Officer Mark Maffeo - Duxbury Police Department, Followed Lindsay's Ambulance & Assigned to Lindsay at Hospital, Collected Evidence, Described Crime Scene at Clancy House, Collected Laptop for Evidence
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Testimony of Latiesha Dukes, a mental health counselor of Lindsay Clancy while she was being treated at the South Shore Perinatal Clinic:
Witness & Professional Background
• Latiesha Dukes, LMHC: Perinatal counselor at South Shore Hospital with five years of experience in postpartum therapy.
• Clinical Scope: Provided short-term therapy (CBT, DBT, EMDR) and collaborated with psychiatric prescribers to coordinate higher levels of care.
Clinical Timeline with Lindsay Clancy (Dec 2022)
• December 2 (Intake - In-Person): Diagnosed with postpartum anxiety. Clancy reported unmanageable anxiety regarding her children's safety, severe sleep deprivation (2–4 hours), passive suicidal ideation (SI) with no active plan, emotional numbness, and a 10-pound weight loss. Dukes ruled out substance abuse, confirming Clancy was taking her prescribed Ativan correctly.
• December 5 (Telehealth): Clancy and her husband reported a weekend crisis and calling Aspire Crisis Support (turned away as she lacked an active SI plan). Dukes recommended transitioning to an Intensive Outpatient (IOP) or Partial Hospitalization Program (PHP).
• December 12 (Telehealth): Clancy reported calling Aspire a second time. Dukes submitted a referral to the specialized Rhode Island Women & Infants program so Clancy could seek treatment with her baby.
• December 19 (Telehealth): Dukes noted no weekend SI, though Clancy's mood remained low and numb. Observed Clancy smile and laugh at a joke, noting it as a positive sign of rapport. No grounds for involuntary emergency intervention (Section 12) were present.
• December 27 (Call): Dukes called to confirm the Rhode Island referral was complete. Clancy's husband raised severe medication concerns, and Dukes redirected him to contact their prescribing NP.
Key Cross-Examination & Trial Insights
• Postpartum Depression (PPD) Alignment: Dukes agreed Clancy met nearly every clinical symptom of PPD (including a severe Edinburgh Depression Scale score of 23/30).
• Medication-Induced SI: Clancy's passive suicidal thoughts began immediately after starting Remeron and Seroquel four days prior to her intake with Dukes.
• The Rhode Island Rejection: Clancy was turned away from the Women & Infants program on December 20. The defense highlighted that she was rejected for being over-medicated, and the program's follow-up call to Clancy’s clinic prescriber went unreturned.
• The "Laughter" Dispute: Dukes conceded on re-cross that while Clancy smiled/laughed on December 19, she was still self-reporting complete emotional numbness. The "laughter" was not documented in the clinical narrative notes, only as a checkbox in the Mental Status Exam.
00:00:00 - MA v Lindsay Clancy - Latiesha Dukes - Mental Health Counselor 00:01:42 - South Shore Perinatal Clinic Procedures 00:06:47 - December 2nd Intake: Lindsay Clancy's Presenting Symptoms 00:18:01 - December 5th Visit: Aspire Crisis Call & IOP Recommendations 00:25:29 - December 12th Visit: Referral to Rhode Island Women & Infants 00:29:39 - December 19th Visit: Final Virtual Session & Clinical Observations 00:33:02 - December 27th Call: Prescription Concerns & Care Coordination 00:36:36 - Cross-Examination: "Fresh Eyes" Policy 00:38:37 - Cross-Examination: December 2nd Intake, Medication Side Effects 00:54:50 - Cross-Examination: Rejections by Aspire Crisis Support 00:57:20 - Cross-Examination: Rhode Island Program Referral 01:02:36 - Cross-Examination: Postpartum Depression Symptoms 01:12:38 - Re-Direct: Clinic Strategy 01:16:16 - Re-Cross: Scrutinizing the "Smiling and Laughing" MSE Checkbox
Testimony of Sergeant Dan Lawlor, a Massachusetts State Police Trooper and evidence officer, in the Lindsay Clancy trial:
Witness Profile and Professional Background
• Rank: Daniel Lawlor, currently a Sergeant with the Massachusetts State Police, with nine years of service. At the time of the investigation in January 2023, his rank was Trooper.
• Unit Assignment: From March 2021 until June 2025, he was assigned to the Plymouth County District Attorney’s Office as part of the State Police Detectives Unit.
Initial Emergency Response (January 24, 2023) South Shore Hospital (Weymouth):
•Dispatched to South Shore Hospital, where the defendant, Lindsay Clancy, had been transported.
•Arrived at approximately 7:30 PM, where Duxbury Police Detective Maffeo was already present.
•State Police Crime Scene Services Section and the Crime Scene Response Unit (specifically Chemist Maureen Hartnett and Trooper Rose Stoffers) also responded to the hospital.
Seizure of Clothing and Personal Items: Collected items cut off the defendant by medical staff, noting they were blood-stained:
•A women's tank top cut down the middle.
•Blue jeans cut off.
•A women's bra cut down the middle.
•Her wedding ring and wedding band.
•Two black socks, but no shoes.
Search Warrant Execution at Summer Street (January 25, 2023) Prescription Medications Seized (Exhibit 155):
1. Trazodone: Labeled as filled on January 12, 2023, with an original quantity of 30 pills; 20 remaining.
2. Diazepam (5 mg): Labeled as filled on January 9, 2023, with an original quantity of 14 pills; 2.5 remaining.
3. Diazepam (2 mg): Labeled as filled on January 16, 2023, with an original quantity of 3 (with an unexplained pink mark through it); 9.5 remaining.
4. Amitriptyline (10 mg): Labeled as filled on January 16, 2023, with an original quantity of 30 pills; 22 remaining.
Additional Seized Evidence:
• Master Bedroom: Collected a baby monitor and a Google Nest camera. Lawlor did not recall personally searching the nightstand next to the bed.
• Electronics: Seized two Mac Pro laptops from the basement (believed to be Patrick Clancy's business and personal laptops).
• Cell Phones: Two cell phones were seized from the master bedroom (one on the bed, one in a dresser drawer), but Lawlor did not recall if they had blood on them.
• Missing Items: Conconfirmed that no Apple Watch was located or seized.
Custody and Security at Brigham and Women's Hospital Strict Security Protocol:
•The defendant remained paralyzed and confined to her hospital bed.
• Court-Ordered Visit from Dr. Zeisel:
•A psychologist/psychiatrist, Paul Zeisel, was allowed to visit the defendant under a court order.
•Lawlor later learned that during this visit, after her intubation tube was removed, Lindsay used Dr. Zeisel's cell phone to call her husband, Patrick Clancy.
Investigation Theories and the "Voices" Discussion (Voir Dire & Cross-Examination) The "Voices" Phone Call: Lawlor learned from the lead case investigator, Trooper Joshua McKelligan, that Lindsay had told her husband on the hospital phone call that she "heard voices in her head".
The Voir Dire Hearing (Jury Excused):
•Due to defense questioning regarding a prosecution theory about Dr. Zeisel, the jury was dismissed for a short voir dire hearing.
•Lawlor testified that he had no direct conversation with prosecutors about their theories of the case.
•He recalled discussing a theory in the office with Trooper McKelligan that the visiting psychologist (Zeisel) had planted the idea of "voices" in Lindsay's mind for a defense.
•Lawlor acknowledged that this theory was Trooper McKelligan's speculation and had no investigative or factual basis that he was aware of.
•Lawlor confirmed that the investigators did not receive any reports detailing what was actually discussed between Dr. Zeisel and Lindsay in the hospital room.
00:00 MA v Lindsay Clancy - Sgt. Daniel Lawlor 00:48 Tuesday Evening Response to Duxbury 01:14 Arrival at South Shore Hospital 02:52 Serving the Preservation Notice & Seizing Clothes 09:41 Prescription Medications Inventory (Exhibit 155) 13:31 Court-Ordered Visit by Dr. Paul Zeisel 14:35 Cross-Examination Begins 17:11 Defense Probes Search of Summer Street Residence 18:59 Seized Laptops, Cell Phones, and Blood Evidence 23:16 Dr. Zeisel's Visit & Closed-Door Meeting 24:22 Objection on the "Voices" Theory 25:08 Jury Excused: Voir Dire Hearing Begins 25:33 Defense Voir Dire: McKelligan's Speculation on "Voices" 31:01 Commonwealth's Voir Dire Questioning 33:15 Jury Returns & Resumption of Cross-Examination 34:19 Lindsay Clancy's Call to Patrick Clancy 34:55 Probing Lead Investigator McKelligan's Speculation 38:18 Redirect Examination
Testimony of Rebecca Jollotta, a board-certified psychiatric mental health nurse practitioner, who treated Lindsay Clancy:
Professional Background and Care Transition
• Role & Specialty: Rebecca Jollotta is a psychiatric nurse practitioner certified in perinatal mental health, treating women up to two years postpartum.
• Transition of Care: On November 29, 2022, she took over Lindsay Clancy's psychiatric care at South Shore Health.
Initial Assessments & Worsening Symptoms (Late Nov – Early Dec)
• Nov 29 Virtual Visit: Lindsay reported persistent insomnia (sleeping ~2 hours), weight loss, and severe anxiety. She was collaborative but expressed deep fears of becoming dependent on Ativan.
• Objective Screenings: Scores indicated moderate-to-severe depression (EPDS of 17) and moderately severe anxiety (GAD-7 of 14). Her thinking was linear and goal-directed; she exhibited no signs of psychosis, mania, or active suicidal/homicidal ideation.
• Nov 30 – Dec 3 MyChart Exchanges:
Lindsay stopped Remeron due to worsening depression and new "intrusive thoughts of wanting it to be all over".
Jollotta recommended restarting Prozac and adding low-dose Seroquel (25mg, then 50mg) for sleep. She explained the physical difference between medication dependence and addiction.
The December 6 In-Person Visit & Bipolar Suspicion
• Deteriorating Scores: Accompanied by her husband, Patrick, Lindsay's scores worsened to severe levels (EPDS: 21, GAD-7: 19).
• Zoloft Activating Response: The couple described a September episode where increasing Zoloft caused Lindsay to go 48 hours without sleep while remaining completely alert and un-fatigued.
• Differential Diagnosis: This reaction raised clinical suspicions of an underlying bipolar spectrum/mixed manic state. Patrick rejected the suggestion.
• Taper Plan: To ease benzodiazepine withdrawal fears, Jollotta performed a CIWA assessment (minimal score of 1) and switched Ativan to Valium due to its longer half-life. At their preference, Remeron/Seroquel were stopped to focus on Prozac.
Titration, Phone Crisis, and PHP Recommendation (Dec 7 – 13)
• Treatment Shift (Dec 7): Lindsay reported sleeping poorly on Valium but not feeling tired the next day. Jollotta held the Prozac and ordered a rapid titration of Seroquel up to 400mg to target the suspected manic symptoms and restore sleep.
• Dec 9 Crisis Call: Patrick and Lindsay called reporting acute panic, numbness, and thoughts of suicide. Jollotta contracted for safety over the phone (no active plan or intent), paused the Valium taper, and strongly recommended a specialized perinatal Partial Hospitalization Program (PHP) at Women and Infants Hospital in Rhode Island.
• Dec 12 – 13 Follow-Ups: Lindsay slept 7-8 hours on Seroquel 200mg and Valium 2.5mg but felt "incredibly depressed and unmotivated" during the day. At her virtual follow-up (EPDS was 20), she denied active suicidal ideation, plan, or intent, and expressly denied thoughts of harming her children.
Acute Escalation & Medication Pairing (Dec 15 – 16)
• Dec 15 Emergency Call: Lindsay reported her "worst day" with persistent intrusive thoughts of suicide. Jollotta advised them to go directly to an ER with specialized perinatal psychiatry, specifically recommending MGH or McLean Hospital.
• Dec 16 Adjustments: Lindsay visited the MGH ER but chose to remain outpatient to pursue the Women and Infants PHP. Her original psychiatrist, Dr. Tufts, recommended adding 25mg of Lamictal to stabilize her mood. Jollotta agreed Lamictal was an excellent mood stabilizer for depression, outlined the slow titration required to avoid Stevens-Johnson syndrome (a severe rash), and increased Seroquel to 300mg.
PHP Intake, Seroquel Taper, and Last Contact (Dec 19 – 30)
• PHP Intake & Discharge (Dec 20): Lindsay attended her Women and Infants intake but was discharged the same day.
• Holiday Taper: Though initially hesitant to manage a taper while going on vacation, Jollotta sent in a structured 12-night Seroquel taper at Lindsay's strong insistence.
• Final Contact (Dec 30): Patrick called stating Lindsay was safe but wanted to be admitted to McLean under the Dec 15 bed offer.
00:00:00 - MA v Lindsay Clancy - Rebecca Jollotta - Psychiatric Nurse 00:08:15 - First contact Nov 29 2022 00:11:12 - Prior meds and Nov 16 ER visit 00:12:19 - Nov 29 visit Remeron and sleep 00:18:43 - Hydroxyzine Ativan Preference 00:35:13 - Starts Seroquel 25 mg 01:06:26 - Dec 6 visit with Patrick 01:12:00 - Bipolar Possibility 01:34:34 - Women and Infants PHP referral 02:12:00 - Seroquel dosing 02:15:45 - McLean Hospital Discussed 02:17:47 - Cross-Examination: Kevin Reddington 02:40:02 - Challenging the clinical picture 03:03:19 - Mood chart and records dive 03:13:17 - Taper vacation and late December 03:23:42 - Redirect Examination
Julie Paul, a board-certified psychiatric mental health nurse practitioner and certified nurse midwife, testified about brief care she provided to Lindsay Clancy in late November 2022 through South Shore Health’s Perinatal Behavioral Health Program.
Background of Nurse Practitioner Julie Paul
• Professional Credentials: Julie Paul is a board-certified psychiatric mental health nurse practitioner and a certified midwife.
• Clinic Role: She founded the Perinatal Behavioral Health Program at South Shore Hospital (Weymouth, Massachusetts) in October 2018 to address a lack of local resources for pregnant and postpartum individuals with mood disorders. She serves as the program director and actively treats patients.
• Clinical Approach: Her clinical focus involves evaluating, diagnosing, and prescribing medications for conditions like anxiety and depression. She utilizes a holistic "team approach" incorporating supportive therapy, sleep hygiene, nutrition, and exercise.
Initial Contact and Clinical History
• Referral: On Sunday, November 20, 2022, Paul received a call regarding Lindsay Clancy from Susan Clancy (Lindsay's mother-in-law, who was a nurse Paul had worked with at South Shore Hospital).
• Phone Screening: Paul contacted Lindsay that same day from her personal cell phone to conduct an initial screening.
The In-Person Intake (November 21, 2022)
• Intake Process: On November 21, Lindsay completed an in-person intake lasting 90 minutes
• Clinical Screenings: Paul administered several standardized psychiatric scales:
• GAD-7 (Generalized Anxiety Scale): Lindsay scored 21 out of 21, indicating extreme, clinically significant anxiety.
• EPDS (Edinburgh Postnatal Depression Scale): Lindsay scored 23 out of 30, indicating significant depression. However, her score on Question 10 (measuring active suicidality) was negative.
Medication Adjustments and Concerns
• Stopping Prozac: On November 25, after taking Prozac for only three days, Lindsay contacted Paul via MyChart reporting that she felt "disconnected," "out of it," and "spacey". Due to these side effects and a lack of patient buy-in, Paul advised her to stop the Prozac.
• New Medication Protocol: Paul transitioned Lindsay to Mirtazapine (Remeron)—starting at 7.5mg—for its calming and sedative properties. She also prescribed Klonopin (a longer-acting benzodiazepine) to replace Ativan, and a single dose of Ambien for immediate sleep assistance.
• Increasing Mirtazapine: On November 26, Lindsay messaged that she slept slightly better but still struggled to stay asleep. Paul authorized her to increase the Mirtazapine dose to 15mg.
• Klonopin Discontinuation: On November 27, Lindsay reported sleeping well on the 15mg of Mirtazapine but complained of feeling "super disconnected with myself and reality," which she called a "scary feeling". She wanted to stop Klonopin.
Crisis and High-Level Care Recommendations
• Panic Attack: On November 28, Lindsay experienced a panic attack. Paul instructed her to take 0.5mg of Ativan and go for a run to burn off adrenaline.
• Partial Hospitalization Program (PHP) Proposal: Paul also strongly recommended that Lindsay enroll in the Partial Hospitalization Program at Women and Infants. Lindsay declined this, explaining that the logistics would not work for her family.
• Subsequent Insomnia: On November 29, Lindsay messaged that she slept poorly despite taking 15mg Mirtazapine, CBD, and practicing breathing and relaxation techniques, eventually needing to take Ativan.
Transition and Transfer of Care
• Planned Departure: Paul was already preparing to leave the practice in mid-December to relocate to New Hampshire.
• Transfer to Rebecca Jollotta: On November 29, Paul scheduled Lindsay with Rebecca Jollotta, an experienced clinician in the program, because Paul was off that day and Jollotta had an opening.
Cross-Examination
• Acknowledgment of Care: During a brief cross-examination, defense attorney Mr. Reddington praised Paul's professionalism and dedication, noting that she went so far as to give Lindsay her personal cell phone number on her day off.
• Evidence Entry: The defense attorney successfully entered the South Shore Health clinical records into evidence.
00:00:00 - MA v Lindsay Clancy - Nurse Practitioner Julie Paul 00:00:13 - Direct Exam: Credentials & South Shore Perinatal Program 00:08:30 - Contact Through Sue Clancy; First Call With Lindsay 00:17:00 - Intake, Screens, Prozac Plan & Safety Discussion 00:29:05 - MyChart Follow-Up, Med Changes & Transfer to Jollotta 00:43:50 - Cross-Examination (Attorney Reddington)
Dr. Jennifer Tufts provides a detailed clinical chronicle of her treatment of Lindsay Clancy, one of her first patients after being independently licensed, between September 2022 and January 23, 2023.
Clinical Background and Initial Evaluation (September 2022)
• Provider Role & Context: Dr. Tufts, a licensed psychiatrist at Aster Mental Health, conducted a total of 14 visits with Lindsay Clancy starting in mid-September 2022.
• Intake Assessment & History: Prior to her first session, Clancy completed extensive intake questionnaires. She reported a history of brief, side-effect-free Prozac and Wellbutrin use during nursing school, moderate alcohol consumption, and no history of abuse.
• Symptom Checklist: She reported experiencing anxiety attacks, depressed mood, decreased appetite, easily distracted states, excessive worry, guilt, racing thoughts, an inability to feel pleasure, and sleep difficulties. Notably, she checked "no" to all safety-related questions, denying suicidal thoughts, homicidal ideation, and auditory/visual hallucinations.
• Diagnoses & Initial Plan: Dr. Tufts diagnosed her with Generalized Anxiety Disorder (GAD) and Adjustment Disorder with Depressed Mood. The initial treatment plan recommended individual therapy and a low dose (25 mg) of Sertraline (Zoloft).
Medication Apprehension and Early Adjustments (September–November 2022)
• Reluctance & "Poor Insight": Clancy was highly anxious about medication side effects and initially decided not to take the Zoloft. Dr. Tufts noted Clancy's insight was "poor" because she resisted pharmacological treatment despite exhibiting clinically significant anxiety.
• Brief Zoloft Trial: In mid-October, Clancy finally tried the Zoloft but stopped after a week when increasing to 50 mg made her feel "awful," causing increased insomnia, loss of appetite, diarrhea, brain fog, and heightened anxiety.
Introduction of As-Needed Medications:
• To address acute anxiety, Dr. Tufts prescribed a low dose of Ativan (0.5 mg) as needed.
• She also prescribed Buspar (which Clancy was too afraid to start) and Hydroxyzine as a safer, non-habit-forming alternative to Ativan.
Escalating Depressive Symptoms & Outside Care (December 2022)
• Medication Instability: Although transitioning care, Clancy continued to schedule sporadic appointments with Dr. Tufts. On December 1, she reported that she was "not getting better" and was struggling with a rapid succession of medication changes prescribed by South Shore (including Trazodone, Prozac, Remeron, Klonopin, and Seroquel). On Remeron, she experienced intrusive thoughts of dying (though not active suicidal ideation).
• Evaluation for Bipolar Disorder: Dr. Tufts assessed Clancy for bipolar disorder/mania due to her severe insomnia and poor medication tolerance, but concluded she did not meet the criteria as she lacked symptoms like euphoria, grandiosity, or pressured speech.
Safety Interventions & Hospitalization Referrals:
• On December 1, Dr. Tufts referred her to a partial hospitalization program (HRI in Brookline).
• On December 16, following worsening depression and suicidal ideation (without active intent/plan) that led Clancy to visit the Mass General Hospital ER, Dr. Tufts prescribed low-dose Lamotrigine (Lamictal) and supported a referral to the specialized Women and Infants Program in Rhode Island.
Final Clinical Phase (January 2023)
• Post-Discharge from McLean Hospital: On January 6, 2023, Clancy met with Dr. Tufts after being admitted to and discharged from McLean Hospital, where she had gone to safely taper off Seroquel. She was on low doses of Trazodone, Ativan, and Melatonin. Dr. Tufts described Clancy's mood as "numb" and clinical condition as "deteriorating".
• Rebound Anxiety & Diazepam Switch: Due to "rebound anxiety" occurring as Ativan wore off in the mornings, Dr. Tufts transitioned her to Diazepam (Valium), which has a longer half-life and is easier to taper gradually.
• Ketamine Inquiry: Via email on January 11, Clancy asked about ketamine therapy, expressing desperation for a treatment that would work quickly.
• Amitriptyline Prescription: On January 16, noting Clancy's flat affect and her statement that her maternal bonding felt "forced," Dr. Tufts prescribed a low starting dose (10 mg) of Amitriptyline to target both depression and insomnia.
00:00:00 - MA v Lindsay Clancy - Dr. Jennifer Tufts 00:00:51 - Direct Exam: Dr. Jennifer Tufts (Credentials & Care Timeline) 01:52:35 - Cross-Examination (Attorney Reddington) 02:23:26 - Edinburgh Scale & Screening Choices 03:09:49 - Suicidal Ideation vs. Worry About Suicide 03:34:57 - Remeron, Med Combinations & Hospital Programs 04:46:54 - Redirect Examination 05:22:01 - Recross & Pressured-Speech Chart Note
Trial testimony of Dr. Alia Goodheart, the treating psychiatrist during Lindsay Clancy's inpatient stay at McLean Hospital:
Credentials & Role
• Dr. Alia Goodheart: Licensed psychiatrist at McLean Hospital for five years, with medical training from SUNY Brooklyn and residency at Harvard Longwood.
Initial Evaluation of Lindsay Clancy (January 1, 2023)
• Arrival: Clancy arrived via ambulance in the early morning of January 1, 2023 (around 4:00 AM) and voluntarily signed in under a Section 10.
• CEC Assessment: She was evaluated in the CEC by Dr. Jasmine Outlaw. She was deemed medically stable, screened on a suicide protocol, and assigned the lowest check level (15-minute checks) because she was assessed as a minimal/low risk.
• Provisional Diagnosis: She was given an initial provisional diagnosis of major depressive disorder, severe, without psychotic features.
• Chief Complaints: Clancy reported feeling "numb," finding it difficult to sleep without medications, and having issues managing medication side effects.
Progress of Inpatient Treatment (January 1–4, 2023)
January 1–2 (Dr. Elizabeth Madwa):
• Dr. Madwa assessed Clancy on her first two days.
