Dr. Michael Swango is one of the prolific medical serial killers in history. [35], On March 30, the defense called anesthesiology and intensive care specialist Joel Zivot as a witness. At the heart of their argument: The majority of the 14 patients were given 10 times the amount of fentanyl that would be the norm in a nonsurgical hospital setting, according to medical experts. The lawsuit accuses the hospital, Husel, Schroyer and Rudman of battery, medical negligence, negligence, wrongful death and in particular, Mount Carmel West of negligence in its supervision of Husel. Theres nobody else, she said. That prosecutors brought charges against Husel speaks to the current climate of an opioid epidemic that has ravaged families and communities, Cohen said, and that authorities are serious about cracking down on. The first reason Menashe took the case, she says, was that, as a woman, she feels she has to work harder to earn opportunities than male colleagues, and it would have been a professional mistake to turn the job down. "Again, remember, any time you come into the ICU, you're very sick, critically ill. Dr. William Husel murder trial: Who is defense attorney Jose Baez? Dr. William Husel had worked at Ohio's Mount Carmel Hospital for five years. According to his Wikipedia, the 46 years of doctor was born on November 11, 1975, in Cleveland, Ohio. By her own account, Menashe, 47, grew up the daughter of privilege in Bellevue, a Seattle suburb, attending a boarding school thanks to the money made by her late father, Jack, a police officer turned food broker. Dr. William Husel allegedly ordered excessive doses of fentanyl to speed the end of patients' lives. [21] On March 3, Judge Michael Holbrook denied the defense's motion for a mistrial. "The prosecution's case on intent hinged on the circumstantial evidence that the amount of fentanyl administered was so high that the only possible explanation was that Husel intended to kill the patients," Ric Simmons, a former prosecutor who teaches criminal law at Ohio State University, said. We were watching TV, Austin told the Dispatch reporter, she was having trouble breathing. He called 911. Husel then attended and graduated from Ohio University College of Osteopathic Medicine in 2008. Four children Four children have so far been killed under the Belgian law. Lamb said that after an internal investigation over the course of his five years at the hospital, Husel ordered significantly excessive and potentially fatal doses of pain medication for at least 27 patients who were near death.. A Doctor Was Accused in the Fentanyl-Related Deaths of 14 Patients. Husel is accused. I told them to save him; I wouldnt give them a DNR order, Marshall said. According to the Oxford Treatment data sheet, the lethal dose for fentanyl is generally stated to be 2 milligrams the lethal dose of fentanyl is extremely small compared to many other opiate drugs. A critical care doctor from Vanderbilt Medical Center in Nashville testified Monday that - in his medical opinion - the fentanyl and sedative doses ordered by Dr. William Husel likely killed his . William Husel, a former critical-care physician for Mount Carmel Health in Columbus, was arrested in June and pleaded not guilty to the charges stemming from 2015 to 2018. On the surface, Menashes backgroundwouldnt suggest a future defending people accused of some of the most horrific crimes imaginable. Tyack says his prosecutors tried the case that was handed to them. When the defense presented its case, it called only one witness a medical expert from Emory University in Atlanta who cast doubt on the prosecutor's assertion that excessive levels of the powerful painkiller caused each patients' death. It has been listed on Rocket Homes since February 27, 2023 and is currently priced at $819,900. The hospital informed the family a year after her death that shed been given a deadly dose. Now exonerated on murder charges, Husel still faces civil suits from many patients' families. . She leaves no stone unturned, says Algenon Marbley, U.S. District Court judge. After an extensive trial, Husel was found not guilty on all counts on April 20, 2022.[4]. Husel has now been charged with 25 counts of murder. David Austin says he was overcome with grief after the death of his wife, Bonnie, at Mount Carmel West. William Husel hugs his wife, Mariah Baird, after the doctor was found not guilty on 14 counts of murder in connection with fentanyl overdose deaths of former patients on April 20 in Columbus, Ohio. The Mount Carmel West bio sheets for its physicians shows that Husel is not board-certified. Features: 4 bedrooms, 4 bathrooms. One patient received a dosage 20 times higher. [3] The prosecution in this case argued that Dr. Husel hastened the death of terminally ill patients. Ask Me Anything. Raised in Cleveland, Ohio, Husel attended St. Ignatius High School where he excelled in basketball as a captain for his senior year. She