d meoical exa'{iner.coroner county of los angeles 12 ... verne_report.pdf · dui to on a-q e...

$: D MEOICAL EXA'{INER.CORONER COUNTY OF LOS ANGELES 12 ... verne_report.pdf · DUi To On A-q e {D) OTHER CONDITIONS C Anatonic Sununar.v: COUNTY OF LOS ANGELES 12 AUTOPSYREPORT I performed$
D EPARTMENT OF MEOICAL EXA'{INER.CORONER

I-C A COI'IIEQLIENCE

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OTHER CONDITIONS C

Anatonic Sununar.v:

COUNTY OF LOS ANGELES

12 AUTOPSYREPORTI performed an autopsy on the body of l>

the DEPARTMENT OF MEDICAL EXAMINER-CORONER

Los Anseles. Ci rlitomia ot 0 4 / 22 / 20tB I7*: 58(Darc) (Tmc)

From the anatomic findings and pertinent historv I ascribe fte death to:

,A' Sequelae of aLcohol intoxicati-on

r. Bilateral pneumonia.1. Lungs diffusely firm.2. Focal tan exudate on pleural surface of right lung

lower Iobe.3. See separate microscopic examination report and

culture report.

Encephalomalacia .

1. lnvoLves most of the right cerebral parenchymaincluding the basal ganglia -

2 . Focally involves the l-ef t occj-pital f obe '

NephroscLerosis.1. Multiple bilateral simple renal cysts, the Iargest

measures 1.8 cm.2. Increased Pelvic fat.

Fatty change of liver with prominent passivecongestion.

Diverticuli, colon.

Dlminutive right coronary ostia and artery'

status-post appendectomy, remote, site unremarkable.

II.

III.

IV.

V.

VI .

VII.

No.

2018 -03L22

TROYER, VERNE JAY

Autopsyfiles.org - Verne Troyer Autopsy Report

?agc]

MEDIGAL EXAIUINER.CORONER

AUTOPSYREPORT

VIII. Dwarfism.

IX. See separate cult.ure reports '

X. See separate microscopic examination report.

CIRCUMSTANCES:

See Investigator RePort Form #3.

EXTERNAL EXAMINATION:

The body is identified by ankle bands and toe tags and is thatof e.n unembalmed refrigerated adult male Caucasian who appearsaborit the reported age of 49 years- The body weighs 55 pounds,meas;ures 32 inches (pel Form 1) and appears well-nourished' Thegen€rral appearance of the skin is as diagrammed on Form 20.Focarl areas of superfici-al skin breakdown are noted to thepost:erior scalp, right upper extremity, penis and scrotum. None

of t:he sites show exudates or evidence of infecti-on. Wrist scarsare absent. Tattoos are present and identified as diagrammed on

Forrr 20. Rigor mortis has presumably been altered. Livor mortisis tr>osterior, dependent and nearly fixed. The head has shortbrorun hair. Frontal and vertex balding is present. A mustacheis 1>resent. Patchy facial stubble is noted. Examination of theeyeit reveal-s irides that appear to be blue in color and scleraetha': are congested with purpura and focal drying. The oronasalpasriages are unobstructed and the nasal- septum is intact. Upperand lower teeth are present. Dentures ale not present. The

ski:r of the neck is unremarkabLe and t.he neck i-s withoutabn,rrmality to rangie of mot.ion testing. There ale no palpablefra:tures of the chest. The abdomen appears mildly distendedbut without a Palpable fluid wave. The genitalia are those ofan adult male. The penis appears circumcised, scrotal and softtissue edema is present. The bil-ateraL l-ower extremities show

proninent pitting edema up t.o the level of the thighs. The

extremit,ies show no abnormal mobility, non-therapeutic puncturesor needle tracks.

No.

2018-03122

TROYER, VERNE JAY


DEPARTMENT OF MEDICAL EXAI'OF LOS ANGELES

AUTOPSYREPORT

12Pngc ,3

EVID]]NCE OF THERAPEUTIC INTERVENTION:

The following are present and are in proper location:Intravenous l1ne at the right gloin. There are no signs ofrecent SurgicaL procedures. Discrete signs of cardioPulmonaryresuscitation are not appreciated. There is evidence of oLd

surg3lies. Abdominal Scars are Present. and the appendix isabsent. There are scant fibrous adhesions present at the siLe,and the sit.e is otherwise unremarkable. There has not beenpost-mortem intervention for organ procurement.

EVIDENCE OF TRAUMATIC INJURY:

There are no fatal blunt force or penetrating traumatic externalor internal injuries Present.

CLOTHING:

The body was not clothed. and I did not see the clothing. No

clothing accompanied the decedent from the hospital.

INII'IAL ]NCISION:

The body cavities are entered through the standard coronalinc:-sion and the standard Y-shaped incision. No foreignmaterial is present in the mouth, upper airway and trachea '

NECI(:

The neck organs are removed en bLoc wlth the tongue. No l-esionsare present nor is trauma of the gingiva, lips or oral mucosa

dem,>nstrated. Prominent drying of the anterior tongue and IipSis :roted. There is no edema of the larynx. The hyoid bone,lagynx and superior horns of the thyroid carti-J-age are wit'houtfra:tures. No hemorrhage is present in the adjacent throatorgans, rnvesting fascia, Strap muscles, thyroid or visceralfas:j-a. There are no prevertebral fascial hemorrhages. The

tongue when sectioned shows no trauma.