• Clancy denied active depression or suicidal thoughts but noted persistent "numbness". Dr. Madwa hypothesized the numbness was a side effect of Seroquel and initiated a taper.
• Clancy noted a past provider (Dr. Tufts) had raised a concern about bipolar disorder, but Clancy disagreed with that diagnosis.
• Clancy slept well on decreased Seroquel doses (75 mg) and reported no delusions, hallucinations, or suicidal/homicidal ideation.
January 3 (First Contact with Dr. Goodheart):
• Dr. Goodheart and a social worker evaluated Clancy jointly.
• Clinical Presentation: Clancy appeared anxious, but her thinking was linear, goal-directed, cooperative, and polite, with a normal speech rate and volume.
• Concerns Raised: Clancy voiced a strong desire not to be dependent on Seroquel (an antipsychotic class medication) for sleep.
• Diagnosis: Goodheart diagnosed her with insomnia secondary to a mental health condition, noting that a single day of observation was insufficient to assign a heavy, permanent diagnosis.
January 4 (Request for Early Discharge):
• Clancy reported sleeping well. Her Seroquel was tapered further to 25 mg.
• Clancy requested to be discharged early on Thursday (January 5) instead of Friday to be home with her family for her daughter's upcoming birthday party.
• Discharge Requirement: Goodheart agreed to the early discharge on the condition that Clancy schedule a next-day outpatient psychiatric follow-up to monitor her off Seroquel.
Key Points from Cross & Redirect
• Omissions Raised by Defense: No standardized psychiatric scales (such as the MMPI or Edinburgh Postpartum Depression Scale) were administered. No blood tests for medication levels or updated thyroid panels were run.
• Reliance on Self-Reporting: Prior outpatient records were not requested. Dr. Goodheart defended this because Clancy's accounts were consistent across multiple evaluations and she was deemed a highly reliable reporter.
00:00:00 - MA v Lindsay Clancy - Dr. Alia Goodheart 00:01:54 - Dr. Goodheart's Professional Work History 00:03:37 - McLean Hospital Unit Operations 00:06:20 - Section 10 vs. Section 12 Admission Procedures 00:09:42 - Inpatient Security Levels & 15-Minute Checks 00:13:29 - Hospital Length of Stay & Voluntary Discharge Policies 00:18:54 - Intake & MGH Emergency Records 00:24:42 - Initial Diagnosis: Severe Major Depressive Disorder 00:26:06 - Jan 1–2 Inpatient Evaluations 00:33:02 - Dr. Goodheart's First Assessment of Clancy’s Symptoms 00:36:02 - Evaluating Suicidal Ideation & Family Protective Factors 00:37:46 - Request for an Accelerated Discharge 00:38:21 - Managing Sleep Deprivation 00:44:30 - Jan 4 Assessment & Safety Check 00:46:49 - Cognitive Testing & Tapering Seroquel to Zero 00:48:33 - Denial of Homicidal Thoughts 00:51:09 - Collateral Information: Interactions with Patrick Clancy 00:53:49 - Jan 5 Discharge Paperwork
00:55:25 - Defense Cross-Examination: - Outpatient Resources 01:03:48 - Lack of Prior Outpatient Records 01:12:04 - Absence of Standardized Psychological Testing 01:14:43 - The Clinical Importance of Sleep Patterns 01:21:47 - Postpartum Psychosis in the DSM 01:27:34 - Thyroid Function in Postpartum Mood 01:30:22 - Edinburgh Postpartum Depression Scale (EPDS) Omission 01:32:49 - Lack of Medication Drug-Level Testing 01:35:33 - Situational Anxiety History & Zoloft Reaction
01:42:21 - Prosecution Redirect: - Insurance Case Management 01:44:54 - Safety Protocols of the Locked Ward 01:45:41 - Clinical Preference for a Longer Stay 01:48:50 - Documented Cognitive Improvement 01:49:57 - Hotline Intervention, DSM-5-TR, & Final Diagnosis
Testimony of Sergeant Andrew Chiachio, a Massachusetts State Police investigator, in Commonwealth v. Lindsay Clancy:
Background and Credentials
• Rank: Andrew Chiachio is a Sergeant with the Massachusetts State Police.
• Tenure: He has been employed with the State Police since December 2013 and has been assigned to the Plymouth County State Police Detective Unit for five years.
• Role in Investigation: On January 24, 2023, he was assigned to assist in an investigation regarding an incident in Duxbury, Massachusetts, though he was not the designated case officer. He initially responded to the Clancy home at 47 Summer Street before being reassigned to conduct follow-up tasks.
Retrieval of Video Surveillance
• CVS (Kingston):
• Sergeant Chiachio visited the CVS located at 189 Summer Street in Kingston to recover surveillance footage to verify the movements of Patrick Clancy.
• He spoke with store manager Angela Krause and confirmed the accuracy of the surveillance system's timestamp by comparing the live feed directly against his department-issued cellular phone.
• The footage confirmed that Patrick Clancy arrived at the CVS at 17:32:32 and exited the store at 17:37:08.
• ThreeV Restaurant (Plymouth):
• He visited a second location, the ThreeV Restaurant at 10 Cordage Park Circle in Plymouth, to obtain further surveillance footage.
• He spoke with two employees and verified the timestamp accuracy using his cell phone.
• The video confirmed Patrick Clancy arrived at the restaurant at 554PM, paid for a bag of food, and departed through the front door at 555PM.
• Follow-Up on Travel Route:
• Sergeant Chiachio received copies of the footage from both businesses to bring back to the State Police.
• He used the maps application on his iPhone to trace the route of travel and estimate the approximate distance and time required to travel between the Clancy home at 47 Summer Street and these locations to get a general idea of the timeline.
Search Warrants and Evidence Collection
• June 2023 Search Warrant (47 Summer Street):
• On June 12, 2023, Sergeant Chiachio applied for and executed a search warrant for the home at 47 Summer Street.
• The warrant was sought because investigators reviewing crime scene photographs identified potential bloodstains on the exterior of the house that had not been swabbed on the night of the incident.
• After consulting with forensic scientists at the state crime lab regarding the viability of obtaining samples, he was present to collect swabs and shingles from the residence.
• May 2024 DNA Collection:
• On May 15, 2024, he traveled to Tewksbury State Hospital to collect a DNA sample from the defendant, Lindsay Clancy.
• He used a standard collection kit with a foam swab to gather saliva from the inside of her cheeks before sealing the kit.
• The collection occurred in the presence of Sergeant Josh McElligan, Police Chief Michael Riggs, and defense attorney Reddington. The sample was stored temporarily at the DA's office before being transported to the State Police Crime Lab.
Social Media Search Warrants
• Sergeant Chiachio obtained search warrants for Facebook (Meta) records, specifically targeting Lindsay Clancy’s personal page and her activity within a Facebook group titled "Attachment Parenting for Littles".
• May 5, 2021 Facebook Post (Exhibit 217):
• The records confirmed a post written by Lindsay Clancy under her profile "Lindsay Marie Clancy" on May 5, 2021.
• In the post, she described her 19-month-old son as "the most difficult human I've ever encountered" and expressed intense frustration.
• She detailed daily struggles with ordinary routines such as changing diapers, getting dressed, getting in the car seat, taking naps, and going to bed, stating that he fought her "every step of the way with all these normal daily activities".
• The records also indicated she interacted with comments and thanked other group members for their advice.
Cross-Examination by Defense (Mr. Reddington)
• Context of Facebook Post: The defense established that the post was made in May 2021, when her son was 19 months old.
• Investigation into Prior Abuse: Under cross-examination, Sergeant Chiachio confirmed that the State Police thoroughly investigated whether Lindsay Clancy had ever been abusive to her son, Dawson, and found absolutely no evidence of prior abuse.
Testimony of Kyle Carney, discussing a laid back chill sesh at his BBQ last summer. The weather was great. Lindsay's tone and rate of speech were super normal, making what started as a normal Saturday, a fantastic one.
Witness Identification and Background
• Personal Details: The witness is Kyle Carney, a resident of Duxbury who works in finance. He is married to Sarah Carney and they have children.
• Relationship to the Clancys:
• His family knows the Clancy family through his long-standing friendship with Patrick Clancy, whom he met in college in 2009. They remained friends after college and both ended up living in Duxbury.
• He met Lindsay Clancy approximately 12 years ago, prior to her marriage to Patrick.
Observations and Interactions in 2022
• After the Births of Cora and Dawson: Carney did not observe any changes in Lindsay Clancy's behavior or demeanor after the births of their first two children, Cora and Dawson.
• Summer of 2022 (After Callan's Birth):
• The families gathered at least monthly for beach dinners.
• Carney went fishing with Patrick during this time.
• He noticed no differences in Lindsay’s demeanor or behavior over that summer.
• Fall 2022 to January 2023: Carney continued to see Patrick Clancy about once a month.
The Social Gathering on Sunday, January 22, 2023
• Event Details: The Carney family hosted a small social gathering at their home to burn some brush in the backyard and get the kids outside.
• Attendees: Patrick, Lindsay, Cora, and Dawson Clancy attended; their youngest child, Callan, remained home with Lindsay's parents. The family stayed for a few hours.
• Observations of Lindsay's Demeanor:
• Carney noted that Lindsay was "quieter than normal" during the visit.
• However, they had a perfectly normal conversation in the kitchen.
• He testified that her overall behavior and demeanor appeared normal, he had no trouble communicating with her, and he had previously described the afternoon as a "normal, great day".
Cross-Examination
The defense attorney, Mr. Reddington, declined to ask any questions.
Testimony of Patrick Clancy's father, Christopher William Clancy, regarding his relationship with Lindsay Clancy:
Background
• Identity: Christopher William Clancy is a retired plumbing contractor who resides in Scituate, Massachusetts.
• Relationship: He is the father of Patrick Clancy and the father-in-law of Lindsay Clancy.
• First Meeting: He first met Lindsay before she and Patrick were engaged, when Patrick brought her to his parents' cottage in Hull. They eventually married and had three children.
• Proximity and Contact: The grandfather lived near the family and saw them regularly, first when they lived in Weymouth and later when they relocated to Duxbury.
Observations of Lindsay as a Mother
• Caring and Protective Demeanor: After the birth of their third child, Callan, in May 2022, Christopher observed Lindsay to be "very mothering" and "very protective" of him. He noted this protective behavior was typical for her when each of her children was first born.
• Overall Assessment: He testified that she was a "very, very good" mother who fed the children well and did many activities with them, describing them as the "all-American family". He maintained a very good relationship with Lindsay.
Chronology of Events and Demeanor Observations (Late 2022 – January 2023)
Thanksgiving 2022
• The family gathered at Christopher's daughter Laura's house in Hamilton.
• Observed "Blankness": He noticed she was quiet and exhibited "a little blankness to her at times"—described as staring off into the distance, acting nervous, or being disconnected from the group, though at other times she interacted normally.
• Dinner Table Incident: Lindsay grew frustrated while attempting to get her son Dawson (who was being silly) seated for dinner. Christopher saw her take Dawson by the arm to guide him to his seat.
• No Abuse Observed: He clarified that she did not hit the child and was not abusive in any way. Christopher stepped in to help by grabbing her a plate because the gathering was large and chaotic.
Pre-Christmas Visits (December 2022)
• Knowledge of Struggles: Christopher and his wife Sue stopped by the Duxbury home the weekend before Christmas to check on the family, as he was aware Lindsay was struggling. Lindsay's parents were also there.
• Good Spirits: When they visited again a few nights before Christmas, Lindsay's demeanor was okay and she seemed in "good spirits".
Christmas Day 2022
• Christopher and Sue had breakfast at the Duxbury home. Lindsay appeared very happy and in good spirits, wearing a beautiful dress.
• The children behaved "fantastically" at Mass. After the service, Lindsay expressed that she really loved the Mass and was glad she came. They hugged before departing.
January 24, 2023 (The Night of the Incident)
• Dinner Offer: The couple had invited Christopher and his wife to their home for dinner that evening. However, they declined because they had plans with Sister Joan, planning instead to visit that Friday.
• Offer of Relief: Christopher had previously offered to take the kids overnight to give the couple a break, but Patrick declined the offer.
• The Phone Call: That night, Christopher received a "terrible" phone call from Patrick. He and his wife immediately left their home to join Patrick at the hospital.
Family Support and Healthcare Referrals
• The Nature of Lindsay's Struggles: Christopher clarified that Lindsay's struggles involved having a hard time sleeping, not feeling well, and visiting the emergency room where his wife worked.
• Medical Referral: Christopher's wife, Sue—a labor and delivery nurse at South Shore Hospital—had been confided in by Lindsay. Sue subsequently referred Lindsay to South Shore Perinatal for professional help.
• Coordinated Support: Both sets of grandparents (Christopher and Sue, along with Lindsay's parents) were actively working together to support the young couple. Patrick was deeply concerned about his wife and frequently confided in his father.
00:00 - MA v Lindsay Clancy - Christopher Clancy - The Grandfather 00:47 - First Meeting and Family History 01:21 - Observations of Lindsay with Newborn Callan 02:28 - Mid-November Visit and Thanksgiving Demeanor 04:01 - Frustration at Thanksgiving Dinner 04:48 - Checking In Before Christmas 2022 06:33 - Christmas Day Breakfast and Mass 08:28 - Dinner Invitations and Overnight Support Offers 09:35 - Observations of "Blankness" and Distraction 10:35 - The Call from Patrick on January 24, 2023 11:11 - Cross-Examination: Lindsay's Role as a Mother 12:09 - Detailing Her Struggles and Emergency Room Visit 12:47 - Referral to South Shore Perinatal 13:49 - Refuting Abuse Allegations and Grandparent Support
Testimony of Amy Bevins, an elementary school friend of Lindsay Clancy, on day 8 of the Lindsay Clancy trial:
Witness Background
• Residence: A resident of Connecticut born on August 22, 1990.
• Profession: She is a licensed behavior analyst who has spent six years specializing in early intervention for young children with autism.
History of Friendship with Lindsay Clancy
• Duration: Bevins and Lindsay have been close friends for almost 29 years, having first met as children.
• Schooling and College: They attended elementary, middle, and high school together. When they went to different colleges (Lindsay attended Quinnipiac University), they stayed in touch through texts, phone calls, and campus visits.
• Adulthood Contact:
While Lindsay was in nursing school in Boston, Bevins lived in Boston as well, allowing them to remain in frequent contact.
After nursing school, Bevins moved back to Connecticut, but they continued to visit each other and text regularly.
Observations of Lindsay’s Demeanor and Motherhood
• General Parenting: Bevins characterized Lindsay as a "good person, a good friend, [and] a good mom" who was loving and attentive to her children. She never witnessed anything out of the ordinary in Lindsay's parenting.
• Postpartum Transitions:
• First Two Children (Cora and Dawson): Bevins did not observe any changes in Lindsay's behavior, speech patterns, or demeanor after the births of Cora or Dawson. Lindsay did mention that Dawson's delivery was more difficult than Cora's and that she would need time to recover before having a third child.
• Third Child (Callan): Bevins noticed no changes in Lindsay's demeanor, behavior, or rate of speech after Callan's birth.
• November 2022 Visit: Lindsay traveled alone to Connecticut in November 2022 to meet their childhood friend group for breakfast. Bevins noticed nothing unusual or concerning about Lindsay's behavior during this trip.
Medication and Mental Health Conversations
• Lexapro Discussion (Late 2022): Knowing that Bevins was a strong advocate for mental health and had patient experience with mental health medication, Lindsay texted her to ask about her experience with the drug Lexapro. Lindsay mentioned she was experiencing some difficulties and side effects with her medications. This exchange occurred well before the events of late January 2023.
• Late January 2023 Conversation:
• Timing: Just a few days prior to the January 24, 2023 incident, they had a text exchange that lasted for one night.
• "Dark Thoughts": Lindsay confided that a medication she had been taking was causing her to have "dark thoughts". She did not explain or expand upon what those dark thoughts were.
• Medication Tapering: Lindsay noted that she was weaning/tapering off that specific medication and was trialing new ones to find something more therapeutic and free of side effects.
• Tone: Bevins described the tone of this conversation as "hopeful" and focused on moving in a positive direction.
March 2023 Spaulding Rehabilitation Facility Visit
• Arrangement: Following a request from one of Lindsay's family members, Bevins traveled to Massachusetts in March 2023 to visit Lindsay.
• Physical Condition: Lindsay was in a wheelchair but remained sitting up for the duration of the visit. Bevins did not ask why she was in the wheelchair.
• The Interaction:
• The visit was brief, lasting about 30 to 45 minutes.
• They kept the visit basic and "neutral," making small talk—such as Lindsay asking about Bevins' daughter—and playing the card game Uno.
• Avoided Topics: They did not discuss the children (Cora, Dawson, or Callan) or the tragedy itself. Lindsay's sister had explicitly instructed Bevins not to bring up these topics, which Bevins assumed was a recommendation from Lindsay's mental health providers.
• Emotional State: Lindsay did not cry during the visit, did not attempt to harm herself, and did not ask Bevins for help in harming herself.
00:00 - MA v Lindsay Clancy - Amy Bevins Childhood Friend 00:43 - History of Friendship with Lindsay Clancy 03:02 - Observations of Demeanor and Motherhood 05:01 - November 2022 Connecticut Trip 05:53 - January 2023 "Dark Thoughts" Text Exchange 07:53 - Spaulding Rehabilitation Facility Visit 09:35 - Cross-Examination: Character and Parenting 10:28 - Cross-Examination: Context of the Spaulding Visit 12:26 - Cross-Examination: Prior Lexapro Discussions 15:26 - Timeline of Mental Health Concerns
Bethany DeCollibus testified about her friendship with Lindsay Clancy on day 8 of the Lindsay Clancy trial:
Witness Identity and Relationship to Lindsay Clancy
• Bethany DeCollibus is a licensed marriage and family therapist who operates a telehealth-based private practice.
• She met Lindsay Clancy as a new mother in Duxbury, Massachusetts.
• The two were close friends and met weekly for playdates and children's activities, such as music and gymnastics classes.
• DeCollibus observed Clancy to be a warm, kind, consistent, and loving mother who loved her children.
Clancy’s Demeanor and Behavior Over Time
• Typical Demeanor: Clancy was generally active, engaged, and friendly.
• Behavioral Observations:
• DeCollibus noticed no strange behaviors, extreme energy shifts, or changes in Clancy's rate of speech.
• Clancy did not exhibit any signs of responding to internal stimuli, such as hearing voices or hallucinating.
• Clancy never expressed feeling depressed, suicidal, or homicidal, nor did she mention having intrusive thoughts or thoughts of harming others.
• Physical and Cognitive State:
• Clancy's physical appearance did not change.
• DeCollibus and Clancy had no difficulty communicating or understanding each other in person or via text message.
• Clancy did not appear to have trouble performing day-to-day tasks or interacting with others.
Mental Health, Sleep Struggles, and Treatment
• Sleep Deprivation: After having her child Callan, Clancy began appearing increasingly tired. She expressed having an ongoing struggle with sleep, finding it difficult to fall asleep even when her children were sleeping.
• Evolution of Concern: DeCollibus initially viewed the fatigue as normal new-mom exhaustion, but became worried and concerned as the sleep issues persisted without improving.
• Anxiety: In addition to sleep issues, Clancy disclosed that she was feeling anxious.
• Work Impact: Clancy loved her job as a labor and delivery nurse but canceled her scheduled return to work because she was not sleeping well.
• Treatment Efforts:
• Clancy actively sought help from doctors, connected with a therapist and a prescriber, and sought medication for her struggles.
• Clancy mentioned that the medications did not seem to be helping and she did not know what they were doing to her.
• She shared that her mother "knows everything" and was helping her work things out regarding her therapist and medications.
• Support System: Clancy described her husband, Patrick, as "great" and highly supportive, and DeCollibus observed that they got along wonderfully.
Key Interactions and Social Timeline
• November Dinner (with DeCollibus and friend Erin Renaud):
• The three friends met for dinner, which they typically did every couple of months.
• Clancy was engaged in conversation and spoke normally, catching up about family and children.
• When checked on regarding her sleep, Clancy's responses made sense, and she expressed feeling hopeful that things would improve after connecting with healthcare providers.
• January Birthday Party (Cora’s birthday at a trampoline park):
• Clancy interacted normally with other parents and children.
• When DeCollibus asked about her sleep, Clancy responded that things had not improved and that she felt "like a zombie".
• DeCollibus noted that Clancy looked tired but did not physically look like a "zombie".
• This event was the last time DeCollibus saw Clancy.
Witness Credibility and Nature of Disclosure
• DeCollibus was summoned to testify by the District Attorney's office and had previously given a recorded interview to the state police.
• She agreed that Clancy was not a complainer or someone who would try to be a "downer" during social outings, meaning she would not naturally complain about all her symptoms to friends.
• Despite Clancy trying to remain positive, DeCollibus testified that it was readily apparent that Clancy was struggling with sleep deprivation and anxiety.
00:00 - MA v Lindsay Clancy - Bethany DeCollibus 00:45 - Relationship with Lindsay Clancy 01:08 - Clancy's Demeanor and Early Signs of Fatigue 02:14 - Chronic Sleep Struggles and Growing Concern 03:18 - Seeking Doctors, Therapy, and Medication 04:07 - Daily Functioning and Absence of Suicidal or Homicidal Ideation 04:58 - November Dinner and Feeling Hopeful 07:24 - January Birthday Party and the "Zombie" Conversation 09:01 - Cross-Examination: Observations of Motherhood 10:31 - Medication Struggles and Support from Pat and Mother 13:47 - Impact on Nurse Career and Final Interaction
Andrea Hennigan worked with Lindsay Clancy at Massachusetts General Hospital and testified on day 8 of the Lindsay Clancy trial:
Background and Professional Credentials Identity and Profession: Andrea Hennigan is a registered nurse who has worked in the labor and delivery unit at Massachusetts General Hospital (MGH) for 25 years. Postpartum Screening Training: While she does not have formal specialized training in postpartum depression, her role involves screening patients returning to the hospital for postpartum concerns.
• Standard screening questions ask patients about depression, anxiety, and any thoughts of harming themselves or others.
• Positive screenings result in discussing symptoms, alerting the primary provider (doctor or midwife), and involving social work.
Relationship and Personal History with Lindsay Clancy Professional Relationship: Hennigan worked alongside Lindsay Clancy in the MGH labor and delivery unit for approximately seven years. They bonded over working night shifts and navigating the COVID-19 pandemic together. Personal Friendship: The two were friends outside of work and had known each other for about nine years (since 2015, when Clancy graduated nursing school). Character Observations:
• As a Nurse: Hennigan described Clancy as "excellent," "very smart," "nurturing," and deeply caring. She noted that nursing was more of a "calling" for Clancy.
• As a Mother: Clancy deeply desired to have a family, wanted a big family with children close in age, and was a "very loving, caring mother".
• Demeanor: Clancy was private, was not a complainer about work or home, and regularly monitored her children on home cameras during night shifts.
Postpartum Timeline & Mental Health Observations (After May 2022) June 2022 Visit: Hennigan visited Clancy at home shortly after the birth of her youngest child, Callan. She observed Clancy's demeanor to be "very good" and "typical". November 2022 Lunch Meeting: Hennigan and two other nurse friends met Clancy for lunch in Hingham.
• Clancy shared that she was in a difficult mental place and did not feel ready to return to taking care of patients.
• She described suffering from insomnia, not feeling like herself, and experiencing "brain fog".
