4.Alia Goodheart — Cross/Redirect (Part 2)

MR. REDDINGTON: Just like to start off just by asking, district attorney asked you about resources that were provided to her. What were the resources?

MR. REDDINGTON: I'm sorry?

MR. REDDINGTON: Website?

MR. REDDINGTON: So other than telling her about the website for Psychology Today and talking about her insurance company and what they would allow for her to reach out, for what, other providers? Is that what it was?

MR. REDDINGTON: Sure, of course. You referenced her insurance company.

MR. REDDINGTON: I mean, that's a major consideration in medical treatment, is it not? What a person has for insurance.

MR. REDDINGTON: No?

MR. REDDINGTON: You know what insurance is. When... I mean, as far as like a person paying their bills for medical treatment or psychiatric treatment.

MR. REDDINGTON: Right. So that's what I was asking as far as the insurance. You referenced that on the resources, when the DA asked you about resources, and I asked you what were the resources, and you said going on the website for Psychology Today, right?

MR. REDDINGTON: And that you spoke to her about her insurance, right?

MR. REDDINGTON: Okay. And in reference to the insurance, what is the insur— You answered the question about insurance. I'm just asking, what is the involvement of insurance in that offer of resources?

MR. REDDINGTON: All right. Maybe I didn't understand your answer. That's why, I apologize. You had indicated that in addition to telling her to go on the website—

MR. REDDINGTON: ... for Psychology Today, that you spoke about her insurance and other providers that would be permitted, I guess, under her insurance.

MR. REDDINGTON: Okay.

MR. REDDINGTON: All right. Other than the case manager from Blue Cross Blue Shield and to do research off of the website for Psychology Today, what resources were provided to this woman?

MR. REDDINGTON: Okay. And that's something that is provided to a patient when they leave?

MR. REDDINGTON: She came in on a voluntary. Is that correct? In other words, I know she was transported by an ambulance, but nevertheless, it was that she and her husband, Patrick, wanted her to be treated at McLean, correct?

MR. REDDINGTON: In other words, there were no orders of a court, no judge ordering that she be committed or anything like that. Is that correct?

MR. REDDINGTON: All right. And she came in on—was it New Year's Eve? January 1st?

MR. REDDINGTON: And do you remember what time she came in?

MR. REDDINGTON: Now, would you agree that on New Year's Eve in McLean Hospital that that ward is pretty much running on a skeleton crew?

MR. REDDINGTON: Well, and it's—obviously you're not there, but what about other people? Was skeleton crew New Year's Eve, or was it—

MR. REDDINGTON: Well, you've worked there for, what, seven years?

MR. REDDINGTON: Five years. And what is the ward that she was on?

MR. REDDINGTON: 81 South?

MR. REDDINGTON: South.

MR. REDDINGTON: And how many doctors work at AB South on whatever shifts that you may have?

MR. REDDINGTON: Now... Sorry, go ahead.

MR. REDDINGTON: And does that include you?

MR. REDDINGTON: And how many, approximately how many nurses work on AB South?

MR. REDDINGTON: Four teams—

MR. REDDINGTON: ...on AB South, right?

MR. REDDINGTON: Okay. And when you say a team, that consists of what? A psychiatrist, a nurse perhaps, or what?

MR. REDDINGTON: And what are the shifts that this team would work?

MR. REDDINGTON: Okay. And would that be like, you know, 7:00 to 11:00 or 11:00 to 4:00, that type of thing?

MR. REDDINGTON: All right. And are you assigned a shift, or do you just go whenever you want?

MR. REDDINGTON: And when she was brought—when she was presented to the hospital, she went through that initial evaluation that you told us about, the CEC. Is that correct?

MR. REDDINGTON: CEC, maybe you were talking about the CE—

MR. REDDINGTON: Sure. When she admitted herself and was escorted onto AB South, that's where she was evaluated?

MR. REDDINGTON: Okay. So you have a woman that has admitted herself to McLean—

MR. REDDINGTON: ... on New Year's for help, right?

MR. REDDINGTON: And she was evaluated at the CEC. Is that on that ward, or is that a different part of the hospital?

MR. REDDINGTON: And how long does that evaluation typically take?

