IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT,
IN AND FOR ORANGE COUNTY, FLORIDA
ALAN R. YURKO
v. Case No.: CR 98-1730
STATE OF FLORIDA
______________________/
MEMORANDUM IN SUPPORT OF MOTION FOR POST CONVICTION RELIEF
RHOTON & HAYMAN, P.A.
Loren D. Rhoton
  Florida Bar Number 0055735
  412 Madison Street
  Suite 1111
  Tampa, Florida 33602
  (813)226-3138
TABLE OF CONTENTS
Preliminary Statement ...................................................................... vi
Statement of the Case ...................................................................... 1
Statement of the Facts ...................................................................... 2
Issue One
SUBSEQUENT TO HIS JUDGMENT AND SENTENCE,
MR. YURKO UNCOVERED NEWLY DISCOVERED
EVIDENCE IN THE FORM OF NATIONAL VACCINE
ADVERSE EVENT REPORTING SYSTEM DOCUMENTS
DEMONSTRATING THAT OF THE SIX VACCINATIONS
GIVEN TO HIS SON JUST SHORTLY BEFORE DEATH,
AT LEAST ONE WAS A "HOT LOT" VACCINE, AS
DETERMINED BY THE FOOD AND DRUG
ADMINISTRATION; ADDITIONAL NEWLY DISCOVERED
EVIDENCE HAS BEEN UNCOVERED IN THAT
NUMEROUS MEDICAL PROFESSIONALS HAVE
REVIEWED MR. YURKO*S CASE AND DETERMINED
THAT THE DEATH OF MR. YURKO*S SON WAS IN FACT
DUE TO THE VACCINATIONS , OF WHICH AT LEAST ONE
WAS A DOCUMENTED "HOT LOT", AND NOT FROM
SHAKEN BABY SYNDROME; AS SUCH, MR. YURKO*S
JUDGMENT AND SENTENCE SHOULD BE VACATED
AND A NEW TRIAL SHOULD BE GRANTED ...................... 29
Issue Two
IN THE ALTERNATIVE, IF THE EVIDENCE RELATING
TO THE "HOT LOT" VACCINES AND BABY ALAN*S
ADVERSE REACTIONS TO HIS CHILDHOOD
VACCINATIONS COULD HAVE BEEN DISCOVERED
THROUGH DUE DILIGENCE OF COUNSEL, THEN MR.
YURKO WAS DEPRIVED OF HIS CONSTITUTIONAL
RIGHT TO EFFECTIVE ASSISTANCE OF COUNSEL AS
DEFENSE COUNSEL FAILED TO, THROUGH DUE
DILIGENCE, INVESTIGATE, DISCOVER, AND PRESENT
AT TRIAL, THE EXCULPATORY EVIDENCE REGARDING
THE VACCINE THAT LIKELY CAUSED THE DEATH OF
BABY ALAN; MR. YURKO WAS PREJUDICED BY HIS
ATTORNEYS INEFFECTIVENESS AS THERE IS A
SUBSTANTIAL LIKELIHOOD THAT MR. YURKO WOULD
HAVE BEEN ACQUITTED HAD SAID EVIDENCE BEEN
PRESENTED TO THE JURY .................................................. 35
Issue Three
MR. YURKO WAS DENIED HIS CONSTITUTIONAL RIGHT
TO EFFECTIVE ASSISTANCE OF COUNSEL WHEN HIS
ATTORNEY FAILED TO OBJECT AND MOVE FOR MISTRIAL
WHEN THE PROSECUTOR, IN HER CLOSING ARGUMENT,
ARGUED FACTS THAT WERE NOT IN EVIDENCE TO THE
JURY TO IMPEACH DEFENSE EXPERT WITNESS, DR.
DOUGLAS SHANKLIN .................................................... 38
Issue Four
MR. YURKO WAS DENIED HIS RIGHT TO EFFECTIVE
ASSISTANCE OF COUNSEL WHEN HIS ATTORNEY
FAILED TO EFFECTIVELY IMPEACH DR. SASHI GORE
ON CROSS EXAMINATION WITH THE NUMEROUS
INCONSISTENCIES, FALSITIES, AND MISTAKES THAT
WERE APPARENT IN DR. GORE*S AUTOPSY REPORT ...... 47
Issue Five
SUBSEQUENT TO HIS JUDGMENT AND SENTENCE,
MR. YURKO UNCOVERED NEWLY DISCOVERED
EVIDENCE THAT STATE EXPERT WITNESS DR.
MATTHEW SEIBEL IN FACT DID NOT SPEAK TO
FRANCINE REAM AT BABY ALAN*S BEDSIDE; SAID
EVIDENCE WOULD HAVE SERVED TO IMPEACH DR.
SEIBEL*S TESTIMONY AND THUS STRENGTHEN MR.
YURKO*S DEFENSE .............................................................. 54
Issue Six
IN THE ALTERNATIVE, IF THE EVIDENCE RELATING
TO THE HOSPITAL SIGN-IN SHEET COULD HAVE BEEN
DISCOVERED THROUGH DUE DILIGENCE OF COUNSEL,
THEN MR. YURKO WAS DEPRIVED OF HIS
CONSTITUTIONAL RIGHT TO EFFECTIVE ASSISTANCE
OF COUNSEL AS DEFENSE COUNSEL FAILED TO,
THROUGH DUE DILIGENCE, INVESTIGATE, DISCOVER,
AND PRESENT AT TRIAL, THE EVIDENCE OF THE
HOSPITAL SIGN-IN LOG; SAID EVIDENCE WOULD HAVE
BEEN EFFECTIVE IN IMPEACHING DR. SEIBEL AND,
THUS CALLING THE RELIABILITY OF HIS TESTIMONY
INTO QUESTION .............................................................. 58
Issue Seven
MR. YURKO WAS DENIED HIS RIGHT TO EFFECTIVE
ASSISTANCE OF COUNSEL WHEN HIS TRIAL
ATTORNEY FAILED TO USE AVAILABLE MEDICAL
EVIDENCE TO DEMONSTRATE THE FALLACIES OF
THE STATE EXPERT WITNESSES' OPINIONS ...................... 61
Issue Eight
SUBSEQUENT TO HIS JUDGMENT AND SENTENCE MR.
