Alameda County Sheriff's Office Gregory J. Ahern, Sh eriff / Coroner Coroner's Bureau, 2901 Peralta Oaks Ct, Oakland, CA 94605 (510) 382-3000 / (510) 382-3033 (fax) Coroner Invest igator's Report 0 LL -z ..J ..J < u NAME OF DECEASED (LAST, FIRST MIDDLE) STUBBS JR, Melvin REPORTED BY REPORTED BY PHONE NO. Gail Hober INVESTIGATOR C Valley Care Medical Center 16-004121 CALL DATE AND TIME CASE TYPE Karen Easling 3/6/2016 Removal Case DATE AND TIME OF DEATH DATE OF BIRTH AGE GENDER Male I I 71 18:41 12/15/1950 65 Years WGT EYE COLOR HAIR COLOR OCCUPATION 200 Brown Gray Body frame technician 18:26 IAfrican-American Widow I I < w C I• • Prel im inary Summary LOCATION OF DEATH LODTYPE Valley Care Medical Center Hospital - ER/OP COUNTY I Alameda Manne r Natural Cause A Cardiac failure Inte rval Minutes Cause B Cardiomegaly with myocardial fibrosis Interval Years Death Certificate Signed By: Cause C Interval Cause D Interval Other Significant Conditions z VET? EMPLOYER 5555 W. Las Positas Boulevard Pleasanton CA 94588 I- MARITAL STATUS RACE ADDRESS (STREET, CITY, STATE, ZIP) J: 2016-00741 (925) 847-3000 C w , 0w CASE NUMBER REFERENCE NUMBER 3/6/201 6 zw I UNID;IFIED I REPORTING AGENCY HGT I- TENT~tE ID Recently diagnosed diabetes rnellitus LEGAL NEXT OF KIN RELATIONSH IP TELEPHONE NO. NOTIFIED BY METHOD DATE AND TIME In Person 3/7/2016 0 j:: ~ () u: j:: 0 z IDENTIFICATION METHOD LOCATION OF INCIDENT AT WORK I- z w ADDRESS (STREET, CITY, STATE, ZIP) COUNTY I c3 INVESTIGATING AGENCY INV AGENCY PHONE NUMBER OFFICER Alameda County Sheriffs Office-ETS FUNERAL HOME BODY RELEASED TO FUNERAL HOME ON a.. Hauis Funeral Horne 3/15/2016 C Full Aulopsy Partial Autopsy Inspection Record Review ~ • • • en Inspection w/Specimen • Date Printed • DATE AND TIME OF INCIDENT C -z 15:11 DATE AND TIME 15:07 EXAM BY Paul W. Herrmann Wednesday,June15,20 16 Alameda County Sheriff's Office Gregory J. Ahern, Sheriff / Coroner Coroner's Bureau, 2901 Peralta Oaks Ct., Oakland, CA 94605 (510) 382-3000 I (510) 382-3033 (fax) Investigator Narrative Decedent: Case Number: Investigator: STUBBS JR, Melvin 2016-00741 Karen Easling First Call Information: On Sunday, March 6, 2016, about 1840 hours, Nurse G. Hober of the Emergency Room at Valley Care Medical Center in Pleasanton called to report the death of 65 year old Melvin Stubbs Jr. Stubbs Jr. was incarcerated at Santa Rita Jail in the Outpatient Housing Unit when he was found unresponsive in his cell. Paramedics Plus #5105 arrived on scene and transported him to the hospital. Stubbs Jr. 's condition declined and his death was pronounced by Doctor M. Costello at 1826 hours. (KE1917) Medical Summary: On Saturday, March 5, 2016, about 1300 hours, Stubbs Jr. was arrested for by officers from the Oakland Police Department, after being found in his residence with his deceased (Coroner Case #2016-00732). According to the reports and medical records I (Easling) received, the following occurred. Stubbs Jr. was transported to Santa Rita Jail for booking. During the intake process at the jail, Stubbs Jr. was denied entry due to medical reasons. The arresting officer then transported Stubbs Jr. to Alameda Health System-Highland Hospital to be medically cleared for incarceration. At the hospital Stubbs Jr. was diagnosed with . His acute medical problems were treated and instructions on how to treat further problems were provided. The evaluating doctor cleared Stubbs Jr. for incarceration. The doctor did not find any medical problem that would make it dangerous for Stubbs Jr. to be taken to jail and incarcerated. On Sunday, March 6, 2016, about 0910 hours, Stubbs Jr. was transported back to Santa Rita Jail by Oakland Police Officers and the inta~e process was initiated. About 1030 hours, due to his medical needs Stubbs