Chapter 4 - How Audrey Was Declared Dead While Still Alive

The medical explanation took weeks to reconstruct.
It began with the drug.
Elise had a prescription for a potent sedative used intermittently for severe insomnia.
Mixed in a large enough amount with alcohol, it could cause profound central nervous system depression.
Audrey’s breathing became extremely shallow.
Her blood pressure dropped.
Her responsiveness nearly disappeared.
That did not make her dead.
The next failure did.
Grant never called 911.
Instead, he moved Audrey to a guesthouse owned by one of his business associates and contacted Dr. Lawrence Bell, a concierge physician who had treated Grant socially for years.
Grant told Bell that Audrey had collapsed after complaining of chest tightness.
Elise claimed Audrey had a family history of sudden cardiac death.
False.
By the time Bell arrived, Audrey was cold from strong air conditioning, deeply sedated, and barely breathing.
Bell made a catastrophic mistake.
He saw what Grant told him he would see.
A dead woman.
He checked for a pulse inadequately.
Did not perform ECG confirmation.
Did not activate emergency medical services.
Did not use proper monitoring.
Then he pronounced Audrey dead.
That pronouncement allowed Grant to move quickly.
He said Audrey had wanted direct cremation after a brief private viewing.
He refused embalming.
That choice, intended to accelerate destruction of evidence, probably saved her.
No embalming chemicals entered Audrey’s body.
The funeral home placed her in controlled cool storage and prepared her for viewing with minimal intervention.
The sedative gradually metabolized.
Audrey’s respiratory drive strengthened.
By the afternoon of the funeral, consciousness began returning.
Slowly.
Painfully.
Enough.
Grant’s plan depended on Audrey never waking.
He had prepared for investigators.
Insurance paperwork.
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Family questions.
He had not prepared for his wife to sit up inside the coffin.