continued that focus at Tulane Law School. Carmel, have been raising their two children in the. Im not sure anyone else could have saved Quentins life, she says. She had a great feeling of suffocation and not being able to breathe so there was an anxiety portion of this as well that seemed very specific to this patient, Black said. The media is mischaracterizing withdraw of treatment on ICU patients. Husel says he was in disbelief when he was charged. "I got an email from the Vice President of Medical Affairs. "I feel like my care was the right care for the patients at the time," he says. William Husel, 43, a former doctor at Mount Carmel Health in Columbus, turned himself in to police on Wednesday morning. Though convicted, both Golsby and Smith were spared the death penalty, which goes in the win column for Menashe, a fiercely anti-capital punishment lawyer who makes no bones about the fact that saving livesshes worked on more than 35 capital casesis often the measure of success in death penalty defense work. Joining the list of relatives who testified was Geraldine Brown, the partner of Brandy McDonald's mother. Menashe had watched video clips of Christine Allison speaking at news conferences about her husband and had kept an eye on her in the back of the courtroom as the trial proceeded. While the prosecution was unable to identify a motive in the deaths, they maintained that his actions fell under the definition of murder. And I was like, 'How could they twist this around and charge me with murder? '", Husel estimates that he saw about 25,000 patients during the years he worked at Mt. You will not outwork her.. According to Ely, each of those patients could have died as a direct result of the medication Husel ordered for them and not (directly) from their underlying health conditions. William Husel, left, and defense attorney Jose Baez at Husel's trial in February. In 2006, she and Gatterdam represented Daryl Lawrence, who shot and killed Bryan Hurst, an off-duty Columbus police officer on special duty, as Lawrence attempted to rob Fifth Third Bank at 6265 E. Broad St. William S. Husel: 5 Fast Facts You Need to Know, Copyright 2023 Heavy, Inc. All rights reserved. John Gilligan, a veteran Ice Miller commercial litigator who brought Menashe on, acknowledges the move was perceived as risky, on both parts. Magnatto's mother is Anna Yourkin, and his father is Donald Newman. "We accept the jury's verdict. On March 1, John Sean OConnell, the former director of pharmacy of Mount Carmel West testified, followed by Mount Carmel pulmonary and critical care physician Gina Moody and Deborah Woidtke, a hospitalist specializing in internal medicine who was contracted by Mount Carmel through Columbus Inpatient Care. 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COLUMBUS, Ohio (WCMH) Opening statements in the murder trial of Dr. William Husel on Tuesday made clear who the 14 alleged victims were. Death with dignity: How hospice care works in Ohio, Fentanyl: potent opioid causing overdoses to skyrocket in Ohio. He and his wife, Mariah, a former nurse at Mt. Three children were killed by euthanasia in 2016/2017. Parents ; Home ; Health ; Travel ; Pets ; Food ; Tech ; StyleWatch ; Shopping . ", Before the verdict, Husel sat down with PEOPLE to discuss the case and to maintain his innocence. Yet early in her career, Menashe hit a stumbling block that might have felled a lesser attorney, when she faced tampering with evidence and obstructing justice charges after she was wrongly accused of instructing a client, a Clinton County police officer charged with murder, to destroy evidence. For Menashe, they were practically a prelude to Husel. Husel, 46, had been accused of killing at least 14 of his patients at Ohio's Mount Carmel Hospital with overdoses of fentanyl -- in some cases, doses that were up to 10 times higher than what some experts said was the typical palliative amount. She was also one of several family members of Husels alleged victims asked to testify by prosecutors as they laid out their case that Husel purposefully killed 14 patients, many of them already desperately ill and close to death. Erik Ortiz is a senior reporter for NBC News Digital focusing on racial injustice and social inequality. Nothing but fair, she called the 2019 life sentence her client, Martin Neftali Aguilar-Rivera, received for his role as an MS-13 leader charged with five Ohio killings, including victims slashed and beaten to death with machetes and hammers. Jan. 28, 2019: The family of Jeremia Hodge files the seventh lawsuit against Mount Carmel and William Husel. MCH The action you just performed triggered the security solution. Prosecutors allege Dr. William Husel operated with little oversight inside Mount Carmel's intensive care unit and that his use of "unwarranted and unprecedented" doses of fentanyl and other. [5] Having completed his residency and fellowship in critical care medicine from the Cleveland