Thursday, 4 November 2010

The death of Dr. David Kelly - Why was there no arterial rain on Dr. Kelly's clothing?

The question, Why was there no arterial rain on Dr. Kelly's clothing was posed by Rowena Thursby as far back as 2006 here, WHY WAS THERE NO ARTERIAL RAIN ON DR KELLY'S CLOTHING?.

This post is an attempt to answer the question, as posed.

In passing, I'll mention that the forensic biologist's report is still secret and might shed interesting light on the distribution of arterial rain at the scene and, possibly, on Dr. Kelly's clothing.

I'm open to correction, but the only witnesses who commented on arterial rain were Vanessa Hunt (paramedic) and Roy Green (forensic biologist). And each testified that they saw arterial rain on "nettles", whose exact location relative to the body isn't entirely clear to me. (That raises questions that I won't attempt to respond to in this post.)

So Rowena's question seems to accord with the evidence as I recall it. It seems that there was no arterial rain on Dr. Kelly's clothing. Asking "Why not?" is an entirely reasonable question.

For the purposes of this post, I'll ignore the possibility that arterial rain may be simulated. See the post The Death of David Kelly - Is it possible to simulate "arterial rain".

At the risk of stating the obvious it seems to me that there are a number of things one needs to know or assume:

1. Was David Kelly alive when his left wrist was cut? The only relevant evidence I'm aware of is the statement of Nicholas Hunt that there was "vital reaction". Let's for the sake of this post assume that the "vital reaction" was genuine and that David Kelly was alive when his left wrist was cut.

2. Another important consideration is the position of Dr. Kelly's left wrist when each individual incision was made or attempted. It might be that each incision was made in the same position. Or, alternatively, the wrist position may have changed between incisions. For example, hypothetically, the person who made one incision moved the wrist to attempt to get better access or more purchase.

3. Was there a single incision into the ulnar artery? Or multiple? In other words, did a first incision cut into the artery and a later incision completely transect it? I think that both possibilities remain credible.

4.Did Dr. Kelly have enough strength in his right hand to make the incisions which Dr. Nicholas Hunt observed? Remember Mai Pederson's evidence of a right elbow injury and ongoing pain and disability.

As you can see, we are long on uncertainty and short on hard information.

In trying to work out whether the suicide hypothesis was credible or not, I tried to work out the possible positions for Dr. Kelly's wrists.

Try it at home and see what it feels like. Try to imagine, too, if you'd get enough purchase to make deep incisions.

1. The first possibility as I see it, was that he flexed his left elbow and braced his left arm against the left side of his chest. In other words the palm of his hand would be towards his body or face. If the wrist was in that position I'd expect Dr. Kelly to make incisions on the wrist from the left side towards the middle of his body (in other words he cuts from the thumb side or middle of the wrist toward the little finger side). I'll call that Position 1.

2. The other possibility that occurs to me is that he might turn the palm of the left hand away from his body or face, so that it's facing forwards. The palm is facing forwards, the little finger side is towards his left and the thumb side is close to Dr. Kelly's left side. Again the left arm is braced against the left side of his chest, likely with the top of his left fist close to the left side of his chin. In that position I'd expect him to make incisions from the little finger side of the wrist towards the thumb side of the wrist. I'll call that position 2.

Distribution of arterial rain that I'd expect

1. In Position 1, as the first incision is made into the ulnar artery I would expect Dr. Kelly's face and upper chest to be sprayed with arterial rain. I'm not aware of any evidence that such arterial rain was observed on his face or upper chest. So I conclude that he didn't hold his wrist in Position 1 to make any incision which initially breached the ulnar artery.

2. In Position 2, when the first incision is made into the ulnar artery I would expect the bulk of any arterial rain to be directed away from his body, most likely towards the left of where he was standing or sitting or forwards of where he was sitting or standing. If he doesn't turn his wrist round while there is arterial rain then I think it's credible that there is no arterial rain on his clothing if the relevant incision(s) were made when the wrist was in Position 2.

In either Position 1 or Position 2 it seems to me to be credible that once the ulnar artery is completely transected that arterial rain will decrease and, depending on the degree of retraction and contraction of the ulnar artery may be present for aonly a short time.

Conclusion

Assuming that there is no evidence of arterial rain on Dr. Kelly's clothing in Mr Green's written report then I think Position 2 is much more likely than Position 1 for those crucial incision(s) which first enter the ulnar artery. In Position 1 I think that Dr. Kelly's face would receive a significant amount of arterial rain in a very short time.

As hinted at earlier, such a conclusion assumes that Dr. Kelly was alive when the incisions were made and that it was in fact he who made the incisions. Both assumptions are potentially open to question on the available evidence, in my view.

2 comments:

  1. Andrew

    I was going to look at possible wrist positions in my next post but you have beaten me to it! In fact it wasn't arterial rain I was going to specifically look at but why Dr Kelly would have chosen the Ulnar artery in preference to the radial artery.

    We don't know in what way and to what extent a troublesome elbow could have affected any cutting action but it seems to me that the most comfortable position for Dr Kelly to be in would have been back against the tree, left leg drawn back a bit so that the knee is raised, and the left arm at a slight angle across the upper left leg just above the knee. This would provide a very stable position and the opportunity for DK to see exactly what he was doing (assuming it was still daylight). In this scenario the wrist is in just the right position for cutting the radial artery.

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  2. Brian,

    The position you suggest is an interesting one.

    Have you tried it at home (with a really blunt knife or no knife at all)?

    It seems to me that there is a real possibility of incising the left trouser leg, a little above the knee (when the large force needed to incise the wrist carries on as the knife slips off the wrist).

    Also, there ought to be heavy bloodstaining of the left trouser leg which wasn't noted, as far as I can see.

    There is, however, some bloodstaining near the right knee (see third bullet point on page 4 of the postmortem report), raising the possibility of a position similar to the one you suggest but with the wrist near the right knee.

    Try it with the left arm over the right knee area.

    To avoid cutting the trousers Kelly would have needed to have the wrist lateral to the knee so that when the knife slipped off the wrist it would be into thin air, rather than the upper part of the right leg of his trousers.

    And the blood, so it seems to me, would be more on the lateral aspect of the right knee (subject to the arm being moved). And the bullet point I refer to isn't clear at that level of detail.

    Also if the right knee was used I'd expect some arterial rain to the right of Kelly's body (assuming, of course, that he didn't move to a different location after supposedly incising the ulnar artery in his left wrist).

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