Jr. was moved to the Outpatient Housing Unit. According to the Corizon Health medical records, at about 1645 hours Nurse M. Durbin was performing routine checks when he discovered Stubbs Jr. inside his cell unresponsive, not breathing, and without a pulse. Life-saving measures were initiated and 9-1-1 was called. Stubbs Jr. was last known to be alive at about 1612 hours, when Deputy N. Pettis-Shipp spoke to him while completing her hourly check. Medical records were collected from Alameda Health System- Highland Hospital, Valley Care Medical Center and Santa Rita Jail. The records were provided to Coroner's Pathologist Doctor P. Herrmann for review. (KE1917) 2 Alameda County Sheriff's Office Gregory J . Ah ern, Sheriff / Coroner · Cor oner's Bureau, 2901 Peralta Oaks Ct., Oakland, CA 94605 (510) 382-3000 I (510) 382-3033 (fax) Description of the Death/ Injury Scene: Stubbs Jr. died in the Emergency Room at Valley Care Medical Center in Pleasanton. (KE1917) Body Identification: The decedent was identified as Melvin Stubbs Jr. during the booking process at Santa Rita Jail. (KE1917) A comparison was made between the fingerprints of Stubbs Jr., Melvin with DOB 12/15/1950 to the fingerprints associated with Personal File Number (PFN): with name: Stubbs, Melvin and with DOB: 12/15/1950 from the records and files of the Alameda County Sheriffs Office-Central Identification Bureau iri Oakland, California. The fingerprints were identified to have been made by the same subject. On Tuesday, March 8, 2016; about 0830 hours, I (Hovda) placed a faxed copy of the fingerprint confirmation in the case file for future reference. (JSH1432) Next of Kin Investigation: Stubbs Jr. was widowed and had several adult children who are his legal next of kin. On Sunday, March 6, 2016, I (Easling) searched in the Consolidated Records Information Management System (CRIMS) to see if any relatives were listed in his personal data, and I was unable to locate any. Additionally, an Accurint search, a database used to locate people, was conducted in an attempt to locate next of kin. The search yielded several possible relatives including (KE 1917) with an address out of On Monday, March 7, 2016, about 0525 hours, I (Frazier) called the Richmond Police Department and requested a death notification be done at the residence listed for (CEF1691) On Monday, March 7, 2016, about 0820.hours, I (Wilson) called the Richmond Police Department and spoke to a dispatcher who said an officer went to the address on but no one was home. I made attempts to locate and notify by phone but was unsuccessful. (dlw29) and On Monday, March 7, 2016, about 1300 hours, I (Hovda) spoke with Melvin Stubbs Jr.'s stepwhen she called the Coroner's Bureau. told me Melvin had daughter, two adult children, and I (Hovda) ran an Accurint report on and located a possible phone number. I called the number and left a message. 3 A lameda County Sheriff s Office Gregory J. Ahern, Sheriff / Coroner Coroner's Bureau, 2901 Peralta Oaks Ct., Oakland, CA 94605 (510) 382-3000 / (510) 382-3033 (fax) On Monday, March 7, 2016, about 1340 hours, returned my call. I inf~rmed of Melvin Stubbs Jr.'s death and the Coroner's Bureau involvement in this case. I advised her to make funeral arrangements as soon as possible. said she understood and would notify her of their father's death. (JSH1432) brother Other Agency Reports: Alameda County Sheriffs Office report #16-004121, written by Deputy N. Pettis-shipp. A copy of the report was reviewed and placed in the case file. (KE 1917) Property and Evidence: Coroner's receipt number #36756 was issued for this case. Stubbs Jr. had no personal property at Valley Care Medical Center or Santa Rita Jail. (KE 191 7) Coroners Fees: As of March 7, 2016, the only Coroner's