YURKO OBTAINED NEWLY DISCOVERED EVIDENCE
IN THAT SCIENTIFIC DISCOVERIES THAT DID NOT
SOLIDLY MANIFEST THEMSELVES IN THE REALM OF
FORENSIC NEUROPATHOLOGY AT THE TIME OF TRIAL
HAVE NOW BEEN GENERALLY ACCEPTED BY THE
FORENSIC COMMUNITY; SAID EVIDENCE IS DIRECTLY
CONTRARY TO TESTIMONY AND EVIDENCE
PRESENTED BY THE STATE AND ITS EXPERT WITNESSES
AT TRIAL RELATING TO DIFFUSE AXONAL INJURY ......... 74
Issue Nine
MR. YURKO WAS DENIED HIS CONSTITUTIONAL RIGHT
TO EFFECTIVE ASSISTANCE OF COUNSEL WHEN HIS
ATTORNEY FAILED TO ADEQUATELY OBJECT TO THE
ADMISSION OF EVIDENCE OF BABY ALAN*S PRIOR RIB
FRACTURES; SAID EVIDENCE WAS IRRELEVANT AND
UNDULY PREJUDICIAL TO MR. YURKO*S RIGHT TO A
FAIR TRIAL ........................................................................ 79
Issue Ten
THE CUMULATIVE EFFECT OF THE TRIAL ATTORNEY'S
NUMEROUS DEFICIENCIES AND OTHER ERRORS
RELATING TO THE MR. YURKO*S TRIAL SEVERELY
PREJUDICED MR. YURKO*S RIGHT TO A FAIR TRIAL AND
DEPRIVED MR. YURKO OF HIS CONSTITUTIONAL RIGHTS
TO EFFECTIVE ASSISTANCE OF COUNSEL AND A FAIR
TRIAL ................................................................................... 86
Conclusion..................................................................................... 93
Certificate of Service ........................................................................ 94
Oath ....................................................................................................... 95
PRELIMINARY STATEMENT
In this Memorandum, the 
  Movant, Alan R. Yurko, will be referred to as Mr.
  Yurko. Mr. Yurko's son, Alan Joseph Ream, will be referred to as "Baby 
  Alan." In
  this Memorandum Mr. Yurko will be referring to the transcripts from his trial. 
  The
  trial transcripts will be cited as "T" followed by the corresponding 
  page number(s),
  i.e., (T.1). Additionally, Mr. Yurko has prepared an Appendix to this Memorandum
  and will be referring in this Memorandum to the various exhibits contained in 
  the
  Appendix.
In this Memorandum there 
  will be repeated use of the terms Shaken Baby
  Syndrome and Diffuse Axonal Injury. Shaken Baby Syndrom will be abbreviate as
  "SBS" and Diffuse Axonal Injury will be abbreviated as "DAI".
STATEMENT OF THE CASE
On February 9, 1998, the 
  Movant, Alan Yurko, was charged in the instant case
  with: Count One, first degree murder of Alan Joseph Ream; and, Count Two,
  Aggravated Child Abuse. A jury trial was held before the Honorable R. James 
  Stoker
  on February 22-24, 1999.
Mr. Yurko was found to be 
  guilty as charged. This Honorable Court sentenced
  Mr. Yurko to life imprisonment on Count One, and ten years imprisonment on Count
  Two. The sentences are to run concurrently.
Mr. Yurko timely appealed 
  his Judgment and Sentence to the Fifth District
  Court of Appeal of Florida. The Fifth District Court affirmed, per curiam, Mr.
  Yurko's Judgment and Sentence on March 7, 2000. The Mandate was issued by the
  district court on March 24, 2000. Subsequent to his appeal Mr. Yurko has not 
  filed
  any petitions or motions, in this or any other court, collaterally attacking 
  his
  Judgement and Sentence in the instant case.
STATEMENT OF THE FACTS
Alan Joseph Yurko (hereinafter 
  "Baby Alan) was born on September 16, 1997.
  During the gestational period the mother, Francine Ream, encountered numerous
  complications with the pregnancy, including:
(1) gestational diabetes;
(2) group B Streptococcal vaginal infection;
(3) chronic maternal E coli urinary tract infection, which was present even
six months postpartum;
(4) malnutrition;
(5) weight gain of only two pounds during the entire pregnancy;
(6) Oligohydramnios (amniotic fluid deficiency); and,
(7) emergency induction of pregnancy.
During the pregnancy the 
  mother became sick and remained so throughout. The
  mother suffered from dehydration and lost weight during her pregnancy, dropping
  from her original weight of 130 pounds down to 120 pounds and then regaining
  weight up to 132 pounds at the time of her pregnancy.
Baby Alan's delivery was 
  induced early at 35 weeks gestation due to a
  deficiency of amniotic fluid which was apparent on an ultrasound test. Baby 
  Alan
  was born with a birth weight of 5 pounds, 8 ounces. Respiratory Distress Syndrome
  was immediately apparent upon birth. Shortly after birth Baby Alan was placed 
  in an
  oxygen hood and ampicillin and gentamycin were administered. Thereafter Baby 
  Alan
  remained at the hospital for seven days, spending three days in the intensive 
  care unit
  where he was on life support. Baby Alan also suffered from neonatal jaundice.
Following his discharge 
  from the hospital, Baby Alan continued to suffer from
  chest congestion and had difficulty breathing. Also following his discharge, 
  Baby
  Alan's mother also noted grunting and raspy breathing patterns along with brief
  periods of apnea (temporary stoppage of breathing). Furthermore, Baby Alan
  remained grossly jaundiced for a month after returning home (much longer than
  would be expected from normal neonatal jaundice). Upon being discharged to his
  parents (Francine Yurko, nee Ream, and Alan Yurko), Baby Alan was examined
  weekly by a Pediatrician. After being released from the hospital Baby Alan had
  weekly examinations by a pediatrician. At the weekly examinations none of the
  pediatricians ever noted external injuries or bruises, nor acute pain or discomfort
  which would have indicated broken ribs. Such a condition almost certainly would
  have been noticed by examining physicians, nurses, and numerous caretakers
  involved with the child.
