BEFORE ME, A NOTARY PUBLIC, personally appeared Special Agent A. L. Strope
of the Florida Department of Law Enforcement, who being duly sworn says:
Your Affiant is a sworn Special Agent with the Florida Department of Law
Enforcement Office and has been so employed for the past ten years. In
January of 1997 your Affiant was assigned to assist the Clearwater Police
Department in their investigation into the 1995 death of 36 year old Lisa
McPherson. Your Affiant has read through the initial police reports of the
investigating officers, reviewed transcripts of taped interviews of
witnesses, reviewed medical records relating to Lisa McPherson from Morton
Plant Hospital and Columbia HCA New Port Richey Hospital in New Port
Richey, reviewed autopsy photos and the report of the autopsy of Ms.
McPherson, has also personally interviewed numerous witnesses and was
present at numerous sworn statements of subpoenaed witnesses taken by the
Pinellas County State Attorney's Office. Based upon these sources, your
Affiant has reasonable grounds to believe that from approximately November
18, 1995 up to and including December 5, 1995 that the Church of
Scientology Flag Service Organization, Inc., an active Florida Corporation,
(herein after referred to as CSFSO), did unlawfully and feloniously engage
in or attempt to engage in the illegal, unlicensed practice of medicine,
to-wit: the diagnosis, treatment, operation or prescription for any human
disease, pain, injury, deformity or other physical or mental condition or
did act in this state as a medical doctor in violation of Florida Statute,
Section 458.327 (1995). Your Affiant further has reasonable grounds to
believe that the CSFSO, an active Florida Corporation from approximately
November 18, 1995 to December 5, 1995 did knowingly, willfully or by
culpable negligence abuse or neglect Lisa McPherson, a disabled adult and
in doing so caused great bodily harm.
Your Affiant learned through the above-mentioned investigation that Lisa
McPherson was a long-term member of the organization known generally as the
"Church of Scientology." She had initially become involved many years ago
in her home state of Texas and had moved to Clearwater in late 1993 when
her employers, who are also Scientologists, moved their business there.
During the two years preceding her death, Lisa spent more than $70,000 for
courses, services or auditing at the CSFSO, located at the Ft. Harrison
Hotel in downtown Clearwater, and in various other buildings in the
immediate Clearwater area. Your Affiant states that at approximately 5:50
p.m., on November 18, 1995 Lisa was involved in a minor traffic accident in
Clearwater, Florida. McPherson, who appeared to be uninjured, talked
briefly with Paramedic Bonnie Portolano and EMT Mark Fabyanic before moving
her car out of traffic. The paramedics then noticed that Lisa had taken off
all of her clothes and was walking past them down the street naked.
Portolano stopped Lisa and brought her back to the van and, because of her
actions and conversation, became concerned for Lisa's psychological
well-being. Lisa consented to be taken to Morton Plant Hospital, which was
a short distance away. Portolano estimated Lisa's weight at over 150 lbs.
Your Affiant is aware of this information by reading the investigative
reports of the officers involved and the transcript of taped interview of
paramedic Portolano given to Clearwater Detective Suddler and the
transcript of her deposition given in a related civil case.
Your Affiant learned from reviewing the hospital records relating to Lisa's
stay and from reviewing police reports or transcripts of taped interviews
of Portolano, attending Physician Flynn Lovett, and psychiatric nurse Joe
Price that shortly after Lisa's arrival, a number of Scientologists
including several high level CSFSO officials showed up at the emergency
room and asked to be with Lisa. Despite the fact that Dr. Lovett felt that
Lisa was in need of psychological treatment, Nurse Price did not believe
McPherson met the criteria for involuntary hospitalization. Lisa was
allowed to check out against medical advice and leave with other members of
the CSFSO, who had promised to care for her. Your Affiant further learned
that Lisa remained at the Ft. Harrison Hotel until the evening of December
5, 1995. On that date at approximately 9:30 p.m., Lisa arrived at Columbia
HCA New Port Richey Hospital in New Port Richey, Florida, a location in
Pasco County approximately 20 miles and 45 minutes north of where she had
been staying at the Ft. Harrison Hotel in Clearwater, Pinellas County,
Florida. Lisa was not breathing and had no heartbeat at the time she
arrived. Despite extensive efforts, she could not be resuscitated. Your
Affiant was present during and has reviewed the transcript of the sworn
testimony of Dr. Minkoff. Dr. Minkoff, the attending physician at Columbia
HCA New Port Richey Hospital, who is himself a Scientologist, pronounced
Lisa dead. He testified he had spoken to Janice Johnson around seven p.m.