No.

20t8-03122

TROYER, VERNE JAY


D EPARTMEI{T OF MEDICAL EXAITIINER.CORONEROUNTY OF LOS ANGELI:ST

AUTOPSYREPORT

12Pagcl

CHES:T/ABDOMINAL CAVITY :

Both pleural cavities contain no fluid, blood or adhesions 'Foca.L adherent tan exudates are present at the right lobe lowerlung inferior aspect. The parietal pleurae are intact. The

lungs are well- expanded. Soft tissues of the thoracic and

abdolninal waLls are well- preserved. The subcutaneous fat of theabdo:ninal wal] measures 0.9 cm. The breasts are examined in theusual manner and show no abnormalities. A supernumerary nippleis present on the left. The organs of the abdominal cavity havea normal arrangement. There is an estimated 50 cc of tan serousnon-purulent ascites present. The peritoneal cavity is withoutevidence of peritonitis. There are no adhesions '

SYSTEMIC AND ORGAN REVIEW

The following observations are limited to findings other thaninjuries if described above-

MUSCULOSKELETAL SYSTEM :

No acute abnormalities of the visual-ized bony framework ormusq:Ies are present in the setting of dwarfism'

CARI)IOVASCULAR SYSTEM:

The aorta is elastic and of even caliber throughout with vesselsdist:ributed normatly f rom j-t. The abdominal and thoracic aortahave: minimal atherosclerosis. There is no t'ortuosity orwidetning of the t,horacic segment. There is no dilation of thelowr:r abdominal segment. No aneurysm is present. The majorbranches of the aorta show no abnormality' Within theper:Lcardial sac there is a minimal amount of selous fluid. The

hea,:t wej-ghs zLO grams . It has a normal conf iguration ' The

rigJrt veniricle is 0.4 cm thick, the left ventricle is L'0 cm

thi,:k and the sept.um is 1.0 cm t,hick. The chambers are normallydev,:Ioped and are wit.hout mural thrombosis. The valves are

No.

20L8-03L22

TROYER, VERNE JAY


DEPARTMENT OF MLOS ANGELES

AUTOPSYREPORT

12Pagc 5

thin, leafy and competent.. Circumfelence of the valve ringsare: t.ricuspid valve 10.3 clllr puLmonic valve 6 ' 8 CIII, mitralvalv€r 1.5 cltlr aortic vaJve 6.8 cm. There is no endocardialdiscoloration. The myocardium haS a pale appearance, but no

focal. Iesj-ons are identified. There is no abnormality of theapic€)s of the papillary musculat.ure. There are no defects ofthe s;eptum. The great vessels enter and leave in a normalfashj.on. The ductus arteriosus is obliterated. The coronaryosti;r are widely patent. The right coronary altery ostia and

right: coronary artery are diminutive with both the ostia and thevessr:I diameter averaging 1 mm. The left coronary artery and

osLi:r are unremarkabl"e. There is no signifj-cantathe::osclerosis of the major coronary arteries. The bloodwith.Ln the heart and large blood vessels is liquid and clotted.

RESP.TRATORY SYSTEM:

Scan: secretions and edema fluid are present in the lowerbron:hlaL passages. There is no apparent obstruction- The

mucosa is intact and mil-dly congested. The lungs areatel:ctatic and diffusely firm wit'h dependent congestion' The

left lung weighs 300 grams. The right lung weighs 425 grams '

The visceral pleurae are smooth and intact. Sectioning throughthe lung parenchyma reveals no focal lesions or masses ' The

pulmonary vasculature is without thromboembolism.

GASTROINTESTINAL SYSTEM :

The esophagus is intact throughout. The stomach is notdistended. It contains an estimated L0 cc of tan-pink fluid'The mucosa shows early postmortem changes and focal superficial-muccsal pinpoint erosions al the gastroduodenal junctlon' No

active bleeding is present. Tablets and capsules cannot be

discerned in the stomach. The external and in situ appearanceof the smal} intestine and colon are unlemarkable. The smaLlinte,stj-ne and colon are opened along the entire mesentericborcler revealing tan-to-tan-gleen small bowel contents, softgre€rn stool- in the colon and there are numerous coLondiverrticuli, most prominent at the distat portion' The appendixis ;tbsent. The Pancleas occupies a normal position ' There is

No.

20L8-A3r22

TROYER, VERNE JAY


)UNW OF LOS ANGELEI;

-ei

DEPARTMENT OF MEDICAL EXAM INER.CORONER

AUTOPSYREPORT

12nagc-6

no necrosis or trauma.pancreatic ducts are notcalci ficat ion .