On November 24, 1997, Mr. 
  Yurko was home alone with Baby Alan and
  Francine Yurko's daughter. In rapid succession Mr. Yurko observed
  Baby Alan wheezing, followed by spitting up and cessation of breathing. After 
  delays
  from unsuccessful attempts to revive Baby Alan, Mr. Yurko borrowed a neighbor*s
  car and rushed Baby Alan to Princeton Hospital of Orlando, where Baby Alan was
  successfully resuscitated. Initial laboratory tests at Princeton Hospital showed, 
  among
  other things, that there was an elevated white blood count of 20,900 (with a
  predominance (61%) of lymphocytes).1
Baby Alan was then transferred 
  to the Florida Hospital in Orlando, Florida, and
  placed on life support. His temperature at admission was 105 degrees. A brain 
  Ct
  scan was interpreted as showing a small right subdural hematoma and one or two
  sites of intraparenchymal bleeding. A chest x-ray showed bilateral pneumonitis 
  and
  healing fractures of the 6th and 7th ribs on the left. After 75 hours in the 
  hospital
  Baby Alan was pronounced dead and his organs were harvested. Specifically, Baby
  Alan donated the following organs: heart, liver with gallbladder, spleen, pancreas,
  lymph nodes, and parts of the small intestine. (Exhibit A, Autopsy Report, page 
  5).
On February 9, 1998, Mr. 
  Yurko was charged with the first degree murder of
  Alan Joseph Yurko and aggravated child abuse. A jury trial was held before the
  Honorable R. James Stoker on February 22-24, 1999.
On January 15, 1999, Mr. 
  Yurko's attorney filed a Motion in Limine which
  inter alia asked this Honorable Court to prohibit the State from introducing 
  any
  evidence relating to Baby Alan's rib fractures. (Exhibit B). It was defense 
  counsel's
  position that the State could not prove that Mr. Yurko was responsible for the 
  rib
  fractures and, thus, that said fractures were irrelevant and prejudicial to 
  the
  proceedings. On February 22, 1999, just prior to the commencement of opening
  statements, Mr. Yurko's Motion in Limine was addressed by this Honorable Court.
  At said time the following dialogue occurred between the court and defense counsel:
THE COURT: WE HAVE A REMAINING SINGLE ISSUE
ON MOTION IN LIMINE. YOU WISH TO ADD ANYTHING TO YOUR
MOTION?
MR. BARRETT [DEFENSE COUNSEL]: NO, YOUR HONOR.
(T.18).
Defense counsel thus made 
  no argument whatsoever to support his request that
  the court prohibit the introduction of any evidence relating to the rib injuries.
  Furthermore, the Motion in Limine itself provided no support or argument for 
  such a
  motion other than the following: "[d]efendant contends that any testimony 
  or
  argument relating to all the above listed evidence is not relevant to the issues 
  involved
  in this case and should be excluded under Florida Statutes 90.401, 90.402 and
  90.403." (Exhibit B, page 2). After defense counsel declined to present 
  any argument
  in support of the Motion in Limine, the State presented an argument consisting 
  of
  approximately three pages of trial transcripts to support its position that 
  the evidence
  of the rib injuries was admissible. (T.18-21). In support of its argument the 
  State
  relied on Estelle v. McGuire, 502 U.S. 62 (1991). After hearing the State's 
  unrefuted
  argument, this Court denied Mr. Yurko*s Motion in Limine. (T.21). Furthermore,
  when evidence of the rib injuries was presented by the State during trial, defense
  counsel registered no objections.
At trial the State presented 
  the testimony of numerous "expert witnesses".
  Testifying first for the State was Dr. Ben Guedes. Dr. Guedes is a pediatrician 
  who
  worked primarily out of the Florida Hospital in Orlando, Florida. (T.37). Dr. 
  Guedes
  worked on the Child Protection Team as a medical consultant. Dr. Guedes was
  tendered and accepted as an expert witness in the field of pediatric critical 
  care. (T.
  39).
On November 24, 1997, Dr. 
  Guedes examined Baby Alan at the Princeton
  Hospital. At that time Baby Alan was flaccid and was not breathing. (T.41). 
  Dr.
  Guedes ordered a Ct Scan of Baby Alan. (T41). Dr. Guedes testified that Baby 
  Alan
  had a subdural hemorrhage and "interbrachial" hemorrhaging.2 (T.42). 
  It was
  explained that a subdural hemorrhage is one where there is blood in the membranes
  between the brain and the skull wall but not in the brain itself. (T.42). Dr. 
  Guedes
  further explained that such a condition can be problematic because the blood 
  causes
  increased pressure on the brain. (T.42.) Such a buildup of pressure can cause 
  a
  cessation of breathing because it causes pressure on the brain stem where the
  breathing centers are located. (T.42). It can also cause seizures and unconsciousness.
  (T.42). According to Dr. Guedes, the only thing that could cause such a subdural
  hemorrhage was a blow to the head, shaking of the head, or some sort of action
  which would cause rapid acceleration and deceleration of the head. (T.43).
Dr. Guedes also testified 
  that the "interbrachial" hemorrhage is a hemorrhage or
  bleeding inside of the brain matter itself. According to Dr. Guedes, such a
  hemorrhage would occur as the result of a rapid vigorous shaking motion which
  would shear the blood vessels to the brain, thus causing bleeding within the 
  brain.
  (T.44). In Dr. Guedes' opinion, the "interbrachial" and subdural bleeding 
  were fresh
  injuries and were approximately one day old or less at the time he observed 
  them.
  (T.45).
It was the testimony of 
  Dr. Guedes that the injuries he witnesses were traumatic
  injuries. Dr. Guedes stated that where there are injuries such as shearing of 
  the blood
  vessels "...there isn't really a disease that produces that sort of injury, 
  it's virtually
  always a traumatic injury." (T.48).