on December 5, 1995 about the possibility of Lisa being driven to the
hospital for evaluation and treatment, but was shocked at her "horrific"
appearance. She appeared to be severely dehydrated and had abrasions or
bruises on her body which he believed to be septic petechiae.
As a result of Lisa's death and notification of the Pinellas Pasco Medical
Examiner's Office, police were contacted and a criminal investigation was
begun. An autopsy performed by Dr. Robert Davis (formerly employed as an
associate medical examiner in Pinellas and Pasco Counties) revealed an
embolism of the left pulmonary artery which partially obstructed blood flow
going from the heart to the left lung for oxygenation. The right pulmonary
artery was unobstructed. A thrombus located behind the knee in the left
popliteal vein appeared to be the source of the pulmonary embolus. The
autopsy photos showed that Lisa displayed the physical indicia of
significant dehydration. Your Affiant has been advised by Chief Medical
Examiner Joan Wood that subsequent laboratory tests performed on the
vitreous eye fluid from Lisa's body confirmed that Lisa was severely
dehydrated.
Your Affiant is further aware from talking to Chief Medical Examiner Joan
Wood that she has concluded after viewing the body during autopsy,
reviewing autopsy photos, reviewing subpoenaed records kept by Lisa's
"caretakers" at the Ft. Harrison Hotel and consulting with forensic and
clinical experts that Lisa's dehydration was so severe that she would have
been symptomatic for days and virtually unresponsive for more than 24 hours
prior to her death. Dr. Wood believes that the embolism occurred as a
result of the dehydration and Lisa's resulting lethargy and immobility. Dr.
Wood does not believe that sepsis (a condition resulting from the presence
of pathogens and their toxins in the blood) was a significant factor in
Lisa's death. Lisa's body weighed only 108 pounds at autopsy. Dr. Wood has
further indicated that the dehydration was so severe and life threatening
that in itself it constituted great bodily harm.
Your Affiant states that he has reviewed police reports and transcripts
relating to the initial investigation of Lisa McPherson's death including
the taped and transcribed interviews of Alain Kartuzinski and Janice
Johnson, both of whom were employees/paid staff members of CSFSO. In these
interviews, done in May of 1996, both Kartuzinski and Johnson portrayed
Lisa as simply a guest at the hotel who was there to "rest." Janice
Johnson's original statement to the Clearwater Police detectives also
indicated that "they" were not attempting to treat her (Lisa McPherson's)
mental or physical problems, "that is not the point of Scientology, the
church does not do that"; she suggested that if they had felt Lisa had
serious mental problems, they would have taken her to the hospital to be
evaluated, but because she had been checked out at Morton Plant and found
not to be a danger to herself they'assumed she was all right, She said Lisa
was just upset but was "with it." She also claimed that Lisa was taking an
herbal supplement on her own, that no one in the Medical Liaison Office
would make recommendations of that kind. Thus, the statements minimized the
severity of Lisa's mental illness, and omitted both their individual and
the "Church's" involvement in Lisa being watched on a 24 hour basis, being
kept isolated from any other sources of medical or psychological help, in
not allowing Lisa to leave her room, and in medicating her without her
consent or appropriate medical intervention,
As the investigation continued, however, and the cause of death became
publicly known, your Affiant became aware of and reviewed records supplied
under subpoena by the Church of Scientology and was also present when
numerous employees of CSFSO gave sworn testimony. Your Affiant, as a
result, became aware that Lisa had been severely psychotic by at least the
second day of her stay and continued to be psychotic until her death; she
was viewed by her caretakers as someone who was unable to care for herself,
talk coherently or make logical decisions; she was watched by employees on
a round-the-clock basis, was intentionally isolated by employees who