The parenchyma is lobular and firm. The

ectatic and there is no parenchymal

HEPATOBILIARY SYSTEM:

The liver welghs 860 grams and is tan-brown. The capsuLe isintact and the consistency of the parenchyma is soft' ' The cutsurface is smooth with prominent passive congestion. There is a

normal lobul-ar arrangement. The gallbladder is Present' The

wa1l is thin and pliable. It contains liquid and sludge bilewith no cal-cuIi-. There is no obstruction or dilation of theextrehepatic ducts. The periportal lymph nodes are notenlar'ged.

URIN?TRY SYSTEM:

The l.eft kidney weighs 90 grams; the right kidney weighs80 gl:ams. The kidneys are normally situated and the capsulestrips easily revealing a surface that is markedly granular,scar::ed and pale. The corticomedullary demarcation is preservedand 1:he cortex appears attenuated. The pyramids are notrema::kable. There is increased peripelvic fat ' Both kidneyshave multlple simple cysts. The largest is in the left kidneymeasr:ring up to 1.8 cm in diameter. The urinary bladder iscont racted and contai-ns no urine.

GENI'IAL SYSTEM:

The crostate is withoutare in the scrotum and

enlargement or nodularity. Both testesare unremarkable and without trauma'

HEMOTYMPHATlC SYSTEM:

The spleen wei-ghs 70 grams and is of average slze. The capsuleis intact. Th; parenchyma is dark red. There is no increasedfollicular patteln. Lymph nodes throughout the body are smal-land inconspicuous except for a focus of sma]l matted lynph nodes

No.

2018-03L22

TROYER, VERNE JAY


OF MEOICAL EXAM INER.CORONER

AUTOPSYREPORT

12Pagc 7

at the carina. The bone is brittle. The bone marrow of the ribis red and moist.

ENDOCRINE SYSTEM:

The thyroid is unremarkable. The parathyroid glands are notidentified. The adrenal glands are unremarkable. The thymus isnot identified. The pituitary gland is unremarkable.

SPEC]AL SENSES:

The €)yes are not dissected.di-sse:cted.

The middle and inner ear are not

HEAD AND CENTRAL NERVOUS SYSTEM:

Thert: is no subcutaneous or subgaleal hemorrhage in the sca1p.There are no fractures of the calvarium or base of the skull-Thert> are no tears of the dura mater. There is no epidural,subdural oI subarachnoid hemorrhage. The brain weighs 131-0

gramrj. The leptomeninges are thin and transparent. No exudatesitu ,rppreciated. There is a flattened convolutionary patternand ,J]oua] postmortem softening. coronal sectioningdemo:rstrates prominent marked softening with a friableconsi-stency of the brain parenchyma involving the right cerebrum

extending from the occipital Lobe to the frontal lobeobliEerating the right basal gangtia. Similar findings are seen

focally in the left occipital 1obe. Sectionlng through thebrain reveals no intraparenchymal hemorrhage or other focallesions. The global softening and encephalomalacia linitsexamination of symmetry and herniation. Small vesseL congestionis noted throughout. Pons, medu.l-1a and cerebell-um areunremarkable "*""pt

for softening. Dj-screte evidence of uncalor cerebellar herniation is not appreciated. The vessels atthe base of the brain have a normal pattern of distribution.There are no aneulysms. The visualized cranj-al- nerves areintact, symmetrical and normal in size, location and course'The cerebral arteries are without arteriosclerosis '

No.

20\8-03L22

TROYER, VERNE JAY


DEPARTMEI{T OF MED]CAL

AUTOPSYREPORT

12Pagc I

SPINAL CORD:

The entire cordcervicaL sPinalis unremarkabLe.

is not dissected. The superior portion of thecord is examined through the foramen magnum and

The spinal fluid is clear.

HTSTOLOGIC SECTIONS:

Representative sections from various olgans are preserved intwo st,orage jars containing 10* formalin. Representativesections of viscera are submitted for slides. The slide key isas listed on Form 14.

TOXIC OLOGY :

Bile, blood, liver tj-ssue, stomach contents and vitreous humor

have been submitted to the 1ab. No Screen was requestedsecorrdary to hospitalization of greater than 24 hours '

PHOTOGRAPHY:

At-sc:ene photos are not available. Photographs have been takenprio:: to and during the course of the autopsy' Photographsiakel tableside incLude Y-incision and reflected scalp todemolstrate no trauma. The pleural exudates of the right lungand encephalomalacia were photographed'

RADII)LOGY:

The )tody is fluoroscoped and ful-l body x-rays are taken (2a1

WITN lSSES :

None.

No.

2018-03L22

TROYER, VERNE JAY


OF LOS ANGELE:} DEPARTMENT OF MEDICAL

12Pagc 9

AUTOPSYREPORT

DIAGRAMS USED:

Diagram Forms #16 and 20 were used during the performance of theautopsy. The diagrams are not intended to be facsimj-l-es.

OPINION:

This 49 year old man died due to sequelae of alcoholintoxication.

Examination and histology findings are consistent with theprovided medical history. The nasopharyngeal swab is negativefor conunon respiratory viral pathogens. The lung culturesreveal no bacterial growth.

