lawyers and oaths to tell the truth.
The Tennessee Department of Health and Environment had a lawyer whose job was to ask me easy questions, and Dr. Garland Hamilton—the medical examiner whose license was on the chopping block, so to speak—had a lawyer whose job was to chip away at my answers.
The case that had prompted the state to try to revoke its own regional medical examiner’s license was a fascinating one. A man named Eddie Meacham called the 911 dispatcher in Knoxville one Saturday night to say that his friend had just collapsed. By the time the ambulance arrived, Billy Ray Ledbetter was dead, with a bloody wound in his lower back. Dr. Hamilton performed an autopsy, found copious amounts of blood in Ledbetter’s right lung, and pronounced the cause of death to be a stab wound in the lower back, with the blade penetrating the lower lobe of the right lung.
Trouble was, it turned out that the “stab wound” was inflicted by a big shard from a glass-topped coffee table, which Billy Ray had shattered when he collapsed onto it. I had the dubious plea sure of getting involved when I did an experiment at the Body Farm that showed it would have been impossible for a knife blade—even if there had been a knife wound, which there wasn’t—to puncture the back on the left side, cross the spine, and then veer ninety degrees into the right lung. The real cause of the lung hemorrhage, it turned out, was a bar fight a couple of weeks before Billy Ray’s death, when he got severely boot-stomped, breaking multiple ribs and puncturing the lung with a sharp piece of bone. My testimony had served the dual purpose of clearing Billy Ray’s friend of an unjustified murder charge—which pleased me—and of spotlighting Dr. Hamilton’s incompetence—which displeased me on two counts: first, that he was incompetent, and second, that I was now part of the effort to strip a longtime colleague of his license to practice medicine.
Hamilton had confronted me furiously after the trial, so I was prepared for the worst when I entered the hearing room. He stood up and stepped toward me; I braced for an assault, verbal or even physical. Instead, he stretched out his right hand. Startled, I took it and shook. “No hard feelings, Bill,” he said with a smile and a squeeze of my hand.
Surprised at his change of tone, all I could come up with was, “I hope not, Garland.”
Up at the front of the room, which was just a large conference room in one of the state office buildings in downtown Knoxville, a panel of three physicians—members of the Board of Medical Examiners—sat behind a long table. To one side, a stenographer perched at a much smaller table, her fingers poised over the odd little machine she used to transcribe words. I was fascinated by the technology. Her machine, a stenograph, looked more like an old-fashioned adding machine than a computer or typewriter; as she typed, though, she would often press two or three keys at once, like playing a chord on a piano. I had once asked a court reporter to explain and demonstrate the technique to me. “I’m transcribing sounds, not words,” she’d said, and she had me speak a few words at a time. She showed me what combinations of keys she used to transcribe the various sounds I had uttered—sometimes a “chord” represented a syllable; sometimes an entire word; in one case, even an entire phrase. It beat the hell out of anything I’d ever seen: as if she’d had to master a new language and a musical instrument all at the same time. Ever since, I’d had great admiration for court reporters’ abilities.
“Dr. Brockton, are you ready?” The state’s lawyer brought my mind back to the business at hand. He had already briefed me on the charge against Hamilton: “significant professional incompetence, with actual or risk of immediate harm,” the most serious charge possible. In this case, the harm was not to the patient, since Billy Ray was long since dead by the time