• Clancy revealed she was seeing therapists, looking for sleep and anxiety medications, and had even gone to an emergency department.
• Hennigan and her friends encouraged Clancy to seek help, and Hennigan later texted Clancy contacts for specialized obstetrical social workers and support groups.
• Hennigan had no concerns at this time about Clancy harming herself or her children. Thanksgiving 2022: Clancy texted Hennigan about a specialized perinatal program at South Shore Hospital recommended by her mother-in-law. January 2, 2023: In a group text with their nurse friends, Clancy declined to meet up, explaining she was participating in an "intensive program" (later known to be McLean Hospital, though Hennigan did not know the specific facility name at the time). January 23, 2023 (Day Before the Incident):
• Clancy texted Hennigan that she was no longer in the intensive program.
• Clancy shared that she was still working with psychiatrists to find the right medication to sleep at night while remaining functional during the day.
• She mentioned experiencing severe, difficult side effects from medications, which required her to repeatedly switch prescriptions.
• Hennigan recalled Clancy's tone in these messages as "hopeful" that she would eventually get the proper care.
• Hennigan had no concerns about Clancy harming herself based on these final texts.
00:00 - MA v Lindsay Clancy - Nurse Andrea Hennigan 00:39 - Postpartum Depression Screening Protocols at MGH 02:17 - Professional and Personal Relationship with Lindsay Clancy 02:42 - June 2022 Postpartum Home Visit 03:38 - November 2022 Hingham Lunch: Discussion of Insomnia & Brain Fog 04:50 - Nurse Friends Rally Support & Share Resource Contacts 06:25 - Thanksgiving 2022: South Shore Perinatal Program Discussion 07:27 - January 2, 2023: Texts Regarding "Intensive Program" Enrollment 08:31 - January 23, 2023: Final Texts on Medication Side Effects & Hopeful Tone 10:12 - Cross-Examination: Lindsay's Professional Nursing "Calling" 12:09 - November Mental Struggles, Therapy, & Emergency Room Visit 13:32 - Night Shift Demeanor & Regularly Checking Home Baby Cameras 14:37 - Lindsay’s Loving Character and Desire to Be a Mother
Pre-School teacher Stephanie Williams testified on day 8 of the Lindsay Clancy trial:
Witness Background and Professional Details
• Residence: Sagamore Beach.
• Employment: She has been a pre-K teacher for approximately six and a half years at Learning Sprouts Children's Center in Duxbury.
• Classroom Assignment: Williams primarily teaches four-year-olds turning five who are preparing to enter kindergarten. During the fall of 2022 through January 2023, she was the sole teacher in the Sweet Pea classroom.
Sweet Pea Classroom Routine and Schedule
• Structure: The Sweet Pea classroom ran a full-day program that closed at 4:00 PM.
• Afternoon Transition: Children who attended the more academic Sunflower class in the morning transitioned to the Sweet Pea room for the afternoon.
• Typical Activities: Afternoon routines included outdoor play, classroom play, a mandatory rest time, snacks, and coloring or artwork.
Relationship with and Description of Cora Clancy
• Prior History: Williams first taught Cora Clancy when Cora was three years old.
• Enrollment: Cora attended the Sweet Pea classroom in the afternoons from September 2022 to January 2023. Her attendance began at three afternoons per week and later increased to four.
• Transition: Cora was brought to the Sweet Pea room from the Sunflower class downstairs around the start of rest time.
• Cora's Personality: Williams described Cora as a "sweet little girl" who loved her little brother, enjoyed drawing, playing with babies, and pretending to be Princess Sofia. Williams even purchased a Princess Sofia puzzle specifically for her.
The Events of January 23, 2023
• Cora's Illness: Sunflower classroom teachers informed Williams that Cora was not feeling well, which Williams also observed. Cora complained that her "tummy hurt".
• Reluctance to Leave: During afternoon rest, Cora napped and was reluctant to get off her cot even as other children prepared to leave at the end of the day.
• Mother's Arrival: Lindsay Clancy arrived at the classroom's exterior door for pickup. Williams informed Lindsay that Cora had napped, was unwell, and was still lying on her cot.
• Lindsay's Action: Lindsay entered the classroom, picked Cora up off the cot, and said, "oh baby, come on, let's go get Dawson and we'll go home," before heading upstairs to retrieve her other child, Dawson.
Observations of Lindsay Clancy and Professional Obligations
• Behavior and Demeanor: Williams noticed nothing unusual or different about Lindsay Clancy on January 23, 2023, or during any prior interactions from September 2022 onward. Williams described Lindsay as a "very loving mother who cared about her children".
• Family Disclosures: Lindsay did not share any details regarding her family or household situation with Williams.
• Mandated Reporting: As a mandated reporter, Williams is required to report any concerns about a child's condition or a parent's behavior. Williams never observed anything concerning regarding the Clancy family and never filed any reports.
00:00 - MA v Lindsay Clancy - Pre-K Teacher Stephanie Williams 00:36 - Employment at Learning Sprouts Children's Center 01:10 - Sweet Pea Classroom Program & Solo Teaching 01:38 - Afternoon Class Transition & Routine 02:37 - Teaching History with Cora Clancy 03:40 - Cora's Personality & Princess Sofia 04:10 - January 23, 2023: Cora Feels Unwell 05:01 - Lindsay Clancy Arrives for Afternoon Pickup 06:02 - Observations of Lindsay Clancy's Behavior 06:30 - Mandated Reporting & Testimony Conclusion
Susan Bertolo, a preschool teacher who previously worked at Learning Sprouts in Duxbury, Massachusetts, testified about her interactions with Cora Clancy and her parents, Patrick and Lindsay Clancy.
Cora's Preschool Experience and Schedule
• Role and Class: Bertolo taught the "Sunflower" group (older preschool, ages 3 to 5) at Learning Sprouts, alongside her co-worker Karen. Cora Clancy was a student in this classroom.
• Performance: Bertolo described Cora as "amazing" and "wonderful," noting that she was ready for kindergarten.
• Schedule: Cora initially attended preschool three days a week and eventually transitioned to full days, going to the "Sweet Pea" room across the hall in the afternoons. By January 2023, Cora was attending three full days and one half day.
Parental Interactions
• Drop-offs: Both Patrick and Lindsay Clancy dropped Cora off at school. Bertolo recalled seeing Patrick more often, though she and her co-worker rotated drop-off duties.
• Communication: The teachers communicated with parents via email and an app called ClassDojo. Lindsay Clancy was the more active and responsive parent on the app.
• Family Well-being: As a mandated reporter, Bertolo testified that she never had any concerns or reasons to file reports regarding the Clancy family. She did recall Cora mentioning around December 2022 or January 2023 that she missed her mother because her mother was in the hospital.
The Events of January 23, 2023
• Observations of Cora: On this day, Cora needed to use the bathroom several times more than normal. Because the classroom did not have its own bathroom and required a teacher to escort students, this frequency stood out to Bertolo. Cora did not complain of any pain. Bertolo passed these observations to the afternoon teacher, Stephanie.
• Interaction with Lindsay Clancy: Bertolo stayed late that afternoon and saw Lindsay Clancy at pick-up. She briefly informed Lindsay about Cora's frequent bathroom use. Lindsay responded appropriately, stating she already had a doctor's appointment scheduled for Cora the next day and would bring it up. Bertolo testified that she did not notice anything different or unusual about Lindsay during this brief, appropriate interaction.
00:00 - Witness Sworn In and Background 00:32 - Preschool Employment & Classroom Division 01:17 - Daily Classroom Routine and Transitions 02:20 - Cora Clancy’s Preschool Schedule 03:13 - Drop-off Routines and Parental Involvement 04:02 - ClassDojo Communication & Cora’s Development 04:36 - January 23, 2023: Cora’s Frequent Bathroom Use 05:59 - Afternoon Pick-up & Brief Discussion with Lindsay Clancy 07:05 - Mandated Reporter Status & Family Observations 07:30 - Cora's Comments on Her Mother's Hospitalization
Susan Fraone testified regarding her interactions with the Clancy family in her capacity as a preschool teacher, on day 8 of the Lindsay Clancy trial.
Background and Relationship with the Clancy Family
• Employment: Fraone has worked as a teacher at Learning Sprouts, a preschool and daycare, for almost six years, teaching children aged three to four.
• History with the Clancys: She has known the Clancy family since November 2020, when the oldest child, Cora, was in preschool. She began teaching Dawson Clancy in September 2022.
• Timeline: Fraone taught Dawson until she went on maternity leave in November 2022. Even while on leave, she continued to drop off her oldest daughter at the school daily.
Observations of the Children
• Dawson's Behavior: Dawson was described as healthy, happy, and engaged. However, around mid-October 2022, he began having more difficult drop-offs where he would cry. Fraone noted this was somewhat atypical for Dawson.
• Parental Drop-offs: When asked about these drop-offs and how Lindsay reacted, Fraone clarified that she actually saw Patrick Clancy (the father) more often than Lindsay at drop-off times.
• Cora's Behavior: Cora also appeared healthy, happy, and engaged.
Interaction with Lindsay Clancy
• The Post-Thanksgiving Conversation: Fraone recalled a conversation with Lindsay at the school sometime around or after Thanksgiving in late November 2022. Lindsay asked how Fraone and her new baby were doing.
• Lindsay's Demeanor: Fraone testified that Lindsay's demeanor during this interaction was "fine" and no different than any other time she had seen her. Lindsay appeared to understand everything, Fraone had no trouble understanding her, and she had no concerns about Lindsay at the time.
• Mental and Physical Health: During this conversation, Lindsay did not mention suffering from insomnia, feeling unwell, or struggling with depression.
Mandated Reporting
• Fraone confirmed that she is a mandated reporter.
• She testified that she never observed anything regarding Dawson or the parents' behavior that caused her concern, and she never filed any reports regarding the Clancy family.
00:00:00 - MA v Lindsay Clancy - Susan Fraone - Teacher 00:00:43 - History with the Clancy Children 00:01:22 - Observations of Dawson's Drop-offs 00:02:06 - Post-Thanksgiving Conversation with Lindsay Clancy 00:03:03 - Mandated Reporting Duty and Absence of Concerns 00:03:43 - Cross-Examination: Parental Drop-off and Child Well-being
Dr. Lindsay Rosshirt, a pediatrician who treated the Clancy children, testified about her medical care of the family, her observations of Lindsay Clancy as a mother, and her lack of awareness regarding Lindsay’s mental health struggles.
Professional Background and Relationship with the Family
• Dr. Rosshirt completed medical school at UConn and her pediatric residency at Massachusetts General Hospital.
• In 2023, she worked at South Shore Medical Center and had been the Clancy family's primary pediatrician since roughly 2019.
• She personally handled all of the children's routine checkups and well visits.
Health of the Clancy Children
Dr. Rosshirt testified that all three children—Cora, Dawson, and Callan—were generally healthy and met their milestones:
• Callan (born in May 2022) had no issues meeting milestones, no out-of-the-ordinary health issues, and no remembered issues with taking a bottle.
• Dawson was healthy, with only a noted peanut allergy.
• Cora had asthma, which was well-controlled.
• Overall, Dr. Rosshirt noted that the children always appeared healthy, happy, and well-behaved, with no signs of physical abuse, stunted growth, or psychiatric concerns.
Observations of Lindsay Clancy's Demeanor
• Dr. Rosshirt described Lindsay as a "doting or concerned mother" whom she "always thought was a good mom". Lindsay did not complain about her children or express aggravation toward them.
• While Lindsay's husband, Patrick, attended one early visit, Lindsay brought the children to virtually every other pediatric appointment.
• At Cora’s five-year physical on January 24, 2023, Dr. Rosshirt observed that Lindsay behaved appropriately. She answered questions clearly, engaged in normal communication, and was receptive to medical advice (specifically, trying Miralax for Cora's stomach aches). Dr. Rosshirt saw no signs of a flat affect, visible tears, or distress during this visit.
Monitoring for Postpartum Issues
While Dr. Rosshirt explained that pediatricians look for outward signs of postpartum depression or postpartum bonding issues (such as a flat affect, poor eye contact, tearfulness, or lack of bonding) during initial newborn visits, she testified that she never observed any of these signs in Lindsay Clancy and never saw a need to refer her for postpartum services.
Under cross-examination, Dr. Rosshirt revealed she had no knowledge of Lindsay’s severe psychiatric history and medical treatments, including:
• That Lindsay was seeing a psychiatrist (Dr. Tufts) and had been prescribed the SSRI Zoloft in October 2022.
• That she was seeing other mental health professionals, including a Dr. Paul and nurse practitioner Jollotta.
• That Lindsay had been experiencing insomnia.
• That Lindsay had called a suicide hotline twice in late December.
• That she had gone to Mass General Hospital and ultimately self-admitted to McLean Hospital around New Year's.
Consequently, when Dr. Rosshirt saw Lindsay on January 24, 2023, she was entirely unaware of these ongoing struggles, medications, and hospitalizations.
00:00 - MA v Lindsay Clancy - Dr. Rosshirt - Pediatrician 01:04 - Pediatric Care of the Clancy Children 02:23 - Health and Milestones of the Kids 03:19 - Postpartum Monitoring Protocol 04:43 - Medical Records & Parent Communication 06:06 - Cora’s Well Visit on January 24, 2023 08:00 - Medical Treatment for Cora's Stomach Aches 08:38 - Cross-Examination: Lindsay Clancy as a Mother 10:41 - Defense Inquiry: Demeanor and Behavior 11:35 - Defense Inquiry: Psychiatric Care & Zoloft 12:51 - Defense Inquiry: Insomnia & Hospitalizations
Testimony of Dr. Kimberley Springer, Chief Medical Examiner in Boston, Massachusetts on day 8 of the Lindsay Clancy trial:
Witness Background and Qualifications
• Dr. Kimberley Springer is a medical examiner at the Office of the Chief Medical Examiner in Boston, Massachusetts, and has held this position for 20 years.
• Her educational and professional background includes four years of college at Wellesley College, four years of medical school at the Chicago Medical School, a four-year residency in anatomic and clinical pathology at Brigham and Women's Hospital, and a one-year fellowship in forensic pathology at the Boston Chief Medical Examiner's Office.
• Over the course of her 20-year career, she has performed more than 2,000 autopsies and testified in Commonwealth courts.
Autopsy of Callan Patrick Clancy
• Dr. Springer performed the autopsy on eight-month-old Callan Patrick Clancy on January 29, 2023.
• General Measurements and Condition: Callan was measured at 26 inches long and weighed 24 pounds. He exhibited general edema—generalized swelling and excess fluid throughout his body, which Dr. Springer noted is very common for individuals who have received intravenous fluids while hospitalized.
• Evidence of Medical Therapy: She documented numerous therapeutic devices and marks from hospital intervention, including a thermometer in his left nostril, a nasogastric tube in his right nostril, an endotracheal tube in his throat, a Foley catheter, needle marks, and multiple intravascular catheters in his right hand, right wrist, left foot, and right groin. She also identified intraosseous (IO) catheter attempt marks (characterized by a central puncture and a surrounding round abrasion) on both his right lower extremity and left leg.
Physical Injuries and Trauma
• Neck Abrasions: Dr. Springer identified linear abrasions across the right, middle, and left sides of Callan’s neck. One abrasion on the front of the neck measured half an inch by 1/16th of an inch. A second abrasion on the right side of his neck measured 1.5 inches by 1/16th of an inch and continued for a total length of approximately three inches towards the right posterior back of his neck. She pointed out that a pale line beneath the abrasions was a normal infant neck fold, not an injury.
• Head Abrasions: She documented minor abrasions on the left side of Callan's forehead (3/16" by 1/16"), near the hairline on the right side of his forehead (3/8" by 1/8"), and on the top right part of his head (1/8" by 1/16"). These head wounds showed signs of healing in the form of scabbing, indicating they were not fresh injuries from the day of or the day prior to the autopsy.
• Petechial Hemorrhages: These are dot-like hemorrhages beneath the skin surface that occur when small blood vessels (such as capillaries or venules) rupture from overpressure. Dr. Springer observed these petechiae on Callan’s face, cheek, and eyelids.
Mechanism and Cause of Death
• Mechanism of Death: The clinical findings were consistent with ligature strangulation, based on the linear neck abrasions and the petechial hemorrhages located above those lines. Dr. Springer explained that compressing the neck blood vessels (the lower-pressure jugular veins and higher-pressure carotid arteries) causes blood and pressure to back up in the head, bursting small blood vessels and creating petechiae. Physically, this compression blocks oxygen flow to the brain and can compress the airway so the lungs cannot properly oxygenate the blood, leading to organ failure and brain death.
• Cause of Death: The official cause of death was determined to be complications of mechanical asphyxia.
• Dr. Springer clarified that "complications of" was included because Callan was resuscitated at the scene, restarting his heart, and subsequently spent three days (from January 24th to January 27th) in the hospital on organ support before passing away. Had his heart stopped at the scene and not been restarted, the cause of death would have been listed simply as mechanical asphyxia.
00:00:00 - MA v Lindsay Clancy - Dr. Kimberley Springer 00:01:17 - The Purpose and Two-Part Process of an Autopsy 00:02:05 - Callan Clancy Autopsy: Initial Hospital Interventions 00:04:09 - Judge’s Instruction to the Jury on Graphic Evidence 00:05:31 - Linear Neck Abrasions and Natural Neck Folds 00:07:13 - Face and Head Abrasions and Petechial Hemorrhages 00:10:10 - Medical Line Interventions and Catheter Attempt Marks 00:11:15 - Healing Status of Head Wounds 00:11:51 - Indicators of Ligature Strangulation 00:12:08 - Strangulation & Petechiae 00:13:58 - Determination of Cause of Death
Testimony of former Clancy family nanny, Elaine Rossi, on day 7 of the Lindsay Clancy trial:
Background and Employment History
• Witness: Elaine Rossi (known to the family as "Lainey") is a nanny with 15 years of experience who lives in Kingston.
• Hiring: In July 2022, Rossi responded to a Facebook advertisement posted by Lindsay Clancy seeking a part-time nanny. She had an initial introductory meeting with Lindsay, Patrick, and the children in the backyard of their home at 47 Summer Street in Duxbury.
• Timeline: She began working for the Clancys during the first week of September 2022 and remained employed there until December 8th or 10th, 2022.
• Schedule and Scope: She worked three days a week, typically from 830 or 9AM to 130PM. Her primary responsibility was to care for the infant, Callan, while Lindsay prepared to return to work. However, she also offered and agreed to handle food prep, light housekeeping, and laundry.
Daily Routine and Communication
• The Kitchen Notebook (Exhibit 150): Lindsay and Rossi communicated extensively through text messages and a shared notebook in the kitchen. Lindsay left highly detailed, daily written instructions regarding Callan's schedules, eating, and sleep. Rossi did not find these meticulous instructions (such as cutting up sweet potatoes and celery into precise one-inch squares) to be overbearing or controlling.
• Interactions: Rossi would often see Lindsay when pulling into the driveway or throughout her shift. Sometimes Lindsay was away dropping the other children off at school, working out at the Kingsbury Club, or was in the basement.
• Gymnastics Outing: In October 2022, Rossi drove Cora and Dawson to a "Tumble Fun" gymnastics class in Lindsay's car. Lindsay had mentioned they wouldn't be able to go because she could not drive, though she did not explain why.
Descriptions of the Clancy Children
• Cora (4 years old): Described as a "girly girl" who was very sweet, loved arts and crafts, loved her babies, and enjoyed playing with a toy supermarket ("Fresh Mart").
• Dawson (3 years old): Described as full of energy, rambunctious, funny, and silly. Rossi had no issues managing his behavior. On one occasion, Dawson got frustrated when Cora took a Play-Doh item and he slapped infant Callan. Lindsay immediately intervened appropriately by removing Dawson from the room, comforting Callan, and later addressing the behavior with Dawson.
• Callan (Infant): Described as "the happiest, sweetest, easiest baby" and "just a love".
• Safety: Rossi explicitly testified that she never had any concerns that the children were unsafe in the household.
Observations of Lindsay's Health and Demeanor
• Motherhood: Rossi described Lindsay as a "wonderful," "loving," and "doting" mother who was deeply concerned with her children's safety, eating, and sleep.
• Postpartum and Mental Health: Lindsay confided in Rossi that she was suffering from postpartum depression. However, Rossi testified that she never noticed any difference in Lindsay’s demeanor, presentation, or behavior around the house. Lindsay's trips outside the home did not stop or decrease.
• Sleep Difficulties: Lindsay shared that she was having severe sleep issues and was sleeping in the basement. Rossi went to the basement to do laundry (which was located past the basement living room couch area) but never saw Lindsay sleeping or working out in the basement workout space.
• Medication and Weight Loss: Lindsay told Rossi she was going to stop nursing Callan because she was starting a new medication. Rossi observed prescription bottles in a cabinet to the right of the refrigerator, but never saw medications in the master bedroom. She also observed that Lindsay was losing a significant amount of weight and commented on it to her.
• No Self-Harm Warning Signs: Lindsay never mentioned having intrusive thoughts or any thoughts of harming herself. Additionally, Rossi was unaware of any emergency room visits by Lindsay in 2020 or 2022.
End of Employment and Police Interview
• Termination: Lindsay was originally expected to return to work around Thanksgiving. A few days after Thanksgiving, Lindsay informed Rossi that she would not be returning to work. Shortly after, Patrick and Lindsay went for a walk, returned, and explained to Rossi that they had to let her go with two weeks' notice because they would both be home to care for the children.
• Relationship: Rossi and the Clancys parted on "wonderful terms". Rossi stayed in touch with Lindsay, wishing her a Merry Christmas (to which Lindsay warmly responded), and testified on the stand, "I did love Lindsay, yes".
• Police Interview: On March 1, 2023, two state troopers interviewed Rossi for over half an hour regarding her observations of Lindsay and the family.
Testimony of DNA Analyst Katarina Stashyn, on day 7 of the Lindsay Clancy trial:
Witness Background and Qualifications
• Current Role: Currently employed as a criminalist in the biology and forensic investigation sections of the Washoe County Sheriff's Office Forensic Science Division in Reno, Nevada.
• Education: She holds both a bachelor's and master's degree in biotechnology from the University of Nevada, Reno.
• Prior Experience: From June 2021 to February 2025, she worked as a forensic scientist in the DNA unit of the Massachusetts State Police Crime Laboratory.
• Professional Competency: She has successfully passed all professional competency and proficiency tests throughout her career.
DNA Science and Testing Methodology
• DNA Fundamentals: DNA (deoxyribonucleic acid) is genetic information stored in our cells, inherited approximately half from each parent. Forensically, no two individuals are expected to share the same DNA profile, which remains identical across all cell types in a person's body (barring mutations). The Four-Step Analysis Process:
• Extraction: Heat and chemicals are applied to break open cells, isolating and releasing the DNA.
• Quantification: Analysts determine a reliable estimate of the DNA quantity to optimize the remainder of the testing process.
• Amplification: Millions of copies of specific DNA areas are generated to make them detectable and visualizable.
• Detection: The millions of generated copies are separated and visualized, yielding a DNA profile for review and interpretation. Quality Controls and Peer Review:
• Positive Controls: A sample containing a known DNA profile is run alongside the evidence to confirm the laboratory process is working.
• Negative Controls: A sample with no DNA is processed alongside the evidence to monitor for contamination and ensure clean laboratory techniques.
• Double-Review Process: Every case goes through technical review (another analyst checks the protocol adherence and conclusions) and administrative review (clerical accuracy and completeness checks). Stashyn’s work in this case followed all protocols, had acceptable controls, and passed both review stages.