A urine toxicology screen performed during hospitalization was

negatlve. A blood atcohol level performed on 4-2-18 at 2l-30 was

reported as >300 mgldl and further quantification was notperfcrmed. Post mortem toxicology was not performed due toprol-cnged hospit.ali-zation and admission blood specj"mens were notavail able.

per review of the available medical records and the Los AngelesPolic:e Depart,ment Mental Eva1uat.lon Unit report (Incident number4848) the decedent reportedly made sulcidal ideatj-ons. There isa rep,orted hist.ory of depression and chronj-c alcohol- use withrec€rrt relapse.

Basecl on the history and circumstance, aS currently known, themann€)r of death is suicide.

,1 /-t-------,/[\'/XMART:DEPU:]Y MEDICAL EXAMINER

MK:MilD: 04/22/20L8 11:58:00T: 04 /26/2078 L7 :2?:00

lb-\o-\t

No.

20L8-03r22

TROYER, VERNE JAY

lr9$F-R6'8'6 15

DATE


MICROSCOPIC REPORT

I performed a microscopic examination on

08/0s/2018

DEPARTMENT OF CORONERXTV OT LOS ANGELES

I>

14 THE DEPARTMENT OF CORONER

-=:Los Angeles, California

Diagnosis:Lr"g- Iriffuse organizing pneumonia with patchy squamous metaplasia and occasional mucus plugs

Kidneys,: Acute ana cnronic pyelonephritis and occasional glomerulosclerosis

Liver: Sreatosis, minimalPancreas: Foci of peripancreatic fat necrosis, no significant fibrosis'

Heart: No signi{icant abnormality.

Slide Kev:ll9: Heart2/9: Kidneys319: Liver4/9: Lung, right upper lobe5/9: Lung, right middle lobe

6/9: Lung, right lower lobe719'. Lwg.left upper iobe8/9: Lung. left lower lobe9/9: Pancreas

2018-03r22Troyer, Veme

Date:

Deputy M :dical Examiner

76M350 (Rev. 1/93) P1193


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Qeputy Me-dical ExaminerTime

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To:L$,$SB.I$ C{rt{TY Hn$ER ?5tnrnS 0?:52 Page 14 of l?COUNTY O['LOS ANGELES - DEPARTMENT OE PUBTIC HEALTH

PUBLTC HEALTH I.ABORATORY - L2750 ERICKSON AVENUE, DOIINEY, CA 90242NrcoLE M. GREEN, PhD, D(ABMM), DTRECTOR (562) 658-L330

L@: L.A. COUNTY CORONERS OFFICEDOB: OL/OI/L969 AGE: 49Y SEX: M

16: 45

DAndE: TROY9R,\IE8!IEPATIENT ID$ IJACCO-2018O3L22REQ'D BY: REFERRED

COLLECTEDI04/22/20L8eCC. NO.21,1257i4

TEST NAI"TE

Multiplex ResPiratorY

SPECIMENDESCRIPTION

Adenoviru s

Coronavit us 229E

Coronavir:us HKUI-

Coronavi::us NL63

Coronavit:us OC43

HumanMetapneuroovirus

HumanRhinovirrrs,/EnLerovi.rus

Influenz.r A

Influenza B

ParainfluenzaVirus l"

ParainfluenzaVirus 2

Parai-nf luenza

TROYER,VERNECLTENT REPORT

I2ILO RECEIVED:o4/23/2otgOrder Comment:KENNEDY

TEST RESULTSPaneL PCR w/Ref1ex

NASOPHARYNGEAL SWAA

Resul t date.time : 04/ 24/ 20L8' 07 : 35

NOT DETECTEDResu-Z t date,xime : 04/ 24 / 2078, 74 : 52

NOT DETECTED

NOT DBTECTED

Resu-lt date'time t 04/24 /2078, 74 : 52

NOT DETECTED

Resu-l t date,time : A4 /24/2a78, 74 : 52

NOT DETECTEDResu,Z t date,time : 04 / 24/2078, 74 t 52

NOT DETECTEDResu-lt date,time : 04 /24/ 2018, 7 4 : 52

NOT DF:TRCTF.D

Resu-l t date,time : 04/24/ 2078' 74 : 52

NOT DETECTED

Resu-lt date,xime : 04 /24 /2078, L4 : 52

NOT DETECTED

REFERENCERANGE

NDETEC

NDETEC

NDETEC

NDETEC

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NDF.TRE

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NDETgC

PAGE ].