MR. REDDINGTON: What do you do in the C- what happens in the CEC? Does persons sit down, and they get interviewed, or what do they do?

MR. REDDINGTON: Uh-huh. And a full psychiatric evaluation consists of what?

MR. REDDINGTON: Okay.

MR. REDDINGTON: And they would be the CEC?

MR. REDDINGTON: And that would be the psychiatrist that you were referring to at—

MR. REDDINGTON: Dr. Outlaw. Now, how long does a CEC typically take?

MR. REDDINGTON: I imagine—

MR. REDDINGTON: I imagine that, at some point, a psychiatrist or a social worker or somebody must get into the prior history that the patient had prior to coming to your doorstep, right?

MR. REDDINGTON: Okay. And you had a chance, as the district attorney asked you, as to whether or not you were able to review the medical records that involved Lindsay Clancy's treatment at McLean Hospital for the four and a half days, right?

MR. REDDINGTON: Now, as a psychiatrist, I mean, when she goes to the hospital, she's your patient, right?

MR. REDDINGTON: She's your patient.

MR. REDDINGTON: Yes. And as a doctor, what you wanna do is get all the information that's available on why this person is in your locked ward, right?

MR. REDDINGTON: So did you do inquiry into her prior history, or was that left to the CEC person or the social worker?

MR. REDDINGTON: And the evaluation is CEC?

MR. REDDINGTON: All right. So do you someti—when I say you, I mean you or the social worker or the CEC person. Do you talk to people, like third party, I think you said, third party contacts?

MR. REDDINGTON: All right.

MR. REDDINGTON: Okay. So, and you reviewed the records. So when did the social worker talk to the first psychiatrist that she went to see?

MR. REDDINGTON: Well, I know you told us that he contacted Patrick, and that Patrick gave some history about the benzodiazepines that he was concerned about, and he thought she wasn't getting good medical care. Is that correct?

MR. REDDINGTON: All right. You know that she had medical treatment—

MR. REDDINGTON: ... before she came to McLean.

MR. REDDINGTON: Okay. Who was her psychiatrist?

MR. REDDINGTON: Would that be Nurse Practitioner Jollotta?

MR. REDDINGTON: Did you speak to her?

MR. REDDINGTON: Did you look at her records?

MR. REDDINGTON: Why not?

MR. REDDINGTON: Well, the same medical record system is just so that you have access to MGH, you have access to Brigham and Women's Hospital, because it's all part of some big computer information access you have. What about other healthcare providers? Can you get access to their records?

MR. REDDINGTON: Well, how about if you have a release signed by a patient under the HIPAA law? You know what the HIPAA law is, obviously, right?

MR. REDDINGTON: And just tell me, what does that actually mean, that a patient allows someone to look at their medical records?

MR. REDDINGTON: And Lindsay was very, very cooperative with you guys, wasn't she?

MR. REDDINGTON: Did anyone ever ask her to sign a HIPAA release for anyone to get access to Nurse Practitioner Jollotta's records?

MR. REDDINGTON: How about Psychiatrist Tufts' records?

MR. REDDINGTON: How about Nurse Practitioner Paul's records?

MR. REDDINGTON: Who's Latiesha Dukes?

MR. REDDINGTON: Okay. And do you know when she went to the South Shore Rhode Island perinatal program?

MR. REDDINGTON: Do you know what recommendations that she had received at that point?

MR. REDDINGTON: Do you know what medication she was actually on when she presented to McLean Hospital?

MR. REDDINGTON: What is it?

MR. REDDINGTON: You knew that Dr. Tufts was the first psychiatrist that she actually consulted, correct?

MR. REDDINGTON: And when I... Again, if you don't know, just say you don't know.

MR. REDDINGTON: Okay. And I think you made reference to the fact, or maybe the DA made reference in questioning you, about the fact that she was looking for doctors to, for some type of medication or something. Is that fair?

MR. REDDINGTON: Okay. Well, actually, she saw Dr. Tufts because Dr. Tufts advertised that she was an expert in perinatal care, right?

MR. REDDINGTON: Do you know what medication Dr. Tufts prescribed to her?

MR. REDDINGTON: What?

MR. REDDINGTON: All right. So Dr. Tufts, according to Lindsay, provided her, Lindsay, with Zoloft, which is an SSRI, correct?

