Commonwealth v. Conley

Massachusetts Appeals Court·Decided October 25, 2023·No. AC 22-P-705·Published

Opinion

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22-P-705 Appeals Court

COMMONWEALTH vs. CHRISTOPHER CONLEY.

No. 22-P-705.

Hampshire. July 6, 2023. - October 25, 2023.

Present: Sacks, Shin, & Grant, JJ.

Attempt. Homicide. Assault and Battery by Means of a Dangerous Weapon. Assault and Battery. Evidence, Expert opinion, Prior misconduct, Motive, Intent, Admissions and confessions, Court record, Prior consistent statement, Cross-examination. Practice, Criminal, Assistance of Counsel, Admissions and confessions, Continuance, Failure to object, Argument by prosecutor. Witness, Expert.

Indictments found and returned in the Superior Court Department on August 11, 2015.

The cases were tried before Richard J. Carey, J., and a motion for a new trial, filed on November 30, 2021, was heard by him.

MarySita Miles for the defendant. Bethany C. Lynch, Assistant District Attorney, for the Commonwealth.

SACKS, J. In 2015, the defendant confessed to having tried

to kill his seven year old daughter, who had complex medical

problems, by putting "Liquid Plumr" drain cleaner into a tube surgically connected to her large intestine. The defendant was indicted in 2015 for attempted murder (G. L. c. 265, § 16), assault and battery by means of a dangerous weapon on a child (G. L. c. 265, § 15A [c] [iv]), and assault and battery on a child causing substantial bodily injury (G. L. c. 265, § 13J). Despite recanting his confession at his 2020 Superior Court jury trial, he was convicted on all charges.

The defendant now appeals, arguing principally that the trial judge abused his discretion in (1) excluding the testimony of the defendant's expert on false confessions; (2) admitting evidence that, in the defendant's 2015 confession, he also acknowledged intentionally causing his daughter's blood infections in 2009 by dipping part of her central line in stool; and (3) excluding evidence that, shortly before the 2015 confession, the defendant told his attorney in a related care and protection case brought by the Department of Children and Families (DCF) that he "didn't do it" but was going to confess because "this is what we do for our family." The defendant also appeals from the judge's order denying his motion for a new trial based on ineffective assistance of counsel. We affirm.

Background. The jury heard evidence that the defendant's daughter, M.C.,1 had complex medical conditions that, among other things, interfered with her feeding normally. As of 2009, M.C. had a total parenteral nutrition (TPN) central line inserted through her chest. In March of 2009, when she was seventeen months old, she was admitted to the intensive care unit at Tufts Medical Center and treated by Dr. H. Cody Meissner for unusual blood infections related to the TPN line.

Dr. Meissner believed that the infections were caused by several types of bacteria found in M.C.'s bloodstream that were ordinarily found in the gastrointestinal tract -- a separate, contained system -- and in stool. His "strong suspicion was that the tip of [M.C.'s] catheter was being placed in stool"; he could not think of any other medical explanation. He was "very worried that something was going on with this family," and, indeed, the "infections stopped when [M.C.] was separated from the family." Based on suspicions that someone was tampering with M.C.'s TPN line, DCF became involved and filed its first petition for the care and protection of M.C. She was removed

from the custody of the defendant and his wife2 (M.C.'s mother) for eighteen months but was ultimately returned to them.

By late 2014, when M.C. was seven years old, Dr. Doruk Ozgediz, a pediatric surgeon at Yale New Haven Hospital (YNHH), had implanted a cecostomy tube (C-tube) directly into her digestive tract. The C-tube provided access to M.C.'s cecum (the upper part of her large intestine) so that it could be irrigated regularly with saline solution to relieve her severe constipation.

On the morning of April 15, 2015, the defendant stayed home with M.C. while the defendant's wife went to a school meeting from 8 A.M. to 9 A.M. School records later confirmed her attendance at the meeting, and employment records later confirmed that the defendant arrived at work at 9:30 A.M. that day, which was later than usual, and then left again at noon.

That afternoon, the defendant and his wife brought M.C. to YNHH with a high fever. M.C. was readmitted and seen by Dr. Ozgediz for a fever with rigors (shaking of the body) and abdominal distension causing mild discomfort; her vital signs were relatively normal. Her condition remained similar until April 17, when she became critically ill, with signs of

perforation of her intestines. Dr. Ozgediz performed surgery on M.C. and discovered that segments of her intestines "had essentially liquified and melted and had holes in them and were leaking fluid." He found that the portions of M.C.'s intestines immediately adjacent to the C-tube, including the cecum itself, were "essentially . . . dead"; two-thirds of her intestinal tract had to be removed. Her life was in danger. Dr. Ozgediz found no sign of any blood supply problem, infection, or tissue adhesion that could have caused the intestines to die, nor did the pathology results from the tissue and fluid show any clear cause.

M.C. initially recovered well from her surgery, but a week and a half later, fluid began to leak into her abdominal cavity. Further tests revealed that the fluid was urine, coming from a substantial hole in her bladder -- a condition that Dr. Ozgediz had never seen before. M.C.'s bladder necrosis was unusual, extending to a third or more of her bladder, with a clear line between the necrotic tissue and the healthy tissue. This, and the lack of any medical explanation for the damage to the intestines or bladder, led Dr. Ozgediz to conclude that he was "a hundred percent certain" that the cause was a "chemical injury." He further concluded that a caustic substance had been introduced through the C-tube into the intestines. It had

burned its way out of the intestines into the abdominal cavity, and from there into the bladder, over the course of a few days.

Shortly thereafter, on May 6, 2015, Dr. Ozgediz and others from the YNHH care team met with DCF, police, and a prosecutor to discuss their suspicions that the defendant and his wife had deliberately caused M.C.'s injuries. DCF then filed a second care and protection petition and informed the defendant and his wife that it was taking custody of M.C. That same day, a search warrant was executed on their home seeking items including a caustic substance such as drain cleaner; police found prescription opioids, saline solution, and sixty cubic centimeter (60 cc) plungers, but no drain cleaner.

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