At trial Dr. Guedes also 
  testified as to his definition of Battered Child (BCS)
  Syndrome. According to Guedes, BCS occurs when a child is "...traumatized
  physically by some sort of care taker, it can be either through hitting or damaging 
  a
  child some way or other..." (T.51). When asked if Baby Alan was a battered 
  child,
  Dr. Guedes replied: "Yes, I think so. Sure." (T.51).
On cross-examination Dr. 
  Guedes admitted that if a doctor was doing a
  "complete evaluation" of a child such as Baby Alan, the doctor would 
  want to review
  pediatric and birthing records. (T.59). Nevertheless, Dr. Guedes admitted that 
  at the
  time he evaluated Baby Alan, Dr. Guedes did not have the family history of Baby
  Alan. Nor did Dr. Guedes know at the time that Baby Alan was born prematurely.
  (T.54). Dr. Guedes could not recall ever speaking with Baby Alan's mother about
  any health problems suffered by Baby Alan. (T.56). Baby Alan's pediatrician 
  was
  not contacted either to determine if Baby Alan had been having any health problems.
  (T.56). Additionally, Dr. Guedes was fully unaware that Baby Alan had suffered
  respiratory distress in the past. (T.62).
It was also brought out 
  on cross examination that Dr. Guedes' report indicated
  that Baby Alan's white blood cell count was 20,900 (this conflicted with the 
  medical
  charts which indicated a white blood cell count of 11,200). (T.55). A white 
  blood cell
  count of 20,900 is considered high and could indicate the existence of some 
  sort of
  infection. (T.56). Baby Alan had a fever of 105' while in the hospital. Such 
  a
  temperature could also indicate the existence of an infection. (T.56).
Dr. Guedes also testified 
  that he noted evidence of at least one and possibly two
  or three old rib fractures. According to Dr. Guedes, the rib fractures appeared 
  to have
  been healing for a period of at least ten days prior to Baby Alan's admission 
  to the
  hospital. (T.42).
Also testifying on behalf 
  of the State was Dr. Matthew Seibel. Dr. Seibel is a
  general pediatrician who was on the Child Protection Team out of the Children's
  Hospital in Orlando, Florida. (T.153). Dr. Seibel examined Baby Alan in the 
  pediatric
  intensive care unit at the Florida Hospital. (T.154). After viewing Baby Alan's 
  chart,
  Dr. Seibel came to the conclusion that the child had received inflicted trauma 
  which
  the doctor felt was evident in both the brain injury and the injuries that had 
  occurred,
  at some unknown time, to the ribs. (T.157). According to Dr. Seibel, the injuries
  were indicative of an abusive situation. Dr. Seibel further testified that the 
  injuries to
  the ribs likely came from a vigorous squeezing-type of force. (T.157).
Dr. Seibel testified that 
  rib fractures are not described in the medical literature as
  ever being the result of birth trauma. (T.158). Instead, he felt that the rib 
  fractures
  were the result of abuse. (T.166). In Dr. Seibel's opinion, the ribs were in 
  different
  stages of healing because the callouses where the ribs were healing were different
  sizes. (T.158).
According to Dr. Seibel, 
  the Ct brain scan showed subdural bleeding and
  bleeding within the brain itself. It was this head injury, said Dr. Seibel, 
  which
  eventually killed Baby Alan. (T.160-161). Dr. Seibel informed the jury that 
  the
  symptoms associated with severe brain injury, such as in the instant case, occur
  within one hour or less. (T.162). He further stated that a very violent shaking 
  force is
  necessary to cause the types of injuries that he observed in Baby Alan. (T.165).
  According to Dr. Seibel, Baby Alan would have exhibited severe symptoms within 
  a
  very short period of receiving his injuries. (T.166). The doctor opined that 
  Baby Alan
  would have been unable to do much of anything after receiving his injuries because
  of the bleeding in and around the brain. (T.167).
In coming to his medical 
  conclusions about Baby Alan, Dr. Seibel admitted that
  he only spent "some time" reviewing the chart, and a "few minutes 
  looking over the
  X-rays and Ct scan, along with examining Baby Alan." (T.170). It was also 
  Dr.
  Seibel's testimony that he spoke with Baby Alan's mother, Francine Ream, at 
  Baby
  Alan's bedside. (T.170-172). Ms. Ream testified, on the other hand, that she 
  had
  never spoken with Dr. Seibel. (T.330) Additionally, neither of Dr. Seibel's 
  two
  reports reflected that he spoke with Ms. Ream. (T.172). Furthermore, hospital 
  sign-in
  logs reveal that Dr. Seibel was not present at the bedside at the same time 
  as Ms.
  Ream.
On cross examination Dr. 
  Seibel testified that it would be improper to come to a
  conclusion in a case such as the instant case without considering all relevant 
  facts.
  (T.193). Nevertheless, Dr. Seibel admitted on cross examination that he did 
  not
  obtain Baby Alan's prior medical and/or prenatal records. (T.194). Additionally, 
  Dr.
  Seibel admitted that he did not speak to the caretaker and defendant, Alan Yurko.
  (T.194).
Also testifying at trial 
  on behalf of the State was Chief Medical Examiner for
  Orange and Osceola Counties, Dr. Sashi Gore. Baby Alan's autopsy was performed
  by Dr. Gore on November 29, 1997. (T.212). Ultimately, Dr. Gore's conclusion 
  was
  that the cause of death was Shaken Baby Syndrome. Before addressing Dr. Gore's
  examination and conclusions, it is important to note that there were numerous
  deficiencies in, and problems with, Dr. Gore's examination of Baby Alan. At 
  trial,
  Dr. Gore testified that after performing the autopsy he checked over the autopsy
  report and it appeared to be accurate. (T.273). But, there were numerous
  inaccuracies in Dr. Gore's report. Firstly, in his report Dr. Gore listed Baby 
  Alan as a
  "two-month-old black male." (T.273). In fact, Baby Alan was a white 
  male, as was
  admitted by Dr. Gore at trial. (T.273). Additionally, Dr. Gore admitted that 
  in order
  to reach a conclusion that a death was caused by SBS, he would have to get the
  child*s history from the caretaker. (T.247). Nevertheless, Dr. Gore never spoke 
  to
  Alan Yurko nor did he speak to Francine Ream. (T.247-249). Furthermore, Dr. 