MR. REDDINGTON: Okay. So when you say an antidepressant in that class, the class would be selective serotonin reuptake inhibitor, right?

MR. REDDINGTON: And that's pretty powerful stuff, isn't it?

MR. REDDINGTON: No? Well, are you supposed to prescribe Zoloft or sertraline to a person that has bipolar?

MR. REDDINGTON: All right.

MR. REDDINGTON: So it's important, I would imagine then, to be fair in your evaluation of this young woman that came to your hospital for help on New Year's, to find out what any evaluations were of her condition, her presentation, her symptomology, when she saw that first psychiatrist, Dr. Tufts, right?

MR. REDDINGTON: I apologize.

MR. REDDINGTON: Tufts advised her that she was worried about—

MR. REDDINGTON: Joweta?

MR. REDDINGTON: Okay. That's—

MR. REDDINGTON: That's all right. No problem. And again, if you have records and you wanna look at them, that's fine, 'cause I know it's tough to have all this stuff in your head.

MR. REDDINGTON: And so Dr. Tufts prescribed the Zoloft to her, and you knew that right after the initial prescription of Zoloft. Do you know how many milligrams per— how many milligrams she was prescribed initially by Dr. Tufts?

MR. REDDINGTON: Okay. And then Dr. Tufts increased it to what, 100?

MR. REDDINGTON: 50. All right. So, and again, you're in a— I don't know if it's appropriate to say, but you're in a mental institution, right? That's where you work, at McLean Hospital.

MR. REDDINGTON: Okay. And it's a locked ward, right?

MR. REDDINGTON: And she's a patient that's coming to you for help, right?

MR. REDDINGTON: Is it appropriate for a doctor to take what that patient is telling you as a history? Or do you have to verify it or talk to other healthcare providers to make sure that they're not just running off and making something up?

MR. REDDINGTON: Because she seemed very forthright, right?

MR. REDDINGTON: She seemed very honest in her disclosure of her symptomology, right?

MR. REDDINGTON: One of the things or one of the tools that you in the mental health field have access to is psychiatric testing, right?

MR. REDDINGTON: Okay. You have, for example, one tool, and I think psychologists... And there are psychologists that are on staff, I would imagine, at McLean as well.

MR. REDDINGTON: As a psychiatrist, you don't administer psychiatric or psychological testing, do you?

MR. REDDINGTON: All right. But for example, you know, you've got the Beck inventory test or the, what's called the MMPI test. You're familiar with those, right?

MR. REDDINGTON: Right. And one of the tests is the MMPI, which is Minnesota Multiphasic Personality Inventory test, right?

MR. REDDINGTON: Okay. And you know that one of the things that it determines is if, they call it the K scale, whether or not somebody is lying or minimizing, or not minimizing, but lying about their symptomology, right?

MR. REDDINGTON: Well, that's a tool that can give someone information as to the person's presentation of their symptomology. That would be important as to their honesty of whether or not they're trying to minimize or whether or not they're trying to falsely project their symptomology, right?

MR. REDDINGTON: Okay. Were you aware that there were ever any psychological testing administered to Lindsay, MMPI—

MR. REDDINGTON: ... or Beck or anything?

MR. REDDINGTON: Okay. How many times did she call or reach out to help for a suicide hotline?

MR. REDDINGTON: Wouldn't that be something important to find out if the person who you're suggesting was denying suicidality or suicidal ideation upon your evaluation, that she called out to suicide hotlines?

MR. REDDINGTON: Right.

MR. REDDINGTON: Right. To anybody else that you talked to?

MR. REDDINGTON: Or did you talk to anybody else?

MR. REDDINGTON: Patrick.

MR. REDDINGTON: Okay. So what I'm asking is, as you're investigating the history of this patient, you're not aware, no idea that she had reached out on not one, but two occasions to a suicide hotline. Is that correct?

MR. REDDINGTON: All right.

MR. REDDINGTON: Did you know that when she was first prescribed the Zoloft by Dr. Tufts at 25 milligrams, then increased to 50 milligrams, that she then reported that she was unable to sleep for 40—

MR. REDDINGTON: Was that—

MR. REDDINGTON: No, go ahead. No problem. What is it?

