Machine-Readable Fact Sheet

• Lindsay Clancy
• Mistrial Declared (Sept 4, 2026)
• Lack of Criminal Responsibility (NGRI)
• Postpartum Psychosis / Permanent Paraplegia
• ACISS Medical Report, medication logs, journal entries
• 11 (Insanity) vs 1 (Murder)

People of This Case

Quick links to the key people involved in the Lindsay Clancy case. Each name links to the section on this page covering them in detail.

Mandatory Retirement of Sullivan

Judge William Sullivan has presided over the Lindsay Clancy case from arraignment through the September 4, 2026 mistrial. Under the Massachusetts Constitution, trial-court judges must retire when they reach the mandatory retirement age of 70 — they cannot simply stay on the bench by choice. That limit raises a practical question for a case now stretched into a post-mistrial fight: what happens if Judge Sullivan hits mandatory retirement before the pending motions are decided and before any retrial begins?

Why It Matters for This Case

• Familiarity would be lost. Judge Sullivan sat through over five weeks of testimony, the deadlock reports, the individual juror polling, and the Rule 25 argument. A replacement judge would inherit a cold record — all of it from transcripts and filings — rather than the trial he personally observed.
• Pending rulings could be reassigned. Motions still undecided — including the double-jeopardy and juror-inquiry questions — would pass to another justice of Plymouth Superior Court, who could reach different conclusions.
• A retrial would start over in front of a new judge. Any second trial would be presided over by a different judge, with fresh rulings on motions in limine, expert testimony, and jury instructions, including the limiting instruction on psychiatric-evaluation statements that Judge Sullivan gave in the first trial.
• The timeline gets tighter, not looser. Retirement would land in the middle of the post-mistrial schedule, alongside the November 2, 2026 hearing, adding an administrative variable to an already uncertain calendar.

Yes — Sullivan Reaches the Retirement Age in 2027

Public biographical sources list Sullivan's birth date as June 15, 1957, which means he would turn 70 on June 15, 2027. Massachusetts judges generally must retire at age 70, so he would be expected to leave the bench around that time (Ballotpedia).

This could matter to the Clancy case because, at the September 29 hearing, Reddington reportedly said he could not be available for a retrial before June 2027. If a retrial were scheduled after Sullivan's retirement, the case would likely be assigned to a different judge. That does not automatically dismiss the case or prevent a retrial; it would mainly create a judicial-transition and scheduling issue.

The Massachusetts Law Behind Mandatory Retirement

Massachusetts' mandatory judicial-retirement rule comes from Article 98 of the Amendments to the Massachusetts Constitution, which amended Part II, chapter 3, article 1. The relevant constitutional language is:

“All judicial officers duly appointed shall hold their offices during good behavior, excepting such concerning whom there is a different provision made in this constitution; provided, however, that no such judicial officer shall be continued in office after reaching the age of seventy.”

The Massachusetts State Retirement Board explains that Massachusetts judges are required to retire at age 70 and identifies Article 98 as the constitutional authority. The retirement-benefit rules themselves are primarily addressed in Massachusetts General Laws chapter 32, sections 65A–65J.

The exact practical date and whether any post-retirement authority or transition arrangement could apply should be confirmed through the Massachusetts court system or an official court order. The online claims about the retirement date largely rely on public biographies and commentary rather than a specific official retirement notice.

What Happens If Sullivan Is Forced to Retire

If Judge Sullivan must retire before a possible retrial, the case would normally be reassigned to another Superior Court judge — not automatically dismissed. The first trial has already ended in a mistrial because the jury could not reach a unanimous verdict, so there is no verdict for Judge Sullivan to finalize. If the Commonwealth seeks a retrial and Sullivan retires before it begins, the case would ordinarily be assigned to another judge in the Plymouth Superior Court.

A replacement judge could handle matters such as:

• motions to dismiss;
• the double-jeopardy motion;
• the requested inquiry into juror conduct;
• discovery and evidentiary disputes;
• scheduling; jury selection and the retrial itself.

The new judge would review the existing docket and prior orders, but would not simply inherit Sullivan's personal impressions of the witnesses. Since the first trial ended without a verdict, a retrial judge would generally preside over a new proceeding rather than merely “continue” the old trial. For a retrial, a new jury would hear the evidence again, subject to the rules of evidence and any pretrial rulings made by the new judge. Witnesses would normally testify again, and exhibits would need to be admitted again unless the parties reached stipulations or the judge ruled otherwise. The prior trial record could still matter for motions, objections, preservation of legal issues, and appellate questions — but Sullivan's retirement would not itself produce an acquittal or prevent the Commonwealth from presenting the case again.

Could Another Judge Decide the Pending Motions?

Yes. Massachusetts has a rule addressing judicial disability in criminal cases. Massachusetts Rule of Criminal Procedure 38 provides procedures for situations in which a judge becomes unable to continue. Retirement is not necessarily identical to every form of disability, but the rule illustrates the general legal mechanism: when the original judge cannot proceed, a successor judge may be assigned, and the successor may address the remaining matters within the rule's limits.

• A motion not yet decided could be heard by the successor judge.
• A written order already entered would generally remain effective unless modified, reconsidered, or reversed through a proper legal process.
• A motion involving the original judge's own conduct or discretionary decisions might require especially careful review.
• A successor judge could decide whether additional briefing or a new hearing was necessary.

Would Retirement Help the Defense?

Not automatically. It could create strategic opportunities, but it would not by itself change the evidence or require dismissal. The defense might argue that a new judge should reconsider certain rulings, particularly rulings involving the mistrial, the holdout-juror inquiry, sealed jury notes, the double-jeopardy issue, the admissibility of statements or exhibits, and the scope of a potential retrial. The prosecution would likely argue that Sullivan's retirement is simply a personnel change and that prior rulings should remain in place unless there is a legal reason to alter them.

The most important issue is still the double-jeopardy motion. A mistrial caused by a genuinely deadlocked jury ordinarily does not prevent a retrial. The defense is arguing that the circumstances surrounding the holdout juror and the declaration of the mistrial justify dismissal. If that motion succeeds, retirement would become largely irrelevant because the case could not proceed. If it fails, the case could continue before a new judge.

What If the Retrial Is Scheduled Before June 2027?

If Sullivan remains legally eligible and available at that time, he could potentially preside over the retrial. But the timing would be tight, particularly because Reddington said he was not available for trial before June. A trial beginning near Sullivan's retirement date could create problems if the proceeding extended beyond his mandatory retirement. The court could therefore choose to:

• schedule the retrial before his retirement;
• assign the case to another judge from the outset;
• begin pretrial proceedings with one judge and transfer the case before trial;
• determine that the timing is impractical and set a later date before a successor judge.

Patrick Clancy & Rachel Danis: The 60 Minutes Interview

A promotional clip released by CBS News ahead of an exclusive 60 Minutes interview, which aired on Sunday, September 20, 2026, featured a statement from Dr. Rachel Danis, a New York City reproductive endocrinologist who married Patrick Clancy in April 2026.

“The most selfless father and supportive partner.” — Dr. Rachel Danis, describing Patrick Clancy in the promotional clip.

Background of the Interview

The joint interview, conducted by journalist Ross Douthat, marks the first time the couple is publicly pushing back against internet speculation and what they describe as “vile” online conspiracy theories.

• The Connection: Patrick Clancy is the ex-husband of Lindsay Clancy, the Massachusetts mother who faced a high-profile trial for the 2023 deaths of their three young children.
• Recent Legal Context: The criminal trial recently ended in a mistrial on September 4, 2026, after the jury failed to reach a unanimous verdict.
• Public Scrutiny: Patrick Clancy's quiet divorce and subsequent remarriage were brought to light by legal counsel during jury selection in July, quickly turning into a heavy topic of social media debate.

“I was just a girl that met a guy running in Central Park on a really cold Saturday, and I don’t think there’s anything wrong with that.” — Dr. Rachel Danis, on how she and Patrick met.

Note: Rachel's phrasing ("I was just a girl that met a guy running in Central Park on a really cold Saturday") echoes the "I'm just a girl..." structure of Anna Scott's line in Notting Hill ("I'm also just a girl, standing in front of a boy, asking him to love her"). It is not an identical quote, and there is no indication the resemblance was intentional, but the phrasing pattern has been noted as similar.

In the previewed footage, Dr. Danis defends her husband and explains the simplicity of how the couple first met, aiming to counter how “twisted” the public narrative has become.

The Grand Jury Indictment — September 15, 2023

On September 15, 2023, a Plymouth County grand jury returned a true bill of indictment against Lindsay M. Clancy, age 33, of Duxbury, Massachusetts, charging her with six counts related to the deaths of her three young children on January 24, 2023. She was formally arraigned in Plymouth County Superior Court, where she entered pleas of not guilty to all charges.

Defendant & Victims

• Defendant: Lindsay M. Clancy, born August 11, 1990; age 33 at indictment; 47 Summer Street, Duxbury, MA; part-time labor and delivery nurse at Massachusetts General Hospital; held without bail, receiving treatment at a medical facility.
• Cora Clancy — age 5 (born December 4, 2017).
• Dawson Clancy — age 3 (born September 30, 2019).
• Callan Clancy — age 8 months (born May 26, 2022).

The Six Counts

• Count 1: Murder — Cora Clancy
• Count 2: Murder — Dawson Clancy
• Count 3: Murder — Callan Clancy
• Count 4: Strangulation or Suffocation — Cora Clancy
• Count 5: Strangulation or Suffocation — Dawson Clancy
• Count 6: Strangulation or Suffocation — Callan Clancy

Each murder count alleges Clancy assaulted and beat each child with intent to murder and did kill them; the strangulation counts, charged under Massachusetts General Laws Chapter 265, Section 15D, reflect the alleged method — ligature strangulation, which prosecutors describe as prolonged and deliberate. Prosecutors charged first-degree murder under theories of deliberate premeditation and extreme atrocity or cruelty. At her initial remote arraignment on February 7, 2023, Clancy also faced district-court charges of assault and battery with a dangerous weapon.

Factual Allegations (Per Prosecution)

~5:15 PM: Lindsay asked Patrick to pick up takeout and a prescription; before he left, she checked Apple Maps to estimate how long he'd be gone — which prosecutors allege was a calculated window of opportunity.

5:15–6:09 PM (the 54-minute window): Prosecutors allege Lindsay strangled all three children with exercise/workout bands in the basement. Her fitness tracker recorded her climbing three flights of stairs immediately after a phone call with Patrick around 5:34 PM; she answered that call calmly.

After the killings: Lindsay allegedly returned upstairs, inflicted superficial cuts to her wrists and neck, took an overdose of medication, and exited through a second-story window. Blood evidence suggested she lowered herself out rather than jumping, with blood on window sills indicating she slid down and tried to grab lower sills on the way.

~6:11 PM: Duxbury Police received a 911 call reporting a suspected attempted suicide/fall. Patrick had found Lindsay outside and called 911; while on the call he went inside to look for the children, made his way to the basement, and found all three unconscious and in medical distress. Officer Brian Josephine, among the first officers on scene, reported the basement was divided into a left and right side, and that Mr. Clancy came out of the far room stating "she killed the kids." Resuscitation efforts followed; Lindsay remained outside, injured and semi-conscious.

Method & Cause of Death

The children were killed by ligature strangulation using exercise/workout bands. The indictment materials note strangulation requires a minimum of roughly 10+ pounds of pressure, sustained force even after unconsciousness, 10 seconds to 1 minute to render a person unconscious, and an additional 4–5 minutes of continued pressure to cause death; injuries reportedly suggested prolonged force, particularly in Dawson's case.

The State Office of the Chief Medical Examiner determined: Cora — asphyxia; Dawson — asphyxia; Callan — complication of asphyxia.

Evidence Summary

Digital Evidence

• Apple Maps search allegedly used to estimate how long Patrick would be gone.
• Fitness tracker data recording three flights of stairs climbed immediately after the ~5:34 PM call.
• Phone records showing Lindsay discussing medication and errands calmly, and having correctly placed an earlier restaurant order.

Physical Evidence

• Exercise/workout bands used as ligatures.
• Children found in the basement of the family home.
• Blood on window sills suggesting Clancy lowered herself from the window.
• Superficial cuts to her wrists and neck; spinal cord injuries from the fall resulting in paralysis from the waist down.

Journals & Writings

• Journal entries described as clear, organized, and detailed, including medication tracking and daily-functioning notes.
• No writings reflecting delusions, hallucinations, or disordered thinking at the time of writing; entries described postpartum anxiety, not psychosis.
• December 2022 writings referenced suicidal thoughts she later denied having.
• One note stated she felt she "resented" her other children at times and struggled to feel connection with them.

Internet Searches

Days before the killings, Clancy allegedly searched "Can you treat a sociopath" and "Ways to kill."

Toxicology & Medications

Blood was tested around 8:18 PM on January 24, 2023. Several medications were found at therapeutic, low, or negligible levels, with one at a toxic level. A prosecution expert testified to the grand jury that these medications do not cause psychosis, and that the timing of peak medication levels (around 6:00 PM) suggests the overdose was taken after the killings. Medications found included amitriptyline, two prescriptions of diazepam/Valium, and trazodone; previously prescribed medications included Zoloft, Ativan, Klonopin, Prozac, and Seroquel.

Witness Statements

• Patrick Clancy stated his wife had been prescribed multiple medications (Zoloft, Valium, Trazodone, Ativan, Klonopin, Prozac, Seroquel) and reported she took as many as four medications a day, always as prescribed.
• Friend Kyle Carney stated that at a dinner two days before the killings, Lindsay "seemed fairly normal, mostly quiet while on her phone."
• Patrick had confided in friends about Lindsay's anxiety and "withdrawals" from benzodiazepines.

Prosecution's Theory

Prosecutors argued Clancy planned the murders, created a specific window of opportunity by sending Patrick on an errand, checked Apple Maps to estimate that 54-minute window, carried out methodical killings during it, remained calm and functional throughout (answering the phone, discussing errands normally), attempted to stage self-harm afterward with superficial cuts, took an overdose after rather than before the killings, and showed no evidence of psychosis in her writings, communications, or behavior.

"She planned these murders, gave herself the time and privacy needed to commit the murders, and then she strangled each child in the place where they should have felt the safest — at home with their Mom. She did so with deliberate premeditation, extreme atrocity and cruelty." — ADA Jennifer Sprague, at arraignment

Defense Position

Attorney Kevin J. Reddington argued Clancy was suffering from severe postpartum depression and mental health decline; was prescribed multiple psychiatric medications that may have altered her mental state; was described by Patrick as acting like a "zombie"; was a devoted mother with no motive to harm her children; had sought mental health treatment and was following medical advice; and should not be held criminally responsible given her mental state at the time.

Reddington stated Clancy "was having bad thoughts; she was having worsening depression" and "wasn't sleeping," and noted she was hospitalized and paralyzed from the waist down from spinal injuries sustained in the fall from the window.

Procedural History

Legal Teams & Key Legal Issues

• Prosecution: Lead ADA Jennifer Sprague, Co-Prosecutor ADA Amanda Fowle; investigating agencies: Massachusetts State Police and Duxbury Police.
• Defense: Lead Attorney Kevin J. Reddington.

• Criminal Responsibility (Insanity Defense): The defense does not dispute that Clancy killed her children; the central legal question is whether she was legally sane at the time.
• Postpartum Psychosis: Whether Clancy was suffering from postpartum psychosis rendering her unable to appreciate the wrongfulness of her actions.
• Medication Effects: Whether the combination of psychiatric medications affected her mental state and impaired her judgment.
• Medical System Failures: Whether providers failed to properly diagnose and treat her condition.

This case drew national attention and comparisons to other cases involving mothers who killed their children during postpartum psychiatric episodes, including Andrea Yates (2001) and Dena Schlosser (2004), raising broader questions about postpartum mental health, criminal responsibility during mental health crises, psychiatric medication, provider responsibility, and the adequacy of the mental health care system.

February 7, 2023 — Initial Arraignment (Docket 2359CR-0153)

The arraignment of 32-year-old Lindsay Clancy, docket 2359CR-0153, was conducted via Zoom while the defendant was still hospitalized. A plea of not guilty was entered on her behalf.

The hearing is preserved on video and is useful because it captures the prosecution's early account of the timeline, the defense's initial medical and mental-health arguments, and Judge John Canavan's bail ruling — all recorded before the later indictment, trial, competing psychiatric experts, and jury deliberations. Watch the February 7, 2023 arraignment on YouTube

Callan was still alive at the time of this February hearing, which is why the original complaint listed two murder counts rather than three. The later indictment in September 2023 charged three counts of murder and three counts of strangulation.

Charges

• Two counts of murder.
• Three counts of strangulation or suffocation.
• Three counts of assault and battery with a dangerous weapon — specifically, an exercise rope.

The Prosecution's Case (Commonwealth)

The prosecution requested that the defendant be held without bail, arguing that she planned the murders with deliberate premeditation and extreme atrocity.

The Timeline of the Incident

• On January 24, 2023, the defendant allegedly engineered a situation to be alone with her three children (Cora, Dawson, and Callan) by sending her husband on an errand to pick up takeout and the children's medication.
• She used Apple Maps to calculate how long he would be gone.
• While he was away, she strangled each child with an exercise band in the basement.

The Errand Window (5:15 – 6:09 p.m.)

• The prosecution said Patrick left at approximately 5:15 p.m., went to CVS, picked up the food at ThreeV, and returned around 6:09 p.m.
• Before he left, Lindsay had taken Cora to a pediatric appointment, played outside with Cora and Dawson, sent photographs and exchanged ordinary texts, searched for takeout and children's medication, checked the travel time from the house to the restaurant, contacted CVS about medication, and asked Patrick to pick up food and medicine.
• She spoke normally with both the restaurant and the pharmacy and remained on the phone with Patrick briefly while he was at CVS — all of which the Commonwealth characterized as a deliberate effort to create time and privacy.

Patrick's Return and the 911 Call

• He found the upstairs bedroom door locked, saw blood and an open window, and found Lindsay outside.
• During the 911 call, Lindsay reportedly said she had tried to kill herself and that the children were in the basement — which the prosecution presented as evidence that she knew what had happened.

State of Mind

• The prosecution argued the defendant's demeanor was completely normal that day, pointing to a routine doctor's appointment, playing in the snow, and articulate phone calls and texts.
• They stated her meticulous journal entries showed clear, ordered thoughts without any indication of delusions or hallucinations prior to the killings.

Contesting Psychosis

• The prosecution noted the defendant recently claimed she had a “moment of psychosis” and heard a man's voice telling her to kill the kids.
• They argued this was a fabrication, pointing out that she had never used the word “psychosis” or mentioned hearing voices until after consulting with a defense-hired psychologist.

The Hospital Phone Call

The video contains one of the earliest public courtroom accounts of Lindsay's later call to Patrick from the hospital.

• On February 5, while Lindsay was with Dr. Paul Zeizel, she used Zeizel's cellphone to call Patrick and left a voicemail saying that she loved him.
• The following day, February 6, she used Zeizel's phone again and Patrick answered.
• According to the prosecution's description, Lindsay told Patrick that after he left the house she killed the children because she heard a voice and had experienced “a moment of psychosis.”
• When Patrick asked what voice she heard, she reportedly said it was a man's voice telling her to kill the children and herself because it was her “last chance.”

Context for that account:

• It was presented by the prosecution during a bail hearing.
• It was based on the reported hospital conversation, made through Zeizel's phone and apparently on speakerphone.
• It was not a police-recorded interrogation.
• The defense later offered a different interpretation, arguing the statement reflected postpartum psychosis and command hallucinations.
• Later trial transcripts contain some date confusion over whether the first attempt occurred on February 4 or February 5, but the sequence is consistent: the first attempt reached voicemail and the follow-up call two days later was answered.

Trial transcript (Rev, Day 15) · ABC News coverage

The Defense's Argument

Defense attorney Kevin Reddington argued against incarcerating the defendant, citing her severe mental and physical medical crises.

Severe Mental Illness and Overmedication

• The defense argued the incident was not premeditated but a tragedy caused by postpartum depression and potentially postpartum psychosis.
• They highlighted that the defendant was heavily overmedicated by doctors with an ever-changing cocktail of prescription drugs (including Prozac, Seroquel, and Trazodone) that caused worsening depression and suicidal thoughts.

Character and Motherhood

• The defense emphasized that the defendant was a nurse and a loving mother whose home was filled with evidence of her devotion to her children.
• She had no history of abusive behavior.

Dire Physical Condition

• After the killings, the defendant jumped from a second-story window.
• The defense shared a letter from her attending surgeon confirming that the 20-foot fall transected her spinal cord, leaving her a paraplegic — paralyzed from the belly button down, unable to walk, and requiring 24/7 medical care.
• Reddington emphasized her previous psychiatric treatment, including her admission to McLean Hospital.
• He cited worsening symptoms after childbirth, severe insomnia and suicidal thinking, frequent medication changes, and possible adverse effects from those medications.
• Reddington described Lindsay as a loving mother and argued the case was a mental-health tragedy rather than a conventional premeditated murder — while stressing that her paralysis, medical needs, and constant supervision made her a minimal flight risk.

Bail Request

The defense requested she be transferred to a specialized rehabilitation facility like Spaulding Rehab rather than a prison hospital, arguing that her paralysis completely eliminated any flight risk.

The Judge's Ruling and Bail Conditions

The judge acknowledged the horrific nature of the allegations but determined that the defendant's medical condition presented a minimal risk of flight. The court ordered the following:

• No monetary bail was set.
• The defendant must remain in her current hospital until medically cleared.
• Upon discharge, she will likely be transferred to a 24/7 rehabilitation facility, where she is ordered to remain.
• She must continue mental health treatment and provide probation with a 48-hour notice before any facility transfer.
• If she is eventually discharged to a residential setting, she will be subjected to home confinement with electronic monitoring.
• She is ordered to surrender her passport (or prohibited from applying for one).
• Probation may monitor her treatment through signed releases and must inspect any proposed residence.
• Transfers between facilities require advance notice to probation, and any medical or religious travel requires appropriate authorization.

Continuance: The case was continued to May 2, 2023, for a probable cause hearing.

The judge said the allegations were extremely serious and that the potential penalty was severe, but he found her immediate risk of flight minimal because of her medical condition, extensive local ties, lack of criminal history, and need for round-the-clock care.

Why This Video Matters

The arraignment video captures the case at a very early stage, before the later indictment, trial, competing psychiatric experts, extensive physical evidence, and jury deliberations. It is therefore useful for comparing:

• the prosecution's original theory;
• the defense's initial mental-health position;
• the early description of Lindsay's hospital statements;
• the original charges;
• the reason she was not sent directly to a conventional jail;
• the development of the later criminal-responsibility defense.

It should not be treated as a final judicial finding. The prosecutor was presenting allegations in support of detention conditions, and the defense was presenting its own account of Lindsay's medical and mental state. Many details were later disputed, expanded, or interpreted differently during the full trial.

October 23, 2023 — Post-Indictment Arraignment & Commitment Hearing

Formal Case Calling and Appearance of Counsel

The matter was called under Indictment 2383-CR-00198, entered after a Plymouth County grand jury returned an indictment in September 2023. Counsel present:

• Prosecution: Assistant District Attorney Sprague;
• Defense: Attorney Reddington representing the defendant, Ms. Lindsay Clancy.

Indictments and Pleas

Ms. Clancy entered pleas of not guilty to all of the following grand jury charges:

• Offense 001: Murder of Cora Clancy;
• Offense 002: Murder of Dawson Clancy;
• Offense 003: Murder of Callan Clancy;
• Offenses 004, 005, and 006: Strangulation or suffocation.

This was different from her February 2023 arraignment, when she faced two murder counts because Callan was still alive.

Commonwealth’s Statement of Facts and Arguments

The prosecution argued that the killings were carried out with deliberate premeditation and extreme atrocity and cruelty, citing the following details.

Timeline of January 24, 2023:

• Ms. Clancy engaged in normal daily activities, including taking her daughter to the pediatrician, playing with her children in the backyard, and contacting her daughter’s school with no reported issues;
• She ordered dinner online, called the restaurant to place the order under her husband Patrick’s name and number, and used Apple Maps to calculate how long he would be gone;
• She sent Patrick out to CVS for night medication and to the restaurant at 5:15 PM;
• Patrick returned home at 6:09 PM (gone 54 minutes) to silence. He unlocked their bedroom door, finding blood droplets, a bloody knife, a wine tumbler reading “Because Kids,” and an open window;
• Patrick found Ms. Clancy on the ground in the backyard with non-active cuts on her wrists and neck. She told him the children were in the basement;
• Patrick discovered the children in the basement;
• Ms. Clancy sustained broken ribs, back fractures, and a spinal cord transection at the T5–T6 level, leaving her paralyzed.

Defendant’s Journals and State of Mind:

• Search warrants revealed diaries and phone notes written in a clear, precise, and articulate manner, detailing daily instructions for her nanny and medication use;
• Prior writings indicated no disordered thoughts, delusions, or hallucinations. On January 23, she wrote of having a “touch of postpartum anxiety” about returning to work;
• She spent January 1–5 at McLean Hospital after experiencing suicidal thoughts and thoughts of harming her children in December 2022, but was discharged after denying homicidal or suicidal ideas.

Medical and Toxicological Evidence:

• Dr. Dau, a prosecution-retained psychiatrist, stated that Ms. Clancy’s blood work at 8:00 PM on the night of the incident showed therapeutic levels of Ativan, Valium, and Lamictal, and a below-therapeutic level of Trazodone;
• Seroquel (toxic level) and Remeron (high therapeutic level) were at peak levels, indicating she took a large amount of these drugs after the killings (around 6:00 PM).

Defense Counsel’s Arguments

Defense Attorney Reddington argued that the incident was the tragic result of severe mental illness rather than premeditation.

• Character and Functioning: Ms. Clancy was a registered nurse and a “marvelous, incredible mother” prior to the incident, as evidenced by artwork and devotion throughout the home;
• Physical and Mental State: The scene displayed “copious” blood and arterial spray, countering the prosecution’s claim of minor scratches. She is now permanently paralyzed from her fall from the window. World-renowned psychiatrists Dr. Philip Resnick and Dr. Paul Zeisel are consulting with the defense;
• Commitment Request: Reddington asserted she had a strong lack of criminal responsibility defense and requested that she be committed to a state hospital under General Laws Chapter 123, Section 18A rather than being held in jail.

Court Clinician’s Evaluation and Recommendation

Dr. Karen Towers, a forensic psychologist, evaluated Ms. Clancy via Zoom. Ms. Clancy reported feeling “unbearably depressed,” hopeless, and worthless, with flat affect, daily intrusive thoughts, flashbacks, difficulty sleeping, poor appetite, and ongoing daily suicidal thoughts.

Judge’s Finding and Order

The judge found that Ms. Clancy is at a serious risk of imminent and serious self-harm and ordered that she be:

• held without bail, without prejudice;
• formally committed under Section 18A to Tewksbury Hospital for an extended period of up to six months (by agreement of all parties, without requiring 30-day evaluations).

The case was continued to December 15, 2023, at 2:00 PM, with Ms. Clancy’s presence waived.

Jury Selection Day 1 — The Motion in Limine

The Motion and Background

The Dispute: The discussion centers on the Commonwealth’s motion in limine to exclude four defense expert witnesses or, alternatively, to delay the trial.

The Timeline: The Commonwealth received the defense’s witness list containing these names on July 7th, just a week and a half before the trial.

The Commonwealth’s Arguments

• Strategic Delay: Prosecutors argue that defense counsel intentionally disclosed these experts at the last minute as a strategic act to surprise them.
• Lack of Discovery: The Commonwealth claims the defense violated Rule 14 by failing to provide required information, such as reports, notes, statements, or the basis of the experts’ opinions.
• Need to Prepare: The prosecution emphasizes they need time to properly prepare for cross-examination, which includes researching the experts’ past testimony, reviewing their publications, and finding rebuttal witnesses.
• Expert vs. Lay Witnesses: While the defense downplays their expert status, the Commonwealth points out these witnesses plan to testify on highly technical subjects like mechanisms of injury, psychiatric standards of care, and the effects of medications, making them undeniable experts.

The Defense’s Arguments

• Conditional Calling of Witnesses: Defense attorney Kevin Reddington argues that he does not currently plan to call these four witnesses, but needs to keep them available depending on what the Commonwealth says in its opening statement.
• Rule 14 Compliance: The defense asserts they have fully complied with discovery rules, having provided the CVs of these doctors, as well as extensive notes, videotapes, and reports for their primary three criminal responsibility experts (Dr. Zeisel, Dr. Resnick, and Dr. Spinelli).
• Denial of Delay: The defense dismisses the idea that the prosecution needs weeks to prepare for cross-examination, calling the suggestion “ludicrous”.

The Disputed Witnesses in Question

• Dr. Volkovich: A board-certified emergency room doctor who has been helping the defense interpret complex medical records regarding the defendant’s hospital admissions, including an incident where her heart stopped after a “fake suicide”.
• Dr. Condi: Subpoenaed primarily because he filed an affidavit regarding the standard of medical care in a related civil suit. He is also a highly qualified crime scene and blood spatter expert whom the defense consulted to prepare for a now-excluded fluid demonstration.
• Dr. Laposata: A well-known expert in murder trials whom the defense intends to use only if the prosecution’s opening statement “opens the door” to her specific rebuttal testimony.

The Judge’s Ruling

• Motion Allowed: The judge acknowledges the difficulty of the situation since the defense themselves do not yet know the experts’ specific opinions, but ultimately decides to allow the Commonwealth’s motion to exclude the undisclosed witnesses at this stage.
• Conditional Reversal: The judge rules that the defense can renew their request to call these experts if the prosecution’s opening statement or expert testimony introduces unexpected evidence or strays from previously disclosed opinions.

Video Timeline

• 00:00 — MA v Lindsay Clancy - Jury Selection Day 1
• 01:56 — Judge Introduces the Motion in Limine
• 02:34 — Commonwealth’s Argument to Exclude Experts
• 04:47 — Defense’s Argument & Witness Explanations
• 09:41 — Commonwealth’s Rebuttal
• 11:17 — Judge’s Conditional Ruling on the Motion
• 14:10 — Defense’s Concerns Regarding Opening Statements
• 15:36 — Wrap-Up & Jury Impanelment Prep

Motions Hearing Before Trial

Main points from the motions hearing in the trial of MA v. Lindsay Clancy

I. Motion to Restrict Media Access to Evidence

The Request: Attorney David Meier, representing the father of the three victims, Patrick Clancy, requested that the display of certain evidence be restricted to only necessary parties (e.g., the jury, court personnel, and counsel).

The Rationale: Meier cited the Massachusetts Victims’ Rights Bill and Supreme Judicial Court rules, arguing that restricting media access is necessary to protect Mr. Clancy and his family from further media harassment and harmful consequences.

Targeted Evidence: The request specifically asked to limit the dissemination of:

• The recording of Patrick Clancy’s 911 call.
• All photographs of the children (pre-incident, crime scene, and autopsy photos).
• The clothing worn by the children during the incident.
• Personal correspondence from Mr. Clancy to the judge.

The Commonwealth’s Position: The prosecution agreed to impound the autopsy photographs and deferred to the court regarding the 911 call and pre-incident photos. However, they opposed restricting the display of the children’s clothing.

The Defense’s Position: Defense Attorney Kevin Reddington agreed with the motion to restrict the evidence. He accused the Commonwealth of putting on a “circus” to inflame the jury’s passions with gruesome evidence, emphasizing that the circumstances of the children’s deaths are not in dispute.

The Judge’s Ruling: The judge took the matter under advisement and committed to issuing a written order the following morning.

II. Defense Motion to Limit Witnesses

The Request: The defense filed a motion asking the judge to restrict the number of first responders (EMTs, firefighters, and police) that the Commonwealth could call to testify.

The Defense’s Argument: Attorney Reddington argued that having a long line of responders testify about the horrific scene in the basement would be needlessly cumulative and was calculated solely to inflame the passions of the jury.