  Gore
  could not demonstrate that he ever received a sufficient medical history for 
  Baby
  Alan. (T.247-253). Even more troubling is the fact that Dr. Gore could not even
  testify that he had received the birth and pre-natal records for Baby Alan from 
  Baby
  Alan*s doctor. (T.253).
It is also important to 
  take into consideration that Dr. Gore testified that he
  "...REMOVED THE ANTERIOR PART OF THE ENTIRE CHEST BONE AND
  THEN WE REMOVED THE HEART, THE LUNGS, AND ALL THE
  ORGANS..." (T.218, emphasis added). Contrary to Dr. Gore's testimony, Baby
  Alan was an organ donor and, thus, Dr. Gore would not have been able to remove
  the heart and "...all the organs..." (T.218). Dr. Gore's report also 
  indicated that there
  was a microscopic examination of Baby Alan's Heart. (Exhibit A, page 10). This
  would be impossible as Baby Alan's heart was one of the organs which were
  harvested.3 Dr. Gore's testimony further made clear the fact that he never examined
  the heart. (T.246).
Furthermore, Dr. Gore's 
  testimony is called into question in relation to his
  measurements of the circumference of Baby Alan's head. In the autopsy report
  prepared by Dr. Gore, it was stated that the circumference of Baby Alan*s head 
  was
  22 centimeters. (See Exhibit A, page 6). But, medical records prior to death 
  indicate
  that the circumference of Baby Alan's head was 32.5 centimeters. Finally, in 
  the
  autopsy report, Dr. Gore reported that Baby Alan was two months old at the time 
  of
  his death. (See Exhibit A, pages 1 and 10). In fact, Baby Alan was ten weeks 
  old at
  the time of death.
At trial Dr. Gore testified 
  that Baby Alan's death was caused by a subdural
  hemorrhage due to SBS. (T.213). Dr. Gore explained:
"WHEN THE HEAD OF THE BABY IS SHAKEN VIGOR-
OUSLY, THERE IS ACCELERATION-DECELERATION.
CHANGES OCCUR IN THE MINUTE BLOOD VESSELS
BETWEEN THE BRAIN AND THE LAYERS OF THE
BRAIN. THEY RUPTURE AND YOU GET HEMORRHAGE
THERE AND THAT IS WHAT WE CALL SUBDURAL
HEMORRHAGE AND THAT IS A RESULT OF SHAKING
THE BABY." (T.213).4
According to Dr. Gore, subdural 
  hemorrhaging could be caused either by an accident
  or some type of abuse. (T.222). On cross examination, Dr. Gore used a visual 
  aid5 to
  demonstrate what he meant by vigorous shaking. (T.264-265). Although Dr. Gore
  could not quantify in words what he meant by vigorous, he did shake the visual 
  aid
  while testifying to explain to the jury what vigorous shaking was. (T.265). 
  When
  asked if there was any possibility that a subdural hemorrhage could be the result 
  of a
  "spontaneous bleed" without trauma Dr. Gore answered: "No." 
  (T. 238).
Dr. Gore testified that 
  there are several types of injuries that occur with SBS.
  Firstly, he explained that a subdural hemorrhage will be apparent. (T.227).
  Additionally, Dr. Gore stated that there will also be Diffuse Axonal Injury 
  (DAI). To
  explain Diffuse Axonal Injury, Dr. Gore testified:
"WELL, DIFFUSE AXONAL INJURY, THIS OCCUR WITH
THE ROTATIONAL TYPE OF FORCE AND YOU GET
VERY MINUTE PINPOINT HEMORRHAGES IN AXONS,
LOWER PART OF THE NERVE CELLS. NOW THIS
CAN OCCUR WITHIN A VERY SHORT PERIOD OF
TIME. THAT MEANS YOU DON'T HAVE TO - - ONCE
YOU SHAKE THE BABY VIGOROUSLY, IF THERE IS
A ROTATIONAL FORCE INVOLVED IN THAT YOU
CAN SEE THAT THEY MAY OCCUR IMMEDIATELY
WITHIN MINUTES PERHAPS AND THERE ARE
EFFECTS ON THE HUMAN BODY AS A RESULT OF
THAT. THESE ARE, AGAIN TO REPEAT, VERY FINE
PINPOINT OR EVEN SMALLER THAN THAT MICRO-
SCOPIC HEMORRHAGES OCCURRING IN THE
AXONAL AREA OF THE BRAIN." (T.226-227).
Dr. Gore testified that 
  he did observe both a subdural hemorrhage and Diffuse
  Axonal Injury in Baby Alan's case. (T.227). But, nowhere in the autopsy report 
  did
  it indicate that Diffuse Axonal Injury was present. (T.281). Additionally, no
  microscopic slides were presented to the jury to show the alleged Diffuse Axonal
  Injury.
According to Dr. Gore, the 
  subdural hemorrhage probably occurred twenty to
  thirty minutes, and maybe up to an hour, prior to Baby Alan's admission into 
  the
  hospital. (T.229). It was Dr. Gore's opinion that once a child suffers such 
  an injury,
  the child would become immediately unconscious and would possibly go into a
  comatose condition. (T.229).
Dr. Gore also testified 
  that he noted fractured ribs on Baby Alan. (T.219). It
  was Dr. Gore's opinion that the ribs were in different states of healing, meaning 
  that
  they had been fractured at different times. (T. 219). According to Dr. Gore, 
  the rib
  fractures were at least three weeks old at the time of Baby Alan's death. (T.236).
  Although Dr. Gore did testify as to the definition of Battered Child Syndrome, 
  he did
  not testify that Baby Alan was a victim of Battered Child Syndrome. Dr. Gore 
  also
  testified that one of Baby Alan's ribs broke while being handled during the 
  autopsy.