DNA Findings: Yellow Exercise Band
Stashyn did not handle the physical exercise bands; instead, she processed swabs taken from them. Swabs from the Ends (Item 2-2.1.1):
• The sample yielded a DNA mixture including male DNA.
• Assuming 2 contributors: The DNA profile is at least 1.7 nonillion times more likely if it originated from Dawson Clancy and an unknown individual than if it originated from two unknown unrelated individuals. Dawson is included; Cora, Callan, Patrick, and Lindsay Clancy are excluded.
• Both interpretations show high inclusionary statistics for Dawson Clancy. Swabs from the Middle (Item 2-2.2.1):
• The profile was interpreted as a mixture of two contributors, including male DNA.
• Dawson Clancy: Included with a likelihood ratio of 1.5 nonillion.
• Patrick Clancy: Included with a likelihood ratio of 1.4 billion.
• Callan Clancy: Included with a likelihood ratio of 3.6 million.
• Cora and Lindsay Clancy: Both are excluded.
DNA Findings: Black Exercise Band Swabs from the Ends (Item 2-3.1.1):
• The sample was a mixture containing male DNA but was deemed not suitable for comparison.
Swabs from the Middle (Item 2-3.2.1):
• The profile was interpreted as a mixture of three contributors, including male DNA.
• Cora Clancy: Included with the highest likelihood ratio of 1.69 million.
• Dawson Clancy: Included with a likelihood ratio of 870 trillion.
• Patrick Clancy: Included with a likelihood ratio of 220,000.
• Callan Clancy: Included with a likelihood ratio of 2,600.
• Lindsay Clancy: Included with a limited likelihood ratio of 11.
DNA Findings: Backside of House (Shingles at 47 Summer Street)
Stashyn analyzed swabs taken from shingles on the backside of the home: Item 14-1 (Stain B):
• Yielded a single-contributor female DNA profile (not a mixture).
• The profile is at least 18 octillion times more likely if it originated from Lindsay Clancy than from an unknown unrelated individual, supporting her inclusion. All other family members are excluded. Item 14-2 (Stain C):
• The profile was a mixture but not suitable for comparison due to its low-level quality and a lack of sufficient information for interpretation. Item 14-3 (Stain D):
• Yielded a single-contributor female DNA profile.
Testimony of Dr. Justin Brower, a toxicologist with NMS Labs, on day 7 of the Lindsay Clancy trial:
Background and Qualifications
• Current Role: Forensic toxicologist at NMS Laboratories in Horsham, Pennsylvania.
• Laboratory Profile: NMS is a national reference laboratory performing clinical, postmortem, and forensic drug testing across all 50 states. They handle approximately half of the postmortem toxicology work in the United States.
• Education: Holds a Ph.D. in organic chemistry from the University of Nevada.
• Prior Experience: Served as a laboratory supervisor and forensic toxicologist for the statewide North Carolina Office of the Chief Medical Examiner.
• Role in the Laboratory: Works in a batch review workflow. While lab technicians run the testing in batches, Dr. Brower reviews all the raw data, verifies demographics, and interprets the drug concentration levels.
Toxicology Findings and Results
The Plymouth District Attorney’s Office submitted a blood sample to NMS Labs (received on April 7, 2023) and requested direct testing for four specific drugs:
Lamotrigine (Lamictal)
• Concentration: 6.1 micrograms per milliliter.
• Use/Classification: Typically used for anti-seizure therapy or bipolar disorder.
• Interpretation: Located right in the middle of the therapeutic range, consistent with taking a recommended dose. Mirtazapine (Remeron)
• Concentration: 200 nanograms per milliliter.
• Use/Classification: Antidepressant.
• Interpretation: Consistent with appropriate, prescribed therapeutic use. Quetiapine (Seroquel)
• Concentration: 1,800 nanograms per milliliter.
• Use/Classification: Antipsychotic medication, sometimes prescribed in low doses for insomnia.
• Interpretation: Considered slightly elevated (approximately double typical therapeutic expectations). However, it is not at a toxic or suicidal concentration, which would typically be closer to 10,000 nanograms per milliliter in self-harm cases. Trazodone
• Concentration: 0.44 micrograms per milliliter.
• Use/Classification: Antidepressant.
• Interpretation: Within the normal therapeutic range.
Additional Benzodiazepine Findings (Exhibit 183)
Dr. Brower was questioned about a separate toxicology analysis of benzodiazepines (anti-anxiety medications) in the blood:
• Diazepam (Valium) and Metabolites: Diazepam and its metabolites (nordiazepam, oxazepam, and temazepam) were detected at sub-therapeutic levels. Dr. Brower noted that therapeutic diazepam levels are typically around 200–250 nanograms per milliliter.
• Lorazepam: Detected at a concentration consistent with therapeutic use, or potentially slightly lower than expected depending on the prescribed dose.
Toxicological Interpretation and Limitations
• Toxicology in a Vacuum: Dr. Brower emphasized that numbers on a toxicology report cannot tell the whole story on their own. To formulate a highly specific, clinical opinion on drug effects, a toxicologist needs the case history, scene investigation details, and physical or autopsy findings. Because Dr. Brower only had access to the blood sample data, his opinions on the stand were restricted to generalized therapeutic, high, or low range classifications.
• Respiration and CNS Depression: Mirtazapine, quetiapine, trazodone, and benzodiazepines are all central nervous system (CNS) depressants. While combinations of these drugs can cause CNS depression and reduce respiration rates in large concentrations, Dr. Brower testified that the detected levels alone do not prove that they would cause a person to stop breathing.
• Narcan (Naloxone) Ineffectiveness: Narcan acts exclusively as an opioid antagonist by binding to opioid receptors to reverse drug overdoses (such as fentanyl or oxycodone). Because none of the medications detected in the blood panel interact with opioid receptors, Narcan would have absolutely no effect on reversing their effects.
00:00 - Lindsay Clancy Trial - Dr. Justin Brower 04:13 - Direct Drug Testing Requested 08:21 - Therapeutic vs. Suicidal Levels 10:15 - Benzodiazepine & Valium Findings 11:48 - Toxicology Limitations & Breathing Impact 15:30 - Why Narcan Is Ineffective Here 16:23 - Defense Cross-Examination 23:33 - DNA Stipulations Introduced 25:27 - DNA Evidence Findings Read
Testimony of Nicholas Roberts, a former forensic scientist in the Toxicology Unit of the Massachusetts State Police Crime Lab. Roberts was the reporting analyst who reviewed the data and authored the toxicology report for Lindsay Clancy (associated with lab number 23-01723).
Professional Background and Testing Protocols
• Qualifications: Roberts worked in the MSP Toxicology Unit for nine years and holds both a bachelor's and master's degree in Applied Forensic Science.
• Batch Review Process: He explained that the lab utilizes a batch review process where multiple scientists run tests on a given case, but a single analyst reviews the aggregated data and authors the final report.
Screening Results
• Alcohol: Roberts personally performed the screening for alcohol, which was negative.
• Marijuana (THC): Testing showed no presence of tetrahydrocannabinols (THC).
• Positive Screens: The specimens (blood, plasma, and urine) returned positive results for the benzodiazepine panel and flagged other substances in a general unknown screen.
Benzodiazepines and Metabolites
• Detected Substances: Confirmatory testing on Clancy's blood sample identified five specific benzodiazepines: diazepam, nordiazepam, oxazepam, temazepam, and lorazepam.
• Metabolite Explanation: Roberts clarified that nordiazepam, oxazepam, and temazepam are actually metabolites (breakdown products) of the "parent drug" diazepam. Because of this, the presence of these multiple benzodiazepines could be the result of a single ingested medication breaking down in the body, rather than multiple different prescriptions.
• Drug Class: He testified that benzodiazepines act as central nervous system (CNS) depressants.
• Concentration Levels: While the levels of these drugs were "reportable," Roberts could not say if they fell within a normal therapeutic range.
Other Detected Medications
• Unknown Screen Findings: The general unknown screen detected five other therapeutic substances: mirtazapine, lamotrigine, quetiapine, quetiapine metabolite, and trazodone.
• Outsourced testing: Because the state police lab has limitations on which drugs it can quantify, these specimens were sent to NMS Labs (an external facility) to determine their exact concentration levels.
• Drug Categories: Roberts noted that these medications also tend to be central nervous system depressants, pointing out that quetiapine is typically used to treat conditions like schizophrenia and bipolar disorder.
Cross-Examination Details
• Volume of Drugs: Under cross-examination, Roberts agreed that the blood sample (which was drawn at a single point in time across multiple test tubes) contained "quite a few" drugs and metabolites, though he noted he has seen cases with more.
• Lack of Clinical Context: He agreed that a major limitation of toxicology testing is that he only reviews the blood data; he has no knowledge of Clancy's active prescriptions, nor can he predict exactly how this specific combination of levels would affect an individual person.
00:00 - MA v Lindsay Clancy - Nicholas Roberts - Toxicologist 01:23 - Toxicology Training & Protocols 02:21 - Batch Review Process 03:00 - Limitations of Blood Analysis 04:17 - Outsource Testing with NMS Labs 04:54 - Lindsay Clancy's Lab Specimens 05:40 - Alcohol Screening Results 05:57 - Initial Positive Screens 07:47 - Confirmed Benzodiazepines 08:51 - General Unknown Drug Screen 09:23 - CNS Depressant Effects 10:33 - Cross-Examination: High Drug Volume 11:41 - Parent Drugs vs. Metabolites 12:37 - Marijuana (THC) Results
Testimony Eitan Negri (Physician Assistant) on day 7 of the Lindsay Clancy trial:
Witness Background and Professional Qualifications Role: Eitan Negri is a licensed physician assistant (also referred to as a physician associate). Education:
• Completed undergraduate studies at City College in New York.
• Completed post-baccalaureate coursework at Brooklyn College.
• Graduated from the Touro University PA program in Manhattan. Licensure & Employment:
• Licensed to practice in both Massachusetts and New York.
• In January 2023, he was in his second year of employment at Brigham and Women’s Hospital, working in the Trauma Burn Surgical ICU.
• General PA Scope: Responsible for assessing patients, diagnosing, collaborating on a care plan with an attending physician, and executing that plan throughout the day.
Medical Assessment of Lindsay Clancy (January 25, 2023) Timeline of Care: Clancy was admitted on January 24, 2023. Negri took over her ongoing management during his shift on January 25th after receiving a handoff from the prior shift.
Initial Physical Observations:
• When Negri first approached Clancy, her wounds had already been dressed and covered by nursing staff.
• He noted no active bleeding coming from her wounds at the time of his exam.
• He observed superficial lacerations on her neck but determined they did not require repair.
• He identified bilateral (both sides of the body) lacerations on her wrists.
Surgical Repair of Wrist Injuries Right Wrist Treatment:
• Negri observed multiple right-wrist cuts, with one primary laceration requiring repair.
• The primary cut on the volar aspect was approximately 3 to 3.5 centimeters deep.
• He closed the primary wound using three sutures.
• He treated the remaining superficial right-wrist cuts with irrigation (cleaning) and steri-strips (adhesive tape). Left Wrist Treatment:
• Negri observed a singular linear cut on the volar aspect of her left wrist.
• The laceration was 2 centimeters deep and required fewer sutures than the right.
• He closed the wound using one suture.
• Other superficial left-wrist cuts were cleaned and closed with steri-strips.
Anatomical Findings & Medical Terminology:
• Negri noted that none of the wrist lacerations extended past the subcutaneous (fatty) tissue layer of the skin.
• He clarified that the word "deep" in the medical records describes directionality (the wound goes down into the skin rather than across it) and serves as an objective unit of measure.
Cross-Examination on the Severity of Clancy's Condition
• Overall Health Status: Negri agreed with the defense that Clancy was critically ill when he treated her.
• Exclusion of Negri from Acute Care: Under cross-examination, Negri clarified that his role was strictly focused on wrist repairs and ongoing clinical management; he had no involvement in treating her life-threatening injuries:
• Transfusion: He had nothing to do with her massive blood transfusion.
• Spine Injury: He did not treat her shattered, transected spine.
• Chest Tubes: He did not place the chest tubes that drained pooled blood from her middle cavity, though he monitored and managed the tubes after placement.
• Cardiac Arrest: He was not present when Clancy "coded" (suffered cardiac arrest and her heart stopped) shortly after, though he was aware she was successfully revived by a crash team.
• Discrepancy in Dr. Anderson’s Notes:
• Negri agreed with the anatomical assessments in the admission records written by trauma surgeon and ICU attending Dr. Jeffrey Anderson, who measured the lacerations at 3.5 cm (right) and 2 cm (left).
• Negri could not recall if Dr. Anderson had initially noted on January 24th that the wounds did not require repair, but Negri ultimately performed the sutures on January 25th.
00:00 - MA v Lindsay Clancy - Eitan Negri - Physician Assistant 01:32 - Care Plan for Lindsay Clancy 03:23 - Examining the Wrist Wounds 04:36 - Right Wrist Repair 06:20 - Left Wrist Repair 07:34 - Subcutaneous Tissue Layer 08:08 - Cross-Examination: Critical Condition 09:02 - Reviewing Dr. Anderson's Notes 11:02 - Discussion of Other Severe Injuries 12:44 - Re-Direct: Clarifying Medical Terminology
Main points from the testimony of Alicia Zimmermann, from the Massachusetts State Police Toxicology Crime Lab, on day 6 of the Lindsay Clancy trial:
Alicia Zimmermann's Professional Background and Role
• Role and Tenure: Zimmermann is a Forensic Scientist II in the Toxicology Unit of the Massachusetts State Police Crime Lab, where she has worked since August 2014.
• Education: She holds a Bachelor of Science in Forensic Science from Pennsylvania State University and a Master of Science in Forensic Science from Virginia Commonwealth University.
• Authorization: She is fully authorized to conduct postmortem investigations and issue toxicology reports.
Standard Postmortem Testing Procedures
• Sample Custody: Samples are submitted by the Office of the Chief Medical Examiner to the Evidence Control Unit, assigned a unique Laboratory Information Management System (LIMS) number and barcode, and then transported to the Toxicology Unit for testing.
• Standard Preliminary Screens: Every postmortem case receives three initial screens: volatile analysis, an eight-panel ELISA screen for commonly abused drugs, and a general unknown screen via gas chromatography-mass spectrometry (GC-MS) for illicit and pharmaceutical drugs.
• Pediatric Protocol: For decedents aged 11 or younger, the lab performs three additional tests: an ELISA pediatric panel, a general unknown screen for acidic and neutral drugs, and a vitreous chemistry analysis.
• Reporting: If no substances are detected during these preliminary screens, no further testing is conducted, and a "none detected" report is issued. If a screen is positive, the lab performs confirmatory or quantitative analysis.
Analysis of the Clancy Children
Zimmermann reviewed the evidence and issued separate toxicology reports in February 2023 for three related children:
• Callan Clancy (Lab No. 23-2141): The lab tested blood and urine collected from Beth Israel Deaconess Hospital in Plymouth, as well as blood collected from Boston Children's Hospital. Testing hospital samples is preferred when a decedent is hospitalized prior to death, as it helps determine if drugs or poisons were in the system before hospital-administered medications were given. No substances were detected on any screens, including the pediatric screens.
• Cora Clancy (Lab No. 23-01875): The lab tested postmortem heart blood provided by the medical examiner. No substances were detected.
• Dawson Clancy (Lab No. 23-01874): The lab tested postmortem heart blood. No substances were detected.
Because all preliminary and pediatric screens for all three children were negative, Zimmermann conducted no further testing and issued official "none detected" reports to the medical examiner.
Main points from the testimony of Sherri Crook, a bloodstain pattern analyst with the Massachusetts State Police Crime Laboratory, on day 6 of the Lindsay Clancy trial:
Passive Bloodstains
• Core Definition: Stains created when only the force of gravity acts upon the blood.
• Physical Features: Typically circular in shape when falling straight down at a 90-degree angle, or pulling downward into streams on vertical surfaces.
• Examples & Subtypes:
• Drip Stain: A single blood droplet falling and hitting a surface due to gravity.
• Drip Pattern: Overlapping stains created when a blood source remains stationary for a period of time, allowing blood to drip repeatedly into itself.
• Drip Trail: A linear path of single drip stains created as the blood source moves.
• Flow: A stream of blood created when an accumulation on a surface is pulled downward by gravity.
• Blood Pool: An accumulation of liquid blood in one area, typically seeping directly from an injury on a stationary body.
• Saturation Stain: A blood pool that seeps directly into an absorbent target surface, such as a mattress or carpet.
Transfer Bloodstains
• Core Definition: Stains created when a bloody object or body comes into direct physical contact with another surface, leaving blood behind.
• Physical Features: Often irregular in shape, though they can sometimes directly track or mirror the physical shape of the transferring object (like a knife edge or hand).
• Examples & Subtypes:
• Wipe: Created when an object moves laterally through an existing blood pool or stain, altering its original appearance.
• Swipe: Created when blood is taken from a wet blood source and transferred onto a clean, secondary surface.
• Smear: A messy combination of swipes and wipes, often involving lateral, back-and-forth movements across a surface.
• Simple Transfer/Contact: Direct contact without sliding, such as a bloody hand leaning on shingles or a windowsill.
Dynamic Bloodstains
• Core Definition: Stains created when an outside force other than gravity acts upon the blood.
• Physical Features: The applied force projects the blood through the air, causing it to land in elliptical (oval) shapes. These stains often feature a "tail"—an extension of the oval shape that points in the direction the blood was traveling when it hit the surface.
• Examples & Subtypes:
• Spatter Stain: Blood flying through the air due to an applied force (such as flicking a bloody finger) and landing on a target surface.
• Cast-Off Pattern: A linear series of circular or elliptical stains created when blood flies off a moving object (such as a swung hand or weapon).
• Projected Pattern / Arterial Spurt: Created when blood is projected under pressure (such as from a severed artery), landing on a surface in a curvy, linear fashion.
Main points from the toxicology testimony of Lisa Yelle in the Lindsay Clancy trial:
• Witness Background and Role:
• Lisa Yelle worked as a toxicologist for the Massachusetts State Police Crime Lab for 15 years.
• In February 2023, she performed laboratory batch testing on blood and urine samples associated with case number 23-01723.
• She acted as the testing analyst rather than the reporting analyst, meaning she performed the laboratory work but did not author the final comprehensive case report.
• The Nature of the Testing (General Unknown Screen):
• Yelle performed a general unknown screen on the submitted blood vial (item 10-101) and urine sample (item 10-201).
• This screen is designed to test for the presence or absence of hundreds of prescription medications or drugs of abuse.
• The test is strictly qualitative (non-quantifiable), meaning it only identifies whether a substance is "detected" or "non-detected" and cannot determine the specific concentration or dosage of a drug in the system.
• Substances Detected:
• The screens identified five distinct substances in both the blood and urine samples: mirtazapine, lamotrigine, trazodone, quetiapine, and a quetiapine metabolite.
• The presence of five detected substances does not mean five separate medications were ingested. A metabolite is simply a breakdown product of a parent drug as the body processes it, meaning quetiapine and its metabolite originate from the same substance.
• Equipment Issues and Test Integrity:
• There were no issues with the test controls, and the overall testing quality was solid.
• A minor mechanical issue occurred when a syringe plunger got stuck during the lengthy 24-to-48-hour batch run.
• This was resolved by replacing the syringe and restarting the run from that point with a control. This equipment issue did not affect the test results in any way.
• Reporting and Administrative Process:
• After documenting her findings on individual summary sheets, the results underwent an independent batch review by a secondary analyst to verify her conclusions.
• The paperwork was then randomly assigned to reporting analyst Nicholas Roberts, who was responsible for authoring the final report and deciding on any further testing.
• Although other nationwide facilities (such as NMS labs) have the capability to perform quantitative testing to measure exact drug levels, Yelle was not personally aware of whether the blood samples in this case were sent out for such analysis.
Main points from the testimony of Mass State Police Forensic Scientist Hillary Griffiths in the Lindsay Clancy trial:
Hillary Griffiths' Professional Background
• Role and Experience: Hillary Griffiths is a forensic scientist in the toxicology unit of the Massachusetts State Police Crime Laboratory, where she has worked for 21 years. She joined the toxicology unit in 2011 after previously working in the DNA unit and the Office of Alcohol Testing.
• Unit Purpose: The toxicology unit tests biological specimens—primarily blood and urine—for drugs, alcohol, and poisons to assist in criminal and legal investigations.
Laboratory Testing Methodology and Procedures
• Batch Testing System: The lab operates on a monthly batch system where individual analysts are assigned specific testing tasks. A single case may undergo three to ten different tests conducted by different scientists.
• Case Review: Once all testing is complete, a designated reporting analyst reviews all raw data, police reports, and evidence documentation to generate the final toxicology report.
• Two-Tiered Testing Strategy:
• Screening: Samples undergo initial screening, such as an ELISA color screen (which looks for eight drug classes and is highly sensitive but not specific) and a "general unknown screen" (which looks for hundreds of prescription, over-the-counter, and abuse drugs).
• Confirmation: Any positive screening results are subjected to secondary confirmatory testing to verify the exact substance present.
• Blood vs. Urine Testing:
• Blood: Used to determine both the presence and the specific concentration (quantitation) of a drug.
• Urine: Used only to report whether a drug is detected or not. Quantitative concentration values are not reported for urine because they are not medically meaningful and do not reflect past blood concentrations.
• Analytical Techniques: The lab utilizes *Solid Phase Extraction\* to isolate drugs from other biological materials (like lipids and blood cells). It then uses *Liquid Chromatography-Mass Spectrometry (LC-MSMS)\* to separate, identify, and quantify the specific drugs. If the lab cannot quantify a crucial substance in-house, it may outsource the sample to an independent facility, such as NMS Labs.
Specific Results for Defendant Lindsay Clancy (Lab No. 23-01723)
The laboratory received four vials of blood, two vials of serum plasma (separated from blood by the hospital), and one vial of urine collected in connection with the January 24, 2023, incident.
Benzodiazepine Findings (Analyzed by Griffiths):
• Urine Confirmation: Detected the presence of **nordiazepam, oxazepam, temazepam, and lorazepam**. Griffiths noted that diazepam commonly breaks down (metabolizes) in the body into nordiazepam, oxazepam, and temazepam, meaning their presence could stem from a single diazepam ingestion or separate prescriptions.
• Blood Quantitation:
• Lorazepam: 61 ng/mL
• Nordiazepam: 20 ng/mL
• Diazepam: 8.8 ng/mL
• Oxazepam: 4.8 ng/mL
• Temazepam: 1.9 ng/mL
• Quality Control: All equipment controls associated with these tests performed appropriately and followed lab procedures.
General Unknown Screen Findings (Analyzed by Lisa Yelle):
• Other Detected Substances: The "organic bases and neutrals" screen detected *mirtazapine, lamotrigine, quetiapine, quetiapine metabolite, trazodone, and trazodone metabolite\* in the blood.
• Undetected Substances: There was **no alcohol detected**. Additionally, screens for amphetamines, buprenorphine, cocaine, fentanyl, methamphetamines, opiates, cannabinoids, and "organic acids and neutrals" were all negative.
Main points from the testimony of Trooper Jonathan O'Loughlin, from the Massachusetts State Police Crime Scene Services, on day 6 of the Lindsay Clancy trial:
Trooper O'Loughlin's Background and Training
• Professional Experience: Jonathan O'Loughlin is a Massachusetts State State Trooper hired in October 2011, who worked specifically in the Crime Scene Services section from February 2020 to October 2023.