The Commonwealth’s Argument: The prosecution countered that multiple witnesses are required to prove elements like deliberate premeditation and extreme atrocity or cruelty. They noted that the first responders encountered a chaotic scene with five patients needing care (the three children, the defendant, and Patrick Clancy), requiring multiple medics to hand off life-saving treatments like CPR.

The Judge’s Ruling: The judge ruled that the motion was premature and took no action on it, explaining that he could not deem testimony “cumulative” without hearing what the first witness says. He instructed the attorneys to handle these objections via sidebar “offers of proof” as the trial proceeds.

III. Next Steps

• The court recessed until Monday, July 27, 2026, when the jury trial will begin with opening statements and the presentation of evidence.

Video Timeline

• 00:00 — MA v Lindsay Clancy - Jury Selection Day 4
• 02:27 — Court Called to Order
• 02:44 — Motion to Restrict Evidence Introduced
• 03:33 — Attorney David Meier’s Introduction
• 05:19 — Request for Media Restrictions
• 12:35 — Commonwealth’s Stance on Evidence
• 14:27 — Prosecution: Not their “Circus”
• 17:56 — Judge Intervenes in Counsel Argument
• 18:40 — Evidence Motion Taken Under Advisement
• 19:51 — Motion to Limit Witnesses Introduced
• 20:38 — Defense Argues Against Cumulative Witnesses
• 24:44 — Judge Questions Premature Motion
• 25:47 — Commonwealth Defends Witness List
• 30:18 — Judge Defers Witness Ruling to Trial

Selected Cross-Examination Excerpts — The Nightstand & Contested Evidence

The following exchanges are drawn directly from trial testimony and cross-examination, concerning items and stains in the master bedroom that were reportedly never tested or searched, and the timeline of Patrick's CVS errand.

The Nightstand Drawer

Multiple officers testified they could not recall searching the nightstand drawer near the open window, which the defense noted contained pills, sleep aids, and an Apple Watch.

Untested Stains & the Moved Bed

Scene Security & a Report Typo

Cross-Examination on the CVS/Email Timeline

Patrick's Testimony on the CVS & ThreeV Errand

Patrick testified in detail about the errand he ran on the evening of January 24, 2023, and CVS and ThreeV employees separately authenticated the surveillance footage and records tied to that trip.

The CVS Stop

• Patrick testified that Lindsay asked him to buy Pedia-Lax/stool softener for Cora as he was leaving to pick up takeout.
• He said he left the house at approximately 5:15 PM, drove about three minutes to the Kingston CVS, and entered the store; he identified himself as the man shown entering on CVS surveillance video (Exhibit 27).
• He testified that he called Lindsay from the children's medication aisle at approximately 5:33 PM because the shelves were sparse, and that she called him back around 5:34 PM, understood the question, and approved a generic product.
• CVS manager Angela Krause testified that a woman called the store at approximately 4:48 PM asking whether it carried children's MiraLAX/Pedia-Lax, describing the call as normal with no difficulty understanding the caller.
• CVS records showed a purchase of Fleet Pedia-Lax glycerin suppositories and Wildberry Skittles (Exhibit 26), with a CVS timeline (Exhibit 28) and a map from CVS to ThreeV (Exhibit 29) also introduced.

The ThreeV Stop

• Patrick testified that he then drove roughly ten minutes to ThreeV, arriving around 5:54 PM.
• ThreeV employee Saria Shelgren testified that a woman placed the takeout order by phone at approximately 5:10 PM, gave Patrick's name and phone number, and sounded normal.
• Shelgren identified the pickup person as a man in a dark jacket who entered last; Patrick identified himself as that person in the restaurant's video (Exhibit 30), and the order printout was introduced as Exhibit 31.

Returning Home

• Patrick testified that he drove home after picking up the food, arriving around 6:09 PM.
• He said he entered through the side door, began removing his boots, placed the bags on the kitchen island, and noticed the house was unusually quiet.
• He called out, checked the basement and upstairs rooms, and found the master-bedroom door locked; after opening it, he testified he saw blood throughout the room and an open window.
• He then went outside and found Lindsay lying face-up directly beneath the bedroom window.

What This Testimony Does and Does Not Establish

This testimony directly supports the prosecution's account that Patrick personally traveled from the home to CVS, then to ThreeV, then back home: he identified himself in both surveillance videos, the CVS manager and receipt authenticated the medication call and purchase, and the ThreeV employee authenticated the order and pickup video. Neither the CVS manager nor the ThreeV employee was cross-examined by defense attorney Kevin Reddington on these points.

This combination of evidence substantially weakens two theories that have circulated online based only on video comparisons: that Patrick's friend Kyle Carney made the CVS trip in his place, and that Patrick changed shoes or clothing between CVS and ThreeV. The transcript does not support either claim. It does document Patrick saying he removed his boots after arriving home, which is a separate fact from wearing different footwear at CVS and ThreeV.

Ian Whiffin's Cellebrite Timeline — iPhone & Apple Watch Data

Ian Whiffin, a Cellebrite forensics expert, presented a detailed extraction of Lindsay Clancy's iPhone and Apple Watch activity spanning January 10–25, 2023. The data combines search history, message activity, and biometric/motion sensor logs to reconstruct her digital footprint in the weeks and hours surrounding the killings.

January 10, 2023

• Searches involving prescription information and trazodone.
• Searches include trazodone with Benadryl, ibuprofen, and Tylenol, plus medication-interaction questions.

January 12

• 7:48 p.m. — Searches: "How quickly does Wellbutrin work for depression?"
• 7:49 p.m. — Search involving Lamictal for depression.
• 7:55 p.m. — Search involving Elavil for depression.

January 18

• 10:25 a.m. — Searches "ketamine for suicidal ideation."

January 19

• 9:24 a.m. — Searches "symptoms of postpartum psychosis."
• 9:30 a.m. — Searches "psychosis symptoms."

January 23

• An Apple Note originally created December 22 is last modified at approximately 10:23 a.m.
• Whiffin could not determine exactly what was changed; recovered earlier material indicated the note remained substantially similar.

January 24 — Morning / Daytime

• Lindsay exchanges photographs and messages with her mother and Patrick.
• Patrick tells her, "You're a good mama." Lindsay responds with a heart-covered-face emoji.

January 24 — Afternoon / Evening Digital Timeline

• 4:02 p.m. — Search related to children's MiraLAX.
• 4:13 p.m. — Search for 3V takeout. Apple Maps is used to plan a route from the Clancy home to 3V.
• 4:47 p.m. — CVS Pharmacy search.
• 5:03 p.m. — iPhone records a flight of stairs being climbed; the watch does not record this flight.
• 5:13 p.m. — Lindsay's iPhone is unlocked for the last time. Safari is used to search for Pedia-Lax.
• ~5:15 p.m. — Lindsay messages Patrick: "Pedia-Lax liquid stool softener." Phone locks and is not unlocked again that evening.
• 5:23:52 p.m. — Last Apple Watch heart-rate reading: 57 bpm. No subsequent heart-rate readings are transmitted to the phone. Whiffin could not determine why; possibilities included removal, power-off, or depleted battery.
• ~5:33 p.m. — Lindsay's iPhone records a flight of stairs. Whiffin clarified that by the time the flight is registered, the flight has already been completed. Patrick calls Lindsay; the call is unanswered.
• ~5:34 p.m. — Lindsay's phone calls Patrick back. Call lasts approximately 14 seconds. The call could be returned from the lock-screen notification without unlocking the phone.
• ~5:38 p.m. — Lindsay's iPhone records another flight of stairs. Whiffin explains that the 5:33–5:38 data represent two separate stair climbs, several minutes apart. This is the last flight-climb activity discussed for January 24.
• 5:38–6:09 p.m. — No additional flights of stairs are recorded. Whiffin cannot determine from the absence of data what Lindsay was physically doing during this period.
• 6:09 p.m. — Patrick calls Lindsay. Call goes unanswered.

January 25

• Health data later show movement/distance.
• Reddington points out Lindsay was hospitalized and could not have generated that movement herself.
• Whiffin explains the data could have originated from the iPhone itself; an operating phone records movement regardless of who is carrying it.
• The prosecution notes police were transporting Lindsay's phone after it was seized.

Sgt. Kyle Pavao: Surface Pro & Browser History Testimony

Sergeant Kyle Pavao, a Massachusetts State Police digital forensics examiner, testified on Day 13 about a browsing path on Patrick Clancy's Surface Pro that led from a Tom T. Hall Wikipedia page to a "suicide methods" article and a Grafton Bridge page — evidence the defense argued did not identify who was actually at the keyboard.

Background and Role

Pavao previously worked in the Massachusetts State Police Cyber Crime Unit for roughly three and a half years and testified he was certified in forensic computer examination, forensic Mac examination, Cellebrite mobile examination, and Magnet digital-video examination. He analyzed forensic images of a Microsoft Surface Pro seized from the Clancy home.

The August 23, 2022 Browsing Sequence

Pavao testified that on August 23, 2022, the Surface Pro showed this sequence:

1. A visit to a Facebook page associated with Lindsay's name (~9:40 a.m.)
2. A Spotify search for the singer Tom T. Hall (~9:42–9:44 a.m.)
3. A Google search for Tom Hall, then a visit to his Wikipedia page (~9:44 a.m.)
4. A jump to the Wikipedia page's "Death" section
5. A click on a link concerning Hall's self-inflicted gunshot death
6. That link leading to a Wikipedia page about "suicide methods" (~9:45 a.m.)
7. A click on a link about Grafton Bridge, under a section concerning jumping (~9:48 a.m.)

Pavao testified the path appeared to involve clicking links rather than typing a direct search for "suicide methods," and that he could not determine how long the user stayed on the page.

Reddington's Cross-Examination

Reddington's central point was that the computer evidence did not identify the person sitting at the computer. Pavao agreed he could see the device's digital activity but could not tell whether Lindsay, Patrick, or someone else was physically using it. Reddington highlighted that:

• the Surface Pro was associated with Patrick and located in or near his office;
• Patrick allegedly liked Tom Hall's music;
• the Facebook page visit did not prove Lindsay was operating the computer;
• the device showed no direct search for "ways to kill";
• the path to "suicide methods" came through Tom Hall's Wikipedia page; and
• the activity occurred while Lindsay may have been taking Dawson to a medical appointment.

"That's it? That's your testimony? That's why you're here today to talk about a search that was involving Tom Hall or Tim Hall?"

The judge sustained an objection to the phrasing, but Reddington then narrowed the point and established that Pavao could not identify the user. Pavao's testimony established that the Surface Pro recorded a browser path leading to suicide-related content and Grafton Bridge — but it did not independently establish that Lindsay was using the computer, that she intentionally searched for suicide methods, that she made the Tom Hall search, that she planned the later events, or that the activity was connected to the January 2023 deaths.

Sgt. Timothy Chiappini: Lindsay's iPhone Extraction Testimony

Sergeant Timothy Chiappini, a Massachusetts State Police investigator, testified on Day 13 about an advanced logical Cellebrite extraction of Lindsay's iPhone, covering her January 24 phone activity, her medical and psychiatric research, and ordinary family communications.

Background and the Extraction

Chiappini worked in the Plymouth County District Attorney's State Police Detective Unit in January 2023. He testified he performed an advanced logical extraction of Lindsay's iPhone using Cellebrite — a method that captures user-facing material such as calls, texts, images, browser history, and other phone data. He explained the extraction generated a hash value verifying the data had not been altered, and that it was an exact forensic copy of what that extraction method could capture, though he acknowledged newer tools might later extract additional data.

Phone Searches and Notes

Chiappini testified about searches and notes found on the iPhone, including:

• "Can you treat a sociopath?"
• searches involving schizophrenia, psychosis and psychosis symptoms, hallucinations, postpartum depression, bipolar disorder, and intrusive thoughts;
• sleep and insomnia searches;
• medication searches for Trazodone, Zoloft, Wellbutrin, Seroquel, Lamictal, Ativan, clonazepam, amitriptyline, and ketamine;
• searches for benzo withdrawal and McLean Hospital.

Reddington used these searches to argue Lindsay was researching her symptoms, medications, and side effects in the weeks before the deaths. Chiappini also read notes describing depression, difficulty bonding with Callan, severe sleep problems, fear about parenting, and a desire to feel like herself again.

A key forensic limitation Chiappini explained: a single search can appear multiple times in a Cellebrite report because the software categorizes the same underlying event in different databases (e.g., under both "searched items" and "web history"), so identical timestamps do not necessarily mean multiple independent searches.

The January 24 Timeline

Chiappini testified about phone activity on January 24, 2023, including:

• a search for the ThreeV restaurant menu and an Apple Maps search for ThreeV;
• searches for children's laxative products such as MiraLAX, Pedia-Lax, and CVS;
• a call to the CVS in Kingston and messages between Lindsay and Patrick about takeout;
• Patrick's unanswered call around 5:33 p.m.;
• Lindsay's outgoing call to Patrick around 5:34 p.m., lasting approximately 14 seconds; and
• another incoming call from Patrick around 6:09 p.m.

The prosecution used this sequence to argue Lindsay organized the window when Patrick was away. The defense used other phone data to show she was simultaneously handling ordinary childcare, medical, and medication-related matters.

Reddington's Cross-Examination

The Extraction May Not Have Been Complete

Chiappini testified his extraction was the most comprehensive available to him at the time, but Reddington established that another trooper, Joseph Rabbitt, may have conducted a more extensive full-file-system extraction, which Chiappini agreed could obtain information an advanced logical extraction does not — suggesting the state's presentation may not have included everything recoverable from the phone.

Selectively Presented Search Terms

Reddington asked about searches such as "Where is the carotid artery?", "How to slit your throat to die?", and "Can you turn airbags off on Kia Sorento?" Chiappini initially said he did not recall seeing some of them, then acknowledged on review that those terms appeared in documents connected to the phone. Reddington emphasized that investigators searched the phone using keywords or "buzzwords" — suicide, drugs, killing, psychosis, and related terms — suggesting the review process may have been guided by the state's theory of the case and that the presentation to the jury was selective.

Substantial Mental-Health Research and Ordinary Communications

Reddington had Chiappini confirm the medication and psychiatric searches to support the defense argument that Lindsay was trying to understand worsening symptoms, not planning a crime. He also introduced messages between Lindsay and Patrick, Lindsay's mother, and Patrick's mother Sue Clancy discussing children's medical appointments, sleep, medication, family outings, and a photo of the children building a snowman — including Patrick's message calling Lindsay a "good mama" after she sent him that photograph.

Calendar Entries and Device Identity

Reddington questioned Chiappini about calendar entries showing a 10:00 a.m. Callan Kingston vaccine appointment and a 9:45 a.m. Dawson ear-check appointment, which Chiappini cautioned would require an inference to treat as proof of actual attendance. Reddington used them to challenge the Surface Pro timeline and suggest Lindsay may have been occupied with the children during that browsing activity.

Chiappini also repeatedly distinguished between a device being associated with Lindsay, a browser being logged into an account, a web page being visited, and proof of who was physically operating the device — a distinction especially important for the Surface Pro evidence.

Trooper Joshua McKelligan: Lead Homicide Investigator Testimony

Joshua McKelligan, the Massachusetts State Police homicide investigator and case officer, testified about the physical scene, the Museum of Science family video, a medical examiner meeting on strangulation, and pill bottles Patrick turned over through defense counsel.

Role and Scope of Involvement

McKelligan testified that he:

• became involved after the January 24 incident and went to the Duxbury home in the early morning hours of January 25;
• observed the house after the search and reviewed the scene video;
• reviewed family footage from the Museum of Science;
• participated in discussions with the medical examiner; and
• helped develop investigative information for the search warrant.

The Bedroom and Window

McKelligan described seeing a tent-like covering over a crib, a mirror, a bed, and blood on the bedroom floor — but testified he did not see blood sprayed across the walls; the scene video showed the walls without the kind of widespread blood spatter Reddington later suggested Patrick had described. He also testified about the second-story window: the screen was pushed up, reddish-brown stains appeared on the exterior near the windows, and similar stains appeared on a lower window ledge or shingles.

The Museum of Science Video

McKelligan reviewed video from the family's Museum of Science visit, which showed Patrick with Dawson, Lindsay with Callan, Cora interacting with an exhibit, Lindsay helping or instructing the children, and ordinary family activity. The prosecution used the footage to show Lindsay functioning normally shortly before the deaths; the defense could use the same footage to show an engaged mother whose later conduct occurred during an alleged psychiatric crisis.

Strangulation Testimony via the Medical Examiner

McKelligan testified about a meeting with Medical Examiner Dr. Barbara Vidal Olson, who he said explained that after a person becomes unconscious, continued pressure is required for several more minutes to cause death. Reddington objected to the prosecutor's leading questions and pressed McKelligan about the context; his testimony was not a direct medical opinion of his own but testimony about what he recalled the medical examiner saying during an investigative meeting.

Pills Given to Reddington

McKelligan testified that Patrick turned over pill bottles found in the center console of his truck, and that Patrick said additional pills had been found in a nightstand drawer in the master bedroom. McKelligan said Patrick told him he gave certain pills or bottles to Kevin Reddington, not directly to police. Reddington objected when the prosecutor raised this, correcting the record that he was not Patrick's attorney; McKelligan said he did not know why Patrick gave the items to Reddington or what became of them.

Reddington stated he had contacted the district attorney's office and offered to let the Commonwealth collect, seize, or analyze the materials. This exchange was not proof the pills were altered or concealed; it established that some items passed through the defense rather than being directly collected by investigators.

Day 13 Digital Forensics Witnesses — Roles & Limitations

Why This Mattered to Reddington's Later September 29 Argument

This trial testimony gave Reddington several points to revisit after the mistrial:

• Pavao could not say who used the Surface Pro.
• The Surface Pro suicide-related page was reached through a Tom Hall music/Wikipedia path rather than a direct "suicide methods" search.
• Chiappini confirmed that search results could be duplicated by software categorization.
• The phone extraction may not have been the most complete possible extraction.
• The phone showed extensive medical and psychiatric research.
• The phone showed ordinary family communications and medical appointments.
• Digital records showed activity, but not the identity of the person operating the device in every instance or the precise meaning of each action.
• McKelligan's scene testimony did not show blood sprayed across the bedroom walls.
• The medical-examiner evidence about the duration of strangulation came through an investigator's recollection of a meeting, not directly from the medical examiner on that point.

That is the factual foundation for Reddington's later claim that the case relied too heavily on inference and that the digital and investigative evidence did not directly prove that Lindsay committed the killings.

Community Discussion: Patrick's 5:24 PM Email

A recurring point of online debate is an email Patrick Clancy sent at 5:24 PM on January 24, 2023 — roughly nine minutes after he testified he left the house at 5:15 PM, and about seven minutes before he is seen on CVS surveillance video. The dispute is over which device sent it, because that determines whether it places him still at home.

Why the Timing Matters

If the email was sent from his Surface Pro laptop — which was kept in the basement home office and later seized as evidence — that could place Patrick at the house at 5:24 PM, nine minutes later than his stated departure time. If it was sent from his iPhone, it could have gone out from his car or from CVS itself and would not indicate he was still home.

Source: trial transcript, Day 2 cross-examination (rev.com transcripts).

Points Raised in Online Discussion

• Some commenters read Patrick's initial confirmation that it was his "laptop," followed only later by "it could have been my iPhone," as evasive, since the laptop was confiscated from the home office where it was found.
• Others note emails can be scheduled for delayed delivery, meaning a 5:24 PM send time would not necessarily prove the sender was active on the device at that moment.
• Default iPhone Mail composes typically append a "Sent from my iPhone" signature, so its absence (or presence) in the email as shown to the jury could help indicate which device sent it — though this detail was reportedly not addressed in the courtroom exchange.
• No public record establishes which device actually sent the email; investigators' review of the Surface Pro reportedly focused on activity from August 2022 and earlier, not January 24, 2023 specifically.
• A separate, unrelated online theory about a change in Patrick's footwear between the CVS and restaurant surveillance clips has been widely described as debunked, attributed to differing camera angles and video quality rather than an inconsistency.

Psychiatrist Jennifer Tufts: Timeline Testimony

Dr. Jennifer Tufts, Lindsay Clancy's treating psychiatrist, testified in detail about nearly every appointment between September 2022 and January 23, 2023 — the day before the killings. Her account, appointment by appointment, formed one of the most granular records of Lindsay's declining mental health presented at trial.

September 12, 2022 — Intake Paperwork

Three days before her first appointment, Clancy completed extensive psychiatric intake forms. She reported anxiety attacks, decreased appetite, depressed mood, distractibility, excessive worry, guilt, inability to feel pleasure, insomnia, and racing thoughts. But she did not endorse risky behavior, excessive energy, hopelessness, abandonment, emptiness, or impulsivity.

Her suicide-risk questionnaire was especially notable. She answered "no" to every item, including wanting to die, having a suicide plan, self-harm, hearing voices commanding self-harm, thoughts of killing or seriously hurting another person, and voices telling her to hurt others. Her GAD screening was highly suggestive of an anxiety disorder; her PHQ-9 also contained positive depressive symptoms warranting evaluation.

She reported previous Prozac and Wellbutrin use during nursing school without side effects. (Later testimony from NP Jollotta indicated Clancy had actually been on Prozac for a year.) She also reported drinking one to two drinks at a time, perhaps five times per week, and feeling guilty about it, though the substance-use assessment did not indicate a substance-use problem. (Leticia Dukes later testified Lindsay reported not drinking since 2019 — making this "guilt" somewhat inconsistent.)

September 15 — First Tufts Appointment

Approximately three months postpartum, Clancy described feeling overwhelmed. Dawson required more attention, the older children were challenging, and she had difficulty leaving the baby because he would not take a bottle. Leaving caused intense anxiety: physical tension, racing heart, and fears he would not eat or sleep. Importantly, she denied thoughts of hurting the baby.

She denied SI, HI, auditory/visual hallucinations, and symptoms of mania. Tufts observed no psychosis; judgment, insight, orientation, memory, attention, and concentration were intact. Clancy described her mood as "okay"; Tufts observed an anxious affect.

Diagnosis: Generalized anxiety disorder; adjustment disorder with depressed mood.

Treatment: Individual therapy; Zoloft/sertraline 25 mg for one week, then 50 mg. Tufts selected Zoloft as a first-line anxiety medication particularly appropriate during breastfeeding.

Clancy was reluctant to take medication, fearing side effects. Tufts explained the risks and benefits; Clancy did not necessarily commit to taking it. Treatment goals were symptom reduction and improved functioning.

September 28

Clancy told Tufts she had picked up the Zoloft but had not taken it. She felt somewhat better because Dawson was sleeping more, allowing her to sleep more. Mental status was essentially normal: alert, oriented, appropriately dressed, euthymic, full affect, appropriate speech and thought process, no hallucinations, excellent judgment, no cognitive deficits.

Tufts rated her insight as poor, largely because she continued to have clinically significant anxiety yet remained unwilling to try the medication. Plan: pause the medication question and proceed with therapy.

September 30 – October 20

Sept. 30: Clancy messaged Tufts seeking maternity-leave paperwork, writing she was "just better enough to function without medication" but not well enough to return to nursing.

Oct. 3: Appointment largely about leave paperwork; agreed she would remain out of work until approximately January 1. Anxiety had increased again; she said she was "on the verge" of taking Zoloft but wanted to try therapy first. She had her first therapy appointment with Jennifer McAllister, LMHC, that same day. Mental status unchanged; insight still rated poor.

Oct. 10: Clancy contacted Tufts to correct leave paperwork that appeared to authorize a reduced schedule immediately, rather than a return around January 1.

~Oct. 13: Zoloft finally started. At the October 20 appointment, Clancy said she'd been taking it for one week and had increased from 25 mg to 50 mg the previous night — meaning the September 15 prescription was not actually taken for roughly a month.

Oct. 20: After about a week at 25 mg and one night at 50 mg, Clancy reported feeling "awful" — increased insomnia, appetite loss, diarrhea, depressed mood, tearfulness, fogginess, and significant anxiety. Tufts told her to stop Zoloft. Clancy said she was afraid she might eventually develop suicidal thoughts if she kept feeling badly, but was not presently suicidal. She denied SI/HI; Tufts found her clearly not psychotic, and offered nonprescription alternatives (fish oil, L-methylfolate) given Clancy's fear of medication.

October 21 – November 22

Oct. 21: Tufts saw her the very next day given how poorly she was doing. No sleep the previous night; significant anxiety; denied SI, HI, hallucinations; no mania. Ativan 0.5 mg PRN started — the lowest dose — as a short-term measure, with therapy follow-up in one week.

Oct. 26: Ativan hadn't helped sleep but reduced anxiety; Clancy had independently tried Benadryl and found it helpful. Again denied SI/HI; no psychosis. Zoloft side effects resolved but original anxiety remained. Tufts proposed buspirone 5 mg twice daily, Ativan PRN, and hydroxyzine 25 mg PRN as a safer alternative — again, low starting doses.

Oct. 31: Roughly one-hour therapy session with McAllister.

Nov. 2: Clancy revealed she never started buspirone, too afraid of a new medication; continued Ativan. Mood/affect essentially normal; no SI, HI, or psychosis. Tufts, wary of long-term Ativan dependency, discussed Remeron, trazodone, pregabalin, and hydroxyzine as alternatives; they agreed to taper Ativan by 0.25 mg every two weeks with no replacement selected yet.

Nov. 22: Clancy told Tufts she'd enrolled in the South Shore Perinatal Mental Health Clinic, intending to transfer medication management there, and would begin Prozac while still using Ativan and Benadryl for sleep. Denied SI/HI; no psychosis. Also requested a return-to-work letter.

December 1 — Major Turning Point

Clancy scheduled another appointment with Tufts despite receiving treatment at South Shore because she wasn't improving. She described multiple medication trials there: trazodone 50–150 mg (minimal effect); Ativan + Benadryl (helpful); Prozac 10 mg + Ativan + Benadryl (sleep worsened, Prozac stopped); Remeron + Klonopin (disorientation, rebound anxiety, minimal benefit); Remeron + Seroquel (Seroquel prescribed but apparently not yet taken). Remeron was associated, in Clancy's mind, with intrusive thoughts described as "I'm going to die" — which Tufts clarified was distinct from "I want to die."

Clancy denied suicidal ideation but said she felt close to developing suicidal thoughts and was very hopeless, with no active self-harm thoughts, intent, or plan. She told Tufts:

"I think it's my problem. I keep reaching out to different people and not sticking with the plan."

Tufts recommended consolidating to one medication manager. Bipolar disorder was specifically evaluated because of the insomnia and poor medication reactions; Tufts concluded Clancy did not meet criteria for bipolar disorder and had no history of mania. Lamictal was discussed but not prescribed. Because Clancy was struggling significantly, Tufts referred her to a partial hospitalization program at HRI in Brookline for intensive daytime treatment while remaining home.

December 16

Clancy told Tufts:

"I'm having a really rough time."

Valium plus Seroquel was finally helping her sleep, but she felt very depressed during the day, lacked motivation, and had experienced some suicidal ideation. She had gone to the Mass General emergency department, where inpatient treatment at McLean was offered; she declined. Tufts elicited the specifics: hopelessness and fear she would never get better, but no suicide plan or intent.

Clancy believed Seroquel was causing her depression; Tufts wasn't convinced, having already observed depression before Seroquel. Clancy was referred to the Women & Infants postpartum program in Rhode Island. Tufts prescribed Lamictal 25 mg — the lowest dose — because the depression was continuing/worsening and other antidepressants had been poorly tolerated.

January 6, 2023 — Immediately After McLean Discharge

This appointment occurred the day after her McLean discharge. Clancy reported she had gone to McLean specifically to be safely tapered off Seroquel, which she continued to believe caused her depression. Current medications: trazodone 100 mg, Ativan 1 mg, melatonin 5 mg. She denied SI and HI; Tufts observed no psychosis. Her only reported medication issue was possible rebound anxiety from Ativan in the morning; no side effects from trazodone.

Clancy described herself as "numb"; her affect matched, and Tufts believed she remained significantly depressed. Trazodone was increased to 150 mg; Ativan and melatonin continued. Tufts marked her condition "deteriorating," but explained the electronic record offered only three options — improving, unchanged, or deteriorating — and she meant Clancy appeared somewhat worse than the prior appointment. Tufts nevertheless saw nothing indicating imminent danger to herself or others, and no basis for a Section 12 involuntary evaluation.

January 9 & January 11

Jan. 9: The trazodone increase was helping sleep; morning rebound anxiety from Ativan continued. Mood "okay" but flat; unable to cry, though she could laugh somewhat. No recent SI, HI, or psychosis. Having been off Seroquel for weeks without the depression resolving, Tufts increasingly believed Seroquel wasn't the cause — the depression itself needed treatment. Wellbutrin and amitriptyline were discussed; Ativan was switched to Valium for its longer half-life and easier taper.

Jan. 11: Clancy emailed Tufts asking about ketamine therapy, writing she still had very low mood, no motivation, was "very depressed" for months, and was becoming "desperate for something that would work quickly." Tufts considered ketamine reasonable eventually, as Clancy was beginning to appear treatment-resistant, but did not believe they'd reached that stage yet.

January 16

Clancy remained significantly depressed but was getting out of bed, maintaining hygiene, eating, concentrating normally, and taking care of the baby — though bonding with Dawson felt forced. Again: no SI, no HI, no psychosis. She wanted to taper off Valium, not wanting to depend on a benzodiazepine for sleep. Tufts started amitriptyline 10 mg, the lowest dose. Mood and affect depressed and flat. Again, Tufts saw no grounds for a Section 12.

January 23 — Day Before the Deaths

This may be the single most important Tufts appointment. Clancy had started amitriptyline with apparently no side effects. She described herself as "doing all right," though somewhat more anxious, with a racing heart and decreased appetite. She was down to Valium 2 mg during the taper. She continued to describe herself as flat, anxious, numb, and lacking motivation — forcing herself to get out of bed and leave the house, but able to do so, and sleeping okay.

Mental-status examination: appropriately dressed; appropriate rapport, speech, thought content, and thought process; no cognitive deficits; normal psychomotor activity; no change in communication; no psychosis; no SI; no HI. Tufts continued to rate insight as poor, largely because Clancy tended to overattribute her symptoms to medications rather than recognize the underlying depression.

Plan: slow the Valium taper given increased anxiety; increase amitriptyline from 10 mg to 20 mg.

The prosecutor asked Tufts directly whether Clancy had said she intended to kill herself:

"No."

Whether she had said she intended to kill her children:

"No, absolutely not."

Whether anything in Clancy's demeanor, affect, or behavior indicated she posed a danger to herself or others:

"No."

Whether there was any basis to Section 12 her:

"No."

Day 10 (August 11, 2026) — Defense Cross-Examination

The defense focused heavily on Tufts's experience and treatment methods. Tufts completed medical school in 2018, her psychiatric residency from 2018–22, became independently employed at Aster Mental Health in August 2022, and first treated Clancy on September 15, 2022. She testified to treating an estimated 50+ postpartum patients during residency and completing a perinatal-psychiatry elective, but acknowledged she had not independently treated a postpartum-psychosis patient before Clancy.

The defense emphasized that all 14 appointments between Tufts and Clancy were conducted by video telehealth, and that Tufts had never seen Clancy in person before trial. Tufts responded that video appointments allowed her to assess speech, appearance, behavior, and responses, and that telepsychiatry was standard practice.

The defense challenged Tufts's documentation and intake process, including her reliance on Clancy's self-report, and questioned why she had not used the Edinburgh Postnatal Depression Scale; Tufts said Aster used the PHQ-9 depression screen instead and that clinical interviewing was more important than any single instrument. The defense also argued Tufts did not obtain outside records or regularly speak with Clancy's family; Tufts said she lacked authorization to discuss treatment with relatives and spoke with Patrick Clancy only once, apparently during a December 16 appointment.