Dr. Gore further testified 
  that he did observe a retinal hemorrhage in Baby Alan.
  Dr. Gore stated that the retinal hemorrhage was only present in Baby Alan's 
  right
  eye. (T.272). The retinal hemorrhage was minor in that there was not a lot of 
  blood
  in the back of the eye. (T.272). According to Dr. Gore, retinal hemorrhaging 
  is
  present approximately 25% of the time in SBS cases. (T.272).
While inspecting Baby Alan's 
  lungs, Dr. Gore noted Pneumonitis, which is a
  type of pneumonia. (T.278). Dr. Gore testified that the pneumonitis would not 
  have
  caused the brain injuries in Baby Alan. (T.278). He stated that Baby Alan did 
  not die
  of pneumonitis. (T.278).
Also testifying on behalf 
  of the State was Dr. Gary Pearl. Dr. Pearl is a
  pathologist who specializes in neuropathology. (T.292). Dr. Pearl was a consultant
  with the Orange County Medical Examiner's office. He was involved in Baby Alan's
  autopsy. Dr. Pearl testified that he did cut into Baby Alan's brain as well 
  as
  reviewing microscopic slides of the brain. (T.298). Dr. Pearl explained that 
  the axon
  is the part of a brain cell that connects to other brain cells; when there is 
  DAI, the
  axon is swollen and balled up. (T.299). According to Dr. Pearl, Baby Alan's 
  brain
  did show Diffuse Axonal Injury. (T.299). While Dr. Pearl claimed to have viewed 
  a
  microscopic slide that showed the DAI, he did not photograph or present evidence 
  of
  the alleged slide to the jury. (T.315). Dr. Pearl also testified that there 
  was no
  evidence of eight week old hypoxia in Baby Alan's brain. (T.309).
Testifying on behalf of 
  Mr. Yurko was, among others, expert witness Dr.
  Douglas Shanklin. Dr. Shanklin is a physician and dual professor at the University 
  of
  Tennessee College of Medicine. (T.345). Dr. Shanklin is a board certified pathologist
  (T.356) and was previously an associate medical examiner in the Eighth Judicial
  Circuit of Florida. (T.347). Dr. Shanklin works in the area of perinatal injuries 
  and
  pathology (T.350), and teaches classes relating to diseases of newborns and 
  diseases
  related to pregnancy. (T.356).
Mr. Yurko's trial counsel 
  retained Dr. Shanklin to review the findings of the
  autopsy of Baby Alan. (T357). Dr. Shanklin reviewed the slides from the autopsy.
  (T.357). After reviewing the slides and the autopsy report, Dr. Shanklin concluded
  that Baby Alan's death was a result of natural causes. (T.358). In explaining 
  his
  conclusion, Dr. Shanklin testified that there were two disease states within 
  the tissues
  which were sufficient to have caused the death of Baby Alan. (T.358).
In viewing slides of Baby 
  Alan's lungs, Dr. Shanklin observed numerous little
  dark blue dots scattered throughout the lungs. (T.366). Dr. Shanklin explained 
  that
  the blue dots were inflammatory cells which are a form of white blood cells; 
  the
  presence of the inflammatory cells was an indication of pneumonia. (T.366). 
  The
  pneumonia was scattered throughout the substance of the lungs. (T.367).
  Additionally, the pneumonia was also apparent in the terminal air passages. 
  (T.366).
  Dr. Shanklin also noted that Baby Alan's bone marrow showed an increased white
  blood cell count. (T.367-368). Such a high count would have likely been caused 
  by
  some sort of infection. (T.370).
Dr. Shanklin also showed 
  the jury slides of Baby Alan's brain. It was pointed
  out to the jury that the dura (the heavy membrane that coats the brain and lines 
  the
  inside of the skull case) contained large numbers of chronic inflammatory white 
  cells.
  (T.369). Thus, explained Dr. Shanklin, the white cells indicated a
  "LONG-STANDING INFECTION OF SOME KIND." (T.369). Additionally, Dr.
  Shanklin noted a blood clot in the back part of the brain within the skull, 
  and not on
  the spinal column. (T.373). There was also recent bleeding around the clot. 
  Dr.
  Shanklin pointed out that there were dark purplish-brown dots present; he stated 
  that
  the dots were "either a fungus or bacteria." (T.373). According to 
  Dr. Shanklin, the
  dots would "[get] there as a matter of disease process." (T.373).
Dr. Shanklin also testified 
  that he noted meningitis in Baby Alan. (T.378). He
  defined meningitis as "...AN INFLAMMATION OF THE MENINGES, MOST
  ALWAYS DUE TO AN INFECTION OF SOME SORT." (T.384). Dr. Shanklin
  noted a "TREMENDOUSLY THICKENED [meningeal] MEMBRANE LOADED
  WITH... INFLAMMATORY VESSELS AND... INFLAMMATORY CELLS AND
  THESE ARE THERE AND THEY HAVE BEEN THERE FOR A LONG TIME."
  (T.379). In fact, Dr. Shanklin did not believe that the Ct scan demonstrated 
  a
  subdural hemorrhage. Instead, he felt that what was seen in the Ct scan was 
  actually
  evidence of extensive meningitis. (T.395).
Dr. Shanklin disagreed with 
  the State's claims of Diffuse Axonal Injury. He felt
  that the injury to the nerve axons was related to a perinatal event and, to 
  a lesser
  extent, to meningitis. (T.411). Dr. Shanklin explained that the nerve cells 
  which pass
  signals to the brain from the spinal cord had been largely destroyed by "A 
  VERY
  OLD PROCESS." (T.374). He further explained the nerve cells were replaced 
  by the
  presence of hundreds of small blood vessels which were thick walled, rounded 
  and
  slit-like. According to Dr. Shanklin, this would be the normal reaction of a 
  damaged
  brain and spinal cord tissue to a "LOW ORDER, LONG-STANDING PROBLEM."
  (T.374). Ultimately, Dr. Shanklin concluded: "I DON'T THINK THERE IS AN
  INJURY INVOLVED IN THE FINAL EVENTS. I THINK IT IS A TOTALLY
  NATURAL PROCESS." (T.411).