removed the phone from Lisa's room and avoided talking to her or in her
presence, never attempted to contact Lisa's next-of-kin, repeatedly
prevented Lisa from leaving the premises, and held Lisa down for periods of
as much as an hour because she became violent or self-destructive. Your
Affiant also learned that employees attempted to treat Lisa's condition by
inducing sleep and, in order to accomplish this, medicated her without her
consent and without appropriate medical supervision or authorization. All
CSFSO employees were represented by counsel and had refused to give sworn
testimony before the State Attorney's Office until they were granted use
immunity pursuant to Chapter 914. Your Affiant states that he has reviewed
records subpoenaed from CSFSO, and was present during the testimony of
CSFSO employee and custodian of records Glenn Steilo who indicated that the
Ft. Harrison Hotel is owned by CSFSO, and that all the caretakers, Medical
Liaison Office employees and Alain Kartuzinski, with the possible exception
of Sylvia DelaVega are staff members and paid employees of the CSFSO.
Andrea Sprecher testified in your Affiant's presence that she was
approached by Alain Kartuzinski and told to assign Janice Johnson (who was
employed by the CSFSO in the Medical Liaison Office) to assist full-time to
the task of taking care of Lisa McPherson. Your Affiant further learned
from numerous witnesses that other CSFSO employees were organized on a
schedule where caretakers watched her 24 hours a day. Most of these
caretakers made written reports to Alain Kartuzinski, Lisa's senior case
supervisor, as to her condition. Your Affiant, pursuant to subpoenas,
obtained and reviewed many of the documents and reports that were made by
caretakers and delivered to Alain Kartuzinski. A number of reports made by
caretakers, including any and all records relating to Lisa's condition
which were created during the last 53 hours of her life, have been lost or
destroyed by the "Church."
From the available records and from your Affiant's presence during the
sworn testimony of numerous "caretakers", your Affiant learned that Lisa
was described throughout her stay as hyperactive, delusional, and
hallucinating. She further tried to harm herself and others early in the
stay, struck caretakers, engaged in self-destructive behavior, and had to
be forcibly restrained on several occasions to prevent injury to herself or
other caretakers. After the first week, she routinely urinated and
defecated on herself and rarely slept. She had conversations with people
who were not there, claimed to be people she was not, sang and danced
around the room as if giving a performance, crawled around on the floor,
stood on the toilet, got in the shower fully clothed, tried to walk out of
the room in a state of undress, and on at least one occasion drank her own
urine. Your Affiant learned from the testimony of caretakers and other
employees that Lisa McPherson was undergoing an isolation watch, in the
hope that her condition would improve and stabilize, so she could undergo a
Scientology procedure known as an introspection rundown. Your Affiant
further learned that Lisa was held down and medicated with an irrigation
syringer held down during injections of magnesium chloride, given numerous
doses of vitamins and herbal sleep remedies and given prescription drugs
even though she was never seen by and had no patient/doctor relationship
with the prescribing physician.
Your Affiant has found no indication that the caretakers in charge of
Lisa's welfare made any attempt to have her mental and physical condition
evaluated or treated by a physician at any time during her stay until her
arrival at Columbia HCA New Port Richey Hospital on December 5, 1995. Your
Affiant did learn that Janice Johnson, David Houghton, and Alain
Kartuzinski had conversations with Dr. Minkoff in which they related to him
that Lisa was a "type three" meaning "psychotic" and needed medication to
help her sleep. Dr. Minkoff did, in fact, presribe injectable Valium for
Lisa under David Houghton's name on November 20, 1995 and issued a second
prescription for the sedative chloral hydrate on November 29, 1995 in
Lisa's name. Dr. Minkoff had never seen or talked to Lisa as a patient. Dr.