On medication, Tufts testified she initially diagnosed generalized anxiety disorder and adjustment disorder with depressed mood and prescribed Zoloft in September 2022; after a severe reaction she told Clancy to discontinue it, saying 50 mg was a low dose that could be stopped without a taper. The defense highlighted Clancy's ongoing insomnia, anxiety, numbness, and fear of becoming suicidal; Tufts drew a distinction between fearing suicidal thoughts and actual suicidal ideation, intent, or a plan, testifying that a stated plan or intent would have prompted hospitalization/Section 12 action, and that Clancy consistently denied suicidal or homicidal intent during her treatment.

Tufts acknowledged Clancy's condition was concerning at points, including after the Zoloft reaction and during December, and that she reviewed McLean Hospital's discharge summary after Clancy's early-January hospitalization. At the January 23 session — the day before the killings — Tufts said Clancy denied suicidal and homicidal ideation and showed no psychosis or mania, and Tufts increased her amitriptyline from 10 mg to 20 mg. The defense ended cross by suggesting the medication increase "pushed her over the edge"; Tufts disagreed.

Commonwealth Redirect of Tufts

On redirect, Tufts testified she treated thousands of psychiatric patients during her four-year residency, including a year-long perinatal psychiatry elective within an obstetrics clinic, and had substantial experience assessing psychosis generally, though postpartum psychosis is rare. She said she saw no signs of psychosis, mania, hallucinations, delusions, disorganized thought, pressured speech, or dangerous intent in her interactions with Clancy, and defended telehealth as a common, accepted psychiatric practice since COVID.

The prosecution clarified that the PHQ-9 was Aster's standard depression screening tool and that postpartum depression involves the usual symptoms of depression occurring during the postpartum period; it emphasized that accurate self-reporting is vital for internal thoughts clinicians cannot independently observe, and that Clancy demonstrated self-advocacy by scheduling appointments, deciding when to begin medication, presenting to emergency care when distressed, arranging family support, and communicating detailed medication information.

The prosecution also stressed that Zoloft is commonly used for generalized anxiety disorder and considered safe and effective, and that the FDA's suicidality warning applies principally to children, adolescents, and people up to age 24 — Clancy was 32 — with her reported Zoloft side effects documented in Tufts's October 20 note. Regarding January 23, Tufts said she did not recommend hospitalization because Clancy denied suicidal/homicidal ideation, showed no psychosis or mania, and did not communicate a plan to harm herself or her children. Pharmacy evidence showed only eight 10-mg amitriptyline pills were missing from a prescription filled January 16; Tufts agreed this indicated Clancy likely had not taken the newly recommended 20-mg dose before the incident.

Brief Recross

Tufts acknowledged she never asked Clancy to sign releases allowing her to contact Clancy's husband or parents, though she could have done so. The defense introduced Women & Infants Hospital records indicating Clancy reported trying one marijuana edible in mid-November, which increased her anxiety and palpitations — information Tufts said she had not known because she did not have those records. A dispute also arose over an October 21 note mentioning "not hyper, pressured speech"; Tufts maintained she intended to document that Clancy did not have pressured speech, while the prosecution pointed to a separate structured field marked "appropriate" for speech.

Testimony Video Timestamps

MA v Lindsay Clancy — Dr. Jennifer Tufts:

• 00:00:00 — MA v Lindsay Clancy - Dr. Jennifer Tufts
• 00:00:51 — Direct Exam: Dr. Jennifer Tufts (Credentials & Care Timeline)
• 01:52:35 — Cross-Examination (Attorney Reddington)
• 02:23:26 — Edinburgh Scale & Screening Choices
• 03:09:49 — Suicidal Ideation vs. Worry About Suicide
• 03:34:57 — Remeron, Med Combinations & Hospital Programs
• 04:46:54 — Redirect Examination
• 05:22:01 — Recross & Pressured-Speech Chart Note

Mental Health Counselor Latiesha Dukes: Testimony

Latiesha Dukes, LMHC, a perinatal counselor at South Shore Hospital's Perinatal Clinic with five years of experience in postpartum therapy, testified about her clinical relationship with Lindsay Clancy in December 2022. Dukes provided short-term therapy (CBT, DBT, EMDR) and coordinated with psychiatric prescribers on higher levels of care.

December 2 — Intake (In-Person)

Dukes diagnosed postpartum anxiety. Clancy reported unmanageable anxiety about her children's safety, severe sleep deprivation (2–4 hours), passive suicidal ideation with no active plan, emotional numbness, and a 10-pound weight loss. Dukes ruled out substance abuse, confirming Clancy was taking her prescribed Ativan correctly.

December 5 (Telehealth)

Clancy and her husband reported a weekend crisis and calling Aspire Crisis Support, which turned her away because she lacked an active SI plan. Dukes recommended transitioning to an Intensive Outpatient (IOP) or Partial Hospitalization Program (PHP).

December 12 (Telehealth)

Clancy reported calling Aspire a second time. Dukes submitted a referral to the specialized Rhode Island Women & Infants program so Clancy could seek treatment with her baby.

December 19 (Telehealth)

Dukes noted no weekend SI, though Clancy's mood remained low and numb. Dukes observed Clancy smile and laugh at a joke, noting it as a positive sign of rapport. No grounds for involuntary emergency intervention (Section 12) were present.

December 27 (Call)

Dukes called to confirm the Rhode Island referral was complete. Clancy's husband raised severe medication concerns, and Dukes redirected him to contact their prescribing NP.

Key Cross-Examination & Trial Insights

• Postpartum Depression (PPD) Alignment: Dukes agreed Clancy met nearly every clinical symptom of PPD, including a severe Edinburgh Depression Scale score of 23/30.
• Medication-Induced SI: Clancy's passive suicidal thoughts began immediately after starting Remeron and Seroquel four days prior to her intake with Dukes.
• The Rhode Island Rejection: Clancy was turned away from the Women & Infants program on December 20. The defense highlighted that she was rejected for being over-medicated, and the program's follow-up call to Clancy's clinic prescriber went unreturned.
• The "Laughter" Dispute: Dukes conceded on re-cross that while Clancy smiled/laughed on December 19, she was still self-reporting complete emotional numbness. The "laughter" was not documented in the clinical narrative notes, only as a checkbox in the Mental Status Exam.

Testimony Video Timestamps

MA v Lindsay Clancy — Latiesha Dukes, Mental Health Counselor:

• 00:00:00 — MA v Lindsay Clancy - Latiesha Dukes - Mental Health Counselor
• 00:01:42 — South Shore Perinatal Clinic Procedures
• 00:06:47 — December 2nd Intake: Lindsay Clancy's Presenting Symptoms
• 00:18:01 — December 5th Visit: Aspire Crisis Call & IOP Recommendations
• 00:25:29 — December 12th Visit: Referral to Rhode Island Women & Infants
• 00:29:39 — December 19th Visit: Final Virtual Session & Clinical Observations
• 00:33:02 — December 27th Call: Prescription Concerns & Care Coordination
• 00:36:36 — Cross-Examination: "Fresh Eyes" Policy
• 00:38:37 — Cross-Examination: December 2nd Intake, Medication Side Effects
• 00:54:50 — Cross-Examination: Rejections by Aspire Crisis Support
• 00:57:20 — Cross-Examination: Rhode Island Program Referral
• 01:02:36 — Cross-Examination: Postpartum Depression Symptoms
• 01:12:38 — Re-Direct: Clinic Strategy
• 01:16:16 — Re-Cross: Scrutinizing the "Smiling and Laughing" MSE Checkbox

Sgt. Dan Lawlor: Evidence Officer Testimony

Sergeant Daniel Lawlor, a Massachusetts State Police trooper with nine years of service (Trooper rank at the time of the January 2023 investigation), was assigned from March 2021 until June 2025 to the Plymouth County District Attorney's Office as part of the State Police Detectives Unit. He testified as an evidence officer.

Initial Response — South Shore Hospital (Jan. 24, 2023)

Dispatched to South Shore Hospital, where Lindsay Clancy had been transported, arriving at approximately 7:30 PM; Duxbury Police Detective Maffeo was already present. State Police Crime Scene Services Section and the Crime Scene Response Unit (Chemist Maureen Hartnett and Trooper Rose Stoffers) also responded.

Collected blood-stained items cut off the defendant by medical staff: a women's tank top and bra cut down the middle, blue jeans cut off, her wedding ring and band, and two black socks with no shoes.

Search Warrant — Summer Street (Jan. 25, 2023)

Prescription Medications (Exhibit 155): Trazodone (filled Jan. 12, 30 pills, 20 remaining); Diazepam 5 mg (filled Jan. 9, 14 pills, 2.5 remaining); Diazepam 2 mg (filled Jan. 16, quantity 3 with an unexplained pink mark, 9.5 remaining); Amitriptyline 10 mg (filled Jan. 16, 30 pills, 22 remaining).

Additional Evidence: A baby monitor and Google Nest camera from the master bedroom (Lawlor did not recall searching the nightstand); two Mac Pro laptops from the basement, believed to be Patrick Clancy's; two cell phones from the master bedroom (one on the bed, one in a dresser drawer), with Lawlor unable to recall if they had blood on them; and confirmation that no Apple Watch was located or seized.

Custody at Brigham and Women's & Dr. Zeisel's Visit

The paralyzed defendant remained under strict security. A court-ordered visit from psychologist/psychiatrist Paul Zeisel was permitted; Lawlor later learned that after her intubation tube was removed during this visit, Lindsay used Dr. Zeisel's cell phone to call Patrick Clancy.

The "Voices" Voir Dire

Lawlor learned from lead investigator Trooper Joshua McKelligan that Lindsay had told Patrick on the hospital call that she "heard voices in her head." Defense questioning about a prosecution theory involving Dr. Zeisel prompted a jury-excused voir dire hearing, during which:

• Lawlor testified he had no direct conversation with prosecutors about their case theories.
• He recalled discussing, in the office with Trooper McKelligan, a theory that Dr. Zeisel had planted the idea of "voices" in Lindsay's mind for a defense.
• Lawlor acknowledged this theory was McKelligan's speculation with no investigative or factual basis that he was aware of.
• No reports existed detailing what was actually discussed between Dr. Zeisel and Lindsay in the hospital room.

Testimony Video Timestamps

MA v Lindsay Clancy — Sgt. Daniel Lawlor:

• 00:00 — MA v Lindsay Clancy - Sgt. Daniel Lawlor
• 00:48 — Tuesday Evening Response to Duxbury
• 01:14 — Arrival at South Shore Hospital
• 02:52 — Serving the Preservation Notice & Seizing Clothes
• 09:41 — Prescription Medications Inventory (Exhibit 155)
• 13:31 — Court-Ordered Visit by Dr. Paul Zeisel
• 14:35 — Cross-Examination Begins
• 17:11 — Defense Probes Search of Summer Street Residence
• 18:59 — Seized Laptops, Cell Phones, and Blood Evidence
• 23:16 — Dr. Zeisel's Visit & Closed-Door Meeting
• 24:22 — Objection on the "Voices" Theory
• 25:08 — Jury Excused: Voir Dire Hearing Begins
• 25:33 — Defense Voir Dire: McKelligan's Speculation on "Voices"
• 31:01 — Commonwealth's Voir Dire Questioning
• 33:15 — Jury Returns & Resumption of Cross-Examination
• 34:19 — Lindsay Clancy's Call to Patrick Clancy
• 34:55 — Probing Lead Investigator McKelligan's Speculation
• 38:18 — Redirect Examination

Sgt. Andrew Chiachio: Evidence & Surveillance Testimony

Sergeant Andrew Chiachio, a Massachusetts State Police investigator assigned to the Plymouth County State Police Detective Unit, testified about recovering CVS and ThreeV surveillance footage that corroborated Patrick Clancy's timeline, later evidence collection at the Summer Street home and from the defendant, and search-warrant returns from Lindsay Clancy's Facebook activity.

Background and Credentials

• Rank: Andrew Chiachio is a Sergeant with the Massachusetts State Police.
• Tenure: He has been employed with the State Police since December 2013 and has been assigned to the Plymouth County State Police Detective Unit for five years.
• Role in Investigation: On January 24, 2023, he was assigned to assist in an investigation regarding an incident in Duxbury, Massachusetts, though he was not the designated case officer. He initially responded to the Clancy home at 47 Summer Street before being reassigned to conduct follow-up tasks.

Retrieval of Video Surveillance

CVS (Kingston): Sergeant Chiachio visited the CVS located at 189 Summer Street in Kingston to recover surveillance footage verifying Patrick Clancy's movements. He spoke with store manager Angela Krause and confirmed the accuracy of the surveillance system's timestamp by comparing the live feed against his department-issued cellular phone. The footage confirmed Patrick Clancy arrived at the CVS at 5:32:32 PM and exited the store at 5:37:08 PM.

ThreeV Restaurant (Plymouth): He visited a second location, ThreeV Restaurant at 10 Cordage Park Circle in Plymouth, to obtain further surveillance footage. He spoke with two employees and verified the timestamp accuracy using his cell phone. The video confirmed Patrick Clancy arrived at the restaurant at 5:54 PM, paid for a bag of food, and departed through the front door at 5:55 PM.

Follow-Up on Travel Route: Sergeant Chiachio received copies of the footage from both businesses to bring back to the State Police, and used the maps application on his iPhone to trace the route of travel and estimate the approximate distance and time required to travel between the Clancy home at 47 Summer Street and these locations, to get a general idea of the timeline.

Search Warrants and Evidence Collection

June 2023 Search Warrant (47 Summer Street): On June 12, 2023, Sergeant Chiachio applied for and executed a search warrant for the home at 47 Summer Street. The warrant was sought because investigators reviewing crime scene photographs identified potential bloodstains on the exterior of the house that had not been swabbed on the night of the incident. After consulting with forensic scientists at the state crime lab regarding the viability of obtaining samples, he was present to collect swabs and shingles from the residence.

May 2024 DNA Collection: On May 15, 2024, he traveled to Tewksbury State Hospital to collect a DNA sample from the defendant, Lindsay Clancy, using a standard collection kit with a foam swab to gather saliva from the inside of her cheeks before sealing the kit. The collection occurred in the presence of Sergeant Josh McKelligan, Police Chief Michael Riggs, and defense attorney Reddington. The sample was stored temporarily at the DA's office before being transported to the State Police Crime Lab.

Social Media Search Warrants

Sergeant Chiachio obtained search warrants for Facebook (Meta) records, specifically targeting Lindsay Clancy's personal page and her activity within a Facebook group titled "Attachment Parenting for Littles."

May 5, 2021 Facebook Post (Exhibit 217): The records confirmed a post written by Lindsay Clancy under her profile "Lindsay Marie Clancy" on May 5, 2021. In the post, she described her 19-month-old son as "the most difficult human I've ever encountered" and expressed intense frustration, detailing daily struggles with ordinary routines such as changing diapers, getting dressed, getting in the car seat, taking naps, and going to bed — stating that he fought her "every step of the way with all these normal daily activities." The records also indicated she interacted with comments and thanked other group members for their advice.

Cross-Examination by Defense (Mr. Reddington)

Context of Facebook Post: The defense established that the post was made in May 2021, when her son was 19 months old — well over a year before her postpartum decline began.

Investigation into Prior Abuse: Under cross-examination, Sergeant Chiachio confirmed that the State Police thoroughly investigated whether Lindsay Clancy had ever been abusive toward her son, Dawson, and found absolutely no evidence of prior abuse.

Rebecca Jollotta, NP: Psychiatric Nurse Practitioner Testimony

Rebecca Jollotta, a psychiatric nurse practitioner certified in perinatal mental health, took over Lindsay Clancy's psychiatric care at South Shore Health on November 29, 2022, and remained involved through her final contact with the family on December 30, 2022 — less than a month before the killings.

Nov. 29 — Initial Virtual Visit

Lindsay reported persistent insomnia (~2 hours of sleep), weight loss, and severe anxiety, and was collaborative but feared dependence on Ativan. Screenings showed moderate-to-severe depression (EPDS 17) and moderately severe anxiety (GAD-7 14), with no signs of psychosis, mania, or active SI/HI.

By Nov. 30–Dec. 3, Lindsay had stopped Remeron due to worsening depression and new "intrusive thoughts of wanting it to be all over." Jollotta recommended restarting Prozac and adding low-dose Seroquel for sleep.

Dec. 6 — In-Person Visit & Bipolar Suspicion

With Patrick present, Lindsay's scores worsened to severe levels (EPDS 21, GAD-7 19). The couple described a September episode where increasing Zoloft caused 48 hours without sleep while Lindsay remained alert and un-fatigued — raising clinical suspicion of an underlying bipolar spectrum/mixed manic state, which Patrick rejected.

Jollotta performed a CIWA assessment (minimal score of 1) and switched Ativan to Valium for its longer half-life; Remeron/Seroquel were stopped in favor of Prozac.

Titration, Crisis Call, and PHP Recommendation (Dec. 7–13)

• Dec. 7: Jollotta held the Prozac and rapidly titrated Seroquel up to 400mg to target suspected manic symptoms and restore sleep.
• Dec. 9 Crisis Call: Patrick and Lindsay reported acute panic, numbness, and thoughts of suicide. Jollotta contracted for safety over the phone (no active plan or intent), paused the Valium taper, and strongly recommended a specialized perinatal PHP at Women and Infants Hospital in Rhode Island.
• Dec. 12–13: Lindsay slept 7–8 hours on Seroquel 200mg and Valium 2.5mg but felt "incredibly depressed and unmotivated" during the day (EPDS 20); she denied active SI, plan, or intent, and expressly denied thoughts of harming her children.

Acute Escalation (Dec. 15–16)

Lindsay reported her "worst day," with persistent intrusive thoughts of suicide; Jollotta advised going directly to an ER with specialized perinatal psychiatry, recommending MGH or McLean. Lindsay visited the MGH ER but chose to remain outpatient to pursue the Women and Infants PHP.

Dr. Tufts recommended adding 25mg of Lamictal; Jollotta agreed it was an excellent mood stabilizer, outlined the slow titration required to avoid Stevens-Johnson syndrome, and increased Seroquel to 300mg.

PHP Intake, Holiday Taper, and Last Contact (Dec. 19–30)

Testimony Video Timestamps

MA v Lindsay Clancy — Rebecca Jollotta, Psychiatric Nurse:

• 00:00:00 — MA v Lindsay Clancy - Rebecca Jollotta - Psychiatric Nurse
• 00:08:15 — First contact Nov 29 2022
• 00:11:12 — Prior meds and Nov 16 ER visit
• 00:12:19 — Nov 29 visit Remeron and sleep
• 00:18:43 — Hydroxyzine Ativan Preference
• 00:35:13 — Starts Seroquel 25 mg
• 01:06:26 — Dec 6 visit with Patrick
• 01:12:00 — Bipolar Possibility
• 01:34:34 — Women and Infants PHP referral
• 02:12:00 — Seroquel dosing
• 02:15:45 — McLean Hospital Discussed
• 02:17:47 — Cross-Examination: Kevin Reddington
• 02:40:02 — Challenging the clinical picture
• 03:03:19 — Mood chart and records dive
• 03:13:17 — Taper vacation and late December
• 03:23:42 — Redirect Examination

Lindsay attended her Women and Infants PHP intake on Dec. 20 but was discharged the same day. Though hesitant to manage a taper during the family's vacation, Jollotta sent a structured 12-night Seroquel taper at Lindsay's strong insistence.

In her final contact on Dec. 30, Patrick called stating Lindsay was safe but wanted to be admitted to McLean under the bed offer made on Dec. 15.

Julie Paul, NP: Perinatal Behavioral Health Testimony

Julie Paul, a board-certified psychiatric mental health nurse practitioner and certified nurse midwife, testified about the brief care she provided to Lindsay Clancy in late November 2022 through South Shore Health’s Perinatal Behavioral Health Program.

Background of Nurse Practitioner Julie Paul

• Professional Credentials: Julie Paul is a board-certified psychiatric mental health nurse practitioner and a certified midwife.
• Clinic Role: She founded the Perinatal Behavioral Health Program at South Shore Hospital (Weymouth, Massachusetts) in October 2018 to address a lack of local resources for pregnant and postpartum individuals with mood disorders. She serves as the program director and actively treats patients.
• Clinical Approach: Her clinical focus involves evaluating, diagnosing, and prescribing medications for conditions like anxiety and depression. She utilizes a holistic “team approach” incorporating supportive therapy, sleep hygiene, nutrition, and exercise.

Initial Contact (Nov. 20–21, 2022)

Referral: On Sunday, Nov. 20, Paul received a call regarding Lindsay from mother-in-law Susan Clancy, a nurse Paul had worked with at South Shore Hospital.

Phone Screening: Paul contacted Lindsay that same day from her personal cell phone to conduct an initial screening.

The In-Person Intake (November 21, 2022)

Intake Process: On November 21, Lindsay completed an in-person intake lasting 90 minutes.

Clinical Screenings: Paul administered several standardized psychiatric scales:

• GAD-7 (Generalized Anxiety Scale): Lindsay scored 21 out of 21, indicating extreme, clinically significant anxiety.
• EPDS (Edinburgh Postnatal Depression Scale): Lindsay scored 23 out of 30, indicating significant depression. However, her score on Question 10 (measuring active suicidality) was negative.

Medication Adjustments and Concerns

• Stopping Prozac: On November 25, after taking Prozac for only three days, Lindsay contacted Paul via MyChart reporting that she felt “disconnected,” “out of it,” and “spacey.” Due to these side effects and a lack of patient buy-in, Paul advised her to stop the Prozac.
• New Medication Protocol: Paul transitioned Lindsay to Mirtazapine (Remeron) — starting at 7.5mg — for its calming and sedative properties. She also prescribed Klonopin (a longer-acting benzodiazepine) to replace Ativan, and a single dose of Ambien for immediate sleep assistance.
• Increasing Mirtazapine: On November 26, Lindsay messaged that she slept slightly better but still struggled to stay asleep. Paul authorized her to increase the Mirtazapine dose to 15mg.
• Klonopin Discontinuation: On November 27, Lindsay reported sleeping well on the 15mg of Mirtazapine but complained of feeling “super disconnected with myself and reality,” which she called a “scary feeling.” She wanted to stop Klonopin.

Crisis and High-Level Care Recommendations

Panic Attack: On November 28, Lindsay experienced a panic attack. Paul instructed her to take 0.5mg of Ativan and go for a run to burn off adrenaline.

Partial Hospitalization Program (PHP) Proposal: Paul also strongly recommended that Lindsay enroll in the Partial Hospitalization Program at Women and Infants. Lindsay declined this, explaining that the logistics would not work for her family.

Subsequent Insomnia: On November 29, Lindsay messaged that she slept poorly despite taking 15mg Mirtazapine, CBD, and practicing breathing and relaxation techniques, eventually needing to take Ativan.

Transition and Transfer of Care

Planned Departure: Paul was already preparing to leave the practice in mid-December to relocate to New Hampshire.

Transfer to Rebecca Jollotta: On November 29, Paul scheduled Lindsay with Rebecca Jollotta, an experienced clinician in the program, because Paul was off that day and Jollotta had an opening.

Cross-Examination

Acknowledgment of Care: During a brief cross-examination, defense attorney Mr. Reddington praised Paul’s professionalism and dedication, noting that she went so far as to give Lindsay her personal cell phone number on her day off.

Evidence Entry: The defense attorney successfully entered the South Shore Health clinical records into evidence.

Testimony Video Timestamps

MA v Lindsay Clancy — Nurse Practitioner Julie Paul:

• 00:00:00 — MA v Lindsay Clancy - Nurse Practitioner Julie Paul
• 00:00:13 — Direct Exam: Credentials & South Shore Perinatal Program
• 00:08:30 — Contact Through Sue Clancy; First Call With Lindsay
• 00:17:00 — Intake, Screens, Prozac Plan & Safety Discussion
• 00:29:05 — MyChart Follow-Up, Med Changes & Transfer to Jollotta
• 00:43:50 — Cross-Examination (Attorney Reddington)

Kyle Carney: Family Friend Testimony

Kyle Carney, a Duxbury resident who works in finance and has known Patrick Clancy since college in 2009, testified about a backyard gathering at his home on Sunday, January 22, 2023 — the last social occasion the Clancy family attended before the January 24 killings. He met Lindsay approximately 12 years ago, prior to her marriage to Patrick. Carney is married to Sarah Carney, and they have children of their own.

Observations Through 2022

Carney testified he observed no changes in Lindsay's behavior or demeanor after the births of Cora and Dawson, nor during the summer of 2022 after Callan's birth, when the families gathered at least monthly for beach dinners and he went fishing with Patrick. He continued seeing Patrick about once a month through fall 2022 into January 2023.

The January 22, 2023 Gathering

The Carney family hosted a small gathering to burn brush in the backyard and get the kids outside. Patrick, Lindsay, Cora, and Dawson attended for a few hours; Callan stayed home with Lindsay's parents.

• Carney noted Lindsay was "quieter than normal" during the visit.
• They had a perfectly normal conversation in the kitchen.
• He testified her overall behavior and demeanor appeared normal, with no trouble communicating, describing the afternoon as a "normal, great day."

Defense attorney Kevin Reddington declined to cross-examine.

Christopher Clancy: The Grandfather's Testimony

Christopher William Clancy, a retired plumbing contractor from Scituate, is Patrick Clancy's father and Lindsay's father-in-law. He testified about Lindsay's role as a mother and the family's final weeks together before the January 24, 2023 killings.

Relationship & Overall Assessment

Christopher met Lindsay before her engagement to Patrick, at his parents' Hull cottage, and lived near the family in Weymouth and later Duxbury. After Callan's birth in May 2022, he observed Lindsay to be "very mothering" and "very protective," consistent with her behavior after each child's birth. He testified she was a "very, very good" mother and described the family as "all-American," maintaining a very good relationship with her.

Thanksgiving 2022 — Observed "Blankness"

At a family gathering at his daughter Laura's house in Hamilton, Christopher noticed Lindsay was quiet with "a little blankness to her at times" — staring off, nervous, or disconnected, though she interacted normally at other points. When Lindsay grew frustrated getting Dawson seated for dinner, Christopher saw her take him by the arm to guide him — he clarified she did not hit him and was not abusive, and he stepped in to help serve plates amid the large, chaotic gathering.

December 2022 & Christmas

Aware Lindsay was struggling, Christopher and his wife Sue checked on the family the weekend before Christmas; on a visit a few nights later she seemed in "good spirits." On Christmas Day, Lindsay appeared very happy at breakfast and Mass, telling them afterward she really loved the service.

January 24, 2023

• The couple had invited Christopher and his wife to dinner that evening, but they declined due to plans with Sister Joan, intending to visit that Friday instead.
• Christopher had previously offered to take the kids overnight to give the couple a break; Patrick declined.
• That night, Christopher received a "terrible" phone call from Patrick and went immediately to the hospital.

Support & Healthcare Referral

Christopher's wife Sue, a labor and delivery nurse at South Shore Hospital whom Lindsay had confided in, referred her to South Shore Perinatal for professional help. Both sets of grandparents actively coordinated to support the couple, with Patrick frequently confiding in his father.

Testimony Video Timestamps

MA v Lindsay Clancy — Christopher Clancy, The Grandfather:

• 00:00 — MA v Lindsay Clancy - Christopher Clancy - The Grandfather
• 00:47 — First Meeting and Family History
• 01:21 — Observations of Lindsay with Newborn Callan
• 02:28 — Mid-November Visit and Thanksgiving Demeanor
• 04:01 — Frustration at Thanksgiving Dinner
• 04:48 — Checking In Before Christmas 2022
• 06:33 — Christmas Day Breakfast and Mass
• 08:28 — Dinner Invitations and Overnight Support Offers
• 09:35 — Observations of "Blankness" and Distraction
• 10:35 — The Call from Patrick on January 24, 2023
• 11:11 — Cross-Examination: Lindsay's Role as a Mother
• 12:09 — Detailing Her Struggles and Emergency Room Visit
• 12:47 — Referral to South Shore Perinatal
• 13:49 — Refuting Abuse Allegations and Grandparent Support

Amy Bevins: Childhood Friend Testimony

Amy Bevins, a Connecticut resident born August 22, 1990, and a licensed behavior analyst with six years specializing in early intervention for young children with autism, testified on day 8 of the trial about her nearly 29-year friendship with Lindsay Clancy — the two met as children and went through elementary, middle, and high school together, staying in touch through Lindsay's time at Quinnipiac University and later overlapping in Boston while Lindsay attended nursing school. Bevins testified about Lindsay's demeanor as a mother and two significant conversations — one days before the killings, one months after.

Observations of Lindsay's Demeanor

Bevins characterized Lindsay as a "good person, a good friend, [and] a good mom" who was loving and attentive to her children, and never witnessed anything out of the ordinary in her parenting. She observed no changes in Lindsay's behavior, speech, or demeanor after the births of Cora, Dawson, or Callan — though Lindsay had mentioned Dawson's delivery was more difficult than Cora's and that she would need time to recover before having a third child. Bevins also noticed nothing unusual during a November 2022 solo trip Lindsay made to Connecticut to meet their childhood friend group for breakfast.

The "Dark Thoughts" Text Exchange

Earlier in 2022, Lindsay had asked Bevins — a mental health advocate with patient experience with medication — about her experience with Lexapro, mentioning difficulties and side effects with her own medications.

• Just a few days before January 24, 2023, the two had a one-night text exchange in which Lindsay confided that a medication was causing her to have "dark thoughts," without elaborating on what they were.
• Lindsay said she was tapering off that medication and trialing new ones to find something more therapeutic and free of side effects.
• Bevins described the tone of the exchange as "hopeful" and focused on moving in a positive direction.

The March 2023 Spaulding Rehabilitation Visit

At the request of one of Lindsay's family members, Bevins visited her at Spaulding Rehabilitation in March 2023. Lindsay was in a wheelchair but sat up for the roughly 30–45 minute visit, which stayed deliberately "neutral" — small talk and a game of Uno. Lindsay's sister had instructed Bevins not to discuss the children or the tragedy, which Bevins assumed came from Lindsay's mental health providers. Lindsay did not cry, attempt self-harm, or ask Bevins for help harming herself.

Testimony Video Timestamps

MA v Lindsay Clancy — Amy Bevins, Childhood Friend:

• 00:00 — MA v Lindsay Clancy - Amy Bevins Childhood Friend
• 00:43 — History of Friendship with Lindsay Clancy
• 03:02 — Observations of Demeanor and Motherhood
• 05:01 — November 2022 Connecticut Trip
• 05:53 — January 2023 "Dark Thoughts" Text Exchange
• 07:53 — Spaulding Rehabilitation Facility Visit
• 09:35 — Cross-Examination: Character and Parenting
• 10:28 — Cross-Examination: Context of the Spaulding Visit
• 12:26 — Cross-Examination: Prior Lexapro Discussions
• 15:26 — Timeline of Mental Health Concerns

Bethany DeCollibus: Friend Testimony

Bethany DeCollibus, a licensed marriage and family therapist who runs a telehealth private practice, testified on day 8 of the trial about her close friendship with Lindsay Clancy, whom she met as a new mother in Duxbury and saw weekly for playdates and children's activities like music and gymnastics classes.

Clancy's Demeanor and Behavior Over Time

DeCollibus described Clancy as a warm, kind, consistent, and loving mother who was generally active, engaged, and friendly. She noticed no strange behaviors, extreme energy shifts, or changes in Clancy's rate of speech, and saw no signs of Clancy responding to internal stimuli such as hearing voices or hallucinating. Clancy never expressed feeling depressed, suicidal, or homicidal, nor mentioned intrusive thoughts or thoughts of harming others.

Clancy's physical appearance did not change; the two had no difficulty communicating in person or by text, and Clancy did not appear to have trouble performing day-to-day tasks or interacting with others.