TII'18: 04/25/?OLB O-t 252

Resu-lt date.xime : 04 /24/2078, 74 : 52

NOT DETECTED . NDETSC

Resu-Z t date,time : 04./24/2078' 74 : 52

Nor DETEcTED . '-"',,. ;l: . "' ,1. fJ 'Tti':.f TJ i*,T"'tt ir;;'lnntec

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ACCOUNI NO.:LACCO PRINT DATE E


To:Lq m6OfS C0tt{TY qHtfR ?5tnrtlf- 07:52 Page 15 oF l?

couNTYoFl-osANGELES-DBPARTMENToFPUBLICHEALTHT,UBLTC HEALTH IABORATORY - 1,2750 ERICKSON AVENUE, DOWNEY, CA 90242

NrcorEM.GRBEN,PhD,D(ABl4'l),DIRECTOR(562)658-1330

DEA}TE: TROYEJR,.IIERNEPAjIIEIIT rDil rlAcco-2018031,22REQTD BY: TSFERRED

,*rincsrvgo: 04/23/2ot8 16: 45

LOC: L.A. COUNTY CORONERS OFFICEDoB: O1/OL/L969 AGE: 49Y sEx! M

CotLEcTED:O4/22/2OL8$CC. NO.2l"/t.57/4

TEST NAMEMultiplex Rt>sPiratorY

Parainf Lut:nzaVirus 3

Virus 3

Parainflu enzaVirus 4

RespiratorYSlmcyt,ial Virus

Bordetelfapertussis

ChlamydoPhilapneurnoniae

Mycoplasrrapneumonia.e

Additiona,IComments

TROyER,VEIIIBCLIENT RE?ORT

CO}fTINUEDACCOUNT NO.:IACCO PRINT

L2ztOOrder

The FilnArray Respiratory (RP) panel is a qualitative,multiplex, nucteic acid-based test capable.of the simultaneousJeteciion and identification of multiple viruses and bacteriadirectly from nasopharlmgeal -sampl-es obtained from individtral-swith siins and/or lymplom. of respiratory infection'rhis test is intendla ""

an aid in the diagnosis of specificaf-nts of respiratory illness, and results axe meant to beuled in conjuirction wittr other clinical, laboratory, andepidemiologic data. Positive results do not rul-e outc^o-infection with other organisms not incl-uded on the panel,and the agent detected may not be the definitive cause ofdisease.Rarely, multiple analytes may be detected' If four or noredistiict org"i.ir*. at6 d.t."Led in a specimen, an additional

comment: IG{N?D{ il T:i, ,t, }-.: rgall r.l :ry 1:,. -l i:-1 ..= r-, i

i ,-_u r.*,.1. "i"tr ji.,i -t- 1!rj..Elj-.qi i nfieg,*-#Ho.s

TEsr REsuLTs i'. i l, ,':,:g'- ,..1 ? ts- jr r n -, RANGE

paner pcR w/Rerlex i i'.,r ;. r-.ii,r'liL EXAttf lhlillt_(CONTINUED)Resurt dare, rime: 04 / 24 /2o.+r,;"*rltir

r.ii] i: 1_l;,,. :l l l.ii^l_-^(CONTINUED)

Resu-l t date rtime : O4 /24 /20L8, 74 : 52

Resu-lt date,tine : 04/24/2078' 74 : 52

NOT DETECTED NDETEC

Resu-lt date.time : a4 /24 /2O78, L4 : 52

NOT DETECTED NDETEC

Resu-l t date,tine : 04 /24/2078, 74 : 52

NOT DETECTED NDETEC

Resu-lt date.xime : O4 /24 /20L8, 74 : 52

NOT DETECTED NDETEC

Resu-l t date.time : 04/24 / 20L8' 74 : 52

NOT DETECTED NDETEC

Resu-lt date.time : 04/24 /2078' 74 : 52

PAGE 2DATE & TIME: O4/25/2AL8 O1:52


To:Lq mrcfl."E$ C{}{fiTY Un$fR 25/frrt18 07152 Pago 16 oF l7

COIJNTYOFLOSANGELES-DEPARTMENTOFPUBLICHEAI'THT'UBLIC HEAITH TABORATORY - L2750 ERICKSON AVENUE, DOWNEY, CA 90242

NfcoLE M. GREEN, PhD, D(ABMM), DTRECTOR (562)658-l-330

IRlrlE: IIRoYER.VERIIEPAtrIENE ID# IACCO-201843L22REQ'D BY: }IEFERRED

LOC: L.A- COTNTY CORONERS OFFICEDoB: OI/OL/1969 AGE: 49Y SEX: M

COLLECTED 204/22/2OL8ACC, NO . :l,/E5'14

TSST NAl,lEMultiplex R<:sPiratorY

Additiona.LComments

Specimen Sou-rce

INFLUENZA A RNA

INFLUENZA B RNA

Interpretation

TROYER,VEINBCLIENT REI)ORT

L2:IO RECEIVED:04/23/2OLB 16:45Order corunent : KENNEDY

TEST RESULTSPanel PCR w/Reflex

(CONTINUED)Result date, tine: O4/24/2OI8' L4z52

NASAI PTTARYNGEA], SIIABResu-I t date, tine : O4 /24/2078'o7 : 36

NOT DETECTEDResu-l t date,tiLne : 04/24/2O78, 75 : 04

NOT DETECTEDResult date,time : 04 /24 /20L8, 75 : 04

NEGATIVE FOR INEI,UENZA A AND B VIRUSResult date,tine : 04/24/2078, 75 :04

REFERENCERANGE

REFERENCERANGE

NDETEC

NDETEC

": i"j,_;-r ,t;'f,

PAGETIME: 04/25/zoLB o7252

(CONTINUED)