Minkoff has testified that he was never told the details or severity of
Lisa's mental condition and denies prescribing or authorizing magnesium
injections or the use of an irrigating syringe to force medicate Lisa with
aspirin and Benadryl. Minkoff testified that doing these things without
physician authorization would in his opinion be practicing medicine.
Your Affiant further learned from sworn, immunized testimony of the various
caretakers and other employees/staff members of CSFSO that several of
Lisa's caretakers had some medical training. Janice Johnson had been a
practicing, licensed anesthesiologist in Arizona specializing in chronic
pain management. Your Affiant has reviewed her licensing file from that
state and determined that when she ran into disciplinary trouble in the
early 1990's, she surrendered her authority to prescribe controlled
substances and in 1994 let her medical license lapse. The Florida Board of
Medicine has confirmed to your Affiant that she has never been licensed in
this state nor has she applied for a Florida license. Laura Arrunada,
another of Lisa's caretakers from the Medical Liaison Office, testified she
had graduated medical school in Mexico but had never practiced. Rita Boykin
testified she had experience as a nursing assistant. Testimony indicated
that Janice Johnson had assumed a supervisory role in caring for Lisa,
visited her on numerous occasions during her stay and issued treatment and
medication orders to other caretakers. Moreover, the notes reflect that
Johnson was consulted by other caretakers on care and treatment issues and
was inappropriately relied on by Dr. Minkoff.
In addition to the above-mentioned testimony of Andrea Sprecher, Judy
Goldsberry-Weber, a subordinate of Johnson indicated that Johnson claimed
to be in charge of Lisa's care. Weber testified that Johnson was a deputy
in the Medical Liaison Office who was responsible for handling staff
employees in their dealings with health related professionals. Emma
Schamerhorn was the deputy Medical Liasion Office with parallel
responsibilities over non-staff parishioners. When Lisa was allowed to
leave Morton Plant on Saturday, November 18, 1995, Goldsberry-Weber, a
subordinate of Johnson in the CSFSO Medical Liasion Office, had promised
Dr. Lovett (who she knew from prior dealings) that Lisa would receive
necessary care. Weber testified that she was initially told that Emma
Schamerhorn would take care of Lisa the first night. About two days into
Lisa's stay, Weber asked Johnson how Lisa was doing. Johnson told Weber to
not ask any questions about Lisa that Weber was no longer involved. Some
days later, she asked Janice how Lisa was doing in case she ran into Dr.
Lovett and he asked about her. According to Weber, they wound up getting in
a screaming match after Janice said "you don't have to worry about him, I'm
in charge. Butt out."
Leslie Woodcraft testified that on November 23, 1995, around 12:00 midnight
Janice Johnson was there when Leslie Woodcraft arrived on her watch. She
described Lisa as acting crazy at which time she observed Janice Johnson
give Lisa McPherson a small pill that was supposed to calm her.
Patricia Stracener and Anna Pendizini testified that on November 24, 1995
they were briefed by Alain Kartuzinski at around 10:30 p.m., at which time
he told them about Lisa's condition and that she had been medicated so that
she would go to sleep. During this night of their watch, Lisa woke up and
began engaging in bizarre behavior. They observed Lisa McPherson vomit up a
dark substance. They further indicated that Janice Johnson showed up later
for about a half-hour and checked out Lisa's mouth. She directed them to
give Lisa vitamins and water.