MR. REDDINGTON: Okay, thank you. No big deal. It's just, that she reported that she went for 48 hours without sleep?

MR. REDDINGTON: You indicated in your testimony that, and I quote, "I would have preferred to have more information about her sleep patterns." Right? Do you remember saying that?

MR. REDDINGTON: So sleep pattern would be just what it says, sleep pattern. Like, you sleep from nine at night till 7:00 in the morning or—

MR. REDDINGTON: ...12:00 in the, whatever your pattern would be, right?

MR. REDDINGTON: And why is a sleep pattern important for you as a psychiatrist trying to evaluate your patient?

MR. REDDINGTON: And you know that she had reported severe anxiety, right?

MR. REDDINGTON: Struggling with anxiety, and she was having not just insomnia, but she had very, very severe insomnia, didn't she?

MR. REDDINGTON: And you would prefer to have more information about sleep patterns, is what you said. I'm not putting words in your mouth. That's what you said.

MR. REDDINGTON: Well—

MR. REDDINGTON: Obviously. So let's put the time that you are observing her, or that your social workers are investigating, to whatever extent they did, her background. What were her sleep patterns that were important to you prior to New Year's 2023?

MR. REDDINGTON: Yeah. And you said that. You already said, "I would have preferred to have more information about her sleep patterns."

MR. REDDINGTON: Oh, so you didn't mean that as an evaluator of her prior medical history, trying to get a history of your patient for purposes of diagnosis and treatment, that you wanted to know what her sleep patterns were. You didn't mean that you meant prior?

MR. REDDINGTON: Okay. You ever heard of patients that minimize their symptoms and lie about their symptoms sometimes?

MR. REDDINGTON: Okay. So it's important to corroborate what the person is telling you, right? I mean, you know, you want to talk to somebody else objective to find out what, if any, evidence there is of symptomology.

MR. REDDINGTON: I'm sorry?

MR. REDDINGTON: This woman was in a locked ward. She couldn't walk off your unit, could she?

MR. REDDINGTON: Right. And she was very sick, wasn't she?

MR. REDDINGTON: Really? You indicated that you would assume that she would take what I prescribed. Do you do that with all of your patients, assume that when they have mental disease or a defect, that they would do what they're told?

MR. REDDINGTON: One of the things that's referenced would be, she stated that she had intrusive thoughts. Remember that?

MR. REDDINGTON: What were the intrusive thoughts?

MR. REDDINGTON: Okay. And how often would she have intrusive thoughts?

MR. REDDINGTON: Would you agree with me that, in addition to anxiety and in addition to inability to sleep, that she was in what was self-described as a brain fog, right?

MR. REDDINGTON: She also complained about, that she felt as if she was a zombie, right?

MR. REDDINGTON: Anybody else use that word describing her in your investigation?

MR. REDDINGTON: Did Patrick tell you that he was concerned about the medications that she had been prescribed over the past two or three months?

MR. REDDINGTON: And you knew what the medications were that she was prescribed, correct?

MR. REDDINGTON: She told you, okay. And she told you that she was prescribed in addition to the SSRI Zoloft that was increased from twenty-five to a hundred, that she was then told—

MR. REDDINGTON: I'm sorry, fifty.

MR. REDDINGTON: She was then told to stop taking the Zoloft by Dr. Tufts, right?

MR. REDDINGTON: Okay. So the answer is yes, she was told to stop taking the Zoloft by Dr. Tufts, right?

MR. REDDINGTON: Oh, I will. But I'm asking you as investigating her—

MR. REDDINGTON: Well, was it—

MR. REDDINGTON: All right. So as you're evaluating this patient, you're assuming that she voluntarily stopped taking the Zoloft?

MR. REDDINGTON: She did. You knew that.

MR. REDDINGTON: Okay. How many patients have you treated... How many women have you treated that were suffering from postpartum psychosis?

MR. REDDINGTON: You don't think you probably have?

MR. REDDINGTON: How about—

MR. REDDINGTON: How about postpartum depression?

MR. REDDINGTON: And how many patients have you treated with postpartum depression?

MR. REDDINGTON: All right.

MR. REDDINGTON: Now, one of the things that you, when I say you collectively, I mean psychiatrists, psychologists, use in your evaluations and diagnoses of patients would be what's referred to as the DSM, correct?

