WCR Appendix VIII - The Parkland Doctors' Medical Reports

[Bob Prudhomme]

First day evidence is the most important source of information in the JFK case. These reports are what the Parkland doctors wrote before the FBI and the Secret Service had a chance to "persuade" them into saying what the real "truth" was.

Many of you have likely already read these reports. My purpose in posting them is partly as a refresher for you, but mainly for the less enlightened guests visiting this forum. Here is the first, by Dr. Kemp Clark.

Summary


The President arrived at the Emergency Room at 12:43 P. M., the 22nd of November, 1963. He was in the back seat of his limousine. Governor Connally of Texas was also in this car. The first physician to see the President was Dr. James Carrico, a Resident in General Surgery.
Dr. Carrico noted the President to have slow, agenal respiratory efforts. He could hear a heartbeat but found no pulse or blood pressure to be present. Two external wounds, one in the lower third of the anterior neck, the other in the occipital region of the skull, were noted. Through the head wound, blood and brain were extruding. Dr. Carrico inserted a cuffed endotracheal tube. While doing so, he noted a ragged wound of the trachea immediately below the larynx.
At this time, Dr. Malcolm Perry, Attending Surgeon, Dr. Charles Baxter, Attending Surgeon, and Dr. Ronald Jones, another Resident in General Surgery, arrived. Immediately thereafter, Dr. M. T. Jenkins, Director of the Department of Anesthesia, and Doctors Giesecke and Hunt, two other Staff Anesthesiologists, arrived. The endotracheal tube had been connected to a Bennett respirator to assist the President's breathing. An Anesthesia machine was substituted for this by Dr. Jenkins. Only 100% oxygen was administered.
A cutdown was performed in the right ankle, and a polyethylene catheter inserted in the vein. An infusion of lactated Ringer's solution was begun. Blood was drawn for type and crossmatch, but unmatched type "O" RH negative blood was immediately obtained and begun. Hydrocortisone 300 mgms was added to the intravenous fluids.
Dr. Robert McClelland, Attending Surgeon, arrived to help in the President's care. Doctors Perry, Baxter, and McClelland began a tracheostomy, as considerable quantities of blood were present from the President's oral pharynx. At this time, Dr. Paul Peters, Attending Urological Surgeon, and Dr. Kemp Clark, Director of Neurological Surgery arrived. Because of the lacerated trachea, anterior chest tubes were place in both pleural spaces. These were connected to sealed underwater drainage.
Neurological examination revealed the President's pupils to be widely dialted and fixed to light. His eyes were divergent, being deviated outward; a skew deviation from the horizontal was present. Not deep tendon reflexes or spontaneous movements were found.
There was a large wound in the right occipito-parietal region, from which profuse bleeding was occurring. 1500 cc. of blood were estimated on the drapes and floor of the Emergency Operating Room. There was considerable loss of scalp and bone tissue. Both cerebral and cerebellar tissue were extruding from the wound.
Further examination was not possible as cardiac arrest occurred at this point. Closed chest cardiac massage was begun by Dr. Clark. A pulse palpable in both the carotid and femoral arteries was obtained. Dr. Perry relieved on the cardiac massage while a cardiotachioscope was connected. Dr. Fouad Bashour, Attending Physician, arrived as this was being connected. There was electrical silence of the President's heart.
President Kennedy was pronounced dead at 1300 hours by Dr. Clark
Kemp Clark, M. D.
Director
Service of Neurological Surgery
KC:aa cc to Dean's Office, Southwestern Medical School
cc to Medical Records, Parkland Memorial Hospital

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For those unaware of where the "occipital region" of the skull is, it is that area in the back of the head occupied by the occipital skull bone. The "parietal" bone can be seen directly above it. A large "occipito-parietal" wound, as described by Dr. Clark, would involve both of these bones and was not visible in the official back-of-head autopsy photo.



For those unaware of what or where the "cerebellum" is, it is a distinctive section of the brain found in the lower back part of the skull. The surface of the cerebellum is markedly different from the larger "cerebrum" portion of the brain, and it would be virtually impossible for an experienced surgeon to confuse the two. Dr. Clark described "cerebral and cerebellar tissue" and this is, of course, tissue from the cerebrum and the cerebellum.

[Bob Prudhomme]

Next up is Dr. Charles J. Carrico:


PARKLAND MEMORIAL HOSPITAL
ADMISSION NOTE
J. F. KENNEDY
DATE AND HOUR 11/22/63 1620 DOCTOR: Carrico
When patient entered Emergency room on ambulance carriage had slow agonal respiratory efforts and scant cardiac beats by auscultation. Two external wounds were noted. One small penetrating wound of ant. neck in lower 1/3. The other wound had avulsed the calvarium and shredded brain tissue present with profuse oozing. No pulse or blood pressure were present. Pupils were dilated and fixed. A cuffed endotracheal tube was inserted and through the laryngoscope a ragged wound of the trachea was seen immediately below the larynx. The tube was passed past the laceration and the cuff inflated. Respiration using the resp assistor on auto-matic were instituted. Concurrently an IV infusion of lactated Ringer solution was begun via catheter placed in right leg and blood was drawn for type and crossmatch. Type O Rh negative blood was obtained as well as hydrocortisone.
In view of tracheal injury and decreased BS an tracheostomy was performed by Dr. Perry and Bilat. chest tubes inserted. A 2[SUP]nd[/SUP] bld infusion was begun in left arm. In addition Dr. Jenkins began resp with anethesia machine, cardiac monitor, and stimulator attached. Solu cortef IV given (300mg), attempt to control slow oozing from cerebral and cerebellar tissue via packs instituted. Despite these measures as well as external cardiac massage, BP never returned and EKG evidence of cardiac activity was never obtained.

