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TABLE 8
Prevalence of "Major" Autopsy Discrepancies
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No. of Autopsies % Cases With At Least 1 Major Discrepancy
6000 11.7 % to 33.8 %
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DIAGNOSTIC DISCREPANCIES IN AUTOPSIES
When a diagnostic discrepancy occurs in an autopsy, it is twice as likely to be due to something missed than something found, or, as Hill & Anderson say, "...significant underdiagnosis occurs more often than overdiagnosis by a factor of almost 2:1."(41). This fact conforms with the Cobain case, where the massive level of blood morphine was mistakenly deemed irrelevant and thus "underdiagnosed." Table 8, above, summarizes a study including over 6,000 autopsies, and provides statistics which show that it is far more likely that the Cobain case involved a serious "major" diagnostic discrepancy (a likelihood of at least 11.7% to 33.8%) than any other scenario put forth officially. Burgess wrote, in Understanding the Autopsy, that "There are many jurisdictions in this country where you would not have to be half-smart to get away with murder, quite literally...the fact remains that, in all too many places, the investigation of possible murder is undertaken only after pressure is brought by relatives or other interested parties, and when such investigation is instituted, it is done so incompetently that murder after murder goes unsolved and unpunished." (8).

7.) CONCLUSION: HOMICIDE

"The question whether a fatal injury was homicidal, suicidal, or accidental is as common in real life as it is in detective fiction. ...It is natural for a murderer to try to escape detection by making his crime look like suicide or accident, and such attempts have doubtless been going on for a long time. One cannot say how long, for one never hears about them when they succeed. However, records of failures take us quite far back." Smith, Sir Sydney (87).

HOMICIDE AN OBVIOUS ASSUMPTION - Wecht, in the forward to an article by Winek (97), stated that "One of the most useful and relatively new areas of toxicology has to do with the significance and practical importance of drug and chemical blood levels. Identification and more importantly, quantitation, of blood levels is essential in many civil and criminal actions involving drugs. Without such information, the cases become matters of pure speculation and are predicated on circumstantial evidence (which may or may not prove to be correct ultimately)."(97). Winek's article, "Drug and chemical blood levels," mentions the following amazing case: "A lethal level of a drug or chemical found in an individual's blood does not by itself establish the cause of death. For example, a known narcotic addict was shot to death. Analyses of various body tissues (brain, bile, blood, etc.) revealed levels of morphine that have been found in other deaths attributed to overdose with heroin or morphine. However, in this case the cause of death was due to the bullet wounds!" (97). The indication is that a morphine overdose simultaneous with a gun shot wound is an overwhelmingly rare phenomenon at most, and that in the only such incident reported, the most obvious conclusion was homicide.

TABLE 9
Some Probability Summaries
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Description of Event Probability
Suicide in Missing Persons 1 in 2000
Violent Suicides 760 in 3586 Suicides
Violent Suicide with GSW 208 in 760 Violent Suicides
Violent Suicide with GSW & MTA O.D. 0 in 760 Violent Suicides
Overdoses with Serum Morphine >1.52 mg/L 26 in 1526 MTA Related Overdoses
Suicides Involving MTA O.D. & GSW 0 in 3586 Suicides
O.D.s with Serum Morphine >1.5 mg/L & GSW 0 in 3226 MTA Related Overdoses
MTA Related O.D.s Involving GSW 0 in 3226 MTA Related Overdoses
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CASE SHOULD BE RE-OPENED & VERDICT CHANGED - Table 9, above, summarizes several probability statements regarding this case. A large dose of two drugs administered by intravenous injection thus appears to be a definite possibility. Specifically, Cobain was probably given an injection of no less 225 mg of some type of heroin and a benzodiazepine. The suggestion that Cobain's tolerance to heroin was so high that he could have withstood the dose described above is clearly mistaken. The addition of a benzodiazepine of any kind, especially in combination with Cobain's low body weight, points to complete incapacitation at best, and strongly, if not conclusively indicates Cobain was dead before the gunshot wound. The official statement that Cobain ingested triple the lethal dose of heroin is probably an underestimate, yet it must not be understated that triple the lethal dose of intravenous heroin is three times more than the amount which kills even the most severe addict. Dead men don't pull triggers.

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Appendix A - Appendix B - References 1 / 2