ResuJt date,time: 04/24/2078' 74 : 52sanple may be requested tO confirm polymicrobial resulL- Thistesi does-not differentiate Rhinovirus and Enterovirus.Additional testing is reguired for Influenza subtlping. Thistest is not intended to be used to monitor treatment andresults do not necessarily detect live organisms. Forequivocal results, pl-ease subnuit additional specimen.Resu-lt date'xime : 04 /24 /2O78. 74 : 52

TEST NAME TEST RESUI,TS

INELUENZA A AND B VIRUS BY RT PCR

--.q .-i 1:":-tai-i$iF .'ri;4?.t:,.-!:t

:1. .' r--

r ---\ '-:t "' i,: 7:: ' "; -:

.4',. ! rl I' i ." ..i i:-. r' .ir.. .:- !: l;:.ft l; ,i ll.,i '"-.L '; 'l?'*F--

'-r:'-l 'i"1 1i"':i fl a, i: -'i

-:i \r! :!'

F,l'r'lthi.l i'i::*1rf i-ir f". "r

'.--' 'i ir rJ

ENDACCOUNT NO.:LACCO

l" i f :fi. il'{}tjU i"'1 :-:;!l

OF REPORTPRI}TA DATE &


t_*Procedure:

USGAutoPSYIlepafbnent 6i11o4 N- Mission RoadLos Angeles, C;A 9003&

Phone (323) 40S71r+8I eb Director: ha A.

Patient:

MRN:FIN:DOB/Age/Sex:Lo'cation:

Source:Body Site:Free Text Souce:ORDERING FHYSIGIAN:

**FINAL REFORTS'T"Finaf Rsportve r if ied D ale n imez 04 127No gtrowth ,rt 5 daYs -

"*'sTAlNs'*Gram StalnVerltied Date/fime:<1+., pollzmorphonuclCeIl debrlsRed Blood CelfeNo organisrnsPertorming Lcrcations+f.: Ehis teet etas

Beport Hequst lD: Page 1 of 1

eR **t9

!a- I !- --ivttvt 'Fit-lr|lat-il-.r-- --

5 r r.. r 3" ,\ ^.rlLOS ANG€|.GS COUrlrYHEALTtt AGEilCY

lroyverl101

101

01/01/1

LAC+USC MediCertificate

409-7148

441-A'147

CLIA: 05Dffi49401

Male

Gulturewith Gram

Admit DataiDlscfrarge Date:

Ordering Plrysician:

Accession:

A@esslon:

Collected Date/Time:Fecaivecl Date/Tirne:Start DatdTime:

o4ful2o180412213018

Kenn{dy,Martlna' i:

30-1ffi12-02971

30L18-112,,0,2971

C4;P:212O1812:33oll2uzols iZ:sbCdrt2212o1817:38

LLobe QC 2018-03122

P.rint Date/]]me: 0l'12812018 08:18


Patlent:MRN:FIN:DOB/Age/Sex:Location:

USC-AItopsyDeparlment'of1104 N. Missir:n RoadLos Angeles, (lA 9O03t!-

Phone: (323),109t148Lab Director: lra A.

ttoyver,{1011

o1lo111

Procedure:

Source:Body Site:Flee Text Source:ORDERING PHYSICIAN;

.".FINAL REPORTS*FinalReportVerlfled Dale/llme: O4W,No growth a.t 5 days.

'*'sTAlNS*Gram StalnVerlfied Date/I'ime:<1+ polymorplronuclRed 8100d C'e1teCell debrisNo organigre ob

Pedorming Locations*1; This teeL was

I'AC+USC MediCertificace

409-7748

,,'-ffi'fttos A|\|gELEs COU$IYHEALTH AGENOY

447-8147ct-iA: osDo54?tol

Male

Lobe GC 20ft43122

Admit Date:Discharge Date:

Odedng Physician:

Accession:

04t?zna$041221P:018

lGnnddy,Martlna

30-18j:l1242995

R

Accession:

Collected Date/Time:Beceived Dale/Time:start Dat€/Tlme:

:. '30-1&112-02985

aM2il2o1812:Boo(12P.1201817:4o04l?21201817:4O

}\.if :{ii-l

P'4

I!l

IT

tfI

II

il

(:-'uiifft{ER

Iraborabory, Ira A. dhulman MD, IiaboraEor* Director,. 1200 N. Etate street, IJoB AngeleE, ca,.ioog3-1083.

o4t28l2flA 08-.18

fuiF'EXA|MINEfT-

DOCU&..{EI,j?

CLIAUS, (323)

Report Request lD:

K-q-fu,€


,6k VeY,Y-L/-/

OEPARruENTOF CORONER

APP,RENT*ODE ACCIDENT/ SUICIDE

SPE(;I,AL CIRC{ USIAI€ES

Ce lebrity, Media Interest

LAT. FIRST UIDOLE

TROYER, VI]RNE JAY

MOLE

TATTOO

TATTOO

CALIFORNIA DRIVE:{S LICENSELA*

fffiFEEiY lrAt E(FRtrvn

CALPHOTO

Pl-acc ol oEATr(/ fl.rcE FoUrO

HOSPITALVALLEY PRESBYTERIATIPIAC€ OF INJURY

RESIDENCE

OIHERACET,ICY lrw'

ASHLEYJAIME

FSIOERPRINTS?