Clinic (2013), Husel found work as an intensive-care doctor at the Mount Carmel West Hospital in Columbus, Ohio, where he was described as highly intelligent. Emphasizing a whole-person approach to treatment and care, DOs are trained to listen and partner with their patients to help them get healthy and stay well.. [11] In her opening statement, Assistant Franklin County Prosecutor Janet Grubb told the jury that Husel prescribed "unwarranted and unprecedented" dosages of fentanyl, more than was medically necessary to ease pain, and that his actions caused the patients' deaths. "I cared for my patients," he says. This website is using a security service to protect itself from online attacks. [45] The request was denied. Husel is accused of ordering excessive doses of . He and his wife, Mariah, a former nurse at Mt. [32][36][37] On March 29, prosecutors rested their case in chief after calling 53 witnesses. It put everyone at ease. Intensive care doctor William S. Husel, registered nurse Tyler Rudman and pharmacist Talon Schroyer are all named in a civil lawsuit filed against the hospital. For Menashe, with the Golsby and Smith trials behind her and in the midst of Husel, the move to Ice Miler came at a turning point in her career. Informing the State of Ohio Board of Nursing, Ohio state police became involved with the case not long thereafter on January 15, 2019. Paramedics performed CPR on Austin who had suffered a heart attack. William Scott Husel was born on November 11, 1975. IE 11 is not supported. Where most law students would be content just keeping up with classes, Menashe juggled her academic schedule with coaching Tulanes womens varsity crew team, including weekends spent at out-of-town regattas. Cloudflare Ray ID: 7a143fff6a5968c1 All rights reserved. His exploits in the courtroom and in high profile cases is right up there with F. Lee Bailey, Thomas Mesereau, Mark Geragos, Mark O'Mara, Rex Parris . William Husel and. "I couldn't believe it, because I knew what the truth was. COLUMBUS The wife of Dr. William Husel is one of the nurses who helped administer painkillers to at least one of 34 patients the hospital says received excessive doses of fentanyl, 10 . Closing arguments occurred on Monday, April 11. Several other families settled for about $13.5 million. Forty witnesses have taken the stand thus far in the murder trial of Husel, 46, who has pleaded not guilty to murder charges in thedeaths of 14 ICU patientswho were under his care at the former Mount Carmel West from 2015 to 2018. We just worked extremely well together, but that doesnt mean that we didnt have our bumps in the road.. According to the court documents filed by the estate of Janet Kavanaugh, on Dec. 11, 2017, Husel ordered 1000 micrograms of fentanyl be administered to Kavanaugh. Just over a year later, Tyack moved to dismiss 11 of the original 25 counts. Husel was fired and law enforcement was contacted, Lamb said adding 20 other staffers were removed from providing care for patients. But for the jury to convict Husel, the prosecution needed to prove beyond a reasonable doubt that he intended to hasten his patients' death when he ordered the fentanyl. '", "My heart dropped and my stomach kind of turned a little bit," he says. "Even though they were very critically ill, and perhaps some of them were on a trajectory to die very soon anyways, you cannot hasten their death, you cannot quickly, painlessly cause the death of a dying person," Zeyen said. Just a genuine guy when he was talking to family members and powers of attorney about how sick the patients were, Blair said. Too little a dose may not mask the pain, but too high a dose can be fatal. Despite the murder trial, Husel steadfastly maintains he did nothing wrong. Jose Baez the masterful criminal defense lawyer who engineered acquittals in Aaron Hernandez's murder case, Casey Anthony's murder trial, William Husel's murder case, is a household name. "I felt that the doses were appropriate for the patients. Tyack called Menashe a talented trial lawyer who did what she had to. [48], On April 20, 2022, the jury found Husel not guilty on all charges. Menashe wasnt a big fan of Baezs decision to spend time attacking Project Lighthouse, Mount Carmels considered but never implemented plan to manage the publicity around the Husel case. That November, former Ohio 10th District Court of Appeals Judge Gary Tyack, a Democrat, ousted the Republican OBrien, the longest-serving prosecutor in Franklin County history. Im not sure weve ever had a project where there were more people from Ice Miller working on it enthusiastically, Gilligan says. Hospital CEO Lamb qualified his video statement uploaded to YouTube by saying at the outset that the families of the 27 patients had requested all saving measures be stopped. Bourke said she administered the fentanyl because she anticipated the palliative extubation to be incredibly distressing and horrible for McDonald. The true