Bureau fees are body removal ($254.00), body preparation ($67.00) for a total of $321.00. All Coroner fees have been paid. (KE 1917) Other Investigative Details/ Supplemental Information: On Sunday, March 6, 2016, about 1950 hours, Deputy C. Frazier and I (Easling) arrived at Valley Care Medical Center. We entered the emergency room and were directed to Stubbs Jr.'s room by Deputy W. Bloom #1377. I entered the room and found Stubbs Jr. face up on a hospital bed with medical therapy in place. His clothing had been cut by medical personnel, and I could see that his left leg had previously been amputated a few inches below his knee. I conducted a general visual examination of Stubbs Jr. and saw no obvious signs of trauma. Nurse Hober provided me with six vials of admission blood and a urine sample collected from Stubbs Jr. during life-saving measures. I took photographs of his body to document his condition. I placed paper bags over Stubbs Jr.'s hands and secured them in place with zip ties. Deputy Frazier and I moved Stubbs Jr. to a gurney and into the Coroner's van for transportation back to the Coroner' s Bureau. About 2145 hours, we returned to the Coroner's Bureau and processed Stubbs Jr. into the morgue. Intake photos were taken at this time. The photographs were transferred to a compact disk and placed in the case file. On Monday, March 7, 2016, Coroner's Pathologist Doctor P. Herrmann performed an autopsy on Stubbs Jr. to determine his cause of death. On Tuesday, March 15, 2016, Stubbs Jr. was released into the care of Harris Funeral home. 4 Alameda County Sheriff s Office Gregory J. Ahern, Sheriff/ Coroner Coroner's Bureau, 2901 Peralta Oaks Ct., Oakland, CA 94605 (510) 382-3000 I (510) 382-3033 (fax) On Monday, May 9, 2016, Pathologist Doctor P. Herrmann determined Stubbs Jr.'s death was due to natural causes. (KE 1917) Findings: On May 26, 2016, I reviewed this case for the purpose of case closure. An autopsy was performed on Stubbs Jr. to determine his cause of death. Pathologist Doctor P. Herrmann determined Stubbs Jr. 's cause of death was cardiac failure due to cardiomegaly with myocardial fibrosis. Doctor P. Herrmann also determined that another significant condition contributing to his death, but not resulting in the tmderlying cause, was recently diagnosed Upon reviewing the Autopsy Protocol, the information gathered at the scene of his death and medical records, I find the manner of death to be natural. (KE1917) Supervisor Review: On June 15, 2016, I (Sergeant P. Wilson) reviewed this case for closure. I agreed with the findings and considered this case closed. (PW#1494) Alameda County Sheriff's Office Coroner's Bureau 2901 Peralta Oaks Comt, 2 nd Floor, Oakland, CA 94605-5319 Gregory J. Ahern, Sheriff Director of Emergency Services Coroner - Marshal ME MO R A N D U M DATE : March 7, 2016 FROM: Paul W. Herrmann, M.D. TO: Case File 2016-00741 SUBJECT: AUTOPSY PROTOCOL Autopsy performed upon the body of Melvin Stubbs Jr. at the Coroner's Bureau, 2901 Peralta Oaks Court, Oakland, California, on March 7, 2016, at 9:30 a . m. AUTOPSY FINDINGS 1) POSTOPERATIVE STATE, LEFT BELOW-THE-KNEE AMPUTATION, REMOTE. 2) CARDIOMEGALY, MODERATE (430 GRAMS), WITH LEFT VENTRICULAR HYPERTROPHY. 3) CLINICAL HISTORY OF ATRIAL FIBRILLATION BY ELECTROCARDIOGRAM. 4) PROMINENT MULTIFOCAL MYOCARDIAL FIBROSIS (MICROSCOPIC EXAMINATION). 5) CONGESTION OF THE LUNGS. 6) CONGESTION OF THE LIVER, SPLEEN, AND KIDNEYS. 7) OSTEOARTHRITIS OF THE THORACIC SPINE, SEVERE. 8) URINE SAMPLE POSITIVE FOR COCAINE IN HOSPITAL. 9) FEMORAL BLOOD SAMPLE: A) COCAINE NEGATIVE B) BENZOYLECGONINE 0.02 MG/L C) LEVAMISOLE PRESENT. 