Dr. Shanklin also testified 
  about Baby Alan's failure to thrive. Dr. Shanklin
  testified that one of the best ways to determine the physical maturity of an 
  infant is to
  look at the kidneys. (T.362). From his review of the slides of Baby Alan*s kidney,
  Baby Alan was not fully matured even though he was ten weeks old at the time 
  of his
  death. (T.363). This meant that Baby Alan did not develop as a normal child 
  of his
  age should have. (T.364). Additionally, a slide of Baby Alan's fatty tissues 
  showed
  an abnormal metabolic state which is consistent with poor development of the 
  child.
  (T.364). 
  During the State's closing argument, the prosecutor made improper and
  extremely prejudicial remarks relating to Dr. Shanklin's credibility. In attempting 
  to
  discredit Dr. Shanklin, the prosecutor told the jury: "I SUBMIT TO YOU... 
  THAT
  YOU CAN REJECT EVERYTHING DR. SHANKLIN SAID, IF YOU FIND
  THAT HE'S TESTIFYING IN AN AREA HE'S NOT AN EXPERT IN." (T.492).
  Then the prosecutor grievously misrepresented the facts to the jury by telling 
  them:
"...LO AND BEHOLD, HE'S DONE THAT [testified in
an area that he is not a witness in] BEFORE. WELL, HE
FORGOT ABOUT THE CASE IN TEXAS WHEN HE
WAS TESTIFYING. BUT, WHEN REMINDED
SPECIFICALLY OF THE NAME OF THE PLAINTIFF
HE WAS WORKING FOR, ALL OF A SUDDEN HE
REMEMBERED. AND HIS TESTIMONY WAS STRUCK.
IT WAS FOUND HE WAS TESTIFYING IN AN AREA
THAT WAS NOT SUPPORTED BY SCIENTIFIC
RESEARCH. DOES THAT GIVE YOU AN INFERENCE
OF WHERE DR. SHANKLIN IS COMING FROM?"
(T.493-494, emphasis added).
The prosecutor committed 
  an atrocious offense to Mr. Yurko's right to a fair
  trial when she made the above misstatements. It was never established at trial 
  that
  Dr. Shanklin's testimony was stricken in an unrelated case in Texas. In relation 
  to
  the Texas case, the following colloquy took place between Prosecutor Robin
  Wilkinson and Dr. Shanklin:
Q. DR. SHANKLIN, HAS YOUR TESTIMONY EVER
BEEN OFFERED AS AN EXPERT BEFORE IN COURT IN
WHICH YOUR TESTIMONY WAS NOT ALLOWED?
A. YES, IT WAS ONCE OVER ON THE WEST COAST OF
FLORIDA BUT THAT RULING BY THE JUDGE WAS OVER-
TURNED ON APPEAL IN THE SECOND DISTRICT COURT
OF APPEALS OF THIS STATE.
Q. HOW ABOUT IN TEXAS?
A. TEXAS?
Q. YES, SIR.
A. I KNOW OF NO SUCH CASE.
Q. DO YOU REMEMBER THE CASE NOVARDIS (PH.)
PHARMACEUTICAL WHICH, I BELIEVE, HAD A PREVIOUS
NAME. IT WAS A TEXAS DISTRICT COURT IN TRAVIS
COUNTY. YOU WERE LISTED AS THE PATHOLOGIST AND
IT WAS A CASE INVOLVING PLAINTIFF WILLIE LLOYD
REVELS (PH.)?
A. THAT CASE IS ON APPEAL NOW, THAT DECISION.
SEVERAL WITNESSES WERE STRUCK FROM THE LIST AND
THAT IS ON APPEAL PRESENTLY.
Q. BUT THE COURT HELD THAT THE PATHOLOGY
REPORTING THE EXPERT'S OPINION WAS NOT SUFFICIENTLY
LIABLE (sic) OR RELEVANT, CORRECT?
A. I DON'T KNOW WHAT THE OPINION SAID. I
KNOW THAT IN REVIEW OF THE AUTOPSY MATERIALS IN
THAT CASE I GAVE MY OPINION IN DEPOSITION AS TO THE
FINDINGS AT AUTOPSY. WHAT THE COURT DID WITH
THAT AND OTHER OPINIONS, I HAVE NO SPECIFIC
KNOWLEDGE OF, BUT, THE MATTER IS UNDER APPEAL
PRESENTLY.
(T.354, emphasis added). 
  No other questions were asked about the Texas case, nor
  were any further answers given regarding the outcome of said case. As is clear 
  from a
  review of the record, Prosecutor Wilkinson flagrantly misrepresented the facts 
  as
  they applied to Dr. Shanklin's credibility. There simply was no evidence to 
  indicate
  that Dr. Shanklin had ever testified in an area in which he was not an expert. 
  Thus,
  Ms. Wilkinson's question "DOES THAT GIVE YOU AN INFERENCE OF
  WHERE DR. SHANKLIN IS COMING FROM?," was uncalled for and not based
  upon any evidence elicited at trial. Exacerbating the egregious misstatements 
  by the
  prosecutor was the fact that trial counsel never objected to the improper and
  prejudicial closing arguments of the State.
Subsequent to his conviction 
  and direct appeal, Mr. Yurko requested
  information from the Vaccine Adverse Event Reporting System (VAERS), in regard
  to the vaccinations Baby Alan received just shortly before his death. Specifically, 
  Mr.
  Yurko requested information on Connaught Labs DTaP (Diphtheria Tetanus and
  Pertussis) vaccination lot number 7H81507.6 Upon review of the records received
  from the VAERS, Mr. Yurko discovered that the that lot number 7H81507 was one
  of the "hottest" lots, according to VAERS files, ranking highest in 
  infant deaths
  among more than 800 vaccine lots of DTaP reported to VAERS in the years1990
  through 1999. Mr. Yurko learned that the Connaught Labs vaccine was associated
  with at least seventy serious adverse events and numerous permanent disablements 
  as
  well as five deaths in infants/children.