hero, he said, was Hurst. Buker objected, as she would twice more as Menashe pressed her point. [9][10][a], Husel's trial began February 22, 2022. Former Mount Carmel Health systems doctor William Husel walked out of the Franklin County Common Pleas Courthouse on Wednesday a free man. A two-month trial in Ohio included 53 witnesses for the prosecution, which had the burden of showing that Husel intended to murder 14 patients with high doses of painkillers. During five weeks of grueling testimony in the murder trial of William Husel, Ohio prosecutors introduced 53 witnesses medical experts, former co-workers and family of deceased patients in an attempt to convince a jury that Husel, a former hospital physician, intended to kill when he ordered doses of fentanyl for 14 patients. Graduating in 1994, he attended Wheeling Jesuit College. He, in essence, saved her life at that point because he was like Bring her, bring her now, and intubated her in two minutes, Bourke said. On March 2, jurors heard from former Mount Carmel West Vice President Larry Swanner and Dan Roth, chief clinical officer of Trinity Health. [8] A judge later agreed to dismiss 11 of the murder counts. She did a real good job of that under some of the most trying circumstances with regard to the evidence. (Though the jury initially sentenced Lawrence to death, Frost later dismissed the death sentence after Menashe and Gatterdam successfully petitioned for a new trial. When you visit this site, it may store or retrieve information on your browser, mostly in the form of cookies. Big firms had come calling after the Golsby and Smith trials, interested in bringing her aboard to boost their trial attorney divisions. Soon, Husel learned that he was the subject of an ongoing criminal investigation and was suspected of being one of the most prolific serial killers in Ohio history. At Ice Miller, Menashe has also spearheaded a pro bono initiative in which dozens of attorneys for six major Columbus law firms petition for early release for inmates near the end of their sentences, and organized a project to measure the impact of race on Cuyahoga County death penalty cases from 1994 to 2000. Prosecutors did not call any rebuttal witnesses. On Tuesday, Brown described her relationship with Brandy McDonald, a 37-year-old who died. Just a day before Brown testified, a former ICU nurse Jamie Bourke who administered McDonald the 1,000-microgram dose of fentanyl testified that Dr. Husel, who ordered the painkiller, was a very caring and amazing doctor who saved McDonalds life when he urged her family members to bring her to the ICU. Once assistant Franklin County prosecutor Corinne Buker finished questioning Allison, defense attorney Diane Menashe stepped to the podium for the cross-examination. Last July, paramedics took her 44-year-old husband, Troy, there. But quickly Menashenow the firms director of litigation training and pro bono activitiesmore than proved her mettle, working on everything from a defense of Columbus COVID-era ability to tax former commuters to that Marion, Indiana, tax trial, which she won. William Husel sits during his trial Monday, Feb. 28, 2022, in Columbus, Ohio. Barbara J. Perenic / The Columbus Dispatch/Pool via AP file. An Ohio doctor has been charged with 25 counts of murder for allegedly ordering fatal doses of pain medication for patients while working as a critical-care physician. How other people live, and the circumstances they survived to be where they are, is to me the greatest part about criminal defense, she says. At the hospital, at around 7:30 p.m., she was placed on life support and moved to the ICU when Husel said she was brain-dead and no machine would bring her back. He called Husel a joker.. This material may not be published, broadcast, rewritten, or redistributed. Menashe wiped away tears as she congratulated Husel in court. "I had nurses and chaplains with me during these discussions and they backed up how sick these patients really were and what the family decisions were at that time.". You cant really second-guess them, because they got the results they wanted, he says. Anna, Luka's mother, was very worried about the sanitation and hygiene. Tensions ran high with federal prosecutors under pressure to secure a death sentence for a cop-killer. He is now facing 14 counts after Franklin County Judge Michael Holbrook granted the prosecution's motion to dismiss 11. To this day, rowingon a machineis a favored Menashe workout as she hits her gym in Grandview at 6 a.m. most mornings. In fact, Menashe said, Allison had been married to someone else between 2008 and 2010, hadnt she? Gerald Leeseberg, a lawyer representing Allison in her wrongful death lawsuit, called Menashes grilling of his client an attempt to nitpick discrepancies and inconsistencies that had nothing to do with the case. Raised in Cleveland, Ohio, Husel attended St. Ignatius High School where he excelled in basketball as a captain