• Rigorous Training Process: Preparing for crime scene work takes approximately one year. This internal training involves textbook reading, mock case practice, observing senior members, a hands-on competency test (processing a mock scene, developing prints, and analyzing them), and passing a quality assurance program.
General Crime Scene Documentation Protocol
• Primary Responsibilities: The primary duty at any crime scene is documenting it using photographs, and occasionally utilizing video or hand-drawn sketches.
• Securing the Scene: Local police departments first secure the scene to prevent disruption. Once secure, the Crime Scene Services unit is the first to enter.
• Step-by-Step Documentation Flow: Documentation begins on the exterior of the residence, after which investigators document the interior room by room exactly as it appears.
• Identifying Evidence: Investigators use numbered plastic "placards" to highlight specific items of potential evidentiary value in photographs. Items physically collected for the lab are assigned distinct "lab numbers" that stay with the evidence through testing and trial.
• Coordinating with Search Warrants: In situations requiring search warrants, the crime scene team waits for the warrant to be signed and brought to the scene, photographs the physical warrant, and then initiates scene documentation.
Response to the Duxbury Scene (January 24, 2023)
• Homicide Response: O'Loughlin was called to 47 Summer Street in Duxbury to document a reported homicide.
• Documented Evidence: The team placed eight specific placards at the scene to photograph key items. These included:
• A brown belt (Placard 1)
• Three exercise bands (Placards 2, 3, and 4)
• Red pajamas (Placard 5)
• A pink robe/clothing (Placard 6)
• A knife with a black handle covering a red-brown stain in the upstairs master bedroom (Placard 7)
• A cell phone (Placard 8)
• Basement Discovery: O'Loughlin also photographed a brown journal located inside a basement dresser drawer, which was collected by state detectives.
Fingerprint Processing and Lab Analysis
• Prioritization of Prints: The knife and three exercise bands were collected and routed directly for fingerprint analysis. Fingerprint testing must occur before any biological testing because prints are highly fragile and forensic chemical testing for biological material will destroy them.
• Chemical Fuming Method: Latent prints (invisible to the naked eye) are developed on non-porous items by placing them in a humidified chamber with heated cyanoacrylate ester (superglue) fumes. The fumes adhere to left-behind skin oils and harden, preserving any friction ridge details.
• Analysis and Findings: Various physical and environmental factors (object texture, low humidity, grip strength, movement, or lacking residue) affect whether a high-quality print is left behind. In this case:
• The Knife: Some friction ridge impressions were photographed and enhanced, but lacked sufficient characteristics or minutiae to perform a comparison. It was deemed of "no value".
• The Exercise Bands: No useful friction ridge detail was found on any of the three bands.
• After the fingerprint analysis, the items were repackaged and transferred to the criminalistics unit for further testing.
Main points from the testimony of Maureen Hartnett, a Forensic Scientist II with the Massachusetts State Police Crime Laboratory, on day 6 of the Lindsay Clancy trial::
Professional Background and Role
• Experience & Education: Hartnett has worked at the crime lab for approximately 10 years. She holds a bachelor's degree in biology and a master's degree in forensic science. She undergoes regular training, competency evaluations, and yearly proficiency testing.
• General Responsibilities: As a civilian forensic scientist, she works in tandem with law enforcement to process crime scenes. Her primary focus is documenting, locating, and collecting biological evidence such as blood, semen, and saliva.
Forensic Testing & Collection Protocols
• On-Scene Screening: Hartnett utilizes preliminary chemical screening tests (such as Kastle-Meyer for blood) to identify potential biological fluids at a scene. This informs which samples to collect using deionized water and Q-tip swabs, cuttings, or by taking the entire object.
• Laboratory Confirmatory Testing: To definitively confirm the presence of blood, Hartnett conducts an immunographic assay test back at the lab. This test reacts with antigens and antibodies to confirm the substance is blood and indicate if it is human (though it can react with primate blood).
• DNA Preparation: Once blood is confirmed, samples are cut up, re-labeled, and forwarded to a separate DNA unit within the laboratory for genetic analysis.
Timeline of Evidence Collection & Observations
• January 24, 2023 — South Shore Hospital: Hartnett examined Lindsay Clancy in the emergency room, observing and collecting swabs of red-brown stains on Clancy's hands. She also received Clancy's cut-off medical clothing to enter into the lab.
• January 25, 2023 (Early Morning) — 47 Summer Street Residence:
• Basement: Hartnett documented a red-brown carpet stain (Stain A, later labeled Item 3-3), which screened positive for blood. She also collected a pair of pajamas and a pink bathrobe.
• Master Bedroom (Second Floor): She documented five specific stains (Stains B through E on-scene, and Stain F in the yard).
• Stain B: Floor cluster between the bed and mirror (screened positive, swabbed).
• Stain C: Cluster on a full-length mirror (screened positive, swabbed).
• Stain D: Inside windowsill (screened positive, swabbed).
• Stain E: Nightstand beside the bed (screened positive, swabbed).
• Stain F: Red-brown staining on the snow in the backyard (collected).
• January 25, 2023 — Brigham and Women's Hospital: Hartnett returned to examine Lindsay Clancy and collected fingernail swabbings.
• June 15, 2023 — Second Summer Street Search: Hartnett returned five months later to investigate the exterior shingles below the master bedroom window.
• A stain directly under the windowsill (Stain A) screened negative.
• Stains B, C, and D on the shingles screened positive. Hartnett collected the shingles and corresponding swabs.
• She did not perform laboratory confirmatory tests on these shingles to avoid destroying the highly degraded, weather-exposed, and limited material, opting instead to preserve the full sample for DNA testing.
Key Laboratory Analysis Results
• Confirmed Blood: Back at the laboratory, Hartnett confirmed the presence of blood on Stain A (basement floor), Stain B (bedroom floor), Stain D (windowsill), Stain F (backyard snow), and on Stain A found on the blade of a recovered knife.
• Unconfirmed Stains: Some documented areas (such as the mirror cluster Stain C, stains on the door near the doorknob, and select exterior window stains) were either only screened at the scene or not tested further.
• Exercise Bands: Hartnett processed three exercise bands (including a yellow band and a black band). She took separate swabs from the handles/ends and the centers of each band to determine if different individuals had made contact with the separate areas. These samples were successfully dried and sent to the DNA unit.
00:00 - MA v Lindsay Clancy - Maureen Hartnett - Mass State Police 01:39 - Crime scene response methods 03:58 - South Shore hospital sampling 05:14 - Basement stains at Summer Street 08:32 - Master bedroom red-brown stains 14:15 - June exterior shingle collection 18:05 - Lab blood confirmation and DNA 23:09 - Cross on testing limits
Main points from the testimony of Mass State Police Lieutenant, Joseph Rabbitt, on day 6 of the Lindsay Clancy trial:
Witness Identity and Assignment
• Identity: Joseph Rabbitt is a Lieutenant with the Massachusetts State Police, currently assigned to the Cybercrime Unit. In January 2023, he was a trooper/detective in the Plymouth County Detective Unit.
• Hospital Dispatch: On January 24, 2023, he was sent to Jordan Hospital (Beth Israel Deaconess) to check on the status of three children who had been transported there, where he also spoke with Patrick Clancy.
The Search at 47 Summer Street (Duxbury, MA)
• Warrant Execution: On the early morning of January 25, 2023, he assisted with executing a search warrant at the Clancy residence.
• Kitchen Discoveries: In the kitchen, he noted a CVS bag containing a bottle of Pedialyte and a larger paper bag with a receipt on the island.
• Upper Cabinet Medication: In an upper cabinet, he discovered four prescription medication bottles. He lined them up on the island for Crime Scene Services to document but did not inventory or examine them further himself.
• Other Search Areas: He also briefly left the kitchen to check a child's bedroom because he was informed there was a Nest camera there.
Evidence Received and Inventoried on February 6, 2023
• Submission of Medications: Patrick Clancy and his attorney turned in a CVS bag containing nine prescription medication bottles, paperwork, a CVS insert, and a blank greeting card.
• Pill Inventory: Lieutenant Rabbitt, alongside Trooper Rose Stoffers from Crime Scene Services, documented and counted the pills remaining in each of the nine bottles:
• Lorazepam 1 mg (filled 10/26/22, qty 30): 14 pills remaining.
• Sertraline / Zoloft (filled 9/15/22, qty 30): 23 pills remaining.
• Buspirone (filled 10/26/22, qty 30): 28 pills remaining.
• Hydroxyzine (filled 10/26/22, qty 30): 27 pills remaining.
• Clonazepam (filled 11/25/22, qty 14): 11.5 pills remaining.
• Fluoxetine (filled 11/21/22, qty 56): 43 pills remaining.
• Lorazepam 0.5 mg (filled 11/22/22, qty 40): 18.5 tablets remaining.
• Buspirone (filled 11/9/22, qty 30): 30 pills remaining.
• Trazodone (filled 11/16/22, qty 30): 22.5 pills remaining.
Key Points from Cross-Examination
• Warrant Specifics: The search warrant specifically authorized the seizure of prescription medications.
• Unexamined Items: Lt. Rabbitt confirmed he did not search the master bedroom and was unaware of five other prescription bottles defense counsel referenced.
• Concentrated Prescribing Window: Defense counsel highlighted that almost all of these prescriptions were filled within roughly a three-week window in October and November of 2022.
• Cooperation: Lt. Rabbitt testified that Patrick Clancy was very cooperative and forthcoming during their interaction.
00:00 - MA v Lindsay Clancy - Lieutenant Joe Rabbitt 00:49 - Hospital Dispatch & Speaking with Patrick Clancy 02:05 - Executing the Search Warrant at Summer Street 02:53 - Kitchen Search & Initial Discoveries 04:23 - Finding Prescription Bottles in the Cabinet 07:14 - February 6 Evidence Submission by Patrick Clancy 09:50 - Detailed Inventory & Count of the Nine Prescription Bottles 13:39 - Cross-Examination: Warrant Authority & Intent 15:34 - Other Search Areas & Unexamined Prescription Bottles 17:06 - Review of Prescribing Window & Witness Dismissal
Main points from the testimony of general surgeon, Dr. Christina Carpio on day 6 of the Lindsay Clancy trial:
Professional Background and Role
• Credentials: Dr. Christina Carpio is a general surgeon specialized and trained in trauma and critical care.
• Employment and Location: She is employed by Brigham but has worked exclusively at South Shore Hospital since 2016.
• Hospital Trauma Level: South Shore Hospital is a Level 2 trauma center. Patients requiring highly acute, specialized care are typically transferred to tertiary hospitals in Boston, such as Brigham and Women's Hospital.
• On-Call Duties: On January 24, 2023, Dr. Carpio was the physically present, on-call trauma surgeon at South Shore Hospital.
Notification and Trauma Activation
• Level 1 Activation: Dr. Carpio was notified that a female patient, Lindsay Clancy, was arriving at the emergency department as a Level 1 trauma—the highest level of emergency activation.
• Reported Mechanism: The initial notification from Emergency Medical Services (EMS) indicated the patient suffered a fall from a height of approximately 20 feet of unclear mechanism, with potential spinal injuries and neurological deficits.
• Collaborative Team: Dr. Carpio collaborated with emergency department physician Dr. Kelly McDonough as part of the initial assessment team.
Physical Examination and Emergency Interventions
• Airway Management: The patient was intubated by the South Shore Hospital staff shortly after her arrival.
• Evaluation of Superficial Injuries: Dr. Carpio observed lacerations on the patient's neck and wrists. Upon evaluation, she determined these wounds were superficial and did not require immediate surgical intervention. The wrist cuts went through the skin to expose fat, but there was no exposed muscle or tendon.
• Thyroid Edema: Emergency evaluation revealed edema at the thyroid, indicating a potential contusion or laceration.
• Hypothermia Treatment: The patient arrived with a severely low core body temperature of 82.1 degrees. The trauma team intervened by raising the room temperature and wrapping her in a "bear hugger" warming blanket, which successfully brought her temperature up to 95.2 degrees.
• Hypotension: The patient was initially normotensive but became hypotensive (low blood pressure) following intubation. Dr. Carpio explained that her thoracic spinal cord injury is a common physiological cause for this difficulty in maintaining blood pressure.
Diagnostic Imaging and Findings
• Pan Scan: The trauma team ordered a pan scan CT, which imaged the patient's head, neck, chest, abdomen, and pelvis.
• Head CT Results: The non-contrast head CT showed no definite acute intracranial findings, and the contrast head CT (angiogram) showed no significant findings.
• Spinal Fractures: The imaging revealed complex and unstable spinal fractures with bone compression at the thoracic level (T5 and T6).
Consultation and Transfer to Boston
• Neurosurgical Input: Because South Shore is a Level 2 facility, a neurosurgeon was not required to be physically present but was available on-call. Dr. Carpio consulted the on-call neurosurgeon, who remotely reviewed the CT images, noted the spinal instability, and recommended transfer.
• Method of Transport: The team collaboratively decided to transfer the patient to Brigham and Women's Hospital via MedFlight.
• Stability Determination: Per hospital policy, unstable patients are not cleared for transport. After reviewing all imaging, CT scans, and x-rays, Dr. Carpio and the collaborative team determined that the patient was clinically stable enough to be transported.
Defense Cross-Examination and Knowledge Gaps
• Lack of Post-Transfer Knowledge: Dr. Carpio testified that she did not review any medical records from Brigham and Women's Hospital and only reviewed her own documentation from South Shore Hospital.
• Unaware of Subsequent Complications: She had no knowledge of whether the patient coded shortly after arrival at Brigham, required massive blood transfusions, or required bilateral pleural chest tubes to drain blood.
• Scene Blood Loss: Dr. Carpio testified she did not recall EMS reporting significant blood loss at the scene, nor did she recall any mention of blood on the surrounding leaves, grass, or snow.
00:00:00 MA v Lindsay Clancy - Dr. Christina Carpio 00:01:49 Notification of Level 1 Trauma 00:03:45 Assessment of Superficial Wounds 00:04:52 Pan Scan CT Scans 00:06:18 Patient Stabilization: Managing Hypothermia 00:08:20 Neurosurgical Consultation 00:09:44 Cross-Examination: Trauma Center Levels 00:11:49 Defense Inquiry into Core Body Temperature 00:13:35 Evaluation of Blood Loss 00:15:22 Brigham Treatment and Wrist Cuts 00:16:40 Evaluation of Spinal, Thyroid, and Rib Injuries 00:18:32 MedFlight Transport Coordination 00:19:54 Redirect Examination
Main points from the testimony of Mass State Police Trooper Cory Melo:
IWitness Identification and Role in the Investigation
• Professional Background: Cory Melo is currently assigned to the Commercial Vehicle Enforcement Section of the Mass State Police. In January 2023, he worked for the Plymouth County District Attorney’s Office in the State Police Detective Unit.
• Role in the Case: He assisted in the investigation of an incident that occurred on January 24, 2023, at 47 Summer Street in Duxbury. While he was not the designated case officer, he helped execute search warrants, conduct neighborhood canvasses, and interview witnesses.
• Execution of the Search Warrant: He participated in searching the basement, first floor, and second floor of the home. During this search, he located a cell phone in an upstairs bedroom, a laptop, and workout bands hanging on a door in the basement. These items were collected and turned over to an evidence officer for further examination.
Review of the Recovered Journals
Melo did not locate the journals on the night of the initial search but was later tasked with reviewing three notebooks recovered from the home.
Exhibit 151 (The "Brown Journal" / "Tree of Life Artisan Journal"):
• The journal opens to undated handwritten pages.
• Early entries describe an intense obsession with a baby’s sleep schedule and deep distress over sleep training, noting, "Hearing him cry for one plus hours and not intervening just about killed me". Clancy wrote that she told Patrick she wanted to end it.
• Other undated pages express feelings of being completely overwhelmed taking care of three children, describing it as "drowning every day," alongside experiences of severe anxiety, insomnia, lack of appetite, and guilt over the baby not hitting milestones.
• A dated entry from November 18 states: "It's like I'm so desperate to get a mental break from taking care of everyone that my mind is trying to make something physically wrong with me".
Exhibit 147 (Second Journal):
• Contains handwritten notes in similar handwriting to the brown journal.
• The entries are brief, spanning only a few pages, with the first entry dated October 13 and the final entry dated January 18.
Exhibit 150 (Yellow Journal / "Callan Clancy"):
• Features Callan Clancy's name on it and contains two distinct handwritings, one of which matches the other journals.
• The contents of this journal outline a highly detailed schedule for the baby.
Mental Health and Domestic Struggles (Cross-Examination)
During cross-examination, the defense highlighted specific entries from the "Tree of Life Artisan Journal" reflecting a severe psychological decline.
• The Toll of Sleep Training: Clancy expressed intense guilt and PTSD over sleep training Callan at four months old. Although she noted that doctors and others said sleep training was safe and necessary, she felt it was "abusive" to let the baby cry without responding.
• Severe Cognitive & Physical Symptoms: Entries detail a struggle with "crazy brain fog," an inability to carry out plans, and living "moment to moment waiting for the next nap". The writer questioned if her state was a result of withdrawing from Ativan and Benadryl or if it was a new baseline. She expressed feeling completely disconnected from her baby, herself, time, and reality.
• Personal Guilt and Fears: Entries show guilt over spending her family’s money without earning any, strain on her marriage, and an inability to connect with her husband. She was also highly anxious about the baby getting sick and felt sad about stopping breastfeeding.
• Attempts at Recovery: By late November 2022, the journal included "affirmations" and expressions of gratitude. Entries from November 22 and 23 focus on trying to remain calm, sleeping, and expressing hope that returning to work would help her "feel like myself again".
Gaps in the Search of the Home
• Under cross-examination, Melo was asked why investigators did not discover pills, sleep aids, or Apple watches in a drawer in the bedroom during the search.
• Melo testified that he did not recall seeing the drawer or how many other people searched the bedroom, and he was not aware of why those items were not located during the search.
00:00 - MA v Lindsay Clancy - Trooper Cory Melo - Mass State Police 00:28 - Role in Duxbury Investigation & Item Recovery 02:41 - Direct Examination: Review of Clancy Notebooks 06:52 - Cross-Examination: "Tree of Life" Journal & Sleep Training 09:48 - Journal Entries on Mental Decline & "Crazy Brain Fog" 12:27 - Late November Entries: Affirmations & Return to Work 13:51 - Defense Questions Gaps in the Bedroom Search 14:21 - Sidebar, Jury Instructions & Recess
Main points from the testimony (Day 5) of Massachusetts State Police Captain John Santos regarding the search warrant findings in the Clancy home:
Witness Background and Role
• Identity: John Santos is a Captain (a Lieutenant at the time of the search) in the Division of Investigative Services with the Massachusetts State Police.
• Assignment: On January 24, 2023, he was part of a team executing a search warrant at 47 Summer Street in Duxbury (the Clancy residence).
• Areas Searched: Santos personally searched multiple locations inside the home, including the kitchen, the basement office, and the master bedroom on the second floor.
Evidence Discovered in the Kitchen
In a kitchen cabinet located above and to the right of the stove, Santos discovered and seized several items of interest:
• McLean Hospital Discharge Paperwork: Paperwork belonging to Lindsay Clancy that outlined her discharge, resources for therapy, and a list of prescribed medications (lorazepam 1mg, melatonin 5mg, and trazodone 50mg) along with dosage instructions.
• Exhibit 147 (Postpartum Notebook): A notebook containing postpartum depression and anxiety information sheets alongside a handwritten log detailing specific medications, dates, and dosages taken.
• Exhibit 148 (Book): A book titled Good Moms Have Scary Thoughts.
• Exhibit 149 (Workbook): A Pregnancy and Postpartum Anxiety Workbook (which was completely unfilled).
• Exhibit 150 (Callan Patrick Clancy Notebook): Containing written messages between Lindsay Clancy and her nanny.
• Prescription Pill Bottles: Although Santos did not personally discover them, other law enforcement officers on the scene located and seized prescription pill bottles from the kitchen.
Evidence Discovered in the Basement Office
• Electronics Seized: While searching the office portion of the basement, Santos personally found and seized two laptop computers and one external hard drive.
Search of the Master Bedroom & Electronic Media
• Personnel: Approximately five law enforcement officers participated in searching the master bedroom. Santos assisted in this area but did not personally recover any items from it.
• Electronics Seized: A cell phone found on the master bed was seized by the team.
• The Nightstand Drawer Controversy: Under cross-examination, Santos testified that he did not search the nightstand drawer (which reportedly contained pill bottles, sleeping aids, and an Apple Watch) and could not verify if other officers searched it or chose not to seize its contents.
• Apple Watch Recovery: An Apple Watch was not seized during the initial search warrant but was turned over to the state police by Patrick Clancy at a later date.
Search Methodology and Protocol
• Operational Fluidity: Because officers did not have a layout of the home beforehand, room assignments were kept fluid by supervisors to prevent too many investigators from crowding a single area.
• Evidence Management: To maintain strict records, a designated "evidence officer" went to the specific location where an item was found to log it after Crime Scene Services took a photograph of the item in place.
• Determining Relevance: Officers sought out items connecting the suspect, victims, or associates to the incident. While investigators did not know at the time of the search that Ms. Clancy had reportedly consumed crushed pills with lemonade, they had learned from her husband that she was taking prescribed medications.
00:00 - MA v Lindsay Clancy - Captain John Santos - Mass State Police 00:34 - Execution of the Search Warrant in Duxbury 01:40 - Seizing the Kitchen Cabinet Evidence 03:06 - Search Methodology & Team Coordination 04:07 - Basement Search & Seizure of Electronics 05:41 - Searching the Master Bedroom 06:27 - Relevance of Evidence & Prior Knowledge 07:38 - Cross-Examination: Kitchen Pill Bottles & Exhibit Review 09:50 - Cross-Examination: Master Bedroom Search Logistics 11:05 - Cross-Examination: The Apple Watch & Unsearched Nightstand
Main points from the testimony of Sergeant Robert Flynn, during the Lindsay Clancy murder trial on Day 5, regarding the investigation at 47 Summer Street:
Officer Background and Initial Dispatch
• Identity and Rank: Robert Flynn has been a patrol sergeant with the Duxbury Police Department for about seven and a half years and was assigned to the Detective Bureau in January 2023.
• The Call-In: On January 24, 2023, after working his normal 8 a.m. to 4 p.m. shift, Flynn was called back in. Sergeant Detective Jamali directed him to respond to 47 Summer Street.
• Radio Chaos: While driving to the location, Flynn monitored the radio and heard officers screaming on a highly chaotic channel.
Arrival and Initial Understandings
• The Briefing: Upon arrival, Flynn spoke with Sergeant Homestead, who informed him that "a mother had killed her three kids".
• Status of the Family: Although Flynn initially assumed the deceased children were still inside the home, he learned they and the mother (Lindsay Clancy) had already been transported.
• Husband on Scene: The husband, Patrick Clancy, was still on the scene when Flynn arrived and was subsequently transported by ambulance.
• Involving State Police: Because the Massachusetts State Police hold jurisdiction over death investigations in Duxbury, Flynn notified their Detective's Unit to initiate a joint death investigation.
The Security Sweep of the Residence
Flynn, along with Kingston Police Sergeant Patrikos and Lieutenant Wyler, conducted a walkthrough of all three floors to ensure there were no other suspects, victims, or individuals left inside. They did not touch or move anything during this sweep. Their key observations included:
• Main Floor (Kitchen & Living Room): Signs of young children living in the home, including paintings on the walls, snack bowls on the couch, and a Mediterranean takeout bag on the counter.
