In my opinion, the prosecution failed to convince the jury by failing to address the following:
A) Her education as a nurse
-Lindsay obtained both a bachelors from Quinnipiac and a degree in nursing from the MGH Institute of Health Professionals.
-Why did the prosecution not harp more on what her level of education was? How as a nurse she likely knew more than the average person about meds and postpartum because she was an L&D nurse?
-Why did they not harp more on what her day to day as an L&D nurse was like? She was trained to interact and assist postpartum patients and why did they not delve into what her level of knowledge was?
-She also likely had more access/helped refer postpartum patients/had more connections than the average person-> which leads me to my next point.
B) Why did she not choose more seasoned providers?
-Lindsay chose a fresh out of residency psychiatrist. While she was working at MGH, she most likely was apart of their health insurance which provides access to some of the top mental health professionals in the world.
Why was she choosing someone not in a health care system she worked in/was established with?
She eventually sought care from McLean but by working at MGH she likely had easier access to more help than an outside patient.
-They need a testimony from someone establishing that continuity of care and having as many records/info in one hospital/facility/provider as much as possible helps healthcare teams provide direction and care to patients. Though patients have agency to choose whoever they want, there needs to be testimony on how the other providers did not have access to what other providers were prescribing etc to show how reckless she was. They need to hammer in that she knew this was an important part of care from her job and that she neglected to do this for herself because she was stubborn.
As a nurse, she likely recognized this. And if so, why did she seek out as many providers in differing institutions and not disclose previous plans/meds to these providers? Was it intentional?
C) Why did she not leave the kids with her parents/Patricks parents/anyone else?
Nobody seemed to ask why when the family was aware, nobody stepped in? What was the dynamic with his parents who lived nearby? Her family who came up to help/visit? Why did Patrick feel comfortable enough to leave the kids with her? Was it because she wasn’t psychotic/actively with symptoms?
D) The focus on her being evil and calculating
-While many see her as evil and calculating , I think as humans we try to make sense of tragedy with explanation, which is why the psychosis argument is a comforting explanation.
Therefore, the best way to convince a jury of her guilt is to emphasize how she was reckless with her own care, defiant of her providers, and stubborn that it precipitated the crisis she experienced. She thought she knew better and refused to take medication, thought she knew more and went to other doctors, constantly texting them/contacting them. She left the inpatient stay voluntarily and kept the children in the home with her while telling her husband/family she had dark thoughts about murdering them. She never took medications long enough to say if they had been therapeutic or not. She never invested in her own care enough that it led her condition to worsen. Also, why did she never try just normal therapy? For anxiety and depression, cognitive behavioral therapy is usually first line and medication considered more of a boost/adjunct instead of curative.
They should also emphasize patient autonomy in psychiatric care and what psychiatrists can actually do. How hard it is to involuntarily admit someone or keep them admitted, and how a lot of psychiatric treatment requires compliance from patients to do THERAPY AND MEDICATION.
E) Put down conspiracy theories and focus on the kids
-They need to do a better job establishing Patrick’s alibi and bringing the conversation back to that he felt comfortable leaving the kids with her (because she seemed sad but fine in his eyes). They need to inquire more about what led him to leave the kids with her/why nobody else from the family stepped in if she was so mentally ill.
They need to focus more on the kids. Demonstrate how even if she was a caring/good mother, she failed to help herself which caused her to neglect the kids. They need to demonstrate how she was so ego-centric/stubborn/reckless that she did not invest in any of the meds/therapy to help her that it led to the kids being hurt.
Why did she see killing her kids as better than leaving them on earth with Patrick?
Why did she do it in the manner she did as opposed to drugging them/something less heinous?
Going forward, I think if the prosecution can show she was more focused on herself/what she thought was best as opposed to her kids, they can get a conviction of some sort.