Charles J. Carrico M.D

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Note again the mention of "slow oozing from cerebral and cerebellar tissues" and the attempt to control this oozing "via packs instituted".

[Albert Doyle]

Pat Speer should realize the doctors who saw Cerebellum oozing out of JFK's rear wound were trained in basic medical science. The reason they noted Cerebellum is because Cerebellum differs from Cerebrum so much that it is highly distinguishable and notable when seen. Both Pat Speer and Von Pein's excuses for this are so silly that they defy common sense. They are both saying that the doctors were somehow mistaken. Von Pein gets away with a lot more than other people because he enjoys the diplomatic leeway given to a representative of the Lone Nut side. I think Pat Speer's pretend objectivity isn't working and he's squarely backing Lone Nut positions. Speer pretends he's blind to the obvious deceptions and corruption in the quotes he references. I think what they are both consciously avoiding is their awareness that once you identify oozing Cerebellum it confirms the Commission's brain, with a totally intact Cerebellum, had to be a swapped brain. And once you prove the Commission defrauded evidence the whole thing unravels.

[Bob Prudhomme]

Close up photo of cerebellum, showing the "arbor vitae" branching.



Lateral view of the human brain, showing the cerebrum, with the cerebellum visible at lower left.

Think you could tell the difference in a gunshot wound?

[Bob Prudhomme]

Pat Speer should realize the doctors who saw Cerebellum oozing out of JFK's rear wound were trained in basic medical science. The reason they noted Cerebellum is because Cerebellum differs from Cerebrum so much that it is highly distinguishable and notable when seen. Both Pat Speer and Von Pein's excuses for this are so silly that they defy common sense. They are both saying that the doctors were somehow mistaken. Von Pein gets away with a lot more than other people because he enjoys the diplomatic leeway given to a representative of the Lone Nut side. I think Pat Speer's pretend objectivity isn't working and he's squarely backing Lone Nut positions. Speer pretends he's blind to the obvious deceptions and corruption in the quotes he references. I think what they are both consciously avoiding is their awareness that once you identify oozing Cerebellum it confirms the Commission's brain, with a totally intact Cerebellum, had to be a swapped brain. And once you prove the Commission defrauded evidence the whole thing unravels.

I wonder if Speer and Von Pein have adjoining offices?

[Albert Doyle]

I wonder if Speer and Von Pein have adjoining offices?

I know that if you ever got in a debate about it that Pat and David would start arguing evidence from other buildings...

[Bob Prudhomme]

Next up is Dr. Malcolm O. Perry:


PARKLAND MEMORIAL HOSPITAL
ADMISSION NOTE
J. F. KENNEDY
DATE AND HOUR 22 Nov 1963 DOCTOR: PERRY
Staff Note
At the time of initial examination, the pt. was noted as non-responsive. The eyes were deviated and the pupils were dilated. A considerable quantity of blood was noted on the patient, the carriage and the floor. A small wound was noted in the midline of the neck, in the lower third anteriorly. It was exuding blood slowly. A large wound of the right posterior cranium was noted, exposing severely lacerated brain. Brain tissue was noted in the blood at the head of the carriage.
Pulse or heartbeat were not detectable but slow spasmodic respiration was noted. An endotracheal tube was in place and respiration was being assisted. An intravenous infusion was being placed in the leg.
At this point I noted that respiration was ineffective and while additional venisections were done to administer fluids and blood, a tracheostomy was effected. A right lateral injury to the trachea was noted. The tracheostomy tube was put in place and the cuff inflated and respiration assisted. Closed chest cardiac massage was instituted after placement of sealed drainage chest tubes, but without benefit. Electrocardiographic evaluation revealed that no detectable electrical activity existed in the heart. Resuscitation attempts were abandoned after the team of physicians determined that the patient had expired.

Malcolm O. Perry, M.D.
1630 hr 22 Nov 1963

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Again, reference is made to a head wound in the "right posterior cranium" that was "exposing severely lacerated brain".

[Bob Prudhomme]

It should be noted that Perry and Carrico both wrote these reports on 22/11/63, within hours of JFK being pronounced dead at 1300 hr (1:00 PM); Carrico at 1620 hr (4:20 PM) and Perry at 1630 hr (4:30 PM). This is as fresh as evidence can get and, as I pointed out, those responsible for the altering of evidence in this case had not yet had the chance to exercise their influence on these good doctors.

[Malcolm John]

That's as good as evidence gets, I would love to see those reports presented to Bugliosi or Posner or O'Reilly and have them respond to them, that is as irrefutable as evidence can possibly be of an entry wound to the front of the neck and an exit wound to the back of the head, you can't argue with that they are trained professionals and first hand witnesses.

[Paul Rigby]

I wonder if Speer and Von Pein have adjoining offices?

Best line of the year so far.