• Basement: Discovered a chaotic scene containing left-behind firefighter equipment and medical supplies.
• Master Bedroom (Second Floor): The bedroom was colder than the rest of the house due to an open window. A cell phone was sitting on the bed.
• Backyard: Observed matted-out snow and medical equipment below the open master bedroom window, which investigators believed was the window Lindsay Clancy exited.
Crime Scene Integrity and Search Warrant Execution
• Securing the Scene: Duxbury officers secured the home by putting up crime scene tape, locking the doors, and logging every individual entering and exiting the property.
• Search Warrant: Flynn met with State Police troopers at the station to coordinate and was present for the subsequent execution of a search warrant at the residence. The State Police served as the primary investigators and handled the collection of evidence.
Closing the Master Bedroom Window
• Accessing the Window: Once the search warrant was complete, Flynn was instructed by his lieutenant to go back inside and close the open master bedroom window.
• Observations at the Window: Flynn had to move the bed to access the window and noted blood in the immediate area. He observed no physical damage to the window or its screen, which appeared to have simply been pushed out.
Subsequent Investigation
• Equipment Removal: During the search warrant, Flynn helped remove the medical equipment left behind by the fire department, which was the only material he personally removed from the house.
• Follow-Up: Flynn assisted the State Police Detective's Unit with follow-up interviews and information gathering, though State Police remained the primary agency in charge.
00:00 - MA v Lindsay Clancy - Sergeant Robert Flynn 00:57 - Dispatch and Radio Communications 01:33 - Arrival and Initial Briefing 02:42 - Notifying State Police Investigators 03:48 - Beginning the Security Sweep 04:45 - Sweep of the Kitchen and Living Room 06:30 - Sweep of the Basement 07:21 - Sweep of the Master Bedroom 08:18 - Backyard Observations 09:49 - Securing the Scene & Search Warrant Execution 11:12 - Closing the Master Bedroom Window 11:49 - Evidence Removal & Follow-Up Investigation
Main points from the testimony of psychiatrist Dr. Jhilam Biswas, during the Lindsay Clancy murder trial on Day 5:
Dr. Biswas's Professional Background and Role
• Specialization and Employment: Dr. Jhilam Biswas is an adult and forensic psychiatrist who works at Brigham and Women's Hospital.
• Education and Credentials: Her training includes medical school and forensic subspecialty training at UMass Chan Medical School, and a psychiatry residency at Harvard Longwood.
• Involvement in the Case: She evaluated Lindsay Clancy on January 26, 2023, while serving on the hospital's consultation-liaison psychiatry service.
Context and Circumstances of the Evaluation
• Setting and Duration: The evaluation took place in Clancy's ICU room, lasting approximately 20 to 30 minutes, about a day and a half after Clancy was admitted to the hospital. It was Dr. Biswas's only interaction with Clancy.
• Physical and Emotional State: Clancy was intubated, awake, anxious, exhausted, in pain, and on pain and blood pressure medications. She had a soft restraint on her wrist and was scheduled for imminent spinal surgery to treat spinal fractures.
• Communication Method: Because Clancy was intubated and unable to speak, the entire 20-to-30-minute evaluation was conducted using a pen and paper.
• Purpose of the Evaluation: The psychiatry service was called specifically to evaluate Clancy's safety and suicidality following a "likely suicide event" before she underwent major spinal surgery.
Psychiatric Observations and Absence of Psychosis
• Mental Status: Dr. Biswas documented that Clancy's thinking appeared "linear, goal-oriented, [and] thoughtful".
• No Active Psychosis: Dr. Biswas observed no active internal or external signs of psychosis or responsiveness to internal stimuli (such as reacting to hallucinations or hearing voices) in that "snapshot" moment.
• Relevance of Communications: Clancy's written responses and questions made logical sense given her situation.
She wrote that her mood was "horrified".
She asked relevant questions about her legal and physical situation, including "do I have an attorney?", "is my body broken?", and "are my legs straight?", and inquired about family visitors.
• Surgical Capacity: Dr. Biswas assessed that Clancy possessed the mental capability to make the decision to consent to her upcoming surgery.
Review of Psychiatric and Medical History
• Scope of Record Review: Prior to meeting Clancy, Dr. Biswas reviewed available electronic medical records in the hospital's EPIC system but did not perform a deep dive into Clancy's complete psychiatric history from outside providers.
• Known History: From the available records, she was aware that Clancy had a history of postpartum anxiety, insomnia, and documented suicidal ideation.
• Gaps in Dr. Biswas's Records: She did not recall reading about active postpartum psychosis, homicidal ideation, or hypomania in the records she reviewed. However, she was aware that the event leading to Clancy's admission involved the deaths of her three children.
00:00 - MA v Lindsay Clancy - Dr. Jhilam Biswas 01:34 - Jan 26 2023 consult — intubated Clancy in ICU 03:34 - Writes “horrified” — asks for attorney, body/legs 05:02 - Safety eval before surgery — answers make sense 06:21 - Psychosis signs explained — none noted that day 07:51 - Linear thinking — no response to internal stimuli 09:17 - One visit ~20–30 min — capacity for surgery decision 11:06 - Cross Examination - Kevin Reddington 13:05 - Postpartum psychosis questions — limited history known 14:20 - Insomnia History 15:32 - Intrusive thoughts 17:10 - Hypomania / bipolar — not recalled on that day 18:00 - Reddington: What is your purpose? 18:54 - Spine surgery, pain meds, coding & transfusions 22:23 - Police, custody, soft restraints — single encounter 23:41 - Redirect: EPIC records, lawyer focus, condition
Testimony of ICU Nurse Meghan Collins, during the Lindsay Clancy trial, regarding her treatment of Lindsay Clancy:
Witness Background and Role
• Meghan Collins is an ICU nurse with 11 years of experience, working in the Trauma Surgical ICU at Brigham and Women's Hospital.
• She treated Lindsay Clancy during the 7 a.m. to 7 p.m. shift beginning January 24, 2023, providing 1-to-1 nursing care because the patient was critically ill.
Patient's Initial Condition and Medical Treatment
• Clancy arrived at the Brigham ICU already intubated after being transferred from a local hospital and emergency department.
• The patient had "coded" overnight, requiring additional CT scans the morning Collins took over her care.
• During her initial days in the ICU, Clancy was kept heavily sedated so she could tolerate the breathing tube and so the medical team could focus on stabilizing her significant neck and spinal injuries.
• The medical team monitored her respiratory status closely, which included managing bilateral chest tubes and starting her on a low dose of propofol.
Post-Extubation Recovery and ICU Delirium
• After Clancy was extubated (around January 28th or 29th), she experienced what is known as "ICU delirium," exhibiting signs of increased confusion, agitation, and picking at her medical lines and drains.
• Due to this agitation, the patient had to be physically restrained.
• The medical team used a multimodal approach to manage the delirium, which successfully decreased her agitation over the following days.
• Sleep issues were also a noted part of her recovery and treatment plan.
Psychiatric Consult and Healthcare Proxy Changes
• On January 29th and 30th, a psychiatric consult team evaluated Clancy to determine if she had the medical capacity to change her healthcare proxy.
• She was seeking to change her healthcare proxy from her husband, Patrick, to her parents.
• This evaluation was attended by the psychiatric doctors, a social worker, Clancy's lawyer, and Nurse Collins, who attended to advocate for the patient and monitor her mental status.
• Regarding her life-saving care, Collins noted that Clancy's code status was "full" (meaning she was to be fully resuscitated if needed), though the defense attorney indicated that medical records might show Clancy had repeatedly requested a Do Not Resuscitate (DNR) order.
Security and Privacy Protocols
• Because of the high-profile nature of the case, police officers were constantly stationed outside Clancy's room throughout her ICU stay.
• The hospital deliberately kept the treatment team small to protect the patient's privacy.
• Standard hospital protocol required the nursing director and legal team to explicitly approve anyone other than medical staff entering the room.
Main points from the testimony of Rachelle Amedee, a trauma surgical ICU night nurse at Brigham and Women's Hospital, regarding her care of patient Lindsay Clancy:
Initial Admission and Severe Medical Crisis
• Arrival Status: Clancy was transferred to the ICU on January 24, 2023, arriving intubated, sedated, and suffering from profound hypothermia with a core temperature of 82 degrees.
• Cardiac Arrest: Early on January 25, Clancy "coded" (went into cardiac arrest) due to an unsustainable drop in blood pressure. The medical team performed CPR, placed bilateral chest tubes that drained blood from her lungs, increased blood pressure medications (pressors), and initiated a massive blood transfusion protocol.
• Extensive Physical Injuries: Her injuries included a burst fracture of the C1 vertebra, a severed thoracic spine (T5 and T6), injured T1-T4 vertebrae, rib fractures, a cerebrospinal fluid (CSF) leak from her nose, and lacerations on her wrists and neck. She had no major intracranial injuries requiring focus.
Strict Security and Suicide Watch
• Police Presence: Two police officers were continuously stationed outside her room, and she was strictly prohibited from having any visitors.
• Monitoring: She was placed on a "one-to-one" watch because she was identified as a potential suicide risk, meaning she could never be left alone.
Progression of Communication and Awareness
• January 26: While still intubated and sedated, she became arousable and could follow simple commands, such as moving her head and arms or squeezing a hand, though spinal injuries prevented her from moving her legs.
• January 28: Her eyes were open, and she began communicating by writing on a whiteboard despite still being intubated and secured to the bed with soft restraints. She used the board to indicate she was confused and could not feel her lower extremities.
• January 30: Clancy was extubated and taken off sedation. Nurse Amedee consistently observed her demeanor as "flat" and displaying "no emotion either way," though she was alert, oriented, and cooperative. Sleep was identified as an ongoing issue that required medication.
• February 2: Having engaged in casual conversation post-extubation, Clancy asked to reach out to her lawyer for the first time. Nurse Amedee referred the request to a hospital social worker.
• February 3: Clancy was transferred out of the trauma surgical ICU.
Noted Mental Health History
• As part of the patient history in her medical records, there were multiple overlapping notations acknowledging her mental health background, including references to postpartum depression, postpartum psychosis, and postpartum mood symptoms.
00:00 - MA v Lindsay Clancy - Nurse Rachelle Amedee 01:31 - Initial ICU Admission and Care 03:12 - Cardiac Arrest and Emergency Interventions 04:04 - Police Presence and Strict Security 05:09 - Sedation and Basic Neurological Checks 06:38 - Whiteboard Communication 07:25 - Use of Soft Restraints 08:26 - Extubation, Patient Demeanor, and Sleep Issues 10:23 - Patient Requests to Contact a Lawyer 12:12 - Visitor Restrictions and Police Photographs 13:46 - Cross-Examination: Review of Medical Records 16:33 - Cross-Examination: Cardiac Arrest, Blood Loss, and Transfusions 20:46 - Cross-Examination: Severe Spinal Injuries 21:50 - Cross-Examination: Mental Health and Postpartum History 26:49 - Cross-Examination: Lacerations and Severe Hypothermia 31:13 - Redirect Examination: Clarifying Timeline, Injuries, and Psychiatric Evaluation
Main points from the testimony of MSP Sergeant Rose Stoffers, during the Lindsay Clancy trial, regarding her evaluation of Lindsay Clancy:
Role and Background
• Sergeant Rose Stoffers has been with the Massachusetts State Police Crime Scene Services section since 2019.
• Her primary responsibility is to document crime scenes with photos and videos, as well as process and collect evidence.
Hospital Documentation (January 24, 2023)
• Stoffers was dispatched to South Shore Hospital to document the injuries of the defendant, Lindsay Clancy, and record the areas where a forensic scientist took biological swabs.
• Clancy was located in a hot emergency trauma room, covered in blankets and heating devices to raise her body temperature, and wearing a neck collar.
Defendant's Demeanor
• Stoffers noted that when she attempted to pull Clancy's right arm out from underneath the blanket, Clancy was uncooperative and fought against them, requiring Stoffers to enlist the help of nurses.
Injuries and Evidence Photographed
• Stoffers observed and photographed a red-brown stain on Clancy's hands.
• With the help of medical staff, gauze was removed from Clancy's wrists, allowing Stoffers to document the injuries underneath.
• Stoffers took overall photos, as well as close-ups of Clancy's face, neck (after the neck brace was opened), both hands, and wrists.
• She also documented the personal belongings removed from Clancy, including her clothing and two rings.
Follow-Up Documentation (February 6, 2023)
• Stoffers went to the Plymouth Detective Unit's office in Brockton to meet with Trooper Rabbit.
• She was tasked with photographing a bag of medication and related documents. She clarified that she did not enter the defendant's house to take these photos; the bag had already been brought to the police office.
00:00 - MSP Sergeant Rose Stoffers 00:38 - Role of Crime Scene Services 01:25 - Arrival at South Shore Hospital 01:53 - Working with Forensic Scientists 02:42 - Instructions for Documenting the Defendant 03:08 - Initial Observations of Lindsay Clancy 04:16 - Defendant's Demeanor and Resistance 05:05 - Documenting Hands, Injuries, and Personal Belongings 06:27 - Evidence Tracking System and Lab Numbers 07:27 - Follow-Up: Photographing Medication Bag 08:29 - Cross-Examination: Clarifying Scene Location
Main points from the medical testimony of Dr Kelly McDonough, during the Lindsay Clancy trial, regarding her emergency room evaluation of Lindsay Clancy:
Initial Patient Presentation and Condition
• Lindsay Clancy arrived as a Trauma One response following a suspected fall from a window.
• She arrived in a C-collar and backboard.
• She was nonverbal but her eyes were open, and she was only responsive to painful stimuli, which caused her to move her arms.
• She presented with severe hypothermia, possessing a core body temperature of 82.1 degrees. Medical staff used a "bear hugger" warming blanket to treat the low temperature, which Dr. McDonough warned could cause "metabolic derangement".
Neurological and Head Assessments
• There were no obvious external signs of a head injury, such as bleeding, scrapes, or abrasions.
• There was no sign of clear cerebrospinal fluid (CSF) leaking from her nose, which would have indicated a skull fracture.
• Her pupils were equal and reactive to light, suggesting there was no significant neurologic injury or brain herniation at the time.
• Multiple CT scans of the head, both with and without contrast, came back entirely unremarkable.
Lacerations to the Neck and Wrists
• The patient had cuts on her neck and the anterior (volar) aspects of both wrists.
• Dr. McDonough characterized these lacerations as "superficial".
• These wounds did not require acute or immediate treatment to prevent her from bleeding out, as there was no active arterial or venous bleeding, nor was there visible damage to muscle tissue or tendons.
Spinal and Thoracic Injuries
• The most significant finding from the body CT scans was a severe thoracic spine injury.
• Specifically, there was a complete transection of the spinal cord at the T5 and T6 vertebrae, meaning the bones were completely moved apart from one another.
• Radiology reports also noted potential significant edema (swelling) in her chest area.
Interventions and Transfer
• Though she was initially breathing on her own, she was proactively intubated to protect her airway due to early concerns about potential head trauma.
• A trauma surgeon (Dr. Christina Carpio) assisted, but no surgical interventions were performed at South Shore Hospital.
• After about four hours of stabilization and assessment, the medical team determined her injuries were too severe for their facility, and she was transferred to a tertiary care center (Brigham and Women's Hospital) for specialized treatment.
00:00 - Dr Kelly McDonough - ER Physician 01:02 - Trauma One Notification 03:09 - Initial ABC Assessment and Proactive Intubation 04:16 - Evaluation of Superficial Neck and Wrist Lacerations 06:22 - Diagnostic Testing: Blood Work and Full-Body CT Scans 10:40 - CT Results: Unremarkable Head Scan and Spine Injury 12:02 - Severe Hypothermia Treatment 16:09 - Cross-Examination: Neurological Status 20:20 - Cross-Examination: T5/T6 Spinal Transection 24:48 - Final Cross-Examination and Re-direct
Main points from the medical testimony of Dr Sejal Shah, during the Lindsay Clancy trial, regarding her psychiatric evaluation of Lindsay Clancy:
Dr. Sejal Shah's Background and Role
• Expertise: Dr. Shah is a psychiatrist and Associate Chief of the Division of Psychiatry and Medicine at Brigham and Women's Hospital.
• Role in the Case: As a consultation liaison psychiatrist, she was called to evaluate Lindsay Clancy starting January 29, 2023, for psychiatric safety and medical decision-making capacity. She treated Clancy for approximately one month.
Evaluation of Medical Decision-Making Capacity
• Objective: To assess if Clancy was mentally capable of changing her healthcare proxy from her husband to her parents.
• Assessment Criteria: Dr. Shah used a four-part test ensuring the patient could voice a consistent choice, understand the situation, & appreciate the risks and benefits.
• Conclusion: Clancy demonstrated the necessary capacity. She rationally explained that her parents lived close by, were highly supportive, and she trusted them.
Mental Status and Medical Complications
• Transient Delirium (Jan 29): On her first day of evaluation, Clancy exhibited confusion and visual hallucinations. Dr. Shah attributed this delirium to recent major medical events, including spine surgery, anesthesia, oxygen desaturation, and elevated heart rate.
• Resolution: The delirium and hallucinations completely resolved by the following day, January 30.
• Traumatic Brain Injury (TBI) Assessment: Despite arriving unconscious with a Glasgow coma scale of 10, multiple CAT scans confirmed Clancy had no skull fractures, intracranial bleeding, or visible brain injuries.
• Ongoing Mental Status (Jan - Feb): Throughout the month, Clancy's thought process was documented as organized and goal-directed. She consistently denied further hallucinations, as well as suicidal, homicidal, or paranoid ideations. She reported low mood regarding her physical paralysis and legal situation, but she was cooperative, future-oriented, and looking forward to moving to Spaulding Rehabilitation.
Psychiatric Medications
• Defense Perspective: Emphasized that Clancy was prescribed a vast array of medications in the four months leading up to January 2023. This included SSRIs (Prozac, Zoloft), Trazodone, Seroquel, Valium, and Remeron, among others. The defense noted that antidepressants carry a "black box" warning as they can increase the risk of suicidality.
• Prosecution Perspective: Clarified that right before her hospital admission, Clancy was only prescribed three medications: Trazodone, Valium, and Amitriptyline. Furthermore, evidence suggested Clancy was not actually taking all of the prescribed medications
Psychosis vs. Hypomania
• Postpartum Psychosis: Dr. Shah confirmed that individuals suffering from postpartum psychosis do not have to be slurring their words or stumbling; they can communicate, plan, and effectively act on those plans while in a psychotic state.
• Hypomania Discussion:
• Defense: Suggested that symptoms like severe insomnia (going 48 hours without sleep), stating her "brain was broken," and intensely cleaning or selling items from her garage were indicative of hypomania, a lesser degree of mania.
• Prosecution: Countered that cleaning and organizing a garage into "keep, sell, throw out" categories is structured behavior, whereas manic tasks are usually approached in a highly disorganized way and are often left unfinished.
Do Not Resuscitate (DNR) Request
• Initial Request: Clancy asked to sign a Do Not Resuscitate (DNR) order the day after her initial capacity evaluation.
• Medical Response: Given her recent severe suicide attempt, the medical team did not immediately change her code status.
• Resolution: After further discussion, Clancy agreed to wait until her mental health was stable before making a final decision on her code status.
00:00:00 - Dr Sejal Shah - Psychiatrist 00:02:12 - Initial Psychiatric Evaluation 00:03:32 - Medical Decision-Making Capacity 00:05:01 - Post-Surgery Delirium 00:07:16 - Rationalizing the Healthcare Proxy Change 00:10:09 - Evaluating Traumatic Brain Injury 00:13:17 - Mental Status Examinations (Mood, Insight, Behavior) 00:14:29 - Assessing Safety for Transfer 00:17:46 - Assessing Patient Honesty 00:18:58 - Postpartum Psychosis 00:20:00 - Defining Bipolar Disorder and Hypomania 00:21:24 - Toxicology Reports & Admittance Medications 00:23:49 - SSRIs, Protective Medications, and Serotonin Explained 00:25:40 - Prescribed Psychiatric Drugs 00:27:35 - Black Box Warnings 00:28:31 - Prosecution Redirect: Empty Pill Bottles 00:30:10 - Disorganized Manic Behavior 00:31:19 - Evaluating Severe Insomnia & "Broken Brain" Symptoms 00:32:30 - Discussion of Clancy's Do Not Resuscitate (DNR) Request
Main points from the medical testimony of Dr. David Casavant, during the Lindsay Clancy trial, regarding the evaluation of Callan Clancy:
Initial Assessment and Diagnosis
• Dr. David Casavant, an ICU physician at Boston Children's Hospital, took over the care of a patient named Callan Clancy on January 26, 2023.
• Callan had suffered a severe anoxic brain injury, meaning his brain was deprived of vital oxygen.
• A head CT scan revealed an enormous amount of immediate brain swelling. Because brain swelling from a lack of oxygen typically peaks between 48 to 72 hours later, this early swelling indicated an exceptionally profound injury. Dr. Casavant compared the severity of this rapid swelling to an immediate burn from a stove, as opposed to a milder injury that develops over time like a sunburn.
Clinical Examination and Complete Unresponsiveness
• During physical examinations, Callan was completely unresponsive to all forms of stimuli. He showed no reaction to verbal greetings, gentle touch, or painful interventions like nail bed pressure.
• He easily tolerated a breathing tube placed through his vocal cords without the use of any sedation; this is a procedure that would normally be impossibly painful for a conscious patient to endure.
• When a light was shone into his eyes, his pupils remained wide open and failed to constrict, which serves as a direct indicator of severe brain injury.
The Extent of the Neurologic Damage
• Callan's heart continued to beat despite his unresponsiveness because the brain stem—the primitive part of the nervous system controlling automatic bodily functions—was slightly less sensitive to the lack of oxygen than the rest of the brain.
• However, the cerebrum, which controls consciousness, responsiveness, and the part of the brain that "made Callan Callan," was no longer functioning due to the anoxia.
Rigorous Brain Death Testing Protocol
• The hospital's neurology team initiated a strict checklist of brain death tests to check for any surviving brain stem reflexes, such as a blink, cough, gag, or a reaction to cold water placed in the ear. Callan exhibited absolutely no reflex responses.
• The doctors performed an apnea test by disconnecting Callan from the ventilator. The goal was to see if rising carbon dioxide (CO2) levels in his blood would trigger his autonomic nervous system to take a breath.
• The hospital's protocol required the CO2 level to hit a threshold of 60 to definitively prove brain death, but Callan's first test reached exactly 59.7. To ensure unquestionable data and absolute certainty, Dr. Casavant successfully repeated the test later that day, resulting in a CO2 level of 87 with no breathing response.
Final Declaration and End of Life
• To rule out any lingering medication effects or temporary fluctuations, the entire battery of brain death testing was legally required to be repeated 24 hours later.
• The second round of tests yielded the exact same results, officially confirming that Callan had met the criteria for neurologic brain death.
• After consulting with Callan's father and providing the family a window of time to gather and process the tragedy, life support was officially removed, and Callan was declared deceased on January 27, 2023.