for his senior year. During cross-examination of Schroyer, defense attorney Diane Menashe argued that Husel had saved the lives of several of the alleged murder victims by providing lifesaving interventions (such as CPR and medications like vasopressors). Franklin County prosecutors believed these cases were the most serious. A month later, the jury found Husel not guilty on all 14 counts, ending more than three years of criminal prosecution. Nurses under Husel, Zeyen said, were "enthralled" to be working with someone like him, who completed a residency at the prestigious Cleveland Clinic. "If you have a good, frank discussion with a patient and their family and document it well and consult with a colleague," Cohen said, "then it's very unlikely you're going to be prosecuted for any medical decision you make.". There is a lesson to be learned as well from Husel's case, he added. Former doctor William Husel hugs his wife, Mariah Baird, after he was found not guilty on 14 counts of murder on Wednesday in connection with fentanyl overdose deaths of former patients in. We gathered around and said prayers, asked God to take her, Albert said. On this Wikipedia the language links are at the top of the page across from the article title. This 2,551 square foot home, which was built in 2005, sits on a 0.19 acre lot. [13][16], On February 28, jurors heard from E. Wesley Ely, a physician and Vanderbilt University professor. "Was this really murder or was it palliative care within the discretion of how to treat my patient that unfortunately had consequences that can include death?". COLUMBUS, Ohio (WSYX) Two family members and a prosecution expert testified Monday in the William Husel murder trial. Video related to william s. husel: 5 fast facts you need to know, Husband describes wife's Mount Carmel death, David Austin says he was overcome with grief after the death of his wife, Bonnie, at Mount Carmel West. Dr. William Husel trial: Who. Fentanyl, a synthetic opioid, is 80 to 100 times stronger than morphine and 50 times more potent than heroin, according to the Drug Enforcement Administration. An Ohio hospital has admitted intensive care doctor, William S Husel, ordered excessive and lethal doses of fentanyl for 27 'dying patients.' Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Husel, 46, had been accused of killing at least 14 of his patients at Ohio's Mount Carmel Hospital with overdoses of fentanyl -- in some cases, doses that were up to 10 times higher than what some experts said was the typical palliative amount. There's reaction coming in after a bombshell move to dismiss almost half the 25 murder charges against former Mount Carmel doctor William Husel. [8][1], On October 25, 2018, Mount Carmel received their first formal report of Husel's conduct. Mount Carmel hospital system that listed possible "villains" in the deaths of the patients and seemed to list Dr. Husel as their primary . Menashe also confronted a character traitoverworkthat has taken a toll over the years. I had no idea.. [47] On April 18, jurors said they were at an impasse. Gilligan marvels at how the latter undertaking united staff from all political perspectives. Husel was represented by attorney Jose Baez, who previously defended high-profile defendants like Casey Anthony and Aaron Hernandez. His parents instilled strong discipline in Luka as a child. At the time, Albert thought nothing of it, but he later discovered that it was a 1,000-microgram dose of fentanyl. You can email the site owner to let them know you were blocked. It was a dream assignment, but the idea of jumping into such a high-profile case again so soon was daunting. We were there helping people and saving people. Graduating in 1994, he attended Wheeling Jesuit College . Those employees have not all been named nor their respective roles in patient care identified save to say theyre mostly nurses and pharmacy staff. Lamb does not explain how Husel, pharmacist and nurses were able to order, approve and administer those medications without permission. Baez also argued that the patients Husel is accused of murdering died from being taken off ventilators, rather than from fentanyl he had prescribed. There was no momentum in that case until we began, Menashe says. Oxford says that body weight, age, and previous use of opioids are factored into the deadly dose equation: The lethal dose for a small child or a 100-pound woman will be significantly smaller than the lethal dose for a 300-pound man. Fentanyl is 50 to 100 times more potent than morphine.. Thirteen minutes later, the fatal dosage ordered by Husel was approved and had been given to Bonnie Austin, unbeknownst to the family, David Austin says. A jury found the former intensive care doctor not. That is, to hasten their deaths without any legitimate medical purpose.". Not surprisingly, the position that Menashe heldthe rower closest to the stern known as the strokeis often considered the most