Sleep Struggles and Treatment

After Callan's birth, Clancy began appearing increasingly tired, expressing an ongoing struggle to fall asleep even when her children were sleeping. DeCollibus initially viewed the fatigue as normal new-mom exhaustion but grew concerned as the issue persisted without improving; Clancy also disclosed feeling anxious. She loved her job as a labor and delivery nurse but canceled her scheduled return to work because she was not sleeping well.

Clancy actively sought help — connecting with a therapist and a prescriber and seeking medication — but mentioned the medications did not seem to be helping and she did not know what they were doing to her. She shared that her mother "knows everything" and was helping her work things out regarding her therapist and medications. Clancy described her husband, Patrick, as "great" and highly supportive, and DeCollibus observed that they got along wonderfully.

Key Interactions and Social Timeline

• November Dinner: DeCollibus and friend Erin Renaud met Clancy for one of their regular every-couple-of-months dinners. Clancy was engaged and spoke normally, catching up about family and children; when asked about her sleep, her responses made sense and she expressed feeling hopeful things would improve after connecting with healthcare providers.
• January Birthday Party: At Cora's birthday party at a trampoline park — the last time DeCollibus saw Clancy — she interacted normally with other parents and children. When asked about her sleep, Clancy said things had not improved and that she felt "like a zombie," though DeCollibus noted she looked tired but did not physically look like a "zombie."

Witness Credibility and Nature of Disclosure

DeCollibus was summoned to testify by the District Attorney's office and had previously given a recorded interview to the state police. She agreed that Clancy was not a complainer or someone who would be a "downer" during social outings, meaning she would not naturally volunteer all her symptoms to friends. Despite Clancy trying to remain positive, DeCollibus testified it was readily apparent that she was struggling with sleep deprivation and anxiety.

Testimony Video Timestamps

MA v Lindsay Clancy — Bethany DeCollibus:

• 00:00 — MA v Lindsay Clancy - Bethany DeCollibus
• 00:45 — Relationship with Lindsay Clancy
• 01:08 — Clancy's Demeanor and Early Signs of Fatigue
• 02:14 — Chronic Sleep Struggles and Growing Concern
• 03:18 — Seeking Doctors, Therapy, and Medication
• 04:07 — Daily Functioning and Absence of Suicidal or Homicidal Ideation
• 04:58 — November Dinner and Feeling Hopeful
• 07:24 — January Birthday Party and the "Zombie" Conversation
• 09:01 — Cross-Examination: Observations of Motherhood
• 10:31 — Medication Struggles and Support from Pat and Mother
• 13:47 — Impact on Nurse Career and Final Interaction

Andrea Hennigan: MGH Nurse Colleague Testimony

Andrea Hennigan, who worked with Lindsay Clancy at Massachusetts General Hospital, testified on day 8 of the trial about their professional and personal friendship and a series of increasingly candid text exchanges and visits in the months leading up to January 24, 2023.

Background and Professional Credentials

Identity and Profession: Andrea Hennigan is a registered nurse who has worked in the labor and delivery unit at Massachusetts General Hospital (MGH) for 25 years.

Postpartum Screening Training: While she does not have formal specialized training in postpartum depression, her role involves screening patients returning to the hospital for postpartum concerns — standard questions cover depression, anxiety, and any thoughts of harming themselves or others; positive screenings lead to discussing symptoms, alerting the primary provider, and involving social work.

Relationship and Personal History with Lindsay Clancy

Hennigan worked alongside Clancy in the MGH labor and delivery unit for approximately seven years, bonding over night shifts and navigating the COVID-19 pandemic together. The two were also friends outside of work, having known each other about nine years since Clancy graduated nursing school in 2015.

Hennigan described Clancy as an "excellent," "very smart," "nurturing" nurse for whom nursing was more of a "calling," and as a "very loving, caring mother" who deeply wanted a big family with children close in age. She noted Clancy was private, was not a complainer about work or home, and regularly monitored her children on home cameras during night shifts.

Postpartum Timeline & Mental Health Observations (After May 2022)

June 2022 Visit: Hennigan visited Clancy at home shortly after Callan's birth and observed her demeanor to be "very good" and "typical."

November 2022 Lunch Meeting: Hennigan and two other nurse friends met Clancy for lunch in Hingham. Clancy shared she was in a difficult mental place and didn't feel ready to return to patient care, describing insomnia, not feeling like herself, and "brain fog." She revealed she was seeing therapists, looking for sleep and anxiety medications, and had gone to an emergency department. Her friends encouraged her to seek help, and Hennigan later texted her contacts for specialized obstetrical social workers and support groups. Hennigan had no concerns at this time about Clancy harming herself or her children.

Thanksgiving 2022: Clancy texted Hennigan about a specialized perinatal program at South Shore Hospital recommended by her mother-in-law.

January 2, 2023: In a group text with their nurse friends, Clancy declined to meet up, explaining she was in an "intensive program" — later known to be McLean Hospital, though Hennigan did not know the specific facility name at the time.

January 23, 2023 (Day Before the Incident): Clancy texted that she was no longer in the intensive program and was still working with psychiatrists to find the right medication to sleep at night while remaining functional during the day, mentioning severe, difficult side effects that required repeatedly switching prescriptions. Hennigan recalled Clancy's tone as "hopeful" that she would eventually get the proper care, and had no concerns about her harming herself based on these final texts.

Testimony Video Timestamps

MA v Lindsay Clancy — Nurse Andrea Hennigan:

• 00:00 — MA v Lindsay Clancy - Nurse Andrea Hennigan
• 00:39 — Postpartum Depression Screening Protocols at MGH
• 02:17 — Professional and Personal Relationship with Lindsay Clancy
• 02:42 — June 2022 Postpartum Home Visit
• 03:38 — November 2022 Hingham Lunch: Discussion of Insomnia & Brain Fog
• 04:50 — Nurse Friends Rally Support & Share Resource Contacts
• 06:25 — Thanksgiving 2022: South Shore Perinatal Program Discussion
• 07:27 — January 2, 2023: Texts Regarding "Intensive Program" Enrollment
• 08:31 — January 23, 2023: Final Texts on Medication Side Effects & Hopeful Tone
• 10:12 — Cross-Examination: Lindsay's Professional Nursing "Calling"
• 12:09 — November Mental Struggles, Therapy, & Emergency Room Visit
• 13:32 — Night Shift Demeanor & Regularly Checking Home Baby Cameras
• 14:37 — Lindsay's Loving Character and Desire to Be a Mother

Stephanie Williams: Pre-K Teacher Testimony

Stephanie Williams, Cora Clancy's pre-K teacher at Learning Sprouts Children's Center in Duxbury, testified on day 8 of the trial about Cora's final afternoon at school on January 23, 2023 — the day before the killings — and Lindsay Clancy's demeanor at pickup.

Background and Professional Details

Residence: Williams resides in Sagamore Beach.

Employment: She has been a pre-K teacher for approximately six and a half years at Learning Sprouts Children's Center in Duxbury.

Classroom Assignment: Williams primarily teaches four-year-olds turning five who are preparing to enter kindergarten. During the fall of 2022 through January 2023, she was the sole teacher in the Sweet Pea classroom.

Sweet Pea Classroom Routine and Schedule

The Sweet Pea classroom ran a full-day program closing at 4:00 PM. Children who attended the more academic Sunflower class in the morning transitioned to the Sweet Pea room for the afternoon, where routines included outdoor play, classroom play, a mandatory rest time, snacks, and coloring or artwork.

Relationship with and Description of Cora Clancy

Williams first taught Cora Clancy when Cora was three years old. Cora attended the Sweet Pea classroom in the afternoons from September 2022 to January 2023, with attendance starting at three afternoons per week and later increasing to four; she was brought over from the Sunflower class downstairs around the start of rest time.

Williams described Cora as a "sweet little girl" who loved her little brother, enjoyed drawing, playing with babies, and pretending to be Princess Sofia — Williams even purchased a Princess Sofia puzzle specifically for her.

The Events of January 23, 2023

• Cora's Illness: Sunflower classroom teachers informed Williams that Cora was not feeling well, which Williams also observed; Cora complained that her "tummy hurt."
• Reluctance to Leave: During afternoon rest, Cora napped and was reluctant to get off her cot even as other children prepared to leave at the end of the day.
• Mother's Arrival: Lindsay Clancy arrived at the classroom's exterior door for pickup. Williams informed her that Cora had napped, was unwell, and was still lying on her cot.
• Lindsay's Action: Lindsay entered the classroom, picked Cora up off the cot, and said, "oh baby, come on, let's go get Dawson and we'll go home," before heading upstairs to retrieve Dawson.

Observations of Lindsay Clancy and Professional Obligations

Behavior and Demeanor: Williams noticed nothing unusual or different about Lindsay on January 23, 2023, or during any prior interactions from September 2022 onward, describing her as a "very loving mother who cared about her children." Lindsay did not share any details regarding her family or household situation with Williams.

Mandated Reporting: As a mandated reporter, Williams is required to report any concerns about a child's condition or a parent's behavior. She never observed anything concerning regarding the Clancy family and never filed any reports.

Testimony Video Timestamps

MA v Lindsay Clancy — Pre-K Teacher Stephanie Williams:

• 00:00 — MA v Lindsay Clancy - Pre-K Teacher Stephanie Williams
• 00:36 — Employment at Learning Sprouts Children's Center
• 01:10 — Sweet Pea Classroom Program & Solo Teaching
• 01:38 — Afternoon Class Transition & Routine
• 02:37 — Teaching History with Cora Clancy
• 03:40 — Cora's Personality & Princess Sofia
• 04:10 — January 23, 2023: Cora Feels Unwell
• 05:01 — Lindsay Clancy Arrives for Afternoon Pickup
• 06:02 — Observations of Lindsay Clancy's Behavior
• 06:30 — Mandated Reporting & Testimony Conclusion

Susan Bertolo: Pre-K Teacher Testimony

Susan Bertolo, a preschool teacher who previously worked at Learning Sprouts in Duxbury, testified about her interactions with Cora Clancy and her parents, including Cora's frequent bathroom use on January 23, 2023 — the day before the killings — and a brief pickup conversation with Lindsay Clancy that afternoon.

Cora's Preschool Experience and Schedule

Role and Class: Bertolo taught the "Sunflower" group (older preschool, ages 3 to 5) at Learning Sprouts alongside co-worker Karen; Cora Clancy was a student in this classroom.

Performance: Bertolo described Cora as "amazing" and "wonderful," noting she was ready for kindergarten.

Schedule: Cora initially attended preschool three days a week and eventually transitioned to full days, going to the "Sweet Pea" room across the hall in the afternoons. By January 2023, Cora was attending three full days and one half day.

Parental Interactions

Drop-offs: Both Patrick and Lindsay Clancy dropped Cora off at school; Bertolo recalled seeing Patrick more often, though she and her co-worker rotated drop-off duties.

Communication: The teachers communicated with parents via email and the ClassDojo app; Lindsay Clancy was the more active and responsive parent on the app.

Family Well-being: As a mandated reporter, Bertolo testified she never had any concerns or reasons to file reports regarding the Clancy family. She did recall Cora mentioning around December 2022 or January 2023 that she missed her mother because her mother was in the hospital.

The Events of January 23, 2023

Observations of Cora: Cora needed to use the bathroom several times more than normal that day. Because the classroom lacked its own bathroom and required a teacher escort, this frequency stood out to Bertolo; Cora did not complain of any pain. Bertolo passed these observations to the afternoon teacher, Stephanie.

Interaction with Lindsay Clancy: Bertolo stayed late that afternoon and saw Lindsay at pick-up, briefly informing her about Cora's frequent bathroom use. Lindsay responded appropriately, noting she already had a doctor's appointment scheduled for Cora the next day and would bring it up. Bertolo testified she did not notice anything different or unusual about Lindsay during this brief, appropriate interaction.

Testimony Video Timestamps

• 00:00 — Witness Sworn In and Background
• 00:32 — Preschool Employment & Classroom Division
• 01:17 — Daily Classroom Routine and Transitions
• 02:20 — Cora Clancy's Preschool Schedule
• 03:13 — Drop-off Routines and Parental Involvement
• 04:02 — ClassDojo Communication & Cora's Development
• 04:36 — January 23, 2023: Cora's Frequent Bathroom Use
• 05:59 — Afternoon Pick-up & Brief Discussion with Lindsay Clancy
• 07:05 — Mandated Reporter Status & Family Observations
• 07:30 — Cora's Comments on Her Mother's Hospitalization

Susan Fraone: Preschool Teacher Testimony

Susan Fraone testified on day 8 of the trial about her interactions with the Clancy family in her capacity as a preschool teacher at Learning Sprouts, who taught both Cora and Dawson Clancy.

Background and Relationship with the Clancy Family

Employment: Fraone has worked as a teacher at Learning Sprouts, a preschool and daycare, for almost six years, teaching children aged three to four.

History with the Clancys: She has known the Clancy family since November 2020, when oldest child Cora was in preschool, and began teaching Dawson Clancy in September 2022.

Timeline: Fraone taught Dawson until she went on maternity leave in November 2022. Even while on leave, she continued to drop off her own oldest daughter at the school daily.

Observations of the Children

Dawson's Behavior: Dawson was described as healthy, happy, and engaged. Around mid-October 2022, however, he began having more difficult drop-offs where he would cry — something Fraone noted as somewhat atypical for him.

Parental Drop-offs: When asked about these drop-offs and how Lindsay reacted, Fraone clarified she actually saw Patrick Clancy more often than Lindsay at drop-off times.

Cora's Behavior: Cora also appeared healthy, happy, and engaged.

Interaction with Lindsay Clancy

The Post-Thanksgiving Conversation: Fraone recalled a conversation with Lindsay at the school around or after Thanksgiving in late November 2022, in which Lindsay asked how Fraone and her new baby were doing.

Lindsay's Demeanor: Fraone testified that Lindsay's demeanor during this interaction was "fine" and no different than any other time she had seen her. Lindsay appeared to understand everything, Fraone had no trouble understanding her, and she had no concerns about Lindsay at the time.

Mental and Physical Health: During this conversation, Lindsay did not mention suffering from insomnia, feeling unwell, or struggling with depression.

Mandated Reporting

Fraone confirmed she is a mandated reporter, and testified she never observed anything regarding Dawson or the parents' behavior that caused her concern, and never filed any reports regarding the Clancy family.

Testimony Video Timestamps

MA v Lindsay Clancy — Susan Fraone, Teacher:

• 00:00:00 — MA v Lindsay Clancy - Susan Fraone - Teacher
• 00:00:43 — History with the Clancy Children
• 00:01:22 — Observations of Dawson's Drop-offs
• 00:02:06 — Post-Thanksgiving Conversation with Lindsay Clancy
• 00:03:03 — Mandated Reporting Duty and Absence of Concerns
• 00:03:43 — Cross-Examination: Parental Drop-off and Child Well-being

Dr. Lindsay Rosshirt: Pediatrician Testimony

Dr. Lindsay Rosshirt, the Clancy family's pediatrician, testified about her medical care of the three children, her observations of Lindsay Clancy as a mother — including at Cora's five-year physical on January 24, 2023, hours before the killings — and her complete lack of awareness of Lindsay's ongoing psychiatric struggles.

Professional Background and Relationship with the Family

Dr. Rosshirt completed medical school at UConn and her pediatric residency at Massachusetts General Hospital. In 2023 she worked at South Shore Medical Center and had been the Clancy family's primary pediatrician since roughly 2019, personally handling all of the children's routine checkups and well visits.

Health of the Clancy Children

Dr. Rosshirt testified that all three children — Cora, Dawson, and Callan — were generally healthy and met their milestones. Callan (born May 2022) had no issues meeting milestones, no out-of-the-ordinary health issues, and no remembered issues taking a bottle. Dawson was healthy, with only a noted peanut allergy. Cora had well-controlled asthma.

Overall, the children always appeared healthy, happy, and well-behaved, with no signs of physical abuse, stunted growth, or psychiatric concerns.

Observations of Lindsay Clancy's Demeanor

Dr. Rosshirt described Lindsay as a "doting or concerned mother" whom she "always thought was a good mom." Lindsay did not complain about her children or express aggravation toward them; while Patrick attended one early visit, Lindsay brought the children to virtually every other pediatric appointment.

At Cora's five-year physical on January 24, 2023, Dr. Rosshirt observed that Lindsay behaved appropriately — answering questions clearly, engaging in normal communication, and receptive to medical advice (specifically, trying Miralax for Cora's stomach aches). She saw no signs of a flat affect, visible tears, or distress during this visit.

Monitoring for Postpartum Issues

Dr. Rosshirt explained that pediatricians look for outward signs of postpartum depression or bonding issues (such as flat affect, poor eye contact, tearfulness, or lack of bonding) during initial newborn visits, but testified she never observed any of these signs in Lindsay and never saw a need to refer her for postpartum services.

Cross-Examination: Unawareness of Psychiatric History

Under cross-examination, Dr. Rosshirt revealed she had no knowledge of Lindsay's severe psychiatric history and medical treatments, including:

• That Lindsay was seeing a psychiatrist (Dr. Tufts) and had been prescribed the SSRI Zoloft in October 2022.
• That she was seeing other mental health professionals, including a Dr. Paul and nurse practitioner Jollotta.
• That Lindsay had been experiencing insomnia.
• That Lindsay had called a suicide hotline twice in late December.
• That she had gone to Mass General Hospital and ultimately self-admitted to McLean Hospital around New Year's.

Consequently, when Dr. Rosshirt saw Lindsay on January 24, 2023, she was entirely unaware of these ongoing struggles, medications, and hospitalizations.

Testimony Video Timestamps

MA v Lindsay Clancy — Dr. Rosshirt, Pediatrician:

• 00:00 — MA v Lindsay Clancy - Dr. Rosshirt - Pediatrician
• 01:04 — Pediatric Care of the Clancy Children
• 02:23 — Health and Milestones of the Kids
• 03:19 — Postpartum Monitoring Protocol
• 04:43 — Medical Records & Parent Communication
• 06:06 — Cora's Well Visit on January 24, 2023
• 08:00 — Medical Treatment for Cora's Stomach Aches
• 08:38 — Cross-Examination: Lindsay Clancy as a Mother
• 10:41 — Defense Inquiry: Demeanor and Behavior
• 11:35 — Defense Inquiry: Psychiatric Care & Zoloft
• 12:51 — Defense Inquiry: Insomnia & Hospitalizations

Dr. Kimberley Springer: Chief Medical Examiner Testimony

Dr. Kimberley Springer, a medical examiner at the Office of the Chief Medical Examiner in Boston, testified on day 8 of the trial about the autopsy of eight-month-old Callan Patrick Clancy, performed on January 29, 2023.

Witness Background and Qualifications

Dr. Springer has held her position for 20 years, with a background including four years of college at Wellesley College, four years of medical school at the Chicago Medical School, a four-year residency in anatomic and clinical pathology at Brigham and Women's Hospital, and a one-year fellowship in forensic pathology at the Boston Chief Medical Examiner's Office. Over her 20-year career she has performed more than 2,000 autopsies and testified in Commonwealth courts.

Autopsy of Callan Patrick Clancy

General Measurements and Condition: Callan was measured at 26 inches long and weighed 24 pounds. He exhibited general edema — generalized swelling and excess fluid throughout his body — which Dr. Springer noted is very common for individuals who received intravenous fluids while hospitalized.

Evidence of Medical Therapy: She documented numerous therapeutic devices and marks from hospital intervention, including a thermometer in his left nostril, a nasogastric tube in his right nostril, an endotracheal tube in his throat, a Foley catheter, needle marks, and multiple intravascular catheters in his right hand, right wrist, left foot, and right groin. She also identified intraosseous (IO) catheter attempt marks — a central puncture with a surrounding round abrasion — on both his right lower extremity and left leg.

Physical Injuries and Trauma

Neck Abrasions: Dr. Springer identified linear abrasions across the right, middle, and left sides of Callan's neck. One abrasion on the front of the neck measured half an inch by 1/16th of an inch. A second abrasion on the right side of his neck measured 1.5 inches by 1/16th of an inch and continued for a total length of approximately three inches toward the right posterior back of his neck. She noted that a pale line beneath the abrasions was a normal infant neck fold, not an injury.

Head Abrasions: She documented minor abrasions on the left side of Callan's forehead (3/16" by 1/16"), near the hairline on the right side of his forehead (3/8" by 1/8"), and on the top right part of his head (1/8" by 1/16"). These head wounds showed signs of healing in the form of scabbing, indicating they were not fresh injuries from the day of or the day prior to the autopsy.

Petechial Hemorrhages: Dot-like hemorrhages beneath the skin surface that occur when small blood vessels (such as capillaries or venules) rupture from overpressure; Dr. Springer observed these on Callan's face, cheek, and eyelids.

Mechanism and Cause of Death

Mechanism of Death: The clinical findings were consistent with ligature strangulation, based on the linear neck abrasions and the petechial hemorrhages located above those lines. Dr. Springer explained that compressing the neck's blood vessels — the lower-pressure jugular veins and higher-pressure carotid arteries — causes blood and pressure to back up in the head, bursting small blood vessels and creating petechiae; physically, this compression blocks oxygen flow to the brain and can compress the airway so the lungs cannot properly oxygenate the blood, leading to organ failure and brain death.

Cause of Death: The official cause of death was determined to be complications of mechanical asphyxia. Dr. Springer clarified that "complications of" was included because Callan was resuscitated at the scene, restarting his heart, and subsequently spent three days (January 24 to January 27) in the hospital on organ support before passing away; had his heart stopped at the scene and not been restarted, the cause of death would have been listed simply as mechanical asphyxia.

Testimony Video Timestamps

MA v Lindsay Clancy — Dr. Kimberley Springer:

• 00:00:00 — MA v Lindsay Clancy - Dr. Kimberley Springer
• 00:01:17 — The Purpose and Two-Part Process of an Autopsy
• 00:02:05 — Callan Clancy Autopsy: Initial Hospital Interventions
• 00:04:09 — Judge's Instruction to the Jury on Graphic Evidence
• 00:05:31 — Linear Neck Abrasions and Natural Neck Folds
• 00:07:13 — Face and Head Abrasions and Petechial Hemorrhages
• 00:10:10 — Medical Line Interventions and Catheter Attempt Marks
• 00:11:15 — Healing Status of Head Wounds
• 00:11:51 — Indicators of Ligature Strangulation
• 00:12:08 — Strangulation & Petechiae
• 00:13:58 — Determination of Cause of Death

Elaine Rossi: Former Nanny Testimony

Elaine Rossi, known to the family as "Lainey," a nanny with 15 years of experience who lives in Kingston, testified on day 7 of the trial about her three months working for the Clancy family caring for infant Callan.

Background and Employment History

Hiring: In July 2022, Rossi responded to a Facebook advertisement posted by Lindsay Clancy seeking a part-time nanny, and had an initial introductory meeting with Lindsay, Patrick, and the children in the backyard of their home at 47 Summer Street in Duxbury.

Timeline: She began working for the Clancys during the first week of September 2022 and remained employed there until December 8th or 10th, 2022.

Schedule and Scope: She worked three days a week, typically from 8:30 or 9 AM to 1:30 PM. Her primary responsibility was caring for infant Callan while Lindsay prepared to return to work, though she also offered and agreed to handle food prep, light housekeeping, and laundry.

Daily Routine and Communication

The Kitchen Notebook (Exhibit 150): Lindsay and Rossi communicated extensively through text messages and a shared notebook in the kitchen. Lindsay left highly detailed, daily written instructions regarding Callan's schedules, eating, and sleep — Rossi did not find these meticulous instructions, such as cutting sweet potatoes and celery into precise one-inch squares, to be overbearing or controlling.

Interactions: Rossi would often see Lindsay when pulling into the driveway or throughout her shift; sometimes Lindsay was away dropping the other children off at school, working out at the Kingsbury Club, or was in the basement.

Gymnastics Outing: In October 2022, Rossi drove Cora and Dawson to a "Tumble Fun" gymnastics class in Lindsay's car. Lindsay had mentioned they wouldn't be able to go because she could not drive, though she did not explain why.

Descriptions of the Clancy Children

• Cora (4 years old): Described as a "girly girl" who was very sweet, loved arts and crafts, loved her babies, and enjoyed playing with a toy supermarket ("Fresh Mart").
• Dawson (3 years old): Described as full of energy, rambunctious, funny, and silly, and Rossi had no issues managing his behavior. On one occasion, Dawson got frustrated when Cora took a Play-Doh item and slapped infant Callan; Lindsay immediately intervened appropriately by removing Dawson from the room, comforting Callan, and later addressing the behavior with him.
• Callan (Infant): Described as "the happiest, sweetest, easiest baby" and "just a love."
• Safety: Rossi explicitly testified that she never had any concerns that the children were unsafe in the household.

Observations of Lindsay's Health and Demeanor

Motherhood: Rossi described Lindsay as a "wonderful," "loving," and "doting" mother who was deeply concerned with her children's safety, eating, and sleep.

Postpartum and Mental Health: Lindsay confided in Rossi that she was suffering from postpartum depression; however, Rossi testified she never noticed any difference in Lindsay's demeanor, presentation, or behavior around the house, and her trips outside the home did not stop or decrease.

Sleep Difficulties: Lindsay shared that she was having severe sleep issues and was sleeping in the basement. Rossi went to the basement to do laundry, past the basement living room couch area, but never saw Lindsay sleeping or working out in the basement workout space.

Medication and Weight Loss: Lindsay told Rossi she was going to stop nursing Callan because she was starting a new medication. Rossi observed prescription bottles in a cabinet to the right of the refrigerator, but never saw medications in the master bedroom. She also observed that Lindsay was losing a significant amount of weight and commented on it to her.

No Self-Harm Warning Signs: Lindsay never mentioned having intrusive thoughts or any thoughts of harming herself. Rossi was also unaware of any emergency room visits by Lindsay in 2020 or 2022.

End of Employment and Police Interview

Termination: Lindsay was originally expected to return to work around Thanksgiving. A few days after Thanksgiving, Lindsay informed Rossi she would not be returning to work. Shortly after, Patrick and Lindsay went for a walk, returned, and explained to Rossi that they had to let her go with two weeks' notice because they would both be home to care for the children.

Relationship: Rossi and the Clancys parted on "wonderful terms." She stayed in touch with Lindsay, wishing her a Merry Christmas (to which Lindsay warmly responded), and testified on the stand, "I did love Lindsay, yes."

Police Interview: On March 1, 2023, two state troopers interviewed Rossi for over half an hour regarding her observations of Lindsay and the family.

Katarina Stashyn: DNA Analyst Testimony

Katarina Stashyn, a forensic scientist who worked in the DNA unit of the Massachusetts State Police Crime Laboratory, testified on day 7 of the trial about DNA analysis performed on the exercise bands used as ligatures and on stains found on the exterior shingles of the Clancy home.

Witness Background and Qualifications

Current Role: Currently employed as a criminalist in the biology and forensic investigation sections of the Washoe County Sheriff's Office Forensic Science Division in Reno, Nevada.

Education: She holds both a bachelor's and master's degree in biotechnology from the University of Nevada, Reno.

Prior Experience: From June 2021 to February 2025, she worked as a forensic scientist in the DNA unit of the Massachusetts State Police Crime Laboratory.

Professional Competency: She has successfully passed all professional competency and proficiency tests throughout her career.

DNA Science and Testing Methodology

DNA Fundamentals: DNA is genetic information stored in our cells, inherited approximately half from each parent. Forensically, no two individuals are expected to share the same DNA profile, which remains identical across all cell types in a person's body (barring mutations).

The Four-Step Analysis Process: Extraction (heat and chemicals break open cells, isolating and releasing DNA); Quantification (determining a reliable estimate of DNA quantity to optimize testing); Amplification (generating millions of copies of specific DNA areas to make them detectable); and Detection (separating and visualizing the copies to yield a DNA profile for review).

Quality Controls and Peer Review: Positive controls (a known DNA sample run alongside evidence to confirm the process is working) and negative controls (a no-DNA sample to monitor for contamination) are used, and every case undergoes technical review (protocol adherence and conclusions) and administrative review (clerical accuracy). Stashyn's work in this case followed all protocols, had acceptable controls, and passed both review stages.

DNA Findings: Yellow Exercise Band

Stashyn did not handle the physical exercise bands; instead, she processed swabs taken from them.

Swabs from the Ends (Item 2-2.1.1): The sample yielded a DNA mixture including male DNA. Assuming 2 contributors, the profile is at least 1.7 nonillion times more likely if it originated from Dawson Clancy and an unknown individual than from two unknown unrelated individuals; Cora, Callan, Patrick, and Lindsay Clancy are excluded. Assuming 3 contributors, the profile is at least 920 octillion times more likely with Dawson as the main contributor; the other four family members are excluded from that position, and the two minor profiles could not be compared to each other. Both interpretations show high inclusionary statistics for Dawson.

Swabs from the Middle (Item 2-2.2.1): Interpreted as a mixture of two contributors, including male DNA. Dawson Clancy is included with a likelihood ratio of 1.5 nonillion; Patrick Clancy at 1.4 billion; Callan Clancy at 3.6 million. Cora and Lindsay Clancy are both excluded. If Dawson is one of the two contributors, Callan and Patrick cannot both be present together.

DNA Findings: Black Exercise Band

Swabs from the Ends (Item 2-3.1.1): The sample was deemed not suitable for comparison — the mixture was too complex, possibly containing DNA from 5 or more contributors, including some who may be related. Lab protocol bars comparison whenever there is any sign of a fifth contributor.

Swabs from the Middle (Item 2-3.2.1): Interpreted as a mixture of three contributors, including male DNA. Cora Clancy is included with the highest likelihood ratio of 1.6 nonillion; Dawson Clancy at 870 trillion; Patrick Clancy at 220,000; Callan Clancy at 2,600; and Lindsay Clancy included with only "limited support" at a likelihood ratio of 11. Lab validation testing found that people known not to have contributed can still score between 2 and 1,000 by chance alone. If Cora is one of the three contributors, the other four family members cannot all be present together.

DNA Findings: Backside of House (Shingles at 47 Summer Street)

Stashyn analyzed swabs taken from shingles on the backside of the home.

Item 14-1 (Stain B): Yielded a single-contributor female DNA profile (not a mixture). The profile is at least 18 octillion times more likely if it originated from Lindsay Clancy than from an unknown unrelated individual, supporting her inclusion; all other family members are excluded.

Item 14-2 (Stain C): The profile was a mixture but not suitable for comparison due to its low-level quality and a lack of sufficient information for interpretation.

Item 14-3 (Stain D): Yielded a single-contributor female DNA profile.

Dr. Justin Brower: Toxicologist Testimony

Dr. Justin Brower, a forensic toxicologist with NMS Labs, testified on day 7 of the trial about the results of blood toxicology testing performed on Lindsay Clancy's sample, submitted by the Plymouth District Attorney's Office and received April 7, 2023.

Background and Qualifications

Current Role: Forensic toxicologist at NMS Laboratories in Horsham, Pennsylvania.

Laboratory Profile: NMS is a national reference laboratory performing clinical, postmortem, and forensic drug testing across all 50 states, handling approximately half of the postmortem toxicology work in the United States.

Education: Holds a Ph.D. in organic chemistry from the University of Nevada.

Prior Experience: Served as a laboratory supervisor and forensic toxicologist for the statewide North Carolina Office of the Chief Medical Examiner.

Role in the Laboratory: Works in a batch review workflow — lab technicians run testing in batches, and Dr. Brower reviews all the raw data, verifies demographics, and interprets the drug concentration levels.

Toxicology Findings and Results

The Plymouth DA's Office requested direct testing for four specific drugs:

• Lamotrigine (Lamictal): 6.1 micrograms per milliliter — anti-seizure/bipolar medication, located right in the middle of the therapeutic range, consistent with a recommended dose.
• Mirtazapine (Remeron): 200 nanograms per milliliter — antidepressant, consistent with appropriate, prescribed therapeutic use.
• Quetiapine (Seroquel): 1,800 nanograms per milliliter — antipsychotic sometimes prescribed in low doses for insomnia; considered slightly elevated (roughly double typical therapeutic expectations), but not at a toxic or suicidal concentration, which would typically be closer to 10,000 nanograms per milliliter in self-harm cases.
• Trazodone: 0.44 micrograms per milliliter — antidepressant, within the normal therapeutic range.