MED EV

pt{Ys. Ev

sutcroE '{oTE

MELISSAMTJNOZ

vvt969 32n 55 t"EYES

BLUE

RIGHT CHEST CIRCI,JLAR

RIGHT SHOULDE SKIJLL

LI:FT SHOTJLDER CROSS W/ YIN AND YAIIG SYMBOL

I|AIR

BROWN

TEET}I

ALLNATURALTEEI}I

RS-ATIO'{SHF

4DtD0t8

ADORESS ON LOCANON

I5iO7 VANOWEN STREET

HOSPITAL

cltY

VAN NUYS

zt?

91405

LOS AI{GELES FSC 4t2ll20l8 22:20

No

No

ft "Oo.a*t

o,* brouglrt iorn his residence into dre hmpital by ambularc,e ot0410212018. A urine toxicolos/ test lvas completed at the hodpital on 04/02/2018

showing an alcohol levcl of geater than 300.0 mg/dl. During hii horyital coursc the decedcnt reporledly went into respiratory distress and became vent derrdrdenl

DespitJlifc saving r.r5ltr.s th" decedanr rvas pdnounced'on 042t12018 at I 12? hours The dcedart lus a reported medical hisory of dwarfisnr, alcohol abusc

and depresion.

ADOREgS

8OO5 TEESDALE

t-ocelolonroonEss a?

8OO5 TEESDALE AVENI.JE, NORTH HOLLYWOOD. CA 91 605

PFt*t. 001229653

638999

FORM#3 NARRATIVE TO FOLLOW? g


County of Los Angeles, Department of CoronerInvestigator's Narrative

Case Number: 2018'03122 Decedent: TROYER, VERNE JAY

lnformation Sources:

Merjical Record: Valley Presbyterian Hospital, 15107 Vanowen Street, Van Nuys, CA, 91405,

Pat entfile # 001228653.

If.th"t'Investigation:

On 04t}1,l?]018 at 1919 hours, Register Nurse Kalie reported this apparent suicid.e death to

Coroner Clerk K. Slone. It was reported that the decedent was taken to the hospital for alcohol

intcxication and was admitted onO410312018. The decedent reportedly went into respiratory

failure and became vent dependent. The decedent was pronounced at the hospital. The decedent

has a reported medical history of dwarfism and chronic alcoholism. lt was reported that the

dec;edent apparently called 9i t himself saying he wanted to die. lt was reported that the

dec;edent jdst kept iepeating it on his 911 call and in the emergency room. Wlren the decedent

arrived toihe hospitai, his alcohol leve! was reportedly above 300. The decedent reportedly came

int6 the hospital approximately one year ago for the same thing. There was no note found. The

decedent reportecity had prioisuicio-e idea[ions in the past. lt was unknown at the time of the call

which police depariment was handting this case. There was no other further information reported,

I received this case for investigation from Lieutenant B. Kim on O412112018-

Supervisor Forensic Attendant C. Garcia and Forensic Attendant A. Jaime transported the

dei:edent from the hospital to the Forensic Science Center on 0412112018 at2220 hours'

A criminal history search for the decedent showed no prior arrests on file.

This case was originally moded as a suicide and after review of the informant statements; the

mcde was changed to an accident versus suicide death.

Criminalists call out criteria was reviewed and was not met at the time of my investigation.

Location:Plerce of Injury: Residence: 8005 Teesdale Avenue, North Hollywood, CA, 91605.

Plerce of Death: Hospital: 15107 Vanowen Street, Van Nuys, CA' 91405.

lnformant/Witness StatemenG :

The medical record and the form 18 had the following information. The decedent was brought

from his residence into the hospital by ambulance on 04i0?2018. A urine toxicology test was

cornpleted at the hospital on 04ftV2018 showing an alcohol level of greater than_300.0 mgidl.

Despite life saving measures the decedent was pronounced on 0412112018 at 1127 hours by Dr.

Gsrdon. The decedent has a reported medical history of alcohol abuse and depression'

orlO4|21|2o18,|conductedate|ephoneinterviewwiththedecedent'sfatherfandhe stated the following information. The decedent was not married and did not have any adult

chrldren. The decedent was not known to use any illicit drugs. The decedent did have a history of

alc;ohol abuse and had reportedly completed time at a treatment center approximately one year

ago. The decedent had no known medical history. The decedent was taking prescription

m-r:dication but the family did not know what they were being prescribed for. The decedent did

have a primary doctor (Dr. Kroop). The decedent had a medical history of depression but was

rellortedly not seeking any medical treatment. The decedent had no known prior suicide attempts

or ideations.

Sr:ene Description:There was no scene investigation by Coroner personnel as this was a hospital case.


Cas: Number: 2O18'03122

County of Los Angeles, Department of CoronerInvestigator's Narrative

Decedent: TROYER, VERNE JAY

Evidence:The-e was no evidence collected by coroner personnel in this case.