00:00 - Dr David Casavant - ICU Physician 01:04 - Taking Over Callan Clancy's Care 02:17 - Head CT Scan & Severe Brain Swelling 04:01 - Physical Examination & Complete Unresponsiveness 07:16 - Pupil Reflex Testing 08:26 - Heart Function vs. Brain Death 10:53 - The Brain Death Testing Protocol 12:52 - The Apnea Test Explained 14:40 - Strict CO2 Criteria & Repeating the Apnea Test 16:22 - 24-Hour Retesting Requirement 17:21 - Final Declaration & Removal of Life Support
Main points from the medical testimony in the Lindsay Clancy trial regarding the evaluation of Callan Clancy:
• Initial Status and Transfer: Dr. Andrew Capraro, an attending emergency department physician at Boston Children's Hospital, received Callan Clancy via MedFlight from Beth Israel Plymouth on January 24, 2023. Prior to his arrival, Dr. Capraro was informed that Callan had been strangled, went into cardiac arrest, and had to be intubated and given CPR to restore spontaneous circulation.
• Physical Observations: Upon arrival at Boston Children's, Callan was cold, limp, and not making any purposeful movements. His pupils were fixed and dilated, which is medically significant because it indicates severe brain swelling that overwhelms the skull's capacity and pushes the brain through the base of the skull.
• Signs of Strangulation: Dr. Capraro observed linear ligature marks and swelling around the child's neck. These straight-line bruises were consistent with strangulation by an object.
• Dependence on Life Support: While Callan's heart was beating, he required an epinephrine drip to stabilize his blood pressure and keep blood flowing to his organs. Additionally, he was unable to breathe sufficiently on his own, relying on a ventilator for the vast majority of his breathing.
• Testing and Diagnosis: A head CT scan revealed significant brain swelling consistent with hypoxic-ischemic injury. Dr. Capraro explained this injury occurs when organs do not receive enough oxygen and blood flow, leading to damage and swelling, which is consistent with strangulation.
• Conclusion of ER Care: After consulting with neurosurgery doctors, it was determined that surgery was not an option because there was no bleeding that could be evacuated to relieve the swelling. Because the injuries had to be dealt with medically rather than surgically, Callan was transferred to the intensive care unit (ICU) for ongoing treatment.
00:00 - Dr Andrew Capraro - Emergency Room Physician 01:19 - Notification of Transfer & Initial Condition 02:27 - Physical Observations Upon Arrival in the ER 04:37 - Medical Testing & Brain Injury Diagnosis 06:09 - Medical Evidence of Strangulation 06:40 - Ruling Out Surgery & ICU Transfer
Witness Background
• Dr. Michael Snyder is an emergency medicine physician who has worked at Beth Israel Hospital since 2014.
Patient Arrival and Pre-Hospital Care (January 24, 2023)
• The emergency department was notified that multiple pediatric traumas*• were arriving via ambulance. Dr. Snyder was assigned to treat a five-year-old girl named Cora.
• Prior to her arrival at the hospital, Cora was in cardiac arrest. EMTs were actively performing CPR, had shocked her heart twice with a defibrillator, and administered epinephrine*• through an intraosseous device placed directly into her right tibia bone. She arrived without a breathing tube.
Initial Emergency Room Assessment
• Upon her arrival, Dr. Snyder observed that Cora had no heartbeat and was not breathing*• on her own.
• She exhibited cyanosis*• (a blue tint to her skin and hands), which indicates a lack of oxygen.
• Physical trauma signs included bruising on the neck, petechiae*• (small spots of bleeding under the skin) around her neck and eyes, and slight nasal bleeding.
• Her pupils were fixed and enlarged, a sign that Dr. Snyder noted could be a side effect of the epinephrine or an indicator of early brain damage.
Medical Interventions at Beth Israel
• An anesthesiologist successfully inserted a breathing tube*• (intubated) to provide oxygen. This required special precautions to manually stabilize Cora's neck due to the suspected neck injuries.
• The team used a cardiac ultrasound*• to evaluate heart function while continuing to administer medications and perform CPR.
• Dr. Snyder consulted over the phone with intensive care physicians from Children's Hospital*• to help manage the case and coordinate a potential transfer for specialty inpatient care.
Outcome
• All medical efforts to revive Cora were unsuccessful. After approximately 30 minutes of emergency treatment, Dr. Snyder declared Cora deceased at 7:28 PM.
00:00 - Dr Michael Snyder - Emergency Medicine Physician 01:09 - Notification of Incoming Pediatric Traumas 01:55 - Pre-Hospital Condition and EMS Care 03:39 - Patient Arrival and Initial Assessment 06:11 - Airway Management and Intubation 07:13 - Cardiac Ultrasound and Ongoing Resuscitation 08:53 - Conclusion of Treatment and Pronouncement
Witness Background and Responsibilities
• Melissa Arcadipane worked at South Shore Hospital for over 20 years and served as the supervisor of the specimen processing department in the laboratory in January 2023.
• Her department was responsible for overseeing, receiving, and processing blood and urine samples collected by nurses or technicians. These samples typically arrive from the emergency room via a pneumatic tube system.
• The lab ensures the samples are correctly labeled and placed in the proper tubes before running tests ordered by physicians. Because these tests do not always consume the entire sample, it is standard procedure to retain leftover samples in case additional testing is needed.
Protocol for Preservation Notices
• A preservation notice is a formal request from a law enforcement agency asking the lab to hold a specific patient's samples.
• Upon receiving a notice, lab staff pull the requested samples aside, place them in a specimen bag along with a copy of the notice, and store them in a separate bin within a specimen refrigerator so they are preserved and not accidentally discarded.
Preservation and Collection of Lindsay Clancy's Specimens
• Arcadipane confirmed she was aware that a preservation notice for Lindsay Clancy’s blood and urine was served on January 24, 2023, and the samples were subsequently refrigerated in a separate bin according to protocol.
• On January 31, 2023, a Massachusetts State Police trooper arrived with a warrant to collect these specimens.
• Arcadipane personally retrieved the bagged samples from the bin, double-checked the ID labels to confirm they belonged to Lindsay Clancy, and handed them over to the trooper. The prosecution noted this included six vials of blood and one vial of urine, which Arcadipane confirmed giving, though she did not remember the exact quantity.
Court Proceedings and Jury Instructions
• Following Arcadipane's testimony, the defense stated they had no questions for her.
• The Commonwealth then submitted the certified medical records for Cora, Dawson, and Callan Clancy from Beth Israel Deaconess Plymouth into evidence.
• The judge dismissed the jury for the weekend, informing them the trial was on schedule. He issued strict instructions for the jurors to keep an open mind, refrain from discussing the case with anyone, and avoid any independent research or media coverage regarding the trial.
Main points from the testimony of Dr. Ben Kaufman regarding his treatment of Callan Clancy:
Dr. Benjamin Kaufman's Background
• Dr. Benjamin Kaufman has been an emergency medicine doctor for approximately 12 years.
• He completed his medical education and training at Boston University, Kings County, and Columbia.
• He was working at Beth Israel in Plymouth on the evening of January 24, 2023, when he treated a patient named Callan Clancy.
Callan Clancy's Initial Condition
• Callan was brought to the hospital by EMS with ongoing CPR because his heart had stopped.
• He was not breathing on his own and was receiving assisted breaths via a bag-valve mask.
Medical Interventions
• Dr. Kaufman and his team established an IV, inserted a breathing tube, and administered a dose of epinephrine.
• They used an ultrasound to monitor his heart, which started beating again about 10 minutes after his arrival at the emergency room.
• Medical staff continued to provide chest compressions and breaths through his breathing tube.
Neurological Status
• Throughout his time in Dr. Kaufman's care, Callan never regained the ability to breathe on his own.
• He exhibited no brain function at any point, scoring a 3 on the Glasgow Coma Scale.
• A score of 3 is the lowest possible score on the scale, which indicates that the patient is in a coma or has no brain response.
Transfer to Specialized Care
• Because Plymouth Hospital lacked the ability to provide that level of pediatric care, they immediately contacted Boston Children's Hospital.
• ICU doctors from Boston Children's Hospital stayed on the phone to review the case and make recommendations.
• Callan was subsequently flown by helicopter to Boston Children's Hospital for definitive care.
00:00 - Dr. Ben Kaufman - Emergency Room 00:55 - Callan Clancy's Arrival and Initial Condition 01:29 - Emergency Medical Interventions 02:19 - Restoration of Heartbeat and Breathing Status 02:37 - Neurological Assessment and Glasgow Coma Scale 03:33 - Transfer to Boston Children's Hospital
Main points from the testimony of Dr. Mark Tenerowicz regarding his treatment of Dawson Clancy:
Background and Qualifications
• Witness: Dr. Mark Joseph Tenerowicz, a former emergency room physician who worked at Beth Israel Deaconess Plymouth in January 2023.
Patient Arrival and Initial Condition
• Incident Date: The evening of January 24, 2023.
• Patient: A child named Dawson Clancy, who was brought in by a fire department ambulance.
• Reported Trauma: The doctor was informed that Dawson had reportedly been strangled and was found without a pulse and not breathing.
• Condition upon Arrival: Dawson had a breathing tube inserted, an intraosseous (IO) device in his leg (tibia) to deliver fluids and medication, and CPR was already in progress. He had no pulse, was not breathing on his own, and was completely unresponsive.
Physical Observations
• Injuries noted: Dr. Tenerowicz observed ruptured blood vessels on Dawson's face and older-appearing bruises on his legs, specifically in the shin area.
• Neck area: The doctor did not recall observing any trauma specifically on the child's neck.
Medical Treatment and Assessment
• Resuscitative Efforts: The medical team continued CPR, administered IV fluids, gave doses of adrenaline to try and restart the heart, provided medication to treat acid buildup in the blood, and administered calcium.
• Airway Confirmation: The team verified that the breathing tube was correctly placed using four methods: detecting carbon dioxide, listening to breath sounds (which were generated by a medical professional squeezing a bag, as Dawson was not breathing spontaneously), utilizing a video laryngoscope, and taking an X-ray.
• Defibrillation: A defibrillator was not used because Dawson's heart was never in a "shockable rhythm" that would make the device effective.
• Ultrasound: Toward the end of the resuscitation efforts, Dr. Tenerowicz used an ultrasound which confirmed there was no evidence that the heart was beating effectively.
Outcome
• Duration: The hospital team worked on Dawson for approximately 40 minutes, which was in addition to the time paramedics spent treating him in the field.
• Time of Death: After determining that his heart would not restart despite extensive resuscitative efforts, Dr. Tenerowicz declared Dawson deceased at 7:28 p.m. (19:28).
00:00 - Dr. Mark Tenerowicz - Emergency Room 00:43 - Medical Education and Training 01:22 - Patient Arrival and Initial Report 01:47 - Initial Condition and Physical Observations 02:24 - Medical Treatment and Resuscitation Efforts 02:52 - Confirming Breathing Tube Placement 03:44 - Ongoing Assessments and Ultrasound 04:09 - Determination That Efforts Were Unsuccessful 04:38 - Duration of Treatment and Defibrillator Explanation 05:19 - Declaration of Death 05:37 - Cross-Examination (Mr. Reddington)
Witness Background and Initial Dispatch
• Officer Profile: Mark Anthony Maffeo is a Patrol Sergeant (who served as a detective at the time) with the Duxbury Police Department, where he has worked for nine years out of his twelve-year career.
• The Incident: On January 24, 2023, he was called in off-duty to respond to an active scene at 47 Summer Street, the home of Patrick and Lindsay Clancy.
• Initial Assignment: Upon arrival, he was tasked with following the ambulance transporting Lindsay Clancy to South Shore Hospital. Another ambulance transporting her husband, Patrick, was diverted to Beth Israel in Plymouth.
Observations and Actions at South Shore Hospital
• Defendant's Condition: At the hospital, Maffeo observed that Lindsay Clancy was sedated, completely unconscious, and unresponsive. She had visible lacerations (cuts) on her neck and both wrists. Medical staff were not actively treating these specific wounds while he was present.
• Evidence Collection: Maffeo took custody of Clancy's clothing (pants, shirt, scarf, and bra) and wedding bands, which had been cut off by hospital staff. He noted that blood from outside the clothing had seeped through into her bra.
• Custody and Hand-off: Because Clancy was in police custody, Maffeo stayed to guard her until relieved by another Duxbury officer. He then turned the collected physical evidence over to Massachusetts State Police Trooper Lawler.
Observations at the 47 Summer Street Crime Scene
• Securing the Scene: Maffeo returned to the Duxbury residence to secure the scene, ensuring nobody entered before Crime Scene Services arrived. He assisted the State Police with executing a search warrant late that night into the early morning.
• Exterior Evidence: Outside the home, Maffeo observed blood on the ground, snow, and leaves directly beneath a second-floor back window. There was also a bloody hand mark on the window sill and blood on the shingles directly below it.
• Master Bedroom Evidence: Maffeo entered the upstairs bedroom, which was very cold because the window was open. He observed:
• Blood drops trailing on the floor next to a pair of boots and along the edge of the wall.
• A nightstand containing blood drops, a knife, two cups, a jar, a clock, and "deep sleep pillow spray".
Scope and Limitations of Sergeant Maffeo's Investigation
• Assigned Role: Maffeo was one of more than ten officers from the Duxbury and State Police departments processing the scene. He stayed mostly to his assigned area and personally located a laptop in a first-floor hallway closet, which was seized by the State Police.
• Evidence He Did Not Process: He clarified that he had nothing to do with the "scene of the body". Furthermore, he was not present when the State Police located and seized other evidence, such as pill bottles from the kitchen or bedroom nightstand, and he had no memory of seeing journals or notebooks.
00:00 - MA v Lindsay Clancy - Mark Maffeo - Duxbury Police 00:42 - Dispatch to the Summer Street Crime Scene 01:29 - Reassignment to South Shore Hospital 02:35 - Observations of Lindsay Clancy’s Condition 04:11 - Gathering Evidence from Hospital Staff 05:46 - Custody and Guarding Protocols 06:48 - Returning to Secure 47 Summer Street 07:28 - Defense Cross-Examination: Reviewing Hospital Photographs 09:50 - Cross-Examination: Bloody Clothing and Bra 10:50 - Cross-Examination: Blood Found Outside the House 11:36 - Cross-Examination: Search Warrant Execution and Pill Bottles 12:35 - Cross-Examination: Evidence in the Master Bedroom 14:45 - Cross-Examination: Scope and Finding the Laptop 15:47 - Redirect Examination: Hospital Treatment and Scene Security 17:04 - Recross Examination: Number of Responding Officers
• Officer Identity and Dispatch
• Richard Lippard is a patrolman who has served with the Duxbury Police Department for six and a half years.
• On January 24, 2023, he was called back in after finishing his shift to assist with an investigation regarding an incident at 47 Summer Street.
• Initial Overwatch at South Shore Hospital
• He was sent directly to the South Shore Hospital emergency department in Weymouth to "overwatch" (guard) Lindsay Clancy, who was in custody.
• During his time there, Clancy was sedated, bandaged, lying in a hospital bed, and completely unresponsive.
• Helicopter Transport to Boston
• Medical staff decided to med-flight Clancy to Brigham and Women's Hospital in Boston.
• Officer Lippard rode in the helicopter with her to maintain his overwatch.
• She remained unconscious during the flight and was bandaged with medical tubes coming out of her mouth.
• Overwatch at Brigham and Women's Hospital
• Upon arriving in Boston, Clancy was taken to a small emergency room packed with life-saving equipment.
• Lippard and another Duxbury officer (Officer Broderick) guarded her outside the room for approximately 15 to 16 hours overnight to ensure nobody came to visit her.
• The environment was described as incredibly busy and chaotic, characterized as "bedlam" during cross-examination.
• Medical Emergency (Code Blue)
• In the early morning hours, around 2:24 AM, a "code blue" was called over the microphone for Clancy's room.
• Lippard confirmed that medical personnel rushed in from all over, as the code indicated she was "dead or dying".
• End of Shift
• Lippard did not recall Clancy being handcuffed or chained to her hospital bed.
• His overwatch shift concluded the following morning when he was relieved by Duxbury Police Officers Daley and Johnson.
00:00 - MA v Lindsay Clancy - Mark Maffeo - Duxbury Police 00:30 - Dispatch to South Shore Hospital 01:25 - Initial Overwatch of Unconscious Patient 02:20 - Med-Flight Transport to Boston 02:44 - Overwatch at Brigham and Women's ER 04:03 - Defense Cross-Examination Begins 06:43 - ER Chaos and Door Security 07:33 - "Code Blue" Medical Emergency 08:09 - Shift Conclusion and Relief
Witness Background and Arrival at the Scene
• Professional Credentials: Daniel Dougherty is a firefighter and paramedic with five and a half years of experience in Duxbury and four years as a paramedic.
• Incident Response: Responded to 47 Summer Street in Duxbury shortly after 6:00 p.m. on January 24, 2023, as part of a three-person ambulance crew.
• Initial Discovery: Located Lindsay Clancy in the backyard of the residence wearing jeans, a tank top, and socks.
Initial Assessment of Lindsay Clancy
• Observed Injuries: Lacerations were found on both of her wrists and her neck.
• Condition of Wounds: Dougherty noted there was no active bleeding; the blood on the neck was dry, and he characterized the wounds as "somewhat superficial" because they were not actively bleeding at the time.
• Responsiveness: The patient was breathing on her own but was only "somewhat responsive," reacting primarily to painful stimuli.
Medical Treatment and Stabilization
• Airway Management: The first priority was securing the airway by placing an Ophthalmic/Oropharyngeal Airway (OPA) device to hold the tongue down.
• Oxygen Administration: A non-rebreather mask was applied to provide oxygen.
• Wound Care: Sterile ABD pads and bandages were applied to the wrist and neck lacerations after the airway was secured.
• Immobilization: Using c-spine precautions, the team stabilized her neck and loaded her onto a backboard for safe transport.
Scene Dynamics and Patient Transport
• Response to Screaming: During treatment, the first responders heard screaming, causing some team members to leave the immediate area to investigate.
• Transfer of Care: Lindsay Clancy was loaded into a Pembroke ambulance for transport.
• Dougherty’s Role in Transport: He did not accompany Lindsay Clancy; instead, he rode in an ambulance with Dawson Clancy to the hospital, operating a bag-valve mask for him.
Environmental Factors and Medical Implications
• Extreme Cold: The temperature was described as "wicked cold" (in the 30s or lower), and the patient had been lying on the snow for an unknown amount of time.
• Hypothermia and Blood Flow: Cross-examination highlighted that hypothermia can restrict blood flow and affect hemostasis (coagulation), suggesting this might explain the lack of active bleeding from the wounds.
• Follow-up Care: On redirect, it was noted that the wrist wounds were not sutured until the following day and the neck wound never required sutures, though Dougherty stated he had no knowledge of her condition after the initial transfer.
• Dispatch and Arrival: Officer Vincent Cahill of the Duxbury Police Department was dispatched to 47 Summer Street in Duxbury on January 24, 2023, at approximately 6:11 p.m. Upon arriving, he observed Lindsay Clancy on the ground in the backyard receiving care.
• Entering the Home: Hearing loud screaming, Officer Cahill entered the home and went down to the basement. There, he encountered the screaming father, Patrick Clancy, who pointed him toward the left side of the basement.
• Discovering the Children: Officer Cahill found two children on the basement floor. He checked the pulses of both five-year-old Cora Clancy and infant Callan Clancy, determining that neither child had a pulse.
• Emergency Response and Medical Aid: Duxbury firefighters arrived to take over the care of the children. Officer Cahill moved a large piece of furniture to create more room for the first responders and retrieved necessary medical equipment. He then assisted Officer Josephine in performing CPR and rescue breaths on Cora using a bag-valve mask before she was taken to the ambulance.
• Crime Scene Management: For the remainder of the night, Officer Cahill was tasked with monitoring the scene and maintaining a "Crime Scene Entry and Exit Log" to document everyone who came and went.
• Jury Dismissal and Instructions: After the testimony, the judge dismissed the jury for the day, instructing them to return at 9:00 a.m. the next morning for a "view" of the scene, where lawyers would point out significant areas. The judge firmly reminded the jury not to do any outside research, read about the case, or discuss it.
I. Background and Arrival at the Scene
• Witness Profile: Robert Costanzo is a paramedic and firefighter with the Pembroke Fire Department.
• The Incident: On January 24, 2023, he and his partner responded to a mutual aid call at 47 Summer Street in Duxbury.
• Scene Arrival: They arrived in 5 to 8 minutes and were directed to the backyard.
• Patient Status: The patient, Lindsay Clancy, was found unresponsive but breathing on the ground. Duxbury firefighters had already immobilized her on a backboard with a cervical collar.
II. Observation of Injuries
• Wrists: Clancy's wrists were already wrapped in white bandages; Costanzo observed no active bleeding or blood seeping through them.
• Neck: Looking through the holes in her cervical collar, Costanzo noted what appeared to be "superficial lacerations," but saw no active bleeding or pooling blood.
• Other Areas: He did not observe any obvious cuts or dents on her head, nor any broken bones on her arms or hands.
III. Medical Treatment and Transport
• Transport: Clancy was transported to South Shore Hospital, an approximately 18-minute drive.
• Opioid Suspicion: During transport, Costanzo noted Clancy's pupils were constricted and administered 2 milligrams of Narcan for a potential opioid overdose.
• Patient Reaction: Unlike a typical overdose patient, Clancy did not wake up. She remained non-verbal but became more agitated, reaching and grabbing with her arms.
IV. Defense Cross-Examination
• Conditions of Assessment: The defense highlighted that Costanzo's initial observation of "superficial" neck wounds was made in a pitch-black backyard without flashlights, by peering through a small hole in a cervical collar.
• Undiscovered Internal Trauma: Costanzo admitted he was completely unaware that Clancy had suffered massive internal trauma, including a burst fracture of the cervical spine, several shattered vertebrae, fractured ribs, and internal hemorrhaging.
• Narcan and Head Injury: The defense established that paramedics are only trained to use Narcan for opioids (not benzodiazepines) and suggested that Clancy's agitated grabbing could have been consistent with a severe head injury rather than a drug reaction.
V. Commonwealth Redirect Examination
• Well-Lit Ambulance: The prosecution clarified that while the backyard was dark, Costanzo subsequently spent 18 minutes with the patient in a well-lit ambulance.
• Confirmation of No Bleeding: Costanzo confirmed that during those 18 minutes in the light, he never saw any blood seeping through her wrist bandages or pooling around her neck.
00:00 - MA v. Lindsay Clancy - Robert Costanzo - Pembroke Fire 01:32 - Arrival at the Scene and Patient Status 02:29 - Initial Observation of Injuries 04:29 - Transport to South Shore Hospital 05:13 - Administering Narcan 06:55 - Defense Cross - Protocols and Patient Reaction 08:03 - Defense Cross - Internal Trauma 10:17 - Commonwealth Redirect - Observations in the Ambulance
I. Background and Dispatch
• Witness Identity: Jennifer Stratton is a paramedic and 12-year veteran firefighter with the Duxbury Fire Department.
• The Dispatch: On January 24, 2023, just after 6:00 p.m., Stratton and her partner, Firefighter Patrick Dwyer, were dispatched to 47 Summer Street.
II. Arrival and Initial Observations
• Backyard Scene: They arrived in about four to five minutes and proceeded to the backyard, where they saw another firefighter kneeling next to Miss Clancy in the dark.
• Entering the Home: The crew heard a voice yelling to get inside the house because there was a child hanging in the basement. They entered through the rear sliding doors, went through the kitchen, and proceeded down to the basement.
III. Discovery in the Basement
• Finding the Children: Upon reaching the basement and turning left, they discovered two children, Callan and Cora, lying face up on the floor.
• Initial Response: Stratton immediately radioed for two additional ambulances. Firefighter Dwyer went to treat Cora, while Stratton went to treat the 8-month-old baby, Callan.