Additional Benzodiazepine Findings (Exhibit 183)

Dr. Brower was questioned about a separate toxicology analysis of benzodiazepines (anti-anxiety medications) in the blood.

Diazepam (Valium) and Metabolites: Diazepam and its metabolites (nordiazepam, oxazepam, and temazepam) were detected at sub-therapeutic levels; Dr. Brower noted that therapeutic diazepam levels are typically around 200–250 nanograms per milliliter.

Lorazepam: Detected at a concentration consistent with therapeutic use, or potentially slightly lower than expected depending on the prescribed dose.

Toxicological Interpretation and Limitations

Toxicology in a Vacuum: Dr. Brower emphasized that numbers on a toxicology report cannot tell the whole story on their own; a highly specific clinical opinion on drug effects requires case history, scene investigation details, and physical or autopsy findings. Because he only had access to the blood sample data, his opinions on the stand were restricted to generalized therapeutic, high, or low range classifications.

Respiration and CNS Depression: Mirtazapine, quetiapine, trazodone, and benzodiazepines are all central nervous system (CNS) depressants. While combinations of these drugs can cause CNS depression and reduce respiration rates in large concentrations, Dr. Brower testified that the detected levels alone do not prove they would cause a person to stop breathing.

Narcan (Naloxone) Ineffectiveness: Narcan acts exclusively as an opioid antagonist, binding to opioid receptors to reverse drug overdoses such as fentanyl or oxycodone. Because none of the medications detected in the blood panel interact with opioid receptors, Narcan would have had absolutely no effect on reversing their effects.

Testimony Video Timestamps

MA v Lindsay Clancy — Dr. Justin Brower, Toxicologist:

• 00:00 — Lindsay Clancy Trial - Dr. Justin Brower
• 04:13 — Direct Drug Testing Requested
• 08:21 — Therapeutic vs. Suicidal Levels
• 10:15 — Benzodiazepine & Valium Findings
• 11:48 — Toxicology Limitations & Breathing Impact
• 15:30 — Why Narcan Is Ineffective Here
• 16:23 — Defense Cross-Examination
• 23:33 — DNA Stipulations Introduced
• 25:27 — DNA Evidence Findings Read

Nicholas Roberts: MSP Toxicologist Testimony

Nicholas Roberts, a former forensic scientist in the Toxicology Unit of the Massachusetts State Police Crime Lab, was the reporting analyst who reviewed the data and authored the toxicology report for Lindsay Clancy (lab number 23-01723).

Professional Background and Testing Protocols

Qualifications: Roberts worked in the MSP Toxicology Unit for nine years and holds both a bachelor's and master's degree in Applied Forensic Science.

Batch Review Process: He explained that the lab uses a batch review process where multiple scientists run tests on a given case, but a single analyst reviews the aggregated data and authors the final report.

Screening Results

• Alcohol: Roberts personally performed the screening for alcohol, which was negative.
• Marijuana (THC): Testing showed no presence of tetrahydrocannabinols.
• Positive Screens: The specimens (blood, plasma, and urine) returned positive results for the benzodiazepine panel and flagged other substances in a general unknown screen.

Benzodiazepines and Metabolites

Detected Substances: Confirmatory testing on Clancy's blood sample identified five specific benzodiazepines: diazepam, nordiazepam, oxazepam, temazepam, and lorazepam.

Metabolite Explanation: Roberts clarified that nordiazepam, oxazepam, and temazepam are actually metabolites (breakdown products) of the "parent drug" diazepam — meaning the presence of these multiple benzodiazepines could be the result of a single ingested medication breaking down in the body, rather than multiple different prescriptions.

Drug Class: He testified that benzodiazepines act as central nervous system (CNS) depressants.

Concentration Levels: While the levels of these drugs were "reportable," Roberts could not say if they fell within a normal therapeutic range.

Other Detected Medications

Unknown Screen Findings: The general unknown screen detected five other therapeutic substances: mirtazapine, lamotrigine, quetiapine, quetiapine metabolite, and trazodone.

Outsourced Testing: Because the state police lab has limitations on which drugs it can quantify, these specimens were sent to NMS Labs, an external facility, to determine exact concentration levels.

Drug Categories: Roberts noted these medications also tend to be CNS depressants, pointing out that quetiapine is typically used to treat conditions like schizophrenia and bipolar disorder.

Cross-Examination Details

Volume of Drugs: Under cross-examination, Roberts agreed that the blood sample (drawn at a single point in time across multiple test tubes) contained "quite a few" drugs and metabolites, though he noted he has seen cases with more.

Lack of Clinical Context: He agreed that a major limitation of toxicology testing is that he only reviews the blood data; he has no knowledge of Clancy's active prescriptions, nor can he predict exactly how this specific combination of levels would affect an individual person.

Testimony Video Timestamps

MA v Lindsay Clancy — Nicholas Roberts, Toxicologist:

• 00:00 — MA v Lindsay Clancy - Nicholas Roberts - Toxicologist
• 01:23 — Toxicology Training & Protocols
• 02:21 — Batch Review Process
• 03:00 — Limitations of Blood Analysis
• 04:17 — Outsource Testing with NMS Labs
• 04:54 — Lindsay Clancy's Lab Specimens
• 05:40 — Alcohol Screening Results
• 05:57 — Initial Positive Screens
• 07:47 — Confirmed Benzodiazepines
• 08:51 — General Unknown Drug Screen
• 09:23 — CNS Depressant Effects
• 10:33 — Cross-Examination: High Drug Volume
• 11:41 — Parent Drugs vs. Metabolites
• 12:37 — Marijuana (THC) Results

Eitan Negri: Physician Assistant Testimony

Eitan Negri, a licensed physician assistant at Brigham and Women's Hospital's Trauma Burn Surgical ICU, testified on day 7 of the trial about the surgical repair of Lindsay Clancy's wrist lacerations on January 25, 2023.

Witness Background and Professional Qualifications

Education: Negri completed undergraduate studies at City College in New York, post-baccalaureate coursework at Brooklyn College, and graduated from the Touro University PA program in Manhattan.

Licensure & Employment: Licensed to practice in both Massachusetts and New York. In January 2023, he was in his second year of employment at Brigham and Women's Hospital, working in the Trauma Burn Surgical ICU. As a PA, he was responsible for assessing patients, diagnosing, collaborating on a care plan with an attending physician, and executing that plan throughout the day.

Medical Assessment of Lindsay Clancy (January 25, 2023)

Timeline of Care: Clancy was admitted on January 24, 2023. Negri took over her ongoing management during his shift on January 25th after receiving a handoff from the prior shift.

Initial Physical Observations: When Negri first approached Clancy, her wounds had already been dressed and covered by nursing staff. He noted no active bleeding from her wounds at the time of his exam, observed superficial lacerations on her neck that did not require repair, and identified bilateral lacerations on her wrists.

Surgical Repair of Wrist Injuries

Right Wrist Treatment: Negri observed multiple right-wrist cuts, with one primary laceration requiring repair. The primary cut on the volar aspect was approximately 3 to 3.5 centimeters deep. He closed the primary wound using three sutures, and treated the remaining superficial right-wrist cuts with irrigation and steri-strips.

Left Wrist Treatment: Negri observed a singular linear cut on the volar aspect of her left wrist, 2 centimeters deep, requiring fewer sutures than the right — closed using one suture. Other superficial left-wrist cuts were cleaned and closed with steri-strips.

Anatomical Findings & Medical Terminology: Negri noted that none of the wrist lacerations extended past the subcutaneous (fatty) tissue layer of the skin, and clarified that the word "deep" in the medical records describes directionality — the wound goes down into the skin rather than across it — and serves as an objective unit of measure.

Cross-Examination on the Severity of Clancy's Condition

Overall Health Status: Negri agreed with the defense that Clancy was critically ill when he treated her.

Exclusion of Negri from Acute Care: Under cross-examination, Negri clarified that his role was strictly focused on wrist repairs and ongoing clinical management; he had no involvement in treating her life-threatening injuries.

• Transfusion: He had nothing to do with her massive blood transfusion.
• Spine Injury: He did not treat her shattered, transected spine.
• Chest Tubes: He did not place the chest tubes that drained pooled blood from her middle cavity, though he monitored and managed the tubes after placement.
• Cardiac Arrest: He was not present when Clancy "coded" shortly after, though he was aware she was successfully revived by a crash team.

Discrepancy in Dr. Anderson's Notes: Negri agreed with the anatomical assessments in the admission records written by trauma surgeon and ICU attending Dr. Jeffrey Anderson, who measured the lacerations at 3.5 cm (right) and 2 cm (left). Negri could not recall if Dr. Anderson had initially noted on January 24th that the wounds did not require repair, but Negri ultimately performed the sutures on January 25th.

Testimony Video Timestamps

MA v Lindsay Clancy — Eitan Negri, Physician Assistant:

• 00:00 — MA v Lindsay Clancy - Eitan Negri - Physician Assistant
• 01:32 — Care Plan for Lindsay Clancy
• 03:23 — Examining the Wrist Wounds
• 04:36 — Right Wrist Repair
• 06:20 — Left Wrist Repair
• 07:34 — Subcutaneous Tissue Layer
• 08:08 — Cross-Examination: Critical Condition
• 09:02 — Reviewing Dr. Anderson's Notes
• 11:02 — Discussion of Other Severe Injuries
• 12:44 — Re-Direct: Clarifying Medical Terminology

Alicia Zimmermann: MSP Toxicology Testimony

Alicia Zimmermann, a Forensic Scientist II in the Toxicology Unit of the Massachusetts State Police Crime Lab, testified on day 6 of the trial about the postmortem toxicology testing performed on Cora, Dawson, and Callan Clancy.

Professional Background and Role

Role and Tenure: Zimmermann has worked in the Toxicology Unit of the Massachusetts State Police Crime Lab since August 2014.

Education: She holds a Bachelor of Science in Forensic Science from Pennsylvania State University and a Master of Science in Forensic Science from Virginia Commonwealth University.

Authorization: She is fully authorized to conduct postmortem investigations and issue toxicology reports.

Standard Postmortem Testing Procedures

Sample Custody: Samples are submitted by the Office of the Chief Medical Examiner to the Evidence Control Unit, assigned a unique Laboratory Information Management System (LIMS) number and barcode, and then transported to the Toxicology Unit for testing.

Standard Preliminary Screens: Every postmortem case receives three initial screens: volatile analysis, an eight-panel ELISA screen for commonly abused drugs, and a general unknown screen via gas chromatography-mass spectrometry (GC-MS) for illicit and pharmaceutical drugs.

Pediatric Protocol: For decedents aged 11 or younger, the lab performs three additional tests: an ELISA pediatric panel, a general unknown screen for acidic and neutral drugs, and a vitreous chemistry analysis.

Reporting: If no substances are detected during these preliminary screens, no further testing is conducted and a "none detected" report is issued. If a screen is positive, the lab performs confirmatory or quantitative analysis.

Analysis of the Clancy Children

Zimmermann reviewed the evidence and issued separate toxicology reports in February 2023 for three related children:

• Callan Clancy (Lab No. 23-2141): The lab tested blood and urine collected from Beth Israel Deaconess Hospital in Plymouth, as well as blood collected from Boston Children's Hospital. Testing hospital samples is preferred when a decedent is hospitalized prior to death, as it helps determine if drugs or poisons were in the system before hospital-administered medications were given. No substances were detected on any screens, including the pediatric screens.
• Cora Clancy (Lab No. 23-01875): The lab tested postmortem heart blood provided by the medical examiner. No substances were detected.
• Dawson Clancy (Lab No. 23-01874): The lab tested postmortem heart blood. No substances were detected.

Because all preliminary and pediatric screens for all three children were negative, Zimmermann conducted no further testing and issued official "none detected" reports to the medical examiner.

Sherri Crook: Bloodstain Pattern Analyst Testimony

Sherri Crook, a bloodstain pattern analyst with the Massachusetts State Police Crime Laboratory, testified on day 6 of the trial, explaining the foundational classification of bloodstain types used to interpret the physical evidence at the scene.

Passive Bloodstains

Core Definition: Stains created when only the force of gravity acts upon the blood.

Physical Features: Typically circular in shape when falling straight down at a 90-degree angle, or pulling downward into streams on vertical surfaces.

• Drip Stain: A single blood droplet falling and hitting a surface due to gravity.
• Drip Pattern: Overlapping stains created when a blood source remains stationary for a period of time, allowing blood to drip repeatedly into itself.
• Drip Trail: A linear path of single drip stains created as the blood source moves.
• Flow: A stream of blood created when an accumulation on a surface is pulled downward by gravity.
• Blood Pool: An accumulation of liquid blood in one area, typically seeping directly from an injury on a stationary body.
• Saturation Stain: A blood pool that seeps directly into an absorbent target surface, such as a mattress or carpet.

Transfer Bloodstains

Core Definition: Stains created when a bloody object or body comes into direct physical contact with another surface, leaving blood behind.

Physical Features: Often irregular in shape, though they can sometimes directly track or mirror the physical shape of the transferring object, such as a knife edge or hand.

• Wipe: Created when an object moves laterally through an existing blood pool or stain, altering its original appearance.
• Swipe: Created when blood is taken from a wet blood source and transferred onto a clean, secondary surface.
• Smear: A messy combination of swipes and wipes, often involving lateral, back-and-forth movements across a surface.
• Simple Transfer/Contact: Direct contact without sliding, such as a bloody hand leaning on shingles or a windowsill.

Dynamic Bloodstains

Core Definition: Stains created when an outside force other than gravity acts upon the blood.

Physical Features: The applied force projects the blood through the air, causing it to land in elliptical (oval) shapes. These stains often feature a "tail" — an extension of the oval shape that points in the direction the blood was traveling when it hit the surface.

• Spatter Stain: Blood flying through the air due to an applied force (such as flicking a bloody finger) and landing on a target surface.
• Cast-Off Pattern: A linear series of circular or elliptical stains created when blood flies off a moving object, such as a swung hand or weapon.
• Projected Pattern / Arterial Spurt: Created when blood is projected under pressure, such as from a severed artery, landing on a surface in a curvy, linear fashion.

Lisa Yelle: MSP Toxicologist Testimony

Lisa Yelle, a toxicologist with the Massachusetts State Police Crime Lab for 15 years, testified about the laboratory batch testing she performed on blood and urine samples associated with Lindsay Clancy's case (number 23-01723).

Witness Background and Role

In February 2023, Yelle performed laboratory batch testing on the blood and urine samples. She acted as the testing analyst rather than the reporting analyst, meaning she performed the laboratory work but did not author the final comprehensive case report.

The Nature of the Testing (General Unknown Screen)

Yelle performed a general unknown screen on the submitted blood vial (item 10-101) and urine sample (item 10-201). This screen is designed to test for the presence or absence of hundreds of prescription medications or drugs of abuse.

The test is strictly qualitative (non-quantifiable), meaning it only identifies whether a substance is "detected" or "non-detected" and cannot determine the specific concentration or dosage of a drug in the system.

Substances Detected

The screens identified five distinct substances in both the blood and urine samples: mirtazapine, lamotrigine, trazodone, quetiapine, and a quetiapine metabolite.

The presence of five detected substances does not mean five separate medications were ingested — a metabolite is simply a breakdown product of a parent drug as the body processes it, meaning quetiapine and its metabolite originate from the same substance.

Equipment Issues and Test Integrity

There were no issues with the test controls, and the overall testing quality was solid. A minor mechanical issue occurred when a syringe plunger got stuck during the lengthy 24-to-48-hour batch run.

This was resolved by replacing the syringe and restarting the run from that point with a control. This equipment issue did not affect the test results in any way.

Reporting and Administrative Process

After documenting her findings on individual summary sheets, the results underwent an independent batch review by a secondary analyst to verify her conclusions. The paperwork was then randomly assigned to reporting analyst Nicholas Roberts, who was responsible for authoring the final report and deciding on any further testing.

Although other nationwide facilities (such as NMS Labs) have the capability to perform quantitative testing to measure exact drug levels, Yelle was not personally aware of whether the blood samples in this case were sent out for such analysis.

Trooper Jonathan O'Loughlin: Crime Scene Services Testimony

Trooper Jonathan O'Loughlin of the Massachusetts State Police Crime Scene Services section testified on day 6 of the trial about documenting the crime scene at 47 Summer Street and the fingerprint analysis performed on key items of evidence.

Trooper O'Loughlin's Background and Training

Professional Experience: O'Loughlin was hired as a Massachusetts State Trooper in October 2011 and worked specifically in the Crime Scene Services section from February 2020 to October 2023.

Rigorous Training Process: Preparing for crime scene work takes approximately one year, involving textbook reading, mock case practice, observing senior members, a hands-on competency test (processing a mock scene, developing prints, and analyzing them), and passing a quality assurance program.

General Crime Scene Documentation Protocol

Primary Responsibilities: The primary duty at any crime scene is documenting it using photographs, and occasionally utilizing video or hand-drawn sketches.

Securing the Scene: Local police departments first secure the scene to prevent disruption; once secure, the Crime Scene Services unit is the first to enter.

Step-by-Step Documentation Flow: Documentation begins on the exterior of the residence, after which investigators document the interior room by room exactly as it appears.

Identifying Evidence: Investigators use numbered plastic "placards" to highlight specific items of potential evidentiary value in photographs; items physically collected for the lab are assigned distinct "lab numbers" that stay with the evidence through testing and trial.

Coordinating with Search Warrants: In situations requiring search warrants, the crime scene team waits for the warrant to be signed and brought to the scene, photographs the physical warrant, and then initiates scene documentation.

Response to the Duxbury Scene (January 24, 2023)

Homicide Response: O'Loughlin was called to 47 Summer Street in Duxbury to document a reported homicide.

Documented Evidence: The team placed eight specific placards at the scene to photograph key items:

• A brown belt (Placard 1)
• Three exercise bands (Placards 2, 3, and 4)
• Red pajamas (Placard 5)
• A pink robe/clothing (Placard 6)
• A knife with a black handle covering a red-brown stain in the upstairs master bedroom (Placard 7)
• A cell phone (Placard 8)

Basement Discovery: O'Loughlin also photographed a brown journal located inside a basement dresser drawer, which was collected by state detectives.

Fingerprint Processing and Lab Analysis

Prioritization of Prints: The knife and three exercise bands were collected and routed directly for fingerprint analysis. Fingerprint testing must occur before any biological testing because prints are highly fragile and forensic chemical testing for biological material will destroy them.

Chemical Fuming Method: Latent prints (invisible to the naked eye) are developed on non-porous items by placing them in a humidified chamber with heated cyanoacrylate ester (superglue) fumes. The fumes adhere to left-behind skin oils and harden, preserving any friction ridge details.

Analysis and Findings: Various physical and environmental factors (object texture, low humidity, grip strength, movement, or lacking residue) affect whether a high-quality print is left behind. In this case:

• The Knife: Some friction ridge impressions were photographed and enhanced, but lacked sufficient characteristics or minutiae to perform a comparison. It was deemed of "no value."
• The Exercise Bands: No useful friction ridge detail was found on any of the three bands.

After the fingerprint analysis, the items were repackaged and transferred to the criminalistics unit for further testing.

Maureen Hartnett: Forensic Scientist II Testimony

Maureen Hartnett, a Forensic Scientist II with the Massachusetts State Police Crime Laboratory, testified on day 6 of the trial about the biological evidence collection at South Shore Hospital, the Summer Street residence, and a second search of the exterior shingles conducted months later.

Professional Background and Role

Experience & Education: Hartnett has worked at the crime lab for approximately 10 years. She holds a bachelor's degree in biology and a master's degree in forensic science, and undergoes regular training, competency evaluations, and yearly proficiency testing.

General Responsibilities: As a civilian forensic scientist, she works in tandem with law enforcement to process crime scenes, with a primary focus on documenting, locating, and collecting biological evidence such as blood, semen, and saliva.

Forensic Testing & Collection Protocols

On-Scene Screening: Hartnett utilizes preliminary chemical screening tests (such as Kastle-Meyer for blood) to identify potential biological fluids at a scene, informing which samples to collect using deionized water and Q-tip swabs, cuttings, or by taking the entire object.

Laboratory Confirmatory Testing: To definitively confirm the presence of blood, Hartnett conducts an immunographic assay test back at the lab. This test reacts with antigens and antibodies to confirm the substance is blood and indicate if it is human, though it can also react with primate blood.

DNA Preparation: Once blood is confirmed, samples are cut up, re-labeled, and forwarded to a separate DNA unit within the laboratory for genetic analysis.

Timeline of Evidence Collection & Observations

January 24, 2023 — South Shore Hospital: Hartnett examined Lindsay Clancy in the emergency room, observing and collecting swabs of red-brown stains on her hands, and also received Clancy's cut-off medical clothing to enter into the lab.

January 25, 2023 (Early Morning) — 47 Summer Street Residence:

• Basement: Hartnett documented a red-brown carpet stain (Stain A, later labeled Item 3-3), which screened positive for blood; she also collected a pair of pajamas and a pink bathrobe.
• Master Bedroom: She documented five specific stains — Stain B (floor cluster between the bed and mirror, screened positive, swabbed); Stain C (cluster on a full-length mirror, screened positive, swabbed); Stain D (inside windowsill, screened positive, swabbed); Stain E (nightstand beside the bed, screened positive, swabbed); and Stain F (red-brown staining on the snow in the backyard, collected).

January 25, 2023 — Brigham and Women's Hospital: Hartnett returned to examine Lindsay Clancy and collected fingernail swabbings.

June 15, 2023 — Second Summer Street Search: Hartnett returned five months later to investigate the exterior shingles below the master bedroom window. A stain directly under the windowsill (Stain A) screened negative, while Stains B, C, and D on the shingles screened positive; she collected the shingles and corresponding swabs. She did not perform laboratory confirmatory tests on these shingles to avoid destroying the highly degraded, weather-exposed, and limited material, opting instead to preserve the full sample for DNA testing.

Key Laboratory Analysis Results

Confirmed Blood: Back at the laboratory, Hartnett confirmed the presence of blood on Stain A (basement floor), Stain B (bedroom floor), Stain D (windowsill), Stain F (backyard snow), and on Stain A found on the blade of a recovered knife.

Unconfirmed Stains: Some documented areas — such as the mirror cluster Stain C, stains on the door near the doorknob, and select exterior window stains — were either only screened at the scene or not tested further.

Exercise Bands: Hartnett processed three exercise bands, including a yellow band and a black band, taking separate swabs from the handles/ends and the centers of each band to determine if different individuals had made contact with the separate areas. These samples were successfully dried and sent to the DNA unit.

Testimony Video Timestamps

MA v Lindsay Clancy — Maureen Hartnett, Massachusetts State Police:

• 00:00 — MA v Lindsay Clancy - Maureen Hartnett - Mass State Police
• 01:39 — Crime scene response methods
• 03:58 — South Shore hospital sampling
• 05:14 — Basement stains at Summer Street
• 08:32 — Master bedroom red-brown stains
• 14:15 — June exterior shingle collection
• 18:05 — Lab blood confirmation and DNA
• 23:09 — Cross on testing limits

Lt. Joseph Rabbitt: MSP Investigator Testimony

Lieutenant Joseph Rabbitt, a Massachusetts State Police investigator now assigned to the Cybercrime Unit, testified on day 6 of the trial about the search of the Clancy residence and the later inventory of prescription medications submitted by Patrick Clancy.

Witness Identity and Assignment

Identity: Joseph Rabbitt is a Lieutenant with the Massachusetts State Police, currently assigned to the Cybercrime Unit. In January 2023, he was a trooper/detective in the Plymouth County Detective Unit.

Hospital Dispatch: On January 24, 2023, he was sent to Jordan Hospital (Beth Israel Deaconess) to check on the status of three children who had been transported there, where he also spoke with Patrick Clancy.

The Search at 47 Summer Street (Duxbury, MA)

Warrant Execution: On the early morning of January 25, 2023, he assisted with executing a search warrant at the Clancy residence.

Kitchen Discoveries: In the kitchen, he noted a CVS bag containing a bottle of Pedialyte and a larger paper bag with a receipt on the island.

Upper Cabinet Medication: In an upper cabinet, he discovered four prescription medication bottles. He lined them up on the island for Crime Scene Services to document but did not inventory or examine them further himself.

Other Search Areas: He also briefly left the kitchen to check a child's bedroom because he was informed there was a Nest camera there.

Evidence Received and Inventoried on February 6, 2023

Submission of Medications: Patrick Clancy and his attorney turned in a CVS bag containing nine prescription medication bottles, paperwork, a CVS insert, and a blank greeting card.

Pill Inventory: Lieutenant Rabbitt, alongside Trooper Rose Stoffers from Crime Scene Services, documented and counted the pills remaining in each of the nine bottles:

• Lorazepam 1 mg (filled 10/26/22, qty 30): 14 pills remaining.
• Sertraline / Zoloft (filled 9/15/22, qty 30): 23 pills remaining.
• Buspirone (filled 10/26/22, qty 30): 28 pills remaining.
• Hydroxyzine (filled 10/26/22, qty 30): 27 pills remaining.
• Clonazepam (filled 11/25/22, qty 14): 11.5 pills remaining.
• Fluoxetine (filled 11/21/22, qty 56): 43 pills remaining.
• Lorazepam 0.5 mg (filled 11/22/22, qty 40): 18.5 tablets remaining.
• Buspirone (filled 11/9/22, qty 30): 30 pills remaining.
• Trazodone (filled 11/16/22, qty 30): 22.5 pills remaining.

Key Points from Cross-Examination

Warrant Specifics: The search warrant specifically authorized the seizure of prescription medications.

Unexamined Items: Lt. Rabbitt confirmed he did not search the master bedroom and was unaware of five other prescription bottles defense counsel referenced.

Concentrated Prescribing Window: Defense counsel highlighted that almost all of these prescriptions were filled within roughly a three-week window in October and November of 2022.

Cooperation: Lt. Rabbitt testified that Patrick Clancy was very cooperative and forthcoming during their interaction.

Testimony Video Timestamps

MA v Lindsay Clancy — Lieutenant Joe Rabbitt:

• 00:00 — MA v Lindsay Clancy - Lieutenant Joe Rabbitt
• 00:49 — Hospital Dispatch & Speaking with Patrick Clancy
• 02:05 — Executing the Search Warrant at Summer Street
• 02:53 — Kitchen Search & Initial Discoveries
• 04:23 — Finding Prescription Bottles in the Cabinet
• 07:14 — February 6 Evidence Submission by Patrick Clancy
• 09:50 — Detailed Inventory & Count of the Nine Prescription Bottles
• 13:39 — Cross-Examination: Warrant Authority & Intent
• 15:34 — Other Search Areas & Unexamined Prescription Bottles
• 17:06 — Review of Prescribing Window & Witness Dismissal

Captain John Santos: MSP Search Warrant Testimony

Captain John Santos, a Lieutenant at the time of the search, testified on day 5 of the trial about the January 24, 2023 search warrant executed at 47 Summer Street, including evidence recovered from the kitchen, basement office, and master bedroom.

Witness Background and Role

Identity: John Santos is a Captain in the Division of Investigative Services with the Massachusetts State Police.

Assignment: On January 24, 2023, he was part of a team executing a search warrant at 47 Summer Street in Duxbury.

Areas Searched: Santos personally searched multiple locations inside the home, including the kitchen, the basement office, and the master bedroom on the second floor.

Evidence Discovered in the Kitchen

In a kitchen cabinet located above and to the right of the stove, Santos discovered and seized several items of interest:

• McLean Hospital Discharge Paperwork: Paperwork belonging to Lindsay Clancy that outlined her discharge, resources for therapy, and a list of prescribed medications (lorazepam 1mg, melatonin 5mg, and trazodone 50mg) along with dosage instructions.
• Exhibit 147 (Postpartum Notebook): A notebook containing postpartum depression and anxiety information sheets alongside a handwritten log detailing specific medications, dates, and dosages taken.
• Exhibit 148 (Book): A book titled Good Moms Have Scary Thoughts.
• Exhibit 149 (Workbook): A Pregnancy and Postpartum Anxiety Workbook, which was completely unfilled.
• Exhibit 150 (Callan Patrick Clancy Notebook): Containing written messages between Lindsay Clancy and her nanny.
• Prescription Pill Bottles: Although Santos did not personally discover them, other law enforcement officers on the scene located and seized prescription pill bottles from the kitchen.

Evidence Discovered in the Basement Office

Electronics Seized: While searching the office portion of the basement, Santos personally found and seized two laptop computers and one external hard drive.

Search of the Master Bedroom & Electronic Media

Personnel: Approximately five law enforcement officers participated in searching the master bedroom. Santos assisted in this area but did not personally recover any items from it.

Electronics Seized: A cell phone found on the master bed was seized by the team.

The Nightstand Drawer Controversy: Under cross-examination, Santos testified that he did not search the nightstand drawer (which reportedly contained pill bottles, sleeping aids, and an Apple Watch) and could not verify if other officers searched it or chose not to seize its contents.

Apple Watch Recovery: An Apple Watch was not seized during the initial search warrant but was turned over to the state police by Patrick Clancy at a later date.

Search Methodology and Protocol

Operational Fluidity: Because officers did not have a layout of the home beforehand, room assignments were kept fluid by supervisors to prevent too many investigators from crowding a single area.

Evidence Management: To maintain strict records, a designated "evidence officer" went to the specific location where an item was found to log it after Crime Scene Services took a photograph of the item in place.

Determining Relevance: Officers sought out items connecting the suspect, victims, or associates to the incident. While investigators did not know at the time of the search that Ms. Clancy had reportedly consumed crushed pills with lemonade, they had learned from her husband that she was taking prescribed medications.

Testimony Video Timestamps

MA v Lindsay Clancy — Captain John Santos, Massachusetts State Police:

• 00:00 — MA v Lindsay Clancy - Captain John Santos - Mass State Police
• 00:34 — Execution of the Search Warrant in Duxbury
• 01:40 — Seizing the Kitchen Cabinet Evidence
• 03:06 — Search Methodology & Team Coordination
• 04:07 — Basement Search & Seizure of Electronics
• 05:41 — Searching the Master Bedroom
• 06:27 — Relevance of Evidence & Prior Knowledge
• 07:38 — Cross-Examination: Kitchen Pill Bottles & Exhibit Review
• 09:50 — Cross-Examination: Master Bedroom Search Logistics
• 11:05 — Cross-Examination: The Apple Watch & Unsearched Nightstand

Sgt. Robert Flynn: Duxbury PD Testimony

Sergeant Robert Flynn of the Duxbury Police Department testified on day 5 of the trial about the initial response at 47 Summer Street, the security sweep of the residence, and closing the master bedroom window after the search warrant was executed.

Officer Background and Initial Dispatch

Identity and Rank: Robert Flynn has been a patrol sergeant with the Duxbury Police Department for about seven and a half years and was assigned to the Detective Bureau in January 2023.

The Call-In: On January 24, 2023, after working his normal 8 a.m. to 4 p.m. shift, Flynn was called back in. Sergeant Detective Jamali directed him to respond to 47 Summer Street.

Radio Chaos: While driving to the location, Flynn monitored the radio and heard officers screaming on a highly chaotic channel.

Arrival and Initial Understandings

The Briefing: Upon arrival, Flynn spoke with Sergeant Homestead, who informed him that "a mother had killed her three kids."

Status of the Family: Although Flynn initially assumed the deceased children were still inside the home, he learned they and the mother (Lindsay Clancy) had already been transported.

Husband on Scene: The husband, Patrick Clancy, was still on the scene when Flynn arrived and was subsequently transported by ambulance.