Mr. Yurko requested the 
  VAERS information because several doctors had
  informed him that it appeared that Baby Alan's death was vaccine related.
  Subsequent to his Judgment and Sentence Mr. Yurko's case was reviewed by
  numerous doctors, including Dr. Harold Buttram, M.D., FAAEM, and Dr. F. Edward
  Yazbak, M.D., FAAP.7 It was the opinion of Doctors Buttram and Yazbak that
  Baby Alan's death was caused by an adverse reaction to one or more of the
  childhood vaccines received by Baby Alan just shortly before his death. Pursuant 
  to
  the Doctors' evaluation and conclusion, Mr. Yurko requested information from 
  the
  VAERS regarding Baby Alan's vaccines.
After extensive investigation 
  into Mr. Yurko's case, Doctors Buttram and
  Yazbak, and numerous others, have determined that an adverse reaction to the
  vaccines was likely the cause of Baby Alan's death. In a recent article, Doctors
  Buttram and Yazbak noted the numerous health problems that affected Baby Alan
  and concluded:
Under these and other severely compromised conditions the
baby was administered a total of 6 vaccines, including the [DTaP],
Hib, OPV, and hepatitis B. at approximately 8 weeks of life.
A serious, possibly catastrophic reaction to the vaccines would
have been predictable under these circumstances. Almost
certainly a medical consensus would agree that vaccinations
would have been contraindicated and should not have been
given. In this regards, The Physicians' Desk Reference
provides warnings or precautions for all of these vaccines to
inquire into the health of the recipient before their
administration. For the DPT there is a warning that immunizations
should be deferred during an acute infection, the clear
implication being that there are heightened risks of reaction in the
presence of infection or serious illness. Prematurity has also
been listed as a contraindication to vaccines in early infancy.
Doctors Buttram and Yazbak 
  ultimately concluded that Baby Alan's death was
  vaccine related. It is proposed by Doctors Buttram and Yazbak that there were 
  two
  possible mechanisms which, either separately or in combination, likely caused 
  Baby
  Alan's death. The first possible cause would be that of immune paralysis due 
  to the
  vaccines that Baby Alan received shortly before his death. Said immune paralysis
  could have caused a fulminating spread of the lung infections (pneumonia) to 
  other
  parts of Baby Alan's body, including the brain.
The second mechanism mentioned 
  by Doctors Buttram and Yazbak would have
  been vaccine induced encephalomyelitis. According to Doctors Buttram and Yazbak,
  the encephalomyelitis would likely have been caused by the pertussis, hepatitis 
  B,
  and/or Hemophilus influenza bacillus vaccines, either singularly or in combination.
  According to Doctors Buttram and Yazbak, the immune paralysis and the
  encephalomyelitis could have caused the brain damage (apparent subdural
  hemorrhage and apparent DAI) that was present in Baby Alan. Dr. Buttram and
  Yazbak have concluded that adverse reactions to the vaccinations received by 
  Baby
  Alan could have brought about a combination of brain edema, hypercoagulability 
  of
  the blood, and inflamation of blood vessels, which in turn resulted in a shearing 
  effect
  on subdural blood vessels and subdural hematomas, thus mimicking what is now
  thought to represent SBS. In other words, Baby Alan's brain injuries were caused 
  by
  an adverse reaction to the vaccinations and only appeared to be trauma induced 
  brain
  injuries when in fact there was no traumatic injury inflicted upon Baby Alan. 
  Mr.
  Yurko has also obtained the review of numerous other experts in various medical
  fields, all of whom have concluded that Baby Alan's death was not the result 
  of
  trauma.
The existence of the new 
  evidence relating to the "hot-lot" vaccinations and the
  new medical evidence relating to an adverse reaction to vaccinations casts significant
  doubt on Mr. Yurko's convictions. In fact, it appears that the newly discovered
  evidence of the Connaught Labs "hot lot" is exculpatory and would 
  have likely
  resulted in the acquittal of Mr. Yurko. Unfortunately, though, Mr. Yurko's attorney
  never discovered that the DTaP vaccine that was administered to Baby Alan
  belonged to a vaccination lot that had likely caused serious injuries and death 
  to other
  infants. As a result, the issue of the dangerous DTaP vaccine was never investigated
  by defense counsel, nor was it ever presented to the jury in Mr. Yurko's defense. 
  It
  is interesting to note that none of the expert witnesses, prosecution or defense,
  addressed the possibility of Baby Alan's recent vaccinations being responsible 
  for his
  death. This was an issue that was never taken into account by any of the doctors
  who investigated Baby Alan's death. Consequently, the issue was never considered
  by the jury as presenting a reasonable hypothesis of Mr. Yurko's innocence.
Also, after Mr. Yurko's 
  trial and direct appeal, an agent for Mr. Yurko
  submitted questionnaires, via U.S. mail to all of the jurors involved in Mr. 
  Yurko's
  trial. Some of the questionnaires were filled out be the jurors and returned 
  to Mr.
  Yurko's wife, Francine Yurko. (Exhibit D, Juror Questionnaires). Question number 
  8
  of the questionnaire asked "What was the most persuasive evidence that 
  lead to the
  conviction of the defendant?" (Exhibit D, page 4). In response to question 
  number 8
  of the questionnaire, juror Thomas C. Miller answered: "ALL OF THE EXPERTS
  CONVINCED ME THE BABY DIED OF BRAIN DAMAGE, FROM SHAKING."
  (Exhibit D, page 4). In response to question number 8 of the questionnaire, 
  juror Etta
  C. Luft answered: "Medical evidence about child". (Exhibit D, page 
  6). In response to
  question number 8 of the questionnaire, juror Edward M. Russell, Jr. answered 
  that
  the "...evidence of prior injury" was in part what led to Mr. Yurko's 
  conviction.
  (Exhibit D, page 10). Question number 9 of the questionnaire asked the jurors 
  "What
  were your feelings on why the defendant did not testify on his own behalf?" 
  (Exhibit
  D, page 10). In response to question number 10 juror Edward M. Russell, Jr.,
  answered: "self-incriminating." (See Exhibit D, page 10)

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