MR. REDDINGTON: And that would be DSM. It means Diagnostic Statistical Manual, right?

MR. REDDINGTON: And it started out with DSM One, then it went to Two, then it went to Two R, meaning revised, and then there were a number of revisions, and now we're all the way up to DSM Five, correct?

MR. REDDINGTON: And DSM Five, also the most recent would be dash TR. What does TR mean?

MR. REDDINGTON: So the DSM, the Diagnostic Statistical Manual, is really a... It's about this thick, right? If you have a regular-sized book. I just have a little one, but...

MR. REDDINGTON: Okay. Do you rely on or do you use in your evaluation of patients the Diagnostic Statistical Manual?

MR. REDDINGTON: Okay. So you do use, for diagnosis purposes, what is stated in the DSM, correct?

MR. REDDINGTON: And it's kinda like a cookbook. I mean, it basically tells you what the ingredients of a particular mental disease or defect would be, right?

MR. REDDINGTON: And you know that it's basically a group of people that get together and they discuss what should or should not be included in the manual that psychiatrists and psychologists use to diagnose patients, right?

MR. REDDINGTON: And they try to keep up to date and stay on top of any recent developments, right?

MR. REDDINGTON: Okay.

MR. REDDINGTON: That's all right. So here we are in two thousand and twenty-six, not nineteen twenty-eight. Is postpartum depression in the DSM?

MR. REDDINGTON: You think it's a subcategory. Of what?

MR. REDDINGTON: Depression. How about psychosis? Postpartum psychosis in two thousand and twenty-six. Is that in this manual?

MR. REDDINGTON: Have you ever seen it on screen?

MR. REDDINGTON: So if you're treating a woman who is, as you put it, postpartum because she had the child, and then you told the jury, "Well, there's a timeframe, a cutoff as to whether or not a person is still postpartum and still subject to mood swings and still subject to hormone imbalance and there's a cutoff," is what you said, right?

MR. REDDINGTON: How about you? You're here for the government testifying in this case. What's your understanding of a cutoff of postpartum, if there is one?

MR. REDDINGTON: Okay. So CDC would be Center for Disease Control, right?

MR. REDDINGTON: So they're pretty much all over the place as far as the timeframe that a woman can still be involved with postpartum symptomology, right?

MR. REDDINGTON: Have you ever heard of a doctor by the name of Meg Spinelli?

MR. REDDINGTON: Have you read anything about the efforts being made to have the DSM-VI coming out include—

MR. REDDINGTON: … postpartum psychosis?

MR. REDDINGTON: Have you read or are you aware of efforts being made to include postpartum psychosis in the DSM-VI that will be coming out within a couple of months?

MR. REDDINGTON: Okay. So are you aware of any efforts being made to include postpartum psychosis in the DSM-VI when it comes out?

MR. REDDINGTON: Vaguely. How vague?

MR. REDDINGTON: You don't know.

MR. REDDINGTON: What, if any, impact does the thyroid have on a woman who has just had a baby and is in the postpartum period, whatever they decide it is, six months, four months, a year? What impact does the thyroid have?

MR. REDDINGTON: So is it fair to say that thyroid levels are important in evaluating a woman who is in postpartum?

MR. REDDINGTON: Tiny component.

MR. REDDINGTON: Okay. So what does that mean? It's a tiny—

MR. REDDINGTON: It's a tiny component. What does that mean?

MR. REDDINGTON: Sure.

MR. REDDINGTON: Okay. Was it done by McLean Hospital?

MR. REDDINGTON: What?

MR. REDDINGTON: Are you aware that your records indicate

MR. REDDINGTON: That she had a thyroid read that are part of the records?

MR. REDDINGTON: Right. It was from 2000 and what? From—

MR. REDDINGTON: So in other words, it was imported into McLean records by, I guess, computer access or something from MGH years before, right?

MR. REDDINGTON: I'm sorry?

MR. REDDINGTON: Okay. So in the past, as a psychiatrist, as her treating psychiatrist at McLean Hospital, trying to do an investigation, evaluate this woman to tell her what your diagnosis was and what you guys can do to help her out, did you look at the thyroid reads?

MR. REDDINGTON: You would have reviewed. Okay. As you're sitting here today, do you have any memory about what the thyroid reads were?