Involving State Police: Because the Massachusetts State Police hold jurisdiction over death investigations in Duxbury, Flynn notified their Detective's Unit to initiate a joint death investigation.

The Security Sweep of the Residence

Flynn, along with Kingston Police Sergeant Patrikos and Lieutenant Wyler, conducted a walkthrough of all three floors to ensure there were no other suspects, victims, or individuals left inside. They did not touch or move anything during this sweep. Their key observations included:

• Main Floor (Kitchen & Living Room): Signs of young children living in the home, including paintings on the walls, snack bowls on the couch, and a Mediterranean takeout bag on the counter.
• Basement: Discovered a chaotic scene containing left-behind firefighter equipment and medical supplies.
• Master Bedroom (Second Floor): The bedroom was colder than the rest of the house due to an open window; a cell phone was sitting on the bed.
• Backyard: Observed matted-out snow and medical equipment below the open master bedroom window, which investigators believed was the window Lindsay Clancy exited.

Crime Scene Integrity and Search Warrant Execution

Securing the Scene: Duxbury officers secured the home by putting up crime scene tape, locking the doors, and logging every individual entering and exiting the property.

Search Warrant: Flynn met with State Police troopers at the station to coordinate and was present for the subsequent execution of a search warrant at the residence; the State Police served as the primary investigators and handled the collection of evidence.

Closing the Master Bedroom Window

Accessing the Window: Once the search warrant was complete, Flynn was instructed by his lieutenant to go back inside and close the open master bedroom window.

Observations at the Window: Flynn had to move the bed to access the window and noted blood in the immediate area. He observed no physical damage to the window or its screen, which appeared to have simply been pushed out.

Subsequent Investigation

Equipment Removal: During the search warrant, Flynn helped remove the medical equipment left behind by the fire department, which was the only material he personally removed from the house.

Follow-Up: Flynn assisted the State Police Detective's Unit with follow-up interviews and information gathering, though State Police remained the primary agency in charge.

Testimony Video Timestamps

MA v Lindsay Clancy — Sergeant Robert Flynn:

• 00:00 — MA v Lindsay Clancy - Sergeant Robert Flynn
• 00:57 — Dispatch and Radio Communications
• 01:33 — Arrival and Initial Briefing
• 02:42 — Notifying State Police Investigators
• 03:48 — Beginning the Security Sweep
• 04:45 — Sweep of the Kitchen and Living Room
• 06:30 — Sweep of the Basement
• 07:21 — Sweep of the Master Bedroom
• 08:18 — Backyard Observations
• 09:49 — Securing the Scene & Search Warrant Execution
• 11:12 — Closing the Master Bedroom Window
• 11:49 — Evidence Removal & Follow-Up Investigation

Sgt. Mark Maffeo: Duxbury PD Testimony

Mark Anthony Maffeo, a Duxbury Police patrol sergeant who was a detective at the time of the killings, testified about being called in off-duty to the Summer Street scene, following Lindsay Clancy's ambulance to the hospital, and later helping secure and search the home.

Witness Background and Initial Dispatch

Maffeo has worked for the Duxbury Police Department for nine years out of a twelve-year law enforcement career.

• Officer Profile: Patrol sergeant, previously a detective, with nine years at Duxbury PD and twelve years overall.
• The Incident: On January 24, 2023, he was called in off-duty to respond to an active scene at 47 Summer Street, the home of Patrick and Lindsay Clancy.
• Initial Assignment: Upon arrival, he was tasked with following the ambulance transporting Lindsay Clancy to South Shore Hospital. A separate ambulance transporting Patrick was diverted to Beth Israel in Plymouth.

Observations and Actions at South Shore Hospital

• Defendant's Condition: Maffeo observed Lindsay Clancy sedated, completely unconscious, and unresponsive, with visible lacerations on her neck and both wrists. Medical staff were not actively treating those specific wounds while he was present.
• Evidence Collection: He took custody of Clancy's clothing (pants, shirt, scarf, and bra) and wedding bands, which had been cut off by hospital staff, noting that blood from outside the clothing had seeped through into her bra.
• Custody and Hand-off: Because Clancy was in police custody, Maffeo stayed to guard her until relieved by another Duxbury officer, then turned the collected physical evidence over to Massachusetts State Police Trooper Lawler.

Observations at the 47 Summer Street Crime Scene

• Securing the Scene: Maffeo returned to the Duxbury residence to secure it, ensuring nobody entered before Crime Scene Services arrived, and assisted State Police with executing a search warrant late that night into the early morning.
• Exterior Evidence: Outside the home, he observed blood on the ground, snow, and leaves directly beneath a second-floor back window, a bloody hand mark on the window sill, and blood on the shingles directly below it.
• Master Bedroom Evidence: The upstairs bedroom was very cold because the window was open. He observed blood drops trailing on the floor next to a pair of boots and along the edge of the wall, and a nightstand containing blood drops, a knife, two cups, a jar, a clock, and a "deep sleep pillow spray."

Scope and Limitations of Sergeant Maffeo's Investigation

• Assigned Role: Maffeo was one of more than ten officers from Duxbury PD and the State Police processing the scene; he stayed mostly to his assigned area and personally located a laptop in a first-floor hallway closet, which was seized by the State Police.
• Evidence He Did Not Process: He clarified he had nothing to do with the "scene of the body," was not present when State Police located and seized other evidence such as pill bottles from the kitchen or bedroom nightstand, and had no memory of seeing journals or notebooks.

Testimony Video Timestamps

MA v Lindsay Clancy — Mark Maffeo, Duxbury Police:

• — MA v Lindsay Clancy - Mark Maffeo - Duxbury Police
  00:00
• — Dispatch to the Summer Street Crime Scene
  00:42
• — Reassignment to South Shore Hospital
  01:29
• — Observations of Lindsay Clancy's Condition
  02:35
• — Gathering Evidence from Hospital Staff
  04:11
• — Custody and Guarding Protocols
  05:46
• — Returning to Secure 47 Summer Street
  06:48
• — Defense Cross-Examination: Reviewing Hospital Photographs
  07:28
• — Cross-Examination: Bloody Clothing and Bra
  09:50
• — Cross-Examination: Blood Found Outside the House
  10:50
• — Cross-Examination: Search Warrant Execution and Pill Bottles
  11:36
• — Cross-Examination: Evidence in the Master Bedroom
  12:35
• — Cross-Examination: Scope and Finding the Laptop
  14:45
• — Redirect Examination: Hospital Treatment and Scene Security
  15:47
• — Recross Examination: Number of Responding Officers
  17:04

Richard Lippard: Duxbury PD Testimony

Richard Lippard, a Duxbury Police patrolman, testified about being called back in after his shift to guard Lindsay Clancy at the hospital, accompanying her by helicopter to Boston, and standing overwatch through a medical emergency overnight.

Officer Identity and Dispatch

• Richard Lippard is a patrolman who has served with the Duxbury Police Department for six and a half years.
• On January 24, 2023, he was called back in after finishing his shift to assist with an investigation regarding an incident at 47 Summer Street.

Initial Overwatch at South Shore Hospital

• He was sent directly to the South Shore Hospital emergency department in Weymouth to "overwatch" (guard) Lindsay Clancy, who was in custody.
• During his time there, Clancy was sedated, bandaged, lying in a hospital bed, and completely unresponsive.

Helicopter Transport to Boston

• Medical staff decided to med-flight Clancy to Brigham and Women's Hospital in Boston.
• Officer Lippard rode in the helicopter with her to maintain his overwatch.
• She remained unconscious during the flight and was bandaged with medical tubes coming out of her mouth.

Overwatch at Brigham and Women's Hospital

• Upon arriving in Boston, Clancy was taken to a small emergency room packed with life-saving equipment.
• Lippard and another Duxbury officer (Officer Broderick) guarded her outside the room for approximately 15 to 16 hours overnight to ensure nobody came to visit her.
• The environment was described as incredibly busy and chaotic, characterized as "bedlam" during cross-examination.

Medical Emergency (Code Blue)

• In the early morning hours, around 2:24 AM, a "code blue" was called over the microphone for Clancy's room.
• Lippard confirmed that medical personnel rushed in from all over, as the code indicated she was "dead or dying."

End of Shift

• Lippard did not recall Clancy being handcuffed or chained to her hospital bed.
• His overwatch shift concluded the following morning when he was relieved by Duxbury Police Officers Daley and Johnson.

Testimony Video Timestamps

MA v Lindsay Clancy — Richard Lippard, Duxbury Police:

• — MA v Lindsay Clancy - Richard Lippard - Duxbury Police
  00:00
• — Dispatch to South Shore Hospital
  00:30
• — Initial Overwatch of Unconscious Patient
  01:25
• — Med-Flight Transport to Boston
  02:20
• — Overwatch at Brigham and Women's ER
  02:44
• — Defense Cross-Examination Begins
  04:03
• — ER Chaos and Door Security
  06:43
• — "Code Blue" Medical Emergency
  07:33
• — Shift Conclusion and Relief
  08:09

Daniel Dougherty: Duxbury Fire/EMS Testimony

Daniel Dougherty, a Duxbury firefighter and paramedic, testified about treating Lindsay Clancy in the backyard of 47 Summer Street and about the chaotic scene as first responders arrived.

Witness Background and Arrival at the Scene

• Professional Credentials: Daniel Dougherty is a firefighter and paramedic with five and a half years of experience in Duxbury and four years as a paramedic.
• Incident Response: Responded to 47 Summer Street in Duxbury shortly after 6:00 p.m. on January 24, 2023, as part of a three-person ambulance crew.
• Initial Discovery: Located Lindsay Clancy in the backyard of the residence wearing jeans, a tank top, and socks.

Initial Assessment of Lindsay Clancy

• Observed Injuries: Lacerations were found on both of her wrists and her neck.
• Condition of Wounds: Dougherty noted there was no active bleeding; the blood on the neck was dry, and he characterized the wounds as "somewhat superficial" because they were not actively bleeding at the time.
• Responsiveness: The patient was breathing on her own but was only "somewhat responsive," reacting primarily to painful stimuli.

Medical Treatment and Stabilization

• Airway Management: The first priority was securing the airway by placing an Oropharyngeal Airway (OPA) device to hold the tongue down.
• Oxygen Administration: A non-rebreather mask was applied to provide oxygen.
• Wound Care: Sterile ABD pads and bandages were applied to the wrist and neck lacerations after the airway was secured.
• Immobilization: Using c-spine precautions, the team stabilized her neck and loaded her onto a backboard for safe transport.

Scene Dynamics and Patient Transport

• Response to Screaming: During treatment, the first responders heard screaming, causing some team members to leave the immediate area to investigate.
• Transfer of Care: Lindsay Clancy was loaded into a Pembroke ambulance for transport.
• Dougherty's Role in Transport: He did not accompany Lindsay Clancy; instead, he rode in an ambulance with Dawson Clancy to the hospital, operating a bag-valve mask for him.

Environmental Factors and Medical Implications

• Extreme Cold: The temperature was described as "wicked cold" (in the 30s or lower), and the patient had been lying on the snow for an unknown amount of time.
• Hypothermia and Blood Flow: Cross-examination highlighted that hypothermia can restrict blood flow and affect hemostasis (coagulation), suggesting this might explain the lack of active bleeding from the wounds.
• Follow-up Care: On redirect, it was noted that the wrist wounds were not sutured until the following day and the neck wound never required sutures, though Dougherty stated he had no knowledge of her condition after the initial transfer.

Officer Vincent Cahill: Duxbury PD Testimony

Officer Vincent Cahill of the Duxbury Police Department testified about entering the home after hearing screaming, discovering the children in the basement, and assisting with emergency resuscitation efforts.

Dispatch and Arrival

Officer Cahill was dispatched to 47 Summer Street in Duxbury on January 24, 2023, at approximately 6:11 p.m. Upon arriving, he observed Lindsay Clancy on the ground in the backyard receiving care.

Entering the Home

Hearing loud screaming, Officer Cahill entered the home and went down to the basement. There, he encountered the screaming father, Patrick Clancy, who pointed him toward the left side of the basement.

Discovering the Children

Officer Cahill found two children on the basement floor. He checked the pulses of both five-year-old Cora Clancy and infant Callan Clancy, determining that neither child had a pulse.

Emergency Response and Medical Aid

Duxbury firefighters arrived to take over the care of the children. Officer Cahill moved a large piece of furniture to create more room for the first responders and retrieved necessary medical equipment. He then assisted Officer Josephine in performing CPR and rescue breaths on Cora using a bag-valve mask before she was taken to the ambulance.

Crime Scene Management

For the remainder of the night, Officer Cahill was tasked with monitoring the scene and maintaining a "Crime Scene Entry and Exit Log" to document everyone who came and went.

Jury Dismissal and Instructions

After the testimony, the judge dismissed the jury for the day, instructing them to return at 9:00 a.m. the next morning for a "view" of the scene, where lawyers would point out significant areas. The judge firmly reminded the jury not to do any outside research, read about the case, or discuss it.

Robert Costanzo: Pembroke Fire Department Testimony

Robert Costanzo, a Pembroke Fire Department paramedic who responded on mutual aid, testified about treating Lindsay Clancy in the backyard, administering Narcan during transport, and the limits of what he could observe in the dark.

Background and Arrival at the Scene

• Witness Profile: Robert Costanzo is a paramedic and firefighter with the Pembroke Fire Department.
• The Incident: On January 24, 2023, he and his partner responded to a mutual aid call at 47 Summer Street in Duxbury.
• Scene Arrival: They arrived in 5 to 8 minutes and were directed to the backyard.
• Patient Status: The patient, Lindsay Clancy, was found unresponsive but breathing on the ground. Duxbury firefighters had already immobilized her on a backboard with a cervical collar.

Observation of Injuries

• Wrists: Clancy's wrists were already wrapped in white bandages; Costanzo observed no active bleeding or blood seeping through them.
• Neck: Looking through the holes in her cervical collar, Costanzo noted what appeared to be "superficial lacerations," but saw no active bleeding or pooling blood.
• Other Areas: He did not observe any obvious cuts or dents on her head, nor any broken bones on her arms or hands.

Medical Treatment and Transport

• Transport: Clancy was transported to South Shore Hospital, an approximately 18-minute drive.
• Opioid Suspicion: During transport, Costanzo noted Clancy's pupils were constricted and administered 2 milligrams of Narcan for a potential opioid overdose.
• Patient Reaction: Unlike a typical overdose patient, Clancy did not wake up. She remained non-verbal but became more agitated, reaching and grabbing with her arms.

Defense Cross-Examination

• Conditions of Assessment: The defense highlighted that Costanzo's initial observation of "superficial" neck wounds was made in a pitch-black backyard without flashlights, by peering through a small hole in a cervical collar.
• Undiscovered Internal Trauma: Costanzo admitted he was completely unaware that Clancy had suffered massive internal trauma, including a burst fracture of the cervical spine, several shattered vertebrae, fractured ribs, and internal hemorrhaging.
• Narcan and Head Injury: The defense established that paramedics are only trained to use Narcan for opioids (not benzodiazepines) and suggested that Clancy's agitated grabbing could have been consistent with a severe head injury rather than a drug reaction.

Commonwealth Redirect Examination

• Well-Lit Ambulance: The prosecution clarified that while the backyard was dark, Costanzo subsequently spent 18 minutes with the patient in a well-lit ambulance.
• Confirmation of No Bleeding: Costanzo confirmed that during those 18 minutes in the light, he never saw any blood seeping through her wrist bandages or pooling around her neck.

Testimony Video Timestamps

MA v Lindsay Clancy — Robert Costanzo, Pembroke Fire:

• — MA v. Lindsay Clancy - Robert Costanzo - Pembroke Fire
  00:00
• — Arrival at the Scene and Patient Status
  01:32
• — Initial Observation of Injuries
  02:29
• — Transport to South Shore Hospital
  04:29
• — Administering Narcan
  05:13
• — Defense Cross — Protocols and Patient Reaction
  06:55
• — Defense Cross — Internal Trauma
  08:03
• — Commonwealth Redirect — Observations in the Ambulance
  10:17

Jennifer Stratton: Duxbury Fire Department Testimony

Jennifer Stratton, a Duxbury firefighter-paramedic, testified about discovering the children in the basement and performing infant CPR on Callan Clancy until he was transported to the hospital.

Background and Dispatch

• Witness Identity: Jennifer Stratton is a paramedic and 12-year veteran firefighter with the Duxbury Fire Department.
• The Dispatch: On January 24, 2023, just after 6:00 p.m., Stratton and her partner, Firefighter Patrick Dwyer, were dispatched to 47 Summer Street.

Arrival and Initial Observations

• Backyard Scene: They arrived in about four to five minutes and proceeded to the backyard, where they saw another firefighter kneeling next to Miss Clancy in the dark.
• Entering the Home: The crew heard a voice yelling to get inside the house because there was a child hanging in the basement. They entered through the rear sliding doors, went through the kitchen, and proceeded down to the basement.

Discovery in the Basement

• Finding the Children: Upon reaching the basement and turning left, they discovered two children, Callan and Cora, lying face up on the floor.
• Initial Response: Stratton immediately radioed for two additional ambulances. Firefighter Dwyer went to treat Cora, while Stratton went to treat the 8-month-old baby, Callan.

Medical Intervention for Callan

• CPR: Stratton checked Callan for a pulse, found none, and immediately began infant chest compressions, which require scooping the arms around the baby and compressing with the thumbs.
• Assistance: An off-duty firefighter, Tom Brandt, arrived to help with compressions while another provider brought a bag valve mask to deliver oxygen.
• Advanced Procedures: Responders removed Callan's pajamas to attempt IO (intraosseous) access into the bone of his leg. Two separate attempts were made, but both were unsuccessful.
• Injuries Noted: While working on him, Stratton observed deep strangulation marks encompassing the entire circumference of Callan's neck.

Transport to the Hospital

• Leaving the Scene: Callan never regained a pulse or the ability to breathe while in the home. Stratton scooped the baby up in her arms and carried him outside to an ambulance provided by Kingston Fire.
• Hospital Transfer: Stratton rode in the transport to Beth Israel Deaconess Plymouth. Callan did not regain a heartbeat or breath at any point during the transport before care was transferred to hospital medical staff.

Testimony Video Timestamps

MA v Lindsay Clancy — Jennifer Stratton, Duxbury Firefighter:

• — MA v. Lindsay Clancy - Jennifer Stratton - Duxbury Firefighter
  00:00
• — Dispatch & Arrival
  00:44
• — Backyard Scene & Entering the Home
  01:29
• — Finding the Children
  02:11
• — Initiating Infant CPR
  03:16
• — Unsuccessful IO Access Attempts
  04:40
• — Observing Injuries & Transport Decision
  05:17
• — Ambulance Transport to Hospital
  05:51

Patrick Dwyer: Duxbury Fire Department Testimony

Patrick Dwyer, a Duxbury firefighter-paramedic, testified about discovering the children in the basement and treating five-year-old Cora Clancy through transport to the hospital.

Background and Dispatch

• Patrick Dwyer is an eight-year firefighter and paramedic with the Duxbury Fire Department.
• On January 24, 2023, shortly after 6:00 p.m., he and his partner, Jennifer Stratton, were dispatched to 47 Summer Street.
• At the time of the dispatch, they did not know that children were involved in the emergency.

Scene Arrival and Discovery

• Upon arriving at the dark scene, they initially headed toward the backyard before being directed through sliding glass doors and down into the basement.
• In the basement, Dwyer observed two children on the floor in cardiac arrest and the father sitting on or near a couch.

Medical Assessment and Treatment of Cora Clancy

• Dwyer immediately began treating the five-year-old girl, Cora Clancy, while his partner treated the other child.
• Upon assessment, Dwyer found that Cora had no pulse and was not breathing.
• He observed that her skin was pale and bluish, she had blood vessels visible around her eyes, and there was blood in her mouth.
• Dwyer and assisting first responders initiated CPR and used a bag-valve mask, but they could not get Cora to breathe on her own.

Transport and Transfer of Care

• Assisting firefighters from Marshfield helped strap Cora to a backboard so she could be carried out of the basement.
• Dwyer rode with Cora in a Marshfield ambulance, alongside other responders, to Beth Israel hospital in Plymouth.
• During the ambulance ride, they used a cardiac monitor to shock Cora once, but they failed to regain a pulse.
• Upon arrival at the hospital, they transferred Cora's care to the emergency medical staff.

Testimony Video Timestamps

MA v Lindsay Clancy — Patrick Dwyer, Duxbury Firefighter:

• — MA v. Lindsay Clancy - Patrick Dwyer - Duxbury Firefighter
  00:00
• — Dispatch to 47 Summer Street
  00:54
• — Arrival and Entering the Scene
  02:07
• — Discovery in the Basement
  03:37
• — Treating Five-Year-Old Cora Clancy
  04:19
• — Medical Assessment and Observations
  06:48
• — Additional Assistance and Evacuation
  08:44
• — Ambulance Transport and Defibrillation
  09:40
• — Transfer of Care
  10:49

Chuck Nudd: Duxbury Fire Department Testimony

Loring "Chuck" Nudd, a retired Duxbury firefighter and EMT, testified about arriving as backup EMT and driving ambulance transport, describing his encounter with Dawson Clancy and assisting other responders at the scene.

Background of the Witness

• Loring "Chuck" Nudd is a retired firefighter and EMT who served with the Duxbury Fire Department for over 30 years.
• While all Duxbury firefighters are trained in fire suppression, his primary role was assisting paramedics and driving the ambulance.
• On January 24, 2023, he was working a 24-hour shift and acting as the backup EMT assigned to the Central Station ambulance with paramedics Daniel Dougherty and Kevin Heath.

The Dispatch and Arrival

• Shortly after 6:00 p.m., the team was dispatched to 47 Summer Street.
• The initial dispatch reported a female who had fallen from a second-floor window in a possible suicide attempt, with no mention of children being involved.
• The ambulance arrived in four to five minutes, acting as the first medical transport on the scene, though Duxbury police cruisers were already present.

Initial Encounter with the Child Patient

• Because police cruisers were initially blocking the driveway, paramedics Dougherty and Heath exited the ambulance and ran to the back of the house while Nudd parked the vehicle.
• As Nudd pulled a stretcher out of the back of the ambulance, Officer Homestead approached carrying a child.
• Nudd observed that the child's face was blue, his body was pale, and he had marks around his neck.

Emergency Medical Response

• The child was moved into the ambulance to begin CPR and assess his airway, breathing, and circulation (the "ABCs").
• During this initial assessment, the child was not breathing on his own, and Nudd was unable to secure an airway or determine any cardiac circulation.
• Nudd called out for a medic, and paramedic Keith Nette arrived at the ambulance to assist with CPR and set up a monitor to check for a heart rhythm.

Scene Assistance and Hospital Transport

• The monitor was eventually disconnected so that Nudd could run the equipment down to the basement, where it was needed for other patients.
• In the basement, Nudd observed other children being treated by emergency responders, noting that they were not crying.
• Nudd concluded his role on the call by driving Ambulance One to Plymouth Hospital to transport the initial child, identified as Dawson Clancy.

Testimony Video Timestamps

MA v Lindsay Clancy — Chuck Nudd, Duxbury Firefighter:

• — MA v. Lindsay Clancy - Chuck Nudd - Duxbury Firefighter
  00:00
• — January 24th Shift Assignment
  02:40
• — Dispatch to Summer Street
  03:44
• — Arrival at the Scene
  05:08
• — Initial Encounter with the Child Patient
  06:55
• — Emergency Medical Response and CPR
  07:44
• — Assisting in the Basement
  10:43
• — Transport to Plymouth Hospital
  11:29

Capt. Keith Nette: Duxbury Fire Department Testimony

Captain Keith Nette, a Duxbury Fire shift commander and paramedic, testified about responding off-duty and treating Dawson Clancy through hospital transport, and about assisting Marshfield responders with a second child at the hospital.

Witness Background and Emergency Dispatch

• Captain Keith Nette has been with the Duxbury Fire Department for 17 years and serves as a shift commander, firefighter, and trained paramedic.
• On January 24, 2023, despite being off-duty, he responded to a pager and text message recall shortly after 6 p.m. for an incident at 47 Summer Street.
• He drove his personal truck to the scene and immediately went to assist personnel in the back of a Duxbury ambulance.

Initial Assessment of Dawson Clancy

• Upon arriving at the ambulance, Nette saw Paramedic Kevin Heath and Sergeant Homestead performing CPR on an approximately three-year-old child, Dawson Clancy.
• Nette observed that the child was in critical condition: he was blue, white, non-responsive, not breathing, and had no pulse.

Emergency Medical Interventions and Observations

• Nette and Heath immediately implemented advanced life-saving measures alongside continued CPR.
• Because pediatric patients often have difficult IV access, they used a manual drill to establish an IO (intraosseous) line into the bone marrow of Dawson's lower leg to administer epinephrine, a medication used to try and restart the heart.
• Paramedic Heath successfully intubated the child, securing an advanced airway with a tube to deliver oxygen using a bag-valve mask (BVM).
• While Nette and Heath were treating his airway, Nette observed dark red marks around Dawson's neck.

Hospital Transport and Outcomes

• The ambulance transported Dawson to the Beth Israel (BID) Plymouth emergency department.
• During the ride, the medical interventions were unsuccessful; Dawson never regained a pulse, spontaneous breathing, or any heart activity.
• Upon arriving at the hospital, they transferred care of the patient to the trauma team.

Additional Events at the Hospital

• While at the emergency department, Nette saw the Marshfield Fire Department bring in a second child from the same home.
• Nette stepped in to assist the Marshfield team by performing chest compressions on the second child as they were being moved out of the ambulance.
• Nette also interacted with the children's father, who was visibly upset, and retrieved a chair for him to sit down after the children had been declared deceased.

Testimony Video Timestamps

MA v Lindsay Clancy — Keith Nette, Duxbury Fire Captain:

• — MA v. Lindsay Clancy - Keith Nette - Duxbury Fire Captain
  00:00
• — Responding to Summer Street
  01:15
• — Initial Assessment of Dawson Clancy
  02:56
• — CPR, IO Drill, & Intubation
  03:36
• — Observations Made on the Victim
  05:47
• — Ambulance Transport to BID Plymouth Hospital
  06:22
• — Interaction with the Father
  07:34

Capt. PJ Hussey: Duxbury Fire Department Testimony

Captain PJ Hussey, the Duxbury Fire shift commander on duty, testified about supervising the scene, spotting Dawson Clancy through a basement window, and coordinating mutual aid as the number of child patients grew.

Background and Qualifications of Captain PJ Hussey

• Role and Experience: Captain Hussey has been a firefighter for 32 years and a paramedic for 17 years.
• Duties: On January 24, 2023, he was working a 24-hour shift as a shift commander for the Duxbury Fire Department, a role that oversees the town's firefighting and medical services operations.

Initial Dispatch and Scene Arrival

• The Response: Shortly after 6:00 p.m. on January 24, 2023, Hussey responded to 47 Summer Street with six personnel across his commander car, Ambulance One, and Engine Two.
• First Patient Location: Upon arrival, Hussey went to the backyard where Lindsay Clancy was on the ground. He supervised the scene while other paramedics provided treatment to her.

Discovery of the Children in the Basement

• Hearing the Scream: While standing near a basement window well, Hussey heard a scream coming from downstairs.
• Looking Through the Window: Looking through the illuminated basement window, he saw Patrick Clancy on the floor, making a circular motion to unwrap something from a child's neck and head.
• Condition of the First Child: Hussey observed that the child's (later identified as Dawson Clancy) head was blue.

Escalating Emergency and Resource Management

• Calling for Backup: Recognizing the severity of having a second critical patient, Hussey initiated an "all-call" to recall available Duxbury personnel to help at the scene and cover the rest of the town.
• Mutual Aid: Because Duxbury only had one staffed ambulance on site, Hussey requested a mutual aid ambulance from surrounding towns.
• Additional Victims: Hussey soon learned there were two more child patients, Cora and Callan Clancy, prompting him to call for two additional ambulances.

Scene Triage and Chaos

• A Chaotic Scene: Hussey described the scene as turning "very chaotic, very quickly" as more victims were discovered.
• Paramedic Allocation: To manage the crisis, Hussey had to strategically divide his four initial paramedics: one remained with Lindsay Clancy, one was assigned to Dawson, and the remaining two were sent to treat Cora and Callan in another room. Eventually, personnel also had to attend to Patrick Clancy.

Testimony Video Timestamps

MA v Lindsay Clancy — PJ Hussey, Duxbury Fire Captain:

• — MA v. Lindsay Clancy - PJ Hussey - Duxbury Fire Captain
  00:00:00
• — Paramedic Qualifications and Training
  00:00:27
• — Role and Duties as Shift Commander
  00:01:16
• — The 6PM Dispatch to 47 Summer Street
  00:02:48
• — Arrival on Scene and Locating Lindsay Clancy
  00:03:45
• — Hearing a Scream from the Basement
  00:04:48
• — Witnessing Patrick and Dawson Clancy
  00:05:43
• — Initiating the "All-Call" and Requesting Mutual Aid
  00:06:30
• — Discovery of Additional Victims (Cora and Callan)
  00:07:28
• — Managing Triage in a Chaotic Scene
  00:07:46

Officer Brian Josephine: Duxbury PD Testimony

Officer Brian Josephine, one of the first Duxbury officers on scene, testified about treating Lindsay Clancy in the backyard, then discovering and treating Dawson and Cora Clancy in the basement after hearing Patrick Clancy's screams.

Dispatch and Arrival

• Officer Brian Josephine of the Duxbury Police Department was working an overtime shift on January 24, 2023.
• At approximately 6:11 p.m., he was dispatched to a critical incident at 47 Summer Street.
• He arrived within three to four minutes, found the side mudroom door locked, and made his way to the back of the house.

Initial Backyard Encounter

• In the backyard, he found Patrick Clancy standing over Lindsay Clancy, who was lying on the ground.
• Patrick Clancy was holding a cell phone and abruptly walked past the officer toward the bulkhead and deck of the house.

Assessment of Lindsay Clancy

• Officer Josephine attended to Lindsay Clancy and observed cuts on her right wrist and the right side of her neck.
• Based on his training, he determined the bleeding was not life-threatening and did not require the use of a tourniquet.
• He handed over her medical care to the arriving Duxbury Fire personnel.

First Basement Discovery (Dawson Clancy)

• Hearing loud screams from inside the house, Officer Josephine and Officer Hall entered through the sliding glass doors on the deck and rushed down to the basement.
• They encountered a frantic Patrick Clancy exiting a room on the right side of the basement, screaming, "She killed the fucking kids."
• Inside the room, the officer found a motionless child, Dawson Clancy, lying on his back near a yellow exercise band.
• Dawson exhibited severe signs of trauma, including a grey face, blue lips, bloodshot eyes, and red marks on the right side of his neck.
• Knowing the situation was grave, Officer Josephine picked the child up and rushed him directly outside to an ambulance stretcher.

Second Basement Discovery (Cora Clancy and Baby)

• Hearing there were multiple children, Officer Josephine immediately ran back into the house and went to the left side of the basement.
• He discovered an older girl, Cora, on the floor, and a younger baby in the corner.
• With fire personnel already treating the baby, Officer Josephine took over performing chest compressions on Cora.
• Cora had traumatic injuries similar to Dawson's, along with dried blood around her mouth and a large area of blood on the floor near her.
• Officer Josephine performed CPR on Cora for an extended period and called for Officer Cahill, who came down to assist with a bag-valve mask for rescue breaths.

Evacuation and Aftermath

• After the baby and Cora were stabilized enough to be placed on stretchers and removed from the basement, Officer Josephine went back upstairs.
• In the kitchen, he encountered Patrick Clancy, who was still frantic and in shock, prompting the officers to request an additional ambulance for him.