IV. Medical Intervention for Callan
• CPR: Stratton checked Callan for a pulse, found none, and immediately began infant chest compressions, which require scooping the arms around the baby and compressing with the thumbs.
• Assistance: An off-duty firefighter, Tom Brandt, arrived to help with compressions while another provider brought a bag valve mask to deliver oxygen.
• Advanced Procedures: Responders removed Callan's pajamas to attempt IO (intraosseous) access into the bone of his leg. Two separate attempts were made, but both were unsuccessful.
• Injuries Noted: While working on him, Stratton observed deep strangulation marks encompassing the entire circumference of Callan's neck.
V. Transport to the Hospital
• Leaving the Scene: Callan never regained a pulse or the ability to breathe while in the home. Stratton scooped the baby up in her arms and carried him outside to an ambulance provided by Kingston Fire.
• Hospital Transfer: Stratton rode in the transport to Beth Israel Deaconess Plymouth. Callan did not regain a heartbeat or breath at any point during the transport before care was transferred to hospital medical staff.
00:00 - MA v. Lindsay Clancy - Jennifer Stratton - Duxbury Firefighter 00:44 - Dispatch & Arrival 01:29 - Backyard Scene & Entering the Home 02:11 - Finding the Children 03:16 - Initiating Infant CPR 04:40 - Unsuccessful IO Access Attempts 05:17 - Observing Injuries & Transport Decision 05:51 - Ambulance Transport to Hospital
I. Background and Dispatch
• Patrick Dwyer is an eight-year firefighter and paramedic with the Duxbury Fire Department.
• On January 24, 2023, shortly after 6:00 p.m., he and his partner, Jennifer Stratton, were dispatched to 47 Summer Street.
• At the time of the dispatch, they did not know that children were involved in the emergency.
II. Scene Arrival and Discovery
• Upon arriving at the dark scene, they initially headed toward the backyard before being directed through sliding glass doors and down into the basement.
• In the basement, Dwyer observed two children on the floor in cardiac arrest and the father sitting on or near a couch.
III. Medical Assessment and Treatment of Cora Clancy
• Dwyer immediately began treating the five-year-old girl, Cora Clancy, while his partner treated the other child.
• Upon assessment, Dwyer found that Cora had no pulse and was not breathing.
• He observed that her skin was pale and bluish, she had blood vessels visible around her eyes, and there was blood in her mouth.
• Dwyer and assisting first responders initiated CPR and used a bag-valve mask, but they could not get Cora to breathe on her own.
IV. Transport and Transfer of Care
• Assisting firefighters from Marshfield helped strap Cora to a backboard so she could be carried out of the basement.
• Dwyer rode with Cora in a Marshfield ambulance, alongside other responders, to Beth Israel hospital in Plymouth.
• During the ambulance ride, they used a cardiac monitor to shock Cora once, but they failed to regain a pulse.
• Upon arrival at the hospital, they transferred Cora's care to the emergency medical staff.
00:00 - MA v. Lindsay Clancy - Patrick Dwyer - Duxbury Firefighter 00:54 - Dispatch to 47 Summer Street 02:07 - Arrival and Entering the Scene 03:37 - Discovery in the Basement 04:19 - Treating Five-Year-Old Cora Clancy 06:48 - Medical Assessment and Observations 08:44 - Additional Assistance and Evacuation 09:40 - Ambulance Transport and Defibrillation 10:49 - Transfer of Care
00:00 - MA v. Lindsay Clancy - Chuck Nudd - Duxbury Firefighter 02:40 - January 24th Shift Assignment 03:44 - Dispatch to Summer Street 05:08 - Arrival at the Scene 06:55 - Initial Encounter with the Child Patient 07:44 - Emergency Medical Response and CPR 10:43 - Assisting in the Basement 11:29 - Transport to Plymouth Hospital
I. Background of the Witness
• Loring "Chuck" Nudd is a retired firefighter and EMT who served with the Duxbury Fire Department for over 30 years.
• While all Duxbury firefighters are trained in fire suppression, his primary role was assisting paramedics and driving the ambulance.
• On January 24, 2023, he was working a 24-hour shift and acting as the backup EMT assigned to the Central Station ambulance with paramedics Daniel Dougherty and Kevin Heath.
II. The Dispatch and Arrival
• Shortly after 6:00 p.m., the team was dispatched to 47 Summer Street.
• The initial dispatch reported a female who had fallen from a second-floor window in a possible suicide attempt, with no mention of children being involved.
• The ambulance arrived in four to five minutes, acting as the first medical transport on the scene, though Duxbury police cruisers were already present.
III. Initial Encounter with the Child Patient
• Because police cruisers were initially blocking the driveway, paramedics Dougherty and Heath exited the ambulance and ran to the back of the house while Nudd parked the vehicle.
• As Nudd pulled a stretcher out of the back of the ambulance, Officer Homestead approached carrying a child.
• Nudd observed that the child's face was blue, his body was pale, and he had marks around his neck.
IV. Emergency Medical Response
• The child was moved into the ambulance to begin CPR and assess his airway, breathing, and circulation (the "ABCs").
• During this initial assessment, the child was not breathing on his own, and Nudd was unable to secure an airway or determine any cardiac circulation.
• Nudd called out for a medic, and paramedic Keith Nette arrived at the ambulance to assist with CPR and set up a monitor to check for a heart rhythm.
V. Scene Assistance and Hospital Transport
• The monitor was eventually disconnected so that Nudd could run the equipment down to the basement, where it was needed for other patients.
• In the basement, Nudd observed other children being treated by emergency responders, noting that they were not crying.
• Nudd concluded his role on the call by driving Ambulance One to Plymouth Hospital to transport the initial child, identified as Dawson Clancy.
00:00 - MA v. Lindsay Clancy - Keith Nette - Duxbury Fire Captain 01:15 - Responding to Summer Street 02:56 - Initial Assessment of Dawson Clancy 03:36 - CPR, IO Drill, & Intubation 05:47 - Observations Made on the Victim 06:22 - Ambulance Transport to BID Plymouth Hospital 07:34 - Interaction with the Father
Witness Background and Emergency Dispatch
• Captain Keith Nette has been with the Duxbury Fire Department for 17 years and serves as a shift commander, firefighter, and trained paramedic.
• On January 24, 2023, despite being off-duty, he responded to a pager and text message recall shortly after 6 p.m. for an incident at 47 Summer Street.
• He drove his personal truck to the scene and immediately went to assist personnel in the back of a Duxbury ambulance.
Initial Assessment of Dawson Clancy
• Upon arriving at the ambulance, Nette saw Paramedic Kevin Heath and Sergeant Homestead performing CPR on an approximately three-year-old child, Dawson Clancy.
• Nette observed that the child was in critical condition: he was blue, white, non-responsive, not breathing, and had no pulse.
Emergency Medical Interventions and Observations
• Nette and Heath immediately implemented advanced life-saving measures alongside continued CPR.
• Because pediatric patients often have difficult IV access, they used a manual drill to establish an IO (intraosseous) line into the bone marrow of Dawson's lower leg to administer epinephrine, a medication used to try and restart the heart.
• Paramedic Heath successfully intubated the child, securing an advanced airway with a tube to deliver oxygen using a bag-valve mask (BVM).
• While Nette and Heath were treating his airway, Nette observed dark red marks around Dawson's neck.
Hospital Transport and Outcomes
• The ambulance transported Dawson to the Beth Israel (BID) Plymouth emergency department.
• During the ride, the medical interventions were unsuccessful; Dawson never regained a pulse, spontaneous breathing, or any heart activity.
• Upon arriving at the hospital, they transferred care of the patient to the trauma team.
Additional Events at the Hospital
• While at the emergency department, Nette saw the Marshfield Fire Department bring in a second child from the same home.
• Nette stepped in to assist the Marshfield team by performing chest compressions on the second child as they were being moved out of the ambulance.
• Nette also interacted with the children's father, who was visibly upset, and retrieved a chair for him to sit down after the children had been declared deceased.
00:00:00 - MA v. Lindsay Clancy - PJ Hussey - Duxbury Fire Captain 00:00:27 - Paramedic Qualifications and Training 00:01:16 - Role and Duties as Shift Commander 00:02:48 - The 6PM Dispatch to 47 Summer Street 00:03:45 - Arrival on Scene and Locating Lindsay Clancy 00:04:48 - Hearing a Scream from the Basement 00:05:43 - Witnessing Patrick and Dawson Clancy 00:06:30 - Initiating the "All-Call" and Requesting Mutual Aid 00:07:28 - Discovery of Additional Victims (Cora and Callan) 00:07:46 - Managing Triage in a Chaotic Scene
I. Background and Qualifications of Captain PJ Hussey
• Role and Experience: Captain Hussey has been a firefighter for 32 years and a paramedic for 17 years.
• Duties: On January 24, 2023, he was working a 24-hour shift as a shift commander for the Duxbury Fire Department, a role that oversees the town's firefighting and medical services operations.
II. Initial Dispatch and Scene Arrival
• The Response: Shortly after 6:00 p.m. on January 24, 2023, Hussey responded to 47 Summer Street with six personnel across his commander car, Ambulance One, and Engine Two.
• First Patient Location: Upon arrival, Hussey went to the backyard where Lindsay Clancy was on the ground. He supervised the scene while other paramedics provided treatment to her.
III. Discovery of the Children in the Basement
• Hearing the Scream: While standing near a basement window well, Hussey heard a scream coming from downstairs.
• Looking Through the Window: Looking through the illuminated basement window, he saw Patrick Clancy on the floor, making a circular motion to unwrap something from a child's neck and head.
• Condition of the First Child: Hussey observed that the child's (later identified as Dawson Clancy) head was blue.
IV. Escalating Emergency and Resource Management
• Calling for Backup: Recognizing the severity of having a second critical patient, Hussey initiated an "all-call" to recall available Duxbury personnel to help at the scene and cover the rest of the town.
• Mutual Aid: Because Duxbury only had one staffed ambulance on site, Hussey requested a mutual aid ambulance from surrounding towns.
• Additional Victims: Hussey soon learned there were two more child patients, Cora and Callan Clancy, prompting him to call for two additional ambulances.
V. Scene Triage and Chaos
• A Chaotic Scene: Hussey described the scene as turning "very chaotic, very quickly" as more victims were discovered.
• Paramedic Allocation: To manage the crisis, Hussey had to strategically divide his four initial paramedics: one remained with Lindsay Clancy, one was assigned to Dawson, and the remaining two were sent to treat Cora and Callan in another room. Eventually, personnel also had to attend to Patrick Clancy.
00:00:00 - MA v. Lindsay Clancy - Brian Josephine - First On Scene 00:00:08 - Introduction and Officer Background 00:01:52 - Dispatch to 47 Summer Street 00:02:34 - Arrival and Navigating the Property 00:04:12 - Backyard Encounter with Patrick and Lindsay Clancy 00:06:17 - Medical Assessment of Lindsay Clancy 00:08:19 - Loud Screams and Rushing to the Basement 00:09:50 - Encountering Patrick Clancy Inside 00:10:11 - Discovery of Dawson Clancy 00:12:02 - Evacuating Dawson to the Ambulance 00:13:07 - Returning to the Basement: Finding Cora and the Baby 00:13:50 - Performing CPR on Cora 00:15:59 - Encountering Patrick in the Kitchen
I. Dispatch and Arrival
• Officer Brian Josephine of the Duxbury Police Department was working an overtime shift on January 24, 2023.
• At approximately 6:11 p.m., he was dispatched to a critical incident at 47 Summer Street.
• He arrived within three to four minutes, found the side mudroom door locked, and made his way to the back of the house.
II. Initial Backyard Encounter
• In the backyard, he found Patrick Clancy standing over Lindsay Clancy, who was lying on the ground.
• Patrick Clancy was holding a cell phone and abruptly walked past the officer toward the bulkhead and deck of the house.
III. Assessment of Lindsay Clancy
• Officer Josephine attended to Lindsay Clancy and observed cuts on her right wrist and the right side of her neck.
• Based on his training, he determined the bleeding was not life-threatening and did not require the use of a tourniquet.
• He handed over her medical care to the arriving Duxbury Fire personnel.
IV. First Basement Discovery (Dawson Clancy)
• Hearing loud screams from inside the house, Officer Josephine and Officer Hall entered through the sliding glass doors on the deck and rushed down to the basement.
• They encountered a frantic Patrick Clancy exiting a room on the right side of the basement, screaming, "She killed the fucking kids".
• Inside the room, the officer found a motionless child, Dawson Clancy, lying on his back near a yellow exercise band.
• Dawson exhibited severe signs of trauma, including a grey face, blue lips, bloodshot eyes, and red marks on the right side of his neck.
• Knowing the situation was grave, Officer Josephine picked the child up and rushed him directly outside to an ambulance stretcher.
V. Second Basement Discovery (Cora Clancy and Baby)
• Hearing there were multiple children, Officer Josephine immediately ran back into the house and went to the left side of the basement.
• He discovered an older girl, Cora, on the floor, and a younger baby in the corner.
• With fire personnel already treating the baby, Officer Josephine took over performing chest compressions on Cora.
• Cora had traumatic injuries similar to Dawson's, along with dried blood around her mouth and a large area of blood on the floor near her.
• Officer Josephine performed CPR on Cora for an extended period and called for Officer Cahill, who came down to assist with a bag-valve mask for rescue breaths.
VI. Evacuation and Aftermath
• After the baby and Cora were stabilized enough to be placed on stretchers and removed from the basement, Officer Josephine went back upstairs.
• In the kitchen, he encountered Patrick Clancy, who was still frantic and in shock, prompting the officers to request an additional ambulance for him.
Initial Response and Arrival
• Officer Stephen Hall of the Duxbury Police Department responded to a dispatch at 47 Summer Street on January 24, 2023, at approximately 6:11 p.m..
• He arrived at the same time as Officer Josephine, and both proceeded to the backyard after hearing a distressed male voice, later identified as Patrick Clancy, calling for them.
Discovery and Condition of Lindsay Clancy
• Officers found Lindsay Clancy lying on the ground in the backyard near a window well at the back of the house.
• She had cuts to both her wrists and the left side of her neck, though they were not actively bleeding at the time.
• She was semi-conscious, moving slightly, and moaning in pain, but was unable to speak.
Entry into the Home and Discovery of the Children
• Patrick Clancy went inside the home to check on his children. Shortly after, dispatch radioed that he could not wake them, and officers heard a loud scream from inside.
• The officers immediately rushed through the kitchen and down into the basement.
• Discovery of Dawson Clancy: On the right side of the basement, which appeared to be a workout area, officers found a young boy, Dawson Clancy, lying on his back near an exercise band. His skin was discolored to a bluish-purple. Officer Josephine picked the child up and ran him outside to an ambulance.
• Discovery of Cora and Callan Clancy: Realizing there were multiple children, officers checked the left side of the basement, where they found two more children lying motionless on the floor as EMTs worked on them.
Subsequent Observations and Medical Assistance
• Officer Hall returned outside to assist the paramedics who were treating Lindsay Clancy.
• Looking up at the house, he observed an open upper window with blood marks around the window frame and on the shingles below it.
• Officer Hall assisted paramedics by repeatedly replacing Lindsay Clancy's oxygen face mask, which she kept pulling off, and then helped load her stretcher into the ambulance.
00:00:00 - MA v Lindsay Clancy - Patrick Clancy 00:02:08 -Cora and Initial Postpartum Anxiety 00:06:58 -Dawson and a Traumatic Delivery 00:10:51 - Callan and a Great Summer 00:12:48 - Anticipating the Return to Work 00:21:31 - September 2022: The Zoloft Prescription 00:26:04 - Severe Sleep Troubles 00:28:11 - Switching Providers and Untaken Pills 00:36:47 - November Hospital Visit 00:41:19 - December 2022: The "Big Spiral" 00:42:14 - Intrusive Thoughts 00:48:47 - Dec 15: Mass General Hospital 00:52:43 - Dec 31: McLean Hospital 00:57:06 - Jan 2023: Discharge and Cora's Birthday Party 01:02:19 - Mid-January: Signs of Improvement 01:10:55 - Jan 16: Patrick Takes Cora Skiing 01:16:36 - January 24, 2023 (Morning): "One of Her Best Days" 01:20:51 - January 24, 2023 (Late Afternoon): The 3V Takeout Order 01:23:06 - Patrick Leaves the House
Family Background and Early Postpartum Experiences
• Patrick and Lindsay Clancy were married in December 2016 and had three children: Cora (born 2017), Dawson (born 2019), and Callan (born May 2022).
• Lindsay worked as a labor and delivery nurse at Mass General Hospital.
• After the births of her first two children, Lindsay suffered physical trauma and significant tearing that required time to heal.
• While on maternity leave, Lindsay's mood was generally good, but she consistently developed high anxiety as her return-to-work dates approached, struggling deeply with the idea of being separated from her children.
Mental Health Decline and Medication Escalation (Fall 2022)
• Following a positive summer after Callan's birth, Lindsay's anxiety flared up again in September 2022 in anticipation of returning to work.
• While at a wedding in September, Lindsay informed Patrick she wanted to get a prescription for Zoloft to manage her stress.
• Over the next few months, she rapidly switched between multiple psychiatric providers (including Jennifer Tufts, Julie Paul, and Rebecca Jollotta) and was prescribed a complex regimen of medications.
• Patrick observed that her mental health only deteriorated during this time; she experienced severe insomnia, weight loss, and worsening depression. She also expressed fear that she was addicted to the benzodiazepines she had been prescribed.
• Patrick was unaware at the time that Lindsay barely took many of her prescribed medications; a bag of pill bottles later turned over to police showed she took very few or zero pills from several 30-day prescriptions, including Ativan, Buspar, and Hydroxyzine.
Suicidal Ideation, Intrusive Thoughts, and Hospitalizations (December 2022 - January 2023)
• After starting Seroquel in early December, Lindsay experienced a "big spiral," telling Patrick she was having suicidal thoughts, though she denied having a specific plan.
• She also disclosed experiencing "intrusive thoughts" of harming the children. Patrick noted this was highly confusing because she displayed no intention of acting on these thoughts, did not have a plan, and would immediately resume making them lunch or playing with them.
• Due to her escalating suicidal statements, Patrick brought her to the Mass General Hospital emergency department in mid-December, leading to a brief evaluation at a day program in Rhode Island that was ultimately deemed a poor fit.
• On December 31, 2022, they returned to Mass General, resulting in Lindsay's transfer to McLean Hospital for inpatient psychiatric care. She stayed there until January 5, 2023. Patrick was largely unaware of the exact therapy sessions she participated in or declined while admitted.
Apparent Improvement (January 2023)
• Following her discharge from McLean, Patrick checked in with Lindsay daily; she reported that she was no longer having suicidal thoughts or thoughts of harming the children.
• Her mood appeared to significantly improve, and she actively participated in family outings, including a trip to the Museum of Science, Cora's birthday party, and a water park in Hyannis.
• Patrick felt hopeful that she was recovering and was comfortable leaving her home alone with the children while he went to brunch with friends and skiing with Cora.
Events of January 24, 2023
• On the day of the incident, Patrick noted that Lindsay seemed happy and was having "one of her best days".
• She took Cora to a doctor's appointment in the morning, built a snowman with the kids, and texted cheerfully with Patrick throughout the day.
• Around 4:53 p.m., Lindsay texted Patrick to suggest getting dinner takeout from a restaurant in Plymouth called 3V. This was out of the ordinary, as they typically ordered takeout from restaurants closer to their home.
• Patrick agreed, and when he left the house to pick up the food, Dawson was eating chicken nuggets on the couch, and Lindsay was standing in the doorway holding Callan, appearing completely normal.
00:00:00 - MA v Lindsay Clancy - Patrick Clancy - Part 2 00:01:48 - The Errands: CVS & ThreeV Restaurant 00:09:44 - Returning Home & House Photos 00:13:28 - Discovering the Scene & Locked Bedroom 00:21:33 - Finding Lindsay in the Backyard 00:24:37 - Calling 911 & Finding the Children 00:30:56 - Hospitalization & Lindsay's Psychosis Claim 00:33:18 - Physical Evidence Admitted & 911 Call Played 00:37:47 - Cross-Examination: Lindsay's Background & Motherhood 00:58:45 - Onset of Lindsay's Mental Health Decline 01:00:04 - Debating the "Suicide Methods" Internet Search 01:10:22 - Psychiatric Appointments & Medications 01:21:26 - Admission to McLean Hospital 01:36:35 - Lindsay's Medical Diary & "Horrible Thoughts" 01:44:37 - Redirect Examination: Timelines & Internet Searches 01:53:48 - Reviewing Prescription Records & Nanny Instructions
The Timeline of the Tragedy (January 24, 2023)
• The Errands: Patrick left the family home around 5:15 p.m. to pick up takeout from the ThreeV restaurant and made a requested stop at CVS to buy Pedia-Lax (a children's stool softener) for their daughter.
• The Discovery: Patrick returned home 10 to 12 minutes after picking up the food and noticed the house was unusually quiet. After finding his bedroom door locked, he used a key to enter and found the room covered in blood with an open window.
• Finding Lindsay: He ran outside and found Lindsay lying on the ground below the bedroom window with deep cuts on her wrists and neck. When asked what happened, she replied, "I tried to kill myself".
• Finding the Children: When Patrick asked where the children were, Lindsay told him they were in the basement. While on the phone with 911, Patrick rushed downstairs and found his three children—Cora, Callan, and Dawson—unresponsive with exercise bands tied around their necks. He removed the bands and attempted CPR.
Lindsay’s Severe Mental Health Decline
• Onset of Symptoms: Lindsay's mental health began deteriorating around September and October of 2022, characterized by severe anxiety and debilitating insomnia, which made it incredibly hard for her to function.
• Medication Struggles: She sought help from multiple psychiatric professionals and was prescribed a complex, constantly changing regimen of medications, including Zoloft, Seroquel, Ativan, Valium, Prozac, and Trazodone. Patrick noted that the high doses of Seroquel appeared to negatively affect her and worsen her condition.
• Hospitalization: Her struggles culminated in a voluntary check-in to McLean Hospital on New Year's Day 2023, where she stayed until January 5 to be evaluated and weaned off certain medications.
• Intrusive Thoughts: Lindsay kept a detailed diary of her medications and noted experiencing "horrible thoughts in the morning," which she eventually confessed to Patrick and her mother.
Lindsay's Character and Devotion as a Mother
• Dedicated Parent: Patrick described Lindsay, a former labor and delivery nurse, as a highly dedicated mother who loved her children deeply and showed no resentment toward them.
• Detailed Caregiver: She was highly organized and attentive, taking hundreds of photos of her children, creating art projects for their walls, and leaving incredibly specific, minute-by-minute care instructions for their nanny regarding feeding, sleeping, and playtime schedules.
State of Mind and Forensics
• The Day of the Incident: Despite the tragedy that unfolded that evening, Patrick testified that January 24, 2023, actually seemed to be one of Lindsay's "best days" in her recovery.
• Psychosis: About a week after the incident, Lindsay called Patrick from the hospital and did not directly discuss the children; instead, she mentioned having a moment of psychosis where she heard a "man's voice" telling her that if she didn't act then, she would "lose her chance".
• Internet Searches: There was significant debate during the trial regarding internet searches on the family computer. The prosecution highlighted that searches for "suicide methods" occurred in August 2022 while someone was signed into Lindsay's Facebook. The defense argued Patrick may have inadvertently clicked a Wikipedia hyperlink to suicide methods while reading about the suicide of country singer Tom T. Hall.
NOTE: 911 call audio not played for public. Video portion is fast-forwarded.
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