MR. REDDINGTON: And that would be coming from how long before? A year? Two? Three?

MR. REDDINGTON: So there were no actual thyroid tests done while she was at the hospital at McLean, right?

MR. REDDINGTON: What is the Edinburgh P, the EPDS or something like that? What is that?

MR. REDDINGTON: A scale. What kind of a scale?

MR. REDDINGTON: And it's used by psychiatrists and psychologists to evaluate the risk factor of a woman who is involved with postpartum, right?

MR. REDDINGTON: In a woman who's involved with postpartum, not some guy that got injured on a soccer field, right?

MR. REDDINGTON: So what does the EPDS mean? I'm probably butchering that. What is that an acronym for?

MR. REDDINGTON: Okay. The Edinburgh Postpartum Depression Scale. Was that administered to Lindsay when she was in for the four days and a half that she was in your hospital?

MR. REDDINGTON: Why not?

MR. REDDINGTON: You don't necessarily what?

MR. REDDINGTON: Why? That's, that's an accepted, that's an accepted tool to evaluate a patient as a psychiatrist or a psychologist, isn't it?

MR. REDDINGTON: Oh, no, of course not, because the doctor who supposedly has access to the person's medical history and all of the other aspects of your evaluation is the one that gives the diagnosis, right?

MR. REDDINGTON: Right. So, so far what we've got is a presentation of the patient who was in the locked wards at McLean Hospital, and the presentation was from her, right?

MR. REDDINGTON: Well, isn't what she's telling you part of what you consider?

MR. REDDINGTON: Okay. And what Patrick's telling you is part of what you consider?

MR. REDDINGTON: So other than what Lindsay, who was in the locked ward, tells you, and her husband who tells you, what, if any, investigation did you do?

MR. REDDINGTON: And you didn't do any tests either, right? You didn't do an... Did you do a blood test?

MR. REDDINGTON: So you're suggesting to this jury that it's not a valid medical step for one to take, to take blood from a person who is on a cocktail of drug medications to find out what their levels are?

MR. REDDINGTON: Okay. Now, McLean did not take any blood. McLean did not do the Edinburgh Scale, but that would be something that you would be interested in, right? As to whether or not anyone else gave her the Edinburgh Depression Scale.

MR. REDDINGTON: Drugs. Right.

MR. REDDINGTON: That's fine.

MR. REDDINGTON: So they took a CBC or maybe a blood count evaluation, but it had nothing to do with what was on board, as they say, as far as tricyclics, antipsychotics, SSRIs, anything, right?

MR. REDDINGTON: Well, there were no substances of abuse in her blood, were there?

MR. REDDINGTON: How about the tricyclics, the antipsychotics, the SSRIs, the benzodiazepines, the Z-drugs that they call some of their categories? They didn't test for that, did they?

MR. REDDINGTON: How about on her basis?

MR. REDDINGTON: Well, how about if—

MR. REDDINGTON: How about if she presents, and the history that she's giving you is that she was on a number of drugs for that three-month period or three-and-a-half-month period, would it be of interest to you as to what was on board in her blood?

MR. REDDINGTON: So the admission note that was noted in the medical records would be on page 64 of the medical records that were... You were presented by the district attorney during-

MR. REDDINGTON: That's understandable.

MR. REDDINGTON: Okay.

MR. REDDINGTON: Sure. No problem.

MR. REDDINGTON: Can you tell me what I'm looking at, exhibit 79, page 63? And that would be the record from McLean Hospital. Is that right?

MR. REDDINGTON: Okay. Can you tell me what this means when it says clinical summary?

MR. REDDINGTON: Okay. And is that what the-

MR. REDDINGTON: That's the social worker's note?

MR. REDDINGTON: And that's what the district attorney was questioning you on when she referred you to symptomology?

MR. REDDINGTON: Okay.

MR. REDDINGTON: All right. You can read along with me, all right?

MR. REDDINGTON: Clinical summary says the case was discussed in rounds and would that be like on Grey's Anatomy, you have rounds and they see patients in the rooms and that type of thing?

MR. REDDINGTON: No. What does it mean when it says in rounds?

MR. REDDINGTON: Okay. So that's why it says on page 63, "Discussed in rounds, SW and PAC met with Lindsay as part of the intake interview," right?