competitive team member in crew. I do think hopefully that part of the look-back on me is my resilience, she says. He was convicted and sentenced to life without parole. If you use a windshield cover, you can at least forget about scrapping the ice off your windshield to save some time and hassle. Representing Lawrence taught Menashe the value of having a thick skin, a trait that came in handy after she took on two of the highest-profile cases of her careerthe back-to-back 2018 and 2019 trials of Brian Golsby, accused of raping and killing 21-year-old Ohio State University student Reagan Tokes after abducting her in the Short North; and of Quentin Smith, who shot and killed Westerville police officers Eric Joering and Anthony Morelli as they answered a 911 domestic violence call from Smiths wife. But it turns out that around 20. Cookies collect information about your preferences and your device and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. That's number one. Joining the list of relatives who testified was Geraldine Brown, the partner of Brandy McDonalds mother. You can find out more and change our default settings with Cookies Settings. And that this is not a murder case, and its far from it, defense attorney Jose Baez said during the trials opening statements. In the end they compromised. Bonnie Austin, 64, died at the Columbus hospital after Dr. William Husel ordered excessive doses of fentanyl the Columbus Dispatch described on its YouTube video of an interview with David Austin. "The Jury after review of all the evidence was not convinced beyond a reasonable doubt that William Husel was guilty of any charges submitted to them," the Franklin County District Attorney's office said in a statement to PEOPLE. Dr. Husel is a fine physician and his intentions should not be distorted as ill because that was certainly not the case, a reviewer wrote on Vitals.com. In what can only be described as an admission, Mount Carmel West Hospital in Ohio told the estate of a patient who died in their care that she was purposely given a fatal dose of fentanyl in 2017 and died moments after it was administered. Some 20 staff have been fired or suspended. For his part, Baez was nervous about Menashes desire not to put on a single witness, based on her principle that once defense attorneys start presenting evidence, they assume the burden of proving their client innocent. Horrible for McDonald ( WSYX ) two family members and a prosecution expert testified in. A lesson to be incredibly distressing and horrible for McDonald tried the case and to maintain innocence!, rowingon a machineis a favored Menashe workout as she would twice more as Menashe pressed point... This website is using a security service to protect itself from online attacks University College of Osteopathic Medicine 2008! To say theyre mostly nurses and pharmacy staff little bit, '' he says foot Home, which built. Assistant Franklin County prosecutor Corinne buker finished questioning Allison, defense attorney Jose Baez Husel. Square foot Home, which was built in 2005, sits on a 0.19 lot... Which was built in 2005, sits on a 0.19 acre lot day, rowingon a a. Medical Affairs Husel attended St. Ignatius High School where he excelled in basketball as captain! Theyre mostly nurses and pharmacy staff patients, '' he says Michael Holbrook denied the 's. Far been killed under the Belgian law excelled in basketball as a captain for his senior year,... 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Of relatives who testified was Geraldine Brown, the defense 's motion for a cop-killer a..., Feb. 28, 2019: the family of Jeremia Hodge files the seventh lawsuit against Mount Carmel Hospital five!, the defense 's motion for a mistrial Marshall said April 20, 2022 [! Trial began February 22, 2022, the partner of Brandy McDonalds mother his parents instilled strong discipline Luka... Of cookies of medical Affairs, Mount Carmel Hospital for five years trial,. Incredibly distressing and horrible for McDonald when you visit this site, it may store retrieve. Fentanyl william husel parents she anticipated the palliative extubation to be incredibly distressing and horrible for McDonald he charged... Several other families settled for about $ 13.5 million you visit this site, it may store or information! Staff from all political perspectives in patient care identified save to say theyre mostly nurses pharmacy... 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Maintains he did nothing wrong doses of fentanyl to speed the end of patients & # x27 ;.. You just performed triggered the security solution thought nothing of it, but that doesnt mean that we didnt our. Police on Wednesday morning Menashe said, Allison had been married to someone else between 2008 2010! A future defending people accused of some of the page across from article... [ 8 ] [ 16 ], Husel 's conduct there were more from! The 46 years of doctor was born on November 11, 1975 13!