10) VITREOUS PANEL: GLUCOSE 92 MG/DL. Page 2 Sheriff-Coroner Alameda County CAUSE OF DEATH: cc: Body of MELVIN STUBBS JR. CARDIAC FAILURE DUE TO CARDIOMEGALY WITH MYOCARDIAL FIBROSIS. Other condition: RECENTLY DIAGNOSED DIABETES MELLITUS. EMS District Atto~ney Investigations Bureau (ETS) ACSO-Detention and Corrections Div. Page 3 Sheriff-Coroner Alameda County Body of MELVIN STUBBS JR. 1 2 EXTERNAL EXAMINATION The body is that of a well-deveLoped adult black male. The 3 left leg has been amputated approximately 6 inches below the 4 knee in the past. 5 The hair is black and speckled with gray. 6 beard and mustache. The irides are brown. 7 arch is edentulous. A number of teeth are missing in the lower 8 arch, including the lower medial incisors. There is complete 9 rigidity of the extremities, neck and jaw. Purple lividity is 10 This is a well-healed site of amputation. There are a gray The upper dental present on the back. 11 There is the extensive evidence of MEDICAL THERAPY: 12 1) 13 14 15 16 An endotracheal tube is clamped in place in the right corner of the mouth. 2) A pulse oximetry device is attached to the right earlobe. 3) Multiple EKG pads are present on the chest and abdomen. 17 An EKG pad is present on the back. 18 left lateral shoulder, and another is present on the right 19 lateral shoulder. 20 21 22 4) An EKG pad is present on the An EKG pad is present on each anterior thigh. A resuscitative electrode pad is present on the left upper chest, and another is present on the left upper back. 5) A bandage covers a catheter in place just below the Page 4 Sheriff-Coroner Alameda County Body of MELVIN STUBBS JR. 23 right lateral clavicle. 24 inches in length. 25 26 27 28 29 6) The catheter measures approximately 7 A bandage covers an infusion needle protruding from the right upper tibia. 7) A Foley catheter is present. It is attached to a urine bag containing a voluminous amount of amber-colored .urine. Paper bags are present over both hands and wrists. When 30 the bag on the right side is removed, the right hand shows no 31 evidence of recent trauma. 32 length and are somewhat dirty. 33 material. 34 the right wrist. 35 shows the presence of a pulse oximetry device attached to the. 36 thumb. 37 right index finger. 38 punctate lesion is seen on the lateral aspect of the distal 39 phalanx; it measures less than 1/16 inch in size. 40 evidence of trauma is seen. 41 moderate length and slightly dirty. 42 identification band present on the left wrist. 43 identification band present on the left wrist, as well, with the 44 name "MELVIN STUBBS" and a photograph of the deceased. The fingernails are of moderate They show no other foreign There is a hospital identification band present on When the bag is removed from the left hand, it There is a Band-Aid around the distal phalanx of the When the Band-Aid is removed, a smill No other The fingernails again are of There is a hospital-type There is another Page 5 Sheriff-Coroner Alameda County Body of MELVIN STUBBS JR. 45 Blunt trauma 46 There is no evidence of blunt trauma seen on the face or 47 48 head. None is seen on the neck. The chest shows a circular area of superficial abrasion in 49 the sternal area. It is consistent with cardiopulmonary 50 resuscitation, and it measures 1 inch in diameter. 51 There is no evidence of blunt trauma to the abdomen. 52 No trauma is seen on the genitalia. 53 The right upper extremity shows no evidence of blunt 54 55 trauma, and no recent blunt trauma is seen on the hand. The left upper extremity, including the hand, shows no 56 evidence of recent blunt trauma except for the lesion ieen on 57 the distal phalanx of the index finger. 58 59 60 61 The right lower extremity shows no evidence of recent blunt trauma, and none is seen on the foot. The left lower extremity also shows no evidence of recent blunt trauma. 