Your Affiant learned from the testimony of David Houghton that on November
25, 1995 he administered a dose of Benadryl and aspirin concoction using an
irrigating syringe while others held Lisa McPherson down. Houghton
testified he had suggested the use of Benadryl (an antihistamine used in
over the counter sleep aids) to induce sleep. Alain Kartuzinski forbid the
use of the Valium prescribed by Dr. Minkoff because he felt it might
prevent the use of further Scientology procedures on Lisa. He directed,
after checking Scientology references, that aspirin be included as it might
assist in blocking Lisa's formation of mental images. He indicates that he
successfully got her to swallow this mixture of Benadryl and aspirin and he
believes that he mentioned this to Janice Johnson. Further, David Houghton
testified that he did not ask for consent from Lisa McPherson or explain
the procedure to Lisa McPherson because he did not believe that she was
capable of understanding. David Houghton further indicates that he
administered a second dose of aspirin and Benadryl mixture on November 27,
1995. He indicates that Lisa McPherson was also restrained on this occasion
and that she looked sweaty and red in the face and was talking
non-sequiturs. On November 28, 1995 he administered a third and final
mixture of Benadryl and aspirin to Lisa McPherson again using an irrigation
syringe while others held onto her.
Your Affiant states that Judy Goldsberry-Weber, who had years of nursing
experience in Oregon before coming to Clearwater, testified that she
overheard Houghton and others talk about Lisa being force medicated. She
felt this could only be done with a doctors authorization and confronted
Janice Johnson about it. Johnson replied that she was in charge and to
"butt out". When Weber indicated she thought something was wrong, Johnson
said it's not your concern. Weber indicated to Johnson that she had never
known Lisa to be violent and Janice responded "Well, you know psychotic
breaks."
Valerie Demange testified that on November 29, 1995, she recalls Janice
Johnson giving an injection to Lisa's buttocks. She indicates that Janice
Johnson told her it was magnesium in the shot and it was to relax her
muscles so she could get some sleep. She further recalls Janice Johnson
measuring Lisa's respiration after the shot. During this time frame,
Valerie Demange has indicated to your Affiant that she recalls Janice
Johnson had called someone who she claimed was a doctor, who Demange
believes to have been Dr. Minkoff, for approval prior to this intermuscular
injection. Your Affiant has not located any prescription for magnesium, and
Dr. David Minkoff indicates that he issued no such prescription to Lisa
McPherson or anybody connected with the Lisa McPherson watch.
Your Affiant has also reviewed the notes of Rita Boykin, another of Lisa's
"caretakers", which indicated at 1:00 a.m. (apparently on Friday, December
1, 1995) Dr. Johnson just visited and said it was not possible lor Lisa
McPherson to have anymore chloral hydrate. She further indicates that she
needed to get four more Valerian root (an herbal remedy, which is believed
to induce sleep) capsules into her and a quart of fluid.
Your Affiant has reviewed a memorandum in handwriting identified in sworn
testimony as that of Janice Johnson, dated on December 1, 1995, that
indicates that Lisa was given 2mg of MgCL2 IM (two milligrams of magnisim
choloride [sic] intramuscular) at 10:30 and two 500mg chloral hydrates.
Janice Johnson further notes that Lisa's respiration was between 18 and 24
and that Lisa's extremities were cool but not cold. This note from Janice
Johnson further directs that the "plan" is that Lisa needs two liters of
fluid within the next eight hours and when awake they should attempt to
feed her.
On December 2, 1995, Laura Arrunada, also a staff member in the Medical
Liaison Office, indicates to your Affiant that she gave Lisa chloral
hydrate per Janice Johnson's instructions for Lisa McPherson to sleep.
Laura indicates this was because Lisa was too active.
Your Affiant further learned from Rita Boykin, a caretaker, that she also
administered an intermuscular shot to Lisa McPherson on one occasion bur
does not remember when and where in the "time stream" that this happened.
