teach him a lesson for failing to bring them back their profits, and for "allowing" himself to be robbed. If a proper investigation had been done, the KCSO could have found proof. As it is, I have to wonder whether that couple are somehow being protected or shielded by the KCSO, and if so, why? (are they informants?) Even so, I don't understand…

  25. K-is there a way, if all our friends & Knoxvillians flood a National news outlet that Henry's story might be picked up? Nancy Grace comes to mind. I want you to know that I pray for you & your family daily!!! As a Mother, I know that Henry could easily be ANY of our children & the gross negligence and dismissal of this case because H was an "addict" is beyond wrong! I, along with every Mother in Knoxville want to "help" you if at all possible!!!

  26. My heart breaks, but I admit I am angry this is being dismissed! I pray justice is served in this case!

  27. Katie – Long time reader (of your books AND blog) and first time commenter. I've read through this 4th post just in tears – the pain you have experienced and the frustration is unimaginable. I pray that you will find justice for Henry.

  28. Just shared on Facebook and will continue to do so. I will help in ANY way I can to ensure there is justice for Henry.

  29. My theory: House is home of known drug dealers who beat him when he returned w/out the money for the drugs. Why would he stay? It's like any abusive relationship: he had nowhere else to go and the beating was meant to set a tone, not get rid of him. They gave him drugs to help with the pain. Yes, they do that. Much like a kicked dog will keep going back for more, they had drugs Henry needed to feed his addiction.

  30. Katie, I have been reading your blog for a long time & have been following along since Henry's hospitalization. One thing that I have always wondered was, did Henry know these two adults that he stayed with that night or were they complete strangers to him?

    I also think that you are a very strong person and hope that arrests are forthcoming at some point in the near future.

  31. I finally had time to sit down and read this one and frankly, I am appalled! I cannot believe so many different doctors noted the assault, and yet it sits ignored by authority. You are horrifically right – so long as these people go unpunished, and the police department remains stagnant – this WILL happen again. What kind of message is the police department sending to your community – they will investigate brutal, violent crimes at their discretion? If the victims meet their criteria? If they "feel" like it? Every tax payer in your town should be outraged, too. Sigh. I'm so sorry you have to deal with this on top of grieving the loss of your boy. It angers me; I am sure it infuriates your family. Sending you much support today and everyday.

  32. Is there a drug tox screen on admission? Is it in his file confirming that he actually had toxic enough level of drugs in his system to OD?
    Or is the MD’s and everyone going on the word of the "sketchy adults" in that house who said to emergency personal and 911 it was an OD?

    Reading the amount of physical trauma he suffered from a beating and the foot stomping on his chest could that of caused him to aspirate his vomit and because he was "stoned" the adults were able to get away saying it was an OD when in fact it was the beating causing the aspiration of vomit and then oxygen deprivation to the brain making it look like an OD, but it was not the drugs!

    Heart wrenching.

  33. Just echoing everybody else who has read this and said that this horrifies and pisses me off, and I can't imagine the strength it must take to just keep getting out of bed every morning and taking care of your family and living your life. I pray with all my heart that you are able to find out what happened to Henry, and that the people who did this to him are brought to justice and not allowed to do it to anyone else's kid. God bless you and your family.

  34. Keep talking. Keep writing. Don't stop. You are saving lives. This is how systems change. So many of us are cheering you on. (And take care of yourself, too, so you can keep doing this.)

    THANK YOU!

  35. Pictures! My gosh. Until you wrote that part, I had a hard time understanding why investigators couldn't remember how bad Henry looked when he was admitted. I had wrongly assumed that kind of evidence was par for the course. Bungled, indeed.
    I'll continue to read everything you post Katie. Sending strength and prayers for healing your way.

  36. Oh Katie, this is beyond awful. I know you've accepted that the drug overdose was the cause of death, but it seems so hard to believe that the trauma from the assault didn't exacerbate the drug-related hypoxia or at a minimum make it harder for Henry to recover from the overdose. In law, we have causes and proximate causes for injuries, and it seems like the assault was a proximate cause if not the direct and main cause of death.

    And it's shocking that there was no search of the house were Henry was found. In circumstances like that (an OD victim on the scene, where the occupants had allowed the cops entry) they wouldn't even have needed a warrant. Even if the cops did not think the people in house harmed Henry, wouldn't they have thought they might have contraband in the house? The whole thing is so puzzling — a series of awful mistakes or willful disregard on their part.

  37. I am APPALLED!

    Yes, you MUST keep sharing & writing, keep doing what you're doing, as heartbreakingly arduous as it is. The collective "WE" ARE listening, ARE reading, are researching, and WE WILL tell and share Henry's story.

    And I understand why you can't bring yourself to go see THAT house…if someone so much as poked one of my dogs unprovoked, I would lose my shit; so I cannot fathom a child. (not a good analogy but I get the fear and the anger). And a big sigh but I agree with Truth2Power's "theory." I would also say that KCSO knows/has dealt with these "specimens" prior to and doesn't want to be bothered with them; hence lack of an even BASIC search (which is WILLFUL disregard – how does a sherriff NOT know the basics, even if it was an overdose with no other complications? HELL-O, D-R-U-G-S!) Well guess what KCOS…you HAVE to!

  38. Like many others on this blog, I too am appalled. It's truly disgusting the way they are handling this case. Keep speaking out and if they don't listen, SCREAM! This department needs to recognize it's failure to do their jobs and their blatant attempt to cover up the truth! I will be praying for justice for Henry and your family.

  39. Hello Katie,
    I have followed you since this has all happened to your family,and please know that I have your family in my prayers always.It seems to me that because your son suffered with addiction he would be treated differently when it came to a criminal investigation, this is so wrong!!!Please know you have our support and so many others are behind your cause 100%,Justice for Henry!!

  40. I'm so sorry for your loss. Have you attended Nar-Anon? I'm married to an addict in recovery, and I promise that while nothing can bring back your son, the program can defintitely help you in your time of need. I truly hope you consider this.

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