62 Tattoos 63 There are some tattoos on the anterior aspect of the left 64 forearm. One includes a written name, "TIM," and another the 65 letters "GL" and something after it, which I am unable to read. Page 6' Sheriff-Coroner Alameda County Body of MELVIN STUBBS JR. 66 There is an area of irregular depigmented scarring on the 67 anterior aspect of the right shoulder, measuring approximately 68 1-1/2 inches in diameter, with some punctate scars extending 69 downward from it. 70 The right hand shows numerous small punctate scars on the 71 dorsum of the long finger. 72 portion of the ring finger. 73 mately 1/8 inch in size. 74 75 76 Several are also seen on the distal The punctate scars average approxi- The others are less descriptive. There is a verruca present in the left groin; it measures approximately 1-1/2 inches in diameter. The right lower extremity shows several pigmented scars on 77 the thigh, the largest measuring approximately 1-1/2 inches in 78 diameter, and there are numerous irregular scars scattered over 79 the right knee. 80 extending from the ankle all the way to the knee. 81 are linear and transverse at the ankle, but the others are 82 indiscriminate. 83 the right foot, as well, where there are several linear scars. 84 There is a fungal infection of the toenails on the right side. 85 The left lower extremity shows numerous depigmented scars 86 87 The right leg shows numerous depigmented scars Some of these There is some scarring present on the dorsum of over the knee and the upper portion of the left leg. There is a remote left below-the-knee amputation. Page 7 Sheriff-Coroner Alameda County Body of MELVIN STUBBS JR. 88 INTERNAL EXAMINATION Y-SHAPED THORACOABDOMINAL AND INTERMASTOIDAL INCISIONS are 89 90 91 made. HEAD: There is no evidence of trauma to the scalp. The 92 subcutaneous tissue, galea and skull are unremarkable. 93 meninges show no abnormalities. 94 brain shows no abnormalities. 95 moderate degree of hydrocephalus ~x vacuo with enlargement of 96 the lateral ventricles, but no other abnormality is seen. 97 vessels of the base of the brain show no abnormality, and the 98 base of the skull is normal. 99 NECK ORGANS: The external surface of the Cut sections of the brain show a spine are unremarkable. 101 and hyoid bone are intact. 102 endotracheal tube is in its proper position. 103 is of normal size and unremarkable on cut section. 105 CHEST: The The soft tissues of the neck and the cervical 100 104 The The la~yngeal and tracheal cartilages The airway is patent. The The thyroid gland There is no evidence of trauma to the chest wall. The ribs are intact. The lungs fill the pleural spaces. 106 LUNGS: The left lung weighs 500 grams. The right lung 107 weighs 530 grams. 108 abnormalities. 109 moderately congested, but there is no significant edema. The pulmonary arteries and bronchi show no Cut sections of the lungs show them to be Fage 8 Sheriff-Coroner Alameda County 110 HEART: Body of MELVIN STUBBS JR. The pericardial sac contains a small amount of 111 clear yellow fluid. 112 left ventricular prominence, and the heart weighs 430 grams. 113 The coronary arteries show calcification of the left main 114 coronary artery as well as the left anterior descending, but 115 there is no significant narrowing of the lumen. 116 branch is also partly calcified, but again there is no 117 narrowing. 118 but again no significant narrowing of the lumen is seen. 119 right coronary artery is dominant. 120 valves are unremarkable except for the mitral valve, where there 121 is a mild degree of myxoid change. 122 thickened; it measures 16-17 mm. 123 scarring or necrosis. 124 without scarring. 125 it is completely closed. 126 unremarkable. 127 fatty streaking but no ulceration or plaque formations. 