Testimony Video Timestamps

MA v Lindsay Clancy — Brian Josephine, Duxbury PD (First on Scene):

• — MA v. Lindsay Clancy - Brian Josephine - First On Scene
  00:00:00
• — Introduction and Officer Background
  00:00:08
• — Dispatch to 47 Summer Street
  00:01:52
• — Arrival and Navigating the Property
  00:02:34
• — Backyard Encounter with Patrick and Lindsay Clancy
  00:04:12
• — Medical Assessment of Lindsay Clancy
  00:06:17
• — Loud Screams and Rushing to the Basement
  00:08:19
• — Encountering Patrick Clancy Inside
  00:09:50
• — Discovery of Dawson Clancy
  00:10:11
• — Evacuating Dawson to the Ambulance
  00:12:02
• — Returning to the Basement: Finding Cora and the Baby
  00:13:07
• — Performing CPR on Cora
  00:13:50
• — Encountering Patrick in the Kitchen
  00:15:59

Officer Stephen Hall: Duxbury PD Testimony

Officer Stephen Hall, who arrived alongside Officer Josephine, testified about finding Lindsay Clancy in the backyard, discovering Dawson, Cora, and Callan Clancy in the basement, and assisting paramedics treating Lindsay outside.

Initial Response and Arrival

• Officer Stephen Hall of the Duxbury Police Department responded to a dispatch at 47 Summer Street on January 24, 2023, at approximately 6:11 p.m.
• He arrived at the same time as Officer Josephine, and both proceeded to the backyard after hearing a distressed male voice, later identified as Patrick Clancy, calling for them.

Discovery and Condition of Lindsay Clancy

• Officers found Lindsay Clancy lying on the ground in the backyard near a window well at the back of the house.
• She had cuts to both her wrists and the left side of her neck, though they were not actively bleeding at the time.
• She was semi-conscious, moving slightly, and moaning in pain, but was unable to speak.

Entry into the Home and Discovery of the Children

• Patrick Clancy went inside the home to check on his children. Shortly after, dispatch radioed that he could not wake them, and officers heard a loud scream from inside.
• The officers immediately rushed through the kitchen and down into the basement.
• Discovery of Dawson Clancy: On the right side of the basement, which appeared to be a workout area, officers found a young boy, Dawson Clancy, lying on his back near an exercise band. His skin was discolored to a bluish-purple. Officer Josephine picked the child up and ran him outside to an ambulance.
• Discovery of Cora and Callan Clancy: Realizing there were multiple children, officers checked the left side of the basement, where they found two more children lying motionless on the floor as EMTs worked on them.

Subsequent Observations and Medical Assistance

• Officer Hall returned outside to assist the paramedics who were treating Lindsay Clancy.
• Looking up at the house, he observed an open upper window with blood marks around the window frame and on the shingles below it.
• Officer Hall assisted paramedics by repeatedly replacing Lindsay Clancy's oxygen face mask, which she kept pulling off, and then helped load her stretcher into the ambulance.

Dr. Jhilam Biswas: Psychiatrist Testimony

Dr. Jhilam Biswas, an adult and forensic psychiatrist at Brigham and Women's Hospital, testified on day 5 of the trial about her single consultation with Lindsay Clancy in the ICU on January 26, 2023, conducted while Clancy was intubated and communicating only by pen and paper.

Dr. Biswas's Professional Background and Role

Specialization and Employment: Dr. Biswas is an adult and forensic psychiatrist who works at Brigham and Women's Hospital.

Education and Credentials: Her training includes medical school and forensic subspecialty training at UMass Chan Medical School, and a psychiatry residency at Harvard Longwood.

Involvement in the Case: She evaluated Lindsay Clancy on January 26, 2023, while serving on the hospital's consultation-liaison psychiatry service.

Context and Circumstances of the Evaluation

Setting and Duration: The evaluation took place in Clancy's ICU room, lasting approximately 20 to 30 minutes, about a day and a half after her admission. It was Dr. Biswas's only interaction with Clancy.

Physical and Emotional State: Clancy was intubated, awake, anxious, exhausted, in pain, and on pain and blood pressure medications. She had a soft restraint on her wrist and was scheduled for imminent spinal surgery to treat spinal fractures.

Communication Method: Because Clancy was intubated and unable to speak, the entire 20-to-30-minute evaluation was conducted using a pen and paper.

Purpose of the Evaluation: The psychiatry service was called specifically to evaluate Clancy's safety and suicidality following a "likely suicide event" before she underwent major spinal surgery.

Psychiatric Observations and Absence of Psychosis

Mental Status: Dr. Biswas documented that Clancy's thinking appeared "linear, goal-oriented, [and] thoughtful."

No Active Psychosis: Dr. Biswas observed no active internal or external signs of psychosis or responsiveness to internal stimuli (such as reacting to hallucinations or hearing voices) in that "snapshot" moment.

Relevance of Communications: Clancy's written responses and questions made logical sense given her situation. She wrote that her mood was "horrified," and asked relevant questions about her legal and physical situation, including "do I have an attorney?", "is my body broken?", and "are my legs straight?" — and inquired about family visitors.

Surgical Capacity: Dr. Biswas assessed that Clancy possessed the mental capability to make the decision to consent to her upcoming surgery.

Review of Psychiatric and Medical History

Scope of Record Review: Prior to meeting Clancy, Dr. Biswas reviewed available electronic medical records in the hospital's EPIC system but did not perform a deep dive into Clancy's complete psychiatric history from outside providers.

Known History: From the available records, she was aware that Clancy had a history of postpartum anxiety, insomnia, and documented suicidal ideation.

Gaps in Dr. Biswas's Records: She did not recall reading about active postpartum psychosis, homicidal ideation, or hypomania in the records she reviewed. However, she was aware that the event leading to Clancy's admission involved the deaths of her three children.

Testimony Video Timestamps

MA v Lindsay Clancy — Dr. Jhilam Biswas:

• 00:00 — MA v Lindsay Clancy - Dr. Jhilam Biswas
• 01:34 — Jan 26 2023 consult — intubated Clancy in ICU
• 03:34 — Writes “horrified” — asks for attorney, body/legs
• 05:02 — Safety eval before surgery — answers make sense
• 06:21 — Psychosis signs explained — none noted that day
• 07:51 — Linear thinking — no response to internal stimuli
• 09:17 — One visit ~20–30 min — capacity for surgery decision
• 11:06 — Cross Examination - Kevin Reddington
• 13:05 — Postpartum psychosis questions — limited history known
• 14:20 — Insomnia History
• 15:32 — Intrusive thoughts
• 17:10 — Hypomania / bipolar — not recalled on that day
• 18:00 — Reddington: What is your purpose?
• 18:54 — Spine surgery, pain meds, coding & transfusions
• 22:23 — Police, custody, soft restraints — single encounter
• 23:41 — Redirect: EPIC records, lawyer focus, condition

Meghan Collins: ICU Nurse Testimony

Meghan Collins, an ICU nurse in the Trauma Surgical ICU at Brigham and Women's Hospital, testified about her 1-to-1 care of Lindsay Clancy beginning January 24, 2023, including her intubation and sedation, post-extubation ICU delirium, and the psychiatric evaluation of her capacity to change her healthcare proxy.

Witness Background and Role

Meghan Collins is an ICU nurse with 11 years of experience, working in the Trauma Surgical ICU at Brigham and Women's Hospital.

She treated Lindsay Clancy during the 7 a.m. to 7 p.m. shift beginning January 24, 2023, providing 1-to-1 nursing care because the patient was critically ill.

Patient's Initial Condition and Medical Treatment

Clancy arrived at the Brigham ICU already intubated after being transferred from a local hospital and emergency department. The patient had "coded" overnight, requiring additional CT scans the morning Collins took over her care.

During her initial days in the ICU, Clancy was kept heavily sedated so she could tolerate the breathing tube and so the medical team could focus on stabilizing her significant neck and spinal injuries.

The medical team monitored her respiratory status closely, which included managing bilateral chest tubes and starting her on a low dose of propofol.

Post-Extubation Recovery and ICU Delirium

After Clancy was extubated (around January 28th or 29th), she experienced what is known as "ICU delirium," exhibiting signs of increased confusion, agitation, and picking at her medical lines and drains. Due to this agitation, the patient had to be physically restrained.

The medical team used a multimodal approach to manage the delirium, which successfully decreased her agitation over the following days. Sleep issues were also a noted part of her recovery and treatment plan.

Psychiatric Consult and Healthcare Proxy Changes

On January 29th and 30th, a psychiatric consult team evaluated Clancy to determine if she had the medical capacity to change her healthcare proxy. She was seeking to change it from her husband, Patrick, to her parents.

This evaluation was attended by the psychiatric doctors, a social worker, Clancy's lawyer, and Nurse Collins, who attended to advocate for the patient and monitor her mental status.

Regarding her life-saving care, Collins noted that Clancy's code status was "full" (meaning she was to be fully resuscitated if needed), though the defense attorney indicated that medical records might show Clancy had repeatedly requested a Do Not Resuscitate (DNR) order.

Security and Privacy Protocols

Because of the high-profile nature of the case, police officers were constantly stationed outside Clancy's room throughout her ICU stay.

The hospital deliberately kept the treatment team small to protect the patient's privacy; standard hospital protocol required the nursing director and legal team to explicitly approve anyone other than medical staff entering the room.

Testimony Video Timestamps

MA v Lindsay Clancy — ICU Nurse Meghan Collins:

• 00:00:00 — ICU Nurse Meghan Collins
• 00:01:13 — Patient Admission & 1-to-1 Care
• 00:03:16 — Intubation, Sedation & Patient Coding
• 00:04:45 — Reviewing Neck & Physical Injuries
• 00:06:45 — Chest Tubes & Additional Sedation
• 00:08:20 — Extubation & Managing ICU Delirium
• 00:09:43 — Psychiatric Consult & Healthcare Proxy
• 00:11:36 — Limited Access & Privacy Protocols
• 00:12:36 — Cross-Examination & DNR Status

Rachelle Amedee: Trauma ICU Night Nurse Testimony

Rachelle Amedee, a trauma surgical ICU night nurse at Brigham and Women's Hospital, testified about Lindsay Clancy's severe medical crisis on admission, her cardiac arrest, and her gradual recovery and communication through late January and early February 2023.

Initial Admission and Severe Medical Crisis

Arrival Status: Clancy was transferred to the ICU on January 24, 2023, arriving intubated, sedated, and suffering from profound hypothermia with a core temperature of 82 degrees.

Cardiac Arrest: Early on January 25, Clancy "coded" due to an unsustainable drop in blood pressure. The medical team performed CPR, placed bilateral chest tubes that drained blood from her lungs, increased blood pressure medications (pressors), and initiated a massive blood transfusion protocol.

Extensive Physical Injuries: Her injuries included a burst fracture of the C1 vertebra, a severed thoracic spine (T5 and T6), injured T1-T4 vertebrae, rib fractures, a cerebrospinal fluid (CSF) leak from her nose, and lacerations on her wrists and neck. She had no major intracranial injuries requiring focus.

Strict Security and Suicide Watch

Police Presence: Two police officers were continuously stationed outside her room, and she was strictly prohibited from having any visitors. She was placed on a "one-to-one" watch because she was identified as a potential suicide risk, meaning she could never be left alone.

Progression of Communication and Awareness

• January 26: While still intubated and sedated, she became arousable and could follow simple commands, such as moving her head and arms or squeezing a hand, though spinal injuries prevented her from moving her legs.
• January 28: Her eyes were open, and she began communicating by writing on a whiteboard despite still being intubated and secured to the bed with soft restraints. She used the board to indicate she was confused and could not feel her lower extremities.
• January 30: Clancy was extubated and taken off sedation. Nurse Amedee consistently observed her demeanor as "flat" and displaying "no emotion either way," though she was alert, oriented, and cooperative. Sleep was identified as an ongoing issue that required medication.
• February 2: Having engaged in casual conversation post-extubation, Clancy asked to reach out to her lawyer for the first time. Nurse Amedee referred the request to a hospital social worker.
• February 3: Clancy was transferred out of the trauma surgical ICU.

Noted Mental Health History

As part of the patient history in her medical records, there were multiple overlapping notations acknowledging her mental health background, including references to postpartum depression, postpartum psychosis, and postpartum mood symptoms.

Testimony Video Timestamps

MA v Lindsay Clancy — Nurse Rachelle Amedee:

• 00:00 — MA v Lindsay Clancy - Nurse Rachelle Amedee
• 01:31 — Initial ICU Admission and Care
• 03:12 — Cardiac Arrest and Emergency Interventions
• 04:04 — Police Presence and Strict Security
• 05:09 — Sedation and Basic Neurological Checks
• 06:38 — Whiteboard Communication
• 07:25 — Use of Soft Restraints
• 08:26 — Extubation, Patient Demeanor, and Sleep Issues
• 10:23 — Patient Requests to Contact a Lawyer
• 12:12 — Visitor Restrictions and Police Photographs
• 13:46 — Cross-Examination: Review of Medical Records
• 16:33 — Cross-Examination: Cardiac Arrest, Blood Loss, and Transfusions
• 20:46 — Cross-Examination: Severe Spinal Injuries
• 21:50 — Cross-Examination: Mental Health and Postpartum History
• 26:49 — Cross-Examination: Lacerations and Severe Hypothermia
• 31:13 — Redirect Examination: Clarifying Timeline, Injuries, and Psychiatric Evaluation

Sgt. Rose Stoffers: Crime Scene Services Testimony

Sergeant Rose Stoffers of the Massachusetts State Police Crime Scene Services section testified about photographing Lindsay Clancy's injuries at South Shore Hospital and later documenting a bag of medications brought to the Plymouth Detective Unit.

Role and Background

Sergeant Rose Stoffers has been with the Massachusetts State Police Crime Scene Services section since 2019.

Her primary responsibility is to document crime scenes with photos and videos, as well as process and collect evidence.

Hospital Documentation (January 24, 2023)

Stoffers was dispatched to South Shore Hospital to document the injuries of the defendant, Lindsay Clancy, and record the areas where a forensic scientist took biological swabs.

Clancy was located in a hot emergency trauma room, covered in blankets and heating devices to raise her body temperature, and wearing a neck collar.

Defendant's Demeanor

Stoffers noted that when she attempted to pull Clancy's right arm out from underneath the blanket, Clancy was uncooperative and fought against them, requiring Stoffers to enlist the help of nurses.

Injuries and Evidence Photographed

Stoffers observed and photographed a red-brown stain on Clancy's hands. With the help of medical staff, gauze was removed from Clancy's wrists, allowing Stoffers to document the injuries underneath.

She took overall photos, as well as close-ups of Clancy's face, neck (after the neck brace was opened), both hands, and wrists, and also documented the personal belongings removed from Clancy, including her clothing and two rings.

Follow-Up Documentation (February 6, 2023)

Stoffers went to the Plymouth Detective Unit's office in Brockton to meet with Trooper Rabbitt. She was tasked with photographing a bag of medication and related documents, clarifying that she did not enter the defendant's house to take these photos — the bag had already been brought to the police office.

Testimony Video Timestamps

MSP Sergeant Rose Stoffers:

• 00:00 — MSP Sergeant Rose Stoffers
• 00:38 — Role of Crime Scene Services
• 01:25 — Arrival at South Shore Hospital
• 01:53 — Working with Forensic Scientists
• 02:42 — Instructions for Documenting the Defendant
• 03:08 — Initial Observations of Lindsay Clancy
• 04:16 — Defendant's Demeanor and Resistance
• 05:05 — Documenting Hands, Injuries, and Personal Belongings
• 06:27 — Evidence Tracking System and Lab Numbers
• 07:27 — Follow-Up: Photographing Medication Bag
• 08:29 — Cross-Examination: Clarifying Scene Location

Dr. Kelly McDonough: ER Physician Testimony

Dr. Kelly McDonough testified about her emergency room evaluation of Lindsay Clancy at South Shore Hospital on January 24, 2023, covering her severe hypothermia, neurological status, lacerations, and the transection of her thoracic spine.

Initial Patient Presentation and Condition

Lindsay Clancy arrived as a Trauma One response following a suspected fall from a window, in a C-collar and backboard. She was nonverbal but her eyes were open, and she was only responsive to painful stimuli, which caused her to move her arms.

She presented with severe hypothermia, possessing a core body temperature of 82.1 degrees. Medical staff used a "bear hugger" warming blanket to treat the low temperature, which Dr. McDonough warned could cause "metabolic derangement."

Neurological and Head Assessments

There were no obvious external signs of a head injury, such as bleeding, scrapes, or abrasions, and no sign of clear cerebrospinal fluid (CSF) leaking from her nose, which would have indicated a skull fracture.

Her pupils were equal and reactive to light, suggesting there was no significant neurologic injury or brain herniation at the time. Multiple CT scans of the head, both with and without contrast, came back entirely unremarkable.

Lacerations to the Neck and Wrists

The patient had cuts on her neck and the anterior (volar) aspects of both wrists. Dr. McDonough characterized these lacerations as "superficial."

These wounds did not require acute or immediate treatment to prevent her from bleeding out, as there was no active arterial or venous bleeding, nor was there visible damage to muscle tissue or tendons.

Spinal and Thoracic Injuries

The most significant finding from the body CT scans was a severe thoracic spine injury. Specifically, there was a complete transection of the spinal cord at the T5 and T6 vertebrae, meaning the bones were completely moved apart from one another.

Radiology reports also noted potential significant edema (swelling) in her chest area.

Interventions and Transfer

Though she was initially breathing on her own, she was proactively intubated to protect her airway due to early concerns about potential head trauma. A trauma surgeon, Dr. Christina Carpio, assisted, but no surgical interventions were performed at South Shore Hospital.

After about four hours of stabilization and assessment, the medical team determined her injuries were too severe for their facility, and she was transferred to a tertiary care center, Brigham and Women's Hospital, for specialized treatment.

Testimony Video Timestamps

Dr. Kelly McDonough - ER Physician:

• 00:00 — Dr Kelly McDonough - ER Physician
• 01:02 — Trauma One Notification
• 03:09 — Initial ABC Assessment and Proactive Intubation
• 04:16 — Evaluation of Superficial Neck and Wrist Lacerations
• 06:22 — Diagnostic Testing: Blood Work and Full-Body CT Scans
• 10:40 — CT Results: Unremarkable Head Scan and Spine Injury
• 12:02 — Severe Hypothermia Treatment
• 16:09 — Cross-Examination: Neurological Status
• 20:20 — Cross-Examination: T5/T6 Spinal Transection
• 24:48 — Final Cross-Examination and Re-direct

Dr. Sejal Shah: Consultation-Liaison Psychiatrist Testimony

Dr. Sejal Shah, Associate Chief of the Division of Psychiatry and Medicine at Brigham and Women's Hospital, testified about her month-long psychiatric evaluation of Lindsay Clancy beginning January 29, 2023, covering capacity assessments, transient post-surgical delirium, and dueling defense/prosecution interpretations of her medication history and behavior.

Dr. Shah's Background and Role

Expertise: Dr. Shah is a psychiatrist and Associate Chief of the Division of Psychiatry and Medicine at Brigham and Women's Hospital.

Role in the Case: As a consultation liaison psychiatrist, she was called to evaluate Lindsay Clancy starting January 29, 2023, for psychiatric safety and medical decision-making capacity, treating her for approximately one month.

Evaluation of Medical Decision-Making Capacity

Objective: To assess if Clancy was mentally capable of changing her healthcare proxy from her husband to her parents.

Assessment Criteria: Dr. Shah used a four-part test ensuring the patient could voice a consistent choice, understand the situation, and appreciate the risks and benefits.

Conclusion: Clancy demonstrated the necessary capacity. She rationally explained that her parents lived close by, were highly supportive, and she trusted them.

Mental Status and Medical Complications

Transient Delirium (Jan 29): On her first day of evaluation, Clancy exhibited confusion and visual hallucinations. Dr. Shah attributed this delirium to recent major medical events, including spine surgery, anesthesia, oxygen desaturation, and elevated heart rate.

Resolution: The delirium and hallucinations completely resolved by the following day, January 30.

Traumatic Brain Injury (TBI) Assessment: Despite arriving unconscious with a Glasgow coma scale of 10, multiple CAT scans confirmed Clancy had no skull fractures, intracranial bleeding, or visible brain injuries.

Ongoing Mental Status (Jan – Feb): Throughout the month, Clancy's thought process was documented as organized and goal-directed. She consistently denied further hallucinations, as well as suicidal, homicidal, or paranoid ideations. She reported low mood regarding her physical paralysis and legal situation, but was cooperative, future-oriented, and looking forward to moving to Spaulding Rehabilitation.

Psychiatric Medications

Defense Perspective: Emphasized that Clancy was prescribed a vast array of medications in the four months leading up to January 2023, including SSRIs (Prozac, Zoloft), Trazodone, Seroquel, Valium, and Remeron, among others. The defense noted that antidepressants carry a "black box" warning as they can increase the risk of suicidality.

Prosecution Perspective: Clarified that right before her hospital admission, Clancy was only prescribed three medications: Trazodone, Valium, and Amitriptyline. Furthermore, evidence suggested Clancy was not actually taking all of the prescribed medications.

Psychosis vs. Hypomania

Postpartum Psychosis: Dr. Shah confirmed that individuals suffering from postpartum psychosis do not have to be slurring their words or stumbling; they can communicate, plan, and effectively act on those plans while in a psychotic state.

Defense (Hypomania): Suggested that symptoms like severe insomnia (going 48 hours without sleep), stating her "brain was broken," and intensely cleaning or selling items from her garage were indicative of hypomania, a lesser degree of mania.

Prosecution: Countered that cleaning and organizing a garage into "keep, sell, throw out" categories is structured behavior, whereas manic tasks are usually approached in a highly disorganized way and are often left unfinished.

Do Not Resuscitate (DNR) Request

Initial Request: Clancy asked to sign a Do Not Resuscitate (DNR) order the day after her initial capacity evaluation.

Medical Response: Given her recent severe suicide attempt, the medical team did not immediately change her code status.

Resolution: After further discussion, Clancy agreed to wait until her mental health was stable before making a final decision on her code status.

Testimony Video Timestamps

Dr Sejal Shah - Psychiatrist:

• 00:00:00 — Dr Sejal Shah - Psychiatrist
• 00:02:12 — Initial Psychiatric Evaluation
• 00:03:32 — Medical Decision-Making Capacity
• 00:05:01 — Post-Surgery Delirium
• 00:07:16 — Rationalizing the Healthcare Proxy Change
• 00:10:09 — Evaluating Traumatic Brain Injury
• 00:13:17 — Mental Status Examinations (Mood, Insight, Behavior)
• 00:14:29 — Assessing Safety for Transfer
• 00:17:46 — Assessing Patient Honesty
• 00:18:58 — Postpartum Psychosis
• 00:20:00 — Defining Bipolar Disorder and Hypomania
• 00:21:24 — Toxicology Reports & Admittance Medications
• 00:23:49 — SSRIs, Protective Medications, and Serotonin Explained
• 00:25:40 — Prescribed Psychiatric Drugs
• 00:27:35 — Black Box Warnings
• 00:28:31 — Prosecution Redirect: Empty Pill Bottles
• 00:30:10 — Disorganized Manic Behavior
• 00:31:19 — Evaluating Severe Insomnia & "Broken Brain" Symptoms
• 00:32:30 — Discussion of Clancy's Do Not Resuscitate (DNR) Request

Dr. David Casavant: ICU Physician Testimony

Dr. David Casavant, an ICU physician at Boston Children's Hospital, testified about the severe anoxic brain injury suffered by Callan Clancy and the rigorous brain death testing protocol that led to his declaration of death on January 27, 2023.

Initial Assessment and Diagnosis

Dr. Casavant took over the care of Callan Clancy on January 26, 2023. Callan had suffered a severe anoxic brain injury, meaning his brain was deprived of vital oxygen.

A head CT scan revealed an enormous amount of immediate brain swelling. Because brain swelling from a lack of oxygen typically peaks between 48 to 72 hours later, this early swelling indicated an exceptionally profound injury. Dr. Casavant compared the severity of this rapid swelling to an immediate burn from a stove, as opposed to a milder injury that develops over time like a sunburn.

Clinical Examination and Complete Unresponsiveness

During physical examinations, Callan was completely unresponsive to all forms of stimuli, showing no reaction to verbal greetings, gentle touch, or painful interventions like nail bed pressure.

He easily tolerated a breathing tube placed through his vocal cords without the use of any sedation — a procedure that would normally be impossibly painful for a conscious patient to endure.

When a light was shone into his eyes, his pupils remained wide open and failed to constrict, which serves as a direct indicator of severe brain injury.

The Extent of the Neurologic Damage

Callan's heart continued to beat despite his unresponsiveness because the brain stem — the primitive part of the nervous system controlling automatic bodily functions — was slightly less sensitive to the lack of oxygen than the rest of the brain.

However, the cerebrum, which controls consciousness, responsiveness, and the part of the brain that "made Callan Callan," was no longer functioning due to the anoxia.

Rigorous Brain Death Testing Protocol

The hospital's neurology team initiated a strict checklist of brain death tests to check for any surviving brain stem reflexes, such as a blink, cough, gag, or a reaction to cold water placed in the ear. Callan exhibited absolutely no reflex responses.

The doctors performed an apnea test by disconnecting Callan from the ventilator. The goal was to see if rising carbon dioxide (CO2) levels in his blood would trigger his autonomic nervous system to take a breath.

The hospital's protocol required the CO2 level to hit a threshold of 60 to definitively prove brain death, but Callan's first test reached exactly 59.7. To ensure unquestionable data and absolute certainty, Dr. Casavant successfully repeated the test later that day, resulting in a CO2 level of 87 with no breathing response.

Final Declaration and End of Life

To rule out any lingering medication effects or temporary fluctuations, the entire battery of brain death testing was legally required to be repeated 24 hours later. The second round of tests yielded the exact same results, officially confirming that Callan had met the criteria for neurologic brain death.

After consulting with Callan's father and providing the family a window of time to gather and process the tragedy, life support was officially removed, and Callan was declared deceased on January 27, 2023.

Testimony Video Timestamps

Dr David Casavant - ICU Physician:

• 00:00 — Dr David Casavant - ICU Physician
• 01:04 — Taking Over Callan Clancy's Care
• 02:17 — Head CT Scan & Severe Brain Swelling
• 04:01 — Physical Examination & Complete Unresponsiveness
• 07:16 — Pupil Reflex Testing
• 08:26 — Heart Function vs. Brain Death
• 10:53 — The Brain Death Testing Protocol
• 12:52 — The Apnea Test Explained
• 14:40 — Strict CO2 Criteria & Repeating the Apnea Test
• 16:22 — 24-Hour Retesting Requirement
• 17:21 — Final Declaration & Removal of Life Support

Dr. Andrew Capraro: Emergency Room Physician Testimony

Dr. Andrew Capraro, an attending emergency department physician at Boston Children's Hospital, testified about receiving Callan Clancy via MedFlight from Beth Israel Plymouth on January 24, 2023, and the evidence of strangulation and hypoxic-ischemic brain injury he observed.

Initial Status and Transfer

Prior to his arrival, Dr. Capraro was informed that Callan had been strangled, went into cardiac arrest, and had to be intubated and given CPR to restore spontaneous circulation.

Physical Observations

Upon arrival at Boston Children's, Callan was cold, limp, and not making any purposeful movements. His pupils were fixed and dilated, which is medically significant because it indicates severe brain swelling that overwhelms the skull's capacity and pushes the brain through the base of the skull.

Signs of Strangulation

Dr. Capraro observed linear ligature marks and swelling around the child's neck. These straight-line bruises were consistent with strangulation by an object.

Dependence on Life Support

While Callan's heart was beating, he required an epinephrine drip to stabilize his blood pressure and keep blood flowing to his organs. Additionally, he was unable to breathe sufficiently on his own, relying on a ventilator for the vast majority of his breathing.

Testing and Diagnosis

A head CT scan revealed significant brain swelling consistent with hypoxic-ischemic injury. Dr. Capraro explained this injury occurs when organs do not receive enough oxygen and blood flow, leading to damage and swelling, which is consistent with strangulation.

Conclusion of ER Care

After consulting with neurosurgery doctors, it was determined that surgery was not an option because there was no bleeding that could be evacuated to relieve the swelling. Because the injuries had to be dealt with medically rather than surgically, Callan was transferred to the intensive care unit (ICU) for ongoing treatment.

Testimony Video Timestamps

Dr Andrew Capraro - Emergency Room Physician:

• 00:00 — Dr Andrew Capraro - Emergency Room Physician
• 01:19 — Notification of Transfer & Initial Condition
• 02:27 — Physical Observations Upon Arrival in the ER
• 04:37 — Medical Testing & Brain Injury Diagnosis
• 06:09 — Medical Evidence of Strangulation
• 06:40 — Ruling Out Surgery & ICU Transfer

Dr. Michael Snyder: Emergency Medicine Physician Testimony

Dr. Michael Snyder, an emergency medicine physician at Beth Israel Hospital since 2014, testified about treating five-year-old Cora Clancy on January 24, 2023, and pronouncing her death at 7:28 PM after approximately 30 minutes of emergency resuscitation efforts.

Patient Arrival and Pre-Hospital Care

The emergency department was notified that multiple pediatric traumas were arriving via ambulance. Dr. Snyder was assigned to treat a five-year-old girl named Cora.

Prior to her arrival at the hospital, Cora was in cardiac arrest. EMTs were actively performing CPR, had shocked her heart twice with a defibrillator, and administered epinephrine through an intraosseous device placed directly into her right tibia bone. She arrived without a breathing tube.

Initial Emergency Room Assessment

Upon her arrival, Dr. Snyder observed that Cora had no heartbeat and was not breathing on her own. She exhibited cyanosis (a blue tint to her skin and hands), which indicates a lack of oxygen.

Physical trauma signs included bruising on the neck, petechiae (small spots of bleeding under the skin) around her neck and eyes, and slight nasal bleeding. Her pupils were fixed and enlarged, a sign that Dr. Snyder noted could be a side effect of the epinephrine or an indicator of early brain damage.

Medical Interventions at Beth Israel

An anesthesiologist successfully inserted a breathing tube (intubated) to provide oxygen; this required special precautions to manually stabilize Cora's neck due to the suspected neck injuries.

The team used a cardiac ultrasound to evaluate heart function while continuing to administer medications and perform CPR.

Dr. Snyder consulted over the phone with intensive care physicians from Children's Hospital to help manage the case and coordinate a potential transfer for specialty inpatient care.

Outcome

All medical efforts to revive Cora were unsuccessful. After approximately 30 minutes of emergency treatment, Dr. Snyder declared Cora deceased at 7:28 PM.

Testimony Video Timestamps

Dr Michael Snyder - Emergency Medicine Physician:

• 00:00 — Dr Michael Snyder - Emergency Medicine Physician
• 01:09 — Notification of Incoming Pediatric Traumas
• 01:55 — Pre-Hospital Condition and EMS Care
• 03:39 — Patient Arrival and Initial Assessment
• 06:11 — Airway Management and Intubation
• 07:13 — Cardiac Ultrasound and Ongoing Resuscitation
• 08:53 — Conclusion of Treatment and Pronouncement

Melissa Arcadipane: Specimen Processor Testimony

Melissa Arcadipane, supervisor of South Shore Hospital's specimen processing department, testified about the laboratory's preservation-notice protocol and the January 31, 2023 turnover of Lindsay Clancy's preserved blood and urine samples to state police.

Witness Background and Responsibilities

Arcadipane worked at South Shore Hospital for over 20 years and served as the supervisor of the specimen processing department in the laboratory in January 2023.

Her department was responsible for overseeing, receiving, and processing blood and urine samples collected by nurses or technicians, which typically arrive from the emergency room via a pneumatic tube system. The lab ensures samples are correctly labeled and placed in the proper tubes before running tests ordered by physicians; because these tests do not always consume the entire sample, it is standard procedure to retain leftover samples in case additional testing is needed.

Protocol for Preservation Notices

A preservation notice is a formal request from a law enforcement agency asking the lab to hold a specific patient's samples.