MR. REDDINGTON: Okay. Presenting problem, then it says HX. That's history, right?

MR. REDDINGTON: And psychosocial HX history was discussed, correct?

MR. REDDINGTON: At that point, she stated that she was hoping to be home by next weekend for her daughter's birthday, right?

MR. REDDINGTON: And that then she relates her history as far as having a third baby on May 26. That would be Callan, right?

MR. REDDINGTON: Your youngest baby. And she then told you all that, 12 weeks after she delivered, the baby wasn't taking the bottle. It was around the time that she was supposed to go back to work. Husband also went back to work, and she was experiencing a lot of—and then someone puts in, quote, "situational anxiety." Is that correct?

MR. REDDINGTON: All right. So as a resu- is that coming from her, or that word situational anxiety, was that her words 'cause it's in quotes, or was that you guys put that in there?

MR. REDDINGTON: Okay. But you factored that in in your investigation, right?

MR. REDDINGTON: Okay. And as a result of this, she subsequently saw a psychiatrist that prescribed her Zoloft, right?

MR. REDDINGTON: And that would be Dr. Tufts, right?

MR. REDDINGTON: And one week after prescribing that, it says after one week of taking it, that she developed insomnia, correct?

MR. REDDINGTON: Okay. So that's an indication of a reaction that the patient had to the medication that was prescribed to her, being the SSRIs, Zoloft, right?

MR. REDDINGTON: Could be. Okay. And the psychiatrist told her to stop taking Zoloft, right?

MR. REDDINGTON: And do you know from your investigation and your evaluation of Lindsay Clancy when the doctor told her to stop taking Zoloft? It was like, I mean, you can guess. It was like a week later, a couple of days later?

MR. REDDINGTON: Okay.

MR. REDDINGTON: Do you know, can you find your note in here? I just don't know how to navigate that.

MR. REDDINGTON: Would it help you if you had a break or a little recess just to look at this?

MR. REDDINGTON: No?

MR. REDDINGTON: Okay.

MR. REDDINGTON: Okay.

MR. REDDINGTON: Your Honor, can she have permission to take that and look at it, the exhibit, out of the courtroom?

MR. REDDINGTON: Yeah, okay.

MR. REDDINGTON: All right. So you can look at it, but just you'd have to stay in the courtroom.

MR. REDDINGTON: She wants to take a break, as do, as we all do.

MR. REDDINGTON: Your Honor, first of all, I wanna raise an issue with you. And I think it's really—

MR. REDDINGTON: No, I don't wanna go to the sidebar. I really don't wanna go to the sidebar.

MR. REDDINGTON: I wanna tell you that I—

MR. REDDINGTON: They got picked up on a hot mic saying, "Shut her up," during the playing of that autopsy.

MR. REDDINGTON: This is not, this is not like Handmaid's Tale where you're gonna tape them up.

MR. REDDINGTON: Okay.

MR. REDDINGTON: I think it's page 63 where we're at.

MR. REDDINGTON: I'm pretty sure.

MR. REDDINGTON: Yes. I believe. I think if you look for it, you'll see.

MR. REDDINGTON: Doctor, you'd agree with me that your notes are contained in, you said that, 79, correct?

MR. REDDINGTON: Okay. And one of the things that you had mentioned was that at the end of Lindsay's treatment at your hospital, she was discharged ultimately, correct?

MR. REDDINGTON: And that was not against medical advice, was it?

MR. REDDINGTON: And finally, you had made reference to the fact that postpartum psychosis is a serious consideration for you when you or your staff, when you're evaluating a patient in McLean, correct?

MR. REDDINGTON: For postpartum. And one of the recommendations that you made was that she should follow up with other healthcare providers, and if I understand correctly, she actually sent a text or an email or something and confirmed that she did within the hour, right?

MR. REDDINGTON: Right. And she told you, you guys that, right?

MR. REDDINGTON: So she was very responsive to your advice about you should reach out to your provider, and she did that, right?

MR. REDDINGTON: That's all I had. Thank you.

MR. REDDINGTON: I'm gonna object. This is beyond the scope of cross, which is, I think, a legitimate objection, so.

MR. REDDINGTON: Objection.