State v. Baldridge

857 S.W.2d 243, 1993 Mo. App. LEXIS 518, 1993 WL 106424
CourtMissouri Court of Appeals
DecidedApril 13, 1993
DocketWD 42845, WD 44688
StatusPublished
Cited by12 cases

This text of 857 S.W.2d 243 (State v. Baldridge) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Baldridge, 857 S.W.2d 243, 1993 Mo. App. LEXIS 518, 1993 WL 106424 (Mo. Ct. App. 1993).

Opinion

SMART, Judge.

Appellant Baldridge was convicted of first-degree murder in the death of Pearl Newby, an elderly invalid residing with appellant at the time of her death. She was sentenced to life in prison without parole. Beverly Baldridge appeals her conviction, and also appeals the denial of her 29.15 motion.

Pearl Newby was 84 years old at the time of her death. She had been suffering from heart disease many years, and also suffered from other medical conditions, including kidney deficiency. Because of her condition of chronic congestive heart disease, she had been taking digoxin, a form of digitalis, at least ten years. Digoxin is a medication which increases the ability of the heart to contract, causing the heart to be able to pump more effectively. Digoxin is ordinarily taken daily for maximum therapeutic effect. The dosage must be monitored, due to the fact that if a patient is not excreting sufficient bodily fluids, the digitalis can build up to toxic levels, which may cause cardiac arrest.

Ms. Newby was in the hospital in early 1988 for heart failure and pneumonia. On March 4, 1988, she was discharged from the hospital to the care of Beverly Bal-dridge, the appellant. Mrs. Baldridge was the neighbor of Ms. Newby, and had provided care and assistance to Ms. Newby in the past. Ms. Newby this time was moved into Mrs. Baldridge’s trailer because of the high level of care required, which included everything from feeding her to changing adult diapers.

Ms. Newby died twelve days after she was moved into Mrs. Baldridge’s home. Since cardiac arrest is a known result of digitalis toxicity, an autopsy was ordered. Cardiac arrest was determined to be the cause of death. Because the body had already been embalmed by the time the autopsy was ordered, the blood could not be tested for the level of digitalis. However, an analysis was performed of the vitreous humor (the liquid in the eye), which showed that there would have been a high level of digitalis in Ms. Newby’s bloodstream at the time of her death. This high level of digitalis was indicative of digitalis poisoning, presumably as a result of an overdose of digoxin. The autopsy did not include an analysis of the kidney sample or the stomach contents because the samples were unsuitable for testing due to the fact that the embalming process had been commenced.

Suspicion was focused on Mrs. Baldridge, who was already suspected of forging Ms. Newby’s signature on certain documents, including a will which purported to leave Ms. Newby’s entire estate to Mrs. Bal-dridge. Mrs. Baldridge gave a voluntary statement to the police, in which she stated that she was in control of the medication taken by Ms. Newby, who was unable to take medication on her own. Mrs. Bal-dridge stated she kept Ms. Newby’s medication on a shelf in the hall closet, and that she had provided the medication to Ms. Newby each day, holding the water glass while Ms. Newby drank through a straw.

At trial, a pharmacist testified concerning the digoxin prescriptions written for Ms. Newby. The last refill of the prescription occurred on March 4,1988, the day she was discharged from the hospital. The prescription refill was 100 pills of .25 mg digoxin. A toxicologist who had conducted tests in connection with the autopsy, Charles Johnson, testified that his analysis ' of the vitreous humor indicated a digitalis level equal to at least 12.7 nanograms per milliliter. Dr. Johnson indicated that the serum (blood) level of digitalis would ordinarily be expected to be even higher than the vitreous level, particularly during the absorption phase of the drug. The testimony showed that 12.7 nanograms per milliliter was a highly toxic level of digitalis. A digitalis level of 1 to 2 ng/ml is generally considered a therapeutic level for people with heart disease. A level higher than 2 ng/ml quickly becomes toxic, and can cause various adverse conditions, including cardiac arrest.

Dr. James Bridgens, a pathologist asked by the county coroner to perform an autop *247 sy, concluded the cause of death was cardiac arrest due to digitalis poisoning. This conclusion was based on the high level of digitalis shown in the vitreous humor. Digitalis poisoning can result from an overdose, and can also be a result of build-up from regular dosages due to dehydration or poor kidney function. The testimony of the medical witnesses at trial suggested that a vitreous digitalis level of 12.7 ng/ml could not be the result of gradual accumulation from a regular dosage because, according to the trial witnesses, the fatal level would have been reached at a level much lower than 12.7 ng/ml.

The prosecution’s charge of murder was based upon the high level of digitalis in the deceased’s body at the time of her death, and Mrs. Baldridge’s motive of greed based upon the efforts of Mrs. Baldridge to forge documents in order to obtain Ms. Newby’s estate, which was worth approximately $120,000.00. Defense counsel argued that either Ms. Newby had died from “natural causes” independent of the digoxin, or else she had committed suicide. No evidence was presented at trial in support of the proposition that the digitalis toxicity could be the result of a gradual accumulation rather than an overdose. Mrs. Baldridge was found guilty after a trial, and was sentenced to imprisonment for life without parole.

Prosecutor’s Comments in Closing Arguments

First we take up the issues raised in Mrs. Baldridge’s direct appeal. Defendant initially argues on appeal that the verdict must be reversed because the prosecutor’s statements in closing argument exceeded the permissible boundaries of legitimate argument because 1) the prosecutor sought to deliberately deceive the jury, 2) the comments suggested special knowledge on behalf of the prosecutor as to Defendant’s guilt, and 3) the prosecutor attempted to improperly shift the state’s burden of proof to the defense. Defendant contends that the trial court plainly erred in failing to sua sponte take any corrective measures, by jury admonishment or declaration of a mistrial, to ensure that Defendant’s jury would not rely on the prosecutor s inappropriate comments. She argues that the error resulted in the denial of her rights to due process and a fair trial as guaranteed by the fifth, sixth and fourteenth amendments to the United States Constitution and Article I, §§ 10 and 18(a) of the Missouri Constitution.

The State correctly points out that Missouri law generally discourages a court from granting relief on plain error assertions concerning closing argument because “in the absence of objection and request for relief, the trial court’s options are narrowed to uninvited interference with summation and a corresponding increase of error by such intervention.” State v. Clemmons, 753 S.W.2d 901, 907-908 (Mo. banc 1988), cert. denied, 488 U.S. 948, 109 S.Ct. 380, 102 L.Ed.2d 369 (1988). Nevertheless, we will review Defendant’s claim for plain error.

In closing argument, Defendant’s attorney hypothesized that either Ms. Newby committed suicide by means of an overdose, or that there was no overdose, and that death was by “natural causes.” Defense counsel made the following statements in closing argument:

Something we haven’t talked about, something that you should be aware of, another small fact, there was testimony about prescriptions being purchased from Gray's Pharmacy. They purchased three bottles, a hundred pills in a bottle.

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Cite This Page — Counsel Stack

Bluebook (online)
857 S.W.2d 243, 1993 Mo. App. LEXIS 518, 1993 WL 106424, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-baldridge-moctapp-1993.