Upon receiving a notice, lab staff pull the requested samples aside, place them in a specimen bag along with a copy of the notice, and store them in a separate bin within a specimen refrigerator so they are preserved and not accidentally discarded.

Preservation and Collection of Lindsay Clancy's Specimens

Arcadipane confirmed she was aware that a preservation notice for Lindsay Clancy's blood and urine was served on January 24, 2023, and the samples were subsequently refrigerated in a separate bin according to protocol.

On January 31, 2023, a Massachusetts State Police trooper arrived with a warrant to collect these specimens.

Arcadipane personally retrieved the bagged samples from the bin, double-checked the ID labels to confirm they belonged to Lindsay Clancy, and handed them over to the trooper. The prosecution noted this included six vials of blood and one vial of urine, which Arcadipane confirmed giving, though she did not remember the exact quantity.

Court Proceedings and Jury Instructions

Following Arcadipane's testimony, the defense stated they had no questions for her.

The Commonwealth then submitted the certified medical records for Cora, Dawson, and Callan Clancy from Beth Israel Deaconess Plymouth into evidence.

The judge dismissed the jury for the weekend, informing them the trial was on schedule. He issued strict instructions for the jurors to keep an open mind, refrain from discussing the case with anyone, and avoid any independent research or media coverage regarding the trial.

Dr. Ben Kaufman: Emergency Room Physician Testimony

Dr. Benjamin Kaufman testified about treating Callan Clancy at Beth Israel Plymouth on the evening of January 24, 2023, before his transfer to Boston Children's Hospital.

Dr. Benjamin Kaufman's Background

Dr. Kaufman has been an emergency medicine doctor for approximately 12 years, completing his medical education and training at Boston University, Kings County, and Columbia.

He was working at Beth Israel in Plymouth on the evening of January 24, 2023, when he treated Callan Clancy.

Callan Clancy's Initial Condition

Callan was brought to the hospital by EMS with ongoing CPR because his heart had stopped. He was not breathing on his own and was receiving assisted breaths via a bag-valve mask.

Medical Interventions

Dr. Kaufman and his team established an IV, inserted a breathing tube, and administered a dose of epinephrine.

They used an ultrasound to monitor his heart, which started beating again about 10 minutes after his arrival at the emergency room. Medical staff continued to provide chest compressions and breaths through his breathing tube.

Neurological Status

Throughout his time in Dr. Kaufman's care, Callan never regained the ability to breathe on his own. He exhibited no brain function at any point, scoring a 3 on the Glasgow Coma Scale — the lowest possible score, indicating a coma or no brain response.

Transfer to Specialized Care

Because Plymouth Hospital lacked the ability to provide that level of pediatric care, they immediately contacted Boston Children's Hospital. ICU doctors there stayed on the phone to review the case and make recommendations, and Callan was subsequently flown by helicopter to Boston Children's Hospital for definitive care.

Testimony Video Timestamps

Dr. Ben Kaufman - Emergency Room:

• 00:00 — Dr. Ben Kaufman - Emergency Room
• 00:55 — Callan Clancy's Arrival and Initial Condition
• 01:29 — Emergency Medical Interventions
• 02:19 — Restoration of Heartbeat and Breathing Status
• 02:37 — Neurological Assessment and Glasgow Coma Scale
• 03:33 — Transfer to Boston Children's Hospital

Dr. Mark Tenerowicz: Emergency Room Physician Testimony

Dr. Mark Joseph Tenerowicz, a former emergency room physician at Beth Israel Deaconess Plymouth, testified about treating Dawson Clancy on the evening of January 24, 2023, and declaring him deceased at 7:28 PM.

Patient Arrival and Initial Condition

Dawson Clancy was brought in by a fire department ambulance on the evening of January 24, 2023. Dr. Tenerowicz was informed that Dawson had reportedly been strangled and was found without a pulse and not breathing.

Upon arrival, Dawson had a breathing tube inserted, an intraosseous (IO) device in his leg (tibia) to deliver fluids and medication, and CPR was already in progress. He had no pulse, was not breathing on his own, and was completely unresponsive.

Physical Observations

Dr. Tenerowicz observed ruptured blood vessels on Dawson's face and older-appearing bruises on his legs, specifically in the shin area. He did not recall observing any trauma specifically on the child's neck.

Medical Treatment and Assessment

Resuscitative Efforts: The medical team continued CPR, administered IV fluids, gave doses of adrenaline to try and restart the heart, provided medication to treat acid buildup in the blood, and administered calcium.

Airway Confirmation: The team verified that the breathing tube was correctly placed using four methods: detecting carbon dioxide, listening to breath sounds (which were generated by a medical professional squeezing a bag, as Dawson was not breathing spontaneously), utilizing a video laryngoscope, and taking an X-ray.

Defibrillation: A defibrillator was not used because Dawson's heart was never in a "shockable rhythm" that would make the device effective.

Ultrasound: Toward the end of the resuscitation efforts, Dr. Tenerowicz used an ultrasound which confirmed there was no evidence that the heart was beating effectively.

Outcome

The hospital team worked on Dawson for approximately 40 minutes, which was in addition to the time paramedics spent treating him in the field.

After determining that his heart would not restart despite extensive resuscitative efforts, Dr. Tenerowicz declared Dawson deceased at 7:28 p.m. (19:28).

Testimony Video Timestamps

Dr. Mark Tenerowicz - Emergency Room:

• 00:00 — Dr. Mark Tenerowicz - Emergency Room
• 00:43 — Medical Education and Training
• 01:22 — Patient Arrival and Initial Report
• 01:47 — Initial Condition and Physical Observations
• 02:24 — Medical Treatment and Resuscitation Efforts
• 02:52 — Confirming Breathing Tube Placement
• 03:44 — Ongoing Assessments and Ultrasound
• 04:09 — Determination That Efforts Were Unsuccessful
• 04:38 — Duration of Treatment and Defibrillator Explanation
• 05:19 — Declaration of Death
• 05:37 — Cross-Examination (Mr. Reddington)

Dr. Barbara Olson: Medical Examiner Testimony

Dr. Barbara Olson, a medical examiner with the state Office of the Chief Medical Examiner, testified for the Commonwealth on Day 12 (August 12, 2026) about the autopsies of Cora and Dawson. Lindsay sobbed loudly during the testimony and the court recessed twice.

Cause of Death

Olson testified Cora's findings were "consistent with a ligature strangulation," and that both Cora and Dawson died of asphyxia, or oxygen deprivation.

• Cora: hemorrhages to the eyes, face and lips, traumatic injuries on the neck, and fresh bruises on the right arm and legs.
• Dawson: injuries similar to his sister's, with more hemorrhaging.

Pain

Olson said the pressure applied in strangulation would cause severe injuries and pain "until loss of consciousness occurs."

Cross-Examination

The defense declined to cross-examine her.

Dr. Renee Stonebridge: Neuropathology Testimony

Dr. Renee Stonebridge, director of cardiac and neuropathology at the state chief medical examiner's office, testified for the Commonwealth on Day 12 about the neuropathological evaluation of the three children.

Findings

All three children had damage to the eyes or nervous system consistent with oxygen deprivation. She described eye injuries consistent with asphyxia by strangulation.

• Callan: brain injury showing insufficient oxygen and blood supply, and brain swelling.

Timeline of Oxygen Loss

Stonebridge said brain death takes "between about six to eight minutes" with no oxygen flow. With complete oxygen deprivation, loss of consciousness can occur as early as 10 to 30 seconds, brain damage begins at about one minute, and irreversible brain damage and death can occur as early as five minutes.

Dr. Christina Carpio: Trauma Surgeon Testimony

Dr. Christina Carpio, a general and trauma surgeon at South Shore Hospital, testified for the Commonwealth on Day 6 about treating Lindsay on the night of January 24, 2023.

Condition on Arrival

• Lindsay arrived as a Level 1 trauma patient with a body temperature of about 82.1 degrees Fahrenheit.
• Complex, unstable fractures of the thoracic spine required transfer to Brigham and Women's Hospital in Boston.
• The cuts to her wrists and neck went through the skin and exposed fat.
• Other topics covered: airway management, thyroid edema and CT scans.

Sarah Carney: Family Friend Testimony

Sarah Carney, wife of Kyle Carney and a college friend of Patrick, testified for the Commonwealth on Day 9.

Observations

She noticed Lindsay appeared thinner in fall 2022 and did not notice changes in Lindsay after the children were born. She and Kyle hosted the Clancys at a bonfire on January 22, 2023, where Lindsay seemed "quiet, but fairly normal." When Sarah asked how she was doing, Lindsay said she was "good."

Kimberlee Hardy: Kingsbury Club Testimony

Kimberlee Hardy, the former child services director at the Kingsbury Club in Kingston, testified for the Commonwealth on Day 9 about the older children's regular attendance at the club's playroom.

The Children and Lindsay

Hardy often saw Cora and Dawson in the playroom and described Lindsay as "very shy" at drop-off and pick-up. She knew the Clancys had a third child and asked whether they wanted to bring him; they said they were "scared of sickness," because Lindsay was nervous about colds during cold and flu season.

Trooper Cory Melo: Home Search Testimony

Cory Melo, a Massachusetts State Police trooper assigned to the Plymouth County DA's detective unit, testified for the Commonwealth on Day 5 about the search of the Clancy home in Duxbury.

Evidence Seized

• A phone from the bedroom, a laptop, and workout bands on the basement door.
• Several journals and a postpartum anxiety workbook; he asked to review the journals' contents after the initial search.

Journal Entries

Melo confirmed a November 18, 2022 entry in which Lindsay wrote about feeling desperate for a mental break, feeling "disconnected" from her baby, and being "terrified" he would get sick.

Hillary Griffiths: Toxicology Testimony

Hillary Griffiths, a forensic scientist in the Massachusetts State Police crime lab's toxicology unit, testified for the Commonwealth on Day 6 about testing Lindsay's blood and urine.

Findings

• Lindsay's blood tested positive for several prescribed psychiatric medications, including benzodiazepines such as Ativan, and Seroquel, an antipsychotic.
• On cross-examination she confirmed no alcohol, opiates or illegal drugs, including cocaine, were found.
• Other toxicology witnesses testified that no drugs were found in the children's systems.

Officer Cameron Daley: Hospital Watch Testimony

Cameron Daley, a Duxbury police officer, testified for the Commonwealth on Day 12 about guarding Lindsay at Brigham and Women's Hospital on January 25, 2023.

The Watch

Daley was sent to the ICU and stationed outside Lindsay's room for most of the day. When he left that evening, a State Police detective had arrived with a crime scene team and Plymouth County Sheriff's deputies had taken over guard duty.

Nicole Bradley: Sheriff's Department Testimony

Nicole Bradley, assistant deputy superintendent of the field services division at the Plymouth County Sheriff's Department, testified for the Commonwealth on Day 12.

The Hospital Watch

Bradley confirmed the department kept watch over Lindsay at Brigham and Women's Hospital between January 25 and February 3, 2023.

Troopers Farioli and O'Connell: Chain of Custody

Two short Commonwealth witnesses on Day 5 established chain of custody for Lindsay's blood and urine samples. On Day 6 Lindsay signed a stipulation covering chain of custody for blood, fluids, the bands, DNA and similar evidence.

Testimony

• Mark Farioli, State Trooper in the State Police Detective Unit, collected Lindsay's stored blood and urine from the hospital on January 31.
• Leah O'Connell, Trooper at the State Police Crime Lab, received the samples from Farioli on January 31.

The Stipulation

Defense attorney Kevin Reddington said the stipulation "basically relieves the government of having to bring in dozens, if not more, witnesses, to prove chain of custody," avoiding days of testimony.

Paula Musgrove: Mother Testimony

Paula Musgrove, Lindsay's mother, testified for the defense on August 17, 2026, the day the defense began its case. She took the stand around 12:40 p.m. and finished just before 3 p.m., describing her daughter as a "loving mother."

Decline Beginning in October 2022

Musgrove said she noticed a change in Lindsay's demeanor around the second week of October 2022. She read a text from Lindsay: "Mom, will you please come up and stay with me for a bit? I'm really sick."

• Lindsay was afraid to sleep alone and showed increasing paranoia.

Medications

Musgrove told jurors the medication Lindsay was taking in the months before the killings "was pretty much just destroying her mind, and it wasn't her."

December Disclosure

Musgrove testified that in December Lindsay told the family she had thoughts of harming the children.

Allison Ozga: Sister Testimony

Allison Ozga, Lindsay's sister, who grew up with her in Wallingford, Connecticut, testified for the defense on the same day as their mother.

Changes Before the Killings

Ozga testified Lindsay had low energy and "seemed off" around Thanksgiving 2022. At the beginning of December, Lindsay told her she was in a really tough spot; knowing Lindsay's earlier mental health struggles, Ozga had a gut feeling something was wrong and asked whether she was safe.

Suicidal Thoughts

Ozga testified that at the end of December Lindsay told her she had experienced suicidal thoughts every day for a month.

Margaret Hamp: Former Co-Worker Testimony

Margaret Hamp, a labor and delivery nurse at Massachusetts General Hospital and Lindsay's former co-worker, testified for the defense on August 17, 2026.

Lindsay as a Nurse

Hamp described Lindsay as a "really good" nurse who was "compassionate, kind and a patient advocate."

The Andrea Yates Conversation

Hamp recalled discussing the Andrea Yates case with Lindsay: "She cried. She said, 'How could a mother hurt her children?'"

Susan Clancy: Former Mother-in-Law Testimony

Susan Clancy, Patrick's mother and a former labor and delivery nurse, testified for the defense on Tuesday, August 18, 2026, in the fourth week of trial. She described Lindsay as a "wonderful mother" who was "very nurturing, very loving."

Seeking Help

Susan testified that Lindsay reached out in November 2022 to say she "felt unwell," and that she connected her with South Shore Health's Perinatal Behavioral Health Program. Lindsay reported insomnia and loss of appetite; "She was very anxious and sad." Susan testified, "She was begging for help," and "Lindsay was struggling — we were all concerned."

Text Messages

Jurors saw texts between Lindsay and Susan. On November 30, 2022, Lindsay wrote: "I'm not okay and I'm terrified of taking meds tonight." The messages showed Lindsay's fear of benzodiazepine dependence alongside being unable to sleep without them.

Dr. Michael Vulfovich: Emergency Medicine Testimony

Dr. Michael Vulfovich, an emergency medicine physician at Newton-Wellesley Hospital, was called by the defense to testify about the medical records from Lindsay's treatment after her suicide attempt.

Injuries

Vulfovich testified that Lindsay's injuries "were consistent with self-injurious behavior."

Dr. Donald Condie: Psychopharmacology Testimony

Dr. Donald Condie, an adult clinical and forensic psychiatrist with more than four decades of experience, testified for the defense. He never personally evaluated Lindsay; he was called to review her treatment, medication history and the progression of symptoms documented in her records before January 24, 2023.

Review of Dr. Tufts' Records

Condie testified that the notes kept by Dr. Jennifer Tufts, Lindsay's primary psychiatrist before the killings, were "somewhat sparse" and lacked descriptive sentences offering a thorough analysis of her mental state.

Symptoms in the Records

• Her records showed she told providers she felt dissociated, which can be associated with psychosis.
• Passive suicidal ideation was reported "very, very frequently" in the medical records.
• Bipolar disorder, he said, was a "very serious possibility that has to be considered."

Medication Concerns

Condie explained that depression can be a major component of bipolar illness, and that antidepressants generally should be used cautiously when bipolar disorder is suspected because of the possibility of worsening manic symptoms. This underpins the defense's argument about her medication regimen.

Dr. Elizabeth Laposata: Forensic Pathology Testimony

Dr. Elizabeth Laposata, a forensic pathologist, testified for the defense by Zoom. She walked jurors through Lindsay's own injuries from the night of January 24, 2023, and addressed the manner of the children's deaths.

Lindsay's Injuries

• Knife wounds to her wrists and neck marked by numerous hesitation cuts, a pattern she said is common in suicide attempts.
• A Jefferson fracture of the neck, typically caused by a direct blow to the head such as a fall or a dive into shallow water, along with spinal cord damage, broken ribs, and injury to the voice box and thyroid.
• Her body temperature dropped to 82 degrees Fahrenheit after she cut herself and went out of a second-floor bedroom window.

Cross-Examination and Redirect

Prosecutor Jennifer Sprague pressed Laposata on the absence of visible injuries to the top of Lindsay's head immediately after the fall ("Not a bump or scratch or scrape on the top of her head"). On redirect, Laposata distinguished manual strangulation, which involves varying pressure, from ligature strangulation, which does not, noting the exercise bands used would have applied constant force.

Dr. Paul Zeizel: Forensic Psychology Testimony

Dr. Paul Zeizel, a clinical and forensic psychologist, testified for the defense after January 24, 2023, about his evaluations of Lindsay Clancy following the killings. He first met her on February 4, 2023, at Brigham and Women's Surgical ICU, and by June 2026 had conducted about 45 meetings and roughly 60 visits totaling 35 to 37 hours, including time at lockup and Tewksbury.

Witness Background & Qualifications

• Role: Clinical and forensic psychologist, licensed 37 years.
• Education: Bachelor's, Queens College. Master's, Harvard. Doctorate in clinical psychology, William James College.
• Caseload: Over 1,000 forensic cases for the Commonwealth and for defendants. Qualified in every Massachusetts court except Nantucket. Small private practice. DEA psychologist.
• Afghanistan work: State Department vendor, November 2007 to mid-February 2011. Embedded combat psychologist. Critical-incident debriefings (TICs) with ISAF. Loaned to U.S. Marshals, FBI, and CIA.
• This case: Reddington called about 11:30 p.m. on February 3, 2023. First visit February 4, Brigham and Women's SICU. About 45 meetings by June 2026, about 60 visits total, 35 to 37 hours, including lockup and Tewksbury.

Psychologist vs. Psychiatrist

• Psychiatrist: Medical school and a residency. Can prescribe.
• Psychologist: Graduate school, Ph.D. or Psy.D. Counseling, testing, and evaluation. 99% cannot prescribe.
• Forensic testing: Mental health and the law. Cognitive testing, ADHD, personality, malingering, sociopathy, guardianship, custody, job-risk assessment.
• MMPI: Minnesota Multiphasic Personality Inventory. Validity and lie/K-scale. Faking good vs. faking bad.

Regarding Lindsay's Timeline

• February 4: Handcuffed to the ICU bed. Paralyzed from the sternum down. Disoriented to time and place.
• February 6 call: Speakerphone to Patrick. She said she loved him, then that a male voice ordered her to kill the children and herself. He denied coaching that claim.
• Decline: Insomnia and postpartum anxiety. Poor Zoloft reaction with Dr. Tufts. South Shore perinatal with Rebecca Jollotta. Seroquel, Remeron, Klonopin. Felt "like a zombie." McLean December 30, 2022, to January 5, 2023. Ego-dystonic thoughts so loud she thought others could hear them.
• January 24: Pediatrician, snowman, Pedia-Lax text, restaurant directions. Everyday tasks do not disprove psychosis.
• Opinion: Bipolar disorder with postpartum psychosis. Lacked substantial capacity to appreciate the wrongfulness of her acts or conform her conduct to the law. Government MMPI: not malingering.

Cross-Examination

• Money and friendship: CPCS about $340,000 (FY 2024) and $300,000 (FY 2025). 20-year friendship with Reddington. November 2025 letter calling her "my patient."
• February 8, 2023 press conference: Diagnostic opinions before reviewing medical or discovery files.
• Records: 7 of 30 Zoloft pills missing from the September 15, 2022 bottle. He confabulated Trazodone vs. Zoloft. No voices reported to treaters before January 24.
• Tewksbury: Notes on birthdays and anniversaries showed socializing, phone use, and family visits. 1-to-1 suicide watch.

Redirect

• Rapport: Empathy is how you get accurate information, not confirmation bias.
• Transport: Asked that she not be chained to a van because of paralysis.
• Wish Vase: Hawaii honeymoon object bought with Patrick.

Video Index

• [00:00:00] MA v Lindsay Clancy — Dr. Paul Zeizel
• [00:01:50] Forensic Psychological Testing
• [00:03:30] The MMPI-3 and Malingering Assessment
• [00:07:26] Background and Combat Psychology Experience
• [00:13:38] Initial ICU Evaluation at Brigham and Women's
• [00:17:58] The February 6 Phone Call with Patrick
• [00:23:41] Dynamic Mood and Suicidal Ideation
• [00:26:42] Medication History and Decline
• [00:31:07] Dissociation, Derealization, and McLean Stay
• [00:36:08] Postpartum Psychosis and Everyday Functioning
• [00:39:12] Duxbury Home Life and Declining Mental State
• [00:44:32] Seroquel, Anhedonia, and McLean Discharge
• [00:48:15] Intrusive Thoughts and Pre-Incident Searches
• [00:54:12] January 24: Pediatrician, Snowman, and Pedia-Lax
• [00:59:54] MMSE, HARE Checklist, and Diagnosis
• [01:05:23] Cross-Examination: CPCS Pay and Friendship with Counsel
• [01:10:16] Role Boundaries and the "My Patient" Letters
• [01:21:53] Zoloft Pill Count and Medication Discrepancies
• [01:34:01] Auditory Hallucinations Timeline
• [01:39:14] Confabulated Meds and Other Experts' Reports
• [01:45:01] Tewksbury Records on Birthdays and Anniversaries
• [01:54:45] Confirmation Bias and the February 8 Press Conference
• [02:00:05] Playing of the February 8 News Conference Clip
• [02:08:17] Redirect: Empathy in Forensic Evaluation
• [02:13:51] Tewksbury Observations and Family Visits
• [02:19:14] Attachment and One-to-One Suicide Watch
• [02:24:36] February 8 Press Conference (from exhibit)
• [02:28:43] DA Cruz Interview

Lindsay's Hospital Phone Call to Patrick

Lindsay called Patrick from the hospital using Dr. Paul Zeizel's phone, with Zeizel facilitating the call on speakerphone. It was not a private cellphone call made directly from her hospital bed — she was hospitalized, handcuffed to the bed and under guard, so the conversation was arranged and monitored by Zeizel. [ABC News] [Court TV]

How the Call Was Arranged

Zeizel first met with Lindsay at Brigham and Women's Hospital on February 4, 2023, 11 days after the killings. She was receiving treatment for her injuries, reportedly handcuffed to the bed with police officers stationed outside the room. Zeizel said she was affected by pain medication and confused about some basic details — including where she was and what time it was — although she could still converse. Lindsay told him she had not spoken with Patrick since January 24 and wanted to know how he was doing, how the family was coping, and where they stood personally. She asked whether she could use his phone to call him; because Zeizel did not have Patrick's number independently, Lindsay supplied it, and he dialed it from his own cellphone, telling her the call had to be on speakerphone so he could hear the conversation. [Rev transcript]

Two Attempts — February 4 and February 6

• February 4, 2023: The first attempt did not connect. Zeizel testified that Patrick did not answer and that Lindsay left a voicemail; Zeizel said he did not leave a message himself.
• February 6, 2023: Zeizel and Lindsay tried again two days later. Patrick answered, and Zeizel remained in the room, listening on speakerphone.

Trial reporting has sometimes given the dates inconsistently as February 4 and February 24, but the broader coverage identifies the relevant hospital visit as February 4 and the successful follow-up call as February 6.

What Lindsay Said

• Zeizel testified that Lindsay told Patrick she loved him very much, describing her as having difficulty showing emotion but still expressing love and concern for him.
• She said she had heard a male voice ordering her to kill the children and then herself, and that the voice told her she had no choice.

This was not a recorded confession or a police interrogation; it was a hospital conversation reported later by Zeizel during his trial testimony. There is no reliable public indication that the call itself was recorded or publicly released.

Why the Call Mattered

• Defense: Used the call to support its argument that Lindsay was experiencing psychosis, dissociation and command hallucinations.
• Prosecution: Could argue the account was reported after the killings, was not independently recorded, and had to be weighed against her medical records, earlier statements, conduct and competing expert testimony.
• Zeizel's presence: The conversation was not entirely private, but he was a forensic psychologist who later evaluated Lindsay — not a police interrogator.

Chaplain Sheila Cavanaugh: Testimony

Chaplain Sheila Cavanaugh, who said she had met with Lindsay roughly 200 times, testified for the defense about what Lindsay described to her.

What Lindsay Told Her

• Lindsay described hearing a voice saying that if she did not follow the command, neither she nor the children would be safe.
• Cavanaugh said Lindsay was "so glad" the children were "safe."

Dr. Phillip Resnick: Final Defense Witness

Dr. Phillip Resnick, a forensic psychiatrist, was the final witness for the defense. On August 21, 2026 the defense rested after his testimony.

Direct Examination

Resnick testified that Lindsay was "clearly psychotic" on the day of the killings and not in control of her actions, labeling it postpartum psychosis. He described a command hallucination, a delusion of influence, and a belief that an external force had taken over her body.

Cross-Examination

Prosecutor Jennifer Sprague pressed him on the fact that Lindsay did not disclose thoughts of harming her children to medical providers who asked. Resnick acknowledged this but called it "very common because people fear their children will be taken away."

Dr. Avram Mack: Prosecution Rebuttal Testimony

Dr. Avram Mack, a forensic psychiatrist hired by the Plymouth District Attorney's office, was the first rebuttal witness after the defense rested. His opinions came from two interviews of Lindsay at Tewksbury Hospital in April.

Opinion

• He diagnosed a major depressive episode around the time of the killings, but not psychosis, and disagreed with Resnick's diagnosis.
• He concluded Lindsay could appreciate that her actions were wrong, which under the Massachusetts standard would make her criminally responsible.

Cross-Examination

Defense attorney Kevin Reddington cross-examined Mack tensely.

Dr. Kirk Heilbrun: Prosecution Rebuttal Testimony

Dr. Kirk Heilbrun, a forensic psychologist, testified for the prosecution in rebuttal over multiple days.

Opinion

Heilbrun told jurors that Lindsay, though mentally ill, understood the wrongfulness of her actions and could conform her conduct to the law, with sufficient cognitive clarity and executive functioning. Asked on cross whether Lindsay lied or malingered in their interviews, he agreed that she did not.

Cross-Examination and the Religion Ruling

Reddington clashed repeatedly with Heilbrun and challenged his qualifications and diagnosis. Testimony touching on Lindsay's religion led Reddington to move for a mistrial for the second time; the judge denied the motion, called it an "absolutely inappropriate area of testimony," and told jurors to disregard it.

MA v. Lindsay Clancy — Dr. Gregory Saathoff, FBI Forensic Psychiatrist (Behavioral Analysis Unit)

Dr. Gregory Saathoff — a forensic psychiatrist at the University of Virginia and a senior psychiatrist for the FBI's Behavioral Analysis Unit — was the prosecution's final rebuttal witness. He interviewed Lindsay by video in May and June 2026. The prosecution rested its rebuttal on Wednesday, August 26, 2026.

Credentials and Role

• Forensic psychiatrist, University of Virginia; senior psychiatrist for the FBI's Behavioral Analysis Unit.
• Has consulted for other government and law-enforcement entities, including corrections agencies, the Justice Department, and the Virginia Attorney General's office.
• Called by the prosecution as its final expert, after the defense's psychiatric witnesses had testified.

The Voice

Saathoff focused on the voice Lindsay said she heard on January 24, 2023, which she said began that day and did not stop until she had strangled all three children in the basement. He testified to inconsistencies in her recollection of that night and of the voices — including that she had told another doctor the voice began earlier than she told him — and said it was atypical for this kind of command hallucination to stop immediately once the associated act was completed, which is not how he said these hallucinations usually work.

Capacity

He testified Lindsay had the "capacity to appreciate right from wrong" at the time, pointing to preparatory planning and the timing while Patrick was out, and said he believed she had misled her family about events. His overall conclusion was that she was criminally responsible for the killings.

Cross-Examination

Defense attorney Kevin Reddington's cross-examination grew heated at points. He questioned Saathoff's expertise specifically in postpartum psychosis, pressed him on his close ties to law enforcement and government agencies (including his work with prisons, the Justice Department, and the Virginia Attorney General's office) and on his compensation for the evaluation, and challenged his characterization of the evidence and his conclusion that Lindsay had misled her family.

Testimony Video Timestamps

MA v. Lindsay Clancy — Dr. Gregory Saathoff, FBI Forensic Psychiatrist (Behavioral Analysis Unit):

• — Forensic Psychiatry Credentials & FBI BAU Role
  00:03:52
• — Clinical Experience with Inmates & Female Offenders
  00:05:50
• — Landmark 1987 Study on Bromocriptine & Postpartum Psychosis
  00:10:22
• — Diagnostic Definition & Three Domains of Psychosis
  00:13:11
• — Serious Mental Illness (SMI) vs. Any Mental Illness (AMI)
  00:19:11
• — Scope of Retainer & Materials Reviewed
  00:20:49
• — Zoom Interviews with Lindsay Clancy & Patrick Clancy
  00:24:37
• — Evaluation of Reported Command Auditory Hallucinations
  00:28:46
• — Atypical Characteristics of Reported Command Voice
  00:32:05
• — Outward Portrayals & Concealment of Mental Health Symptoms
  00:42:34
• — Non-Compliance with Prescribed Lamictal
  00:48:52
• — Behavioral Masking & Treatment Inconsistencies at Spaulding
  00:53:28
• — Analysis of Errand Planning (ThreeV & CVS Distance Searches)
  00:57:57
• — Evaluation of Suicide Attempt & Sequential Decision-Making
  01:04:19
• — Methodical Execution of Children's Strangulations
  01:13:15
• — Resumption of Direct Examination (Day 2)
  01:17:17
• — Interpersonal Psychological Theory of Suicide Applied
  01:19:44
• — Forensic Diagnostic Conclusion: Bipolar II Disorder
  01:25:21
• — Medication Side Effects vs. Medical Overmedication
  01:30:35
• — Expert Opinion: Capacity to Appreciate Right from Wrong
  01:39:14
• — Expert Opinion: Ability to Conform Behavior & Criminal Responsibility
  01:46:39
• — Cross-Examination Begins (Defense Attorney Reddington)
  01:50:22
• — Cross-Exam: Prison System Work & Institutional Practice
  01:55:03
• — Cross-Exam: Publications Focus on Extremism & Terrorism
  02:05:06
• — Cross-Exam: Auditory Hallucination Research & Dr. Phillip Resnick
  02:08:26
• — Cross-Exam: Omission of Blood, Enzyme & Thyroid Lab Tests
  02:21:33
• — Cross-Exam: Edinburgh Scale Results & Lamictal Rash Risks
  02:25:48
• — Cross-Exam: Response to Suicide Crisis Hotline (ASPIRE) Calls
  02:48:26
• — Cross-Exam: Postpartum GABA & Progesterone Drop Theories
  02:52:25
• — Cross-Exam: Physical Evidence Inconsistencies & Crime Scene Gaps
  03:00:51
• — Cross-Exam: MMPI Psychological Testing & Absence of Malingering
  03:17:38
• — Redirect Examination Begins (Prosecutor Sprague)
  03:31:09
• — Redirect: Postpartum Onset Window & WHO Guidelines
  03:37:35
• — Redirect: Low-Dose Lamictal Titration Safety Protocol
  03:42:19
• — Redirect: Evaluation of Outpatient Psychiatric Prescribing
  03:47:09
• — Redirect: ASPIRE Crisis Hotline Records & Referrals
  03:55:39
• — Recross Examination & Commonwealth Rests
  04:04:14

Full Biographical Timeline

A chronological record of Lindsay Clancy's life and medical history compiled from a sourced 195-entry archive timeline, from her birth through the years leading up to January 24, 2023. Entries will be expanded as more of the archive is added.

Biography & Medical Record Timeline — Archive Pass

The full sourced archive pass: 66 entries running from Lindsay's birth in 1990 through the January 1, 2023 admission notes. Each entry carries its own source link to the crime timeline or the trial transcript it comes from. Blue cards are biography, red cards are medical record entries.