Body Examination:

The decedent is a 4$year-otd mde Caucasian adult dwarf with blue eyes and brown hair- He

was seen unshaven "iO

Utn apparent natural teeth. There was a hospital identification band

seen to the decedent's left arm. There was a red band seen to the decedent's left arm. A hospital

idertification tag was seen to the decedent's right arm. A bandage was seen to the decedent's

i"tt 1ooi, right fo-ot, left arm, right thigh, back of the head, and buttocks. An intravenous line was

.""'i.o*ing from the decedJnt's right thigh. There were no other medical appliances seen.

Abrasions were seen to the decedeifs genitals, right hand, mouth, tongue, and back of his head'

Furfrfu discoloration *a. r""n to the dededent's aims. There was no other obvious evidence of

trauma seen or palpated. A mole was seen to the decedent's right chest. Tattoos were seen to

the lecedent's arms, left chest, right leg, and back. A scar was seen to the decedent's right

abd.rmen. There were no deformities seen'

ldentification:The decedent was positively identified by his driver's license issued by the California Department

of lvtotor Vehicles as Verne Jay Troyer, date of birth 01/01/1969.

Ne;rt of Kin Notification:

E"ther, was notified of the.death by hospital personnel on0412112018. lconfirmed

notiication with him onO4l212A18. The decedenfwas not married and did not have any adult

chil,iren,

Tissue Donation:

Unknown if a one Legacy representative addressed tissue donation.

Autopsy Notification:There were no autopsy requests made by law enforcement in this case'

J0V, '.'^old

SUPERVISOR lt&$oWrrx' Vt*

Dat3 of Report


COUIITY OFLOSAIUGtrLFSDEPARIilEflTOF COROTIER

HOSFFALATTD NURSIIGCARE FACTUW REPORI

I

'l,l04 floRTll ursstor RoADLOS AilGEtEs, CALIF 90033

18TO REPORTA pEArH- pHOilE (32it) 3r3.{t7ll FAX(323| An-7Ot7COMPI.EGAILUNES. USE INK IF UNKNOWI.I ORNOTAPPUGABISSO STAIE

ADDRESS PHONE#

NAME OFDECEOEI.IT Ibo& l.tr r a+rdSOURCE OF IDEMIIFICA]]ON DoB r/ t/(F AGE -{€ sP( .lz\ mce Q -..DATE oF DEATH , Qfat I tg nrr,e ltrapRoNouNcEDBy Qe. #ts) AceDE*J - -MEDtcAtREcoRDoRmnB{TRr.E#ORGAilMSSUE DO IIAIIOII III FORilAIOI{T'"AS I}IE NP(T€F.NN AFPROACHED REGARDING ORGAI\UNSSUE DO{tlpiTION?

t$[ YEs El lFYEsl,v]lttrtivAsTHElRRESPoNSE?-DATE ENTERED ncnpnn1 r'rl alt e, TIME

E sar AMBU|jIIICE (l{ame or R,A #) E en oEnrxr E NparerroEAn'rFROM

ADMITTEDBy D.aL. MUr)gAB FtussAt"J MD pRlt ARyA1TENDNG prfystctAN Trz. Ad_rr.J GOZTIC{\J u o

OFFICE PHONE# OFFIGEPHONE#

INJURIES PLACE CAUSEDAIE

DESCRIBEIruURES .\P/P'

CUNICALHISTORY

ITUGHES,BOBvo1 01327 4? 15 MR{|M0 0L228 63304/03/18 TCt M 49 rcHUSSAIN,I{UNEEB Ot/OuL}s-g--.nm nlu un fi|l ffi illl lllll ffi lIIil ilil lllll llilIl[ ilt

SURGICATPROCEDUEES

WAS A BULLET OR ifTHER.EOREGN OBJECTS3|=COVERED? specrY

IiBORATORY REP )Rr ON FA'IIIOLOGY SPECIMENS TAIGN DATE&TIME

uBoR rrlRy plroNE NUMBTn S t R - Qc9- J4t"oMrcRoBro[ooycuLruREREsuLTs

-Nc ]4ves 6[TAcHREpoRT)

ToxrcoloeyscRr:EN

-No Y ves (afrecn REsuLTs)

RADroLoGrcALsflIDrEs

-No X t* (ArrAcH REsuuIs)

ffi FnEceolue nnD DURING TERMTNAL EPlsoDE

F,tr.tlisS5t-e/r^. Ofga.v-t, H)lurZ. / -Thr-ir-l- aca,rtaa*ta^ ta6$n)g.

tN MYOPINION. THE CAUSE OF DEATH IS

BY

OFFICEPHONE* OFRCEFHONE*

cc*20r*-o33+.

t6tl555 tREv,ltr5)I THE EODY YALL ilOTBE REIIIOVED BY THE CORONER fiTHOUT TIIIS COITIPLETED REPORTAI.ID COFIES OF ALL CHARTS

2 ALL ADUISS|OI BLOOD SA[tpLESrSpECrllEHS, ||iCLUDTIG GASTRIC I-AVAGE, NEED TO ACCOlltPAllY THE RElllAllls


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