Quotes from Dr Rich, as far as i can;
'no evidence that GF had any sort of heart attack'
'yes he did have a cardio pulmonary arrest'
'In the coroners report in looked for everything and aything to do with the heart. his heart architecturally looked normal. he had a desription of coronary arety disese. i founf that notable but not unusual - this is common. i didnt find any evidence he could have had a heart attack based on coronary. i lookd for arterial narrowing and platelets or clotting - i didnt find any description of this. noone of the arteries were totally occluded, which is what happens. i excluded coronary heart disease as cause of fdeath.
i looked at the heart muscle - no injury at all. you would see scar tissue. no evidence of heart attack. Coroner gave a good descritpion of endocardium - the most susceptible part fo the heart to cardiac injury - will always proginate in the endocardium - decribed as smootha dn glistening - not evenm microscopic injury.
aescemia; reduction in blood flow to any organ;
Infarxct is a heart attack - marathon runners temp aescemic - lactic acid - the burn. No evidence of aescemia.
There were narrowings in more than one blood vesel. left main artery had no description of narrowing or disease.
Calcium - very slow build up of atery disese
size of heart; and thickness. mildly thick or mildly enlarged. different criteria. I beleive it was mildly enlarged as expected in high blood pressure. muscles getting stronger allowing heart muscle to work and work well.
no evidence primary cause of deat h originated in his heart.
Fentanyl; i looked at F and meth. from all of thefacts i see no evidence that an F overdose caused GF death. two major reasons;
1) GF likely had tolerance. 8 percosets in 2 hours (??????)
2) no signs of opiate od. symptoms would be; usually extremely lethargic - unarousable, cant talk, slurred speech, cant stand, GF showed opposite.
GF had profound cardio pulmonary arrest.