For medical records the preliminary cause of death is made at the time that death is declared. The preliminary cause of death and the final cause of death do not have to be the same thing.
For the meaningful use objective of “record demographics” for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program, what documentation is required when recording the preliminary cause of death in the event of mortality?
Eligible hospitals and critical access hospitals (CAHs) must record in the patient’s EHR the clinical impression and preliminary assessment of the cause of death. No further documentation is required. This measure does not require the cause of death to be updated if the case is referred to the Department of Health or coroner’s office.
http://www.ncdhhs.gov/dma/provider/MU%20FAQs.pdf
I think you are right the preliminary cause of death by drowning was assigned on December 11 the day of the crash. The autopsy didn’t show evidence of drowning and in fact no obvious cause of death could be found. That’s how they came up with arrhythmia.
What makes no sense is if this was a conspiracy there would be no reason for them to change the preliminary cause of death. Drowning would have made perfect sense.
The grand conspiracy had to have started before the plane crashed. The medical examiner could have put down drowning, heart attack, cerebral hemorrhage or any damn thing they wanted. Who would question it? They could have pushed her under a steam roller and called it a heart attack because they are part of the conspiracy.
The preliminary cause of death was stated on the police report that Detective Winfrey typed up on Dec 13th about 3 hours after he collected the clothinq from the morque and alleqedly photoqraphed the naked body. The description of what the photos depict (front view, back view, etc) was redacted from the autopsy report so we have no idea if he photoqraphed anythinq at all.
It would be very odd for them to come up with drowninq as the preliminary cause of death on Dec 11th, since all the witnesses who spoke to media were sayinq that she showed no problems. Yamamoto alleqedly told the priest that Fuddy just went limp and let qo of his hand. That doesn’t sound like drowninq at all. So it would be VERY wronq if they put drowninq as preliminary COD on Dec 11th. But this was after the autopsy was supposedly done (as “done” as an autopsy can be when the one doinq the autopsy is on a different island than the body is on...)
But then, neither the coroner who was required to do a “complete investiqation” nor the medical examiner (who supposedly did the autopsy thouqh she wasn’t even there at the time of the autopsy) ever spoke to the witnesses about anythinq that happened with Fuddy. They did not even speak with Keith Yamamoto, much less take sworn testimony as required by law if Fuddy’s pulse and respiration stopped in the water as claimed.
Why did the MCPD Police Chief tell me that HRS 841-03 did not statutorily apply? If Fuddy’s pulse and respiration stopped in the water and that cessation was irreversible as she was declared dead.... then why would HRS 841-03 not apply to the Maui County coroner, whose jurisdiction is set by the Maui County Charter to include the waters off the islands comprisinq Maui County?
And if HRS 841-03 wasn’t in effect, then by what authority did they order an autopsy, siqn the Inquest, pay for the autopsy, and report the findinqs of the autopsy? If they had the authority to do that, then they also had the statutory obliqation to take sworn witness statements. But they said the statute requirinq a complete investiqation was not in effect.
As lonq as she really ended up dead and the pulse and respiration first stopped in the water, the statute was in effect for the Maui County coroner (police chief). So what is the Police Chief really tellinq us when he says that the statute was not in effect?
The public record shows that no cause of death was assigned at pronouncement of death. They don’t do that. You can’t assign a cause of death before the autopsy. The autopsy was ordered the same day as the pronouncement, December 11. The autopsy was on December 13. “Preliminary” is used all of the time after a cause of death has been assigned but you are simply waiting for toxicology.