She further indicates that Lisa McPherson didn't know what she was being
given or who approved it. Also, Rita Boykin testified that she did not know
how the syringe and the bottle got there but assumed that Lisa McPherson
was getting it. According to a written request prepared immediately after
Lisa's death by CSFSO employee Marcus Quirino, Boykin admitted giving
magnesium shots to Lisa including the day of her death. He also quotes
Laura Arrunada as saying Lisa was given magnesium injections on Saturday
and that this continued over the following two days.
Your Affiant states that the testimony of the caretakers is conflicting as
to Lisa's physical decline over the last five days of her life. Janice
Johnson acknowledged in her taped statement that she had noticed Lisa's
health declining and that she had lost weight the Friday before her death.
The caretaker notes indicate that as of the following day Lisa was too weak
to stand; Heather Petzold's testimony confirms that Lisa was too weak to
walk on Saturday. While these same witnesses have recently indicated that
Lisa improved and regained some of her strength, there is no documentation
in the caretaker notes for Saturday and Sunday that this occurred. The
previously mentioned report of Marcus Quirino quotes Petzold as saying Lisa
had not been active for the last three days and that on the day of her
death, "most of the day Lisa was in bed ... not moving, she was beathing."
[sic] The testimony as to Lisa's condition up until five p.m. is also
contradictory with some witnesses describing her as walking and talking and
others describing her as unresponsive with eyes fixed or unable to walk. At
five p.m. her condition was such that Laura went to notify Janice that
something was wrong.
Emma Schamerhorn testified that she talked with Janice Johnson on either
Monday evening, December 4th, or Tuesday, morning December 5th, and Janice
looked concerned and thought Lisa looked septic. Janet Herring testified
that she saw Janice Johnson on Tuesday, December 5th, and talked to her
about Lisa McPherson. Janice Johnson told her that she was worried about
Lisa and that Lisa was doing worse and she was going to take her to the
hospital.
At the time Johnson was leaving the Pt. Harrison Hotel to take Lisa to the
hospital, Paul Greenwood helped to carry Lisa from the room to the car. He
described Lisa was breathing heavy with her eyes open, but saw no voluntary
movements made by her nor did she even acknowledge his presence.
Dr. Minkoff testified that he received a call around seven p.m., on
December 5, 1995 from Johnson and possibly Alain Kartuzinski concerning
Lisa McPherson. Johnson reminded him that it was the girl for whom he had
issued the prescription. Janice said that Lisa had an infection and
complained of a sore throat, had had some diarrhea and lost some weight.
She requested he issue a prescription for penicillin, which he refused to
do insisting that a doctor see Lisa. He directed her to take Lisa to the
nearest hospital if she was very ill (Morton Plant was only a few blocks
from the Ft. Harrison) but Janice indicated Lisa was not that sick and she
would bring her to New Port Richey. However, Lisa did not arrive at
Columbia HCA New Port Richey Hospital until two or three hours after Janice
admitted seeing her condition and almost four and a half hours after Laura
Arrunada first sought out Janice Johnson. Your Affiant states that this
inexcusable delay in seeking emergency help by calling for an ambulance or
transporting Lisa to a nearby hospital deprived Lisa of her only
opportunity for survival.
Church of Scientology Flag Service Organization, Inc., headquarters is
situated in Pinellas County, Florida. The resident agent for the Church of
Scientology Flag Service Organization, Inc., is Attorney Robert Johnson at
100 North Tampa Street, Suite 3500, Tampa, FL 33602 in Tampa, Hillsborough
County, Florida,
Your Affiant respectfully requests the issuance of a summons for Practicing
Medicine and Abuse/Neglect of a Disabled Adult to Church of Scientology
Flag Service Organization, Inc., a Florida Corporation.
The foregoing instrument was A. L. Strope acknowledged before
me this Affiant 13th day of November, 1998 by A. L. Strope, who
is personally known to me or has produced as identification and
who did take an oath.
Notary Public
County Court or Circuit
Court Criminal Division, Pinellas County