128 129 130 131 The external surface of the heart shows The circumflex The right coronary artery also shows calcification, ABDOMEN: The The cardiac chambers and The left ventricular wall is There is _no evidence of any The right ventricular wall measures 3 mm, The foramen ovale is a large structure, but The interventricular septum is The descending thoracic and abdominal aorta shows The abdominal fat is 3 inches at the umbilicus. The organs are in their normal positions. LIVER: is smooth. The liver weighs 1000 grams. The capsular surface The parenchyma on cut section is dark brown and Page 9 Sheriff-Coroner Alameda County Body of MELVIN STUBBS JR. 132 acutely congested. 133 unremarkable. 134 135 136 137 138 SPLEEN: smooth. The gallbladder and extrahepatic ducts are The spleen weighs 180 grams. The parenchyma is firm and congested. PANCREAS: The pancreas is of normal size and retains a lobular architecture. ADRENAL GLANDS: The right adrenal gland shows no 139 abnormalities. 140 cortex, measuring 15 mm in diameter. 141 The capsule is The left adrenal gland shows a nodule in the GASTROINTESTINAL TRACT: The mucosa of the esophagus and 142 stomach is unremarkable. The stomach contains a moderate amount 143 of green, opaque liquid. This is also seen in the duodenum and 144 the small bowel. 145 rectum is empty. 146 The large intestine is unremarkable. GENITOURINARY TRACT: The The kidneys weigh 210 grams each. 147 The capsules strip with slight difficulty, but the cortical 148 surfaces are smooth and the parenchyma on cut section shows no 149 abnormalities. 150 their normal positions. 151 significant amount of urine. 152 The prostate gland is slightly enlarged but shows no nodularity. 153 The testes are palpable in the scrotum. The renal vessels, pelves and ureters are in The urinary bladder does not show a The Foley catheter is present. The penis is Page J. O Sheriff-Coroner Alameda Count y 154 155 uncircumcised. The thoracic spine shows very marked osteoarthritis. 156 157 158 159 160 161 162 Body of MELVIN ·STUBBS JR. PWH/cah Alameda County Sheriffs Office Coroner's Bureau 2901 Per;-ilta Oaks Court, 2 nd Floor, Oakland, CA 94605-531 9 Gregory J. Ahern, Sheriff Directo r of Em ergency Services Coroner - Marshal CASE NUMBER: CASE NAME: Melvin Stubbs Jr. 2016-00741 PATHOLOGIST: Paul W. Herrmann, M.D. HISTOLOGICAL EXAMINATION MYOCARDIUM: Scattered areas of fibrosis, quite prominent in one of two sections. KIDNEY: Several small cortical foci of chronic inflammation. Many glomeruli show nodular sclerosis, and the arterioles are markedly thickened. BRAIN: Normal. ~ 6 ate PWH/cah D: 8/02/16 T: 8/02/16 ~ /7A --4 nC Signature I '11 CENTRAL VALLEY TOXICOLOGY, INC. 6 3417 TOXICOLOGY NUMBER: CVT-l - Case Name: Stubbs Jr, . D . . Spec1men escnpt1on: Melvin 17 ml femoral blood & 6.5 vitreous humor each labeled "Stubbs, Melvin; 2016-00741; 03/07/2016" Date 10-Mar-16 Delivered by Tricor . d b Bill Posey R eceave y Request: Complete Drug Screen Agency Case# 2016-00741 Requesting Agency Alameda Co. Coroner's Office Attn: Acct's Payable 2901 Peralta Oaks Ct., 2nd Floor Oakland CA 94605 Report To Alameda Co. Coroner's Office Attn: Dr. Herrmann 2901 Peralta Oaks Ct., 2nd Floor Oakland CA 94605 10-Mar-16 Date RESULTS Specimen: Femoral Blood and Vitreous Humor Samples Complete Drug Screen: Cocaine metabolite and Levamisole detected. No other common acidic, neutral or basic drugs detected. No Ethyl Alcohol detected. Vitreous Panel: Glucose = 92 Sodium = 144 Potassium= 8.2 Chloride = 127 Cocaine = Negative Benzoylecgonine = 0.02 mg/L Levamisole = Present mg/dL mmol/L mmol/L mmol/L Blood Benzoylecgonine Ranges Effective Level: Non Active Potentially Toxic: (1 - 10 mg/L) B.L. POSIEY S.N. KIME!ILIE Directors B. L. Posey == March 15, 2016 1580 Tollhouse Road Clovis, California 93611 Phone (559) 323-9940 Fax (559) 323-7502